Mattan W. Hoffman

Examination of a pre-exercise, high energy supplement on exercise performance.

BackgroundThe purpose of this study was to examine the effect of a pre-exercise high energy drink on reaction time and anaerobic power in competitive strength/power athletes. In addition, the effect of the pre-exercise drink on subjective feelings of energy, fatigue, alertness and focus was also explored.MethodsTwelve male strength/power athletes (21.1 ± 1.3 y; 179.8 ± 7.1 cm; 88.6 ± 12.1 kg; 17.6 ± 3.3% body fat) underwent two testing sessions administered in a randomized and double-blind fashion. During each session, subjects reported to the Human Performance Laboratory and were provided with either 120 ml of a high energy drink (SUP), commercially marketed as Redline Extreme® or 120 ml of a placebo (PL) that was similar in taste and appearance but contained no active ingredients. Following consumption of the supplement or placebo subjects rested quietly for 10-minutes prior to completing a survey and commencing exercise. The survey consisted of 4 questions asking each subject to describe their feelings of energy, fatigue, alertness and focus for that moment. Following the completion of the questionnaire subjects performed a 2-minute quickness and reaction test on the Makoto testing device (Makoto USA, Centennial CO) and a 20-second Wingate Anaerobic Power test. Following a 10-minute rest subjects repeated the testing sequence and after a similar rest period a third and final testing sequence was performed. The Makoto testing device consisted of subjects reacting to both a visual and auditory stimulus and striking one out of 30 potential targets on three towers.ResultsSignificant difference in reaction performance was seen between SUP and PL in both average number of targets struck (55.8 ± 7.4 versus 51.9 ± 7.4, respectively) and percent of targets struck (71.9 ± 10.5% versus 66.8 ± 10.9%, respectively). No significant differences between trials were seen in any anaerobic power measure. Subjective feelings of energy (3.5 ± 0.5 versus 3.1 ± 0.5) and focus (3.8 ± 0.5 versus 3.3 ± 0.7) were significantly higher during SUP compared to PL, respectively. In addition, a trend towards an increase in average alertness (p = 0.06) was seen in SUP compared to P.ConclusionResults indicate a significant increase in reaction performance, with no effect on anaerobic power performance. In addition, ingestion of this supplement significantly improves subjective feelings of focus and energy in male strength/power athletes.

The effects of acute and prolonged CRAM supplementation on reaction time and subjective measures of focus and alertness in healthy college students

BackgroundThe purpose of this study was to examine the effect of acute and prolonged (4-weeks) ingestion of a supplement designed to improve reaction time and subjective measures of alertness, energy, fatigue, and focus compared to placebo.MethodsNineteen physically-active subjects (17 men and 2 women) were randomly assigned to a group that either consumed a supplement (21.1 ± 0.6 years; body mass: 80.6 ± 9.4 kg) or placebo (21.3 ± 0.8 years; body mass: 83.4 ± 18.5 kg). During the initial testing session (T1), subjects were provided 1.5 g of the supplement (CRAM; α-glycerophosphocholine, choline bitartrate, phosphatidylserine, vitamins B3, B6, and B12, folic acid, L-tyrosine, anhydrous caffeine, acetyl-L-carnitine, and naringin) or a placebo (PL), and rested quietly for 10-minutes before completing a questionnaire on subjective feelings of energy, fatigue, alertness and focus (PRE). Subjects then performed a 4-minute quickness and reaction test followed by a 10-min bout of exhaustive exercise. The questionnaire and reaction testing sequence was then repeated (POST). Subjects reported back to the lab (T2) following 4-weeks of supplementation and repeated the testing sequence.ResultsReaction time significantly declined (p = 0.050) between PRE and POST at T1 in subjects consuming PL, while subjects under CRAM supplementation were able to maintain (p = 0.114) their performance. Significant performance declines were seen in both groups from PRE to POST at T2. Elevations in fatigue were seen for CRAM at both T1 and T2 (p = 0.001 and p = 0.000, respectively), but only at T2 for PL (p = 0.029). Subjects in CRAM maintained focus between PRE and POST during both T1 and T2 trials (p = 0.152 and p = 0.082, respectively), whereas significant declines in focus were observed between PRE and POST in PL at both trials (p = 0.037 and p = 0.014, respectively). No difference in alertness was seen at T1 between PRE and POST for CRAM (p = 0.083), but a significant decline was recorded at T2 (p = 0.005). Alertness was significantly lower at POST at both T1 and T2 for PL (p = 0.040 and p = 0.33, respectively). No differences in any of these subjective measures were seen between the groups at any time point.ConclusionResults indicate that acute ingestion of CRAM can maintain reaction time, and subjective feelings of focus and alertness to both visual and auditory stimuli in healthy college students following exhaustive exercise. However, some habituation may occur following 4-weeks of supplementation.

L-alanyl-L-glutamine ingestion maintains performance during a competitive basketball game

BackgroundThe purpose of this study was to examine the efficacy of L-alanyl-L-glutamine (AG) ingestion on basketball performance, including jump power, reaction time, shooting accuracy and fatigue.MethodsTen women (21.2 ± 1.6 years; height: 177.8 ± 8.7 cm; body mass: 73.5 ± 8.0 kg), all scholarship NCAA Division I basketball players, volunteered for this study. Subjects participated in four trials, each consisting of a 40-min basketball game with controlled time-outs for rehydration. During the first trial (DHY) subjects were not allowed to rehydrate, and the total weight lost during the contest was used to determine fluid replenishment during the subsequent three trials. During one trial subjects consumed only water (W), while during the other two trials subjects consumed the AG supplement mixed in water using either a low dose (1 g per 500 ml) (AG1) or high dose (2 g per 500 ml) (AG2) concentration. All data assessed prior to and following each game were converted into a Δ score (Post results - Pre results). All performance data were then analyzed using a one-way repeated measures analysis of variance.ResultsDuring DHY subjects lost 1.72 ± 0.42 kg (2.3%) of their body mass. No differences in fluid intake (1.55 ± 0.43 L) were seen between rehydration trials. A 12.5% (p = 0.016) difference in basketball shooting performance was noted between DHY and AG1 and an 11.1% (p = 0.029) difference was seen between AG1 and W. Visual reaction time was significantly greater following AG1 (p = 0.014) compared to DHY. Differences (p = 0.045) in fatigue, as determined by player loads, were seen only between AG2 and DHY. No differences were seen in peak or mean vertical jump power during any trial.ConclusionRehydration with AG appears to maintain basketball skill performance and visual reaction time to a greater extent than water only.

β-Hydroxy-β-methylbutyrate attenuates cytokine response during sustained military training

This study tested the hypothesis that of 23 days of β-hydroxy-β-methylbutyrate (HMB) supplementation can maintain muscle mass and attenuate the immune and inflammatory response in combat soldiers during highly intense military training. Soldiers were randomly assigned to either a HMB (n = 6) or placebo (PL; n = 7) group and provided with 3 g · day(-1) of either HMB or PL. During the final week of supplementation soldiers participated in extreme physical training, which included night navigation of 6-8 hours across difficult terrain carrying heavy loads combined with sleep deprivation (3.8 ± 3.0 h per night). Blood draws were performed prior to and following the supplementation period. Magnetic resonance imaging, which included diffusion tensor imaging sequence, was used for muscle fiber tracking analysis. Data was analyzed using a two-way mixed factorial analysis of variance. Magnitude-based inferences were used to provide inferences on the true effects that HMB may have had on the dependent variables compared to PL, calculated from 90% confidence intervals. Changes in tumor necrosis factor-α for HMB (-3.9 ± 8.2 pg · mL(-1)) were significantly lower (P = .043) compared to the change in PL (+4.0 ± 3.7 pg · mL(-1)). HMB ingestion was also very likely (92%-95% Likelihood) to lower granulocyte colony-stimulating factor and interleukin 10 compared to PL. In addition, HMB supplementation was likely (78%-87% likelihood) to reduce interferon-γ, interleukin 8, CX3CL1, and increase muscle volume for the adductor magnus (77% likelihood) compared to PL. In summary, the results of this study provides evidence that HMB supplementation may attenuate the inflammatory response to high intense military training, and maintain muscle quality.

Regular- and postseason comparisons of playing time and measures of running performance in NCAA Division I women soccer players

The management of playing time in National Collegiate Athletic Association (NCAA) soccer athletes may be a key factor affecting running performance during competition. This study compared playing time and running performance between regular-season and postseason competitions during a competitive womens soccer season. Nine NCAA Division I women soccer players (age, 21.3 ± 0.9 years; height, 170.3 ± 5.7 cm; body mass, 64.0 ± 5.8 kg) were tracked using portable GPS devices across 21 games during a competitive season (regular season (n = 17); postseason (n = 4)). Movements on the field were divided into operationally distinct thresholds defined as standing/transient motion, walking, jogging, low-speed running, moderate-speed running, high-speed running, sprinting, low-intensity running, and high-intensity running. A significant increase in minutes played (+17%, p = 0.010) was observed at postseason compared with the regular season. Concomitant increases in time spent engaged in low-intensity running (LIR: +18%, p = 0.011), standing/transient motion (+35%, p = 0.004), walking (+17%, p = 0.022), distance covered while walking (+14%, p = 0.036), and at low intensity (+11%, p = 0.048) were observed. Performance comparisons between the first and second half within games revealed a significant decrease (p ≤ 0.05) in high-speed and high-intensity runs during the second half of the postseason compared with the regular season. Changes in minutes played correlated significantly with changes in absolute time spent engaged in LIR (r = 0.999, p < 0.001), standing/transient motion (r = 0.791, p = 0.011), walking (r = 0.975, p = 0.001), jogging (r = 0.733, p = 0.025), distance covered while walking (r = 0.898, p < 0.001) and low-intensity activity (r = 0.945, p < 0.001). Negative correlations were observed between minutes played and absolute time sprinting (r = -0.698, p = 0.037) and distance covered sprinting (r = -0.689, p = 0.040). Results indicate that additional minutes played during the postseason were primarily performed at lower intensity thresholds, suggesting running performance during postseason competitions may be compromised with greater playing time in intercollegiate womens soccer.

Physical Differences Between Forwards and Backs in American Collegiate Rugby Players

Abstract La Monica, MB, Fukuda, DH, Miramonti, AA, Beyer, KS, Hoffman, MW, Boone, CH, Tanigawa, S, Wang, R, Church, DD, Stout, JR, and Hoffman, JR. Physical differences between forwards and backs in American collegiate rugby players. J Strength Cond Res 30(9): 2382–2391, 2016—This study examined the anthropometric and physical performance differences between forwards and backs in a championship-level American male collegiate rugby team. Twenty-five male rugby athletes (mean ± SD; age 20.2 ± 1.6 years) were assessed. Athletes were grouped according to position as forwards (n = 13) and backs (n = 12) and were evaluated on the basis of anthropometrics (height, weight, percent body fat [BF%]), cross-sectional area (CSA), muscle thickness (MT), and pennation angle (PA) of the vastus lateralis (VL), maximal strength (1 repetition maximum [1RM] bench press and squat), vertical jump power, midthigh pull (peak force [PF] and peak rate of force development [PRFD]), maximal aerobic capacity (V[Combining Dot Above]O2peak), agility (pro agility, T test), speed (40-m sprint), and a tethered sprint (peak velocity [PV], time to peak velocity, distance covered, and step rate and length). Comparisons between forwards and backs were analyzed using independent t-tests with Cohens d effect size. Forwards were significantly different from backs for body weight (90.5 ± 12.4 vs. 73.7 ± 7.1 kg, p < 0.01; d = 1.60), BF% (12.6 ± 4.2 vs. 8.8 ± 2.1%, p ⩽ 0.05; d = 1.10), VL CSA (38.3 ± 9.1 vs. 28.7 ± 4.7 cm3, p < 0.01; d = 1.26), 1RM bench press (121.1 ± 30.3 vs. 89.5 ± 20.4 kg, p ⩽ 0.05; d = 1.17), 1RM squat (164.6 ± 43.0 vs. 108.5 ± 31.5 kg, p < 0.01; d = 1.42), PF (2,244.6 ± 505.2 vs. 1,654.6 ± 338.8 N, p < 0.01; d = 1.32), PV (5.49 ± 0.25 vs. 5.14 ± 0.37 m·s−1, p ⩽ 0.05; d = 1.04), and step length (1.2 ± 0.1 vs. 1.1 ± 0.1 m, p ⩽ 0.05; d = 0.80). V[Combining Dot Above]O2peak was significantly (p ⩽ 0.05, d = −1.20) higher in backs (54.9 ± 3.9 ml·kg·min−1) than in forwards (49.4 ± 4.4 ml·kg·min−1). No differences in agility performance were found between position groups. The results of this study provide descriptive information on anthropometric and performance measures on American male collegiate championship-level rugby players offering potential standards for coaches to use when developing or recruiting players.

Overuse Injuries in Military Personnel

The most common reason of medical evacuation for non-combat related injuries appears to be related to the musculoskeletal system. This is reported during both military deployments as well as during basic combat training. The most common cause of non-combat musculoskeletal injuries appear to occur from overuse, generally as a result of physical training. Overuse injuries are considered an outcome of the overtraining syndrome, which is considered a continuum of negative adaptations to training. Symptoms appear when the training stimulus has reached the point where the intensity and or volume of training have become too excessive, coupled with inadequate rest and recovery. These are issues that are quite common within the military during both training and deployment. During periods of deployment additional physiological stresses such as the environment (altitude, cold and heat), and nutritional and sleep deprivation may pose significant challenges on the health and performance of the soldier. This is often manifested during sustained combat operations, in which the ability to provide rest and recovery become secondary to the mission’s objectives. This chapter will focus on the frequency, mechanism and risks associated with overuse injuries reported during both military training and deployment.

Pharmacokinetics of caffeine administered in a time-release versus regular tablet form

Background Caffeine has been associated with enhancing the ability to perform mental tasks and elevate feelings of energy, however, a single dose of caffeine typically induces only 90-120 minutes of increased alertness and is often associated with an acute “crash” state following its metabolism. The nature of formulation can directly influence the rate and extent of absorption following oral administration. Time-release caffeine supplements have been developed to prolong the effects of caffeine. The purpose of this study was to compare the plasma caffeine pharmacokinetics following ingestion of a time-release caffeine capsule (TR-CAF) to an equivalent dose of a regular caffeine capsule (CAF) and a placebo (PL) over an 8-hour period.

Examination of a pre-exercise high energy drink on exercise performance

Methods Twelve male strength/power athletes (21.1 ± 1.3 y; 179.8 ± 7.1 cm; 88.6 ± 12.1 kg; 17.6 ± 3.3% body fat) underwent two testing sessions administered in a randomized and double-blind fashion. During each session, subjects reported to the Human Performance Laboratory and were provided either 120 ml of a high energy drink (S), commercially marketed as Redline® or 120 ml of a placebo (P). The placebo was similar in taste and appearance but contained no active ingredients. Following consumption of the supplement or placebo subjects rested quietly for 10minutes prior to completing a 4-question survey and commencing exercise. The survey consisted of 4 questions asking each subject to describe their feelings of energy, fatigue, alertness and focus at that moment. Following the completion of the questionnaire subjects performed a 2minute quickness and reaction test on the Makoto testing device (Makoto USA, Centennial CO) and a 20-second Wingate Anaerobic Power test. Following a 10-minute rest subjects repeated the testing sequence and after a similar rest period a third and final testing sequence was performed. The Makoto testing device consisted of subjects reacting to both a visual and auditory stimulus and striking one out of 30 potential targets on three towers.

The effect of HMB ingestion on the IGF-I and IGF binding protein response to high intensity military training

OBJECTIVE Insulin-like growth factor-I (IGF-I) is a metabolic and anabolic biomarker that has been proposed to reflect physiological adaptations resulting from multistressor environments. The bioactivity of IGF-I is regulated by seven different insulin-like growth factor binding proteins (IGFBPs) which act not only as carriers of IGF-1, but also function as a modulator of IGF-I availability and activity. Supplementing with β-hydroxy-β-methylbutyrate (HMB) has been shown to enhance physiological outcomes associated with intense training, and has been reported to augment the IGF-1 response. The purpose of this study was to examine the effect of 23days of HMB supplementation on circulating levels of IGF-I and IGFBPs in combat soldiers during highly intense military training. METHODS Thirteen male soldiers from an elite infantry unit volunteered to participate in this double-blind, parallel design study. Soldiers were provided 3g·day-1 of either HMB (n=6) or placebo (PL; n=7). During the study soldiers performed advanced military training with periods of restricted sleep and severe environmental stressors. Blood samples were obtained prior to (PRE) and approximately 18h following the final supplement consumption (POST). RESULTS No significant differences were observed for circulating IGF-1 concentrations between HMB and PL (p=0.568). In addition, no differences were seen between the groups for IGFBP-1 (p=1.000), IGFBP-2 (p=0.855), IGFBP-3 (p=0.520), IGFBP-4 (p=0.103), IGFBP-5 (p=0.886), or IGFBP-6 (p=0.775). A significant difference was noted between HMB (169.9±23.0ng·ml-1) and PL (207.2±28.0ng·ml-1) for IGFBP-7 at POST (p=0.042). CONCLUSIONS Although the results of this study do not support the influence of HMB supplementation on circulating concentrations of IGF-1 or IGFBPs1-6 during high intensity military training, it does present initial evidence that it may lower circulating IGFBP-7 concentrations. This may provide some indication of a reduced stress response, but further investigation on the physiological role of IGFBP-7 and military training is needed.