Joel B. Mitchell

The influence of volume on gastric emptying and fluid balance during prolonged exercise.

The purpose of this study was to determine the effect of ingesting approximately 800, 1200, or 1600 ml.h-1 of a carbohydrate (CHO) solution on gastric emptying (GE), ratings of stomach fullness (RF), plasma volume changes (PVC), electrolytes, fluid loss, and blood glucose (BG) during 2 h of cycling at 70% of VO2max. Eight male cyclists completed three rides during which they ingested either 11.5 (LV), 17.1 (MV), or 23 ml.kg-1.h-1 (HV) of a 7.5% CHO solution every 15 min. Blood samples were taken at 0, 60, 90, and 120 min and 15 min after the ride for the determination of PVC, sodium (Na+), potassium (K+), and BG. Body weight was recorded before and after the rides to determine dehydration. Rates of GE were determined via stomach aspiration after the rides. A significantly (P less than 0.05) greater volume of fluid was emptied in the HV trial (2268 +/- 70.8 ml) compared with the MV and LV trials (1860 +/- 72 and 1452 +/- 24 ml, respectively). The rate of GE in the MV trial was also significantly greater than in the LV trial. RF were significantly higher in the MV and HV trials compared with the LV trial throughout the rides. There were no significant differences in PVC (0.01 +/- 2.2%, 1.05 +/- 1.62%, and 0.97 +/- 1.28% for LV, MV, and HV, respectively), Na+, K+, or BG between the three trials. There was a significantly greater decrease in body weight in the LV (-0.77 +/- 0.14 kg) compared with the MV and HV trials (-0.38 +/- 0.13 and -0.14 +/- 0.14 kg).(ABSTRACT TRUNCATED AT 250 WORDS)

Resistance training reduces subclinical inflammation in obese, postmenopausal women.

PURPOSE Aerobic exercise is frequently prescribed to reduce inflammatory-related disease (cardiovascular disease and diabetes) risk. Resistance training (RT), however, may be key to maximizing anti-inflammatory benefits of consistent exercise. We examined the influence of RT on inflammatory biomarkers in obese, postmenopausal women. METHODS Twenty-three women (65.6 ± 2.6 yr; body mass index, 33 kg·m) underwent 12 wk of RT (3 sets, 10 exercises, 3× per week, 8-12 repetition maximum (RM), resistance exercise (EX), N = 11) or social interaction intervention (SI, stretching, knitting, health lectures, 2× per week, control group (CON), N = 12). Both before (BT) and after (AT) RT or SI, blood was collected before (PR), immediately (PO), 2 h (2H), and 24 h (24H) after a single resistance exercise bout (RE) in EX and at the same time points in nonexercise, resting CON. For all time points, blood was analyzed for IL-6, leptin, and lipopolysaccharide (LPS)-stimulated tumor necrosis factor-α (TNF-α) (LPS-TNF) and IL-10 (LPS-IL10). PR samples were also examined for C-reactive protein, TNF-α, and adiponectin, and mRNA expression of toll-like receptor 4 (TLR4) and MC1R. Subcutaneous adipose tissue was extracted BT and AT and analyzed for mRNA expression of monocyte chemotactic protein-1, leptin, CD68, and TLR4. RESULTS RT improved strength (44%) and reduced circulating C-reactive protein (-33%), leptin (-18%) and TNF-α (-29%) with no change in body composition. IL-6 decreased after SI in CON (-17%). LPS-TNF increased after SI or RT (CON +26%, EX +67%, respectively), whereas LPS-IL10 decreased in CON (-28%) but increased in EX (+20%). RT did not influence inflammatory biomarker gene expression in whole blood or subcutaneous adipose tissue. A single RE bout augmented LPS-TNF and LPS-IL10 at 24H in EX, particularly AT. CONCLUSION RT reduced markers of subclinical inflammation in circulation in obese, postmenopausal women in the absence of changes in body composition. Chronic RT also enhanced response to endotoxin challenge both at rest (PR) and 24 h after an acute RE bout (24H).

The Effect of volume ingested on rehydration and gastric emptying following exercise-induced dehydration

The purpose of this study was to examine the effects of different drink volumes on rehydration, gastric emptying, and markers of fluid balance following exercise-induced dehydration. Nine male subjects (27.3 +/- 5.47 yr of age, 77.8 +/- 7.9 kg) exercised for 90 min (or until 2.5% of initial body weight was lost) on a cycle ergometer in a hot environment (30 degrees C with 60% RH). Following exercise, subjects were moved to a neutral environment (23 degrees C 50% RH) and rested for 30 min prior to beginning a 3-h rehydration period. During rehydration, subjects were serially fed with an electrolyte solution (14.98 mmol.l-1 Na+, 13.51 mmol.l-1 Cl-, and 7.95 mmol.l-1 K+) every 30 min with either 100% or 150% of the fluid lost during exercise. Gastric contents were determined every 15 min using double sampling. Blood samples, urine samples, and body weights were taken before and after exercise and at 1-h intervals throughout rehydration. Blood samples were analyzed for percent change in plasma volume, electrolyte concentration, aldosterone levels, and renin activity. Urine electrolyte concentrations were also measured. The final percent rehydration was 48.11 and 67.90 for the 100% and 150% conditions, respectively. During rehydration, the subjects emptied 98.9 and 86.0% of the fluid ingested, and the % emptied and used for weight gain at the end of rehydration was 55.1 and 54.6 for the 100% and 150% trials, respectively. Urine production was significantly higher in the 150 compared with the 100% condition while renin and aldosterone levels did not differ significantly.(ABSTRACT TRUNCATED AT 250 WORDS)

Resistance Exercise and Lipoproteins in Postmenopausal Women

The specific aims of this study were to quantify the effects of 12 weeks of resistance training, as well as a single session of resistance exercise on lipids and lipoproteins in obese, postmenopausal women. 21 obese, postmenopausal women, not on hormone replacement therapy (age=65.9 ± 0.5 yr; BMI=32.7 ± 0.8 kg/m(2)), were randomly assigned to control (n=12) and exercise (n=9) groups matched for age and BMI. For 12 weeks, 3 days/week, the exercise group performed 10 whole body resistance exercises (3 sets at 8-RM). Fasting (10 h) blood samples were collected immediately prior to and 24 h after the first and last exercise and control session. Serum was assayed for concentrations of total cholesterol, triglycerides, LDL-C, HDL-C, HDL 2-C, HDL 3-C, non-HDL-C and TC:HDL and LDL:HDL ratios. The exercise group exhibited a significant (P<0.01) improvement in muscular strength, but no change in BMI, body mass or body composition post-training. Total cholesterol, LDL-C and non-HDL-C were significantly (P<0.05) lower in the exercise compared to the control group following the 12 weeks of resistance training. Whole body resistance training provides obese, postmenopausal women a non-pharmacological approach for the reduction of lipid and lipoprotein-cholesterol concentrations.

Influence of commonly employed resistance exercise protocols on circulating IL-6 and indices of insulin sensitivity.

Phillips, MD, Mitchell, JB, Currie-Elolf, LM, Yellott, RC, and Hubing, KA. Influence of commonly employed resistance exercise protocols on circulating IL-6 and indices of insulin sensitivity. J Strength Cond Res 24(4): 1091-1101, 2010-The purpose of this project was to examine the influence of resistance exercise (RE) intensities, resulting in different total volume loads on circulating interleukin-6 (IL-6), insulin and glucose response (IGR) to a carbohydrate feeding (CHO), and whether RE-induced IL-6 was associated with postexercise IGR. Fourteen men (21.7 ± 1.7 years, 83 ± 14.2 kg), performed 2 RE sessions (low-intensity resulting in high volume [65% 1-repetition maximum (1RM)], LO; high intensity resulting in low volume [85% 1RM], HI); and a nonexercise control trial (CON). Resistance exercise included 3 sets (LO = 12 reps, 12 reps, and failure; HI = 8 reps, 8 reps, and failure) of 8 exercises. Blood was obtained pre- (PR) and post (PO) exercise, and 6 hours postexercise (6H). Twenty-three hours after RE or CON, participants consumed 100 g dextrose (CHO) beverage. Blood was collected before (0 minutes) and 60 minutes after CHO (n = 6, phase 1) or every 30 minutes for a 2-hour oral glucose tolerance test (n = 8; phase 2). Circulating IL-6, insulin, and glucose were analyzed via enzyme-linked immunosorbent assay, radioimmunoassay, and enzymatic methods, respectively. Total volume load was higher in LO (17,729 ± 1,466 kg) compared with HI (13,160 ± 1,097 kg; p < 0.001). Postexercise IL-6 was elevated (p = 0.003) in LO and HI compared with CON (7.4 ± 1.3, 5.2 ± 0.7, and 2.5 ± 0.7 pg·mL−1, respectively), with LO IL-6 greater than HI. Areas under the curve for glucose (p = 0.081; CON: 741 ± 46, LO: 690 ± 28, and HI: 660 ± 21 mM·min−1) and insulin (p = 0.075; CON: 6,818 ± 1,018, LO: 5,056 ± 869, and HI: 5,405 ± 1,076 μIU·mL−1) were not different among trials (n = 8). When 0- and 60-minute values were compared (n = 14), insulin was lower at 60 minutes in LO and HI compared with CON (55 + 9.1, 83 ± 13, 105 ± 13 μIU·mL−1, respectively) with LO insulin being lower than HI (p < 0.001). No relationship was observed between PO IL-6 and IGR, but PR IL-6 was negatively related to both PR (r = −0.043, p < 0.05) and 60 minutes (r = −0.59, p < 0.01) glucose (n = 14). These results indicate that TVL contributes to RE-induced IL-6 release and that TVL may be more important than RE intensity when improvements in glucose tolerance or IS are the goal.

Novel Form of Curcumin Improves Endothelial Function in Young, Healthy Individuals: A Double-Blind Placebo Controlled Study

Curcumin, a turmeric extract, may protect against cardiovascular diseases by enhancing endothelial function. In this randomized controlled double-blind parallel prospective study, fifty-nine healthy adults were assigned to placebo, 50 mg (50 mg), or 200 mg (200 mg) curcumin, for 8 weeks. The higher curcumin (200 mg) supplementation produced a dose-mediated improvement in endothelial function measured by flow-mediated dilation (FMD). The outcome was a clinically substantial 3.0% increase (90% CI 0.7 to 5.3%, p = 0.032; benefit : harm odds ratio 546 : 1) with the 200 mg dose, relative to placebo. The 50 mg dose also increased FMD relative to placebo by 1.7% (−0.6 to 4.0%, p = 0.23; 25 : 1), but the outcome was not clinically decisive. In apparently healthy adults, 8 weeks of 200 mg oral curcumin supplementation resulted in a clinically meaningful improvement in endothelial function as measured by FMD. Oral curcumin supplementation may present a simple lifestyle strategy for decreasing the risk of cardiovascular diseases. This trial was registered at ISRCTN registry (ISRCTN90184217).

Preexercise Energy Drink Consumption Does Not Improve Endurance Cycling Performance But Increases Lactate, Monocyte, and Interleukin-6 Response

Abstract Phillips, MD, Rola, KS, Christensen, KV, Ross, JW, and Mitchell, JB. Preexercise energy drink consumption does not improve endurance cycling performance but increases lactate, monocyte, and interleukin-6 response. J Strength Cond Res 28(5): 1443–1453, 2014—The purpose of this study was to investigate the influence of an energy drink (ED) on cycling performance and immune-related variables. Eleven trained male cyclists (33.4 ± 8.9 years; 81 ± 7.6 kg; maximal V[Combining Dot Above]O2, 52 ± 3.4 ml·kg−1·min−1) consumed 500 ml of (a) ED (2.0 g taurine, 1.2 g glucuronolactone, 160 mg caffeine, 56 g carbohydrate [CHO], and B vitamins), (b) cola matched for caffeine and CHO (CC), or (c) flavored placebo (PL: sparking water and flavoring) 50 minutes before racing in a randomized, crossover design. Performance was measured as time to complete (TTC) a 25-mile simulated road race. Blood was collected at baseline, 30 minutes after drink consumption, during exercise at miles 5 (M5), 15 (M15), and immediately (POEX) and 30 minutes (30minPO) after exercise. TTC was not different (p > 0.05) among trials (ED, 68.6 ± 2.7; CC, 68.9 ± 3.8; PL, 69.6 ± 3.8 minutes). Consumption of CC and ED elicited a mild hypoglycemia elicited a mild hypoglycemia during cycling. POEX interleukin-6 (IL-6) was greatest after ED, whereas CC IL-6 was greater than PL (10.2 ± 1.6, 6.7 ± 0.6, and 4.8 ± 0.7 pg·ml−1, respectively; p < 0.001). Cycling increased leukocyte number in all conditions with ED leukocyte number greater than that of PL at M15 (9.8 ± 0.6, 8.5 ± 0.3 × 106 cells·mL−1). Energy drink induced an earlier recruitment of monocytes to the blood stream than CC. Mean fat oxidation was greater in PL compared with CC (0.43 ± 0.06 and 0.28 ± 0.04 g·min−1; p = 0.033) but did not differ between ED (0.32 ± 0.06) and PL. Lactate was higher in ED compared with CC and PL at M5 and M15 (p = 0.003), but there was no significant influence of either ED or CC on performance. Carbohydrate and caffeine consumption before endurance cycling significantly increased the IL-6 release and leukocytosis, and the additional ingredients in ED seem to have further augmented these responses.

Velocity Drives Greater Power Observed During Back Squat Using Cluster Sets.

Abstract Oliver, JM, Kreutzer, A, Jenke, SC, Phillips, MD, Mitchell, JB, and Jones, MT. Velocity drives greater power observed during back squat using cluster sets. J Strength Cond Res 30(1): 235–243, 2016—This investigation compared the kinetics and kinematics of cluster sets (CLU) and traditional sets (TRD) during back squat in trained (RT) and untrained (UT) men. Twenty-four participants (RT = 12, 25 ± 1 year, 179.1 ± 2.2 cm, 84.6 ± 2.1 kg; UT = 12, 25 ± 1 year, 180.1 ± 1.8 cm, 85.4 ± 3.8 kg) performed TRD (4 × 10, 120-second rest) and CLU (4 × (2 × 5) 30 seconds between clusters; 90 seconds between sets) with 70% one repetition maximum, randomly. Kinematics and kinetics were sampled through force plate and linear position transducers. Resistance-trained produced greater overall force, velocity, and power; however, similar patterns were observed in all variables when comparing conditions. Cluster sets produced significantly greater force in isolated repetitions in sets 1–3, while consistently producing greater force due to a required reduction in load during set 4 resulting in greater total volume load (CLU, 3302.4 ± 102.7 kg; TRD, 3274.8 ± 102.8 kg). Velocity loss was lessened in CLU resulting in significantly higher velocities in sets 2 through 4. Furthermore, higher velocities were produced by CLU during later repetitions of each set. Cluster sets produced greater power output for an increasing number of repetitions in each set (set 1, 5 repetitions; sets 2 and 3, 6 repetitions; set 4, 8 repetitions), and the difference between conditions increased over subsequent sets. Time under tension increased over each set and was greater in TRD. This study demonstrates greater power output is driven by greater velocity when back squatting during CLU; therefore, velocity may be a useful measure by which to assess power.

Resistance and aerobic exercise: the influence of mode on the relationship between IL-6 and glucose tolerance in young men who are obese.

Mitchell, JB, Phillips, MD, Yellott, RC, and Currie, LM. Resistance and aerobic exercise: The influence of mode on the relationship between IL-6 and glucose tolerance in young men who are obese. J Strength Cond Res 25(6): 1529-1537, 2011—Regular exercise lowers indicators of disease risk including some inflammatory cytokines; however, the relationship between different modes of acute exercise, cytokine levels, and subsequent glucose tolerance is unclear. The purpose was to determine the effects of resistance (RES) and aerobic (AER) exercises on interleukin-6 (IL-6) and its association with glucose tolerance 24 hours after exercise. After testing for 1 repetition maximum (1RM) and &OV0312;O2peak, 10 obese (body mass index > 30 kg·m−2), untrained men aged 18-26 years completed 3 protocols: 60 minutes of RES, AER, and a resting (CON) condition. The RES was 2 sets of 8 repetitions and a third set to fatigue at 80% 1RM of 8 lifts using all major muscle groups. The AER was 60 minutes of cycling at 70% of &OV0312;O2peak. On day 1, subjects completed the 60-minute exercise or resting protocol, and on day 2, they completed an oral glucose tolerance test (OGTT). Blood was collected before and after exercise, at 2 and 7 hour postexercise, and before and every 30 minutes during the OGTT and was analyzed for IL-6, glucose and insulin. Postexercise IL-6 was greater in RES (8.01 ± 2.08 pg·mL−1) vs. in AER (4.26 ± 0.27 pg·mL−1), and both were greater than in CON (1.61 ± 0.18 pg·mL−1). During the OGTT, there were no differences in glucose or insulin between conditions for single time points or as area under the curve. The RES caused greater IL-6 levels immediately after exercise that may be related to the greater active muscle mass compared to AER. Neither exercise produced enhanced glucose removal compared to control; thus, despite the greater elevation in IL-6 in RES, for these exercise conditions and this population, this cytokine did not influence glucose tolerance.

The effects of elapsed time after warm-up on subsequent exercise performance in a cold environment.

Athletes often compete in cold environments and may face delays because of weather or race logistics between performance of a warm-up and the start of the race. This study sought to determine, (a) whether a delay after warm-up affects subsequent time trial (TT) performance and (b) if exposure to a cold environment has an additive effect. We hypothesized that after a warm-up, 30 minutes of rest in a cold environment would negatively affect subsequent rowing and running performance. In a temperate (temp; 24° C) or cold (cold; 5° C) environment, 5 rowers (33 ± 10 years; 83 ± 12 kg) and 5 runners (23 ± 2 years; 65 ± 8 kg) performed a 15-minute standardized warm-up followed by a 5- or 30-minute rest and then performed a 2-km rowing or 2.4 km running TT. The 5-minute rest following warm-up in the temperate environment (5Temp) served as the control trial to which the other experimental trials (5Cold; 30Temp; and 30Cold) were compared. Heart rate, lactate, and esophageal (Tes) and skin (Tsk) temperatures were measured throughout. Postrest and post-TT, Tes, and Tsk were lowest in the 30Cold trials. The greatest decrement in TT performance vs. 5Temp occurred in 30Cold (-4.0%; difference of 20 seconds). This difference is considered to have practical importance, as it was greater than the reported day-to-day variation for events of this type. We conclude that longer elapsed time following warm-up, combined with cold air exposure, results in potentially important reductions in exercise performance. Athletes should consider the appropriate timing of warm-up. In addition, performance may be preserved by maintaining skin and core temperatures following a warm-up, via clothing or other means.Abstract Spitz, MG, Kenefick, RW, and Mitchell, JB. The effects of elapsed time after warm-up on subsequent exercise performance in a cold environment. J Strength Cond Res 28(5): 1351–1357, 2014—Athletes often compete in cold environments and may face delays because of weather or race logistics between performance of a warm-up and the start of the race. This study sought to determine, (a) whether a delay after warm-up affects subsequent time trial (TT) performance and (b) if exposure to a cold environment has an additive effect. We hypothesized that after a warm-up, 30 minutes of rest in a cold environment would negatively affect subsequent rowing and running performance. In a temperate (temp; 24° C) or cold (cold; 5° C) environment, 5 rowers (33 ± 10 years; 83 ± 12 kg) and 5 runners (23 ± 2 years; 65 ± 8 kg) performed a 15-minute standardized warm-up followed by a 5- or 30-minute rest and then performed a 2-km rowing or 2.4 km running TT. The 5-minute rest following warm-up in the temperate environment (5Temp) served as the control trial to which the other experimental trials (5Cold; 30Temp; and 30Cold) were compared. Heart rate, lactate, and esophageal (Tes) and skin (Tsk) temperatures were measured throughout. Postrest and post-TT, Tes, and Tsk were lowest in the 30Cold trials. The greatest decrement in TT performance vs. 5Temp occurred in 30Cold (−4.0%; difference of 20 seconds). This difference is considered to have practical importance, as it was greater than the reported day-to-day variation for events of this type. We conclude that longer elapsed time following warm-up, combined with cold air exposure, results in potentially important reductions in exercise performance. Athletes should consider the appropriate timing of warm-up. In addition, performance may be preserved by maintaining skin and core temperatures following a warm-up, via clothing or other means.