Burning
Fat
G.
Douglas Andersen, DC, DACBSP, CCN
Volume
12, number 18, 9/1/94, page 30
A research update of studies on athletes and fat utilization.
In a recent study, scientists looked at the question, "If you are
in good aerobic condition, will you burn fat at a higher rate than people
who are not aerobically fit?" The answer in this study was a surprising
"No." Researchers gave 50 gm of fat for breakfast to trained
and untrained individuals. They then measured energy use and fat oxidation
postprandial. There was no difference. There was also no difference between
the two groups at 6 hours and at 18 hours after the meal. The authors
did not rule out the possibility of a long-term difference.1
Comment: It should be noted
that this study group was small. It would be interesting to have the authors
repeat this study with a larger sample size over a longer period of time.
Until proven otherwise, the message to your patients should be: Whether
you are in shape or not, if you eat more fat than your body needs, your
body will most likely store it.
Creatine
Creatine is a hot, new ergogenic aid. Like so many other miracle substances,
companies marketing creatine have been very enthusiastic and have been
very liberal with their claims. I wrote an article on creatine in the
April 8, 1994 issue of Dynamic Chiropractic. At the time, I had not found
any published data using creatine on healthy, weightlifting humans. This
double-blind, placebo-controlled study involved five subjects who were
given four, 5 gm servings of creatine orally or a placebo. Before and
after each blinded administration, the subjects did five sets of 30 repetitions
of single leg knee extensions. The results: Peak torque production was
greater in those subjects who took creatine in the second, third, and
fourth sets, as well as parts of the first and fifth sets. Creatine ingestion
also lowered plasma ammonia levels. The authors concluded that oral creatine
could reduce fatigue in repeated sets of an aerobic exercise. They postulated
that the fatigue reduction could be due to one or a combination of the
following: a) increase in pre-exercise phosphocreatine
levels; b) increase in muscle buffering capacity (although
no blood lactate changes were found in this study); c)
increase in phosphocreatine resynthesis; d) all of the
above could potentially stimulate ATP resynthesis.2
Comment: One small study is
certainly not the final answer, but it does make it easier to recommend
creatine on a trial basis to your patients involved in heavy weightlifting
who are looking for a natural advantage. Remember too that the results
in this study were with a whopping 20 gm per day dose -- an amount that
challenges even your most compliant patients.
Magnesium
Magnesium is an amazing mineral. Some day I am going to write a series
of articles on magnesium, but keeping with today's sports theme, we will
focus on a study looking at its ergogenic effects. Twenty-six untrained
people were put on a weightlifting program and given either 150 percent
of the RDA of magnesium or 70 percent of the RDA of magnesium. After seven
weeks of training, three times per week, the subjects were tested. Strength
gains in the magnesium 150 percent group were significantly greater than
in the group that received magnesium levels at 70 percent of RDA.3
Comment: My recommendation is if you have patients who are engaged
in a rigorous exercise program, you should examine their nutrient intakes
carefully and not be afraid to place them on levels greater than the RDAs.
A logical follow-up to this study would be a repeat study using the same
parameters but with well-trained individuals.
Protein
I will conclude our update by reviewing three studies that involve sports
and protein. The first involved postexercise feeding for glycogen replacement.
After endurance exercise, muscle glycogen levels are low. This study compared
carbohydrate, protein, and a carbohydrate-protein mixture after exhaustive
exercise to see which helped the body to restore muscle glycogen levels.
Plasma analysis after supplementation showed higher glucose levels after
carbohydrate ingestion. Plasma insulin was highest after the protein-carbohydrate
combination. Plasma insulin, not glucose, is the metabolite we want to
see elevated because of its strong stimulating effect on muscle glycogen
storage. Muscle biopsies revealed that the carbohydrate-protein supplement
combination had faster rates of muscle glycogen repletion than the carbohydrate
group alone, which had significantly greater impact on glycogen repletion
than the protein only group, which was a distant third.4
In the second study, researchers looked at plasma amino acid changes after
endurance exercise to exhaustion in 11 triathletes. The diets included
a level of protein that was 1.6 gm/kg of body weight, which is significantly
higher than the RDA of 0.8 gm/kg of body weight. Carbohydrates made up
65 percent of the total caloric intake. After in-depth analysis (which
will not be reviewed due to space requirements), the researchers concluded
that protein requirements of athletes participating in exhaustive endurance
activities should be substantially higher than the RDA. They stated that
precise recommendations required further study.5
Our final protein study looked at protein requirements and muscle mass
and strength changes during intensive training in novice male body builders.
Using a double blind, crossover format, 12 men in their early 20s were
put on a six-day-a-week, intensive, weight lifting program. Researchers
found that to maintain nitrogen balance, protein needs were 1.6 to 1.7
gm/kg of body weight, which is more than double the RDA.6
Comment: It is interesting that for years athletes in the body
building, Olympic lifting, and power lifting communities have ingested
amounts of protein that traditional medical practitioners and dietitians
have said was of no benefit to them. I expect that if studies of this
nature continue, we will receive further evidence that athletes who train
intensely, whether it be in aerobic or anaerobic sports, have protein
requirements greater than the general public. The rule of thumb I use
for my patients is as follows: In times of illness, injury, stress, or
intense training, the requirements for nutrient-dense foods, macronutrients,
and micronutrients all increase. I am confident we will continue to see
research that validates this principle.
References
1. Bennett, Reed, et al. Short-term effects of dietary fat ingestion on
energy expenditure and nutrient balance. American Journal of Clinical
Nutrition. 55:1071-1077, 1992.
2. Greenhaff, Casey, et al. Influence of oral creatine supplementation
on muscle torque during repeated bouts of maximal voluntary exercise in
humans. Clinical Science. 84:555-571, 1993.
3. Brilla and Haley. Effect of magnesium supplementation on strength training
in humans. Journal of American College of Nutrition. 11:326-329, 1992.
4. Zawadski, Yaspelkis, and Ivy. Carbohydrate-protein conflict increases
rate of muscle glycogen storage after exercise. Journal of Applied Physiology.
72:1854-1859, 1992.
5. Bazzare and Merdoch, et al. Plasma amino acid responses of trained
athletes to successive exhaustion trials with and without interim carbohydrate
feeding. Journal of the American College of Nutrition. 11:501-511, 1992.
6. Lemon, et al. Protein requirements and muscle mass/strength changes
during intensive training in novice body builders. Journal of Applied
Physiology. 73:767-775, 1992.
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2004, G. Douglas Andersen, DC, DACBSP, CCN, 916 E. Imperial Hwy, Brea,
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