PMID- 9709952 OWN - NLM STAT- MEDLINE DCOM- 19980902 LR - 20151119 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 83 IP - 8 DP - 1998 Aug TI - Mechanisms of whole-body glycogen deposition after oral glucose in normal subjects. Influence of the nutritional status. PG - 2810-6 AB - It is known that prior fasting enhances whole-body glycogen retention after glucose ingestion. To identify the involved mechanisms, 33 normal volunteers underwent a total fast, varying between 14 h and 4 days, and ingested thereafter 75 g glucose labeled with [14C]glucose. Measurements of oral glucose oxidation (expired 14CO2, corrected for incomplete recovery) and total carbohydrate (CHO) oxidation (indirect calorimetry) were performed over the following 5 h. These data allowed us to calculate oral glucose storage (uptake oxidation), glycogen oxidation (CHO oxidation - oral glucose oxidation), and net CHO balance (oral glucose uptake - CHO oxidation). As compared with an overnight fast, prolonged fasting (4 days) inhibited the uptake (64.8 vs. 70.3 g/5 h; P < 0.01) and the oxidation (10.9 vs. 20.0 g/5 h; P < 0.001) of oral glucose and stimulated slightly its conversion to glycogen (53.9 vs. 50.3 g/5 h; P < 0.05). The latter effect played only a minor role in the marked increase in net CHO balance (52.3 vs. 25.2 g/5 h; P < 0.001), which was almost entirely related to a decrease in glycogen oxidation (1.6 vs. 25.1 g/5 h; P < 0.001). Considering the whole series of data, including intermediate durations of fast, it was observed that the modifications in postprandial CHO metabolism, induced by fasting, correlated strongly with basal CHO oxidation, suggesting that the degree of initial glycogen depletion is a major determinant of glycogen oxidation and net CHO storage. Thus, prior fasting stimulates postprandial glycogen retention, mainly through an inhibition of the glycogen turnover that exists in overnight-fasted subjects, during the absorptive period. FAU - Fery, F AU - Fery F AD - Department of Endocrinology, Erasmus Hospital, University of Brussels, Belgium. FAU - Plat, L AU - Plat L FAU - Balasse, E O AU - Balasse EO LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Carbon Radioisotopes) RN - 0 (Dietary Carbohydrates) RN - 142M471B3J (Carbon Dioxide) RN - 9005-79-2 (Glycogen) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Adult MH - Breath Tests MH - Calorimetry, Indirect MH - Carbohydrate Metabolism MH - Carbon Dioxide/analysis MH - Carbon Radioisotopes MH - Dietary Carbohydrates/administration & dosage/metabolism MH - Fasting MH - Glucose/*administration & dosage MH - Glucose Tolerance Test MH - Glycogen/*metabolism MH - Humans MH - Kinetics MH - Male MH - *Nutritional Status MH - Oxidation-Reduction EDAT- 1998/08/26 00:00 MHDA- 1998/08/26 00:01 CRDT- 1998/08/26 00:00 PHST- 1998/08/26 00:00 [pubmed] PHST- 1998/08/26 00:01 [medline] PHST- 1998/08/26 00:00 [entrez] AID - 10.1210/jcem.83.8.5022 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 1998 Aug;83(8):2810-6. doi: 10.1210/jcem.83.8.5022.