Lecture 9.2 - Control of metabolism - exercise and pregnancy

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Questions and Answers

What is the primary role of insulin during muscle glucose uptake?

  • Regulating glycogen synthesis
  • Increasing glucose uptake through GLUT4 (correct)
  • Stimulating glycogenolysis in liver
  • Stimulating lipolysis

During a marathon, which fuel source is depleted in a few minutes?

  • Liver glycogen
  • Muscle glycogen (correct)
  • Glucose
  • Fatty acids

What is the primary function of glucagon during exercise?

  • Stimulating glycogenolysis in muscle
  • Regulating glucose uptake
  • Stimulating glycogenolysis in liver (correct)
  • Stimulating lipolysis

What is the primary effect of adrenaline on muscle metabolism during exercise?

<p>Stimulating glycogenolysis in muscle (B)</p> Signup and view all the answers

What is the primary effect of growth hormone on fuel metabolism during a marathon?

<p>Mobilizing fatty acids (A)</p> Signup and view all the answers

What is the primary effect of cortisol on fuel metabolism during prolonged exercise?

<p>Stimulating gluconeogenesis (C)</p> Signup and view all the answers

What is the primary benefit of regular exercise on glucose metabolism?

<p>Improved glucose tolerance (C)</p> Signup and view all the answers

What is the primary characteristic of a marathon in terms of exercise intensity?

<p>Low intensity, long duration (C)</p> Signup and view all the answers

During high-intensity exercise, what is the primary mechanism for ATP regeneration?

<p>Anaerobic pathways (A)</p> Signup and view all the answers

Which of the following is NOT a function of the body's response to exercise?

<p>Storing excess energy for future use (C)</p> Signup and view all the answers

What is the primary fuel source for the brain during exercise?

<p>Blood glucose (A)</p> Signup and view all the answers

During a marathon, what is the approximate energy requirement per minute?

<p>800 kJ/min-1 (A)</p> Signup and view all the answers

What is the primary function of glycogen storage in muscle cells?

<p>To provide energy for high-intensity exercise (A)</p> Signup and view all the answers

During low-intensity exercise, what is the primary source of energy for the muscles?

<p>Fatty acids (A)</p> Signup and view all the answers

What is the byproduct of anaerobic metabolism during high-intensity exercise?

<p>Lactate (C)</p> Signup and view all the answers

During exercise, what is the primary function of the liver's glycogen storage?

<p>To support circulating glucose levels (C)</p> Signup and view all the answers

What is the approximate duration of energy supply from stored glycogen in muscle cells during high-intensity exercise?

<p>60 minutes (A)</p> Signup and view all the answers

During high-intensity exercise, why is the body unable to deliver extra oxygen to the muscles?

<p>Inability to increase oxygen delivery in time (B)</p> Signup and view all the answers

What proportion of metabolism is anaerobic during the initial 30 seconds of exercise?

<p>95% (C)</p> Signup and view all the answers

What is the primary reason for the limited capacity of fatty acids as a fuel source during exercise?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary source of energy during the finishing sprint phase of exercise?

<p>Anaerobic metabolism of glucose from glycogen (D)</p> Signup and view all the answers

What is the primary advantage of muscle glycogen as a fuel source during exercise?

<p>It can be mobilized rapidly (B)</p> Signup and view all the answers

What is the primary characteristic of exercise with a duration of 20 minutes or more?

<p>95% aerobic metabolism (B)</p> Signup and view all the answers

What is the primary destination of lactate released into the circulation during high-intensity exercise?

<p>Liver for gluconeogenesis via the Cori cycle (C)</p> Signup and view all the answers

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Study Notes

Physiological Adaptations to Exercise

  • Humans are well adapted to exercise, with many physiological and biochemical processes specifically configured to meet the acute oxygen and metabolic fuel needs of muscles.
  • Exercise involves changes in multiple systems, including the musculo-skeletal, cardiovascular, respiratory, temperature, and urinary systems.

Metabolic Response to Exercise

  • The body needs to mobilize stored fuels at a rate to match increased activity, preserving blood glucose levels to protect the brain.
  • The magnitude and nature of the response depend on the type of exercise, intensity, duration, and physical condition and nutritional state of the individual.

Energy Requirements of Exercise

  • Resting metabolic rate is approximately 4 kJ/min-1.
  • Energy requirements increase with exercise intensity and duration, with examples including:
    • 100m sprint: 200 kJ/min-1, 30 kJ total
    • 1500m race: 140 kJ/min-1, 500 kJ total
    • Marathon 42km: 800 kJ/min-1, 10,000 kJ total

Energy Sources

  • ATP is required for muscle contraction, with very short-term stores lasting about 5 seconds.
  • ATP must be rapidly recreated by oxidative phosphorylation (aerobic) and anaerobic pathways.
  • Energy sources include:
    • ATP and creatine phosphate (short-term stores)
    • Glucose (circulation and tissue stores)
    • Fatty acids (circulation and tissue stores)
    • Glycogen (muscle and liver stores)
    • Triacylglycerols (tissue stores)

Fuel Utilization

  • During high-intensity exercise, ATP is created anaerobically, producing lactate and H+.
  • During low-intensity exercise, aerobic metabolism uses fatty acids and glucose.
  • The proportion of anaerobic to aerobic metabolism varies with exercise duration, with:
    • 0-30 sec: 95% anaerobic
    • 2-4 mins: 40-50% anaerobic
    • > 20 min: 95% aerobic

Phases of Response

  • Initial sprint: muscle ATP and creatine phosphate
  • Long middle phase: aerobic metabolism of glucose from glycogen and fatty acids
  • Finishing sprint: anaerobic metabolism of glucose from glycogen

Mobilizing Reserves

  • Insulin and glucagon play key roles in mobilizing glucose and glycogen stores.
  • Adrenaline and growth hormone stimulate glycogenolysis and lipolysis.
  • Cortisol mobilizes fats and stimulates gluconeogenesis.

Benefits of Exercise

  • Regular exercise produces improved exercise capacity, adaptations, and multiple health benefits, including:
    • Better balance of lean tissue and fat
    • Lower blood lipids and blood pressure
    • Improved glucose tolerance and insulin sensitivity
    • Reduced risk of mortality, especially cardiovascular over 5 years

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