CoQ10 for Ultra-Endurance Athletes: 150mg of Ubiquinone Reduce Stress & Inflammation and Stabilize Cell Membranes in 52.4 Mile Torture from 640m to 3,393m!

Image 1: Susan Kokesh, blogger and the Crazy Running Mum at the Sierra Nevada ultra-endurance run a 52.4 miles "double marathon"
  in September 2010; I probably would not even have survived this torture - respect!

As a health conscious physcial culturist, you are probably aware that the vitaminesque nutrient CoQ10, which, due to its ubiquitous presence in all living beings, is also known as ubiqinone, plays a fundamental role in cellular bioenergetics. It is a necessary cofactor in the mitochondrial electron transport chain (i.e. your cell's way of "breathing", its respiratory chain) and is therefore essential for the production of ATP, the fundamental energy unit your cells are operating on. In that, CoQ10 works as a mobile redox agent that shuttles electrons and, interestingly, also protons (those little blue and red balls from Bohr's atom model ;-) in the electron transport chain. Within the health and fitness community, it is however better known for its antioxidant value, as in its reduced form, ubiquinol, it is a potent lipophilic (which means that it does not combine with fats) antioxidant, which is able to recycle and regenerate other antioxidants, such as vitamin E and vitamin C (Ernster. 1995). Moreover, CoQ10 participates in cell signaling and gene expression and has been used as a dietary supplement (among others) for the treatment of neurodegenerative diseases and statin-induced myopathies.

In view of its pluripotent influence on mammalian metabolism (on a side note: the "-10" in CoQ10 indicates the length of the isoprenoid sidechain that is attached to the common benzoquinone ring structure; the latter is unique and can be found in humans and a few other mammals only), it should thus not surprise you that Chavier Díaz-Castro and his collegues from the University of Granada report that the intake of 150mg of the natural version of CoQ10 (2,3-dimethoxy-5-methyl-6-decaprenyl-1,4-benzoquinone; natural = has trans configuration), profoundly modulated "the undesirable effects of the evoked oxidative stress and inflammation signaling during high-intensity" (Díaz-Castro. 2011).

Illustration 1: Supplementational protocol used in the study; CoQ10 was administered as 2,3-dimethoxy-5-methyl-6-decaprenyl-1,4-benzoquinone in powder form in 30mg capsules.

As you can see in illustration 1, the 20 highly trained male amateur athletes (all had run The Sierra Nevada ultra-endurance race in the previous 2 years), who participated in the study were not given the whole dose of 150mg of CoQ10 at once, but followed what I would like to call a "loading protocol" in the two days before the event. The placebo group received an identically looking product containing beer yeast, cellulose,
acacia, silica stearic acid, magnesium stearate, cellulose gum, and maltodextrin.

The total distance of The Sierra Nevada run is >50km. It is considered one of the hardest trials worldwide, mainly because the run, in the course of which the participants "climb" from 640m to a final altitude of  3,393m is almost on a continuous incline! A 5.5 hour torture, for which the CoQ10 supplemented athletes needed on average ~25min less than the subjects in the placebo group. In this study, the exercise performance was yet of negligible importance. What the scientists were really interested were the markers of oxidative damage and inflammation and as the following data shows, those were markedly influenced by the ingestion of this rather "mediocre" (compared to what you see some "health-gurus" advocate) amount of CoQ10.

Figure 1: Effects of CoQ10 supplementation of total bilirubin, triglycerides and urinary creatinine in 20 ultra-endurance runners (data calculated based on Díaz-Castro. 2011)

As you can see in figure 1, CoQ10 induced a significant reduction in urinary creatinine even before the race started (figure 1, left column). Moreover, there were significant differences in the bilirubin (indicates heme catabolism), triglycerides and (again) creatinine (indicates net protein catabolism):

Intense physical exercise resulted in an increase in net protein catabolism and an increase in
creatinine excretion in the PG after the physical test (p < 0.001); however, the urinary levels of creatinine were lower (p < 0.05 before and p < 0.001 after the physical test) in the CoQ10 treated group. Other interesting result was that although there was an increase in urinary creatinine in the CG, it was lower than in PG (38.77 ± 10.20 vs. 88.23 ± 11.21, p < 0.05). We also observed a decrease in the bilirubin concentrations in the CG after the run (p < 0.001) with lower values compared to PG group.

There were also significant differences in the inflammatory response, with (statistically significant, p<0.05) lower values of interleukin 6 (IL-6; -32%) and TNF-alpha (-23%) before the start of the race, and -22% lower TNF-alpha values after the "torture". Moreover, the basal hydroper-oxide content in the erythrocyte membranes, the scientists measured as an indicator of the degree of oxidative stress were lower before and after the exercise test, as the scientists call it.

Taken together, these results suggest that the addition of a small dose of CoQ10 to your supplemental regimen could induce unexpectedly profound cell-stabilizing benefits, of which it would yet be interesting to see how those translate into performance benefits, health and longevity, in the long run.

Life-Long Endurance Exercise and Myocardial Fibrosis - A Potential Danger for Endurance Athletes

Habitual aerobic exercise has long been the cornerstone of what was considered a "healthy" lifestyle. Yet, lately, scientists are not only questioning the time-efficacy of these training regimens (there are studies showing that one can achieve similar metabolic adaptations with short high intensity interval training), there is also cumulative evidence that indicates that life-long engagement in endurance exercises may even be detrimental to your health.

In a recent study by Wilson et al. (Wilson. 2011)  "twelve lifelong veteran male endurance athletes (mean ± SD [range] age: 56 ± 6 yr [50-67]), 20 age-matched veteran controls (60 ± 5 y; [52 - 69]) and 17 younger male endurance athletes (31 ± 5 years [26-40]) without significant co-morbidities underwent cardiac magnetic resonance (CMR) imaging to assess cardiac morphology and function." The results of the CMR were disquieting - to say the least:

In 6 (50%) of the veteran athletes LGE [late gadolinium enhancement, short LGE indicates the presence of fibroses as a consequence of minor tissue ruptures] of CMR indicated the presence of myocardial fibrosis (4 veteran athletes with LGE of non-specific cause, 1 probable previous myocarditis and 1 probable previous silent myocardial infarction). There was no LGE in the veteran controls or young athletes. The prevalence of LGE in veteran athletes was not associated with age, height, weight or BSA (p>0.05), but was significantly associated with the number of years spent training (p<0.001), number of competitive marathons (p<0.001) and ultra-endurance (>50 miles) marathons (p<0.007) completed.

In fact, this study is only part of the accumulating evidence against the health benefits of (ultra-)endurance and or excessive aerobic training. Weight lifting and intense, but short sprint-intervals, on the other hand, turn out to be a healthier and much more effective way of keeping lean and healthy up into the older ages.

Science Round-Up Seconds: Rare Sugar Syrup, HFCS 2.0? Body Recomposition W/ 7 Marathons in 7 Days!? Reduced REM Sleep With Intense Workouts in the Evening.

99% of the guys & gals on this photo are not going to see anywhere similar improvements in body composition from marathon running as the highly trained 7x7 runners in the Karstoft study.

It's Friday and that means its time for the wrap-up of yesterday's installment of the Science Round-Up on SHR. Well, let's see then what this weeks Round-Up of the Round-Up has to offer. Somehow I felt like picking up something we did actually cover in the live-show yesterday (download the podcast here). I guess I want to give everyone the chance to look at the data himself in order to decide whether "rare sugar syrup" (RSS) is going to be the savior of the Western world and the unfortunate rest who's currently "westernized" by the big Ms, the big As and the rest of the corporate alphabet soup with a vested interest in the prosperity of mankind, or - to be precise - that the part of mankind who owns their shares ;-)

Rare Sugar Syrup has 90% of the sweetness of regular sugar + "cleaner taste" than HFCS

(IIda. 2013) -- Assuming that you've by now all listened to the podcast, I will stick to some additional explanations, citations and graphs in this follow up.

While D-psicose is not the only fructose epimer in rare sugar syrup, it is probable the one with the most potent beneficial effects on blood glucose management (learn more). One potential caveats of RSS is that its d-psycose content is only 5% with te rest being other hexoses including D-allose, D-sorbose, and D-mannose,

As the scientists point out, the main intention of their study was to assess whether their rare sugar syrups would suppress

"body weight gain and abdominal fat accumulation in rats fed on diets composed of different carbohydrate sources: starch, starch + HFCS (50:50), and starch + RSS (50:50) were examined. (Iida. 2013)"

Accordingly, they maintained their rodents on otherwise identical diets containing (on a per weight not per kcal basis!) 57% carbs, 18% protein, 4% fat, cellulose, added methionine and a couple of vitamin and trace elements with either plain corn starch, corn starch and HFCS or cornstarch and rare sugar syrup (see figure 1, left).

Now, as mentioned in the show, there is no debating that this feeding regimen worked and with "90% of the sweetness of sucrose, and a more rich and clean taste than HFCS" replacing HFCS with RSS could even improve the taste of respective products, but let's be honest: How likely is it that we are going to see products without HFCS and 50% of rare sugar syrup actually making up the lion's share of the processed junk in the super market anytime soon?

Figure 1: Carbohyrate content of the diets and weight of different visceral fat pads after the 8-week dietary intervention in otherwise healthy rodents on a cornstarch only, cornstarch + HFCS or cornstarch + RSS diet (Iida. 2013)

Isn't it more likely that you will see labels like "now with rare sugars" on the front of the packaging and the hardly legible figure "contains 3% carbohydrates from rare sugars" hidden on its back? I would think so and the fact that neither this study nor the general existence of this HFCS substitution did as of now hit the media certainly doesn't refute contradict this hypothesis.

7 marathons (!) in 7 days - A marathon a day keeps the fat stores at bay?

(Karstoft. 2013) -- I probably don't have to preface this part of the seconds with a "don't do this at home" (or anywhere else ;-), but I think it's nevertheless newsworthy that accordingly trained people can actually run 7 marathons  in 7 days without the dreaded negative effects the average bro is expecting when he is just walking for 40min on a treadmill.

Figure 2: Body composition before and after the race (left) and changes in markers of muscle damage as well as hormonal changes and differences in markers of blood glucose management (right) in 8 experienced recreational runners participating in a multiple-marathon running event in which 7 marathons were completed on consecutive days (Karstoft. 2013)

Doesn't look so bad, ha? The reason I still stick to the initially voiced recommendation not to copy this protocol if you intend to lose body fat is pretty simple. The main reason "nothing" happened here is that the subjects were conditioned to run marathons.

That's the same "repeated bout effect, we have seen only a couple of days ago in the "No Pain No Gain" post (click here to go back) and the ~2kg of "muscle mass" are (despite being measured with DEXA) probably rather a result of glycogen hyper-compensation from tons of energy gels and pasta (the subjects did not follow a prescribed diet, but simply ate, drank and supplemented what had helped them on previous marathons), than structural increases in muscle tissue.

No high intensity training before a good night's sleep

Unless you have read the SuppVersity Circadian Rhythm Series, you have no right to complain about being overweight or undermuscled (read it ;-)

(Wong. 2013) -- After listening to the show, you know what you got to do once you got out of the bed, namely to switch on your bright light therapy lamp, but what do you have to do before you go to bed? I did actually discuss most of the things you should do (curtains, ear-plugs, turn the temperature down, etc.) in the Circadian Rhythm Series, but with the recent publication of a study by Wong et al. there is another thing you should - or in this case should not do and that's working out at a high intensity.

According to the results the researchers present in their soon-to-be-published paper in the Journal of Sports Science, a cycling exercise at intensities of  65% and 75% VO2Max lead to significant increases in light sleep and reductions in the recuperative REM sleep from 22.5% to 19& and 18.7% of the total sleep time.

Light exercise, in this study done at 45% and 55% of the VO2max, on the other hand did not have these side effects it did however not improve sleep, which is by the way an urban myth of which Driver and Taylor wrote in a Y2k paper in the Sleep Medicine Review that it "has yet to be established empirically" (Driver & Tailor. 2000).

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That's it for today, unless you want to head over to the SuppVersity Facebook Wall and check out some of the news that are already available over there, e.g.

• 

  Newsweek title from the year 2000 - "Fat for Life?"; did his mother love her soy protein more than her son's health? (learn more)

  "High" dose supplementation with vitamin C and/or E increases cataract risk - 1,000mg of vitamin C increase the risk +36% and 100mg of vitamin E by 57% (read more)
• Aerobic fitness could have greater impact on academic achievement than obesity -- Although obesity is a concern for children, this study shows that aerobic fitness can have a greater effect on academic performance than weigh (read more) 
• Aqua Mel, Portuguese "folk medicine" works for the alleviation of simple symptoms of upper respiratory tract -- Effect probably mitigated by the phenols in the honey this product is made of (read more).
• Serum albumin carries cholesterol out of the cells -- Hitherto scientists thought that this was a prerogative of HDL (read more)

If you don't like these or the other ones I did not mention just wait for further news to be posted. Alternatively switch of the computer and your mobile devices and head off into a well deserved weekend!

Don't worry, there is going to be a whole heap of short news tomorrow, you won't get bored... ah, you don't get bored on the weekend, anyway - do you?

References:

• Driver H.S., Taylor SR. Exercise and sleep. Sleep Medicine Reviews. 2000; 4(4):387–402
• Iida T, Yamada T, Hayashi N, Okuma K, Izumori K, Ishii R, Matsuo T. Reduction of abdominal fat accumulation in rats by 8-week ingestion of a newly developed sweetener made from high fructose corn syrup. Food Chem. 2013 Jun 1;138(2-3):781-5.
• Karstoft K, James Solomon TP, Laye MJ, Pedersen BK. Daily Marathon Running for a Week - the Biochemical and Body Compositional Effects of Participation. J Strength Cond Res. 2013 Feb 25.
• Wong SN, Halaki M, Chow CM. The effects of moderate to vigorous aerobic exercise on the sleep need of sedentary young adults. J Sports Sci. 2013 Feb;31(4):381-6.