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Let your food be your medicine, and your medicine be your food. ...Hippocrates |
Enhancement of Muscle Strength
It is well known that the strength of a muscle is generally proportional to its cross-sectional area, and it is necessary to increase muscle bulk in order to enhance strength. Muscle tissue is mainly composed of proteins (such actin and myosin) and water, and it is important to increase the protein content by modulating protein metabolism when increasing muscle bulk. In other words, muscle bulk and strength can be increased by promoting protein synthesis or by inhibiting protein degradation. Resistance exercise is aimed at increasing muscle bulk, and it enhances the secretion and production of growth hormone and various growth factors [36]. Thus, resistance exercise promotes protein synthesis and an increment of muscle mass more strongly compared with aerobic exercise. In order to maximize the effect of resistance exercise, it is important to maintain the muscular pool and blood levels of various amino acids that are substrates for the synthesis of muscle proteins. For this purpose, it is necessary to maintain a positive nitrogen balance by increasing the dietary protein intake. Several studies have shown that protein requirements of strength training athletes are higher than those of sedentary individuals [37-40]. The daily recommended protein intake is estimated to be 1.4 – 1.8 g/kg for performing resistance exercise when the intake of calories and carbohydrate is adequate [41,42] although 1.0 g/kg of protein is generally sufficient for endurance athletes excluding an elite minority [43]. It may be difficult to maintain such a high dietary protein intake, but ingestion of protein supplements can be effective. A wide variety of raw materials are utilized for the production of powdered protein supplements, and products derived from soy beans, eggs, or whey (milk protein) are commercially available. All of these products contain a good balance of essential amino acids, and often achieve an amino acid score of 100. In particular, whey protein is believed to be an ideal source for building muscles, since such protein is easily digested and absorbed, resulting in a rapid increase in the blood level of amino acids [44,45]. In addition, branched-chain amino acids and glutamine, which promote the synthesis of muscle protein, have a high content in whey protein [44,46]. Not only the amount of protein intake, but also the timing of intake are important for building muscles efficiently. Eating a meal immediately after resistance exercise may contribute to a greater increase of muscle mass compared with ingesting a meal several hours later [47-49]. Also, intake of carbohydrates with protein can accelerate the synthesis of muscle protein via the actions of insulin, which increases protein synthesis and inhibits its catabolism [50,51].
In addition, it has been reported that the intake of amino acids and peptides is beneficial. Free amino acids and peptides do not need to be digested, so rapid absorption can be expected. Amino acids are not only utilized for the synthesis of muscle protein, and some of these molecules also exert a variety of physiological effects. Attention has been focused on the effects of branched-chain amino acids (BCAAs), including valine, leucine, and isoleucine, which are known to have a relatively high content in both muscle proteins and food proteins [52]. Most amino acids are metabolized in the liver, but BCAAs are metabolized in the muscles via special processes [52,53]. BCAAs are utilized as energy substrates and their oxidation is enhanced during exercise by activation of branched-chain-a-keto acid dehydrogenase (BCKDH) complex [54]. Furthermore, BCAAs modulate muscle protein metabolism to promote the synthesis and inhibit the degradation of proteins [54-56], resulting in an anabolic effect on the muscles. Glutamine has also been reported to promote muscle growth by inhibiting protein degradation [57-59]. It is the most abundant free amino acid in muscle tissue [60] and its intake leads to an increase of myocyte volume, resulting in stimulation of muscle growth [57-59]. Glutamine is also found at relatively high concentrations in many other human tissues and has an important homeostatic role [60]. Therefore, during catabolic states such as exercise, glutamine is released from skeletal muscle into the plasma to be utilized for maintenance of the glutamine level in other tissues [61]. Arginine is a precursor of nitric oxide and creatine, and its injection promotes the secretion of growth hormone [62,63], which may lead to an increase of muscle mass and strength. Although the effect of oral arginine on protein synthesis is equivocal, recent studies have indicated that combined intake of arginine with other compounds improves exercise performance [64-66].
Various other food components have also been studied to determine their effects on muscle strength and mass. A meta-analysis of studies done between 1967 and 2001 supported the use of two supplements, creatine and ß-hydroxy-ß-methylbutyrate (ßHMB), to augment lean body mass and strength when performing resistance exercise [67]. The human body contains more than 100 g of creatine, almost all of which is stored in the skeletal muscles as creatine phosphate. This is used to produce ATP by degradation to creatine under anaerobic conditions, so improvement of anaerobic metabolism can be expected by increasing the stores of creatine. Intake of creatine also stimulates water retention and protein synthesis [68,69]. It has been reported that the intake of =3 g/day of creatine increases the intramuscular content of creatine phosphate and improves endurance, especially during activities with a high power output (such as short distance running or resistance exercise), as well as improving muscle strength [70-72]. In addition, it has been reported that intake of creatine accelerates the increase of lean body mass and muscle strength during resistance training [72-74]. ßHMB is a metabolite of the branched-chain amino acid leucine, and it increases muscle bulk by inhibiting the degradation of protein via an influence on the metabolism of branched-chain amino acids [75,76]. It has been reported that intake of 1.5 to 3.0 g/day of ßHMB for 3 to 8 weeks achieved a greater increase of muscle mass and power compared with the intake of placebo [77-79].
Exercise and nutrition: introduction
Exercise, Nutrition, improving endurance
Exercise, nutrition, building muscle strength
Exercise, physical injury, fatigue and prevention
Exercise and immunity, conclusion