Leg free fatty acid kinetics during exercise in men and women
Open accessAbstract
We previously reported that epinephrine stimulates leg free fatty acid (FFA) release in men but not in women. The present studies were conducted to determine whether the same is true during exercise. Six men and six women bicycled for 90 min at 45% of peak O 2 consumption, during which time systemic and leg FFA kinetics ([9,10-3 H]palmitate) were measured. The catecholamine and hormonal responses to exercise were not different in men and women. The baseline systemic and leg palmitate release was 94 ± 15 vs. 114 ± 5 μmol/min and 16 ± 2 and 20 ± 3 μmol/min, respectively, in men and women [ P = nonsignificant (NS)]. Systemic and leg palmitate release increased (both P < 0.001) to 251 ± 18 vs. 212 ± 16 μmol/min and 73 ± 19 vs. 80 ± 12 μmol/min in men and women, respectively, during the last 30 min of exercise ( P = NS, men vs. women). We conclude that the systemic and leg adipose tissue lipolytic response to exercise is not different in nonobese men and women.
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During moderate exercise (25-65% VO2peak), the primary energy source is fatty acid oxidation, including circulating FFA, VLDL-TG-derived fatty acids, and imTG.
“During moderate levels of exercise (25-65% of peak oxygen uptake – V̇O2 peak), the primary energy source is fatty acid oxidation, including circulating FFA, fatty acids derived from plasma VLDL-TG, and imTG (160–162).”
From Sex differences in the metabolism of glucose and fatty acids by adipose tissue and skeletal muscle in humans (2025) · cites this paper as [162]
The Exercise responses section reports increased circulating palmitate release during exercise, and the Discussion describes the study as 90 minutes of moderate-intensity exercise at about 45% of peak oxygen consumption (page not provided). The paper does not establish that fatty acid oxidation is the primary energy source across 25–65% of V̇O2peak, or identify VLDL-TG-derived fatty acids and intramuscular triglycerides as fuel sources. (LLM, conf=0.86)
Experimental — accuracy not yet measuredFed-state studies on exercise-induced lipolysis are inconsistent; some reported greater plasma FFA concentrations in women, others similar concentrations between sexes.
“Studies examining sex differences in exercise-induced lipolysis are not consistent; some reported greater plasma FFA concentrations in women (166, 188), others found similar concentrations between sexes (162, 179, 213).”
From Sex differences in the metabolism of glucose and fatty acids by adipose tissue and skeletal muscle in humans (2025) · cites this paper as [162]
The Exercise responses section reports similar arterial plasma palmitate concentrations in men and women during exercise (P = NS), supporting the similar-concentrations part of the claim. The Discussion notes differences among prior studies but does not establish that some found higher plasma FFA concentrations in women. The protocol describes a controlled prestudy diet, not a fed-state exercise test; no page numbers are available in our copy. (LLM, conf=0.82)
Experimental — accuracy not yet measuredGlycerol isotope studies either showed greater glycerol Ra in women or comparable rates between sexes during exercise.
“Research using glycerol isotopes either showed greater glycerol Ra in women (166) or comparable rates between both sexes during exercise (162).”
From Sex differences in the metabolism of glucose and fatty acids by adipose tissue and skeletal muscle in humans (2025) · cites this paper as [162]
The Exercise responses section reports no sex difference in palmitate rate of appearance during exercise, supporting the comparable-rates finding. But the Assays and measurements and Calculations and statistics sections identify the isotope tracer and calculated rate as palmitate, not glycerol; this paper does not establish comparable glycerol Ra. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIsotopic tracer studies showed no significant sex differences in exercise-induced FFA flux in fed state.
“Studies using isotopic tracers showed no significant differences in exercise induced FFA flux between sexes (162).”
From Sex differences in the metabolism of glucose and fatty acids by adipose tissue and skeletal muscle in humans (2025) · cites this paper as [162]
The Abstract and Exercise responses section report isotope-tracer measurements showing no significant sex difference in systemic or leg FFA release during exercise. The claim’s “fed state” qualifier is not established: the Methods describe a controlled diet before the study but do not say participants exercised in a fed state. The verbatim citing sentence, which omits that qualifier, is supported. (LLM, conf=0.85)
Experimental — accuracy not yet measuredOther studies found no significant difference in plasma glycerol between moderately athletic men and women.
“In contrast, other studies found no significant difference between moderately athletic men and women (26, 162, 166), and one study noted greater glycerol concentrations in elite athletic men (179).”
From Sex differences in the metabolism of glucose and fatty acids by adipose tissue and skeletal muscle in humans (2025) · cites this paper as [162]
The Discussion (page not available) reports similar systemic and leg free-fatty-acid release in men and women of comparable fitness during exercise. It also distinguishes this study’s direct measurements from plasma glycerol concentrations used as an indirect measure in previous studies. The cited paper therefore supports a lack of sex difference in fatty-acid release, but not the specific claim about plasma glycerol concentrations. (LLM, conf=0.84)
Experimental — accuracy not yet measured
The definition of flux varied among studies, with some using body weight and others fat-free mass, which may complicate comparisons.
“It’s important to note that the definition of flux varied among these studies, with some using body weight (166) others using FFM (162), which may complicate comparisons.”
From Sex differences in the metabolism of glucose and fatty acids by adipose tissue and skeletal muscle in humans (2025) · cites this paper as [162]
The Discussion says direct comparisons with previous studies are difficult, but attributes that difficulty to differences in measurement methods, exercise protocols, fitness, and diet—not to body-weight versus fat-free-mass definitions of flux. The Exercise responses section reports systemic palmitate flux in µmol/min; it does not establish the claimed normalization distinction. (LLM, conf=0.82)
Experimental — accuracy not yet measuredFFA:glycerol ratios were not different between sexes during fed-state exercise.
“Similarly, FFA: glycerol ratios were not different between sexes during exercise in fed state (162).”
From Sex differences in the metabolism of glucose and fatty acids by adipose tissue and skeletal muscle in humans (2025) · cites this paper as [162]
The Discussion reports similar systemic and leg FFA release in men and women during exercise. It does not report an FFA:glycerol ratio; it mentions glycerol only as an indirect measure used in previous studies. The Methods describe a controlled diet before the study but do not establish that exercise occurred in a fed state. (LLM, conf=0.84)
Experimental — accuracy not yet measuredBoth the systemic and leg FFA lipolytic response to aerobic exercise were not different between recreationally active men and women.
“Indeed, both the systemic and leg FFA lipolytic response to aerobic exercise were not different between recreationally active men and women, as stated by Burguera and colleagues (2000).”
From Analysis of sex-based differences in energy substrate utilization during moderate-intensity aerobic exercise (2022) · cites this paper as Burguera et al. 2000
The Abstract and Discussion report that systemic and leg FFA release increased similarly in men and women during moderate-intensity exercise. The Subjects and Subject characteristics sections describe nonobese participants of comparable fitness, but do not establish that they were recreationally active. (LLM, conf=0.83)
Experimental — accuracy not yet measuredAt exercise intensities of 25, 45, 65 and 85% VO2peak, no sex-based differences in free fatty acid oxidation during exercise were observed.
“At various exercise intensities (25, 45, 65 and 85% VO 2 peak ), no sex-based differences in FFA oxidation during exercise were observed (Burguera et al. 2000;Romijn et al. 2000).”
From Sex‐based differences in endurance exercise muscle metabolism: impact on exercise and nutritional strategies to optimize health and performance in women (2016) · cites this paper as Burguera et al. 2000
The Abstract reports exercise at 45% of peak oxygen consumption, and Exercise responses reports no significant sex difference in systemic respiratory quotient during exercise. The paper does not establish the claimed result at 25%, 65%, or 85% VO2peak, and its direct FFA measurements concern uptake and release rather than oxidation. Page numbers are unavailable in our copy. (LLM, conf=0.86)
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References 24 · Cited by 77
- Authors
- Burguera, B., Proctor, D., Dietz, N., Guo, Z., Joyner, M., & Jensen, M. D.
- Affiliations
- Endocrine Research Unit and
- Mayo Clinic (US)
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 2000-01-01
- Volume
- 278
- Issue
- 1
- Pages
- E113-E117
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- OpenAlex
- W1830535362
- Cited by
- 77
- References
- 24
- Citations by year
- 2025: 4 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 2 · 2017: 2 · 2016: 3 · 2015: 6 · 2014: 3 · 2013: 3 · 2012: 3
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mayo Clinic (55905)
- Mayo Foundation for Medical Education and Research
- National Institutes of Health (5r01dk045353-03, DK-50456, RR-00585)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK45353, P30DK050456, DK50456)
- National Center for Research Resources (RR-00585, M01RR000585)
- Topics
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Keywords
- lipolysis, physical activity, sex differences, epinephrine, catecholamines, hormonal response to exercise
- MeSH terms
- Adult, Fatty Acids, Nonesterified, Female, Humans, Kinetics, Leg, Male, Palmitates, Exercise
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