부산대학교 도서관

nol Metab 283: E809-E816, 2002. First published June 25, To examine the effects of physical training on glucose effectiveness (S[sub G]), insulin sensitivity (S[sub I]), and endogenous glucose production (EGP) in middle-aged men, stable-labeled frequently sampled intravenous glucose tolerance tests (FSIGTT) were performed on 11 exercise-trained middle-aged men and 12 age-matched sedentary men. The time course of EGP during the FSIGTT was estimated by nonparametric stochastic deconvolution. Glucose uptake-specific indexes of glucose effectiveness (S[sup 2*][sub G] × 10²:0.81 ± 0.08 vs. 0.60 ± 0.05 dl·min[sup -1]·kg [sup -1], P < 0.05) and insulin sensitivity [Si[sup 2*] × 10[sup 4]: 24.59 ± 2.98 vs. 11.89 ± 2.36 dl-min[sup -1]·(µU/ml)[sup -1]·kg[sup -1], P < 0.01], which were analyzed using the two-compartment minimal model, were significantly greater in the trained group than in the sedentary group. Plasma clearance rate (PCR) of glucose was consistently greater in the trained men than in sedentary men throughout FSIGTT. Compared with sedentary controls, EGP of trained middle-aged men was higher before glucose load. The EGP of the two groups was similarly suppressed by ∼70% within 10 min, followed by an additional suppression after insulin infusion. EGP returned to basal level at ∼60 min in the trained men and at 100 min in the controls, followed by its overshoot, which was significantly greater in the trained men than in the controls. In addition, basal EGP was positively correlated with S[sup 2*][sub G]. The higher basal EGP and greater EGP overshoot in trained middle-aged men appear to compensate for the increased insulin-independent (S[sup 2*][sub G]) and -dependent (S[sup 2*][sub I]) glucose uptake to maintain glucose homeostasis. [ABSTRACT FROM AUTHOR]