Effects of oral contraceptives on glucose flux and substrate oxidation rates during rest and exercise
Abstract
We examined the effects of oral contraceptives (OC) on glucose flux and whole body substrate oxidation rates during rest (90 min) and two exercise intensities [60-min leg ergometer cycling at 45 and 65% peak O 2 uptake (V˙o 2 peak)]. Eight healthy, eumenorrheic women were studied during the follicular and luteal phases before OC and the inactive and high-dose phases after 4 mo of a low-dose, triphasic OC. Subjects were studied in the morning 3 h after a standardized (308 kcal) breakfast. There were significant reductions in glucose rates of appearance and disappearance during exercise of both intensities with OC but not rest. There were no phase effects on substrate oxidation during rest or exercise. These results are interpreted to mean that, in women fed several hours before study, 1) OC decreases glucose flux, but not overall carbohydrate and lipid oxidation rates during moderate-intensity exercise; and 2) synthetic ovarian hormone analogs in the doses contained in OC have greater metabolic effects on glucose metabolism during exercise than do endogenous ovarian hormones.
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In oral contraceptives, progestogens are insufficient to counteract the sodium-retaining effect of the estradiol component, so the estradiol component causes fluid retention.
“in OCs, the progestogens are insufficient to counteract the sodium-retaining effect of the estradiol component; consequently, the estradiol component causes fluid retention [97].”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [97]
Women utilize more lipid than men, largely attributable to sex-specific hormonal influences and epigenetic adaptations to endurance exercise.
“women utilize more lipid when compared to men and this is largely attributable to sex-specific hormonal influences and epigenetic adaptations to endurance exercise [86,175–177].”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [177]
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- Authors
- Suh, S.-H., Casazza, G. A., Horning, M. A., Miller, B. F., & Brooks, G. A.
- Affiliations
- University of California, Berkeley (US)
- Venue
- Journal of Applied Physiology
- Publisher
- American Physiological Society
- Published
- 2003-01-01
- Volume
- 94
- Issue
- 1
- Pages
- 285-294
- ISSN
- 0161-7567 (ISSN-L)
- 8750-7587
- 1522-1601
- OpenAlex
- W2047024490
- Cited by
- 102
- References
- 40
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 8 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 3
- FWCI
- 14.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR42906, R01AR042906)
- 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 › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- oral contraceptives, glucose flux, substrate oxidation, exercise metabolism, carbohydrate oxidation, lipid oxidation, ovarian hormones, menstrual cycle phases, women
- MeSH terms
- Adult, Bicycling, Blood Glucose, Contraceptives, Oral, Estradiol, Female, Glucagon, Glucose, Humans, Insulin, Kinetics, Lactates, Longitudinal Studies, Oxidation-Reduction, Progesterone, Pulmonary Gas Exchange, Random Allocation, Rest, Exercise
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