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Metabolic Adaptations During Exercise

Metabolic Adaptations During Exercise

Metabolic Adaptations During Exercise

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Energy Systems - Fueling the Fire

ATP regeneration for exercise uses three systems, based on intensity and duration:

FeatureATP-PCr (Phosphagen)Anaerobic GlycolysisAerobic System (Oxidative)
OnsetImmediateRapidSlower
Duration<10-15s (Maximal effort)~1-2 min (High intensity)>2 min (Sustained)
ATP YieldVery Low (1/PCr)Low (2/glucose)High (32+/glucose)
PowerHighestHighModerate/Low
FuelPCrGlucose/GlycogenGlucose, Fats, Amino Acids
Reaction$PCr + ADP + H^+ \leftrightarrow ATP + Cr## Energy Systems - Fueling the Fire

ATP regeneration for exercise uses three systems, based on intensity and duration:

| $Glucose \rightarrow 2ATP + 2Lactate## Energy Systems - Fueling the Fire

ATP regeneration for exercise uses three systems, based on intensity and duration:

| Krebs & Oxidative Phos. | | Examples | Sprints, lifts | 200-800m races | Endurance (Marathon) |> ⭐ Creatine phosphate (PCr) system provides ATP for the initial ~10-15 seconds of maximal intensity exercise, acting as the most rapid ATP buffer.

Energy systems contribution during exercise

  • Systems overlap; contribution varies with exercise type.

Hormonal Regulation - Conductors of Change

Key hormones adapt to fuel exercise demands. πŸ“Œ CAGE: Hormones ↑ in exercise: Cortisol, Adrenaline (Catecholamines), Glucagon. Growth Hormone also ↑.

HormoneSourceStimulus (Exercise)Major Actions (Exercise)Trend
InsulinPancreas (Ξ²-cells)↓ SNS, ↑ Catecholamines (Ξ±-eff)↓ Glucose uptake (inactive), ↓ Anti-lipolysis↓
GlucagonPancreas (Ξ±-cells)↑ Catecholamines, ↓ Glucose↑ Hepatic glycogenolysis & gluconeogenesis↑
CatecholaminesAdrenal Medulla/SNS↑ SNS activity↑ Glycogenolysis, ↑ Lipolysis, ↑ Glucagon, ↓ Insulin↑
CortisolAdrenal Cortex↑ ACTH (stress)↑ Proteolysis, ↑ Gluconeogenesis, ↑ Lipolysis (permissive)↑
Growth HormoneAnterior Pituitary↑ Intensity/duration, ↓ Glucose↑ Lipolysis, ↑ Gluconeogenesis, ↓ Glucose uptake↑

Tissue-Specific Metabolism - Cellular Symphony

  • Skeletal Muscle:
    • Fuel shift: Initial glucose (glycogen) β†’ FFAs (adipose/IMTG) β†’ Ketones (prolonged, intense).
    • GLUT4 translocation: Insulin-independent (contraction via AMPK) & insulin-dependent.
    • Lactate: $Pyruvate + NADH \leftrightarrow Lactate + NAD^+$. Cori cycle or oxidized by other tissues.
    • BCAA oxidation for energy.
  • Liver:
    • Maintains blood glucose: Hepatic glycogenolysis & gluconeogenesis (substrates: lactate, alanine, glycerol).
    • Urea cycle: Detoxifies ammonia ($NH_3$) from amino acid catabolism.
    • Ketogenesis: During prolonged, high-intensity exercise.
  • Adipose Tissue:
    • Lipolysis ↑: Catecholamines activate HSL β†’ FFAs + Glycerol released.
    • FFAs (albumin-bound) fuel muscles; Glycerol for hepatic gluconeogenesis.

⭐ AMPK (AMP-activated protein kinase): Master metabolic regulator. Activated by ↑ AMP/ATP ratio during exercise. Stimulates glucose uptake (GLUT4 translocation) & fatty acid oxidation in muscle.

AMPK signaling in muscle during exercise

Adaptations to Training - Built to Last

  • Chronic exercise: specific, lasting metabolic & physiological changes.
  • Endurance Training (ET) adaptations:
    • ↑ Muscle glycogen & intramuscular triglyceride (IMTG) stores
    • ↑ Oxidative enzyme activity (e.g., citrate synthase)
    • ↑ Mitochondrial density & biogenesis (PGC-1Ξ± mediated)
    • ↑ Capillary density; ↑ $VO_2$ max
    • Fiber type: IIx β†’ IIa shift; ↑ Type I characteristics
    • Enhanced fat oxidation, glycogen sparing.
  • Resistance Training (RT) adaptations:
    • ↑ Muscle glycogen stores
    • ↑ Glycolytic enzyme activity (e.g., PFK)
    • Muscle hypertrophy (↑ fiber cross-sectional area)
    • ↑ Strength & power
    • Minimal change: mitochondrial density, $VO_2$ max (vs ET)
    • Fiber type: IIx β†’ IIa shift.

⭐ Endurance training significantly increases mitochondrial biogenesis (e.g., via PGC-1α) and capillary density in muscles, enhancing oxidative capacity and leading to glycogen sparing.

Vascular and muscle adaptations to exercise vs. resistance training (fiber hypertrophy))

High‑Yield Points - ⚑ Biggest Takeaways

  • ATP demand ↑↑; phosphocreatine provides immediate ATP.
  • Muscle glycogen for initial burst; liver glycogenolysis & gluconeogenesis sustain blood glucose.
  • Hormonal milieu: ↑ glucagon, epinephrine, cortisol; ↓ insulin, favoring catabolism.
  • AMPK activation is crucial: ↑ glucose uptake (muscle), ↑ fatty acid oxidation.
  • Prolonged exercise: ↑ reliance on fatty acid oxidation from adipose stores.
  • Lactate is a key fuel (Cori cycle, direct oxidation), not just waste_._

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