Category Archives: Exercise Physiology

Resveratrol Consumption During Endurance Training Significantly Improves Physical Performance and Cardiac Function in the Rat Model

Improvement in physical performance is an ever-present ongoing goal for both clinical and nonclinical purposes.  It is well known that endurance training can improve physical performance by increasing energy metabolism in skeletal muscles, as well as improved cardiac function, particularly when undergoing more intense exercise sessions.  It is also well known that resveratrol, a polyphenolic compound found in many edibles including grapes and red wine; possess a wide range of cardiovascular benefits in humans. 

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In mice, resveratrol has been found to increase skeletal muscle mitochondrial biogenesis, fatty acid oxidation, and also improved exercise performance in a way that is similar to exercising alone without supplementation of the compound.  Specifically, one study found that resveratrol supplementation in the diet of aged mice (fed a “Western diet”) increased physical performance, suggesting that resveratrol may stimulate the same physiological pathways as exercise alone.  What is unknown, however, is whether the health beneficial effects of resveratrol can improve exercise performance greater than the act of exercising alone. Does supplementation with resveratrol further improve the benefits of exercise?

In addition to physiological improvements based on exercise-related activity, resveratrol is very well known for cardiovascular benefits in humans.  However, to date, nearly all of the studies focusing on resveratrol and cardiovascular health in humans have been related to the prevention of pathological conditions of the heart, and very little on the effect of resveratrol on skeletal muscle and cardiac function in those undergoing some form of exercise.  The study presented today, which I first discovered a few days ago from a new internet news sources, focused on these very questions.

Methods

For this study, 50 male Wistar rats were obtained at age 8 weeks of age.  Throughout the study, rats had free access to drinking water and were fed ad libitum.  Rats were either fed a standard chow diet, or a standard chow diet plus 4g of resveratrol per kg bodyweight (dosage equivalent to 146mg resveratrol per kg bodyweight per day).

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Rats were exercised on a calibrated motor driven rodent treadmill with an electrical simulation for foot shock.  When rats were 9 weeks of age, they were acclimated to the treadmill.  The exercise treatment began when the rats were 10 weeks of age and was performed by having the rats run daily progressions for a total of 60 minutes that started off at 10m/min with a 0% incline, and eventually increased to 20m/min at a 0% incline.

Endurance training occurred 5 days per week for 12 weeks.  To encourage the rats to run on the treadmill, a combination of electrical stimulation and puffs of air were used.  After the 12 weeks of endurance training, exercise performance was assessed in the then-22 week old rats.  Exercise performance was evaluated by a graded exercise test to exhaustion (at a 0% incline).  The test began with 10m/min for 1 minute, 11m/min for 1 minute, 12m/min for 1 minute, 13m/min for 2 minutes, 15m/min for 5 minutes, 17m/min for 5 minutes, and 20m/min until exhaustion. A rat was determined to be exhausted when the animal could no longer run on the treadmill as determined by the rat spending less than half the time or more than 30 seconds on the electrical stimulus and resistant to the puffs of air.  Control rats were sedentary (did not undergo endurance training), were acclimated to the treadmill and handled 5 days per week.

Exercise treatments were as follows: 1) sedentary rats fed a standard diet; 2) sedentary rats fed a standard diet plus resveratrol (see dosage above); 3) rats undergoing endurance training while on a standard diet; and 4) rats undergoing endurance training while on a standard diet plus resveratrol (see dosage above).

Muscle force measurements were taken on the soleus muscles (back part of the calf).  Also in this muscle, maximum twitch and tetanic forces were sequentially recorded in both left and right sides.  Also measured was fatigue index, which is calculated to be the ratio of initial to final force, measured during stimulation. 

In regards to cardiovascular and other physiological measurements, the following were taken: transthoracic echocardiography, non-invasive blood pressure, glucose and palmitate oxidation rates, glucose tolerance (after a 5 hour fast), and insulin tolerance.

After 10 weeks of diets and/or exercise treatments, food intake and whole body energy metabolism were measured in the rats.  Oxygen consumption, CO2 production, heat production, respiratory exchange ratio, lipid and glucose oxidation, and physical activity were also measured. Finally, lipids (triacylglycerol and free fatty acids) and gene expression were measured.

Results

  • Endurance training significantly reduced the weight of rats fed either the standard diet or the diet with resveratrol added compared with sedentary rats.
  • Supplementing diets of sedentary rats with resveratrol significantly improved exercise performance (25% improvement).
  • 12 weeks of endurance training alone increased the endurance of rats compared to sedentary rats.

o   Comparing endurance training alone with endurance training plus resveratrol supplementation further increased exercise performance by 20%.

  • Endurance training plus resveratrol significantly increased the twitch force in the tibialis anterior muscle (front portion of shin) by 18% when compared to endurance training alone.
  • There did not appear to be any differences between endurance training alone and endurance training plus resveratrol in regards to the tetanic muscle force in the tibialis anterior muscle.

o   In the soleus muscle, twitch and tetanic forces were both significantly increased (58% and 22%, respectively) in endurance training plus resveratrol rats compared to endurance training alone.

o   These results suggest that resveratrol supplementation in the diet during endurance training increases the isometric force production by skeletal muscles.

  • Fatigue index was not different between endurance training rats and endurance training plus resveratrol rats.

o   Resveratrol does not increase endurance capacity of isolated skeletal muscles.

o   The increased endurance seen in rats with a resveratrol-supplemented diet is not directly attributed to resistance to muscle fatigue, which is consistent with human findings that running performance is more closely correlated with cardiovascular performance than muscle-fiber type distribution.

  • Increased exercise performance in rats undergoing endurance training and resveratrol-enriched diets was associated with significantly improved LV ejection fraction and fractional shortening (i.e. improved cardiac function).

o   There were significant improvements in LV diastolic function in exercise + resveratrol rats compared to exercise rats alone.

  • Resveratrol in the diets of rats during endurance training improved both glucose and insulin performance more than rats undergoing endurance training alone.
  • The respiratory exchange ratio in exercise + resveratrol rats was significantly lower compared to exercise-alone rats.
  • Fatty acid oxidation was significantly higher in exercise + resveratrol rats than in exercise-alone rats.

o   Results indicate resveratrol in the diet enhances cardiac muscle fatty acid oxidative capacity which contributes to increased cardiac function in the rat.

  • For both exercise-alone rats and exercise + resveratrol rats, high levels of activity increased both heart rate and peak systolic pressure (therefore overall cardiac function), though in exercise + resveratrol rats, LV developed pressure, coronary flow, and cardiac work were even more increased then in exercise-alone rats.

o   Results suggest resveratrol in the diet of rats increases the hearts’ ability to adapt to increased workloads that are induced by exercise.

  • Resveratrol reduced the expression of several pro-inflammatory genes.
  • Resveratrol reduced inflammatory mediators and increased expression of cardiac adiponectin.

o   Results suggest resveratrol supplementation during endurance training exercise alters cardiac energy metabolism and reduces cardiac inflammation.

  • Exercise + resveratrol elevated AMP-activated protein kinase phosphorylation when compared with exercise-alone.
  • Exercise + resveratrol increased the expression of PGC1-α (a transcriptional regulator of mitochondrial biogenesis and function).

o   Results suggest resveratrol supplementation during endurance training exercise enhances performance through increased cardiac fatty acid metabolism.

Conclusions

According to the results of this study, rats that consumed resveratrol as part of their daily diets during 12 weeks of endurance training were able to run longer and further than rats that underwent endurance training alone.  Resveratrol supplementation was associated with improved strength in soleus and tibialis anterior leg muscles which likely played a big role in the improved exercise performance.

This study showed that resveratrol supplementation significantly improves physical performance and cardiac function in rats.  What about humans?  Would we see the same results? Or is this just a special occurrence for rodents?  Recent studies have shown that resveratrol supplementation improved mitochondrial efficiency in overweight middle aged men, which indicates that the results we’ve seen here in rats may not be limited to that particular species.

The results of this study also found that resveratrol supplementation in the diets of rats undergoing endurance training increased whole body oxygen consumption, as well as whole body fat oxidation and ultimately improved aerobic exercise capacity.  Based on these results, resveratrol and exercise (specifically, endurance training) act together to improve skeletal muscle oxidative capacity and metabolism, which overall aids in the significantly improved endurance capacity of the skeletal muscles.

The authors also claimed that the increased oxidation of fat seen in rats consuming resveratrol and undergoing exercise training are not only improving exercise performance, but also helping to prevent insulin resistance in pre-diabetic persons undergoing moderate exercise.  Also, since humans are notorious for not being able to maintain vigorous exercise programs (for the most part), resveratrol supplementation in the diet coupled with more moderate exercise may be equally as beneficial as just performing a very vigorous exercise regime alone.

These results suggest that resveratrol supplemented in the diet contributes to improved endurance capacity in rats undergoing endurance training significantly improves exercise performance greater than exercise alone, which could potentially have significant clinical and nonclinical applications where improved physical performance needs to be “helped along” due to a persons’ inability to perform vigorous exercise (due to injury, illness, laziness…).  We can’t be certain these results will carry over into humans from the rat model, however, the few studies within humans that are in existence gives hope that we may see similar mechanisms at work.

As an aside, I’m really curious about these results.  As a distance runner myself (I’ll be training for marathon #4 shortly), I’m interested in trying a little self-experimenting and perhaps supplementing my marathon training with some form of resveratrol.  Anyone want to sponsor me?  ;-)   Also, I’m wondering how one should pace oneself at “water stops” of the Marathon du Medoc to effectively increase their endurance without becoming unpleasantly sloshed (what is Marathon du Medoc? Read about it here.).  This last wonderment is said jokingly, as I’m sure the alcohol involved would negate any benefits of the resveratrol at the rate most people consume it during the race.

What do you all think about this topic?  Would you try supplementing your diet with resveratrol to help increase exercise/endurance performance?  Are you waiting until more research with humans comes out to even try?  Please feel free to leave your comments below (reminder: any unapproved/unsolicited HTML tags will be promptly removed).

Source: Dolinsky, V.W., Jones, K.E., Sidhu, R.S., Haykowsky, M., Czubryt, M.P., Gordon, T., and Dyck, J.R.B. 2012. Improvements in skeletal muscle strength and cardiac function induced by resveratrol during exercise training contribute to enhanced exercise performance in rats. Journal of Physiology 590(11): 2783-2799.

DOI: 10.1113/jphysiol.2012.230490
I am not a health professional, nor do I pretend to be. Please consult your doctor before altering your alcohol consumption habits. Do not consume alcohol if you are under the age of 21. Do not drink and drive. Enjoy responsibly!

Red Wine and Exercise: Using a Rat Model to Determine Cardiovascular Health Benefits

It is widely known that red wine is good for your heart.  It is also known that exercise is good for your heart as well (in addition to many other health benefits!).  Well, what happens when you drink red wine AND exercise?

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A group at the Instituto de Cardiologia in Rio Grande, Brazil sought to answer that question using a hypertensive rat model.  Since high blood pressure is known to be a risk factor for cardiovascular disease, the hypertensive rat model was used in order to more easily study the system of interest.  Hypertension is caused by an increased peripheral vascular resistance, sympathetic overactivity, and increased heart frequency.  In other words, hypertension is caused by high blood pressure.

One way to relieve hypertension and high blood pressure symptoms and risk factors is to increase physical exercise.  Studies have proved that physical exercise benefits the cardiovascular system by improving cardiac output, and alleviating high blood pressure.  Physical exercise also improves the lipid profile (increase good cholesterol/HDL) and heart contraction function. 

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Studies have also found (as we’ve already discussed in a few of my posts on this blog) that moderate consumption of red wine improves risk factors associated with the development of coronary artery disease as well as other cardiovascular diseases.  One review, in particular, found that moderate red wine consumption (1-2 glasses per day) was shown to have a 32% reduction in the development of atherosclerotic disease in those consuming the beverage.  Is had also been shown that resveratrol, in addition to other polyphenols/phenolic compounds, positively benefit heart function and health, by specifically targeting the blood vessels.

In the brief study reviewed today, the authors aimed to determine the effect of physical exercise AND moderate red wine consumption on the systolic blood pressure, HDL (good cholesterol) levels, and physical performance in rats with preexisting high blood pressure conditions.  Since it is known that exercise is good for your heart and red wine is good for your heart, the authors of this study decided to combine the two, in hopes of discovering whether or not when combined they have more of a benefit or not, compared to exercise or wine drinking alone.

Methods

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Rats were split up into three different groups:  wine and exercise, wine alone, exercise alone, and control (neither wine nor exercise).  For those receiving the wine treatment, 3.715mL/kg/day was administered.  The wine used was Dal Pizzol Cabernet Sauvignon, containing 12% alcohol and was given to the rats in the early morning hours, five times per week.  Those in the exercise groups underwent the exercise treatment (the treadmill) early in the evening, five times per week.

In addition to regular exercise, a maximal exercise test was performed at the beginning, middle, and end of the study.  Systolic blood pressure, plasma levels, HDL levels, and EKG’s were measured for each rat in the study.

Results

Systolic Blood Pressure

  •       The wine and exercise group showed a significant reduction in systolic blood pressure, and was the greatest reduction out of any of the groups (control, wine only, exercise only).
  •       There was no significant difference in systolic blood pressure reduction between the wine and exercise group, and the exercise only group.
  •       All three treatment groups showed significantly greater reductions in systolic blood pressure than the control group (no wine or exercise) alone.

Physical Performance

  •        For the maximal performance tests, the greatest distance travelled did not differ significantly from the wine and exercise group compared to the exercise alone group.

HDL (“good” cholesterol) Levels

  •        The HDL levels in the wine and exercise group was significantly higher than the control group and the exercise alone group.  The levels were also higher than the wine only group, however, this value was NOT significant.
  •       The HDL levels in the exercise only group did not differ significantly from the control (no wine or exercise) group.

EKG Results

  •       There were no significant differences in EKG levels for the different treatment groups.
  •       In the wine and exercise group, there was a significant increase in the left ventricular ejection fraction (how much blood is being pumped through the heart) between the first and second measurements (first before exercise, the second later).

What does this all mean?

The results of this study showed that for both the wine only group and the exercise only groups, there was a reduction in the cardiovascular disease risk factors.  The most important result, however, was with the wine and exercise group, and that by combining the two, there was an even more significant reduction in systolic blood pressure than the control or the two other treatment groups alone.  Past research has shown that with moderate alcohol consumption, age-dependent blood pressure is kept from increasing as it would with no alcohol consumption.  It is possible that moderate consumption of red wine shows a similar effect, which is evident from the results of this study.

Even if red wine did not contain alcohol, it is likely that similar decreases in blood pressure would be noted, since red wine is high in phenolic compounds that also have strong cardiovascular effects.  These phenols have antioxidant properties that play a role in converting “bad” LDL cholesterol to “good” HDL cholesterol.  By combining the effects of the alcohol and the phenolic compounds, as is in red wine, the cardiovascular benefits are very high.

One important factor to note with the results of this study is that physical performance between the wine and exercise group did not differ significantly from the exercise alone group.  This shows that moderate red wine consumption will not have negative effects on performance, though does not significantly increase performance either.  In regards to other cardiovascular benefits, it appears that wine plus exercise is more beneficial than wine alone or exercise alone, though all three are better than none at all.

What should we take away from all this?  Well, first of all, this study was in rats.  The next step would be to do a similar study in humans, but to my knowledge, that study has not been approved or administered at this point in time.  It’s possible that the results would be similar, but it’s not a leap I am ready to make without more evidence. 

The most important result of this study was that red wine consumption plus exercise is extremely beneficial in decreasing the risk factors for cardiovascular disease, but combining red wine with exercise will not make you a better athlete (unless, of course, you were using the wine bottles as dumbbells).

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I’d love to hear from you, so feel free to comment below!

Full citation for the article discussed today:

Soares Filho, P.R., Castro, I., and Stahlschmidt, A. 2011. Effect of red wine associated with physical exercise in the cardiovascular system of spontaneously hypertensive rats. Arquivos Brasileiros de Cardiologia 96(4): 277-283.

I am not a health professional, nor do I pretend to be. Please consult your doctor before altering your alcohol consumption habits. Do not consume alcohol if you are under the age of 21. Do not drink and drive. Enjoy responsibly!

Tempting Fate: Le Marathon du Medoc

As I was out for a run today (trying not to get heat stroke from the lovely Virginia summer heat), I found myself thinking about my upcoming marathon training, and possible races to run in the future.  “Unofficially” training for the next couple of weeks, then “officially” training immediately after, I am preparing myself to run the ING New York City Marathon this November.  One of the most popular races in the United States, it hails runners from all over the world.  Due to the large number of applicants, runners are allowed to race as long as they are chosen via a random lottery, or if they are running for a charity.

Across the pond, another extremely popular race piques my interest.  The race is the Marathon du Medoc, and is held in the Bordeaux region of France, and is a 26.2 mile circuit that passes through many vineyards and Château’s (59 of them actually, including Château Beychevelle, Château Gruaud-Larose, and Château Lafite Rothschild, just to name a few).  The Marathon du Medoc prides itself on being the “le marathon le plus long de monde”, or “the longest marathon in the world”.  Measuring in officially at 26.2 miles, it is the exact same length as all other official marathons in the world. 

So, what makes it the longest?

Instead of the referring to the Medoc Marathon as the longest marathon in the world, it should really be the slowest marathon in the world.  The organizers of the Medoc Marathon stress that this is not the race for those looking for a PR (personal record, for you non-runners out there) or looking to finish as fast as possible.  This race is all about having fun and enjoying the camaraderie of their fellow man (and woman!).

The night before the race, there is a huge party at one of the Château’s, called the “Centipede evening”, where runners imbibe on plenty of great food and baskets and baskets of great wine, which is followed by a 20-piece band that plays until midnight (dance party, anyone?).  In fact, it’s not that uncommon to get drunk the night before the big race at this event (or at many of the other smaller dinners at various Château’s throughout Bordeaux).

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On race day, almost everyone is dressed up in costume and ready to have fun, as there is always a theme for the race each year (for 2011, the theme is “animals”).  The race departs at a not-too-early 9:30am from a Chateau in Pauillac, and winds around the pastoral countryside with beautiful old vines to gaze out upon.  What makes the Medoc Marathon unique from all other marathons in the world (other than parties the night before, of course), is that instead of water and Gatorade at the aid/rest stations, runners will find wine and gourmet appetizers/meals waiting for them!  Now I think you’ll understand why the Medoc Marathon is the longest/slowest marathon in the world….

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Imagine running along a beautiful countryside road in the middle of Bordeaux and you come across the first rest stop.  You won’t find plastic cups filled with Gatorade here, but instead wine glasses, not cups, glasses, filled with a bit of the grape.  There are stations like this every three miles throughout the entire 26.2 mile course.  Runners also find themselves noshing on steak, cheese, ice cream, and even oysters and pâté in addition to wines such as a Lafite Rothschild.

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Runners are trained to eat right and avoid alcohol in order to stay healthy and run safely.  How is it that thousands of runners can complete a marathon fueling themselves on wine along the way?

According to the American College of Sports Medicine, serious recreational runners drink more alcohol than non-runners.  It is not uncommon for a seasoned runner to have a glass of red wine with dinner the night before a race, even though it has been shown that alcohol decreases strength, power, speed, muscular endurance, and cardiovascular endurance.

Despite these negative effects of alcohol on athletes, it has been shown that moderate red wine consumption is beneficial to human health.  Red wine, consumed in moderation, has been shown to increase “good” cholesterol, which prevents “bad” cholesterol from clogging the arteries.  It is also a muscle relaxant, which lowers blood pressure.  Components of red wine, such as resveratrol and flavonoids, have antioxidant benefits for humans, and may also help reduce the risk of osteoporosis and Alzheimer’s disease.

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While these components (and likely others) in red wine are beneficial for athletes and non-athletes alike, the alcohol component of the wine is more detrimental.  Alcohol is not a good source of hydration, and actually dehydrates you during the first 24 hours.  After the first 24 hours, the alcohol no longer shows this dehydration effect.  However, by that point, one is likely more dehydrated than they should be for a long run.

Professional nutritionists say that drinking alcohol three hours prior to a harder run is not a good idea, however, if the runner is already accustomed to consuming alcohol on a regular basis, then one drink with dinner is not a big deal and will likely not decrease performance of that athlete.

So, how can runners handle the large amounts of wine given to them throughout the Medoc Marathon?  First, maybe don’t pound back the entire glass at each stop.  Do a tasting, and that’s it.  Follow that with plenty of water (8oz for each drink you consume) and carbohydrates.  The rest stops along the Medoc Marathon are known for having plenty of food, so eat eat eat!  Try to be well hydrated before the race, and if you’re partying it up at the Centipede evening the night before, be sure to have at least 8oz of water for every glass of wine you consume.  Finally, if you’re not used to drinking much alcohol, then don’t try to push it.  Pace yourself, eat some food with your wine, and take your time. 

The Marathon du Medoc is for the wine-loving tortoise, not the hare! 

Eat, drink, be merry, and RUN! 

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I am not a health professional, nor do I pretend to be. Please consult your doctor before altering your alcohol consumption habits. Do not consume alcohol if you are under the age of 21. Do not drink and drive. Enjoy responsibly!