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A Scientific Investigation into the Rationality of Post Workout Carbohydrate Consumption

                                                                                                                                                  

Researched and Composed by Adam “Old School” Knowlden

Abstract

Analysis of scientific literature regarding post-workout nutrition was reviewed in-depth. An added emphasis was placed upon research pertaining to intelligent carbohydrate consumption post-anaerobic exercise. 

Vantage points of research included:  1) The scientific background of enhanced recovery, 2) the chemical properties of glycogen, 3) the relationship between the timing of glucose and favorable recuperation, 4) optimizing recovery, 5) methodology of consumption, 6) utilization of the full recovery period.  

Research topics are discussed in a succession of essays. 

Carbohydrate metabolic research has validated the necessity of proper glucose feeding post-training bout. Methodologies centered on severely delaying gastric emptying, utilization of inferior sugar sources, and suppressing anabolic hormones are placed under scrutiny.  


 

Essay One: 

Q: What is the Histological Background Linking Optimal Post-Workout Research to Enhanced Recovery?

 A:  J. W. Conn documented the glycemic response to isoglucogenic quantities of protein and carbohydrate in 1936.

In the late 1960s, research confirmed that carbohydrate (CHO) ingestion after intense exercise acts to promote the restoration of muscle glycogen (1).

Also during this time, research-oriented experiments for the post-workout “window” were catalogued (21, 22).

Throughout the 1960s and early ‘70s, Floyd began studying the insulinotropic effect of intravenous amino acid administration.

Cocktails of several amino acid samples lead to quantifiable increases in plasma insulin (7-12, 15).

Additionally, during these experiments Floyd observed a synergistic effect when glucose was administered intravenously with these various amino acid groupings.

In later studies, Floyd investigated the combined effect of intravenous glucose administrations with the blending    of various amino acids and found that arginine-leucine and arginine-phenylalanine resulted in the strongest increase in plasma insulin concentrations (13,14).

 

More recently, numerous combinations of amino acids were investigated, and it was shown that, when coupled together with glucose, the mixtures resulted in large increases in plasma insulin concentrations.

Several in vitro studies using incubated ß-cells of the pancreas showed strong insulinotropic effects of arginine, leucine, phenylalanine, and leucine in combination with glutamine (2, 3, 16, 17, 18, 23, 24, 25, 26, 28).

Described later by Nuttall in the 1980s, the synergistic kindling properties of the combined consumption of carbohydrates and protein on plasma insulin concentrations were tested (19, 20).

These studies helped confirm that liquid carbohydrate (CHO) ingestion after intense exercise promotes rapid restoration of muscle glycogen (1, 4, 5, 6).

Teresa A. Hillier, David A. Fryburg, Linda A. Jahn, and Eugene J. Barrett (27) recently confirmed in vivo that insulin increases protein synthesis.

Moreover, the ideology of carbohydrate consumption in conjunction with post-training can be traced back to the ancient Greeks and ancient Hebrews (See: Acute & Chronic Endocrine Responses to Exercise Induced Disruptions in Homeostasis Part One - Exercise Endocrinology Principles and Catecholamines). 

Subsequent to these earlier reports, considerable amounts of research have been built upon these findings and have been conducted addressing the nutritional concerns of muscle and how various diets impact muscle metabolism and performance post-exercise.

In rare instances, unscientific and illogical claims are attributed to liquid and/or high GI carbohydrate utilization post-workout.

One such dismissal is reduction of this protocol to nothing more than a tactic of supplement companies in an effort to make money. This is not only scientifically invalid, but furthermore a faulty argument. 

In logical circles such attacks are called ad hominems, and are highly fallacious.  

Ad hominems present no real logical argument whatsoever to the topic at hand, but rather attempts to discredit the argument by attacking the person or the person’s circumstances, rather than dealing with the opposing evidence or argument. 

In layman’s terms, this is referred to as, “Killing the Messenger”. 

Supplement companies did not invent the usage of high GI carbohydrates post-workout; they marketed the investigations of legitimate research.  

See: The Window of Opportunity 

References for essay one:

1.Bergstrom, J, and Hultman E. Muscle glycogen synthesis after exercise: an enhancing factor localized to the muscle cells in man. Nature 210: 309-310, 1966)

2.Blachier F, Mourtada A, Sener A, Malaisse WJ. Stimulus-secretion coupling of arginine-induced insulin release. Uptake of metabolized and nonmetabolized cationic amino acids by pancreatic islets. Endocrinology 1989;124:134–41.

3.Blachier F, Leclercq Meyer V, Marchand J, et al. Stimulus-secretion coupling of arginine-induced insulin release. Functional response of islets to L-arginine and L-ornithine. Biochim Biophys Acta 1989; 1013:144–51.

4.Costill, DL. CHO for exercise dietary demands for optimal performance. Int J Sports Med 1: 1-18, 1988.

5.Costill, DL, Craig B, Fink WJ, and Katz A. Muscle and liver glycogen restoration after oral glucose and fructose feedings in rats. In: Biochemistry of Exercise, edited by Knuttgen HG, Vogel JA, and Poortmans J.. Boston, MA: Human Kinetics, 1983, p. 281-285.

6.Costill, DL, Pearson DR, and Fink WJ. Impaired muscle glycogen storage after muscle biopsy. J Appl Physiol 64: 2245-2248, 1988)

7. Floyd JC Jr, Fajans SS, Conn JW, Knopf RF, Rull J. Stimulation of insulin secretion by amino acids. J Clin Invest 1966;45:1487–502.

8.Floyd JC Jr, Fajans SS, Knopf RF, Conn JW. Evidence that insulin release is the mechanism for experimentally induced leucine hypoglycemia in man. J Clin Invest 1963;42:1714–9.

9. Floyd JC Jr, Fajans SS, Conn JW, Thiffault C, Knopf RF, Guntsche E. Secretion of insulin induced by amino acids and glucose in diabetes mellitus. J Clin Endocrinol Metab 1968;28:266–76.

10.Floyd JC Jr, Fajans SS, Pek S, Thiffault CA, Knopf RF, Conn JW. Synergistic effect of essential amino acids and glucose upon insulin secretion in man. Diabetes 1970;19:109–15.

11.Floyd JC Jr, Fajans SS, Pek S, Thiffault CA, Knopf RF, Conn JW. Synergistic effect of certain amino acid pairs upon insulin secretion in man. Diabetes 1970;19:102–8.

12.Fajans SS, Knopf RF, Floyd JC Jr, Power L, Conn JW. The experimental induction in man of sensitivity to leucine hypoglycemia. J Clin Invest 1962;42:216–29.

13.Floyd JC Jr, Fajans SS, Pek S, Thiffault CA, Knopf RF, Conn JW. Synergistic effect of essential amino acids and glucose upon insulin secretion in man. Diabetes 1970;19:109–15.

14.Floyd JC Jr, Fajans SS, Pek S, Thiffault CA, Knopf RF, Conn JW. Synergistic effect of certain amino acid pairs upon insulin secretion in man. Diabetes 1970;19:102–8.

15.Fajans SS, Knopf RF, Floyd JC Jr, Power L, Conn JW. The experimental induction in man of sensitivity to leucine hypoglycemia. J Clin Invest 1962;42:216–29.

16.Hutton JC, Sener A, Malaisse WJ. Interaction of branched chain amino acids and keto acids upon pancreatic islet metabolism and insulin secretion. J Biol Chem 1980;255:7340–6.

17.Malaisse WJ, Plasman PO, Blachier F, Herchuelz A, Sener A. Stimulus-secretion coupling of arginine-induced insulin release: significance of changes in extracellular and intracellular pH. Cell Biochem Funct 1991;9:1–7.

18.Malaisse Lagae F, Brisson GR, Malaisse WJ. The stimulus-secretion coupling of glucose-induced insulin release. VI. Analogy between the insulinotropic mechanisms of sugars and amino acids. Horm Metab Res 1971;3:374–8.

19.Nuttall FQ, Gannon MC, Wald JL, Ahmed M: Plasma glucose and insulin profiles it normal subjects ingesting diets of varying carbohydrate, fat, and protein content J Am Coll Nutr 4:437-450, 1985

20.Nuttall FQ, Mooradian AD, Gannon MC Billington C, Krezowski P: Effect of protein ingestion on the glucose and insulin response to a standardized oraglucose load. Diabetes Care 7:465-470, 1984

21.Pallotta JA, Kennedy PJ: Response of plasma insulin and growth hormone to carbohydrate and protein feeding. Metabolism 17:901-908, 1968

22.Rabinowitz D, Merimee TJ, Maffezzoli R, Burgess JA: Patterns of hormonal release after glucose, protein, and glucose plus protein. Lancet 2:454-456, 1966

23.Sener A, Malaisse WJ. L-Leucine and a nonmetabolized analogue activate pancreatic islet glutamate dehydrogenase. Nature 1980; 288:187–9.

24.Sener A, Hutton JC, Malaisse WJ. The stimulus-secretion coupling of amino acid-induced insulin release. Synergistic effects of L-glutamine and 2-keto acids upon insulin secretion. Biochim Biophys Acta 1981;677:32–8.

25.Sener A, Malaisse WJ. The stimulus-secretion coupling of amino acid-induced insulin release: insulinotropic action of branched-chain amino acids at physiological concentrations of glucose and glutamine. Eur J Clin Invest 1981;11:455–60.

26.Sener A, Blachier F, Rasschaert J, Mourtada A, Malaisse Lagae F, Malaisse WJ. Stimulus-secretion coupling of arginine-induced insulin release: comparison with lysine-induced insulin secretion. Endocrinology 1989;124:2558–67.

27. Teresa A. Hillier, David A. Fryburg, Linda A. Jahn, and Eugene J. Barrett. Extreme hyperinsulinemia unmasks insulin's effect to stimulate protein synthesis in human forearm. Am. J. Physiol. 274 (Endocrinol. Metab. 37): E1067-E1074, 1998

28.Varnier M, Leese GP, Thompson J, Rennie MJ. Stimulatory effect of glutamine on glycogen accumulation in human skeletal muscle. Am J Physiol 1995;269:E309–15

Essay Two: 

Q: What are the properties of glycogen? And why are these properties so vital post workout? 

A: Glycogen is a polysaccharide, (C6H10O5)n that is the main form of carbohydrate storage in animals and humans and occurs primarily in the liver and muscle tissue. It is readily converted to glucose as needed by the body to satisfy its energy needs (21), such as during intense training.

To enhance the progress of muscular strength and size with heavy-resistance body building programs, optimal conditions for recovery from training sessions are imperative, primarily glycogen re-synthesis (22).

Recovery occupies the coordinated operation of multiple physiological processes that are heavily influenced by the accessibility and actions of exclusive hormones and nutrients (16, 17).

Both qualitative and quantitative modifications in skeletal muscle contractile proteins are all supported and signaled by a horde of systematic -trophic influences from hormones to nutrient availability (18, 19).

Markedly, concentric and eccentric contractions disrupt or damage certain muscle fibers that must undertake a remodeling restoration process. Dietary nutrients, hormones, and growth factors interact to regulate this remodeling of skeletal muscle proteins (5).

One primal factor associated with muscular fatigue is depletion of muscle glycogen (1).

These stores must be replaced rapidly during the post-workout initial recovery phase in order for performance to be reproducible in a subsequent exercise bout(s).

Glycogen synthesis may be restricted by blood glucose concentration, glucose transport, and the activity of the enzymes involved in the pathway, particularly glycogen synthase (10).

Body building training programs provide conditions within skeletal muscle to support the rapid synthesis of glycogen.

Glycogen synthase action is inversely relative to glycogen intensity (23); as a result of the glycogen-depleted state post-training, skeletal muscle (24) and hepatic glycogen synthase activity are raised (13).

Basal glucose transport within skeletal muscle occurs via GLUT-4 (A powerhouse effect of insulin is the stimulation of glucose transport via the translocation of the insulin responsive glucose transporter, GLUT4, to the plasma membrane) (14).

Nevertheless, the ability of skeletal muscle to take up glucose is relative, due to adjustments in the GLUT-4 content of the sarcolemal membrane.

Image 1. Atrophic muscle fibers. The sarcolemal membranes of these two atrophic fibers have a wavy appearance. Courtesy: Department of Pathology; Virginia Commonwealth University;

There are hypothesized to be one or more intracellular pools of GLUT-4 proteins, which are translocated to the sarcolema in response to both increased insulin concentration (20) and prior exercise (9); these effects are additive (6).

 

 

 

 

In the post-workout period, therefore, muscle membrane permeability to glucose is high, thus favoring the accretion of glycogen replacement. However, if rapid carbohydrate distribution is not provided during recovery, glycogen synthesis will be limited because the rate of endogenous glucose production from gluconeogenic precursors such as alanine and glycerol is inadequate to support maximal rates of glycogen synthesis (15).

The ingestion of high GI carbohydrates increases glycogen synthesis in two ways.

The first (12) is increased substrate availability through the increased blood glucose concentration, which results in an increased glucose uptake due to mass action.

Moreover, the resultant increase in systemic insulin concentration stimulates the translocation of GLUT-4 transporters from an intracellular pool to the sarcolemal membrane (7).

The hormone insulin is also a powerful activator of glycogen synthase and inhibitor of glycogen phosphorylase (2).

The effectiveness of a specific carbohydrate in encouraging resynthesis of the carbohydrate stores is reliant on the insulin and glucose response to the carbohydrate load (4).

This is directly linked to gastric emptying and intestinal absorption rates.  It is also associated with the insulinogenic potential of the carbohydrate, as indicated by the glycemic index (GI) of a carbohydrate.

The development of glycogen synthesis relies upon the accessibility of glycogenic substrate (8) and the activity of the enzymes implicated in glycogen synthesis. These include hexokinase and glycogen synthase.

Prior exercise enhances skeletal muscle glucose transport (3) because of the translocation of GLUT-4 transporters from an intracellular pool to the sarcolemal membrane.

The inclination for skeletal muscle to extort blood glucose will thus be increased, and the glucose will tend to be directed toward glycogen synthesis because glycogen synthase is activated during recovery due to the low intramuscular glycogen concentration (23).

These conditions favoring the resynthesis of glycogen can be exploited (8) by the provision of a quality carbohydrate source.

The consequential amplification in glucose availability and the insulin response to the glucose load would tend to stimulate (7) a further increase in the GLUT-4 content of the sarcolemal membrane.

Research has demonstrated (11) that there is a direct correlation between the rate of glycogen storage during recovery and total muscle GLUT-4 protein content.

On a side note, observational and empirical evidence makes it plainly obvious that the endocrinal state of the body builder post-workout is nothing like that of a sedentary individual.

A red herring argument is an attempt to offer evidence to support one proposition by arguing for a different one entirely, or dodging the main argument by going off on a tangent.

    Oftentimes opponents of high GI carbohydrate supplementation post-workout will point to the dangers of excess insulin-spiking and glucose intake; however, this is a red herring argument.  This claim is like comparing apples to oranges.

 

 

The physiological state of that of a sedentary individual and that of a body builder during the post-workout scenario are polar opposites. Comparing the two states in such a manner is faulty logic.

For superior glycogen synthesis post-workout, JHR recommends a mixed solution of Dextrose and Maltodextrin carbohydrate sources. See: Dextrose, Maltodextrin, and Sodium an In Depth Analysis

References for essay two:

1.Bergstrom, J, and Hultman E. A study of glycogen metabolism during exercise in man. Scand J Clin Lab Invest 19: 218-228, 1967

2.Cohen, P. Muscle glycogen synthase. Enzymes 17: 461-497, 1986.

3.Douen, AG, Ramlal T, Rastogi S, Bilan PJ, Cartee GD, Vranic M, Holloszy JO, and Klip A. Exercise induces recruitment of the "insulin-responsive" glucose transporter. J Biol Chem 124: 13427-13430, 1990.

4.Doyle, JA, Sherman WM, and Strauss RL. Effects of eccentric and concentric exercise on muscle glycogen replenishment. J Appl Physiol 74: 1848-1855, 1993

5.Florini, J. R. Hormonal control of muscle cell growth. J. Anim. Sci. 61: 21-37, 1985

6.Gao, J, Ren J, and Holloszy JO. Additive effect of contractions and insulin on Glut-4 translocation into the sarcolemma. J Appl Physiol 77: 1597-1601, 1994

7.Goodyear, LJ, Hirshman MF, Napoli R, Calles J, Markuns JF, Ljungqvist O, and Horton ES. Glucose ingestion causes Glut 4 translocation in human skeletal muscle. Diabetes 45: 1051-1056, 1996

8.J. L. Bowtell1, K. Gelly1, M. L. Jackman1, A. Patel1, M. Simeoni2, and M. J. Rennie1. Effect of different carbohydrate drinks on whole body carbohydrate storage after exhaustive exercise. J Appl Physiol Vol. 88, Issue 5, 1529-1536, May 2000

9.Kristiansen, S, Hargreaves M, and Richter EA. Progressive increase in human sarcolemmal vesicles during moderate exercise. Am J Physiol Endocrinol Metab 272: E385-E389, 1997

10.Luc JC van Loon, Wim HM Saris, Margriet Kruijshoop and Anton JM Wagenmakers .Maximizing postexercise muscle glycogen synthesis: carbohydrate supplementation and the application of amino acid or protein hydrolysate mixtures.American Journal of Clinical Nutrition, Vol. 72, No. 1, 106-111, July 2000

11.McCoy, M, Proietto J, and Hargreaves M. Skeletal muscle GLUT-4 and post-exercise muscle glycogen storage in humans. J Appl Physiol 80: 411-415, 1996

12.Nesher, R, Karl SE, and Kipnis DM. Dissociation of effects of insulin and contraction on glucose transport in rat epitrochlearis muscle. Am J Physiol Cell Physiol 249: C226-C232, 1985

13.Niewoehner, CB, and Nuttall FQ. Glycogen concentration and regulation of synthase activity in rat liver in vivo. Arch Biochem Biophys 318: 271-278, 1995

14.Robinson LJ, Pang S, Harris DS, Heuser J, James DE.

Translocation of the glucose transporter (GLUT4) to the cell surface in permeabilized 3T3-L1 adipocytes: effects of ATP insulin, and GTP gamma S and localization of GLUT4 to clathrin lattices. J Cell Biol. 1992 Jun; 117(6): 1181-96

15.Satabin, P, Bois-Joyeux B, Chanez M, Guezennec CY, and Peret J. Post-exercise glycogen resynthesis in trained high-protein or high-fat-fed rats after glucose feeding. Eur J Appl Physiol 58: 591-595, 1989

16.Staron, R. S., D. L. Karapondo, W. J. Kraemer, A. C. Fry, S. E. Gordon, J. E. Falkel, F. C. Hagerman, and R. S. Hikida. Skeletal muscle adaptations during the early phase of heavy-resistance training in men and women. J. Appl. Physiol. 76: 1247-1255, 1994

17.Symons, D. J., and I. Jacobs. High-intensity exercise performance is not impaired by low intramuscular glycogen. Med. Sci. Sports Exerc. 21: 550-557, 1989

18.Tarnopolsky, M. A., S. A. Atkinson, J. D. MacDougall, A. Chesley, S. Philips, and H. P. Schwarcz. Evaluation of protein requirements for trained strength athletes. J. Appl. Physiol. 73: 1986-1995, 1992

19.Thissen, J. P., J. M. Ketelslegers, and L. E. Underwood. Nutritional regulation of the insulin-like growth factors. Endocr. Rev. 15: 80-101, 1994

20.Watkins, SC, Frederickson A, Theriault R, Korytkowski M, Turner DS, and Kelley DE. Insulin-stimulated GLUT4 translocation in human skeletal muscle: a quantitative confocal microscopical assessment. Histochem J 29: 91-96, 1997

21.Webster's Revised Unabridged Dictionary,  1996, 1998 MICRA, Inc. 

22.William J. Kraemer, Jeff S. Volek, Jill A. Bush, Margot Putukian, and Wayne J. Sebastianelli. Hormonal responses to consecutive days of heavy-resistance exercise with or without nutritional supplementation
J Appl Physiol, Oct 1998; 85: 1544 - 1555.

23.Yan, Z, Spencer MK, and Katz A. Effect of low glycogen on glycogen synthase in human muscle during and after exercise. Acta Physiol Scand 145: 345-352, 1992

24,Yan, Z, Spencer MK, Bechtel PJ, and Katz A. Regulation of glycogen synthase in human muscle during isometric contraction and recovery. Acta Physiol Scand 147: 77-83, 1993

Essay Three: 

Q: Of what significance are the timing of carbohydrate consumption and the window of opportunity? 

A: The timing and digestion of post-exercise carbohydrates is imperative for two reasons.

·        Glycogen replacement.

·        Translates the body’s hormonal state from catabolic to anabolic (Muscle protein synthesis, cortisol suppression, shuttling of nutrients into the muscles. The amplified cellular sensitivity to insulin post-exercise provides for the express delivery and intra-cellular transport of glucose and creatine).

Muscle glycogen is an indispensable fuel source for body building training regimens. Glycogen is broken down and used during exercise as energy for muscle contraction.

This energy is moderated by the Glycogen-Lactic Acid System, which is profoundly employed in body building training curriculums.  The energy source drawn from during this stage of work is glycogen.

The process begins by converting glycogen into glucose, which then metabolizes to ATP, known as anaerobic metabolism. Interference with ATP production, by means of lactic acid and depleted stores of glycogen, causes eventual fatigue in the muscle if the intensity is maintained (See: ( Muscle Fibers Part One and Eight Weeks To A Freakier Tibialis.)

Degradation of stored glycogen, known as glycogenolysis, occurs through the feat of glycogen phosphorylase.  

The purpose of phosphorylase is to phosphorolytically eliminate single glucose residues from a-(1,4)-linkages within the glycogen molecules.

Moreover, the glycogen-lactic acid system is responsible for the concept known as “time-under-tension (TUT),” which is an invaluable tool in the quest for enhanced hypertrophy.

“Why Moderate Reps Stimulate Optimal Hypertrophy”- Excerpt from Physiological Aspects of Bodybuilding Part I:

As an overview of the concepts I have covered, studies have shown that moderate repetition sets are best for improving hypertrophy in fast twitch fibers and high repetition sets are best for increasing hypertrophy in slower twitch fibers.  There are several reasons why.  The first is that one to 5 rep maximums based sets will most likely cause you to fail due to nervous system signaling problems before a strong enough stimulus to muscle growth can be induced (1, 2).  Secondly moderate rep sets (6-12 and even 15 reps, for example) take full advantage of our body's recruiting system.  The nervous system will recruit lower threshold fibers firstly and as the set intensifies it will enlist more and more high threshold fibers.  By the end of a set all available muscle cells have been brought into play (3).  Thirdly the release of anabolic hormones is highest after these types of sets (4, 5, 6, 7, 8) (look for detailed articles on how to manipulate natural hormone release in the near future in our anatomy section!).  

This is of obvious benefit!  After all, why do you think anabolic steroids are so successful?  They are simply inject-able hormones!  The more you have circulating in your body, the greater your muscle gains will be, and no one will argue this point!  Interestingly enough, many elite trainers, doctors and professors have theorized that lactic acid production can be very conducive to the release of anabolic hormones such as testosterone and growth hormone (3, 4, 5)!  Lactic acid is a by product of the G-L-A System (6).  This is the energy system that is used most heavily during 30-90 seconds of work.  Power lifting type movements are dependent on the creatine phosphate system which is used for extremely low rep, high percentage (of your maximum strength) sets.  The PC system does not result in lactic acid production.  This is just another reason to use supersets, strips, and other techniques that produce this effect.  

Sets that use the Glycogen-Lactic Acid system (30-90 seconds, shocking methods or 6-15 reps) prime the pump (create extreme pumps). There are many benefits to this in regards to hypertrophy.  One is to super hydrate your myofibrils (9)(see anatomy of a muscle fiber for detailed explanation of myofibrils)!   A pump is caused by the collapsing of veins.  As you know from the anatomy of a muscle, veins take blood out and arteries bring blood to the muscles.  Even though the veins begin to fail, the arteries continue to bring blood to the muscles!  This build up of fluid causes a flow of blood to go back into the muscle which in turn causes the pump!  What does more fluid in the muscle cells equal?  Hydration correct!?  Surely you have heard of the numerous benefits of super hydration!  Several studies have shown that it literally inhibits protein breakdown and stimulates protein synthesis (growth!) (10, 11, 12).  Again, low repetition sets (especially 1-3 rep ranges) do not provide enough time to produce a significant pump.  Blood is also responsible for the precious nutrients needed for growth or the rebuilding process of muscle tissue! Finally time under tension has been a proven factor in stimulating optimal growth (13)!  The longer actin and myosin filaments interact with each other to produce contraction the greater the damage to the muscle tissue will be.  It’s apparent that this time is extremely short in low rep sets.  Therefore you need to recruit and expose the muscle fiber to enough time under tension to optimally grow!

Body builders are focused on lifting progressively heavier weights under longer time under tensions.

Therefore, storehouses rich in glycogen should be of the highest importance (aside from glycogen depleting stages) in order to make full use of the G-L-A system. These storehouses are depleted after a workout, and need to begin to be replaced as soon as possible for maximum usage of the G-L-A for subsequent training bouts.

Power output and muscle mass recruited determine glucose disposal (39).

 

Once glycogen stores are depleted, the capacity to perform exercise at full potential is lost or severely limited. Glycogen depletion has a direct impact on decreasing the levels of maximum intensity that can be dispersed during training (1, 5, 12, 15, 19, 21).

 

Image One. Rough Endoplasmic Reticulum, Mitochondria and Glycogen. Photo Courtesy: CSLUB.

 

The results of K. M. Zawadzki, B. B. Yaspelkis 3rd and J. L. Ivy experiments showed (29),that post-exercise muscle glycogen storage can be enhanced with a carbohydrate-protein supplement as a result of the interaction of carbohydrate and protein on insulin secretion.”

Supplementation at the adequate phase to begin replacing lost glycogen is crucial.

For maximal anabolic potential, research shows macronutrient ratios should consist of a liquid solution containing both carbohydrates and protein.

Delaying the ingestion of a carbohydrate supplement post-exercise will result in a reduced rate of muscle glycogen storage (20).

Inferior post-workout recipes that slow gastric emptying or dull insulin release can enhance this delaying effect.

Due to the damage of muscle proteins and the distraction of amino acids and energy away from the actions of protein synthesis during exercise, there is a resulting need for improved post-exercise protein repair and synthesis.

Therefore, the appropriate readiness, and therefore, timing of nutrient intake is necessary to achieve positive net muscle protein balance.

It has been confirmed through research that fast-acting post-exercise ingestion of a nutrient supplement enhances accretion of whole body protein, suggesting a common mechanism of exercise-induced insulin action (14).

Muscle protein synthesis is stimulated in the recovery period after resistance exercise (7, 10).

However, the net protein balance (the difference between muscle protein synthesis and protein breakdown) generally remains negative in the recovery period after resistance exercise in the absence of nutrient intake; this causes the muscle to be in a catabolic, or muscle wasting, state (7, 32, 33, 35).

Recently, Elisabet Børsheim, Melanie G. Cree, Kevin D. Tipton, Tabatha A. Elliott, Asle Aarsland, and Robert R. Wolfe (16) tested this concept utilizing 100 g of carbohydrates (Maltodextrin) post-workout.

They concluded:

In conclusion, the principal finding of this study was that intake of 100 g of carbohydrates (Maltodextrin) after resistance exercise improved muscle net protein balance, but the improvement was only minor compared with the reported effect of intake of amino acids. We conclude that intake of carbohydrates alone after resistance exercise will modestly improve the anabolic effect of exercise. However, amino acid intake is necessary for a maximal response.

During their research they concluded that carbohydrates and amino acids coupled together provided the most ideal anabolic circumstances.

In 2000, Rasmussen, BB, Tipton KD, Miller SL, Wolf SE, and Wolfe RR (37) showed that muscle protein synthesis was increased 3.5-fold when only a small amount (6 g) of a mixture of essential amino acids (EAAs) was given along with 35 g of carbohydrate after resistance exercise.

Clearly the combination of protein and carbohydrates post-workout is vital to both muscle protein and glycogen synthesis. As mentioned earlier, there is a synergistic effect between amino acids and carbohydrates.

Fusion of glycogen and protein is essential for skeletal muscle recovery from the catabolic events of exercise (20).

In recent years, different methods of increasing the muscle glycogen stores post-workout have been extensively investigated.

Research studies addressing this question have focused on:

·        The timing (20, 22, 26, 27, 28, 30)

·        Frequency (15)

·        Amount of supplementation (8, 21-23, 25)

·        As well as type of supplement to ingest (9, 34, 38, 41, 44).

It has been well-established that the timing of carbohydrate intake after exercise significantly influences post-exercise carbohydrate homeostasis and recovery (20, 40).

The research confirms that rapid digestion and assimilation of carbohydrates will produce the most favorable circumstances.

In the attempt to act upon this early window, the next logical conclusion to the post-workout theory would be to consume nutritional sources that act upon rapid gastric emptying to enhance these early periods of post-workout recovery (muscle protein and glycogen synthesis). 

Figure 1. Gastric emptying is the evacuation of food from the stomach into the duodenum. In the duodenum, the last stages of digestion occur and the earliest stages of absorption and assimilation of nutrients begins.

The emptying rate of the contents of the stomach is determined by the substance, volume, osmolality, and structure of the ingested meal. Liquids empty much more quickly than solids.

The pace of gastric emptying is related to the square root of the volume, so that a constant proportion of the gastric contents empty per unit of time.

Moreover, stimulation of duodenal osmoreceptors with triglycerides, fatty acids or hydrochloric acid slows gastric emptying.

Delayed gastric emptying is contrary to the ideal post-workout scenario. The faster the muscle glycogen stores can be replenished after exercise, the faster the recovery process and the greater the return of performance capacity.

Backed by numerous experiments, L. Ivy, A. L. Katz, C. L. Cutler, W. M. Sherman and E. F. Coyle helped confirm that delaying the ingestion of a carbohydrate supplement post-exercise will result in a reduced rate of muscle glycogen storage (23).

These findings can also be directly correlated to reduced gastric emptying rates (4, 11, 13, 25) that occur with carbohydrate sources such as fibrous greens or oatmeal.

Reducing the emptying rate of the carbohydrate source would severely delay the ingestion process, and therefore the benefits of the nutrients for the post-workout glycogen synthesis.

Insulin has a positive effect on glycogen resynthesis and protein synthesis (18). 

This is important because insulin has been shown to be involved in the stimulation of amino acid uptake and incorporation of proteins after exercise (2, 17).

Teresa A. Hillier, David A. Fryburg, Linda A. Jahn, and Eugene J. Barrett confirmed that insulin increases protein synthesis.

In their entry, “Extreme hyperinsulinemia unmasks insulin's effect to stimulate protein synthesis in the human forearm,” they concluded:

Insulin clearly stimulates skeletal muscle protein synthesis in vitro. Surprisingly, this effect has been difficult to reproduce in vivo. As in vitro studies have typically used much higher insulin concentrations than in vivo studies, we examined whether these concentration differences could explain the discrepancy between in vitro and in vivo observations.

In summary, these results indicate that insulin at high concentrations strongly stimulates muscle protein synthesis in the human forearm. This effect is quite consistent with the action of insulin described in a number of in vitro studies using similar concentrations of insulin but distinct from what is observed with physiological hyperinsulinemia. Therefore, much of the discrepancy previously reported between insulin action on protein synthesis in vivo vs. in vitro may result directly from differences in insulin concentrations used. In addition to stimulating protein synthesis, high-dose insulin resembles the action of IGF-I observed previously. As IGF-I receptors can be stimulated by high concentrations of insulin, the present results together with findings from in vitro studies raise the possibility that some or all of insulin's action to stimulate protein synthesis may be mediated by pathways other than the insulin receptor.

In 1997, B. D. Roy, M. A. Tarnopolsky, J. D. Macdougall, J. Fowles, and K. E. Yarasheski tested the effects of glucose supplement timing on protein metabolism after resistance training.

The results illustrated that the most rapid increase in muscle glycogen post-workout was achieved by consuming foods with a high GI (6).

We determined the effect of the timing of glucose supplementation on fractional muscle protein synthetic rate (FSR), urinary urea excretion, and whole body and myofibrillar protein degradation after resistance exercise.

Their findings revealed:

CHO supplementation (1 g/kg) immediately and 1 h after resistance exercise can decrease myofibrillar protein breakdown and urinary urea excretion, resulting in a more positive body protein balance.

They fully confirmed the importance of insulin in suppressing the increase in muscle protein degradation rate after exercise.

Muscle growth in adult humans results from muscle fiber hypertrophy/plasia (31).

Hypertrophy is the result of an increased net muscle protein balance [i.e., fractional muscle protein synthetic rate (FSR)  muscle protein degradation rate (MPD)]. Both FSR and MPD can be stimulated by heavy-resistance exercise in humans (7, 10, 43).

However, as mentioned earlier, FSR is made null in the absence of nutrition (7, 32, 33, 35). Delay in nutritional intake via slow-burning sources has the same effect due to low gastric emptying rates (23).

It is also known that amino acid transport is increased after resistance exercise. When insulin is combined with increased amino acid delivery, FSR and WBPS (whole body protein synthesis) are both amplified radically (3).

One methodology for delaying gastric emptying post-workout and decreasing insulin release would be to consume foodstuffs consisting of fat/fiber, or low GI. Such protocols may include oatmeal, peanut butter or whipping cream.

These protocols are completely counteractive to rapid ingestion of nutrients needed to fulfill the early post-workout recovery processes.

Insulin is released with any food, but the macronutrient that causes its highest release is the carbohydrate (See: Take Fat Burning To A Whole New Level!! ); the more complex and fibrous the carbohydrate, the slower the release of insulin, and the slower the rate of gastric emptying.

This protocol is ideal for all other meals as the day; whether the goal is gain in mass or maintenance of mass.

However, in the case of post-training, JHR can not stress enough what a terrible recommendation fat/fiber during the post-workout scenario is.

Benini L, Castellani G, Brighenti F, Heaton KW, Brentegani MT, Casiraghi MC, Sembenini C, Pellegrini N, Fioretta A, and Minniti G, et al. (4) scientifically confirmed this conclusion:

It is known that exogenous fibre added to liquid meals delays gastric emptying. This study therefore looked at gastric emptying of two different solid meals in eight healthy subjects and their blood glucose responses. The meals were exactly equivalent except for the total dietary fibre content (high fibre 20 g, low fibre 4 g of dietary fibre per 1000 kcal) and supplied 870 kcal (700 kcal women), 47% of which was from carbohydrates, 36% from fats, and 17% from proteins….Total gastric emptying time was significantly reduced by fibre removal (186.0 (15.6) v 231.7 (17.3) minutes after the low and the high fibre meal, p < 0.05). Blood glucose was higher after the low fibre meal, and the area under the glycaemic curve significantly greater (226 (23.1) v 160 (20.0) mmol/min/dl-1, p < 0.05). …In conclusion, fibre naturally present in food delays gastric emptying of a solid meal, reduces the glycemic response, and delays the return of hunger.

Moreover, there is a direct relationship between carbohydrate absorption rate (and therefore GI) and fat content. This is because fat acts to delay gastric emptying (13).

This makes oat fiber perhaps the worst carbohydrate source post-workout, as it not only slows gastric emptying to a halt, but also suppresses insulin release.

Johansen, J.N., Knudsen, K.E.B., Sandstrom, B., and Skjoth, F (24) revealed this truth by testing various controls such as wheat flour, oat flour, rolled oats, and oat bran for gastric emptying rates.

Soluble fiber in oats increases the viscosity of the stomach contents, increases water holding capacity, and decreases the rate of gastric emptying.

Furthermore, Jenkins DJ, Josse RG, Jenkins AL, Wolever TM, and Vuksan V (25) showed the “Implications of altering the rate of carbohydrate absorption from the gastrointestinal tract”:

The rate of absorption of carbohydrate from the small intestine plays a major role in determining the metabolic effects of dietary carbohydrate. Factors which reduce the rate of absorption include the nature of the starch and sugars, and the presence of vegetable proteins, fats, viscous fibre, and antinutrients, including lectins and phytates. The rate of absorption can also be manipulated by the use of specific enzyme inhibitors and by increasing the number and frequency of meals while holding caloric intake constant. All these factors contribute to the creation of what may be termed slow release or "lente carbohydrate". The slowing of small intestinal absorption, as exemplified by increased meal frequency ("nibbling"), results in reduced postprandial insulin secretion and lower low-density lipoprotein (LDL) cholesterol and apolipoprotein B concentrations. A further effect of some manipulations which reduce the rate of absorption is increased delivery of carbohydrate to the colon and its absorption after bacterial fermentation to short-chain fatty acids (SCFA).

This study further backs the fact that fiber and fat serve to delay gastric emptying; the complete inverse of what is desired post-workout.

Welch IM, Bruce C, Hill SE, Read NW (42) in their journal entry, “Duodenal and ileal lipid suppresses postprandial blood glucose and insulin responses in man: possible implications for the dietary management of diabetes mellitus,” inadvertently showed that fat post-workout will delay gastric emptying and insulin release.

Infusion of lipid into the ileum delays the transit of a meal through the stomach and small intestine and could therefore influence the rate and degree of nutrient absorption…Infusions of lipid into either the duodenum or the ileum significantly reduced or abolished the immediate postprandial rises in blood glucose and insulin and significantly delayed gastric emptying. Blood glucose and insulin rose shortly after the lipid infusion terminated…Intestinal lipid can thus modify the glycaemic and insulinaemic responses to a meal, and this modulation probably explains the reduced metabolic responses to a meal containing fat compared with a fat free meal.


Therefore, in order to increase the rate of absorption, fiber and fat sources should be shunned post-workout.

Aside from delaying the recovery process post-workout, EIOS adds another negative factor to this equation. Post-workout carbohydrate metabolism may be altered by the ingestion of fats, as each substrate competes as an oxidative fuel source (36).

See: Role of Anaerobic Post-Workout Antioxidant Supplementation in Correspondence to Exercise Induced Oxidative Stress

Fat/fiber will delay the intake of nutrients, thwarting the initial, all-encompassing recovery phase post-workout, and dampening the insulin release associated with enhanced glycogen and protein synthesis post-training.

 

   


Often proponents of slow burning carbohydrates post-workout will take studies out of context claiming, “Rapid glycogen synthesis via insulin post-workout is unnecessary. Most body building training programs incorporate several rest days before the same muscle group is trained again; therefore, glycogen depletion is not a big issue in bodybuilding. After all, I train my shoulders only once per week; there is plenty of time in between to restore glycogen!” 

However, this is hasty generalization (understand also that this is ignoring a host of other benefits glucose feeding post-training has in regards to anabolism).

D. L. Costill, D. D. Pascoe, W. J. Fink, R. A. Robergs, S. I. Barr, and D. Pearson reveled in their study, “Impaired muscle glycogen resynthesis after eccentric exercise,” (J Appl Physiol 69: 46-50, 1990) that glycogen synthesis is hindered post-eccentric exercise.

The heavy utilization of the eccentric factor in the body builder’s code of behavior makes this study even more imperative for the hypertrophy athlete. In light of this obstruction, it would be foolhardy not to act in a fashion that would allow for the most advantageous recovery, such as is the case with sub-optimal carbohydrate foundations post-workout.

Consider, also that even if an athlete trains his or her shoulders directly only once per week, they are still training chest, back, trapezius, arms, and integrating other various compound exercises that incorporate heavy use of the deltoids, either as prime or secondary movers, synergists or as dynamic stabilizers. No doubt this is supported by DOMS and ingrained through kinesthetic proprioception.

The deltoids are taking an extreme breakdown multiple days in a row (and this is the case with a manifold of large and small muscle groups, for example the back, calves, and abdominals). Furthermore, eccentric exercise has been shown to impair glycogen synthesis.

Additionally, myofibril hydration is crucial as “glucose and sodium post-exercise greatly enhance intestinal fluid absorption over plain water, due to the Glucose/Sodium co transport system

 (See: Effect of Plasma Volume on Myofibril Hydration, Nutrient Delivery, and Athletic Performance).

Replacing glycogen stores rapidly as possible is the most logical conclusion for body builders who train multiple days or follow typical body building splits and exercise programs.

 

Furthermore, there is no logical reason not to intake High GI carbohydrates post-workout. Excess fat gain from high GI carbohydrate sources is the only reason asserted, and this is based on ignorance of post-exercise carbohydrate metabolism.

 

Will one make gains without high GI carbohydrates post-workout? Some progress can be made without these factors.

Will optimal performance and maximal potential gains suffer under such a protocol? Science and logic have shown the answer to be an overwhelming and resounding, “yes”.

Delaying the consumption of nutrients post-workout, via the intake of low GI carbohydrates like fat and fiber, has been shown to be self-impeding and rationally inconsistent for body building practices.

In summary, perhaps no other phrase has been truer than that immortalized by USAF Medical Lab Tech. and ABC Moderator, Seksi,

 “Not spiking is like letting an open wound bleed for a few hours before doing something about it.”

See: Fiber Dynamics Part II, Endocrine Insanity Part III 

References for essay three:

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