11 Kelechi Opara: a case study of a competitor coming in “too dialed” for the judges. By Alan Aragon Copyright © April 1st, 2010 by Alan Aragon Home: www.alanaragon.com/researchreview Correspondence: aarrsupport@gmail.com 2 Scientific American butters up our fear of carbs & love for lard. By Alan Aragon 5 Training with low muscle glycogen enhances fat metabolism in well-trained cyclists. Med Sci Sports Exerc. 2010 Mar 25. [Epub ahead of print] [Medline] 6 Single vs. multiple sets of resistance exercise for muscle hypertrophy: a meta-analysis. Krieger JW. J Strength Cond Res. 2010 Apr;24(4):1150-9. [Medline] 7 Citrulline malate enhances athletic anaerobic performance and relieves muscle soreness. Pérez-Guisado J, Jakeman PM. J Strength Cond Res. 2010 Apr 7. [Epub ahead of print] [Medline] 8 Comparison of pre-workout nitric oxide stimulating dietary supplements on skeletal muscle oxygen saturation, blood nitrate/nitrite, lipid peroxidation, and upper body exercise performance in resistance trained men. Bloomer RJ, et al. J Int Soc Sports Nutr. 2010 7:16 [Epub ahead of print] [JISSN] 9 Fat-free mass index in users and nonusers of anabolic-androgenic steroids. Kouri EM, et al. Clin J Sport Med. 1995 Oct;5(4):223-8. [Medline] Alan Aragon’s Research Review – April 2010 [Back to Contents] Page 1 Scientific American butters up our fear of carbs & love for lard. By Alan Aragon ____________________________________________________ You see what I did there? That was my version of a catchy headline. Like it? Scientific American magazine offered their version of a catchy title of a recent article entitled, “Carbs against Cardio: More Evidence that Refined Carbohydrates, not Fats, Threaten the Heart” by freelance science journalist Melinda Wenner Moyer.1 In the coming discussion, I’ll take a look at how closely the reported evidence supports the author’s conclusions, and provide some slick sciency stuff of my own along the way. Let the scapegoating & oversimplification begin In the article’s introductory paragraph, Moyer comes out swinging with the classical correlative statement, “…while Americans have dutifully reduced the percentage of daily calories from saturated fat since 1970, the obesity rate during that time has more than doubled, diabetes has tripled, and heart disease is still the country’s biggest killer.” She then goes on to assert that research is mounting in favor of the idea that processed carbohydrate is the culprit of the aforementioned diseases – not fat. Hmmm… Is it really that simple, or does a chronic surplus of unused calories in general have anything to do with it? The short answer is, chronic caloric excess – regardless of macronutrient – has everything to do with it. Moyer committed the first sin; she left out half of the picture by failing to mention the “energy-out” side of the equation. According to the USDA’s Economic Research Service, as of 2007, Americans were consuming about 600 more daily kcal than they did in 1970.2 Importantly, this data showed a higher increase in added fat intake than any other single type of food. Compounding this problem, NHANES data has shown a 10% decrease in physical activity in recent years compared to 2 decades ago.3 Now, I’ll concede that survey data is often incomplete and relatively weak in terms of its ability to establish relationships between variables. However, just look around at the increased butt-sitting at the job and at home versus what you observed in your childhood, and this data doesn’t seem far-fetched at all. Speaking of research limitations, let’s move on to the article’s opening blow, which was an attempt to debunk the current recommendation to moderate saturated fat intake. Meta-analysis in AJCN Siri-Tarino et al recently did a meta-analysis examining the association of saturated fat with cardiovascular disease. According to Moyer, “The analysis, overseen by Ronald M. Krauss, director of atherosclerosis research at the Children’s Hospital Oakland Research Institute, found no association between the amount of saturated fat consumed and the risk of heart disease.” Though the study’s findings would appear conclusive to less-versed, it’s actually not this cut & dry or free Alan Aragon’s Research Review – April 2010 of limitations. Meta-analyses are only capable of establishing associations between variables; they cannot demonstrate causeand-effect. Furthermore, this wasn’t a pooling of data from randomized controlled trials, but rather from prospective cohort studies, which are observational and thus unable to demonstrate causation due to a multitude of uncontrolled variables. There are yet additional limitations to prospective cohort research, which the authors themselves acknowledge as follows:4 However, such studies have caveats, including a reliance on nutritional assessment methods whose validity and reliability may vary (25), the assumption that diets remain similar over the long term (26) and variable adjustment for covariates by different investigators. It’s also notable that Moyer failed to mention one of the largest yet antithetical studies in this area. Jakobsen et al recently examined the pooled data of 11 prospective cohort studies and concluded that that replacing saturated fat with polyunsaturated fat rather than monounsaturated fat or carbohydrates lowers the risk for coronary heart disease.5 Unsurprisingly, the epidemiological data is equivocal. But what about the controlled intervention data? Here’s a study that would have greatly lessened the impact of Moyer’s article had it been included. Mozaffarian et al conducted a systematic review of the same topic,5 except they examined the data from randomized controlled trials (RCTs), the only type of research able to show cause-and-effect. To quote them directly: “In this meta‐analysis of RCTs, increasing PUFA consumption as a replacement for SFA reduced the occurrence of CHD events by 19%; each 5%E greater PUFA consumption reduced CHD risk by 10%. Whereas nearly all these trials were insufficiently powered to detect a significant effect individually, the pooled results demonstrate a significant benefit of replacing PUFA for SFA on clinical CHD events.” Of course, the RCTs used in Mozzafarian et al’s meta-analysis weren’t free of limitations, either. Nevertheless, when pitted directly against each other, a body of data derived from controlled interventions is inherently stronger than a body of data derived from uncontrolled observations. Now, is this to say that saturated fats indeed are the bad guys and unsaturated fats are the good guys? Nope, that would be oversimplifying things as well. The research in this area on the whole does not examine ideal dietary conditions (i.e., inadequate or sub-optimal protein intake is common), nor does it typically examine physically active subjects. On the important note of protein, a recent trial by Furtado et al found that a diet with 25% protein improved the risk markers better than the two other diets with 15% protein, despite one of the lower-protein diets having a higher amount of unsaturated fat.6 To quote the authors: “...the results that the Prot diet elicits the least atherogenic apo B lipoprotein profile combined with the recent report of the superiority of the Prot diet over the Carb diet in reducing blood pressure (21) makes a strong case for choosing protein rather than carbohydrate as a replacement for saturated fat to improve cardiovascular health.” [Back to Contents] Page 2 Comparison of 3 diets in NEJM Moyer moves on to cite a trial by Shai et al, where 3 diets were compared:7 American Heart Association (low-fat/calorierestricted); Mediterranean (moderate-fat/calorie-restricted), and Atkins (low-carb/non-restricted). Quoting Moyer, “Although the subjects on the low-carb diet ate the most saturated fat, they ended up with the healthiest ratio of HDL to LDL cholesterol and lost twice as much weight as their low-fat-eating counterparts.” The latter statement is not entirely true, since out of the 322 recruited, 277 completed the full 2-year trial. Among those who completed the study, weight loss was 3.3 kg for the low-fat diet, 4.6 for the moderate-fat diet, and 5.5 kg for the lowcarb diet, which ends up being a lot less dramatic than Moyer’s article indicates. She then deduces that, “Stampfer’s findings do not merely suggest that saturated fats are not so bad; they indicate that carbohydrates could be worse.” The latter statement does nothing more than mislead the reader into writing off carbohydrate in favor of saturated fat and/or cholesterol intake. This simply was not the crux of the study findings. Although the Atkins diet showed the greatest lipid profile improvements of the bunch, the Mediterranean diet was superior to the rest of the diets for improving glucose and insulin metabolism in diabetic subjects. In contrast to the negative connotations placed on carbohydrates by Moyer, the authors of the trial in question offer a more moderate & flexible conclusion: Consumption of monounsaturated fats is thought to improve insulin sensitivity, an effect that may explain the favorable effect of the Mediterranean diet on glucose and insulin levels. The results imply that dietary composition modifies metabolic biomarkers in addition to leading to weight loss. Our results suggest that health care professionals might consider more than one dietary approach, according to individual preferences and metabolic needs, as long as the effort is sustained. Let’s throw in glycemic response to make things exciting In an interesting but not entirely unexpected diversion, Moyer takes the carbohydrate scapegoating to a particularly questionable area. She cites another prospective cohort study (this time from back in 1997) by Stampfer et al, which found that diets with a high glycemic load and low cereal fiber content increase diabetes risk.8 No fundamental disagreement here, but again, we’re talking about observational/survey-based research that hinges upon the accuracy of the participants’ self-reported data. sack of potatoes, and adopting indifference toward vegetables and fruit. A little absurd? Of course it is. Moyer then cites yet another observational/epidemiological study by Beulens et al, who found that high dietary glycemic load and glycemic index increase the risk of cardiovascular disease, particularly in overweight women.9 Nevertheless, looking at the data more closely, we see the typically odd mishmash of outcomes attributable to numerous uncontrolled variables. For example, subjects who had high glycemic loads consumed less protein but more carbohydrates. However, those with lower glycemic loads consumed less fiber, more alcohol, and had a higher prevalence of smoking. Welcome to the wild world of epidemiology, where correlation does not necessarily mean causation. Bear in mind that correlational research is not useless by any stretch; it’s great for gathering questions, hints, and hypotheses to test under controlled conditions. The section ends with a quote by David Ludwig, director of the obesity program at Children’s Hospital Boston: “These trends may be explained in part by the yo-yo effects that high glycemicindex carbohydrates have on blood glucose, which can stimulate fat production and inflammation, increase overall caloric intake and lower insulin sensitivity,” What we have here is an Olympic-level leap to conclusions. Now is a good time to highlight the fundamental fallacy of any inherent detriment of high-GI carbohydrate. GI doesn’t truly matter unless all of the following conditions are met, in no particular order of importance: a) a high-carb/low-protein/lowfat diet is consumed; b) an emphasis on low-fiber refined starches and sugars is actively pursued; c) hypocaloric conditions are avoided; d) sedentary conditions are maintained; e) carbohydrate is consumed in large amounts in a fasted state, in isolation from the other macronutrients. If you know individuals who meet all of the previous conditions, let them know that the GI of their carbohydrate choices might be of some concern, particularly if they have clinically diagnosed glucose control issues. Funny enough, most of the aforementioned criteria indeed comprise the set-ups of most research examining GI. However, if most of the above conditions are met, GI manipulation has for the most part failed as a solution to weight control in long-term controlled intervention trials, where causation can be demonstrated.10-12 Thus, it’s not surprising that a recent literature review by Niwano et al found that GI was not a reliable predictor of appetite, hunger, and satiety.13 Public health implications Needless to say, this type of research is fraught with validity threats, and it’s often evident in contradictory outcomes that often lack rhyme or reason. For example, this study found a significant inverse relationship between cereal fiber and diabetes risk, but no significant relationship between vegetable and fruitderived fiber and diabetes risk. Another nonsensical outcome (expected of uncontrolled research) was the correlation of various foods to diabetes risk. To illustrate, cold cereal was inversely correlated with diabetes, while cooked potatoes was positively correlated. If we were to take this data on faith, imagine stocking up on Special K & Wheaties, throwing out the Moyer manages to grab a refreshing quote from Robert C. Post, deputy director of the U.S. Department of Agriculture’s Center for Nutrition Policy and Promotion: “Findings that “have less support are put on the list of things to do with regard to more research.” Right now, Post explains, the agency’s main message to Americans is to limit overall calorie intake, irrespective of the source. “We’re finding that messages to consumers need to be short and simple and to the point,” I intuitively endorse simplicity when it comes to educating the lay public. This is because of the tendency to screw up the fine details and come away with more error than accuracy (which is most of the Alan Aragon’s Research Review – April 2010 [Back to Contents] Page 3 information dished out to patrons of the fitness industry). However, Moyer doesn’t seem to buy this approach, as she quickly moves on to quote an accusatory remark by Stampfer toward the sugared beverage industry (as if the underlying problem therein isn’t excess calories). Parting shots Before closing out the article, Moyer swings briefly back to neutrality by warning against gorging on saturated fats. She then gives positive plugs to fish oil, olive oil, and high-fiber carbohydrates – so far, so good. But alas, she ends off by quoting Ludwig and sending what ends up being the take-home message: “If you reduce saturated fat and replace it with high glycemic-index carbohydrates, you may not only not get benefits—you might actually produce harm,” Ludwig argues. The next time you eat a piece of buttered toast, he says, consider that “butter is actually the more healthful component.” Too bad this falsely dichotomous statement is simply not supportable by the vast majority of controlled interventions. In the spirit of Gary Taubes’ Good Calories Bad Calories, it seems that even a magazine like Scientific American isn’t above letting the facts get in the way of a good story. 11. Sichieri R, et al. An 18-mo randomized trial of a lowglycemic-index diet and weight change in Brazilian women. Am J Clin Nutr. 2007 Sep;86(3):707-13. [Medline] 12. Raatz SK, et al. Reduced glycemic index and glycemic load diets do not increase the effects of energy restriction on weight loss and insulin sensitivity in obese men and women. J Nutr. 2005 Oct;135(10):2387-91. [Medline] 13. Niwano Y, et al. Is glycemic index of food a feasible predictor of appetite, hunger, and satiety? J Nutr Sci Vitaminol (Tokyo). 2009 Jun;55(3):201-7. [Medline] References 1. Moyer MW. Carbs against cardio: more evidence that refined carbohydrates, not fats, threaten the heart. Scientific American, May 2010 [SciAm] 2. Economic Research Service, USDA. Loss-Adjusted Food Availability Data. Updated Feb 27, 2009. [ERS/USDA] 3. King DE, et al. Adherence to healthy lifestyle habits in US adults, 1988-2006. Am J Med. 2009 Ju; 122(6):528-34. [Medline] 4. Siri-Tarino PW, et al. Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease. Am J Clin Nutr. 2010 Mar;91(3):535-46. [Medline] 5. Jakobsen MU, et al. Major types of dietary fat and risk of coronary heart disease: a pooled analysis of 11 cohort studies. Am J Clin Nutr. 2009 May;89(5):1425-32. [Medline] 6. Mozaffarian D, et al. Effects on coronary heart disease of increasing polyunsaturated fat in place of saturated fat: a systematic review and meta-analysis of randomized controlled trials. [Medline] 7. Shai I, et al. Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008 Jul 17;359(3):229-41. [Medline] 8. Salmerón J, et al. Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. JAMA. 1997 Feb 12;277(6):472-7. [Medline] 9. Beulens JW, et al. High dietary glycemic load and glycemic index increase risk of cardiovascular disease among middleaged women: a population-based follow-up study. J Am Coll Cardiol. 2007 Jul 3;50(1):14-21. [Medline] 10. Aston LM,, et al. No effect of a diet with a reduced glycaemic index on satiety, energy intake and body weight in overweight and obese women. Int J Obes (Lond). 2008 Jan;32(1):160-5. [Medline] Alan Aragon’s Research Review – April 2010 [Back to Contents] Page 4 Training with low muscle glycogen enhances fat metabolism in well-trained cyclists. Med Sci Sports Exerc. 2010 Mar 25. [Epub ahead of print] [Medline] PURPOSE To determine the effects of training with low muscle glycogen on exercise performance, substrate metabolism, and skeletal muscle adaptation. METHODS: Fourteen well-trained cyclists were pair-matched and randomly assigned to HIGH or LOW-glycogen training groups. Subjects performed 9 aerobic training (AT; 90 min at 70% VO2max) and 9 high-intensity interval-training sessions (HIT; 8 x 5 min efforts, 1 min recovery) during a 3-wk period. HIGH trained once daily, alternating between AT on day 1 and HIT the following day, whereas LOW trained twice every second day, firstly performing AT and then 1 h later performing HIT. Pre and post-training measures were a resting muscle biopsy, metabolic measures during steady state cycling (SS), and a time trial (TT). RESULTS: Power output during HIT was 297 +/- 8 W in LOW compared with 323 +/- 9 W in HIGH (P<0.05), however, TT performance improved by ~10% in both groups (P<0.05). Fat oxidation during SS increased after training in LOW (from 26+/2 to 34+/-2 mumol/kg/min, P<0.01). Plasma FFA oxidation was similar before and after training in both groups but musclederived triacylglycerol oxidation increased after training in LOW (from 16+/-1 to 23+/-1 mumol/kg/min, P<0.05). Training with low muscle glycogen also increased beta-hydroxyacylCoA-dehydrogenase protein content (P<0.01). CONCLUSION: Training with low muscle glycogen reduced training intensity and, in terms of performance, was no more effective than training with high muscle glycogen. However, fat oxidation was increased after training with low muscle glycogen, which may have been due to enhanced metabolic adaptations in skeletal muscle. SPONSORSHIP: Supported by a research grant from GlaxoSmithKline, Nutritional Healthcare, R&D. position and allow isotopic equilibrium to be reached. Like many trial of this nature, the applicability of fasted endurancetype work is limited to those whose performance goal is secondary to specifically targeting fat oxidation during training. In actual endurance competition, there is never an instance where competitors show up to a race on an empty tank after an overnight fast. It simply does not happen. Although the diets were controlled 24 hours prior to each trial, they were still selfselected otherwise, and no diet composition analysis via software was made. Comment/application One thing that’s easy to automatically assume based on the study title was that the low-glycogen group oxidized more fat, and thus reduced their percent body fat by the end of the trial. Unfortunately, body fat was not measured. This was more of a during-training substrate use investigation. If the trial were drawn out for a longer period than 3 weeks, then it would have been interesting to see if any fat loss advantage could have been detected in the low-glycogen group, whose training involved a double-session every second day instead of a single session daily. Nevertheless, a couple of notable things occurred in the low-glycogen group: greater activity of fat-oxidative enzymes, and a greater use of intramuscular triacylglycerol: Study strengths This study investigates the relatively unstudied idea that training under conditions of low glycogen might enhance training adaptations. In previous work by Hansen et al on trained cyclists,1 whole body fat oxidation was greater in the lowglycogen treatment, but time trial cycling performance was improved to a similar degree in both the high- and low-glycogen groups. The present study aimed to confirm Hansen’s findings by using a more direct method (stable isotope tracers) to measure plasma and muscle-derived carbohydrate and fat oxidation as a result of high- vs. low-glycogen status. Endurance-trained cyclists were used, eliminating the newbie effect, wherein subtle differences in outcomes can be masked by greater responsiveness to a broader range of stimuli. Although no specific details were given, the authors stated that the nutritional status of the subjects was controlled for 24 hours before each trial. Another notable (and also somewhat unsurprising) finding was that self-selected intensity was reduced when the high-intensity interval training was done under low-glycogen conditions. Perhaps the most notable (and unexpected) finding here was a lack of significant advantage of the high-glycogen group in the performance test. At the end of the 60-minute steady-state period, subjects cranked out a fixed amount of work (1017 kJ; 243 kcal) as fast as possible. There was no significant difference in the total amount of work performed. It’s my speculation that the high-glycogen group would have had the edge if a greater amount of work was assigned for the time trial. Subjects were tested on the morning after an over-night fast – with additional 60 minutes needed to rest in a semi-supine This was the first trial to ever examine the training effect of low glycogen on GLUT 4, which is the rate-limiting enzyme for glucose utilization. Given that GLUT 4 activity tended to be greater in the high-glycogen group, the authors offered the practical note that, “training with low muscle glycogen may be counterproductive for athletes who compete in high-intensity events where CHO oxidation plays a significant role in performance, and that this type of training may be more suited to preparation for ultra-endurance activities. Alan Aragon’s Research Review – April 2010 [Back to Contents] Study limitations Page 5 Single vs. multiple sets of resistance exercise for muscle hypertrophy: a meta-analysis. Krieger JW. J Strength Cond Res. 2010 Apr;24(4):1150-9. [Medline] PURPOSE: Previous meta-analyses have compared the effects of single to multiple sets on strength, but analyses on muscle hypertrophy are lacking. The purpose of this study was to use multilevel meta-regression to compare the effects of single and multiple sets per exercise on muscle hypertrophy. METHODS: The analysis comprised 55 effect sizes (ESs), nested within 19 treatment groups and 8 studies. Multiple sets were associated with a larger ES than a single set (difference = 0.10 +/- 0.04; confidence interval [CI]: 0.02, 0.19; p = 0.016). RESULTS: Multiple sets were associated with a larger ES than a single set (difference = 0.10 +/- 0.04; confidence interval [CI]: 0.02, 0.19; p = 0.016). In a dose-response model, there was a trend for 2-3 sets per exercise to be associated with a greater ES than 1 set (difference = 0.09 +/- 0.05; CI: -0.02, 0.20; p = 0.09), and a trend for 4-6 sets per exercise to be associated with a greater ES than 1 set (difference = 0.20 +/- 0.11; CI: -0.04, 0.43; p = 0.096). Both of these trends were significant when considering permutation test p values (p < 0.01). There was no significant difference between 2-3 sets per exercise and 4-6 sets per exercise (difference = 0.10 +/- 0.10; CI: -0.09, 0.30; p = 0.29). There was a tendency for increasing ESs for an increasing number of sets (0.24 for 1 set, 0.34 for 2-3 sets, and 0.44 for 4-6 sets). Sensitivity analysis revealed no highly influential studies that affected the magnitude of the observed differences, but one study did slightly influence the level of significance and CI width. No evidence of publication bias was observed. CONCLUSIONS: In conclusion, multiple sets are associated with 40% greater hypertrophy-related ESs than 1 set, in both trained and untrained subjects. SPONSORSHIP: None listed. between set volume and training experience. Another notable limitation was that most of the studies compared 1 set with 3 sets per exercise, which limits the statistical power to compare 3 sets with greater set volumes. I’ll quote Krieger directly on this point: “Given that the ES [effect sizes] for 4–6 sets (0.44) is considered a moderate effect, whereas the ES for 2–3 sets (0.34) is considered a small effect according to Cohen’s classifications (9), more research involving >4 sets is needed to clarify whether this is a chance difference or a true difference.” Related to this problem of a small number of studies is the exclusion of studies that compared single versus multiple sets, but did not measure hypertrophy. As such, there’s a considerable grey area regarding how the well-designed studies might have influenced the outcomes if hypertrophy was one of their endpoints. However, it’s noted that most of the studies excluded showed greater strength gains in the multiple-set treatments. Therefore, since strength and size are related (size increases are associated with strength increases), it’s not likely that the addition of more studies would change the present outcomes other than strengthening them statistically. Finally, meta-analyses cannot establish cause-and-effect. Comment/application Study strengths Previous meta-analyses have focused primarily on strength gains.2-5 This is perhaps the first meta-analysis to carefully examine the effect of set volume on hypertrophy. The present study had a number of strengths lacking in previous work. Only studies comparing single with multiple sets that held all other variables constant were included. Multilevel statistical models were used in order to account for variations between studies, treatment groups, and effect sizes within each treatment group. To protect against spurious (false) associations, both standard and permutation test p values were used.6 In order to find the relative consistency of difference between single and multiple sets, a sensitivity analysis was performed. Finally, no evidence of publication bias was detected. On a personal note, it amazes me to this day that it’s not a strict requirement for papers published in the major journals to discuss their limitations with any depth. In the present paper, the limitations are laid out very clearly and thoroughly. The main limitation of this meta-analysis is the small number of studies examined, which limits the statistical power. As noted by the author, the small number of studies prevented the analysis of other important variables/predictors, such as relationships As seen in the chart above, a dose-response effect of set volume on hypertrophy was detected. An important aspect to bear in mind is that 3 studies in the meta-analysis had subjects training the muscle groups 2 times per week,7-9 while in 4 studies, subjects trained the muscle groups 3 times per week,10-13 while one study had subjects train a total of 4 days per week, and accounted for total sets in the week, rather than sets per exercise.14 Overall, the studies in this meta-analysis vary markedly in total set volume per week. So, while it’s useful to know that multiple sets are superior to single sets per exercise for muscle hypertrophy, optimal frequency and total set volume per week are important considerations for this purpose. A relatively recent review by Wernbom et al suggested that hypertrophy can by maximized with up to 3-6 sets per muscle group, trained 2-3 times per week (a range of 6-18 sets total per week).15 Max strength gain seems to concur with this. A metaanalysis by Peterson et al found that in non-novice subjects, a mean volume of 8 sets per muscle group, trained 2 times a week (16 sets total per week) maximizes the rate of strength gain.16 Alan Aragon’s Research Review – April 2010 [Back to Contents] Study limitations Page 6 Citrulline malate enhances athletic anaerobic performance and relieves muscle soreness. Pérez-Guisado J, Jakeman PM. J Strength Cond Res. 2010 Apr 7. [Epub ahead of print] [Medline] PURPOSE: The purpose of the present study was to determine the effects of a single dose of citrulline malate (CM) on the performance of flat barbell bench presses as an anaerobic exercise and in terms of decreasing muscle soreness after exercise. DESIGN: Forty-one men performed 2 consecutive pectoral training session protocols (16 sets). The study was performed as a randomized, double-blind, 2-period crossover design. Eight grams of CM was used in 1 of the 2 training sessions, and a placebo was used in the other. The subjects' resistance was tested using the repetitions to fatigue test, at 80% of their predetermined 1 repetition maximum (RM), in the 8 sets of flat barbell bench presses during the pectoral training session (S1-4 and S1'-4'). The p-value was 0.05. RESULTS: The number of repetitions showed a significant increase from placebo treatment to CM treatment from the third set evaluated (p <0.0001). This increase was positively correlated with the number of sets, achieving 52.92% more repetitions and the 100% of response in the last set (S4'). A significant decrease of 40% in muscle soreness at 24 hours and 48 hours after the pectoral training session and a higher percentage response than 90% was achieved with CM supplementation. The only side effect reported was a feeling of stomach discomfort in 14.63% of the subjects. CONCLUSIONS: We conclude that the use of CM might be useful to increase athletic performance in highintensity anaerobic exercises with short rest times and to relieve postexercise muscle soreness. Thus, athletes undergoing intensive preparation involving a high level of training or in competitive events might profit from CM. SPONSORSHIP: None listed. Study strengths Prior to this study, the single positive ergogenic effect citrulline malate (CM) in human caused was an improvement in finger flexion performance.17 So, one of the main merits of this study is that it’s the first one to put CM through a meaningful/relevant test for athletic purposes. This was a multi-center study (6 gyms), enabling a sample size that’s uncommonly large in supplementation research (41 subjects). Adding a crossover strengthened the outcomes by reducing variability between subjects. In order to qualify for participation, subjects had to have been on a current regimen of more than 3 hours of training per week. Subjects had been training for the previous 6 months for an average of 6 hours per week, with an average of 4 sessions per week. Clearly, these were not rank novices. This makes any potential effect of CM more meaningful, since raining experience accompanies a reduced sensitivity to supplemental agents. rather odd testing/training protocol. Chest work (which was the only work tested) was trained on Monday, where the testing consisted of the maximal number of reps at 80% 1RM during 4 sets of flat barbell bench press, 4 sets of incline barbell bench press, 4 sets of incline dumbbell flyes (load reduced to 60% 1RM), and finally 4 sets of barbell bench press again (load increased back to 80% 1RM). Back was trained on Tuesday, legs on Wednesday, shoulders on Thursday, arms on Friday, and no training on Saturday and Sunday. Although I can see how using the 16-set chest session as a testing modality for the effect of CM on anaerobic capacity, athletes in team sports or mixed sports almost never undergo this type of bodypart split. Comment/application The chart above indicates that during the first 4 sets of flat bench press, the CM group did an average of 0.53 reps more per set, with a total of 2.15 more reps than the placebo group by the end of the 4 sets. In the final 4 sets of flat bench press (after the 4 sets each of 2 other chest exercises), the CM group did an average of 1.55 more reps per set, with a total of 6.21 more reps than the placebo group by the end of the final 4 sets. In addition to the increased performance, CM also caused less muscle soreness at 24 and 48 hours after testing. The authors propose 3 hypothetical mechanisms through which CM exerts its effects: 1) The excess availability of citrulline facilitates the clearance of ammonium (thus reducing fatigue). 2) Malate is capable of acting as a metabolic shuttle between the cytoplasm and mitochondria, limiting the accumulation of lactic acid by redirecting it toward the formation of pyruvate and gluconeogenesis. 3) Citrulline can act as a precursor to arginine, which in turn can incrise nitric oxide (NO) production, which in turn can various functions in skeletal muscle including blood flow, glucose uptake, mitochondriogenesis, fatty acid oxidation, and satellite cell activation. As we’ll soon see in the following study critique, this 3rd proposed mechanism for CM is least likely to be a strong contributor to its ergogenic effects. The obvious limitation of this trial is its short-term nature. Habituation or reduced sensitivity to the effects of CM over longer periods remains speculative. Another limitation was the What does this data mean to the end-user? To the skeptics, it’s unknown whether this trial will or will not be a one-hit-wonder. This is the first study showing CM’s effectiveness in a context relevant to athletic goals, complete with an omission of funding source. Independent replication with relevant designs would strengthen this compound’s promise. To the optimistic, CM might be the next supplement to add to the shopping list. Alan Aragon’s Research Review – April 2010 [Back to Contents] Study limitations Page 7 Comparison of pre-workout nitric oxide stimulating dietary supplements on skeletal muscle oxygen saturation, blood nitrate/nitrite, lipid peroxidation, and upper body exercise performance in resistance trained men. the pump; that is, amplify the engorgement of muscles with blood. In addition to the subjective rating, upper torso circumferences were also measured. Subjects’ 24-hour food/beverage intake was analyzed via nutritional software, and they were instructed to duplicate this intake before testing. Bloomer RJ, et al. J Int Soc Sports Nutr. 2010 7:16 [Epub ahead of print] [JISSN] Study limitations BACKGROUND: We compared Glycine Propionyl-LCarnitine (GlycoCarn(R)) and three different pre-workout nutritional supplements on measures of skeletal muscle oxygen saturation (StO2), blood nitrate/nitrite (NOx), lactate (HLa), malondialdehyde (MDA), and exercise performance in men. DESIGN: Using a randomized, double-blind, cross-over design, 19 resistance trained men performed tests of muscular power (bench press throws) and endurance (10 sets of bench press to muscular failure). A placebo, GlycoCarn(R), or one of three dietary supplements (SUPP1, SUPP2, SUPP3) was consumed prior to exercise, with one week separating conditions. Blood was collected before receiving the condition and immediately after exercise. StO2 was measured during the endurance test using Near Infrared Spectroscopy. Heart rate (HR) and rating of perceived exertion (RPE) were determined at the end of each set. RESULTS: A condition effect was noted for StO2 at the start of exercise (p=0.02), with GlycoCarn(R) higher than SUPP2. A condition effect was also noted for StO2 at the end of exercise (p=0.003), with SUPP1 lower than all other conditions. No statistically significant interaction, condition, or time effects were noted for NOx or MDA (p>0.05); however, MDA decreased 13.7% with GlycoCarn(R) and increased in all other conditions. Only a time effect was noted for HLa (p<0.0001), with values increasing from pre- to post-exercise. No effects were noted for HR, RPE, or for any exercise performance variables (p>0.05); however, GlycoCarn(R) resulted in a statistically insignificant greater total volume load compared to the placebo (3.3%), SUPP1 (4.2%), SUPP2 (2.5%), and SUPP3 (4.6%). CONCLUSION: None of the products tested resulted in favorable changes in our chosen outcome measures, with the exception of GlycoCarn(R) in terms of higher StO2 at the start of exercise. GlycoCarn(R) resulted in a 13.7% decrease in MDA from pre- to post-exercise and yielded a non-significant but greater total volume load compared to all other conditions. These data indicate that 1) a single ingredient (GlycoCarn(R)) can provide similar practical benefit than finished products containing multiple ingredients, and 2) while we do not have data in relation to post-exercise recovery parameters, the tested products are ineffective in terms of increasing blood flow and improving acute upper body exercise performance. SPONSORSHIP: Sigma-tau HealthSciences, Inc. As noted by the authors themselves, although water intake was matched, actual hydration status wasn’t measured, and variations in hydration status could potentially alter the outcomes. Another limitation was the use of near infrared spectroscopy (NIRS) to measure muscle tissue oxygen saturation, which is not as sophisticated as other methods such as magnetic resonance imaging (MRI). As is common with preworkout supplement studies, questions remain of how diminished their effects might be as a result of taking them in a fed state. It would have been nice if they listed the actual brands of the supplements compared, but they were probably kept anonymous due to potential legal conflicts. Finally, this was an acute study whose effects over the long term are unknown. Comment/application An important point made by the authors of the present study is that of the serving size of a given product is 20 grams, and 10 grams of it is carbohydrate with the other 10 grams consisting of a “proprietary blend” of 30-60 ingredients, each one of them is defaulted to a miniscule amount. Below certain dose thresholds, many of the ingredients commonly found in multi-ingredient preworkout supplements are simply inert: “Our data clearly show that ingredient number has no influence on product effectiveness. In fact, the use of a very inexpensive maltodextrin powder yields similar effects as all products used for comparison in this design. Considering a preserving cost of approximately $2 (when using the amount of powder included within the present design), the reasonable choice for an athlete may simply be to use a carbohydrate powder.” The authors acknowledge, however, that the products containing creatine would not have a chance to exert ergogenic effects due to the short-term nature of the study. Another important point is that many preworkout supplements contain caffeine and other stimulants, which might be contraindicated for certain intolerant individuals or those on medications that might interact adversely to stimulants. The stimulant-free, single-compound nature of GlycoCarn® is part of its appeal, aside from its small degree of superiority to the other treatments for total volume load completed in the bench press. This trial is particularly relevant since nitric oxide (NO) boosters are among the most popular class of supplements on the market today. Trained subjects were used, reducing the chance for newbie gains. A crossover was done to reduce the possibility of intersubject variability. This was the first trial I’ve come across where subjects were asked to rate their subjective perception of having a “pump” by using a visual analog scale. One of the main marketing points of NO booster supps is the ability to enhance In the April 2009 AARR, I reviewed a study examining the effect of GlycoCarn®, which showed its ability to increase peak power and reduce lactate accumulation.18 Refer back to that issue for more details on its possible mechanisms of action aside from its ability to increase nitric oxide levels. I’d speculate that the lackluster results of the preworkout supplements can be attributed to their insufficient caffeine dosing within their “proprietary blends.” I didn’t expect the arginine content of the multi-ingredient supplements to affect performance since arginine’s track record for enhancing athletic pursuits has been a repeated disappointment.19-24 Alan Aragon’s Research Review – April 2010 [Back to Contents] Study strengths Page 8 . Fat-free mass index in users and nonusers of anabolic-androgenic steroids. Kouri EM, et al. Clin J Sport Med. 1995 Oct;5(4):223-8. [Medline] PURPOSE: To develop a simple method by which a clinician or sports official can assess whether an athlete’s muscularity is within the naturally attainable range or is beyond that which could reasonably be expected without pharmacological assistance. METHODS: We calculated fat-free mass index (FFMI) in a sample of 157 male athletes, comprising 83 users of anabolic-androgenic steroids and 74 nonusers. FFMI is defined by the formula (fat-free body mass in kg) x (height in meters)-2. We then added a slight correction of 6.3 x (1.80 m - height) to normalize these values to the height of a 1.8-m man. RESULTS: The normalized FFMI values of athletes who had not used steroids extended up to a well-defined limit of 25.0. Similarly, a sample of 20 Mr. America winners from the presteroid era (1939-1959), for whom we estimated the normalized FFMI, had a mean FFMI of 25.4. By contrast, the FFMI of many of the steroid users in our sample easily exceeded 25.0, and that of some even exceeded 30. CONCLUSION: Thus, although these findings must be regarded as preliminary, it appears that FFMI may represent a useful initial measure to screen for possible steroid abuse, especially in athletic, medical, or forensic situations in which individuals may attempt to deny such behavior. SPONSORSHIP: In part by NIDA training grant T32 DAO7252 and NIDA grant RO1 DA-06543. Study strengths This is one of those classic studies that innovatively examined an important, yet very politically volatile topic. The latter aspect is probably why this type of research has not been replicated for over a decade now. The sample consisted of a relatively even split of drug-free athletes, and those on anabolic/androgenic steroids (AAS). Each subject’s history was assessed via personal interview, and confirmed with urine testing. Among the nonusers, some effort was made to include subjects who were likely to be at the upper limits of fat-free mass. To quote the authors, “The nonusers included many dedicated bodybuilders. Several had competed in successfully in “natural bodybuilding contests, two held world records in strength events, and many others were recognized by their associates as highly successful weightlifters.” Study limitations Aside from the limitations of estimating body composition, the sampling methodology was perhaps the most profound limitation. While the authors specified that they drew their sample from gyms in the Boston and Los Angeles areas, they were not specific about the actual number of subjects that were formally/actively competitive in a given sport (versus merely recreationally active). A systematic but more difficult way of doing this would be to recruit subjects through the natural bodybuilding federations, and choose the top-placing competitive athletes through each weight class. The same would be done with non-tested and professional bodybuilding Alan Aragon’s Research Review – April 2010 federations. To beef up the sample a bit, a good pool to draw from would be the top-level college and professional athletes involved in strength/power sports. As it stands, although the sample is an appreciable size given the difficulty of getting reliable (& honest) study participants, it still could have been more selectively constructed. That is, I feel the authors could have done some better hunting for the big game. Comment/application Calculating FFMI goes as follows: divide fat-free mass in kg by height in meters squared. An online FFMI calculator can be found here. The main finding of this study was that the maximal fat-free mass index (FFMI) of a drug-free athlete is approximately 25. According the authors, Individuals in marked excess of this are potentially dabbling in AAS. Perhaps due to realizing the potential limits of their sample, the authors compiled a list of the FFMIs of Mr. America winners from the pre-steroid era (1939-1959). Collectively, their average FFMI was 25.4, which on face value seems to lend validity to the findings of the present study. However, it’s also important to note that 13 of the 20 competitors (65%) exceeded FFMI of 25, the proposed max in nonusers. Furthermore, the Mr. America contest, like any bodybuilding contest, is judged on shape, definition, and aesthetic balance rather than just mass. So, it wouldn’t be necessarily be fair to apply the FFMI-25 cut-off point of to athletes who aren’t competitive bodybuilders in nearcontest shape or leaner. To further cross-check their findings, the authors compiled the (estimated) FFMIs of 33 modern competitive bodybuilders in contest-shape who appeared collectively in 60 issues of popular bodybuilding magazines from 1989-1994. Although they excluded bodybuilders in the lightweight class, they included competitors who weren’t even top amateurs. To quote the authors: “…it must be remembered that many of the modern bodybuilders had not even won a national contest like the Mr. America competition, and some had not even ranked among the top 10 contenders in the contests described in the magazines.” Interestingly, despite the loose inclusion criteria, the sample of modern bodybuilders had markedly greater FFMIs than the sample of Mr. America winners of the pre-steroid era. The bulk of the modern sample’s FFMIs concentrated roughly in the range of 30-34, with the lowest at somewhere between 26-26.9 and the highest between 39-39.9. the reason for the markedly greater FFMI of modern bodybuilders remains open to speculation, but there are only 3 possibilities: a) greater use of AAS, b) better training, nutrition, and supplementation, or c) both a & b. The authors of the present study suggest that AAS is likely the single factor that has jacked up the FFMIs of the modern-day bodybuilder. My speculation is drugs may have been the dominant factor, but improved nutrition and training played significant roles as well. The authors duly mention that their data is merely preliminary, and potentially inapplicable to, as they bluntly put it, “fat individuals”, since body fat gain can be accompanied by gains in lean mass that could tip FFMI past 25 in nonusers. Ultimately, I’d like to see this study redone, with a sample consisting exclusively of competitive upper-tier drug-tested bodybuilders and lean drug-tested elite strength/power athletes. [Back to Contents] Page 9 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Hansen AK, et al. Skeletal muscle adaptation: training twice every second day vs. training once daily. J Appl Physiol. 2005 Jan;98(1):93-9. [Medline] Krieger JW. Single versus multiple sets of resistance exercise: a meta-regression. J Strength Cond Res. 2009 Sep;23(6):1890-901. [Medline] Rhea MR, et al. Single versus multiple sets for strength: A meta-analysis to address the controversy. Res Q Exerc Sport. 2002 Dec;73(4):485-8. [Medline] Rhea MR, et al. A meta-analysis to determine the dose response for strength development. Med Sci Sports Exerc. 2003 Mar;35(3):456-64. [Medline] Wolfe BL, et al. Quantitative analysis of single- vs. multiple set programs in resistance training. J Strength Cond Res. 2004 Feb;18(1):35-47. [Medline] Higgins JP, Thompson SG. Controlling the risk of spurious findings from meta-regression. Stat Med. 2004 Jun 15;23(11):1663-82. [Medline] Galvão DA, Taaffe DR. Resistance exercise dosage in older adults: single- versus multiset effects on physical performance and body composition. J Am Geriatr Soc. 2005 Dec;53(12):2090-7. [Medline] Marzolini S, et al. Aerobic and resistance training in coronary disease: single versus multiple sets. Med Sci Sports Exerc. 2008 Sep;40(9):1557-64. [Medline] McBride JM, et al. Effect of resistance exercise volume and complexity on EMG, strength, and regional body composition. Eur J Appl Physiol. 2003 Nov;90(5-6):626-32. [Medline] Munn J, et al. Resistance training for strength: effect of number of sets and contraction speed. Med Sci Sports Exerc. 2005 Sep;37(9):1622-6. [Medline] Rhea MR et al. Three sets of weight training superior to 1 set with equal intensity for eliciting strength. J Strength Cond Res. 2002 Nov;16(4):525-9. [Medline] Rønnestad BR, et al. Dissimilar effects of one- and three-set strength training on strength and muscle mass gains in upper and lower body in untrained subjects. J Strength Cond Res. 2007 Feb;21(1):157-63. [Medline] Starky DB, et al. Effect of resistance training volume on strength and muscle thickness. Med Sci Sports Exerc. 1996 Oct;28(10):1311-20. [Medline] Ostrowski KJ, et al. The effect of weight training volume on hormonal output and muscular size and function. J Strength Cond Res. 1997;11(3):148-54. [JSCR] Wernbom M, et al. The influence of frequency, intensity, volume and mode of strength training on whole muscle cross-sectional area in humans. Sports Med. 2007;37(3):225-64. [Medline] Peterson MD, et al. Maximizing strength development in athletes: a meta-analysis to determine the dose-response relationship. J Strength Cond Res. 2004 May;18(2):377-82. [Medline] Bendahan D, et al. Citrulline/malate promotes aerobic energy production in human exercising muscle. Br J Sports Med. 2002 Aug;36(4):282-9. [Medline] Jacobs PL, et al. Glycine propionyl-L-carnitine produces enhanced anaerobic work capacity with reduced lactate Alan Aragon’s Research Review – April 2010 19. 20. 21. 22. 23. 24. accumulation in resistance trained males. J Int Soc Sports Nutr. 2009 Apr 2;6(1):9. [Medline] Bescós R, et al. Effects of dietary L-arginine intake on cardiorespiratory and metabolic adaptation in athletes. Int J Sport Nutr Exerc Metab. 2009 Aug;19(4):355-65. [Medline] Fahs CA, et al. Hemodynamic and vascular response to resistance exercise with L-arginine. Med Sci Sports Exerc. 2009 Apr;41(4):773-9. [Medline] Liu TH, et al. No effect of short-term arginine supplementation on nitric oxide production, metabolism and performance in intermittent exercise in athletes. J Nutr Biochem. 2009 Jun;20(6):462-8. Epub 2008 Aug 15. [Medline] Kanaley JA. Growth hormone, arginine and exercise. Curr Opin Clin Nutr Metab Care. 2008 Jan;11(1):50-4. [Medline] Marcell TJ, et al. Oral arginine does not stimulate basal or augment exercise-induced GH secretion in either young or old adults. J Gerontol A Biol Sci Med Sci. 1999 Aug;54(8):M395-9. [Medline] Collier SR, et al. Oral arginine attenuates the growth hormone response to resistance exercise. J Appl Physiol. 2006 Sep;101(3):848-52. [Medline] [Back to Contents] Page 10 37 days & the clock is ticking: initial impressions Kelechi Opara: a case study of a competitor coming in “too dialed” for the judges. By Alan Aragon At the beginning of March, I got an email from a lifetime natural athlete named Kelechi Opara. He broke it to me that he had 37 days to get everything rocking for a show. After seeing his pic, I decided we could make a go of it. Now, here’s the catch – it was a male fitness model contest rather than a bodybuilding contest (you’ll see that there’s a punchline to this detail by the end of this write-up). In any case, I didn’t want to take any chances, and this was by far the shortest prep time that’s ever been thrown at me by a client about to compete. My thought process was this: get him dialed as possible and let the chips fall where they may, because judging is so preposterously subjective in bodybuilding, but even more so in fitness and figure competition. So, I assessed his habitual intake. It was exceptionally nonneurotic, but then again, Kelechi had been following my writing for quite some time before contacting me. He has my book and is subscribed to AARR, so this tells you a lot about his exceptional interest level in the scientific aspects of the game. Anyway, I saw he was a coffee drinker, so I knew we had at least 1 thing in common (this is a good thing). So he has cream in his coffee… Seriously, who gives a crap. Keep it in there. My objective was to keep as much things static as possible so that Kelechi could focus on the important stuff with minimal distractions. I saw that he could tolerate dairy – great, I kept it in his diet. I specifically wanted him to know that life does not have to be miserable while dieting down. Many folks think that it boils down to an epic battle of will that involves boiled chicken breasts and raw spinach every day except for your monthly cheat meal. But this is just not the case, nor is it optimal for contest prep. So, I proceeded to assess Kelechi’s habitual intake and figured that it was underestimated by about 10%. I was perfectly open to him having an unusually high degree of reporting accuracy, but I also kept it in mind that obese individuals under-report their intake by as much as 47%, and over-report their exercise by roughly 51%.1 Those are big errors, but that’s the reality. Experienced athletes (especially bodybuilders) tend to have a much greater degree of meticulousness and accuracy in estimating their intakes, but I wanted to be as conservative as possible, given the very narrow timeframe I had to work with. Projecting progress One of the things that struck me about Kelechi’s goals was that he wanted to lose a minimal amount of weight en route to the stage. Since this was his first competition, neither of us had any dieting-down history as a point of reference. So, it was important for me to communicate the inevitability of weight loss – perhaps more weight loss than he would anticipate or want. The thing to remember with contest prep is that the competitors don’t get on stage holding a neon sign indicating their bodyweight. All that matters is how they look. At a height of 5’9”, Kelechi started off at 181 lbs with visible abs; I’d estimate about 6% with calipers. My goal was to cut that in half without sacrificing too much size and fullness. If figured that he could sharpen up as much as he needed to without crossing under the 170’s. Thankfully, we accomplished that mission, and busted a lot of myths in the process. On the day of the contest, Kelechi was 172 lbs. This was a net loss of 9 lbs in 37 days, and it happened with fruit, Alan Aragon’s Research Review – April 2010 [Back to Contents] Page 11 milk, bread, and cereal in his diet. Oh, the taboos. There was no “peak week” carb, sodium, or water manipulations, either. Those last-minute adjustments are primarily based on unsubstantiated folklore. They rarely make any visible differences, and tend to pose more risk than benefit, so I purposely avoid that practice. Training Kelechi had about 13 years of training experience under his belt when he approached me for help, so I took the position of letting him simply continue what he was accustomed to doing, as long as I didn’t see anything overly brotastic about it. Being well-read in this area, Kelechi’s training program was solid. Total cardio per week was 1-1.5 hours (3-4 sessions per week, mostly highintensity interval sprints, which he had a strong preference for), and 7.5 hours of resistance training per week (5 sessions per week, approximately 90 minutes each). Bodyparts were trained twice weekly, and ancillary work was done on the fifth day. Reps rarely exceeded 10 per set, most work sets were taken to concentric failure. Approximately 16-18 sets per muscle group were performed per week, and the training sessions involved 1-2 partners, hence the relatively long duration (90 minutes). In a way, this was good, since it allowed greater inter-set recovery for moving more iron. Diet & supplementation To put it plainly, I think that traditional bodybuilding diets are effective, but they have a lot of stupid lore and voodoo built into them. I concentrated on having Kelechi hit his macronutrient targets over a good balance of healthy foods of his personal preference. Unlike traditional bodybuilding diets that eliminate dairy and fruit, Kelechi consumed two fruits per day and 2 dairy servings per day, and this included chocolate milk or fruit juice (with whey protein) during his somewhat long training bouts, right up until the day of the contest. Numbers-wise, 3 of his training days tended to be more exhaustive than the others, so those days he had approximately 140 g carbs, while the rest of the days they were kept at 90 g. Remember, we had 37 days to dial it in, so I normally would have a guy his size take in about double that much carbs if we had a normal 12-16 weeks of prep. Protein was at 220 g on harder training days, and 190 g the rest of the time. Fat was pretty stable each day at roughly 70 g. Supplementation was minimal; a simple multi, calcium/vitamin D, creatine, and fish oil. In retrospect, I would have had him take some magnesium to round out the bases, but this obviously wasn’t a make-or-break. He took no stimulants or fat burners. Heck, he almost lost 10 lbs in a month without too much hunger, so there was no need for stims + appetite suppressants (although he did have coffee, like mentioned earlier). of them to take to prejudging, and munch on them right in front of his competitors. The purpose of this was 3-fold: to put his mood through the roof, keep his energy from dipping, and most importantly, to confuse & subtly intimidate the other competitors. I talked to Kelechi right after prejudging, and it was clear that he outclassed his competitors in both muscular size and definition by a significant margin (and they knew it; many of them congratulated Kelechi pre-emptively). The kicker & some pleasant twists Ready for the kicker? Kelechi didn’t even place in the competition, yet he was easily the best-conditioned guy in the line-up. But keep in mind, this was a “male fitness model” competition, which I had no prior experience in prepping someone for, so my mindset was to treat it like a bodybuilding competition. Amazingly, the judges told him he was too big and too ripped. Hah! Imagine my delight when I heard that. Kelechi wasn’t too disappointed either. Although winning or placing highly is always nice, being told by the judges themselves that you’re “too big and too shredded for fitness modeling competition” in a show that’s not drug-tested is…priceless. Funny enough, I warned him of the possibility of that very outcome the day of the show after he let me know that he was in better shape than the other guys. The other pleasant twist in the saga was that Kelechi was approached by at least 5 different magazines within a few days after the contest. Judging from his picture, it’s easy to see why. Postscript To tie this case study in with an earlier section of this issue, Kelechi is an exceptional specimen among natural trainees, and people are invariably incredulous that he’s been completely drug-free since birth. Most people guess his weight at about 200, even though his normal off-season weight is in the low-to-mid 180’s. His fat-free mass index at 37 days precontest exceeded the ‘natural’ cut-off of 25 generated by Kouri et al2 (see page 9) despite him having single-digit bodyfat percent. On the contest day it was just under that threshold. References 1. Lichtman SW, et al. Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med. 1992 Dec 31;327(27):1893-8. [Medline] 2. Kouri EM, et al. Fat-free mass index in users and nonusers of anabolic-androgenic steroids.Clin J Sport Med. 1995 Oct;5(4):223-8. [Medline] Peanut M&Ms One of the fun things about prepping clients for shows, other than watching them get lean while eating more than just tuna and broccoli, is getting into some of the psychological aspects of competition. A fun tradition I have with clients is the M&M trick. In a nutshell, during and surrounding prejudging, there can be time lapses that leave the competitors even more hungry, depleted, and nervous (most competitors on show day are already dehydrated and miserable to begin with). This is where peanut M&Ms come into the picture. I had Kelechi buy 3 bags Alan Aragon’s Research Review – April 2010 Credit to Jamie Hale for tipping me off to this, I’d like to share an impressive piece of work that delves into the fundamentals of bro-proofing. Click here to download Using Research & Reason in Education, by Paula & Keith Stanovich. If you have any questions, comments, suggestions, bones of contention, cheers, jeers, guest articles you’d like to submit, or any feedback at all, send it over to aarrsupport@gmail.com. [Back to Contents] Page 12