Endurance training increases gluconeogenesis during rest and exercise in men
Open accessAbstract
The hypothesis that endurance training increases gluconeogenesis (GNG) during rest and exercise was evaluated. We determined glucose turnover with [6,6-(2)H]glucose and lactate incorporation into glucose by use of [3-(13)C]lactate during 1 h of cycle ergometry at two intensities [45 and 65% peak O(2) consumption (VO(2 peak))] before and after training [65% pretraining VO(2 peak)], same absolute workload (ABT), and 65% posttraining VO(2 peak), same relative intensity (RLT). Nine males (178.1 +/- 2.5 cm, 81.8 +/- 3.3 kg, 27.4 +/- 2.0 yr) trained for 9 wk on a cycle ergometer 5 times/wk for 1 h at 75% VO(2 peak). The power output that elicited 66.0 +/- 1.1% of VO(2 peak) pretraining elicited 54.0 +/- 1.7% posttraining. Rest and exercise arterial glucose concentrations were similar before and after training, regardless of exercise intensity. Arterial lactate concentration during exercise was significantly greater than at rest before and after training. Compared with 65% pretraining, arterial lactate concentration decreased at ABT (4.75 +/- 0.4 mM, 65% pretraining; 2.78 +/- 0.3 mM, ABT) and RLT (3.76 +/- 0.46 mM) (P < 0.05). At rest after training, the percentage of glucose rate of appearance (R(a)) from GNG more than doubled (1.98 +/- 0.5% pretraining; 5.45 +/- 1.3% posttraining), as did the rate of GNG (0.11 +/- 0.03 mg x kg(-1) x min(-1) pretraining, 0.24 +/- 0.06 mg x kg(-1) x min(-1) posttraining). During exercise after training, %glucose R(a) from GNG increased significantly at ABT (2.3 +/- 0.8% at 65% pre- vs. 7.6 +/- 2.1% posttraining) and RLT (6.1 +/- 1.5%), whereas GNG increased almost threefold (P < 0.05) at ABT (0.24 +/- 0.08 mg x kg(-1) x min(-1) 65% pre-, and 0.71 +/- 0.18 mg x kg(-1) x min(-1) posttraining) and RLT (0.75 +/- 0.26 mg x kg(-1) x min(-1)). We conclude that endurance training increases gluconeogenesis twofold at rest and threefold during exercise at given absolute and relative exercise intensities.
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Lactate is an important precursor for hepatic gluconeogenesis and the production of glucose during exercise, which may subsequently undergo oxidation.
“However, as a glycolytic end product in muscle, lactate is an important precursor for hepatic gluconeogenesis and the production of glucose during exercise, which may subsequently undergo oxidation [98,124].”
From Regulation of Energy Substrate Metabolism in Endurance Exercise (2021) · cites this paper as [124]
The Conclusions (page unavailable) identify lactate as the main gluconeogenic precursor and report lactate-derived glucose production during exercise. The Limitations say most enhanced gluconeogenesis likely occurred in the liver, while the kidneys also contributed. The paper does not establish that the glucose produced was subsequently oxidized. (LLM, conf=0.86)
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References 35 · Cited by 153
Research works printed but not linked: 1
- Gutmann, I., and A. Wahlefeld. L-(ϩ)-lactate determination with lactate dehydrogenase and NAD. In: Methods of Enzymatic Analysis (2nd ed.), edited by H. Bergmeyer. New York: Academic, 1974, p. 1464-1468.
- Authors
- Bergman, B. C., Horning, M. A., Casazza, G. A., Wolfel, E. E., Butterfield, G. E., & Brooks, G. A.
- Affiliations
- University of California, Berkeley (US)
- University of Colorado Health (US)
- VA Palo Alto Health Care System (US)
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 2000-02-01
- Volume
- 278
- Issue
- 2
- Pages
- E244-E251
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- OpenAlex
- W2096747294
- Cited by
- 153
- References
- 35
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 15 · 2023: 9 · 2022: 9 · 2021: 12 · 2020: 10 · 2019: 3 · 2018: 7 · 2017: 6 · 2016: 6 · 2015: 2 · 2014: 3 · 2013: 6 · 2012: 11
- FWCI
- 10.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- National Institutes of Health (5r01dk019577-15)
- University of California, San Francisco
- UC Berkeley College of Chemistry
- Geriatric Research Education and Clinical Center
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 19577)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR42906, R01AR042906)
- NIH Clinical Center
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Keywords
- endurance training, gluconeogenesis, glucose turnover, arterial lactate, exercise intensity, glucose appearance rate, cycle ergometry, carbohydrate metabolism, trained men, training effects, fat oxidation
- MeSH terms
- Adult, Arteries, Blood Glucose, Gluconeogenesis, Humans, Kinetics, Male, Oxygen Consumption, Physical Endurance, Rest, Exercise, Lactic Acid
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