Esteban M. Gorostiaga

The relationship of serum osteocalcin concentration to insulin secretion, sensitivity and disposal with hypocaloric diet and resistance training

CONTEXT Bone has recently been described as exhibiting properties of an endocrine organ by producing osteocalcin that increases insulin sensitivity and secretion in animal models. OBJECTIVE AND DESIGN We aimed to evaluate circulating osteocalcin in association with insulin sensitivity and insulin secretion in three different studies in nondiabetic subjects: one cross-sectional study in 149 men (using minimal model), and two longitudinal studies in two independent groups (one formed by 26 women, and the other by 9 men and 11 women), after a mean of 7.3 and 16.8% weight loss, and after a mean of 8.7% weight loss plus regular exercise. RESULTS In the cross-sectional study, circulating osteocalcin was associated with insulin sensitivity, mainly in lean subjects, and with insulin secretion (only in lean subjects). A mean of 16.8%, but not 7.3% weight loss, led to significant increases in circulating osteocalcin. However, a mean of 8.7% weight loss plus regular exercise led to the more pronounced effects on the serum osteocalcin concentration, which increased in parallel to reduced visceral fat mass, unchanged thigh muscle mass, and increased leg strength and force. The postintervention serum levels of osteocalcin were associated with both insulin sensitivity (r = 0.49; P = 0.03) and fasting triglycerides (r = -0.54; P = 0.01). The change in visceral fat was the parameter that best predicted the change in serum osteocalcin, once age, body mass index, and insulin sensitivity changes were controlled for (P = 0.002). CONCLUSION Circulating osteocalcin could mediate the role of bone as an endocrine organ in humans.

Effects of strength training on muscle power and serum hormones in middle-aged and older men

Effects of 16-wk strength training on maximal strength and power performance of the arm and leg muscles and serum concentrations [testosterone (T), free testosterone (FT), and cortisol] were examined in 11 middle-aged (M46; 46 +/- 2 yr) and 11 older men (M64; 64 +/- 2 yr). During the 16-wk training, the relative increases in maximal strength and muscle power output of the arm and leg muscles were significant in both groups (P < 0.05-0.001), with no significant differences between the two groups. The absolute increases were higher (P < 0.01-0.05) in M46 than in M64 mainly during the last 8 wk of training. No significant changes were observed for serum T and FT concentrations. Analysis of covariance showed that, during the 16-wk training period, serum FT concentrations tended to decrease in M64 and increase in M46 (P < 0.05). However, significant correlations between the mean level of individual serum T and FT concentrations and the individual changes in maximal strength were observed in a combined group during the 16-wk training (r = 0.49 and 0.5, respectively; P < 0.05). These data indicate that a prolonged total strength-training program would lead to large gains in maximal strength and power load characteristics of the upper and lower extremity muscles, but the pattern of maximal and power development seemed to differ between the upper and lower extremities in both groups, possibly limited in magnitude because of neuromuscular and/or age-related endocrine impairments.

Once Weekly Combined Resistance and Cardiovascular Training in Healthy Older Men

PURPOSE To compare the effects of the 16-wk training period (2 d.wk(-1)) of resistance training alone (S), endurance training alone (E), or combined resistance (once weekly) and endurance (once weekly) training (SE) on muscle mass, maximal strength and power of the leg and arm extensor muscles, and maximal workload (Wmax) by using a incremental cycling test in older men. METHODS Thirty-one healthy men (65-74 yr) were divided into three treatment groups to train 2x wk(-1) for 16 wk: S (N = 10), E (N = 11), or SE (N = 10; 1x wk(-1) S + 1x wk(-1) E). The subjects were tested at 8-wk intervals (i.e., weeks 8 and 16). RESULTS There were no significant differences between S- and SE-induced muscle hypertrophy (11% and 11%) and maximal strength (41% and 38%) gains of the legs as well as between E- and SE-induced Wmax (28% and 23%) gains. The increase in arm strength in S (36%) was greater than that recorded in SE (22%) and greater than that recorded in E (0%). CONCLUSIONS Prolonged combined resistance and endurance training in older men seemed to lead to similar gains in muscle mass, maximal strength, and power of the legs as resistance training alone and to similar gains in maximal peak power output measured in an incremental cycling test as endurance training alone. These findings may have an effect on how resistance exercise is prescribed to older adults.

Creatine supplementation and sprint performance in soccer players

PURPOSE This investigation examined the effects of creatine (Cr) supplementation on intermittent high-intensity exercise activities specific to competitive soccer. METHODS On two occasions 7 d apart, 17 highly trained male soccer players performed a counter-movement jump test (CMJT), a repeated sprint test (RST) consisting of six maximal 15-m runs with a 30-s recovery, an intermittent endurance test (IET) consisting of forty 15-s bouts of high-intensity running interspersed by 10-s bouts of low-intensity running, and a recovery CMJT consisting of three jumps. After the initial testing session, players were evenly and randomly included in a CREATINE (5 g of Cr, four times per day for 6 d) or a PLACEBO group (same dosage of maltodextrins) using a double-blind research design. RESULTS The CREATINE groups average 5-m and 15-m times during the RST were consistently faster after the intervention (0.95 +/- 0.03 vs 0.97 +/- 0.02 s, P < 0.05 and 2.29 +/- 0.08 vs 2.32 +/- 0.07 s, P = 0.07, respectively). Neither group showed significant changes in the CMJT or the IET. The CREATINE groups recovery CMJT performance relative to the resting CMJT remained unchanged postsupplementation, whereas it tended to decrease in the PLACEBO group. CONCLUSION In conclusion, acute Cr supplementation favorably affected repeated sprint performance and limited the decay in jumping ability after the IET in highly trained soccer players. Intermittent endurance performance was not affected by Cr.

Effects of heavy resistance training on maximal and explosive force production, endurance and serum hormones in adolescent handball players.

Abstract To determine the effects of 6-weeks of heavy-resistance training on physical fitness and serum hormone status in adolescents (range 14–16 years old) 19 male handball players were divided into two different groups: a handball training group (NST, n = 10), and a handball and heavy-resistance strength training group (ST, n = 9). A third group of 4 handball goalkeepers of similar age served as a control group (C, n = 4). After the 6-week training period, the ST group showed an improvement in maximal dynamic strength of the leg extensors (12.2%; P < 0.01) and the upper extremity muscles (23%; P < 0.01), while no changes were observed in the NST and C groups. Similar differences were observed in the maximal isometric unilateral leg extension forces. The height of the vertical jump increased in the NST group from 29.5 (SD 4) cm to 31.4 (SD 5) cm (P < 0.05) while no changes were observed in the ST and C groups. A significant increase was observed in the ST group in the velocity of the throwing test [from 71.7 (SD 7) km · h−1 to 74.0 (SD 7) km · h−1; P < 0.001] during the 6-week period while no changes were observed in the NST and C groups. During a submaximal endurance test running at 11 km · h−1, a significant decrease in blood lactate concentration occurred in the NST group [from 3.3 (SD 0.9) mmol · l−1 to 2.4 (SD 0.8) mmol · l−1; P < 0.01] during the experiment, while no change was observed in the ST or C groups. Finally, a significant increase (P < 0.01) was noted in the testosterone:cortisol ratio in the C group, while the increase in the NST group approached statistical significance (P < 0.08) and no changes in this ratio occurred in the ST group. The present findings suggested that the addition of 6-weeks of heavy resistance training to the handball training resulted in gains in maximal strength and throwing velocity but it compromised gains in leg explosive force production and endurance running. The tendency for a compromised testosterone:cortisol ratio observed in the ST group could have been associated with a state of overreaching or overtraining.

Maximal strength and power, endurance performance, and serum hormones in middle-aged and elderly men.

PURPOSE To examine maximal strength, power and muscle cross-sectional area, maximal and submaximal cycling endurance characteristics, and serum hormone concentrations of testosterone (T), free testosterone (FT), and cortisol (C) in middle-aged and elderly men. METHODS Maximal knee extension force (isometric; MIF(KE)), power-load curves during concentric actions with loads ranging from 15% to 70% of 1 RM half-squat (1RM(HS)), muscle cross-sectional area of quadriceps femoris (CSA(QF)), workload, heart rate and lactate accumulation during incremental cycling, and serum hormone concentrations were measured in 26 middle-aged (M42 yr) and 21 elderly men (M65 yr). RESULTS The 1RM(HS) (14%), MIF(KE) (24%) and CSA(QF) (13%) were lower in M65 than in M42 (P < 0.05-0.01). Power during submaximal actions was lower (P < 0.05-0.001) in M65 than in M42, but the differences disappeared when expressed relative to CSA(QF). Serum FT was in M42 higher (P < 0.05) than in M65. Maximal workload, maximal heart rate and peak blood lactate during cycling in M65 were 31%, 11%, and 20% lower than in M42 (P < 0.01). During submaximal cycling blood lactate rose more rapidly with increasing workload in M65 than in M42 (P < 0.05-0.01), but the differences disappeared when expressed relative to CSA(QF). Significant correlations existed between individual values of serum FT:C ratio, C and T, and those of muscle strength and maximal workload. CONCLUSION Declines in maximal strength, muscle mass, and endurance performance seem to take place with increasing age, although muscle power and demand for aerobic energy per unit of muscle tissue during submaximal loads remain similar. The balance between anabolic and catabolic hormones in aging people over the years may be associated with age-related decreased strength and declines in maximal cycling workload.

Electromyographic models to assess muscle fatigue

Muscle fatigue is a common experience in daily life. Many authors have defined it as the incapacity to maintain the required or expected force, and therefore, force, power and torque recordings have been used as direct measurements of muscle fatigue. In addition, the measurement of these variables combined with the measurement of surface electromyography (sEMG) recordings (which can be measured during all types of movements) during exercise may be useful to assess and understand muscle fatigue. Therefore, there is a need to develop muscle fatigue models that relate changes in sEMG variables with muscle fatigue. However, the main issue when using conventional sEMG variables to quantify fatigue is their poor association with direct measures of fatigue. Therefore, using different techniques, several authors have combined sets of sEMG parameters to assess muscle fatigue. The aim of this paper is to serve as a state-of-the-art summary of different sEMG models used to assess muscle fatigue. This paper provides an overview of linear and non-linear sEMG models for estimating muscle fatigue, their ability to assess power loss and their limitations due to neuromuscular changes after a training period.

EMG spectral indices and muscle power fatigue during dynamic contractions.

The purpose of this study was to examine acute exercise-induced changes on muscle power output and surface electromyography (sEMG) parameters (amplitude and spectral indices of muscle fatigue) during a dynamic fatiguing protocol. Fifteen trained subjects performed five sets consisting of 10 leg presses (10RM), with 2min rest between sets. Surface electromyography was recorded from vastus medialis (VM) and lateralis (VL) and biceps femoris (BF) muscles. A number of EMG-based parameters were compared for estimation accuracy and sensitivity to detect peripheral muscle fatigue. These were: Mean Average Voltage, median spectral frequency, Dimitrov spectral index of muscle fatigue (FI(nsm5)), as well as other parameters obtained from a time-frequency analysis (Choi-Williams distributions) such as mean and variance of the instantaneous frequency and frequency variance. The log FI(nsm5) as a single parameter predictor accounted for 37% of the performance variance of changes in muscle power and the log FI(nsm5) and MFM as a two factor combination predictor accounted for 44%. Peripheral impairments assessed by sEMG spectral index FI(nsm5) may be a relevant factor involved in the loss of power output after dynamic high-loading fatiguing task.

Maximal strength and power, muscle mass, endurance and serum hormones in weightlifters and road cyclists

Maximal strength, power, muscle cross-sectional area, maximal and submaximal cycling endurance characteristics and serum hormone concentrations of testosterone, free testosterone and cortisol were examined in three groups of men: weightlifters (n = 11), amateur road cyclists (n = 18) and age-matched controls (n = 12). Weightlifters showed 45–55% higher power values than road cyclists and controls, whereas the differences in maximal strength and muscle mass were only 15% and 20%, respectively. These differences were maintained when average power output was expressed relative to body mass or relative to muscle cross-sectional area. Road cyclists recorded 44% higher maximal workloads, whereas submaximal blood lactate concentration was 50–55% lower with increasing workload than in controls and weightlifters. In road cyclists, workloads associated with blood lactate concentrations of 2 and 4 mmol · l−1 were 50–60% higher and occurred at a higher percentage of maximal workload than in weightlifters or controls. Basal serum total testosterone and free testosterone concentrations were lower in elite amateur cyclists than in age-matched weightlifters or untrained individuals. Significant negative correlations were noted between the individual values of maximal workload, workloads at 2 and 4 mmol · l−1 and the individual values of muscle power output (r = −0.37 to −0.49), as well as the individual basal values of serum total testosterone and free testosterone (r = −0.39 to −0.41). These results indicate that the specific status of the participants with respect to training, resistance or endurance is important for the magnitude of the neuromuscular, physiological and performance differences observed between weightlifters and road cyclists. The results suggest that, in cycling, long-term endurance training may interfere more with the development of muscle power than with the development of maximal strength, probably mediated by long-term cycling-related impairment in anabolic hormonal status.

Metabolic endotoxemia and saturated fat contribute to circulating NGAL concentrations in subjects with insulin resistance

Objective:Lipocalin-2 (neutrophil gelatinase-associated lipocalin, NGAL) is an innate immune system protein that has been linked to insulin resistance and obesity, but the mechanisms behind these associations are poorly known. We hypothesized that endotoxin (lipopolysaccharide, LPS) and fat intake were in the background of these associations.Design:We studied four cohorts: (1) a cross-sectional study in 194 subjects; (2) the changes in NGAL concentration induced by diet and weight loss in 36 obese women (with circadian rhythm in 8 of them); (3) the effects of acute fat intake on circulating NGAL concentration in 42 morbidly obese subjects; and (4) LPS-induced NGAL secretion ex vivo (whole blood and adipose tissue explants).Results:Serum NGAL concentration was significantly associated with fasting triglycerides and LPS-binding protein in patients with type 2 diabetes. In obese subjects, the intake of saturated fatty acids was the factor that best explained the variance of NGAL changes after weight loss (contributing independently to 14% of NGAL variance). In fact, weight loss significantly changed the circadian rhythm of NGAL. The acute increase in circulating NGAL after fat overload was significantly associated with fasting insulin (r=0.52, P<0.001), homeostasis model assessment of insulin resistance (HOMA-IR) (r=0.36, P=0.02) and post-load triglyceride concentrations (r=0.38, P=0.018). LPS-induced NGAL secretion from adipose tissue explants did not change significantly, but LPS led to a significant increase in NGAL concentration in the whole blood obtained from patients with type 2 diabetes.Conclusion:Metabolic endotoxemia and saturated fat might contribute to circulating NGAL concentration in patients with insulin resistance.