I worked out Sunday at 6am before going in to work a day shift in the ER. It was a good workout at my favorite time of day to work out. I did a “little 6” routine.

Calf Raise
MedX abdominal
Thick bar bicep curl
Nautilus Tricep extension
Thick bar wrist flexion
Thick bar wrist extension

After a busy day at the ER I had a dinner of stuffed Bell Pepper (with grass fed beef) and settled in for some channel-flipping. I came across a show on the Discovery Health Channel about the boy who was the first documented case of a spontaneous myostatin deletion in humans (the same child featured in the New England Journal of Medicine article that broke the story 3 years ago). I was particularly struck (as were the child’s parents, and the show’s producers) by how much the child enjoyed lifting weights and performing pull-ups. This activity was selected spontaneously by the child, as opposed to being pushed by the adults in his life. There were endless video clips of him lifting dumbbells, doing pull-ups, and carrying heavy objects. It was very clear that this 3 year-old was “lifting weights” because he was muscular. He was NOT muscular because he lifted weights. It struck me as a very clear representation of the cause/effect reversal that we discussed in the introduction of BBS.

After the show was over I went to the computer to peruse PubMed for an interesting article that I might post with this week’s WOW and found this:

Med Sci Sports Exerc. 2010 Feb;42(2):314-25.
Resistance training at eight-repetition maximum reduces the inflammatory milieu in elderly women.
Phillips MD, Flynn MG, McFarlin BK, Stewart LK, Timmerman KL.
Texas Christian University, Exercise Physiology Laboratory, Fort Worth, TX 76123, USA. m.phillips@tcu.edu
INTRODUCTION/PURPOSE: Inflammatory cytokines are associated with age- and inactivity-related diseases. We examined the influence of moderate- to high-intensity resistance trainings (RT) on inflammatory cytokines (interleukin 6 (IL-6) and 1beta (IL-1beta) and tumor necrosis factor alpha (TNF-alpha)) in circulation and lipopolysaccharide (LPS)-stimulated whole blood in elderly women. METHOD: Previously sedentary women (72 +/- 6.1 yr) were grouped according to their hormone replacement regimen: traditional estrogen/progesterone (HRT, n = 12), selective estrogen receptor modulator (SER, n = 7), no hormone replacement (NHR, n = 9), or nonexercise control group taking no hormone replacement (CON, n = 7). Participants in the HRT, SER, and NHR groups trained (three sets, 10 exercises at eight-repetition maximum (8RM)) 3 d x wk(-1), whereas participants in the CON group maintained their “normal” activity for 10 wk. Participants performed a bout of resistance exercise (RE at 8RM; HRT, SER, and NHR groups) or sat quietly (CON) before (BT) and after (AT) RT to assess the influence of training on the acute responses to RE. Blood samples were obtained preexercise (PR), postexercise (PO), and 2 h postexercise (2H; same time points for resting CON). RESULTS: Hormone status had no influence on dependent variables, so HRT, SER, and NHR groups were collapsed into one exercise group (EX, n = 28) and compared with CON. RT significantly reduced resting serum TNF-alpha level by 37%. RT also reduced LPS-stimulated production of IL-6, IL-1beta, and TNF-alpha at all time points (PR, PO, and 2H; per monocyte). Acute RE transiently increased plasma TNF-alpha, but blunted the circadian increase in LPS-stimulated inflammatory cytokines observed in CON. The blunting effect in EX was significantly greater AT compared with BT. RE also resulted in an increase in plasma IL-6, which was significantly reduced AT (BT: PR = 1.6 +/- 0.5, PO = 2.8 +/- 0.5; AT: PR = 1.8 +/- 0.3, PO = 2.4 +/- 0.3). CONCLUSIONS: We found that 10 wk of moderate- to high-intensity RT 1) reduced the systemic inflammatory milieu and 2) abrogated exercise-induced circulating IL-6 in previously sedentary elderly women.
This article demonstrated a very substantial decrease in the systemic inflammation of elderly women that was independent of their hormone replacement status. Here was a great demonstration of the profound benefit to be derived from high intensity strength training that is not immediately visible to the human eye.

My mind then returned to our 3 year old demonstration of cause/effect reversal. How many times do we seek advice from someone with a muscular physique who has self-selected weight training because of their muscularity? How many times have we seen someone give up strength training because they have not produced “P90-X” before and after type results? This is a very important concept that is discussed in great detail by Nassim Taleb in The Black Swan …sometimes that which is not visible to us is the most important thing. Many times we only realize the importance of something after the fact of it becoming visible (like the hassle of decanting tiny amounts of toiletries into zip lock bags, removing my shoes, and now having my underwear x-rayed and my wife ogled at by high school drop-outs), while we miss out on the more important fact that a vigilant citizenry will beat your ass down if you try to light your underwear or shoe on a plane, or that someone wearing a funny hat who checks no luggage on a transoceanic flight might be a problem. So what is the point of my rant? It is simply this: we in the field of high intensity exercise need to work hard to make the invisible visible. The people who don’t self-select for strength training are those who may stand to benefit the most. Arthur Jones was right when he said “it is too bad that bodybuilding is wasted on bodybuilders”.

Post your WOW’s…and your thoughts.