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12 The wisdom of pro bodybuilder Lane Norton.

Interviewed by Alan Aragon

14 The wisdom of pro figure competitor Pauline Nordin.


Interviewed by Alan Aragon

Copyright © June 1st, 2008 by Alan Aragon


Home: www.alanaragon.com/researchreview
Correspondence: aarrsupport@gmail.com

2 What’s the deal with egg consumption and


cardiovascular disease? By Alan Aragon

7 Moderate protein intake improves total and regional


body composition and insulin sensitivity in
overweight adults.
Arciero PJ, et al. Metabolism. 2008 Jun;57(6):757-65.
[Medline]

8 Effects of dietary protein content on IGF-I,


testosterone, and body composition during eight
days severe energy deficit and arduous physical
activity.
Alemany JA, et al. J Appl Physiol. 2008 May 1. [Epub
ahead of print] [Medline]

9 Effect of Preexercise Meals With Different


Glycemic Indices and Loads on Metabolic
Responses and Endurance Running.
Chen YJ, et al. IJSNEM. 2008:(18):281-300. [IJSNEM]

10 High rates of muscle glycogen resynthesis after


exhaustive exercise when carbohydrate is co-
ingested with caffeine.
Pedersen DJ, et al. J Appl Physiol. 2008 May 8. [Epub
ahead of print] [Medline]

11 Effects of resistance vs. aerobic training combined


with an 800 calorie liquid diet on lean body mass
and resting metabolic rate.
Bryner RW, et al. J Am Coll Nutr. 1999 Apr;18(2):115-21.
[Medline]

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 1 
Diverse Biological Functions

What’s the deal with egg consumption and Aside from their well-known high protein quality, eggs have a
cardiovascular disease? By Alan Aragon surprisingly wide range of beneficial biological effects. Both the
white and the yolk have anti-microbial, anti-adhesive (thus anti-
In this article infective), protease-inhibitory (thus anti-cancer), anti-
inflammatory, and antioxidant properties.1 Including egg yolk
I find it humorous that whole eggs are a controversial food. phospholipids in infant formula increases its semblance to
Ironically, a food that (quite literally) embodies the essence of mothers’ milk, and has been seen to decrease the incidence of
life has been portrayed by many as a stealthy dealer of death. necrotizing enterocolitis (an intestinal disease).2 Egg yolks
This article will first take a look at the structure and function. contain phosphatidyl choline, which plays a key role in brain
Then we’ll examine the research behind the dichotomous development and memory retention. To top things off, yolks are
reputation of the humble egg, and attempt to draw some a significant source of the carotenoids lutein and zeaxanthin. As
conclusions about what’s bull and what’s genuinely concerning. little as one egg per day has been seen to increase plasma and
Before we dive in, let’s get to know the egg a little better by macular levels of these antioxidant nutrients.3,4 The significance
starting with its chemical composition. that increased blood levels of lutein and zeaxanthin are
associated with a lower risk of age-related macular
What’s in an egg? degeneration.4 According to a review by Krinsky et al, lutein and
As much as I would love to fantasize about eating ostrich egg zeaxanthin in the macula of the eye absorb blue-light, and thus
omelettes, our discussion will be limited to chicken eggs. Here’s protect the photoreceptor layer from light damage.5 With a
some of the relevant nutritional information: multitude of benefits to human health, it would seem pretty easy
to position eggs as a stereotypical “superfood”. But due to the
focus on a singular aspect of its composition (cholesterol
1 Large Egg (50 g): Selected Nutrient Content
Source: Hhttp://www.nutritiondata.com/facts-C00001-01c201t.html
content), a storm of debate has raged on for much of the last
half-century.
Nutrient Amount % Daily Value
Kcal....................................... 77.5 4% Cholesterol at the heart of controversy
Protein................................... 6.3 g 13%
Total carbohydrate.................... 0.6 g -- Cholesterol is a component of all animal (including human) cell
Sugar.......................... 0.6 g -- membranes, a critical requirement of infant growth, and a
Starch......................... 0.0 g -- precursor to a range of hormones in the body. However, it has
Fiber........................... 0.0 g -- been targeted as an enemy of cardiovascular health by much of
Total fat................................. 5.3 g 8% the medical mainstream. In one of their recently updated online
Saturated............................ 1.6 g 8%
articles, the American Heart Association (AHA) recommends
16:0 (palmitic acid)........ 1174 mg --
18:0 (stearic acid).......... 414 mg -- that cholesterol intake should be limited to less than 300 mg per
Other saturates.............. [trace] day for most people.6 Those with coronary heart disease or an
Monounsaturated................... 2.0 g -- LDL level of 100 mg/dl or more should consume less than 200
18:1 (oleic acid)............. 1862 mg --
16:1 (palmitoleic acid)..... 155 mg --
mg of cholesterol per day. Taking a look at the chart on the left,
Other monounsaturates.... [trace] cholesterol per egg is 212 mg. That’s about two-thirds of the
Polyunsaturated.................... 0.7 g -- recommended intake down the hatch for normal individuals, and
Omega-3 fatty acids....... 39 mg** -- it completely takes care of the daily limit (and then some) for
Omega-6 fatty acids....... 594 mg --
Other fatty acids............ 67 mg
those with CHD or high LDL readings. I eat three whole eggs
Trans fatty acids................... [unlisted, almost every day of the week, so as far as AHA limits are
but not likely a significant source] concerned, I’m blowing past them like Stevie Wonder through a
Cholesterol.............................. 212 mg 71% stop sign. Yet, my blood lipids are all within normal ranges. This
Lutein + Zeaxanthin.................. 176 mcg --
is a personal example, and individual case studies hold very little
weight since they involve many uncontrolled variables. So, let’s
--No value established ease into the literature for an objective look, beginning with the
**Omega-3 fortified eggs contain about 6-10 times as much as regular eggs roots of the issue.

Origins of indictment
Eggs are approximately 9.5% shell, 63% albumen (egg white),
and 27.5% yolk. Their predominant component is water (75%), As stubborn as large-scale health organizations are, there’s
with proteins and fats evenly splitting the remainder. A little- generally some degree of evolution in their recommendations.
known fact is that eggs actually contain carbohydrate, but only Take for example, the Dietary Guidelines for Americans.
as a minor component, existing in free and conjugated forms, They’ve gone from having four food groups and relative
attached to the fats and proteins. The majority of the proteins are simplicity from 1950’s-1970’s, to a six-group Pyramid which
found in the yolk and the white, with a small proportion in the mainly succeeded in confusing the public from 1992-2000. This
shell and shell membrane. Fats (mainly in the form of was followed up by the current Pyramid – an even more
lipoproteins) are virtually all in the yolk. Most of the minerals in abstract/symbolic rendering that requires either online access or
eggs are in the shell. extensive literature for the lay public to vaguely understand; let

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 2 
alone implement. In contrast, the AHA has maintained a rigid many of them lead less balanced lives in terms of health and
stance despite substantial contrary evidence. A 1961 AHA report fitness behaviors compared to the average Joe whose career
published in the journal Circulation recommended a reduced demands and general barometer of life stress may be
intake of total fat, saturated fat, and cholesterol, and an increased considerably less. Okay, let’s forget about anecdote for a second.
proportion of polyunsaturated fat.7 This particular set of This study has a few important limitations to bear in mind. First
recommendations support what’s now known as the diet-heart of all, it’s epidemiology, in all of its uncontrolled, self-reported,
hypothesis, which essentially states that dietary cholesterol survey-based glory. There was a clear lack of complete, detailed
increases serum cholesterol, and elevated serum cholesterol dietary information, such as intake of saturated and trans fats,
increases the risk for heart disease. Thus, it follows that fruit and vegetables, whole grains and other fiber-containing
consuming whole eggs would directly violate these tenets. foods, and fish/fish oil. Secondly, egg intake as assessed every 2
However, based on accumulating research data, the AHA’s years for a 10 year period. A time-dependent Cox model was
tenacious grip on the diet-heart hypothesis now resembles a used to determine event history. Cox regression does not require
childish refusal to admit error. The kicker of it all is that the only researchers to specify a baseline hazard rate or estimate absolute
controlled intervention trials supporting the guidelines in the risk. As such, since egg intake at 2 years was similar to baseline,
original 1961 AHA report were on rabbits fed diets way out of these values were substituted for baseline data in the 113
their natural pattern. Let’s look at humans, shall we? participants with missing baseline data. To quote an editorial by
Eckel regarding this particular trial,19
Epidemiological soup
“One would assume that the overall lifestyle of subjects with
Epidemiology is observational (also called exploratory) research higher egg consumption would have predicted more CVD. That
that attempts to identify disease risk factors by using is, the physicians with higher egg intake were older, smoked
correlational methods. Whereas experimental (controlled more cigarettes, were less physically active, ate breakfast cereal
intervention) research may not always reflect the big picture or less often, and had a higher prevalence of hypertension and
the real world, epidemiological research can be confounded by diabetes than did those with lower egg intake.”
uncontrolled yet critical details. Unlike experimental research,
epidemiology can only establish potential associations between As illustrated by the above point, large-scale observational
variables, not causal relationships. Keeping those limitations in studies are much like an attempt to find diamonds in the snow
mind, the plus-side of epidemiology is that it gives us hints and when it comes to hinting toward causality. There are far too
hypotheses that can eventually be put to controlled trials. many variables that might confound the data. So, this brings us
to the next and last leg of the trip, the controlled experiments.
Let it be known that the epidemiological data as a whole is an Although by nature, lab-supervised controlled interventions
ongoing convoluted mess. However, the majority of it does not don’t necessarily reflect free-living conditions, they can at least
support the idea that increased egg or cholesterol consumption suppress the frustrating floating variables. Let’s take a look.
increases the risk for cardiovascular disease.8-12 In an interesting
example, Okayama et al examined Japan’s dietary habits from Controlled interventions: revenge of the yolk
1980-1989 and found a decline in mortality from coronary heart
disease while the prevalence of hypercholesterolemia in both For those unfamiliar with the jargon, HDL-C is often tagged as
men and women increased nearly 100%.13 Weird stuff, this “good cholesterol”. In a very recent trial by Mutungi et al on
uncontrolled research. In another example of an inverse overweight men on a carbohydrate-restricted diet (10-15% of
relationship, Dawber et al found that in a population of 12,847 total kcal), 3 eggs per day raised HDL-C without raising LDL-
men with total cholesterol levels <200 mg/dL consumed more C.20 Notably, this was despite an additional daily dose of 640 mg
eggs as a percent of calories than did participants with cholesterol for 12-weeks. Both groups reduced bodyweight,
cholesterol levels 220mg/dL. Hu et al conducted one of the waist circumference, and triacylglycerol levels. Since there was
largest studies of its kind (over 100,000 subjects), and found that no HDL-C increase in the control group, the egg group actually
coronary heart disease risk was not associated with higher egg proved to receive the more cardioprotective treatment. In other
consumption, with the exception of diabetic subjects.14 A more carb-restriction research, Ratliff et al found 3 eggs per day to
recent comparably-sized study of the Japanese population found reduce markers of inflammation after 12 weeks compared to an
no association between higher egg consumption and increased eggless carb-restricted diet.21 In fact, the authors directly credit
coronary heart disease incidence.15 A more recent trial by than the higher cholesterol content of the diet as a key contributor to
the latter echoed the results of Hu et al. Qureshi et al found that the overall beneficial effect since it led to increased HDL-C.
one egg per day did not increase the risk for cardiovascular They also suspect that the lutein content of the egg group also
diseases and mortality, except in diabetics.16 played a key role in the favorable outcomes.

In the most recent set of reports to date, the Physician’s Health Speaking of antioxidant carotenoids in the yolk, Goodrow et al
Study found that egg consumption of one or more per day was demonstrated that one egg per day for 5 weeks can significantly
associated with the risk of heart failure.17 In addition, egg increase serum lutein and zeaxanthin levels without elevating
22
consumption was positively correlated with mortality, especially total cholesterol or LDL-C concentrations. In yet another
in diabetic subjects.18 It’s noteworthy that this particular trial example, Greene et al found that 2 eggs per day raised LDL-C,
examined the health of physicians, who at least from an but also raised HDL-C to a degree that did not alter the ratio of
anecdotal standpoint are no better off than the lay public. In fact, the two types – thus neutralizing any potential atherogenic

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 3 
concerns.23 This brings us to our next area of controlled There’s been a growing interest in the benefits of omega-3
research: dietary cholesterol response variability. (commonly denoted as n-3) fatty acid intake, which has received
a lot of positive hype and press in the literature for a myriad of
Response classification health benefits ranging from cardiovascular protection, fat loss
(note that this is highly debatable), anti-depression, and even
Blood cholesterol levels are the result of feedback control bone health.30-33 So, a logical direction in food technology was
between dietary intake and endogenous production within the the ‘enrichment’ (technically, in the case of eggs it’s
liver. In other words, the more cholesterol you consume through fortification) of eggs with omega-3’s. In an interesting yet
dietary sources, the less cholesterol your liver produces. unreplicated example by Ferrier et al,34 normolipidemic subjects
Conversely, the less you consume, the more you biosynthesize. who consumed four n-3 eggs per day experienced a significant
However, this feedback mechanism is not 100% efficient. increase in n-3 status of blood platelet phospholipids (a good
Although the effects of elevated blood cholesterol on heart thing), yet no significant changes in overall blood cholesterol
disease are unclear, meta-analyses of controlled trials indicate and its subtypes. In agreement with these findings, a review by
that dietary cholesterol indeed causes a small yet measurable Lewis et al states,35 “Overall results of studies to date
increase in blood cholesterol.24,25 According to the cumulative demonstrate positive effects and no negative effects from
data in these reports, a plasma total cholesterol increase of 0.05– consumption of n-3-enriched eggs.”
0.06 mmol/L (2–2.2 mg/dL) can be predicted for every 100 mg
increase in dietary cholesterol. Response to dietary cholesterol So how can n-3 fortification of eggs at all be a bad thing? It’s
varies among individuals, and those whose plasma cholesterol known that n-3 eggs can lower triacylglycerol levels and boost
increases exceed 2.2 mg/dL per every 100 mg increase in dietary the n-3 status of the body, these effects are obviously beneficial.
cholesterol are generally considered hyperresponders. Those However, my (perhaps nit-picky) concern is the idea of
whose plasma increases are under that threshold are considered increasing the proportion of long-chain polyunsaturated fatty
hyporesponders. acids (PUFAs) in a food that’s typically cooked under high heat,
This variability of response has prompted researchers to especially if yolks are broken and scrambled. The problem with
investigate its clinical relevance, and some interesting results this is the greater potential of the long-chain PUFAs to form
have surfaced. In perhaps the first study to examine metabolic genotoxic oxidation products that can adversely alter cell
responses to feedings in the two types of responders, Herron et DNA.36 It’s fairly well known that cooking with polyunsaturated
al found that the 3 egg/day experimental group’s LDL:HDL ratio fats is generally a bad idea compared to cooking with more heat-
increased slightly in hyperresponders but not hyporesponders.26 stable fats such as saturates and monounsaturates. The actual
Despite the increase, levels were still within National degree to which adverse effects can occur via normal cooking
Cholesterol Education Program guidelines. What’s pivotal is that practices of n-3 eggs compared to regular eggs is unknown, and
the hyperresponders had increased levels of lecithin cholesterol it’s not likely something to lose sleep over if only a small
acyltransferase and cholesteryl ester transfer protein activities amount of eggs is consumed. However, it makes more sense to
during the egg treatment. This indicates that hyperresponders me to stick with the more economical regular eggs, and get the
metabolize excess plasma cholesterol via an acceleration of the bulk of the n-3’s elsewhere in the diet, or through
reverse cholesterol transport pathway. The authors thus supplementation. This is yet another reason to avoid the line of
concluded that additional dietary cholesterol does not adversely thinking that more n-3 is better, and that eggs need some sort of
impact lipid profiles in healthy men, regardless of response compensatory crutch for their cholesterol content – which hasn’t
classification. A subsequent study also led by Herron yielded been proven harmful in the first place.
similar outcomes to the previous trial, but also demonstrated that
LDL peak diameter was not decreased, and the larger (less Summary points
atherogenic) LDL-1 subclass was greater in hyperresponders.27 • Eggs are a high-quality source of protein, fat, and various
The investigators concluded that a high-cholesterol diet from the micronutrients.
equivalent of 3 eggs per day does not increase the atherogenicity • Egg yolks possess a surprisingly diverse range of protective
of the LDL particle, regardless of response category. Put in more biological functions, including the potential to prevent vision
plain English, consumption of 3 eggs per day does not appear to degeneration.
promote indicators of heart disease. • The AHA’s guidelines restrictive guidelines on cholesterol
consumption are – amazingly enough – not rooted in a
In related research, Clark et al found a potential hidden blessing
complete data set that includes controlled human
in hyperresponders regarding carotenoid response.28 Plasma
experiments, and thus should be viewed with considerable
concentrations of lutein and beta-carotene were significantly
caution.
greater in hyperresponders than in hyporesponders as a result of
• Because of their cholesterol content, eggs yolks have
the same chronic 3-egg protocol in previous trials. Another
historically, yet mistakenly been pegged as a food to either
veiled benefit mentioned in a review by Hernandez is the ability
minimize or avoid altogether.
of increased egg intake in addition to promoting the formation of
large LDL, is the shifting of the LDL pattern B to the less • Epidemiological evidence is mixed, but the majority of it
atherogenic pattern A.29 does not support the hypothesis that increased egg or
cholesterol consumption increases the risk for cardiovascular
Omega-3 eggs: an expensive attempt to improve nature? disease. Some of it even correlates a higher risk of heart
disease with lower cholesterol consumption.
Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 4 
• Recent research has credited the cholesterol content of the 1. Kovacs-Nolan J, et al. Advances in the value of eggs and
egg as being inherently beneficial since it allows the egg components for human health. J Agric Food Chem.
production of HDL-C. 2005 Nov 2;53(22):8421-31. [Medline]
• Whole egg consumption can raise total cholesterol, but it 2. Carlson SE, et al. Lower incidence of necrotizing
does not negatively alter the ratio of HDL-C to LDL-C. enterocolitis in infants fed a preterm formula with egg
Furthermore, it does not increase the LDL-C subtypes phospholipids. Pediatr Res. 1998 Oct;44(4):491-8.
considered to be atherogenic (artery-clogging). [Medline]
• The majority of controlled trials on the whole egg 3. Goodrow EF, et al. Consumption of one egg per day
consumption find either neutral or beneficial changes in increases serum lutein and zeaxanthin concentrations in
blood lipid profiles. older adults without altering serum lipid and lipoprotein
• Recent research found eggs to reduce markers of cholesterol concentrations. J Nutr. 2006 Oct;136(10):2519-
inflammation under hypocaloric conditions, thus proving to 24. [Medline]
actually have cardioprotective properties. 4. Wenzel AJ, et al. A 12-wk egg intervention increases serum
• Although increases in dietary cholesterol can produce small zeaxanthin and macular pigment optical density in women. J
increases in blood cholesterol, the link between increased Nutr. 2006 Oct;136(10):2568-73. [Medline]
blood cholesterol and cardiovascular risk is far from clearly 5. Krinsky NI, et al. Biologic mechanisms of the protective
established. It’s an outdated hypothesis that does not have a role of lutein and zeaxanthin in the eye. Annu Rev Nutr.
consistent base of evidence. 2003;23:171-201. [Medline]
• Hyperresponders (those whose blood cholesterol increases to 6. American Heart Association (online). Know your fats. April
a greater degree as a result of increases in dietary cholesterol) 2008. [AHA]
show blood elevations of enzymes that deal with elevated 7. Page IH, et al. Dietary Fat and Its Relation to Heart Attacks
cholesterol through non-atherogenic means. and Strokes. Circulation. 1961;23:133-136. [Circulation]
8. Kritchevsky SB. A review of scientific research and
• Fortifying eggs with n-3 fatty acids has been demonstrated to
recommendations regarding eggs. J Am Coll Nutr. 2004
increase n-3 levels in tissues, and lower plasma
Dec;23(6 Suppl):596S-600S. [Medline]
triacylglycerol.
9. Kritchevsky SB, Kritchevsky D. Egg consumption and
• However remote or insignificant it might be, increasing the
coronary heart disease: an epidemiologic overview. J Am
proportion of long-chain PUFA in “designer eggs” has the
Coll Nutr. 2000 Oct;19(5 Suppl):549S-555S. [Medline]
potential drawback of a greater formation of harmful
10. McNamara DJ. The impact of egg limitations on coronary
oxidation products from cooking.
heart disease risk: do the numbers add up? J Am Coll Nutr.
2000 Oct;19(5 Suppl):540S-548S. [Medline]
11. McNamara DJ. Dietary cholesterol and atherosclerosis.
APPLICATION Biochim Biophys Acta. 2000 Dec 15;1529(1-3):310-20.
Since neither the bulk of the epidemiological nor the [Medline]
experimental research supports the hypothesis that whole 12. Kratz M. Dietary cholesterol, atherosclerosis and coronary
eggs are cardiovascular threats, they may be eaten freely heart disease. Handb Exp Pharmacol. 2005;(170):195-213.
within the confines of the diet’s macronutrient targets. For [Medline]
example, while eating a dozen eggs in one sitting is not an 13. Okayama A, et al. Changes in total serum cholesterol and
inherently “bad” thing to do, it might fulfill your entire fat other risk factors for cardiovascular disease in Japan 1980-
allotment for the day, and any more fat on top of that will 1989. Int J Epidemiol. 1993 Dec;22(6):1038-47. [Medline]
contribute to an excessive caloric surplus. As long as they 14. Hu FB, et al. A prospective study of egg consumption and
fit in the daily macronutrient target, actual amount of eggs risk of cardiovascular disease in men and women. JAMA.
consumed should be left to individual preference – keeping 1999 Apr 21;281(15):1387-94. [Medline]
in mind that the average-size whole egg contains roughly 6 15. Nakamura Y, et al. Egg consumption, serum total
grams of protein and 5 grams of fat. Since fat consumption cholesterol concentrations and coronary heart disease
occurs from several different sources per day, it simply incidence: Japan Public Health Center-based prospective
wouldn’t be practical in most cases to exceed an upper study. Br J Nutr. 2006 Nov;96(5):921-8. [Medline]
range of 4-6 eggs per day unless caloric demands are 16. Qureshi AI, et al. Regular egg consumption does not
exceptionally high. increase the risk of stroke and cardiovascular diseases. Med
A word about research funding source Sci Monit. 2007 Jan;13(1):CR1-8. [Medline]
17. Djoussé L, Gaziano JM. Egg consumption and risk of heart
The majority of egg research is funded by the egg industry. failure in the Physicians' Health Study. Circulation. 2008
As such, it’s no surprise that eggs can come off as some Jan 29;117(4):512-6. [Medline]
sort of a “superfood”, which is not the case. They’re simply 18. Djoussé L, Gaziano JM. Egg consumption in relation to
a viable, non-threatening option for those seeking a high- cardiovascular disease and mortality: the Physicians' Health
quality balanced source of protein and fat. Regardless of Study. Am J Clin Nutr. 2008 Apr;87(4):964-9. [Medline]
potential sponsorship bias, eggs and cholesterol intake have 19. Eckel RH. Egg consumption in relation to cardiovascular
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Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 6 
provide or specifically define the “free day” in order to minimize
variation across individuals. Those who are familiar with EAS
Moderate protein intake improves total and regional and the Body-for-Life program would immediately recognize the
body composition and insulin sensitivity in overweight exercise protocol, as well as the dietary protocol of 3 protein-
adults. rich meal replacement products plus 3 “real food” meals. As
mentioned by the authors themselves, questions remain about
Arciero PJ, et al. Metabolism. 2008 Jun;57(6):757-65. [Medline] whether this 6 meals/day frequency is “applicable to free living
PURPOSE: To test the hypothesis that moderate protein intake conditions.” In other words, 6 meals per day might be a pain in
(~25% of energy intake) would elicit similar benefits on body the ass for many dieters to sustain long-term.
composition and metabolic profile as high protein intake. Comment/application.
METHODS: 24 overweight/obese men and women (BMI =
32.2, %BF = 37.3) were randomly assigned to one of 3 groups Here are the key nutritional variables of exercising groups at
for a 3-month nutrition/exercise training intervention: (1) high- baseline and at the end of the trial, including the degree of
protein diet (~40% of energy intake) and combined high- change:
intensity resistance and cardiovascular training (HPEx), (2)
moderate-protein diet (~25% of energy intake) and combined Variable High-Protein Moderate-Protein
high-intensity resistance and cardiovascular training (MPEx), or Pre Post Change Pre Post Change
(3) high-protein diet only (HPNx). Total and regional body
composition (via DEXA), insulin sensitivity, insulin-like growth Kcals 2180 1855 -15% 2043 1890 -7%
factor-1 (IGF-1), IGF binding protein-1 (IGFBP-1), IGF binding Protein (g) 80.2 187.0 +137% 86.8 109.8 +31.1%
protein-3 (IGFBP-3), and blood lipids were measured. Carbohydrate (g) 266.2 113.5 -56.8% 242.6 183.1 -19.3%
RESULTS: All groups had similar losses of body weight, BMI, Fat (g) 85.6 59.6 -26.5% 80.3 53.0 -16.6
and total and abdominal %BF, and similar improvements in
insulin sensitivity and leptin levels. HPEx had decreases in total Since there were no significant differences between the
cholesterol (TC) and triacylglycerol, and increases in IGF-1 and exercising groups regarding body composition and insulin
IGFBP-1. MPEx decreased TC, whereas the HPNx group had sensitivity. This serves to illustrate a point I often make that
increases in high-density lipoprotein cholesterol (HDL-C), ratio exercise is the great equalizer. In other words, with a sufficient
of TC:HDL-C, IGF-1, and IGFBP-1. CONCLUSION: exercise program in place, dietary differences tend to make less
Moderate protein intake elicits similar benefits in body of an impact on body composition. This is especially the case
composition and insulin sensitivity as a high-protein diet. These when protein intake is sufficient across the groups. But as you
findings. SPONSORSHIP: Abbott Laboratories, EAS division. can see in the above chart, this “equalizing” effect can also occur
when protein intake is low-balled (as in the case of the
Study strengths
moderate-protein group at 109.8g/d). I found it interesting that
It’s always nice to see DEXA (the ‘gold standard’) used for this group not only kept its lean mass despite the lower protein
assessing body composition. Time of assessment was intake, but it actually appeared to gain a bit of lean weight (+0.2
normalized (after a 12-hr fast), as was the restriction of alcohol, kg) while the high-protein group lost a bit of it (-0.1 kg). This
caffeine, and exercise 48 hours prior to testing. Another plus was can be attributed to either greater glycogen stores, or inaccurate
the comparison of mixed exercise treatments in addition to the self-reporting.
different dietary treatments. Exercise was supervised by a
certified strength and conditioning specialist and a member of The differences between the exercising groups boiled down to
the research team. Compliance to the exercise protocol was certain aspects of blood lipid profile. Triacylglycerol levels
enforced via daily exercise monitoring and subject-researcher decreased significantly in the high-protein group, but not in the
contact. The exercise protocol contained a higher frequency of moderate-protein group. This is consistent with other research
work than what’s typically seen in research of this type. Six days showing the plasma triacylglycerol-retentive ability of a higher-
total per week consisted of 3 resistance training days (35-40 carbohydrate diet.1 Improvements in cholesterol occurred in both
minutes per session) alternated with 3 high-intensity interval groups, but differed slightly in nature. The high-protein group
cardio (20 minutes per session). Diets were set at 2000 kcals, decreased total cholesterol (TC), while the moderate-protein
making them relevant to populations involved with moderate group displayed a significant reduction in TC to HDL ratio but
rather than extreme calorie reduction. Dietary compliance was no change in TC. This discrepant outcome, once again, is likely
bolstered by weekly meetings with a registered dietitian as well a result of the inaccuracies of self-reported dietary intake.
as daily subject-researcher contact.
The authors conclude that it’s possible to get the same benefits
Study limitations of a high protein (40%) diet on a moderate protein (25%) diet.
The allowance of up to 3 alcoholic beverages and 1 “free day” Given the substantive exercise protocol, this didn’t surprise me.
per week was implemented for the purpose of decreasing However, I am surprised that the study’s sponsor (EAS – a
boredom and improving compliance. However, all this really sports supplement company) didn’t tweak all of the outcomes in
does ultimately is decrease the level of experimental control. A favor of the high-protein group, since this would benefit protein
better move would have been to either fix (absolutely or supplement sales. Either there still is a shred of integrity in
proportionately) the allotment of alcoholic beverages, and either science, or they’re working on a carb supplement.

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 7 
Effects of dietary protein content on IGF-I, Comment/application
testosterone, and body composition during eight days
severe energy deficit and arduous physical activity. Here are the body composition changes from the two levels of
insufficient protein intake over 8 days in a severe deficit:
Alemany JA, et al. J Appl Physiol. 2008 May 1. [Epub ahead of
print] [Medline] Variable 0.8g/kg 0.5g/kg
Pre Post Pre Post
PURPOSE: To determine the effects of two levels of dietary Total mass (kg) 83.0 79.0 81.6 79.5
protein content and its effects on IGF-I, androgens, and losses of Fat-free mass (kg) 69.2 67.5 69.1 67.8
fat free mass accompanying energy deficit. METHODS: 34 Fat mass (kg) 13.9 12.5 12.5 11.0
men (24 yrs old, 180.1 cm, 83.0 kg) underwent an 8-day military Bodyfat % 16.6 15.3 15.1 13.3
exercise characterized by high energy expenditure (16.5 MJ/d;
3940.9 kcal), low energy intake (6.5 MJ/d; 1552.5 kcal), and
Given that both groups consumed the same amount of total
sleep deprivation (4 h/24 h) were divided into two groups of 0.9
calories (1552.5 kcal) with the only difference being protein
g/kg or 0.5 g/kg dietary protein. IGF-I system analytes,
intake (82g/day or 38g/day), these results are intriguing indeed.
androgens and body composition were assessed throughout the
Although the differences in body composition change didn’t
intervention. RESULTS: Total, free and non-ternary IGF-I as
rech statistical significance, the lower protein group lost a touch
well as testosterone declined 50%, 64%, 55% and 45%,
less lean mass (0.4 kg), and also lost a smidge more fat mass
respectively, with similar reductions both groups, except that
(0.1 kg). Comparing those numbers at their absolute value, the
there was a diet x time interaction on day 8 for total IGF-I and
lower protein group actually had a more favorable outcome.
sex-hormone binding globulin. Decreases in body mass (3.2 kg),
That’s pretty weird. This indicates that below a certain level of
fat-free mass (1.2 kg), fat mass (2.0 kg) and & body fat (1.5 %)
insufficient protein intake, there appears to be no further
were similar in both groups. CONCLUSION: Protein intake of
detriment, much like it might be in the opposite context. That is
0.5 or 0.9 g/kg had minimal effects in attenuating the decline in
to say, above a certain level sufficient protein intake, there’s no
the IGF-I and androgenic systems and fat-free mass during eight
further benefit.
days of negative energy balance associated with high energy
expenditure and low energy intake SPONSORSHIP: Army
Another interesting finding was that there was very little
Medical Research and Materiel [that’s the actual spelling]
difference in the effect of the two protein treatments on
Command
bioavailable IGF-I, since presumably the higher protein
Study strengths treatment would have had at least a little preventive effect, but it
didn’t. The authors presume that the energy deficit of 2149.6
The general concept here is interesting, and it was a reality- kcal/day was too massive to allow for any preventive effects of
based progression; the study occurred during the U.S. Marine the increased protein intake compared to the low intake.
Corps Infantry Officer Candidate (IOC) 17 school eight-day
military field exercise in Quantico, VA. It’s basically the One thing that the higher protein intake did effect was sex
assessment of a catabolic blitz that would closely mimic certain hormone binding globulin (SHBG). SHBG levels increased 23%
periods of military combat characterized by the deprivation of above baseline levels in the higher protein group, but increased
sleep and food under a massive energy expenditure. The low 66% above baseline in the lower protein group. The significance
protein amounts were purposely chosen to reflect the protein here is that SHBG controls the majority of the pool of
content in MREs (meals ready to eat) currently available to the testosterone in circulation. Thus, when SHBG is suppressed,
military, which typically provide less than 0.9g/kg/day. Body more testosterone is available for use by the body. Inspite of the
composition was assessed by DEXA. An actigraph as well as blunting of SHBG by the higher protein treatment, no significant
doubly-labeled water was used to objectively assess physical differences were seen in free testosterone levels between the
activity. All food was prepackaged and provided by the lab. groups. Once again, there seems to be a threshold of nutrient or
calorie-mediated sufficiency that simply was not met.
Study limitations
A disturbing fact mentioned by the authors was the protein
Since this intervention has the characteristics of a matter-of-fact amounts in several of the MRE menus available to the military
case observation, the only real limitation was the absence of a personnel. Specifically, 7 of the MRE menus contained an
genuinely adequate or high-protein group. Ideally, this group average of 32 g protein while seven other menus contained an
would consume at least in the neighborhood of 2.0g/day, which average of 53 g protein. This means that the population with the
is within the range considered not just protective, but capable of most critical need for utmost physical performance is subsisting
improving anabolism and other training adaptations.2 Perhaps in the dark ages of the RDA and below. That’s a sad state of
this wasn’t necessarily the point of the study, but it might current affairs, but it provides an excellent opportunity for
certainly help in the campaign for better-designed MREs. protein supplement and prepackaged food manufacturers to
Another minor limitation was the short length of the study, but spearhead a market in desperate need of re-designing their
the extreme rigorousness of the protocol might understandably MREs for the troops. My guess is that trials like this will serve
be self-limiting. For example, one of the participants in the as a step in the right direction. GET THEM BOYS SOME
original sample didn’t complete the trial due to injury. DAMN PROTEIN & CALORIES!
Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 8 
Effect of Preexercise Meals With Different Glycemic First off, let’s clear up some definitions. GI is a measure of a
Indices and Loads on Metabolic Responses and fixed amount of carbohydrate’s ability to raise blood glucose,
Endurance Running expressed as the glucose “area under the curve” (AUC) in the
post-ingestion period typically spanning a couple of hours. GL is
Chen YJ, et al. IJSNEM. 2008:(18):281-300. [IJSNEM] a more recent classification system that takes into account the
PURPOSE: To examine the effect of ingesting 3 isocaloric amount of carbohydrate per serving. GL takes GI a step further
meals (roughly 630 kcals each) with different glycemic indices by indicating a food’s carbohydrate concentration in addition to
(GI) and glycemic loads (GL) 2 hr before exercise on metabolic the glycemic response of the carbohydrates it contains.
responses and endurance running performance. METHODS: However, the bottom-line clinical value of GL, much like GI, is
Eight male runners completed 3 trials in a randomized order, highly questionable. A prime example of the insignificance of
separated by at least 7 days. Carbohydrate (CHO) content (%), GI and GL is their effect on body composition. In perhaps the
GI, and GL were, respectively, 66%, 79, and 82 for the high- most tightly controlled trial on this subject, Das et al compared
GI/high-GL meal (H-H); 66%, 40, and 42 for the low-GI/low- effects of 2 macronutrient patterns with different GL on
GL meal (L-L); and 36%, 78, and 44 for the high-GI/low-GL adherence to calorie restriction, weight and fat loss, and related
meal (H-L). Each trial consisted of a 1-hr run at 70% VO 2max , variables.3 No differences in the changes in energy intake, body
followed by a 10-km performance run. RESULTS: Low-GL weight, body fat, and resting metabolic rate were seen between
diets (H-L and L-L) were found to induce smaller metabolic groups.
changes during the postprandial period and during exercise, Back to the present study... The 3 experimental whole-food
which were characterized by a lower CHO oxidation in the 2 meals were consumed 2 hours prior to the exercise trials. The
trials (p < .05) and a concomitant, higher glycerol and free-fatty- high-GI/high-GL and low-GI/low-GL both had 66%
acid concentration in the H-L trial (p < .05). There was no carbohydrate, 15% protein, and 20% fat. The high-GI/low-GL
difference, however, in time to complete the preloaded 10-km had 36% carbohydrate, 15% protein, and 49% fat, a breakdown
performance run between trials. CONCLUSION: This suggests achieved mainly by increasing the corn oil and reducing the
that the GL of the preexercise meal has an important role in portion of carbohydrate. Unsurprisingly, stomach distress was
determining subsequent metabolic responses. SPONSORSHIP: reported in the later stage of the 10 km performance trial in the
None listed. high-GI/low-GL group. Gastric disturbance has been seen in
Study strengths other research when medium-chain triacylglycerol was used pre-
and during exercise.4 It’s likely that the delayed gastric emptying
To control dietary intake prior to each main trial, the participants via the high fat content was the culprit. Nevertheless, no
completed 3-day weighed food records that were analyzed via performance differences were seen in the present study. An
nutritional software. The treatment variations were thoroughly unexpected finding to the authors was a lack of difference in
executed (no permutation was left out). The procedure was substrate oxidation. To quote the text,
relatively cut-and-dried with little room to mess things up. This “This might be the most interesting finding of the current study:
study is the first one yet to directly examine the effect of Despite the big difference in micronutrients in the two equally
glycemic load (GL) of the pre-exercise meal on endurance low-GL meals (L-L and H-L), achieved by changing either the
exercise performance. GI or the amount of the CHO by replacing CHO with fat, they
both produced similar fat oxidation during exercise.”
Study limitations
The authors don’t speculate over a possible mechanism for this,
Sample size was small (8 subjects), and they were described as but instead mention previous research by that showed similar
healthy volunteers. This means that they weren’t necessarily effects.5 This effect reminds me of work by Febbraio et al, who
trained athletes. It’s generally more meaningful in these types of saw no difference in fat oxidation during exercise between fasted
trials to use highly trained subjects, since newbies tend to be and carbohydrate-fed subjects.6
more responsive to variations in protocol. One of the unknown
yet critical aspects of this trial was an absence of muscle An interesting issue raised by the authors of the present trial is
glycogen status measurements preceding the tests. Other missing the controversial nature of GL. Currently, GL is not a recognized
data were glucose kinetics during exercise. Thus, it’s impossible index by any major professional or governmental entity in the
to be certain whether or not variations in glycogen status might world. It might remain this way, since GL is based partially on
have influenced the outcomes in this study. GI, which has its own set of problems. A memorable point made
by Pi-Sunyer in a nearly decade-old review is that a great
Comment/Application number of factors can affect the reproducibility (and thus
reliability) of GI values.7 An abbreviated list of factors include
Historically, various carbohydrate manipulations have been ripeness of fruit, physical form of food, variability within food
made in attempts to maximize endurance capacity, as well as classes, processing, preparation, and previous meal influence. As
exercise performance. Glycemic index (GI), has thus far the I mentioned previously, the manipulation of pre-exercise GI has
longest history of research in this vein. As the authors of the an inconsistent track record, with most of the data in favor of
present study point out, the majority of research shows that pre- abandoning the idea that it makes any difference. This trial is yet
exercise meal GI manipulation doesn’t make a difference in another one to add to the list, except you can also include the
performance. Untapped ground, however, is the effect of GL. possibility that GL might not matter either.

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 9 
and glucose disposal did not impede the rate of glycogen
resynthesis in the leg after exercise8
High rates of muscle glycogen resynthesis after Comment/Application
exhaustive exercise when carbohydrate is co-ingested One thing I found to be an odd recurring theme throughout this
with caffeine. paper was the mentioning of caffeine having a negative effect on
glucose metabolism. This is qualified somewhat by mentioning
Pedersen DJ, et al. J Appl Physiol. 2008 May 8. [Epub ahead of that this occurs in the resting state rather than the trained state.
print] [Medline] The potential extrapolation here is that caffeine poses some sort
PURPOSE: To determine the effects of the co-ingestion of of threat to those with compromised glucose metabolisms and
caffeine with carbohydrate on rates of muscle glycogen should be avoided. However, here’s the catch: caffeine has been
resynthesis during recovery from exhaustive exercise. seen to acutely impair insulin sensitivity and glucose tolerance,
METHODS: 7 trained subjects completed 2 experimental trials but chronic studies show a decreased risk for diabetes in
in a randomized, double-blind crossover design. Prior to testing, caffeinated coffee drinkers.9 A recent trial by Battram et al found
subjects performed exhaustive cycling and consumed a low- a potential explanation for this disparity.10 They found that
carbohydrate diet. The following morning subjects reported to chronic coffee intake did not result in the same impairment of
the lab and rode until volitional fatigue. Upon completion, glucose tolerance as isolated caffeine. It was speculated that the
subjects consumed either carbohydrate (CHO; 4g/kg) or additional biological compounds in coffee (chlorogens and
carbohydrate + caffeine (CAFF, 8mg/kg) during 4 h of passive quinides) in large part neutralize any adverse effect on resting
recovery. Muscle and blood samples were taken throughout glucose metabolism that isolated caffeine might cause.
recovery. RESULTS: Muscle glycogen levels were similar at
exhaustion and increased by a similar amount after 1 h of Back to our study... The subjects were endurance-trained cyclists
recovery. After 4 h of recovery CAFF resulted in higher and triathletes. Miraculously, they weren’t habitual caffeine
glycogen accumulation (313 vs. 234 mmol/kg d.w). The overall users (most recreational and competitive endurance athletes I
rate of resynthesis for the 4 h recovery period was 66% higher in know live on the stuff). The non-use of caffeine-containing
CAFF compared to CHO (57.7 vs. 38.0 mmol/kg). foods/products by the subjects is both a good and a bad thing;
Phosphorylation of CAMKThr286 was similar post-exercise and good in the sense that we get to isolate the effect of a novel
after 1 h of recovery but after 4 h CAMKThr286 substance, but bad in the sense that we don’t get to see whether
phosphorylation was higher in CAFF than CHO. or not these effects are diminished in regular users who comprise
Phosphorylation of AMPKThr172 and AktSer473 was similar a large proportion of the endurance athlete population.
for both treatments at all time points. CONCLUSION: In
trained subjects, coingestion of large amounts of caffeine with Carbohydrate dosing was a total of 4g/kg by the end of the 4-
carbohydrate has an additive effect on rates on post-exercise hour recovery period. This dosing scheme towards the
muscle glycogen accumulation compared to carbohydrate alone. conservative side, since a maximal rate of glycogen resynthesis
SPONSORSHIP: GlaxoSmithKline (U.K.) has been fairly well established in the neighborhood of 1.0-
1.85g/kg/hr11 The carbohydrate consumed was in the form of
Study strengths sports bars, gels, and sports drinks. Interestingly, a record-setting
rate of glycogen resynthesis was achieved without the use of
Subjects were trained, so this removes the beginner/newbie ‘special’ carbohydrate sources such as waxy maize starch.
effect of anything working beyond nothing. Diet and exercise
records were used to standardize food intake and physical Caffeine dosing was 8mg/kg immediately post-depletion, and
activity for 48 hours prior to testing. All diets were constructed then a 2nd time 2 hours afterward. This dose is higher than that
by a dietitian, and were individualized to the body mass of each used in similar research, which averages roughly a single dose of
subject. All food and drinks were pre-packaged and supplied by 5mg/kg. As mentioned by the authors, questions remain as to
the lab. This trial gets minor innovation points for being the first how comparatively effective a lower dose would be. All said, the
to test post-glycogen depletion caffeine dosing. Finally, present study generated the highest overall rate of glycogen
something I’m beginning to appreciate is when authors explicitly synthesis (60 mmol/kg) thus seen in orally administered
report what they feel are the limitations of the research they conditions in humans, with the second highest range being
conducted. This is coming up next, along with some other roughly 40-45 mmol/kg. Several signalling proteins were
limitations I spot. measured in attempt to pinpoint a possible mechanism for the
increased rate of glycogenesis, and only the phosphorylation of
Study limitations CAMKThr286 was higher as result of the caffeine treatment.
As mentioned by the authors, this trial lacked the measurement However, additional biopsies would be necessary to determine
of glycogen synthase (GS) levels. However, this is a minor whether this can be linked to increased glucose transport
limitation since measuring the actual concentration of signalling. Future research on post-depletion coffee intake
resynthesized glycogen makes GS measurement somewhat (versus isolated caffeine) would very interesting to see.
trivial and redundant. Furthermore, GS might not be the most
accurate indicator of glycogenic potential in the first place. In
research by Thong et al, a caffeine-induced suppression of GS

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 10 
Comment/application

Effects of resistance vs. aerobic training combined with This is one of the most commonly cited trials in support of the
idea that it’s in fact possible to gain muscle under a caloric
an 800 calorie liquid diet on lean body mass and resting
deficit. And in this case, it was quite a severe caloric deficit,
metabolic rate. since the participants were training in addition to consuming a
Bryner RW, et al. J Am Coll Nutr. 1999 Apr;18(2):115-21. mere 800 calories per day. However, it’s critically important to
[Medline] remember that these subjects are unconditioned and overweight.
These characteristics lend themselves to a simultaneous muscle
PURPOSE: To examine the effect of intensive, high volume gain and fat loss to a much higher magnitude than what would
resistance training combined with a very-low-calorie diet occur in lean, highly conditioned subjects – who are more prone
(VLCD) on these parameters. METHODS: Twenty subjects (17 to muscle loss exclusively under the present conditions.
women, three men), mean age 38 years, were randomly assigned
to either standard treatment control plus diet (C+D), or The macronutrient breakdown of was 80 g protein, 98 g
resistance exercise plus diet (R+D). Both groups consumed 800 carbohydrate, and 10 g fat. At baseline, the bodyweight of the
kcal/day liquid formula diets for 12 weeks. C+D exercised 1 subjects in both groups averaged 97.7 kg, which set their protein
hour, 4 days/week by walking, biking or stair climbing. R+D intake at roughly 1.2g/kg. While this amount exceeds the RDA
performed resistance training 3 days/week at 10 stations of 0.8g/kg, it still barely makes it into the range recommended
increasing from two sets of 8 to 15 repetitions to four sets of 8 to for athletes and individuals involved in an exercise program,
15 repetitions by 12 weeks. Groups were similar at baseline with which according to whose philosophy in the literature you want
respect to weight, body composition, aerobic capacity, and to believe, is a range of 1.2-2.0g/kg.12,13 Keep in mind, with this
resting metabolic rate. RESULTS: Maximum oxygen protein recommendation, it’s assumed that total calories are
sufficient. In the present trial, subjects were severely
consumption (VO2max) increased significantly but equally in
both groups. Body weight decreased significantly more in C+D hypocaloric, which astounds me that any of the groups held on
than R+D. The C+D group lost a significant amount of LBW (51 to its lean mass. But according to the instruments used, this
indeed was the case. The aerobic group lost 4 kg lean mass
to 47 kg). No decrease in LBW was observed in R+D. In
addition, R+D had an increase in RMR. The 24 hour RMR while the resistance group’s loss was too small to reach
decreased in the C+D group. CONCLUSION: The addition of statistical significance. By the trial’s end, the resistance group
lost 1.2% more body fat than the aerobic group. Would DEXA
an intensive, high volume resistance training program resulted in
preservation of LBW and RMR during weight loss with a readings be different? We can only speculate.
VLCD. SPONSORSHIP: None listed. Perhaps the most clinically significant finding of this study was
a 4% increase in resting metabolic rate (RMR) in the resistance
Study strengths group while the aerobic group’s RMR dropped 13.4%. An
Hydrostatic weighing (hydrodensitiometry) was used to assess interesting outcome is that the resistance group lost less total
body composition. This is generally regarded as reliable and bodyweight due to the retention of lean mass – and this
valid, with a small notch up being DEXA – a method that’s happened despite having a similar energy output as the aerobic
much more common in studies conducted within the past few group. It’s tempting to assume that at least a subset of the
years. It seems the standard of accuracy is steadily but surely resistance group expended more energy than the aerobic controls
being raised, since I’m seeing hydrodensitiometry being used due to the continual progression of load and training intensity.
less and less in the literature. In my observations, however, One of the most useful aspects of this study is that it gives us
hydrodensitiometry has been more reliable than bioimpedance some reference data for judging the relative speed and
analysis (BIA). Diet was strictly controlled by virtue of being effectiveness of a given crash fat/weight loss program compared
liquid formulas provided by the lab. Meals were administered in to what’s been observed under controlled conditions in research.
bulk once per week at the meetings with an investigator, and Here are the 12-week stats:
compliance was questioned whenever less than 2 lbs per week
was lost. Self-reported dietary compliance was reported by the Variable Aerobic Training Resistance Training
investigators as “excellent”.
Pre Post Change Pre Post Change
Study limitations Total mass (kg) 93.8 75.7 -18.1 97.7 83.3 -14.4
The aerobic training protocol was somewhat nebulous; it didn’t Lean mass (kg) 51.4 47.3 -4.1 51.6 50.8 -0.8
have clearly-defined parameters as did the resistance training Fat mass (kg) 40.8 28.0 -12.8 44.9 30.4 -14.5
Body fat % 44.5 37.1 -7.4 46.2 37.6 -8.6
protocol. The aerobic group did 4 days per week of walking,
biking, or stair climbing. Duration began at 20 minutes per day
and increased 10 minutes per day every week, until each session This trial doesn’t necessarily have a “moral to the story”, mainly
was 50 to 60 minutes. This program was described as self-paced, because the protocol was too extreme to apply to most free-
and as such, specific intensity parameters were not met. As a finl living non-medically supervised populations. If there’s anything
nit-pick, the number of women exceeded the men by more than solid to glean from this data, it’s that resistance/strength training
5 to 1, opening up the possibility for the outcomes to have sex- – rather than aerobic training – should comprise the bulk of the
specific bias. training in a severe caloric deficit.

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 11 
later turned pro at a different show; my first show really stuck
with me, I can never get that feeling out of my head and my
heart of the way it felt to hoist that trophy for the first time, and
The Wisdom of Layne Norton By Alan Aragon the first sensation I ever got from being onstage. Nothing
compares to it. Overall though, I am most proud of the way I've
been able to integrate competitive bodybuilding into my daily
life. I enjoy bodybuilding but I don't let it prevent me from
enjoying my life like I see it do to so many others.

AA: What are the biggest precontest training and dieting


mistakes you've made in the past?

Not giving oneself enough time to get lean. I see too many
people who are not honest with themselves about their bodyfat
level and think they can get shredded in 12 weeks when it's
obvious they have around 40 lbs to lose.

Going on extreme diets. Super high protein (>400g) with the


notion that protein cannot be stored as fat, or going super super
super low carb with the belief that all carbs are evil. Honestly,
any type of extreme diet is usually not a good idea.

Cutting water. This could possibly be #1. People think that water
is what causes you to retain water. This is nonsense, the more
Layne is a natural pro bodybuilder who (amazingly enough) is water you drink, the more your body expels. Your body
interested in the science behind bodybuilding. He’s currently regulates water balance by the MINUTE. The notion that you
working on his PhD at the University of Illinois, specializing in can cut water out days in advance and trick your body is
skeletal muscle protein metabolism. I specifically sought him out nonsense. People cut water totally out and then they wonder why
for this interview because for one thing, I knew that he’d be kind they can't fill out or get a pump on contest day and always look
enough to take the time to do it (he doesn’t have a big ego yet), better the day after the show. You can carb up all you want, but
and secondly, Layne is one of those guys that many of us would if you don't drink water, the muscle cells will simply not fill out,
model our work ethic after if we had enough nerve. He’s one period. Additionally, depriving the body of water will reduce the
heck of an overachiever who has accomplished quite a bit for amount of carbs that the muscle cells can store as there will not
being only in his mid-20’s. Perhaps most importantly, Layne be enough solute to retain them in the muscle cells. The reason
recognizes the value of science and research, and is destined to you always hear competitors say “I looked better the next day” is
be cited many times over by secondary sources like myself. because they drink a bunch of water after their show is done and
finally fill out. All my clients tell me they look like crap the day
AA: How did you get interested in bodybuilding, and who after the show... that's because they kept water in on contest day
are your main mentors/influences? and filled out & peaked properly.
LN: I started lifting in high school because, quite frankly, I was
picked on by my peers and didn't get much attention from girls. AA: Give us a workday in the life of Layne Norton.
Over the years I grew to love lifting for the sake of pushing
myself and trying to ascend to the next level. Once I got to 7:00am-7:15- wake up and grab a shower while starting
college, I decided it was time to take it to the next level & breakfast
compete. I always read magazines like FLEX and looked up to 7:15-8:15- eat breakfast while answering emails
the guys in there, but somehow I never could relate them to 8:15-8:30- walk dog
myself. Then I started reading about natural bodybuilding and 8:30-8:45- prep food & pack bags for lab/school
guys like Dave Goodin and Dr. Joe Klemczewski. Joe is as 8:45-9:15- catch bus to campus
close to a guru of natural bodybuilding as their is and he really 9:15-4:30pm- work in lab
went out of his way to take me under his wing when I was 4:30-5:00- catch bus back to home
getting into competitive bodybuilding and that made a big 5:00-6:00- eat preworkout meal
difference for me. Now Joe I'm proud to call Joe a friend of 6:00-8:00- workout
mine. 8:00-8:30 fix dinner & shower
8:30-9:30-eat dinner with Isabel and catch a show on TV
AA: What are your proudest personal or career 9:30-11:30- answer emails and work on anything I brought home
accomplishments? from lab
11:30-12:00am walk dog & prepare meals for following day
In terms of competing I am probably most proud of my very first 12:00- sleep
contest win at the 2001 INBF Mid America Muscle Classic. I
won the teen class and the men's novice tall class. Although I

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 12 
AA: What are your biggest rants about any aspect of the • 5g creatine monohydrate post workout
fitness & bodybuilding industry? • 3-4g beta-alanine per day
• Citrulline malate (this is in Xtend so I do not add extra)
It's such an extreme industry filed with people who fly off one • 3 fish oil caps per day
handle or the other on extremes. Moreso than any industry it is • 300mg lipoic acid post workout
filled with 'guru's' most of which couldn't find their ass if their
• 1000mg glucosamine per day
finger was stuck up it, yet people blindly follow them around
• Multivitamin
without thinking for themselves.

AA: What are the biggest challenges you personally face in During cutting phases I will add:
the field of scientific research? • Sesamin: 3 caps/day
• Scivation Dialene 4: 3 caps 3x/day
Timing is always difficult. Many of the assays I run can take up
to several days including incubation periods, so making sure I AA: Any general or specific words of wisdom to those
time everything properly can be difficult. Research in general is considering competitive bodybuilding?
very difficult. Sometimes you will work on an experiment or
working up data for an experiment for literally months only to Be patient. Everyone wants to gain 10 lbs of shredded muscle in
find out the experiment didn't work or their was something 2 weeks but it just takes time to put on quality muscle. Be
flawed with it and you have to go back and re-do it or start from consistent with your diet and training and things will fall into
scratch. There is no "E" for effort. Either you get results or you place. Even if you only gain 5-10 lbs of muscle in a year, that is
don't. good progress, it may not sound like much but think of it this
AA: What's your take on precontest cardio in terms of way; go to the supermarket and look at 5 lbs of beef. THAT'S A
intensity, frequency & duration? WHOLE LOT OF TISSUE! Think about slapping that on
yourself... that's a lot of muscle. Always remember that it is very
Like everything else it really depends on the individual. For hard work and that no one really cares about excuses in the end.
people who specifically have difficulty losing fat from their legs Everyone has their own challenges when competing, no one
or abdominal region I really recommend more high intensity wants to hear a sob story, get it done or don't get it done. Just
cardio. High intensity cardio will activate the sympathetic remember, if you want to win, you need to ask yourself: am I
nervous system to a greater extent than steady state cardio and working harder than the person I'll be standing next to onstage?
will help target the receptors largely responsible for initiating
lipolysis in adipose. Additionally, high intensity cardio will also AA: Any personal or career goals you're currently pursuing
increase mitochondrial density and activity of the area being that you’d like to share?
worked. Mitochondria are the organelles of the cell responsible
for energy production and this includes fat oxidation. So Right now I'm one week out from marrying the love of my life,
increasing the number and activity of the mitochondria will give my longtime girlfriend Isabel. Then we take a cruise for our
an individual a greater capacity to oxidize fat. That said I still honeymoon. I've never been on one so I'm really excited. The
think steady state cardio is good to use as well, since doing more week after we get back I'm presenting at the ISSN (International
than 3-4 high intensity sessions per week can make weight Society of Sports Nutrition) symposium as a guest speaker so
training difficult due to soreness and stiffness from high I'm excited about that. Additionally, my first DVD, Layne
intensity sessions. Norton Unleashed will be released shortly after that and I really
think that the people who buy it will get a good combination of
AA: Can give us your typical offseason day's diet & science based advice as well as 'in the trenches' type scenes that
supplement intake as well as your typical precontest diet & every hardcore lifter can relate to. Should be a busy summer, but
supplement intake? You can leave out the drug protocol (just I'm really looking forward to it!
kidding).
Thanks Alan.
My diet during the offseason is a cyclical diet: 4-8 weeks in a -Layne
500 kcal surplus followed by 4-8 weeks in a 500 kcal deficit.
Typically during bulking phases I will eat around 225g protein, AA: Nah man, thank YOU. Congrats on getting married,
400-500g carbohydrates, and 60-70g fat depending upon what and beware of unforeseeable honeymoon injuries.
bodypart I am working on a particular day and how much energy
I expend. During the cutting phases I usually consume 250g [Editor’s note: Layne’s personal website is www.biolayne.com.]
protein, 200-225g carbohydrates, and 50-60g fat. My precontest
diet will look similar to that, though I reduce calories when fat
loss progress slows.

Supplentation in the offseason includes:


• 5g of BCAA (Xtend) between meals and 10g post workout
(total of 25-30g Xtend/day)
Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 13 
The Wisdom of Pauline Nordin By Alan Aragon career accomplishments, as well as your biggest mistakes or
regrets?

Thank you Alan. My biggest career accomplishments are not as


a competitor but as a model and TV personality. I was the
Biggest Loser Show´s Swedish trainer which was a great career
move, and I have made the cover of Ironman Magazine and
lately got 18 pages featured in the HARDBODZ Magazine. As
an athlete I am proud I obtained pro status and went from
Sweden to America to compete as a pro.

AA: I'm sure many of my readers would be curious to know


what your typical workday looks like. That's okay if it's
boring, at least our curiosity will be satisfied.

Wake up at 4 am, drive to Hollywood where I have three clients.


7 am cardio. Drive home in traffic. Computer work (I work as a
journalist too) or photo shoots (as a creative director and some
times as technical advisor), in the afternoon clients, then me
training. Then home, prep for next day. Eat. Sleep. Repeat.

AA: When prepping for a show, how many days a week do


you weight train, and how many days a week do you do
cardio? How much time do you spend on each activity?

I weight train year round 5 days a week. I do cardio year round


10-28 minutes a day for 5-9 sessions per week. This does not
change.

AA: How do your off-season and pre-contest training


regimes differ? Do you have any unique pre-contest training
philosophies that others might benefit from trying?

They don´t change at all. I do the same thing year round. I try to
take some days off at times but it´s hard. I always have one full
day off when I almost cannot make it out of my house. I
recuperate very fast and have a patient work horse body wise! It
It’s safe to say that the above picture of “The Squat Girl” is can take a lot of punishment...
legendary on the internet; it’s one of the most recognizable,
iconic shots online. Little did I know that it would end up in AA: Much ado has been made over bodybuilding-type
AARR as a legitimate example of the hard work of my bodypart split training versus functional or movement plane-
interviewee rather than merely a gratuitous distraction (eat your type training. The two camps seem to love to bash each
heart out T-Nation)! other. What have you found works best for you regarding
training splits?
Enter Pauline Nordin. She has achieved a level of physical
development and refinement that most of our subculture would Since I train too much in general I always work on some
donate a nut or two to get. Initially, I assumed Pauline must be weaknesses that I find out about throughout my training.
pretty well-informed ever since she contacted me about re- Sometimes I feel a knee is starting to tell me something so I then
printing an article of mine. What I came to find out was that incorporate more coordination work or pay more attention to
she’s not only an avid student of the fitness game, but also highly unilateral training. I always prehab with strengthening lower
accomplished professional in several arenas. She’s a trapezius, I do hand stands, I work rotator cuff and work on my
professional figure competitor and AST-sponsored athlete who’s medial gluteus mind/muscle connection so I stop or prevent any
been on several major magazine covers. She also has national injuries. I make sure I don´t train upper body two days in a row
TV exposure, gaining bona fide celebrity status in her original and I have one day dedicated to hamstrings, deadlifts. I am very
home country of Sweden (she’s now a Californian). I’m pleased meticulous and don´t do many sets or reps. Pretty much do 1-6
to have had the chance to pick her brain, so let’s get to it. reps on most exercises and only leg press, hamstring leg curl and
calf raise are machines I use.
AA: Hello Pauline, I’m excited that you agreed to let me
interrogate you for my readership. What are your biggest

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 14 
AA: I know that you stay in great shape year-round. So, my Yes – work hard, be very meticulous and patient. It takes
hunch is that your offseason and pre-contest diet are not time!!!!!
drastically different, although I could be wrong on that.
Could you give us a sample of your off-season day's eating as AA: What are some of your goals - career, or other - that
well as a pre-contest day's meal schedule? you'd like to share with the readers? Any up-coming projects
you'd like to let us in on?
It does not change at all. I never cheat or eat too many calories.
Well, that´s a lie, I have a cheat day about once every six I want to get back on TV but in America this time. I also want to
months... I can count them on one hand since I moved to the US keep on working as a model. I want to write books about fitness
on March 31st, 2006. I don’t have a set diet, but I always have at and keep working my production company Conforce Inc. I am a
least 5 lbs of broccoli coleslaw a day, I eat pink salmon in a multi tasker and right now I am also working on a coffee shop
pouch and lots of egg whites. I don´t eat any starches what so book! I need different project in order to not wear out.
ever. I supplement with fish oil and since I am endorsed by AST
sports science I use most of their products. For instance, the What do you say to guys who try to hit on you at the gym
whey protein VP2. besides, “I'm taken bro, go choke on a dumbbell.”

AA: What are your thoughts on sodium and water I am pretty unapproachable. I don´t talk that much and usually
manipulation in the final days before a show? I feel like this people find me “too serious”. I am at the gym either working or
is where many competitors screw everything up thinking it's working out. So, I send out those signals I am not there to get hit
gonna make all the difference. Is there any strategy you've on.
found works consistently well for you?
AA: Ah, oh well. Thanks very much Pauline, all the best to
This is what I do change before a photo shoot or a contest. I you.
always eat lots of sodium and drink lots of water. Before a shoot
I just stop drinking the very same day and I cut out all additional [Editor’s note: check out this video in order to get a feel for
sodium from mustard and spices the day before the what she really means by an absence of ‘dating’ signals while
shoot/contest. That´s all. I also don´t have the veggies the day she’s in the midst of a workout. Pauline’s personal website is
before since it makes my stomach too full! www.paulinefitness.com. Here’s a link to the page containing
the details of her online personal diet & training consulting. ]
AA: What supplements do you feel have helped you get
contest-ready? I personally feel that they mainly serve as a
motivational/placebo tool whose actual effects on their own
are miniscule. You may have a different opinion on this, and
I'd love to hear about specific compounds (if any) that you
find useful.

I am a BCAA addict. I superdose it. I use about 40 grams a day.


Other than that glutaminaholic and time nutrients around my
training. Pretty much I fast throughout the day like in taking
mini meals and then I eat about 60% of my calories for the day
in the two hours post workout (weights).

AA: This is a touchy subject for some people, but in your


observations, how common is drug use amongst figure
competitors, and do you have any personal philosophies or
opinions about drug use in figure competition?

I am a 100% drug-free athlete myself and always will be. Yes,


there are many competitors that go the druggie road, but I don´t
see a reason why. There is no money in figure in general and if
you screw up your looks it won´t be nice to see after a few years.
I think most people are impatient and want to build a pro body in
one or two years. That does not happen if you stay natural.... It
took me many years before I finally got it in a way I
think is good-looking.

Having achieved a world-class physique, are there any gems


of advice you'd like to give those who have dumpster-class
physique but are intent on changing that?

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 15 
1. Noakes, et al. Effect of an energy-restricted, high-protein,
low-fat diet relative to a conventional high-carbohydrate,
low-fat diet on weight loss, body composition, nutritional
status, and markers of cardiovascular health in obese women.
Am J Clin Nutr. 2005 Jun;81(6):1298-306. [Medline]
2. Campbell B, et al. International Society of Sports Nutrition
position stand: protein and exercise. J Int Soc Sports Nutr,
2007 Sep 26:4:8. [Medline]
3. Das SK, et al. Long-term effects of 2 energy-restricted diets
differing in glycemic load on dietary adherence, body
composition, and metabolism in CALERIE: a 1-y
randomized controlled trial. Am J Clin Nutr. 2007
Apr;85(4):1023-30. [Medline]
4. Jeukendrup AE, Adred S. Fat supplementation, health, and
endurance performance. Nutrition. 2004 Jul-Aug;20(7-
8):678-88. [Medline]
5. Bosher KJ, et al. Effects of different macronutrient
consumption following a resistance-training session on fat
and carbohydrate metabolism. J Strength Cond Res. 2004
May;18(2):212-9. [Medline]
6. Febbraio MA, et al. Effects of carbohydrate ingestion before
and during exercise on glucose kinetics and performance. J
Appl Physiol. 2000 Dec;89(6):2220-6. [Medline]
7. Pi-Sunyer FX. Glycemic index and disease. Am J Clin Nutr.
2002 Jul;76(1):290S-8S. [Medline]
8. Thong et al. Caffeine-induced impairment of insulin action
but not insulin signaling in human skeletal muscle is reduced
by exercise. Diabetes. 2002 Mar;51(3):583-90. [Medline]
9. Greenberg JA, et al. Coffee, diabetes, and weight control.
Am J Clin Nutr. 2006 Oct;84(4):682-93. [Medline]
10. Battram DS, et al. The glucose intolerance induced by
caffeinated coffee ingestion is less pronounced than that due
to alkaloid caffeine in men. J Nutr. 2006 May;136(5):1276-
80. [Medline]
11. Jentjens R, Jeukendrup A. Determinants of postexercise
glycogen synthesis during short-term recovery. Sports Med. Over this past weekend, I lectured at the annual JP Fitness
2003;33(2):117-44. Review. [Medline] Summit in Little Rock, AR. I covered the nutrition section, and
12. Tipton KD, Wolfe RR. Protein and amino acids for athletes. Steve Cotter did an amazing job teaching the class about his
J Sports Sci. 2004 Jan;22(1):65-79. [Medline] approach to training with kettlebells. The unique thing about the
13. Campbell B, et al. International Society of Sports Nutrition JP Fitness Summit is that as intensely interested as everyone is
position stand: protein and exercise. J Int Soc Sports Nutr. in training, they’re just as interested in, um, let’s call it
2007 Sep 26;4:8. [Medline] ‘recovery’. I had a hell of a good time with a great bunch of
folks, and it all culminated in my Youtube debut: a cheesy
karaoke duet. Enjoy this clip – but be warned that it’s NOT for
the faint of heart or weak of spirit.

Thanks once again for getting your wits filled with another
AARR issue. If you have any questions, comments, suggestions,
bones of contention, cheers, jeers, any feedback at all, send it
over to aarrsupport@gmail.com. All suggestions are taken very
seriously. I want to make sure this publication continues to stand
alone in its excellence.

Alan Aragon’s Research Review – June, 2008                                         [Back to Contents]                  Page 16 

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