Pedersen DJ, Lessard SJ, Coffey VG, Churchley EG, Wootton AM, Ng T, Watt MJ, Hawley JA. High rates of muscle glycogen resynthesis after exhaustive exercise when carbohydrate is coingested with caffeine. J Appl Physiol 105: 7-13, 2008. First published May 8, 2008 doi:10.1152/japplphysiol.01121.2007.-We determined the effect of coingestion of caffeine (Caff) with carbohydrate (CHO) on rates of muscle glycogen resynthesis during recovery from exhaustive exercise in seven trained subjects who completed two experimental trials in a randomized, double-blind crossover design. The evening before an experiment subjects performed intermittent exhaustive cycling and then consumed a low-CHO meal. The next morning subjects rode until volitional fatigue. On completion of this ride subjects consumed either CHO [4 g/kg body mass (BM)] or the same amount of CHO ϩ Caff (8 mg/kg BM) during 4 h of passive recovery. Muscle biopsies and blood samples were taken at regular intervals throughout recovery. Muscle glycogen levels were similar at exhaustion [ϳ75 mmol/kg dry wt (dw)] and increased by a similar amount (ϳ80%) after 1 h of recovery (133 Ϯ 37.8 vs. 149 Ϯ 48 mmol/kg dw for CHO and Caff, respectively). After 4 h of recovery Caff resulted in higher glycogen accumulation (313 Ϯ 69 vs. 234 Ϯ 50 mmol/kg dw, P Ͻ 0.001). Accordingly, the overall rate of resynthesis for the 4-h recovery period was 66% higher in Caff compared with CHO (57.7 Ϯ 18.5 vs. 38.0 Ϯ 7.7 mmol ⅐ kg dw Ϫ1 ⅐ h Ϫ1 , P Ͻ 0.05). After 1 h of recovery plasma Caff levels had increased to 31 Ϯ 11 M (P Ͻ 0.001) and at the end of the recovery reached 77 Ϯ 11 M (P Ͻ 0.001) with Caff.
Phosphorylation of CaMKThr286 was similar after exercise and after 1 h of recovery, but after 4 h CaMK Thr286 phosphorylation was higher in Caff than CHO (P Ͻ 0.05). Phosphorylation of AMP-activated protein kinase (AMPK) Thr172 and Akt Ser473 was similar for both treatments at all time points. We provide the first evidence that in trained subjects coingestion of large amounts of Caff (8 mg/kg BM) with CHO has an additive effect on rates of postexercise muscle glycogen accumulation compared with consumption of CHO alone.Akt; AMP-activated protein kinase; Ca 2ϩ /calmodulin-dependent kinase IT IS WELL ACCEPTED that the rate of muscle glycogen accumulation following glycogen-depleting exercise is enhanced by the provision of exogenous carbohydrate (CHO) (for review see Refs. 18,21). In this regard, the dose, timing, and frequency of CHO administration have major roles in determining the rate and amount of glycogen resynthesized throughout the postexercise recovery period (17, 18). CHO ingestion alone, however, is not the only factor that alters glucose availability and hence glycogen resynthesis during recovery from exercise. The ingestion of caffeine, for example, has a negative effect on glucose metabolism (12, 13, 33). Caffeine ingestion before either an oral glucose tolerance test or a hyperinsulinemiceuglycemic clamp results in significant impairments in insulinmediated glucose disposal and CH...