Tuesday, December 3, 2013

Literature Review: Squatting For Bigger Arms? Think Again.

Image courtesy of davemendonca.com
Image courtesy of davemendonca.com
"Why do I have to lift legs?  I want bigger arms."
"Well, if you lift your legs, you will get a greater base of anabolic hormones to work off of later and that will allow you to build bigger arms."
I swear I have had this conversation with almost all of my male clients.  Unfortunately, the advice I gave is dead wrong.
Check out my review of literature for this study below!

Introduction
In the lay fitness world it is often said that performing exercises that increase anabolic hormone levels will increase hypertrophy everywhere throughout the body (2).
It is shown that exercise can acutely increase anabolic hormone levels (3, 4, 8, 9).  Additionally, it is shown that exercise can increase muscle protein synthesis (MPS) and intracellular signalling proteins (5, 6, 7).  However, it has yet to be shown that an increase in anabolic hormone levels leads to a concomitant increase in either MPS or the phosphorylation of intracellular signalling proteins.
The aim of this study is to determine whether an increase in anabolic hormone levels after exercise leads to an increase in MPS and intracellular signalling proteins in tissues that were not challenged during the exercise (1).  The authors hypothesized that an increase in anabolic hormone levels would lead to an increase in both MPS and the intracellular signalling proteins (1).
Methods (1)
Eight healthy men aged 20 ± 1.1 years participated in the study.  The participants didn’t have any formal weight training experience.  They also had not consistently partaken in weight training during the previous year.
Immediately before exercise, participants were infused with l-[ring-13C6]phenylalanine.  This was done so the participants had amino acids that were available during the MPS process.
The participants performed biceps curls unilaterally on one day.  This was the “Low Hormone” (LH) day.  On another day the participants performed the same volume of biceps curls using the contralateral arm.  These curls were followed by multiple leg exercises designed to acutely increase anabolic hormone levels.  This was the “High Hormone” (HH) day.
Muscle biopsies were taken from the involved biceps of the participants after both of the exercise days.  These were analyzed for intracellular signaling proteins.  Western blots were used for this analysis.  One factor ANOVAs were used for the statistical analysis.
Blood samples were taken at baseline and at the end of each of the exercise days.  These samples were analyzed for lactate, glucose, insulin, cortisol, testosterone, growth hormone (GH), and insulin-like growth factor 1 (IGF-1) levels.  Two-factor repeated measures ANOVAs were used for this statistical analysis.
Results (1)
All of the anabolic hormones were at their highest levels 15 minutes after completing the HH exercise.  Except for cortisol, all of these levels returned to the baseline levels within 60 minutes of completing the HH exercise.  Cortisol returned to the baseline level by 120 minutes after the HH exercise.
There was no difference in the amount of MPS in the biceps brachii tissue between the LH day and the HH day.
The phosphorylation of STAT3 and p70S6K were elevated after both exercise days, but there was not an additive effect of the anabolic hormones.  The other signalling proteins were either unchanged after the different exercise days or slightly decreased after the HH day.
Other Literature Findings
MPS is elevated for up to 36 hours after exercise (5, 6, 7).  IGF-1 levels are also elevated for up to 24 hours (8).  GH returns to resting levels two hours after exercise and testosterone returns one hour after exercise. (8, 9).
Pharmacological doses of testosterone increases MPS (10, 11), but there are conflicting findings on the effects of short-term GH supplementation (12, 13).
There are conflicting opinions in the research regarding the mechanism of MPS.  While some research cites the availability of amino acids as the mechanism of MPS (14), other research finds insulin to be the stimulatory agent (15).  By the same token, other research has found insulin to prevent protein breakdown instead of stimulate MPS (16).
More recent research cites the contraction of a muscle as the mechanism that begins the process of MPS (17).  Following contraction, phosphorylation of mTORC1 occurs (17).  This begins a series of biochemical reactions that ultimately leads to the phosphorylation of rpS6, which is said to both increase the size of cells as well as the proliferation of cells (17).
Discussion
This study contradicts much of what is said in the lay fitness world (2).
There are three important takeaways from this study.  The first is that the acute increase in anabolic hormone levels does not increase muscle protein synthesis.  A concept that is often described in fitness magazines and blogs is that by performing exercises that increase anabolic hormone levels, hypertrophy of tissues that were not challenged will occur at a greater rate (2).  This study shows that it is highly probable that this claim is false.
The second important takeaway from this study also contradicts the lay conversation.  An idea often thrown around the corporate gym environment is that the spike in anabolic hormones from exercise carries over from one day to the next.  What this study shows is that anabolic hormones return to resting levels within 60-120 minutes after completion of the exercise.
The third important takeaway is that in order for a tissue to hypertrophy it has to be challenged directly.  This means that if somebody wants bigger biceps, they have to challenge their elbow flexor system.
One application of this study is in regards to exercise design.  Understanding that a tissue has to be challenged in order for MPS to occur within that tissue may lead to more appropriate exercise design.  If this information is not understood, an appropriate challenge may not be created.
Another application of this study is to aid in the defense against the misinformation circulating among the lay regarding muscle hypertrophy.  Understanding the conditions by which muscle hypertrophy occurs will allow for more intelligent training and discourse on the subject.
References
  1. West D, Kujbida G, Moore D, Atherton P, Burd N, Padzik J, Lisio M, Tang J, Parise G, Rennie M, Baker S, Phillips S.  Resistance exercise-induced increases in putative anabolic hormones do not enhance muscle protein synthesis or intracellular signalling in young men.  The Journal of Physiology.  587(21):  5239-5247, 2009.  http://onlinelibrary.wiley.com/doi/10.1113/jphysiol.2009.177220/pdf.
  2. King R.  How Squatting Gives You Bigger Arms.  RobKingFitness.com.  May 17, 2010. http://www.robkingfitness.com/supplements/how-squatting-gives-you-bigger-arms/.
  3. Nicklas B, Ryan A, Treuth M, Harman S, Blackman M, Hurley B, Rogers M.  Testosterone, Growth Hormone and IGF-1 Responses to Acute and Chronic Resistance Exercise in Men Aged 55-70 Years.  International Journal of Sports Medicine.  16(7):  445-450, 1995. https://www.thieme-connect.com/ejournals/abstract/10.1055/s-2007-973035.
  4. Kraemer W, Gordon S, Fleck S, Marchitelli L, Mello R, Dziados J , Friedl K , Harman E, Maresh C, Fry A.  Endogenous Anabolic Hormonal and Growth Factor Responses to Heavy Resistance Exercise in Males and Females.  International Journal of Sports Medicine.  12(2):  228-235, 1991.  https://www.thieme-connect.com/ejournals/abstract/10.1055/s-2007-1024673.
  5. Kumar V, Selby A, Rankin D, Patel R, Atherton P, Hildebrandt W, Williams J, Smith K, Seynnes O, Hiscock N, Rennie M.  Age-related differences in the dose-response relationship of muscle protein synthesis to resistance exercise in young and old men.  The Journal of Physiology.  587:  211-217, 2009.  http://jp.physoc.org/content/587/1/211.short.
  6. Chesley A, MacDougall J, Tarnopolsky M, Atkinson S, Smith K.  Changes in human muscle protein synthesis after resistance exercise.  Journal of Applied Physiology.  73(4):  1383-1388, 1992.  http://jap.physiology.org/content/73/4/1383.short.
  7. MacDougall J, Gibala M, Tarnopolsky M, MacDonald J, Interisano S, Yarasheski K.  The Time Course for Elevated Muscle Protein Synthesis Following Heavy Resistance Exercise.  Canadian Journal of Applied Physiology.  20(4):  480-486, 1995.  http://www.nrcresearchpress.com/doi/abs/10.1139/h95-038#.Uo0iWBlWyTE.
  8. Takarada Y, Nakamura Y, Aruga S, Onda T, Miyazaki S, Ishii N.  Rapid increase in plasma growth hormone after low-intensity resistance exercise with vascular occlusion.  Journal of Applied Physiology.  88(1):  61-65, 2000.  http://jap.physiology.org/content/88/1/61.full.
  9. Daly W, Seegers C, Rubin D, Dobridge J, Hackney A.  Relationship between stress hormones and testosterone with prolonged endurance exercise.  European Journal of Applied Physiology.  93(4):  375-380, 2005.  http://link.springer.com/article/10.1007/s00421-004-1223-1.
  10. Griggs R, Kingston W, Jozefowicz R, Herr B, Forbes G, Halliday D.  Effect of testosterone on muscle mass and muscle protein synthesis.  Journal of Applied Physiology.  66(1):  498-503, 1989.  http://jap.physiology.org/content/66/1/498.short.
  11. Urban R, Bodenburg Y, Gilkison C, Foxworth J, Coggan A, Wolfe R, Ferrando A.  Testosterone administration to elderly men increases skeletal muscle strength and protein synthesis.  American Journal of Physiology.  269:  E820-E826, 1995.  http://ajpendo.physiology.org/content/269/5/E820.
  12. Yarasheski K, Zachweija J, Angelopoulos T, Bier D.  Short-term growth hormone treatment does not increase muscle protein synthesis in experience weight lifters.  Journal of Applied Physiology.  34(6):  3073-3076, 1993.  http://jap.physiology.org/content/74/6/3073.short.
  13. Fryburg D, Gelfand R, Barrett E.  Growth hormone acutely stimulates forearm muscle protein synthesis in normal humans.  American Journal of Physiology - Endocrinology and Metabolism.  260:  E499-E504, 1991.  http://ajpendo.physiology.org/content/260/3/E499.
  14. Bohe J, Low J, Wolfe R, Rennie M.  Latency and duration of stimulation of human muscle protein synthesis during continuous infusion of amino acids.  The Journal of Applied Physiology.  532:  575-579, 2001. http://jp.physoc.org/content/532/2/575.full.
  15. Biolo G, Williams BD, Fleming RY, Wolfe R.  Insulin action on muscle protein kinetics and amino acid transport during recovery after resistance exercise.  Diabetes.  48(5):  949-957, 1999.  http://www.ncbi.nlm.nih.gov/pubmed/10331397.
  16. Gelfand R, Barrett E.  Effect of physiologic hyperinsulinemia on skeletal muscle protein synthesis and breakdown in man.  The Journal of Clinical Investigation.  80(1):  1-6, 1987.  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC442193/.
  17. Drummond M, Fry C, Glynn E, Dreyer H, Dhanani S, Timmerman K, Volpi E, Rasmussen B.  Rapamycin administration in humans blocks the contraction-induced increase in skeletal muscle protein synthesis.  The Journal of Physiology.  587(7):  1535-1546, 2009.  http://onlinelibrary.wiley.com/doi/10.1113/jphysiol.2008.163816/full.

Wednesday, November 6, 2013

Wise Words Wednesdays: Les Brown

Wise-Words-Logo-300x263


Takeaway quotes:
  • "No matter how bad it is or how bad it gets, I am going to make it."
  • "You must have patience and engage in consistent action."
  • "It is possible that you can live your dream."
  • "As long as you work for someone else they are controlling your destiny."
(Bold mine.)

Expect Greatness.

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Tuesday, November 5, 2013

Testosterone and Insulin Sensitivity


Image courtesy of pennstatehershey.adam.com
Image courtesy of pennstatehershey.adam.com
Check out this study by Kapoor et al. discussing the effects on testosterone replacement therapy on insulin sensitivity and glycaemic control.
Could these results indicate a valid use for testosterone supplementation as a form of diabetes management?  Could similar results be found in subjects who did not already display low testosterone levels?
Could an exercise program/lifestyle designed to improve testosterone concentrations see similar results?  Or could the type of lifestyle and exercise regimen required to do so (proper exercise, nutrition, sleep, stress management) in and of itself be enough to improve insulin sensitivity and glycaemic control equally as much as purely supplementing?
What are your thoughts?
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Monday, November 4, 2013

My n=1 Study


Image courtesy of diabetesinformationabout.com
Image courtesy of diabetesinformationabout.com
This past Tuesday marked 17 years since I was diagnosed with type 1 diabetes.  On this day I would add another layer of insight into how I can better-manage this diseased state.
Beep!  Beep!  Beep!
I knew that sound.
Beep!  Beep!  Beep!
Crap.  It was 7:30 AM and I was in the middle of working with a client.
Beep!  Beep!  Beep!
My pump was dying.  I was no longer going to be receiving insulin from it.  Crap.
Image courtesy of libertymedical.com
Image courtesy of libertymedical.com
This wasn't the first time this had happened so I knew how to execute my backup plan.  I also knew that the last time this happened my blood glucose levels ran between 250 and 350 for the next 24+ hours until my new pumped arrived.  I knew I felt miserable that entire time, and I knew I didn't want to experience that again.  This time I'd call an audible on the backup plan.
I decided to run an n=1 study on myself.
Over the course of the next 24 hours I would only inject myself with insulin at very specific times, opting instead to manage my blood glucose levels as well as I could using mainly diet and exercise.
I would exercise vigorously multiple times throughout the day and limit my carbohydrate intake to as few as possible.  I decided I would continue this as long as my blood glucose levels stayed below 200.
Over the course of the day my blood glucose fluctuated between 70 and 130.  In fact, it wasn't until 6:30 PM that evening that it got up to 190, after which I injected myself with insulin to try to combat the rising glucose concentration.
Image courtesy of athleticrepublic-germainarena.com
Image courtesy of athleticrepublic-germainarena.com
Image courtesy of oaclubs.wordpress.com
Image courtesy of oaclubs.wordpress.com
I had three different exercise sessions that day, each lasting between 30 and 90 minutes and each combining aerobic endurance training with higher volume resistance training, after which I would administer an insulin injection.  I did the injections post-exercise to try to take advantage of the immediate increase in glucose transport post-exercise in hopes that doing so would keep my blood glucose levels lower.  Additionally, I limited my food intake to meat, vegetables, and a protein shake.
Image courtesy of goldendreemz.blogspot.com
Image courtesy of goldendreemz.blogspot.com
Overall, this emergency strategy worked very well for managing my blood glucose levels.  The highest my levels got after bringing them down from the initial reading of 256 was after I woke up the next morning.  At that time I tested in at 211.
Additionally, I cut my average daily insulin intake in half.
While this strategy is by no means something I would want to try right now for a longer duration--I felt completely exhausted by the end of the first day--I believe it did prove effective as a form of short term emergency maintenance.
To me, this only further exemplifies the importance that a proper diet and regular exercise can plan in managing diabetes.
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Wednesday, October 30, 2013

Wednesday, October 23, 2013

Wise Words Wednesdays: Tony A Gaskins Jr.

Wise-Words-Logo-300x263


Takeaway quotes:
  • "Mistakes make us.  Let your pain become your purpose; your mess become you message."
  • "Be relentless.  Let fear push you instead of cripple you."
  • "Make it as simple as possible but not one bit simpler."
  • Defining success:  "Creating something that will impact the people, which is fulfilling purpose.  So success is when you tap into your purpose and your purpose is connected to service."
  • "Success isn't about money.  It isn't about riches.  It isn't about fame.  It's about living your purpose."
  • "If you want to be a leader you have to be consistent."
Expect Greatness.

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Tuesday, October 22, 2013

Stability of Your Feet

Image courtesy of detroitfootpain.com
Image courtesy of detroitfootpain.com
The other day I had a really interesting conversation with someone as we were noticing how another individual was walking.  The person I was with commented that they believed the reason the other person was walking how they were is because their body was unstable and as such their motion throughout their gait was locked up to protect them.

Thursday, October 17, 2013

#TBT: October 8-October 18, 2012

Image courtesy of clipperblog.com
Image courtesy of clipperblog.com
A big week for #TBT!  Check out these posts from last year!

Wednesday, October 16, 2013

Wise Words Wednesdays: Ryan Burgess

Wise-Words-Logo-300x263 
"Don't join an easy crowd; you won't grow. Go where the expectations and the demands to perform are high." -- Jim Rohn*

Check out this short but powerful video from my friend and colleague Ryan Burgess of CoachBurgess.com and HumanityWOD:

Monday, October 7, 2013

Long-term Maintenance

Image courtesy of telegraph.co.uk
Image courtesy of telegraph.co.uk
It was the coolest thing.  A few weeks back I met with a prospective client to figure out whether they would be a good fit for the Muscle Activation Techniques™ process.  This person didn't presently have any physical complaints but had experienced some issues in the recent past that allowed them to realize just how much they wanted to keep up their currently active lifestyle for as long as possible.

Wednesday, October 2, 2013

Wise Words Wednesdays: Jairek Robbins

Image courtesy of sarahsalway.net
Image courtesy of sarahsalway.net
I saw this TEDx talk by Jairek Robbins earlier this week and posted to my personal Facebook page, but in case you didn't see it, this talk is absolutely worth your time to watch.

Tuesday, October 1, 2013

Intro to HbA1c

Image courtesy of prediabetescenters.com
Image courtesy of prediabetescenters.com
Over the next couple of months I would like to walk through rough overviews of my final project for one of my graduate classes this term.  The project is to come up with a hypothesis that has not already been tested and use current research to explain the biological mechanism by which the null of my hypothesis would fail to be rejected.

Monday, September 30, 2013

Muscle Tutoring

Image courtesy of hkn.ucsd.edu
Image courtesy of hkn.ucsd.edu
When you exercise, you are going to be using the muscles that are already working well.  This is done in order to provide the most efficient means by which to accomplish the task at hand.  Whether you are lifting weights, running, playing a sport, participating in a group fitness class, or performing any other means of physical activity, you are programmed to do so as efficiently as possible.  This means if muscles that should have an ability to help perform the task are not able to be used, we will naturally compensate and use other muscles in its place to still achieved the desired outcome.

Friday, September 27, 2013

The Game of You

Image courtesy of cutorcopy.com
Image courtesy of cutorcopy.com
"The one who follows the crowd will usually get no further than the crowd.  The one who walks alone is likely to find himself in places no one has ever been." -- Albert Einstein

Our basketball team during my senior year of college was the best I've ever played on.  We ended up 30-2 and second in the country.  Something that became apparent to me during this season was how little we would spend prepping ourselves for other teams during practice and film relative to what we had done previously in my college career and also relative to how much time we spent improving our own systems.

Thursday, September 26, 2013

#TBT: September 24-September 27, 2012

Image courtesy of clipperblog.com
Image courtesy of clipperblog.com
What was I writing about this time last year?  Check out my posts below!

Wednesday, September 25, 2013

Wise Words Wednesdays: Will Smith

Image courtesy of sarahsalway.net
Image courtesy of sarahsalway.net


Takeaway quotes:
  • "Greatness is not this wonderful, esoteric, illusive, God-like feature that only the special among us will ever taste.  It is something that truly exists in all of us."
  • "Talent you have naturally.  Skill is only develop by hours and hours and hours of beating on your craft."
  • "I've never really viewed myself as particularly talented.  Where I excel is ridiculous, sickening work ethic."
  • "The only thing that I see that is distinctly different about me is I am not afraid to die on a treadmill.  You might have more talent than me.  You might be smarter than me.  But if we get on a treadmill together, there are two things:  You're getting off first, or I'm going to die.  It is really that simple."
  • "You don't set out to build a wall... You say, "I'm going to lay this brick as perfectly as a brick can be laid," and you do that every single day and soon you have a wall."
  • "If you are not making someone else's life better then you're wasting your time."
  • "The first step before anyone else believes it is you have to believe it."
  • "Being realistic is the most commonly traveled road to mediocrity."
Expect Greatness.

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Monday, September 23, 2013

Weak Ankles

Image courtesy of neverevererin.com
Image courtesy of neverevererin.com
When I was 14 I rolled both of my ankles within a couple weeks of each other during 8th grade basketball.  "You must have weak ankles," is what my coach told me.  The solution?  Bilateral ankle braces.

Thursday, September 19, 2013

Wednesday, September 18, 2013

Wise Words Wednesdays: Gary V--Elevate NYC 2013 Keynote

Image courtesy of sarahsalway.net
Image courtesy of sarahsalway.net
I used to post book reviews every Wednesday.  Since I moved in mid-June, my book reading has gone way down.  I used to read every day on the train to work, but now I drive to work and driving and reading a book is more dangerous than driving and texting, so like I said, my book reading has gone way down.

Tuesday, September 17, 2013

The Aerobic Deception?

Image courtesy of crazyhealthyfit.com
Image courtesy of crazyhealthyfit.com
Note:  This post is more of an update on what is running through my head (scary) than an actual factually-based post.

For the longest time I was under the deception that aerobic exercise was "bad".  From creating poor hormonal profiles for muscle building to being an inefficient means of calorie expenditure to the consequences of the almost certain mechanical stresses that were being inappropriately applied to a system, I was not very "pro-aero".

Monday, September 16, 2013

Update on "Running, and My Back, Feet, and Shoulders"

Image courtesy of runwiththeanimals.com
Image courtesy of runwiththeanimals.com
About five and a half months ago I posted on an experience I had while running, titled, "Running, and My Back, Feet, and Shoulders".  As I was trying to think of a post to write for today, I was struggling immensely to come up with anything.  My mind has been all over the place recently trying to figure out a new daily routine that is efficient with the added workload of grad school and as such I have not been consistent with my posting.  But I decided I was going to write a post for today, so I sat down to do just that.

Image courtesy of theartsentrepreneur.com.
And I sat.  And I sat.  And I sat.  And I started getting restless because I was struggling to come up with a single idea.  So I decided to go running.  And while I was running I noticed something, or the lack of something, that was different since I last wrote about my experience running.

I didn't have any shoulder discomfort.  Nor did I have any lower back discomfort.  Nor did my knees feel like they were about to explode.  In fact, overall, my body felt pretty good.  And that is the first time in a LONG time I can say that in relation to running.

And I am thoroughly convinced that Muscle Activation Techniques™ has played a huge role in my body feeling this way.
Image courtesy of simple.wikipedia.org
Over the past six months I have my feet worked on many times with the MAT™ process.  While they are by no means perfect, they are a heck of a lot better than they were, and the rest of my definitely body notices.

So yeah, I guess that run accomplished the desired goal.  I returned home with a calmer mind, a plan for a blog post, and a new appreciation for my career and what I get to do to help others every day.
That's part of my MAT™ story.  What's yours?

Interested in finding out more about MAT™?  Check out the Muscle Activation Techniques™ page!

Interested in setting up an assessment or discussing this subject further?  Leave a comment below or e-mail Charlie at charlie@selfmadefitness.com!
Your body.  Your training.

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