Showing posts with label hormone - metabolism. Show all posts
Showing posts with label hormone - metabolism. Show all posts

Sunday, 20 April 2014

Bodybuilding.com - Manipulating Your Hormones.

Bodybuilding.com - Manipulating Your Hormones.





Manipulating your hormones will help take advantage and ensure successful adaption, training, health and performance.



All Articles Are Republished With Permission From Intensitymagazine.com




Note: This is part one, click here for part two!



Virtually everything you do in life triggers a hormonal response in the
body. Hormonal levels control our body's actions. It is very important
to understand the key role hormones play in inducing muscular growth as
well as muscular breakdown.



Hormones
are chemical messengers that are secreted by the endocrine system. Once
they are in the blood they travel to specific receptor sites on cells.
Tissue adaptions are partly dependent on hormonal levels. It is
important that the athlete has a basic understanding of these powerful
messengers. Manipulating these hormones to your advantage ensures successful adaption, training, health and performance.



Muscle Fiber Changes



The most important adaption that takes place in muscle tissue is the
increase in contractile proteins, actin and myosin. Other changes occur
such as the synthesis of non-contractile proteins (satellite cells),
which can become part of the contractile element of muscle tissue.
Stimulation of these mechanisms occurs with resistance training.
Decreasing protein breakdown and increasing protein synthesis are the
first steps in hypertrophy.



The anabolic hormones insulin,
insulin like growth factor, testosterone and growth hormone are all
contributing factors to this process. Decreasing the catabolic hormones
such as cortisol is also important in this process. The more muscle
fibers stimulated with a particular exercise, the greater the adaptive
response. Hormones have a great effect on the capabilities and structure
of muscle fibers.



Receptors



The lock-and-key theory states that a specific hormone interacts with a
specific receptor site. The hormone acts like a key while the receptor
site is like a lock. Once the key opens the lock, a message is sent to
the cell to perform a specific action. The genetic material in the
nucleus of the cell either translates the message to mean protein
synthesis or protein breakdown. Once an adaption ceiling is reached, the
cell becomes down regulated (non-responsive) to the hormone. Down
regulation of the receptor inhibits alteration in cell metabolism.



Two Main Hormones



There are two main categories of hormones: steroid and polypeptide
hormones. These hormones affect muscle cells in different ways.



The gonads and the adrenal cortex secrete steroid hormones. The hormone
diffuses across the sarcolemma and binds with its receptor, thus
activating it. When the hormone reaches the cell nucleus it opens up
units that are coded for protein synthesis. The hormone receptor-complex
recognizes certain regulatory mechanisms of genes. The end result is
that messenger RNA is processed and shuttled to the sarcoplasm where it
becomes protein.



Polypeptide hormones are made of amino acids.
Growth hormone and insulin are example of this classification. These
hormones are not fat-soluble therefore they cannot penetrate the
sarcolemma. They rely on secondary messengers to get their message to
the cell nucleus. The change in the receptor as a result of the
interaction with the hormone triggers the secondary messenger. A chain
of intracellular events lead to the physiological response contributed
to the hormone.



Heavy Resistance Exercise



Heavy resistance exercise stimulates significant adaptions in trained
muscles such as increased strength, size and power. Resistance training
causes endocrine glands to secrete hormones. These hormones provide an
excess of information to the body. These hormones elicit different
responses. The pattern and duration of exercise greatly influence the
type of hormone secreted.








This in return greatly effects the tissue adaptions that occur.

Hormonal increases that take place due to resistance training are
different than responses activated by endurance exercise. Motor units
are utilized with resistance training that are not with other types of
exercise. These high threshold motor units are only activated when great
amounts of force are needed, such as with heavy resistance training.
The muscle fibers within these motor units are activated and a great
amount of stress is placed upon the sarcolemmas of the muscle fibers.
The stress elicits changes in sarcolemma permeability to nutrients and
synthesis and sensitivity of receptors are affected. Finally, it is the
force produced in the activated fibers that lead to the anabolic
response in the muscle cells.



During and following exercise, numerous hormonal secretions take place.
The desired outcome is synthesis of actin and myosin and inhibition of
protein breakdown. If the stress is to great or long in duration,
catabolic forces such as cortisol take over the muscle. The hormonal
responses depend on tissues stimulated, duration of exercise and needed
amount of repair.



Once a muscle has reached a high level of development, protein synthesis
is no longer the key mechanism for growth. Thus decreasing protein
breakdown is the number one contributor to muscular growth. Keep in mind
that only the muscle fibers stimulated are subject to affect. This is
why it is important to vary exercises. Only the fibers stimulated
receive hormonal benefits. If you use the same exercise for biceps every
time you train, you will not maximize growth because the same fibers
are stimulated continuously. Angles and loading parameters control the
extent of hormonal interaction within muscles.



The response of muscles to hormones is dependent on a few factors. If
there are great amounts of the hormone in the blood, the chances of
affecting the receptors are greater. If the cell is close to its genetic
ceiling, the receptor becomes less responsive to the hormone. With
heavy resistance training the recovery ability correlates with muscle
fiber size. Incorrect training protocols can result in the downside of
hormones, catabolism. Interactions between hormones and muscles can
negatively influence cellular structure or have a positive effect on
growth.



There is an array of factors that contribute to hypertrophy. However,
increased force production cannot be contributed to hypertrophy alone.
Neural factors play a great role in maximum force production. Each
individual varies in forms of neurological efficiency just as they do
with hormonal levels.



Hormones In Blood



Blood levels are sometimes used to test for the secretion of hormones.
This can be a complex task because the hormonal levels are ever changing
in the bloodstream. It should be noted that just because a hormone is
present in the bloodstream does not mean that it will successfully reach
the receptor site. Although, the higher concentrations of the hormones
in the blood the greater possibility for the hormone to bind to the
receptor.



The ideal situation for anabolism is to have a higher number of anabolic
hormones in the blood than catabolic hormones. This usually leads to
positive cellular adaptions.



This concludes Part One of the two part series on manipulating your hormones. In part two, we will explore the specific actions of the primary anabolic and catabolic hormones.



Note: This is part one, click here for part two!



In part one,
we discussed the basic relation between hormones and cellular
adaptions. In part two, we will discuss specific hormones and their
effects on the body.



The anabolic hormones we will be discussing are testosterone, growth hormone, insulin and insulin like growth factors. These are the primary hormones involved with muscular growth.



Testosterone



Everyone involved with the exercise industry has some conception of
testosterone. To most it is an evil word, "TESTOSTERONE." This stuff
makes people commit violent crimes, die of heart attacks and suffer from
strokes. It also allows anyone to put on extraordinary amounts of
muscle. Where do these ideas come from? They come from ignorant people
who know zero about this hormone.



Testosterone indirectly effects protein synthesis by releasing growth
hormone, which increases the release of Insulin Growth Factor (IGF) from
the liver. Testosterone has effects on the nervous system, which lead
to increasing neurotransmitters and increasing neuromuscular junctions,
which enhance muscle size. As neurological efficiency increases, force
production also increases.



The mechanism in which testosterone interacts with the cell nucleus is
inexact. Once testosterone is secreted, a transport protein called
globulin to a receptor site carries it. From here, a message is
activated and sent to the cell nucleus. Protein synthesis is the result
of this series of events.
Concentrations of testosterone are often used as an anabolic marker.
There are certain exercise variables that can have a positive effect on
blood testosterone levels.



They Are As Follows:


  • Workouts lasting under sixty minutes.
  • Multiple sets
  • Compound exercises
  • Short rest intervals (one minute)
  • Heavy resistance, 80% - 90% of 1RM.


Have you ever heard the saying, "Squat and deadlift and your whole body
will grow." Elevating testosterone levels as well as stimulating large
amounts of muscle mass are the reason this occurs. If you rely solely on
the use of machines, try introducing compound exercises and expect your
gains to accelerate.



The majority of research done on hormonal responses in relation to
exercise has been tested on male subjects. Testosterone responses have
been credited as the major determinant in the difference between male
and female muscularity and force production. On average, males produce
about ten times the testosterone of females. Thus far, studies do not
show any significant changes in women's testosterone levels due to
exercise.



Growth Hormone



Growth hormone has been cited as a growth mechanism in skeletal muscle
tissue and other tissues in the body. Growth hormone is important in the
normal growth of a child as well as the role it plays in adapting to
exercise.



Some Of The Roles Of Growth Hormone Include:




  • Increased protein synthesis
  • Utilization of fatty acids
  • Increasing amino acid transportation
  • Increasing cartilage growth
  • Promotes lipolysis
  • Reduces carbohydrate utilization for energy

Most studies say growth hormone is released due to neurological signals
from the nervous system stimulated by exercise stress and anxiety.
Signals to the hypothalamus cause a hormonal release that stimulates the
secretion of growth hormone. Growth hormone also stimulates the release
of IGFs from the liver. IGFs are potent anabolic agents, which enhance
protein synthesis.



Blood levels of growth hormone vary throughout the day. The highest
levels of secretion occur during sleep. This is one of the reasons
adequate sleep assists the body in recovering and growing properly.
Exercise has been shown to increase growth hormone secretion at any time
during the day.



The pharmacological use of growth hormone is a highly debated subject.
Some experts say growth hormone treatment is the main reason
bodybuilders are much more muscular and ripped than they were in the
past. Others report growth hormone is only beneficial to bodybuilders
that simultaneously use anabolic steroids. Debating this topic is
another article in itself. In this article the main concern is
increasing endogenous mechanisms that result in growth hormone
secretion. Further research is needed to tell us just how exogenous
growth hormone compares to natural growth hormone production.



Increased hydrogen ions appear to stimulate the release of growth
hormone. This means higher blood lactate concentrations (closely
associated with hydrogen ions) mean higher blood levels of growth
hormone.



Light resistance exercise has been shown to be non-effective in raising
growth hormone levels. Kraemer found when using moderate resistance
(10RM) with multiple sets and short rest periods (1 minute), serum
growth hormone levels increased. By carefully designing your
resistance-training program it is possible to reap the rewards of
elevated growth hormone.



When going through the menstrual cycle, women have higher blood levels
of growth hormone than men. Research on females has shown when using
heavy resistance (5RM) and resting for three minutes between sets, no
significant rise in growth hormone occurs. However, when using moderate
resistance (10RM) with short rest periods (1 minute) rises occur.
Varying routines is important for altering levels of growth hormone.



Insulin



Insulin is a peptide hormone that is secreted from the beta cells of the
pancreas. Insulin can have positive effects on skeletal muscle, but it
can also enhance bodyfat levels.



Insulin Functions Are As Follows:


  • Lowers blood glucose.
  • Promotes cellular uptake of carbohydrates, amino acids and fatty acids.
  • Excessive insulin results in fat storage.
Training has been shown to increase the sensitivity of insulin. The
insulin drop during exercise is reduced by the training effect. Further
research needs to be conducted to determine insulin's response in
regards to training.




"Injectable insulin is very dangerous and can result in fatality within a matter of minutes."
Insulin acts as a powerful anabolic agent by shuttling amino acids into
the muscle cell. Many experts view this hormone as the most powerful
anabolic agent in existence. This is why the use of injectable insulin
has become commonplace among bodybuilders. Injectable insulin is very
dangerous and can result in fatality within a matter of minutes. If you
use injectable insulin be sure it is under the supervision of a doctor.



Manipulating insulin levels is important for physique purposes. The
right amounts at the right time result in muscular gains while
chronically high levels result in fat storage. Excessive levels of
insulin reduce testosterone and growth hormone levels. High levels of
insulin can also stop the production of eicosanoids. Jay Robb has stated
that production of eicosanoids is synthesized within the body from
essential fatty acids especially from linolenic acid. Levels of insulin
can be manipulated by carbohydrate intake. Too much of a good thing can
result in a bad thing.



IGF



Insulin like growth factors (IGFs) are secreted by the liver after
growth hormone signals liver DNA to synthesize them. IGFs are classified
as IGF-I, a 70 amino-acid polypeptide, or IGF-II, a 67 amino-acid
polypeptide. IGFs travel in the blood while being attached to binding
proteins where they attach to receptor sites.



The disruption of various cells including fat and muscle cells
stimulates the release of IGF. Fat cells store high levels of IGF, while
skeletal muscle contains small amounts. It is likely that non-liver
cells release IGF without the assistance of growth hormone. It is also
possible that specific cells produce IGF, but do not release it into the
bloodstream.



Binding proteins play an important part in the function of IGF. IGF has
been shown to stimulate the release of binding protein within the muscle
itself, therefore changing the cells responsiveness to IGF. Nutritional
profile has also shown to be an important factor in IGF responsiveness.
Sudden changes in nitrogen balance and protein intake seem to effect
IGF levels. Binding proteins act as a reservoir for IGF. These proteins
release IGF once a receptor site is open. Thus the amount of IGF
degradation is reduced.



At this time, it is unclear how heavy resistance training effects IGF
levels. One study showed that a variety of different exercise patterns
elicited an IGF rise about two hours after training. Further research
needs to be conducted to learn more about exercise effects on IGF
levels.



Controlling anabolic hormones is one of the most important aspects of
controlling your physique. These powerful hormones previously discussed
can help you to reach your fullest potential.



Main Catabolic Hormone



The most powerful catabolic hormone is cortisol. Minimizing cortisol
levels can assist greatly in maximizing your growth potential.



Cortisol is a hormone that is produced by the adrenal cortex. This
hormone is released to help the body deal with stress and provide energy
to the body. The problem with this hormone is the catabolic effects it
has on the body.



These Effects Are As Follows:


  • Increases proteolytic enzymes (enzymes that degrade protein)
  • Turns amino acids to carbohydrates
  • Inhibits protein synthesis
  • Breakdown of collagen and ligament tissue
  • Cortisol has greater catabolic effects in fast twitch fibers in comparison to slow twitch fibers
In cases of injury, cortisol elevation results in nitrogen degradation
and causes a loss of contractile protein. This loss results in muscle
atrophy. Inside the muscle, anabolic hormones such as insulin and
testosterone counter the actions of cortisol. If the anabolic hormones
occupy a greater number of receptors, protein is maintained or enhanced.
When cortisol is bound to a greater number of receptors, protein
breakdown is enhanced. Ensuring that anabolic hormones are higher than
catabolic hormones is important for muscle maintenance and growth.



Resistance training that utilizes high volume; large muscle groups and
shorter rest periods are responsible for the highest levels of cortisol.
This is interesting because the stimulus that causes the greatest
catabolic effect also causes the greatest growth hormone response. While
cortisol levels promote breakdown, short time increases could also help
with muscular growth. Muscles must be broken down in order to repair
themselves and grow. Short-term cortisol elevation would help this
process.
Athletes often use testosterone-cortisol ratio blood levels to determine
if their bodies are in a growth state. This sounds logical, but this
ratio has proven unsuccessful as being a marker for mass and strength
gains. The multiple roles of cortisol make the test inadequate in being a
true marker of anabolism or catabolism.



In conclusion, it is evident that hormones are responsive to muscle
tissue. Performance will be enhanced maximally by proper use of anabolic
hormones.



References



1. Baechle, T.R. (1994) Essentials of Strength Training and Conditioning. Human Kinetics.

2. Dipasquale, M. (1995) The Anabolic Diet. Optimum Training Systems.

3. Hale, J. (2000) Optimum Physique. Jamie Hale.

4. Hatfield, F.C. (1993) Fitness The Complete Guide. The International Sports Sciences Publishing.

5. Robb, J. (1994) The Fat Burning Diet. Loving Health Publications.








Note: This is part two, click here for part one!





Manipulating Your Hormones.


Sunday, 22 September 2013

Low-Intensity Exercise – Lactic Acid and Growth Hormone: 180 Degree Health

Low-Intensity Exercise Part III – Lactic Acid and Growth Hormone – 180 Degree Health

Posted


There isn’t a whole lot more that I wanted to say about low-intensity exercise other than for some indivuals, particularly those very sensitive to stress, may fare better keeping intensity level very low.  But I did want to get a few words in about lactic acid and growth hormone, as there is a huge blind infatuation with growth hormone these days.

Growth hormone is far from being worthy of blind worship.  Growth hormone is something that surges when the body is subjected to major stresses.  Two of the most major stresses – fasting and high-intensity exercise at or near one’s maximum heart rate, stimulate the most dramatic increase in growth hormone.  Anorexics, for example, have much higher levels of growth hormone, and are even thought to develop resistance to growth hormone similar to what happens in rats when carbohydrates are removed from the diet.  Growth hormone interacts with other hormones, like IGF-1, and high levels of growth hormone with low levels of IGF-1 are hallmarks of type 2 diabetes.

So growth hormone isn’t necessarily good or bad.  It depends, like most things, on context.  I suspect that very large elevations in growth hormone induced by intense stress may not yield the effect many people think they will get from growth hormone.  Most think of growth hormone as being synonymous with the fountain of youth.  Phil Campbell, one of the leading researchers promoting high-intensity exercise and the Peak 8 or Sprint 8 program he developed, even states that growth hormone should be called “youth hormone.”  Through his growth hormone lens, he even recommends avoiding carbohydrates post-workout despite the giant wealth of research unanimously pointing towards the superiority of big, high-glycemic index carbohydrate supplementation before, during, and immediately after exercise.  Others avoid carbohydrates at night to get a bigger nighttime growth hormone secretion during sleep.

In fact, if you were only trying to maximize growth hormone without any other considerations, the best way to do that would be fasting, carb-restriction, keeping calories low, and regularly performing maximum intensity exercise.  Great for short-term weight loss.  Horrible for long-term health, metabolism, and future body composition.

Like just about anything, there are multiple angles of investigating something.  A myopic view on growth hormone without any regard for other growth factors needed for that equation to be successful, or regard for the possibility of developing growth hormone resistance and having the exact opposite intended result long-term, is a dangerous view.  A great example of this in action is bone loss in anorexics with raised growth hormone levels – ironic considering growth hormone’s direct, active role in growing new bone.

As far as how lactic acid ties into this – lactic acid, presumed by Ray Peat and others to be a harmful byproduct in any context, increases in proportion to the cardiovascular intensity of exercise.  More lactic acid – more growth hormone secretion.  To keep lactic acid production low, heart rate shouldn’t exceed about 70% of one’s estimated maximum heart rate (220 – Your Age).  And lots of low to moderate exercise is even thought to improve lactic acid clearance – probably a good thing.  It might be a little quick to state that “cardio” is dead and that high intensity interval training, circuit training, and other forms of breathless exercise are unquestionably superior in every situation.  That may certainly not be true for you, the individual.

Anyway, not trying to scare anyone away from hard exercise.  Just trying to even the playing field between the modern high-intensity fad and the old, low-intensity fad.  There are pros and cons to each approach, and most probably need a blend of both for health and well-rounded fitness and functionality.
As always, keep an open mind and find what you like, what works, and what increases your metabolism, lowers stress, and enhances your life overall.  These kinds of considerations don’t even seem to enter into scientific debate, which speaks volumes about the limitations of a purely science-guided approach to living a long and prosperous life.

Lack of dietary carbohydrates induces hepatic growth hormone (GH) resistance in rats
The role of growth hormone in diabetes mellitus 
Importance of raised growth hormone levels in mediating the metabolic derangements of diabetes 
Growth Hormone Secretion in Response to Stress in Man
Raised Growth Hormone in Anorexia

Saturday, 10 August 2013

Muscle loss has little to do with aging | The poor, misunderstood calorie

Sarcopenia has little to do with aging | The poor, misunderstood calorie

It has to do with the duration of time spent being sedentary.

They say a picture is worth a thousand words, but luckily enough today you get both.
Sarcopenia: “poverty of flesh,” or the age-induced loss of skeletal muscle mass, strength, and function = reduced quality of life.  Sorry old-timers, but I hereby officially revise the definition from “aging-induced” to “sedentary-induced.”  Herein, I present evidence that sarcopenia is not a phenomenon of aging per se, but rather of disuse atrophy.  Dear Webster’s & Britannica, please revise accordingly.
Skeletal muscles: use ‘em or lose ‘em #TPMC

Thanks to Julianne Taylor & Skyler Tanner for directing me to these images.
divide and conquer

Exhibit A. Chronic exercise preserves lean muscle mass in masters athletes (Wroblewski et al., 2011)

This study evaluated “high-level recreational athletes.”  “Masters” just means they were over 40.  And “high-level” doesn’t mean “elite,” it just means they exercised 4-5 times per week.  These weren’t super-obsessed gym rats… it’s probably who I’ll be in 7 years [sigh].


They took a lot of measurements which showed these people were pretty fit, but the money shot was this pic:

triathlete

It wasn’t a randomized double-blind placebo-controlled intervention trial, but that pic made up for all of that.  Even if they cherry-picked the scans, I find them compelling.  Call it confirmation bias if you like.

Exhibit B.  Knee extensor strength, activation, and size in VERY elderly people following strength training (Harridge et al., 1999)

12 weeks of leg exercises performed in 11 adults 85-97 years of age.  They were recruited from a geriatric hospital, and despite still kicking well beyond their expiration date, they maintained the ability to get strong:strong

Some of these gains were likely attributable to the novice effect, or the neuromuscular adaptations that occur in untrained individuals during the onset of a new training program, but nonetheless, these data show there are no intrinsic defects caused by being old that hinder the ability to improve muscle strength [and function].

There was no non-exercising control group with which to compare the following figure, but I assure you, non-exercising 90-year old geriatrics aren’t putting on muscle like this guy did:

leg

I’m not recommending retirees to train for a 480-pound deadlift. 

Progress can probably be made carrying a gallon of water around the yard, or up and down a flight of stairs; don’t use handicap parking if your only handicap is being old.  

Sarcopenia is a major reducer of quality of life.  You don’t have to join a gym but you have to get off your ass!

Wednesday, 6 March 2013

Andropause - male menapause

Andropause - Wikipedia

Andropause or male menopause,[1] sometimes colloquially called "man-opause", is a name that has been given, in some parts of the English-speaking world, to a set of effects that appears in some aging men, and which have some superficial similarities to menopause effects in women.

Andropause may be related to the slow but steady reduction of the production of the hormones testosterone and dehydroepiandrosterone in middle-aged men, and the consequences of that reduction.[2] It is also associated with a decrease in Leydig cells.[3] A steady decline in testosterone levels with age (in both men and women) is well documented.[4]

Unlike "menopause", the word "andropause" is not currently recognized by the World Health Organization and its ICD-10 medical classification. While the words are sometimes used interchangeably, hypogonadism is a deficiency state in which the hormone testosterone goes below the normal range for even an aging male.

Contents

As a "state"

The impact of low levels of testosterone has been previously reported. In 1944, Heller and Myers[5] identified symptoms of what they labeled the "male climacteric" including loss of libido and potency, nervousness, depression, impaired memory, the inability to concentrate, fatigue, insomnia, hot flushes, and sweating. Heller and Myers found that their subjects had lower than normal levels of testosterone, and that symptoms decreased dramatically when patients were given replacement doses of testosterone.

Andropause has been observed in association with Alzheimer's disease.[6]

In one study, 98.0% of primary care physicians believed that andropause and osteoporosis risk were related.[7]

The term "symptomatic late onset hypogonadism" (or "SLOH") is sometimes considered to refer to the same condition as the word "andropause".[8][9]

Some researchers prefer the term "androgen deficiency of the aging male" ("ADAM"), to more accurately reflect the fact that the loss of testosterone production is gradual and asymptotic[10] (in contrast to the more abrupt change associated with menopause[citation needed].) The "D" is sometimes given as "decline" instead of "deficiency".[8] In some contexts, the term "partial androgen deficiency in aging males" ("PADAM") is used instead.[11]

As a disorder

Proponents

Proponents of andropause as a distinct condition claim that it is a biological change experienced by men during mid-life, and often compare it to female menopause. Menopause, however, is a complete cessation of reproductive ability caused by the shutting down of the female reproductive system. Andropause is a decline in the male hormone testosterone. This drop in testosterone levels is considered to lead in some cases to loss of energy and concentration, depression, and mood swings. While andropause does not cause a man's reproductive system to stop working altogether, many experience bouts of impotence.

The theory is that andropause is caused by a very gradual testosterone deficiency and an increase in sex hormone-binding globulin (SHBG) that occurs from age 35 onwards. By contrast, women have a more rapid onset of menopause at an average age of 51. Testosterone declines 10% every decade after age 30 (1% per year).

What is known as premature andropause is theorized to occur in males who experience excessive female hormone stimulation through workplace exposure to estrogen. Men who work in the pharmaceutical industry, plastics factories, near incinerators, and on farms that use pesticides are high-risk for early andropause.[citation needed]

Proponents claim that by their mid-50s, about 30 percent of men experience andropause. It is thought that about 5 million American men do not produce adequate testosterone, which leads to early andropause. In Australia, about 1 in every 200 men under the age of 60 and about 1 in every 10 men over 60 have low testosterone. Regardless of location, the most likely males to develop early andropause are those with diabetes, hypertension, and genetic disorders that produce hypogonadism, including Klinefelter's, Wilson-Turner, and Androgen insensitivity syndromes.

Much of the current popular interest in the concept of andropause has been fueled by the book Male Menopause, written by Jed Diamond, a lay person.[12] According to Diamond's view, andropause is a change of life in middle-aged men, which has hormonal, physical, psychological, interpersonal, social, sexual, and spiritual aspects. Diamond claims that this change occurs in all men, generally between the ages of 40 and 55, though it can occur as early as 35 or as late as 65. The term "male menopause" may be a misnomer, as unlike women, men's reproductive systems do not cease to work completely in mid-life; some men continue to father children late into their lives (at age 90 or older[13]). But Diamond claims that, in terms of other life impacts, women’s and men’s experience are somewhat similar phenomena.[14][15][16]

The concept of andropause is perhaps more widely accepted in Australia and some parts of Europe than it is in the United States.[17]

Opponents

Many clinicians believe that andropause is not a valid concept. Men can continue to reproduce into old age; their reproductive systems do not stop working completely, and therefore they do not exhibit the sudden and dramatic drops in hormone levels characteristic of women undergoing menopause.
Other clinicians are of the opinion that andropause is simply synonymous with hypogonadism or low testosterone levels.[16] There is opposition to the concept of andropause in Europe as well as the U.S.[18]

Some clinicians argue that many of the cited symptoms are not specific enough to warrant describing a new condition. For example, people who are overweight may be misguided into treating a new illness rather than addressing the lifestyle that led to their being overweight. Similarly, energy levels vary from person to person, and for people who are generally inactive, energy levels will automatically be lower overall.

While it is true that active and otherwise healthy men could in theory develop andropause-like symptoms, how common and widespread the phenomenon is, and whether genetics, lifestyle, environment, or a combination of factors are responsible, is not yet known.

Suggestions for treatment

Although there is disagreement over whether or not andropause is a condition to be "diagnosed" and "treated", those who support that position have made several proposals to address andropause and mitigate some of its effects.
  • Morley emphasizes the importance of response to treatment, as well as testosterone level and identifiable symptoms.[19]
  • Mintz, Dotson, & Mukai include an emphasis on hormones other than testosterone. They also focus upon diet, and exercise.[20]
  • Diamond (a lay person) believes that depression is one of the most common problems of middle-aged men, and feels it is greatly under-diagnosed, sometimes with serious consequences.[21]
The following treatments have been found to be effective.[12][15][17][21] These include:
Selective androgen receptor modulators have also been proposed.[23]

See also


Sunday, 6 May 2012

"Boost Your Testosterone Level for Health, Power and Confidence..."


Testosterone Levels Fall Worldwide

Man Up: Boost Your Testosterone Level for Health, Power and Confidence

Men’s testosterone levels across all age groups have been plummeting over the last couple of decades, probably due to environmental factors. As Reuters reported in 2006:
A new study has found a “substantial” drop in U.S. men’s testosterone levels since the 1980s, but the reasons for the decline remain unclear. This trend also does not appear to be related to age.

The average levels of the male hormone dropped by 1 percent a year, Dr. Thomas Travison and colleagues from the New England Research Institutes in Watertown, Massachusetts, found. This means that, for example, a 65-year-old man in 2002 would have testosterone levels 15 percent lower than those of a 65-year-old in 1987. This also means that a greater proportion of men in 2002 would have had below-normal testosterone levels than in 1987.

“The entire population is shifting somewhat downward we think,” Travison told Reuters Health. “We’re counting on other studies to confirm this.”

Travison and his team analyzed data from the Massachusetts Male Aging Study, a long-term investigation of aging in about 1,700 Boston-area men. Data from the men were collected for three time intervals: 1987-1989, 1995-1997, and 2002-2004.
***
The researchers observed a speedier decline in average testosterone levels than would have been expected with aging alone.
***
It’s likely that some sort of environmental exposure is responsible for the testosterone decline, Travison said, although he said attempting to explain what this might be based on the current findings would be “pure conjecture.”
Men’s Health wrote in 2007:
In the summer of 2006, Travison attended an Endocrine Society meeting where another researcher, Antti Perheentupa M.D., Ph.D., from the University of Turku, in Finland, presented evidence of a similar decline. The Finnish results suggested the change was happening among younger men, too. A man born in 1970 had about 20 percent less testosterone at age 35 than a man of his father’s generation at the same age. “When I saw another group reproducing our results,” says Travison, “that was convincing to me that we were seeing a true biological change over time, as opposed to just some measurement error.”
***

Mitch Harman M.D., Ph.D., an endocrinologist at the University of Arizona college of medicine and the director of the Kronos Longevity Research Institute, sees the shadow of Silent Spring. Back in 1962, when Rachel Carson published her environmental classic, estrogen-like substances in the insecticide DDT were making eggshells so thin that they were crushed by nesting parents; populations of eagles and other large birds plummeted. And today? Dr. Harman says, “I’m concerned that we’re just pouring chemicals out into our environment that are endocrine-suppressing, estrogen-like compounds,” possibly causing similar disruptions in human reproduction. The authors of a recent article in the Medical Journal of Australia likewise suggest that from early fetal life onward, male hormonal and reproductive functions are under “xenobiotic attack,” meaning chemicals not naturally found in the body appear to be disrupting normal biological development.

For instance, 90 percent of American men have evidence of chlorpyrifos in their urine. This shouldn’t be surprising, since up to 19 million pounds of the stuff was distributed across the United States in 1999 alone, much of it in household products like tick-and-flea powder for pets, lawn treatments, and common insecticides. Though residential use is now restricted, chlorpyrifos is still common in agriculture, as well as in some professional applications; for most people, diet is now the main source of exposure. In a recent Harvard study, men with the highest chlorpyrifos exposure typically had 20 percent less testosterone than those with the lowest exposure.
Carbaryl is another possible culprit. Detectable levels turn up in 75 percent of American men, and having it in your urine appears to be associated with reduced sperm count and liveliness, or motility, as well as increased DNA damage. And yet we still apply carbaryl to lawns and gardens at a rate of up to 4 million pounds a year, mostly by way of an insecticide known as Sevin. There should be a bumper sticker: Honey, the lawn shrunk my testicles.

Phthalates are also everywhere, almost certainly including your own body. Manufacturers use them in colognes and cosmetics and as softeners in plastics. Baby bottles now come “phthalate-free,” but hospital intravenous bags generally don’t. And yet some phthalates seem to have all of carbaryl’s unpleasant associations with reproductive health. And not just in men: Last year Greenpeace issued a warning against the danger of phthalates in your girlfriend’s sex toys. Then the Danish Environmental Protection Agency came riding to the rescue, declaring such toys safe—as long as she keeps it to an hour or less a day.
Scientists can’t say that any of the suspect chemicals actually cause the reproductive effects that are occurring. They can only point out troubling associations. But these associations seem to be proliferating. About 50 new chemicals come onto the market weekly, says Dr. Harman, and while testing for carcinogenicity is required, “there’s no systematized testing for subtle endocrine effects.”
We’re not likely to have good answers anytime soon. The reproductive problems of human males will remain understudied, says Dr. Harman, in part because federal research dollars are being diverted to issues like biological warfare and terrorism. “We might just wind up disappearing from the planet quietly,” he says, “because we were too busy fighting wars to figure out that our reproductive systems were going south.”
Moreover, as noted by the The Internet Journal of Urology in 2004:
There have been a number of studies over the past 15-20 years … which suggest that sperm counts in man are on the decline. Since these changes are recent and appear to have occurred internationally, it has been presumed that they reflect adverse effects of environmental or lifestyle factors on the male rather than, for example, genetic changes in susceptibility. If the decrease in sperm counts were to continue at the rate that it is then in a few years we will witness widespread male infertility.
Studies published in the Journal of the American College of Cardiology, the journal Diabetes Care, the journal Heart and other major medical journals show that low testosterone levels not only lead to obesity, loss of muscle, weak bones and depression, but also increase the odds of heart disease, diabetes, Alzheimers and other major health problems.
In addition, low testosterone levels are correlated with decreased confidence, drive, ability to concentrate, and cognitive abilities.

The bottom line: Most men – and especially those over 30, fathers, or men who have been exposed to toxic chemicals or potent medications – need to maintain their testosterone levels to keep their health, power and confidence.

How to Boost Your Testosterone Level

There are numerous ways to boost your testosterone (we’ll call it “T”) level. Choose what works for you, depending on your health, finances, time and temperament.

Sprint

The International Journal of Sports Medicine found that, in young men, a six-second bout of sprinting increased serum total testosterone levels. Levels remained elevated during recovery.

Lift

Numerous studies have shown that resistance training is a powerful stimulant for testosterone production. So – if you are physically able – be sure to lift heavy things every now and again.

The rest intervals between sets can also stimulate different hormonal responses. A study published in the Journal of Strength & Conditioning Research found that resting 90 seconds between squat and bench press sets boosted post-workout T-levels the most.

Snooze

The Journal of the American Medical Association reports that lack of sleep dramatically lowers testosterone in healthy young men. Peak testosterone levels coincide with rapid-eye movement (REM) sleep onset. Getting 7-8 hours sleep a night – to make sure you get your REM sleep – will boost your T levels.

Chill Out

As shown by studies published in the the Journal of Hormones and Behavior, the European Journal of Applied Physiology and elsewhere, prolonged stress produces cortisol, which reduces T levels.

So take breaks and play sports, go for a walk, meditate, do yoga or do whatever else de-stresses you.

Get Excited

Newsweek reported in 2009:
Monkeys that see sexually active females register as much as a 400 percent jump in testosterone (nature’s own performance-enhancing drug) promoting lean muscle and quick recovery times, according to the Yerkes Center for Primate Research at Emory University. In humans, German researchershave found that just having an erection is enough to spur testosterone levels. it makes no difference whether a man is watching sex on a screen or having it in real life, his testosterone levels will go up. Just having an erection, in fact, is enough to spur production.

Such findings, along with work that shows family life to be a drain on testosterone levels, prompted Rutgers University sex researcher Helen Fisher to advise this month that males in the “captivity situation”-her term for married with kids-”go on the Internet and look at porn” as a kind of hormone-replacement therapy. “[Porn] drives up dopamine levels, which drives up your testosterone,” she tells NEWSWEEK, while kissing your wife or hugging your kids drives it down.
Indeed, marriage and fatherhood have both been shown to decrease testosterone levels.
(This post concentrates on science, not objectification of women, relationships, ethics, or addictions … all important things to reflect on. I am an ethical, happily-married man with kids, and I value all of those things tremendously. But I also know that if I didn’t have a strong sex drive, my T levels would be lower.)

Keep Your Vitamin D Levels Up

Vitamin D positively correlates with testosterone levels in men, according to the Journal of Clinical Endocrinology and researchers at the Medical University of Graz in Austria.
So make sure you get enough vitamin D.

Magnesium

The Journal of Pharmaceutical and Biomedical Analysis reports that magnesium levels correlate with T.

Calcium

Biological Trace Element Research notes that calcium levels correlate with T, at least in people who exercise a lot.

Zinc

The Journal Nutrition reports that a zinc deficiency predicts lowered testosterone in men.
But don’t take extra … supplementary doses of the mineral don’t boost T levels beyond normal in men with adequate dietary intake.

Eat Monounsaturated and Saturated Fat

We’ve previously documented that fats have gotten a bad rap, and that they are essential for our health. See this, this and this.

The Journal Lipids reports that olive oil – a monosaturated fat – converts cholesterol more easily into testosterone. So use raw olive oil on salads and in other dishes. (Coconut oil – a saturated fat – does the same thing, but to a lesser extent.)
While cholesterol has gotten the worst rap:
Cholesterol is actually a vital precursor to vitamin D, and to basic hormones such as testosterone, estrogen, and adrenaline. If we don’t have enough cholesterol in our body, we will be sickly, impotent and depressed.
The Journal of Clinical Endocrinology & Metabolism reports that a low-fat, high-fiber diet reduced T levels in middle-aged men. The Journal of Applied Physiology reports:
Preexercise T was significantly positively correlated with percent energy fat, SFA [saturated fatty acids] and MUFA [monounsaturated fatty acids] ….
F2.medium Man Up: Boost Your Testosterone Levels for Health, Power and Confidence
(Click image above for larger picture.)
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These data are consistent with the findings of several other investigations that have reported a decrease in T in individuals consuming a diet containing ∼20% fat compared with a diet containing ∼40% fat ….

The results from several investigations strongly suggest that dietary fat has a significant impact on T concentrations; however, the influence of different types of lipids on T is not as clear. In the present investigation, dietary fat, SFA, and MUFA were the best predictors of resting T concentrations. Interestingly, Tegelman et al. observed a significant positive correlation (r = 0.76) between percent energy fat and T in young athletic men, which is very similar to the correlation (r = 0.72) obtained in this study. Also, Adlercreutz et al. reported significant positive correlations between T and dietary fat, SFA, MUFA, and cholesterol in postmenopausal women. The same nutrients were positively correlated with T in the present investigation except for cholesterol, which showed a correlation of r = 0.53 (P = 0.07) with T. In contrast to the results obtained in this study, Key et al. reported a significant positive correlation (r = 0.37) between PUFA and T in male vegetarians and omnivores. Our results showed a nonsignificant correlation between PUFA and T and a significant negative correlation between the PUFA/SFA ratio and T. Thus dietary lipids appear to have a significant influence on resting T concentrations; however, the effect of different types of lipids on T regulation and metabolism is complicated and most likely influenced by a complex interaction of several nutritional and metabolic factors. This complexity is illustrated by the findings of Sebokova et al., who reported that alteration in the testicular plasma membrane and changes in the responsiveness of Leydig cells and subsequent T synthesis occur as a result of ingestion of different compositions of lipids.

Avoid Foods that Spike Blood Sugar Levels

Researchers found that 75 grams of pure glucose – and the resultant spike in blood sugar – was enough to drop T levels by as much as 25% in a random grouping of healthy, prediabetic, and diabetic men.

The glycemic index measures how much of a food converts into blood glucose. Because refined carbs have a higher glycemic index than even candy, you should watch the refined carbs.

Get Enough Antioxidants

Oxidative stress may decrease T. So get enough antioxidants, which protect against oxidative stress.

Note: I’m not a medical professional, and this should not be taken as medical – or marital – advice.