Showing posts with label glycogen. Show all posts
Showing posts with label glycogen. Show all posts

Wednesday, November 4, 2015

Nitrate for Muscle+Brain Performance | Walking for Glucose Management | Full Glycogen Stores W/Out Excessive Water Retention | 5x10, 10x10, Cardio How mTOR and Co Respond

If Yap et al. were right and only continuous and not accumulative physical activity mattered, activity trackers like the this would be useless. No one needs a device to remind him of the 30 min of brisk walking he did / skipped today.
In today's installment of waredownloadsoft "On Short Notice", we're going to take a closer look at a selection of recent papers from the European Journal of Applied Physiology. To be more specific, I will discuss the physiological and psychological effects of dietary nitrate and their potential significance for team athletes. From there we're taking a detour to glycogen resynthesis and its interaction with hydration - a topic that may be highly relevant for bodybuilders and at least interesting for everyone else. Before we then take a departing look at the differential effects of 5x10, 10x10 and endurance exercise on markers of protein synthesis and glucose uptake, we'll spend briefly review the claim that the cumulative physical activity (the one you measure w/ step counters) would lack the characteristic health benefits everyone expects from meeting his daily activity goals.
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  • Dietary nitrate improves sprint performance and cognitive function during prolonged intermittent exercise - While anyone of you should know that nitrate from beetroots can have significant physiological effects, the observations Thompson et al. made in their recent double-blind randomised crossover study are probably real news and above all practically relevant for some of you and/or your clients from various athletic domains (Thompson. 2015).

    To investigate the effects of dietary NO3(-) supplementation on exercise performance and cognitive function, the scientists had 16 male team-sport players consume NO3(-)-rich (BR; 140 mL/day; 12.8 mmol of NO3(-)), and NO3(-)-depleted (PL; 140 mL day/1; 0.08 mmol NO3(-)) beetroot juice for 7 days (these are the regular shots you can buy at supplement stores | if you want to drink regular beetroot juice, you need 3-4x the amount). With the nitrate supplement being consumed over a one week period we are thus not talking about the effects of acute, but about the effects of chronic supplementation. Keep that in mind, if you buy one shot and don't feel the results immediately.

    On the test day the subjects completed a prolonged intermittent sprint test (IST) protocol (two 40-min "halves" of repeated 2-min blocks consisting of a 6-s "all-out" sprint, 100-s active recovery and 20 s of rest) on a cycle ergometer during which cognitive tasks were simultaneously performed.
    Figure 1: Comparison of total work during the sprints and reaction times during cognitive decision making tasks designed to emulate the cognitive tasks during team sports (Thompson. 2015).
    As you can see in Figure 1 both, the total work done during the IST, as well as the reaction times that were measured during cognitive tasks in the second half of the IST, were improved in the beetroot vs. placebo trial.

    Even though, the scientists didn't find a difference in response accuracy, the findings are highly relevant for any athlete who has to (a) perform at high intensities, while (b) maintaining optimal cognitive performance and decision-making reaction times. Who is that? Well, I'd say almost every team sport athlete of whom previous studies have shown that his / her cognitive acuity suffers during prolonged intermittent exercise. 
  • Extra water is not necessary for optimal glycogen replenishment after workouts - In fact, bodybuilders may want to avoid it... Avoid water? No, I am not saying you should not drink water at all, but if you look at the results of Valentín E. Fernández-Elías' recent "analysis of the relationship between muscle water and glycogen recovery after prolonged exercise in the heat in humans" you will see that too much water in the post-workout window may actually give you the 'watery' look some physique athletes like bodybuilders are trying to avoid.

    It is usually stated that glycogen is stored in human muscle bound to water in a proportion of 1:3 to 1:4 g. In their latest study, the scientists from the University of Castilla-La Mancha investigated this proportion in biopsy samples that were taken when their trained subjects recovered from prolonged exercise in the heat:
    "On two occasions, nine aerobically trained subjects (VO2max = 54.4 ± 1.05 mL/kg/min; mean ± SD) dehydrated 4.6 ± 0.2 % by cycling 150 min at 65 % VO2max in a hot-dry environment (33 ± 4 °C). One hour after exercise subjects ingested 250 g of carbohydrates in 400 mL of water (REHLOW) or the same syrup plus water to match fluid losses (i.e., 3170 ± 190 mL; REHFULL). Muscle biopsies were obtained before, 1 and 4 h after exercise" (Fernández-Elías. 2015).
    In contrast to what you may have expected, the muscle glycogen replenishment was not impaired by the lack of water in the REHLOW group. Ok, if you look at the data in Figure 2 right, there is a minimal advantage for the adequate water group, but this advantage is not statistically and almost certainly not practically relevant (79 ± 15 and 87 ± 18 g/kg dry muscle; P = 0.20).
    Figure 2: Muscle water content before and after dehydrating exercise and after 3 h recovery period (a). Muscle glycogen content before and after dehydrating exercise and after 4 h recovery period (b). Data is presented as mean ± SD. *Different from previous time point. †Different from REHFULL (P < 0.05 | Fernández-Elías. 2015).
    The thing that did differ between the adequat (REHFULL) and the inadequate (REHLOW) hydration trial, however, was the muscle water content which was significantly higher in the REHFULL than in the REHLOW trial (3814 ± 222 vs. 3459 ± 324 g/kg dm, respectively; P < 0.05; ES = 1.06).

    waredownloadsoft Suggested: "Hydrated or Dumb: Dehydration Affects Brain, Muscle and Other Vital Organs - Plus: 15+ Causes of Dehydration + Can the Color of Your Urine Tell You if You Drink Enough?" After reading this SV Classic and my recent article about the link between dehydration and type II diabetes you will probably stop thinking about using dehydration more than just occasionally.
    What's even more striking is that the scientists analysis of the ratio in which water and glycogen were stored in the two groups showed that subjects in the REHLOW trial stored the glycogen at the minimal 1:3 glycogen : water ratio, while their peers who got plenty of water exhibited a glycogen : water ratio of 1:17. Needless to say that this difference in water storage may be very important for bodybuilders during the last days and hours of their contest prep. In view of the importance of optimal hydration for your health, cognition and the hitherto unproven hypothesis that increases in cellular water may be involved in the hypertophy response to exercise (including the efficacy of creatine | Op‘t Eijnde. 2001), (non-)rehydration practices as they were used in the study at hand are nothing I would generally recommend. 
  • Study says: Only continuous, not accumulated 30 min of walking will improve your glucose sensitivity - While step counters suggest that all you have to do to improve your health is to take "X" steps per day, the conclusion of a recent study from the DSO National Laboratories in Singapore refutes the simple and beautiful idea that you can distribute the X number of steps you would usually take during 30 minutes of brisk walking over three or more small "exercise servings" and see the same benefits as you'd see with 30 minutes of continuous brisk walking:
    "These findings demonstrate that 30 min of brisk walking is sufficient to improve insulin sensitivity in healthy, young Asians but only continuous and not accumulated walking provides this benefit. " (Yap. 2015).
    In said study, twenty-five healthy participants (12 males) participated in an oral glucose tolerance test (OGTT) the morning after: (i) accumulating three 10 min bouts of walking the previous evening; (ii) walking continuously for 30 min the previous evening or; (iii) resting the previous evening. Blood samples were taken in the fasted state and for 2 h post-OGTT. The subjects' insulin sensitivity was estimated from fasting blood glucose and insulin using the quantitative insulin sensitivity check index (QUICKI) and in response to the OGTT using an insulin sensitivity index (ISI-Matsuda).
    Figure 3: Changes in fasting glucose, insulin and insulin sensitivity (QUICKI) the morning after accumulated walking, continuous walking or a rest day; values expressed rel. to sedentary control (Yap. 2015).
    Now, as you've read a few lines above, the scientists say: Only the continuous walking is beneficial. Well, I don't know about you, but if I look at the study results in Figure 1, I wouldn't say that the data suggests that only continuous brisk walking would be beneficial. In fact, the early morning glycemia, which is by the way a pretty stupid measure of glucose tolerance anyway (cortisol rises in the AM and ruins the results), is very similar and the OGTT data in Figure 2 shows no practically relevant effect or difference either.
    Figure 4: Glucose (a), insulin (b) and insulin sensitivity index (ISI-Matsuda) (c) calculated from an oral glucose tolerance test the morning after three 10 min bouts of accumulated brisk walking, a 30-min continuous brisk walk or resting the previous evening. Values are mean (SD) (n = 25). Main effect of time for glucose (a) and insulin (b) (both P < 0.001). Main effect of trial for ISI-Matsuda (c) with Bonferroni post hoc t tests: accumulated walking vs. continuous walking (P = 1.000); accumulated walking vs. rest (P = 0.204); continuous walking vs. rest (P = 0.081 | Yap. 2015)
    With that being said, you can still rely on your step counter as a guide to a health-relevant amount of activity. What is important is that you get your physical activity in; and not that you do it in a continuous matter (even though that may offer small benefits in the study at hand). Plus, you will remember: Especially for those with some extra-weight on their hips "Increasing Physical Activity Just as Effective as Strength, Endurance or Combined Exercise to Lose Fat and Build Muscle" | re-read the SV article.
Figure 5: Summary of exercise-induced responses in signaling proteins and their selected signaling pathways investigated in the present study. The figure is simplified, and not all the possible connections between the proteins are shown. Signaling proteins are marked according to the present findings of changes from pre-exercise to 30 min post-exercise within the group (Ahtiainen. 2015).
Are you missing something? Yes, the -TOR study. The one with the different exercise types and volume and the effects on the signaling pathways regulating skeletal muscle glucose uptake and protein synthesis after workouts. So why did this interesting paper not get more room? Well, the answer is simple: If you determine only markers of protein synthesis, glucose uptake & co in response to 5 × 10 repetition maximum (RM) resistance exercise (RE) with leg press device (5 × 10 RE; n = 8), 10 × 10 RE (n = 11), and endurance exercise (strenuous 50-min walking with extra load on a treadmill; EE; n = 8) you generate results with little practical relevance. After all, we know that an increase in mTOR phosphorylation does not tell us that the actual protein synthesis let alone the long-term gains increases, as well - since those were not assessed in the Ahtiainen paper, their results are rather of educational than practical value.

The educational value is thus also the reason I still mention the study. I mean, I didn't want to deny you the opportunity of looking at the scientists' excellent "summary of exercise-induced responses in signaling proteins and their selected signaling pathways" in Figure 5 - even though, the cause-and-effect relationships are still 'hypothetical' in parts ;-) | Comment on Facebook!
References:
  • Ahtiainen, Juha P., et al. "Exercise type and volume alter signaling pathways regulating skeletal muscle glucose uptake and protein synthesis." European journal of applied physiology (2015): 1-11.
  • Fernández-Elías, Valentín E., et al. "Relationship between muscle water and glycogen recovery after prolonged exercise in the heat in humans." European journal of applied physiology (2015): 1-8.
  • Op‘t Eijnde, B., et al. "Effect of creatine supplementation on creatine and glycogen content in rat skeletal muscle." Acta physiologica Scandinavica 171.2 (2001): 169-176.
  • Thompson, Christopher, et al. "Dietary nitrate improves sprint performance and cognitive function during prolonged intermittent exercise." European journal of applied physiology (2015): 1-10.
  • Yap, Mei Chan, Govindasamy Balasekaran, and Stephen F. Burns. "Acute effect of 30 min of accumulated versus continuous brisk walking on insulin sensitivity in young Asian adults." European journal of applied physiology (2015): 1-9.
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Post-Workout Coffee Boosts Glycogen Repletion by Up to 30% and May Even Have Sign. Glucose Partitioning Effects

Yes, I do suggest that it may be beneficial to drink these two and another two cups of coffee w/ lots of sugar after your workout - if you are an athlete, at least.
A delicious and refreshing pre-workout coffee or just plain caffeine from pre-workouts are probably on the supplement list of most of the waredownloadsoft readers. Whether the same is the case for a post-workout coffee, let alone caffeine tablets, though, is questionable. Just as questionable, as the common belief that you better stay away from coffee at any time after your workouts, by the way.

If you look at the existing literature, the effects of post-workout caffeine ingestion are not exactly an intensely researched area. And still, the evidence does more or less strongly support the notion that a post-workout coffee could be as beneficial as its pre-workout analog - in a different area.
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Initial evidence that the post-workout ingestion of caffeine may have beneficial effects on post-workout gylcogen resynthesis and thus an important part of the recovery process comes from a 2004 study by Battram et al. (2004). Back in the day, Battram assumed - just like you probably did - that the ingestion of caffeine after prolonged exercise would impede the resynthesis of proglycogen and macroglycogen carbohydrate supplementation in humans.
Figure 1: Total glycogen [proglycogen (PG) macroglycogen (MG)] glycogen concentrations during 5 h of recovery in the placebo trial (A) and caffeine trial (B | Battram. 2004).


As you can easily see if you compare the data in Figure 1 (A) for the placebo trial with the data in Figure 1 (B), which was generated in the trial in which the healthy young men who participated in Battram's study received a whopping dose of 6mg/kg of caffeine, there is no ill effect on post-workout gylcogen resynthesis even with high dose caffeine supplementation.
"In conclusion, Caf ingestion does not impede the resynthesis of PG or MG after an extensive depletion of muscle glycogen and with the provision of exogenous dietary carbohydrate" (Battram. 2004).
As surprising as this may be in view of the inhibitory effect of caffeine on full-body glucose uptake (in Battram's study there was also a significantly higher blood glucose concentration in the caffeine
trial), Battram's results are still no outliers. Rather than that, a follow up study by Pedderson et al. found 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" (Pedderson. 2008).
Even though Beelen's study does not support the the superior effect of caffeine on muscle gylcogen, it does at least show that the effect (if it occurs) would probably be identical for fast- and slow-twitch muscles and thus similarly beneficial for strength and endurance athletes (Beelen. 2011).
So, there is no doubt that this works? Well, as usual, there is doubt. Another 2011 study by Beelen et al. did not find the same increases in glycogen resynthesis. It is well possible, though that this was due to either the fact that they pumped their subjects up with even higher amounts of carbs, though (1mg/kg/h in Pedderson vs. 1.2mg/kg/h in Beelen) and lower amounts of caffeine (15% less). In view of the fact that the exercise protocol used in the study only halved the glyocogen levels of the subjects, while it was reduced by >75% in the Pedderson study, the lack of effect may also be a result of the lack of full glycogen depletion in Beelen's study (unfortunately, the authors don't provide their values only in arbitrary units - that's why I can't tell you with certainty to which degree this may have influenced the results).
In that, it is important to point out that the increased glycogen resynthesis in Pedderson's randomized, double-blind crossover study, in which the young well-trained subjects performed intermittent exhaustive cycling and then consumed a low-CHO meal before they rode until volitional fatigue and consumed either
  • CHO [4 g/kg body mass (BM)] alone or
  • CHO [4 g/kg body mass (BM)] with Caff (8 mg/kg BM)
at the beginning of the 4 h of passive recovery phase, did not occur at the expense of the restoration of the high energy substrates ATP and PCr (see Figure 2) - since the latter two are especially relevant for people who lift weight, sprint and do other high intensity stuff, there's no reason to believe that the caffeine + sugar post-load was something only endurance athletes could use.
Figure 2: High dose caffeine (8mg/kg) increases glycogen resynthesis after exhausting workouts without having ill effects on the resynthesis of ATP and PCr (Pedderson. 2008).
Apropos "using" this strategy: Another three years later, Taylor et al. (2011) expanded on the results of Battram (2004) and Pedderson (2008) in a study in which they went beyond testing the mere amount of glycogen that was transported into the muscle and evaluated its effect on the subjects' performance in a post-recovery high-intensity interval-running capacity test.
Figure 3: Exercise capacity during the Loughborough Intermittent Shuttle Test for the carbohydrate (CHO), CHO plus caffeine (CHO+CAFF), and water (WAT) trials. Lines represent individual subject responses (Taylor. 2011).
As you can easily see in Figure 3, the HIIT advantage, which was tested 4h after the glycogen-depleting exercise protocol and the ingestion of 1.2g/kg carbohydrate +/- 8mg/kg caffeine via an Intermittent Shuttle Test (LIST) to volitional exhaustion, was about as pronounced as the glycogen-advantage Pedderson et al. observed three years before (albeit with some inter-individual differences).
Why would you say caffeine may have a partitioning effect? The answer is easy: While fat cells need insulin to transform and store significant amounts of glucose, muscle cells don't - specifically after workouts the increase in GLUT-4 receptor expression and glucose uptake occurs largely without requiring insulin as a trigger. Now, caffeine's ill effects on blood glucose are due to its ability to block the insulin signalling via beta-adrenergic activity (Thong. 2002). It should thus reduce the glucose uptake by the fat cells while decreasing the rate, but not the total amount of glucose that is taken up and stored by the muscle... speaking of rate and total amount: This hypothesis is fully in line with the initially cited study by Battram et al. who observed just that: a decreased rate, but identical total increase in muscle glycogen.
So why haven't we been taking our post-workout caffeine for years, now? Well, I guess the reason is that it is not sure how the effects of caffeine on the sympathetic nervous may effect other factors of the recovery process. In view of the fact the central nervous system will be "on fire" after any workout, though, it is questionable whether adding in 400-800mg caffeine will actually affect its recovery.

A better reason for not (yet) subscribing to the post-workout caffeine binges would thus be that (a) few of us actually need to refill their glycogen stores in 4-6h after a workout and that we (b) have no real clue what the mechanism is. If it was actually - as some of the data would suggest - a selective inhibition of fat cell glucose uptake (see box on the right), even those of us who don't have to restore their glycogen stores as fast as possible may see beneficial effects on body composition. If, on the other hand, it works by stimulating the intestinal absorption of glucose, only (cf. Van Nieuwenhoven. 2000), the real world implications for the average trainee would be significantly less pronounced | Comment on Facebook!
References:
  • Battram, Danielle S., et al. "Caffeine ingestion does not impede the resynthesis of proglycogen and macroglycogen after prolonged exercise and carbohydrate supplementation in humans." Journal of Applied Physiology 96.3 (2004): 943-950.
  • Beelen, Milou, et al. "Impact of caffeine and protein on postexercise muscle glycogen synthesis." Med Sci Sports Exerc 44.4 (2012): 692-700.
  • Pedersen, David J., et al. "High rates of muscle glycogen resynthesis after exhaustive exercise when carbohydrate is coingested with caffeine." Journal of Applied Physiology 105.1 (2008): 7-13.
  • Taylor, Conor, et al. "The effect of adding caffeine to postexercise carbohydrate feeding on subsequent high-intensity interval-running capacity compared with carbohydrate alone." International Journal of Sport Nutrition andExercise Metabolism 21.5 (2011): 410.
  • Thong, Farah SL, and Terry E. Graham. "Caffeine-induced impairment of glucose tolerance is abolished by β-adrenergic receptor blockade in humans." Journal of applied physiology 92.6 (2002): 2347-2352.
  • Van Nieuwenhoven, M. A., R-JM Brummer, and F. Brouns. "Gastrointestinal function during exercise: comparison of water, sports drink, and sports drink with caffeine." Journal of applied physiology 89.3 (2000): 1079-1085.
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