Cycling for Weight Loss May Clear Carbohydrates Rather Than Fat, Irrespective of Normal or Mildly Reduced Normobaric Oxygen

oleh: Victor V. A. M. Schreurs, Tjieu Maas, Joost J. G. C. van den Borne, Jaap Keijer

Format: Article
Diterbitkan: MDPI AG 2022-04-01

Deskripsi

A single-center randomized, controlled cross-over exercise intervention in 20 women willing to reduce weight (20–40 y, BMI: 27.4 ± 2.1), with the aim to examine potential benefits for weight loss under normal (N-Ox: 20.9%) and mildly reduced (R-Ox: 17.0%) normobaric oxygen in an “Altitude Simulation Chamber”. O<sub>2</sub> consumption (<i>V</i>O<sub>2</sub>), CO<sub>2</sub> production (<i>V</i>CO<sub>2</sub>), blood oxygen saturation (SaO<sub>2</sub>), blood glucose and lactate (mM) were studied before, during and after cycling for 22 min at a mean personalized workload of 54.2 ± 11.7 watts, about 40% of <i>V</i>O<sub>2</sub>max. Despite lower absolute SaO<sub>2</sub> values and a greater decline from rest to exercise under R-Ox (time x treatment interaction <i>p</i> < 0.01), <i>V</i>O<sub>2</sub> did not differ from N-Ox (time x treatment interaction <i>p</i> = 0.178). Average net <i>V</i>O<sub>2</sub>, 13.8 mL O<sub>2</sub> per watt, reflected fairly normal aerobic cycling, irrespective of O<sub>2</sub> regime. The Respiratory Exchange Ratio (RER; <i>V</i>O<sub>2</sub>/<i>V</i>CO<sub>2</sub>), 0.83 at rest, increased for both treatments to a ratio close to or beyond unity during and directly after exercise (treatment effect <i>p</i> = 0.407). The tendency of cycling for weight loss to clear carbohydrates rather than fat, irrespective of normal or mildly reduced normobaric oxygen, is discussed as a lactate-mediated and phenotype-specific consequence of apparent anaerobic glycolysis with adverse perspectives for weight loss and metabolic health.