Johannessen A, Hagen C, Galbo H
J Clin Endocrinol Metab. 1981 Jan;52(1):56-61. doi: 10.1210/jcem-52-1-56.
The effect of 4 days of intake of a fat-enriched (76%) diet (F1 and F2 experiments) or a carbohydrate-enriched (77%) diet (CH experiment) on circulating levels of glucose, insulin, GH, PRL, and thyroid hormones during prolonged exercise was studied in seven healthy males. After each of the three diet periods, the subjects ran on a treadmill at 70% of individual maximal oxygen uptake. At exhaustion, a 10-min rest was allowed, after which the subjects were encouraged to run while glucose (F1 and CH experiments) or glucose and insulin (F2 experiment) concentrations were restored to preexercise levels. The fat diet decreased the mean concentrations of glucose, insulin, and T3 at rest and increased the mean GH level, whereas, mean PRL, T4, and TSH levels were not changed by diet. During exercise, the decline in glucose and insulin concentrations as well as the progressive increase in GH and PRL concentrations in plasma were enhanced by the fat diet compared to the carbohydrate diet (P < 0.02). Plasma concentrations of T4, T3, and TSH were not significantly (P > 0.05) changed during exercise, but at identical times the T3 concentration was significantly (P < 0.05) higher in CH experiments than in F experiments. Glucose or glucose and insulin infusion during continued exercise eliminated hypoglycemic symptoms, and a further small rise in plasma PRL concentration was seen after the fat-enriched diet and glucose infusion (F1 experiment) but not during the F2 and CH experiments. In contrast, GH, TSH, T3, and T4 levels were not significantly (P > 0.05) changed in any of the experiments. These data suggest that glucopenia can be an important modulator of plasma GH and PRL during exercise. Furthermore, it is suggested that GH secretion is more sensitive to a decrease in glucose and insulin levels than PRL secretion.
在七名健康男性中研究了连续4天摄入富含脂肪(76%)的饮食(F1和F2实验)或富含碳水化合物(77%)的饮食(CH实验)对长时间运动期间循环中的葡萄糖、胰岛素、生长激素(GH)、催乳素(PRL)和甲状腺激素水平的影响。在三个饮食阶段中的每个阶段之后,受试者在跑步机上以个人最大摄氧量的70%跑步。在力竭时,允许休息10分钟,之后鼓励受试者在葡萄糖(F1和CH实验)或葡萄糖和胰岛素(F2实验)浓度恢复到运动前水平时继续跑步。高脂肪饮食降低了静息时葡萄糖、胰岛素和T3的平均浓度,并提高了平均GH水平,而平均PRL、T4和促甲状腺激素(TSH)水平不受饮食影响。与碳水化合物饮食相比,高脂肪饮食增强了运动期间葡萄糖和胰岛素浓度的下降以及血浆中GH和PRL浓度的逐渐升高(P<0.02)。运动期间血浆T4、T3和TSH浓度无显著变化(P>0.05),但在相同时间,CH实验中的T3浓度显著高于F实验(P<0.05)。持续运动期间输注葡萄糖或葡萄糖和胰岛素消除了低血糖症状,高脂肪饮食和输注葡萄糖后(F1实验)血浆PRL浓度进一步小幅升高,但F2和CH实验中未出现这种情况。相比之下,任何实验中GH、TSH、T3和T4水平均无显著变化(P>0.05)。这些数据表明,低血糖可能是运动期间血浆GH和PRL的重要调节因子。此外,提示GH分泌比PRL分泌对葡萄糖和胰岛素水平的降低更敏感。