Abstract

We investigated the effects of oral L-glutamine (Gln) supplementation, associated or not with physical exercises, in control of glycemia, oxidative stress, and strength/power of knee muscles in elderly women. Physically active (n = 21) and sedentary (n = 23) elderly women aged 60 to 80 years were enrolled in the study. Plasma levels of D-fructosamine, insulin, reduced (GSH) and oxidized (GSSG) glutathione, iron, uric acid, and thiobarbituric acid-reactive substances (TBARs) (lipoperoxidation product), as well as knee extensor/flexor muscle torque peak and average power (isokinetic test), were assessed pre- and post-supplementation with Gln or placebo (30 days). Higher plasma D-fructosamine, insulin, and iron levels, and lower strength/power of knee muscles were found pre-supplementation in the NPE group than in the PE group. Post-supplementation, Gln subgroups showed higher levels of GSH, GSSG, and torque peak, besides lower D-fructosamine than pre-supplementation values. Higher muscle average power and plasma uric acid levels were reported in the PE + Gln group, whereas lower insulin levels were found in the NPE + Gln than pre-supplementation values. TBARs levels were diminished post-supplementation in all groups. Gln supplementation, mainly when associated with physical exercises, improves strength and power of knee muscles and glycemia control, besides boosting plasma antioxidant capacity of elderly women.

Highlights

  • Aging is a natural process associated with a dynamic and progressive dysfunction of many physiological systems in living organisms [1]

  • Corroborating these findings, we reported lower intracellular levels of Gln associated with increased protein breakdown, whereas oral Gln supplementation attenuates skeletal muscle atrophy induced by fasting [17]

  • The information above led us to investigate whether Gln supplementation, associated or not with a regular practice of combined exercise training (CET), could improve glycemia control, restrain oxidative stress, and enhance knee muscle strength and power in elderly women

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Summary

Introduction

Aging is a natural process associated with a dynamic and progressive dysfunction of many physiological systems in living organisms [1]. Age-related skeletal mass loss closely associates with reducing intracellular protein content, especially key metabolic crosslink/anaplerotic amino acids, such as L-glutamine (Gln) [14]. There is no consensus on the ability of Gln to induce muscle hypertrophy [16], some studies reported that supplementation with this non-essential amino acid minimizes the loss of muscle mass [17] In this respect, our research group reported that Gln supplementation for 15 consecutive days increased the expression of signaling factors for protein synthesis, and reduced the expression of those involved in the protein degradation pathway in soleus muscle of diabetic rats [18]. The information above led us to investigate whether Gln supplementation, associated or not with a regular practice of combined exercise training (CET), could improve glycemia control (as an antidiabetic effect), restrain oxidative stress, and enhance knee muscle strength and power in elderly women

Subjects and Study Design
Glutamine Supplementation
Body Composition
Determination of Daily Physical Activity
Exercise Program
Isokinetic Strength Testing
Results
Conclusions
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