Ba. Zinker et al., AUGMENTED GLUCOREGULATORY HORMONE CONCENTRATIONS DURING EXHAUSTING EXERCISE IN MILDLY IRON-DEFICIENT RATS, The American journal of physiology, 265(4), 1993, pp. 180000863-180000871
We hypothesized that augmented responses of glucoregulatory hormones i
n iron deficiency would enhance liver and muscle glycogenolysis, leadi
ng to increased gluconeogenic precursor (lactate) supply and upregulat
ion of hepatic gluconeogenesis. Female weanling rats were randomly pla
ced on either a mildly iron-deficient (-Fe; 15 mg Fe/kg diet) or an ir
on-sufficient (+Fe; 50 mg Fe/kg diet) diet for 4 wk and studied at res
t and during exhaustive treadmill running. Hemoglobin was 9.0 +/- 0.2
and 13.1 +/- 0.3 g/dl in -Fe and +Fe, respectively, after 3.5 wk of di
etary iron deficiency. Arterial plasma epinephrine (Epi), norepinephri
ne (NE), adrenocorticotropic hormone (ACTH), corticosterone, insulin,
and glucagon levels were similar at rest in both groups, as were liver
, gastrocnemius, and superficial and deep vastus medialis glycogen lev
els. Liver and kidney phosphoenolpyruvate carboxykinase (PEPCK) activi
ties were similar in both groups. Maximum O2 consumption was decreased
(22%) in -Fe. Respiratory exchange ratio (CO2 production/O2 consumpti
on) was unaffected at rest but increased at maximum O2 consumption in
-Fe. Time to exhaustion during a standardized running test (13.4 m/min
, 0% grade) was decreased 45% in -Fe (63 +/- 5 vs. 116 +/- 10 min). Du
ring exercise, euglycemia was maintained in both groups, but blood lac
tate was elevated in -Fe. The mean net glycogen utilization during exe
rcise was increased in liver (43%), soleus (33%), and superficial vast
us medialis (106%) and decreased in the gastrocnemius (36%) in -Fe. Li
ver and kidney PEPCK activities were increased similarly at exhaustion
in both groups. There was a greater rate of rise in arterial Epi (220
% greater) and NE (130%) in -Fe during exercise; however, at exhaustio
n there was no difference between groups in either catecholamine. Thou
gh not measured during exercise, ACTH, insulin, and glucagon were simi
lar between groups at exhaustion. Mild iron deficiency results in an e
levated Epi response that is associated with an increased lactate supp
ly and an augmented muscle and liver glycogenolysis. These adaptations
in mild iron deficiency are associated with a shift toward carbohydra
te utilization during exercise.