Latest / Scientific Health: Education and Human Performance / Really... do I need that much? Let's talk carbohydrates
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- 0:00Warning. The following presentation contains information that might contradict what you
- 0:04have previously heard, or believed to be true, about how the human body works,
- 0:10and contains material that is not suitable for closed mind and individual. Enjoy.
- 0:15Well thanks for joining us. Today we're going to go ahead and continue our discussion about diet,
- 0:19nutrition, and metabolism. Once again, looking at does it really matter what's being eaten?
- 0:25And in this case here we're going to talk a little about carbohydrates today.
- 0:28Hopefully look at some of the myths and misconceptions that we have about carbohydrates,
- 0:32and then we'll talk specifically about one form of carbohydrate dieting as relates to a concept
- 0:38known as carbohydrate loading. So let's talk a little about carbohydrates and how much carbohydrate
- 0:43we're going to need within our diet. For most individuals we're going to need between 2.5 and
- 0:495 grams per kilogram of body mass per day of carbohydrates. Within that we're going to need
- 0:57a minimum of 120 grams per day for normal neuron functions to take place. For our
- 1:05athletes and people who are highly active we can go ahead and get upwards of 5 to 10 grams
- 1:12per kilogram of body mass per day. Within that amount post-training or post-competition
- 1:21we're going to need to consume between 0.8 and 1 gram per kilogram of body mass for every hour
- 1:28that we were active. Additionally we're going to need to have about 30 grams per day of a specific
- 1:35type of carbohydrate known as fiber. Now there are some dietary restrictions where we can consume
- 1:42carbohydrates outside of that range and we'll take a look at those as we go through our discussion.
- 1:47But those are the normal values that we give for individuals. Now sometimes when we talk about
- 1:53carbohydrates and particularly when we're talking about dietary carbohydrates we hear a lot of
- 1:58references of good carbs and bad carbs. And what does that mean to be a good carb or a bad carb?
- 2:04Well metabolically there's no such thing as good carb, bad carb. Carbohydrates are carbohydrates
- 2:09and will be used a whole host of metabolic functions for the body. When we're talking
- 2:15about good carb and bad carb what we're really referencing is how does the carbohydrate that
- 2:20we're looking at fit within what's referenced as the glycemic index. And what the glycemic index
- 2:26is doing is it's giving us an indication of what is going to be the insulin response that occurs
- 2:32following the consumption of those carbohydrates and what is the rate of digestion and absorption
- 2:38of those carbohydrates. That is how soon after a meal will I see those carbohydrates in circulation.
- 2:44And this is where within the glycemic index we will have references of foods that are high
- 2:50glycemic foods, medium glycemic foods, and low glycemic foods. This is the indication of what
- 2:57other carbohydrates besides what are usually referred to as simple carbohydrates will be
- 3:04found within the foods that are being consumed. Where foods that are high have a high rate of
- 3:10digestion and absorption and will cause an insulin spike to occur due to the effects
- 3:17that the rapid absorption of the carbohydrates have on insulin functions and insulin signals in
- 3:25the body. Which takes us to a question as it relates to the dietary carbohydrates. Are all the
- 3:30dietary carbohydrates made equally? And once again this goes into our good carb, bad carb,
- 3:36misconception. Where we look at carbohydrates or sugars as being simple or complex.
- 3:45The simple carbohydrates or the simple sugars will sometimes also be referenced as monosaccharides
- 3:53that is a single sugar unit. And the principal single sugar units that we talk about dietarily
- 4:00are glucose, fructose, and galactose. There are other simple sugars but those are the three
- 4:07principal simple sugars that we look at in terms of the monosaccharides. Now those monosaccharides
- 4:12can interact with each other to make larger simple sugars which are sometimes referred to as
- 4:17disaccharides. The disaccharides include sucrose which is also referred to as table sugar.
- 4:24And that is a glucose and a fructose that's combined. Or we can get a simple sugar known
- 4:29as maltose. And maltose are two glucose sugars put together. And then within a lot of the
- 4:37dairy products that we will consume we will get a sugar known as lactose. And lactose is a
- 4:44glucose and a galactose stuck together. Now all of those disaccharides will get broken down digestively
- 4:50within the intestines into their glucose, their fructose, and their galactose units. With the
- 4:57exception of lactose for those people who don't happen to have the enzyme lactase available to
- 5:03them. And those are the individuals who will be lactose intolerant. Beyond the simple sugars we
- 5:09now get to what's referred to as the complex carbohydrates or the complex sugars. The complex
- 5:15carbohydrates are going to be more delayed in their absorption because it's going to take a
- 5:22little bit longer to digest them down. And these are going to be things like cellulose, sometimes
- 5:29referred to as fiber, glycogen, and amylose. Amylose will sometimes be referred to as starch.
- 5:35And then slightly smaller complex carbohydrates like dextrin or actin. Now all of these complex
- 5:43carbohydrates will get broken down into smaller sugar units and then eventually into their
- 5:48monosaccharide units in order to be absorbed because the one in which we absorb the sugars is
- 5:55we absorb the sugars, we absorb the carbohydrates as they're single sugar units and sometimes as
- 6:03a disaccharide. But more often than not we will absorb it as a single sugar unit. Those complex
- 6:10carbohydrates when they get their digestion taking place will break down into the disaccharide and
- 6:16then into the monosaccharide. And when they break down into the disaccharide and the monosaccharide
- 6:21we will then be able to absorb them within the intestines with the exception of fiber,
- 6:27with the exception of cellulose. Because we do not have the enzymes to break down that sugar.
- 6:35Now the microbes in our intestines do have the ability to break down that sugar. And as a
- 6:42byproduct of their breakdown we will get some other key nutrients that we would not be able to get
- 6:48without consuming the fiber within the diet. Fiber within the diet is essential for normal
- 6:56gastrointestinal functions. Consuming larger amounts of complex carbohydrates will lower
- 7:02my overall glycemic index of sugars being consumed. Continuing on with the idea about
- 7:07the dietary carbohydrates there's a few other myths and misconceptions out there about carbohydrates
- 7:14and carbohydrates in the diet. One of those is what about the issue of the person or myself becoming
- 7:20fat because I'm eating dietary carbohydrates. Well this is what we have to remember is that
- 7:25carbohydrates in the diet will be used for a whole host of other things within the body
- 7:31beyond just the energetic materials that we talk about the use of the carbohydrates for
- 7:39regenerating ATP or the storing of those carbohydrates for later use as lipids. We will
- 7:46use those carbohydrates in other pathways such as making some of the sugars necessary for making DNA
- 7:53or making RNA or becoming some of the metabolites involved with producing amino acids that will
- 8:02allow for the production of proteins or for making ketone bodies. One of the other myths and
- 8:09misconceptions out there is that consuming carbohydrates will automatically lead to an
- 8:14insulin spike which is where we get the idea of having a sugar rush followed by a sugar crash
- 8:21that a lot of people will talk about. This is where we once again we have to go back to the
- 8:25science and to the physiology. Insulin is only going to be involved with moving glucose from the
- 8:33bloodstream into the cells by metabolizing or activating one glucose transport one membrane
- 8:41protein to allow for glucose to move from the bloodstream into the cells and only in a couple
- 8:47of types of cells. Skeletal muscle, adipose cells, and liver cells. And it's only going to do this
- 8:57when there is a consumption of glucose that is greater than 1 to 1.2 grams per kilogram per hour
- 9:05within the meal that I'm consuming. Now there are times where I can have high levels of
- 9:12glucose in the bloodstream which can lead to insulin being released from the pancreas. But when
- 9:19we're looking specifically at the dietary components going on it's about the concentration
- 9:26of the glucose that is being consumed. There are other carbohydrates that will be consuming
- 9:31that will be able to move into the cells without needing the insulin. Now insulin does promote
- 9:39making of lipids, lipid synthesis. It's one of the many pathways within the cells that insulin will
- 9:49activate will trigger. But it will also trigger protein growth, protein synthesis.
- 9:56It will also trigger glycogen synthesis making a glycogen within the tissues that are able to
- 10:02make glycogen in particular skeletal muscle and liver cells. The one carbohydrate that we do know
- 10:09that actually does instigate lipid synthesis within cells that comes from the diet is increased
- 10:16amounts of fructose. Fructose will trigger lipid production, lipid synthesis, independent of any
- 10:23hormone signals within the adipocytes within the adipose cells of the body leading to fat accumulation
- 10:33when fructose is in excess and not being cleared to be used within other metabolic pathways.
- 10:42Other myths and misconceptions that relates to carbohydrates and carbohydrates in the diet
- 10:48is the misconception of a low carbohydrate diet being a no carbohydrate diet. The low carbohydrate
- 10:56diets are not a no carbohydrate diet. What the low carbohydrate diets are doing is they're attempting
- 11:03to get the person who's going to follow that diet scheme to shift from the high glycemic indexed
- 11:10carbohydrates to the low glycemic indexed carbohydrates and then reduce the total
- 11:17amount of carbohydrates that are being consumed within the overall diet. This is where the persons
- 11:24who are following this diet schematic may reduce their total carbohydrate intake to be the minimums
- 11:33necessary in order to maintain normal metabolic functions and normal neuron activities,
- 11:42meaning they are getting the 120 grams per day. There are some of the low carbohydrate diets
- 11:50that will have the persons consume less than that minimum and in order to make the minimums,
- 11:59the body will undergo different chemical reactions predominantly within the liver
- 12:05where we'll take glucose metabolites that are coming from other molecules, namely amino acids
- 12:11and lipid byproducts and we'll convert those glucose metabolites back into glucose so that the body
- 12:22is able to meet the minimum necessary for normal metabolic and neuronal functions.
- 12:31Within that low carbohydrate there is a couple of things that we need to be aware of. First,
- 12:37there's no standard definition for what a low carbohydrate diet means.
- 12:43I just gave you an analogy of eating less than the minimum 120. That seems to be the
- 12:50threshold for the low carbohydrates. However, some low carbohydrate diets can take the person as low
- 12:57as 10 to 50 grams of carbohydrates total in a day while others would be considered low carbohydrates
- 13:06if they're consuming below the 2.5 grams per kilogram of body mass per day.
- 13:14However, there are some indications for standardizations as it relates to what is labeled as a net
- 13:21carbohydrate if you happen to be looking at any of the packaging for the low carbohydrate
- 13:26materials within the grocery stores. The net carbohydrates is the indication of how many
- 13:33carbohydrates are digestible, absorbable, and metabolically active for the body
- 13:41and is determined by taking the total amount of carbohydrates that are available within the foods
- 13:48of that package and subtracting the amount of fiber and the amount of sugar alcohols that are
- 13:56available. And that's because when we look at the total carbohydrates within a package of food for
- 14:02serving, we're looking at all forms of carbohydrate, whether it's the sugars that we think about in
- 14:08terms of sugar, sucrose, table sugar, or lactose if that's the female product,
- 14:16as well as the fiber, as well as any of the other sugar alcohols that we cannot metabolize.
- 14:22And in order to find the net carbohydrates, that's how many total carbohydrates are available within
- 14:26that food, we take the ones that we can metabolize and we pull them out from the total amount
- 14:32of carbohydrates that are there. And we do that by taking the total carbohydrates and subtracting
- 14:38the fiber and the sugar alcohols that are there. Now, people who are active, whether it is physically
- 14:47active or mentally active, you happen to be a student, you need more carbohydrates than someone
- 14:54who is less active, whether they are physically sedentarily at not doing anything, or not mentally
- 15:01engaged with a lot of learning. Those who are active need more carbohydrates than those who are
- 15:07less active. If I am trying to learn if I'm trying to be active, reducing the amount of
- 15:12carbohydrates I have within my diet will limit my overall performance with regards to what my
- 15:19performance happens to be. And that's because I'm going to need carbohydrates for my neurons to
- 15:24function and for other cells within the body, which are referenced as being glucose obligated cells,
- 15:30to work at their optimal performance. And so by restricting carbohydrates, I restrict the fuel
- 15:38sources that are available to those cells, which means those cells will not function at the rate
- 15:45that we're asking them to function and can lead to a detrimental performance if I'm not fueling them
- 15:53correctly. So speaking of that, what are carbohydrates going to be used for? Well,
- 16:01they are going to be used for the fuel sources. They are a primary principle fuel source that
- 16:07our cells use for all of their energetic metabolism, making of ATP or regenerating ATP for the cell,
- 16:16for the cell to continue to do what it needs to do. It's not the only fuel source, but it is a
- 16:23principle primary fuel source. Other fuel sources that could be used include amino acids and lipids.
- 16:30Within the energetic pathways, the ability to use those other fuel sources leads to a concept
- 16:38known as metabolic flexibility. Metabolic flexibility is the indication of the ability to use
- 16:44multiple fuel sources in order to meet the demands for ATP by the cells and tissues
- 16:55during the events that I need ATP if I am not feeling well, if I have inflammation,
- 17:04the ability for me to be metabolic and flexible, drop. However, I'm going to be sending signals
- 17:11to attempt to cause glucose to be spared so that the cells of the blood, in particular the immune
- 17:20cells, have the glucose available to them so that they're able to do the metabolism that they need
- 17:26to do in order to make me feel better. Outside of fuel, carbohydrates will be used to make amino
- 17:34acids, to make nucleic acids, to make neurotransmitters. It will be involved with the production of lipids.
- 17:47They are integral to cell membrane integrity, and they are used in order to allow cells to
- 17:55adhere to each other in a cell to cell adhesion or cell junction that are used within the tissues
- 18:03of the body. There is a specific carbohydrate citrate that is necessary for normal bone health.
- 18:15Without that sugar within the bone matrix, our bones will become excessively brittle,
- 18:22and so we need carbohydrates for bone health, we need carbohydrates for cell membrane integrity,
- 18:27we need carbohydrates for fuel sources, we need carbohydrates in order to make things.
- 18:33Just because I'm having carbohydrates in my diet does not necessarily going to mean that I'm going
- 18:39to become fat, even though that is how a lot of people will present carbohydrates within the diet.
- 18:45But before we move on and discuss carbohydrate loading, let's take a step back and look at some
- 18:50of the take home messages that we have about carbohydrates. We need carbohydrates to have
- 18:55normal metabolic actions and normal metabolic functions. If I'm missing carbohydrates from my
- 19:01diet, my body is going to develop those carbohydrates from the molecules that I'm getting in my diet
- 19:08that are not carbohydrates or from the tissues of my body.
- 19:13Carbohydrate intake does not automatically cause one to become fat, even though that is how a lot
- 19:19of people oppose the positions that they have about carbohydrates in the diet. Remember,
- 19:25carbohydrates come in multiple forms and the idea of good and bad carbohydrates is coming
- 19:31from the glycemic index and not coming from how we're going to metabolize those carbohydrates
- 19:37for use in the body. Speaking of use, let's take a look at one specific type of carbohydrate
- 19:45dieting known as carbohydrate loading. Carbohydrate loading is a little bit more complex than just
- 19:53increasing how much pasta I'm going to eat before I go for a run or how many potatoes I'm going to
- 19:58eat in a meal. It's a way in which we can diet so as to allow for our body to store a little bit more
- 20:09carbohydrates in the form of glycogen. And so what is carbohydrate loading?
- 20:14Carbohydrate loading is a dietary plan that was first proposed and first devised in the late 1960s
- 20:21specifically for endurance athletes. Where it was noted that those who followed a lower carbohydrate
- 20:27diet for several days saw a depletion in muscle glycogen stores and a reduction in endurance
- 20:36capacities and abilities. Where following a higher carbohydrate intake for several days after a low
- 20:44carbohydrate intake led to a supercompensation of muscle glycogen stores that led to prolonged
- 20:51endurance capacity. What this dietary modification is aiming to do is it's aiming to maximize
- 20:59glycogen stores in the body where normally we will have between 600 grams and 1000 grams of our total
- 21:08body weight in the form of glycogen. Of this about 600 grams will be found throughout all of the skeletal
- 21:15muscles of the body and between two and 400 grams will be found specifically within the liver. While
- 21:23it was first proposed for endurance athletes we have expanded this idea to other applications
- 21:30for power athletes and for weight lifters.
- 21:34For athletes who are in bodybuilding or in fitness aesthetics competitions.
- 21:40And into the realm of health care. What's the physiology of carbohydrate loading and
- 21:45that would allow it to work? What the carbohydrate loading is doing is it's going to trigger
- 21:52signals within the body that's going to indicate the need to spare glucose. Sparing glucose is a
- 22:00hormonal response that is going to shift to change the fuel sources used by the tissues of the body
- 22:11away from glucose to other fuel sources lipids amino acids to meet the energy demands
- 22:19for the activities that are being conducted. The carbohydrate loading and the glucose sparing
- 22:24events that take place limit both hyper and hypoglycemic events that can occur within inflammatory
- 22:32responses by allowing for normal metabolic flexibility to occur within the tissues of the
- 22:41body. It also allows for immune cells to function at greater efficiencies with the glucose that is
- 22:47available to them. The supercompensation that we see with glycogen storage can allow up to twice
- 22:54as much normal glycogen capacity spread between skeletal muscle and the liver. What is interesting
- 23:01is that there is some evidence to support this supercompensation taking place without the need
- 23:09to fully deplete or strip away glycogen. So how does this take place? What is this process by which
- 23:16we're able to get this supercompensation? What is up happening is that during a depletion stress
- 23:24glycogen stores will be depleted they will be reduced. That reduction will trigger hormonal
- 23:32and metabolic signals within the tissues of the body to shift metabolic functions away from using
- 23:41glucose. When glucose is then reintroduced into the diet instead of spontaneously reversing back to
- 23:50using glucose for the primary fuel source the other fuel sources are still being used at a
- 23:58very high rate. And what this does is this allows for a reversal of glycogen storing
- 24:05where the depleted glycogen will begin to build on itself taking back to a normal glycogen level.
- 24:17As glucose consumption continues to remain high the hormonal and metabolic signals that were there
- 24:23from the depletion event continue to trigger compensation in the tissues to store additional
- 24:30glycogen. So that should a secondary depletion event occur additional glycogen is available
- 24:38for the body to minimize the need to do other metabolic pathways such as gluconeogenesis to
- 24:44convert glucose metabolites into glucose because of having an additional glycogen storage available
- 24:53for the body to use. What glycogen is is this a polymer chain it's a long chain of several
- 25:02glucose monomer several glucose sugar units stuck together and stored within skeletal muscle
- 25:09and the liver. When use of glucose starts to strip away availability of glucose that super
- 25:19compensated glycogen molecule or the normal glycogen molecule will then be broken up so as to provide
- 25:30glucose to the cells so that the cells are able to meet their fuel demand or needing to regenerate
- 25:39the ATP for the events that they are doing. So what is this going to do for the person doing
- 25:47the carbohydrate loading for the endurance athletes these super compensated glycogen storage
- 25:55postpones fatigue and extends duration of exercise. It improves performance in time trials
- 26:05that is how long does it take for the person to cover a set distance and it increases the workload
- 26:14that they can perform at following the supercompensation. For bodybuilders or fitness athletes
- 26:27or the aesthetic athlete it's going to increase silhouette appearance it's going to increase
- 26:35muscle growth without subcutaneous fluid retention the appearance of being bloated.
- 26:45What this does is this allows for the muscles to look larger and the body to look larger without
- 26:53appearing to be bloated so as to show physique maximally for weight lifters and for power athletes.
- 27:05It's going to increase the maximal strength within a one repetition max.
- 27:13It's going to delay fatigue when doing repeated repetitions.
- 27:18It's going to improve recovery and reduce the onset of delayed muscle soreness
- 27:28following a workout by limiting total amount of inflammation and breakdown of issues to
- 27:36meet energetic demands. For the endurance athletes we notice that this happens to be
- 27:48best compensated when the carbohydrate loading is done one to two days prior to competition.
- 28:02For bodybuilders or weight athletes or aesthetic athletes this benefit is done when we see
- 28:10carbohydrate loading done in between a weigh-in and competition or during the tapering phase
- 28:20leading into competition.
- 28:26For the weightlifter for the power athlete for the gym person the person going to the gym looking
- 28:32to have a carbohydrate loading benefit this appears to be best if completed within an hour prior to
- 28:40for the endurance athlete for the weightlifter and for the power athlete. There seems to be
- 28:46additional benefit if the supercompensated glycogen stores is also met with within competition
- 28:55consumption of carbohydrate as the consumption of carbohydrate appears to limit onset of fatigue
- 29:06and reduction in perceived exertion. Now what we have found out recently is that it's not just for
- 29:13the athletes and the exercisers. Carbohydrate loading for people who have metabolic diseases
- 29:20tends to reduce onset of hyper and hypo glycemia as well as reduction in overall metabolic stress
- 29:30for individuals who are attempting to get body compositional changes in fat mass and in fat
- 29:36remaps. Carbohydrate loading can be done in such a way as to increase fat oxidation
- 29:41and reduce total overall fat mass when combined with exercise in a weight loss protocol.
- 29:52Within the hospital pre-operative carbohydrate treatments have been associated with a reduction
- 29:59in hospital stay, an increase in well-being, a reduction in overall insulin resistance responses,
- 30:08improved body temperature within surgical procedures and for lactating individuals
- 30:16and improvement in breastfeeding. What has been noted for those who do a carbohydrate
- 30:22loading around surgeries is that there seems to be no difference in any post-operative and
- 30:31operative complications and that has to deal with what happens to physiology with the exposure to the
- 30:38anesthesia in particular with gastric reflex issues without having empathy and we'll take a look at
- 30:45each one of these methods here in a second. So how do we go about doing carbohydrate loading?
- 30:51What is the methods that we can go about in order to be able to carbohydrate load and carbohydrate
- 30:57load effectively? We're going to talk about a couple of methods here. These are not all the methods,
- 31:02these are just some of the more prominent methods. The first is what's referred to as the classical
- 31:07model or the classical method. This is the method that comes about from the research conducted by
- 31:12Alberg in the mid to late 1960s. 1967 is the reference that is most often used. This method is
- 31:22going to follow a seven-day model of carbohydrate loading in which we have a three to four day phase
- 31:30of depletion and in depletion what we're going to do is we're going to reduce carbohydrate intake
- 31:38and move carbohydrate intake from the high glycemic index sources to the low glycemic index sources.
- 31:46What this depletion does is it's going to shift metabolic functions at the tissues
- 31:53towards using non-carbohydrate fuel sources to meet energy demands to make ATP or to regenerate ATP
- 32:05in order to allow for activity to be conducted. As we go through the depletion phase, the athletes
- 32:11will begin to taper their level of activity. Tapering is going to reduce training intensities
- 32:19partially as a recovery effort leading into competition but also due to the reduction in
- 32:27total amount of carbohydrates available to be used for higher intensity activities. We have to
- 32:34compensate for the reduction in the ability to do anaerobic metabolism, metabolism without needing
- 32:40oxygen in the cells that will be utilizing the glucose that's available to them. As we work
- 32:46through tapering and as we get to two to three days before an event, we then start the loading phase
- 32:55and in the loading phase we're going to increase carbohydrate intake both in terms of the total
- 33:02amount of carbohydrates that are being consumed moving towards that one to 1.2 grams per kilogram
- 33:07of body mass per hour moving upwards into the 12 gram plus per kilogram of body mass per day
- 33:15in order to initiate hormonal responses particularly from insulin that will cause liver cells and
- 33:25skeletal muscle cells to start to store the extra glucose in the form of glycogen and this is where
- 33:32we will get that supercompensation taking place making the glycogen molecules bigger and more
- 33:38complex within the tissues at the end of the carbohydrate loading then we had at the beginning
- 33:46of the carbohydrate loading. That is one of the methods that's available. In the late 1990s
- 33:53researchers started looking at do we have to be that onerous? Do we have to be that restrictive?
- 33:58Do we have to make sure that this carbohydrate loading takes place over multiple days with a
- 34:03depletion followed by tapering followed by the supercompensation the loading phase and
- 34:10through a series of research through a series of experiments what the researcher found is that
- 34:17we can actually do this carbohydrate loading through a one-day depletion one-day loading event.
- 34:24In the one-day depletion the person will work at what's referred to as a super physiological
- 34:30level that is they're going to go above their maximal level by between 10 and 20 percent
- 34:38for an endurance session that will be then followed by repeated sprints at maximal intensity.
- 34:44That level of intensity in itself is enough to deplete the glycogen stores that are available
- 34:50to the athlete. If we follow that event with breast recovery and loading we're able to get a
- 34:57supercompensation that is a 90% increase in glycogen depositing just within the skeletal muscle.
- 35:05There is a secondary method of training which is sometimes referred to as train high eat low
- 35:10that is very similar to the depletion phase of the classical method and the one-day depletion
- 35:18method in which the individual will train for multiple days at high intensity but not super
- 35:24physiological in a low carbohydrate state. That will lead to glycogen depletion once performance
- 35:35starts to be reduced because of the reduction in availability of carbohydrate. The individual then
- 35:41have a rest day or days that is going to be accompanying a loading phase which will once again
- 35:49see glycogen stores supercompensate between a 1.9 and a 2.0 times normal storage. There is another
- 35:57method of carbohydrate loading that is done within people who are the aesthetic athletes,
- 36:03the fitness athletes, the bodybuilders or for individuals who are attempting to lose weight
- 36:08which is a cyclic carbohydrate loading sometimes referred to as a back loading in which the individual
- 36:16will be cycling between a low and then a normal carbohydrate intake. What's different from the
- 36:23back loading or from the cyclic carbohydrate loading is that they do not go into an excessive
- 36:28carbohydrate intake. During the low carbohydrate state they will follow the normal depletion phase.
- 36:35They will do this for a number of weeks. At the end of the depletion or low carbohydrate cycle
- 36:41they will then cycle with normal carbohydrate intake. What is indicated within the very small
- 36:49bit of research on this cyclic nature of carbohydrate loading is that there is a glycogen
- 36:56depletion and then a replenishment of glycogen that is not in excess of what we see with the
- 37:04normal classical model or with the depletion models either the train high eat low or the
- 37:10one day depletion but we do see a replenishment in mild supercompensation and the reason why we
- 37:18don't get a large supercompensation is because we do not go into excess with carbohydrate intake
- 37:24following this method. What we do see is we do see a reduction in overall fat mass,
- 37:32an increase in fat oxidation, the use of fats for fuel sources and in normalization of metabolic
- 37:39flexibility for individuals who happen to have any type of metabolic syndrome such as type 2
- 37:45diabetes and are attempting to use this type of method to lose weight. What is nice about this
- 37:53type of cyclic nature within the carbohydrate loading is that if I'm following a low carbohydrate
- 38:00diet because of how restricted the diet happens to be it's very hard to follow a low carbohydrate
- 38:09diet for an extended period of time by utilizing the cyclic low normal fashion what it allows the
- 38:20person to do is utilize a diet restriction in carbohydrates in periods that will maximize
- 38:29fat oxidation during the periods of restriction but keep fat oxidation relatively high when
- 38:40carbohydrates are still available. What about the hospital? We talked about the use within the hospital
- 38:46in terms of preoperative conditions. In the preoperative condition what we usually have is
- 38:52usually have a fasting period leading into the surgical performance. The person having surgery
- 38:58usually will fast starting the evening before the surgery so that they reduce any materials within
- 39:05the intestines and within the stomach so as to reduce any type of complications that might come
- 39:11about from anesthetic exposure. What carbohydrate loading research has shown is that individuals
- 39:17who will following the fasting window consume a high carbohydrate drink a few hours prior to surgery
- 39:25do not have any type of adverse event coming about from consumption of the carbohydrate drink
- 39:34end up having faster recovery times following the surgical procedures and for those individuals who
- 39:40will have a secondary high carbohydrate drink in a postoperative state and have any type of
- 39:47metabolic issues do not see any type of insulin issue or hyperglycemic issue high blood sugar issue
- 39:58following the surgeries when consuming the high carbohydrate solutions which is an indication
- 40:04that we have a way to help with recovery through utilization of carbohydrates in a
- 40:11preoperative and postoperative state which leads to a question that we need to ask particularly about
- 40:19the methods for carbohydrate loading outside of the hospital setting which is is there one
- 40:25method that's better than the other and this is where we could get the normal physiological answer
- 40:32of yes maybe but probably no or yes but no and the reason why it's going to be yes but maybe no
- 40:39is that it all depends upon what the individual goal happens to be for the person following
- 40:44the carbohydrate loading diet what is the goal that you're setting out to do with the diet and
- 40:49exercise program where are you at within your training periodization within your training
- 40:54periodization do you have the ability to have tapering taking place do you have the ability to
- 41:02follow the restrictions necessary to do the classical model or are you in a time crunch if I am simply
- 41:09using it for workout purposes then I usually don't have to worry about the tapering issue
- 41:15however if I'm an endurance athlete then I have to worry about those tapering issues
- 41:19if I am an aesthetic athlete a bodybuilder or a fitness athlete where am I at in my training cycle
- 41:25in terms of do I want to follow the classical model within my cut phase or am I going to be
- 41:34utilizing it very close to competition where I'm going to be utilizing that to maximize muscle
- 41:40girth in which I will follow a classical model or am I going to utilize it within other parts of
- 41:46the training cycle where I'm going to utilize maybe a train high eat low or utilizing a one day
- 41:53depletion method now here's a interesting caveat on the carbohydrate loading and it goes back to
- 41:59what we talked about in terms of neuron function if I'm a student carbohydrate loading could be
- 42:04something of benefit as relates to test performance and that's because neurons are going to be
- 42:11functioning off of glucose and glucose availability which means that if I have glucose available and
- 42:17have more glucose available following a loading phase very similar to what a weightlifter or what
- 42:23someone in the gym or a power athlete might do where I'm going to carbohydrate load 45 minutes
- 42:30an hour prior to an event such as a test I will have additional fuel source available to my neurons
- 42:37which should allow them to function at higher capacity well thanks for stopping by and thanks
- 42:41for listening hopefully you got some interesting tidbits hopefully we dispelled a few myths and
- 42:48misconceptions out there about carbohydrates and hormone responses to carbohydrate and how we can
- 42:55go about following distinct carbohydrate dieting patterns to maximize our performance and our
- 43:01overall health please stay tuned for more discussions on topics related to metabolism health
- 43:06physiology and overall human performance