Glycogen loading alters muscle glycogen resynthesis after exercise

This study compared muscle glycogen recovery after depletion of similar to 50 mmol/l (Delta Gly) from normal (Nor) resting levels (63.2 +/- 2.8 mmol/l) with recovery after depiction of similar to 50 mmol/l from a glycogen-loaded (GL) state (99.3 +/- 4.0 mmol/l) in 12 healthy, untrained subjects (5 men, 7 women). To glycogen load, a 7-day carbohydrate-loading protocol increased muscle glycogen 1.6 +/- 0.2-fold (P less than or equal to 0.01). GL subjects then performed plantar flexion (single-leg toe raises) at 50 +/- 3% of maximum voluntary contraction (MVC) to yield Delta Gly = 48.0 +/- 1.3 mmol/l. The Nor trial, performed on a separate occasion, yielded Delta Gly = 47.5 +/- 4.5 mmol/l. interleaved natural abundance C-13-P-31-NMR spectra were acquired and quantified before exercise and during 5 h of recovery immediately after exercise. During the initial 15 min after exercise, glycogen recovery in the GL trial was rapid (32.9 +/- 8.9 mmol.l(-1).h(-1)) compared with the Nor trial (15.9 +/- 6.9 mmol.l(-1).h(-1)). During the next 45 min, GL glycogen synthesis was not as rapid as in the Nor trial (0.9 +/- 2.5 mmol.l(-1).h(-1) for GL; 14.7 +/- 3.0 mmol.l(-1).h(-1) for Nor; P less than or equal to 0.005) despite similar glucose 6-phosphate levels. During extended recovery (60-300 min), reduced GL recovery rates continued (1.3 +/- 0.5 mmol.l(-1).h(-1) for GL; 3.9 +/- 0.3 mmol.l(-1).h(-1) for Nor; P less than or equal to 0.001). We conclude that glycogen recovery from heavy exercise is controlled primarily by the remaining postexercise glycogen concentration, with only a transient synthesis period when glycogen levels are not severely reduced.