Am J Physiol Cell Physiol AJP: Endocrinology and Metabolism
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Am J Physiol Cell Physiol (April 4, 2007). doi:10.1152/ajpcell.00573.2006
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Submitted on November 10, 2006
Accepted on March 27, 2007

The Deleterious Effects of Bed Rest on Human Skeletal Muscle Fibers are Exacerbated by Hypercortisolemia and Ameliorated by Dietary Supplementation

Robert H Fitts1*, Janell G Romatowski2, James R Peters2, Douglas Paddon-Jones3, Robert R Wolfe4, and Arny A Ferrando5

1 Biological Sciences, Marquette University, Milwaukee, Wisconsin, United States
2 Milwaukee, Wisconsin, United States; Biological Sciences, Marquette University, United States
3 Surgery, University of Texas Medical Branch, Galveston, Texas, United States
4 Geriatrics, University of Arkansas Medical School, Little Rock, Arkansas, United States
5 Little Rock, Arkansas, United States; Geriatrics, University of Arkansas Medical School, Little Rock, Arkansas, United States

* To whom correspondence should be addressed. E-mail: robert.fitts{at}mu.edu.

Prolonged inactivity associated with bed rest in a clinical setting or space fight is frequently associated with hypercortisolemia and inadequate caloric intake. Here, we determined the effect of 28 d of bed rest (BR); bed rest plus hypercortisolemia (BRHC); and bed rest plus essential amino acid and carbohydrate (AA/CHO) supplement (BRAA) on the size and function of single slow- and fast-twitch muscle fibers. Supplementing meals, the BRAA group consumed 16.5 g essential amino acids and 30 g sucrose at 1100, 1600, and 2100 h, and the BRHC subjects received 5 daily doses of 10-15 mg of oral hydrocortisone sodium succinate throughout bed rest. Bed rest induced atrophy and loss of force (mN) and power (µN·FL·s-1) in single fibers was exacerbated by hypercortisolemia where soleus peak force declined by 23% in the type I fiber from a pre value of 0.78 ± 0.02 to 0.60 ± 0.02 mN post bed rest (compared to a 7% decline with bed rest alone) and 27% in the type II fiber (1.10 ± 0.08 vs. 0.81 ± 0.05 mN). In the BRHC group, Peak power dropped by 19, 15, and 11 % in the soleus type I, and VL type I and II fibers, respectively. The AA/CHO supplement protected against the bed rest-induced loss of peak force in the type I soleus and peak power in the VL type II fibers. These results provide evidence that an AA/CHO supplement might serve as a successful countermeasure to help preserve muscle function during periods of relative inactivity.




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