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I speak with a number of professional athletes who suffer from chronic systemic inflammation and muscle breakdown and soreness who blame their condition on everything from eating too many carbs or too much fat or dehydration or lack of certain minerals. The truth is that most are unknowingly overtraining, which sets the stage for muscle damage and pain. Sometimes, taking antioxidant supplements can make matters worse. The first question I ask is: Are you taking megadose antioxidant supplements on a daily basis? The answer is almost always, YES! The second question I ask is, Are you taking iron supplements? Again, the answer is usually affirmative. Of all the conventional sports nutrition supplements on the market, iron supplements would be at the top of my Do Not Take list. There are rational uses for iron supplementswhen used in the proper contextbut certainly not for quenching free radicals produced by moderate-to-heavy workouts. Often promoted as antianemia pills, iron supplements could wind up working against you, not for you. Is The Free-Radical Theory of Aging Due For Retirement?
In 1982, exercise physiologists demonstrated that lab ratswhen run to total exhaustionproduced lots of free radicals (reactive oxygen species, or ROS) in their skeletal muscle. Since then, sports fitness gurus and dietary supplement marketers have sold billions of dollars worth of antioxidant supplements promoted as free radical quenchers and damage control compounds that protect our bodies from the destructive compounds made during physical activity. During that same year, a popular life extension book based on Denham Harmons free-radical theory of aging promoted antioxidant supplements and firmly established them as an important fitness tool in the minds of many athletes and exercise enthusiasts. Nutrition science has rapidly progressed since Durk Pearson and Sandy Shaw first popularized antioxidant supplements in the early 1980s. While free radical damage may play a role in aging, it is clearly not the only contributor. Recent evidence supports the concept that phytonutrients (e.g., curcumin, EGCG, fisetin, quercetin, resveratrol) not only prevent free radical damage but also exert even more powerful protection through non-antioxidant actions. Many of the phytonutrients fitness gurus
believed were merely antioxidants are now understood to be quite capable of modulating gene expression, and as such could represent a more effective means for preventing exerciseinduced damage to muscles and vital organs. Although a number of armchair experts on various blogs promote such popular antioxidants as vitamin C, vitamin E, and fish oil to reduce free radical damage during and after exercise, biomedical researchers have yet to reach a clear consensus on the benefits of these supplements. For example, see here, here,here, and here. Today, the accumulated evidence of the last three decades has led me to conclude that fitness gurus who promote antioxidant supplements seem to have ignored a large and growing body of robust evidence that suggests that indiscriminately taking antioxidants for damage control and health insurance could be counterproductive to exercise recovery and healing from sports injuries. Such supplements may paradoxically increase inflammation and muscle damage after exercise and minimize or reduce expected exercise gains.
supplementation leading to increased rates of morbidity and mortality . Although each of these studies has design flaws, they are nevertheless consistent with a larger body of research that suggests antioxidant supplements must be taken in the proper form (especially important in evaluating vitamin E studies) and context and that like any other ingested substance, including water, they can be toxic. The data call for more research before any definitive conclusions can be reached . I could make a strong case against the findings of these studies, but for now, lets move on to the primary concern of this post: Do antioxidant supplements help or harm physically active folks?
How Much Do You Trust Supplement Marketers? Almost all professional and amateur athletes Ive ever met supplement their diets with high levels of antioxidants. Most use the usual suspectsvitamin C, vitamin E, beta carotene, and fish oil. Published studies showing clear cut effects on performance benefits, muscle function, and exercise recovery of such antioxidant supplements are elusive . In fact, most studies suggest quite the opposite: supplementary antioxidants can muck up our evolutionarily conserved antioxidant defense systems put in place hundreds of thousands of years ago . How ironic it is that a number of Paleo diet bloggers recommend and sell Neolithic antioxidant supplements to the Paleo community. Just like doctors paid by Big Pharma to promote their drugs, such bloggers advice should be viewed with an abundance of skepticism. The first question I ask is: Cui bono? (To whose benefit?). The Research Trail The first study I found on antioxidants and exercise was a paper published in 1971, which reported that taking vitamin E supplements (400 IU daily for 6 weeks) caused unfavorable effects on endurance performance. Eight years later I found another vitamin E study showing that in combination with selenium (still a favorite combo among supplement promoters), the duo failed to improve swimming performance in lab rats. I began looking at other types of antioxidants and their effects on exercise . I found two studies that showed harmful effects of coenzyme Q10 supplementation (another powerful antioxidant like vitamin E) in humans who had undergone a high-intensity training program. These two papers, published in 1996 and1997, suggested that coQ10 supplements should possibly be avoided by exercising humans.
Two years later, a study of triathletes found no beneficial effect of coQ10 supplements on maximal oxygen uptake (VO2 max). Theoretically, this went against the conventional wisdom on coQ10 because of its intimate involvement in mitochondrial ATP production. Why wouldnt supplementary coQ10 be beneficial for athletes? I had already developed nutraceutical products that contained coQ10. Was I actually jeopardizing my world-champion clients performances by giving them hundreds of IUs of the compound? A few years later, a seminal figure in antioxidant research, Lester Packer, found that a combo of vitamin E and alpha-lipoic acid depressed the ability of rat muscle to contract when stimulated by the kind of low frequencies that typically emanate from the sub-woofer in your car and home stereo systems ( 40 Hz). I had developed sports nutrition products that contained these two compounds. My concern was growing. On the heels of Packers study, another group of researchers fed racing greyhounds 1 g of vitamin C per day for 4 weeks. Hopefully, none of those geeks had any money on these dogs because the supplement significantly slowed their racing speedsthe equivalent of a 3-meter difference at the finish of a 500-m race. I kept thinking back to a study my major professor showed me in graduate schoolone where supplements of vitamin C paradoxically generated damaging free radicals (now a widely accepted autocatalytic effect of the vitamin). I foolishly ignored the study because I had just met with Linus Pauling who persuaded me that vitamin C protectednot harmedthe delicate cellular machinery in our mitochondria. I mean, the man had discovered the nature of the chemical bonda cornerstone of contemporary chemistry and was Nobeled twice. If you had been at that meeting with me, you might have been persuaded as well. What about the effectiveness of vitamin C supplements in suppressing post-exercise muscle sorenesscould the conventional wisdom be wrong about that as well? I found a 2006 study that reported vitamin C supplementation (1 g for 14 days) did not attenuate muscle soreness after muscle-damaging exercise. Moreover, study investigators believed that vitamin C supplementation probably delayed the exercise recovery process . I did find research involving a popular supplement among bodybuilders (nacetylcysteine; NAC), which has been shown to increase the synthesis in the body of a key antioxidant, glutathione. I found three studies that showed improvement in human tolerance to different types of exercise when NAC supplements were used. You can find them here, here, and here. The fly-in-the-ointment with NAC is that theres one small, nagging mouse study that found that NAC can trick the body into responding as if theres not enough oxygen in the blood at least in lab animals. The results: pulmonary hypertensiona potentially fatal condition. Theres a good chance the study isnt relevant to humansespecially since conflicting studies suggest a protective or remedial effect of the compound in pulmonary hypertension. But even the remotest possibility of getting pulmonary hypertension is enough to keep me from taking NAC, especially because Ive found other safe and effective nutraceuticals that will protect against exercise-induced muscle damage and soreness. What You Need To Know When lab rats or humans are exposed to regular exercise , the expression of antioxidant enzymes and other enzymes critical to cell function are increased. Practically speaking, exercise is powerful antioxidant. A number of studies strongly suggest that ROS generated during exercise act as an important signal to increase the production of enzymes vital during the adaptation of muscle
cells to exercise. These findings cast doubt on the wisdom of supplement marketers and fitness gurus who recommend that we need to take such antioxidants as vitamin C, vitamin E, and fish oil supplements to prevent free radical damage due to physical activity. When lab rats and humans are fed antioxidants and then exercised , evolutionarily conserved protective adaptations to free radical damage are abolished. See here andhere. In contrast, certain nutraceuticals taken prior to exercise or competition provided such exercise or competition is likely to be exhaustivecan effectively mitigate ROS production that can lead to muscle damage and overwhelm cellular defensive mechanisms.
what evolution intended them to do: promote gene expression of antioxidant proteins that will protect them against free radical damage!
Exercise-induced free radicals (ROS, RONS) activate important cellular enzymes involved in antioxidant defense . They play a vital role in cell signaling that lead to cell adaptation to exercise. For example, free radicals lead to an increased expression of MAPKs (EKR 1, ERK 2), p38, and JNK that activate NF-B, which, in turn increases gene expression of such key protective proteins as eNOS, iNOS, and Mn-SOD. Taking certain antioxidant supplements can abolish these and other protective effects, hindering beneficial cell adaptations during exercise. Free radicals formed during exercise activate DNA binding of NF-B in muscle. Taking allopurinol, a drug prescribed to treat gout, will prevent DNA binding of NF-B. (Illustration available at: http://www.ncbi.nlm.nih.gov/pubmed/15932896) NF-B also controls changes in fuel metabolism during and following exercise by promoting transcription of the IL-6 gene. IL-6 enhances glucose transport and lipid oxidation in muscle. The role of IL-6 in glucose and fat metabolism is generally overlooked by the Paleo diet community because many Paleo diet bloggers rail against it. IL-6 plays a dual role in health, fitness, and disease: it can be beneficial or harmful. Again, it depends on context. Our muscles evolved to adapt to exercise and there are redundant antioxidant systems in place to protect against exercise-induced free radical damage. The conventional wisdom proffered by dietary supplement marketers, fitness bloggers, and members of the Paleo community could becounterproductive to your recovery from exercise training and sports.
My Top 10 List of Nutraceuticals That Promote Exercise Recovery and Healing If you engage in exhaustive physical activity, here is a list of nutraceuticals that may possibly protect against exercise-induced ROS damage and delayed-onset muscle soreness. Disclaimer: Check with your healthcare provider to determine if there is any reason you should not take any of these compounds. Do not take them if you have an allergy to any of them or to any food or dietary supplement that contains them. A number of these compounds may delay the metabolism (inactivation) of certain prescription drugs in the same way that drinking grapefruit juice or cranberry juice can prolong the time before a medication is metabolized by your body. Apple polyphenols Black tea theaflavins Cocoa polyphenols Curcumin
Green tea extract Grape seed extract L-ergothioneine Olive leaf extract Pterostilbene/Resveratrol Quercetin