Michael G. Bemben

Creatine Supplementation and Exercise Performance

AbstractCreatine monohydrate (Cr) is perhaps one of the most widely used supplements taken in an attempt to improve athletic performance. The aim of this review is to update, summarise and evaluate the findings associated with Cr ingestion and sport and exercise performance with the most recent research available. Because of the large volume of scientific literature dealing with Cr supplementation and the recent efforts to delineate sport-specific effects, this paper focuses on research articles that have been published since 1999.Cr is produced endogenously by the liver or ingested from exogenous sources such as meat and fish. Almost all the Cr in the body is located in skeletal muscle in either the free (Cr: ~40%) or phosphorylated (PCr: ~60%) form and represents an average Cr pool of about 120–140g for an average 70kg person.It is hypothesised that Cr can act though a number of possible mechanisms as a potential ergogenic aid but it appears to be most effective for activities that involve repeated short bouts of high-intensity physical activity. Additionally, investigators have studied a number of different Cr loading programmes; the most common programme involves an initial loading phase of 20 g/day for 5–7 days, followed by a maintenance phase of 3–5 g/day for differing periods of time (1 week to 6 months). When maximal force or strength (dynamic or isotonic contractions) is the outcome measure following Cr ingestion, it generally appears that Cr does significantly impact force production regardless of sport, sex or age. The evidence is much more equivocal when investigating isokinetic force production and little evidence exists to support the use of Cr for isometric muscular performance. There is little benefit from Cr ingestion for the prevention or suppression of muscle damage or soreness following muscular activity.When performance is assessed based on intensity and duration of the exercises, there is contradictory evidence relative to both continuous and intermittent endurance activities. However, activities that involve jumping, sprinting or cycling generally show improved sport performance following Cr ingestion. With these concepts in mind, the focus of this paper is to summarise the effectiveness of Cr on specific performance outcomes rather than on proposed mechanisms of action.The last brief section of this review deals with the potential adverse effects of Cr supplementation. There appears to be no strong scientific evidence to support any adverse effects but it should be noted that there have been no studies to date that address the issue of long-term Cr usage.

Musculoskeletal responses to high- and low-intensity resistance training in early postmenopausal women

PURPOSE The purpose of this study was to compare the effects of a high-load (80%, 1-repetition maximum (RM), 8 reps) and a high-repetition (40%, 1-RM, 16 reps) resistance training protocol on muscular strength and bone mineral density (BMD) in early postmenopausal, estrogen-deficient women. The 6-month programs were matched initially for training volume (3 sets, 3 d x wk(-1)) for 12 exercises selected to specifically load the spine and hip. METHODS Subjects included 25 women (41-60 yr) who were matched by spine BMD then randomly assigned to either the high-load (HL, N = 10), high-repetition (HR, N = 7), or control (C, N = 8) groups. Dietary calcium intakes were supplemented to approximately 1500 mg x d(-1). Total body, spine, and hip BMD (DXA, Lunar Model DPX-IQ), upper and lower body muscular strength, and biochemical markers of bone turnover were measured at baseline and after 6 months of training. RESULTS There were no group differences in the baseline measures. Both training groups showed similar increases in biceps (20%) and rectus femoris (28-33%) cross-sectional areas, in lower body strength (approximately 30%) and in hip strength (37-40%). HL showed greater improvements in upper body strength (HL 25%, HR 16%). Neither training group experienced significant increases in spine or hip BMD, although the HL total body BMD tended to decrease (-1.1%+/-0.4, P = 0.054) after training. Osteocalcin tended to increase (P = 0.08) in all groups after training, and the % change in osteocalcin was positively related to % changes in the total hip (r = 0.41, P = 0.048) and the trochanter (r = 0.42, P = 0.04) BMD. CONCLUSION The high-load and high-repetition resistance training protocols were both effective in improving muscular strength and size in postmenopausal women, indicating low-intensity resistance training can be beneficial for the muscular fitness in women for whom high-intensity exercise is contraindicated.

Isometric muscle force production as a function of age in healthy 20- to 74-yr-old men.

Typically, previous studies have focused on one muscle group, the finger flexors, and only one aspect of muscle function, strength, when assessing age-related muscle force production characteristics. In the present study, the maximal voluntary isometric contraction force-time curves of five muscle groups (right hand finger flexors, right thumb abductors, right forearm extensors, right leg dorsiflexors, and right leg plantar flexors) were assessed in men, ranging in age from 20 to 74 yr. One hundred fifty-three volunteers were placed into appropriate 5-yr age groups: 20-24 (N = 14), 25-29 (N = 15), 30-34 (N = 16), 35-39 (N = 13), 40-44 (N = 16), 45-49 (N = 11), 50-54 (N = 16), 55-59 (N = 12), 60-64 (N = 17), 65-69 (N = 13), and 70-74 (N = 10) years. Muscle function was characterized by a number of force-time parameters, including strength, time, rate, and impulse. The data were analyzed both with and without consideration of the influence of physique and body composition. The results indicated that there were significant age group differences in the ability to produce maximal force (strength) (P less than 0.05), to generate maximal rates of force production (P less than 0.05), and in the total forces generated (impulse) (P less than 0.05), with an overall and in the total forces generated (impulse) (P less than 0.05), with an overall decline with increasing age.(ABSTRACT TRUNCATED AT 250 WORDS)

Influence of Type of Muscle Contraction, Gender, and Lifting Experience on Postactivation Potentiation Performance

Postactivation potentiation (PAP) or enhanced contractile capabilities may be influenced by a number of factors. This study examined the influence of type of muscle contraction (isometric vs. dynamic), gender, and previous weightlifting experience on PAP as demonstrated by changes in jump height and power output. Thirty young men (n = 15) and women (n = 15), classified as either having previous weightlifting experience (n = 20) or not (n = 10), performed 3 different sets of countermovement jumps, with the first set used to determine baseline measures of jump height and power. The second set was performed after a maximal isometric squat protocol (maximal voluntary contraction [MVC]-PAP) to induce PAP, and the third set of jumps was performed after a maximal dynamic squat (DS) protocol (DS-PAP). A 3-way repeated measures analysis of variance determined that jump height after the MVCPAP protocol was significantly higher than both the pretest and DS-PAP values, that men performed significantly better than women, and that the experienced lifters responded more favorably than the inexperienced lifters. Jump power was also significantly greater for the MVC-PAP condition compared with the other 2 conditions, and DS-PAP power also improved when compared with the pretest values, with men performing significantly better than women. All results remained consistent after accounting for height and weight differences (body mass index) between the groups. In conclusion, the isometric condition (MVC-PAP) evoked a greater muscle postactivation potentiation than the dynamic condition (DS-PAP), and postactivation was enhanced by previous weightlifting experience. The practical manipulation of MVC by pushing, squatting, or both against fixed objects, such as walls and low ceilings, could be a very simple and cost-effective way to arouse a state of PAP before sports performance that requires high force and power outputs.

The anabolic benefits of venous blood flow restriction training may be induced by muscle cell swelling

Venous blood flow restriction (VBFR) combined with low intensity resistance exercise (20-30% concentric 1-RM) has been observed to result in skeletal muscle hypertrophy, increased strength, and increased endurance. Knowledge of the mechanisms behind the benefits seen with VBFR is incomplete, but the benefits have traditionally been thought to occur from the decreased oxygen and accumulation of metabolites. Although many of the proposed mechanisms appear valid and are likely true with VBFR combined with resistance exercise, there are certain situations in which benefits are observed without a large accumulation of metabolites and/or large increases in fast twitch fiber type recruitment. Cell swelling appears to be a likely mechanism that appears to be present throughout all studies. VBFR may be able to induce cell swelling through a combination of blood pooling, accumulation of metabolites, and reactive hyperemia following the removal of VBFR which may contribute to skeletal muscle adaptations that occur with VBFR. We hypothesize that cell swelling is important for muscle growth and strength adaptation but when coupled with higher metabolic accumulation, this adaptation is even greater.

Creatine supplementation during resistance training in college football athletes.

PURPOSE This investigation assessed the effects of a 9-wk regimen of creatine monohydrate (Cr x H2O) supplementation coupled with resistance training on body composition and neuromuscular performance in NCAA Division I football athletes. METHODS Twenty-five subjects were randomly assigned in a double-blind, randomized placebo-controlled design, to a treatment (Cr, N = 9), placebo (P, N = 8), or control group (C, N = 8). The Cr group received 20 g.d(-1) of creatine for the first 5 d in 5-g doses, four times daily, followed by 5 g.d(-1) for the remainder of the study. Each 5-g dose was mixed with 500 mL of glucose solution (Gatorade). The P group received a placebo (sodium phosphate monohydrate; NaH2PO4 x H2O) following the exact protocol as the Cr group. The C group received no supplementation. All subjects resistance trained 4 d.wk(-1). Measurements of neuromuscular performance and body composition were made pre- and post-training after supplementation while monitoring dietary intakes. RESULTS Repeated measures ANOVA indicated significant differences occurred between the Cr group and the other two groups (P and C) for total body weight, lean body mass, cell hydration, strength, peak torque at 300 degrees.s(-1) knee flexion, percent torque decrement, and anaerobic power and capacity. However, percent body fat, peak torque during both knee flexion and extension at 60 and 180 degrees.s(-1), peak torque at 300 degrees.s(-1) during knee extension, global muscular strength (power clean), and extracellular fluid remained statistically unchanged for all groups. CONCLUSIONS Our findings indicate that creatine, supplemented concurrently with resistance and anaerobic training, may positively affect cell hydration status and enhance performance variables further than augmentation seen with training alone.

Isometric intermittent endurance of four muscle groups in men aged 20-74 yr.

Muscular endurance of upper and lower extremities may provide a more practical measure of muscle function related to normal daily activity than measures of strength, especially with the elderly. Maximal isometric intermittent endurance of the finger flexors, thumb abductors, dorsiflexors, and plantar flexors were characterized by peak force, impulse, percent total impulse, and percent force decrement in men aged 20-74 yr. Volunteers (N = 153) were placed into appropriate 5-yr age groups: 20-24, 25-29, ..., 70-74 yr. The intermittent endurance task consisted of 11 consecutive, 2-s maximal contractions, each separated by 3-s rest. Age group differences within each 2-s interval as well as differences in endurance were determined by ANOVA, and after adjusting for differences in body composition, by ANCOVA. The lower extremities had the greatest declines in absolute measures of force within each 2-s interval, and declines occurred earlier than previously reported. When values were expressed as percent change over the entire endurance task, there was generally no age group difference in force or impulse; however, there were significant muscle group differences. In conclusion, declines in absolute measures of force occurred at different ages depending on the muscle group; however, relative measures of muscular endurance were maintained for all age groups but varied by muscle group location.

Potential safety issues with blood flow restriction training.

The focal point of previous literature was establishing the efficacy of blood flow restriction training with respect to muscular strength, muscular hypertrophy, and muscular endurance. After mounting evidence supporting the efficacy of low‐intensity blood flow restriction training, research has shifted to the overall safety of this training modality. The aim of this review was to summarize the research on the overall safety of blood flow restriction training, focusing on the cardiovascular system (central and peripheral), muscle damage, oxidative stress, and nerve conduction velocity responses compared with those observed with regular exercise. Although still sparse, the blood flow restriction training research thus far is promising with respect to safety outcomes. Individuals respond similarly to blood flow restriction training and to regular exercise; however, longer term studies are required to better understand the chronic effects of low‐intensity blood flow restriction training and possible safety issues.

Blood flow restriction: the metabolite/volume threshold theory.

Traditionally it has been thought that muscle hypertrophy occurs primarily from an overload stimulus produced by progressively increasing an external load using at least 70% of ones concentric one repetition maximum (1RM). Blood flow restricted exercise has been demonstrated to result in numerous positive training adaptions, specifically muscle hypertrophy and strength at intensities much lower than this recommendation. The mechanisms behind these adaptions are currently unknown but a commonly cited concept is that acute elevations of systemic hormones, specifically growth hormone (GH), play a large role with resistance training induced muscle hypertrophy, possibly through stimulating muscle protein synthesis (MPS). We hypothesize that the alterations in the intramuscular environment which results in the rapid recruitment of FT fibers, is the large driving force behind the skeletal muscle hypertrophy seen with blood flow restriction, whereas the external load and systemic endogenous hormone elevations may not be as important as once thought. It is further hypothesized that although skeletal muscle hypertrophy can be achieved at low intensities without blood flow restriction when taken to muscular failure, the overall volume of work required is much greater than that needed with blood flow restriction.

Esophageal reflux in conditioned runners, cyclists, and weightlifters.

INTRODUCTION Gastroesophageal reflux disease is a disorder in which gastric contents move from stomach to esophagus. Exercise is a recognized contributing factor to reflux in healthy volunteers and is reported to be proportional to exercise intensity and the type of exercise. Our aim was to explore changes in physiology occurring in conditioned runners, cyclists, and weightlifters. METHODS Ten subjects from each sport with >3-month history of exercise-induced heartburn were enrolled. Subjects underwent evaluation of fasting and fed esophageal pH, heart rate, GI symptom, and perceived exertion during standardized exercise routines at 65% (60 min) and 85% (20 min) of their maximal capabilities. RESULTS Weightlifters experienced the most heartburn and reflux: 18.51 +/- 17.34% time esophageal pH </= 4.0 fasted and 35.81 +/- 34.33% time pH </= 4.0 fed. Runners developed mild symptoms and moderate reflux: 4.90 +/- 3.96% time pH </= 4.0 (fasted) and 17.16 +/- 7.90% time (fed). Cyclists exhibited mild symptoms and reflux: 3.97 +/- 5.44% time pH </= 4.0 fasting and 6.49 +/- 6.22% time fed. CONCLUSION Our study demonstrates that strenuous exercise induces significant reflux and related symptoms in conditioned athletes.