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The Effects of Intravenous Low Dose Dopamine Infusion on Glucose Regulation during Prolonged Aerobic Exercise

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AJP Regulatory Integrative and Comparative Physiology

Published online on

Abstract

The carotid body chemoreceptors are activated during hypoglycemia and contribute to glucoregulation during prolonged exercise in dogs. Low dose intravenous infusions of dopamine have been shown to blunt the activation of the carotid body chemoreceptors during hypoxia. Therefore, we tested the hypotheses that dopamine would blunt glucoregulatory responses and attenuate plasma glucose during prolonged aerobic exercise in healthy participants. Twelve healthy participants completed two randomized exercise sessions at 65% peak oxygen consumption for up to 120 minutes. Saline was infused during one exercise session and dopamine (2 g/kg/min) was infused during the other session. Arterial plasma glucose, growth hormone, glucagon, cortisol, norepinephrine, and epinephrine were measured every 10 minutes. Exercise duration during dopamine infusion was 107 ± 6 minutes and 119 ± 0.8 minutes during saline infusion. Glucose area under the curve during exercise was lower during dopamine (9,821 686 vs. 11,194 395 a.u.; P = 0.016). The ratio of circulating growth hormone to glucose and the ratio of glucagon to glucose were greater during dopamine (P = 0.045 and P = 0.037, respectively). These results indicate that the infusion of dopamine during aerobic exercise impairs glucoregulation. This suggests that the carotid body chemoreceptors contribute to glucoregulation during prolonged exercise in healthy exercise trained humans.