Category Archives: Endurance

Cycling And Bone Health – Part 2

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Why all cyclists need to ‘hit the Gym’ – part 2

In “Cycling and bone health” we learnt that road cycling is not good for your bones with research showing that bone mineral density (BMD) is compromised over the long-term. This is not good news for those that want to get their training, exercise or racing fix solely from road cycling. One of the questions that I often get asked is, are there any differences between professional road cyclists and the rest of us and do any differences exist between all other cycling disciplines (track vs. road for example) in relation to skeletal health?

Interestingly, elite professional road cyclists have been shown to suffer the same detrimental changes to certain bones of the skeletal system (6). In 1996 the European Spine Journal published a study by Sabo and colleagues (1) that measured BMD of the lumbar spine in internationally top-ranked high-performance athletes of different disciplines – weight lifters, boxers, and endurance-cyclists. The measurements were carried out by dual-energy X-ray absorptiometry, and the results compared with the measurements of 21 age-matched male controls. The BMD of the high-performance weight lifters and boxers were significantly greater (range +17% to +24%) than that in the control group. In stark contrast, the BMD of the lumbar spine in all endurance cyclists was significantly lower than that in the controls (range -8% to -10%).

In a study conducted by Lombardi and co-workers (2012) the effects of bone and energy metabolism parameters in professional cyclists during the 2011 Giro d’Italia 3-week stage race were investigated. In this cycling race, bone metabolism was pushed towards resorption. This is the process by which osteoclasts break down bone and release the minerals, resulting in a transfer of calcium from bone fluid to the blood. What is fascinating about these findings is that it supports the evidence of a strict involvement of bone in the regulation of the energy metabolism (2).

Unlike the reduction in BMD seen in road cyclists, mountain bikers or track cyclists are not afflicted with the same issues. To the contrary, both these cycling disciplines demonstrate no evidence of any detrimental osteogenic changes to skeletal health. Mountain bikers were found in a 2002 paper published in Bone journal to have significantly higher BMD than road cyclists (3). McVeigh and colleagues in 2014 had their findings published in the European Journal of Sports Science. What they found was that Mountain biking – owing to the rougher terrain involved – probably imposes a greater osteogenic stimulus compared to road cycling due to the higher amounts of bone strain largely attributable to greater ground surface-induced loads. The greater resorptive activity seen in road cycling suggests inadequate loading to support bone maintenance with bone loading, muscle size and strength of Mountain biking being superior to Road cycling (4).

Bone health and track cycling
Track sprint cycling

Wilks and others (2009) compared bone measures of sprint- and distance-trained cyclists competing at World Masters Track Championships, along with sedentary controls in their study published in the journal, Medicine and Science in Sports and Exercise. Greater lower leg bone strength was found in the sprinters and to a lesser degree the endurance riders compared with sedentary controls (5).

In conclusion, then, based on a review of the evidence that is available there is now a pressing need for road cyclists at any level or age to supplement their training with some weight-bearing exercise so that bone health is maintained. However, whilst there are many different weight-bearing exercise options available to fulfil these needs I think that the scientific evidence is strongest for the inclusion of adjunctive gym-based, weight training as it seems to provide the most effective stimulus to improve skeletal health. Moreover, there is good evidence to suggest that endurance cycling performance can be improved with the inclusion of this type of exercise too. I will discuss the interesting research supporting this, in particular for the older cyclist, in a future article.

Click “Cycling and bone health” (part 1) to read the first installment of this 2-part discussion of bone health in cyclists.

References

1. Sabo D, et al. Bone quality in the lumbar spine in high-performance athletes. European Spine Journal, 1996; 5 (4): 258–263.

2. Lombardi G, Lanteri P, Graziani R, Colombini A, Banfi G, et al. (2012) Bone and Energy Metabolism Parameters in Professional Cyclists during the Giro d’Italia 3-Weeks Stage Race. PLoS ONE 7(7): e42077.

3. Warner SE, et al. Bone mineral density of competitive male mountain and road cyclists. Bone, Jan 2002; 30 (1): 281-286.

4. Joanne A. Mcveigh, Rebecca Meiring, Alessandra Cimato, Lisa K. Micklesfield & Tanja Oosthuyse (2014): Radial bone size and strength indices in male road cyclists, mountain bikers and controls, European Journal of Sport Science, DOI: 10.1080/17461391.2014.933881.

5. Wilks DC, et al. Forearm and tibial bone measures of distance- and sprint-trained master cyclists. Medicine and Science in Sports and Exercise, Mar 2009; 41 (3): 566-573.

6. https://www.thieme-connect.com/DOI/DOI?10.1055/s-0029-1243616


For local Townsville residents interested in FitGreyStrong’s Exercise Physiology services or exercise programs designed to improve muscular strength, physical function (how you move around during the day) and quality of life or programs to enhance cycling or athletic performance, contact FitGreyStrong@outlook.com or phone 0499 846 955 for a confidential discussion.

For other Australian residents or oversees readers interested in our services, please see here.


Disclaimer: All contents of the FitGreyStrong or FGS website/blog are provided for information and education purposes only. Those interested in making changes to their exercise, lifestyle, dietary, supplement or medication regimens should consult a relevantly qualified and competent health care professional. Those who decide to apply or implement any of the information, advice, and/or recommendations on this website do so knowingly and at their own risk. The owner and any contributors to this site accept no responsibility or liability whatsoever for any harm caused, real or imagined, from the use or distribution of information found at FGS. Please leave this site immediately if you, the reader, find any of these conditions not acceptable.
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Cycling and Skeletal Bone Health

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Why all cyclists need to ‘hit the Gym’

I’m going to get straight to the point. Cyclists need to lift weights, period. I don’t want to, in this article, go into the performance-based data that supports this position. What I want to do is explore the growing body of scientific evidence that demonstrates that road cycling is bad for your bones. If road cycling is all you do, then I am sorry to say you are running a big risk to the long-term health of your skeletal system.

You see, there have been several studies that have measured the bone mineral density (BMD) of road cyclists and the findings are very concerning. Concerning enough indeed, that the researchers and scientists investigating this issue have recommended that coaches and health professionals involved with cyclists need to do more to promote the use of alternative exercise such as weight training, plyometrics, or other high impact activity as a complement to cycling training to help minimize bone loss in this population.

For example, Nichols and Rauh (2011) published a study in the J Strength Cond Res. titled “Longitudinal changes in bone mineral density in male master cyclists and nonathletes” and the findings should make all serious road cyclists re-assess their current training programs. The study followed changes in BMD over a 7-year period in 19 competitive male master cyclists and 18 nonathletes. All bone sites measured showed a consistent pattern of lower BMD in cyclists versus nonathletes but those that reported participation in weight training or impact type exercise lost significantly less BMD at the spine and femoral neck (hip) than those not undertaking such additional activities.

Worryingly, a significantly greater proportion of cyclists than nonathletes could be described as suffering osteopenia or osteoporosis during the study period with a much greater likelihood of osteoporosis being developed over the course of the study in cyclists. Competitive cycling and the training involved is not without risk, with falls a fairly common occurrence.

There is therefore an inherent increased risk for bone fracture caused from such falls, but if BMD status is poor to start with the risk of fracture or more serious complications is further compounded and increased. As such, there should be much greater attention given to promoting the benefits of weight training or other high impact activities in an effort to counter such skeletal changes in road cyclists.

image
Mountain biking

In my next article (see Cycling and skeletal health – part 2) I will explore whether there are any differences between professional road cyclists and the rest of us in relation to skeletal health plus whether any differences exist between road, track and mountain bikers.

Until then, enjoy your cycling, stay safe and go and do some lifting.

References

  1. http://www.ncbi.nlm.nih.gov/m/pubmed/20581701/
  2. http://www.biomedcentral.com/1741-7015/10/168
  3. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3230645/
  4. Wilks DC, et al. Forearm and tibial bone measures of distance- and sprint-trained master cyclists. Medicine and Science in Sports and Exercise, Mar 2009; 41 (3): 566-573.
  5. Campion F, et al. Bone status in professional cyclists. International Journal of Sports Medicine, Jul 2010; 31 (7): 511-515.

For local Townsville residents interested in FitGreyStrong’s Exercise Physiology services or exercise programs designed to improve muscular strength, physical function (how you move around during the day) and quality of life or programs to enhance cycling or athletic performance, contact FitGreyStrong@outlook.com or phone 0499 846 955 for a confidential discussion.

For other Australian residents or oversees readers interested in our services, please see here.


Disclaimer: All contents of the FitGreyStrong or FGS website/blog are provided for information and education purposes only. Those interested in making changes to their exercise, lifestyle, dietary, supplement or medication regimens should consult a relevantly qualified and competent health care professional. Those who decide to apply or implement any of the information, advice, and/or recommendations on this website do so knowingly and at their own risk. The owner and any contributors to this site accept no responsibility or liability whatsoever for any harm caused, real or imagined, from the use or distribution of information found at FitGreyStrong. Please leave this site immediately if you, the reader, find any of these conditions not acceptable.
© FitGreyStrong

 

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Why the “strengthification” of Gen X’ers & Baby Boomers is the greatest health challenge of the 21st century

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Last October l presented at the Ancestral Health Society of New Zealand (AHSNZ) International symposium with the title of my talk: “Why the “strengthification” of Gen X’ers & Baby Boomers is the greatest health challenge of the 21st century”.

In this session I discussed a number of things in relation to ageing and the dynapenic/sarcopenic neuromuscular-related changes that occur. I explored how resistance training can potentially alter this trajectory, and reverse in some cases, this weakening process that occurs across the lifespan.

To view slides please click here.


Disclaimer: All contents of the FitGreyStrong website/blog are provided for information and education purposes only. Those interested in making changes to their exercise, lifestyle, dietary, supplement or medication regimens should consult a relevantly qualified and competent health care professional. Those who decide to apply or implement any of the information, advice, and/or recommendations on this website do so knowingly and at their own risk. The owner and any contributors to this site accept no responsibility or liability whatsoever for any harm caused, real or imagined, from the use or distribution of information found at FitGreyStrong. Please leave this site immediately if you, the reader, find any of these conditions not acceptable.

©FitGreyStrong


 

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The Unspoken Truth: Why People Struggle To Lose Weight

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In my article titled “It can’t possibly be true, can it?” I questioned whether there was any foundation to the claim that inactivity is not a chief cause obesity and provided scientific evidence suggesting otherwise. Today I will try explain to you what the bottom-line is as to why exercise doesn’t work for everybody trying to lose weight. One thing I have noticed is that there isn’t enough time or effort – either in the media or on the net – dedicated to informing the public about why exercise does not work for some people and what can be done about.

Exercise has been successfully applied as an essential ingredient of many weight loss programs. By increasing total daily energy expenditure, creating a caloric deficit state is theoretically, at least, more likely. It naturally follows that the weight loss achieved will be correlated to the magnitude of the energy deficit created. In practice however this does not always happen. In fact, there are a number of studies and anecdotal evidence that show a significant proportion of exercisers eating an ad libitum diet (possibly as high as 50%) do not achieve the weight loss expected with as many as 15% actually gaining weight. These individuals are often referred to as ‘nonresponders‘. Those on the other hand that do achieve weight loss from exercise are referred to as ‘responders‘. The question is, how is this possible and are there any practical solutions?
exercise doesn't work for everybody trying to lose weight
Energy compensation and exercise-induced fat loss

People respond differently to exercise:
Non-responders vs responders

These differences in response to exercise include:
  1. Non-responders increase whilst responders decrease, total daily energy intake (all the food and drinks you consume on a daily basis).
  2. Some of these differences apparently occur unbeknownst to the exerciser so there is some sort of compensation going on to offset the extra energy expended from exercise.
  3. Non-responders increase their consumption of fat.
  4. Non-responders experience much greater subjective sensations of fasted hunger (upon waking) and hunger across the day compared to responders.
  5. Non-responders demonstrate an increased whereas responders show a decreased, desire to eat.
  6. Non-responders satisfaction or feelings of fullness from meals is significantly reduced whilst there are no changes in responders.
  7. Behavioural compensatory adjustments to exercise training in overweight women showed the loss of weight/fat mass or lack thereof, was attributable to an increase or decrease in spontaneous physical activity, respectively.
  8. Resting metabolic rate may be reduced in non-responders but not in responders.

Appetite is controlled by the brain
Brain function and weight control is poorly understood

If you are struggling to lose weight after starting an exercise regimen then you could be classified as a non-responder and should consider the following:

  • If possible, have some measurements taken by a knowledgeable professional that includes girths (such as hips, waist, thighs etc) and skinfolds where the subcutaneous fat can be approximately measured by calipers. By doing this you will be able to work out more precisely what changes are actually taking place. This is pretty important because some ‘non-responders’ will lose a considerable amount of fat but total weight loss may be only slight or actually increase (see King et al 2008). This will affect roughly 10% of exercisers that are trying to lose weight but these body composition changes are in fact desirable and favourable.
  • Monitor energy intake more closely and consider recording actual food and beverage intakes so you can keep tabs on this as you go. Given that ad libitum diets don’t seem to work too well for non-responders, recording your intake is a good place to start. Assuringly, research shows that those that diarise what they are eating and drinking are much more successful at weight loss and weight management compared to those that don’t, so start recording.
  • Recognise that if you keep accurate records of these things and create an energy deficit – the research that has been conducted in metabolic-ward studies suggests – that weight loss is highly probable. Based on an account of energy intake and energy expenditure, if the creation of an energy deficit does not elicit any change in body composition, it is likely that there has been an over-estimation of energy expenditure or an under-estimation of energy intake, or a combination of both. However, this now allows subtle changes to be made to energy expenditure or intake so that body fat mass reduction can be realised  (see here and here for great discussions on the crucial role calories play when it comes to fat loss or fat gain).
  • Ensure that your exercise program includes some resistance or weight training. The response to exercise of non-responders as outlined above is related specifically to 1-2 hours of aerobic exercise (i.e. walking, running, cycling etc). You may ironically achieve better weight loss if you back off the aerobic exercise but place a bit more emphasis on weight training or resistance-type exercise. Some research has shown that appetite is suppressed more so with resistance versus aerobic exercise and it is the changes of increased appetite in non-responders that presents a major problem when attempting to bring about sustainable weight loss. With respect to adults who are overweight or obese, Drenowatz & colleagues clearly demonstrated that resistance exercise but not aerobic exercise reduced fat mass.
Weight training and aging
Resistance training is very effective to facilitate fat loss
  • This form of activity also substantially reduces the risk of losing LBM (lean body mass = muscle tissue) in older adults (see Villareal et al). It is very common to see exercisers lose significant amounts of LBM when only aerobic exercise is undertaken while in an energy deficit state.
  • The loss of LBM is not desirable for 2 key reasons. Firstly, functional physical capacity could be affected in both the short and long term (see Villreal et al). Secondly, resting metabolic rate will be reduced thereby making weight loss more difficult and weight regain more likely (see here for further discussion).
  • “Don’t put the cart before the horse.” By that I mean, the quality of what you decide to eat will have a massive impact on your success. A caloric deficit is the goal but it should be achieved with a diet consisting of wholesome, natural, minimally processed and nutrient-dense foods. Not only is this essential to weight loss success but more importantly generating good health.

To lose weight you need to expend more than you eat
No caloric deficit = no fat loss
  • To combat increased subjective sensations of hunger, then, as a start please make sure that the diet is high in a variety of vegetables, has several serves of fruit each day, contains sufficient and varied sources of protein and includes things like nuts, seeds and oils. This is pretty commonsense stuff but you need to put into practice what actually works. The make-up or quality of the diet appears to impact on subsequent appetite, sensations of hunger and feelings of fullness, so anything that assists in keeping the physiological drives to eat at bay are only going to be helpful (see Blundell et al).

References (in no particular order)


Drenowatz, C. et al. (2015) “The prospective association between different types of exercise and body composition” Medicine & Science in Sports & Exercise. 47(12): 2535-2541.

Manthou, E. and Gill, J.M.R. and Wright, A. and Malkova, D. (2010) Behavioural compensatory adjustments to exercise training in overweight women. Medicine and Science in Sports and Exercise, 42 (6). pp. 1121- 1128.

Melanson, E.L. et al. (2013) “Resistance to exercise-induced weight loss: compensatory behavioural adaptations” Med Sci Sports Exerc.August; 45(8): 1600-1609.

King N.A. et al. (2008) “Individual variability following 12 weeks of supervised exercise: identification and characterization of compensation for exercise-induced weight loss.” International Journal of Obesity. 32: 177-184

King N.A. et al. (2009) “Dual-process action of exercise on appetite control: increase in orexigenic drive but improvement in meal-induced satiety.” Am J Clin Nutr. 90: 921-927

Peterson N.D. et al. (2014) “Dietary Self-Monitoring and Long-Term Success with Weight Management”. Obesity 22, 1962–1967

Broom, D.R. (2008) “Influence of resistance and aerobic exercise on hunger, circulating levels of acylated ghrelin, and peptide YY in healthy males” American Journal of Physiology. 296(1): R29-R35.

King, N.A. et al (2012) “Exercise, appetite and weight management: understanding the compensatory responses in eating behaviour and how they contribute to variability in exercise-induced weight loss.”British Journal of Sports Medicine 46(5):315-22.

Villareal D.T. et al. (2011) “Weight Loss, Exercise, or Both and Physical Function in Obese Older Adults.” N Engl J Med 364(13): 1218-1229

Blundell J. et al. (2010) “Appetite control: methodological aspects of the evaluation of foods.” Obe Rev 11(3): 251-270


For local Townsville residents interested in FitGreyStrong’s Exercise Physiology services or exercise programs designed to achieve the above-mentioned benefits or to enhance athletic performance, contact FitGreyStrong@outlook.com or phone 0499 846 955 for a confidential discussion.

For other Australian residents or oversees readers interested in our services, please see here.


Disclaimer: All contents of the FitGreyStrong website/blog are provided for information and education purposes only. Those interested in making changes to their exercise, lifestyle, dietary, supplement or medication regimens should consult a relevantly qualified and competent health care professional. Those who decide to apply or implement any of the information, advice, and/or recommendations on this website do so knowingly and at their own risk. The owner and any contributors to this site accept no responsibility or liability whatsoever for any harm caused, real or imagined, from the use or distribution of information found at FitGreyStrong. Please leave this site immediately if you, the reader, find any of these conditions not acceptable.


© FitGreyStrong

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