1. The Effect of Environmental Temperature on Glucose and Insulin After an Oral Glucose Tolerance Test in Healthy Young Men
- Author
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Dustin Slivka, Charles L. Dumke, Brent C. Ruby, Walter S. Hailes, John S. Cuddy, and Shawn M. Rose
- Subjects
Blood Glucose ,Male ,medicine.medical_specialty ,Hot Temperature ,medicine.medical_treatment ,Carbohydrate metabolism ,Hematocrit ,Body Temperature ,Young Adult ,Environmental temperature ,Internal medicine ,Medicine ,Humans ,Insulin ,Oral glucose tolerance ,Respiratory exchange ratio ,medicine.diagnostic_test ,Montana ,business.industry ,Public Health, Environmental and Occupational Health ,Area under the curve ,Glucose Tolerance Test ,Cold Temperature ,Endocrinology ,Emergency Medicine ,Hemoglobin ,business ,Energy Metabolism ,Skin Temperature - Abstract
The purpose of this study was to compare glucose and insulin responses during an oral glucose tolerance test (OGTT) in cold (C), neutral (N), and hot (H) environments.Eleven males completed three 4-hour climate-controlled OGTT trials (C, 7.2°C; N, 22°C; and H, 43°C). Participants remained semireclined for 60 minutes before ingesting a 1.8 g/kg glucose beverage. Skin and rectal core temperatures were continuously monitored. Blood was collected just before glucose ingestion (time 0) and at 15, 30, 60, 90, 120, and 180 minutes, and analyzed for serum glucose, insulin, hematocrit, and hemoglobin. Expired gases were collected upon entering the chamber (-60 minutes), before glucose ingestion (0 minutes), and at 60, 120, and 180 minutes to determine V(O2) and respiratory exchange ratio.Rectal core temperature was greater in the H condition compared with both C and N (P.001). Rectal core temperature was not different between C and N, whereas skin temperature was different across all trials (H greater than N greater than C). The V(O2) was greater in C than in both H and N during all time points. Carbohydrate oxidation was greater in C compared with H and N (P0.001). Glucose was higher during H compared with C and N (P ≤ 0.002). Glucose was elevated in C compared with N. Insulin was higher in H compared with C (P = 0.009). Area under the curve for serum glucose was greater in H compared with C and N (P ≤ 0.001); however, there was no significant difference in area under the curve for insulin.These data indicate that after an OGTT, glucose and insulin are elevated in a hot environment.
- Published
- 2014