Interleukin-6 some questions answered

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Over the years I have read a load of questions and seen answers to them without any real justification. An article in Cycling Active prompted me to read up on something called Interleukin-6 and a lot of the answers dropped in to place for me. So I have compiled some of the things I have read in to something that is easier to understand. I hope it helps you too.




Interleukin-6 (IL6) is a cytokine, a messenger produced by quite a few parts of the body but key ones are muscles and the brain. It has a role in lypolysis (fat break down) it acts as a signal to adipose (fat) tissue. So it plays a part in weight loss and the use of fats rather than sugars in exercise. It also passes across the blood-brain barrier, so IL6 from your legs gets in to your brain.

Its production is not uniform; exercise duration is the key generator for muscle IL6. Exercise intensity has a part to play too. Intense exercise intervals for a period of two hours generates the same sort of levels of IL6 as 4 to 6 hours of longer lower intensity exercise.

Running generates IL6 faster than cycling and over 100 times the background level, but cycling generates a significant amount too. 5 times the normal background level is easy to achieve and this can be as high as 50 times.


IL6 is generated during illness (up to 10,000 time background level), temperature (cold) and exercise can generate up to 110 times background levels. Its production is impaired by blood glucose. Remember these points. IL6 makes exercise harder. This was proven by randomly sampling athletes, injecting IL6 and getting them to run 10k. Those injected were significantly worse performers. So the more there is in your blood the worse you perform at any sport.

IL6 is processed in the brain to produce prostaglandins, these flood your body when you are ill and make it ache. Taking paracetamol reduces the pain caused by prostaglandins. So when you take a lemsip when you have flu you may feel a bit better.

In your resting state, high levels of IL6 are associated with heart attacks.

IL6 background levels fall if you exercise regularly. So you can see how these two may be linked together.

IL6 production declines as the muscles become more efficient when doing the same routine.

IL6 levels peak at around 1 hour after you stop exercising.

IL6 levels are reduced by anti-oxidants, vitamins C and E.

So armed with these facts lets look at some common questions on this forum and see where IL6 may have a role to play. (NB. It does not work in isolation).

Q1: I am doing the same amount of exercise and I have stopped losing weight.

IL6 mobilises the fat store for energy production, your body is more efficient and the levels of IL6 produced have declined, so fat breakdown is not taking place at the same rate. The answer to this is to increase the intensity or duration of exercise to increase IL6, break down the fat and get you to a satisfactory body state/shape.




Q2: I’ve been out and run 18 miles, I had no food or drink during this exercise and I felt ill afterwards, like I had cold or flu, aches. The level of IL6 produced in running is high, no carbs taken means IL6 was even higher (because it was not suppressed). This caused the production of prostaglandins and it makes you feel ill. (Aches, not throw up – sick ).Take a paracetamol and htfu.




Q3: When I swim in the sea, I feel really sleepy tired afterwards unlike in the pool. The exercise and cold temperatures mean your muscles and brain were producing IL6. This caused an increase in cortisol. You need to have 20 mins lie down and shut your eyes, nod off a bit, may be the odd twitch as you fall in/out of sleep. This will sort out the cortisol, serotonin, melatonin and you’ll be fine in no time. If you don’t you’ll feel miserable but not ill. This affects over 40’s more than younger people.




Q4: I bonked a couple of weeks a go now I am flying (Barry Hoban). IL6 production was high when you bonked due to the muscle exhaustion and very low carbohydrates in your blood. Your body has adjusted to this effect, background IL6 is lowered, your muscles are more efficient and produce less IL6 and this effect can last for 3 months or more. Your body is also prepared to break down fats more readily and does not go directly to your carb store, (muscles and liver). So racing or hard exercise seems easier and you don’t depend so much on sugar reserves.




Q5: Does carb depleted training work? Yes. Low carbs = higher IL6 levels. Train carb depleted to artificially increase IL6 levels (ie don’t eat two hours before training and don’t swig on sugary drinks), your training performance will suffer. Background levels of IL6 will fall and muscle production will decrease as in the fat loss case. Race carb loaded to prevent IL6 production and you get a performance increase for the cost of a few jelly babies. Use a carb depleted training regime as your reference, not that one fantastic training session you had when you stuffed your face. If you want fast training sessions and slow races then train carb loaded.




Q6: Should I do long miles if I am only doing short races? Yes, IL6 is produced most effectively by doing long rides 4hrs+, you will benefit from a reduced background IL6 level and lower muscle levels. This can complement higher intensity intervals over a shorter period.




Q7: I feel sleepy tired after a long ride. See Q3.




Here is a meta-study, a summary of a number of papers from 2006.

http://www.medizin.uni-tuebingen.de/transfusionsmedizin/institut/eir/content/2006/6/article.pdf
 

yello

Guest
Enough to respond!

AG, can you explain what you mean by "background"?
 
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Arsen Gere

Guru
Location
North East, UK
yello,
The body has IL6 floating around all the time, it's in the background so to speak. It is boosted by the activities described above and said to be raised above background and the paper referred to describes it as multiples of background.
 

yello

Guest
Cheers. So kind of like a normal level (but without the implication that there is an across the board 'normal' level)
 

yello

Guest
I must admit, I do like the training without carbo loading comment. It's a different subject, I know, but I do think there's too much of a carbohydrate mantra recited for endurance sport. Train the body to run lean and only introduce the boost when it's needed.
 

yello

Guest
And another thought; I think there's much more to learn on the subject. I believe reality to be slightly more complex than most of the things we read on fueling (and weight gain/loss for that matter). The research into things like the role and production of insulin and glycogen, etc etc etc are showing there to be other factors involved, more than the simple energy consumed/energy expended model might suggest.
 
And another thought; I think there's much more to learn on the subject. I believe reality to be slightly more complex than most of the things we read on fueling (and weight gain/loss for that matter). The research into things like the role and production of insulin and glycogen, etc etc etc are showing there to be other factors involved, more than the simple energy consumed/energy expended model might suggest.

There's also a genetic component, some people respond well to exercise some don't. Some people from our lab collaborate with the chap from Copenhagen that you've cited. They were filming today for an upcoming episode of horizon - you guys should keep an eye out for it!
 

Zoof

New Member
Location
Manchester
Hi Arsen Gere, yello every now and then a little gem like this comes up.

My am still trying to get my head around it, but it will help to explain the gym Friday. I will post that on Monday for discussion, but I think you have answered some of the questions already! Do you think this assessment is OK, If you want to lose weight by exercise, You will have to keep doing different painful new exercises. Because if you do the same old thing, you will just build up speed and endurance, (just become more efficient)<br><br>PS link bust<br>
 

yello

Guest
Hello zoof. My take is that pain is the way the body has of telling you something is wrong! I personally wouldn't be looking for pain to be a sign of effective exercise (whatever your aims).

That said, I think you're right. Repetition does make the body more efficient. But I don't think that's a bad thing. Over time, you're body learns to fuel itself from fat reserves rather than carbohydrate. This is particularly true if you don't carbo load before exercise (a point that AG's post makes).

So it could well be true that your body burns less if you repeat the same exercises but I reckon it'd be negligible. Your body will always require fueling, it'll be the source that'll be the major change. That's only my take on it though, I don't know.
 
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Arsen Gere

Guru
Location
North East, UK
Zoof, Fabian Cancellara said, " I try to feel the sensations, too – the wind rushing past my ears and the pain in my legs. Not bad pain though, always good pain.". As long as the pain stops when you stop and it gets no worse when you exercise, I think you and yello have it sorted.

I've just finished the Kielder marathon today, that was good pain, if my left knee is still sore tomorrow morning, that would be bad pain and it will require rest.

The research suggests you would obtain the same IL6 levels from exercising longer without pain. It depends on time and intensity. It's up to you to choose. Weight training produces higher IL6 levels faster than cycling but you may trade fat for muscle and not get a weight loss but definitely would get a health benefit from reduced IL6 levels at rest. HTH. There is a graph in the paper referenced above that shows the peaks the same height, one comes earlier from higher intensity.

The Cancellara interview .
 

Zoof

New Member
Location
Manchester
Hello zoof. My take is that pain is the way the body has of telling you something is wrong! I personally wouldn't be looking for pain to be a sign of effective exercise (whatever your aims).

That said, I think you're right. Repetition does make the body more efficient. But I don't think that's a bad thing. Over time, you're body learns to fuel itself from fat reserves rather than carbohydrate. This is particularly true if you don't carbo load before exercise (a point that AG's post makes).

So it could well be true that your body burns less if you repeat the same exercises but I reckon it'd be negligible. Your body will always require fueling, it'll be the source that'll be the major change. That's only my take on it though, I don't know.
Hi Yello we haven’t chatted for a while, Yes I understand what you are saying.

But I’m hypoglycaemic, In the clinic the nurses tell you “you are on your own son, for the doctors don’t know what’s going on” unusually the symptoms go back to when I was a kid. White Sugar is my bad bogey man, also sodium levels plays a part. Exorcise is the one means I have got for glucose stability. Now, if people are slightly diabetic, it's very hard for them to lose weight. Your words “you're body learns to fuel itself from fat reserves rather than carbohydrate” unfortunately this is not very good with me or them. “don't carbo load before exercise” On tour I just get up and go, run for 15 miles or so then eat. At home breakfast 150 Ks only and down to the gym; and I still I don’t lose weight. So new technique is needed, that’s why I just bought, new bike, (keep it under your hat)

So, 3 little guinea pigs in the interest of science, will be down to the gym on Monday, it's raining again. Two of them don’t know, but they are just guinea pigs and expendable. Tomorrow post: and the discussion may help to formulate my long term test strategy; all the best Zoof.
 

yello

Guest
Zoof, I wouldn't even begin to suggest anything to someone with a medical condition. Ignore anything and everything I say. We all respond differently (as Becs suggests, the genetic component) and my comments are made without any specialised knowledge.
 
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