P. Schrauwen et Ma. Vanbaak, THE EFFECT OF BETA-ADRENERGIC-BLOCKADE ON NONESTERIFIED FATTY-ACID UPTAKE OF EXERCISING SKELETAL-MUSCLE DURING ARM CRANKING, International journal of sports medicine, 16(7), 1995, pp. 439-444
beta-Adrenoceptor blocking agents impair endurance exercise performanc
e in healthy subjects and in patients with hypertension. A possible ex
planation for the reduced exercise tolerance is a diminished availabil
ity of plasma non-esterified fatty acids (NEFA) for energy production
during exercise. This study investigated the effect of beta-adrenocept
or blockade on NEFA uptake of exercising skeletal muscle at elevated b
lood NEFA concentrations. In 11 healthy volunteers a triacylglycerol e
mulsion was infused at increasing rate for 1 hour before and 1 hour du
ring one-armed cranking exercise at 60 % W-peak with and without prior
administration of the beta(1+2)-adrenoceptor blocking agent propranol
ol (80 mg per os). Arteriovenous concentration differences of NEFA acr
oss the active forearm were measured and forearm blood flow was estima
ted using venous occlusion plethysmography. Heart rate a nd blood flow
were significantly lower after propranolol (p < 0.05). Propranolol di
d not affect arterial NEFA concentration, arteriovenous NEFA differenc
e or NEFA flux significantly. Net NEFA uptake increased with increasin
g arterial NEFA concentration or inflow in a similar manner with and w
ithout prior propranolol administration. Therefore, the results do not
support the hypothesis that beta-adrenergic activity plays a role in
the regulation of active skeletal muscle NEFA uptake under the conditi
ons studied.