Muscle for Life with Mike Matthews - Research Review: Behind-the-Neck Press, Cardio vs. Muscle Growth, & Plus Size Normalization

Episode Date: June 30, 2023

Is the behind-the-neck press the secret to well-developed delts?  Does cardio actually boost muscle growth, rather than hindering hypertrophy?  Are we becoming "desensitized" to obesity an...d what’re the repercussions?  In this episode, we'll explore the latest scientific studies that shed light on these questions. This podcast is another installment in my Research Review series of episodes, where I give you concise and practical takeaways from studies that I think are interesting and that can help us gain muscle and strength faster, lose fat faster, perform better athletically, feel better, live longer, or get and stay healthier.  There is a ton of scientific research that gets published every year, and even if you narrow your focus to fitness research, it would still take several lifetimes to unravel the hairball of studies on nutrition, training, supplementation, and related fields.  That's why my team and I put a lot of time into reviewing, dissecting, and describing scientific studies in articles, podcasts, and books.  Oh and if you like this type of episode, let me know. Send me an email (mike@muscleforlife.com) or direct message me on Instagram (@muscleforlifefitness). And if you don’t like it, let me know that too or how you think it could be better. Timestamps: (0:00) - Please leave a review of the show wherever you listen to podcasts and make sure to subscribe! (2:33) - Is it safe to do the behind-the-neck press? Is it effective? (7:20) - Can cardio help with muscle growth? (13:50) - My free quiz to answer all your diet questions: www.muscleforlife.show/dietquiz (15:31) - The normalization of obesity and the body positivity movement Mentioned on the Show: Take this free quiz to get science-based answers to all of your diet questions: www.muscleforlife.show/dietquiz

Transcript
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Starting point is 00:00:00 Hello, hello, this is Muscle for Life and I'm Mike Matthews. Thank you for joining me today for another installment in my research review series of episodes where I talk about a few studies that I have come across recently in my travels that I found interesting and practical and that I think you might find interesting and practical. And so here we are with today's episode, which is going to be about three topics and three studies on those topics. One is the behind the neck press. Is that a good exercise? Is it a dangerous exercise? As some people claim, should you be doing behind the neck pressing? That's going to be the first topic
Starting point is 00:00:41 in the first study. And then I'm going to talk about cardio and muscle growth and some research that indicates that cardio may actually boost muscle growth, which I think is kind of interesting because 10 years ago when I got into the fitness racket, the general consensus, at least among meatheads on cardio, was that it kills your gains. Really, any amount of cardio is bad if you are trying to maximize muscle growth and that it kills your gains. Really, any amount of cardio is bad if you are trying to maximize muscle growth and that it is mostly unnecessary if you are doing at least a few hours of strength training per week. You fast forward to today, more and more evidence has accumulated showing that the opposite might be true regarding muscle growth, that a moderate amount of cardio, or let's say up to a
Starting point is 00:01:27 moderate amount of cardio may enhance muscle growth and minimally does not impair muscle growth. To impair muscle growth, it takes a lot more cardio than most people think. And also more and more research has shown that cardio does offer unique benefits that you will not get from strength training, no matter how much you do, or you will not get the same magnitude of benefits from, let's say, five, six, seven hours of strength training per week as you would from, let's say, a couple hours of moderate intensity cardio per week. And these benefits are mostly related to the cardiovascular system, unsurprisingly, but that is a very important system if we want to live a long and healthy life. And anyway, I'm kind of rambling at this point,
Starting point is 00:02:11 but the next topic in the next study that I'm going to discuss is regarding people's perception of their weight and how many people misperceive their body weight to be healthy and normal and appropriate when it is indeed not, and how that can encourage them from actually achieving a normal, healthy body weight. Okay, let's start this episode with some research on the behind the neck press. All right, so generally speaking, training a muscle group with different angles and different motion patterns is a good thing. Generally, that is going to produce more muscle growth over time than with just one or two
Starting point is 00:02:52 angles or patterns. And that is one of the reasons that you want to regularly, but not necessarily frequently, but regularly change exercises in your workouts. Now, that is also why some people include the behind the neck shoulder press in their repertoire. It's usually an alternative to a more traditional overhead press, whether it's a barbell press or a machine press or a dumbbell press. By shifting that plane of motion backward just a foot or so, you can challenge your shoulder muscles in a slightly different way. And if you ask bodybuilders,
Starting point is 00:03:27 especially older school bodybuilders, many of them will say that that behind the neck position is more than just a substitute for its more frontward counterpart. Many of these guys and gals will say that the behind the neck press is downright superior for stimulating all three heads of the deltoid, the shoulder muscles. And, you know, these people are not wrong. According to research conducted by scientists at the University of Milan that had eight competitive bodybuilders do one set each of the seated barbell overhead press, the seated behind the neck barbell press, seated machine overhead press, and seated machine behind the neck press. And during each exercise, the researchers measured muscle activation in the delts, the pecs, the traps,
Starting point is 00:04:12 the triceps. And what the results showed is that all of the exercises stimulated the pecs, the traps, the triceps, and the front delts similarly, although the pecs were slightly more active in the overhead presses, which is something to remember if you are training on a limited time budget, that doing an overhead press does train your pecs to some degree, not as much as a bench press, but the overhead press is, let's say, more of an effective compound exercise than the bench press, if you just had to choose one because the overhead press is going to stimulate your shoulders more than the bench press, your triceps. It's also a bit of a whole body exercise. You will get some pecs in there as well, but you have to more engage your core and other stabilizing muscles. I think that the
Starting point is 00:04:58 bench press is a great exercise, but the overhead press I'd say is a highly underrated exercise. But anyway, getting back on track here with this research and with these exercises, the researchers, what they found is that in the case of the side and rear delts in particular, the behind the neck press produced significantly higher levels of activity. So the behind the neck press was similarly effective at training the front delts as the other variations, but it was significantly better for training the front delts as the other variations, but it was significantly better for training the side and rear delts. Now, if I were to stop there, you might conclude that the old school bodybuilders were right all along, that the
Starting point is 00:05:34 behind the neck press is clearly just superior to the conventional press. But there's more to consider. First, most people find the behind the neck press uncomfortable. I'm one of those people because it requires very good, it requires above average, minimally shoulder mobility, and many people lack that. And also it forces you to tilt your head forward into an awkward position to press from. And that's what I don't like about it specifically. And then there's another issue because the behind the neck press puts your shoulders into an inherently unstable position and research shows that that position can increase your risk of shoulder injury. And then finally, third, to compensate for those two disadvantages that I just shared, what you have to do is use a lot less weight
Starting point is 00:06:22 than you would use with a front facing press. And also, you have to progress more slowly and you have to progress in smaller amounts in terms of weight on the bar. And those factors greatly limit your ability to gain muscle and strength. So if we think about this on balance, I think it's reasonable to regard the behind the neck press as a viable exercise, but given its shortcomings, I would rather use a standard press to maximally and safely overload my front delts and rely mostly on effective isolation exercises like lateral raise, the rear raise, or the rear delt row to train my side and rear delts. And if I had to choose one exercise for more side and rear delt involvement, it would probably be the Arnold press because minimally it involves the side delts more than
Starting point is 00:07:12 just a traditional dumbbell press or a barbell press without the disadvantages of the behind the neck press. Okay, next up we have cardio and muscle growth, which many weightlifters think goes together like oil and water. Or if you have a twisted mind because you grew up on the internet like me, goes together like laxatives and late night rendezvous. Over the last 10 years or so, more and more research has been showing that cardio does not drain your gains. You can run, you can swim, you can cycle, and you can build a significant amount of muscle and strength. And according to a study conducted by scientists at McMaster University,
Starting point is 00:07:53 cardio may even enhance muscle growth. So here's what happened. For six weeks, the researchers had 14 active young people do three 45-minute moderate-int intensity cycling workouts per week using one of their legs. Then for the following 10 weeks, the participants completed a lower body strength training program that included only bilateral exercises, which are exercises that train both of your legs simultaneously. Think of squat, leg press, leg extension, leg curl, calf raise, and so forth. And the results showed that the legs
Starting point is 00:08:25 that were trained with cardio before the weightlifting program increased capillary density, type 1 and type 2 muscle fiber size, as well as satellite cell and myonuclear content significantly more than the legs that only got the resistance training. And just for reference, satellite cells are a type of cell that helps repair damaged muscle fibers and myonuclei carry the DNA that constructs new muscle proteins. And so again, the researchers found more than just more muscle in the legs that did the cardio before the weightlifting. They saw benefits related to improved blood flow and improved, I guess you could say, mechanics, physiological mechanisms related to muscle
Starting point is 00:09:07 building. And the researchers also analyzed the 10 highest and lowest responding legs, and they found the following. One, muscle grew most in the legs that had the largest changes in satellite cell content and grew the least in the legs that had the smallest changes in satellite cell content. Not surprising given the role that satellite cells play in building muscle. The researchers also found that the legs that grew the most had greater capillary density than those that grew the least. So there was a connection there between capillary density and muscle growth. Three, the legs with the highest capillary density before the weightlifting
Starting point is 00:09:45 grew more than those with the lowest capillary density before weightlifting. So further strengthening that connection. And four, the legs that grew the most increased satellite cell content more than the legs that grew the least. Now the $60,000 question. Why? Why did cardio appear to enhance muscle growth in this study? Well, the authors were not sure. It's not clear yet because there isn't a lot of research out there on this specifically. However, a hypothesis is that, and in a likely hypothesis, a hypothesis grounded in other evidence is that cardio increases capillary density, that has been shown, which then appears to boost muscle growth by improving how satellite cells and myonuclei respond to weightlifting.
Starting point is 00:10:36 That said, there is other research that has shown that cardio plus weightlifting produces more muscle growth than just weightlifting alone. But in this case, even when cardio does not dramatically increase capillary density, and so there's probably more to learn about how capillary density affects muscle growth, how cardio affects muscle growth in other ways. But we can confidently say that there is a growing body of evidence that cardio can enhance muscle growth so long as you follow a few guidelines. So one, I would recommend prioritizing low impact forms of cardio, such as cycling, rowing, skiing, rocking, swimming, as opposed to running or sprinting on concrete on a hard surface. And the reason for that is higher
Starting point is 00:11:26 impact forms of cardio put a lot of stress and strain on the body and they require a lot of work to recover from. And that can cut into your strength training and your results in your strength training. That has been shown in other research. I would also recommend doing a moderate amount of cardio. studies show that if cardio is going to impair muscle growth, it's mostly a matter of how much you do. And so a great way to avoid that while also reaping many of the benefits that cardio has to offer related to muscle building and health and longevity and otherwise is a couple hours per week. Let's say two or three low to maybe moderate intensity cardio workouts
Starting point is 00:12:05 per week, ranging anywhere from 20 to 60 minutes, depending on how fit you are and how much time you have to give to cardio and how much time you want to spend doing cardio. I also would generally recommend staying away from high intensity interval training unless you really enjoy it because it places larger demands on your body for recovery, especially if it is a higher impact form of cardio, like sports, for example, playing soccer, playing basketball. And if you really enjoy playing high impact, intense sports that require a lot of sprinting, that's fine. But if you want to minimize their interference with your strength training, I would say try to limit yourself to one or maybe two HIIT workouts per week and try not to exceed
Starting point is 00:12:54 30-ish minutes per workout. And that's easy to do if you are doing HIIT workouts, if you are just hopping on an upright bike and doing sprints for 20 or 30 minutes, if you are playing sports, you probably are going to be doing more HIIT than that. And that's okay. Just know that that's not ideal if you're trying to optimize muscle growth. I also would recommend that you try to do your cardio and your weightlifting on different days if possible. And if you have to do them on the same day, try to do your weightlifting first and then try to do your cardio after that, ideally separated by at least six hours. And if you want to learn more about those recommendations, why I recommend them, as well as some other things you can do to make, let's say, cardio and weightlifting as synergistic as possible, head over to
Starting point is 00:13:42 legionathletics.com and search for concurrent. And you'll see an article called concurrent training, the right way to combine cardio and strength training. Give it a read. If you like what I'm doing here on the podcast and elsewhere, and if you want to help me do more of it, please do check out my sports nutrition company Legion, because while you don't need supplements to build muscle, to lose fat, Because while you don't need supplements to build muscle, to lose fat, to get healthy, the right ones can help. And that's why over 400,000 discerning folk now have chosen Legion, over 400,000 customers. I think that's pretty cool. And people also like us because we use natural ingredients, nothing artificial, nothing chemical.
Starting point is 00:14:19 We use clinically effective ingredients and doses, actual science-backed ingredients with science that you can verify yourself. And we have a no-hassle money-back guarantee. And if all that is not enough for you to head over to Buylegion.com, B-U-I-Legion.com, and check out our wares, we also are holding our big July 4th sale. And how that works is BOGO 50% site-wide. So buy one, get one 50% off site-wide, everything that we have, plus a free $20 gift card, a store gift card on orders over $99. And so that means you can save upward of 30 to 35% when you factor in the BOGO 50 plus the $20
Starting point is 00:15:02 rebate, so to speak, the gift card that you can use toward anything else in our store. And so if you like saving money on all natural science-based sports supplements like protein powders, pre-workout and post-workout supplements, fat burners, multivitamins, joint support, fish oil, and many more, skedaddle on over to buylegion.com now and save big before we run out of stock of at least a thing or two, which tends to happen with our site-wide sales. Okay, the final research and topic I want to talk about today has to do with the body positivity movement, which has gained an enormous following over the last decade or so. And what draws many people to it is the promise
Starting point is 00:15:43 that you can just unconditionally love your body regardless of its size or its shape or its appearance. And if you do that, you can boost your mental well-being. And maybe you'll also lose a little bit of weight because you are going to be less stressed. And maybe that is going to reduce stress eating. And I agree with some of that. I do not agree that you can be healthy at any size. That's like saying you can be tall at any height or rich at any income, but you can be healthy at many sizes. Exercise is always healthy no matter what size you are. I think that is important to say, but it's also important to acknowledge the very real physical health risks
Starting point is 00:16:27 associated with being overweight and being obese. It's important to not normalize something that is objectively unhealthy or even encourage people to achieve a body composition that is objectively unhealthy, weight of a large amount of scientific evidence. And if that is normalized, if we do lower our collective societal standards for what is healthy and fit, it is going to cause a lot of very real harm to a lot of people. Now, there's a question about whether that is actually happening. Is body positivity or at least certain elements of the body positivity crowd, are they encouraging people to become unhealthy? Are they normalizing unhealthy? people tend to underestimate their body weight. And then that makes them less driven to lose weight, which of course can exacerbate the obesity epidemic over the long term. And one study in particular that was conducted by scientists at the University of East Anglia elegantly illustrates this point. So what the researchers did is they looked back at the Health Survey for England between 1997 and 2015, and they reviewed
Starting point is 00:17:47 23,459 overweight and obese people's answers to the following question. Given your age and height, would you say that you are about the right weight, too heavy, too light, or not sure? And what the researchers found is that about 39% of male and about 17% of female respondents perceived their weight as about right. And that is not right. Remember, these people were objectively overweight or obese according to their body mass index, which can be incorrect in the cases of people with a lot of muscle and very little body fat. But in the case of normal people with at least normal amounts of muscle, BMI is still a very useful, very accurate proxy for body composition, which then allows us to draw some accurate conclusions about how
Starting point is 00:18:38 healthy they likely are. I say likely because every rule has exceptions. You can find overweight and obese people who are objectively healthy by all metrics, but they are the exceptions. They are not the rule. Generally speaking, those people are unhealthy by objective standards. They get blood work done and certain things are not good. They are not where they need to be and their fitness is not where it needs to be. And anyway, coming back to this research, what the scientists also found is that the number of people that underestimated their weight increased over time. So it was about 48% to about 58% in men. Because remember, this research spanned from 1997 to 2015. So the amount of people underestimating their weight increased from 58% or sorry, from 48% to 58% in men and 25% to about 31% in women between those periods and almost
Starting point is 00:19:37 three quarters. So about 73% of the people surveyed also reported their health as good or very good, which again is possible with some of the people, good health at least. Very good health is basically impossible. If you are overweight or obese, you are not in very good health if we go by any reasonable definition of very good health. But good health is possible, let's say in the case of someone who is overweight and they actually do eat fairly well and they do exercise at least a few hours per week, and they get enough sleep, and they don't smoke, and they don't drink alcohol, they probably will be in good health. Or at least the rule now changes for that exception. The rule for that person, a little bit overweight, they do all these things well, most of those people are in good health. But, exception rather than rule.
Starting point is 00:20:26 And so anyway, coming back to this study, unsurprisingly, researchers found that people who underestimated their body weight were less likely to try to lose weight than people who more accurately perceived their body weight. Specifically, the scientists found that people were about 85% less likely to try to lose weight if they underestimated their body weight. And that would help explain why many of the people surveyed were not trying to lose weight. Only about half of the overweight people were trying to lose weight and about two-thirds of the obese people were trying to lose weight. And so then what have we learned here? Well, these results and the results from other similar studies suggest that the prevalence of obesity is changing people's
Starting point is 00:21:05 perception of body weight. It's changing the perception of what is healthy, what is fit, what is even lean, and that it's making it harder for people to accurately evaluate their body weight and their body composition. And that in turn is making these people less likely to try to improve their body weight and improve their body composition. And that's a bad thing. Unfortunately, research shows that when you are overweight and when you are obese, probably the most healthy single thing you can do is to lose weight, to lose fat, to get to a healthy body composition, which doesn't mean rip. You don't have to get jacked. You just have to get your body fat down to, let's say, under 20% if you are a man and under 30% if you are a woman. So long as you are anywhere between, let's say, 10 to 20% in men or 20 to 30% in women. You can achieve and maintain great health as well as a great physique
Starting point is 00:22:06 according to how you want to look. Some guys and gals like to have a bit more body fat and some like to have a bit less. And if you don't know what your body fat is or what different body fat percentages look like, head over to legionathletics.com, search for body fat, and you can find some articles
Starting point is 00:22:24 that I wrote on measuring body fat. And you'll see that some of the articles, they have charts even just to make it easy to at least estimate your body fat percentage. Over at legionathletics.com, there's also a body fat percentage calculator tool. If you want to play around with that, you can find that in the learn section of the menu. And then there's tools. So If you want to play around with that, you can find that in the learn section of the menu and then there's tools. So if you go to the tools hub, there's a body fat percentage calculator in there. Well, I hope you liked this episode. I hope you found it helpful. And if you did subscribe to the show, because it makes sure that you don't miss new episodes. And it also
Starting point is 00:23:02 helps me because it increases the rankings of the show a little bit, which of course then makes it a little bit more easily found by other people who may like it just as much as you. And if you didn't like something about this episode or about the show in general, or if you have ideas or suggestions or just feedback to share, shoot me an email. Mike at muscleforlife.com, muscleforlife.com, and let me know what I could do better or just what your thoughts are about
Starting point is 00:23:31 maybe what you'd like to see me do in the future. I read everything myself. I'm always looking for new ideas and constructive feedback. So thanks again for listening to this episode and I hope to hear from you soon.

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