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marylin monroe
Showing posts with label weight gain. Show all posts
Showing posts with label weight gain. Show all posts

Beyond Warding Off Holiday Weight Gain: 250-1000mg of Freeze-Dried Ginger Reduce Visceral Fat Even When Rodents Are Fed an Obesogenic "High Fat" Diet.

Image 1: If ginger works only half as good in humans as it does in rodents, you can drink your way to a leaner and healthier you with Alisa Profumo's delicious low-carb "Healthy REAL Ginger Ale".
Zingiber officinale, or, in plain English, Ginger, is unquestionably one of the most remarkable plant rhizomes that is known to mankind. It has been used in various cultures for treating common colds or fever, to aid digestion, treat stomach upset, diarrhoea or nausea, to alleviate rheumatic disorders, gastrointestinal complications and dizziness, and, as of late, it has received quite some attention as a possible adjuvant to treatment modalities of cancer (Peirara. 2011). In a pretty recent study, the administration of 500 mg/kg zinigiber officinale to streptozotocin-induced diabetic rats (cf. related study in CLnA, the Omega-3 Variety of CLA), was able to partly restore the deteriorated glucose metabolism (Abdulrazaq. 2011), and a 2010 study was able to show that 6-Dehydrogingerdione, an active constituent of dietary ginger stopped the growth of breast cancer cells in the petri dish. "That is all very well", you may now be thinking, "but what does that all have to do with warding off the holiday weight gain?" Well, the answer lies in the results of a very recent study, which have just been published in the International Journal of Pharmacology (Malik. 2011).

Ginger reverses diet-induced visceral obesity and restores blood lipids to normal

Z.A. Malik and P.L. Sharma, two researchers from the Department of Pharmacology at the ISF College of Pharmacy in Moga, India, investigated whether the administration of 0.25-1g/kg body weight of dietary ginger (freeze dried powder that was made from fresh ginger juice; human equivalent would be 40-160mg/kg) would have any beneficial effect on the high-fat diet induced deteriorations in body composition, energy, lipid and glucose metabolism of male Wistar rats. For eight weeks, the scientists fed the rodents a diet that consisted of 33% normal rat chow, 33% Nestlé milk powder, 7% sucrose, and 27% tap water.
Figure 1: This is probably the lowest fat "high fat diet", I've seen in some time (data adapted from Malik. 2011) - ridiculous, but hey, if the diet had really been "high fat", who knows if the rodents would have gotten obese, anyway ;-)
If you take a look a the macronutrient breakdown of the "high fat" and the "normal diet" in figure 1, it is quite obvious that the former is - if anything - higher in fat than the latter, but by no means what any sane individual would consider a "high fat diet" (I really have to check myself not to start ranting against the "high fat diet induced whatever" in rodent models, again ;-) But be that as it may, ... the data in figure 2 shows that the milk powder and the sucrose were obviously enough to really fatten the rats up, profoundly:
Figure 2: Relative increases in body weight (BW), white adipose tissue weight (WAT), visceral fat weight and brown fat in rats on the "high fat diet" (data adapted from Malik. 2011).
With a whopping +417% increase in the total white adipose tissue weight, the poor rodents became profoundly obese. Their visceral fat depots (mesenteric, epididymal  and retroperitoneal) more than doubled (on average +150%), whereas the weight of their metabolically active brown adipose tissue increased by "only" 107%.
Figure 3: Relative changes in body weight (BW), white adipose tissue weight (WAT), visceral fat weight and brown fat in rats on the "high fat diet" who were supplemented with 250, 500 or 1000mg/kg ginger (data adapted from Malik. 2011).
The addition of 250mg/kg, 500mg/kg and 1g/kg body weight of the freeze-dried ginger juice (now obviously in powdered form) to the chow dose-dependently ameliorated the weight gain and reduced the weight of both the visceral, as well as the brown fat to level that were below those of the rats on the "normal" diet (cf. figure 3). Intriguingly, the "low" dose of 250mg/kg body weight turns out to be the most effective one, when it comes to the reduction of the epididymal, retroperitoneal and mesenteric visceral fat pads.
Figure 4: Relative changes in triglycerides (TG), total cholesterol (TC), HDL and total cholesterol to HDL radio in rats on the "high fat diet" and rats who were fed the HFD with 250, 500 or 1000mg/kg ginger (data adapted from Malik. 2011).
The addition of ginger to the diet also kept the blood lipids in check (cf. figure 4) and normalized the glucose response to an oral blood glucose tolerance test in the "high-fat" fed rodents. Other than the scientists had speculated, it had no effect on energy intake and did not increase the fecal fat content. The two markers of hepatic health, AST and ALT, which were measured in the study, remained almost unchanged - in the 250mg group there was even a -17% and -13% reductions in the respective transaminases (I am thusly amazed why the study has the words "anomalies after chronic administration" in its title).

How does it work and how effective is it?

Let's finally have a brief look at a) the potential mechanism by which ginger exhibits its fat-burning magic and b) how effective ginger would be, as compared to other, better known, "tools" to ward off weight gain or induce weight loss. To check whether the mechanism of action involves increased beta-oxidation, Malik and Sharmaa mixed an additional 30mg/kg of the beta-blocker propranolol into the high fat, ginger-supplemented diets of the animals - and as you can see in figure 5, the addition of the beta-blocker led to a profound reduction in the ameliorative / fat burning effects of the freeze-dried ginger powder.
Figure 5: Relative increases (vs. control on normal diet) in body weight (BW), white adipose tissue weight (WAT), visceral fat weight and brown fat in rats on the "high fat diet" supplemented with ginger, ginger + propanolol, or sibutramine (data adapted from Malik. 2011).
And as far as its effectiveness is concerned, ginger stands the comparison to the (in-)famous weight-loss drug Sibutramine, of which you will probably have heard that Chinese manufacturers of otherwise ineffective herbal weight-loss remedies like to mix it into their products (obviously without mentioning this banned ingredient on the label).

So, if we assume that these amazing results translate to humans, the addition of a few ginger rhizomes to your holiday diet could be a very effective tweak to ward off unwanted weight gain. And if your plans for 2012 include getting rid of the nasty love-handles you have acquired in the course of the past 12 months, you better get accustomed to the spicy, yet fruity flavor of the rhizomes of this perennial reed-like plant. You could, for example start out by following Alisa Profumo's delicious low-carb "Healthy REAL Ginger Ale in Minutes"-recipe on the Super Human Radio webpage (cf. image 1). And just in case you are too lazy to juice and / or freeze-dry some fresh ginger rhizomes yourself, you may want to consider buying a bag of Carl Lanore's  standardized ginger extract, which is also available on the Super Human Radio website.

Sucralose, Hazardous or Innocent? Part II: Appetite, Gut Health & Food Reward | Sucralose, Gluttony & Adiposity?

Plain mineral water is still the best thing to quench your thirst.
Today we are going to continue our thorough, educated reading of the recently published overview over the biological issues with sucrolase, a "popular" artificial sweetener most of you will probably know by its brand name Splenda. The focus of part I of this series was on the potential pro-diabetic effects of this agent that belongs to a class of molecules that has originally been hailed as a solution to the diabetes problem (it goes without saying that I am talking about artificial sweeteners here, right?). In a way we are thus only continuing the discussion, when we are trying to verify Schiffman's & Rother's argument that the consumption of sucralose is associated with an increase in obesity risk... or, put more simply that using sucralose is going to make you fat, not lean.

The good old "energy in" vs. "energy out" argument

As SuppVersity readers you are well aware that the oversimplified concept of an "energy balance" is fundamentally flawed. My recent post "Anorexia study suggests: Your body can easily reduce its resting metabolic rate by 10%" in the SuppVersity Facebook News is only one out of thousands of scientific papers you could quote to point out that replacing 420kcal of energy from pure sugar, i.e. three cans of regular coke, with its diet variety is not going to produce a net weight, let alone fat loss of 420g per week (suggested read: "Busting the 3,500kcal = 1lbs Weight Loss Myth!" | learn more).
This is part II of a multi-part series:

Sucralose, insulin, glucose, GLP-1

Appetite, Obesity & Gut Health

Cancer, Drug & Hormone Interact.
I know that Mark Sisson likes to says this, but this website is not written by a machine, but by a man who has the same "short" 24h days you have... basically, what I am trying to say is that I had to split this review of the review into a "trilogy" - and be honest, you wouldn't want an article thrice as long as this one, would you?
Thus being "in the know", you can only shake your head, when you read how Schiffman and Rother (ab-)use a recent study by Ruyter et al. (2012) to support the non-significant, not sufficiently differentiated data from epidemiological studies which inform us that obese people are more likely to consume artificial sweetened products than lean ones, to subliminally imply that artificial sweeteners would not help, in some cases even hinder weight loss.
"In an 18-mo trial with children, participants were randomly assigned to receive an 8-oz can per day of either a noncalorically sweetened or a sugarsweetened beverage that provided 104 kcal (de Ruyter et al., 2012). [...] The calorie consumption from these beverages was 46,627 kcal greater for children in the sugar-sweetened group than in the sucralose-sweetened group (5.8 × 77.3 × 104). In spite of this highly significant difference in calories consumed from the beverages, the total weight gain over this 18-mo study was only 1 kg greater for children in the sugar-sweetened group compared to sucralose group. No explanation was provided to account for the small difference in weight gain given the large difference in caloric consumption from the beverages." (Schiffman. 2013)
Despite the fact that Schiffman & Rother acknowledge that the scientists would not have been able to detect, if the children who consumed the sugar-sweetened beverages compensated by reducing their food intake, the reviewers fail to point out that neither this, nor the second "evidence" they cite, a 2-year study by Ebbeling et al. (2012), where Schiffman & Rother simply ignore the fact that the mere provision of diet sodas to the families of the adolescent subjects did reduce the weight gain in the active intervention period (1st year, see Figure 1, below), would confirm a negative real-world effect on body weight.
Figure 1: Change in body fat percentage (vs. basleline) of adolescents during the intervention & follow up period in the Ebbeling study (2012), of which the reviewers only cite the results of the follow up.
Let's be honest: If you actually take a look at the results from the Ebbeling study (Figure 1), you will have to concede that this study refutes the claim that artificial sweeteners make you fat. During the active treatment period, in the course of which the adolescent participants were...
  • "What Really Happens, When Nutrition Science Meets Real Life" | more
    ... supplied with noncaloric beverages (e.g., bottled water and “diet” beverages for the whole family) every 2 weeks, getting monthly motivational telephone calls with parents (30 minutes per call), 
  • ... having three check-in visits with participants (20 minutes per visit), and 
  • ... receiving written intervention messages with instructions to drink the delivered beverages and not to buy or drink sugar-sweetened beverages, were mailed to participants
...they do exactly what we originally expected them to do: They ameliorate the body fat gain in the adolescent subjects. In other words: As long as respective products are available, and dietary adherence is encourages, replacing regular sugar sweetened with artificial sweetened or unsweetened beverages can have a significant ameliorative effect on the body fat gains of adolescents - irrespective of the fact that they were obviously free to compensate with chocolate, cookies, etc..

Contemporary evidence from RCTs suggest either no, or beneficial effects

If you follow Schiffman's and Rother's lead and discard potential differences between sucrose and other sweeteners, acknowledge the fact that the results from previous rodent experiments have repeatedly failed to translate to human beings and take into account that this data is "inconsistent and conflicting" (Schiffman. 2013), anyways, you will be hard pressed to find arguments to support the claim that artificial sweeteners could hinder weight loss.
"No-Carb Foods, Artificial Sweeteners & The Cravings" | more
Potential mechanisms for the obesogenic effects: In a very detailed review Mattes & Popkin list a whole host of hypothesis ranging from the disproven stimulation of insulin and differences in the GLP-1 response, over osmotic effects and increase food palatability, up to the "Zero sugar, great, I'll have 10 instead of one of those cookies!" effect and the development of an extremely sweet tooth. What's important, though, is that none of this mechanisms is "supported by the available evidence, although some warrant further consideration" (Mattes. 2009).
In fact, the vast majority of RCTs clearly supports the assumption that non-nutritive sweeteners (NNS), artificial or not, promote weight loss and blunt weight (re-)gain (De la Hunty. 2006; Bellisle. 2007). The argument that these effects do satisfy the calories in vs. calories out hypothesis is pathetic, to say the least. Even a 100% controlled diet won't comply to an equation that is about as accurate as "1+2=343". We can thus register that:
  1. There is ample evidence to support the beneficial effects of artificial sweeteners (including sucralose) as a tool during controlled dietary interventions.
  2. There is insufficient evidence to support the claim that their regular consumption has a negative effect on body weight.
With respect to (2) we would even have to say that the limited amount of useful* evidence we have would rather suggest beneficial than detrimental effects (*a 'useful' study is not a study that tells me that obese individuals are more likely to consume artificially sweetened products than lean ones like the often cited epidemiological data). This is particularly true, for controlled interventions where sugar-sweetened beverages were replaced by their artificially sweetened counterparts.

The great unknown: Hunger, appetite and food reward

If data on the real-world effects of sucralose consumption on body weight gain is "scarce", consistent, experimentally verified hypotheses that would explain the potential underlying mechanism are quasi non-existent... or, I should clarify: They are still in their infancy. Against that background it's quite astonishing that more and more people appear to take it for granted that the consumption of artificially sweetened foods will mess with both, (a) your ability to control your energy intake and (b) the hedonistic response you derive from foods.

Table 1: Sweetness, dose to stimulate the sweet taste receptor (EC50; based on Matsuda. 2011) and correlation of sweetness and EC-50 value.
It goes without saying that there is no sucralose-specifc data out there, but the decrease in hypothalamic sweet taste receptor density I mentioned in the first installment of this series is something I'd expect to see in response to all artificial sweeteners that make it across the blood brain barrier (Note: Even Schiffman & Rother acknowledge that we do not know if they even do that!) - probably "sweetness" dependent,  by the way.  This would imply that sucralose would be the worst, cyclamate the least offender among the common artificial sweeteners in Table 1. With a sweetness that's 300x higher than that of sucrose, stevia would end up being the "(un?)happy medium".

Despite the fact that Schiffman & Rother don't really address this issue in their paper, I still want want to address the practical and thus relevant aspect of the various proposed theories for potential sweetener-induced increases in energy consumption.
Figure 2: Mean effective change in energy intake (%) in RCTs investigating the degree of energy compensation in response to the provision of artificial sweetened products (De la Hunty. 2006)
As the data from De La Hunty's 2006 meta-analysis of 32 study outcomes in Figure 2 clearly demonstrates, there is a statistically highly significant (p < 0.001) trend towards reduced energy consumption in the RCT [randomized controlled trial]. In that, the degree of compensation for the sudden energy reduction due to ingestion of calorically less dense, since artificially sweetened product ranged from statistically non-significant 18% to statistically highly significant 86% in trials such as Porikos et al. (1982), where 6 men lost and gained 0.8kg of body weight within 2x12 days in a metabolic ward on artificially sweetened and sucrose sweetened ad-libitum diets, respectively.
Non-nutritive sweetener (NNS) intake 1965-2004 (Mattes. 2009)
So, sweeteners can't ever make you hungry? I would not necessary subscribe to this idea. While the consumption of artificial sweetened foods as part of your regular diet, e.g. diet coke with your dinner, does not seem to be a problem, Mattes & Popkin (2009) rightly point out that "non-energy-yielding products may heighten appetite", when they are not "ingested in conjunction with other energy sources". So, if you are guzzling diet coke all day, this may very well trigger binge eating. With an ever increasing consumption of sweeteners from partially / totally artificially sweetened beverages (see table to the left), this could thus well be part of our obesity problem.
Just like the previously discussed (relatively short term) effects on insulin, GLP-1 and co, the #2 on the list of most frequently heard objections against the use of artificial sweeteners, i.e. dietary overcompensation, does thus appear to have little basis in fact. What we do not know, though, is whether the results will be identical for all types of sweeteners, or whether sucralose may be the toxic (this aspect will be covered in the next installment) or gut microbiome disrupting exception to the rule.

Sucralose induces changes in the gut microbiome

The last issue I want to address in this second installment of the "Sucralose, Hazardous or Innocent Trilogy" will thus revolve around the question, whether a modulatory effect of sucralose on the microbial composition of your gut could induce potential negative long-term effects that would not show up in the hitherto discussed RCTs.

Under the headline "Effect of Sucralose on the Number and Relative Proportions of Different Intestinal Bacterial Types", Schiffman & Rother argue that it has long been known that bacteria from the oral cavity and soil cannot use sucralose as a growth substrate. If the same was true for the bacteria in our guts the replacement of regular sugar with sucralose would thus starve our (beneficial) subtenants.
Table 2: Differences (%) in bacterial counts in feces of rodents on diets containing what in human terms would be ~14mg, 43mg, 71mg and 156mg of sucralose per day after 12 weeks treatment and 12 weeks into "recovery" (Abou-Donia. 2008)
Based on the fecal bacterial count of rodents on diets that would be equivalent to 14mg, 43mg, 71mg and 156mg of sucralose per day in human beings (see Table 2), Schiffman & Rother argue that chronic (12-week) ingestion of relatively low amounts of sucralose (a single can of Diet Crush Cream Soda, for example, has 42mg of sucralose) lead to highly significant reductions in the numbers of total anaerobes, bifidobacteria, lactobacilli, Bacteroides, clostridia, and total aerobic bacteria.

In view of the fact that Abou-Donia et al. (2008) observed the most significant losses in bifido- and lactobacillus strains, i.e. those strains that have repeatedly been implicated as the driving forces of the beneficial health effects of probiotic supplementation, this and not the previously discussed pro-diabesity effects should be the point where people start to freak out.

Table 4: Other sweeteners are preferred food for certain bacteria and may also alter the gut microbiome (Payne. 2012).
This is particularly true if you take into account that at least part of the beneficial effects of lactobacilli may be related to their ability to keep the number of enterobacteria, a large family of Gram-negative bacteria that includes both harmless symbionts, as well as a whole host of familiar pathogens, such as Salmonella, Escherichia coli, Yersinia pestis, Klebsiella and Shigella, Proteus, Enterobacter, Serratia, and Citrobacter in check (Liévin-Le Moal. 2006) - exactly those bacteria, which produce the nasty lipo polysaccharides (LPS) that have been associated with inflammation and its downstream metabolic effects, such as obesity, diabetes, heart disease, gastrointestinal cancer etc. and, as the data in Table 2 tells you. Now, unfortunately, the these villains are all part only type of bacteria that was not significantly decimated by the sucralose challenge.

As Schiffman et al. point out these reductions are not, as Brusick et al. (2009) suggest simply a result of "normal variation". In fact, the probability to see a similar random reduction in bifidobacterial count occur "naturally"within 12 weeks would be 1/5000. It is thus more than just unlikely that the71.9%, 76%, and 77.7% reductions in bifidobacteria counts Abou-Donia et al. observed at dosages of 3.3, 5.5, and 11 mg/kg/d were coincidental.
Prebiotics, anyone? In view of the alleged neg. effects on your gut microbiome, you may feel inclined to increase your prebiotic intake. If that's the case, this top 10 list of food items with prebiotic fiber contents of up to 65% of total weight may help:
  1. Chicory root - 65%
  2. Jerusalem artichoke - 32%
  3. Dandelion greens - 24%
  4. Garlic - 18%
  5. Leek - 12%
  6. Onion - 9% 
  7. Cooked Onion - 5% 
  8. Asparagus - 5% 
  9. Wheat bran - 5% 
  10. Banana - 1% 
Remember: These are the "richest" not necessary the "best" sources ;-)
If there is reason to be concerned it's about your gut health and its downstream metabolic effects: In view of the important role of bacteroides for the health of the intestinal eco-system (Lee. 2013) and their persistent reduction even after the 12-week recovery period, the selective antibiotic activity of sucralose is as of now the by far most disconcerting negative health effect discussed in this series.

If the changes Abou-Donia et al. observed in their rodent studies were to be confirmed in human studies, where the subjects consumed a balanced whole foods diet with a high prebiotic content. The profound changes the researchers from the Duke University Medical Center report in their paper from September 2008 would be reason enough to revise my previous conclusions about a potential contribution of sucrose to the diabesity (=obesity + diabetes) epidemic.

In fact, a revision of the potential long(er) term downstream effects of sucralose on your metabolic health could be all the more indicated, if it turns out that the alleged toxic and endocrine-disrupting effects I will discuss in the next installment of this series turn out to be substantiated, as well.
Reference:
  • Abou-Donia, M. B., El-Masry, E. M., Abdel-Rahman, A. A., McLendon, R. E., & Schiffman, S. S. (2008). Splenda alters gut microflora and increases intestinal p-glycoprotein and cytochrome p-450 in male rats. Journal of Toxicology and Environmental Health, Part A, 71(21), 1415-1429.
  • Bellisle, F., & Drewnowski, A. (2007). Intense sweeteners, energy intake and the control of body weight. European Journal of Clinical Nutrition, 61(6), 691-700.
  • De la Hunty, A., Gibson, S., & Ashwell, M. (2006). A review of the effectiveness of aspartame in helping with weight control. Nutrition Bulletin, 31(2), 115-128.
  • de Ruyter, J. C., Olthof, M. R., Seidell, J. C., & Katan, M. B. (2012). A trial of sugar-free or sugar-sweetened beverages and body weight in children. New England Journal of Medicine, 367(15), 1397-1406.
  • Ebbeling, C. B., Feldman, H. A., Chomitz, V. R., Antonelli, T. A., Gortmaker, S. L., Osganian, S. K., & Ludwig, D. S. (2012). A randomized trial of sugar-sweetened beverages and adolescent body weight. New England Journal of Medicine, 367(15), 1407-1416.
  • Liévin-Le Moal, V., & Servin, A. L. (2006). The front line of enteric host defense against unwelcome intrusion of harmful microorganisms: mucins, antimicrobial peptides, and microbiota. Clinical Microbiology Reviews, 19(2), 315-337.
  • Mattes, R. D. (1996). Dietary compensation by humans for supplemental energy provided as ethanol or carbohydrate in fluids. Physiology & Behavior, 59(1), 179-187.
  • Mattes, R. D., & Popkin, B. M. (2009). Nonnutritive sweetener consumption in humans: effects on appetite and food intake and their putative mechanisms. The American journal of clinical nutrition, 89(1), 1-14.
  • Payne, A. N., Chassard, C., & Lacroix, C. (2012). Gut microbial adaptation to dietary consumption of fructose, artificial sweeteners and sugar alcohols: implications for host–microbe interactions contributing to obesity. Obesity Reviews, 13(9), 799-809.
  • Porikos, K. P., Hesser, M. F., & Van Itallie, T. B. (1982). Caloric regulation in normal-weight men maintained on a palatable diet of concentional foods. Physiology & behavior, 29(2), 293-300.
  • Schiffman, S. S., & Rother, K. I. (2013). Sucralose, A Synthetic Organochlorine Sweetener: Overview Of Biological Issues. Journal of Toxicology and Environmental Health, Part B, 16(7), 399-451. 

Green, Oolong, Pu'Erh or Black, All Teas May Help Keep Fat in Check. 750ml of Tea Per Day Could Ward Off Some of Your Holiday Weight Gain.

Image 1: Though color does matter to some extend, the most important thing appears to be that you drink your tea, whether it is green, black, white or well... pu-erh ;-)
Christmas time is approaching and my personal experience tells me that for many of my fellow human beings Santa has more than just iPads, iPhones and iPods in his gunnysack. The two, three or more pounds of body weight, Santa, or rather the festivities in his honor (unfortunately most people have forgotten that we are actually celebrating the birth of Jesus Christ) leave behind on their hips are yet mostly unwanted, so that the results of a recent study which was conducted by scientists from the National Hsinchu University of Education and the National Taiwan University may come pretty handy (Huang. 2011), especially for those of you who plan on having some "healthy" low sugar, but high fructose junk-food over the holidays.

Tea in lieu of hot wine punch could ward off your holiday weight gain 

In their 12-week study, Hsiu-Chen Huang and Jen-Kun Lin fed a group of initially healthy five-weeks-old male wistar rats (body weight: 150-200g) either a standard rat chow (Purina, Ralston Purina, St. Louis, MO) or a chow that consisted of 60% fructose and 40% of the chow.  Now, the latter group was again divided into a fructose control group and 4 experimental groups, where 4% of the standard chow were replaced by ground green, oolong, black or pu-erh tea leaves.

Figure 1: Catechin content of the leaves of green, oolong, black and pu-erh tea.
The scientists' reasoning was that the addition of the catechin-rich tea leaves (cf. figure 1) to the chow would ameliorate the detrimental effects of the high-fructose diets on blood lipids and other measures of metabolic health. Now, the whole rodent vs. human data aside, you are probably not willing to eat tea leaves, are you?

If we do yet assume that the main effect is induced by the "active ingredients" of the leaves and take the catechin content as a measure of how much of that we would have to ingest, eating the whole leaves is probably not even necessary. With their daily food intake of ~27.5g the rodents got roughly 46mg of catechins (calculated for the green tea).

That in turn would equal a dose of 153mg/kg (this calculation takes the weight gain into account) for the rats and 25mg/kg for a human being (cf. my article on human equivalent doses). So, if you weighed 80kg you would have to get 2g of catechins, which is the equivalent of 7.5 mini-cups of 100ml tea each brewed from 1g of tea (the last step in this calculation is based on USDA data from 2007).
Figure 2: Body weight of rats fed either the 40% fructose diet or the same diet enriched with 4% of tea leaves from green, black, oolong or pu-erh tea (data adapted from Huang. 2011)
But let's forget the math and the speculations about whether or not the results are going to translate to human beings for a moment and just have a look at the ameliorative effect the different types of tea had on the weight gain of the high fructose fed rats in the course of the study period. In that, it was not the catechin-laden green tea which had the most profound anti-obesity effect, but the highly oxidized black and the oxidized and fermented pu-erh teas.

Gaining the least weight does not necessarily mean having the "best" blood lipids

Interestingly, a different picture emerges, when we focus exclusively on the blood lipids, where the green tea leaves produce a lipid profile of which current medical "wisdom" tells us that it is the "most beneficial" one ;-)
Figure 3: Relative changes in serum lipid levels due to fructose feeding and fructose + tea leave feeding (data calculated based on Huang. 2011)
As a studious student of the SuppVersity, you will probably already be thinking about possible underlying mechanisms of these anti-obesity and anti-hyperlipidemic effects of the different types of tea leaves. Well, part of those are probably mediated by an old acquaintance: 5' AMP-activated protein kinase or AMPK.
Figure 4: Relative changes in AMPK phosphorylation and fatty acid synthethase in rats in response to feeding with 4% of black, green, oolon or pu-erh tea; my quantification on the left, original blots on the right  (data calculated based on Huang. 2011)
In view of the fact that Huang and Lin were either to lazy or did not consider it necessary to quantify their immunoblots (figure 4, right), I used a standard image processor to come up with the data in figure 4. Since this is obviously not very reliable, I also included the original blots so that you can convince yourselves that both the increase in AMPK phosphorylation, as well as the amelioration of the fructose induced increases in fatty acid synthethase activity correlate with the effects the different types of teas had on lipid metabolism of the rats.

Green, Black, Olong, Pu-Erh? Which tea to chose?

If we take a final look at the "whole picture", it appears that the exotic pu-erh tea would be the tea of choice, when you totally discard taste, price and whatever other factors may influence your choice. After all, it is was exactly as effective in ameliorating the weight gain as the black tea, induced an impressive +244% increase in AMPK phosphorylation and had what I, contrary to the medical establishment, would consider the "optimal" effect on the lipid profile of the rodents (a profound decreases in triglycerides, even below the level of rats fed the normal chow, and a +11% increase in HDL over the control diet despite high fructose feeding). The "classics", black and green tea, on the other hand, share a close and still notable second place, while the fancy oolong tea appears to be the least effective in this quartet of natural health promoters, the potency of which, and this is something I cannot emphasize enough, can hardly be explained based on their catechin content alone (cf. figure 1) and thusly renders the use of respective abstracts for the same purpose more than questionable.

Sugar Sweetened Beverages & Total Energy Intake: Studies Suggest That Normal-, Overweight & Obese Women CAN Compensate for 168 Additional Sugar Calories Per Day

Usually they are touted as the reason for weight gain: Sugar-containing soft drinks like the Scottish brew Irn Bru. In the study at hand, however, they helped 41 obese women lose weight - how come?
Despite the fact that it is not the first of it's kind, I decided that the paper Roy Nelson sent me the a couple of days ago may still be worth being covered in a brief article. Marie Reid and her colleagues were after all able to show that we can, theoretically and without conscious effort, compensate for the additional energy intake from sugar-sweetened beverages.

As I already mentioned, this is not the first study Reid and her colleagues from the Hull, Ulster and Herriot-Watt Universities in the UK conducted, but it is the first one where the subjects, obese women, with previous diet experience, came right from the subgroup of the population of whom we simply assume that their weight problems would (partly) result from these "empty calories".

Would the women "recognize" the 168kcal of pure sugar in their diets?

After exclusion and dropouts, Marie Reid et al. were left with a total of 41 healthy obese (BMI 30– 35 kg/m²) 20-50 year-old women who were randomly assigned to consume sucrose (n=20) or aspartame (n=21) drinks over 4 weeks in a parallel single-blind design.

Based on the previously mentioned experiments with normal- and overweight women, the researchers knew women with higher body weights had a harder time to compensate for the 168kcal the sugar-sweetened drinks delivered than their lean peers. It was thus interesting to see, whether the obese women (1) would compensate for the additional energy intake and (2) whether the compensation would be less pronounced than in the lean and overweight participants of the previous studies.
What's missing from the study at hand are the really important things, i.e. the changes in blood glucose and lipid metabolism and the differences in waist circumference and / or body fat levels. So whatever the scale of the subjects said, this and the previous studies by Reid et al. don't provide the basis for an acquittal of sugar sweetened beverages (learn more about the debate the role of Pepsi, Coke & Co in the diabesity epidemic).
Instead of simply having their subjects fill dietary records, the scientists used the weight response to judge, whether or not the women fully or partly compensated for the additional energy intake from the sugar sweetened beverages (note: the beverages contained regular sugar, no HFCS). Reid et al. did yet also analyze the changes in macronutrient composition to elucidate, whether the expected reduction in regular (food) energy intake would go at the expense of any particular macronutrient, i.e. carbs, proteins or fats.
Figure 1: Macronutrient and energy intake of the sugar (left) and aspartame (right) group (Reid. 2013)
The test drinks the scientists used came in 250 ml bottles. The women were instructed to consume four of these bottler, the content of which was sweetened with plain sucrose (fructose + glucose) or aspartame. Of the latter, the commercially available soft drinks (Irn Bru) contained
  • 10.5g of sucrose, but no aspartame in the regular and (sugar)
  • 0g of sucrose and a miniscule amount of aspartame in the diet variety (aspartame)
If you  do the math you can easily calculate that the regular Irn Bru provided an additional energy intake of 4x10.5g/day x 4kcal/g = 168kcal/day and a total of 4704kcal if we take the whole 4-week study period. According to the faulty rule of thumb that informs us that 1lbs of fat would equal 3,500kcal (learn why this is *bs*), the women in the "regular" Irn Bru group (sugar) should end up with "exactly" (*rofl*) 672g of additional fat on their hips.

Sugar doesn't make you fat and artificial sweeteners seem to hamper weight loss!?

I guess (or hope) that you will not really have expected to see those 672 extra grams of fat on the hips of Reid's, subjects at the end of the study. Still, most of you will probably have expected that the ladies did gain weight, right? Much to my own surprise, this was not the case: In fact, the vast majority of the ladies missed the predicted weight gain by more than 1kg (1.72 (SD 0.47) kg).
Figure 2: Illustration of the results of the study at hand (obese women) and previous studies with normal- and overweight women all of which showed sufficient energy compensation for the 4x250ml soft drinks  (Reid. 2007, 2010, 2013); note the listed "weight loss", e.g. -1.72kg, denotes the difference between the actual and the predicted body weight, see red box!
Now, being part of a study like this certainly is a confounding factor that could precipitate to conscious energy restriction. If this was the reason the ladies didn't gain weight, though, the women in the aspartame group would actually have had to lose a significant amount of weight.
It's not like the lean or overweight  women did not gain any weight at all.
This is not "sugar induced weight loss"! If you look at the graphs from the previous studies (left) in which Reid et al. did not use the "compared to expected weight gain" trick, it's obvious that only the lean women got away without weight gain.  In the overweight and obese women, there was a small, but due to the large outliers statistically non-significant increase in body weight.
I mean, you would certainly expect the women in the placebo group to take the same measure to make sure the potentially sugary (remember this is a randomized, blinded study) brew they were drinking would not end up on their hips.

A brief glance at the total energy intake in Figure 1 appears to confirm that: The women in the aspartame group did also reduce their energy intake. Due to significant differences among the study participants this did however not lead to a net change in body weight. From a statistical perspective, this means that the body weight of "Mrs. Average" did not change - neither in response to the sugar- nor in the aspartame sweetened drinks. 
Wtf? Sugar does not make you fat!? There are a couple of good reasons we got to be cautious with generalizing assessments like "sugary drinks are not the problem!":
  1. In contrast to the study Sartor et al. found that their participants gained 1kg of fat in only four weeks "on" Lucozade energy drinks | more
    Neither this study nor the previous studies measured the health-relevant changes in body composition of which the 2012 study by Sartor et al. clearly shows that they will occur if you simply add a bunch of sugary energy drinks to your diet (learn more).
  2. With its 100% plain sugar content, the beverage the scientists used is not representative of the "average" soda. It is thus unwarranted to conclude that the lean, overweight and, in the study at hand, obese subjects would also be able to compensate for beverages with HFCS, dextrose or whatever other funky caloric sweeteners the industry uses.
Even if (2) was not true and similar compensatory effects wouldn't be observed with sweeteners, the data from the study at hand clearly weakens the "empty calories" argument. It does so, however, without being the first class acquittal Sugar Nutrition UK was probably hoping for when they decided to provide the financial means for this study.
References
  • Reid M, Hammersley R, Hill AJ, Skidmore P. Long-term dietary compensation for added sugar: effects of supplementary sucrose drinks over a 4-week period. Br J Nutr. 2007 Jan;97(1):193-203.
  • Reid M, Hammersley R, Duffy M. Effects of sucrose drinks on macronutrient intake, body weight, and mood state in overweight women over 4 weeks. Appetite. 2010 Aug;55(1):130-6.
  • Reid M, Hammersley R, Duffy M, Ballantyne C. Effects on obese women of the sugar sucrose added to the diet over 28 d: a quasi-randomised, single-blind, controlled trial. Br J Nutr. 2013 Oct 29:1-8. [Epub ahead of print]

80g Glycerol + 2L Water Decreases Body Weight in Athletes & Increases Overall Performance in Sedentary Subjects

If it does not make you as swole as the colorful ad promised it must not be working, right? The jury was not even any longer "out there" for glycerol, but a recent study makes you rethink, whether you just have to look in the right place to see the benefits.
Another of the "odd" Thursdays without an update from "Your's Truly" Adelfo Cerame. And since there is holiday today, over here, I even thought there would not be a SuppVersity Science Round Up today. But hey, you are lucky you (and Carl) got to work, so you can tune in live at 1PM EST, or even better, start listening live at 1PM in order not to miss the Strength and Hypertrophy Round Table!

As far the  topics for today's installment of the SuppVersity Science Round Up are concerned, you are actually only a couple of lines away from reading about one that's on the list:  The effects of glycerol on exercise performance. I don't have to tell you though that this is not everything. Other things I believe you may be interested in are...
  • childhood obesity, physical education and attention at school
  • wheat gluten hydrolysate and how they don't come up to the expectations early trials have raised
  • ammonia accumulation brain-fog, toxicity, liver 'pathologies' and workout performance
  • running next to a street entails 'particular downsides' ("particular" is to be taken literally, here ;-)
  • homocysteine levels, mortality, cognitive impairment and more
  • epigenetic programming by nicotine and different protein contents before birth
These topics alone obviously won't fit into a single episode, but by now you should be aware that the SuppVersity Science Round Up Seconds, which are always published one day after the show aired, will provide you with the things we have missed and additional information, suggested reads and graphs to the topics we covered...  apropos "won't fit in", since the above is not even everything I have up my sleeve, I thought it would be wise to take the glycerol news from the compilation and tackle it on its own, today.

Can the backbone of bad triglycerides really be good for you?

Glycerol, a 3-carbon sugar alcohol that provides the backbone of triglycerides and is naturally found in foods as a component of dietary fats (Burke. 2011), is one of those supplements that have been all the rage for some time, didn't produce the expected instant results everybody was looking for (in this particlar case mostly "skinbursting pumps" and have eventually, in the course of one or two cycles of the regular yearly reformulations of the pre-workout supplements, completely disappeared from the market. I was therefore surprised, when I hit onto a recent study by researchers from the Physical Education and Sport High School in Konya (Turkey) that was published in one of the latest issues of the Journal of Human Kinetics (Patlar. 2012).

Is glycerol save? There have not been any reported toxicity effects up to doses of 5g/kg body weight. Glycerol does accumulates in body fluids, with the exception of the brain and the eyes and increases osmotic pressure (which was the reason why people used it in "pump supplements"), as well as the total volume of water in the body. If anything was 'dangerous', or I should probably rather say 'detrimental' to it, it would probably be its energy content (it is subject to gluconeogensis in the liver), which puts you at 'danger' of adding one or another pound of body fat you would probably want to avoid. The results of the study at hand to yet suggest that this is not an issue as long as you are active.
In essence the study protocol is nothing extraordinary: Take a couple of guys, 40 in this case (age 22.82 ± 1.49 years), and feed and water them using...
  • 1.2 g/kg body weight) followed by water (26 ml/kg body weight) to 10 sedentary individuals (GS) and 10 soccer players from the University team
  • just plain water to the another 10 sedentary men and 10 soccer players
Conduct a baseline test in the course of which all subjects are familiarized with the exercise equipment, a cycle ergometer (Monark 814-E) and required to perform an...
in a room that is kept at 30°C and a barometrical pressure of 668 mm-Hg. For the next twenty days, have half of the guys (athletic groups E and GE) perform a 20-m shuttle run test every day. And finally perform a second follow up to see and evaluate the individual and joint effects of exercise and glycerol supplementation.
What's a shuttle run? I guess those of you who play soccer or basketball will know similar drills (at least I have been tormented by my trainers with them before in both sports and could imagine they are also among the standard repertoire of football coaches - though I have never played that myself):
Video 1: The shuttle run is every trainer's darling and would actually make a nice conditioning workout to be implemented into your own routine - whatever it may you are training for (note: the video is a random pick from YouTube and has no relation to the study at hand).
"The subjects warmed up for several minutes by jogging followed by stretching. The test program was installed on the computer and  initiated. A single beep was emitted at regular intervals. The subjects had to complete a lap or shuttle (foot on or over the line) with each beep. If the subjects completed a lap early they had to wait for the beep before starting the next lap. A triple beep indicated the start of a new level with a slightly faster speed required to complete each  lap.

The subjects were encouraged to complete as many levels as possible. An observer monitored the progress of a given subject, recording each completed lap on the recorder form. The subjects were instructed to turn by pivoting and not to run in a wide arc. The test was terminated when a subject was two or more steps from the line, for two consecutive laps. The observer alerted the subject at this time." (Patlar. 2012)
The shuttle run was followed by a couple of minutes of walking to cool down and a stretching exercise. The data was collected, logged and archived for evaluation.
Now if we take a look at the results of this undertaking they are unquestionably somewhat surprising - at least at first sight (see figure 1). In absolute terms it looks as if we had an across the board, almost identical increase in performance due to the daily shuttle runs in the exercise groups and a surprisingly large beneficial effect of glycerol only in the sedentary subjects (which would by the way be in line with many of the more or less disappointing trials on the benefits of glycerol supplementation in athletes; cd. Burke. 2011):
Figure 1: Changes in anaerobic and aerobic performance - relative values on the left, absolute before (white) and after (black) on the right (Patlar. 2012)
If you take a look at the relative pre-post changes in figure 1 (left), instead of the absolute changes a more distinct picture emerges:
  • the benefit the sedentary subjects derived from the supplementation looks even more pronounced,
  • the aerobic performance of the soccer players in the exercise group did likewise benefit, albeit less than the performance of the sedentary group, and
  • shockingly the increase in anaerobic performance which looks pretty much identical is not statistically significant, yet still reduced in the glycerol supplemented athletes in the exercise + glycerol group (note: there is an increase, it's only relatively smaller)
Now, we all know that hyperhydration goes hand in hand with an increase in body water. In figure 1 I did even plaster a huge red sticker with "hyperhydration" onto the graph to give you an idea of a possible mechanism of action. So, if we wanted to be fair, we would have to take that into account... what? Yeah and you want to know if it will make you blow up like a wale, right, ... so let's see:
Figure 2: Changes in body weight and relative power (watts per body weight) in the course of the trial (data based on Patlar. 2012)
If we assume you are a sedentary slob at 80kg you could in fact gain 1.6kg... whether that's only water or if there is some fat there, as well, I cannot tell. Notwithstanding, I mentioned in the red box on safety issues, already that you can hardly expect to down 80g of glycerol with an energetic value of 4.32kcal/g (i.e. 350kcal per day) extra everyday without gaining at least some weight (assuming all other parameters are constant; plus, this could be muscle as well - well, not if you don't work out, though ;-).

You cannot expect to lose weight, but surprisingly it may still happen that you do if you consume those 350kcal of glycerol with 2l water right before your daily shuttle run. 

At least this is what happened to the soccer players in the supplementation group: They lost 2.66lbs of body weight on average. "Weight" is the unfortunate key word here, because we have no way of telling whether that was muscle, water or fat weight, as the scientists did not measure that separately. But let's be honest, it appears more than unlikely that it is (a) water or (b) muscle. After all the relative anaerobic power increased equally in both groups and why on earth would you lose water when you hyperhydrate? Ok, it could be one of those counter-regulatory reactions our bodies love. That again should however lead to performance decrements we did not see... you see, it's like the idiomatic dog that's chasing his tail. Why don't you play ginea pig and let us know what happens ;-)

WADA Warning for competitive athletes: If you are a WADA controlled athlete, you better avoid glycerol. It may sound hilarious, but it is on the WADA list of prohibited supplements since 2012. Why? Well, the increase in blood volume could mask the use of testosterone and co. because the /dl count would be lower if the total blood volume is higher -- this is something the WADA officials consider call a "masking agent" (Wada. 2012).

How much do you need? Don't forget, for glycerol to work its hyperhydrating magic, you must consume it with similarly hilarious amounts of water as the subjects in the study at hand. According to van Rosendal et al. an effective protocol comprises 1-1.5 g/kg glycerol + 25–35 ml/kg of fluid. Assuming you weigh 80 kg you can't get way with anything below 80g of glycerol + 2l water! Obviously way more than what any of the hitherto no longer available 'pump' or pre-workout supplements contained (at least I have not come across one that has a 80g scoop and says "consume with at least 2l of water on the label" - have you?)
Bottom line: I want to be honest, I still have to make up my mind about the usefulness of this supplement. I guess what actually does the trick is the combination of hyperhydration + energy availability. I have been preaching more than enough about the importance of energy availability over the last couple weeks, so I don't think I have to go into any more details here.

What I do think, however, is that few of you will be aware of the 2008 paper by Judelson et al. in which they report that hydration status is a fundamental determinant of the endocrine response to exercise, with dehydration leading to inappropriately high cortisol and norepinephrine levels that go hand in hand with an attenuation of the testosterone response to exercise, and negative effects on carbohydrate and lipid metabolism (Judelson. 2008).

Since you should by now have gotten the notion that insufficient energy does exactly the same, glycerol could well provide a means to counter this ergolytic double whammy. Against that background it is however strange that the athletes could not derive any athletic benefit from it... and weight loss without dieting (at least they were advised to stick to their habitual diets)?

If there is one definitive message you can take home from this study, though, it would be related to the dosage advice in the blueish info-box on the top right of this last paragraph: You better know how to use a supplement correctly! And this goes for the manufacturers of supps, as well as for the consumers: While the formers should finally stop putting ingredients into their supps to have them on the label, consumers should learn to identify hilariously underdosed and thus useless 'kitchen sink supplements' that 'have it all', but in doses where 'all' does not produce 'any' effect... how you can do that? Easy: Just make sure you get your daily dose of educative SuppVersity posts every day!

References:
  • Burke LM, Stear SJ, Lobb A, Ellison M, Castell LM. A-Z of nutritional supplements: dietary supplements, sports nutrition foods and ergogenic aids for health and performance--Part 19. Br J Sports Med. 2011 Apr;45(5):456-8. 
  • Judelson DA, Maresh CM, Yamamoto LM, Farrell MJ, Armstrong LE, Kraemer WJ, Volek JS, Spiering BA, Casa DJ, Anderson JM. Effect of hydration state on resistance exercise-induced endocrine markers of anabolism, catabolism, and metabolism. J Appl Physiol. 2008 Sep;105(3):816-24
  • Patlar S, Yalcin H, Boyali E. The Effect of Glycerol Supplements on Aerobic and Anaerobic Performance of Athletes and Sedentary Subjects. Journal of Human Kinetics. 2012; 34: 69-70. 
  • Van Rosendal SP, Osborne MA, Fassett RG, Coombes JS. Guidelines for glycerol use in hyperhydration and rehydration associated with exercise. Sports Med. 2010 Feb 1;40(2):113-29.
  • World Anti Doping Association. WADA Prohibited List 2010. < http://www.wada-ama.org/Documents/World_Anti-Doping_Program/WADP-Prohibited-list/2012/WADA_Prohibited_List_2012_EN.pdf > retrieved Nov. 01, 2012. 

Intermittent Thoughts On Intermittent Fasting - Exercise (3/3): How Training Solves the AMPK/mTOR Antagonism.

Image 1: Just like Two-Face, a character from the Batman comic books, AMPK turns out to have two faces,... ah I mean isoforms the differential expression of which explain why exercise, contrary to starving yourself, maintains or even builds muscle mass while reducing your love handles (img batman.wikia.com).
In the last installment of the Intermittent Thoughts on Intermittent Fasting series, we have revisited the idea of different training modalities, i.e. endurance and strength training, for the promotion of AMPK-related reductions in body fat and mTOR-dependent increases in muscle mass. We have also busted the long-standing myth of the "anabolic window of opportunity", which, upon closer examination, turned out to have the size of a barn door (>24h) that is unlocked with the key of exercise and nutrition sciences. Related findings showed that even in the absence of additional nutritional stimuli a single intense strength training session led to a profound and (>24h sustained) increase in mTOR phosphorylation in 24 untrained, young, healthy, male subjects (Vissing. 2011). In conjunction with the results of Burd et al. (Burd. 2011), who found that the beneficial effects of strength training on the subsequent response to protein feeding depend on exercise intensity and volume and last for >24h, these results further underline the synergistic effects the fasting, training, feeding cycle of classical intermittent fasting regimens had and still has on the health and physiqueof its practitioners.

Unfortunately, both the concept of "fat loss", as well as that of "muscle gain" are still largely associated with notion of what is commonly referred to as "energy balance". If you read my recent blogpost on the  "High(er) Reps for Fat Loss"-Myth, you will be aware of the fallacy behind the idea of "going to the gym to burn fat". And while more and more trainees (also thanks to the educational work of BodyRX Radio ;-) are getting the idea that you have already lost the fight against your love handles, when you go to the gym solely "to burn calories", the notion that you go to the gym to either "pump up" or "totally exhaust", "damage" and "break down" muscle tissue is similarly illusive. Contrary to what the more is more mentality of the western society may suggest, simple linear causality is nothing you will ever see as the underlying "reason" for the success of a given exercise regimen.

Gain muscle or lose fat? AMPK vs. mTOR and the unique effect of exercise
 
Image 2: "Immunocytochemistry/ Immunofluorescence - AMPK alpha 1 + AMPK alpha 2 (phospho S485 + S491) antibody (ab39400)" ... and if you do not understand this lingo, what you see here is nothing else but one of the unspecific markers for both isoforms of AMPK that is used in most of the studies (img abcam)
Regardless of whether you intend to lose fat, to build muscle or strength, the previous installments should have made it pretty clear that you will always be dealing with two-way processes, or I should say cycles. Now, interestingly enough, exercise, contrary to dieting or overeating, appears to have the unique quality of driving both at the same time - fat loss and protein synthesis, AMPK and mTOR. This works, and this is going to be the main message of this concise piece of the Intermittent Thoughts series, because the exercise induced muscular(!) AMPK-response differs from the one your brain and many other organs will exhibit, when you starve yourself during a diet. Actually we have been knowing for quite some time that the predominant isoform of AMPK that is expressed during exercise is AMPK-alpha2. Back in 2000, already, Wojtaszewski et al. found that "high" (in this case >70% of the individual VO2max) intensity exercise for 60min selectively increased AMPK-alpha2 activity almost threefold (Wojtaszewski 2011). Similar to the results of previously discussed studies, the increased AMPK levels returned to baseline within 3h after exercise-cessation.

Unfortunately, only few of the subsequent studies, which investigated the effects of different exercise regimen, used iso-form specific tests to determine which of the two AMPK isoforms was expressed consequent to the respective training protocols. According to the ground-laying work of Stapleton et al. (Stapleton. 1996) and supported by a study by Stephens et al., it is yet likely that the relative exercise-induced expression of AMPK-a1 in human muscle tissue is negligable.
Figure 2: AMPK-a2 expression (arbitrary units measured in the absence of AMP) and fat oxidation in g/min in 7 healthy individuals during 30 minutes cycling at 62.8% of VO2Max (data adapted from Stephens. 2002).
Moreover, the results of Stephens et al. underline that the exercise-induced increase in AMPK-alpha2 does not only increases fatty acid oxidation, but that both exhibit an excellent correlation with exercise induced glucose depletion (Stephens. 2002).
Figure 2: Glycogen content (mmol/kg) and phosphorylation of AMPK (arbitrary units) in human vastus lateralis muscle before (0 min) and at the cessation of 120 min of one-legged knee-extensor exercise, while consuming either a glucose containing drink or a placebo drink.  (data adapted from Thorbjorn. 2006)
It is thus not surprising that Thorbjorn et al. were able to show that the ingestion of 0.7 g of glucose/kg of body weight/hour did not only blunt the exercise induced AMPK-a2 response but also reduces its beneficial effects on fat oxidation by -47% (cf. figure 2)!

The results of older studies sometimes begin to shine in the light of novel findings 

Now, you probably knew all that before - after all we have been talking about this effect, its beneficial effects on fatty acid oxidation and glucose uptake, as well as its supposedly negative impact on protein synthesis in previous installments of this series. And in fact, these results begin to shine only, in the light of the results of a a recently published study by Mounier et al., who were able to show that only the increased expression of the alpha1 isoform of AMPK, but not AMPK-alpha2 does impair mTOR signalling. Against that background, the systemic antagonism of AMPK-alpha1 (expressed in liver, brain, and other organs) and mTORc1 mediated protein synthesis stands in stark contrast to the metabolically highly beneficial synergism of concomittant exercise-induced AMPK-alpha2 and mTORc1 expression.

To make a long story short: Exercise is unique in its ability to help you shed fat and build muscle "at the same time", because it activates a specific isoform of the "starvation sensor" AMPK, which does not block the concomitant increase in protein synthesis subsequent to the (likewise) exercise-induced increase in mTOR phosphorylation. On that note, my schedule forces me to end this abbreviated version of the Intermittent Thoughts, yet not without the promise that I am finally going to tie all the knots together in the next installments of this series.

Intermittent Thoughts On Intermittent Fasting - Exercise (2/3): Opening the "Anabolic Barn Door" With the Key of Exercise and Nutrition Science!

Image 1: The "anabolic window" turns out to be more of a barn door, which is unlocked by the key of exercise and nutrition science (Random House Books)
Looking back, the main take-aways from the last installment were the dependence of exercise performance on adequate and not so much constant energy supply, as discussed in the context of the Ramadan fasting soccer players, the increased AMPK response to fasted training on a hypercaloric diet, which would suggest that things like "fasted cardio" in the morning could well have it's place in an intermittent fasting regimen even when you are bulking (in order to ward off fat gains), and, last but not least, the differential AMPK- and p70S6K protein synthetic response of cyclists and powerlifters to unaccustomed training stimuli. Accordingly, a versatile training routine that is timed in a way that allows you to train fasted or semi-fasted training, i.e. having your first easily digestible high protein meal / supplement ~30min-1h before you hit the gym, will certainly help with lean gains and muscle-sparing fat loss.

How to train if someone "just wants to look good naked"?

While the observations of the Coffey study (Coffey. 2005) did underline the importance of versatility, or, I should say constant "novelty", or at least modification of the training stimuli, they did not really provide any clues on how someone, who "just wants to look good naked" (and I assume this applies to the majority of non-athletes, today) should train to transform his formerly at best non-obese physique to the cover-model'ish look everybody is aspiring these days.
Figure 1: Study design of the Vissing study with its 10-week preconditioning phase for the strength and endurance training groups (generated based on information from Vissing. 2011)
In regard to this question, a similar, yet more recent study on non-athletes comes to mind. In the course of the latter, K. Vissing and his colleagues from Aarhus, Denmark, and Geelong, Australia, took a closer look at the response of the "AMPK/mTOR seesaw" to either endurance or strength training (Vissing. 2011) after a comparatively brief per-conditioning period of 10 weeks (cf. illustration 1) - a scenario of which we can expect more reliable results than from its "highly trained recreational athletes" counterpart from the Coffey study, where the participants have been focusing on training for their respective sport (cycling or powerlifting) for years. Accordingly, Vissing et al. expected to see that...
[...] mTORC1 signaling would be selectively activated by SE [strength training], whereas AMPK signaling would be activated by both types of exercise but to a relatively higher degree after EE [endurance exercise] compared with SE [...]
Thus, their research hypothesis was in accordance with the publicly accepted idea that only strength training builds muscle (obviously the role of mTOR-activation in this process is widely unknown in the general public), while endurance exercise would be the better form to train if one wanted to lose fat - as a diligent reader of the SuppVersity, you will obviously be aware that the reduction in adipose tissue you will hopefully observe, when you are dieting, is primarily a result of the depletion of muscular (and hepatic) ATP stores, which brings the AMPK energy emergency police on the scene which will concomitantly tell your muscles to suck up all extra (i.e. more than your brain needs) glycogen from your blood stream and kick your adipocytes' asses, so that they release some of their fatty energy reserves as metabolic firewood for your mitochondria.
I hope you remember "The 'hungry' side of neuronal AMPK activation", i.e. the differential effects of AMPK phosphorylation in reaction to energy shortage in muscle or liver tissue vs. its effects in the brain. If not, I suggest you (re-)read the respective passage in "AMPK III/III: Natural Rythmicity for Maximum Fat & Minimal Muscle Loss", as a thorough understanding of this difference if of utmost importance if you want to be able to compare and interpret the data from various studies correctly.
The Coffey study (discussed in the last installment) did however show that this assumption, i.e. both endurance, as well as strength training will always increase AMPK, does not hold true, when we are talking about highly trained athletes - neither in the cyclists nor in the powerlifters from the Coffey study did engaging in their respective discipline produce statistically significant increases in AMPK phosphorylation.
Figure 2: AMPK phosphorylation (0, 2.5, 5 and 22h post) and approximate area under the respective curces (small graph) during post-exercise recovery from single-bout exercise, conducted with an exercise mode to which the exercise subjects were accustomed through 10 weeks of prior training (data calculated based on Vissing. 2011)
Conversely, in the Vissing study, AMPK phosphorilation did transiently increase in both the strength and endurance trained groups immediately post (at 0h) exercise (cf. figure 2). However, with the subsequent drop of the phosphorylated AMPK (pAMPK) below the values of the control groups, the estimated area under the curve (AUC; I simply used weighed averages for the calculation), i.e. the absolute AMPK phosphorylation over the whole 22h post-exercise window, for which the scientists have data (cf. figure 2, right), was -12% and -17% lower in the strength training group than in the control and endurance group, respectively.  

Without the AMPK elevation of an intermittent fast (or calorie reduction), it is thus unlikely that strength training alone is going to trigger significant AMPK responses.

Interestingly, the scientists state that the protein expression "of any of the reported signaling proteins" was "not altered" by the 10 weeks of pre-training, which would indicate that, contrary to years of competitive endurance exercise (cf. cyclists in illustration 1 in previous installment), 10 weeks with three weekly sessions of combined steady-state and interval exercises on stationary bikes do not blunt AMPK phosphorylation in response to 120 min of bicycle exercise at 60% of the individual VO2 max.

The induction of mTOR phosphorylation is and will remain the real strength of strength training

Likewise, the protein synthetic response (as evidenced by mTOR and p70S6K expression) did not change in response to a 10-week pre-conditioning phase comprising 30 leg workouts (3 exercises; 3-5 sets; 10 reps in the first 15 sessions, 4-6 reps in the last 15 sessions). Interestingly, and contrary to the often heard assertion that mTOR phosphorylation would be a strength training exclusive, figure 3 shows that there is still a minor, yet over the course of the post-exercise period, non-negligible increase in mTOR phosphorylation in the endurance trained subjects, whose 45min cycling session effectively blunted the mTOR dephosphorylisation the control group, who, just like all of the previously (before the preconditioning) 22 untrained healthy male subjects (79.1 kg; 182 cm; 23.3 years), fasted for the first 5h "post exercise" (their exercise consisted of sitting on the couch, doing nothing ;-).
Figure 3: mTOR phosphorylation (0, 2.5, 5 and 22h post) and approximate area under the respective curces (small graph) during post-exercise recovery from single-bout exercise, conducted with an exercise mode to which the exercise subjects were accustomed through 10 weeks of prior training (data calculated based on Vissing. 2011)
Even without looking at the data in figure 3 it should be obvious that the meager increase in mTOR phosphorylation in the endurance group cannot compete with what we see in the strength trained subjects, whose p-mTOR ( = phosphorylated mTOR) levels skyrocket in the post exercise phase, peaking at +218% (control: 56%; endurance: 130%) not immediately or maybe 1h post exercise but 5h after. Thus, the purported "anabolic window" of 1-2h after a workout turns out to be a barn door, in the real world - a barn door which is wide open right in the middle of your intermittent fasting feeding window!

Strength training = opening the "anabolic barn door"

Yet, while we do now know how to unlock the barn door, we still do not know if there ain't a way to push it open even further / faster, and how to keep it wide open for as long as possible. In this context, a study by Burd et al. from Steward Phillips group at the Department of Kinesiology of  McMaster University in Hamilton, Ontario (Burd. 2011) could provide further clues into the "optimal" way(s) to push the "anabolic barn door" open, as wide as possible.
After all that has been said about the over-expression of mTOR in our current society in the previous installments, it should be said that the problem does not lie with mTOR itself, as it is not the latter which inhibits AMPK, but the energy abundance that triggers the mTOR response in our western obesity scenario. This chronic nutritionally induced suppression of AMPK is something we need to distinguish from both the training-induced increase in mTOR phosphorylation and the temporary and strategically used dietary stimuli that are so characteristic of intermittent fasting.
Figure 4: If we disregard the nutritional component, the training induced "anabolic barn door" does not only coincide with the feeding window, it would also keep you nicely "anabolic" in the course of the fasting period.
In figure 4, I have extrapolated the missing two hours to complete a 24 hour intermittent fasting period, in the course of which you would do your training session early in the morning, head towards the gym at 8:00am, change your clothes, warm up, training for about an hour and break the fast at 10:00am. Thereafter, you would have a pretty long feeding window of about 6 hours, to then begin another fast... in that, your meal pattern would differ profoundly from the one of the study subjects, because the latter had to fast for the first 5 hours post exercise, so that the mTOR response was not augmented and the study results distorted by meal ingestion (afterwards they were allowed to eat whatever they wanted until 22:00pm and had to report back for the 8:30am blood draw (mTOR still +89% elevated) on the next morning. Due to these differences it is difficult to predict how your overall (i.e. exercise + food induced) mTOR response would look like on the above regimen.

Will the "anabolic barn door" stay open in the course of the fast and thusly prevent muscle breakdown?

This is where the data from the Burd study comes into play (Burd. 2011). In their study, Bird et al. had measured the fractional protein synthesis rate in response to feeding (15g of whey protein) and feeding and exercise (unilateral leg raises) at different intensities, i.e. 90% 1RM to failure, 30% 1RM with matched work-load and 30% 1RM to failure. What they found was that
regardless of condition, rates of mixed muscle protein and sarcoplasmic protein synthesis were similarly stimulated at FED and EX-FED (Burd. 2011)
- an observation, the scientist attribute to the fact that the sarcoplasmic constituents of the muscle may be more susceptible to hydration flux, so that the results may not adequately represent the "actual" protein synthetic response.Thusly, the researchers rely in their interpretation of the data mainly on the myofibrillar protein synthesis rate (cf. figure 5).
Figure 5: Changes (% per hour) in absolute myofibrillar protein synthesis (adapted from Burd. 2011)
As you would expect and actually can see in figure 5, the latter did respond to the additional exercise stimulus. Pumping away at 30% of your 1RM max without going to failure, is yet not enough to augment the statistically hardly significant increase in fractional protein synthesis that was triggered by protein ingestion, alone. It takes some effort, or, in other words, heavy weights and training to failure to trigger elevations in AKT phosphorylation (90% 1RM to failure) or mTOR phosphorylation (30% 1RM to failure) to get that done (note: neither of the two, i.e. protein kinase B = AKT or mTOR was significantly elevated by feeding, alone).
[...] protein ingestion stimulated rates of myofibrillar protein synthesis above fasting rates by 0.016 ± 0.002%/h and the response was enhanced 24 h after resistance exercise, but only in the 90FAIL and 30FAIL conditions, by 0.038 ± 0.012 and 0.041 ± 0.010, respectively. Phosphorylation of protein kinase B on Ser473 was greater than FED at EX-FED only in 90FAIL, whereas phosphorylation of mammalian target of rapamycin on Ser2448 was significantly increased at EX-FED above FED only in the 30FAIL condition.(Burd. 2011)
Moreover, and this may be of even greater importance in the context of exercising on an intermittent fast, muscle protein synthesis stayed elevated way beyond what is usually considered the <4h "anabolic window".
Our results suggest that resistance exercise performed until failure confers a sensitizing effect on human skeletal muscle for at least 24 h that is specific to the myofibrillar protein fraction. (Burd. 2011)
While this is obviously important for everyone who wants to accrue as much muscle muss as possible, any elevations in protein synthesis will also help a dieter to keep is hardly earned muscle, because in essence our muscles are continuously build up and broken down  - proteolysis, i.e. the breakdown of muscle tissue, and protein synthesis are going hand in hand and it is the ratio of one to the other, which decides whether we are in an "anabolic" (synthesis > breakdown) or catabolic (breakdown > synthesis) state. Consequently, any elevation in protein synthesis will ameliorate muscle loss - no matter how proteolytic a dieter may become during the fasting phase.

It takes >24h for the barn door to close itself - use this time to get rid of fat, not muscle

Fine, we unlocked the "anabolic barn door", it stays open for "at least 24h"... blah blah... wtf! how does all that translate from the metaphorical into the real world of intermittent fasting? Well, the answer is pretty simple, as hundreds of trainees have been practicing exactly that with extreme success over the past couple of months:
  1. fast until min. 1h before your training
  2. spike your protein synthesis with a protein shake (~20g of whey), EAAs (~10g) or BCAAs (~8g)
  3. train semi-fasted and heavy
  4. feast within a 5-8h window
  5. repeat the same litany again
Now, the sheer size of the barn door, ahm... sorry, the long-lasting anabolic and thusly anti-catabolic effect of intense strength training should allow you to either skip or replace "3. train semi-fasted and heavy" with "3. passive or active recovery" (in that case you also do not want to ingest the protein shake / EAA / BCAA) or even some "3. semi-fasted cardio" (see notes in red box) if you feel that your conditioning or weight loss will benefit from that, every other day without running the risk of either gaining too much fat weight.
Image 2: Your "anabolic barn" is huge enough to accommodate one or two steady state, low intensity or high intensity "cardio" sessions per week.
If you want to incorporate "cardio" training into your routine, the pre-conditioning protocol from the Vissing study could actually be a very good, since diversified, regimen. In that, you would cycle between doing "standard" steady state conditioning work, longer medium-intensity interval training and short, but intense HIIT sessions. The result would be a very complete "cardio" protocol, of which the Vissing study showed that it will help you ramp up your AMPK levels pretty profoundly, even if you are only sitting on one of those cycle ergometers pedaling away jovially at 60% of your VO2 max. And in case you are now concerned about possibly shutting the barn door - look at figure 3 again, the mTOR response to this kind of exercise may not be earth-shattering, but a plus of 25% @5h post exercise is better than what you would get if you just lay around lazily, as the control group in the Vessing study did.
With these insights into why that of which you already knew that it works actually works, I conclude this week's installment of the Intermittent Thoughts and hope that I did not bore you so much that you do not come back next Sunday for another installment of this series ;-)