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If you dont have ginger powder, just shred a fresh rhizome. Thats by the way what the researchers did, as well.

Yeah, we all know "Ginger is good for your glucose metabolism". We all know "there are dozens of rodent studies that support its benefits". And we also know that there is evidence from acute interventions that indicate that ginger can ameliorate the glucose response to oral glucose tolerance tests.

But do we know, whether the regular consumption of realistic amounts of pure ginger will have beneficial effects on the glucose levels of those who would benefit the most, i.e. type II aka "lifestyle" diabetics?
The results of the latest study from the Tehran University of Medical Sciences where scientists obviously dont depend on being able to produce patentable agents would suggest: There are benefits!

I have to admit, though, the ginger the 20-60 years old diabetics consumed was not provided in form of whole roots, but rather as a powder made of ginger roots.

"The under study patients were diagnosed with non-insulin dependent diabetes mellitus (NIDDM) by an endocrinologist on the basis of the results of the blood tests and met the criteria of the study. These criteria included: disease duration at least 2 years, HbA1c level of 6-8%, taking no antioxidant supplements such as selenium, zinc and beta-carotene for at least 3 months prior to the study, no smoking and drinking. Exclusion criteria of the study were insulin therapy at baseline or during the study, changes in the type or dose of medication, changes in diet or daily physical activity, any acute illnesses or some chronic diseases including kidney, liver, cardiovascular, and gastrointestinal diseases, smoking pregnancy and lactation, consumption of ginger or other botanical supplements, ginger hypersensitivity, and consumption of less than 80% of supplements during the study period." (Khandouzi. 2015)

Patients were divided randomly into two groups (experiment and control, 25 subjects in each) using computers random numbers to receive either ginger or placebo one capsule twice a day for 12 weeks. All subjects were permitted to consume their usual medications according to their physicians recommendation.

Regular ginger powder, nothing else!

The fresh rhizomes for the ginger powder purchased from local market and were ground as a fine particle after drying. The powder was delivered to a pharmaceutical lab (Tehran university of medical sciences, Iran) to prepare capsules containing 1 gram ginger in each. Lactose was also used to make placebo. Information on when the supplements were ingested is unfortunately, not available, but I assume "twice daily" means with breakfast and dinner or something like that.

Figure 1: Changes in fasting blood sugar, HbA1C, Apo-B/Apo-A1 and MDA levels (Khandouzi. 2015).

What is available, is the most relevant information, i.e. glucose, apolipoproteins and MDA levels we can use to access the effects on glucose and lipid metabolism and the peroxidation of polyunsaturated fatty acids.Parameters of which the data in Figure 1 tells you that they were significantly improved over the course of the 12-week study period. More specifically, this means:

• A 12% and 10% reduction in fasting blood glucose and HbA1c that may reduce many of the nasty chronic side effects of type II diabetes, such as its negative effects on heart health (Patel. 2008)
• A 28% reduction in the Apo B / Apo A-I ratio that signifies a significant reduction in coronary atherosclerosis risk (Van Stiphout. 1986)
• A 23% reduction in malondialdehyde (MDA) levels that signifies a reduction in coronary heart disease risk (Khan. 2000)

Overall, there is thus little question that something as simple as adding 2g of pulverized fresh Zingiber officinale rhizomes will have a significant impact on important health markers in middle-aged type II diabetics.
References:

• Khan, Mudassir Ahmad, and Abdul Baseer. "Increased malondialdehyde levels in coronary heart disease." J Pak Med Assoc 50.8 (2000): 261-264.
• Khandouzi, Nafiseh, et al. "The Effects of Ginger on Fasting Blood Sugar, Hemoglobin A1c, Apolipoprotein B, Apolipoprotein AI and Malondialdehyde in Type 2 Diabetic Patients." Iranian Journal of Pharmaceutical Research: IJPR 14.1 (2015): 131.
• Patel, Anushka, et al. "Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes." (2008).
• Schweizer, A., et al. "Comparison between vildagliptin and metformin to sustain reductions in HbA1c over 1 year in drug?naïve patients with Type 2 diabetes." Diabetic Medicine 24.9 (2007): 955-961.
• Van Stiphout, W. A. H. J., et al. "Is the ratio of apo B/apo AI an early predictor of coronary atherosclerosis?." Atherosclerosis 62.2 (1986): 179-182.

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).
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

No, the sun does not kill you. If you control your exposure it may extend your life and improve your life-quality significantly.

Its about time to "let there be light" to illuminate the benefits of regular well-timed exposure to sunlight and its short frequency component. Only recently, researchers from the Japanese National Institute of Advanced Industrial Science and Technology (AIST) were able to show that daytime light exposure has significant beneficial effects on cognitive brain activity. Significant enough to have the subjects perform better on an oddball task and to significantly increase cortical activity related to cognitive processes (Okamoto. 2014).

But is that really all, bright light, or more specifically, the regular and well-timed exposure to bright light can do for you?
Certainly not. I mean if its ill-timed, like the evening use of light-emitting eReaders it will negatively affect your sleep, mess up your circadian rhythm and decrease your alertness on the next morning. Similar results, i.e. drowsiness and suppression of energy metabolism the following morning, have been reported by other studies, as well (Kayaba. 2014).

As a SuppVersity reader you do yet know all about those negative effects from the circadian rhythm series, anyway. Reason enough for me, to focus primarily on all the good stuff, the well-timed exposure to bright light can do for you in todays Special of the SuppVersity Short News.

• If you cant let go off your mobile at night, use blue blocker glasses as a countermeasure for alerting effects of evening light-emitting diode screen exposure - According to researchers from the Psychiatric Hospital of the University of Basel, blue blocker glasses (BB) significantly attenuate LED-induced melatonin suppression in the evening and decrease vigilant attention and subjective alertness before bedtime.
  
  Strangely, though, visually scored sleep stages and behavioral measures collected the morning after were not modified. Still, van der Lely et al. conclude: "BB glasses may be useful in adolescents as a countermeasure for alerting effects induced by light exposure through LED screens and therefore potentially impede the negative effects modern lighting imposes on circadian physiology in the evening "(van der Lely. 2014).
• UV-light protects against "brainflammation" in MS model - Scientists from the University of Wisconsin-Madison report in their latest paper that UV light selectively inhibits spinal cord inflammation and demyelination in experimental autoimmune encephalomyelitis.
  
  Previous studies have already shown that UV radiation (UVR) can suppress experimental autoimmune encephalomyelitis (EAE), an animal model of multiple-sclerosis (MS), independent of vitamin D production. The mechanism of this suppression did yet remain to be elucidated, until Wang et al. (2014) observed that UVR (10kJ/m²) does not just inhibit the inflammation and demyelination of the spinal cord, but will also dramatically and significantly reduce spinal cord chemokine CCL5 mRNA and protein levels.
  
  In conjunction with an increased production of intereron-gamma (IFN-?) and IL-10, which are actually used to treat all sorts of autoimmune diseases, artificial and natural UV light can thus actually "prevent the migration of inflammatory cells into the CNS" (Wang. 2014).

• Melatonin conc. after 4 days w/ dim vs. bright light and tryptophan rich vs. poor breakfast (Fukushige. 2014).

  Bright light in the AM and the consumption of a breakfast thats high in tryptophan can help you maintain a healthy circadian rhythm - In case you are asking yourself how you can grasp all the benefits that are associated with having an intact circadian rhythm, you may be intrigued to hear that researchers from the Fukuoka Womens University have been able to show that an increase in tryptophan intake at breakfast combined with daytime light exposure has beneficial effects on melatonin secretion and sleep quality. As you can see in the figure to the left it will significantly elevate the evening melatonin peak, which is critical for an optimal circadian rhythm.
  
  If you are looking to optimize your internal clock bright light (either sunlight or a 10,000 Lux daylight lamp) + tryptophan (seeds, nuts, soy, cheese, chicken, turkey, fish, oats, beans and eggs are the TOP10 sources) are the way to go. If you want an extra "kick" add some coffee to the equation. This will increase the light responsiveness of the circadian pacemaker - well, at least in mice it does (Diepen. 2014).

• Bright lights at work will keep you sane, happy and alert - If you are working in an insufficiently lit office without natural sunlight, you should be prepared to develop physiological, sleep and depressive symptoms.
  
  Assuming you have a window in your office, you will get a significantly more pronounced total and peak exposure to bright light thats going to correlate with 33% reduced levels of the stress hormone cortisol, a more natural rhythm of melatonin and a reduced risk of minor psychiatric disorders and depressive symptoms (MA) in the evening.
  
  Thats at least what the results of a recent study from the UFRGS in Porto Alegre indicates (Harb. 2014). A study the authors of which proudly say that their "study demonstrated that not only may light pollution affect human physiology but also lack of exposure to natural light is related to high levels of cortisol and lower levels of melatonin at night, and these, in turn, are related to depressive symptoms and poor quality of sleep" (Harb. 2014).

• If you want to light up the darkness, when its actually time to sleep do it with green (555nm) or red, not blue light, which suppresses melatonin (Bonmati-Carrion. 2014).

  Staying away from nightly night exposure may also help to keep your arteries clean even in the old age - Studies indicate that even after  adjustment for confounding factors, including age, gender, body mass index, current smoking status, hypertension, diabetes, dyslipidemia, sleep medication, estimated glomerular filtration rate, nocturia, bedtime, duration in bed (scotoperiod), day length (photoperiod), urinary 6-sulfatoxymelatonin excretion and daytime and nighttime physical activity, exposure to light at night is associated with carotid intima-media thickness (Obayashi. 2014).
  
  If you dont want to develop subclinical carotid atherosclerosis, when you are old, it would thus be a good idea to adhere to the basic rules of sleep hygiene: a dark room and/or blindfolds will keep your arteries clean and may thus save your life ;-)
• If you have kidney problems, get out in the sun if you want to survive - Scientists from the University of California Irvine Medical Center were able to show that dialysis patients residing in higher UV index regions have lower all-cause mortality compared to those living in moderate-high UV regions (Shapiro. 2014).
  
  More specifically, the ~60year-old subjects residing in moderate-high UV index regions had a 16% reduced risk of all-cause mortality. Those living in very-high UV index regions had a 1% higher risk reduction (17%). Interestingly, there was a similar inverse association between UV index and mortality was observed across all subgroups, but it was more pronounced among whites vs. non-whites.
• Wear those shades (or bluelight blocker glasses) before any important sport event - Why? Stupid question. If you dabble around with your smartphone "unprotected" the evening before an important sport event for only 30 minutes, this can influence exercise performance under hot conditions during the subsequent early morning (Thompson. 2014).

Sleep disturbance and adaptive immunity. Following a night of sleep loss, or during a period of sleep disturbance, nerve fibers from the sympathetic nervous system (SNS) release the neurotransmitter norepinephrine into primary and secondary lymphoid organs and stimulate the adrenal gland to release stored epinephrine into systemic circulation. Both neuromediators stimulate leukocyte adrenergic receptors (e.g., ADRB2) and activate nuclear factor (NF)-?B-mediated inflammatory programs (Irwin. 2015).

• If your grandparents have Alzheimers install a timer-based light system - This may not just increase their sleep quality, but it will also improve their behavior and mood as indicated by reduced depression scores on the Cornell Scale for Depression in Dementia and agitation scores from the Cohen-Mansfield Agitation Inventory (Figueiro. 2014).
  
  I must warn you, though: The recent field study from the Rensselaer Polytechnic Institute is promising, but the results should be replicated using a larger sample size and perhaps using longer treatment duration.
• If you have to work night shifts consider using 1-5mg melatonin 1h before you go to bed - Why? You have to counter the natural decline in melatonin production that occurs over consecutive days of night work (Dumont. 2014).
  
  In a recent study from the Sacre-Coeur Hospital of Montreal the melatonin production of the healthy volunteers decreased progressively decreased over consecutive days of simulated night work, both during nighttime and over the 24?h. Interestingly, this decrease was larger in women using oral contraceptives and independent of bright light exposure.
• Get out into the sun and cure your back pain - If your back hurts and neither you or your doctor have a clue why, try getting into the sun. A study from the UMIT in Austria shows that only three sessions in front of 5.000?lx lamp improved the depressive symptoms and reduced the pain intensity in CNBP adults with chronic nonspecific back pain (Leichtfried. 2014).

References:

• Bonmati-Carrion, Maria Angeles, et al. "Protecting the Melatonin Rhythm through Circadian Healthy Light Exposure." International Journal of Molecular Sciences 15.12 (2014): 23448-23500.
• Diepen, Hester C., et al. "Caffeine increases light responsiveness of the mouse circadian pacemaker." European Journal of Neuroscience 40.10 (2014): 3504-3511.
• Dumont, Marie, and Jean Paquet. "Progressive decrease of melatonin production over consecutive days of simulated night work." Chronobiology international 0 (2014): 1-8.
• Figueiro, Mariana G., et al. "Tailored lighting intervention improves measures of sleep, depression, and agitation in persons with Alzheimer’s disease and related dementia living in long-term care facilities." Clinical interventions in aging 9 (2014): 1527.
• Fukushige, Haruna, et al. "Effects of tryptophan-rich breakfast and light exposure during the daytime on melatonin secretion at night." breast cancer 4 (2014): 9.
• Harb, Francine, Maria Paz Hidalgo, and Betina Martau. "Lack of exposure to natural light in the workspace is associated with physiological, sleep and depressive symptoms." Chronobiology international 0 (2014): 1-8. 
• Irwin Michael, R. "Why Sleep Is Important for Health: A Psychoneuroimmunology Perspective." Annual Review of Psychology 66 (2015): 143-172.
• Kayaba, Momoko, et al. "The effect of nocturnal blue light exposure from light-emitting diodes on wakefulness and energy metabolism the following morning." Environmental health and preventive medicine 19.5 (2014): 354-361. 
• Leichtfried, Veronika, et al. "Short?Term Effects of Bright Light Therapy in Adults with Chronic Nonspecific Back Pain: A Randomized Controlled Trial." Pain Medicine 15.12 (2014): 2003-2012.
• Obayashi, Kenji, Keigo Saeki, and Norio Kurumatani. "Light exposure at night is associated with subclinical carotid atherosclerosis in the general elderly population: The HEIJO-KYO cohort." Chronobiology international 0 (2014): 1-8.
• Okamoto, Yosuke, and Seiji Nakagawa. "Effects of daytime light exposure on cognitive brain activity as measured by the ERP P300." Physiology & behavior 138 (2015): 313-318.
• Partonen, Timo. "Obesity= physical activity+ dietary intake+ sleep stages+ light exposure." Annals of medicine 46.5 (2014): 245-246.
• Shapiro, Bryan B., et al. "The Relationship Between Ultraviolet Light Exposure and Mortality in Dialysis Patients." American journal of nephrology 40.3 (2014): 224-232. 
• Thompson, A., et al. "The Effects of Evening Bright Light Exposure on Subsequent Morning Exercise Performance." International journal of sports medicine EFirst (2014).
• van der Lely, Stéphanie, et al. "Blue blocker glasses as a countermeasure for alerting effects of evening light-emitting diode screen exposure in male teenagers." Journal of Adolescent Health (2014).
• Virginie, Gabel, et al. "Dawn simulation light impacts on different cognitive domains under sleep restriction." Behavioural Brain Research (2014).
• Wang, et al. "UV light selectively inhibits spinal cord inflammation and demyelination in experimental autoimmune encephalomyelitis." Arch Biochem Biophys. (2014). [Epub ahead of print]
• Zeitzer, Jamie M., et al. "Millisecond Flashes of Light Phase Delay the Human Circadian Clock during Sleep." Journal of biological rhythms (2014): 0748730414546532.

Creatine, obviously monohydrate and no expensive and often impotent spinoff (Jäger. 2011) is useful for any athlete.

The number of items on the list of health and performance benefits of creatine is about as high as the number of boring articles about "the benefits of creatine" you can find all over the Internet. And even here at the SuppVersity they have been piling up in a way that has me ignore the majority of "creatine supplementation increases strength gains in XY" studies that appear on a monthly, sometimes weekly basis. Against that background I will cut todays creatine post short and get straight to the facts, Giuseppe Potrick Stefani et al. report in their latest paper in (how else could it be) the peer-reviewed Journal of the International Society of Sports Nutrition (Stefani. 2014).
In what turns out to be another rodent study Stefani et al. investigated whether creatine supplementation exerts intra and/or extracellular antioxidant effects and if it plays a synergistic role in the adaptation of antioxidant enzymes associated with resistance training. The actual aim of the study was thus

"to evaluate the effects of monohydrate creatine supplementation associated, or not, with RT on oxidative stress and antioxidant enzymatic activity in the plasma, the heart, the liver and the gastrocnemius of rats." (Stefani. 2014)

And the results were unambiguous. As you can see in Figure 1, the anti-oxidant capacity of plasma, heart and liver of all 40 male Wistar rats which had been divided into four groups, i.e.

• sedentary (SED),
• sedentary + creatine  (SED-Cr), and
• resistance training (RT) and resistance training + creatine (RT-Cr),

increased significantly in response to the provision of creatine (0.3 g/kg/day of creatine for seven days, 0.05 g/kg for the rest of the 8-week study period).

Figure 1: Oxidative stress in heart, liver and muscle after 8 weeks of intervention.Concentrations of MDA and CAT activity. Values are mean ± SD; n = 10 for all groups (Stefani. 2014).

As you can see, both treatments, creatine-only and creatine + resistance training led to significant improvements in heart, liver and muscle antioxidant status - and that, this is important, in the absense of those direct free radical scavenging abilities that turn vitamin C, vitamin E & co into highly questionably agents with potential anti-adaptational effects (learn more).

Works w/ and w/out exercise, but with the latter creatine really excels

Compared to the sedentary animals the rats in the exercise group did yet significantly increased catalase levels (=good, because it catalyzes the decomposition of hydrogen peroxide - the bad stuff - to water and oxygen - the benign stuff) in the heart and - obviously - increased strength gains.

Figure 2: Absolute and relative 1RM strength before and after the intervention (Stefani. 2014).

What is (positively) surprising, at first, is the fact that the latter, i.e. the increases in 1-RM strength in response to creatine supplementation occurred even in the absence of resistance training.

If you look closely, you will yet realize that the relative increase in strength, a much better gauge for lasting real-world strength gains, in the sedentary rodents was ZERO. So that it is very likely that they would disappear with the increased water the rats were holding, as soon as the creatine supplementation is seized.
References:

• Jäger, Ralf, et al. "Analysis of the efficacy, safety, and regulatory status of novel forms of creatine." Amino Acids 40.5 (2011): 1369-1383.
• Stefani, Giuseppe Potrick, et al. "Effects of creatine supplementation associated with resistance training on oxidative stress in different tissues of rats." Journal of the International Society of Sports Nutrition 11.1 (2014): 11.

Even female volleyball players are wo- men - no wonder they tend to undereat ;)

Usually we are learning about what makes us fat by looking at those who are fat. Studies on athletes like gymnasts and volleyball players, and what influences their body composition, on the other hand, are scarce. Reason enough for me to take a closer look at two thesis by graduates from the Georgia State University who analyzed the relationship between moderate, within day protein intake and energy balance on body composition of collegiate sand volleyball players (Richardson. 2014) and the relationship between daily protein distribution and body composition in elite gymnasts (Paszkiewicz. 2014) - research that could be relevant for both, men and women.

I guess many of you will remember that Ive written about gymnasts before - in July 2013, to be precise. In said article with the telling title "Do Chronic Energy Deficits Make Athletes Fat? The Longer & More Severe You Starve, the Fatter You Are. Irrespective of What the Calories-in-VS-Calories-Out Formula May Say" (read more) I analyzed the negative effects of "starvation" on body composition to highlight that simply not eating or eating like a bird is not going to give you the Shape cover model body, many girls are looking for.
In spite of the fact that the titles of the two studies and hand and the previously cited study by Deutz differ, the objectives are not very different:

• "The  purpose  of  this  study  was  to  simultaneously  assess  energy  balance  and
  protein  intake  to  determine  if  these  factors  are  associated  with  body  composition  in  a
  population of collegiate sand volleyball players." (Richardson. 2014)
• "The objective of this study was to determine the relationship between hourly EB and protein intake with body composition" (Paszkiewicz. 2014)

If you look at the exact ways the authors phrase it, it does yet become obvious that Richardson (2014) puts a greater emphasis on the amount of protein, while Paszkiewicz is, just like Deutz back in the day, very interested in the hourly energy balance (EB) and thus the time the subjects remain in a positive / negative energy balance.

Apropos subjects! In the gymnasts who participated in Paszkiewicz study were elite and highly
competitive athletes from several training gyms across the country. The information on their daily food intakes was elucidated by the means of secondary analyses that were performed on previously collected three-day food diaries and the interactions with body composition were calculated by comparing intakes and anthropometric measures (made with DEXA).

Table 1: ?Subject? Characteristics of the Gymnasts ? (N=?40; Paszkiewicz. 2014)?

Table 1 provides an overview of the subject characteristics. If you take a closer look, you will see that there is a pretty broad range from hardly any muscle to pretty muscular and from ripped to the shreds to average body fat.
If we take a closer look at the correlations Paszkiewicz found, some of you may be surprised to see that the relative carbohydrate intake (as percent of macronutrients) was not just positively associated with higher lean mass (see Figure 1), but also negatively with fat mass (R = -0.043).

Figure 1: Minimal, maximal and average energy balance in the gymnasts (left); positive correlates and correlation coefficients R of lean mass in 40 elite competitive female gymnasts (Paszkiewicz. 2014)

The amount of protein the gymnasts ate, however, was not significantly associated with increase lean mass. In fact, when we compare two groups, i.e. those with a high and those with a low protein intake, statistics inform us that "the higher protein group ha[s] a statistically significant lower FFM [fat free masss]" (Paszkiewicz. 2014).

Are high(er) protein intakes bad for gymnasts or, what?

Personally I suspect that this is due to a correlation between high(er) protein intakes, lower cabohydrate intakes (R = -0.595) and, most importantly, a reduced overall energy intake, which is associated with lower lean body mass and (listen up, ladies!), just as it has been reported by Deutz et al. previously, increased body fat % (reread the corresponding article from July 2013).

But why dont we have a look at the other study? Beach volleyball players are regarded as the epitome of health and sexappeal, so things could easily look different for them compared to the "frail" gymnasts, right? With a mean body fat % of 18% and a standard deviation ±7% the twelve women from the GSU sand volleyball team who participated in Richardsons study have a much healthier body fat percentage than the average, let alone extreme gymnast in the previously discussed study (we got to be careful here, because the BF% in the Richardson study was measured by body impedance and could thus easily be 5% off).
With a mean BMI of 22 kg/m², all female participants of the study were normalweight and consumed a diet with >1.94g protein per body weight (mean intake 132 ±52 g per day). An amount of protein most of the ladies spread across the day with a mean 26.06 (±10.51) g being consumed on every eating opportunity. Thats not yet the "SuppVersity suggested" amount of 30g of protein per meal, but its getting close, yet with an uneven distribution from AM to PM:

• 30g from 6-12 AM,
• 63g from noon to six PM,
• another 39g in the evening

In contrast to many average Janes and Joes, the study participants consumed almost half of the mean protein intake during mid-day, while their protein intake from 6 pm to midnight amounted to only 24(±23) % of their total daily protein consumption. Still, Richardson is right to point out that

"[...] protein intake distribution was skewed, on average, toward the latter half of  the  day  with  approximately  19%  of  protein  consumed  in  the  morning  and  34% consumed  in  the  evening." (Richardson. 2014)

Much to my surprise, the ladies in the beach volley ball team were similarly anorexic as their peers in the gymnast group. With -404  (±385) kcal/day the average energy balance was clearly negative; and even if the standard deviations indicate that this was not the case for all of the ladies, the athletes spent 17 hours, on average, in a catabolic energy balance state (< 0 kcal) on a daily basis.

A high relative protein intake was not associated with better body composition!

Interestingly, though, no significant correlation was found between energy balance per gram of protein consumption and body composition.

Table 2: Spearman’s Correlations: Six Zone Protein Intake and Body Composition (N=12; Richardson. 2014); FFM – fat free mass: FFM to Ht ratio – amount of FFM per cm of height; eating Opportunities – number of times athlete consumed calories; 24 Hour EB – net kcal at the end of the day (energy consumed less energy expended)

The picture that emerges from a regression analyses with respect to the relation of energy balance and protein variables is in fact dubious (see Table 2). The only significant correlations (bold) are a positive correlation between fat free mass (FFM) and protein intake late, and a negative correlation between fat free mass and protein intake early in the AM. A similarly confusing, yet at no time significant association arises for the fat mass, which correlates negatively (albeit with p = 0.678 statistically non-significantly) with the number of meals with a protein content of 25g or more.