The purpose of this study was to evaluate the effects of extremely unbalanced energy intake and output on glucose, lipid, and protein metabolism in young women. In the first experiment (EX1), four healthy women were given a high caloric diet of 3, 000kcal/day coupled with continuous bed rest, resulting in a +1, 800kcal/day energy balance for six experimental days. In the second experiment (EX2), another group of four women were given a low caloric diet of 1, 500kcal/day coupled with excessive daily exercise on a cycle ergometer for 90min at 450kpm/min, resulting in a -300kcal/day energy balance for six experimental days. Blood, urine and feces samples were collected from the two experimental groups before the experiment, during the experiment and in the recovery period. In EX1, the results showed an increase in serum insulin levels, no increase in glucose levels and a rise in triglycerides during the experimental period. In EX2, body weight, hemoglobin and serum glucose, insulin and alanine concentrations decreased significantly, while serum free fatty acids were significantly increased. In conclusion, high calorie intake coupled with bed rest resulted in hyperinsulinemia and elevation of the serum triglyceride level in EX1. In contrast, low calorie intake with high-energy-consuming exercise resulted in weight loss, anemia, potential glycogen depletion and an enhanced contribution of lipid and amino acid metabolism to an energy production in EX2.
View full abstract