Category Archives: Uncategorized

Exercise To Momentary Muscular Failure and You Can Skip the Cardio?

I was planning to review here an article, Resistance Training to Momentary Muscular Failure Improves Cardiovascular Fitness in Humans: A review of acute physiological responses and chronic physiological adaptations.  It’s by James Steele, et al, in the Journal of Exercise Physiology (Vol. 15, No. 3, June  2012).

But dayum, it’s too technical for me!  Too much cell biology and cell metabolism.  Those college classes were over three decades ago for me.

I’m just going to harvest a few pearls from the article that are important to me.  I ran across this in my quest for efficient exercise.  By efficient, I mean minimal time involved, yet good results.

The authors question the widespread assumption that aerobic and endurance training are necessary for development of cardiovascular fitness.  Like Dr. Doug McGuff, they wonder if resistance training alone is adequate for the development of cardiovascular fitness.  Their paper is a review of the scientific literature.  The authors say the literature is hampered by an inappropriate definition and control of resistance training intensity.  The only accurate measure of intensity, in their view, is when the participant reaches maximal effort or momentary muscular failure.

The authors, by the way, define cardiovascular fitness in terms of maximum oxygen consumption, economy of movement, and lactate threshold.

“It would appear that the most important variable with regards to producing improvement in cardiovascular fitness via resistance training is intensity [i.e., to muscle failure].”

The key to improving cardiovascular fitness with resistance training is high-intensity.  These workouts are not what you’d call fun.

"MMF? Yeah, I know all about it."

“MMF? Yeah, I know all about it.”

From a molecular viewpoint, “the adenosine monophosphate–activated protein kinase pathway (AMPK) is held as the key instigator of endurance adaptations in skeletal muscle.  Contrastingly, the mammalian target of rapamycin pathway (mTOR) induces a cascade of events leading to increased muscle protein synthesis (i.e.,[muscle] hypertrophy).”  Some studies suggest AMPK is an acute inhibitor of mTOR activation.  Others indicate that “resistance training to  failure should result in activation of AMPK through these processes, as well as the subsequent delayed activation of mTOR, which presents a molecular mechanism by which resistance training can produce improvement in cardiovascular fitness, strength, and hypertrophy.”

You’re not still with me, are you?

“… the acute metabolic and molecular responses to resistance training performed to failure appear not to differ from traditional endurance or aerobic training when intensity is appropriately controlled.”

Chronic resistance training to failure induces a reduction in type IIx muscle fiber phenotype and an increase in type I and IIa fibers.  (Click for Wikipedia article on skeletal muscle fiber types.)

“It is very likely that people who are either untrained or not involved in organized sporting competition, but you have the desire to improve their cardiovascular fitness may find value in resistance training performed to failure.  In fact, this review suggests that resistance training to failure can produce cardiovascular fitness effects while simultaneously producing improvements in strength, power, and other health and fitness variables. This would present an efficient investment of time as the person would not have to perform several independent training programs for differing aspects of fitness.”  [These statements may not apply to trained athletes.]

Before listing their 157 references, the authors note:

“It is beyond the scope of this review to suggest optimal means of employing resistance training (i.e., load, set volume, and/or frequency) in order to improve cardiovascular fitness since there are no published studies on this topic.”

In conclusion, if you’re going to do resistance training but not traditional aerobic/cardio exercise, you may not be missing out on any health benefits if you train with intensity.  And you’ll be done quicker.

Steve Parker, M.D.

PS: See Evidence-based resistance training recommendations by Fisher, Steele, et al.

Attack Acne and More With mTORC1 Modulation

Was Hippocrates the dude that said something about “make food your medicine”?

Bodo Melnik has an article in DermatoEndocrinology regarding the dietary causes of acne.  He also comments on the role of Western foods in obesity, cancer, diabetes, high blood pressure, and neurodegenerative disorders.  These are our old friends, the “diseases of civilization.”  Melnik mentions the Paleolithic diet favorably.

Melnik says it’s all tied in with mTORC1: mammalian target of rapamycin complex 1.

A snippet:

These new insights into Western diet-mediated mTORC1-hyperactivity provide a rational basis for dietary intervention in acne by attenuating mTORC1 signaling by reducing (1) total energy intake, (2) hyperglycemic carbohydrates, (3) insulinotropic dairy proteins and (4) leucine-rich meat and dairy proteins. The necessary dietary changes are opposed to the evolution of industrialized food and fast food distribution of Westernized countries. An attenuation of mTORC1 signaling is only possible by increasing the consumption of vegetables and fruit, the major components of vegan or Paleolithic diets. The dermatologist bears a tremendous responsibility for his young acne patients who should be advised to modify their dietary habits in order to reduce activating stimuli of mTORC1, not only to improve acne but to prevent the harmful and expensive march to other mTORC1-related chronic diseases later in life.

You sciencey types can read the rest.  Our new friend mTOR also seems to be involved with growth of muscle induced by resistance exercise.

h/t Mangan

Is Marlene Zuk Making Making Fun of Us?

African Savanna: The Cradle of Humanity?

African Savanna: The Cradle of Humanity?

Marlene Zuk is an evolutionary biologist at the University of Minnesota. She has an essay in The Chronicle of Higher Education excerpted from her upcoming book Paleofantasy: What Evolution Really Tells Us About Sex, Diet, and How We Live.  Here’s a snippet:

…it’s reasonable to conclude that we aren’t suited to our modern lives, and that our health, our family lives, and perhaps our sanity would all be improved if we could live the way early humans did. Our bodies and minds evolved under a particular set of circumstances, the reasoning goes, and in changing those circumstances without allowing our bodies time to evolve in response, we have wreaked the havoc that is modern life.

In short, we have what the anthropologist Leslie Aiello, president of the renowned Wenner-Gren Foundation for Anthropological Research, called “paleofantasies.” She was referring to stories about human evolution based on limited fossil evidence, but the term applies just as well to the idea that our modern lives are out of touch with the way human beings evolved and that we need to redress the imbalance. Newspaper articles, morning TV, dozens of books, and self-help advocates promoting slow-food or no-cook diets, barefoot running, sleeping with our infants, and other measures large and small claim that it would be more natural, and healthier, to live more like our ancestors.

To think of ourselves as misfits in our own time and of our own making flatly contradicts what we now understand about the way evolution works—namely, that rate matters. That evolution can be fast, slow, or in-between, and understanding what makes the difference is far more enlightening, and exciting, than holding our flabby modern selves up against a vision—accurate or not—of our well-muscled and harmoniously adapted ancestors.

The paleofantasy is a fantasy in part because it supposes that we humans, or at least our protohuman forebears, were at some point perfectly adapted to our environments.

Ms. Zuk enjoys setting up straw men, then knocking them down.  Decide for yourself.  She’s a good writer.  And men, there’s that picture of Raquel Welch again.

Dr. Emily Deans Reports on the Physicians and Ancestral Health Meeting

Details are here.  A sample:

I spent last weekend in Utah meeting up with my sisters and brothers of the Physician and Ancestral Health organization. We’re a group of clinical medicine doctors from all sorts of specialities (though psychiatry is overrepresented, perhaps not surprisingly) who are trying to find safe and evidenced-based ways to integrate evolutionary medicine into our clinical practice. We come together for support, ideas, and friendship (because who else wants to talk about ketones, statins, functional movement, research, websites, canola oil, and the latest paleo diet research?)

 
I think we are the nascent group (who met for the first time at PaleoFx12 and reaffirmed our friendship at AHS12) for a big upcoming movement in medicine. Personally I would like to see a lot more attention paid to evolutionary medicine, specifically with regards to diet*, exercise, sleep, parasites, and other interesting, cheap, and probably very effective interventions for a variety of modern complaints such as squat toilets and forest therapy. 

How To Start A Fire With Two Stones

Richard Wrangham figures our hominin ancestors tamed fire and started cooking with it 1.8 million years ago.  A recent article at Slate reviews the debate among anthropologists.  Some respected authorities date our mastery of fire from 12,000 to 400,000 years ago.

Any caveman worth his salt can start a fire, right?

Visit Wildwood Survival for the two-stone technique.

Let me know if you find a video demonstrating this.

Kelly Schimdt Tells You How to Eat Paleo-Style on the Road

Click for details.  Kelly writes…

Too often I hear of reasons people cannot focus on their health due to workload, work travel and just always being on the run. Guess what? This doesn’t give you a hall-pass to eat at Five Guys, Popeye’s or Taco Hell. Sorry, I mean, “Bell.” But let’s be realistic. Just as you plan meetings each day/week, you can also plan in short workouts and meals, portable or not.

Why Is Polycystic Ovary Syndrome So Common If It Impairs Fertility?

I don’t have an answer, but Corbett and Morin-Papunin have some ideas in their new article at Molecular and Cellular Endocrinology.  I’ve not read it, but here’s a quote from the abstract:

The Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder characterised both by reproductive and metabolic disturbance, and is the most common cause globally of ovarian infertility. It is also a familial polygenic condition, linked genetically to both Type 2 diabetes and the metabolic syndrome. The striking evolutionary paradox of this prominent genetically-based condition, which impairs fertility, is that not only should it have diminished in prevalence, but it should have done so rapidly – unless there has been some form of balancing selection.

PCOS affects between six and 12% of women.

It’s the Best Time Ever to Have Diabetes

Here’s a quote from a recent Diabetes Care:

Improved therapeutics and health care delivery have brought remarkable declines in the incidence of … complications, with a 50% reduction in amputations from their peak in 1997 and ∼35% reduction in the incidence of end-stage renal disease. Similarly, 10-year coronary heart disease risk dropped from 21% in 2000 to 16% in 2008.

Left, right, or straight ahead (the road less travelled)?

Left, right, or straight ahead (the road less travelled)?

Nevertheless, diabetes remains the leading cause of blindness, renal failure, non-traumatic lower-limb amputation, in adults 18 to 65 years of age.

Diabetes is expensive, too.   We spent $174 billion (USD) on diabetes in 2007 in the U.S.

The companion essay by Dr. Robert Ratner also notes 79 million Americans with prediabetes.

In addition to lower rates of major diabetes complications, we now have 11 classes of drugs for treating diabetes, compared with just three or four a generation ago.

I’m hopeful that future research will point to dietary changes that can help control or prevent diabetes on a wide scale.  The paleo diet and low-carb eating are two possible avenues.

—Steve

The Accelerating Pace of Human Evolution

…or at least mutations.  Wired.com has the article.  A quote:

It’s easy to think humans have stopped evolving, but nothing could be farther from the truth. Though modern medicine and civilization’s graces make the struggle to survive more subtle, evolution’s engine keeps churning. In the last few thousand years, in fact, a time when human evolution was once thought to have slowed, it may actually have sped up.

I like the very first comment from Platos Cave:

Nothing in this article refutes the idea that in civilized society, no matter how many mutations occur, there is no natural selection to reproduce the more successful mutation at a faster rate. A dullard with bad eyesight may not be as attractive, but is likely to have just as many kids as a genius with good genes, in fact the genius is more likely to use birth control and reproduce his genes at a lower rate..
Cultural and Technological evolution happen at such a ridiculously faster pace than biological evolution that it would be irrelevant even if it was happening, which it is not.

Unlike Plato, I think human evolution is occurring and natural selection is at play.  But medicine, technology, and culture mitigate or otherwise strongly influence the effect of natural selection.

We Should Eat More Offal

Offal includes tongue, heart, liver, kidney, intestine, pancreas, trotters, and ?

Offal includes tongue, heart, liver, kidney, intestine, pancreas, trotters, and ?

Offal is definitely paleo food.  Primitive hunting is often hard and dangerous.  I bet ancient hunters who harvested dangerous animals tended to eat most every part of the animal that was edible.

PrincipleIntoPractice wrote about her offal weekend.  Take a look.

 

PS: I saw a documentary about the Alaskan salmon run recently.  I was quite surprised to learn that grizzlies during this time of abundance strip off and eat the skin of the fish, discarding the meat.