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1 Human Performance Laboratory, Diabetes/Obesity Center, and 2 Departments of Exercise and Sport Science, and 3 Biochemistry, Medicine, Physiology, and Surgery, East Carolina University, Greenville, North Carolina 27858; and 4 Diabetes Unit, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215
The purpose of this study
was to determine whether the improved insulin action with short-term
exercise training in middle-aged individuals is associated with
enhanced phosphatidylinositol (PI) 3-kinase activity in skeletal
muscle. Nine men of ages 50-70 yr were studied before and after 7 consecutive days of supervised exercise (60 min/day, 70% peak
O2 consumption). Insulin sensitivity was measured with a
euglycemic hyperinsulinemic glucose clamp in the sedentary condition
and 15-17 h after the final exercise session.
Anti-phosphotyrosine-associated PI 3-kinase activity was determined
from muscle samples obtained in the fasted condition and after 60 min
of insulin infusion during the clamp. With exercise, the glucose
infusion rate increased (P < 0.001) by 33%,
indicating enhanced insulin action (mean ± SE, 6.6 ± 0.6 vs. 8.7 ± 0.8 mg · kg
1 · min
1).
Short-term exercise training did not, however, increase
insulin-stimulated (insulin stimulated/fasting) PI 3-kinase activity
(1.8 ± 0.8 vs. 1.8 ± 0.7-fold stimulation with insulin pre-
vs. posttraining, respectively). There was also no change in
insulin-stimulated protein kinase B activity (1.3 ± 0.1 vs.
1.4 ± 0.2-fold stimulation with insulin) with training. These
data suggest that insulin action is enhanced with short-term exercise
training via an adaptation distal to PI 3-kinase in middle-aged,
insulin-resistant individuals.
aging; glucose transport; insulin resistance; physical activity; skeletal muscle
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