The Lesson • Understand fat gain to muscle gain P-ratio • Factors influencing P-ratio •Optimal Body Fat Ranges for Growth and Cutting •Health Monitoring at Body Fat Levels •Body Reco
Trang 1Bulk, Cut, or Recomp
Choosing the first path in your journey to your goals
UNIVERSITY
Trang 2The Lesson
• Understand fat gain to muscle gain (P-ratio)
• Factors influencing P-ratio
•Optimal Body Fat Ranges for Growth and Cutting
•Health Monitoring at Body Fat Levels
•Body Recomp Phases
•Final Recommendations
Trang 3P-ratio and Optimal Body Fat
• Notion that there is an optimal body fat range for improved partitioning of nutrients towards muscle gain or fat gain ie P-ratio
• A low body fat start point lends to more muscle gain
• high body fat lends to more fat gain over muscle gain
• In untrained overfeed subjects, 60-70% weight gain is lean tissue in thin individuals, but 30-40% is lean tissue in obese individuals.(1)
• This also happens in reverse, if you have more fat to lose more will come from fat than lean tissue or being lean you will lose more from lean tissue than fat mass
Darius et al
Trang 4Misapplication of P-ratio
• Lean vs Dieted Down Lean Individuals
• In theory since you are lean post show you should gain more muscle mass
by improved partitioning
• However when dieted down to low body fat levels changes in metabolic function, hormone levels, and hunger signaling aren’t reset until body fat levels were restored to pre diet conditions (3)
• So, post contest not ideal time for muscle gain, but rapid fat gain
• Interindividual response
• P ratio is constant for one individual (4)
• If p-ratio is more constant for individual what we really want to know is what is the best body fat for beneficial calorie partitioning
Trang 5Contributors to Calorie Partitioning
• Genetics
• Training
• PEDS
• Nutrition
• Recovery
• Body Fat level
• Insulin Sensitivity
• Inflammation
• Hormones
Trang 6Insulin Sensitivity
• How sensitive tissues are to insulin signaling for uptake of glucose into cells
• Exercise increases insulin sensitivity post training and drives uptake
of glucose and amino acids into skeletal muscle, tissue specific
• Baseline Insulin Sensitivity has been shown to not be predictor of body fat gain in a lean state (5)
• Insulin sensitivity related closer to visceral fat than subQ fat (6)
• Above 20% body fat for males and (30% females) decreases insulin sensitivity are seen along with greater increases in visceral fat gain (7)
• Below 20% body fat is more optimal for insulin sensitivity
• A study in twins FFM gains was not associated with insulin secretion and more so with leptin levels, androgens, fat oxidation, FFM (8)
Trang 7Inflammation
• Chronic Inflammation associated with body fat and weight gain (9)
• High chronic inflammation lead to muscle mass loss (10)
• After 20% body fat (30% females), with visceral fat accumulation,
IL-6 and CRP Levels increase
• Visceral fat releases much larger cytokines than Sub Q body fat and related to muscle mass loss (10) This may impede inflammatory muscle growth signaling
• Training in states of low chronic inflammation leads to greater
increase in muscle mass (11)
Trang 8Endogenous Hormones
• TESTOSTERONE
• Around 10% body fat testosterone levels are optimized in men and declines with body fat gain (12)
• Low testosterone levels lead to increased fat gain (13)
• Increased visceral fat and rise in cytokines reduce testosterone levels
• There is dose relationship to increasing test levels and increase in lean mass (14)
• Dieting to low body fat levels decreases test levels and correlates with loss
in lean mass (15)
• ESTROGEN
• Estrogen is anabolic hormone needed for muscle mass in women (16)
• 24-30% body fat peak in estradiol levels when overfeeding (17)
• 23-25% body fat peak estradiol when cutting (18)
Trang 9Exogenous Hormones
• Steroid users current and former display lower insulin sensitivity via increases in visceral adipose tissues and total body fat % (19)
• Elevated CRP levels, with low grade inflammation
• Nandrolone shows a decrease in Subq fat but an increase in visceral fat
• Visceral fat increases increases inflammation and decreases insulin sensitivity Issues may occur at lower body fat % than natural
athletes
Trang 10Optimal Ranges for Calorie Partitioning
• Above 20% males and 30% females there is an increase in insulin resistance and inflammation associated with the rise in visceral fat gain
• Optimal testosterone is around 10% for males and optimal estrogen around 22-25% for females Levels may decline when body fat gets too low or too high
• Steroids users aren’t effected by endogenous hormone production but may be more susceptible to visceral fat gain, inflammation and insulin resistance at lower subQ body fat levels
• Typical contest prep time is 16-30 weeks with a typical body weight loss of 11% Stay close within start of prep body fat levels
Males
• Bulk if 8-12% body fat, Cut if 15-17% body fat
Females
• Bulk if 18-22% body fat, Cut if 25-27% body fat
Trang 11Subjective Cut Offs for Body Fat Levels
BODY FAT TOO HIGH
• Lethargy
• Decreased Pumps
• Low Appetite
• GI alterations
• Water Retention
• Achy Joints
BODY FAT TOO LOW
• High Fatigue/Lack energy
• Poor Sleep
• Hunger High
• Decreased Gym Performance
• Decreased Libido
• GI alterations
Trang 12Health Markers to Track
• Waist Circumference
• <102cm Men <88cm Women
• Lab Markers
• Fasting Insulin
• 3-8uIU/ml
• Hbga1c
• <5.6%
• Blood glucose
• <90mg/dL
• Triglyceride levels
• <150mg/ml
• C-Reactive Protein
• <1.0mg/mL
• Hormones
Trang 13Bonus on Recompostion
• Recomp situations
• Detrained
• Novice
• PEDs
• Obesity and Skinny Fat
• Suboptimal Training
Recomp unlikely:
Genetic Ceiling
Optimized training/nutrition
Lean
Trang 14References
1 Forbes GB Body fat content influences the body composition response to nutrition and exercise Ann N Y Acad Sci 2000;904:359-36 5
doi:10.1111/j.1749-6632.2000.tb06482 x
2 Dériaz O, Tremblay A, Bouchard C Non linear weight gain with long term overfeeding in man Obes Res 1993;1(3):179-185 doi:10.1002/j.1550-85 28.1 993 tb00 609 x
3 Dulloo AG, Jacquet J, Girardier L Autoregulation of body composition during weight recovery in human: the Minnesota Experiment revisited Int J Obes Relat Metab
Disord 1996;20(5):393-4 05
4 Dulloo AG Partitioning between protein and fat during starvation and refeeding: is the assumption of intra-individual constancy of P-ratio valid? Br J Nutr
1998;79(1):107-1 13 doi:10.1079/bjn1998 001 5
5 Votruba SB, Jensen MD Insulin sensitivity and regional fat gain in response to overfeeding Obesity (Silver Spring) 2011;19(2):269‐275 doi:10.1038/oby.2010.274
6 Kelley DE, Thaete FL, Troost F, Huwe T, Goodpaster BH Subdivisions of subcutaneous abdominal adipose tissue and insulin resistance Am J Physiol Endocrinol Metab
2000;278(5):E941‐E948 doi:10.1152/ajpendo.2000.278.5.E 941
7 Kelley DE, Thaete FL, Troost F, Huwe T, Goodpaster BH Subdivisions of subcutaneous abdominal adipose tissue and insulin resistance Am J Physiol Endocrinol Metab
2000;278(5):E941-E94 8 doi:10.1152/ajpendo.2 000 278 5.E 941
8 Bouchard C, Tchernof A, Tremblay A Predictors of body composition and body energy changes in response to chronic overfeeding Int J Obes (Lond)
2014;38(2):236-242 doi:10.1038/ijo.2013 77
9 Saito I, Yonemasu K, Inami F Association of body mass index, body fat, and weight gain with inflammation markers among rural residents in Japan Circ J
2003;67(4):323-3 29 doi:10.1253/circj.67 323
10 Orsatti FL, Nahas EA, Orsatti CL, et al Muscle mass gain after resistance training is inversely correlated with trunk adiposity gain in postmenopausal women J
Strength Cond Res 2012;26(8):2130‐2139 doi:10.1519/JSC.0b013e318239f837
11 Mitchell CJ, Churchward-Venne TA, Bellamy L, Parise G, Baker SK, Phillips SM Muscular and systemic correlates of resistance training-induced muscle
hypertrophy PLoS One 2013;8(10):e7863 6 Published 2013 Oct 9 doi:10.1371/journal.po ne.0 078 636
12 Veldhuis JD, Liem AY, South S, et al Differential impact of age, sex steroid hormones, and obesity on basal versus pulsatile growth hormone secretion in men as
assessed in an ultrasensitive chemiluminescence assay J Clin Endocrinol Metab 1995;80(11):320 9-3 222 doi:10.1210/jcem 80.1 1.7 593 428
13 Bouchard C, Tchernof A, Tremblay A Predictors of body composition and body energy changes in response to chronic overfeeding Int J Obes (Lond)
2014;38(2):236‐242 doi:10.1038/ijo.2013.77
14 Bhasin S, Woodhouse L, Casaburi R, et al Testosterone dose-response relationships in healthy young men Am J Physiol Endocrinol Metab 2001;281(6):E1172‐E1181
doi:10.1152/ajpendo.2 001 28 1.6.E 117 2
15 Mitchell L, Slater G, Hackett D, Johnson N, O'connor H Physiological implications of preparing for a natural male bodybuilding competition Eur J Sport Sci
2018;18(5):619‐629 doi:10.1080/17461391.2018.1444095
16 Enns, D.L., Tiidus, P.M The Influence of Estrogen on Skeletal Muscle Sports Med 40, 41–58 (2010) https://doi.org/10.2165/11319760-000000000-00000
17 Ziomkiewicz A, Ellison PT, Lipson SF, Thune I, Jasienska G Body fat, energy balance and estradiol levels: a study based on hormonal profiles from complete menstrual
cycles Hum Reprod 2008;23(11):2555‐2563 doi:10.1093/humrep/den213
18 Ziomkiewicz A, Ellison PT, Lipson SF, Thune I, Jasienska G Body fat, energy balance and estradiol levels: a study based on hormonal profiles from complete menstrual
cycles Hum Reprod 2008;23(11):2555‐2563 doi:10.1093/humrep/den213
19 Rasmussen JJ, Schou M, Selmer C, et al Insulin sensitivity in relation to fat distribution and plasma adipocytokines among abusers of anabolic androgenic
steroids Clin Endocrinol (Oxf) 2017;87(3):249-25 6 doi:10.1111/cen.133 72
20 Jolanda M H Elbers, Henk Asscheman, Jacob C Seidell, Jos A J Megens, Louis J G Gooren, Long-Term Testosterone Administration Increases Visceral Fat in Female
to Male Transsexuals, The Journal of Clinical Endocrinology & Metabolism, Volume 82, Issue 7, 1 July 1997, Pages 2044–
2047, https://doi.org/10.1210/j ce m.8 2.7 407 8