Showing posts with label at. Show all posts
Showing posts with label at. Show all posts

Saturday, April 23, 2016

24 HIIT Workouts in Three or Eight Weeks Net Effects on VO2Max Are Almost Identical But Occur at Different Times

In general, you have to count and limit your weekly HIIT sessions. Doing as much as humanly possible, could yet make sense, when youre preparing for Olympia 2016 and realize 5 weeks before the event that you have been lingering for too long ;-)
I think as a SuppVersity reader you know by now that "more wont yield more" - no matter if we are talking about supplements or exercise. Now, while weve had countless examples of the "more aint more" principle thats also at the heart of the "Three Simple Rules of Supplementation" (read article) for supplements (e.g. zinc, chromium, etc.) and the simple notion that eating less wont always result in greater weight loss, evidence for the pro-anabolic / adaptive effects of exercise in general, and non-steady state cardio, in particular is scarce. Against that background its all the more important for us to cherish the publication of a paper from the Norwegian University of Science and Technology and the St Olav University Hospital in Trondheim Norway, Roy told me about by messaging me via the SuppVersity Facebook Page.

"More HIIT doesnt help more, either"

I guess the above would be the elevator pitch for the mythical "turbo lift" in Star Trek. For someone like yourself who has learned never to swallow "expert" wisdom just like that, the statement "more HIIT doesnt hep more, either" obviously wont be satisfying.
Figure 2: Illustration of the training in the low frequency (LF) and high frequency (HF) group.
If you look at the illustration above, you will already know somewhat more about the "more" in the previous sentence. As you can see, the parameter that has been modified is not the volume, its the frequency!  - and thus one of the parameters of which many gymrats think that it could hardly be high enough (AM + PM training, 7 days a week - does that ring a bell?). What this people ignore is the simple truth that ...

... adapatation takes time and training more often does not accelerate this process!

In the end, I am actually quite surprised to see that the net VO2 "gain" the scientists measured in the subsequent detraining phase (see Figure 2) was identical. Or, more explicitly, that packing 24 training sessions into three weeks did not blunt the mitochondrial adaptation processes that are responsible for the increase in VO2max, altogether.
Figure 2: VO2max and heart rate values of the 16 healthy subjects before / after high vs. low frequency HIIT (Hatle. 2014)
If we are brutally honest, though, there is obviously an advantage for the 24 sessions in 8 weeks version of this training protocol (see Figure 3, as well). The VO2max scores were after all identical only in the "catch-up" up period in week 11 and due to the rapid decline after week 12 the benefits faded equally rapid in both groups when the 19 healthy, normalweight, but non-athletic subjects returned to their usual laziness (detraining = not training at all).
Figure 3: If time is an issue, its probably worth to overreach for 3 weeks and compete after two weeks of "intense" detraining (Hatle. 2014)
Bottom line: If you are pressed in time, a short phase of very frequent training can bring your conditioning up faster (5 weeks vs. 6 weeks; see Figure 3). For an athlete who may react slightly different to this kind of protocol than the average Joes in the study at hand this one week could decide victory or defeat.

For someone who is in this for life - a true physical culturist, so to say - HIITing it everyday is not just madness, it is also very likely to end up producing the previously hinted at detrimental performance (and later on health) effects, as soon as this brief episode of overreaching becomes and endless nightmare of overtraining.
References:
  • Hatle H, Støbakk PK, Mølmen HE, Brønstad E, Tjønna AE, et al. "Effect of 24 Sessions of High-Intensity Aerobic Interval Training Carried out at Either High or Moderate Frequency, a Randomized Trial." PLoS ONE 9(2). (2014): e88375. doi:10.1371/journal.pone.0088375


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Monday, March 28, 2016

Will Even Normal Testosterone Levels Increase Your Cancer Risk Recent Study Makes it Sound Like it At First Sight!

Dont fall for someone who overgeneralizes, misreports or -interprets study results to tell you that healthy mid-range testosterone levels were a major trigger of cancer development.
I just got an email from my good friend Carl Lanore who hosts the Super Human Radio Show I am sure you have already seen in the sidebar of the SuppVersity. He pointed me towards the results of a recent study from the Copenhagen University Hospital saying "Adel have you seen this? Im sure the media will be all over it." Since Carl is usually pretty good at identifying things that "news" make headlines, I would like to leapfrog the mass media craze before any of you consider cutting off their best parts to end up in the allegedly healthy depth of quasi zero testosterone.

You have no clue what I am talking about? Well, I am about to elaborate. You just have to stay with me for the rest of a comparatively long, but insightful (I promise) analysis of the study and related contemporary evidence.
If its not testosterone its usually meat thats blamed to increase your cancer risk.

Meat-Love: You May Eat Pork, too!

You Eat What You Feed!

Meat & Prostate Cancer?

Meat - Is cooking the problem

Meat Packaging = Problem?

Grass-Fed Pork? Is it Worth it?
So, where do I begin?  The "mass media compatible message" of the abstract (and this is usually not even as far as most headline producers read) says: Having normal testosterone levels increases your risk of dying from cancer before your time by at least 30%! The more testosterone, the likelier you will pass away before your expiry date."

Well, as I said, this is the mainstream interpretation. And interpretation anyone could identify as being fundamentally flawed by simply reading the abstract carefully. In fact, you dont even have to read the whole 268 words! It would suffice to read the end of the first line of the result section, where it says:
"For risk of early death after cancer, for men [...]" (Ørsted. 2014)
Did you notice it? There is an "after cancer" in this sentence. This means, your risk of dying, if you develop cancer is increased, if [whatever follows]. Now, that which follows is ...
  • if you are in the 2nd quartile, your risk will be increased by 30%,
  • if you are in the 3rd quartile, your risk will be increased by 31%,
  • if you are in the 4th quartile, your risk will be increased by 52% and
  • if you are in the 5th quartile, your risk will be increased by 80%.
So, if you happen to be unlucky enough to develop cancer and your testosterone levels are high there is in fact an increased risk you could die from cancer.

So testosterone is still bad, right? Yes, but anything that is "anabolic", i.e. promotes the growth of all cells in your body is "bad" for someone who has cancer. Guess what chemotherapy will to do your testosterone levels and the amount of other pro-anabolic factors in your body? It will wreak havoc on your testes (Wallace. 1997), reduce their size to that of dried raisins, increase your risk of gynecomastia and reduce your testosterone levels to exactly those 6-10 nmol/L (Whitehead. 1982) of which the previously cited study by Ørsted et al. found that they are associated with the least risk of dying from already existing cancer in your body.
Figure 1: If you look at a random assemble of the myriad of risk associations that have been established for low T, the results of the study at hand do no longer appear to be that frightening - right?
A result that conceals the established negative effects of having low testosterone (see Figure 1) or depressing it which androgen deprivation therapy which may reduce the testosterone levels to the allegedly desirable range, but is associated with a 350% (!) increased risk of dieing from cardiovascular disease in prostate cancer patients (Tsai. 2007). I guess this should make you reconsider the "usefulness" of low testosterone levels.

But there is also an increase in cancer risk, no?

Yes, there is. According to the scientists it is (I quote) "1.07 (95% CI 0.98–1.18) and 1.06 (0.93–1.22) for men and women" if you compare say a man with 10nmol/L to a man with 20nmol/L. Now, as far as I can remember a 95% confidence interval, which is what you see in brackets, i.e. for men 0.98-1.18, defines the range in which the chance that the hypothesis that is tested, i.e. "testosterone influences the risk of prostate cancer" has a 5% chance of not being bullocks... ah, I mean statistical significant.
You really got to look closely: A statistically significant association between an increase in cancer risk for men was found only for oral cancer. Not for lung, prostate, colon, bladder, pancreas, stomach, blood (Leukemia), skin, oesophagus, kidney, larynx or liver. And while the increase in cancer risk for the highest vs. lowest quintile for oral cancer was high (60%), knowing that the same limitations, i.e. no adjustment for family history of cancer (which increases the risk by 160% | Garavello. 2008), diabetes (which is more than 2x more common in patients with diabetes | Ujpál. 2004), etc. (see list below), apply all results of this study, helps to put the "shocking" results into perspective and to read any upcoming media hype with the necessary calmness.
So, the scientists are 95% sure that a 2x higher testosterone level will be associated with a 2% decrease and 18% increase in... does this ring a bell? Yeah, thats not exactly a reliable prediction considering the fact that the researchers adjusted for smoking status, cumulative smoking, body mass index, alcohol consumption, level of education, and level of income for men and women, but "forgot" to adjust for...
  • family history of cancer, which is one of the, if not the main correlate of your risk of developing various cancer, such as prostate cancer (1000% increase, no typo | Steinberg. 1990), colon cancer (up to 59% risk increase depending on the region | Slattery. 1994) or breast cancer (145% risk increase with first-degree relative having breast cancer | Slattery. 1993) 
  • diabetes, which has been found to be associated with a 60% increase in colorectal cancer risk in patients who have been diagnosed with diabetes 10+ years ago (La Vecchia. 1997), a
  • the level of visceral fat, where high levels (relative to total body fat) are associated with 850% increased risk of breast cancer (Schapira. 1994) and up to 1000% increased prostate cancer risk (Hafe. 2004)
  • low sleep duration and quality, which has been associated with an increased risk of developing almost every form of cancer you can think of (Blask. 2009), including 60% increased breast cancer risk for women working the "graveyard shift" (Davis. 2001)
I could go on with all sorts of nutritional factors, medication (specifically hormonal contraceptives) the amount of exercise, the area you live in, your year of birth and hundreds of other factors that have previously been associated with an increase of cancer risk, but I guess the above should suffice to make you less confident that a "confidence interval" of 0.98–1.18 in men and 0.93–1.22 in women was enough to make the claim that "having a high testosterone level would [mechanistically!] trigger the development of cancer.
A general word on the androgen hypothesis of cancer: "Data from all published prospective studies on circulating level of total and free testosterone do not support the hypothesis that high levels of circulating androgens are associated with an increased risk of prostate cancer," says a 2006 review by Jean-Pierre Raynaud and goes on "[... a] study on a large prospective cohort of 10,049 men, contributes to the gathering evidence that the long standing “androgen hypothesis” of increasing risk with increasing androgen levels can be rejected, suggesting instead that high levels within the reference range of androgens, estrogens and adrenal androgens decrease aggressive prostate cancer risk. Indeed, high-grade prostate cancer has been associated with low plasma level of testosterone." (Raynaud. 2006) Or, as Morgentaler put it: "there is not now—nor has there ever been—a scientific basis for the belief that T causes pCA to grow" (Morgentaler. 2006)
Bottom line: Never freak out about the results of a single study. Specifically, if you have only read about it in "second" or "third hand" information sources like science magazines, blogs or the mainstream media. Testosterone is a welcome scapegoat, because it distracts us so nicely from the real culprits: Genetic disposition, and most importantly diabetes, being fat (not just overweight) and leading an overal pro-carcinogenic lifestyle as 90% of the inhabitants of the Western Obesity Belt (USA, Europe & Co) do. I mean, if we accepted that the latter were to blame (i.e. everything except genetics), this would mean that each of us would have to do something against it and "doing something" is is not exactly popular. Specifically, if "it" includes working out, eating healthy, practicing sleep hygiene and all those nasty thinks that are totally against our drive to make everything as "convenient" as possible.

Ah, and did I actually mention that I have repeatedly written about studies that show that normal and even high normal testosterone levels are not associated with an increased cancer risk - not even for the prostate (Stattin. 2004; Morgentaler. 2006; Roddam. 2008)? No? Well, now you know it, anyway ;-) | Comment on Facebook!
References:
  • Araujo, Andre B., et al. "Endogenous testosterone and mortality in men: a systematic review and meta-analysis." The Journal of Clinical Endocrinology & Metabolism 96.10 (2011): 3007-3019.
  • Blask, David E. "Melatonin, sleep disturbance and cancer risk." Sleep medicine reviews 13.4 (2009): 257-264.
  • Davis, Scott, Dana K. Mirick, and Richard G. Stevens. "Night shift work, light at night, and risk of breast cancer." Journal of the national cancer institute 93.20 (2001): 1557-1562.
  • Garavello, Werner, et al. "Family history and the risk of oral and pharyngeal cancer." International journal of cancer 122.8 (2008): 1827-1831.
  • Hafe, Pedro, et al. "Visceral fat accumulation as a risk factor for prostate cancer." Obesity research 12.12 (2004): 1930-1935.
  • La Vecchia, Carlo, et al. "Diabetes mellitus and colorectal cancer risk." Cancer Epidemiology Biomarkers & Prevention 6.12 (1997): 1007-1010.
  • Morgentaler, Abraham. "Testosterone and prostate cancer: an historical perspective on a modern myth." european urology 50.5 (2006): 935-939.
  • Raynaud, Jean-Pierre. "Prostate cancer risk in testosterone-treated men." The Journal of steroid biochemistry and molecular biology 102.1 (2006): 261-266.
  • Roddam, Andrew W., et al. "Endogenous sex hormones and prostate cancer: a collaborative analysis of 18 prospective studies." Journal of the National Cancer Institute 100.3 (2008): 170-183.
  • Slattery, Martha L., and Richard A. Kerber. "A comprehensive evaluation of family history and breast cancer risk: the Utah Population Database." Jama 270.13 (1993): 1563-1568.
  • Slattery, Martha L., and Richard A. Kerber. "Family history of cancer and colon cancer risk: the Utah Population Database." Journal of the National Cancer Institute 86.21 (1994): 1618-1626.
  • Schapira, David V., et al. "Visceral obesity and breast cancer risk." Cancer 74.2 (1994): 632-639.
  • Shores, Molly M., et al. "Low serum testosterone and mortality in male veterans." Archives of internal medicine 166.15 (2006): 1660-1665.
  • Stattin, Pär, et al. "High levels of circulating testosterone are not associated with increased prostate cancer risk: a pooled prospective study." International journal of cancer 108.3 (2004): 418-424.
  • Steinberg, G. D., Carter, B. S., Beaty, T. H., Childs, B. and Walsh, P. C. (1990), Family history and the risk of prostate cancer. Prostate, 17: 337–347. doi: 10.1002/pros.2990170409 
  • Tsai, Henry K., et al. "Androgen deprivation therapy for localized prostate cancer and the risk of cardiovascular mortality." Journal of the National Cancer Institute 99.20 (2007): 1516-1524. 
  • Ujpál, Márta, et al. "Diabetes and Oral Tumors in Hungary Epidemiological correlations." Diabetes care 27.3 (2004): 770-774.
  • Wallace, Euan M., et al. "Effects of chemotherapy-induced testicular damage on inhibin, gonadotropin, and testosterone secretion: a prospective longitudinal study." The Journal of Clinical Endocrinology & Metabolism 82.9 (1997): 3111-3115.
  • Whitehead, E., et al. "The effects of Hodgkins disease and combination chemotherapy on gonadal function in the adult male." Cancer 49.3 (1982): 418-422.


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Saturday, March 26, 2016

Nokia Lumia 920 AT T Full Specifications

Nokia Lumia 920 AT&T Full Specifications

Nokia Lumia 920 AT&T Full Specifications, AT&T branded Nokia Lumia 920 handset is powered by Microsoft developed mobile OS, with all the high-end specifications and solid hardware under the hood.

Nokia Lumia 920 made with brightly colored polycarbonate body, and runs Windows Phone 8 OS out of the box, sporting 4.5-inch Puremotion HD+ display with 720 x 1280 pixels of resolution, powered by Snapdragon S4 Plus chipset with a 1.5GHz dual-core Krait processor, 1GB RAM, an 8 megapixel camera with Pure View Phase 2 technology and Carl Zeiss optics, 1080p HD video recording capability, 1.3 megapixel front facing camera to make 720p HD video calls, 32GB onboard storage, 7GB SkyDrive cloud storage, Qi standard with built-in wireless charging capability, Bluetooth 3.1, micro USB 2.0, 802.11 Wi-Fi b/g/n/a, NFC radio, NFC file transfers, 4G LTE connectivity, preinstalled Angry Birds Roost gaming app, NFC Travel app, Microsoft Office, IE 10, Xbox Live games, 2000mAh battery, a whole host of the Windows Phone OS services.

Using its advanced floating lens technology, the Nokia Lumia 920 handset’s camera can capture in 5 times more light than typical smartphones without using flash, making it possible to capture bright, clear pictures and video indoors, and at night.

Nokia Lumia 920 AT&T Full Specifications

Network
4G Network700 MHz Class 17, 1700/2100 MHz
3G NetworkHSDPA 850, 1900 MHz
2G NetworkGSM 850, 900, 1900, 2100 MHz
System Properties
Operating SystemWindows Phone 8 OS
CPUQualcomm Snapdragon S4 Plus MSM8960 Dual-core 1.5 GHz Krait Processor
GPUAdreno 225
RAM1GB
Display
TypeIPS TFT PureMotion HD+ Touchscreen
Size4.5-inch
Colors & Resolution16M Colors & 1280 720 Pixels
Pixel Density332 PPI (approx.)
Design
Form FactorCandybar
Dimensions130.3 x 70.8 x 10.7 mm
Weight185 grams
Input / User Interface
Input- Corning Gorilla Glass 2
- Scratch-resistant
- Accelerometer
- Proximity Sensor
- Light Sensor
Camera
Primary (Rear-Facing)- 8.7 Megapixels
- 3264×2448 pixels
- PureView Phase 2
- Floating Lens
- Carl Zeiss optics
- F/2.0 Aperture
- Optical Image Stabilization
- Dual LED Flash
- Back-illuminated sensor (BSI)
- White Balance, Digital Zoom
- Auto Focus
- Geo-tagging
Video Recording Capability- 1080 HD Video Recording Capability @ 30fps
- 1920 x 1080 pixels
Secondary (Front-Facing)- 1 Megapixel
Memory
Internal Storage32GB Internal Storage
Expandable StorageNo
Connectivity
Bluetooth3.1 + EDR, A2DP
USBmicroUSB 2.0
HDMI-
WLAN- 802.11 Wi-Fi b/g/n/a
- Wi-Fi Direct
GPSYes
3GYes
NFCYes
RadioFM Radio with RDS
Headset3.5mm Audio Jack
Browser & Messaging
HTML, HTML 5, XHTML, CSS 3, XML
Internet Explorer 10
MMS, SMS, IM, Email, RSS
Battery
CapacityLi-Ion 2000mAh Standard Battery
Standby TimeUp To 400 Hours (2G)
Up To 400 Hours (3G)
Talk TimeUp To 17 Hours (2G)
Up To 10 Hours (3G)
Music Playback TimeUp To 67 Hours
Music & Video
Audio FormatsMP3, AAC, AAC+, WAV
Video FormatsMP4, H.264, H.263
Other Features
Xbox Services, Zune Services
Bing Maps, Bing Search
Works with Wireless Charging Plate DT-900
Compatible with JBL PowerUp Wireless Charging Speaker
Facebook, Twitter, YouTube
Nokia Univison, City Lens, Smart Shoot
Digital Compass
Microsoft Word, Excel, PowerPoint, OneNote, PDF viewer
Colors
Red, Black, White, Yellow and Cyan


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Tuesday, March 1, 2016

Bloggers! Never Think of Earning at First


Never Think of Earning from Blog So Early


Blogging is being a popular source of earning. Bloggers who started their blogging career more than 5 or 6 years ago, are now in very good position. In that time competition was not so hard. As a result, the old sites are now very popular. And the overall ranking of those sites are very well. 


But the time and trend have been changed a lot. There could be millions of new sites at present. And every day, many new bloggers are opening sites in Blogger or WordPress. And its really funny that, most of them think of earning before writing a single post! In reality, earning is not that easy. :(


If you wanna earn through blogging, you have to be patient, creative and excellent in writing. You have to differentiate your contents from those of competitors. You have to create superior value. Your contents should be attractive and helpful for the readers. 



Never Think of Earning at the Beginning!

Ive been started blogging just at the end of 2011. And now my position is not bad at all. Ive been familiar to the new bloggers. Even some of them copy contents from Marks PC Solution. 


Many of them chat with me. They ask for blogging tips. Usually they ask a silly question - 

How can I earn through blogging?
Or, How to make money from blog? 
Or, Can I earn from my blog?


Another common question is - 


How can I increase my blog visitor? 

And my answer is always same - 

  • First you have to write unique and useful contents for the visitors
  • Then try to grow and retain the visitors
  • Finally you will get a lot of opportunities to earn money


Whats Wrong with the Intention to Earn Money at First?

Thats a good question. And Ive logical answer to this question - 
  • If you think of earning before writing contents, your creativity will die which is essential in blogging. 
  • If you wanna earn just from the beginning, most probably you will fail. And thus you will be disappointed which may lead to the termination of your blogging career. 
  • Consider blogging as pastime. Love and enjoy it. Never take it as your primary job. Whenever you think blogging as your work, it will make you bore. 


Then how do you Start? 

Now come to the point. After opening a new site, you have to start as below - 

  • Visit popular blogs and websites
  • Read the posts and try to follow their styles 
  • Try to find a way to differentiate your style from those of others
  • Then start writing, spend time on your site

Remember, if you wanna earn from blogging, the first thing you have to do - 


Forget about earning - simply write posts just for the target visitors


You shouldnt even think about earning methods. Wait at least 01 year before you go for the earning. If you try to make money, you will be disappointed within few months. 



What Google Says - 

Google has some advices for the bloggers. You should follow these - 
  • Write for the visitors, not for the search engines
  • Create unique and useful contents for the users
  • Write easy-to-read text
  • Avoid copying contents from others
  • Create backlinks in proper way
  • Write as much text as possible (but no unnecessary discussion)

This is a very short list. But I think, if you follow these tips, you should be fine. Additionally you can also follow these writing guidelines . . . 



Stay with Marks PC Solution to get more interesting IT topics!





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Sunday, February 28, 2016

Five Good Reasons Why At Least 50 of Your 2015 Cardio Training Should Be High Intensity Interval Training HIIT

Remember: HIIT does not have to happen on the treadmill.
If you havent already done so, I suppose you are currently revising last years training regimen: Reviewing what worked and what didnt work; and thinking about (new) goals and the best ways to achieve them.

If you havent yet decided on what type of cardio training you want to do, todays SuppVersity article may help you make the right endurance / cardiovascular exercise choices for 2015. In that, the headline already revealed: At least 50% of your 2015 "Cardio" training should be high intensity interval training (HIIT) - and here is why.
You can learn more about HIIT at the SuppVersity

Add 2lsb of Lean Mass in 3 Weeks

Tabata = 14.2kcal /min ? Fat Loss

30s Intervals + 2:1 Work/Rec.

Making HIIT a Hit Part I/II

Making HIIT a Hit Part II/II

HIIT Aint For Everyone
  1. HIIT is more time efficient - Unless you have lost your hob and are looking to kill the newly won time in 2015, you are probably similarly short on time as most of us. Against that background, the mere time efficiency of HIIT workouts are an argument even the most feverish advocates of  low-intensity hour-long cardio cannot deny (Gaesser. 2011; Gillen. 2013).
    Figure 1: In contrast to often-heard claims, HIIT is not just a "glucose burner" its also a fat burner. It does (a) increase the oxidation of fatty acids after the workout and (b) increases your muscles and other cells general ability to oxidize fat as fuel (see figure from Talanian. 2007).
    "As few as 6 sessions of HIIT over a 2-week period for a total of about 15 minutes of very intense exercise (equating to approximately 600 kJ or 143 cal) have been shown to increase skeletal muscle oxidative capacity and alter metabolic control during aerobic-based exercise (Gibala. 2008). And 7 HIIT sesssions performed over 2 weeks significantly heightened whole body and skeletal muscle capacity for fatty acid oxidation during exercise in moderately active women (Talanian. 2007). For those who have limited time to work out, this makes HIIT an intriguing option" (Schoenfeld. 2009).
    And even if your goal is not to get fitter, but rather to burn more energy, HIIT can do what steady state cardio will never achieve, i.e. burn 14.5 kcal/min (see "Tabata Workouts: Do They Work & How Energy-Demanding Are They? 14.5 Kcal/Min Sounds Nice, But You Must Earn It!" | learn more). In the end, short workouts will thus increase your 24h energy expenditure to the same extend endless steady-state workouts would do (Skelly. 2014).
    "HIIT may help insufficiently active individuals overcome a major barrier to maintaining a physically active lifestyle, that of a perceived lack of time. An added bonus is that from a time:benefit perspective, HIIT may prove to be a good example where less can be more" (Gaesser. 2011).
    And it does not even take a Tabata workout to time-efficiently improve your health. As a SuppVersity reader you will be aware that "4x4 Minutes of HIIT Per Week Thats All It Takes For Already Well-Conditioned Individuals to Stimulate Mitochondrial Growth ? 15% Increase in VO2Max, Peak & Mean Power" | learn more.
  2. HIIT has more favorable effects on your glucose metabolism and heart health - You probably have heard that 1h on the treadmill was the ideal exercise for the obese type II diabetic, right? Well, this may in fact be true, but the reason thats ideal for an obese type II diabetic is that even walking on a treadmill is a high intensity exercise for someone who weighs 300-450lbs.
    Figure 2: A 2008 study in healthy, normal-weight young women proves: HIIT "cardio" training leads to significantly more pronounced improvements in all three central variables of glucose metabolism than a comparable steady-state "cardio" workout (Trapp. 2008).
    That being said, for all of you with at least a decent amount of fitness, HIIT training with its ability to burn tons of glycogen within just a few minutes should be the preferred mode of exercise. A mode of exercise which has far more potent effects on the expression of the anti-diabetic, anti-obesity and anti-metabolic syndrome proteins AMPK and SIRT-1 than any other form of exercise (Gurd. 2010) and has thus not surprisingly been shown to have superior effects on central markers of glucose metabolism in a 2008 study by Trapp et al. - and that in healthy, lean, young women (see Figure 2).

    A similar superiority has been observed by Weston et al. (2013) in patients with lifestyle-induced cardiometabolic disease. Their systematic review and meta-analysis in the British Journal of Sports Medicine indicates that "HIIT significantly increases CRF [cardio-respiratory fitness] by almost double that of MICT in patients with lifestyle-induced chronic diseases." (Weston. 2013).
  3. HIIT exercise will help curb your cravings - While steady-state "cardio" has repeatedly been associated with increases in appetite, hunger and most importantly food intake, there is good evidence that "Intensity [is] the Key to Minimize Exercise Induced Cravings?" (learn more)
    Figure 3: Effects of exercise duration and intensity on energy intake; exemplary study results
    from Erdmann et al. (2007, left) and Larson-Meyer et al. (2012, right).
    I dont want to repeat myself on this one. Instead I will just refer you to a recent SuppVersity article on that matter and the plethora of evidence that confirms the negligible or beneficial effects of high intensity interval training on appetite, hunger and how much food you eat and thus ruin any exercise-induced reduction in your daily energy balance (Alkahtani. 2014; Martins. 2014).

    Figure 4: VAS scores for hunger (A), desire to eat (B), fullness (C), and thirst (D) during REST (black line) and EX (gray line) (n = 15). Hatched rectangles represent the treadmill run/rest; striped rectangles represent the fMRI scan (Crabtree. 2014).
    Before I go on to the #4 on the benefits list, I would yet like to highlight the following result from a recent study from the University college of London:
    "Exercise increases neural responses in reward-related regions of the brain in response to images of low-calorie foods and suppresses activation during the viewing of high-calorie foods" (Crabtree. 2014)
    Cant believe what you just read? Look at the figure on the right which depicts the VAS scores for hunger, desire to eat, fullness, and thirst, during REST (black line) and EX (gray line) in N=15 lean healthy men who completed two 60-min trials—exercise and a resting control trial (REST).

    Thus, the study clearly confirms the validity of the suggestion to stay scrap your steady-state cardio workouts and replace them with HIIT, in order to finally be able to stick to your diet plans and see the fat loss you are looking for.
  4. HIIT ramps up the metabolism instead of ruining it - As long as you dont overdo it by training too often or extending your HIIT sessions to 1h, HIIT will produce a profound "after burn" thats 3x higher than in the case of classic steady-state "cardio" workouts.
    Figure 5: EPOC and corresponding additional energy expenditure in the high intensity 3x Wingate group (SPIE) and the 30min continuous exercise group (HIE) during the 30 min right after the workout (Townsend. 2013)
    As a standalone, this previously reported benefit is hardly worth the paper it is printed on. In conjunction with the previously mentioned benefits, however, it is an important benefit of HIIT that must not be underestimated.
  5. HIIT is perfectly scalable - Unlike steady-state cardio, where you would have to endlessly increase your workout times, HIIT workouts are easily scalable. You can either...
    • HRV = heart rate recovery analyses are a great tool to monitor your training & recovery | learn more
      do an additional interval (volume increase),
       
    • increase the resistance on your training device or run / cycle on a more difficult track (intensity increase),
    • increase the speed at which you run, pedal or row (intensity increase), or
       
    • reduce the time of active rest between the intervals (intensity increase)
    and thus have many more options to tweak the workouts to your individuals needs. For beginners this is not that important. An obese type II diabetic has plenty of room to increase the pace and / or duration of his / her steady-state "cardio" workouts. A trained athletes, on the other hand, will soon hit a wall, when he / she begins to cycle at 90% intensity for 2h everyday.
Bottom line: As you can see, there are plenty of good arguments in favor of HIIT training. Arguments that do yet not warrant replacing "classic" steady-state endurance training altogether. In fact, comparisons of high intensity interval and classic endurance training in trained athletes show that both are equally effective (Owens. 2013). If you are a triathlete or other endurance athlete, your interpretation of the science presented in the study at hand must still be different. For you (as an endurance athlete), replacing 50% your sport-specific training, which is steady-state training, with HIIT isnt advisable. Adding one or the other HIIT session from time to time, on the other hand, is.

HIIT "cardio", steady-state "cardio" and the sympathetic and parasymphatic nervous system | more
For the average gymrat, important arguments to keep the classic cardio exercises in their routine can be (a) personal preference (even the best workout is only beneficial if you actually do it) and (b) the recovery of the sympathetic nervous system. While low intensity steady state cardio - if its done in reasonable amounts - may actually improve the recovery of the sympathetic nervous system the day after a strength training session. A HIIT workout will further tax it. If you belong to those who hit the weights 5x per week, it may thus be wiser to stick to steady state instead of HIIT exercise as your preferred weight training regimen to give your sympathetic nervous system time to recover during a low intensity steady-state workout | Comment on Facebook!
References:
  • Alkahtani, Shaea A., et al. "Acute interval exercise intensity does not affect appetite and nutrient preferences in overweight and obese males." Asia Pacific journal of clinical nutrition 23.2 (2014): 232.
  • Crabtree, Daniel R., et al. "The effects of high-intensity exercise on neural responses to images of food." The American journal of clinical nutrition 99.2 (2014): 258-267.
  • Erdmann, Johannes, et al. "Plasma ghrelin levels during exercise—effects of intensity and duration." Regulatory peptides 143.1 (2007): 127-135.
  • Gaesser, Glenn A., and Siddhartha S. Angadi. "High-intensity interval training for health and fitness: can less be more?." Journal of Applied Physiology 111.6 (2011): 1540-1541.
  • Gibala, Martin J., and Sean L. McGee. "Metabolic adaptations to short-term high-intensity interval training: a little pain for a lot of gain?." Exercise and sport sciences reviews 36.2 (2008): 58-63.
  • Gillen, Jenna B., and Martin J. Gibala. "Is high-intensity interval training a time-efficient exercise strategy to improve health and fitness?." Applied Physiology, Nutrition, and Metabolism 39.3 (2013): 409-412.
  • Gurd, Brendon J., et al. "High-intensity interval training increases SIRT1 activity in human skeletal muscle." Applied Physiology, Nutrition, and Metabolism 35.3 (2010): 350-357. 
  • Larson-Meyer, D. Enette, et al. "Influence of running and walking on hormonal regulators of appetite in women." Journal of obesity 2012 (2012).
  • Martins, Catia, et al. "Effect of Moderate-and High-Intensity Acute Exercise on Appetite in Obese Individuals." Medicine and science in sports and exercise (2014). 
  • Owens, Krystyna. "The effectiveness of high intensity interval training in improving VO< sub> 2</sub> max for performance gains as compared to standard endurance training in athletes." (2013).
  • Schoenfeld, Brad, and Jay Dawes. "High-intensity interval training: Applications for general fitness training." Strength & Conditioning Journal 31.6 (2009): 44-46. 
  • Skelly, Lauren E., et al. "High-intensity interval exercise induces 24-h energy expenditure similar to traditional endurance exercise despite reduced time commitment." Applied Physiology, Nutrition, and Metabolism 39.999 (2014): 1-4.
  • Talanian, Jason L., et al. "Two weeks of high-intensity aerobic interval training increases the capacity for fat oxidation during exercise in women." Journal of applied physiology 102.4 (2007): 1439-1447. 
  • Townsend JR, Stout JR, Morton AB, Jajtner AR, Gonzalez AM, Wells AJ, Mangine GT, McCormack, WP Emerson NS, Robinson EH, Hoffman JR, Fragala MS Cosio-Lima L. Excess Post-Exercise Oxygen Consumption (EPOC) Following Multiple Effort Sprint And Moderate Aerobic Exercise. Kinesiology. 2013; 45(1):16-21
  • Trapp, E. G., et al. "The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women." International journal of obesity 32.4 (2008): 684-691. 
  • Weston, Kassia S., Ulrik Wisløff, and Jeff S. Coombes. "High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis." British journal of sports medicine (2013): bjsports-2013.


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Friday, January 29, 2016

Breakfast! An Un Biased Look at the Contemporary Scientific Evidence For and Against the Benefits of Having Breakfast and The Negative Effects of Skipping Meals

Believe it or not, but the question "low or high carb for breakfast" is non-sense, because there is no general answer. It depends on who is asking and what he is going to spend the rest of his day.
Before we can start reviewing the contemporary literature, we will have to define the term "breakfast" as the first meal in the day which is eaten in the AM. This definition differs from the "literal" one, Ive used in a previous article with the title "Circadian Rhythmicity - "Breakfast" or "Breaking the Fast"? Fasting as Zeitgeber & All About King, Prince & Pauper" (read it) and is thus in line with the mainstream idea of standing up, showering and... yes, you got it: having breakfast.

If you google "breakfast" and "obesity" youre served a colorful potpourri of "pro breakfast" articles which will inform you about "facts" like "Eating a big breakfast fights obesity and disease" (ScienceDaily), or "Breakfast Combats Obesity and Diabetes in Young People" (medscape).
Learn more about fasting and eating / skipping breakfast at the SuppVersity

Breakfast and Circadian Rhythm

Does Meal Timing Matter?

Breakfast & Glucose Metab.

Breaking the Fast, Cardio & the Brain

Does the Break- Fast-Myth Break?

Fasting = Muscle- Loss - Always?
Could all these "experts" be wrong? For the obedient average Joe this sounds crazy. Like one of those theories from your average Internet conspiracy theorist, but if you look at the actual evidence you have to admit:"A definitive conclusion can be made concerning the role of breakfast skipping in weight change." (McCrory. 2014)

The reasons for our cluelessness are manifold

There is for example a very good reason I anteceded this article with a definition of "breakfast". The latter is after all something you wont find in the average study, which could therefore consider eating a donut at 11am in as much as "breakfast", as it would discard having a protein shake immediately after you wake up as "not breakfast".

If we look at the actual "average Joe" (according to US National survey data), were getting into even more trouble. This guy was eating 2.76 meals in 1971–75, while he is now up to 2.96 in 1999–2002 (Kant. 2007).

In other words: Americans eat more frequently these days, but are still fatter

Obviously frequency alone doesnt tell us whether one of those "almost three" meals was actually the holy breakfast. I mean, if it wasnt its obvious the Americans became fatter and fatter - right (sarcasm)? The data we are interested in, is thus not the total number of meal (if you want to know more about that, take a look at "Many Small Meals Suck!" | go for it!). The data we are interested in is the data in Figure 1, the number of non-obedient US citizens who dont listen to the well-meant advice from the USDA and simply skip one of their holy meals.
Figure 1: Prevalence of skipping meals (breakfast, lunch, dinner) and snacking in the US, 2009–10 (McCory. 2014).
As McCorey highlights in a recent review (2014), their number rose. This seems to be a contradiction. I mean, if the number of meal skippers increases, shouldnt the number of meal (on average) decrease, when it in fact rose from 11% to 18%? Well, it should, if it was not for the snackers and grazers who either skip breakfast and snack all-day or are over-obediently grazin on 20+ small meals per day.

Figure 2: Prevalence of breakfast skipping among US men and women (USDA)
Whats interesting, is that we will find that the was a decrease in breakfast skippin from 2002 to 2009, of which I am pretty sure that it was (at least partly) mediated by headlines like the ones I quoted in the introduction to this article (USDA)

USDA shows a slight decrease in the prevalence of breakfast skippingin both men and women by about 4%. If not having breakfast was the root cause of the obesity epidemic, the average American should thus have lost a few pounds over the past decade - right?

Right! This should be the case if breakfast was the mythical "lean-maker" the "experts" want us to believe. The figures, i.e. the constantly increasing rate of obesity, dont disprove that (those who dont eat breakfast could simply gain even more weight), but they certainly put another "?" behind the statement that having breakfast has anti-obesogenic effects.

23% of males and 20% of females skip lunch!

Apropos "?", I am missing one, here! One behind the consequences of skipping lunch. With all the upheaval about skipping breakfast, people seem to have forgotten that lunch, not breakfast, was the most commonly skipped meal among most age groups in 2009–10. In most age groups, 23% of males and 20% of females are skipping this important (?) meal... and are - you bet - having an unhealthy snack later in the afternoon.
How careless is it not to have breakfast :-) According to the latest meta-analysis of cross-sectional studies (epidemiology) with the telling title "Belief beyond the evidence: using the proposed effect of breakfast on obesity to show 2 practices that distort scientific evidence." skipping breakfast is associated with a +55% increased obesity risk. A risk increase without any evidence of a causal relationship between the two epidemiologically assessed parameters.
Anyway! This is the breakfast skipping research summary and no afford to dig up the two or three studies that dealt with skipping lunch explicitly. Lets thus, just for the time being, assume breakfast does in fact keep you lean. How on earth would eating some extra-food do that, when we all agree that the root cause of the obesity epidemic is after all the ravenousness of the average Westerner and the ways in which his / her diet multiplies these effects...oh, I guess the latter will lead us right to one of the answer to our question.

Proposed reasons for the anti-obesity effects of breakfast

I am not sure if I will be able to list all of them, but the following list of explanations that have been brought forward to explain the cross-sectionally observed negative association between body weight and breakfast eating is probably pretty comprehensive:
  • skipping breakfast leads to lower satiety than if breakfast had been eaten, thus 
  • overeating will ensue later in the day, which
  • over time would result in weight gain
What? Yeah, in the end, this is all the "breakfastpromoters" have to tell you: Its an overcompensation for the energy missed at breakfast they blame the alleged fattening effects of not having breakfast on. As McCroy points out, in whats probably the most recent peer-reviewed analysis of the contemporary evidence, one could easily imagine another scenario
"in which breakfast skipping could result in no weight change over time, if breakfast skipping does not lead to overeating (i.e., if there is perfect compensation for the missed meal), or to weight loss if there is lack of compensation." (McCrory. 2014)
In his review McCory provides an enlightening overview of each of these possible scenarios, I dont want to keep from you. The“control” in this imaginary case study is a habitual breakfast eater with energy needs of 2000kcal/day, whose energy intake distribution across breakfast, lunch, snacks and dinner is 2000 kcal/day and therefore who is maintaining body weight.
Figure 3: Theoretical models illustrating different types of breakfast skippers vs. a habitual breakfast eater (McCrory. 2014).
There are potentially three types of habitual breakfast skippers: those with perfect compensation and maintain body weight, those who overcompensate and gain weight, and those who undercompensate and lose weight over time. In his consecutive review, in which McCrory considered only studies in adults (?18 years on average) and focusing primarily on experimental studies (short-term acute feeding trials or longer-term feeding trials) and longitudinal studies (prospective or retrospective, with the outcome of body weight change), the scientists from the Purdue University draws the following conclusions:
  • Acute feeding studies on breakfast skipping effects on energy intake and appetite later in the day show equivocal results.
  • Longer-term (2–3 weeks) randomized controlled trials do not show effects of breakfast skipping on weight change.
  • In prospective studies with 3.7–10 years follow-up, individuals who consume breakfast more frequently gain less weight.
McCrory also points out that the lack of standardization is a major obstacle that makes it difficult, if not impossible to compare the results from different labs / different experimental setups.
Lets assume you decide you want to have breakfast, because this works for you and you dont belong to the unfortunate people with an APO-E4-genetyp - in that case Id suggest you consider having one or multiple eggs, incl. the yolk, to boost your cholesterol reverse transport and improve your cholesterol profile | learn more.
Bottom Line: Considering all the previously presented facts, we have to admit that we are currently, not at a point where anyone could prove a causal relationship between breakfast skipping and an increased obesity risk. Personally, I dont believe that there is a general connection - specifically not in those of us who eat clean and keep an eye on their overall food intake.

Furthermore, the average American breakfast consists of sugar-coated breakfast cereals with bacon... well, sort of. So skipping a meal like this is probably not going to hurt anyone. Whats really intriguing, though, is the number of lunch skippers. A number I havent been aware of, when I started writing this article, and a number I am planning to address in a future article - assuming I find more evidence than the two potentially relevant studies that popped up in my first cursory database search.
References:
  • Brown, Andrew W., Michelle M. Bohan Brown, and David B. Allison. "Belief beyond the evidence: using the proposed effect of breakfast on obesity to show 2 practices that distort scientific evidence." The American journal of clinical nutrition 98.5 (2013): 1298-1308.
  • Kant, Ashima K., and Barry I. Graubard. "Secular trends in the association of socio-economic position with self-reported dietary attributes and biomarkers in the US population: National Health and Nutrition Examination Survey (NHANES) 1971–1975 to NHANES 1999–2002." Public health nutrition 10.02 (2007): 158-167.
  • McCrory, Megan A. "Meal skipping and variables related to energy balance in adults: A brief review, with emphasis on the breakfast meal." Physiology & Behavior (2014).


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