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The IGF- IGFBP system during ultra-endurance exercise in men and women.

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Free IGF-I(DSL ELISA) decreased by 50

± 5 % during the race and remained decreased at POST 24 h. Free IGF-I was 0.4 (0.1-1.0) % of total IGF-I at PRE and did not change significantly.

Pediatric Endocrinology Unit Q2:08 e-mail: Ulrika.Berg@.ki.se In cooperation with: Dept of Physiology and Pharmacology, Karolinska Institutet, (Stockholm) Dept of Woman and Child Health Karolinska Institutet Åstrand Lab of Work Physiology, Swedish School of Health Sciences, Stockholm Astrid Lindgren Children´s Hospital 171 77 Stockholm, SWEDEN.

The IGF-IGFBP system during ultra-endurance

exercise in men and women

free IGF-I

time point

PRE END POST 24h

se ru m fr ee IG F -I (µ g/ L) 0,5 1 1,5 ***** * "EXERCISE" total IGF-I time point PRE END POST 24h

se ru m to ta l I G F -I ( µg /L ) 0 100 200 300 400 500 ***** ***** "EXERCISE" "EXERCISE"

IGFBP-3 protease activity

time point

PRE END POST 24h

S er um IG F B P -3 P A ( % ) 50 52 54 56 58 60 * # Women Men

SUMMARY AND CONCLUSION

Under extreme exercise conditions increased IGFBP-3 proteolysis

can not fully compensate the effects of decreased t-IGF-I and

increased IGFBP-1 on circulating IGF-I bioavailability.

INTRODUCTION

Ultra-endurance exercise

during 6 days is related to

negative energy balance.

The effects on the

circulatory components of

the IGF-IGFBP system were

investigated.

RESULTS

Median energy expenditure

(method modified from Weir et

al 1949

) was 77047 (range

64235-113845) kcal during the

race (n = 6). Body weight

decreased by 1 ± 1 %. Energy

intake was registered in 3 men

and covered 75, 85 and 87 %

of the energy expenditure

during the race.

DESIGN

Subjects:

10 men and 8 women

(32 ± 1 years, BMI 24 [20-26] kg ·

m

-2

performed ultra-endurance

exercise (mainly running, kayaking,

biking, climbing). Median duration of

the race was 6.3 (range 5.2 -7.3)

days. Blood samples were drawn

before (PRE; n=18), at the end of

(END; n =18) and 24 hours after

(POST24h; n=12) the race. Food

and drink intake was ad libitum.

IGFBP-1(DSL ELISA) increased by 127 ± 36 % during the race and had returned back to basal levels at POST 24h. At PRE, IGFBP-1 correlated negatively with f-IGF-I. No correlation was found at END or post 24h.

U. Berg, J. Enqvist, M. Mattson, C. Carlsson-Skwirut, Carl. J. Sundberg, B. Ekblom, P. Bang.

Total IGF-I(RIA) decreased by 44 (62-97) % during the race and remained decreased at POST 24h. The decrease in t-IGF-I was most marked in subjects with the largest energy deficit (n = 3 available).

Serum IGFBP-3 fragmentation(WLB) increased by 23 ± 4 % during exercise.

Serum IGFBP-3 protease activity(protease

assay) increased significantly only in women.

IGFBP-2 (WIB) increased by 29 ± 9 % during the race. In women, IGFBP-2 levels remained elevated at POST 24h.

Change in f-IGF-I at END (% from basal) -100 -80 -60 -40 -20 0 C ha ng e in IG F B P 3 fr ag m en ta tio n at E N D ( % fr om b as al ) -10 0 10 20 30 40 50 60

There was a correlation between the increase in serum IGFBP-3 fragmentation and the decrease in f-IGF-I during the race.

Foto: Peder Sundström

Total IGFBP-1

time point

PRE END POST 24h

se ru m to ta l I G F B P -1 ( µg /L ) 0 20 40 60 80 100 ** "EXERCISE" IGFBP-3 fragmentation time point

PRE END POST 24h

se ru m I G F B P -3 fr a gm en ta tio n (% ) 30 35 40 45 50 55 60 65 ** "EXE RCISE" R = -0.63 P = 0.005 "EXERCISE" * * IGFBP-2 time point

PRE END POST 24h

S er um I G F B P -2 ( A U ) 1 2 3 4 # * * "EXERCISE" MEN WOMEN * #

References

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