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marylin monroe
Showing posts with label 5-alpha. Show all posts
Showing posts with label 5-alpha. Show all posts

Andropause? Low Testosterone? At Risk of Developing Diabetes? Get a Free Hormonal Panel and Access Your Personal Health Risks With an Old-Fashioned Measuring Tape.

Image 1: Not as realiable as bloodwork,
but a valid first indicator of testosterone
levels and metabolic health in general
(image from Millionlineincome)
I have been writing about getting hormones tested before. And if you listened to Thursday's episode of Super Human Radio and tuned in even before I was on, you will have heard Dr. Crisler from "All Things Male" talk about the paramount importance of optimal testosterone and free testosterone levels on physiological and pyschological health of the purportedly "stronger" sex (yeah, I am talking about us, guys ;-) If that got you interested or you suspect, for whatever reason, to have low testosterone levels, but are unwilling or unable to spend money on a blood test, you may well be interested in the results of a study that was published in the May issue of the Asian Journal of Andrology (Alan. 2011).

Alan et al. who investigated the relationship of age, adiposity and testosterone levels in 207 otherwise healthy aging men (>= 54 year) with symptoms of hypoandrogenism found a significant correlation of both total and free testosterone levels and the waist-to-height (WHt) ratio of their subjects:
[...] WHt ratio was more strongly correlated with TT and cFT than either WC [waist circumference] or BMI. Furthermore, in models of TT and cFT, the addition of Ht to WC resulted in an increase in the magnitude of the regression coefficients for both WC (inverse correlate) and Ht (positive correlate), with the contributions of both WC and Ht both being significant (P<0.05 for all).
Table 1: Waist-to-height ratio corresponding
to increased risk of high blood pressure,
elevated blood glucose and high triglyceride
levels (data adapted from Leitzmann. 2010)
Or in other words, if your tall and lean chances are your erectile dysfunction or whatever possibly androgen-related problem is plaguing you, is not a result of low testosterone levels. While this does not exclude the possibility that overtly high estrogen levels or low 5a-reductase activity and consequently low DHT levels (I have written about the importance of DHT in the context of "all things male" before) are at the bottom of your problems, you will at least know that checking testosterone alone probably won't provide the answer to your question.

On the other hand, these results exemplify the viscous circle of how low, or as many family physicians like to refer to them, "age appropriate", androgen levels, predispose to (predominantly visceral) adiposity, which - apart from its direct detrimental effects on metabolic health (cf. table 1) - in turn increases aromatization of testosterone to estrogen and thus further reduce the availability of the primary male sex steroid. While it appears that this is another instance of the "chicken and the egg, who was first?"-question, I would argue that chances are that the "age appropriate" decline in androgen levels goes hand in hand with increasing obesity and should thus also be addressed by a multi-faceted approach constituting of professionally* supervised hormone replacement therapy and appropriate life-style changes, in other words, the incorporation of regular exercise and healthy eating habits into your daily routine.

* the attribute "professional" obviously excludes your average family Dr. who considers your testosterone level "age appropriate" and refuses to measure estrogen, DHT, DHEA and all the other endocrine parameters without which you will never get the full picture

Endurance Exercise Turns Out to Be More Manly Than You May Have Thought: 30 Minutes on the Treadmill Raise Muscular Dehydrotestosterone (DHT) Levels

Figure 1: Molecular structure of
dihydrotestosterone (DHT) (from Wikipedia)
I assume jogging is not what crosses your mind, when somebody is talking about "manly" exercises!? DHT, the acronym for dihydrotestosterone, on the other hand, is what experts like Dr John Crisler (from allthingsmale.com) hold responsible for all things male. So, if, as a recent study (Aizawa. 2011) published in the Journal of the American College of Sports Medicine reports, running on a treadmill for 30 minutes, 5 times a week increased dihydrotestosterone levels in skeletal muscle of male rats, it is pretty likely that moderate jogging can trigger similar hormonal changes in men and thus render them "more manly".

What Aizawa et al. found was that an increase in "mRNA expressions of 3[beta]-hydroxysteroid dehydrogenase (HSD), aromatase cytochrome P450 (P450arom) and 5[alpha]-reductase in the skeletal muscle of trained rats" if compared to sedentary controls. These changes in enzymatic expressions induced the following changes in the overall hormonal profiles of the animals:
The muscular dihydrotestosterone (DHT) concentrations in the skeletal muscle of trained rats were significantly higher than that of sedentary rats (P 0.01), but no change in dehydroepiandrosterone (DHEA), total testosterone, free testosterone and estradiol. Furthermore, muscle weight corrected for BW of trained rats was moderately correlated with the level of muscular DHT concentration in trained rats (r = 0.41, P 0.05).
Being 10x as potent as testosterone, DHT is often considered the male hormone per se, with testosterone being nothing, but a "prohormone" to its potent bigger brother. From the fact that testosterone levels remained unchanged in the course of the study, we can yet conclude that the additional conversation of testosterone to DHT (5-alpha reductase) has been compensated by an increase in basal testosterone production.  This being said, the arduous and (by many male trainees) dreaded metabolic work shines in a completely new, much more "manly" light. It is, after all, no coincidence that the most potent anabolic steroids have been "build" on a DHT base. And while, you certainly cannot expect similar explosive gains in strength and lean mass as "on cycle", moderate cardio training may in fact turn out to improve your gains and performance in and out of the gym.

On a side note: In case you are worried about hair loss and prostate cancer, whenever you hear about DHT, or just want to know more about why it is related to "all things male", I suggest you check my previous DHT-related blogposts.

Study Confirms: Acute Post-Exercise Myofibrillar Protein Synthesis Is Not Correlated with Resistance Training-Induced Muscle Hypertrophy in Young Men

FSR ≠ more muscle = no news for ya!
For the average SuppVersity reader the sentence "Acute Post-Exercise Myofibrillar Protein Synthesis Is Not Correlated with Resistance Training-Induced Muscle Hypertrophy in Young Men" is not just the title of a recent paper in the open access journal PLOS|ONE, it's also the experimental verification of a claim I've made in almost all my articles about the acute effects of certain training modalities and/or supplements on myofibrillar protein synthesis and the corresponding increases in muscle size some people appear to expect from a 2h-long 10% increase in fractional protein synthesis (learn more).

And yes, practically speaking these findings imply that we have to question the real world significance of all the neat studies on the "superior muscle building effects" of whey protein, BCAAs and even more so leucine, in which the authors base their recommendations on acute increases in post-exercise protein synthesis.
Don't worry, you have not been "wheysting" your money: While there is a paucity of data to confirm the long(er) term muscle building effects of isolated amino acids (EAA, BCAA and leucine), there is plenty of data from 6-12 week human trials to support the pro-anabolic effects of whey protein. What we don't have, though is evidence to support the notion that the long-term muscle building effects are as superior to those of other protein sources (e.g. casein) as the increases in acute protein synthesis would suggest.
In the corresponding experiment that was funded by the National Science and Engineering Research Council (NSERC) of Canada Cameron J. Mitchell et al. determined whether the acute myofibrillar protein synthesis measured acutely in training-naive subjects after their first bout of resistance exercise with protein consumption would correlate with the actual increase in muscle size after 16 weeks of resistance training.

Suggested read: "Protein Intake & Muscle Catabolism: Fasting Gnaws on Your Muscle Tissue and Abundance Causes Wastefulness " | more
Before the actual experiment began, the subjects, healthy young recreationally active normal-weight men (177 cm; body mass index = 26.4 kg/m²; men age 22 years) without previous strength training experience, underwent a magnetic resonance imagining (MRI) scans of their right thigh to determine muscle volume, a dual, energy x-ray absorptiometry (DXA) scan to assess whole body fat and bone-free mass (lean mass) and standardized strength tests to determine their maximal isotonic strength (often labeled the 1RM) for all training exercises.

After all baseline measurements (including baseline muscle protein synthesis) were recorded, the subjects completed 16 weeks of RT while ingesting a protein rich beverage (30g of the same whey protein of which Burd et al. showed in 2012 that it elicits a higher increase in MPS than casein) immediately after their exercise session and with breakfast on non-training days.
"Briefly, participants trained four times weekly with two upper and two lower body workouts. Lower body exercises are described above in the acute exercise session. Upper body exercises consisted of chest press, shoulder press, seated row, lat pulldown, bicep curl and tricep extension. The program was progressive in linear manner moving from 3 sets of 12 repetitions to 4 sets of 6  repetitions. At the end of the training period, MRI, DXA scans and strength testing were repeated." (Mitchell. 2014)
If you look at the above description of the workout (and supplementation regimen) you will probably agree that this is pretty much what the majority of resistance physique oriented gym-goers do.
Figure 1: Myofibrillar fractional protein synthesis rate (left) measured acutely after a single workout and changes in muscle volume (%) over the whole 16-week study period as a function of the 1-6h post-workout FSR (Mitchell. 2014).
People who hope that the often reported increases in fractional protein synthesis would pay off and yield increased net muscle gains and thus exactly what Mitchell et al. did not observe in their study, which could not establish the corresponding correlation between the actute increase in post-workout fractional protein synthesis (Figure 1, left) and the chronic change in muscle volume (Figure 1, right).

Figure 2: Changes in muscle volume (%) expressed relative to acute increases in 4E-BP (Mitchell. 2014).
If anything, it was the expression of the Eukaryotic translation initiation factor 4E-binding protein 1 aka 4E-BP1 one of the motors of protein synthesis, but not the increase in myofibrillar fractional protein synthesis that looked as if it could have any predictive value with respect to the increase in muscle volume, the young men experienced in the course of the 16-week training period.

After thinking about the implications of these findings for a minute, I do yet have to admit that the assumption that this would refute the previously invoked recommendations completely, is probably premature.
SuppVersity Suggested Read: "Protein Wheysting?! No Significant Increase in PWO Protein Synthesis W/ 40g vs. 20g Whey, But 100% Higher Insulin, 340% More Urea & 52x Higher Oxidative Amino Acid "Loss" | more
"Though shalt not make quantitative predictions about long(er) term muscle gains based on acute FSR measurements!" - This statement is unquestionably correct. It's something I have written about before and it's a statement that is supported (if not confirmed) by the data of the study at hand.

The statement "though shalt not make qualitative predictions about long(er) term muscle gains based on acute FSR measurements", on the other hand, would yet be unwarranted and is probably incorrect. We do after all have more than enough evidence that increases in post-workout protein synthesis will (sooner or later) result increases in muscle size. The fact that we cannot predict the extent of long(er) term hypertophy effects based on measuring acute changes in FSR does not imply that these changes would not matter at all. It does only mean that we have to be careful about overestimating the real-world effects of differences in protein synthesis between training modalities and supplements, even if they are statistically significant in the hours after a workout.
Reference:
  • Burd, Nicholas A., et al. "Greater stimulation of myofibrillar protein synthesis with ingestion of whey protein isolate v. micellar casein at rest and after resistance exercise in elderly men." British Journal of Nutrition 108.06 (2012): 958-962.