Resistance Exercise Training When Combined With Dietary Essential Amino Acids Enhances Strength, Endurance, And Insulin Sensitivity
Ji-Woong Jang, Young-Min Kim, Taejung Song, Sanghee Park, Jin-ho Koh, Jin-Seok Lee, HeeJoo Kim, Yewon Chang, Ji‐Yeon Jung, Yoonil Cho, Eun‐Jeong Cho, Hyo‐Bum Kwak, Sakthivel Sadayappan, Robert E. Wolfe, Il‐Young Kim, Cheol Soo Choi
IF 3.9
Medicine & Science in Sports & Exercise
PURPOSE: Supplementation with essential amino acids (EAAs) has the potential to improve endurance capacity and insulin sensitivity, as well as to increase muscle strength and mass when combined with resistance exercise training (RET). However, the underlying mechanisms are currently unknown. METHODS: We assigned male C57/BL6 mice into control (CON), EAA, RET (ladder climbing, 3 times/week), or EAA + RET with the administration of 2H2O over 2 weeks. Mice in EAA and EAA + RET received EAAs twice a day (1.5 g/kg/day). Muscle mass, physical performance (i.e., strength and endurance), and ex vivo contractile properties were determined before and/or after treatments. The rate of myofibrillar or mitochondrial protein synthesis was measured using the 2H2O labeling technique and mass spectrometry, and whole-body insulin sensitivity and glucose metabolism was assessed by using hyperinsulinemic-euglycemic clamp and oral glucose tolerance test after interventions. RESULTS: Here, we found that combined treatment of EAAs and RET showed a significant increase in muscle mass by 10%, accompanied by a 15% increase in muscle fiber cross-sectional area. This increased muscle mass was primarily due to an increase in myofibrillar protein synthesis rate by 16% via activation of the Akt1/mTORC1 pathway. Additionally, EAA supplementation amplified muscle strength gains through RET and led to a synchronous increase in endurance capacity by 35%. It seems that improved physical performance was due primarily to an increase in the rate of mitochondrial protein synthesis and improved neuromuscular junction stability. Finally, these above-mentioned improvements in the EAA + RET were accompanied by enhanced basal insulin sensitivity and glucose metabolism. CONCLUSIONS: Collectively, this study demonstrated that the combined effects of EAA supplementation and RET increase physical performance through enhancements in muscle protein turnover, mitochondrial biogenesis, and NMJ stability with an associated increase in whole-body insulin sensitivity.
https://doi.org/10.1249/01.mss.0000883476.53926.a4
Insulin sensitivity
Endurance training
Insulin resistance
Resistance training
Strength training
Internal medicine
Endocrinology
Amino acid
Chemistry
Medicine
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