Pyruvate dehydrogenase is the enzyme complex carbohydrate must pass through to be burned aerobically, and it cannot be bypassed. Measuring its activity separates two things a breath measurement cannot, which are having carbohydrate in the muscle and being able to push it through the gate quickly.
Drawn from background physiology, not from this paper.
It was already established that five days of a high fat diet while training, followed by one day of carbohydrate restoration, raises fat oxidation and lowers carbohydrate oxidation during cycling. The authors state that the mechanisms responsible were unknown, and expected them to involve the regulatory enzymes on both pathways moving in opposite directions.
Drawn from the paper's introduction.
Seven male cyclists completed the same protocol twice in random order. Five days of either a high carbohydrate diet at 10.3 grams of carbohydrate per kilogram per day, about 70 percent of energy, or an isoenergetic high fat diet at 4.6 grams of fat per kilogram per day, 67 percent of energy, both alongside supervised endurance training. On day 6 everyone ate high carbohydrate and rested. Day 7 was the trial.
The carbohydrate restoration worked. Resting muscle glycogen was 873 micromoles of glucosyl units per gram of dry weight after the fat week and 868 after the carbohydrate week. Those are the same number.
The fuel mix was not the same. During cycling at 70 percent of peak oxygen uptake the respiratory exchange ratio was lower after the fat week, amounting to roughly a 45 percent increase in fat oxidation and roughly a 30 percent decrease in carbohydrate oxidation.
Pyruvate dehydrogenase activity was lower after the fat week at rest, throughout the cycling, and during a one minute sprint. During the cycling it was 1.69 millimoles per kilogram of wet weight per minute against 2.39. Estimated glycogen breakdown was also lower after the fat week, 9.1 against 13.4 glucosyl units per kilogram of dry weight per minute in the first minute of cycling, and 37.3 against 50.5 during the sprint.
Hormone sensitive lipase activity was about 20 percent higher after the fat week during cycling, but at P equals 0.12 that difference was not statistically significant and the paper reports it as such.
| Resting muscle glycogen, fat adapted arm | 873 plus or minus 121 micromol glucosyl units/g dry weight |
| Resting muscle glycogen, high carbohydrate arm | 868 plus or minus 120 micromol glucosyl units/g dry weight |
| Change in fat oxidation at 70 percent peak oxygen uptake | about 45 percent higher after the fat week |
| Change in carbohydrate oxidation at 70 percent peak oxygen uptake | about 30 percent lower after the fat week |
| Pyruvate dehydrogenase activity during cycling, fat adapted | 1.69 plus or minus 0.25 mmol/kg wet weight/min |
| Pyruvate dehydrogenase activity during cycling, high carbohydrate | 2.39 plus or minus 0.19 mmol/kg wet weight/min |
| Glycogen breakdown, first minute of cycling | 9.1 plus or minus 1.1 versus 13.4 plus or minus 2.1 glucosyl units/kg dry weight/min |
| Glycogen breakdown, one minute sprint | 37.3 plus or minus 5.1 versus 50.5 plus or minus 2.7 glucosyl units/kg dry weight/min |
| Hormone sensitive lipase activity during cycling | about 20 percent higher after the fat week, P equals 0.12, not significant |
Shown in this study The study measured this step directly.
The authors conclude that the previously reported fall in whole body carbohydrate oxidation after fat adaptation is a function of metabolic changes inside skeletal muscle. Pyruvate dehydrogenase, the gate carbohydrate must pass through, was turned down and stayed down through exercise, and glycogen was broken down more slowly, so the capacity to use carbohydrate was reduced even though the supply had been fully restored.
They are explicit that the upstream signal is not settled, saying the metabolic signals responsible during the moderate cycling remain unclear.
Drawn from the paper's stated results and conclusions.
Refilling the tank and being able to use the tank are now demonstrably different things. Five days of fat adaptation left muscle glycogen fully restored after one carbohydrate day and still left the enzyme that spends it turned down. This is the study that gave the reciprocal switch a measured location rather than a respiratory inference.
Seven trained male cyclists, five days of diet with training, one day of carbohydrate restoration, twenty minutes of moderate cycling and a one minute sprint.
A design that varies the length of carbohydrate restoration and tracks pyruvate dehydrogenase activity across it, which would show how long the suppression actually lasts.
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