August 2024, Issue 2
CrossFit Medical Society™ Newsletter
The Primer on Protein
For Health Across the Lifespan
-Jocelyn Rylee, MS Human Nutrition; CFL4
In 2002, Coach Glassman wrote the seminal article “What is Fitness” and therein outlined the ‘Theoretical Hierarchy Of the Development of an Athlete’. A ranking, ordered not by CrossFit but by nature, illustrating that each layer has a dependency on the supporting layers below. Nutrition - the inputs to the system - is placed squarely at the foundation.
In the same article, ‘World Class Fitness in 100 words’ begins with the now infamous line: eat meats and vegetables, nuts and seeds, some fruit, little starch, no sugar. Consider this for a moment: in the prescription for achieving world class fitness, the first line has nothing to do with exercise or training at all.
It tells us what to eat.
But before we dive into the details, we need to zoom way, way out to ponder a big picture question:
Why do we need to eat? What is food for?
When posed this question most people will respond with an enthusiastic “Fuel!” or “Energy!” and while this answer is correct, it is also incomplete. It’s true, food provides hydrocarbons (fats and carbohydrates) that get turned into ATP (the energy currency of the body). But just as important, if not moreso, food also provides building blocks - structural elements that do not get used for energy, but instead get turned into our brain, muscles, bones, connective tissue, blood vessels, neurotransmitters, etc. Every bit of you is built out of something you ate. Saving the energy topic for another day, here in this article we are going to explore the underappreciated but very necessary ‘structural elements’ of the diet to create the muscles and bones we need for work capacity across broad time and modal domains throughout the years of our life - ie health.
In the CrossFit nutrition prescription, ‘eat meats’ is offered as a placeholder for animal products in general - meat, eggs, fish, dairy etc. The primary macronutrient in these foods is protein. When consumed and digested, dietary protein is broken down into amino acids. Think of amino acids like lego blocks and proteins as the near-infinite number of creations we can construct out of them. There are 20 amino acids used to build proteins in the human body, 9 of which are essential (meaning we have to get them from the diet) and another 6 that can become essential depending on factors such as training volume, illness, injury, etc. From these amino acids, the body produces at least 20,000 proteins that we know of. Some are small, such as the hormone insulin constructed of just 51 amino acids linked together. Other proteins are huge. Titin, found in the sarcomere of muscle, is the largest protein in the body and is composed of approximately 34,350 amino acids!
Muscles
When we workout, we cause damage to muscle tissue as muscle fibers are broken down under stress. In the days that follow, our body uses the protein from our food to repair the damage, producing tissue that is stronger than before and better prepared to handle that demand again in the future. One amino acid in particular, Leucine, triggers this process of Muscle Protein Synthesis more than the others. We find high concentrations of Leucine in whole foods like beef, chicken, pork, tuna, salmon, cod, and cheese.
While more thrusters and a bigger clean and jerk are cool, as we progress through the years of life our muscle mass and muscle function becomes the single greatest predictor of how well we will age. A “health pension account” of sorts, muscle has been dubbed the organ of longevity. Muscle is the primary organ of glucose disposal, helping us maintain healthy blood sugar levels and avoid Type 2 Diabetes. It sends signaling molecules to the brain that keep us sharp and mentally flexible. And of course, muscle is the most important inoculation against decrepitude, the loss of functional capacity that robs a person of their ability to live independently when they can no longer get up off the toilet, navigate stairs, and carry their own groceries. In fact, low skeletal muscle mass has repeatedly been shown to be one of the strongest predictors of all-cause mortality, which is to say who will die of anything.
In short, more muscle = less dead.
Bones
Bones might seem like solid, unchanging structures, but like our muscles they are actually living tissues that are constantly being broken down and rebuilt.
When we think of bones, calcium often comes to mind but did you know that approximately 50% of the dry weight of bone is actually protein? This protein, in the form of collagen, creates the structural matrix of bones (to which the minerals calcium and phosphorus attach, like spackle). Collagen gives bones both the compressive and tensile strength needed to support the body's weight and withstand huge forces - an amazing tissue on par with the strength of concrete!
Adequate protein intake is essential for bone formation and remodeling. Collagen requires large amounts of an amino acid called glycine, along with proline, hydroxyproline, and lysine. We find rich sources of these bone building amino acids in foods cooked on the bone, such as ribs and roast turkey, and with the skin on such as fish or chicken. Bone broth, a traditional food found in many cultures around the world, is also a wonderfully nutritious source of collagen building amino acids and can be made from beef, pork, poultry, or fish.
Diets that lack these foods are associated with lower bone mineral density (BMD) and an increased risk of fracture, while people that get more of their protein from these foods tend to have higher bone density. The source of our dietary protein matters for bone health, as does getting a high total amount of protein, especially for older adults. One analysis found adults age 70-75 in the highest third of protein intake had higher BMD and lower risk of vertebral fracture, when compared to those in the lowest tertile of protein intake. As we age, a major bone break becomes not just an injury, but a serious mortality risk. Follow up on 758 adults over age 60 who fell and broke a hip found that more than one in five were dead within a year.
In short, stronger bones = less dead
Summary
Highly nutritious whole food sources of protein from meat (as the catchall term for beef, pork, chicken, seafood, dairy, etc) provide the essential “structural” elements in the diet to build the strong muscles and dense bones we need to maximize our work capacity across broad time and modal domains. Across the years of our life, those muscles and bones we built up allow us to not just survive but thrive, tackling any adversity or taking on any adventure that comes our way well into our 80s and 90s.
Meet Jocelyn
Jocelyn Rylee, MS Human Nutrition, CFL4
Provider Spotlight
Written by Dr. Tom McCoy
How the journey started: An article titled, “The Toughest Workout in the World” grabbed her attention immediately. “We will see about that,” she thought to herself…
As a self described math geek, Jocelyn was always drawn to numbers. Her passion for fitness and ultimately CrossFit did not develop until later in life, which as a 16 year affiliate owner and Level 4 Certified CrossFit Coach and member of CrossFit’s Seminar Staff still makes her chuckle to this day.
Born and raised in Saskatoon, Canada, Jocelyn was determined to get as far from home as possible and matriculated into Dalhousie University. There she followed her passion and obtained an Undergrad and a Master’s degree in finance and marketing, staying immersed in her love for math and statistics. During her training, she did an internship with McDonald's corporation and got an insider's view of how the global sausage was made: seeing first hand how Big Food impacts future markets and the role that money and marketing play in our global food supply. It was also during this time that she discovered her passion for fitness. She explored bodybuilding, yoga and whatever she thought would be challenging. Until one day when she read an article that would change the trajectory of her life.
The article, “The Toughest Workout in the World” grabbed her attention immediately. “We will see about that,” she thought to herself. The piece highlighted CrossFit and specifically the Filthy 50 workout. She and her boyfriend at the time (now husband) decided they would spice it up a bit and give it a go. They did a Filthy 50/Murph Mash up at their local Gold’s Gym (there were no affiliates in the region at the time) and by the time it was over (and their souls re-entered their body) they were both hooked. That was in 2007, by 2008 they had quit their jobs in the finance and service industries and taken on a small personal training business which ultimately became CrossFit BRIO. 16 years later it is still going strong.
Through self experimentation, Jocelyn identified she felt and performed best on a ketogenic diet, and in 2017 she founded the Keto Athlete sharing recipes, nutrition guidance and research with her followers. Jocelyn has a passion for translating complex research into understandable action items which has led her to expand her nutrition work within her affiliate and online. Just this past month she built an additional office inside her affiliate space to serve as her headquarters for BRIO + Nutrition, and future educational endeavors for all things nutrition.
Jocelyn coaches 15-20 hours/week and travels regularly on the weekend to lecture on seminar staff. She has always loved learning and education, both being a pupil and an instructor, which inspired her to recently complete an MS in Human Nutrition this past year. Her journey is a testament to the principle of following your passion and not fearing change. Her integration of research and teaching is a perfect complement to their affiliate, and serves as a model for many who aspire to do the same.
Upcoming Events
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Starting in August, 4 journal articles will be posted each month along with questions to answer and submit for CME. Healthcare providers from any membership tier (Physician directory, HCP directory, or healthcare professional, and students) automatically have access to these CME courses. Once released, courses will be available on an on-going basis.
Each article has a series of questions that must be answered to earn CME credits. Once you complete the article questionnaires, providers will be prompted to submit the SURVEY which validates the ACCME credit and will issue your CME certificate.
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The CrossFit Games are headed to Fort Worth, TX and so is the CFMS! Are you going? If so, let's connect.
Thursday, August 8
CFMS Happy Hour in the Affiliate HUB from 6-7 pm. (Registration Required via Games App)
Friday, August 9
Meet-n-Greet at the EDU Booth: 11:00-12:00 pm
CFMS Workout at CrossFit Iron Horse from 4-5 pm (Registration Required- https://crossfitironhorse.com/drop-in/
Collect your CFMS shirt, patch and sticker at the workout!
Saturday, August 10
CFMS Panel Presentation in the Affiliate Hub, 10:30 am
Workout with PRVN+ CFMS in the spectator workout area, 5-6 pm (Registration required via the Games App.)
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This month Grand Rounds will be led by Jocelyn Rylee.
We look forward to learning about how fuel and resistance training can combat and even reverse osteopenia. Healthcare professions can register for the webinar via their member portal/email link.
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Targeting special populations in your affiliate. How can you create a program that speaks to the needs of your community? What resources are available for you?
This will function more like a workshop. We'll be sending out some preliminary information prior so that we can engage in how to tackle your specific challenges.
Podcasts and Information
Did you miss Grand Rounds? While this live webinar is attended by CFMS healthcare professionals., recordings are released and available for all members. We encourage affiliate owners and coaches to watch! CrossFit CEO, Don Faul, was recently on The Future of Fitness Podcast. It’s a great listen.
Needs vary by degree, not kind. This is not just in reference to fitness, but also to health; and to location. The CrossFit Medical Society is here to serve the needs of all community members, affiliates, coaches, and healthcare provider, all over the world.
The challenge lies in the varying degree to which healthcare systems run throughout the world. The CFMS is collaborating with Coaches Congress to connect with the CrossFit community all over the world.
The call to action is for current CFMS members to let their international colleagues and counterparts know that the CFMS is here to support them. To make connections, have them contact info@crossfitmedicalsoceity.com and we’ll set up a time to chat.