Fat and carbohydrate metabolism during exercise in elderly and young subjects. Sial, Shahid, Andrew R. Coggan, Richard Carroll, James Goodwin, Samuel Klein. Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110 and Departments of Internal Medicine and Anesthesiology, The University of Texas Medical Branch, Galveston, Texas 77555
APStracts 3:0160E, 1996.
We evaluated the effect of aging on fat and carbohydrate metabolism during moderate intensity exercise. Glycerol, FFA, and glucose rates of appearance (Ra) in plasma and substrate oxidation were determined during 60 min of cycle ergometer exercise in 6 elderly (73+/-2 yr) and 6 young adults (26+/-2 yr), matched by gender and lean body mass. The elderly group were studied during exercise performed at 56+/-3 % of maximum oxygen uptake, whereas the young adults were studied during exercise performed at the same absolute and at a similar relative intensity as the elderly subjects. Mean fat oxidation during exercise was 25%-35% lower in the elderly subjects than in the young adults exercising at either the same absolute or similar relative intensities (P&LT0.05). Mean carbohydrate oxidation in the elderly group was 35% higher than the young adults exercising at the same absolute intensity (P&LT0.001) but 40% lower than the young adults exercising at the same relative intensity (P&LT0.001). Average FFA Ra in the elderly subjects was 35% higher than in the young adults exercising at the same absolute intensity (P&LT0.05) but 35% lower than the young adults exercising at a similar relative intensity (P&LT0.05). We conclude that fat oxidation is decreased while carbohydrate oxidation is increased during moderate intensity exercise in elderly men and women. The shift in substrate oxidation was caused by age-related changes in skeletal muscle respiratory capacity because lipolytic rates and free fatty acid availability were not rate limiting in the older subjects.

Received 1 April 1996; accepted in final form 25 July 1996.
APS Manuscript Number E163-6.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 21 August 1996