Build Muscle, Build Bone

Weak BonesMost people are familiar with the term ‘osteoporosis,’ which literally means ‘porous bones’ and refers to the condition of having weak and fragile bones that break easily.  Not as well-known is sarcopenia, by definition the loss of muscle mass and strength that contributes to increasing frailty as we age.  Chronic sarcopenia is the precursor to osteoporosis because strong bones need strong muscles pulling on them to stimulate the production of new bone growth.   While you may be years off from feeling and seeing the effects of osteoporosis, unless you are reliably and consistently building and maintaining your muscle mass, there is a good chance that you are sarcopenic, meaning that as you have transcended the frivolity of your teen years and entered into the state of responsible adulthood, your muscle mass has declined and has been replaced with… yes, you guessed it:  fat.

You need not be overweight to have sarcopenia; it all comes down to body composition.  Someone within the ‘normal’ range for height and weight is also susceptible to sarcopenia if an imbalanced proportion of that weight comes from fat.  In this way, someone who is visibly thin may suffer the same health risks as someone who is visibly overweight if neither of these individuals actively works to maintain a healthy ratio of muscle to body fat.   The good news is that you may prevent sarcopenia and its related health consequences by including a variety of exercises into your weekly fitness regimen.

Muscle tissue is generally made up of three types of muscle fibers: Type I, Type II, and Type IIA.  Here is a quick description of these muscle types and how to structure your weekly fitness regimen to promote muscular endurance, size, and strength:

Type I: Walking, running, swimming, biking, and lifting light weights are activities that maintain ‘slow-twitch,’ or ‘endurance’ muscle fibers.  While engaging in these activities you will burn calories, but Type I muscle fibers may not necessarily contribute to increased metabolism,  as they help to keep you going all day but are resistant to growth.  It is recommended that healthy adults engage in activities that specifically target Type I muscle fibers for 30 minutes at a time, 5 days a week.

Type II:  Power and high-intensity speed tasks require the use of ‘fast-twitch’ muscle fibers that tend to grow larger with use, thus increasing metabolism and overall muscle mass.  Sprinting, high intensity interval training and lifting heavy weight quickly are activities that target Type II fibers.  It is recommended that healthy adults engage in activities that specifically target Type II muscle fibers for 20 minutes, 2-3 days a week.

Type IIA: Soccer, tennis, lacrosse, and lifting moderate weight recruit an ‘in-between’ type of muscle fiber, mixing endurance and speed muscle capabilities and thus allowing a wide range of movement opportunities.  It is recommended that activities that specifically target Type IIA muscle fibers may be substituted for either Type I or Type II activities.

Wondering how you may incorporate all this into your week? Here is a sample of what a weekly exercise schedule might look like for an average person seeking to generally build and maintain muscle mass and integrity:

Sunday: yoga, 1 hour

Monday: full-body resistance routine, 30 minutes/30 minutes moderate treadmill workout

Tuesday: 1 hour Zumba moderate cardio, stretching

Wednesday: sprint intervals vigorous cardio on recumbent bike, 20 minutes/ 30 minutes moderate biking

Thursday: full-body resistance routine, 30 minutes/30 minutes elliptical

Friday: rest day

Saturday: kickboxing class, variation of vigorous and moderate intensity, 1 hour

In addition to formal exercise activity, make an effort to reduce your sedentary pursuits and intersperse bouts of sedentary activity with standing and physical activity.  It is also helpful to engage in exercise that you find pleasant and enjoyable, and be sure to periodically challenge yourself to experience enough discomfort to effect positive change.

It is common knowledge that diabetes, heart disease, cancer, and other illnesses and disorders may be linked to an excess of body fat; however, less apparent yet equally threatening to good health is inadequate muscle mass.  Regardless of if you are overweight, average weight, or underweight, you may be at risk for sarcopenia, so prevent it now by engaging in a variety of fitness activities throughout your week to build and maintain the muscle that will keep you and your bones healthy and strong.

Sources:

http://journals.lww.com/acsm-msse/Fulltext/2011/07000/Quantity_and_Quality_of_Exercise_for_Developing.26.aspx

http://www.ncbi.nlm.nih.gov/pubmed/11283518

http://runningtimes.com/Article.aspx?ArticleID=20476&PageNum=1

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