Altitude training improves glycemic control
- PMID: 23806034
- DOI: 10.4077/CJP.2013.BAB130
Altitude training improves glycemic control
Abstract
Under altitude hypoxia condition, energy reliance on anaerobic glycolysis increases to compensate the shortfall caused by reduced fatty acid oxidation. Short-term moderate altitude exposure plus endurance physical activity has been found to improve glucose tolerance (not fasting glucose) in humans, which is associated with the improvement in the whole-body insulin sensitivity. However, most of people cannot accommodate high altitude exposure above 4500 M due to acute mountain sickness and insulin resistance. There is a wide variation among individuals in response to the altitude challenge. In particular, the improvement in glucose tolerance and insulin sensitivity by prolonged altitude hiking activity was not apparent in those individuals with low baseline dehydroepiandrosterone sulfate (DHEA-S) concentration. In rats, exercise training recovery under prolonged hypoxia exposure (14-15% oxygen, 8 h per day for 6 weeks) can also improve insulin sensitivity, secondary to an effective suppression of adiposity. After prolonged hypoxia training, obese abnormality in upregulated baseline levels of AMP-activated protein kinase (AMPK) and AS160 phosphorylation in skeletal muscle can be reversed. In humans, moderate hypoxia increases postprandial blood distribution towards skeletal muscle during a training recovery. This physiological response plays a role in the redistribution of fuel storage among important energy storage sites and may explain its potent effect on the favorable change in body composition.
Conclusion: Altitude training can exert strong impact on our metabolic system, and has the potential to be designed as a non-pharmacological or recreational intervention regimen for correcting metabolic syndromes.
Similar articles
-
The effects of altitude training on the AMPK-related glucose transport pathway in the red skeletal muscle of both lean and obese Zucker rats.High Alt Med Biol. 2011 Winter;12(4):371-8. doi: 10.1089/ham.2010.1088. High Alt Med Biol. 2011. PMID: 22206563 Free PMC article.
-
Reducing body fat with altitude hypoxia training in swimmers: role of blood perfusion to skeletal muscles.Chin J Physiol. 2013 Feb 28;56(1):18-25. doi: 10.4077/CJP.2013.BAA071. Chin J Physiol. 2013. PMID: 23347012
-
Short-term altitude mountain living improves glycemic control.High Alt Med Biol. 2003 Spring;4(1):81-91. doi: 10.1089/152702903321489013. High Alt Med Biol. 2003. PMID: 12713715
-
General introduction to altitude adaptation and mountain sickness.Scand J Med Sci Sports. 2008 Aug;18 Suppl 1:1-10. doi: 10.1111/j.1600-0838.2008.00827.x. Scand J Med Sci Sports. 2008. PMID: 18665947 Review.
-
[Effect of hypoxia on muscular performance capacity: "living low--training high"].Ther Umsch. 2003 Jul;60(7):419-24. doi: 10.1024/0040-5930.60.7.419. Ther Umsch. 2003. PMID: 12956036 Review. German.
Cited by
-
Exogenous glucose oxidation during endurance exercise in hypoxia.Physiol Rep. 2020 Jul;8(13):e14457. doi: 10.14814/phy2.14457. Physiol Rep. 2020. PMID: 32652803 Free PMC article.
-
Effects of Living High-Training Low and High on Body Composition and Metabolic Risk Markers in Overweight and Obese Females.Biomed Res Int. 2020 Feb 11;2020:3279710. doi: 10.1155/2020/3279710. eCollection 2020. Biomed Res Int. 2020. PMID: 32104687 Free PMC article. Clinical Trial.
-
Different training responses to eccentric endurance exercise at low and moderate altitudes in pre-diabetic men: a pilot study.Sport Sci Health. 2017;13(3):615-623. doi: 10.1007/s11332-017-0392-3. Epub 2017 Aug 23. Sport Sci Health. 2017. PMID: 29276542 Free PMC article.
-
Neuroendocrine Responses and Body Composition Changes Following Resistance Training Under Normobaric Hypoxia.J Hum Kinet. 2016 Oct 14;53:91-98. doi: 10.1515/hukin-2016-0013. eCollection 2016 Dec 1. J Hum Kinet. 2016. PMID: 28149414 Free PMC article.
-
Enhancement of Glucose Metabolism via PGC-1α Participates in the Cardioprotection of Chronic Intermittent Hypobaric Hypoxia.Front Physiol. 2016 Jun 8;7:219. doi: 10.3389/fphys.2016.00219. eCollection 2016. Front Physiol. 2016. PMID: 27375497 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical