Beta2-adrenoceptor agonist salbutamol increases leg glucose uptake and metabolic rate but not muscle glycogen resynthesis in recovery from resistance exercise of the quadriceps in lean young men

Content Beta 2 -agonists evoke potent acute increases in peripheral glucose uptake and energy expenditure at rest. Exercise has been shown to blunt these effects. Whether this attenuation is extended into recovery from exercise is unknown. Objective To examine the effect of beta 2 -agonists on leg glucose uptake and leg metabolic rate in recovery from exercise. Design In a randomized, placebo-controlled, cross-over study using arteriovenous balance technique and analysis of thigh muscle biopsies we investigated the effect of 24mg oral salbutamol (a selective beta 2 -agonist) on leg glucose, oxygen, and lactate at rest, during exercise, and in recovery, as well as on muscle glycogen resynthesis. Participants Healthy, lean, young men (n=12). Results Leg glucose uptake tended to be two-fold higher at rest (0.22±0.12mmol/min, P=0.06). Accumulated leg glucose uptake was higher in recovery (21.1±6mmol, P=0.018) with salbutamol, but not during exercise. Leg oxygen uptake was 80% greater at rest (11±2.1mmol/min, P<0.01). Accumulated leg oxygen uptake was higher in recovery (1755±348mL, P<0.01) with salbutamol, but not during exercise. Muscle glycogen was lower with salbutamol 0.5h (109±25mmol/mg dry-weight, P<0.01) and 5h (101±19mmol/mg dry-weight, P<0.01) into recovery, suggestive of augmented glycogen utilization during exercise. There was no difference in glycogen resynthesis or glycogen synthase activity in the 5-hour recovery period with salbutamol. Conclusions These findings suggest that while resistance exercise confounds the augmentation of leg glucose uptake and metabolic rate induced by beta 2 -agonist at rest, this suppression is not conserved into recovery from exercise.