Showing posts with label older. Show all posts
Showing posts with label older. Show all posts

Wednesday, April 13, 2016

Longer Rest Periods Compromise Adaptational Response in Resistance Training Older Men in 12 Week Study

Best-agers listen up: If you want to make progress, socialize after your workouts and stick to rest periods in the 60-90s range.
Best-agers, listen up! If you are the kind of person who likes to chat for four minutes between his / her sets you are not just wasting time. You are also making your workouts less effective. While there is little evidence that there are major differences between rest times of 60s and 90s, a recent study from the Division of Biokinesiology and Physical Therapy at the Clinical Exercise Research Center of the University of Southern California is not the first study to suggest that resting longer than maximally 120s is going to compromise the changes in body composition, muscular performance, and functional performance that occur in response to resistance training.

I have to admit, with a mean age of 70.3 years, the 22 male volunteers of said study dont qualify as the "classic" gymrat. On the other hand, you will probably have heard the argument that aging muscle cannot sustain the same extent of high intensity hammering thats highly productive in younger folks against.
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Against that background, its actually all the more surprising that the 11 men in the 60s rest period groups of this recent 4 weeks resistance training study saw significantly greater increase in lean muscle mass, bench press & leg press 1RM max, performance on the pull-down and several parameters of functional performance (not shown in Figure 1).
Figure 1: Changes in body composition and strength after 8 and 12 weeks; expressed relative to the values that were measured after the 4-week pre-training phase that was identical for both groups (Villanueva. 2014)
Except from the rest times, the periodized strength training regimen was 100% identical for both groups. This means that all 22 study subjects performed the same progressive total body resistance training program which was preluded by a 4-week familiarization protocol that was 100% identical for both groups:
  • Training frequency: 3 days/week for the 4-week training cycle
  • Sets / reps: 2 to 4 sets with 15 to 8 repetitions (set number increased, rep number decreased over time)
  • Exercise number: Four to six exercises per workout
Only after the subjects had completed the first four weeks of training they were paired based on the similarity of their flat bench machine chest press 1-RM and randomly placed into one of the two groups: The SS = short (60s) and the SL = long (240s) rest group. As the scientists say they chose
"this strength outcome measure, because previous work from our lab has indicated there is relatively less variability among study participants with chest press 1-RM val ues, versus leg press 1-RM values, and, therefore, it would allow us to more easily randomize and create two treatment groups that are similar in (upper body maximum) strength.
In the following 8-week actual study period the subjects were subjected to a progressive total-body resistance training program emphasizing development of upper and lower body strength.
  • Training frequency: 3 days/week for 8 weeks by both groups (SS and SL)
  • Sets / reps: sets ranged from 2 to 3, repetitions from 6 to 4
  • Exercise number: 4–6 exercises
During this active study period, the only difference in program design between the two strength RT groups in was the rest interval length utilized between sets: 60 s (SS group) versus 4 min (SL group).
"Throughout the entire resistance training program, all sets were performed maximally for the assigned number of repetitions and with proper lifting technique, and loads were adjusted in accordance with recovery and performance, across the repeated sets progression.
At least in untrained subjects shorter rest periods (60s vs. 150s) may have more beneficial effects on body composition, i.e. they elicit greater lean mass gains and higher losses of body fat (Buresh. 2009)
What about studies in younger subjects? The results are not consistent, but generally speaking there appears to be slight advantage in terms of strength gains with rest periods in the 90s-150s range as they were observed by Robert Buresh et al. (2009) in healthy, recently untrained males. In previously strength-trained men the benefits appear to vanish, when the total exercise volume is not controlled for, though (Willardson. 2008). Moreover, the previously cited study by Buresh et al.  (2009) indicates that shorter rest periods will elicit more favorable changes in body composition (see Figure on the left). We must be careful, though - short is not generally better.  A review by de Salles et al. (2009) indicates that rest periods below 60s can impair the strength gains and while respective data is lacking, it is likely that this will also have negative effects on the amount of lean mass you will gain on otherwise identical training regimen.
Furthermore, it is important to note that study participants were never expected to perform sets to absolute muscular failure; given an appropriate loading progression, with alterations in set/repetition schemes throughout and across microcycles (i.e., a series of 3 training sessions), the repetition maximum assignments allowed for successful completion of the assigned number of repetitions at the load(s) prescribed, across multiple sets, and with minimal need for assistance/spotting" (Villanueva. 2014.)
Now this certainly sounds as if the protocol was realistic. But there is one major difference that puts a question mark behind the results of the study: usually regimen with long and short rest times differ significantly in the number of sets and the number of reps. Thus it is possible that future studies using different protocols for both groups would yield different results.
Figure 2: More helps more... at least in elderly study subjects increasing the intake of whey protein after a workout from 20g to 40g will yield significant benefits (Yang. 2012).
Bottom line: The study at hand certainly supports previous evidence that older men and women dont necessarily have to train with the "handbreak firmly fixed". The relatively large increase in strength and functional performance, however, stand in stark contrast to the pathetic increase in lean mass. And the standardized set and rep ranges make it impossible for the 240s rest group to benefit from the ability to train at higher volumes.

Another thing that is wirth mentioning is that the subjects consumed >1.0 gram protein/kilogram body weight/day - without the addition of fast absorbing high BCAA protein sources, however, elderly men (and women) are always having a hard time to build practically relevant amounts of lean muscle.

Against that background, I would love to see this study being repeated with 30-40g of whey protein being consumed in the vicinity of the workout; and in case you want to do your own N=1 experiment using this or any other workout protocol described in the study at hand, I would suggest you make sure to add some extra-protein, as well. Previous studies do after all indicate that "more" as in 40g vs. just 15-20g helps more in men and women in their 60s or older | Comment on Facebook!
References:
  • Buresh, Robert, Kris Berg, and Jeffrey French. "The effect of resistive exercise rest interval on hormonal response, strength, and hypertrophy with training." The Journal of Strength & Conditioning Research 23.1 (2009): 62-71.
  • de Salles, Belmiro Freitas, et al. "Rest interval between sets in strength training." Sports Medicine 39.9 (2009): 765-777.
  • Villanueva, Matthew G., Christianne Joy Lane, and E. Todd Schroeder. "Short rest interval lengths between sets optimally enhance body composition and performance with 8 weeks of strength resistance training in older men." European journal of applied physiology (2014): 1-14.
  • Willardson, Jeffrey M., and Lee N. Burkett. "The effect of different rest intervals between sets on volume components and strength gains." The Journal of Strength & Conditioning Research 22.1 (2008): 146-152.
  • Yang, Yifan, et al. "Resistance exercise enhances myofibrillar protein synthesis with graded intakes of whey protein in older men." British Journal of Nutrition 108.10 (2012): 1780-1788.


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Thursday, March 10, 2016

Vitamin D3 Supplementation for Older Men Women Done Right Dietary Fat Can Increase the Bioavailability by 30

Taking vitamin D pills on their own may be less effective than taking them with a meal containing 30% of the calories from fat - at least for older men & women and high doses of vitamin D3
This is science. Only 6 months ago, I wrote in an article about the effects of fat on the absorption and bioavailability of fat soluble vitamins that vitamin D would be the fat soluble vitamin with the lowest dependence on the co-administration of fat. Rather than the amount, it appeared as if the change in plasma 25OHD (nanograms per milliliter) during vitamin D supplementation was rather associated with the types of fat, i.e. MUFA = increased absorption vs. PUFA = decreased absorption (Niramitmahapanya. 2011).

Now, half a year later, it appears as if another, previously overlooked variables would force me to reformulate previous recommendations: Age and dosage!
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In contrast to previous studies, Bess Dawson- Hughes and colleagues investigated the influence of fat on the absorption of vitamin D3 in older, not young men and women. In that, inclusion criteria for the study were
  • no use of not more than 400 IU vitamin D or 1,000 mg calcium per day,
  • serum 25(OH)D level in the range 20 to 29.5 ng/mL (49.9 to 73.6 nmol/L),and
  • a body mass index in the range 20 to 29.5 (normal weight)
Subjects with kidney problems, hypercalcemia, general issues with malabsorption, Crohn’s disease, disorders of bone metabolism, kidney stones, cancer and those who were using proton pump in hibitors, lipid-lowering medications, fish oil, or flaxseed oil, hormones, osteoporosis medications, or high-dose thiazide diuretic therapy were equally excluded as those subjects who attended tanning salons, regularly.
Its important that the subjects were lean, because (a) the serum vitamin D response may be attenuated by D-storage in the fat tissue and (b) previous studies show that "[o]besity-associated vitamin D insufficiency is likely due to the decreased bioavailability of vitamin D3 from cutaneous and dietary sources because of its deposition in body fat compartments" (Wortsman. 2000).
This was yet not the only difference. Next to the subjects age, the amount of vitamin D3 in the capsules the subjects received differed, as well. While previous studies that reported little to no effect of fat on the absorption of vitamin D3 used small(er) amounts of vitamin D, like 1,000, 2,000 or 5,000 IU per serving, Dawson-Hughes et al. used a single serving of 50,000 IU(!) and thus more than 10x higher dosages than previous studies.
Figure 1: Composition of the test breakfast, lunch, and dinner meals, expressed as % of total energy the 50 healthy older adults consumed in the study at hand (Dawson-Hughes. 2014)
Alongside said vitamin D3 super-dose all 50 subjects ingested one out of three randomly selected meals that were either fat free or contained 30% of the total calories in form of dietary fat - albeit at two different PUFA:MUFA ratios (see Figure 1)
"[The m]eals were provided by the metabolic kitchen and consisted of real food. For example, breakfast consisted of egg whites flavored with small amounts of onion and tomato, fruit, toast, and cranberry juice. The groups were balanced for energy by adjusting the amount of sugar in the cranberry juice (diet or regular juice or a mixture of the two). Protein and fiber were balanced across all groups. MUFA:PUFA was manipulated by adding varying amounts of MUFA (olive oil) and PUFA (corn oil) to achieve a ratio of 1:4 in the low and 4:1 in the high MUFA:PUFA diets. The boxed lunch and the dinner provided to the study subjects on the test day had fat/protein/carbohydrate content similar to that of the test breakfast meals.
Importantly, the subjects were required to (a) eat all of the food provided and (b) refrain from pigging out on anything that was not on the menu for the study day.
Figure 2: Serum vitamin D3 levels in subjects after consuming fat-free or -containing meals (Dawson-Hughes. 2014)
What the scientists found, when they analyzed the vitamin D response of the subjects depending on (a) the fat content and (b) the type of the fat, Dawson-Hughes et al. found:
  • In analyses of vitamin D absorption at baseline and the three follow-up time points, there was a significant interaction of fat-free vs fat-containing meal group with time (P < 0.001). As shown in [figure 2], there was no significant difference in plasma vitamin D-3 levels at baseline, but the fat-containing meal group had significantly higher plasma vitamin D-3 concentrations than the fat-free meal group at each time point thereafter.

    At 12 hours, the fat-containing vs fat-free meal mean difference in plasma D-3 concentration was 26.9 ng/mL (95% CI 9.6 to 44.1 ng/mL) (69.9 nmol/L). Differences at the other time points were for 10 hours, 30.5 ng/mL (95% CI 14.4 to 46.7 ng/mL) (79.3 nmol/L) and for 14 hours, 21.3 ng/mL (95% CI 4.6 to 37.9 ng/mL) (55.4 nmol/L).
Keep in mind: Actually, we dont really care about the amount of vitamin D3 in the blood that was measured in the study at hand. What we care about is the impact on the 25-OHD levels and the latter were not tested in the study at hand. Previous studies suggest that using large boluses of vitamin D3 are suboptimal to achieve this goal. Against that background the study design of the study at hand, was not really optimal and didnt access the practically most relevant outcome.
  • Vitamin D-3 levels at 12 hours after the dose were 116.0 3 ng/mL (301.5 nmol/L) in the low MUFA:PUFA group and 104.2 ng/mL (270.8 nmol/L) in the high MUFA: PUFA group.

    Potential covariates, body mass index, total body fat mass, and screening plasma 25(OH)D level were not associated with vitamin D absorption and neither modified the effect of fat on vitamin D absorption.
As the researchers point out, "[t]here were no serious adverse events during the study" and "[c]ompliance with the vitamin D supplement was 100%" (Dawson-Hughes. 2014). So, non of these obvious, but undesirable confounding factors could explain the observed differences between (a) the non-fat vs. fat-meals and (b) the influence of the PUFA:MUFA ratio.
Read more about the influence of dietary fat on the bioavailability of vitamin A, D, E & K in "Vitamin A, D, E & K - How Much and What Type of Fat Do You Need to Absorb These Fat Soluble Vitamins?" more
Bottom line: Since both, age and dosage may be the confounding factors that explain the obvious difference to previous studies, I suspect that the amount of vitamin D3 is the major culprit, here. With lower doses of vitamin D3 being administered chronically, the results may well have been different - specifically with respect to their effect on serum 25OHD levels, which were unfortunately not assessed in the study at hand | Comment on Facebook!

Furthermore, the previously conducted studies used low not, no-fat meals. Against that background it appears prudent to consume your vitamin D supplements with your meals... and, you are not still eating "no-fat meals", are you?
References:
  • Dawson-Hughes, Bess, et al. "Dietary Fat Increases Vitamin D-3 Absorption." Journal of the Academy of Nutrition and Dietetics (2014).
  • Niramitmahapanya, Sathit, Susan S. Harris, and Bess Dawson-Hughes. "Type of dietary fat is associated with the 25-hydroxyvitamin D3 increment in response to vitamin D supplementation." The Journal of Clinical Endocrinology & Metabolism 96.10 (2011): 3170-3174. 
  • Wortsman, Jacobo, et al. "Decreased bioavailability of vitamin D in obesity." The American journal of clinical nutrition 72.3 (2000): 690-693.


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Sunday, February 14, 2016

True or False Older Men Have a Much Harder Time Building Strength Building Muscle Borders the Impossible!

Are you training for nothing, if you are "too old" (whatever that may be)? Find out in todays SuppVersity Article!
"The older we get, the weaker we are." Thats something most normal men accept as a given truth - according to the latest science, it does yet appear as if it was more of a self-fulfilling prophecy.

Researchers from the Department of Biology of Physical Activity and Neuromuscular research Center at the University of Jyväskylä in Finland have recently conducted a study to verify the common sense assumption that older men are having a much harder time to to maintain / increase their muscle strength than young ones.

To find out, whether this would also be true for those, who are willing to succumb to a high volume, medium load “hypertrophic” resistance training, the Häkkinen et al. recruited young (28 ± 5 yr, 179 ± 6 cm, 77 ± 12 kg, 21 ± 8 percent fat) and older (65 ± 4 yr, 177 ± 6 cm, 80 ± 10 kg, 23 ± 6 percent fat) men via an advertisement in a local newspaper.
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The experimental groups consisted of 23 young and 26 older men (training groups) and the non training control groups consisted of 10 young and 11 older men. The goal was to achieve maximum strength, muscle mass and muscle activation of the lower limbs in both groups.

Table 1:  Resistance training program of the young and older experimental groups (performed with resistance machines)
To this ends, both groups performed 10 weeks of whole-body resistance training twice per week with the emphasis on lower limb exercises. The training program consisted of high volume, medium intensity exercise with short inter-set rest intervals, as it is typically performed by bodybuilders (i.e. 2-5 sets of 8-14 repetitions, 1-2 min rest).

Lower limb exercises, i.e. leg press, knee extension and knee flexion, were performed before upper body exercises. At least 48 h rest was required between training sessions. Maximum dynamic and isometric neuromuscular performance, as well as lean leg and muscle mass were examined before and after the training period. The changes in body composition were assessed 3-4 d and neuromuscular measurements were performed 7 d after the last training session.

Before participating in the study at hand, the "subjects were physically active but unaccustomed to resistance training for the previous 6 months." Training and testing took place throughout the day (9am-7pm), but young and older subjects were pair-matched to avoid any time-of-day effects on neuromuscular performance measurements. All subjects were given nutritional advice in an attempt to maximize muscle hypertrophy, however, no direct nutritional intervention was performed in the present study.
Its a pity that the diet wasnt controlled for. In view of our main interest, i.e. the question "Are old guys at a disadvantage", on the other hand, its actually quite interesting, because we usually assume that older guys would have to ingest extreme amounts of protein to keep up with their younger competitors. In the study at hand, they were only told to consume ~20 g of protein within 1 hour of training and in total ~1.5–1.8 g of protein per kg body mass per day, to optimize the muscle hypertrophy response. If you add the "30g of quality (=high EAA) protein with every meal rule thats pretty much the "SuppVersity Suggested" protein intake ;-)
The resistance training program consisted of . Briefly, leg exercises (bilateral leg press, knee extension, and knee flexion) were performad before upper body and torso exercises; bench press, pulldown, shoulder press, seated row, triceps pushdown, biceps curl, abdominal crunches and back raises.
"The subjects performed medium intensity, high volume training consisting of 2–3 sets and 12–14 reps (60–70% 1RM) per exercise (weeks 1–4), then 2–3 sets and 10–12 reps (70–80% 1RM) per exercise (weeks 5–7), and 3–4 sets per exercise and 8–10 reps (75–85% 1RM) per exercise (weeks 8–10). One min rest was given between sets during weeks 1–4, and then 2 min rest was given between sets during the remaining weeks 5–10. One set was performed to failure during each training session." (Häkinnen. 2014)
As youve probably recognized by now this is a more or less classic linear periodization; a very conservative periodization technique with a lot of back up that it works (learn more about periodization).
Figure 1: Pre- and post values for 1RM and isometric leg strength (Häkkinen. 2014)
If you look at the results, youll see that this protocol led to significant increases in one repetition maximum (1RM) leg press performance in both training groups (young: 13 ± 7 %, P < 0.001; older: 14 ± 9 %, P < 0.001).

Interestingly, said performance improvements were accompanied by increased muscle activation, assessed by voluntary activation level (29 ± 51%, P < 0.05) and electromyography amplitude (35 ± 51 %, P < 0.01) in older men only. Unfortunately, only the young men showed significantly increased lower limb lean mass (2.4 ± 2.5 %, P < 0.01), which were furthermore significantly related to the strength increments (r = 0.524, P = 0.01, n = 23).
Figure 2: The rel. changes in total lean leg mass and vastus lateralis cross sectional area leave no doubt, you can gain muscle at the age of 65+ (Häkkinen. 2014)
Bottom line - true or false? The notion that you cant get stronger if youre past the 60-year mark is flawed. The common understanding that youll have a significantly harder time to actually increase your total muscle mass and not "just" your strength, on the other hand, appears to be accurate. The signficant local increase in vastus lateralis CSA (Figure 2) does yet indicate that its not impossible to grow even at the age of 65+ years (keep in mind, though, the subjects were previously more or less untrained!).

Nevertheless, in general, the study appears to suggest that young men are more likely to literally "grow stronger", while older men tend to draw on improvement in the mind-muscle connection, when it comes to lifting higher weights.
References:
  • Häkinnen, et al. "Similar increases in strength after short-term resistance training due to different neuromuscular adaptations in young and older men." Journal of Strength and Conditioning Research (2014). Publish Ahead of Print.


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