Showing posts with label lean bulk. Show all posts
Showing posts with label lean bulk. Show all posts

Saturday, October 5, 2013

Leucine & Phenylalanine Enriched YoYo-Diets Ameliorate Fat Gain, Protect Muscle & Maintain T4→T3 Conversion

Too little leucine & phenylalanine in O.'s diet?
Actually it is quite counter-intuitive that the "YoYo"-diets competitive boydbuilders adhere to (diet vs. bulking phase) are capable of producing such amazing physiques. I mean, when Mr. and Mrs. Average "diet down" and "bulk", the result will usually be neither aesthetic nor healthy, right?

A recent study from the University of Sao Paulo does now provide some insights into the important role the high amount of essential amino acids (leucine and phenylalanine, to be precise) in the typical bodybuilding diets may play with respect to its moderating effects on the lean muscle loss and body fat gains of Opra-esque ups and downs in body weight.

Leucine + Phenylalanine + diet and refeed = ???

I guess the details in the headline to this paragraph are not actually detailed enough to get an idea of what Donato Jr. et al did in their latest rodent study, are they? I see. I will still try to stick to the most important facts.

Contrary to the beliefs of many mostly female victims of life-long dieting, never eating to satiety is NOT going to promote a bikini body - quite the contrary (learn more)
Donato and his colleagues fed a group of adult Wistar rats diets that differed only in their amino acid make-up. Both the control and the experimental diet were based on the same synthetic standard chow (remember what you've learned about synthetic chow lately?). What was different, though was the form of protein / amino acids the scientists used to replace 8.55g of the cornstarch (per kg) of the original diet. The final diets did thus contain either...
  • 8.55g of casein (control), or
  • 5.45g l-leucine + 3.1g l-phenylalanine (LP)
... as replacements for the cornstarch. Since both were still isocaloric and had an identical protein content (12%) this modification would allow Donato et al. to see if the different amino acid profiles would have nay effects on the weight development of the rodents.

I guess by now you may be asking yourself about the connection to Oprah and boydbuilding diets, right? Well, the 28-day experiment actually had 2 phases a dieting and a maintenance phase. Both cycles were 14 days long. In the first one, the rodents dietary intake was cut in half, while they were allowed to eat as much as they wanted (ad-libitum feeding) in the second 14-day cycle.

YoYo or not - is that the question?

Now, what would you guess happened? I mean, remember: Both diets had an absolutely identical amount of calories and protein - so, the rodents in both groups "hit their macros", right? The logical answer - at least to an increasingly popular, but over-simplistic dietary paradigm - must be: "Nothing! Both groups will end up at an identical body composition.", right!? A brief glance at the data in figure 1 does however suffice to tell you the IIFYM prognosis was not exactly correct - at least not if we take the changes in body composition into account.
Figure 1: Effects of weight cycling with casein (control) and leucine + phenylalanine (L+P) on body composition (left), feed efficiency (=how much weight do you gain per gram of food) and weight (Donato Jr. 2013)
So what can we conclude based on the results in figure 1? Firstly, the small figure on the bottom right goes to show you that weight cylcing per se does not make you "heavy" as in "having a higher BMI than somebody who does not weight cycle". The large figure on the left, on the other hand informs us that weight cycling can cost you muscle and make you fatter - 4% fatter to be precise. Skinny fat, so to say. Notwithstanding, the data from the Donato Jr. study does also tell us that the provision of a low amount of additional leucine and phenylalanine minimized the fat gain in the bulking phase and had beneficial effects on amount of lean mass the rodents maintained and build during the 4-week study. The net result is a higher body weight in the L+P group, at an almost identical body composition.

Leucine + phenylalanine also blunt the reduction of T4 → T3 conversion

If we look closer we do yet see another related, but non-negligible advantage: The typical downregulation of the conversion of the "inactive" thyroid hormone T4 to the "active" thyroid hormone T3 in response to long-term dieting was significantly reduced by the provision of leucine and (I will just go on a limb here and say "more importantly") the neurotransmitter precursor phenylalanine.
Figure 2: Effect of weight cycling of markers of glucose and thyroid metabolism (Donato Jr. 2013)
This did yet not translate into a significant amelioration of the highly significant (>50%) deterioration of the blood glucose metabolism, and the triglyceride levels (not shown) were actually 20% lower in the casein yoyo group (CON) than in the non-weight cycled control group. From a health perspective, the addition of leucine and phenylalanine is thus "only" useful, because it will help you retain or actually build muscle mass (with the data we have, it's difficult to say which effect was the dominant one, but I'd suspect it's the anti-cabatolic one).
Bottom line: You need to be careful about mis- and over-interpreting the results of the study at hand - and that's not just because it's "only a rodent study".

If there was one "take home message" from the study at hand, I guess it would be very similar to the one from the one of the December 2012 post I borrowed this figure from: "Make sure to get at least 10g of EAA with each of your meals"... ah well, "... and avoid 'classic' YoYo dieting à la Oprah, whenever possible - of course!" ;-)
The alleged "lean mass gains" on the L+P diet come at the expense of a non-negligible increase in body fat. Overall the lean mass to fat mass ratio is thus not better than in the continuously fed rodents. And unless your beauty ideal is all about being "massive", this is not necessarily going to be an improvement to your physique.

If you take another look at figure 1 you will also see that the feed efficiency, i.e. the amount of weight you gain per kcal you consume was not reduced but increased by the addition of leucine and phenylalanine. This may be a result of the pro-insulinogenic and "anabolic" (Nuttall. 2006; Iverson. 2013), as well as the anti-cabatbolic effects of these amino acids and is thus not necessarily "bad".

It would nevertheless be highly unwarranted to believe that supplementing your diet with leucine + phenylalanine on a a "lean bulk" would yield significant advantages - this hypothesis is clearly not supported by the study at hand. The same goes for the usefulness of supplementing isolated amino acids, in this case leucine and phenylalanine, on top of a high protein diet, in general. In fact, I can refer you directly to an older article of mine that confirms that you better make sure to get the full dose of 20g+ of whole protein than trying to make up for it by adding additional aminos (learn more)

References:
  • Donato, J. et al. Effects of leucine and phenylalanine supplementation during intermittent periods of food restrictionand refeeding in adult rats. Life Sciences. 2007 [epub ahead of print]
  • Iverson JF, Gannon MC, Nuttall FQ. Ingestion of leucine + phenylalanine with glucose produces an additive effect on serum insulin but less than additive effect on plasma glucose. J Amino Acids.
  • Nuttall FQ, Schweim KJ, Gannon MC. Effect of orally administered phenylalanine with and without glucose on insulin, glucagon and glucose concentrations. Horm Metab Res. 2006 Aug;38(8):518-23.

Thursday, February 14, 2013

Leucine Supplementation Exemplifies Potential Downsides of Non-Specific Insulin Sensitizers on a Hypercaloric Diet / Bulk

Adelfo's latest progress pics speak for themselves. Maybe that consoles you for the missing update!?
Another Thursday and ... no post from your's truly Adelfo Cerame. In fact, Adelfo shot me an email earlier today, that he won't be able to submit a blogpost this week if he wanted to get some sleep this night (remember we are living in different time zones) And while this was in fact a problem for me, since I am pretty pressed on time, today and did actually allocate the time I usually spend writing these blogposts, I agreed to cover his a** and step into the breach (so please ignore the surplus of typos, mistakes an missing words, please ;-). I mean, what could I say? We all know about the importance of sleep to bring in your best physique possible and I don't want to be the one who could be blamed in the very unlikely case that he won't finally take away his pro-card on his upcoming competition in March, right?

SuppVersity Science Round-Up Sneak Peak

Apropos sleep, I guess sleep is going to be one of the topics Carl and I are going to talk about on today's SuppVersity Science Round-Up (check out all previous installments and the respective Seconds, here), other topics I've got on my list here, are the Aspartame causes cancer study that resurfaced as of late on the pertinent "science websites" as if it had been released yesterday, and a couple of other news, e.g.
  • The thrifty phenotype - Is it an effect of "healthy calorie restriction" during gestation?
  • Fish protein & glucose metabolism - More evidence that a little can go a long way
  • Eat more fruits & vegetables! - Why "more" is not specific enough
  • Vitamin D - Convincing evidence that the obesity connection is a one-way street
  • BPA and prostate cancer - Changes in aromatase and 5α-reductase increase malignancy
  • Night shift & breast cancer - Meta analysis finds 30%+ increased risk
Even if you are not interested in any of these (btw. there will be more on obesity & healthy eating than the first two ;-), you should know by now that there are usually side-tracks, follow up an "on the other hands" that often lead the discussion into a completely new direction. So make sure you don't forget to tune in live - 1PM (EST) on the Super Human Radio Network. As usual, a podcast and the Seconds with everything that did not make it into the show will be available tomorrow.

Chronic leucine supplementation + hypercaloric diet = ???

The subheading actually summarizes pretty well, what the scientists from the School of Public Health at the Huazhong University of Science and Technology, the Department of Nutrition at the University of North Carolina at Chapel Hill and one colleague from the Hubei University of Medicine in the People's Republic of China wanted to find out, when they bought a group of male Sprague-Dawley rats, and kept them in eight groups of 10 animals for 24 weeks on one of the following dietary regimen
normal chow diet (3.78 kcal/g)hypercaloric "high fat"(54%) diet  (5.20 kcal/g)
+ 0%, 1.5%, 3.0% or 4.5% leucine + 0%, 1.5%, 3.0% or 4.5% leucine
The animals had free access to food and water. The body weight and average food intake were recorded once a week. And if you take a peek at the graph on the left hand side of figure 1 it does not take a rocket scientists to recognize that any effects the supplementation may have had was "negligible" at best, with higher weight gain in the high leucine (3% an 4.5%) and minimally lower weight gain in the medium leucine supplementation group (1.5%) for the normal diet and higher weight gain for all leucine supplemented diets in the HFD group (1.5% > 3.0% > 4.5%)
Figure 1: Body weight development (remember the food intake was identical) and perirenal fat depot weight at the end of the study (Lee. 2013)
In view of what leucine is hailed for in the fitness and bodybuilding community, the explanation should be obvious: "Of course are those glutenous rodents simply gaining more muscles." The anabolic prowess of leucine makes it possible. They are ..." I am not going to repeat the superlatives with which the supplement industry is going head over heels to explain why they have just ramped up their BCAA product from a 2:1:1 to a  5:1:1 and from there to whatever ratio, as you will by now already have realize that what the rodents gained was not mere muscle, but a significant amount of body fat. So much in fact that the total boy weight to fat ratio was skewed (in other words, the body fat % increased):
[T]he perirenal white adipose tissue was −1.20% of the total body weight in animals on ND [nromal diet]. HFD alone increased the perirenal fat to 1.62% (p<0.05). Chronic supplementation of leucine (1.5 and 3.0%) increased the percentage of the perirenal white adipose tissue to 2.01–2.03% in animals on HFD (p<0.05). [...] These results show that chronic supplementation of leucine increases the ratio of white fat over total body weight in rats on HFD." (Li. 2013)
Interestingly, this increase in adiposity went hand in hand with a decrease in the expression of TNF-alpha and various inflammatory cytokines in the adipose tissue of the rodents. The picture of leucine that emerges here is therefore one of a "healthy growth factor". unfortunately one that obviously does not make a difference between muscle and fat tissue.

Leucine as a non-selective growth promoter and insulin sensitizer

Whether the decrease in inflammatory cytokines is the chicken or the egg here cannot be said for sure. What is pretty certain though is that the combination of decreased inflammation → increased adipose tissue insulin sensitivity → increase energy uptake by the fat tissue may lead to a healthier, but certainly not smaller adipose organ and does thus go against what the usual muscle head would be looking for, when he or she buys a product that claims to provide lean mass gains.
Figure 3: HOMA-IR and Area Under the Curve (AUC) of the glucose response in a glucose challenge (Lee. 2013)
In fact, the data in figure 2 hints at a classic dilemma I have alluded to in various contexts before. Many of the purported insulin mimetics or insulin sensitizers are non-tissue specific, which means that the increase in insulin sensitivity happens in the adipose tissue as well. This allows for lower blood glucose levels, but only because the energy can be stashed away in the fat cells. For a diabetic that probably does not matter much, as his or her first concern would be to get the blood glucose levels back in check. If that happens at the cost of yet another midriff bulge that may be unaesthetic, but better than the progression from type II to type III diabetes aka Alzheimer's or the advent of other side effects of chronically elevated blood glucose levels.

Figure 3: Plasma insulin response to the ingestion of 0.7g/kg CHO, 0.7g/kg CHO + 0.3g/kg WPH, and the former with additional 0.1g/kg leucine in type II diabetics and healthy controls (Manders. 2006)
What's more from previous human trials in type II diabetics, we already know that the addition of leucine to a whey protein hydrolysate does not augment its beneficial effects on postprandial glucose clearance. While statistically non-significant, the data from a 2006 study by Manders et al. rather suggests that it has a negative effect on the benefits of the 0.3g/kg whey protein hydrolysateof which the scientists were able to show that it reduced the plasma glucose response by 15% (vs. only 12% with 0.3g/kg whey + 0.1g/kg leucine; cf. Manders. 2006). Moreover, this was no diabetes specific "problem". In fact, the unnecessary insulin overshoot from the added leucine was even more pronounced in the healthy controls of the Manders study (see data in figure 3).


Bottom line: You could in fact argue that leucine works much like the diabetes drug rosiglitazone. While the underlying mechanism it totally different, the outcome is very similar. Both increase the insulin sensitivity by reducing adipose tissue inflammation and allowing for greater energy storage in the fat tissue. Good or bad thing? Well, I guess for the majority of SuppVersity readers of whom I hope that they are not type II diabetics an only battling with one or another unaesthetic, but totally healthy pound of body fat, this is bad news.

Even if it was not for the non-specific and potentially obesogenic insulin sensitizing effects of leucine, the increased protein anabolic response to whey hydrosolate compared to free form amino acids is another thing that speaks against the use of leucine or other free-form amino acis in isolation. After all, you would be missing out on the anabolic effects of the peptides in whole proteins (read more).
When you are dieting and there is no energy surplus to stored, you don't have to bother. When you are bulking, on the other hand, and trying to do yourself a favor by adding some "highly anabolic" leucine to each and every meal, you better watch out what it is you are "building" here - is it going to be the intended lean mass or is it going to be a pot belly? I obviously don't have an answer to that question, but in view of the fact that previous trials with "leucine only" supplementation (Balage. 2010) and the provision of leucine as part of an already leucine rich protein shake (Koopman. 2008) did fail to produce superior gains, it's actually not worth trying.

If you also take into consideration the latest SuppVersity post on the non-insulin dependent increase in skeletal-muscle glucose uptake from isoleucine, the #3 in the original branch-chain amino acid concert (leucine, valine, isoleucine; read more), you better keep away from bulk supplies of l-leucine and "superior high leucine BCAA powders" and stick to the tried and proven.

References:
  • Balage M, Dardevet D. Long-term effects of leucine supplementation on body composition. Curr Opin Clin Nutr Metab Care. 2010 May;13(3):265-70.
  • Koopman R, Verdijk LB, Beelen M, Gorselink M, Kruseman AN, Wagenmakers AJ, Kuipers H, van Loon LJ. Co-ingestion of leucine with protein does not further augment post-exercise muscle protein synthesis rates in elderly men. Br J Nutr. 2008 Mar;99(3):571-80. Epub 2007 Aug 13.
  • Li X, Wang X, Liu R, Ma Y, Guo H, Hao L, Yao P, Liu L, Sun X, He K, Cao W, Yang X. Chronic leucine supplementation increases body weight and insulin sensitivity in rats on high-fat diet likely by promoting insulin signaling in insulin-target tissues. Mol Nutr Food Res. 2013 Feb 13.
  • Manders RJ, Koopman R, Sluijsmans WE, van den Berg R, Verbeek K, Saris WH, Wagenmakers AJ, van Loon LJ. Co-ingestion of a protein hydrolysate with or without additional leucine effectively reduces postprandial blood glucose excursions in Type 2 diabetic men. J Nutr. 2006 May;136(5):1294-9.

Thursday, April 19, 2012

Adelfo Cerame Road to Wheelchair Championships: Six Diet Tips to (Six-)Pack on Lean Mass Between Two Shows

Image 1: The drafter, he is, Adelfo is probably enjoying the increased workload inside and outside of the gym.
Time is, and I am probably not writing this for the first time, flying by, these days. It is yet another Thursday and once more, I am about as intrigued about Adelfo's progress in the past seven days, as you (probably?) are. We have been talking quite a lot, actually, but not so much about his own regimen, as about other stuff, such as the first boydbuilding seminar, Adelfo attended as an official Myotropics Physique athlete. Kind of amazing how things are taking off for him and I am truly happy that all the hard work he has and still is putting not only in his physique, but also in his education is starting to pay off. That being said, you are lucky that he has found some time to compile his weekly blogposts in-between his homework assignments at school, his training and the marketing events for Myotropics, who are just about to release their first product, Physique 2.0. So, let's get right to the grind, as Adelfo would probably say...

Three weeks of training: Time to (re-)evaluate the plan

Six weeks, since the Florida show and another 11 weeks to go until my next show, the USA's in New Orleans. In the past three weeks I have really stepped up my training. Not just because I changed my plan and incorporated different training techniques (cf. "Adelfo Cerame's Hypertrophy-EDT-5x5 Crossover Regimen") but first and foremost due to the application of different training techniques such as modified times under tension, increased workloads in my EDT regimen and the higher volume training in the hypertrophy part of my training split.

While I stuck to the EDT/5x5 part of the split in the first two weeks after the Florida Nationals, I am now on my first week of the hypertrophy + 5x5 combination and will stick to it for the next two weeks, thusly alternating the EDT/5x5 and the 5x5/hypertrophy split, every other week. Even that is a departure from the original weekly rotation, but after the first  round on the hypertrophy/5x5 split this week, I am actually considering to keep training this way for the majority of my prep, just throwing in the the EDT sessions every other three weeks or so.
Figure 1: Current hypertrophy + 5x5 routine (Adelfo Cerame Jr. 2012)
As you can see, I vary my rep schemes depending on the exercises I do; I feel that my muscles need more stimulation and time under tension during certain exercises compared to others. Therefore I vary the reps between 8-10 and 10-12 reps per set and go down into the 6-8 rep range, whenever I feel that the exercise is particularly suited to go real heavy. That being said, I am not even trying to lift moderate, let alone light weights, I still try to lift as heavy as I can, but pick weights which will allow me to hit the prescribed amount of reps.
A note on setting your rep ranges right: With my 5x5 routine, I’ve learned in the past that 5x5 regimen work particularly well with compound movements; and while I have tried doing cable flys, triceps pulls and the like with five or even less reps in the past, you really don’t get much out of those exercises in the lower rep ranges. When you are training on a higher volume hypertrophy split, on the other hand, you do obviously want to incorporate more of these isolation movements into your routine, where - as Dr. Andro's hypertrophy routine exemplified - you will then train at the other end of the hypertrophy range, incorporating the occasional real high rep work (15-25 reps) as a means to really exhaust the muscle.
So far, I am very satisfied with my training regimen and very pleased with the way my training has been going. I feel that with these alternate splits of heavy lifting combined with hypertrophy training, I’ll be able to gain a little bit more muscle within the small time-window I have before I gradually start to taper down my calories within the next week or so…

Apropos caloric intake: A brief lesson in tapering up and down your food intake

I mentioned in previous blogposts here at the SuppVersity that I would be gradually increasing my calories to take full advantage of the small window of opportunity I have before I really have to start dialing it in again for the USA’s in New Orleans. Fortunately I did not ruin my physique after my Florida show (for a breakdown on how Adelfo did that, click here), and was able to maintain a very low body fat percentage. That gave me the luxury to play around and try to increase calories (rather than cutting them back again, right away), while still trying to burn fat or at least keep fat gains to a minimum.
Adelfo Cerame's In-Between the Shows Mini-Bulking Guide - Physique athlete, bodybuilder or just someone who "wants to look good naked", I guess at least the male part of the fitness community, will (and the female should) be faced with this question at some time: "How do I manage my energy intake to maximize my lean muscle gains and minimize fat gains?" As Dr. Andro would probably say it, "I don't have the hubris to tell you that I knew the answer to this question", but I still feel that some of the things I have learned in the past may well guide you on your way to a more muscular, yet not fattier self:
  1. It’s always smart to slowly increase calories so your body has time to adjust. For myself, I usually prefer a 200-300kcal increase/week, which would be a 50-75g increase in carbohydrates; which is the macronutrient that I usually adjust when I make increases or decreases. The reasoning behind this strategy is that I like to keep my protein intake fairly constant and my fats moderate to high, depending if I’m cutting or trying to build lean mass; I have yet learned from past (low) fat mistakes, and will never go lower than 50g/day with my fats.
     
  2. Adding carbs gradually here and there is a good way to slowly increase calories, like I mentioned above, you manage your caloric surplus by modulating your carb intake and in order not to overwhelm your body, you better make sure to go slowly, in order to make sure that you do not pass over your individual threshold (I emphasize "individual" here, because the latter will not only vary from person to person, but is also susceptible to influences from previous diets, your current training regimen, your stress levels and, obviously, your current body fat levels and overall health). Personally, I have found that 50-60g of carbohydrates immediately after my workouts (shakes + fast carbs) and another 100g in the vicinity of the workout (most of them as starchy carbs in my post-workout meal) appear to be my magic numbers.
     
  3. When you do intermittent fasting, your body is tuned to run on fats for fuel so, I that I don't see any reason to ingest large amounts of carbs before I work out or during my rest days. I thusly ingest the lion's share of my weekly carbohydrate intake after my workouts. With carbohydrates being the macronutrient by which I adapt my total caloric intake, this does also mean that I have a built in "high calorie / low calorie cycle", with currently 180g protein/ 200g carbs/ 55g fat on my workout days; 50g immediate following my workout and 100g in the real food meal thereafter. The rest of the 50g are trace carbs from my raw milk, cottage cheese and, not to forget, my Physique 2.0 meal supplement shake, I ingest before my workouts and pre-bed to take advantage of the protein anabolic effects of the slow releasing total milk proteins and the increased fatty acid oxidation from the WM HDP in it's carbohydrate fraction.
     
  4. Never surpass your individual carb threshold, to monetize on the muscle building performance enhancing effects of carbs, without compromising your physique. For me 200g of carbohydrates are (currently) the sweet spot, with a maximum of 100g of carbs (mixture of slow and fast digesting) in my post workout meal being the upper limit on a "per serving" basis. If you stick to clean foods and refrain from the artificial flavored junk you buy on every corner, it is actually not that difficult to distinguish between being really full and satisfied and having surpassed the threshold of reasonable glycogen replenishment.
     
  5. Judge your diet by the way you look in the morning, and don't get fooled by the intermediate bloat right after a meal. Specifically if you are eating whole maximally satiating foods with a high volume, that alone will make your stomach stick out. Add to that any intermediate bloat in response to the temporary fluid loss and replenishment during and after your workout and you know why the same waist that looked disgustingly protruded after your PWO meal is back to its normal size on the morning thereafter.
     
  6. Image 2: If you don't acknowledge that bodybuilding is an art, you will never make it to the stage.
    Don't calculate calories as if your body knew what a "calorie" is. I know that it's difficult and even I am guilty of it from time to time, but think about it, can you say exactly how many meters you will be able to make with one tankful of gas? I don't think so and that despite the fact that you car is a much less sophisticated machine than your body. Just as you won't get as far at 130mph as you would get with 30mph, your bodies caloric expenditure depends largely on your current metabolic rate, which in turn is influence by your weight status, our prior diet, your endocrine health, etc.

    This is why you should never start out from any sort of calculated baseline, but just build on what you are eating now and go from there re-evaluating your diet on a weekly (not a daily) base), closely monitoring the way you look, feel and perform (weekly progress pics and a measuring type for your waist, are a must, scales - even those showing you random bf% are obsolete).
I guess, some of you may have expected some sort of formula or "magic number" that will work for everyone and will now be disappointed that you still "don't know how much to eat" - so if that's you, you do at least know why all your efforts to build a better physique have failed. If you don't acknowledge that bodybuilding is at least as much an art, as it is a science, you better attend Dr. Andro's physics classes, instead of studying his bogposts, here at the SuppVersity.
After a few conversations with Adel, ah.. I mean Dr. Andro ;-) I decided to slowly build up to caloric intake in the 2000-2100kcal range and see how this affects my body. Having hit the mark this week with seeing hardly any negative and a lot of positive side effects, I am now at the point to decide whether
  • to stick to where I am and try to build some more muscle mass on what I suspect would be a maintenance level,
  • to kick it up a notch and try go for a "hardcore mini bulk" trying to build as much muscle as possible even if this goes hand in hand with a minor increase in body fat levels, or
  • to start cutting back again and hope that - just as with my last prep - the gradual and slow decrease in caloric will facilitate a minimal gain in muscle mass while I am still gradually losing body fat
Take a look at where I am now. What would you do? Put an end to the "mini-bulk" I am on right now, keep rolling, increase or decrease the energy intake?
Figure 1: Adelfo Cerame Jr after 2+1/2-weeks of "mini-bulking" before the USA Wheelchair Championships.
I guess I have already put on a little more muscle mass, or at least, I have gotten a lot fuller over these past weeks - at the expense of some water retention, yeah... specifically in my lower abs. But I will take care of that once I start dialing in my calories again. So, what do you think SuppVersity Readers? Keep pushing it another three weeks?

Sunday, October 30, 2011

Intermittent Thoughts On Intermittent Fasting - Exercise (3/3): How Training Solves the AMPK/mTOR Antagonism.

Image 1: Just like Two-Face, a character from the Batman comic books, AMPK turns out to have two faces,... ah I mean isoforms the differential expression of which explain why exercise, contrary to starving yourself, maintains or even builds muscle mass while reducing your love handles (img batman.wikia.com).
In the last installment of the Intermittent Thoughts on Intermittent Fasting series, we have revisited the idea of different training modalities, i.e. endurance and strength training, for the promotion of AMPK-related reductions in body fat and mTOR-dependent increases in muscle mass. We have also busted the long-standing myth of the "anabolic window of opportunity", which, upon closer examination, turned out to have the size of a barn door (>24h) that is unlocked with the key of exercise and nutrition sciences. Related findings showed that even in the absence of additional nutritional stimuli a single intense strength training session led to a profound and (>24h sustained) increase in mTOR phosphorylation in 24 untrained, young, healthy, male subjects (Vissing. 2011). In conjunction with the results of Burd et al. (Burd. 2011), who found that the beneficial effects of strength training on the subsequent response to protein feeding depend on exercise intensity and volume and last for >24h, these results further underline the synergistic effects the fasting, training, feeding cycle of classical intermittent fasting regimens had and still has on the health and physiqueof its practitioners.

Unfortunately, both the concept of "fat loss", as well as that of "muscle gain" are still largely associated with notion of what is commonly referred to as "energy balance". If you read my recent blogpost on the  "High(er) Reps for Fat Loss"-Myth, you will be aware of the fallacy behind the idea of "going to the gym to burn fat". And while more and more trainees (also thanks to the educational work of BodyRX Radio ;-) are getting the idea that you have already lost the fight against your love handles, when you go to the gym solely "to burn calories", the notion that you go to the gym to either "pump up" or "totally exhaust", "damage" and "break down" muscle tissue is similarly illusive. Contrary to what the more is more mentality of the western society may suggest, simple linear causality is nothing you will ever see as the underlying "reason" for the success of a given exercise regimen.

Gain muscle or lose fat? AMPK vs. mTOR and the unique effect of exercise
 
Image 2: "Immunocytochemistry/ Immunofluorescence - AMPK alpha 1 + AMPK alpha 2 (phospho S485 + S491) antibody (ab39400)" ... and if you do not understand this lingo, what you see here is nothing else but one of the unspecific markers for both isoforms of AMPK that is used in most of the studies (img abcam)
Regardless of whether you intend to lose fat, to build muscle or strength, the previous installments should have made it pretty clear that you will always be dealing with two-way processes, or I should say cycles. Now, interestingly enough, exercise, contrary to dieting or overeating, appears to have the unique quality of driving both at the same time - fat loss and protein synthesis, AMPK and mTOR. This works, and this is going to be the main message of this concise piece of the Intermittent Thoughts series, because the exercise induced muscular(!) AMPK-response differs from the one your brain and many other organs will exhibit, when you starve yourself during a diet. Actually we have been knowing for quite some time that the predominant isoform of AMPK that is expressed during exercise is AMPK-alpha2. Back in 2000, already, Wojtaszewski et al. found that "high" (in this case >70% of the individual VO2max) intensity exercise for 60min selectively increased AMPK-alpha2 activity almost threefold (Wojtaszewski 2011). Similar to the results of previously discussed studies, the increased AMPK levels returned to baseline within 3h after exercise-cessation.

Unfortunately, only few of the subsequent studies, which investigated the effects of different exercise regimen, used iso-form specific tests to determine which of the two AMPK isoforms was expressed consequent to the respective training protocols. According to the ground-laying work of Stapleton et al. (Stapleton. 1996) and supported by a study by Stephens et al., it is yet likely that the relative exercise-induced expression of AMPK-a1 in human muscle tissue is negligable.
Figure 2: AMPK-a2 expression (arbitrary units measured in the absence of AMP) and fat oxidation in g/min in 7 healthy individuals during 30 minutes cycling at 62.8% of VO2Max (data adapted from Stephens. 2002).
Moreover, the results of Stephens et al. underline that the exercise-induced increase in AMPK-alpha2 does not only increases fatty acid oxidation, but that both exhibit an excellent correlation with exercise induced glucose depletion (Stephens. 2002).
Figure 2: Glycogen content (mmol/kg) and phosphorylation of AMPK (arbitrary units) in human vastus lateralis muscle before (0 min) and at the cessation of 120 min of one-legged knee-extensor exercise, while consuming either a glucose containing drink or a placebo drink.  (data adapted from Thorbjorn. 2006)
It is thus not surprising that Thorbjorn et al. were able to show that the ingestion of 0.7 g of glucose/kg of body weight/hour did not only blunt the exercise induced AMPK-a2 response but also reduces its beneficial effects on fat oxidation by -47% (cf. figure 2)!

The results of older studies sometimes begin to shine in the light of novel findings 

Now, you probably knew all that before - after all we have been talking about this effect, its beneficial effects on fatty acid oxidation and glucose uptake, as well as its supposedly negative impact on protein synthesis in previous installments of this series. And in fact, these results begin to shine only, in the light of the results of a a recently published study by Mounier et al., who were able to show that only the increased expression of the alpha1 isoform of AMPK, but not AMPK-alpha2 does impair mTOR signalling. Against that background, the systemic antagonism of AMPK-alpha1 (expressed in liver, brain, and other organs) and mTORc1 mediated protein synthesis stands in stark contrast to the metabolically highly beneficial synergism of concomittant exercise-induced AMPK-alpha2 and mTORc1 expression.

To make a long story short: Exercise is unique in its ability to help you shed fat and build muscle "at the same time", because it activates a specific isoform of the "starvation sensor" AMPK, which does not block the concomitant increase in protein synthesis subsequent to the (likewise) exercise-induced increase in mTOR phosphorylation. On that note, my schedule forces me to end this abbreviated version of the Intermittent Thoughts, yet not without the promise that I am finally going to tie all the knots together in the next installments of this series.

Sunday, October 23, 2011

Intermittent Thoughts On Intermittent Fasting - Exercise (2/3): Opening the "Anabolic Barn Door" With the Key of Exercise and Nutrition Science!

Image 1: The "anabolic window" turns out to be more of a barn door, which is unlocked by the key of exercise and nutrition science (Random House Books)
Looking back, the main take-aways from the last installment were the dependence of exercise performance on adequate and not so much constant energy supply, as discussed in the context of the Ramadan fasting soccer players, the increased AMPK response to fasted training on a hypercaloric diet, which would suggest that things like "fasted cardio" in the morning could well have it's place in an intermittent fasting regimen even when you are bulking (in order to ward off fat gains), and, last but not least, the differential AMPK- and p70S6K protein synthetic response of cyclists and powerlifters to unaccustomed training stimuli. Accordingly, a versatile training routine that is timed in a way that allows you to train fasted or semi-fasted training, i.e. having your first easily digestible high protein meal / supplement ~30min-1h before you hit the gym, will certainly help with lean gains and muscle-sparing fat loss.

How to train if someone "just wants to look good naked"?

While the observations of the Coffey study (Coffey. 2005) did underline the importance of versatility, or, I should say constant "novelty", or at least modification of the training stimuli, they did not really provide any clues on how someone, who "just wants to look good naked" (and I assume this applies to the majority of non-athletes, today) should train to transform his formerly at best non-obese physique to the cover-model'ish look everybody is aspiring these days.
Figure 1: Study design of the Vissing study with its 10-week preconditioning phase for the strength and endurance training groups (generated based on information from Vissing. 2011)
In regard to this question, a similar, yet more recent study on non-athletes comes to mind. In the course of the latter, K. Vissing and his colleagues from Aarhus, Denmark, and Geelong, Australia, took a closer look at the response of the "AMPK/mTOR seesaw" to either endurance or strength training (Vissing. 2011) after a comparatively brief per-conditioning period of 10 weeks (cf. illustration 1) - a scenario of which we can expect more reliable results than from its "highly trained recreational athletes" counterpart from the Coffey study, where the participants have been focusing on training for their respective sport (cycling or powerlifting) for years. Accordingly, Vissing et al. expected to see that...
[...] mTORC1 signaling would be selectively activated by SE [strength training], whereas AMPK signaling would be activated by both types of exercise but to a relatively higher degree after EE [endurance exercise] compared with SE [...]
Thus, their research hypothesis was in accordance with the publicly accepted idea that only strength training builds muscle (obviously the role of mTOR-activation in this process is widely unknown in the general public), while endurance exercise would be the better form to train if one wanted to lose fat - as a diligent reader of the SuppVersity, you will obviously be aware that the reduction in adipose tissue you will hopefully observe, when you are dieting, is primarily a result of the depletion of muscular (and hepatic) ATP stores, which brings the AMPK energy emergency police on the scene which will concomitantly tell your muscles to suck up all extra (i.e. more than your brain needs) glycogen from your blood stream and kick your adipocytes' asses, so that they release some of their fatty energy reserves as metabolic firewood for your mitochondria.
I hope you remember "The 'hungry' side of neuronal AMPK activation", i.e. the differential effects of AMPK phosphorylation in reaction to energy shortage in muscle or liver tissue vs. its effects in the brain. If not, I suggest you (re-)read the respective passage in "AMPK III/III: Natural Rythmicity for Maximum Fat & Minimal Muscle Loss", as a thorough understanding of this difference if of utmost importance if you want to be able to compare and interpret the data from various studies correctly.
The Coffey study (discussed in the last installment) did however show that this assumption, i.e. both endurance, as well as strength training will always increase AMPK, does not hold true, when we are talking about highly trained athletes - neither in the cyclists nor in the powerlifters from the Coffey study did engaging in their respective discipline produce statistically significant increases in AMPK phosphorylation.
Figure 2: AMPK phosphorylation (0, 2.5, 5 and 22h post) and approximate area under the respective curces (small graph) during post-exercise recovery from single-bout exercise, conducted with an exercise mode to which the exercise subjects were accustomed through 10 weeks of prior training (data calculated based on Vissing. 2011)
Conversely, in the Vissing study, AMPK phosphorilation did transiently increase in both the strength and endurance trained groups immediately post (at 0h) exercise (cf. figure 2). However, with the subsequent drop of the phosphorylated AMPK (pAMPK) below the values of the control groups, the estimated area under the curve (AUC; I simply used weighed averages for the calculation), i.e. the absolute AMPK phosphorylation over the whole 22h post-exercise window, for which the scientists have data (cf. figure 2, right), was -12% and -17% lower in the strength training group than in the control and endurance group, respectively.  

Without the AMPK elevation of an intermittent fast (or calorie reduction), it is thus unlikely that strength training alone is going to trigger significant AMPK responses.

Interestingly, the scientists state that the protein expression "of any of the reported signaling proteins" was "not altered" by the 10 weeks of pre-training, which would indicate that, contrary to years of competitive endurance exercise (cf. cyclists in illustration 1 in previous installment), 10 weeks with three weekly sessions of combined steady-state and interval exercises on stationary bikes do not blunt AMPK phosphorylation in response to 120 min of bicycle exercise at 60% of the individual VO2 max.

The induction of mTOR phosphorylation is and will remain the real strength of strength training

Likewise, the protein synthetic response (as evidenced by mTOR and p70S6K expression) did not change in response to a 10-week pre-conditioning phase comprising 30 leg workouts (3 exercises; 3-5 sets; 10 reps in the first 15 sessions, 4-6 reps in the last 15 sessions). Interestingly, and contrary to the often heard assertion that mTOR phosphorylation would be a strength training exclusive, figure 3 shows that there is still a minor, yet over the course of the post-exercise period, non-negligible increase in mTOR phosphorylation in the endurance trained subjects, whose 45min cycling session effectively blunted the mTOR dephosphorylisation the control group, who, just like all of the previously (before the preconditioning) 22 untrained healthy male subjects (79.1 kg; 182 cm; 23.3 years), fasted for the first 5h "post exercise" (their exercise consisted of sitting on the couch, doing nothing ;-).
Figure 3: mTOR phosphorylation (0, 2.5, 5 and 22h post) and approximate area under the respective curces (small graph) during post-exercise recovery from single-bout exercise, conducted with an exercise mode to which the exercise subjects were accustomed through 10 weeks of prior training (data calculated based on Vissing. 2011)
Even without looking at the data in figure 3 it should be obvious that the meager increase in mTOR phosphorylation in the endurance group cannot compete with what we see in the strength trained subjects, whose p-mTOR ( = phosphorylated mTOR) levels skyrocket in the post exercise phase, peaking at +218% (control: 56%; endurance: 130%) not immediately or maybe 1h post exercise but 5h after. Thus, the purported "anabolic window" of 1-2h after a workout turns out to be a barn door, in the real world - a barn door which is wide open right in the middle of your intermittent fasting feeding window!

Strength training = opening the "anabolic barn door"

Yet, while we do now know how to unlock the barn door, we still do not know if there ain't a way to push it open even further / faster, and how to keep it wide open for as long as possible. In this context, a study by Burd et al. from Steward Phillips group at the Department of Kinesiology of  McMaster University in Hamilton, Ontario (Burd. 2011) could provide further clues into the "optimal" way(s) to push the "anabolic barn door" open, as wide as possible.
After all that has been said about the over-expression of mTOR in our current society in the previous installments, it should be said that the problem does not lie with mTOR itself, as it is not the latter which inhibits AMPK, but the energy abundance that triggers the mTOR response in our western obesity scenario. This chronic nutritionally induced suppression of AMPK is something we need to distinguish from both the training-induced increase in mTOR phosphorylation and the temporary and strategically used dietary stimuli that are so characteristic of intermittent fasting.
Figure 4: If we disregard the nutritional component, the training induced "anabolic barn door" does not only coincide with the feeding window, it would also keep you nicely "anabolic" in the course of the fasting period.
In figure 4, I have extrapolated the missing two hours to complete a 24 hour intermittent fasting period, in the course of which you would do your training session early in the morning, head towards the gym at 8:00am, change your clothes, warm up, training for about an hour and break the fast at 10:00am. Thereafter, you would have a pretty long feeding window of about 6 hours, to then begin another fast... in that, your meal pattern would differ profoundly from the one of the study subjects, because the latter had to fast for the first 5 hours post exercise, so that the mTOR response was not augmented and the study results distorted by meal ingestion (afterwards they were allowed to eat whatever they wanted until 22:00pm and had to report back for the 8:30am blood draw (mTOR still +89% elevated) on the next morning. Due to these differences it is difficult to predict how your overall (i.e. exercise + food induced) mTOR response would look like on the above regimen.

Will the "anabolic barn door" stay open in the course of the fast and thusly prevent muscle breakdown?

This is where the data from the Burd study comes into play (Burd. 2011). In their study, Bird et al. had measured the fractional protein synthesis rate in response to feeding (15g of whey protein) and feeding and exercise (unilateral leg raises) at different intensities, i.e. 90% 1RM to failure, 30% 1RM with matched work-load and 30% 1RM to failure. What they found was that
regardless of condition, rates of mixed muscle protein and sarcoplasmic protein synthesis were similarly stimulated at FED and EX-FED (Burd. 2011)
- an observation, the scientist attribute to the fact that the sarcoplasmic constituents of the muscle may be more susceptible to hydration flux, so that the results may not adequately represent the "actual" protein synthetic response.Thusly, the researchers rely in their interpretation of the data mainly on the myofibrillar protein synthesis rate (cf. figure 5).
Figure 5: Changes (% per hour) in absolute myofibrillar protein synthesis (adapted from Burd. 2011)
As you would expect and actually can see in figure 5, the latter did respond to the additional exercise stimulus. Pumping away at 30% of your 1RM max without going to failure, is yet not enough to augment the statistically hardly significant increase in fractional protein synthesis that was triggered by protein ingestion, alone. It takes some effort, or, in other words, heavy weights and training to failure to trigger elevations in AKT phosphorylation (90% 1RM to failure) or mTOR phosphorylation (30% 1RM to failure) to get that done (note: neither of the two, i.e. protein kinase B = AKT or mTOR was significantly elevated by feeding, alone).
[...] protein ingestion stimulated rates of myofibrillar protein synthesis above fasting rates by 0.016 ± 0.002%/h and the response was enhanced 24 h after resistance exercise, but only in the 90FAIL and 30FAIL conditions, by 0.038 ± 0.012 and 0.041 ± 0.010, respectively. Phosphorylation of protein kinase B on Ser473 was greater than FED at EX-FED only in 90FAIL, whereas phosphorylation of mammalian target of rapamycin on Ser2448 was significantly increased at EX-FED above FED only in the 30FAIL condition.(Burd. 2011)
Moreover, and this may be of even greater importance in the context of exercising on an intermittent fast, muscle protein synthesis stayed elevated way beyond what is usually considered the <4h "anabolic window".
Our results suggest that resistance exercise performed until failure confers a sensitizing effect on human skeletal muscle for at least 24 h that is specific to the myofibrillar protein fraction. (Burd. 2011)
While this is obviously important for everyone who wants to accrue as much muscle muss as possible, any elevations in protein synthesis will also help a dieter to keep is hardly earned muscle, because in essence our muscles are continuously build up and broken down  - proteolysis, i.e. the breakdown of muscle tissue, and protein synthesis are going hand in hand and it is the ratio of one to the other, which decides whether we are in an "anabolic" (synthesis > breakdown) or catabolic (breakdown > synthesis) state. Consequently, any elevation in protein synthesis will ameliorate muscle loss - no matter how proteolytic a dieter may become during the fasting phase.

It takes >24h for the barn door to close itself - use this time to get rid of fat, not muscle

Fine, we unlocked the "anabolic barn door", it stays open for "at least 24h"... blah blah... wtf! how does all that translate from the metaphorical into the real world of intermittent fasting? Well, the answer is pretty simple, as hundreds of trainees have been practicing exactly that with extreme success over the past couple of months:
  1. fast until min. 1h before your training
  2. spike your protein synthesis with a protein shake (~20g of whey), EAAs (~10g) or BCAAs (~8g)
  3. train semi-fasted and heavy
  4. feast within a 5-8h window
  5. repeat the same litany again
Now, the sheer size of the barn door, ahm... sorry, the long-lasting anabolic and thusly anti-catabolic effect of intense strength training should allow you to either skip or replace "3. train semi-fasted and heavy" with "3. passive or active recovery" (in that case you also do not want to ingest the protein shake / EAA / BCAA) or even some "3. semi-fasted cardio" (see notes in red box) if you feel that your conditioning or weight loss will benefit from that, every other day without running the risk of either gaining too much fat weight.
Image 2: Your "anabolic barn" is huge enough to accommodate one or two steady state, low intensity or high intensity "cardio" sessions per week.
If you want to incorporate "cardio" training into your routine, the pre-conditioning protocol from the Vissing study could actually be a very good, since diversified, regimen. In that, you would cycle between doing "standard" steady state conditioning work, longer medium-intensity interval training and short, but intense HIIT sessions. The result would be a very complete "cardio" protocol, of which the Vissing study showed that it will help you ramp up your AMPK levels pretty profoundly, even if you are only sitting on one of those cycle ergometers pedaling away jovially at 60% of your VO2 max. And in case you are now concerned about possibly shutting the barn door - look at figure 3 again, the mTOR response to this kind of exercise may not be earth-shattering, but a plus of 25% @5h post exercise is better than what you would get if you just lay around lazily, as the control group in the Vessing study did.
With these insights into why that of which you already knew that it works actually works, I conclude this week's installment of the Intermittent Thoughts and hope that I did not bore you so much that you do not come back next Sunday for another installment of this series ;-)

Sunday, October 16, 2011

Intermittent Thoughts On Intermittent Fasting - Exercise (1/3): Cycling, Powerlifting and Lean Gaining ;-)

Image 1: It may be more effective than your usual "eat half as much diet", but even with intermittent fasting exercise is compulsory, not facultative.
In the last installments of this series we have analyzed the natural interplay between AMPK and mTOR, have learned that chronic over-expression of either of the two can be detrimental to the way you look, feel and perform and have scratched on the surface of how intermittent fasting and the use of AMPK and/or mTOR promoting supplements can restore and amplify the natural up and down on the AMPK/mTOR seesaw and thus promote fat loss and and gains in lean body mass - not at the same time, but cyclically. In this episode it is high time to take a closer look on how exercise, the one and only true "body recompositioning agent", plays into this.

Tell me who you are and I tell you how your body will respond to exercise.

What we already know is that the exercise induced depletion of intra-cellular ATP and the corresponding increase in ADP and AMP levels will produce profound(!) increases in AMPK phosphorylation. In a recent study on the effects of a 30s Wingate test (a sprinting test on a cycle ergometer with breaking loads equivalent to 10 and 8% of body weight for men and women), for example, scientists from Gran Canaria found increases in AMPK phosphorylation vs. baseline of +495% - 98% for the ten women in the study and +278% - 33% for the 17 (cf. figure 1)
Figure 1: Relative changes in AMPK phosphorylation in response to 30s Wingate sprint test in 17 male and ten female subjects (data calculated based on Fuentes. 2011)
As you can see there is a huge (and statistically significant) gender difference in the initial AMPK(-alpha) response to sprinting, the difference at 30min and 120min post exercise on the other hand did not reach statistical significance (p<0.05). In an aerobic exercise scenario (90min at 60%VO2max), however, Roepstorff et al. PK came up with the exact opposite results (Roepstorff. 2006):
A 198% increase (P < 0.001) was observed from rest to 90 min of exercise in men, whereas in women the exercise-induced 74% increase in αAMPK Thr172 phosphorylation was only borderline-significant.
The different fiber-composition of the male and female subjects could provide an adequate explanation for this phenomenon. With a +23% higher ratio of slow twitch type I to fast twitch type II fibers, the women in the Roepstorff study were, on a pound per pound base, more effective endurance athletes than the men. Consequently, they did not run out of fuel so fast and thusly there was no need for their bodies to ramp up AMPK by the same 198% as the bodies of the men did.
Figure 2: Fat oxidation (in kcal/kg per min) calculated based on respiratory exchange ratio in male and female participants of a 90min cycling bout at 60% of their individual VO2Max (Roepstorff. 2006)
It is important to note that despite lower AMPK activiation in the female participants of the Roepstorff study, the women (due to their high ratio of type I fibers with +25% higher capillarization) had statistically significantly higher fatty acid oxidation rates (i.e. they burnt more fat) than their male counterparts (cf. figure 2)! This goes to show you that the metabolic scene, which is set by AMPK, is not the sole determinant of substrate metabolism. In the end, the capacity of the mitochondrial furnaces decides how much energy from fat you will be able to burn. For subjects with a high amount of type I fibers whose primary objective is to actively burn additional fat calories, aerobic exercise may thus well be a viable alternative for intense HIT regimens, of which Astorino et al. have recently shown that the rate of fatty acid oxidation in recreationally active men and women is identical within the statistical margins (Astorino. 2011).
Conversely, the higher type II to type I fiber ratio of men makes them better sprinters. That and their overall larger muscle mass could have allowed them to perform the 30s sprint on the cycle ergometer without having to resort to extra-muscular energy stores, which would explain why we did not see a significant increase of AMPK immediately after sprinting. Its occurrence 30 minutes after the sprinting exercise does yet go to show that even very short exercise bouts can trigger pretty profound AMPK responses, of which I would speculate that they facilitate post-exercise glycogen repletion via "energy-repartitioning".

Why cyclists should powerlift and powerlifters should cycle

Illustration 1: Differential response of cyclists and power lifters to strength and endurance training; statistically significant increases are highlighted in green, statistically significant decreases in red (data compiled from Coffey. 2005)
With regard to the differential response to different exercise modalities we also know from a 2005 study by Coffey et al. (Coffey. 2005) that muscle from strength-  and endurance-trained individuals respond very differently to endurance (1 h cycling at 70% VO2peak) or resistance training (8 sets of 5 maximal repetitions of isokinetic leg extensions).

I've gone to all the bother of compiling the extensive data on muscle protein synthesis and related signalling proteins from the study into a single chart (cf. illustration 1), where statistically highly significant increases are highlighted in green and statistically significant decreases are highlighted in red. Thusly, you should be able to see that if the goal is to increase AMPK, cyclists have to strength train, while powerlifters will have to get into the saddle of an elliptical or ergometer.

What appears paradoxical at first, is the result of adaptation processes: Only novel and unaccustomed stimuli trigger further adaptation... and "novelty" is such a profound trigger of adaptational responses that - under the assumption that p70S6K phosphorylation is a reliable measure of the protein synthetic training response - cycling causes almost comparable increases in protein synthesis as resistance training in powerlifters, a group of athletes who are not exactly known for doing large amounts of "cardio" training.

Since this is not exactly "intermittend fasted" related, I leave it up to you to interpret the rest of the data. Before I "think on", I do yet want to caution you against getting stuck in doing the same type of exercise over and over again - there is a reason that 99% percent of the figure athletes, bodybuilders, fitness models or whatever other athletes and celebrities you think have an aesthetic body, incorporate some form of aerobic training into their regimens, as well (if you read the latest posts on HIIT training, you will be familiar that "aerobic" does not always mean steady state endurance training ;-)

Training fasted? Maybe, for athletes and performance oriented amateurs.

While the previously discussed studies showed that AMPK/mTOR responses to different exercise regimes largely depend on who you are and what type of training you have conditioned your body to, it did not answer the question that appears to be preying on everyone's mind, which is "Do I do my aerobic and or resistance training in a fasted (no food at all), semi-fasted (only protein and maybe some fat), or fed state?" Or in other words: "Do I break the fast before or after training?"

Image 2: Ramadan fasting can serve as a relatively particularly well studied "model" of intermittent fasting. You can find more information about the strengths and limitations of this model, please read Part 2 and Part 3 of this series.
A brief reminder for all who of you who missed the first installments of this series and may now wonder why I am, without further explanations, referring to studies on Ramadan fasting as if it was intermittent fasting - in essence it is! This is why I have already discussed a handful of studies that investigated the effects of Ramadan fasting on Muslim athletes, in the initial installments of this series. In that context, I have also pointed out why the Ramadan "protocol" is an acceptable model of intermittent fasting and where it deviates from what we are seeing in the dietary regimens with which Adelfo and Duong get to grips with the little fat that is still left on their athletic bodies. For more information on that I would like to refer you to Part 2 and Part 3 of this series, in particular.
If you are a competitive athlete, who follows the advice of the establishment, the answer is easy - EAT, EAT, EAT! And do not even think of fasting! On the other hand, even experts openly admit that despite the fact that it is (Maughan. 2010).
often automatically assumed that intermittent fasting will lead to decrements in exercise performance. [...t]he available evidence does not entirely support this view, but there is little or no information on the effects on elite athletes competing in challenging environments.
With respect to the lack of data, we are in the fortunate position that the Olympic Games 2012 coincide with the Ramadan period from July 21 to August 20, 2012, i.e. right in the heart of the Games. Meanwhile we do yet have to resort to the little reliable data there is and of which Maughan et al. writes in another article that it "suggests that effects of Ramadan-style fasting on exercise performance are generally small." And a pretty recent study which investigated the effects of Ramadan fasting on performance and body composition of 16 young soccer players (17.4±1.2 years, 175.4±3.6 cm, 69.6±4.3 kg and 5.1±1.3 years of training experience) corroborates this assertion.

Study shows: You can improve body composition and performance if you train intermittendly fasted, but not in a fasted state 

Alpay Güvenc from the School of Physical Education and Sports at the Akdeniz University in Antalya, Turkey, assessed body composition, hydration status, dietary intake and sleep duration of his 16 male subjects, who continued their regular pre-season soccer training during the four weeks of Ramadan, on four occasions: before Ramadan, at the beginning of Ramadan, at the end of Ramadan and 2 weeks after the end of Ramadan. The training sessions were yet postponed, so that the soccer players could have a snack or meal before they took to the field - they were thus intermittendly fasting, but not training in a fasted state!
Figure 3: Relative changes in RD: running distance, RT: running time, RV: running velocity and
RV4.0: running velocity at 4.0mmol.L-1 lactate concentration due to Ramadan fasting during the pre-season preparations in 16 male soccer players (data calculated based on Güvenc. 2011)
As figure 3 goes to show, there was an initial decline in exercise performance in the first week of Ramadan (=intermittent) fasting. In the last week of Ramadan, the maximal running distance, the running time and velocity and the RV4 (running velocity at 4.0mmol.L-1 lactate concentration) had improved - only by 3%, 3%, 1% and 2% over baseline, but nevertheless statistically significantly. Now, what may be even more interesting for professional athletes is that these beneficial effects continued well into the post-Ramadan phase - how much of this has yet to be ascribed to the training regimen (remember the soccer players were in their pre-season preparation) could only be determined if half of the kids had been Christians and had served as a non-intermittendly-fasted control.
Figure 4: Changes in total body water (TBW in L), fat free mass (FFM in kg), body fat (in kg) and  the sum of skin-fold measures (in mm) due to Ramadan fasting during the pre-season preparations in 16 male soccer players (data calculated based on Güvenc. 2011)
In a similar vein, we cannot say for sure, whether there had been comparable improvements in body composition (as evidenced by the statistical significant reduction in skinfold measures, i.e. -2.2% by week 4 of Ramadan fasting; cf. figure 4), if the players had just continued their usual pre-season training without fasting intermittendly. What we can say for sure though, is that they achieved the latter without any major changes in their overall caloric intake or macronutrient composition (cf. figure 5)
And that the fasting had no negative effects on the subjects sleep duration (~8.7h) or their hydration status. So that, it would appear that during a metabolically demanding pre-season training a non-specific intermittent fast works just / at least as good as a normal diet, as long as the athletes meet their training induced caloric demands.

Training fasted? Yes, for lean gains.

Image 3: For some "lean gains" happen only in their heads (img muscle.iuhu.org)
Now, while "exercise performance" obviously is an important variable, I assume most of you who are toying around with the idea of doing an intermittent fast, are more interested in its effect on body composition and would tolerate a dip in "exercise performance" (whatever type of exercise that may be in your case) if only those love handles finally disappeared and allowed your ever-increasing muscle mass to shine... or are you interested in the potential (largely AMPK-related) health benefits intermittent fasting has to offer in a world, where nutritional abundance is a 24/7 phaenomenon and the world "bulking" is often misinterpreted as taking advantage of the former as often as possible?

In both cases the results of a 2010 study from the Human Performance Laboratory in Leuven, Belgium (not the one in Canada!) would be relevant for you. In that study (Van Proeyen. 2010), Van Proeyen et al. had 27 healthy male volunteers consume a hypercaloric high-fat diet (∼+30% kcal/day; 50% of kcal from fat) for 6 weeks. Additionally 20 of the subjects had to participate in 4 training sessions per week (2x90min and 2x60min) consisting of cycling at 70-75% of the individual VO2Max and running at 85% of the maximal heart rate. 10 of the subjects (CHO; n=10) had yet had breakfast (~90min before training; 675 kcal, 70% carbohydrates, 15% fat, 15% protein), the rest (fasted; n= 10) reported to the lab after an overnight fast.
Figure 4: GLUT4 and AMPK expression in 10 healthy male subjects before and after 5 weeks on a hyper-caloric high-fat diet with or without (control) exercise in the fasted or fed (CHO) state  (data calculated based on Van Proeyen. 2010).
As the asterisk in figure 4 indicates, the exercise induced increase in GLUT4 (responsible for muscular glucose uptake) and AMPK expression is significant (p<0.05, i.e. chances that this is only coincidence <5%) only in the subjects which trained in a fasted state. Moreover, only the group which trained in the fasted state had neither statistically significant weight increases, nor statistically significant increases in the sum of the skinfold measurements (a relative reliable marker of body fat levels). The unexercised controls and the CHO group (training in fed state), on the other hand, gained 3kg and 1.4kg body weight (both p<0.05). Interestingly, though only the control group experienced a statistical significant increase in the sum of their skinfold measures of +15.1%! (+1.1% in fasted; +5.4% in CHO).
This study for the first time shows that fasted training is more potent than fed training to facilitate adaptations in muscle and to improve whole-body glucose tolerance and insulin sensitivity during hyper-caloric fat-rich diet. (Van Proeyen. 2010).
Obviously, we are dealing with a very different situation, when an intermittent fast is combined with a caloric deficit - yet in view of the idea to use intermittent fasting as dietary strategy on a "lean bulk", the results of the Van Proeyen study could be of great importance. Not only in view of keeping the fat gains at bay, but also with regard to potential negative health effects of deliberate overeating and subsequently compromised insulin sensitivity.

A pros pos "lean bulk", I suggest you do come back next week if you want to know more about when and what to eat right after what type of workouts in order to maximize muscle and minimize fat gains when you train intermittendly fasted. For now, I wish all of you a sunny Sunday (here it is one) and an intense week at the gym, regardless of whether you train (intermittendly) fasted or not ;-)