The critical role of muscle recovery post-exercise is to return the body to a state of homeostasis. Homeostasis is defined as a state of balance for a living organism wherein the body and its physical systems are functioning properly to survive. In a state of homeostasis, the body is constantly adjusting in response to internal and external changes. Maximizing muscle recovery post-exercise not only involves a return to homeostasis but also an increase in an individualβs physical ability and athletic performance.Β
Exercise results in the loss of fluids and fuels, a change in body temperature and cardiovascular function, and the destruction of skeletal muscle tissue (a process known as catabolism). Recovery from exercise is essential to restore bodily functions, repair tissue damage, and initiate muscle building through protein anabolism. Nutrition plays a crucial role in the essential repair and restoration processes post-exercise.
The importance of post-workout nutrition takes on an even greater role when we look at how to maximize muscle recovery. This requires appropriately addressing macronutrients, micronutrients, and additional supplementation depending on the individual and their goal.Β
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Understanding Muscle Recovery
Extensive physical activity can cause muscle injury and initiate the skeletal muscle recovery process. There are two phases of the repair process: muscle degeneration and muscle regeneration. During muscle degeneration, an injury or exercise causes the death of muscle fibers. This necrosis of myofibers is caused by the disruption of myofiber sarcolemma, the cellular membrane surrounding cellular muscle. In turn, this causes permeability of the muscle fibers, which can be seen clinically by an increase in blood serum levels of certain proteins, most notably creatine kinase.
Muscle degeneration is followed by the regenerative process during which muscle cells proliferate, divide, and the myofibers expand. Once differentiated, the myogenic cells fuse to existing damaged muscle cells for repair and fuse to one another to form new muscle fibers. Once the myogenic cells fuse, the new myofibers increase in size. This increase in the volume of the muscle tissue caused by the enlargement of the cells is known as hypertrophy.Β
The degeneration of muscle happens via protein catabolism, and the regeneration of muscle happens via protein anabolism, as muscle fibersβ main constituents are proteins (4). This is one major reason protein is the key macronutrient that comes to mind in post-exercise muscle recovery, repair, and building.Β
Key Nutrients for Muscle Recovery
Macronutrients are the main components an organism needs for energy and to maintain its structure. There are four macronutrients: protein, carbohydrates, lipids (fats) and water. All macronutrients play a role in muscle recovery and are post-workout nutrition essentials.
The building blocks of proteins are called amino acids. There are 9 essential amino acids (those not made by the body that must be consumed in the diet) and 11 non-essential amino acids made by the body (produced by the body). Protein has many essential roles in the body, including tissue building, cell functioning, bodily functions (endocrine and immune systems), as well as fluid balance and pH balance), energy source, cellular signaling, and transport. Without protein, muscle tissue cannot be maintained or strengthened.
Carbohydrates are arguably the most important source of energy for the body as they can be broken down quickly and utilized efficiently. Intense exercise demands carbohydrates as they are the only macronutrient producing enough energy for anaerobic activities like sprinting. Consuming enough carbohydrates post-workout helps prevent the breakdown of muscle tissue for energy, preventing protein catabolism. Carbohydrates are also the nervous systemβs primary source of energy, which is critical to exercise because when nerve cell function deteriorates, workout performance will suffer.
Fats are a major fuel source for muscle cells and are a rich source of energy. The body relies on fats for energy during times of rest and low or moderate-intensity exercise. During muscle recovery, circulating levels of fatty acids increase as a mechanism to spare the usage of glucose from carbohydrates for energy and to direct that glucose to be utilized to rebuild the muscle's glycogen stores. Some studies show fat, particularly omega-3 fatty acids, have a role in muscle recovery due to their ability to attenuate inflammation and slow down or reduce muscle soreness.Β
Protein's Role in Muscle Recovery
Protein is an essential nutrient for muscle recovery for many reasons. Proteins make up the constituent parts of bones, ligaments, tendons, and muscles, to name a few. Without enough protein, these structures will fail to maintain and strengthen in response to training. Protein is crucial to post-workout muscle recovery when the body is in an anabolic state actively synthesizing protein. This anabolic state depends largely on the amino acid components of foods ingested, amino acids in the blood, and the timing of protein consumption.
Consuming proteins with essential amino acids, rather than non-essential ones, has a more positive effect on hyperaminoacidemia and, therefore, muscle protein synthesis. If tolerated by an individual, whey, and casein are high-quality proteins providing essential amino acids and Branch Chain Amino Acids (BCAAs). Even though it is key to ingest essential amino acids post-workout regardless of their form, the best sources of protein are whole foods and other important nutrients for the recovery and synthesis of muscle.Β
The best post-workout protein sources are those that provide essential amino acids at a minimum of 10 grams, which is generally accomplished by eating 25 grams of high-quality protein, such as 6oz of meat. This can vary by individual body weight, and therefore, the recommendation is generally 0.30 grams of protein/kg of body weight. Milk products, meat, eggs, and tofu are rich sources of protein containing essential amino acids. Daily total protein recommendations for active individuals are to consume between 1.3g to 2.0g of protein per kg of body weight. Current research also suggests that combining protein and carbohydrates in a post-workout meal maximizes glycogen synthesis, induces hormone secretion necessary for muscle growth, and supports protein synthesis.
Carbohydrates and Muscle Recovery
Replenishing glycogen is essential as even moderate-intensity exercises can partially or completely deplete glycogen storage in the muscle and liver. Should insufficient carbohydrates be consumed post-workout, performance in future workouts will suffer. It is critical for any post-workout recovery strategy to include a plan for the timing, type, and quantity of carbohydrates needed for an individual.Β
Timing of Carbohydrate Intake
Muscles are better able to restore glycogen when carbohydrates are ingested within 2 hours after a workout. Even a delay of 4 hours can cut the glycogen synthesis rate in half. In general, the sooner one can ingest carbohydrates post-workout, the better.Β
Type of Carbohydrate Consumed
Glycogen replenishment and recovery are best accomplished by consuming carbohydrate-rich foods that can be digested and absorbed easily and readily, whether in liquid or solid form. Some studies suggest that high glycemic index foods are better able to restore glycogen stores and at a faster rate than low glycemic index foods. Examples of carbohydrate-rich foods include fruits, vegetables, grains, beans, and liquid sports drinks.Β
Quantity of Carbohydrates
The quantity of carbohydrates depends largely on the intensity of the exercise, the body weight of the individual, and the duration of the workout. For example, low-intensity exercise like yoga, tai chi, and walking necessitates a normal dietary intake of 3-5 grams of carbohydrates per kilogram of body weight per day. Moderate intensity, such as jogging, swimming, and bicycling for an hour at a modest effort where an individual can still have a conversation, necessitates 5-7 g/kg/BW/d. High and very high intensity exercise, such as an hour or more of interval training, running, cycling, soccer, basketball, etc., requires somewhere between 6-12 g/kg/BW/d.
Hydration and Recovery
Hydration includes replenishing water as well as electrolytes lost during a workout and doing so as quickly as possible helps the body to recover its cardiovascular, thermoregulatory, and metabolic processes. The recommendation is to match sweat loss by 100% -150% to account for the continual production of urine by the kidneys. For every pound lost during exercise, about 16-24 ounces of fluid is needed. For those who donβt weigh themselves before and after exercise, a general rule of thumb is to continue to replenish fluids slowly and consistently until urine returns to a pale or clear color.
In addition to plain water, and depending on the intensity and duration of exercise, post-workout recovery may be enhanced by the inclusion of sodium and potassium. Sodium enhances fluid retention and induces thirst. Potassium replenishment is easy to accomplish by eating whole fruits and vegetables post-workout. Consuming electrolytes before, during, and after workouts can help retain important minerals like sodium, potassium, calcium, and magnesium better than plain water, increasing both recovery and performance.
Timing of Post-Workout Nutrition
Post-workout nutrition timing is key to recovery and to initiate the anabolic process of muscle building. As mentioned above, carbohydrate intake should occur as quickly as possible post-workout, not to exceed two hours past cessation of activity. Protein intake is optimized when consumed within 2-3 hours of exercise to take advantage of the increase in blood flow and potential increases in growth hormone and testosterone. Some studies have shown that waiting 2 hours to consume protein post-workout reduces the response of muscle protein synthesis and recommend ingesting protein, especially essential amino acids, almost immediately post-workout, but definitely prior to the 2-hour mark.
Controversy has existed over the concept of an βanabolic window," during which muscle hypertrophy is greatly enhanced when protein is consumed within one hour or sooner of physical exercise. This concept of nutrient timing having a succinct window of opportunity has been proposed as a method to optimize muscular adaptations and further promote performance increases. Further studies and review of the literature suggest that the βanabolic windowβ exists not only in the minutes to an hour post-workout but can be achieved by consuming adequate protein within 4-6 hours pre and post-workout.Β
Therefore, the most current recommendation to maximize muscle growth is to consume a dose of 0.4-0.5 g/kg of lean body mass both pre and post workout within 4-6 hours of a workout. The only exception to this recommendation is for those who train in a fasted state where more than 6 hours have passed since consuming protein prior to a workout. In those cases, the literature recommends immediate dietary protein refueling post-workout.
Functional Foods and Supplements
There are many purported uses for supplements to aid in muscle anabolism and anti-catabolism. A few notable ones are listed below where human research exists, and the potential is moderate to high for their usage in muscle recovery and athletic performance.
Beta-hydroxy-beta-methyl-butyrate (HMB) prevents protein anabolism, enhances synthesis, increases strength, and may improve body composition.Β Β
Creatine monohydrate increases strength and power (anaerobic) in brief intervals of 6 seconds to 4 minutes.
Alpha-ketoglutarate spares glutamine, which in turn spares muscle tissue.Β
Branched-chain amino acids (BCAAs) increase the availability of valine, leucine, and isoleucine (amino acids) to be used in various functions, which then spares muscle tissue where it would usually be sourced.Β
Omega-3 fatty acids are known to reduce inflammation and have been shown to reduce severe delayed-onset-muscle-soreness or DOMS from eccentric strength training.
In terms of functional foods to aid in post-workout muscle recovery, foods containing essential amino acids, complex and simple carbohydrates, and aid in hydration support protein anabolism and increase glycogen synthesis. These include ones previously mentioned, such as whey protein, casein, meat, poultry, fish, dairy products, grains, fruits, vegetables, grains, and beans.
Lab Testing to Identify Individual Deficiencies
Lab testing is a useful source of information to further individualize athletic protocols and inform fitness decisions using biomarkers known to influence performance and muscle recovery. Functional medicine uses lab tests to optimize post-workout recovery by looking at areas of nutritional deficiencies, hormone levels, and inflammation markers.Β
Glucose
Biomarkers of macronutrient deficiencies include glucose, omega-3s, protein, and amino acid status. Fasting blood glucose levels in athletic individuals should be monitored, especially if symptoms of fatigue or low performance present as hypoglycemia may be a cause. Having adequate nutrition to fuel a workout and optimize performance requires glycogen synthesis and sufficient glycogen stores. The Fasting Plasma Glucose biomarker test by Access Medical Laboratories is a single biomarker lab test of fasting glucose to assess the risk of carbohydrate metabolism disorders.
Omega-3 FattyΒ Acids
Omega-3 fatty acid adequacy is important to assess to determine whether an individual is consuming enough of these fatty acids to lessen muscle soreness, improve performance, and enhance neuromuscular function. The Omega-3 Index Complete blood spot lab test by Ayumetrix provides an analysis of a personβs dietary intake of Omega-3 fatty acids and 20+ other fatty acids and their ratios to one another.Β
Amino Acid Status
Amino acid status provides important information on whether an individual is meeting their protein requirements to sustain their current workout regimen. There is no single biomarker used to assess protein status, but rather a combination of total protein, albumin, globulin, urea nitrogen, nitrogen balance, and amino acid analysis.Β
Micronutrient Status
Other lab tests to consider include those assessing micronutrient status, such as vitamin D as it relates to enhancing performance; magnesium and iron, which affect exercise performance; and zinc and chromium, both of which have roles in supporting protein synthesis and metabolism, amongst other important functions. The Micronutrient Test by SpectraCell Laboratories assesses 31 vitamins, minerals, and other nutrients to provide information on nutritional deficiencies.
There are many other functional lab tests utilized to enhance post-workout recovery, including those assessing hormone levels and inflammation markers. More about blood testing for athletes can be found here.
Personalized Nutrition Strategies
While general recommendations may suit most of the population, it is important to assess athlete-specific nutrition and consider special populations like children and those of advanced ages.Β
Recommendations on macronutrients and micronutrients differ for children due to their stage of growth and development, activity level, body weight, and lack of safety information on supplement usage by children. Individuals of advanced age also have different nutritional needs, and an increase in protein consumption is recommended as muscle mass decreases with age. For women, protein and mineral sufficiency becomes even more important during menopause and post-menopause when estrogen is declining and the risk of osteoporosis rises in response. (23)
Nutrition strategies also depend on the individualβs goals. For example, total calorie consumption recommendations will differ depending on whether someone needs to maintain, lose, or gain fat mass in addition to muscle mass.Β
The type of exercise also changes the recommendation. Endurance athletesβ nutritional needs, timing, and breakdown of macronutrients differ from those of a strength athlete, powerlifter, or sprinter. Sports athletes also have different needs as the duration of their training may be longer and more intense and require a higher level of both macro and micronutrients. (24)
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Post-Workout Nutrition For Muscle Recovery: Key Takeaways
Effective post-workout nutrition includes a variety of strategies, starting with an understanding of muscle physiology, macronutrients, micronutrients, timing and dosage of ingesting macronutrients, and proper hydration post-exercise. Understanding how you respond to exercise, which nutrients you need, and the right quantities of those nutrients can be better determined through functional lab testing completed at regular intervals. Lab tests give precise information about our bodies and how our choices of exercise and alimentation can greatly influence our physical performance and muscle recovery.Β
Incorporating these strategies into your fitness routines may help lead you to greater performance, less muscle soreness, enhanced muscle recovery and a plan for how to increase lean muscle mass.