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Chronic oral ingestion of l ‐carnitine and carbohydrate increases muscle carnitine content and alters muscle fuel metabolism during exercise in humans
Author(s) -
Wall Benjamin T.,
Stephens Francis B.,
ConstantinTeodosiu Dumitru,
Marimuthu Kanagaraj,
Macdonald Ian A.,
Greenhaff Paul L.
Publication year - 2011
Publication title -
the journal of physiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.802
H-Index - 240
eISSN - 1469-7793
pISSN - 0022-3751
DOI - 10.1113/jphysiol.2010.201343
Subject(s) - carnitine , anaerobic exercise , skeletal muscle , glycolysis , medicine , endocrinology , ingestion , carbohydrate metabolism , anaerobic glycolysis , metabolism , chemistry , biochemistry , biology , physiology
Non‐technical summary After 30 years of endeavour, this is the first study to show that muscle carnitine content can be increased in humans by dietary means and, perhaps more importantly, that carnitine plays a dual role in skeletal muscle fuel metabolism that is exercise intensity dependent. Specifically, we have shown that increasing muscle total carnitine content reduces muscle carbohydrate use during low intensity exercise, consistent with an increase in muscle lipid utilisation. However, during high intensity exercise muscle carnitine loading results in a better matching of glycolytic, pyruvate dehydrogenase complex and mitochondrial flux, thereby reducing muscle anaerobic energy generation. Collectively, these metabolic effects resulted in a reduced perception of effort and increased work output during a validated exercise performance test. These findings have significant implications for athletic performance and pathophysiological conditions where fat oxidation is impaired or anaerobic ATP production is increased during exercise.