Key Moments

Season Finale: Tons of New Meta-Analyses and Q&A Catch-Up (Episode 46)

Stronger By ScienceStronger By Science
Education3 min read152 min video
Jul 2, 2020|5,886 views|163|16
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TL;DR

Explores new meta-analyses on exercise, placebo effects, foam rolling, tDCS, supplements, and Q&A on training, nutrition, and research.

Key Insights

1

Regular exercise, both resistance and aerobic, may increase resting metabolic rate by 70-100 kcal/day.

2

Placebo and nocebo effects can significantly influence sport performance, with effects comparable to many supplements.

3

Foam rolling may offer slight benefits for sprint performance and post-exercise recovery but its effects are small.

4

Transcranial direct current stimulation (tDCS) shows promise for improving strength and strength endurance.

5

Dietary nitrate intake from vegetables can provide similar benefits to nitrate supplements.

6

Taking multiple protein servings daily is more effective than consuming one large bolus.

7

High-protein diets are generally safe for individuals with healthy kidneys.

8

L-theanine can help mitigate caffeine's jittery side effects without causing sedation.

9

Training younger adolescents should focus on skill development and proper technique over heavy lifting.

10

The effectiveness of supplements like citrulline, carnitine, and arginine varies, with citrulline and nitrates showing more promise.

11

Aspirin's potential impact on hypertrophy in young, healthy individuals is uncertain but plausible.

12

Alcohol consumption's negative impact on recovery from strenuous exercise and performance might be less pronounced than expected in some scenarios, but cumulative effects and skill-dependent tasks are still concerns.

13

Splitting workouts throughout the day may have a neutral to positive effect on performance, provided total volume doesn't increase excessively.

GOOD NEWS AND FEATS OF STRENGTH

The episode opens with a Good News segment, highlighting a Supreme Court decision against LGBTQ+ employment discrimination and a heartwarming initiative providing books to children via drones. In a unique 'Feats of Strength' segment, predictions are made about Julius Maddox's potential 800-pound bench press attempt, discussing the challenges and uncertainties surrounding such a landmark lift.

METABOLIC RATE AND PERFORMANCE EFFECTS

New meta-analyses reveal that both resistance and aerobic training can increase resting metabolic rate by approximately 70-100 kilocalories per day. The discussion then delves into the placebo and nocebo effects on sport performance, noting that these psychological factors can yield effect sizes comparable to many performance-enhancing supplements, suggesting that the perception of taking something can be physiologically impactful.

SUPPLEMENTS AND RECOVERY STRATEGIES

Research on foam rolling indicates minor benefits for sprint performance and post-exercise recovery, but significant gains are unlikely. Transcranial direct current stimulation (tDCS) shows potential for enhancing strength and endurance, though consumer product effectiveness remains questionable. The effectiveness of supplements like citrulline, carnitine, and arginine is reviewed, with citrulline and nitrate-rich vegetable intake emerging as more promising for ergogenic benefits.

DIETARY CONSIDERATIONS AND TRAINING APPROACHES

The podcast addresses mercury levels in tuna, recommending adherence to FDA guidelines for safe consumption, particularly for canned light tuna. It explores splitting workouts throughout the day, suggesting it may be neutral to positive for gains if volume is managed. Hypothalamic amenorrhea's impact on hypertrophy is discussed, emphasizing that restoring energy availability is key, even before a full return of the menstrual cycle.

ADOLESCENT TRAINING AND ALCOHOL CONSUMPTION

Guidelines for resistance training in children and adolescents focus on skill development, proper technique, and supervised sessions, emphasizing that growth plates are unlikely to be harmed by appropriate training. The effects of alcohol on recovery are examined, with evidence suggesting moderate consumption may have less impact on certain performance metrics than previously thought, though cumulative effects and skill-dependent activities remain areas of concern.

RESEARCH INTERPRETATION AND PROFESSIONAL DEVELOPMENT

Practical advice is given on reading research, emphasizing critical appraisal of methods and results, especially when encountering novel topics or potential discrepancies. For aspiring trainers, the importance of hands-on experience, mentorship, and continuous learning is stressed, acknowledging that readiness often comes through practice rather than simply acquiring certifications.

FDA Tuna Consumption Guidelines by Mercury Level

Data extracted from this episode

Tuna TypeMercury LevelRecommended Adult Servings/Week
Tuna (canned light)Low2-3 servings
Albacore/White TunaModerate1 serving
Yellowfin TunaModerate1 serving
Bigeye TunaHighestAvoid/Rarely

Supplement Effect Sizes for Performance Improvement

Data extracted from this episode

Supplement/InterventionEffect Size (Cohen's D)Primary Outcome
Placebo (General)0.3 - 0.4Sport Performance
Placebo (EPO-like)~0.8Endurance Performance
Placebo (Steroid-like)~1.4Strength Performance
Caffeine (Strength)~0.5 (with placebo effect)Strength Performance
Citrulline Malate~0.2Strength & Power Outcomes
Sodium Bicarbonate (Adjusted)0.2 - 0.25Muscular Endurance

Common Questions

The FDA categorizes tuna into 'best choices' (two to three 4oz servings/week for canned light tuna), 'good choices' (one 4oz serving/week for albacore/white and yellowfin tuna), and 'choices to avoid' (bigeye tuna) due to their mercury content. It's advisable to moderate intake, especially for higher-mercury types.

Topics

Mentioned in this video

productdrones

Used by a library in Virginia to drop off books for children, described as a 'flying library'.

tooltDCS

A technology that appears to reliably improve strength and strength endurance performance, though the efficacy of consumer-grade devices is questioned due to electrode placement precision.

studyFleck and colleagues 2016

A study comparing beetroot juice to a nitrate-matched dose of sodium nitrate, finding beetroot juice to be slightly more effective, suggesting other compounds in food contribute to benefits.

personChad Wesley Smith

A powerlifter known for his exceptional peaking ability for strength on the platform, an example of how athletes can significantly improve their performance on meet day.

productPomegranate

Suggested as a better alternative to L-Carnitine for mitigating post-exercise soreness due to its rich antioxidant and phytonutrient content, available from whole foods or extracts.

bookGrow Like a New Lifter Again

An article Greg Knuckles wrote for Stronger by Science about his nuclear domain theory, which is due for an overhaul due to recent review papers.

locationVirginia

A county in Virginia started using drones to deliver books to kids whose schools and public libraries were closed, creating a 'flying library'.

conceptLGBTQ+

The Supreme Court decision regarding employment discrimination against LGBTQ+ individuals in America.

organizationFDA

Their guidelines on mercury levels in different types of fish, particularly tuna, are referenced to answer listener questions about safe consumption amounts.

supplementIbuprofen

A common NSAID, discussed in the context of inhibiting hypertrophy in healthy young subjects due to its action as a COX-2 inhibitor.

toolAcupuncture

Discussed as a physical therapy treatment that shows effectiveness compared to no treatment, but not when compared to sham acupuncture (placebo).

productBigeye Tuna

Categorized by the FDA as a 'choice to avoid' due to its highest mercury levels, not recommended as a weekly staple.

organizationSupreme Court

The US Supreme Court recently ruled that employment discrimination against LGBTQ+ people is unconstitutional, which is highlighted as positive news.

personJulius Maddox

A powerlifter mentioned for his recent missed 790lb bench press attempt and an upcoming televised attempt at 800lb.

companyESPN

Mentioned as a potential broadcaster for Julius Maddox's 800lb bench press attempt, though confirmation for streaming was not found.

organizationStronger by Science

The podcast's parent organization, which maintains a large list of meta-analyses on training and nutrition, and sends out research roundup emails.

conceptresting metabolic rate

Discussed in a meta-analysis, showing that exercise interventions (resistance and aerobic) can lead to small, but potentially meaningful, increases in RMR, independent of lean mass gains.

studyHurst et al. 2020

A systematic review and meta-analysis on the placebo and nocebo effect on sport performance, finding small but meaningful effects, often comparable to actual supplements.

conceptPlacebo effect

Discussed as a small but meaningful effect in sport performance studies, which can be comparable to the effects of many supplements, and its magnitude can depend on the intensity of the placebo.

conceptNocebo Effect

The inverse of the placebo effect, where negative expectations lead to worse performance, discussed in relation to sport performance.

drugErythropoietin

Mentioned in the context of placebo studies, where subjects believing they received EPO experienced a large placebo effect on endurance performance.

drugSteroids

Discussed in the context of placebo studies, where subjects who believed they received steroids experienced a very large placebo effect on strength performance.

supplementCitrulline Malate

A supplement shown to have a statistically significant but modest positive effect on strength and power outcomes (effect size ~0.2) in a meta-analysis, with recent studies showing lower effect sizes.

supplementCreatine

Used as a benchmark for supplement effectiveness; citrulline malate and beta-alanine are explicitly stated as 'no creatine,' highlighting creatine's superior efficacy.

supplementBeta-Alanine

Compared to citrulline malate as a second-tier supplement, not as effective as creatine, despite early hopes.

studyWilk et al. 2020

A meta-analysis titled 'Acute effects of foam rolling on range of motion in healthy adults: a systematic review with multi-level meta-analysis,' concluding that foam rolling improves range of motion as much as static stretching.

supplementVitamin C

High-dose vitamin C supplementation showed modest effects on oxidative stress and inflammation biomarkers but no significant impact on soreness or strength recovery, with no clear upside for healthy individuals.

supplementBetaine

A meta-analysis on betaine's effect on adiposity showed results primarily driven by two studies, highlighting the need for caution when interpreting meta-analyses with limited data.

supplementSodium Bicarbonate

Supplementation significantly increases strength endurance but not maximal strength, with an inflated effect size in one meta-analysis due to an outlier, suggesting a more modest effect (0.2-0.25).

personMichael Jordan

Mentioned metaphorically in a discussion about human performance under extreme conditions, not as a direct subject.

supplementL-Carnitine

A meta-analysis suggests it can reduce soreness and Creatine Kinase levels in the first 48 hours post-exercise, but literature is inconsistent and other phytonutrient-rich supplements might be better for recovery.

supplementWatermelon

Mentioned as a phytonutrient-rich food that can aid in recovery and reduce soreness, similar to pomegranate and beetroot.

supplementArginine

A meta-analysis claimed large effects on aerobic performance (0.84) and smaller effects on anaerobic performance (0.24), but the analysis had calculation issues. Due to poor bioavailability, citrulline is recommended over arginine for nitric oxide production.

productYellowfin Tuna

Categorized by the FDA as a 'good choice' for fish consumption for adults, with a recommendation of one serving per week due to mercury levels.

studyHäkkinen and Hartmann Studies

Early studies on splitting workouts found promising but not always statistically significant beneficial effects for soccer players and weightlifters doing the same volume in multiple daily sessions.

conceptLeptin

Mentioned in the context of extreme interventions for hypothalamic amenorrhea, where injecting leptin alongside dietary and exercise modifications showed highly variable restoration of the menstrual cycle.

personAlison Myers

Author of the review paper 'Resistance Training for Children and Adolescents,' recommended for insights on youth resistance training.

supplementSodium nitrate

Used in a study for comparison against beetroot juice to assess the independent effects of nitrate, found to be less effective than food-derived nitrate.

studyClifford and colleagues

Another study that also found beetroot juice to be slightly more effective than sodium nitrate, reinforcing the idea of synergistic effects from compounds in whole foods.

supplementL-Theanine

A supplement that promotes relaxation without sedation, often paired with caffeine to reduce jitters and anxiety. Recommended dosing is 100-200mg.

supplementCaffeine

Discussed as a stimulant whose jittery and anxious side effects can be attenuated by L-Theanine, especially at high doses.

conceptCOX-1

An enzyme irreversibly inhibited by aspirin, potentially making aspirin slightly worse for hypertrophy than NSAIDs, which primarily affect COX-2.

bookThe Belt Bible

An article published on Stronger by Science in 2014-2015 reviewing research on powerlifting belts. It is considered up-to-date, with only one minor mechanistic addition since its publication.

supplementAspirin

Plausibly could blunt hypertrophy or strength gains, similar to NSAIDs, as it works via similar mechanisms (COX-2 inhibition) and also irreversibly inhibits COX-1, potentially making it worse for hypertrophy than NSAIDs.

supplementNSAIDS

Including ibuprofen and naproxen, shown to inhibit hypertrophy in healthy young subjects due to COX-2 inhibition, but may improve it in older or high-inflammation subjects by normalizing inflammatory levels.

drugNaproxen

Another common NSAID, discussed alongside ibuprofen for its potential to inhibit hypertrophy in healthy young subjects.

conceptCOX-2

An enzyme that is a bottleneck in the inflammatory response; NSAIDs and aspirin inhibit it, which can then reduce hypertrophy signaling, especially in healthy young subjects.

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