Saturday, May 25, 2019

Protein for Recovery: How Much? And When?


When discussing the role of nutrition in recovery from training for both athletes and members of the general public it’s important to first establish the primary goals of the individual and understand that every individual will respond to specific strategies in their own way. It’s also important to understand that fatigue can manifest itself in more than one way and if we don’t understand the origin of the individual’s fatigue we will likely fall short in our attempt of achieving optimal recovery.

According Bishop, Jones, and Woods (2008) perturbed homeostasis in the soft tissues can be referred to as peripheral fatigue. This origin of fatigue is a result of tissue damage that has left the muscle biochemically or mechanically incapable of responding as effectively as it does in its optimal state. This is likely the mechanism of fatigue that can be best modulated through properly prescribed dietary interventions and strategies.

The second hypothesized, and in my opinion, the most often overlooked origin of fatigue is known as central fatigue, which suggests that the brain is constantly acting as a protective mechanism to prevent excessive damage to the muscles (Bishop et al., 2008). It’s important to note that central fatigue is widely recognized as the chief mechanism in training recovery, so even if we are implementing all the right dietary strategies, our recovery will still be less than optimal if we aren’t providing our central nervous system with the rest that it needs to fully recover.

When explaining this to athletes I’ve found it useful to refer to our musculoskeletal system as our “hardware” and our central nervous system (brain and spinal cord) as our “software.” Explaining that the hardware will always be governed by the software, helps them to conceptualize the key role that sleep quantity and quality play in optimal recovery from training. I’ve found it useful to explain that sleep is akin to re-booting your computer each day while practices like meditation and mindfulness are akin to ensuring the proper upgrades are discovered and downloaded. I mention the importance of recovery from central fatigue to establish that, no matter the precision of our dietary recovery strategies, they alone will not provide us with optimal recovery from intense bouts of training and competition.

Long term recovery from peripheral fatigue requires that our nutrition strategies are well formulated and adhered to. If the individual’s goal is to recover from a specific training stimulus and increase their stores of fat-free muscle mass (FFM), then their dietary strategies must ensure that they undergo muscle protein synthesis (MPS) at a higher rate than muscle protein degradation (MPD). Tipton and Wolfe (2001) showed that resistance exercise improves muscle protein balance, but in the absence of food intake, the balance will remain negative (catabolic). This means that if you fail to consume sufficient protein prior to resistance training you may actually lose muscle mass (MPD). Muscle protein’s metabolic response to a bout of resistance exercise can last 24-48 hours (Tipton & Wolfe, 2001) so any dietary strategies implemented in that window can have an impact on your body’s ability to pack on muscle. This evidence suggests to me that the “anabolic window” a number of individuals are so eager to discuss while waiting to perform their next set of bench press at your local YMCA is probably not as important as they’d like you to think. Aragon and Schoenfeld (2013) shine light on the over-reaction to the timing of protein ingestion in their 2013 paper by writing:

If protein is delivered within particularly large mixed-meals (which are inherently more anticatabolic), a case can be made for lengthening the [feeding window] to 5–6 hours. This strategy covers the hypothetical timing benefits while allowing significant flexibility in the length of the feeding windows before and after training. Specific timing within this general framework would vary depending on individual preference and tolerance, as well as exercise duration. One of many possible examples involving a 60- minute resistance training bout could have up to 90- minute feeding windows on both sides of the bout, given central placement between the meals. In contrast, bouts exceeding typical duration would default to shorter feeding windows if the 3–4 hour pre- to post-exercise meal interval is maintained. Shifting the training session closer to the pre- or post-exercise meal should be dictated by personal preference, tolerance, and lifestyle/ scheduling constraints”

Aragon and Schoenfeld (2013) go on to suggest that 20-40 g (depending on your age) of protein ingestion should suffice to maximize the acute anabolic response necessary to achieve muscle hypertrophy. I think we should all be able to conceptualize with the availability of this data that consistent and sufficient protein intake is required if an athlete wishes to accumulate fat free muscle mass, but the timing of the protein intake can be highly variable with little to no detrimental effects.

My current recommendations for athletes attempting to accumulate body mass in the form of fat free muscle mass are:

1.     Consume .5 gram of protein per pound of your bodyweight daily.
2.     Get at least 75% of your protein intake from real foods. Learning to properly prepare a variety of animal products (sorry vegans) makes this relatively simple.
3.     Supplement with whey protein throughout the day if necessary.
4.     Don’t worry about the timing of your consumption, worry about being consistent.
5.     Stop carrying your blender bottle around the weight room and start wearing shirts with sleeves. You look stupid.

References
Aragon, A.A., Schoenfeld, B.J. (2013) Nutrient timing revisited: Is there a post-exercise anabolic window? Journal of the International Society of Sports Nutrition, 10(5), 1-11.
Bishop, P.A., Jones, E., Woods, K.A. (2008) Recovery from training: A brief review. Journal of Strength and Conditioning Research, 22(3), 1015-1024.

Tipton, K.D., Wolfe, R.R. (2001) Exercise, protein metabolism, and muscle growth. Interntional Journal of Sports Nutrition. 11(1), 109-132.

Wednesday, May 22, 2019

Hydration Recommendations for Athletes


Understanding and making efficacious recommendations in regard to recovery from training, like all things in the realm of human performance, requires that the professional knows the context of the situation. This, which can be frustrating for athletes and clientele, requires the practitioner to answer most questions regarding recovery methods with “It depends.”

Bishop, Jones, and Woods (2008) provide a categorization of recovery. They suggest that we should look at recovery in three different ways: immediate recovery between exertions, short-term recovery between repeats, or training recovery between workouts. As practitioners, this is a vital part of the context previously mentioned that we must understand when providing our clients and athletes with recommendations and practical strategies for recovery from exercise bouts. I will do my best with this writing to merge the evidence with my experience in private and college athletics to make practical recommendations regarding each category of recovery.

I believe it’s important to state that evidence supports proper hydration as the most important aspect when discussing all stages and categories of recovery from exercise or competition (Sawka et al., 2007; Sharp, 2013; Murray, 2013). This stands especially true for athletes who rely on a robust aerobic foundation for competition. The strategies implemented for proper hydration also deserve attention. There is evidence to suggest that hyper-hydration (drinking a lot of water in a short period of time prior to an exercise bout or competition) may not be beneficial due to its potential to dilute and lower plasma sodium before starting exercise and therefore increasing the risk of dilutional hyponatremia (Sawka et al., 2007).

This provides segue to discuss another strategy to be considered regarding proper hydration during exercise: electrolyte repletion through sodium supplementation. Sweat production during exercise depends on exercise intensity, duration, clothing, hydration status of the individual, heat-acclimation, and environmental conditions. Evidence has shown that there can be large losses of both sodium and water during exercise, especially for individuals who sweat profusely (Maughan and Shirrefs, 1997). Exercise associated hyponatremia occurs occasionally in American athletes who drink too much water to try and prevent heat cramps and dehydration (Sawka et al., 2007). There is evidence to support that these athletes can benefit from supplementing their fluid intake with optimal levels of sodium to maintain proper plasma balance throughout exercise (Sharp, 2013).

I would be remiss if I didn’t suggest that athletes should attempt to achieve euhydration and sodium homeostasis without the excessive use of sugary sports drinks due to the overconsumption of these drinks by young athletes outside of competition. The confusion that these drinks are a healthy alternative to juice and soda permeates most youth athletic associations and needs to be addressed. Steady and consistent consumption of water with the supplementation of sodium for those who sweat excessively should suffice to maintain proper hydration and avoid decrements in subsequent performance. It’s also worth noting that homeostatic sodium levels can be achieved through dietary strategies independent of supplementation. Eating foods with sufficient levels of sodium can keep you from having to stomach bitter drinks pumped full of salt or other additives.

It is my opinion that maintenance of euhydration and sodium homeostasis is the most important variable in regard to immediate and short-term recovery from bouts of exercise. Discussing longer term recovery between workouts (24-hours or more) warrants addressing proper macronutrient intake and timing. This mechanism requires considerably more context than the maintenance of euhydration so addressing it in this writing likely wouldn’t do it justice. I will address practical applications with evidential support on this front in a second writing.

For now, my recommendations to athletes seeking proper hydration status to avoid decrements in performance are to:
1.     Drink water consistently throughout the day and during training/competition.
2.     Avoid overcompensation strategies for poor hydration. Don’t try and drink a ton of water in a short period of time, because it may cause electrolyte imbalance and do more harm than good.
3.     Avoid sugary sports drinks like Gatorade and Powerade at all costs unless there are no other options or you are glycogen-depleted (light-headed from not eating).
4.     If you are an excessive sweater, salting your foods throughout the day and even adding some salt to your water throughout the day or during competition could be beneficial.

References
Bishop, P.A., Jones, E., Woods, A.K. (2008) Recovery from training: A brief review. Journal of Strength and Conditioning Research, 22(3), 1015-1024.
Maughan R.J., Shirreffs S.M. (1997) Dehydration, rehydration and exercise in the heat. International Journal of Sports Medicine, 19(2),89–168.
Murray, B. (2013) Hydration and physical performance. Journal of the American College of Nutrition, 26(5), 542-548. Retrieved from http://dx.doi.org/10.1080/07315724.2007.10719656
Sawka et al. (2007) Exercise and fluid replacement. Medicine and Science in Sports and Exercise, 39(2), 377-390.
Sharp, R.L. (2013) Role of sodium in fluid homeostasis with exercise. Journal of the American College of Nutrition, 25(3), 231-239. Retrieved from http://dx.doi.org/10.1080/07315724.2006.10719572