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Re-United with My Sugar Addiction…..

Post-Holiday Addiction

I think we have all faced this at one time or another, you visit an amazing place with phenomenal food and you trying everything insite because, hey you’re on holiday.

Many of you will know I have just come back from Melbourne and to those that have been to Melbourne, you will know that is world renowned for amazing food. As a massive foodie, it is fair to say I went a little overboard…. But no regrets because that is what holidays are for, expanding your horizons to new things, just sometimes that also means expanding your waistline at the same time. There is nothing wrong with this and I think we should all live and experience life but I have noted since coming home the true danger lies in coming home reunited with my old friend my sugar addiction. As I have stated in many of my previous articles this is powerful as a cocaine addiction, as it reacts in the similar fashion in the brain.

In realising the trap for myself I quickly realised that I will not be alone in this struggle, so why not share the strategies I will implement to get myself back on track. This document is for anyone looking to cut sugar, it doesn’t matter if you have been on holiday or not, just coming out of winter can be hard enough, as we tend to drift towards comfort foods

Cold Turkey

Just like any addiction moderation is not a good idea as “just a little bit” ends up as a “big bit” or “another bit”

Time to be strict, no more sugar for me for at least two weeks, so goodbye to my beloved chocolate, although I eat 90% dark chocolate it does still have a small amount, so that will have to go as well.

Two weeks strict no leniency and following this I will reassess and most likely be more liberal with good quality sources eg my dark chocolate (90%). The key focus is to break the habits of snacking.

 

I’m going, Keto

Those who follow me know that I am an advocate for keto when done appropriately for the right person, I have written extensively on it

I traditionally cycle in and out of keto depending on my training and racing schedule, but it looks like it is time for another solid cycle of Keto, especially with race season around the corner now.

Keto is one of the quickest ways to kick the cravings to a curb. However, it is always harder going into with re-established sugar cravings. The induction period can be tough as for any detox you are removing an addictive stimulant that you currently rely on. Your body doesn’t know what hit it, naturally, you begin to crave those foods more and begin making elaborate explanations and justifications to why you “need sugar” or “This is a good source of sugar” All this does is draw out the induction period. If this sounds like you and something you have tried and failed with before, the next couple of steps may also be challenging for the same reasons but don’t worry we have a solution for you! Check out the Exogenous Ketone section.

There is no one fits all approach

Not everyone needs to go full keto, high fat low carbohydrate (HFLC) will be sufficient and keto maybe to extreme for many. You need to keep in mind my baseline of carbohydrate intake was previously very low and I know I personally function best in this state with my performance goals. Everyone will function off varying amounts of carbohydrate. It is what Cliff Harvey calls “carbohydrate appropriate” so don’t feel like you need to go all or nothing. I would personally suggest starting HFLC and see how you go, re-assess and decide if you want to take it a step further to keto.

 

No Snacking

While on holiday it is easy to snack and graze on food throughout the day. Although our bodies are not designed to graze, this places a greater demand on our digestive system which in turn our body neglects other key processors.

Back from holiday is a great time to establish my new routine so no more snacking instead focus on 2-3 key nourishing meals.

 

Intermittent Fasting

For those like me who like to take it a step further beyond restricting carbohydrate and snacking and want optimal benefits. Intermittent fasting should definitely be considered as it provides your digestive system a greater opportunity to rest placing less unneeded external stress on your system

There are wide-ranging fasting protocols, that you can select from and to learn more read my previous posts but I think the key to any of the protocols that is often missed is that you should never suffer! Fasting is not about starving yourself it is about listening to your body and eating when hungry. As you become less reliant on carbohydrate for fuel and your body shifts over to primarily utilising your fat stores, as this happens you will naturally be able to fast for longer, but you should never push this adaptation phase, listen to your body and gradually increase your fasted window.

 

This is too hard! I Need a Helping Hand

If you are struggling with the above steps and you need a helping hand or just want to stay feeling amazing, look no further than Exogenous ketones.

Exogenous Ketones

Cravings and hunger catch us all off guard at one point or another but what if you could remove these while putting yourself into a fat burning zone (ketosis) while increasing mental capacity and clarity.

Sound good?

Exogenous ketones are the answer with an extensive list of benefits they are phenomenal from a performance standpoint but also a sugar addicts best friend as they detox the sugar. They are my specialist trick and often refer to them as the “catalyst for ketosis”. There is nothing as powerful in getting you through the tough times of induction period of keto or kicking the sugar addiction. Firstly because they taste amazing (even sweet) but because they remove hunger, craving and keep you performing at your best. Plus they are high in electrolytes which keeps the dreadful keto flu at bay.  

 

Out of Site out of Mind

When struggling with willpower which you most likely will early on, hide your treats. For some, this is not enough so I suggest giving them away or throwing them out so that your house is clean with no treats.

Accountability

Get friends, family, flatmates onboard. Let them know your plan and why you are doing it, ask them to keep you honest and on track, because let’s be honest we can justify anything, at least this way you will get an unbiased accountability.

Brush your Teeth

Danger time for me is following dinner, normally when I reach for the dark chocolate or go for seconds and then thirds when I am not even hungry. Brushing your teeth straight after dinner is a great way to stop yourself from eating

Join in the Journey: Stay Tuned

Join me as I re-undergo this induction phase and ditch the sugar and carbohydrate. I have my exogenous ketones ready to go and looking forward to being addiction free and back full of energy with no spike or crashes.

 

Keto: Everything You Need to Know

The Ketogenic protocol or more commonly known as Keto is growing in popularity and no doubt you have heard about it, but are probably wondering what it is and why is there so much hype around it?

There is often a lot of confusion around what is keto and if it is right for particular individuals. It is important to remember everyone has different needs and requirements and the keto diet is not a panacea! However, for those that it is beneficial for, it has shown to have some profound effects, especially in aiding in chronic health conditions.

From High Fat Low Carbohydrate (HFLC), Paleo to Keto and everything in between there is some great confusion around the differences between them and what they are and what is the best approach. It becomes easy to get confused as within each approach (HFLC, Paleo & Keto) there is multiple sub-approaches to the protocols. For example, someplace greater or less focus on greens or proteins than others. It is no wonder everyone is lost and not sure where to start. My goal with this article is to cut through all this and simplify a very overcomplicated topic to arm you with the knowledge to make the best decision for your individual needs.

Let’s first define each of the key protocols, their history, philosophy and approach to nutrition.

 

1. Paleo protocol

Is the true ancestral approach that has been designed around how our ancestors used to live in the Palaeolithic Era.

Why? Our ancestors were lean, fit and remarkably free of chronic inflammatory disease. It works off the evolutionary process that for 66,000 generations, humans ate primarily meat, fish, fruits and vegetables, nuts and seeds, and some starchy plants. While being physically active and not sitting for long periods.

For this reason, the Paleo approach aims to emulate our ancestors as much as possible, moving away from processed foods to a wholefoods diet that has more of a balanced split between fat, carbohydrate, and protein.

 

2. Ketogenic protocol (Keto)

The ketogenic protocol is very low-carb, that replaces carbs with high amounts of fat that triggers the body’s natural metabolic process known as “ketosis.” Through restricting carbohydrates, you deprive your body of its natural fuel source, glucose, this forces the body to burn stored fat for fuel instead of glucose. This process promotes your liver to produces “ketones”, a type of fatty acid, and sends them into your bloodstream where your muscles and other tissues can use them as fuel. Ketones are your 4th fuel substrate so fat, protein, carbohydrate, and ketones. It was once believed producing ketones (ketosis) was dangerous as it was thought to be a catabolic state but with the endless amounts of new research, it has been shown to be a preferable source of fuel for humans, offering wide-ranging benefits. One of the quickest ways to achieve a state of Ketosis is fasting, however, it can also occur in the absence of glucose within your diet. External sources such as Exogenous Ketone Supplements have also been shown to greatly speed up this pathway achieving ketosis within 30 mins vs a few days for nutritional ketosis. Exogenous Ketones can be a great aid, especially in the early phases of a ketogenic diet and when looking for optimal performance, I will discuss these in my next article to provide you with a more in-depth understanding.

What does this state of ketosis achieve:

History & Application:

The ketogenic protocol was first coined and used clinically in the 1920s as an alternative therapy for children with epilepsy. However, fasting which also puts you into a ketogenic state is a key component of most, if not all, religions and has been used to treat disease for thousands of years.

Nowadays, people use the keto protocol primarily for:

  • Weight loss
  • Increased Energy & Mood
  • Increased mental clarity & Focus
  • Increased Performance (Mental & Physical)
  • Better Sleep
  • Faster Recovery
  • Longevity

Chronic Health Conditions that might Benefit from Keto:

  • Type 2 Diabetes
  • Cancer (glycolytic driven cancers)
  • Multiple Sclerosis (MS)
  • Epilepsy
  • Metabolic Syndromes
  • Traumatic brain injury (TBI)
  • Alzheimer’s disease
  • Dementia
  • Parkinson’s Disease (PD)
  • Autism spectrum disorder (ASD)  
  • Migraine headaches
  • Gastrointestinal conditions eg. Irritable Bowel Syndrome (IBS)
  • Skin conditions eg. acne vulgaris, acne rosacea, eczema, and psoriasis

Conditions that are Contraindications Warrant Caution:

  • Those with genetic conditions that affect fatty acid metabolism, including primary carnitine deficiency, pyruvate carboxylase deficiency, etc.
  • Pregnancy. The exception may be gestational diabetes, but even then a low-carb diet with some whole-food carbohydrates is a safer choice, provided the patient can reach the proper blood sugar targets.
  • People with gallbladder disease, or no gallbladder at all, since they can have trouble digesting fats.
  • People with kidney disease, including a history of kidney stones. Some studies suggest that keto can benefit patients with kidney failure, but patients with other kidney issues may be harmed.
  • People with HPA axis dysfunction and high levels of chronic stress.

(Chris Kresser, 2018)

Can this state be measured?

Yes, there are multiple methods of testing, from breath, blood to urine. As everyone will respond differently it is a great idea, especially early on, to track and quantify what constitutes as being in a state of ketosis. After a while, you will develop the ability to associate the feelings and responses linked with the state.

Although it is a great idea to track, I personally believe too many people begin to fixate on the numbers aiming to achieve deeper states. A higher number does not necessarily mean you are getting any more benefit and chasing the number could be costing you in other areas such as increased stress response. The bottom line, don’t get carried away chasing numbers.

Three methods of testing Ketones:

  1. Urine sticks are an inexpensive method that has been shown to be reliable in the early adaptation phase but once adapted not so reliable. Why? Your body becomes efficient at utilising ketones so you won’t excrete them through urine to the same extent, therefore showing a lower reading than it truly is. You can pick these sticks up from most pharmacies reasonably easily.
  2. Blood is known as the more reliable measure and often offers the ability to test glucose levels as well. The most popular handheld blood testing device is Precision Xtra.
  3. Breath Testing is one off upfront cost. Although it is less accurate than blood, many still prefer it as it is simple to use with no need to take blood. One of the most popular handheld devices is the Ketonix

Give me the Numbers:

The state of Ketosis has been widely debated. Mostly due to individual variance and the fact that is not like a switch, it is a gradual shift. It is now widely accepted and used within literature that 0.5mmol/L and above is defined as being in a ketogenic state. Scientists Jeff Volek and Stephen Phinney, pioneers within the field, described in their book “The Art and Science of Low-Carbohydrate Living“  ‘light nutritional ketosis’ as between 0.5mmol/L and 1.0mmol/L and ‘optimal ketosis’ is between 1.0mmol/L – 3.0mmol/L.”. However, as mentioned, everyone is different so these numbers do not make or break and they should be utilised as guides

 

3. High Fat Low Carbohydrate (HFLC) protocol

This one says it all in the title, it is all about ditching the carbohydrate and replacing with healthy fats. HFLC is very similar to Keto and even some consider them the same. I often find people who think they are leading a keto diet are actually HFLC and there is nothing wrong with this, it just depends on your goals and what works best for you as an individual. The biggest difference is the carbohydrate intake with HFLC you can eat between 50-150 grams where keto is between 20-50 grams. I spent the month of July discussing HFLC and the effects of carbohydrate so I have plenty of information to look further into, for the time being, I will just offer a brief overview. It is basically eating a greater percentage of healthy unprocessed fats, in replacement of all the refined carbohydrates that are consumed in the Western Diet.

The similarities across all three protocols

  • Less Carbohydrates than standard Western Diet (Fat: 20-30%, Protein 10-35% & Carbohydrate 45-60%). To learn more about how we got the history of the food pyramid to check out one of my previous posts Food Pyramid: We Got It Wrong! And to learn more about the effects of excessive carbohydrates I suggest reading this post Let’s Talk Science: High Carbohydrate Vs High Fat
  • Increase in the consumption of whole foods. Reduction if not removal of processed foods

The biggest differences between the three protocols:

It is important to note that some of these factors also apply within each protocol as well and as mentioned above there is a wide number of subgroups within each protocol.

Macronutrients (carbs, proteins, and fats): Macronutrients is the obvious difference across the three protocols.

  • Keto: Fat: 80%, Protein: 15% & Carbohydrate: 5%
  • Paleo: Fat: 28-47%, Protein: 19-35% & Carbohydrate: 22-40%
  • HFLC: More of a lifestyle change so no defined macro breakdown. However, it involves limiting carbs as much as possible, aiming to keep within 50-150 grams per day.

Protein Intake: This is one of the most debated topics and you will see variance not only across paleo to keto but within each protocol itself. Mostly due to the fact that excessive protein can lead to the bodies survival mechanism gluconeogenesis (production of turning protein into carbohydrate). It is believed if you deplete your carbohydrate stores and then replace with large amounts of protein it can lead to this process occurring and even though you are not eating carbs your body is creating them. There is a great academic debate going on at the moment. My current opinion and the opinion of the majority is that protein is not a key concern and it is not something you should restrict, as it is such a key component in maintaining and building tissue within the body, therefore especially important for athletes.

To speak to gluconeogenesis, it is important to remember that this is a highly un-efficient mechanism that is the last resort. Unless you are depleted of all your fat stores, which is near impossible, it is easier for your body to use your fat over going through this taxing process.

Fruit: As Paleo aims to emulate our ancestors, fruits are fine to eat. However, when following a ketogenic protocol and carbohydrates being very restricted, the majority of fruits do not fit within the requirements. For this reason, fruit is often restricted in keto. This is not to say you can not eat fruit if you can keep it within the Marcos (Carbohydrate under 5-8%). Keto individuals will traditionally stay clear of white fruits like banana, apples, pears etc as they produce a high glucose response and possess a greater amount of carbohydrate; for example a banana (Average size: 118 grams) has approximately 27 grams of carbs, this one banana alone exceeds the strictest of definitions of keto. Interestingly the carb count will drop the greener the banana. Instead, ketogenic people will often replace these fruits with vibrant colored and antioxidant-rich fruits like berries. For example; 100 grams of Strawberries is 7.68 grams of carbs.

Vegetables: Many believe these protocols are just bacon and oils, void of any vegetables. That is a whole different diet again, Carnivore diet which is growing popularity at the moment. This is an article in itself but put simply, in my opinion, this is not a sustainable long-term diet.

When it comes to vegetables due to the fiber content in vegetables you would be hard pressed to overeat and kick yourself out of ketosis with spinach, zucchini, lettuce, asparagus and kale on a keto diet. Like anything there are some you need to tread more carefully with eg: Bell Peppers (yellow Specifically), Brussels Sprouts, and beans, these possess great carb count. Myself and many others within Keto, HFLC, and Paleo believe vegetables should be the foundation of the diet due to the richness of micronutrients and antioxidants important for health. Many of which actually aid in digesting and removing harmful oxidative stressors.

Dairy: In the strict Paleo sense, dairy of any form was not consumed in the Palaeolithic Era, other than human milk in the infancy of course. It just wasn’t very practical to milk wild game. Whereas keto and HFLC are all about dairy, that is if you can handle it.

 

Reference:

Allen, B. G., Bhatia, S. K., Anderson, C. M., Eichenberger-Gilmore, J. M., Sibenaller, Z. A., Mapuskar, K. A., … Fath, M. A. (2014). Ketogenic diets as an adjuvant cancer therapy: History and potential mechanism. Redox Biology, 2(1), 963–970. https://doi.org/10.1016/j.redox.2014.08.002

Dashti, H. M., Mathew, T. C., Hussein, T., Asfar, S. K., Behbahani, A., Khoursheed, M. A., … Al-Zaid, N. S. (2004). Long-term effects of a ketogenic diet in obese patients. Experimental and Clinical Cardiology, 9(3), 200–205. https://doi.org/10.3390/nu8050289

Deng-Bryant, Y., Prins, M. L., Hovda, D. A., & Harris, N. G. (2011). Ketogenic diet prevents alterations in brain metabolism in young but not adult rats after traumatic brain injury. Journal of Neurotrauma, 28(9), 1813–1825. https://doi.org/10.1089/neu.2011.1822

Di Lorenzo, C., Curra, A., Sirianni, G., Coppola, G., Bracaglia, M., Cardillo, A., … Pierelli, F. (2013). Diet transiently improves migraine in two twin sisters: possible role of ketogenesis? Functional Neurology, 28(4), 305–308.

Evangeliou, A., Vlachonikolis, I., Mihailidou, H., Spilioti, M., Skarpalezou, A., Makaronas, N., … Smeitink, J. (2003). Application of a ketogenic diet in children with autistic behavior: pilot study. Journal of Child Neurology, 18(2), 113–118. https://doi.org/10.1177/08830738030180020501

Gasior, M., Rogawski, M. A., & Hartman, A. L. (2006). Neuroprotective and disease-modifying effects of the ketogenic diet. Behavioural Pharmacology, 17(5–6), 431–439. https://doi.org/10.1097/00008877-200609000-00009

Herbert, M. R., & Buckley, J. A. (2013). Autism and dietary therapy: case report and review of the literature. Journal of Child Neurology, 28(8), 975–982. https://doi.org/10.1177/0883073813488668

Hu, Z.-G., Wang, H.-D., Qiao, L., Yan, W., Tan, Q.-F., & Yin, H.-X. (2009). The protective effect of the ketogenic diet on traumatic brain injury-induced cell death in juvenile rats. Brain Injury, 23(5), 459–465. https://doi.org/10.1080/02699050902788469

Mychasiuk, R., & Rho, J. M. (2017). Genetic modifications associated with ketogenic diet treatment in the BTBR(T+Tf/J) mouse model of autism spectrum disorder. Autism Research : Official Journal of the International Society for Autism Research, 10(3), 456–471. https://doi.org/10.1002/aur.1682

Paoli, A., Bianco, A., Damiani, E., & Bosco, G. (2014). Ketogenic diet in neuromuscular and neurodegenerative diseases. BioMed Research International, 2014(2). https://doi.org/10.1155/2014/474296

Prins, M. L., & Matsumoto, J. H. (2014). The collective therapeutic potential of cerebral ketone metabolism in traumatic brain injury. Journal of Lipid Research, 55(12), 2450–2457. https://doi.org/10.1194/jlr.R046706

Remahl, S., Dahlin, M. G., & Amark, P. E. (2008). Influence of the ketogenic diet on 24-hour electroencephalogram in children with  epilepsy. Pediatric Neurology, 38(1), 38–43. https://doi.org/10.1016/j.pediatrneurol.2007.09.002

Schmidt, M., Pfetzer, N., Schwab, M., Strauss, I., & Kämmerer, U. (2011). Effects of a ketogenic diet on the quality of life in 16 patients with advanced cancer: A pilot trial. Nutrition & Metabolism, 8(1), 54. https://doi.org/10.1186/1743-7075-8-54

Stafstrom, C. E., & Rho, J. M. (2012). The ketogenic diet as a treatment paradigm for diverse neurological disorders. Frontiers in Pharmacology, 3 APR(April), 1–8. https://doi.org/10.3389/fphar.2012.00059

Storoni, M., & Plant, G. T. (2015). The Therapeutic Potential of the Ketogenic Diet in Treating Progressive Multiple Sclerosis. Multiple Sclerosis International, 2015, 1–9. https://doi.org/10.1155/2015/681289

Volek, J. S., Phinney, S. D., Forsythe, C. E., Quann, E. E., Wood, R. J., Puglisi, M. J., … Feinman, R. D. (2009). Carbohydrate restriction has a more favorable impact on the metabolic syndrome than a low fat diet. Lipids, 44(4), 297–309. https://doi.org/10.1007/s11745-008-3274-2

Alternate Approach to Fueling the Endurance Athlete

Our last post we discussed carbohydrate (CHO) as a primary fuel source and factors that need to be considered. In this post we want to shed light on an alternative approach to fueling as an endurance athlete and how it stacks up against traditional methods.

With the growing body of literature investigating the current ‘traditional and text book’ endurance based nutrition, I wanted to take sometime to highlight some of the newer evidence along with an alternate strategy. I am not saying this is a strategy for everyone, as in so many areas of our sport (e.g. training and nutrition) there is so much individual variance. However, with my clinical and personal experience if done correctly, I have found an approach that works for the majority of clients and is something I highly suggest you consider and test out, not only from a performance standpoint but for your overall health as well.

 

Background/ Training Nutrition

Before talking about race nutrition (particularly Ironman) you must first understand training nutrition. The science has made some significant developments in recent years and I want to identify what these recent changes are and then compare them to traditional nutritional methods and try help you identify which is the best approach for you!

 

What is Traditional/Textbook Endurance Nutrition?

This nutritional method is based around the intake of CHO and the ability to load (before) and continually replenish CHO stores during exercise.

 

What does this mean?

Challenge Roth 2014

Typically our bodies can only use ~1g of CHO / kg of Body Weight / Hour. We are constantly told that to perform at a high level or merely ‘last the distance’ in any endurance event requires us to be fueled solely by CHO. Go to any endurance event or even give “Ironman Nutrition” a quick google and you will see this is still a common thought. Ironman itself even puts on a pre-race dinner “Pasta Party” based around this concept, with the intention of CHO loading (I pre-ate before attending).

But sport science is a new science so we are always learning and older practices (nutritional or other) are being re-investigated and newer methods are always being developed and tested. In the case of nutrition for ultra events the science is evolving and initially these challenge all my previous beliefs, creating a lot of confusion (even for me, someone who has studied sport science).  But, in taking a step back I was able to analyse from a non-bias standpoint and used a bit of logic to allow me to see the potential of this new nutritional strategy.

 

So, what was being suggested? 

A flipping of the traditional method on it head! Out with the CHO during training and in with the fat! With CHO so ingrained in our culture not only as athletes but also in general day to day life, it can be challenging.

There are plenty of methods that now utilise this approach with some variance within them: High Fat Low Carb (HFLC), Very Low Carb and High Fat (VLCHF), Paleo, Ketogenic, Aktins or Modified Akins. Despite their differences (mainly in their name choice) they all work on a similar premise, that is to reduce CHO used during low- moderate intensity (sparing our very very limited body CHO stores for those rare times when we need to sprint finish) and increasing our efficiency at using fat as a fuel source. Some of the diets listed above are a bit more extreme than others. So which one is best? Again it comes down to you and what suits YOU best.

 

My goal: My focus is always on efficiency and maximising performance both physical and mental. Therefore, I put the high fat strategy to the test against Ironman, with the intention of be able to utilise fat a primary fuel source throughout the race.

 

Fat Adapted Athlete or Metabolically flexible

Put simply you have the ability to use fat as a fuel during exercise and this saves your bodies limited CHO stores (~500-600g even when you eat a lot of CHO in your diet). This shift allows you to move away from a limited and finite fuel source to one that is unlimited!!!!!

At the lower exercise intensities required during an Ironman (we are exercising for 8-17 hours) the increased use of our fat stores may mean less frequent refueling and less reliance on external fueling methods (now no stress now if you drop that one gel out on course). Another added benefit of using your fat stores is enhanced fat loss, great for body composition.

Your health is also improved by shifting to a ‘high good fat’ diet. This is due to the fact that when you use fat as a fuel you do not create the inflammatory response that we see with CHO. Less inflammation is great for supporting a healthy body (Let’s talk Science: High Carbohydrate Vs High Fat)

The ‘traditional’ CHO method would argue that fat use in exercise limits your ability to perform at the top end of your chosen sport (endurance and even anaerobic based power athletes). But the recent research has debunked that argument. Some of the best triathletes would consider themselves to be high fat/ low carb and they are winning events at an amateur and professional level.

 

Put in to practice: Proof is in the pudding

 

Pro Athletes: It is hard to say exactly who is and who isn’t but those to the best of my knowledge are listed below. Along with being pro athletes a lot of them are also coaches themselves as well.

Simon Cochrane: 1st Rotorua & Karapiro Half Ironman, 3rd place IM Japan, 3rd IM Taiwan, 3rd IM Philippines. IM New Zealand PB 8:21

Jan van Berkel: 1st Ironman Switzerland (in record breaking time), 5th 2018 IM Texas (7.48.40); 4th 2018 IM New Zealand

Tim Reed: 1st 2018 IM 70.3 Vietnam, 2nd  2017 IM 70.3 Asia Pacific Championships, Western Sydney, 2nd IM Australia, Port Macquarie

Dougal Allan: 1st 2018 Motatapu Xterra, 1st 2018 Redbull Defiance, 2nd 2017 IM Western, Australia

Kyle Buckingham: 1st 2018 IM  African Championships

 

Coaches / Athletes: Who are renowned for the High fat approach to training

Dan Plews (Coaching Service: Plew & Prof): 1st 2018 Age grouper in IM New Zealand – 8:35

Bevan Mckinnon (Coaching Service: Fitter): 1st 2016 Kona IM in Age group World Championships  

 

This does not mean it will work for everyone!! I just wanted to highlight that this is a strategy being utilised by top athletes, showing that its does not reduce your performance, in fact it may have the opposite effect. These are just some of the top athletes well known for this approach but there are plenty more and it is a strategy that is continually growing in popularity as science proves the validity of this nutritional strategy in performance and health measures.

 

How does a Carbohydrate Athlete match up to a Fat Adapted Athlete

I wanted to keep it simple as I know this topic it can become overwhelming to most. Listed below are a comparison of the two strategies.

Key Things to consider:

Below are some key factors to consider before jumping into this approach and often the biggest mistakes I see athletes make.

 

  • CHO Tolerance: Carbohydrate tolerances or insulin sensitivity (ability to produce adequate insulin when required, to ensure efficient uptake of carbohydrate) will vary from person to person. There is no one size fits all macro breakdown there are just guidelines!

 

  • A-Type Personality: The biggest mistake I see especially in the A-Type personality world of triathlon is athletes going to extreme to quick. Just like physical training this shift in fuel substrate should be a gradual adaptation. I highly suggest easing into it, you should never be suffering (eg starving) if so you are pushing your limits too much! However, if done correctly the benefits to your health, performance and longevity will be profound!

 

  • Female Athlete: Females must also be cautious in adapting this approach as you traditionally require more CHO and must consider the impact of your menstrual cycle and design your intake accordingly. For this reason there doesn’t seem to be too many Pro female Ironman athletes currently, I have heard that Melissa Hauschildt (1st Female 2018 IM Texas – North American Championships) is high fat athlete but that has not been confirmed. I think this is something we will see more as we learn how to better cater the approach to the specific demands female body. As quoted by Stacey Sims: “Women are not small men!”

 

  • Train Low Race High: Once fat adapted, athletes to often approach their racing the same as there training void of or minimal CHO. If you want to optimise your performance you buffer your CHO stores so that you can utilise both CHO and fat substrates to their full potential. Although,  this has been recently shown to be especially important in more competitive and elite athletes than those working at ;lower intensities 

 

Take home message:

No detrimental effect in performance, less need for refueling, fat loss and faster recovery, it sounds pretty good to me!

I will say it again that as with any nutritional approach there is no one size fits all approach, you must find what works for you! Sometimes that means some long term self experimenting. Take it gradually don’t go all out and end up with Keto Flu.

 

References:

Burke, L. M., & Hawley, J. A. (2002). Effects of short-term fat adaptation on metabolism and performance of prolonged exercise. Medicine & Science in Sports & Exercise, (2). https://doi.org/10.1249/01.MSS.0000027690.61338.38

Burke, L. M., Wood, C., Pyne, D. B., Telford, D. R., & Saunders, P. U. (2005). Effect of carbohydrate intake on half-marathon performance of well-trained runners. International Journal of Sport Nutrition and Exercise Metabolism, 15(6), 573–589.

Campbell, C., Prince, D., Braun, M., Applegate, E., & Casazza, G. A. (2008). Carbohydrate-supplement form and exercise performance. International Journal of Sport Nutrition and Exercise Metabolism, 18(2), 179–190.

Carey, A. L., Yeo, W. K., Carey, A. L., Burke, L., Spriet, L. L., & Hawley, J. A. (2011). Fat adaptation in well-trained athletes : Effects on cell metabolism REVIEW / SYNTHE Fat adaptation in well-trained athletes : effects on cell metabolism. Applied Physiology Nutrition and Metabolism, (April 2016). https://doi.org/10.1139/H10-089

Cipryan, L., Plews, D. J., Ferretti, A., Maffetone, P. B., & Laursen, P. B. (2018). Effects of a 4-week very low-carbohydrate diet on high-intensity interval training responses. Journal of Sports Science and Medicine, 17(April), 259–267.

Harvey, C. J. C., Schofield, G. M., & Williden, M. (2018). The use of nutritional supplements to induce ketosis and reduce symptoms associated with keto-induction : a narrative review. PeerJ. https://doi.org/10.7717/peerj.4488

Havemann, L., West, S. J., Goedecke, J. H., Macdonald, I. A., Gibson, A. S. C., Noakes, T. D., … Fat, E. V. L. (2018). Fat adaptation followed by carbohydrate loading compromises high-intensity sprint performance. Journal of Applied Physiology, 194–202. https://doi.org/10.1152/japplphysiol.00813.2005.

Jentjens, R. L. P. G., & Jeukendrup, A. E. (2005). High rates of exogenous carbohydrate oxidation from a mixture of glucose and fructose ingested during prolonged cycling exercise. The British Journal of Nutrition, 93(4), 485–492.

Jeukendrup, A. E., & Wallis, G. A. (2005). Measurement of Substrate Oxidation During Exercise by Means of Gas Exchange Measurements. Int J Sports Med, 26(S 1), S28–S37. https://doi.org/10.1055/s-2004-830512

Jeukendrup, A. (2008). Carbohydrate feeding during exercise. European Journal of Sport Science (Vol. 8). https://doi.org/10.1080/17461390801918971

Malatesta, D., Brun, J.-F., Astorino, T. A., Maunder, E., Plews, D. J., & Kilding, A. E. (2018). Contextualising maximal fat oxidation during exercise: determinants and normative values. Frontiers in Physiology, 9(599). https://doi.org/10.3389/fphys.2018.00599

Maunder, E., Kilding, A. E., & Plews, D. J. (2018). Substrate Metabolism During Ironman Triathlon: Different Horses on the Same Courses. Sports Medicine. https://doi.org/10.1007/s40279-018-0938-9

Maunder, E., Plews, D. J., & Kilding, A. E. (2018). Contextualising Maximal Fat Oxidation During Exercise : Determinants and Normative Values. Frontiers in Physiology, 9(May), 1–13. https://doi.org/10.3389/fphys.2018.00599

Newman, J. C., & Verdin, E. (2014). Ketone bodies as signaling metabolites. Trends in Endocrinology & Metabolism, 25(1), 42–52. https://doi.org/10.1016/j.tem.2013.09.002

Oliveira, E. P. De, & Burini, R. C. (2014). Carbohydrate-Dependent, Exercise-Induced Gastrointestinal Distress. Nutrients, 4191–4199. https://doi.org/10.3390/nu6104191

Painelli, V. D. S., Nicastro, H., & Jr, A. H. L. (2010). Carbohydrate mouth rinse : does it improve endurance exercise performance ? Nutrition Journal, 2–5.

Paoli, A., Grimaldi, K., Agostino, D. D., Cenci, L., Moro, T., Bianco, A., & Palma, A. (2012). Ketogenic diet does not affect strength performance in elite artistic gymnasts. Journal of the International Society of Sports Nutrition, 1–9.

Peters, S. J., Amand, T. A. S. T., Howlett, R. A., Heigenhauser, G. J. F., Spriet, L. L., Ln, O., … Lawrence, L. (1998). Human skeletal muscle pyruvate dehydrogenase kinase activity increases after a low-carbohydrate diet. The American Physiological Society, (8).

Peters, S. J., Harris, R. A., Wu, P., Pehleman, T. L., Heigenhauser, G. J. F., Spriet, L. L., … Spriet, L. L. (2018). Human skeletal muscle PDH kinase activity and isoform expression during a 3-day high-fat / low-carbohydrate diet. American Journal of Physiology-Endocrinology and Metabolism, 1, 1151–1158.

Peters, S. J., & Leblanc, P. J. (2004). Nutrition & Metabolism Metabolic aspects of low carbohydrate diets and exercise. Nutrition & Metabolism 2004, 8, 1–8. https://doi.org/10.1186/1743-7075-1-7

Pfeiffer, B., Stellingwerff, T., Hodgson, A. B., Randell, R., Res, P., & Jeukendrup, A. E. (2012). Nutritional Intake and Gastrointestinal Problems during Competitive Endurance Events. Medical Science in Sports and Exercise, (7), 344–351. https://doi.org/10.1249/MSS.0b013e31822dc809

Pfeiffer, B., Stellingwerff, T., Zaltas, E., & Jeukendrup, A. E. (2010). CHO oxidation from a CHO gel compared with a drink during exercise. Medicine and Science in Sports and Exercise, 42(11), 2038–2045. https://doi.org/10.1249/MSS.0b013e3181e0efe6

Prado, E., Roberto, D. O., & Burini, C. (2014). Gastrointestinal Complaints During Exercise : Prevalence , Etiology , and Nutritional Recommendations. Sports Medicine, 44, 79–85. https://doi.org/10.1007/s40279-014-0153-2

Stellingwerff, T., Spriet, L. L., Watt, M. J., Kimber, N. E., Hargreaves, M., Hawley, J. A., … Pdh, D. (2018). Decreased PDH activation and glycogenolysis during exercise following fat adaptation with carbohydrate restoration. American Journal of Physiology-Endocrinology and Metabolism, 380–388. https://doi.org/10.1152/ajpendo.00268.2005.

Stuempfle, K. J., Hoffman, M. D., & Hew-butler, T. (2013). Association of Gastrointestinal Distress in Ultramarathoners with Race Diet Association of Gastrointestinal Distress in Ultramarathoners with Race. International Journal of Sport Nutrition and Exercise Metabolism, 2, 103–109.

Volek, J. S., Freidenreich, D. J., Saenz, C., Kunces, L. J., Creighton, B. C., Bartley, J. M., … Phinney, S. D. (2015). Metabolic characteristics of keto-adapted ultra-endurance runners. Metabolism, 65(3), 100–110. https://doi.org/10.1016/j.metabol.2015.10.028

Volek, J. S., Noakes, T., & Phinney, S. D. (2015). Rethinking fat as a fuel for endurance exercise. European Journal of Sport Science, 15(1), 13–20.

Zinn, C., Wood, M., Williden, M., Chatterton, S., & Maunder, E. (2017). Ketogenic diet benefits body composition and well-being but not performance in a pilot case study of New Zealand endurance athletes. Journal of the International Society of Sports Nutrition, 1–9. https://doi.org/10.1186/s12970-017-0180-0

Zügel, D. (2016). Carbohydrate Intake in Form of Gel Is Associated With Increased Gastrointestinal Distress but Not With Performance Differences Compared With Liquid Carbohydrate Ingestion During Simulated Long-Distance Triathlon. International Journal of Sport Nutrition and Exercise Metabolism.

 

Effect of Carbohydrate & Athletic Potential

Are Carbohydrates Maximising your Athletic Potential?

Now that we have touched on some of the effects of carbohydrate on general health, let’s progress into carbohydrate as a primary fuel source in athletic events. In this article we will have a look at the literature and discuss how you can optimise your performance through the fourth discipline of triathlon, aka “fuel and nutrition”.

 

Limited Storage Capacity

The leading limitation of carbohydrate (CHO) as a fuel is it’s storage capacity (500-600 grams) and the need for continually refueling to maintain these stores. The rate of CHO absorption can be minimally manipulated and may depend on your CHO sources used. Interestingly the maximal CHO absorption capacity that has been achieved is 1.8g of CHO / min  (4,6). But CHO storage (500-600g) is dwarfed by fat storage (5+) kg even in a very lean individual). This is a phenomenal difference, this benefit alone should be enough to spike any endurance athletes attention. I say endurance athlete because any sport under 1-1.5 hr can store enough CHO to supply energy for their chosen activity, and in this case using fat as a fuel may not be the best strategy. But it is endurance athletes who regularly exceed this time threshold and who can really benefit from utilising fat as a fuel. However, this is only one benefit and there is a growing body of scientific evidence suggesting a wide range of other benefits that I will discuss and will benefit majority of athletes regardless of  the sporting event.

Source of Carbohydrate: Is it important?

Many athletes fail to recognise or understand the difference between different types of CHO. CHO can be divided into two main divisions, the rapidly oxidized CHO (up to ~60 g/hr or 1 g/min; include: glucose, maltose, sucrose, maltodextrin and amylopectin starch) and slower oxidized CHO (up to ~30 g/hr or 0.5 g/min; include: fructose, galactose, isomaltulose, trehalose and amylose). The reason for different oxidation rates is due to the different CHO sources using different CHO transporters in the gut and increasing the amount going from the gut to the blood. Therefore, ingestion of multiple transportable (glucose + fructose) CHO vs. single transportable CHO enhances exogenous  (external from body  eg food, supplements etc) CHO oxidation and increases performance (9)

Gels & Long distance Triathlon

To the best of my knowledge Zügel, (2016) (15), is the only study that has specifically looked at the administration of gels in long distance triathlon. A number of studies have looked at other shorter disciplines comparing gels to a liquid source of CHO with varied results. (1,2,12) Long distance triathlon possess several unique conditions compared to these sports such as, the inability to consume fuel while in the swim and possibly the change in body position across the three disciplines over the day that may impair gastric emptying (nutrition moving from the stomach into the intestine to be absorbed) and increase GI distress(11). In a study of long distance triathletes (15) the results suggested that gels compared to liquid CHO caused no difference in performance. But the study did show that people that consumed gels had an increase GI distress.

Gastrointestinal  Distress

As a CHO based athlete the need for continuous refueling is essential part of training and racing. But what we see is that sometimes these high and regular fuel intakes are closely related to Gastrointestinal (GI) distress. The ability to tap into endogenous fuel (produced internally in body) sources over exogenous fuel (external from body  eg food, supplements etc) would be extremely advantageous in minimising/preventing GI distress.

When consuming exogenous CHO, multiple transporters have been shown to not only increases CHO absorption but also aid in reducing GI complaints. Therefore, it is advantageous to consume CHO from multiple transporters, from a performance standpoint along with minimising GI distress. O’Brien, & Rowlands (2011) (8) concluded that a 0.8 ratio (0.8 fructose + 1.0 maltodextrin) presented the least amount of GI distress. If you are someone who is particular sensitive, this is an important consideration when selecting you personal fueling strategy.

Gut Traininability

Higher absorption of CHO is associated with less residual CHO in the intestine and it could prevent GI distress, an obvious potential strategy would be to increase absorptive capacity of the gut through training the gut to tolerate higher levels of CHO (15). However, more research is required.

Carbohydrate Mouth Rinsing

In recent years there has been emerging research around the ergogenic (performance enhancing) action via the central nervous system. It has been demonstrated that CHO mouth rinsing presents performance enhancing benefits in events 60 min or less. There is limited research in endurance based events (60 min+). But this could offer athletes the ability to bypass or reduce GI distress associated with CHO refueling, making it especially useful in the run segment of triathlon due to increase in GI distress seen with high impact and jaring activity. However, as an emerging area of research more depth is required to identify the exact mechanisms at play and to provide guidance on best practice for a strategy like this.

Metabolic flexibility

When it comes to optimising you your fourth discipline “Nutrition”, you need to look at what your current training load, the duration of the event you are training for and what is the best practice nutrition that will allow you to achieve your goals. For longer events (training 12 + hours a week and events greater than 2 hours in duration) the best possible nutritional approach would be to seek and attain metabolic flexibility.

So what is Metabolic flexibility:

When I say metabolic flexibility I am referring to your ability to adapt your fuel utilisation to meet the energy demands of the exercise stress which you are putting yourself through. For long distance events, low-moderate exercise intensity your body will be most efficient when utilizing fat as a fuel. You want to be an efficient fat burning machine, this will allow you spare your limited muscle glycogen stores so that when you need to use them for that all out maximal sprint finish, your body can adapt and change fuel sources from fat to CHO to meet energy demands.

By not aiming to achieve metabolic flexibility you are limiting your performance potential by not maximising your ability to utilise alternative fuel sources. I would even go as far to argue metabolic flexibility is one of the most performance enhancing strategies you can train to promote overall health, weight maintenance, longevity and sporting performance.

As a metabolically flexible athlete having the ability to shift from CHO to Fat as a primary fuel source (almost exclusively, very minimal CHO) when they are resting, sleeping and moving slowly is highly beneficial. One of the most beneficial components is that you are reserving your limited CHO to be utilised in higher intensity activities like sprinting. Therefore a metabolically flexible athlete or fat adapted athlete has the ability to maximise their substrate utilization and ensure optimal efficiency for endurance events. It is like fueling your body with diesel (fat) & high octane fuel (CHO), giving you the efficiency and endurance of the diesel coupled with the ability to tap into your high octane fuel when you need surge or increase intensity. Compared to fueling with one or the other on its own, this approach would seemingly limit your capacity to shift between the two when required.

To achieve this you need to look beyond the limited CHO and train your body to utilise other limitless fuel sources like fat alongside CHO to truly maximise your potential. In our next post we will compare the metabolically flexible fat adapted athlete vs the traditional high CHO based athlete.

 

References:

  1. Burke, L. M., Wood, C., Pyne, D. B., Telford, D. R., & Saunders, P. U. (2005). Effect of carbohydrate intake on half-marathon performance of well-trained runners. International Journal of Sport Nutrition and Exercise Metabolism, 15(6), 573–589.
  2. Campbell, C., Prince, D., Braun, M., Applegate, E., & Casazza, G. A. (2008). Carbohydrate-supplement form and exercise performance. International Journal of Sport Nutrition and Exercise Metabolism, 18(2), 179–190.
  3. Cipryan, L., Plews, D. J., Ferretti, A., Maffetone, P. B., & Laursen, P. B. (2018). Effects of a 4-week very low-carbohydrate diet on high-intensity interval training responses. Journal of Sports Science and Medicine, 17(April), 259–267.
  4. Jentjens, R. L. P. G., & Jeukendrup, A. E. (2005). High rates of exogenous carbohydrate oxidation from a mixture of glucose and fructose ingested during prolonged cycling exercise. The British Journal of Nutrition, 93(4), 485–492.
  5. Jeukendrup, A. (2008). Carbohydrate feeding during exercise. European Journal of Sport Science (Vol. 8). https://doi.org/10.1080/17461390801918971
  6. Jeukendrup, A. E., & Wallis, G. A. (2005). Measurement of Substrate Oxidation During Exercise by Means of Gas Exchange Measurements. Int J Sports Med, 26(S 1), S28–S37. https://doi.org/10.1055/s-2004-830512
  7. Malatesta, D., Brun, J.-F., Astorino, T. A., Maunder, E., Plews, D. J., & Kilding, A. E. (2018). Contextualising maximal fat oxidation during exercise: determinants and normative values. Frontiers in Physiology, 9(599). https://doi.org/10.3389/fphys.2018.00599
  8. O’Brien W.J., Rowlands D.S. Fructose-maltodextrin ratio in a carbohydrate-electrolyte solution differentially affects exogenous carbohydrate oxidation rate, gut comfort, and performance. Am. J. Physiol. Gastrointest. Liver Physiol. 2011;300:G181–G189. doi: 10.1152/ajpgi.00419.2010.
  9. Oliveira, E. P. De, & Burini, R. C. (2014). Carbohydrate-Dependent, Exercise-Induced Gastrointestinal Distress, 4191–4199. https://doi.org/10.3390/nu6104191
  10. Painelli, V. D. S., Nicastro, H., & Jr, A. H. L. (2010). Carbohydrate mouth rinse : does it improve endurance exercise performance ?, 2–5.
  11. Peters, H.P., van Schelven, F.W., Verstappen, P.A., de Boer, R.W., Bol, E., Erich, W.B., de Vries, W.R. (1993). Gastrointestinal problems as a function of carbohydrate supplements and mode of exercise. Medicine and Science in Sports and Exercise, 25, 1211–1224. doi:10.1249/00005768-199311000-00003
  12. Pfeiffer, B., Stellingwerff, T., Zaltas, E., & Jeukendrup, A. E. (2010). CHO oxidation from a CHO gel compared with a drink during exercise. Medicine and Science in Sports and Exercise, 42(11), 2038–2045. https://doi.org/10.1249/MSS.0b013e3181e0efe6
  13. Prado, E., Roberto, D. O., & Burini, C. (2014). Gastrointestinal Complaints During Exercise : Prevalence , Etiology , and Nutritional Recommendations, 44, 79–85. https://doi.org/10.1007/s40279-014-0153-2
  14. Stuempfle, K. J., Hoffman, M. D., & Hew-butler, T. (2013). Association of Gastrointestinal Distress in Ultramarathoners with Race Diet Association of Gastrointestinal Distress in Ultramarathoners with Race, 2, 103–109.
  15. Zügel, D. (2016). Carbohydrate Intake in Form of Gel Is Associated With Increased Gastrointestinal Distress but Not With Performance Differences Compared With Liquid Carbohydrate Ingestion During Simulated Long-Distance Triathlon.

Time Restricted Eating: What you need to know

In one of my previous article (Let’s talk Science: High Carbohydrate Vs High Fat), I  talked about starting your day with a high fat meal (eg avocado and eggs, fat smoothie etc) vs the traditional approach of refined high carbohydrate breakfast (Eg. toasted muesli, cereal and toast). But why stop there! The benefits achieved  by this can be taken one step further by not eating at all and extending your overnight fasted period.

 

“Break” + “Fast” = Breakfast

Whether you like it or not you fast every night, while you are asleep. Therefore, the term “breakfast” is defined by breaking the overnight fast. Breakfast is known as one of the most important meals of the day. I will not debate this because I believe this to be true as it will set you up for your day. However the time when we consume it does not necessarily need to be first thing in the morning.

Isn’t skipping breakfast bad for you? What are the benefits of fasting? Is there any science behind this? Is it dangerous? These are all the questions that people will often ask as soon as you hear the word ‘fasting’

 

Do I fast?

Yes, in fact most days I fast from 14-18 hrs (7pm-11am ish). It is one of the most liberating things I have ever done and has allowed me to free up my mornings. My mornings are now more productive than ever before, I have a clear mind and do not waste time,  instead I can jump straight into the task at hand.

Why would I suggest people try fasting?

If you are interested health, longevity and sporting performance fasting is something that you should consider.

Let’s take a look at the research

Although intermittent fasting is a relatively new area of science fasting is ingrained to our history and is a component of almost every religion. It is only recently that we have been able to gain a deeper understanding of the physiological mechanisms at play and therefore identifying the positive benefits associated with intermittent / prolonged fasting/ time restricted eating as a powerful longevity enhancing strategy.

 

Animals Studies (9-12 hr eating window)

The majority has been performed in animal studies which have shown increased muscle mass, fat loss, glucose tolerance, improved lipid profiles, decreased inflammation, increase mitochondrial volume, protection against mild age fatty liver, protection against obesity, gene expression, increase production in ketone bodies. This list alone should be enough to highlight the amazing potential of fasting. But while this does appear in animal studies, will we see the same benefits in humans?

 

Humans Studies:

This is a growing body of literature and is still in its infancy in terms of research. Intermittent fasting/ time restricted eating (11 hr eating window) has been shown to decrease breast cancer risk (36%). It has also been shown to increase fat loss in overweight and obese people and interestingly for each 3 hr increase in time of the  overnight fast duration there was a 20% fall in HbA1c (long term marker of blood glucose levels and an indicator of normal, pre-diabetic and diabetic status).

Human Eating in 12 hr window:

Even with a more lenient fasting/ eating window of time, research has shown a number of significant benefits such as: improved sleep, weight loss, and decrease in inflammation.

 

HFLC vs Fasting

In previous post we have discussed the positive attributes associated with a high fat diet such as increased insulin sensitivity and reduction in inflammation. All of these benefits are seen with fasting and in most cases are substantially greater along with a few other added benefits that you are unable to achieve from a HFLC diet alone.

Fasting compared with HFLC, especially prolonged fasting,  presents a dramatic increase in autophagy and apoptosis followed by a massive increase in stem cell production. Autophagy is a genetic program which clears always damaged protein/s and organelles within the cell (think of it as cell ‘house cleaning’) while apoptosis is a process where damaged cells self destruct and break down, a controlled process that is part of any organisms growth or development.. Essentially the two process work to prevent the accumulation of senescent cells (old cells) within the body. The body is dynamic and is constantly turning over cells, manufacturing new ones or clearing damaged organelles within cells and in doing so this helps to maintain the health and functioning of the body (for the science nerd, it maintain homeostasis). The prevention of senescent cells accumulation can assist in reducing tumor growth. Increase in autophagy and apoptosis have been linked to longevity, with research in mice demonstrating that when these two processes are increased the life span can increase by ~20%.

Fasting also appears to impact the stem cell number and production. It is stem cells regenerative nature that helps in mitigating the effects of aging.

One of the biggest difference in comparing fasting to a HFLC diet is mitophagy.  Mitophagy is a process which clears damaged mitochondria (the cell power houses, where we generate our bodies energy source) and recycles their defective components which is followed by generation of new mitochondria through process of mitochondrial biogenesis. Once again this minimises the effects of ageing. HFLC has been shown to modestly increase mitochondrial biogenesis but not as much as mitophagy. Therefore to gain full benefit of mitophagy you would want to look at including fasted windows.

NAD (Nicotinamide adenine dinucleotide) increases in a fasted state and decreases in a feed state. NAD is an essential component for a wide range of enzymes to function properly. Your mitochondria need NAD for energy production from glucose or fatty acids and any time there is damage occurring in the body it sucks up NAD causing the mitochondria to suffer. Therefore the act of fasting offers the ability to up-regulate NAD in the absence of fuel.

Additionally, fasting promotes repair of DNA along with improved blood sugar regulation, insulin sensitivity, blood lipid profile and inflammatory markers (CRP, TNF alpha)

 

Application

There are varying opinions on what consists as a fast. Some are of the opinion, like Rhonda Patrick who follows the strictests of definitions. She states that consuming anything other water constitutes as ‘breaking the fast’. Others, define a fast as the window void of any calories and that you can have black coffee etc to help extend the fast.

Which definition you select to comply with will greatly depend on your life circumstances and the goals and benefits you are wanting to achieve.

With results being shown in human with even a 12 h fast window, it all comes down to designing a method that suits your lifestyle. The classic and most renowned intermittent fasting/time restricted eating method is the 16/8 (16 hour fast & 8 hour eating window). Grant Schofield, Caryn Zinn, & Craig Rodger from New Zealand recently released their new book following on from “What the Fat” This time focusing on fasting with “What the Fast”. I was lucky enough to be at their book release, this is a great resource packed full of evidence based practice for anyone looking for some guidance and with an alternative approach to intermittent fasting. In their approach they provide a great lifestyle approach to fasting which allows you to maximise your benefits without impacting and restricting

you. Their approach involves a monday tuesday full day fast with a very low carb/ fasting mimicking meal on monday and tuesday night. The rest of the week they encourage you to eat LCHF and on the weekends relax and prepare for the monday/tuesday fast. Their book is full of great recipes and if you are interested in fasting this is a great resource to get started!

When it comes to fasting I believe you need to view it as another tool and I don’t believe that you should be too strict on applying it. I find when most people begin especially your A-Type personalities they go all in and start pushing the limits far beyond what is needed and end up in a catabolic state. Instead my advice would be to listen to your body and when it wants fuel have fuel and as you train your body over time to become fat adapted and break free from your eating habits you will begin to thrive off your fasted windows. It is important to understand your fasted windows should not be tough! You should not be hungry, if you are then EAT! I am also not saying you should restrict your food intake during your eating window, this is not a starvation diet. During your eating windows, nourish your body with good wholesome food and enough to meet your energy and or training demands.

 

My approach:

I personally follow the less strict definition as most people tend to do and will have black coffee in a fasted state and often will even break this rule and add some MCT oil (Not true fast) to extend my fast or help assist with a fat adapting training session (I will discuss the in great detail in future posts)

 

Eating Window Consideration:

Circadian Impact (metabolism changes throughout the day)

Just like our bodies responds to light, our metabolism functions on a 24 hr cycle and changes throughout the day. Timing of food consumption can have altered effects on your body. For example, it has been shown that there is a greater postprandial (following meal) glucose response at dinner compared to breakfast. This is due to humans being dayianal creatures (function during the day). Therefore eating late at night will have a greater impact on our health. For each 10% increase in calories consumed after 5 pm was linked to a 3% increase in the inflammatory biomarker CRP.

 

Summary:

Reduction in systemic inflammation is thought to be one of the greatest predictors of health and longevity. Reduced inflammation is linked to improvements in age, prevention of cancer and mental health issues. Therefore a strategy like fasting or time restricted eating or anything that greatly impacts systemic inflammation is a positive and should be considered.

View fasting as a tool to add to the toolbox that can enhance your health and longevity, don’t get caught up and or get too strict.  Listen to your body and remember shifting to utilise fat for fuel takes time so don’t rush the change.

 

References:

Baker, D. J., Childs, B. G., Durik, M., Wijers, M. E., Sieben, C. J., Zhong, J., … van Deursen, J. M. (2016). Naturally occurring p16Ink4a-positive cells shorten healthy lifespan. Nature, 530, 184. Retrieved from http://dx.doi.org/10.1038/nature16932

Chaix, A., Zarrinpar, A., Miu, P., & Panda, S. (2014). Time-restricted feeding is a preventative and therapeutic intervention against diverse nutritional challenges. Cell Metabolism, 20(6), 991–1005. https://doi.org/10.1016/j.cmet.2014.11.001

Choi, I. Y., Childress, P., Brandhorst, S., Navarre, G., & D. Longo, V. (2015). Periodic Fasting Mimicking Diet reverses age-dependent decline in neurogenesis and enhances cognitive performance.

Cohen, L. J. (2018). Fasting the microbiome to treat diabetes. Science Translational Medicine, 10(441). Retrieved from http://stm.sciencemag.org/content/10/441/eaat8529.abstract

Gabel, K., Hoddy, K. K., Haggerty, N., Song, J., Kroeger, C. M., Trepanowski, J. F., … Varady, K. A. (2018). Effects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: A pilot study. Nutrition and Healthy Aging, 4(4), 345–353. https://doi.org/10.3233/NHA-170036

Gill, S., Le, H. D., Melkani, G. C., & Panda, S. (2015). Time-restricted feeding attenuates age-related cardiac decline in Drosophila. Science (New York, N.Y.), 347(6227), 1265–1269. https://doi.org/10.1126/science.1256682

Gillette, M. U., & Tischkau, S. A. (1999). Suprachiasmatic nucleus: the brain’s circadian clock. Recent Progress in Hormone Research. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10548871

Hatori, M., & Panda, S. (2015). Response of peripheral rhythms to the timing of food intake. Methods in Enzymology, 552, 145–161. https://doi.org/10.1016/bs.mie.2014.10.027

Hatori, M., Vollmers, C., Zarrinpar, A., DiTacchio, L., Bushong, E. A., Gill, S., … Panda, S. (2012). Time-restricted feeding without reducing caloric intake prevents metabolic diseases in mice fed a high-fat diet. Cell Metabolism, 15(6), 848–860. https://doi.org/10.1016/j.cmet.2012.04.019

Hine, C., & Mitchell, J. R. (2014). Saying no to drugs: Fasting protects hematopoietic stem cells from chemotherapy and aging. Cell Stem Cell, 14(6), 704–705. https://doi.org/10.1016/j.stem.2014.05.016

Hussain, S., Bloom, S., Gardiner, J., Hussain, S., Richardson, E., Ma, Y., … Gardiner, J. (2015). Glucokinase activity in the arcuate nucleus regulates glucose intake Find the latest version : Glucokinase activity in the arcuate nucleus regulates glucose intake, 125(1), 337–349. https://doi.org/10.1172/JCI77172.tive

Lee, C., & Longo, V. (2016). Dietary restriction with and without caloric restriction for healthy aging. F1000Research, (February). https://doi.org/10.12688/f1000research.7136.1

Longo, V. D., & Mattson, M. P. (2014). Fasting: Molecular mechanisms and clinical applications. Cell Metabolism, 19(2), 181–192. https://doi.org/10.1016/j.cmet.2013.12.008

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