Effects of acute prednisolone intake on substrate utilization during submaximal exercise

Int J Sports Med. 2008 Jan;29(1):21-6. doi: 10.1055/s-2007-964994. Epub 2007 Jul 5.

Abstract

We examined the hypothesis that acute therapeutic glucocorticoid intake could change the contribution of fat and carbohydrate (CHO) in energy production during exercise. Nine healthy recreationally-trained male subjects twice performed submaximal exercise (60 min at 60 % VO2max) after ingestion of placebo (Pla) or 20 mg of prednisolone (Pred), according to a double blind and randomized protocol. Respiratory exchange was monitored during exercise and blood samples were collected at rest, every 10 min during exercise and after 5, 10, and 20 min of passive recovery. Pred intake significantly increased total energy expenditure during exercise, but CHO oxidation was lower and fat oxidation higher after Pred vs. Pla. ACTH and IL-6 concentrations were significantly decreased with Pred during exercise, whereas no variations were found in GH, insulin, blood glucose, and lactate between the 2 treatments. In conclusion, it appears that acute prednisolone systemic administration does reduce total carbohydrate oxidation during submaximal exercise. Further studies are necessary to clarify the mechanisms involved and to determine whether this modification in the substrate oxidation balance under glucocorticoid administration in recreationally-trained male subjects could result in a competitive advantage in elite athletes.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenocorticotropic Hormone / blood
  • Adrenocorticotropic Hormone / drug effects
  • Adult
  • Blood Glucose / drug effects
  • Carbohydrate Metabolism / drug effects
  • Cross-Over Studies
  • Double-Blind Method
  • Energy Metabolism / drug effects*
  • Exercise / physiology*
  • Fats / metabolism
  • Glucocorticoids / pharmacology*
  • Growth Hormone / blood
  • Humans
  • Insulin / blood
  • Interleukin-6 / blood
  • Lactic Acid / blood
  • Male
  • Middle Aged
  • Oxidation-Reduction
  • Prednisolone / pharmacology*

Substances

  • Blood Glucose
  • Fats
  • Glucocorticoids
  • Insulin
  • Interleukin-6
  • Lactic Acid
  • Adrenocorticotropic Hormone
  • Growth Hormone
  • Prednisolone