The incretin effect does not differ in trained and untrained, young, healthy men
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The incretin effect does not differ in trained and untrained, young, healthy men. / Lund, Michael Taulo; Dalby, Sina; Hartmann, Bolette; Helge, Jørn Wulff; Holst, Jens Juul; Dela, Flemming.
In: Acta Physiologica, Vol. 210, No. 3, 03.2014, p. 565-72.Research output: Contribution to journal › Journal article › peer-review
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TY - JOUR
T1 - The incretin effect does not differ in trained and untrained, young, healthy men
AU - Lund, Michael Taulo
AU - Dalby, Sina
AU - Hartmann, Bolette
AU - Helge, Jørn Wulff
AU - Holst, Jens Juul
AU - Dela, Flemming
N1 - © 2013 Scandinavian Physiological Society. Published by John Wiley & Sons Ltd.
PY - 2014/3
Y1 - 2014/3
N2 - Aim: After both oral and intravenous glucose administration, peripheralinsulin concentrations are lower in trained compared with untrainedhumans. Part of this is explained by an adaptation within the b-cell. Theinsulin secretion rate is higher after oral compared with intravenous glucoseadministration due to the release of glucagon-like peptide-1 (GLP-1)and glucose-dependent insulinotropic polypeptide (GIP) enhancing the glucose-induced insulin secretion (the incretin effect). Our aim was to investigatewhether GIP or GLP-1 release or the incretin effect was different intrained compared with untrained humans after oral and intravenousglucose administration.Methods: A 3½-h oral glucose tolerance test was performed in eleventrained and ten untrained, young, healthy men. On a separate day, an isoglycaemicintravenous glucose infusion was performed matching the individualglucose concentrations obtained during the oral glucose tolerancetest. Blood samples for insulin, C-peptide, GIP and GLP-1 analyses wereobtained frequently during both tests, and the insulin secretion rate, incretineffect and insulin clearance were calculated.Results: Plasma GIP and GLP-1 concentrations, the incretin effect and theinsulin clearance did not differ, and plasma glucose, insulin and C-peptideconcentrations and the insulin secretion rate were lower in trained comparedwith untrained subjects during both tests.Conclusion: With no difference in incretin effect and insulin clearancebetween the two groups, the lower plasma insulin concentrations found intrained compared with untrained, young, healthy men are most likelyexplained by lower b-cell sensitivity to glucose and enhanced glucoseuptake in skeletal muscle in the former group.
AB - Aim: After both oral and intravenous glucose administration, peripheralinsulin concentrations are lower in trained compared with untrainedhumans. Part of this is explained by an adaptation within the b-cell. Theinsulin secretion rate is higher after oral compared with intravenous glucoseadministration due to the release of glucagon-like peptide-1 (GLP-1)and glucose-dependent insulinotropic polypeptide (GIP) enhancing the glucose-induced insulin secretion (the incretin effect). Our aim was to investigatewhether GIP or GLP-1 release or the incretin effect was different intrained compared with untrained humans after oral and intravenousglucose administration.Methods: A 3½-h oral glucose tolerance test was performed in eleventrained and ten untrained, young, healthy men. On a separate day, an isoglycaemicintravenous glucose infusion was performed matching the individualglucose concentrations obtained during the oral glucose tolerancetest. Blood samples for insulin, C-peptide, GIP and GLP-1 analyses wereobtained frequently during both tests, and the insulin secretion rate, incretineffect and insulin clearance were calculated.Results: Plasma GIP and GLP-1 concentrations, the incretin effect and theinsulin clearance did not differ, and plasma glucose, insulin and C-peptideconcentrations and the insulin secretion rate were lower in trained comparedwith untrained subjects during both tests.Conclusion: With no difference in incretin effect and insulin clearancebetween the two groups, the lower plasma insulin concentrations found intrained compared with untrained, young, healthy men are most likelyexplained by lower b-cell sensitivity to glucose and enhanced glucoseuptake in skeletal muscle in the former group.
KW - Faculty of Health and Medical Sciences
KW - Incretin
KW - insulin
KW - GLP-1
KW - GIP
KW - Exercise
KW - Training
KW - Glucose
U2 - 10.1111/apha.12218
DO - 10.1111/apha.12218
M3 - Journal article
C2 - 24354574
VL - 210
SP - 565
EP - 572
JO - Acta Physiologica
JF - Acta Physiologica
SN - 1748-1708
IS - 3
ER -
ID: 106713600