Compared with men, women utilize relatively more fat and less endogenous carbohydrate (CHOendo), but preferentially oxidize exogenous CHO (CHOexo) during exercise. As it has been demonstrated that pre- and early-pubertal children do not exhibit sex differences in substrate utilization, the adult phenotype is likely due to sex hormones. Whether sex influences substrate utilization during exercise in adolescents, in whom differences in sex hormones become larger, is unclear. PURPOSE: To determine the influence of sex on endogenous and exogenous substrate utilization in healthy adolescent boys and girls. METHODS: Twenty-three 14-yr-old boys (n=13) and regularly menstruating girls (n=10) participated. Boys were taller (p=0.01) and had significantly less body fat (p=0.006), but both sexes had equal aerobic fitness levels (ml O2/min) expressed relative to fat-free mass (FFM; mean ± SEM; 53.1 ± 1.5 and 51.8 ± 2.0 for boys and girls, respectively). All subjects cycled for 60 min at ∼70% VO2max while intermittently drinking a 13C-enriched 6 % CHOexo (4 % sucrose, 2 % glucose) solution (∼1.5g/kg) in one trial (CT) or flavoured water in another (WT). Both trials were completed by the girls within the follicular phase of their menstrual cycle. RER and 13C/12C ratio in expired CO2 were determined during the last 15 min of exercise. RESULTS: RER was lower (p=0.007) during WT (0.95 ± 0.01) than CT (0.97 ± 0.01), with no difference between sexes (p=0.9). CHOexo oxidation rates (in mg/ kgFFM/min) were similar (p=0.72) between boys and girls (9.1 ± 0.5 and 8.8 ± 0.5, respectively), as was the % contribution from CHOexo to total energy yield (18.6 ± 0.8 and 18.6 ± 1.1, respectively; p=0.9) and the oxidation ratio of CHOexo: CHOendo (0.25 ± 0.01 and 0.26 ± 0.02, respectively; p=0.61). CONCLUSIONS: These results demonstrate that during adolescence, sex is not a major determinant of fuel selection during exercise, at least of relatively high intensity. One implication might be that adolescent boys and girls can equally derive metabolic and performance benefits from consuming CHO during competition.
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