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Kamis, 03 Maret 2016

Non-Stimulant, Non-Effective?! Can Non-Stimulant Dietary Herbal Supplements Boost Your Resting Metabolic Rate?

There are two types of alleged fat burners: Type I are the stimulants with proven beneficial effects on you resting metabolic rate and beneficial "side effects" on energy levels and (reduced) appetite. Type II are non-stimulant "fat burners". Two of those have been tested in a recent study ... learn what the study says.
Amanda J. Salacinski, Steven M. Howell, Danielle L. Hill, & Steven M. Mauk, researchers from the Department of Kinesiology and Physical Education at the Nothern Illinois University didn't miss that weight loss supplements are becoming increasingly popular - even in people with with chronic diseases (usually as a consequence of obesity).

Even in healthy individuals, the list of side effects that have been reported for the various fat burners is long (Salacinski et al. highlight G.I. distress, and liver inflammation, which may accompany weight loss resulting from chronic supplementa-tion, in particular)... and while it is long, very long, in fact, it is hardly science based, because evidence controlled treatment trials in healthy and diseased patients are rare, insufficient or simply lacking. That's bad news. After all, for most currently marketed OTC weight loss agents' kitchen-sink approach to fat loss, there's no evidence that they even work.
If you're looking for a true fat burner, try coffee ;-)

For Caffeine, Timing Matters! 45 Min or More?

Coffee - The Good, Bad & Interesting

Three Cups of Coffee Keep Insulin At Bay

Caffeine's Effect on Testosterone, Estrogen & SHBG

The Coffee³ Ad- vantage: Fat loss, Appetite & Mood

Caffeine Resis- tance - Does It Even Exist?
One example the scientists mention are raspberry ketones which have, as the scientists point out, "been widely promoted as a ‘weight loss miracle’ [even though there's more than just] limited research [...] on humans" (Salacinski. 2016); and still, raspberry ketones are at least an ingredient of which you know that it could be working... to some degree. That is in contrast to what the scientists say is true for the majority of products on the US market, which "have inconclusive labels or contain a ‘metabolic activator blend’ which includes no details on the ingredients for weight loss" (Salacinski. 2016). Furthermore, ...
Figure 1: There's no doubt that there was an effective fat burner on the market. The com-bination of ephedrine and caffeine (data from Greenway et al. 2004) did what pharma-cological bogus like "Alli" will never do: burn fat and protect muscle (e.g. Molnar. 2000)
"[...t]he Dietary Supplement Health and Education Act (1994) allows for the marketing of supplements without prior approval of their efficacy and safety by the Food and Drug Administration (FDA). Therefore, the safety profiles for many of these products are unknown, thus leading to variations in their composition and allows for the inclusion of inferior products (Stickel et al., 2005). Moreover, the majority of the research conducted within this area has primarily focused on the use of caffeine, chromium, and ephedra for weight loss, which contributes to increase user confusion and product uncertainty (Anderson, 1998; Greenway et al., 2004; Urbina et al., 2012)" (Salacinski. 2016).
As a more recent study by Urbina et al. (2012) appears to suggest, it doesn't necessarily take ephedrine, though, to elicit significant increases in metabolic rate. The ephedrine-free caffeine + green tea based successor to the ephedrine-based fat burner DymaBurn(TM) may not be as effective, but can still elevate the resting metabolic rate of  6 male and 6 female subjects (N = 12, 22 ± 9.5 yrs, 171 ± 11.2 cm, 76.9 ± 11.2 kg, 22.7 ± 9.5), who consumed either a 2 capsule serving of Dyma-Burn Xtreme (DBX) or placebo (PLC), significantly (see Figure 2):
Figure 2: Effects of the ephedrine-free version of DymaBurn (caffeine, green tea extract, raspberry ketones and L-carnitine) fat burner and placebo on resting metabolic rate at 1h, 2h, 3h and 4h after ingestion; values in kcal / day (Urbina. 2012).
The same goes for the desired "side effects", namely an improved state of mood state that involves increased focus, alertness, and energy (Urbina. 2012)... all three effects are characteristic of stimulants, though, and thus exactly those fat burner ingredients of which Salacinski et al. wanted to determine whether they could be replaced with non-stimulant herbal supplements.
Citrus aurantium is not the valid successor to ephedra marketing campaigns tell you. In fact, Bent et al. found only one reliable placebo-controlled study which yielded the disappointing results you see above (Colker. 1999)
No fat burner "burns fat": Among those agents that won't possibly kill you in no time, none will actively burn fat - not even those that have been proven to trigger significant increases in fat oxidation, like caffeine or green tea. They may help you to shift the weight loss towards body fat, but the <125kcal/day increase in resting metabolic rate from the caffeine + GTE combination I plotted for you in Figure 2 is not going to get you ripped without the help of concomitant dieting efforts.

Fat burners are no magic weight loss pills and still, they can help you lose weight - especially the stim-based ones - because they may reduce appetite, increase energy and thus your ability to adhere to an energy restricted diet with or without concomitant exercise.
Supplements like the kitchen-sink blend CelluCor CLK or the previously mentioned raspberry ketones. Two agents Salacinski et al. administered to 10 healthy female and 16 male participants (mean age 23.7 ± 3.9 years; mean weight 79.2 ± 18.2 kg) in a complex experiment. The latter involved three trials on separate days during the morning hours (0600–1100) during a 2-week interval.
Figure 3: Changes in RMR after the administration of raspberry ketones or CelluCor CLK; p  > 0.05 for both (Salacinski. 2016).
"As recommended by Compher and colleagues (2006), subjects were instructed to refrain from exercising for 24 hours and from consuming food for 12 hours prior to testing. The participant ingested a placebo (an empty digestible capsule) or a dose of one of two supplements; CelluCor CLK or raspberry ketones (R) and CelluCor T7 or the metabolic activator blend (MAB) with water, upon awakening on the morning of each measurement session. The three softgel and two softgel tablets were considered to be a single dose of R and MAB, respectively, as recommended by the manufacturer.

R was composed of 1.7 g of conjugated linoleic acid, 500 mg of l-carnitine tartrate, 100 mg of R, and 100 mg of 7-ketodehydroepiandrosterone. The MAB product consisted of 494 mg of MAB with an ingredient list of white willow bark, cayenne, 3-iodotyrosine, 3, 5-diiodotyrosine, 200 mg of zinc arginate chelate, 150 mg of sea weed extract. 66 mg of niacinamide, 66 mg of griffonia seed extract, and 0.2 mg of selenium" (Salacinski. 2016).
The placebo (control trial) was always ingested on the morning of the first measurement session two hours prior to measurements. The supplement (R or MAB) taken upon awakening prior to the second and third measurement session was randomly determined by a coin toss, again two hours before the data collection. Whichever supplement was not taken prior to the second measurement trial was taken prior to the third measurement trial. At least 24 hours separated the first session (control) with the second session; and at least 48 hours separated the second session from the third session to minimize interference from the previous supplement.

The results of this recent rel. small scale (N=26, no dropouts) study are plotted in Figure 3. Data from two participants were excluded from the statistical analysis because the data could not be adjusted to meet the acceptable criteria recommended by Compher et al. (2007) and Frankenfield et al. (2003). Despite the two exclusions, it should be obvious that the non-significant 0.111% increase due to raspberry ketones and the even lower increase due to CelluCor CLK are meaningless.
Onakpoya, et al. conducted a comprehensive meta-analysis on the weight loss effects of CLA. The analysis shows a non-significant trend for increased weight loss with increasing dosages of conjugated linoleic acid, but overall, their results do "not convincingly show that CLA intake generates any clinically relevant effects on body composition on the long term" (Onakpoya. 2012).
Bottom line: In view of the fact that the study at hand is an acute response study, I have to admit that it is remotely possible that any of the supplements tested could still trigger long-term fat loss, Salacinski et al. rightly point out that their study refutes the often-heard claim that non-thermogenic herbal supplements would be a fit and safe alternative to stimulants. A replacement that would facilitate similar increases in RMR as nowadays mostly caffeine-based thermogenics without side effects.

Irrespective of any methodological gaps, the study at hand suggests shows one thing with a decent certainty: if raspberry ketones alone or RK blends like CelluCor CLK, which contains hydrolysates of Blue Whiting, L-Carnitine Tartrate, CLA (Conjugated Linoleic Acid) and Razberi-K®, a proprietary raspberry extract marketed as "the original ketone ingredient behind this movement", work at all - it is not by increasing your REE | Comment!
References:
  • Anderson, Richard A. "Chromium, glucose intolerance and diabetes." Journal of the American College of Nutrition 17.6 (1998): 548-555.
  • Bent, Stephen, Amy Padula, and John Neuhaus. "Safety and efficacy of citrus aurantium for weight loss." The American journal of cardiology 94.10 (2004): 1359-1361.
  • Colker, Carlon M., et al. "Effects of Citrus aurantium extract, caffeine, and St. John's wort on body fat loss, lipid levels, and mood states in overweight healthy adults." Current Therapeutic Research 60.3 (1999): 145-153.
  • Greenway, Frank L., et al. "Effect of a Dietary Herbal Supplement Containing Caffeine and Ephedra on Weight, Metabolic Rate, and Body Composition*." Obesity research 12.7 (2004): 1152-1157.
  • Molnar, D., et al. "Safety and efficacy of treatment with an ephedrine/caffeine mixture. The first double-blind placebo-controlled pilot study in adolescents." International Journal of Obesity 24.12 (2000): 1573-1578.
  • Onakpoya, Igho J., et al. "The efficacy of long-term conjugated linoleic acid (CLA) supplementation on body composition in overweight and obese individuals: a systematic review and meta-analysis of randomized clinical trials." European journal of nutrition 51.2 (2012): 127-134.
  • Salacinski, Amanda J., et al. "The Acute Effects of Nonstimulant Over-the-Counter Dietary Herbal Supplements on Resting Metabolic Rate." Journal of dietary supplements (2015): 1-10.
  • Stickel, Felix, Eleonora Patsenker, and Detlef Schuppan. "Herbal hepatotoxicity." Journal of hepatology 43.5 (2005): 901-910.
  • Urbina, Stacie, et al. "Effects of ingesting Dyma-Burn Xtreme, a thermogenic dietary supplement on metabolic rate and subjective measures of mood state." JISSN 9.Suppl 1 (2012): P31.

Kamis, 03 Desember 2015

Caffeine + Green Tea = Plus 10% Fat Oxidation & Energy Expenditure at Rest and During Sprint Interval Exercise

From a health perspective it may be good that green tea does not contain all-too much caffeine. From a fat loss perspective, it clearly lacks caffeine.
When it comes to dietary supplements, people like to pay tons of money for unproven ingredients with funky names and dubious or non-existent safety profiles; agents that have been scientifically proven to work, are safe and cheap, on the other hand, are non-sellers or at least considered to be non-effective.

Obviously, I cannot really explain why that is the case (I suspect it is because people effect drug-like effects without drug-like side-effects from supps and are thus always on the lookout for the "next big"... hoax), I can tell you, though, that a recent study that is going to be published in one of the upcoming issues of the Journal of Strength and Conditioning Research (Jo. 2015) shows that caffeine and green tea, two supplements that belong to the previously described category, are everything but useless.
You can learn more about coffee at the SuppVersity

For Caffeine, Timing Matters! 45 Min or More?

Coffee - The Good, Bad & Interesting

Three Cups of Coffee Keep Insulin At Bay

Caffeine's Effect on Testosterone, Estrogen & SHBG

The Coffee³ Ad- vantage: Fat loss, Appetite & Mood

Caffeine Resis- tance - Does It Even Exist?
In said study, Edward Jo and colleagues investigated the effects of a caffeine + green tea polyphenol mix (250mg caffeine + 400mg of a green tea extract with 50% EGCG and 5mg of caffeine per serving) on (a) metabolic rate and fat oxidation at rest, as well as following a bout of sprint interval exercise (SIE) and (b) the performance during a standardized sprint-interval test.

The study was a double-blind, randomized, placebo-controlled, crossover study that involvd 12 subjects (male: n=11; female:1 n=1) whose antroprometric data, i.e "body mass=76.1±2.2 kg; height= 169.8±1.6 cm; BMI= 22.7±3.0 kg/m2; body fat %= 21.6±2.0% [DXA data]" (Jo. 2015), already tell you that they were healthy recreationally active, but not necessarily athletic (it may be worth mentioning that they were relatively stim-naive with an intake of < 201mg of caffeine per day).
Figure 1: Energy expenditure (kcal/h) and fat oxidation (g/day) measure before (at rest) and during (during SIE) the sprint interval exercise 10 and 55 minutes after the ingestion of caffeine + GTE or placebo (Jo. 2015).
During the two testing sessions at the Human Performance Research Laboratory of the California State Polytechnic University, the subjects' resting energy expenditure (REE) was measured for 45 minutes starting 10 minutes after the ingestion of the aforementioned caffeine + polyphenol mix - a mix that was consumed on an empty stomach after an 8-h overnight fast (don't be fooled by the way the scientists report their data in "g/day" and kcal/day - I changed the latter, already but the values for fat in g would have become to small - we are talking about 45 + 30 min and a 24h measurement here).
Don't confuse increases in fat oxidation w/ fat loss: I guess we have to credit the supplement industry for propagating the myth that the ratio of fat to glucose you were burning was in anyway directly related to losing body fat. I am not sure how often I've written this on this blog or told someone in the gym: that is not the case. You can burn 20% more fat and still store more body fat if you increase your energy intake from exactly enough to already too much. The connection between fatty acid oxidation which would actually be a better term for the phenomenon we are talking about is complicated and a decreasing respiratory exchange ratio, i.e. a reduction of the ratio of glucose to fat that's used to fuel your metabolism is not a reliable predictor of fat loss.
After the initial 45-minutes, during which the subjects' resting energy expenditure had been measured, the subjects were placed on a computer-integrated cycle ergometer on which they performed a standardized 30 minute sprint interval exercise (SIE) protocol., the scientists describe as follows:
"Sprint-Interval Exercise Protocol. The SIE protocol was performed on the Velotron DynaFit Pro cycle ergometer and comprised of four 30-second maximal effort intervals each separated by 5 minutes of low-intensity, constant workload cycling (Figure 2). First, the ergometer was properly adjusted for the subject. Adjustment specifications for each subject was recorded during their familiarization visit and repeated for all experimental trials. Subjects initiated the SIE protocol with a 5-minute interval of low-intensity cycling at a constant workload of 75W. Immediately after, subjects cycled with maximal effort for 30 seconds against an added resistance that is 7.5% of BW for males and 7.2% for females. These two intervals were repeated three additional times. After the last 30-second sprint interval, the subjects performed an additional low-intensity 75W interval plus an extra 3 minutes of cool-down at a constant workload of 30W. The total duration of the SIE protocol was 30 minutes" (Jo. 2015).
A workout that had little effect on the effect of the caffeine + green tea combo which did, as you can see, when you compare the "at rest" and "during SIE" values in Figure 1, increase the energy at rest and during sprint interval training to a similar extent. More specifically, the increase in energy expenditure and fat oxidation was - within the margin of inter-individual variability - in the range of +10% during both conditions.

Figure 2: Illustration of the sprint interval exercise test performed 55 min after ingesting the supplement (Jo. 2015).
In view of the fact that we may safely assume that this effect should last for at least 2-3h this can be a practically relevant effect if it is complemented by a reduced energy intake and a caloric deficit. If the latter is not present, even the extremest increases in fat oxidation and energy expenditure will fizzle out and be as irrelevant as the effect of the caffeine + green tea combination on exercise average and peak power (W) during the sprint training, Jo et al. observed in their study... and "Yes!", that is disappointing, but in view of the low dose of caffeine and the non-existent effects of green tea on performance during a test like this not really surprising.
Did you know this SuppVersity Calssic? "Post-Workout Coffee Boosts Glycogen Repletion by Up to 30% and May Even Have Sign. Glucose Partitioning Effects | learn more!
Bottom line: I admit, they certainly sound less exciting as the latest exotic herb from the rain-forest or a substance that is listed only under its funky chemical name on the label, but unlike your average "innovative breakthrough metabolic activator" caffeine and green tea will deliver. The 10% increase in metabolic rate and the accompanying increase in fat oxidation won't make you lose slabs of body fat, but the effects are pronounced enough to expect a measurable effect on the success of your next diet / cut. A cut, by the way, that will still require a significant reduction in energy intake, even if your energy expenditure and fat oxidation. So, don't be a fool and confuse a 10% increase in fat oxidation w/ a 10% increase in fat loss that occurs in the absence of dieting on an ad-libitum diet | Comment!
References:
  • Jo et al. "Dietary Caffeine And Polyphenol Supplementation Enhances Overall Metabolic Rate And Lipid Oxidation At Rest And After A Bout Of Sprint Interval Exercise." Journal of Strength & Conditioning Research: Post Acceptance: November 23, 2015. doi: 10.1519/JSC.0000000000001277