Heat stress increases muscle glycogen use but reduces the oxidation of ingested carbohydrates during exercise

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Abstract
The aim of the present study was to test the hypothesis that the oxidation rate of ingested carbohydrate (CHO) is impaired during exercise in the heat compared with a cool environment. Nine trained cyclists (maximal oxygen consumption 65 ± 1 ml · kg body wt−1 · min−1) exercised on two different occasions for 90 min at 55% maximum power ouptput at an ambient temperature of either 16.4 ± 0.2°C (cool trial) or 35.4 ± 0.1°C (heat trial). Subjects received 8% glucose solutions that were enriched with [U-13C]glucose for measurements of exogenous glucose, plasma glucose, liver-derived glucose and muscle glycogen oxidation. Exogenous glucose oxidation during the final 30 min of exercise was significantly ( P < 0.05) lower in the heat compared with the cool trial (0.76 ± 0.06 vs. 0.84 ± 0.05 g/min). Muscle glycogen oxidation during the final 30 min of exercise was increased by 25% in the heat (2.07 ± 0.16 vs. 1.66 ± 0.09 g/min; P < 0.05), and liver-derived glucose oxidation was not different. There was a trend toward a higher total CHO oxidation and a lower plasma glucose oxidation in the heat although this did not reach statistical significance ( P = 0.087 and P = 0.082, respectively). These results demonstrate that the oxidation rate of ingested CHO is reduced and muscle glycogen utilization is increased during exercise in the heat compared with a cool environment.

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