Tampilkan postingan dengan label hypertrophy. Tampilkan semua postingan
Tampilkan postingan dengan label hypertrophy. Tampilkan semua postingan

Senin, 04 Juli 2016

When "No Load Training" Builds Muscle and Classic Biceps Curls Diminish Your Triceps Size, Science Must be Involved

Do not misunderstand the results of the study at hand. It does not "proof that you don't have to use weights to make size gains" and it does not even suggest that "training without load works as effectively as training with loads for every muscle".
I suspect you will remember that I have previously written about the potential muscle building effects of posing. Now, the isometric contractions you perform when you "pose", are not exactly the same, but at least related to the "maximal contractions through a full range of motion" Counts et al. investigated in their latest study. Accordingly, it doesn't seem to be totally far-fetched to assume that (1) increases in muscle size would be similar with this type of NO LOAD compared to HIGH LOAD training and that (2) HIGH LOAD training would still result in a greater strength increases compared to NO LOAD due to the principle of specificity.

To elucidate whether these hypotheses are accurate, Counts et al. recruited fifteen (6 men, 9 women) participants for a 6-week study (see Figure 1) ... untrained subjects.
It could be a good idea to use NO LOAD training as part of your periodization schemes.

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Untrained? I know what you're thinking, but you got to start somewhere and to measure significant muscle gains in only 6 weeks, your subjects almost have to be untrained; even if this means that it is neither necessarily nor likely possible to transfer your results to trained individuals. It is thus well possible, that the NO LOAD conditions, the authors describe as follows, ...
"[t]he NO LOAD training condition is defined as voluntarily maximally contracting the muscle through the full range of motion without the use of an external load. During each NO LOAD training session, surface electromyography (EMG) electrodes were applied to the biceps to provide feedback to the participant and to help encourage greater activation during each repetition. The participants completed 4 sets of 20 repetitions with 30 seconds of rest between sets. This protocol was based off of pilot work performed in our laboratory which suggested that 4 sets of 20 repetitions should result in increases in both fatigue and muscle activation" (Counts. 2016).
... will have smaller or even no effect at all on the muscle size of already trained individuals - and that would obviously be much in contrast to the tried-and-proven HIGH LOAD training in which the authors completed 4 sets of 8–12 repetitions with 90 s of rest between sets at 70% of their 1RM (weight was increased if more than 12 reps could be done).
Figure 1: Study design outline. 1RM – one repetition maximum (Counts. 2016).
But enough of the "could"s and "might"s. Let's take a look at what we can says for sure: In the study at hand, where both conditions exercised to a metronome at a cadence of 1.5 s for the concentric and eccentric portion of the lift, totaling a 3 s contraction, the subjects were assigned to the NO or HIGH load condition according to a counterbalanced design and the results were quite intriguing:
  • Contracting muscle through a full range of motion with no external load increases muscle size similar to high load training.
  • High load training produced larger increases in 1RM strength & muscle endurance compared to contracting with no external load.
  • Muscle growth can occur independent of the external load provided sufficient tension is produced by the muscle.
  • Muscle strength is proportional to the load being used and the modality of exercise being performed (specificity)
More specifically, the study results show that anterior muscle thickness increased similarly from Pre to Post, with no differences between conditions for the 50% [Pre: 2.7 (0.8) vs. Post: 2.9 (0.7)], 60% [Pre: 2.9 (0.7) vs. Post: 3.1 (0.7)] or 70% [Pre: 3.2 (0.7) vs. Post: 3.5 (0.7)] sites, that there is a significant condition × time interaction for one repetition maximum (p = 0.017), with HIGH LOAD (+2.3 kg) increasing it more than the NO LOAD condition (+1 kg) and thus that it is, as Counts et al. write "generally possible to make gains [at least in untrained individuals] across a vast range of external loads and muscle actions" - even independent of external load "provided there are enough muscle fibers undergoing mechanotransduction" (Counts. 2016).
Figure 2: Mean muscle thickness from pre to post training at 50%,60% and 70% sites of the anterior (biceps) & posterior (triceps) upper arm (left) and individual differences in anterior muscle thickness (right | Counts. 2016).
Before you drop the weights altogether, though, you should know that there are a few other limitations of the study (next to the previously hinted at lack of training experience in the subjects) the scientists discuss: They range from the lack of quantitative data on the volume of work completed in the NO LOAD condition (workload is distance times weight - with no weight, you cannot calculate it), of which the scientists say that it "may explain some of the variability in the growth response following NO LOAD training" to the choice of tests which are "more specific to the HIGH LOAD condition and less specific to the NO LOAD condition[. Consequently] it stands to reason that NO LOAD training's effect on strength may be underestimated" (Counts. 2016).

Eventually, the results of the study at hand, as intriguing as they may be, must thus be considered preliminary evidence in support of the mechanotransduction theory of muscle building and its implications, namely that no external load is necessary to stimulate the transcription factors that will eventually initiate the adaptive response to "no-weight lifting" (see Figure below)
Overview of the main events during signal transduction and gene regulation leading to muscle hypertrophy (my orange emphasis in a figure from Rennie, et al. 2004)
So, yes further research is war-ranted to evaluate whether training w/out load could make sense for trained individuals as well.  I have to admit, though, that the existing evidence on the underlying mechanisms of muscle growth supports the notion that training for size does not necessarily involve high weights or muscle damage. After all, the hypertrophy driving trans-criptional factors (see Figure on the right) can be induced by Ca2+ increa-ses, stretch and hypoxia, which can all be achieved in the absence of high loads or sign. muscle damage (Rennie. 2004)... and still, I have my doubts about the effects on trained individuals.

What? Oh, yes... the hint at the reduced posterior muscle (=tripecs) size from the headline. I almost forgot that. Well, the scientists were probably not less surprised than you were when you looked at Figure 2 and realized that the tried and proven "HIGH LOAD condition decreased posterior upper arm muscle thickness following 6 weeks of bicep curl training" (Counts. 2016). Just like me Counts et al. are "not aware of any studies that investigated HIGH LOAD resistance training that targeted only the biceps and measured muscle size of both the biceps and triceps"; and in contrast to what I previously suggested, this cannot be a methodological artifice, because the ultrasound measures the scientists used could distinguish between muscle and fat. What exactly the reason for the ostensible 'atrophy' of the triceps muscle is, may thus still be called a 'mystery' - one that needs to be addressed in future studies, though... (thx Jeremy for spotting this mistake) | What do you think, any ideas on the mechanism? Comment on Facebook!
References:
  • Counts, Brittany R., et al. "The acute and chronic effects of “NO LOAD” resistance training." Physiology & Behavior (2016).
  • Rennie, Michael J., et al. "Control of the size of the human muscle mass." Annu. Rev. Physiol. 66 (2004): 799-828.

Rabu, 04 Mei 2016

Not Resting Long Enough May Ruin Your Gains! 1 vs. 5 min Cut Post-Workout Increase in Protein Synthesis by 50% !

Rest is not a waste of time ;-)
You may remember Schoenfeld et al's 2015 study with the telling title "Longer inter-set rest periods enhance muscle strength and hypertrophy in resistance-trained men" (Schoenfeld. 2015) and Henselmann's and Schoenfeld's previous review of "The Effect of Inter-Set Rest Intervals on Resistance Exercise-Induced Muscle Hypertrophy" stating that "the literature does not support the hypothesis that training for muscle hypertrophy requires shorter rest intervals than training for strength development or that predetermined rest intervals are preferable to auto-regulated rest periods in this regard" (Henselmann. 2004).

Eventually, it can thus not be surprising that James McKendry and colleagues write in their latest paper that "short rest (1 min) between sets of moderate-intensity, high volume resistance exercise blunts the acute muscle anabolic response compared with a longer rest period (5 min), despite a superior circulating hormonal milieu," and conclude that their "data have important implications for the development of training regimens to maximize muscle hypertrophy" (McKendry).
Want to bump up the volume? Add bicarbonate as a pH-buffer to make that possible!

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Bicarb Buffers Creatine

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What may be surprising, though, is the extent (see Figure 2) to which the post-exercise protein synthesis the researchers measured in young male subjects who habitually performed lower-limb resistance training at least once per week for ≥1 year prior to study enrollment and were deemed ‘recreationally trained’, when they had them do the same leg workout
  • 4 sets of leg press and 4 sets of knee extension exercise at 75% of 1RM
  • performed w/ a lifting-lowering cadence of ~1 sec in both concentric & eccentric phases, 
  • without pause, until momentary muscular failure (i.e. 9-10 on the Borg CR-10 scale). 
with either five minutes or one minute of passive rest between sets and gave them 25g of whey protein isolate (MyProtein, Cheshire, UK) right after the workout to kickstart the protein synthesis.
Figure 1: Overview of the initial (Trial 1) and next morning procedures (Trial 2 | McKendry. 2016).
After having ingested the whey protein shake, the participants rested in both trials supine for 240 minutes. After those 4h, another muscle biopsy was obtained ~3cm proximal to the second biopsy to determine MPS rates over the ‘early’ phase (0-4 h) of post-exercise recovery. The data from this phase was complemented by data from a last, fourth muscle biopsy on the next morning and after consuming an identical protein shake after 10h of fasting (lunch and dinner on the day before were standardized, so that this would not mess with the results).
Figure 2: Protein synthetic (myofibrillar) and hormone response after working out with 1 vs. 5 min rest (McKendry. 2016).
Whether and to which extent the sign. difference in protein synthesis of which the scientists say that it is an 76% vs. 152% increase in the 0-4h time-window after the workout is related or even triggered by the significantly higher GH response in after the 5-min rest trial is questionable, but if you recall the seminal paper by West et al. (2012), you will certainly remember that GH and cortisol are the only hormones the levels of which after a workout show any correlation with muscle gains (see Figure 3).
Figure 3: Sign. associations between PWO hormone levels and lean mass, as well as fiber size increases (West. 2012).
With that being said, you may consider this odd, because usually the metabolically more demanding short-rest workout will yield greater GH increases (Kraemer. 1990; Goto. 2004; Bottaro. 2009) - this and the fact that the previously hinted at association exists, but the incline or, in other words, the effect on fiber size per unit increase in GH is low (too low to fully explain the 5-minute-advantage) suggest that there must be more to it than the small GH increase with 5 minutes vs. 1 minute rest.
Why do other studies not confirm this finding? I guess that depends on the study. An often-cited paper by Kraemer, et al. for example found 1 minute of rest to outperform 3 minutes hypertrophy-wise - probably because the 1-min rest protocol involved 3 sets of 8 exercises with a 10-RM load, while the 3 minute protocol involved "only" five sets of five exercises, performed with a 5-RM load, so that the two workouts were not volume equated and the study no comparison of workouts with different rest times, but rather one of hypertrophy vs. strength workouts.

Acute effect of different rest intervals between sets over the number of repetitions maximum (RM). Values expressed as RM (de Salles. 2009)
Conflicting results from other studies, e.g. Villanueva, et al. (2015) who found sign. greater muscle gains in with 1 vs. 4 minutes of rest, may be explained by differences in the study population (elderly in Villanueva, et al.) and/or the training protocol, which did not involve training to failure and thus probably didn't produce significant volume advantages for the 4-minute rest group. Eventually, volume appears to be, within sustainable limits, the most sign. determinant of the hypertrophy response to exercise, so if you do something to increase it (e.g. myoreps or real vs. volume- equated drop sets, etc.) you may still benefit. If you simply cut the rest, however, the volume suffers from not resting long enough (cf. table on the left) and this may affect your gains.
The existing differences in  anabolic signaling protein phosphorylation (e.g. p70S6KThr389, rpS6Ser240/244, 4EBP1Thr37/46, etc.) can likewise not serve as a mechanistic explanation. After all, these are the switches that trigger the growth. Saying they are responsible would be tantamount to saying that the light switch is the reason the light went out, when someone actually switched it off.

So, what is it that makes the difference? Well, in view of the results of previous studies that suggest that, ultimately, it's not hormones, not protein phosphorylation, but rather the total volume of weight that is lifted (at least unless that's so much that you do more harm than good) that determines the hypertrophy response to resistance training (Schoenfeld. 2013), we should look at a different study outcome: the total volume in kilograms (see Figure 4):
Figure 4: Set- and total volume when subjects trained with 1 vs. 5 minutes rest (McKendry. 2016).
That the sign. difference in volume on set 3 and 4, and the significant difference in total volume are actually the explanation, is obviously speculative, but at least for me it is the most likely explanation for a difference (see red box, as well).
The ineffectiveness of drop-sets in Fisher's recent study may in fact also have been a result of a lack of difference in training volume | more
Bottom line: Eventually, the study at hand only proves what we already knew - training volume is more important than metabolic stress when it comes to hypertrophy gains.

Any training regimen / modification that reduces the total volume of weight lifted may thus potentially compromise your gains... if the volume is in fact all that is to the effects of shortening rest times will obviously still have to be determined. As of now, volume is yet the best explanation for the differences or lack of differences and effects scientists observed in this and previous studies such as the recently discussed dropset study by Fisher et al. where the set-volume standardization may have blocked any sign. advantage of real-world (=add-on) dropsets | Discuss!.
References:
  • Bottaro, Martim, et al. "Effects of rest duration between sets of resistance training on acute hormonal responses in trained women." Journal of science and medicine in sport 12.1 (2009): 73-78.
  • de Salles, Belmiro Freitas, et al. "Rest interval between sets in strength training." Sports Medicine 39.9 (2009): 765-777.
  • Goto, Kazushige, et al. "Muscular adaptations to combinations of high-and low-intensity resistance exercises." The Journal of Strength & Conditioning Research 18.4 (2004): 730-737.
  • Henselmans, Menno, and Brad J. Schoenfeld. "The effect of inter-set rest intervals on resistance exercise-induced muscle hypertrophy." Sports Medicine 44.12 (2014): 1635-1643.
  • Kraemer, WJ, Marchitelli, L, Gordon, SE, Harman, E, Dziados, JE, Mello, R, Frykman, P, McCurry, D, and Fleck, SJ. Hormonal and growth factor responses to high intensity resistance exercise protocols. J Appl Physiol 69: 1442-1450, 1990.
  • Schoenfeld, Brad J. "Postexercise hypertrophic adaptations: a reexamination of the hormone hypothesis and its applicability to resistance training program design." The Journal of Strength & Conditioning Research 27.6 (2013): 1720-1730.
  • Schoenfeld, Brad J., et al. "Longer inter-set rest periods enhance muscle strength and hypertrophy in resistance-trained men." Journal of strength and conditioning research/National Strength & Conditioning Association (2015).
  • 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 115.2 (2015): 295-308.
  • West, Daniel WD, and Stuart M. Phillips. "Associations of exercise-induced hormone profiles and gains in strength and hypertrophy in a large cohort after weight training." European journal of applied physiology 112.7 (2012): 2693-2702.
  • Willardson, Jeffrey M. "A Brief Review: How Much Rest between Sets?." Strength & Conditioning Journal 30.3 (2008): 44-50.

Rabu, 30 Desember 2015

Ecdysterone Beats Popular Anabolics!? Plus 75% Muscle Size in 21 Days in Rats - More Than DHT, IGF-1, Dianabol...

Parr et al. suggest that ecdysterone should be added to the WADA list.
Actually, I didn't plan to write a SuppVersity article about an agent of which everybody says that it's a waste of money, but I have to admit that the conclusion that "ecdysterone exhibited a strong hypertrophic effect on the fiber size of rat soleus muscle that was found even stronger compared to the test compounds metandienone (dianabol), estradienedione (trenbolox), and SARM S 1, all administered in the same dose (5 mg/kg body weight, for 21 days)" (Parr. 2015) in the abstract of a recent non-sponsored (no conflict of interest, either) study from the Freie Universität Berlin intrigued me.

In the corresponding study, Parr and colleagues had tested the effects of ecdysterones on the fiber sizes of the soleus muscle (that's mainly slow twitch muscle fibers) of rodents in vivo and in vitro.
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In the less relevant in vitro study, the researchers incubated C2C12 derived myotubes with the test compounds and determination of diameters of 47 myotubes per group (mean of measurements every 10–20 µm along the myotube) by fixing the cells and using photographs of the stained cells to determine the myotube diameters of 50 myotubes every 10–20 µm along the length of the myotube (further details see Parr. 2014). As the authors point out, incubation with ecdysterone showed "sign. increased myotube diameters compared to vehicle treated control cells" (Parr. 2015 | see Figure 1).
Figure 1: Myotube diameter in the in vitro study after incubation with DHT, IGF-1 or Ecdysterone (Parr. 2015).
If you compare the effects of the Ecdy treatment with those of the endogenous anabolic androgenic steroid dihydrotestosterone at the same concentration and those of the anabolic growth factor IGF-1 (concentration for comparison was 1.3 nM) it is quite impressive to see that there was an (albeit non significant) advantage for an active phytoecdysteroid the Russians have supposedly used as early as in the 1980s for doping purposes.
How does ecdysterone work? Previous studies already confirmed the beneficial effects of ecdysterone on skeletal muscle protein synthesis. As early as in the year 2000, V.N. Syrov published a paper in the Pharmeceutical Chemistry Journal in which the beneficial effects ecdysterone and related agents on rodent muscles were documented. Later on, Gorelick-Feldman et al. proposed direct or indirect stimulation of the PI3K/Akt signaling pathway as mechanism for this increased protein synthesis (Gorelick-Feldman. 2008 & 2010). In the study at hand, Parr et al conducted molecular modeling experiments which appear to confirm that the effects of ecydesterone are mediated by estrogen-receptor-β (ERβ) binding, rather than via the androgen receptor which is the target of the many of the other drugs used. 
Obviously, the effects of bathing individual cells in concentrated ecdysterone cannot serve as a reliable litmus test for the anabolic prowess of an agent bodybuilders take as an oral supplement in dosages of usually no more than 1g per day. In this respect, the concomitantly conducted experiment with intact rodents is of much greater interest. In this part of study, the authors fed male Wistar rats (n = 42, Janvier, Le-Genest St-Isle, France) either 5 mg/kg body weight of ecdysterone, metandienone, estradienedione, or the selective androgen receptor modulatar (SARM) S-1, each diluted in a solution of 20% DMSO and 80% peanut oil daily. In that, it is unfortunately not 100% quite clear if the scientists used intraperitoneal or intra-muscular injections, but the composition of the "supplement" and the fact that a previous study (Syrov. 2000) used the same dosage orally, appear to suggest that Parr et al. refer to about IP injections, which mimic oral supplementation, but have the advantage of giving rodents no chance to regurgitate the drug, when they write that the rodents "received injections". What is pretty clear, though, is that the scientists used changes in muscle fiber size of the soleus muscle of male Wistar rats as measure of the anabolic potency of their test substances.
Figure 2: Anabolic effect of ecdysterone (Ecdy) expressed as fiber size of soleus muscle in intact rats (Parr. 2015).
The results of the comparison of ecdysterone to the anabolic androgenic steroids metandienone (dianabol) and estradienedione (trenbolox) as well as the selective androgen receptor modulator S-1 are plotted in Figure 2. Quite impressive , no? And this is not an outlier study. As Parr et al point out, their study is not the first to show that "ecdysterone induces hypertrophy of muscles with a comparable or even higher potency as shown for anabolic androgenic steroids, SARMs or IGF-1", as analogous findings have been reported in the previously cited study by Syrov back in 2000. Human data, as well as data that would confirm similar effects on muscles that are predominantly fast-twitch (the soleus which was examined in the study at hand is mostly slow twitch) are yet missing. The latter is of particular interest, because estrogen treatment appears to favor a more oxidative (=more slow vs. fast twitch) fiber muscle fiber composition (Suzuki. 1985).
Hormonal Response to Exercise, Revisited: A Consequence, not a Determinant of Your Mood, Effort & Performance | learn more
Bottom line: In spite of the fact that the study provides quite convincing evidence in favor of the unexpected potency of Ecdysterone, there is a problem with dosing. While the scientists say they used 5mg/kg body weight in order "mimic the situation in athletes", the correct rodent equivalent of the aforementioned dosages of up to 1g per day would be roughly 50-75mg/kg per day and thus far more than the meager 5mg/kg the researchers used.

In other words, if they didn't accidentally give us the human equivalen dose instead of the actual rodent dose, those 1g/day some bodybuilders may be taking should be way more than you'd need to see significant increases in muscle gains and that is a problem.

Why? Well, not because I'd believe that dosages as high may have toxic side effects, but rather in view of the fact that you can hardly imagine that a drug as effective as that wouldn't be all over the place in the discussions on pertinent bulletin boards. A 2006 study by Wilborn et al. even fuels the doubts, because it found no performance or hypertrophy effects in the 15 out of 45 subject of their 8-week training study who consumed 30 mg of 20-hydroxyecdysone per day from an allegedly standardized (but not tested) extract from Suma root. An even older study by Simakin et al. (1988), however, appears to confirm the existence of potent anabolic effects of ecdysterone in humans with significant increases in lean (6-7%) and reductions in fat mass (10%) in a 3-week study on 78 highly-trained male and female subjects. In view of the conflicting evidence, I am still very skeptical whether (a) the results translate to human beings, whether (b) the growth promoting effect is maybe restricted to slow twitch fibers and thus of little use to bodybuilders and whether (c) the supplements that are already being sold actually contain ecdysterones | Comment!
References:
  • Gorelick-Feldman, Jonathan, et al. "Phytoecdysteroids increase protein synthesis in skeletal muscle cells." Journal of agricultural and food chemistry 56.10 (2008): 3532-3537.
  • Gorelick-Feldman, Jonathan, Wendie Cohick, and Ilya Raskin. "Ecdysteroids elicit a rapid Ca 2+ flux leading to Akt activation and increased protein synthesis in skeletal muscle cells." Steroids 75.10 (2010): 632-637.
  • Parr, Maria Kristina, et al. "Estrogen receptor beta is involved in skeletal muscle hypertrophy induced by the phytoecdysteroid ecdysterone." Molecular nutrition & food research 58.9 (2014): 1861-1872.
  • Parr, M. K., et al. "Ecdysteroids: A novel class of anabolic agents?." Biology of sport 32.2 (2015): 169.
  • Simakin, S. Yu. "The Combined Use of Ecdisten and the Product'Bodrost'during Training in Cyclical Types of Sport." Scientific Sports Bulletin 2 (1988).
  • Suzuki, S., and T. Yamamuro. "Long-term effects of estrogen on rat skeletal muscle." Experimental neurology 87.2 (1985): 291-299.
  • Syrov, V. N. "Comparative experimental investigation of the anabolic activity of phytoecdysteroids and steranabols." Pharmaceutical Chemistry Journal 34.4 (2000): 193-197.
  • Wilborn, Colin D., et al. "Effects of methoxyisoflavone, ecdysterone, and sulfo-polysaccharide supplementation on training adaptations in resistance-trained males." Journal of the International Society of Sports Nutrition 3.2 (2006): 19-27.

Minggu, 13 Desember 2015

True or False: Adolescent Athletes at Risk of High Tendon Stress due to Non-Uniform Tendon/Muscle Adaptation

Not allowing young athletes to lift weights may in fact increase, not decrease, their injury risk and hamper their recovery.
I am not sure why, but people won't stop inventing new reasons why professional athleticism would be bad for adolescents. One of the more recently heard claims is that early resistance training will lead to a "non-uniform adaptation of muscle and tendon in young athletes" that may "result[] in increased tendon stress during mid-adolescence" (Mersmann. 2015).

In a recent longitudinal study Mersmann et al. investigated the development of the morphological and mechanical properties of muscle and tendon of volleyball athletes in a time period of 2 years from mid-adolescence to late adolescence and the results are quite unambiguous.
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A total of eighteen elite volleyball athletes participated in magnetic resonance imaging and ultrasound-dynamometry sessions to determine quadriceps femoris muscle strength, vastus lateralis, medialis and intermedius morphology, and patellar tendon mechanical and morphological properties in mid-adolescence (16 ± 1 years) and late adolescence (18 ± 1 years).
Figure 1: Mean values ± standard deviation of the muscle volume of volleyball athletes in mid-adolescence and late adolescence; %-ages indicate relative mid-to-late differences (Mersmann. 2015).
As the data in Figures 1 and 2 indicates, the muscle strength, anatomical cross-sectional area (CSA), and volume showed significant (P < 0.05) but only moderate increases of 13%, 6%, and 6%, respectively. In contrast to the muscular development, the patellar tendon CSA (P < 0.05) which is under constant stress in (semi-)professional volleyball players showed a substantially higher degree of hypertrophy (27%) that wen in line with increased stiffness (P < 0.05; 25%) and reduced stress (P < 0.05; 9%). Accordingly, the scientists conclude that - in contrast to the commonly heard prejudice - exercise during early adolescence will lead to
"pronounced hypertrophy of the patellar tendon led to a mechanical strengthening of the tendon in relation to the functional and morphological development of the muscle - [...] adaptive processes [that] may compensate the unfavorable relation of muscle strength and tendon loading capacity in mid-adolescence and might have implications on athletic performance and tendon injury risk" (Mersmann. 2015).
You know what, I can read your minds: "What about resistance training, then?" That's the question that's preying on your mind, right now - right? Well, as one of the more recent reviews says, "there is evidence that resistance training may reduce injury in a young athlete’s chosen sport" (Myer. 2006). The authors of the review point out that ...
Heyna et al. have demonstrated as early as 1982 that young athletes who regularly perform resistance training exercises are not just less likely to be injured, they also recover faster (Hejna. 1982).
"[t]his evidence is based on the beneficial adaptations that occur in bones, ligaments, and tendons following training and is further supported by epidemiologic-based reports. Lehnhard and colleagues were able to significantly reduce injury rates with the addition of a strength training regimen to a male soccer team. [...] Hejna and coworkers reported that young athletes (13-19 years) who included resistance training as part of their exercise regimen demonstrated decreased injuries and recovered from injuries with less time spent in rehabilitation when compared with their teammates" (Myer. 2006).
Similar results have been found specifically for female athletes for whom strength training - especially when performed in theh preseason and as regular part of in-season conditioning - reduced injury risk factors and anterior cruciate ligament injuries significantly.
Figure 2: Mean values ± standard error (bars) of (a) patellar tendon cross-sectional area (CSA) as a function of tendon length (in 10% intervals from proximal to distal; n = 18), (b) tendon force-elongation relationship (obtained from ramp contractions, see 'Methods' section; n = 12), and (c) maximum tendon force and stress (calculated for iMVCs; n = 12) of volleyball athletes in mid-adolescence (white) and late adolescence (black | Mersmann. 2015)
So, what's the verdict, then? The study at hand refutes the general claim that a non-uniform adaptation of muscle and tendon in young athletes may result in increased tendon stress during mid-adolescence. Furthermore the comprehensive overview of the effects of resistance training Myer et al. present in their 2006 review shows that additional "resistance training is not only a relatively safe activity for young athletes but that it may also be useful to reduce injuries during competitive play" (Meyer. 2006). To tell your young athletes to stay away from the gym is thus tantamount to telling them not to care about injury prevention.

As the 2014 International Consensus Statement on Youth Resistance Training in the British Journal of Sports Medicine (Lloyd. 2013) points out, it is yet important that your kids and youthsare following "[a]ppropriately designed resistance training programmes" if you actually want to make sure that they reduce, not increase, sports-related injuries. As such, LLoyd et al. even say that resistance training programs "should be viewed as an essential component of preparatory training programmes for aspiring young athletes" (Llyod. 2013 | my emphasis) | Comment on Facebook!
References:
  • Lloyd, Rhodri S., et al. "Position statement on youth resistance training: the 2014 International Consensus." British journal of sports medicine (2013): bjsports-2013.
  • Mersmann, F., et al. "Muscle and tendon adaptation in adolescent athletes: A longitudinal study." Scandinavian Journal of Medicine & Science in Sports (2015).
  • Myer, Gregory D., and Eric J. Wall. "Resistance training in the young athlete." Operative techniques in sports Medicine 14.3 (2006): 218-230.

Jumat, 27 November 2015

Resting 3 vs. 1 Min. Between Sets Pays Off: Greater Size + Strength Gains - Probably Mediated by 15% Higher Volume

Resting long enough to maximize your training volume could be the key to success, i.e. strength and size gains.
If you have been following the various affords to ascribe differences in strength and, even more so, size-increases to a specific training variable, you will remember that the only promising parameters that appear to be supported by more than the literal "outlier study" are training load and volume.

Of these, the former is pretty much uncontested. The latter, however, is still questioned by a camp of inconvincible skep- tics, who simply ignore the fact that there's ample evidence that "[h]igher-volume, multiple-set protocols have consistent- ly proven superior over single set protocols with respect to increased muscle hypertrophy" (Schoenfeld. 2010).
It would be interesting to see if rest periods should also be periodized!

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Detraining + Periodization - How to?

Tapering 101 - Learn How It's Done!
What still isn't clear, though, is the role of other training parameters, such as the time you take to recover between multiple sets and exercises aka the "rest intervals". As Schoenfeld et al. point out in the introduction to their most recent study, "several studies have investigated the effects of varying rest interval length on muscular adaptations," (Schoenfeld. 2015) albeit with contradictory results: While Ahtiainen et al (2005) were unable to find a significant inter-group size or strength difference in well-trained subjects (6.6 +/- 2.8 years of continuous strength training) who rested 2 minutes compared to those who rested only 5 minute in response to their 21-week training intervention, Buresh et al (2005) reported more recently that significantly greater size increases of the arms and a trend for greater muscle hypertrophy in the legs in young, albeit untrained subjects who rested for 2.5 minutes instead of just one.
Figure 1: Previous studies found "conflicting" evidence. While Ahtiainen et al. found no effects of 2 vs. 5 minutes in trained, Buresh et al. found effects of 2 vs. 1 minutes rest in untrained subjects. With different subjects, different workouts and most importantly different rest times that were compared it is yet not exactly right to say that the studies contradict each other.
Now, obviously, the ostensible "contradiction" I alluded to in the previous paragraph does eventually not exist. With trained vs. untrained subjects, different workout protocols and most importantly different rest intervals (1 vs. 2 minutes and 2 vs. 5 minutes) the studies by Ahtiainen and Buresh cannot really contradict each other. The same must be said of an even more recent study by Villanueva et al. (2014) the surprising findings of which, i.e. "longer rest periods compromise the gains of older trainees", I've discussed last year, already.
What about the lack of different increases in strength endurance? I have to admit that I do not discuss this finding of the study in detail. While one would expect that shorter rest intervals would produce greater strength endurance adaptations, the researchers observed the opposite, an - albeit non-significantly larger increase in strength endurance in the 3-minute-rest group that correlated with the increase in 1RM strength. Further studies will have to show what the underlying mechanism of this counter-intuitive observation is and whether it may be muscle specific, i.e. occur only in the upper, but not in the lower body.
Eventually, however, this does not change that there is, as Schoenfeld et al. write that "a need for more research to provide greater clarity on the topic" (Schoenfeld. 2015). A "clarity" Schoenfeld et al. sought to find with a study that "used current rest interval recommendations for hypertrophy and strength of 1 versus 3 minutes, respectively, and employed validated measures to directly assess site-specific changes in muscle thickness" (ibid). In that, the researchers speculated that ...
"[c]onsistent with generally accepted guidelines on the topic (Willardson. 2006), we hypothesized that short rest intervals would produce greater increases in muscle growth and local muscle endurance while long rest intervals would result in superior strength increases" (Schoenfeld. 2015).
As you will know if you didn't miss the headline of this SuppVersity article, this hypothesis was only partly validated. The data in Figure 2 confirms that the subjects, "experienced lifters (defined as consistently lifting weights for a minimum of 6 months and a back squat / body weight ratio ≥ 1.0)" (Schoenfeld. 2015), gained significantly more strength, when they rested 3 versus just 1 minute between the 3 sets of their three weekly workouts (Figure 2 does also tell you that the strength endurance increases were identical in both groups).
Figure 2: Changes in markers of strength and strength endurance; * denotes significant pre- vs. post difference, # denotes significant inter-group difference (here in favor of long(er) rest periods | Schoenfeld. 2015).
What was Schoenfeld et al. did not find, however, were increased size gains in the short-rest period group whose 24 workouts that were performed on non-consecutive days over the course of the 8-week study period, were otherwise identical with those of the long-rest period group and comprised a total of 7 exercises for all major body parts, namely...
  • three leg exercises, i.e. barbell back squats, plate-loaded leg presses, and plate-loaded leg extensions), 
  • two exercises for the anterior torso muscles, i.e. flat barbell presses and seated barbell military presses, and 
  • two exercises for the posterior torso muscles, i.e. wide-grip plate-loaded lateral pulldowns, and plate-loaded seated cable rows
This is a highly significant result even for you who is - according to an older SuppVersity Poll - probably training according to a split regimen, albeit most likely with very similar exercises. What may be different from the some, but obviously *smile* not your workout though, is that the supervision by members of the research team ensured that the subjects stuck to the prescribed cadence of 1 second for the concentric and "approximately 2 seconds" (ibid.) for the eccentric part of every the exercise. This as well as the imperative progression to higher weights, whence the prescribed number of 8-12 reps per set could be performed is unfortunately overlooked by many recreational trainees - with disappointing consequences in the form of inferior or even no size and strength gains, by the way... but I am digressing, let's rather take a look at the already mentioned, unexpectedly superior strength size gains in the long(er) rest interval group (Figure 3).
Figure 3: Changes in muscle thickness and corresponding effect sizes; * denotes significant pre- vs. post-changes, # denotes significant inter-group differences; overall it is obvious that there's a long(er) rest advantage (Schoenfeld. 2015).
As the single "#" in Figure 3 tells you, the inter-group differences and thus the advantage of the long(er) rest intervals was statistically significant only for the quads, though. If we also take into account the lack of statistically significant effects on the sleeve sizes (biceps and triceps) in the short rest interval group, as well as the obvious differences in effect sizes (Figure 3, right), there's yet little doubt that the hypothesis that shorter rest intervals yield greater size increases must be considered falsified - at least under the given experimental conditions (trained subjects, three full-body workouts per week, standard hypertrophy set and rep-ranges, etc.).
So what's the verdict, then? At first sight it would appear as if the study at hand would totally refute the idea that shorter rest intervals, or I should clarify, rest intervals that are as short as 60s (*) should have a place in your training regimen altogether (*Schoenfeld, et al. rightly point out that Ahtiainen's result suggest that even 120s could have been enough time to rest - it is thus important to give precise recommendations for rest intervals, not something as arbitrary "short" vs. "long"). We should not forget, though, that even a thoroughly conducted study like the one at hand has its limits and definite conclusions should not be drawn hastily based on a single study result - even if it is, as in this case, corroborated by the results of Buresh et al (2009).

Figure 4: The total training volume in the long(er) rest period group (3 vs. 1 minutes of rest) was on average 15% higher. Due to the relatively high inter-individual differences and the relatively low number of participants (N=21) a statistically significant correlation between the weight lifted per week (total volume in kg as in the figure) and the surprisingly superior gains in the 3-min-rest group could not be established (based on Schoenfeld. 2015).
With that being said, a secondary outcome of the study provides a reasonable explanation for why both, the strength and the size gains benefited from long(er) rest intervals: The total training volume I've plotted in Figure 4. As Schoenfeld et al. point out, the latter has previously been suspected to mediate the effects of inter-set rest on strength and hypertrophy on total training volume and strength (Henselmans. 2014). A correlation between the visible differences in training load (see Figure 4) and the magnitude of training adaptations, however, could not be found in the study at hand. As the authors highlight, the reason for this lack of statistical significant correlations may yet be a simple lack of statistical power, so that one "cannot rule out the possibility that the greater training load achieved by the longer rest period group was responsible for the greater training adaptations" (Schoenfeld. 2015 | Buresh et al. found such an effect for the upper, yet not for the lower body).

Personally, I tend to believe that, with a higher number of subjects, a correlation between the total training volume that was on average 15% higher in the 3 vs. 1 minute rest group could have been established. This, in turn, would support the notion that long(er) rest periods - maybe, as Schoenfeld et al. suggest based on the data from Ahtiainen's study, at least 120s - are necessary to maximize the total training volume and thus the overall = strength and hypertrophy response to workouts. Whether that is true for all types of workouts (e.g. split- vs. full-body), all subject groups (e.g. people who are used to short rest periods vs. those who are not) as well as special athletic requirements (e.g. power vs. strength & hypertrophy) will have to be determined in future studies, however | Comment on Facebook!
References:
  • Ahtiainen, Juha P., et al. "Short vs. long rest period between the sets in hypertrophic resistance training: influence on muscle strength, size, and hormonal adaptations in trained men." The Journal of Strength & Conditioning Research 19.3 (2005): 572-582.
  • 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.
  • Henselmans, Menno, and Brad J. Schoenfeld. "The Effect of Inter-Set Rest Intervals on Resistance Exercise-Induced Muscle Hypertrophy." Sports Medicine 44.12 (2014): 1635-1643.
  • Schoenfeld, Brad J. "The mechanisms of muscle hypertrophy and their application to resistance training." The Journal of Strength & Conditioning Research 24.10 (2010): 2857-2872.
  • Schoenfeld, et al. "Longer inter-set rest periods enhance muscle strength and hypertrophy in resistance trained men." Journal of Strength and Conditioning Research (2015): Publish Ahead of Print.
  • 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. "A brief review: factors affecting the length of the rest interval between resistance exercise sets." The Journal of Strength & Conditioning Research 20.4 (2006): 978-984.