.

.
marylin monroe
Showing posts with label muscle loss. Show all posts
Showing posts with label muscle loss. Show all posts

Santa is Coming to Town and You Better Beware of His Gifts: Fat Gain, Muscle Loss and Increased Mortality Rates.

Image 1: The "modern" image of the Coke-drinking Santa. Do you really believe he is one of the good guys?
Finally, December 24th is there! The day we have all been waiting for, to get together with friends and relatives and wait for the portly, joyous, white-bearded man in the red coat to deliver "his" gifts. Interestingly enough, the word "gift" in German designates "poison" and while those of you who have been following the SuppVersity news earlier this week may now be speculating that this could in one way or another be related to the millions of iPhones Santa is going to be dropping down the chimneys in the night to come (cf. Mobile Contraception), it seems unlikely that the electromagnetic radiation from the gadgetry could explain the statistically significant +4.65% increase in cardiac and a + 4.99% increase in non-cardiac deaths during the holiday season. After all, the data based on which David P. Phillips, Jason R. Jarvinen, Ian S. Abramson, and Rosalie R. Phillips conclude that "the Christmas/New Year’s holidays are a risk factor for cardiac and noncardiac mortality" is from the pre-iPhone era (Phillips. 2004).

Is Santa not the good guy, the Coca Cola ads made us believe?

So, if its not the radiation, what else could it be? Could it be Santa Claus himself? Is he haunting us, just as his robotic counterfeit in the distant future of the year 2999, where an evil Santa robot is after the blood of the protagonists of Matt Groening's and David X. Cohens TV series Futurama? Or is it a result of the consumption of too many of the Coca Cola bottles Santa is supposed to have in his bag?
Image 2: One really has to marvel at how the soft drink producers dissolve the enormous amount of sugar on the right in the small amount of dark brew on the left.
Did you know that the Coca Cola company alone sells 1.6billion (!) servings of Coke per day? With 27g of sugar per serving, this equals 43,000 metric tons of pure sugar. The average American, who consumes an average of 150 to 170 pounds of sugar each year, would have to live into his/her 558th year of age to eat or drink her way through this sugar mountain. And while I have no doubt that there actually are people out there who would do that withing 100 years, I am not quite sure which of the ailments of our sweet convenience society would strike him / her first and put a spoke in the sweet-o-holic's plans: diabetes, cancer, heart failure or stroke? What would you say?
Phillipps et al. who report in a follow-up study based on the same dataset from the holiday periods between July 1, 1973, and June 30, 2001 that there was an "excess of 42,325 deaths from natural causes above and beyond the normal winter increase" (Phillips. 2010), exclude the possibility that the increased mortality rate was simply a result of the bad weather conditions and related respiratory diseases:
Respiratory diseases. Respiratory diseases increase during winter, and patients weakened by respiratory diseases can die from cardiac diseases. The respiratory hypothesis is undermined by 2 considerations: (1) People dying from cardiac diseases with respiratory disease listed as a secondary cause of death produce a smaller holiday peak than do people dying from cardiac diseases alone: 3.51% versus 3.77%. (2) Interaction between cardiac and respiratory diseases cannot easily explain the twin mortality spikes on Christmas and New Year’s.
So, in view of the latest headlines related to "holiday weight gain" here at the SuppVersity and elsewhere on the web, the next best plausible explanation (which would in fact come back to the "Coca Cola < > Santa Connection" ;-) would be gluttony, right?

Holiday weight gain: Distinguishing fact from fiction

Before we jump to any premature conclusions, here, let's initially have a closer look at how much body weight Santa actually has in his bag for you.I mean, the perceived weight gain is enormous, right? Well, science is however not about perceptions and feelings and it should thusly not really surprise you that, according to a US study which was published in the prestigious New England Journal of Medicine (Yanowski. 2000), the "average" American (in this study represented by 195 US adults with a mean age of 39 +/-12 years) gains no more than 0.37kg, or, expressed in terms of the mean weight of the study participants, 0.5% during the holiday period from from mid-November to early or mid-January.
Figure 1: Percentage of normal weight, overweight and obese subjects with "major weight gain", as defined in absolute or relative terms (data adapted from Yanowski. 2000)
And while the average weight gain hardly is something to speak of, there are two other particularly intriguing findings of this study I do want to draw your attention to. The first one relates to the the data in figure 1. As you can see, the number of overweight subjects among those study participants with major weight gain (as defined as >3% of the initial weight) is particularly high. While only 7.9% of the normal-weight (American normal weight ;-) subjects gained more than 3% of their initial body weight 11.1% of the already overweight subjects did. Interestingly, the number of obese subjects was slightly smaller (7.5%). The latter is yet a physical necessity as there simply is a phyiscal limit to the amount of weight you can gain in a given period of time and 3% for a person with BMI>30 is obviously way more than 3% for someone who is only "overweight" (25 < BMI < 30).

The real problem is: The weight does not magically disappear

The real culprit is however that the weight people gain during last weeks of the year "is not reversed during
the spring and summer months", so that he researchers' concern that
[t]he 0.48-kg weight gain of the subjects in this study between September or October and February or March might not appear to be  clinically important and could easily go unnoticed by both the subjects and health care providers [and that] the cumulative effects of yearly weight gain during the fall and winter are likely to contribute to the substantial increase in body weight that frequently occurs during adulthood.
A 2006 by Hull may not only provide a hypothetical explanation for the non-reversibility of the (minor) weight gain (Hull. 2006), it also provides some insights into the true fallacy of "holiday weight gain": The minor increase in total body weight goes at the expense of concomittant increases in body fat and reductions in lean tissue mass.
Figure 2: Relative changes in anthroprometric measures over the holiday season; left axis - overweight / normal weight, right axis + figures - all (data adapted from Hull. 2006)
In the 82 college students from the Hull study, this fat promoting, muscle reducing "recompositioning" effect of the holiday season (Thanksgiving to New Year) was even so pronounced that the study participants actually lost -0.1kg of their total body weight. This was unfortunately a direct result of a +0.8 increase in fat mass and a -0.4kg decrease in lean mass. And what's more, the effect on fat mass was again more pronounced in those subjects, who were already obese.

Beyond candy, coke & co: Five additional reasons why Christmas is potentially deadly

In spite of the fact that these highly unfavorable changes in body composition are certainly not beneficial for anyone's overall health, it stands out of question that their effects would be cumulative and can thusly hardly explain the empirically validated increased mortality risk during the holiday season. In a 2004 comment on the aforementioned paper by Phillips et. al., Robert A. Kloner thusly proposes five additional hypotheses which could explain the potentially fatal side effects of the holiday season (Kloner. 2004):
    Image 3: If you do not want to be treated by "beginners" and unexperienced hospital personnel you'd better not get sick over the holidays; and in case you do, please make sure to "postpone your death" in order not to ruin everyone's holidays ;-)
  1. Inappropriate delay in seeking medical attention - best way out: don't wait until all the presents have been wrapped out, when aunt Mary chokes over her food
  2. Reduced levels of healthcare staffing or fewer staff members who are familiar with individual patients during holiday on-call schedules - best way out: better avoid getting sick in the first place if you do not want to be treated by the SCRUBS staff
  3. Increased emotional stress - just ignore your nephew when he starts crying because he did not get the Nintendo Wii he wrote on his wish list
  4. Decreased our of daylight - make sure to get as much of the little light there is during prolonged walks with the whole family (may also help cool down any raised tempers ;-)
  5. "Postponement of death" - tell your 127 year old uncle that he has been waiting so long now that it would be very inappropriate to die now and ruin everyones' Christmas celebrations
Well, I guess, now that you know about all the terrible things that could happen and the best ways to avoid them, it is about time to wish you, your family, friends and loved ones a happy (death-free) holiday season! And in case you need a break from the festivities, there is no Christmas break, here it at the SuppVersity ;-)

Green Tea for Muscle Protection? GTE Increases Satellite Cell Proliferation & Differentiation, Slows Disuse-Related Atrophy, Does not Promote Hypertrophy in Aged Rodents

Green tea as a magical muscle preservative for injured athletes?
"GTE increased satellite cell proliferation and differentiation, decreased oxidative stress and the abundance of Bax, a proapoptotic protein" (Alway. 2014) - that's the initially exciting result of a recent study from the West Virginia University School of Medicine and Abbott Laboratories. What is not exactly as exciting, though, is how the sentence continues, i.e. "yet this did not further improve muscle recovery in reloaded muscles" (Alway. 2014).

Sounds contradictory, right? Well, before we get deeper into the discussion of the results, let's briefly recap how Alway et al. arrived at these insights, i.e. how exactly the experiment looked like and which experimental evidence it generated.

The scientists from the West Virginia University School of Medicine tested the hypothesis that green tea extract (GTE) would improve muscle recovery after reloading following disuse. In men and women "muscle disuse" would equal lying around in bed or on the sofa all day. In rodents it was simulated by an initial 14-day period of hindlimb suspension (HLS) and a subsequent period of reloading (recovery).
You can learn more about tea at the SuppVersity

Use Roiboos for Stress & Virus Control

Tired? Theacrine Will Get You Goin' in Minutes

Milk, Tea and Honey Don't Belong Together?!

Theacrine or Caffeine for Brain Power?

Aluminum, Lead & Arsenic & MORE in Your Tea

Will Drinking Tea Solve Your Sugar Problem?
The subjects the researchers use were Fischer 344 Brown Norway rats who were randomly assigned to receive either 14 days of hindlimb suspension (HLS) or 14 days of HLS, followed by normal ambulatory function for 14 days (recovery). Additional animals served as cage controls.
Figure 1: Muscle wet weight. Muscle wet weight was obtained in hindlimb muscles of cage control animals, after 14 days of hindlimb suspension group (HLS), or after 14 days of hindlimb suspension followed by 14 days of reloading (Recovery). And Ex vivo isometric force. A. Maximal tetanic force obtained at a frequency of 100Hz, or B. Peak twitch force (PT) of the plantaris muscle was measured in cage control rats, after 14 days of hindlimb suspension (HLS) or after 14 days of hindlimb suspension followed by 14 days of reloading (Recovery | Alway. 2014).
Both active treatment groups were given green tea extracts at a dosage of 50 mg/kg body weight - that's roughly 600-750mg of green tea extract per day. The control group received pure water, instead.
As you can see in Figure 1, the animals that received the green tea supplement exhibited a significantly attenuated loss of hindlimb plantaris muscle mass and tetanic force during.
In addition, compared to the vehicle treatment, GTE attenuated muscle fiber cross sectional area loss in both plantaris (-39.9% vs. -23.9%, p<0.05) and soleus (-37.2% vs. -17.6%) after HLS. This green tea-induced difference was not transient but it was maintained over the reloading period.

Increased muscle retention = increased fat loss!?

That's particularly interesting in view of the fact that the changes in body weight did not differ between the green tea and water group (see Figure 2).
Figure 3: Relative reductions in total body body weight in the two groups (Alway. 2014)
Why? Well it signifies that there is a significantly reduced negative impact on the body composition, with green tea. That does not change, though, that "GTE failed to further improve recovery of muscle function or mass as compared to vehicle treatment" (Alway. 2014)
This begs the question - would you recommend GTE? As a muscle preserver during periods, where you cannot workout, yes. The way it conserved the muscle mass in the study at hand should help help you to get back to the grind after a debilitating exercise, even if the recovery in the study at hand seemed to be identical in both groups. The green tea induced increase in satellite cell proliferation and differentiation, as well as the decreased oxidative stress and the abundance of the catabolic protien Bax, on the other hand, is probably not going to have a significant effect as long as you are still able to move, because exercise alone will induce more pronounced benefits in these domains.

Figure 4: Changes in body composition in a study w/ obese subjects comparing GTE to resistance training and a combination of both green tea extract and resistance training on body comp. (Cardoso. 2013)
Plus: We should not forget that the effects were observed in old rats and thus in a model of a population group that appears to benefit from antioxidant supplementation more than young(er) people. If you don't belong to the corresponding group of human beings whose muscles are particular prone to oxidative damage and suffer from a reduced ability to adapt to exercise induced stress, the effects remain questionable. In obese individuals green tea has yet been shown to promote the beneficial effects of exercie on body composition (Cardoso. 2013) - the risk that it a low dose of GTE does anything but good, does thus appear to be very small; and that's true for the benefits for athletes, too - at least according to previously reported results | Comment on Facebook!
References:
  • Alway et al. "Green tea extract attenuates muscle loss and improves muscle function during disuse, but fails to improve muscle recovery following unloading in aged rats." Journal of Applied Physiology (2014). Ahead of print.
  • Cardoso, Gabrielle Aparecida, et al. "The effects of green tea consumption and resistance training on body composition and resting metabolic rate in overweight or obese women." Journal of medicinal food 16.2 (2013): 120-127.

Endurance Training ↔ Overtraining & Muscle Loss? Run to Exhaustion & Sympathetic, Medium Intensity Steady State & Parasympathetic, HIIT-Like Training & No Overtraining

HIIT-like 400m sprinting is exhausting, but unlike running to exhaustion and medium intensity steady state cardio it's not going to mess up your nervous system.
Not one but two recent studies confirm what many of us have experienced first hand: Endurance training - specifically during a cut - is a double-edged sword. On the one hand, it's a neat way to augment the energy deficit, when you're dieting and maintain in a eucaloric state, when you're not. On the other hand, however, even moderate endurance training can alter the sympathetic and parasympathetic balance and thus create an imbalance that is characteristic of any form of overtraining.

Speaking of overtraining: As a SuppVersity reader you should actually be aware of the fact that scientists distinguish two different types of overtraining: Sympathetic and parasympathetic overtraining
You can learn more about HIIT, which appears to be less overtraining prone than MISS.

Never Train To Burn Calories!

Tabata = 14.2kcal /min ≠ Fat Loss

30s Intervals + 2:1 Work/Rec.

Making HIIT a Hit Part I/II

Making HIIT a Hit Part II/II

Triple Your Energy Exp.
Due to the fact that the symptoms (see Figure 1) closely resemble those Morbus Basedow (engl. Grave's Diseases) and Addison's Disease, respectively, sympathetic and parasympathetic overtraining are also called Basedowoid and Addisinoid overtraining.
Figure 1: Overview of the symptoms of the two major forms of overtraining.
You can see that the symptoms partly overlap. That's yet not the only problem you have if you want to diagnose the type of overtraining. In many resistance trainees, for example, you find either mixed forms or see a transition from classic sympathetic to parasympathetic overtraining over time (assuming the athlete doesn't do anything to normalize his / her sympathetic nervous system function).
There is no formula to calculate how much exercise you can sustain, but I'd suggest you take a look at my previous articles on heart rate variability and overtraining ("Are You Overtraining? Two Scientifically Proven Methods to Test Yourself - Method 1: Heart Rate Variability Analyses" | read more). They will help you to check, where you're at, if you have a baseline reading that was taken, when you've been completely rested  | learn more.
For the average study participant in a recent experiment that was conducted by scientists from the , The 42nd Hospital of PLA, the Xinqiao Hospital and the Chongqing Normal University in China, the duration and intensity of their cardio workouts (running) determined, whether the prescribed workout routines that consisted of ...
  • There is such a thing as overtraining, folks | read more
    4 times a week running at 100% of their maximal heart rate until they were exhausted (utmost intensity group)
     
  • 30 minutes of running four times per week (moderate intensity group)

  • 3 - 5x 1200 m runs per day with a  5-min break every 400 m four times per week (high intensity group)
made them overtrain or not, and whether their para- or sympathetic nervous system was overreacting.
Table 1: Characteristics of study groups at pre and post | Data are means XS± . Pre, pretraining; post, at the end of 8-week training; mid, at the end of 4-week training. Utmost, utmost intensity endurance training; moderate, moderate intensity endurance training; high, high intensity endurance training (Tian. 2014)
The subjects, 72 nonsmoking male students whose characteristics are summarized in Table 1, followed the routine they had been randomized to for 8 weeks. As you can see, there were no statistical significant changes in body composition over the course of the 8-week study. Although, it sould seem that the body fat percentage (I assume BFR is body fat) declined a tad bit more in the high intensity group.
Greater fat loss with HIIT, this wouldn't be a surprise - That's no news for you as a SuppVersity reader. I've repeatedly pointed out that the short intense workouts are more suitable for fat loss; and that not in spite of, but rather because they may burn less body fat during exercise.

If you have no idea what I am talking about, I suggest you take another look at my June 2012 article "Are You Still Burning Calories or Already Losing Fat? Study Shows: 5x15 Min HIIT Reduce Body Fat & Improve Fitness Twice as Effectively as 5x40min of Classic Cardio" (learn more) after you've finished this article.
Where the subjects differed, however, was in their response to the specific aerobic exercise programs they've been assigned to (I will directly quote the results from Tian et al (2014) and briefly comment on each of them):
  • Heart rate variability (HRV): No significant changes in HRV parameters were found in all groups at pre and mid. But at post, the moderate intensity group showed more significant increases in RMSSD, PNN50, HF, LF and SDNN (P < 0.05 or 0.01) and much greater reduction in LF/HF than the other two groups (P was 0.033, 0.037 respectively). HFn of the moderate intensity group was significantly higher than that of the utmost intensity group (P = 0.012), while the opposite pattern occurred in LFn and LF/HF of the two groups (P was 0.025, 0.015 respectively).

    As you would expect the changes in HRV in the moderate and utmost intensity group reflect increases in parasympathetic and sympathetic nervous system activity, respectively.
  • Circadian Changes in Cold Pressor Test (CPT): From pre to post marked differences were not found in SBP and DBP of all groups and their increases. At post HR was much less increased in utmost intensity group during CPT than the other two groups (average P < 0.05).

    Next to a high basal heart rate an inhibited increase in heart rate is another characteristic of later stages of sympathetic overtraining.
  • Plasma catecholamine (NE & EPI): Norepinephrine (NE) concentration was considerably lower in utmost intensity group than the other two groups (P was 0.001, 0.00 respectively). At post marked inter-group differences were still not found in plasma PEI concentration.

    A reduced catecholamine release is a classic characteristic of long(-er) term sympathetic overtraining - a phenomenon, some people may call "adrenal fatique" that occurs after an initial phase of catecholamine overproduction in sympathetic overtraining.
Overall, the results of the study at hand confirm previous research that found associations between classic "moderate intensity" endurance training and parasympathetic dominance (Yamamoto. 2001; Pichot. 2002; Myslivecek. 2002).

For the utmost intensity group, on the other hand, the scientists diagnosed an "over-excited SN [sympathetic nervous system]" (Tian. 2014), which is in contrast to the medium intensity and high intensity group, where the head-up tilt test did not indicate an "impairing effect on autonomic regulation" (Tian. 2014).
What about muscle loss? Oh, yes! I almost forgot that scientists from the University of the Witwatersrand (Oost- huyse. 2014) in South Africa have recently been able to show that 3 h of race- simulated cycling on 4 consecutive days may improve the cyclists' ability to tap into their fat stores as an energy reserve. Unfortuna- tely, it will also lead to a 28-46% greater reliance on endogenous protein catabolism during exercise on day 2-4.
Now, every SuppVersity reader knows that protein catabolism doesn't necessarily translate ot "muscle loss", but for the average 10h of cardio + 20% energy deficit "dieter", it could.
Bottom line: A least in the study at hand, the intense, albeit better short bouts of high intensity exercise in the HIIT-like high intensity group of the study at hand turn out to be the least overtraining prone type of aerobic activity.

Even the classic medium-intensity cardio training appears to be more overtraining-prone, due to the comparatively long duration and the subsequent increase in parasympathetic nervous system activity. If you're looking for a "side-effect free" cardio regimen, 3-5x intervals of 3x400m sprints could be a good way to incorporate cardio training into your exercise routine.

One thing we should keep in mind, though, is that someone who is sympathetically overtraining in the gym with all its negative consequences (see Figure 1) would probably be better of with classic "moderate intensity cardio" to bring up the parasympathetic tone and avoid "weight lifting induced" sympathetic dominance | Comment on Facebook!
References:
  • Myslivecek, P.R., Brown, C.A. and Wolfe, L.A. (2002) Effects of Physical Conditioning on Cardiac Autonomic Function in Healthy Middle-Aged Women. Canadian Journal of Applied Physiology, 27, 1-18. 
  • Oosthuyse, T., & Avidon, I. (2014). Changes in substrate utilisation and protein catabolism during multiday cycling in well-trained cyclists. Journal of Sports Sciences, (ahead-of-print), 1-11.
  • Pichot, V., Busso, T., Roche, F., Garet, M., Costes, F., Duverney, D., Lacour, J.R. and Barthélémy, J.C. (2002) Autonomic Adaptations to Intensive and Overload Training Periods: A Laboratory Study. Medicine & Science in Sports & Exercise, 34, 1660-1066. 
  • Tian, Kaixin, et al. "Effect of Endurance Training on the Autonomic Nervous System Function of Young Male." International Journal of Clinical Medicine 5.19 (2014): 1189.
  • Yamamoto, K., Miyachi, M., Saitoh, T., Yoshioka, A. and Onodera, S. (2001) Effects of Endurance Training on Resting and Post-Exercise Cardiac Autonomic Control. Medicine & Science in Sports & Exercise, 33, 1496-1502. 

Citrulline = The Dieter's Amino Acid? Citrulline Maintains Muscle Protein Synthesis & Strength Endurance During Caloric Deficits Better Than Leucine!?

Can citrulline supplementation prevent you from hitting a catabolic wall, when you are dieting? And is it more potent than leucine?
You have been told "leucine is the most anabolic amino acid known to man", by the guy at your local GNC, the bros in the gym and the "experts" on the board.

And yeah, in a way, they all are "right", but the surprising negative effects of HMB supplementation on the muscle catabolism during overtraining (read more) should have reminded you that this does not imply that it will also protect your muscles against muscle breakdown and/or have similar "anabolic" effects on a diet.

Dieting is a major change in the metabolic stage and another stage means a different cast, among whom citrulline could turn out to be the new star... at least if we trust the results of a recent rodent study.

Different metabolic stage - new stars on the scene

In their most recent paper Ventura et al. describe the results of a rodents experiment in the course of which they  evaluated the effect of sequential administration of leucine (LEU) and citrulline (CIT) to preserve lean body mass during food restriction. In a 2009 study, Moinard et al. had already observed that the provision of 1.0 g/kg/day of CIT (HED ~10-15g) to exert beneficial effects on body composition in aged rats (Moinard.2009) and if you go by the abstract of the study at hand, it would sound as if citrulline was not simply "lean mass protective", but also much more potent than leucine:
Only CIT administration (1 g/kg) was able to restore MPS [muscular protein synthesis] (CIT1: 3.4±0.3 vs.R: 2.5 ±0.2 %/day,p=0.05) and increase muscle maximum tetanic force (CIT1: 441 ±15 vs.R: 392 ±22 g,p=0.05) and muscle strength (CIT1: 4,259±478 vs. R: 3,045 ±663 A.U., p=0.05). LEU had no effect and CIT+LEU supplementation had few effects, limited to adipose mass and fatigue force. The results of this study highlight the ability of CIT alone to preserve muscle function during dietary restriction. Surprisingly, LEU antagonized some effects of CIT." (Ventura. 2013)
This observations have been made after the rats dietary provisions had been cut by 60% for 2 weeks while the amino acid composition of their diet had been increased by the provision of additional amino acids: 
  • R-CIT 0.2 - low dose citrulline: 0.2g/kg
  • R-CIT 1- high does citrulline: 1.0g/kg
  • R-LEU - leucine: 1.0g/kg
  • R-LEU-CIT - leucine + citrulline: 1.0g/kg + 1.0g/kg
By addding valine (130 mg/kg/day) and isoleucine (220 mg/kg/day) to the diet, the researchers had also ensured that the natural BCAA balance would be maintained and ....
Figure 1: Changes in body composition during the 2 weeks on 60% of the regular energy intake with different amino acid supplements in the diet (Ventura. 2013)
... well if you look at the "net result" in terms of weight loss, it would in fact seem that citrulline is the way to go... if you do yet take a look at the lean mass measurements, it becomes plain obvious that there was no difference to the starved control group in any of the AA supplemented rodents.
Figure 2: Muscle contractile properties (fatigue AUC), myofibrillar and sarcoplasmic protein synthesis (PS) after 2 weeks on the different 40% dietary restricted diets (Ventura. 2013)
This is interesting, as it stands in contrast with the directly measured influx of protein into the myofibrillar part of the skeletal muscle of the rodents, and does not mirror the pronounced benefits on muscular fatigue the researchers observed and is not appropriately discussed in the study, the authors of which were so fascinated by the miniscule increase in protein synthesis that they did not even notice that they effectively produced a null-result.

The hormonal response (esp. testosterone & GH) to workouts is another of those things that don't predict real world results (learn more)
Real results count: So does it really matter that the protein synthesis increased? No, just as it does not matter in the countless post-exercise protein synthesis studies. If you want to inflate a tire, you are not interested in how much air you can pump into it, but rather how much of the air will stay inside and the results of the study at hand only confirm that the former cannot predict the latter.

And let's face it: None of the treatments actually had to prevent lean mass loss, because much contrary to the bro-scientific believe that you would lose tons of muscle mass within a day, if you don't get all your shakes and pills in just in time. The rodents lost no lean mass at all.

So if you want take home messages, don't rely on protein synthesis rates alone and don't freak out about muscle loss too much.

750kcal/day Deficit Approach to "Cutting" Beats Cautious 300kcal/day Deficit: Almost 2kg Fat in 4 Weeks + No Decline in Testosterone or Muscle Loss in Lean Athletes

Even in lean athletes dieting does not have to cost muscle mass.
One of the commonest reasons people don't achieve the physique of their dreams is fear! The fear of losing muscle weight on a "cut" and the fear of gaining fat weight on a "bulk". The study at hand confirms: There is no reason to be afraid of cutting.

In the course of the four-week cutting period in the study at hand, the subjects, 20-35 year-old national and international level Finnish track and field male athletes from jumping and short distance running events (e.g. 100-200m) with already low body fat percentages lost another ~2% body fat, and no muscle in spite of a highly significant 750kcal/day deficit.
What about fasting and eating / skipping breakfast - does it hamper or promote weight loss?

Breakfast and Circadian Rhythm

Does Meal Timing Matter?

Breakfast & Glucose Metab.

Breaking the Fast, Cardio & the Brain

Does the Break- Fast-Myth Break?

Breakfast? (Un?) Biased Review
In contrast to the guys who had been randomized to the "high energy deficit" group, the guys who ended up in 300kcal/day deficit group aka the"afraid of losing muscle group", lost neither muscle nor fat weight - and I bet, they did not feel significantly less hungry.
Figure 1: Changes in body fat and lean mass in grams (Huovinen. 2014)
The data in Figure 1 which is the outcome of a controlled 4-week study in the course of which the subjects were advised to cut fat and carbs and keep their protein intake stable make a clear statement: Trying to cut with a caloric deficit of only 300kcal/day is a waste of time" ... at least for someone who starts with a body fat percentage of only 10%, as the subjects in the study at hand did.
Figure 2: Pre- and post protein, fat and carbohydrate intake (in g/kg/day) according to subjects' food logs which had to be kept for the whole study period (Huovinen. 2014)
As you can see in Figure 2 the subjects did as they were told and cut back on both fat and carbohydrates - in conjunction with the physical activity this is certainly the key to lean body mass and performance maintenance.
"The  counter-movement  jump  and  20-m  sprint  time  improved  consistently  (p  ≤ 0.05)  only in HWR (-700kcal/day), by 2.6 ± 2.5 cm and 0.04 ± 0.04 s, respectively. Finally, athletes with a fat percentage 10% or over at the baseline were able to preserve FFM." (Huovinen. 2014)
Whether that's also the reason that the scientists did not observe significant differences in serum testosterone in either of the two groups is questionable (Testosterone / cortisol: 33.6 (pre) vs. 38.3 (post)), though - especially in view of previous results like those I wrote about in the following two articles:
  • "High or Low Protein Intakes Have Profound Influence on Testosterone, SHBG, Estrogen, Cortisol & Co?" (learn more) and 
  • "High Protein Diets Don't Counter Anti-Anabolic Effects of Low Energy Intake" (learn more)
It's more likely that the 27.1kcal/kg of body weight, the subjects in the 700kcal/day diet consumed were still more than enough to cover the basic energy requirements. With an average body weight of ~75kg that's still more than 2,000kcal and thus way more than the average starvation diet of the average overweight person will deliver.
Learn more about dieting, here.
Bottom line: The results of the study support the use of short, but relatively intense dieting periods. Dieting periods with a 750kcal/day deficit - a deficit that is still only -24% below the baseline intake of the athletes.

What's yet also important is that we don't forget that a dieting principle that works for lean athletes will not necessarily work for an overweight or obese person. The general idea to cut back by 24% and not just 12% (to avoid muscle loss) from carbohydrates and fats while maintaining an optimal protein intake of ~2g/kg body weight is yet something I can whole-heartedly recommend to heavier dieters, as well.
Reference:
  • Huovinen et al. "Body Composition And Power Performance Improved After Weight Reduction In Male Athletes Without Hampering Hormonal Balance." Journal of Strength and Conditioning Research Publish Ahead of Print DOI: 10.1519/JSC.0000000000000619

Do Chronic Energy Deficits Make Athletes Fat? The Longer & More Severe You Starve, the Fatter You Are. Irrespective of What the Calories-in-VS-Calories-Out Formula May Say

This is not an "anti-gymanstics" or "anti-runners" article, this is an anti-ruin-your-life-post for the average female and male gymrat.
Maybe you've read about the results Deutz, Bernardot, Martin and Cody published in their 1999 paper on the "Relationship between energy deficits and body composition in elite female gymnasts and runners"... in fact, it may be possible that I already mentioned it in the "Athletes Triad Series" (read more), but even if I did, the fact that I get messages like "I eat 1,100kcal/day and still gain, not lose fat" or "my girlfriend eats 900kcal/day and maintains that this is normal", tells me it does not matter if I mention one or two of the figures the authors compiled in this unfortunately highly "under-cited" paper (only 72 citations are referencing this article) twice.

If that makes just one of the victims of their own ambition rethink what he or she is doing, it was well worth... wouldn't you agree?

Can the elite be wrong?

Usually you would assume that elite athletes are doing everything right, they are the epitome of our modern understanding of "health". As a SuppVersity reader you are yet well aware that there is a disconnect between optimal health and performance and with the latter being in part dependent on having a certain look as it is the case for bodybuilding, figure competitions and the like this disconnect can be so huge that being successful may eventually require a non-genetically gifted athlete to sacrifice his or her health on the altar of a misinterpretation of "physical culture".

That being said there is a way more traditional and, contrary to bodybuilding, officially Olympic sport where similar rules apply: Gymnastics! Especially among the female competitors the paradigm still is - the thinner the better. And to make things even worse, in this case "thin" actually means "thin" as in "being able to hide behind a straw". Now, this is obviously not the case in any of the aforementioned disciplines and yet they claim way more victims of life-long dieting than those sports, where "being thin" is actually part of the game - and what's almost sarcastic, the tortures some professional and many hobby athletes subject themselves to are not even rewarded.
You will have to take the following figures with two grains of skepticism! One for the scientifically established bias due to under-reporting in female gymnasts (Jonnalagadda. 2000), and the other one for the discrepancy between factual and calculated energy expenditures, which is, due to the negative feedback chronic dieting exerts on the total energy expenditure, much narrower than the formulas suggest. And another thing, remember that we are talking about body-fat % not total body fat masses here!
Against that background you will probably not be surprised to hear that the vast majority of the elate female artistic (N=32) and rhythmic (N=11) gymnasts in the study at hand is consuming 1,002kcal less than they would actually need to satisfy their caloric demands.
Figure 1: Comparison of within-day energy balance in the four groups of elite athletes (left); largest energy deficit per hour and average 24h energy deficit in all athletes, gymnasts and runners (Deutz. 2000).
If you take a closer look at the data in figure 1 you will yet realize that the average medium- and long-distance runner is not much better off. Now, whether the latter is a necessary prerequisite to make it to the top or simply a result of being unable (for physical or psychological reasons) to compensate for the training induced increase in energy expenditure, is beyond the scope of this post and essentially irrelevant to the statistically highly relevant acorrelation between between energy balance and body fatness, I've plotted for you in figure 2.
Figure 2: Relationships (Pearson correlations) between energy balance factors and body fat percentage in all athletes, gymnasts, and runners (Deutz. 2000)
I hope that these results do not come as a surprise for the vast majority of those for whom this is not the first visit to the SuppVersity. After all, I have been trying my very best for years (hard to believe I am doing this "chronically" ;-) to scare you away from the chronic and towards the cyclic calorie reduction as a means to cut body fat and maintain muscle mass (note: with the relatively small study size not all effects reached statistical significance; for the parameters pertaining to the "energy out vs. energy in"-calculations the average dieter is so fond of, this was yet particularly noteworthy).

In athletes chronic "dieting" results in an increase in body fat percentage

The message is simple and so is the underlying mechanism. The chronic provision of an insufficient amount of energy leads to a metabolic downregulation that goes hand in hand with an increased disposition to store and a decreased disposition to let go of body fat.
Another note: This is not an anti-intermittent fasting article either. If you do IF to cut weight you will have an overall negative energy balance, just like on every other diet, but if you are doing it for life (for whatever reason), you should be meeting your daily energy demands. This means you would have a much higher energy surplus on the other hours - in essence the data simply don't apply to someone who is doing intermittent fasting on a maintenance diet.
The concomitant exercise induced physical stress lulls your body to believe that you are amidst a starvation period, where building muscle and/or maintaining more muscle than is absolutely necessary to sustain the regular exercise routines is a no go and each and every energy unit that that is not necessary to keep you from passing out will get stored to cover those hours with a per hour deficit of 750kcal (which is the average maximal deficit per hour in the rhythmic gymnast group).

Bottom line: Don't get fooled by the "Don't worry. That's not you, starve yourself! It's good for you - don't you feel it?" the little gal or guy in your shoulder is now whispering into your ear. The rule "chronic starvation = increase in body fat percentage" applies to male and female athletes, gymnasts, runners, sprinters, cyclists, fitness junkies, bodybuilders, footballers, ... and across a wide range of energy deficits.

You don't have to eat burgers and French fries all day, to meet your energy requirements. Living on chicken breast & broccoli for the rest of your life is neither necessary nor conducive to your goals, and that's even true for such profane goals as "staying lean"! And by the way - how much do you need (learn more)?
So say good buy to the little guy with the hunger high and use your brains and acknowledge to yourself: "I am a junky. A starvation junky!"  You are not? Well then check this out:
Addiction is a persistent, compulsive dependence on a behavior or substance. [...] Addiction has been extended [...] to include mood-altering behaviors or activities." (Livingston. 2008; my emphases)
And the main criteria for being addicted are a loss of willpower, fear of harmful consequences, an unmanageable lifestyle, tolerance or escalation of use and withdrawal symptoms upon quitting. Well if all that is not you and you. Stop working out like mad and return to eating normal without going crazy whenever you feel satiated, now!

References:
  • Deutz RC, Benardot D, Martin DE, Cody MM. Relationship between energy deficits and body composition in elite female gymnasts and runners. Med Sci Sports Exerc. 2000 Mar;32(3):659-68. 
  • Jonnalagadda SS, Benardot D, Dill MN. Assessment of under-reporting of energy intake by elite female gymnast. Int J Sport Nutr Exerc Metab. 2000 Sep;10(3):315-25.
  • Livingstone, C. "addiction." Dictionary of Sport and Exercise Science and Medicine. 2008. Elsevier Limited 14 Jul. 2013 http://medical-dictionary.thefreedictionary.com/addiction

Evidence From the Metabolic Ward: 1.6-2.4g/kg Protein Turn Short Term Weight Loss Intervention into a Fat Loss Diet

2x-3x higher than RDA protein intakes work equally well for men and women, to get and stay lean and lose fat and build / maintain muscle.
There are very few principles I believe are set in stone and valid regardless of your age (maybe not for toddlers), your training goals and your nutritional "orientation" (paleo, low carber, low fat eater, or whatever), and among these the "Have at least 30g of quality protein (eggs, meats, dairy, fish, etc.) with every major meal" (this assumes you eat 3meals+ per day) probably is king. It is the recipe to success and I actually don't feel as if it was necessary to convince you of the advantages this high(er) protein intake will have on your physique and - although the medical establishment is still reluctant to admit that - your health, as well. Still, the most recent study from the Military Nutrition Division, U.S. Army Research Institute of Environmental Medicine in Natick, Massachusetts, USA; have much more to offer than "just" some additional evidence to the superiority of high(er) protein diets on a cut.

It's more than high time to revise the RDA

The study was designed to assess the effects of different dietary protein (RDA = 0.8g/kg, 2x RDA = 1.6g/ kg and 3x RDA =2.4g/kg) intake on body composition and postabsorptive and postprandial muscle protein synthesis on a 21-day cut (-30% energy restriction phase; ED). The latter was preceded by a 10-day weight maintenance (WM) period.

To up the calculated energy deficit to 40% the physically active (physical activity 3– 4 d/wk), weight stable ( 2 kg; for a minimum of 2 mo before the study), 39 volunteers [32 men (11 military, 21 civilians) and 7 women (7 civilians)] with a body mass index (BMI) between 22 and 29 kg/m² and a sufficient baseline fitness had to exercise daily:
"You told me to eat more protein and this burger has both meat and cheese!" - This and other mishaps are the rule, not the exception in uncontrolled dietary interventions (learn more). The fact that the study at hand took place in the metabolic ward of the U.S. Department of Agriculture Grand Forks Human Nutrition Research Center really is a HUGE PLUS.
"To isolate the effects of the diet and minimize the potential of an exercise training stimulus, physical activity during WM was prescribed at levels comparable to those reported in prestudy 7-d physical activity records. Volunteers performed low-tomoderate-intensity (40 – 60%Vo2peak) treadmill and cycle ergometry steady-state physical activity sessions daily. Intensity was based on pre-study Vo2peak
measurements obtained during a progressive intensity treadmill test and verified during
familiarization trials using indirect calorimetry (ParvoMedics) and corresponding heart rate. Workloads during steadystate physical activity sessions were adjusted accordingly to
ensure accuracy using the heart rate reserve method and portable heart rate monitors." (Pasiakos. 2013; my emphasis)
The study took place in the metabolic ward (so there was no cheating involved here => HUGE PLUS; cf. ) at the U.S. Department of Agriculture Grand Forks Human Nutrition Research Center. All volunteers were required to abstain from nutritional supplements, alcohol, smoking, and all medications, unless acetaminophen-containing products were provided by the investigator or study physician. Volunteers were also required to be in their assigned rooms with lights out by 11 P.M. (possibly very important; learn why) to ensure adequate and similar levels of sleep.

Don't worry this was not "cardio only"

To maintain prestudy muscular fitness levels, the volunteers also performed resistive-type physical activity 3d/wk. However, "to minimize the potential of an unaccustomed, anabolic stimulus influencing study outcome measures, the intensity and volume of the resistive-type exercise was low" (Pasiakos. 2013):
Table 1: Energy / macronutrient content of the diets (updated on June 21; previously there was a copy + paste error in the table)
"Specifically, volunteers performed one single-joint movement per major muscle group (3 sets of 15 repetitions) using workloads determined during the prestudy period. Frequency, intensity, mode, and volume of resistive-type activities did not change during the 31-d study. Research staff who were blinded from dietary assignment supervised all physical activity sessions for safety and accuracy". (Pasiakos. 2013)
The body weight, was recorded in two day intervals and the body composition was quantified using a  dual-energy X-ray absorptiometry (DXA) during WM (day 9) and ED (day 30). To elicit the underlying mechanisms, the resting metabolic rate, protein synthesis, nitrogen balance and the expression of intracellular signaling proteins were tested, as well.
Figure 1: Change in body composition and protein synthesis (Pasiakos. 2013)
As you can see in figure 1, there was a baseline and dose-dependent effect on the changes it total weight and body composition, respectively.
Body weight during WM was similar between dietary treatment groups and remained stable from d 1 (group mean, 77.5 1 +/-5 kg) through d 10 (77.1 1 +/-5 kg). Overall, volunteers lost 3.2 0 +/- 2 kg during the 21-d ED; 3.5 0 kg for RDA, 2.7 0 kg for 2 -RDA, and 3.3 0 kg for 3 -RDA (P < 0.05). Independent of dietary protein, percentage body fat decreased (P < 0.05) from 19.8 1% during WM to 18.1 1% during ED, and the change in percentage body fat was similar between RDA (1.3 0 +/- 3%), 2 -RDA (1.8 0 +/- 4%), and 3 -RDA (1.9 0 +/- 3%)." (Pasiakos. 2013)
What's worth taking a closer look at, is yet the proportion of total weight loss due to changes in fat mass (FM) and FFM, which differed across dietary protein levels.
  • the percentage of total weight loss attributed to reductions in fat mass (FM) was higher (P < 0.05) for 2 -RDA (70.1 7%; 1.9 0 +/- 3 kg) and 3 -RDA (63.6 5%; 1.9 0 +/- 2 kg) than for RDA (41.8 5%; 1.6 0+/-2 kg)
  • the percentage of total weight loss due to a loss of fat free mass (FFM) was lower for 2 -RDA (29.8 7%; 0.8 0 +/- 2 kg) and 3 -RDA (36.4 5%; 1.2 0. +/- 3 kg) as compared to RDA (58.2 5%; 2.3 0 +/- 3 kg)
  • the fat to lean mass loss ratio was 30% higher in the medium protein intake group, in other words, the increase in protein intake in the 3xRDA group did not protect the lean mass any better than the 1.6g/kg in the 2xRDA group
While the latter change did not reach statistical significance, the trend is clear and I suspect with a higher number of participants, the scientists would have been able to show that the 3x RDA intake is not just worthless, but actually contra-productive, if your goal is stable ongoing fat loss.

No inter-group differences in the majority of signaling proteins

All the changes took place in the absence of statistically significant inter-group differences in the changes in anabolic intracellular signaling and gene expression [ignore the following list if you are no geek ;-], i.e.
  • postprandial Akt (Ser 473) phosphorylation was increased 1.4-fold higher (P < 0.05) compared to postabsorptive levels
  • postprandial p70 S6K1 (Thr 389), eIF4E Ser (209), and rpS6 (Ser 235/236) phosphorylation status was 16, 1.9, and 15.5-fold higher (P < 0.05), respectively, compared to postabsorptive phosphorylation levels
  • phosphorylation status of eEF2 (Thr 56) was lower (P < 0.05) after feeding
The more important general observation was yet that the upregulation of these signals 3 h after consuming a protein-containing meal, demonstrated a main feeding effect for all proteins of interest (P < 0.05). On the other hand, their expression was not influenced by energy status or the level of dietary protein intake (and let's be honest, what would an increase be worth if the data in figure 1 already told us what the real-world implications are?)
Figure 2: Changes in postabsorptive muscle protein synthesis-associated mRNA expression levels during the diet phase (-40% energy intake) of the study (Pasiakos. 2013)
Additionally, the energy deficit increased the mRNA expressions of a couple of other proteins implicated in the intracellular regulation of muscle protein synthesis:
"Transcription of Vps34, a protein involved in amino acid sensing and amino acid-mediated stimulation of mammalian target of rapamycin (mTORC1) signaling, was 1.2-fold higher (P < 0.05), while expression of mTORC1 inhibitors REDD1 and REDD2 were both 1.3-fold higher (P < 0.05) after ED compared to WM. Increasing dietary protein intake increased Vps34 mRNA expression, with 1.2-fold higher levels for 3x-RDA than RDA (P 0.05). MAP4K3, LAT1, and SNAT2 mRNA levels were not influenced by energy and dietary protein manipulations." (Pasiakos. 2013)
In view f the slight advantage of the 3xRDA diet in terms of the stimulation of protein synthesis, you may want to come back to the statistical insignificance of the superiority of the 2xRDA diet to keep indulging the same hilarious amounts of protein that have probably not gotten yourself anywhere near contest shape in the past, well, let's take a look on a couple of other observations, then:
  • While the nitrogen balance remained negative (meaning the body was burning more protein than it stored) over the whole trial in the 0.8g/kg group, it returned to baseline (weight maintenance levels) first in the 1.6g/kg (=2x RDA) group (day 17!). This restoration of to pre-diet levels was observed only on day 30 in the high protein group (2.4g/kg) and the that without any significant advantage of the 3xRDA over the 2xRDA intake (if anything it was lower in the high protein group; see figure 3)
  • There was no "thermogenic advantage" - or whatever people usually like to call the purported beneficial effect that comes with the ingestion of higher amounts of protein; in fact, the resting metabolic rate was identical for all three groups over the whole 21-day diet period. 
  • With a diet that was high in carbohydrates and low in fat (see table 1), the conversion of protein to glucose, was likely relatively limited and the potential downsides of high protein + low carb diets, where most of the protein will be broken down in the liver to supply your body with glucose and any temporary increase in insulin due to fast acting protein sources were not an issue.
In the end, the increase in postprandial protein synthesis in the 3x RDA group is therefore worthless, because it went hand in hand with an increase in wastefulness due to which the absolute protein retention did not differ all that much and the differences in lean mass loss 0.1kg) are clearly insigificant- plus: If you simply do the math, the ratio of fat free to fat mass loss, is still 31% higher in the 2x RDA group.

Irrespective of how many supplements you take - you cannot out-supplement a bad diet, laziness and a lack of motivation & determination. Still, especially for the elderly HMB with it's pronounced anti-cababolic effec could help - particularly on a diet (learn more; leucine vs. HMB)
So what's the optimum then? If we reconcile the results of the study at hand, the "optimal" protein intake would thus probably be somewhere between 1.6g/kg and 2.0g/kg an thus in the <200g range for the vast majority of people. If you also consider that this value includes all protein even that from rice, and other "non-quality" protein sources, the study at hand does not confute my previous recommendation to stick to a 1.5g/kg-2.0g/kg (per total body mass) protein intake from quality protein sources, to discount the additional protein you will be getting from "low protein food" (too much counting will only make you neurotic) and to do that irrespective of whether you are bulking and or dieting  .

One thing you may want to keep in mind though, is the fact that the overall calorie deficit of ~40% may still have been a little to high - it was not enough to elicit a significant reduction in the resting metabolic rate, but still enough to induce a loss of at least 30% of lean mass. A lower caloric deficit 20-30%, a little more patience and a focus on hypertrophy-specific weight lifting are thus probably a way more significant difference, than whether you consume 1.6g/kg or 2.4g/kg body weight.

References: 
  • Pasiakos SM, Cao JJ, Margolis LM, Sauter ER, Whigham LD, McClung JP, Rood JC, Carbone JW, Combs GF Jr, Young AJ. Effects of high-protein diets on fat-free mass and muscle protein synthesis following weight loss: a randomized controlled trial. FASEB J. 2013 Jun 5. [Epub ahead of print]