Bigbuttchicks
Member
I think this was posted a while back but this was one of the best articles I have read on testosterone use for performance enhancement! I guess more really is better. Another interesting finding in this is that IGF concentrations in the blood had NO correlation to leg press strength, it was strictly testosterone in the blood that concluded the findings. Enjoy!
Testosterone Dose-Dependently Increases Maximal Voluntary Strength and Leg Power, but Does Not Affect Fatigability or Specific Tension
Thomas W. Storer, Lynne Magliano, Linda Woodhouse, Martin L. Lee, Connie Dzekov, Jeanne Dzekov, Richard Casaburi and Shalender Bhasin
Division of Endocrinology, Metabolism, and Molecular Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California 90059
Address all correspondence and requests for reprints to: Thomas W. Storer, Ph.D., Division of Endocrinology, Metabolism, and Molecular Medicine, Charles R. Drew University of Medicine and Science, 1731 East 120th Street, Los Angeles, California 90059. E-mail: [email protected].
Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
Testosterone supplementation in men increases fat-free mass, but whether measures of muscle performance, such as maximal voluntary strength, power, fatigability, or specific tension, are improved has not been determined. Furthermore, the extent to which these measures of muscle performance are related to testosterone dose or circulating concentration is unknown. To examine the relationship between testosterone dose and muscle performance, 61 healthy, eugonadal young men (aged 18–35 yr) were randomized to 1 of 5 groups, each receiving a long-acting GnRH agonist to suppress endogenous testosterone production plus weekly injections of 25, 50, 125, 300, or 600 mg testosterone enanthate for 20 wk. These doses produced mean nadir testosterone concentrations of 253, 306, 542, 1345, and 2370 ng/dl, respectively. Maximal voluntary muscle strength and fatigability were determined by a seated leg press exercise. Leg power was measured using a validated leg power instrument. Specific tension was estimated by the ratio of one repetition maximum muscle strength to thigh muscle volume determined by magnetic resonance imaging. Testosterone administration was associated with a dose-dependent increase in leg press strength and leg power, but muscle fatigability did not change significantly during treatment. Changes in leg press strength were significantly correlated with total (r = 0.46; P = 0.0005) and free (r = 0.38; P = 0.006) testosterone as was leg power (total testosterone: r = 0.38; P = 0.007; free testosterone: r = 0.35; P = 0.015), but not muscle fatigability. Serum IGF-I concentrations were not significantly correlated with leg strength, power, or fatigability. Specific tension did not change significantly at any dose. We conclude that the effects of testosterone on muscle performance are specific; it increases maximal voluntary strength and leg power, but does not affect fatigability or specific tension. The changes in leg strength and power are dependent on testosterone dose and circulating testosterone concentrations and exhibit a log-linear relationship with serum total and free testosterone. Failure to observe a significant testosterone dose relationship with fatigability suggests that testosterone does not affect this component of muscle performance and that different components of muscle performance are regulated by different mechanisms.
Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
THERE IS AGREEMENT that testosterone increases fat-free mass when given in physiological replacement doses to healthy, hypogonadal men (1, 2, 3, 4, 5, 6), to human immunodeficiency virus-infected men with low testosterone levels (7, 8, 9), and to older men with low normal testosterone levels (10, 11, 12, 13, 14). However, the data on the effects of testosterone replacement on measures of muscle performance are limited and somewhat contradictory. Some studies have reported greater improvements in grip strength in older men with testosterone supplementation than with placebo. In contrast, in a recent placebo-controlled, randomized clinical trial by Snyder et al. (12), testosterone treatment of older men did not increase muscle strength, even though testosterone administration was associated with gains in fat-free mass. In addition to muscle strength, both power (the rate of force generation) and fatigability (the ability of the muscle to persist in a task) are important measures of muscle performance. The effects of testosterone supplementation on muscle power and fatigability are unknown. Therefore, the first objective of this study was to comprehensively study the effects of testosterone administration on these important measures of muscle performance. We hypothesized that all three measures of muscle function, strength, power, and fatigability, would exhibit a linear response to testosterone dose.
An additional objective measure of qualitative muscle strength is specific tension, the force generated by each unit of muscle volume. Although strength is well accepted to be related to muscle size, it is not known whether testosterone administration induces changes in muscle strength in proportion to testosterone-induced hypertropic changes in muscle volume, or whether it has additional effects on the intrinsic contractile qualities of muscle that are independent of its effects on muscle mass. Therefore, we also determined the effects of testosterone administration on specific tension, a measure of the contractile quality of skeletal muscle, hypothesizing that muscle size and muscle strength would increase in parallel and in proportion to testosterone dose, thus resulting in no change in specific tension.
In a previous study we demonstrated that administration of supraphysiological doses of testosterone to healthy young men was associated with significant increases in muscle size and maximal voluntary strength (15). In contrast, Snyder et al. found no detectable changes in knee extension or knee flexion strength in either healthy, hypogonadal men or older men with low testosterone concentrations (12). Because the increments in testosterone concentrations were modest in the men treated with the testosterone patch used in this study (12), we considered the possibility that doses of testosterone higher than those used in studies of older men might be required to achieve improvements in muscle strength.
Recently, we used a Leydig cell clamp model to demonstrate for the first time that androgen-dependent processes differ in their testosterone dose-response characteristics (16). The details of the study design, the validation of this model, and the overall findings of this study have been published (16). The present manuscript describes the changes in three measures of muscle performance (voluntary muscle strength, power, and fatigability) as well as changes in muscle contractile quality (specific tension) as a function of testosterone dose.
Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
Study design
This was a double-blind, randomized study, approved by the institutional review boards of Charles Drew University and Harbor-UCLA Research and Education Institute. The details of the study design have been previously described (16). The study consisted of a 4-wk control period, 20 wk of treatment, and a 16-wk recovery phase. Treatment consisted of monthly injections of a long-acting GnRH agonist (Decapeptyl, DebioPharm, Geneva, Switzerland) to suppress endogenous testosterone production plus weekly injections of one of five testosterone dosing regimens.
Subjects
A total of 61 healthy men, aged 18–35 yr, participated in this study. All subjects had prior weight-lifting experience, but were not actively involved in strength training during the control or treatment phase of the study. Their characteristics at baseline are described in Table 1. Exclusion criteria included body weight greater than 20% above ideal weight for height, anabolic steroid use within the previous 12 months, or participation in competitive athletics within the previous 12 months. After signing informed consent, subjects underwent a physical examination, including digital rectal examination for evaluation of the prostate. Complete blood counts, blood chemistries, and prostate-specific antigen and serum testosterone levels were measured to determine eligibility. Those who met the eligibility criteria were randomly assigned to receive testosterone enanthate im each week in 1 of 5 testosterone dose regimens (25, 50, 125, 300, or 600 mg/wk). Randomization codes, using a block size of 5, were developed by our biostatistician and used for subject assignment to 1 of the 5 testosterone dose groups. Vials containing each of the 5 testosterone doses were prepared and coded by the research pharmacist. These coded vials were stored at the General Clinical Research Center (GCRC) and administered by GCRC nurses to assure compliance. Investigators, GCRC nurses, and subjects were blinded to the testosterone dose administered throughout the study period. All men received monthly injections of the long-acting GnRH agonist during the treatment phase, starting on d 1. The 5 testosterone doses were chosen such that, when administered weekly in combination with the GnRH agonist, they would produce nadir serum testosterone concentrations below, within, and above the physiological range. The doses selected were determined from published data and our previous experience with different testosterone doses.
Testosterone Dose-Dependently Increases Maximal Voluntary Strength and Leg Power, but Does Not Affect Fatigability or Specific Tension
Thomas W. Storer, Lynne Magliano, Linda Woodhouse, Martin L. Lee, Connie Dzekov, Jeanne Dzekov, Richard Casaburi and Shalender Bhasin
Division of Endocrinology, Metabolism, and Molecular Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California 90059
Address all correspondence and requests for reprints to: Thomas W. Storer, Ph.D., Division of Endocrinology, Metabolism, and Molecular Medicine, Charles R. Drew University of Medicine and Science, 1731 East 120th Street, Los Angeles, California 90059. E-mail: [email protected].
Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
Testosterone supplementation in men increases fat-free mass, but whether measures of muscle performance, such as maximal voluntary strength, power, fatigability, or specific tension, are improved has not been determined. Furthermore, the extent to which these measures of muscle performance are related to testosterone dose or circulating concentration is unknown. To examine the relationship between testosterone dose and muscle performance, 61 healthy, eugonadal young men (aged 18–35 yr) were randomized to 1 of 5 groups, each receiving a long-acting GnRH agonist to suppress endogenous testosterone production plus weekly injections of 25, 50, 125, 300, or 600 mg testosterone enanthate for 20 wk. These doses produced mean nadir testosterone concentrations of 253, 306, 542, 1345, and 2370 ng/dl, respectively. Maximal voluntary muscle strength and fatigability were determined by a seated leg press exercise. Leg power was measured using a validated leg power instrument. Specific tension was estimated by the ratio of one repetition maximum muscle strength to thigh muscle volume determined by magnetic resonance imaging. Testosterone administration was associated with a dose-dependent increase in leg press strength and leg power, but muscle fatigability did not change significantly during treatment. Changes in leg press strength were significantly correlated with total (r = 0.46; P = 0.0005) and free (r = 0.38; P = 0.006) testosterone as was leg power (total testosterone: r = 0.38; P = 0.007; free testosterone: r = 0.35; P = 0.015), but not muscle fatigability. Serum IGF-I concentrations were not significantly correlated with leg strength, power, or fatigability. Specific tension did not change significantly at any dose. We conclude that the effects of testosterone on muscle performance are specific; it increases maximal voluntary strength and leg power, but does not affect fatigability or specific tension. The changes in leg strength and power are dependent on testosterone dose and circulating testosterone concentrations and exhibit a log-linear relationship with serum total and free testosterone. Failure to observe a significant testosterone dose relationship with fatigability suggests that testosterone does not affect this component of muscle performance and that different components of muscle performance are regulated by different mechanisms.
Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
THERE IS AGREEMENT that testosterone increases fat-free mass when given in physiological replacement doses to healthy, hypogonadal men (1, 2, 3, 4, 5, 6), to human immunodeficiency virus-infected men with low testosterone levels (7, 8, 9), and to older men with low normal testosterone levels (10, 11, 12, 13, 14). However, the data on the effects of testosterone replacement on measures of muscle performance are limited and somewhat contradictory. Some studies have reported greater improvements in grip strength in older men with testosterone supplementation than with placebo. In contrast, in a recent placebo-controlled, randomized clinical trial by Snyder et al. (12), testosterone treatment of older men did not increase muscle strength, even though testosterone administration was associated with gains in fat-free mass. In addition to muscle strength, both power (the rate of force generation) and fatigability (the ability of the muscle to persist in a task) are important measures of muscle performance. The effects of testosterone supplementation on muscle power and fatigability are unknown. Therefore, the first objective of this study was to comprehensively study the effects of testosterone administration on these important measures of muscle performance. We hypothesized that all three measures of muscle function, strength, power, and fatigability, would exhibit a linear response to testosterone dose.
An additional objective measure of qualitative muscle strength is specific tension, the force generated by each unit of muscle volume. Although strength is well accepted to be related to muscle size, it is not known whether testosterone administration induces changes in muscle strength in proportion to testosterone-induced hypertropic changes in muscle volume, or whether it has additional effects on the intrinsic contractile qualities of muscle that are independent of its effects on muscle mass. Therefore, we also determined the effects of testosterone administration on specific tension, a measure of the contractile quality of skeletal muscle, hypothesizing that muscle size and muscle strength would increase in parallel and in proportion to testosterone dose, thus resulting in no change in specific tension.
In a previous study we demonstrated that administration of supraphysiological doses of testosterone to healthy young men was associated with significant increases in muscle size and maximal voluntary strength (15). In contrast, Snyder et al. found no detectable changes in knee extension or knee flexion strength in either healthy, hypogonadal men or older men with low testosterone concentrations (12). Because the increments in testosterone concentrations were modest in the men treated with the testosterone patch used in this study (12), we considered the possibility that doses of testosterone higher than those used in studies of older men might be required to achieve improvements in muscle strength.
Recently, we used a Leydig cell clamp model to demonstrate for the first time that androgen-dependent processes differ in their testosterone dose-response characteristics (16). The details of the study design, the validation of this model, and the overall findings of this study have been published (16). The present manuscript describes the changes in three measures of muscle performance (voluntary muscle strength, power, and fatigability) as well as changes in muscle contractile quality (specific tension) as a function of testosterone dose.
Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References
Study design
This was a double-blind, randomized study, approved by the institutional review boards of Charles Drew University and Harbor-UCLA Research and Education Institute. The details of the study design have been previously described (16). The study consisted of a 4-wk control period, 20 wk of treatment, and a 16-wk recovery phase. Treatment consisted of monthly injections of a long-acting GnRH agonist (Decapeptyl, DebioPharm, Geneva, Switzerland) to suppress endogenous testosterone production plus weekly injections of one of five testosterone dosing regimens.
Subjects
A total of 61 healthy men, aged 18–35 yr, participated in this study. All subjects had prior weight-lifting experience, but were not actively involved in strength training during the control or treatment phase of the study. Their characteristics at baseline are described in Table 1. Exclusion criteria included body weight greater than 20% above ideal weight for height, anabolic steroid use within the previous 12 months, or participation in competitive athletics within the previous 12 months. After signing informed consent, subjects underwent a physical examination, including digital rectal examination for evaluation of the prostate. Complete blood counts, blood chemistries, and prostate-specific antigen and serum testosterone levels were measured to determine eligibility. Those who met the eligibility criteria were randomly assigned to receive testosterone enanthate im each week in 1 of 5 testosterone dose regimens (25, 50, 125, 300, or 600 mg/wk). Randomization codes, using a block size of 5, were developed by our biostatistician and used for subject assignment to 1 of the 5 testosterone dose groups. Vials containing each of the 5 testosterone doses were prepared and coded by the research pharmacist. These coded vials were stored at the General Clinical Research Center (GCRC) and administered by GCRC nurses to assure compliance. Investigators, GCRC nurses, and subjects were blinded to the testosterone dose administered throughout the study period. All men received monthly injections of the long-acting GnRH agonist during the treatment phase, starting on d 1. The 5 testosterone doses were chosen such that, when administered weekly in combination with the GnRH agonist, they would produce nadir serum testosterone concentrations below, within, and above the physiological range. The doses selected were determined from published data and our previous experience with different testosterone doses.