Key Moments

Fructose, Knee Sleeves, Weight Loss Variability, and James Krieger (Episode 30)

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Sports3 min read170 min video
Dec 12, 2019|9,962 views|182|41
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TL;DR

Podcast discusses fructose, knee sleeves, weight loss variability, and James Krieger's insights on insulin and NEAT.

Key Insights

1

A high-fructose intake (150g/day) for 8 weeks did not show significant adverse metabolic consequences in healthy individuals controlling energy intake.

2

Knee sleeves may improve knee comfort during deep squats by reducing patellofemoral and tibial femoral contact forces, rather than just by providing heat.

3

Weight loss success is highly variable and influenced by factors like gut microbiome, metabolic response to fasting, satiety, neurobiology, stress, and sleep.

4

The insulin hypothesis of obesity has significant shortcomings, as studies show similar fat loss between high-carb and low-carb diets when calories are matched.

5

Non-Exercise Activity Thermogenesis (NEAT) significantly contributes to daily energy expenditure and is often reduced during weight loss, potentially hindering maintenance.

6

Body composition measurements (like DEXA) have considerable error margins, making body weight and circumference measurements more reliable for tracking progress.

7

Statistical P-values are often misinterpreted; a nuanced understanding of evidence strength and the limitations of statistical significance is crucial in research interpretation.

8

James Krieger advocates for practitioners to balance evidence-based practice with practical experience, acknowledging that not all successful strategies are extensively researched.

INTRODUCTION AND CONTROVERSIAL APOLOGY

The episode begins with a humorous, legally-worded apology from Greg regarding past controversial statements on family-centric and conservative viewpoints, specifically concerning marijuana legalization and religious national identity. Listeners expressed dissatisfaction, leading to the apology. Following this, the hosts highlight impressive feats of strength from the powerlifting community.

FRUCTOSE AND KNEE SLEEVE RESEARCH

Eric discusses a study indicating that an eight-week high-fructose intake (150g/day) in healthy individuals did not lead to significant adverse metabolic effects, provided overall energy intake was controlled. Greg then introduces research suggesting knee sleeves might enhance knee comfort during deep squats by reducing joint contact forces, a more plausible mechanism than simple heat retention.

EXPLAINING WEIGHT LOSS VARIABILITY

The research roundup explores why weight loss is challenging for some and easier for others. Factors discussed include the gut microbiome's role, metabolic responses to fasting indicating 'spendthrift' or 'thrifty' phenotypes, subjective satiety responses, neurobiological responses to palatable foods, the impact of perceived life stress on stress eating, and the influence of sleep quality.

THE INSULIN HYPOTHESIS DEBUNKED

James Krieger critically examines the insulin hypothesis of obesity, arguing it oversimplifies fat metabolism. He highlights that studies matching calorie intake show no significant difference in fat loss between high-carb and low-carb diets. Krieger emphasizes that protein also stimulates insulin and that glucagon does not negate insulin's effects on fat metabolism, suggesting a more complex regulatory system.

NON-EXERCISE ACTIVITY THERMOGENESIS (NEAT)

Krieger explains NEAT's significant contribution to daily energy expenditure, which can vary widely between individuals. He notes that NEAT often decreases during weight loss, potentially hindering long-term weight maintenance. A client’s successful contest prep using a weighted vest to theoretically maintain NEAT levels is discussed, alongside ongoing research into 'gravistats' and bone-loading's effect on appetite.

BODY COMPOSITION AND RESEARCH METHODS

The conversation shifts to body composition measurement, with Krieger discouraging clients from relying on body fat percentage due to its inaccuracy and error margins. He recommends body weight and circumference measurements as more reliable. The discussion also delves into the complexities of statistical interpretation in research, advocating for greater data transparency and a move away from binary P-value interpretations.

PRACTICAL APPLICATION AND COACHING STRATEGIES

Krieger acknowledges using strategies not yet fully backed by rigorous scientific evidence, emphasizing the need for practical experience alongside research. He stresses that effective coaching involves balancing science with individual client needs and experiences, rather than rigidly adhering to published study protocols. The importance of considering adherence, physiological differences, and psychological factors in weight loss is also highlighted.

ROASTING THE PERFECT TURKEY

Greg shares practical tips for roasting a delicious turkey, emphasizing brining (wet or dry), spatchcocking for even cooking, and aiming for an internal temperature of 165°F. Additional advice includes using cooking spray for crispy skin and considering smoking the turkey for enhanced flavor, drawing parallels to cooking other poultry like chicken.

Turkey Roasting Best Practices

Practical takeaways from this episode

Do This

Brine your turkey (wet brine recommended: 2-3% salt solution for 1-2 days)
Spatchcock your bird (remove spine with kitchen shears, flatten to cut down middle of breast)
Cook turkey to an internal temperature of 160-165°F (Fahrenheit) in the deepest part of the breast/thigh
Pat skin dry and spray with cooking spray (or rub with olive oil) before roasting
Sprinkle a little salt on the skin after spraying
Once turkey reaches target internal temperature, quickly increase oven temp to broil for ~3 minutes to crisp skin
Smoke your bird if you have access to a smoker (cook at 275-325°F)

Avoid This

Cook poultry to 180°F (USDA revised to 165°F for safety and juiciness)
Underestimate the importance of brining and even cooking

Common Questions

The insulin hypothesis, popularized by Gary Taubes, suggests that high insulin levels, primarily stimulated by carbohydrates, prevent fat loss by inhibiting the breakdown of fat. However, James Krieger argues this is an oversimplification, as protein also stimulates insulin release, and studies show no difference in fat loss between low-carb and high-carb diets when calories and protein are matched.

Topics

Mentioned in this video

People
James Krieger

Fitness industry expert, research director for a Microsoft weight management program, owner of Weightology.net, known for his work in sport nutrition and exercise science. Guest on the podcast.

Blaine Sumner

Powerlifter, described as the 'god of single ply super heavyweight lifting,' who broke his own IPF single-ply world record.

KL Backlund

Powerlifter who won the 74 kg class at the IPF Single-Ply World Championships, beating Yaroslav Olek.

Hideki Inaba

Powerlifter who won 17 times in a row in the 52 kg class, mentioned as a legendary IPF lifter.

James Levine

Researcher whose work on Non-Exercise Activity Thermogenesis (NEAT) was influential in James Krieger's interest in the topic.

Brad Schoenfeld

Colleague of James Krieger, with whom he worked on a volume study in training research.

Nate Silver

Statistician and founder of FiveThirtyEight, praised for his good work in statistical analysis of various topics, including politics.

Greg Knuckles

Temporary guest host for this episode, known for his strong opinions and feats of strength.

Daniel Bell

Powerlifter who broke Milana Czev's super heavyweight untested with wraps total world record.

Milana Czev

Previously held the super heavyweight untested with wraps total record, recently surpassed by Daniel Bell.

Tom Calles

Current world record holder for squat in the 82.5 kg class (788 lbs), mentioned in the context of Muhammed IE CE RA ESI's potential to break it.

Lamar Gant

Renowned powerlifter known for his deadlifts, mentioned in the conversation about the greatest IPF lifters of all time.

Gary Taubes

Author who popularized the insulin hypothesis of obesity, particularly with his book 'Good Calories, Bad Calories'.

Eric Robison

Conducted a cool study in the early 1980s that demonstrated large differences in energy expenditure (up to 700 calories/day) between individuals even when confined to a small room.

Eric Lee Salazar

A bodybuilding client of James Krieger who successfully used a weighted vest during contest prep to maintain NEAT levels, commenting it was his easiest prep.

Alberto Nunez

A well-known bodybuilder whose DEXA results at peak shredded condition (9.6%) are cited to highlight the inaccuracy of DEXA for precise body fat percentage.

David Ludwig

Researcher whose low-carb study on energy expenditure during weight maintenance was re-analyzed by Kevin Hall and James Krieger, showing conclusions weren't robustly supported.

Kevin Hall

Researcher who re-analyzed David Ludwig's low-carb study data, finding the original conclusions were not well-supported, highlighting the importance of public data sharing.

Studies & Research
Sinclair and colleagues

Published 'Acute effects of knee wraps/sleeves on kinetics, kinematics, and muscle forces during the barbell back squat,' finding knee sleeves increase perceived comfort and stability without significantly affecting squat kinematics.

Holstein et al.

Studied 'Metabolic response to fasting predicts weight gain during low protein overfeeding in lean men,' identifying 'spendthrift' and 'thrifty' metabolic phenotypes predictive of weight change.

Yocum and Spice

Study titled 'Weight gain is associated with changes in neural response to palatable food tastes varying in sugar and fat and palatable food images: a repeated-measures fMRI study,' which found hyper-responsiveness to palatable food predicted weight gain.

Klattkin et al.

Study titled 'Negative affect is associated with increased stress eating for women with high perceived life stress,' which found a link between negative emotions, life stress, and stress eating.

Magis et al.

Published 'Metabolic effects of a prolonged very high dose dietary fructose challenge in healthy subjects,' which found no meaningful adverse metabolic consequences with high fructose intake as long as energy balance is controlled.

Wu et al.

Published 'Biomechanical modeling of deep squatting: effects of the interface contact between posterior thigh and shank,' suggesting contact between calves and hamstrings reduces patellofemoral and tibiofemoral contact forces.

Ortega Santos and colleagues

Paper titled 'The key to successful weight loss on a high-fiber diet may be in gut microbiome Prevotella abundance,' suggesting gut microbiome dictates success of high-fiber diet interventions for weight loss.

Rosenbaum and Libel

Study showing that even after a year of maintaining weight loss, NEAT levels remained depressed in relative terms, potentially explaining why weight loss maintenance is difficult.

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