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Anabolic Imperative
The Large Professor
The Anabolic Imperative
By George Parigian
First published at www.johnberardi.com, Aug 4 2003.
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Since this article spends much of its time rooted in basic hormonal
physiology, I’d like to begin with a disclaimer of sorts. I have
no formal training in medicine or science; instead, I’m more of
a computer geek. But wait! Don’t hit the “back” button
on your browser just yet. While my official occupational title may not
be “Dr Parigian” (although on some especially kinky weekends
I may play doctor), the following article briefly presents a series
of scientific ideas that have come to shape my personal health philosophy.
This philosophy, called The Anabolic Imperative, is one regular guy’s
attempt to conquer death and disease. Ok, ok, perhaps that’s a
bit dramatic. To put it more mildly, The Anabolic Imperative is my attempt
to define the physical relationships that determine our quality and
quantity of life, and in understanding them, take proactive steps toward
a healthier, happier, and more vital existence.
So, what’s The Anabolic Imperative? Simply put, this philosophy
highlights the relationships between lean body mass (everything on the
body that’s not fat), a healthy hormonal profile, and overall
health and longevity. It should be no surprise to readers of this site
that lean body mass is built and maintained in an “anabolic environment”.
Anabolism is defined as “the constructive part of metabolism concerned
especially with macromolecular synthesis.” So, in essence, anabolic
processes are those in which body tissues are synthesized or built up.
Considering that lean body mass is slowly (but surely) lost as we age,
the importance of maintaining lean body mass through the maintenance
of an anabolic environment should be evident.
The Catabolic Cascade, on the other hand, is the enemy of The Anabolic
Imperative, and all I believe in. The Catabolic Cascade is a phrase
I use to refer to a very damaging and debilitating process that can
be set into motion by the stress accompanying physical or emotional
trauma, and/or by the declining levels of certain hormones with advancing
age. Although these precipitating factors can occur separately, they
often occur simultaneously in ageing individuals, often with devastating
results.
Catabolic processes, the opposite of anabolic processes, refer to the
breakdown of tissue, characterized by muscle “wasting”,
and seen very often in diseases like cancer and AIDS. Of course, catabolism
isn’t only associated with disease. The normal aging process is
marked by catabolism; heck, even exercise and the stress of daily living
can cause catabolism. What happens in this condition is that the body
begins to break down muscle, in part because there has been a shift
in the relative levels of anabolic vs. catabolic hormones. In healthy
individuals, you would want the anabolic hormones like Human Growth
Hormone (or HGH as it’s called) and Testosterone to be at relatively
high levels, adjusted to age and gender of course. Likewise, you would
want the catabolic hormones such as cortisol to be relatively low. The
waters get muddy when we introduce insulin. Insulin is an anabolic hormone,
but it’s one that, if chronically elevated, can lead to diabetes,
obesity, and heart disease. Therefore, not surprisingly, with insulin
we need to perfect the balancing act; just enough to be anabolic but
not enough to cause disease. Therefore insulin concentrations should
be relatively low. Now, to clarify, I use the term relative when discussing
hormones because it is beyond the scope of this essay to get into the
details of what these levels should be for individuals of every age
or gender. I am speaking in general terms, when I say that for the most
part, the levels in healthy individuals should show this pattern.
Human Growth Hormone – relatively high
Testosterone – relatively high
Cortisol – relatively low
Insulin – relatively low
Of course, there are literally hundreds of hormones in the body and
there are a myriad of others associated with anabolism and catabolism.
However, these hormones are the best characterized and most dominate
the anabolic and catabolic conditions. At this point, it’s important
to recognize that while I laid out these hormones individually above,
often the ratio of these hormones offers a good index of overall anabolic
state. An example of this is the Testosterone/Cortisol ratio. This ratio
is very important when attempting to maintain a healthy state in the
body. The ratio should reflect Testosterone as being higher relative
to Cortisol. This is, I believe, a good starting point for addressing
the problem of The Catabolic Cascade.
Remember, The Catabolic Cascade is the enemy. But this enemy often
begins its attack as nothing more than a subtle irritant. Things like
illness, pain, trauma, fear, or grief can slowly, cumulatively bring
on The Catabolic Cascade. And as you can imagine, it is insidious, often
preceding the general physical decline in a person’s health. If
not countered by the right medical or nutritional interventions, it
can even lead to premature death. How so? Well, as The Catabolic Cascade
is set in motion, lean body mass is lost. As lean losses accumulate,
dysfunction results, leading to further lean losses. Considering that
death can result when an individual loses as much as 40% of their lean
body mass, I believe that a good portion of the health issues of older
people and also those recovering from some sort of trauma, involve these
destructive processes.
The Anabolic Imperative is the only way to overcome The Catabolic Cascade.
As most experts would tell you, an appropriate anabolic strategy rests
upon what I call The Three Pillars - proper exercise, proper diet, appropriate
nutritional supplementation. The Three Pillars are proactive steps toward
squelching The Catabolic Cascade. Of course, in some situations, when
things are too far-gone, the judicious use pharmaceutical agents may
be necessary but that, again, is for another discussion. And reiterating
what I addressed earlier, The Three Pillars have as their goal, the
establishment of a general physiological condition whereby the body
is maintained in a strong, healthy, and vital state.
As part of the first pillar, especially important is the recognition
that progressive resistance training has a large role to play as the
major exercise component in The Anabolic Imperative. Weight training
can actually have the effect of acutely increasing the levels of anabolic
hormones such as Human Growth Hormone, and Testosterone, especially
in the post-exercise period. These hormones facilitate the development
and maintenance of lean body mass. Furthermore, resistance training
improves lean body mass (both muscle mass and bone density) independent
of the body’s hormonal status. Since exercise and improvements
in lean body mass help to maintain better insulin sensitivity, keeping
blood glucose levels and blood insulin levels under control, better
cardiovascular health, body composition, and greater longevity are the
result.
As part of the second pillar, diet has a very important role to play
in the maintenance of this all-important anabolic environment. Sufficient
high quality proteins, including fish, poultry, eggs and red meat are
important. A moderate to high protein diet will assist in the maintenance
of lean body mass and an optimal hormonal status. Furthermore, few people
understand that the body actually needs some saturated fat to produce
hormones such as Testosterone. Fat sources can vary, but more recent
research also indicates the importance of omega 3 and monounsaturated
fatty acids in maintaining health. Again, a discussion of fats and fatty
acid metabolism is too complex to get into here, but this site has many
articles on the optimal diet composition. Finally, unrefined carbohydrate
sources are best, as the fiber content will serve to slow the breakdown
of the carbohydrate into glucose and prevent rapid elevation in blood
glucose and insulin. Therefore a diet high in quality protein, unrefined
carbohydrates, and good fats (maintaining a small amount of saturated
fat intake) is a critical component of The Anabolic Imperative.
And the third pillar is made up of nutritional supplementation. The
recent appearance of high quality supplements and nutraceuticals is
making what I feel is an important contribution to this strategy. What
I call “hormonal manipulation” can be to some degree achieved
with supplements such as tribulis terrestris (testosterone production),
6-oxo (testosterone production, estrogen suppression), alpha-lipoic
acid (insulin sensitivity), phosphatidylserine (cortisol suppression)
and others. Since these compounds are not considered drugs and therefore
not regulated, it is important for the individual to do some research
of their own into these compounds before considering their use.
As for the pharmaceutical end of things, there are the infamous “anabolic
steroids”, the dangers of which have been quite a bit overstated.
They can be useful in certain medical conditions, but of course have
to be used “holistically” and by that I mean in concert
with other therapies during a comprehensive hormone replacement strategy.
Remembering that the endocrine system is highly complex, hormonal manipulation
with powerful chemical analogues should proceed with care. In short,
an individual’s lifestyle, diet, and supplement regimen should
reflect an effort to maintain a favorable anabolic profile. I believe
this approach will become much more common in years to come, as the
current medical system struggles to come to terms with our aging population.
In closing, again, The Anabolic Imperative is representative of my
personal health philosophy, a philosophy generated from reading the
work of countless authorities (including JB and other contributors to
this very site). While I’m no doctor and therefore am not qualified
to give medical advice, I can say that adopting The Anabolic Imperative
has made a tremendous difference in my quality of life. Furthermore,
let me state that it is my belief that everyone, not only athletes or
fitness enthusiasts, will benefit from adopting The Anabolic Imperative,
a health philosophy that’s not difficult to embrace. With this
approach, we can extend not only maximum lifespan, but also the healthy
and active years that people can enjoy. We will also be able to prevent
loss of function, and even loss of life where The Catabolic Cascade
was allowed to progress without intervention, causing premature disability
and death.
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