Stephen F. Crouse’s research while affiliated with Texas A&M University and other places

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Publications (282)


Study timeline.
Example of DEXA scan image of right thigh. A four-sided polygon was constructed with one point below the pubic bone (a) that was connected to another point (b) as to obliquely cross the intertrochanteric crest of the femur bone. Points (c) and (d) were positioned as to be traversing the tibiofemoral joint. Points (b)–(c) and (a)–(d) were connected to ensure that the entire thigh was encompassed.
Changes in composite strength as a function of choline intake. Data are presented as least squares mean ± standard error (SE). Low: choline intake of 6.2 ± 1.2 mg/kg lean mass/d. Med: choline intake of 8.1 ± 1.6 mg/kg lean/d. High: choline intake of 14.2 ± 3.0 mg/kg lean/d. Low group gained less strength when compared with med (p = 0.035) or high (p = 0.085) groups. Composite strength is defined as chest press 1RM + leg press 1RM. Covariates appearing in the model: lean mass (kg), protein (g/kg lean/d), betaine (mg/kg lean/d), and vitamin B12 (mcg/kg lean/d). * Significant difference.
Participant's baseline characteristics 1 .
Intake of major nutrients and vitamins 1 .

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The Effect of Choline and Resistance Training on Strength and Lean Mass in Older Adults
  • Article
  • Full-text available

September 2023

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161 Reads

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6 Citations

Chang Woock Lee

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Teak V. Lee

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Elfego Galvan

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[...]

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Choline plays many important roles, including the synthesis of acetylcholine, and may affect muscle responses to exercise. We previously observed correlations between low choline intake and reduced gains in strength and lean mass following a 12-week resistance exercise training (RET) program for older adults. To further explore these findings, we conducted a randomized controlled trial. Three groups of 50-to-69-year-old healthy adults underwent a 12-week RET program (3x/week, 3 sets, 8–12 reps, 70% of maximum strength (1RM)) and submitted >48 diet logs (>4x/week for 12 weeks). Participants’ diets were supplemented with 0.7 mg/kg lean/d (low, n = 13), 2.8 mg/kg lean/d (med, n = 11), or 7.5 mg/kg lean/d (high, n = 13) of choline from egg yolk and protein powder. The ANCOVA tests showed that low choline intake, compared with med or high choline intakes, resulted in significantly diminished gains in composite strength (leg press + chest press 1RM; low, 19.4 ± 8.2%; med, 46.8 ± 8.9%; high, 47.4 ± 8.1%; p = 0.034) and thigh-muscle quality (leg press 1RM/thigh lean mass; low, 12.3 ± 9.6%; med/high, 46.4 ± 7.0%; p = 0.010) after controlling for lean mass, protein, betaine, and vitamin B12. These data suggest that low choline intake may negatively affect strength gains with RET in older adults.

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(A) Gated flow-mediated dilation. (B) Allometrically scaled flow-mediated dilation. Values are percent dilation for entry, washout, LFB intervention, and HFB intervention. Cross-over design (n = 23); values represent mean ± SD. Means without a common letter differ, p < 0.05.
Carotid–femoral pulse wave velocity. Values are for entry, washout, LFB intervention, and HFB intervention. Cross-over design (n = 23); values represent mean ± SD. Non-significant: p > 0.05.
(A) Resting systolic blood pressure. (B) Resting diastolic blood pressure. (C) Mean arterial pressure. Values are for entry, washout, LFB intervention, and HFB intervention. Cross-over design (n = 21); values represent mean ± SD. Means without a common letter differ, p < 0.05.
Baseline and peak brachial artery diameters and time to peak dilation at each study time point.
Daily macronutrient intake.
Assessment of Vascular Function in Response to High-Fat and Low-Fat Ground Beef Consumption in Men

March 2023

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74 Reads

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2 Citations

Red meat is stigmatized as an unhealthy protein choice; however, its impacts on vascular function have not been evaluated. We aimed to measure the vascular impact of adding either low-fat (~5% fat) ground beef (LFB) or high-fat (~25% fat) ground beef (HFB) to a habitual diet in free-living men. Twenty-three males (39.9 ± 10.8 years, 177.5 ± 6.7 cm, 97.3 ± 25.0 kg) participated in this double-blind crossover study. Assessment of vascular function and aerobic capacity were measured at entry and in the last week of each intervention and washout period. Participants then completed two 5-week dietary interventions (LFB or HFB; 5 patties/week) in a randomized order with a 4-week washout. Data were analyzed via 2 × 2 repeated-measures ANOVA (p < 0.05). The HFB intervention improved FMD relative to all other time points, while lowering systolic (SBP) and diastolic blood pressure (DBP) relative to entry. Neither the HFB nor the LFB altered pulse wave velocity. The addition of either low- or high-fat ground beef did not negatively alter vascular function. In fact, consuming HFB improved FMD and BP values, which may be mediated by lowering LDL-C concentrations.



Consuming High-Fat and Low-Fat Ground Beef Depresses High-Density and Low-Density Lipoprotein Cholesterol Concentrations, and Reduces Small, Dense Low-Density Lipoprotein Particle Abundance

January 2023

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77 Reads

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3 Citations

We hypothesized that consumption of high-fat (HF) ground beef (24% fat) would not affect plasma concentrations of high-density lipoprotein cholesterol (HDL-C) or low-density lipoprotein (LDL-C), whereas low-fat (LF) ground beef (5% fat) would decrease HDL-C and LDL-C concentrations. In a randomized 2-period crossover, controlled feeding trial, 25 men (mean age and body mass index, 40 years and 31.2) consumed 115-g HF or LF patties, 5/week for 5 weeks with a 4-week washout. The HF treatment increased % energy from fat (p = 0.006) and saturated fat (p = 0.004) and tended (p = 0.060) to depress % energy from carbohydrates. The HF and LF treatments decreased the plasma concentrations of HDL-C (p = 0.001) and LDL-C (p = 0.011). Both ground beef treatments decreased the abundance of HDL3a and increased the abundance of HDL3 (p ≤ 0.003); the LF treatment also decreased the abundance of HDL2b and HDL2a (p ≤ 0.012). The HF and LF treatments decreased the abundance of LDL3 and LDL4 (p ≤ 0.024) and the HF treatment also decreased LDL5 (p = 0.041). Contrary to our hypothesis, the HF treatment decreased plasma HDL-C and LDL-C concentrations despite increased saturated fat intake, and both treatments decreased the abundance of smaller, denser LDL subfractions.


Low Intake of Choline Is Associated with Diminished Strength and Lean Mass Gains in Older Adults

September 2022

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43 Reads

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1 Citation

The Journal of Frailty & Aging

Objectives Choline is an essential micronutrient for many physiological processes related to exercise training including biosynthesis of acetylcholine. Though dietary choline intake has been studied in relation to endurance training and performance, none have studied it during resistance exercise training (RET) in older adults. The objective of the study was to examine the relationship between choline intake and muscle responses to RET in older adults. Methods Forty-six, 60–69-year-old individuals (M=19, F=27) underwent 12 weeks of RET (3x/week, 3 sets, 8–12 reps, 75% of maximum strength [1RM], 8 exercises). Body composition (DEXA) and 1RM tests were performed before and after training. After analyzing 1,656 diet logs (3x/week, 46 participants, 12 weeks), participants’ mean choline intakes were categorized into three groups: Low (2.9–5.5 mg/kg lean/d), Med-Low (5.6–8.0 mg/kg lean/d), or Adequate (8.1–10.6 mg/kg lean/d). These correspond to <50%, ∼63%, and ∼85% of Adequate Intake (AI) for choline, respectively. Results Gains in composite strength (leg press + chest press 1RM) were significantly lower in the Low group compared with the other groups (Low: 30.9 ± 15.1%, Med-Low: 70.3 ± 48.5%, Adequate: 81.9 ± 68.4%; p=0.004). ANCOVA with cholesterol, protein, or other nutrients did not alter this result. Reduced gains in lean mass were also observed in the Low group, compared with higher choline intake of 5.6–10.6 mg/kg lean/d (1.3 ± 0.6% vs. 3.2 ± 0.6%, p<0.05). Conclusion These data suggest that this population of older adults does not consume adequate choline and lower choline intake is negatively and independently associated with muscle responses to RET.



Fig. 1. Prediction models including total DEXA measurements in conjunction with anthropometric dimensions and demographics. Presented for maximal strength on the following exercises: Leg Press, Chest Press, Leg Curl, Lat Pulldown, Leg Extension, Triceps Pushdown, and Biceps Curl. All models were found to be significant at p < 0.05. 3
Fig. 2. Prediction models including total/regional DEXA measurements in conjunction with anthropometric dimensions and demographics. Presented for maximal strength on the following exercises: Leg Press, Chest Press, Leg Extension, Triceps Pushdown, and Biceps Curl. Lat Pulldown and Leg Curl not displayed because inclusion of additional regional DEXA measures did not improve the predictive accuracy of these equations. All models were found to be significant at p < 0.05.
Abbreviations:
Predicting Muscular Strength Using Demographics, Skeletal Dimensions, and Body Composition Measures

February 2021

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244 Reads

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11 Citations

Sports Medicine and Health Science

The purpose of this study was to develop an equation to predict strength for seven common resistance training exercises using anthropometric and demographic measures. One-hundred forty-seven healthy adults (74 males, 73 females, 35±12yr, 174±10cm, 88±19kg) volunteered to participate. Body composition values (regional/total) and body dimensions were assessed using dual-energy x-ray absorptiometry (DEXA). Subjects underwent maximal strength assessment for: Leg Press, Chest Press, Leg Curl, Lat Pulldown, Leg Extension, Triceps Pushdown, and Biceps Curl. Multiple linear regression with stepwise removal was used to determine the best model to predict maximal strength for each exercise. Independent predictor variables identified (p<0.05) were height (cm); weight (kg); BMI; age; sex (0=F,1=M); regional lean masses (LM,kg); fat mass (FM,kg); fat free mass (FFM,kg); percent fat (%BF); arm, leg, and trunk lengths (AL, LL, TL;cm); and shoulder width (SW,cm). Analyses were performed with and without regional measures to accommodate scenarios where DEXA is unavailable. All models presented were significant (p<0.05, R2=0.68-0.83), with regional models producing the greatest accuracy. Results indicate that maximal strength for individual resistance exercises can be reasonably estimated in adults.



Fig. 1. Illustrations of the PEEP breathing valve as part of the PMP (Patent #10,252,021 and #9,555,201 B2). A) Airflow in during inspiration though the open, hinged central valve. B) Central hinged valve closes during exhalation. C) When exhaled pressure reaches about 4 cmH 2 O, the bottom of the grill face is forced open, and exhaled air flows out.
Fig. 2. _ VO2peak (A & B), peak oxygen pulse (C & D), and _ VO2 at ventilatory threshold (E & F) resulting from PMP breathing during the cycle ergometer graded exercise test (GXT). For each figure, data are presented as mean AE 95%CI for each trial as well as for the difference between trials. Type I error set at α ¼ 0.05 for all comparisons. For all significant comparisons, effect size (ES) is shown as Cohen's d statistic and interpreted as follows: <0.1, Negligible (N); 0.1-0.3, Small (SL); 0.3-0.5, Moderate (M); 0.5-0.7, Large (L); >0.7, Very Large (VL). PMP¼PEEP mouthpiece, CON ¼ control mouthpiece, NMP ¼ no mouthpiece.
Results ventilatory threshold endurance ride (VTER).
Wearable Positive End-Expiratory Pressure Valve Improves Exercise Performance

July 2020

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319 Reads

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1 Citation

Sports Medicine and Health Science

We tested a PEEP (4.2 cmH2O) mouthpiece (PMP) on maximal cycling performance in healthy adults. Experiment-1, PMP vs. non-PMP mouthpiece (CON) [N=9 (5♂), Age=30±2 yr]; Experiment-2, PMP vs. no mouthpiece (NMP) [N=10 (7♂), Age=27±1 yr]. At timepoint 1 in both experiments (mouthpiece condition randomized) subjects performed graded cycling testing (GXT) (Corival® cycle ergometer) to determine V˙O2peak (ml*kg*min⁻¹), O2pulse (mlO2*bt⁻¹ ), GXT endurance time (GXT-T(s)), and V˙O2(ml*kg*min⁻¹)-at-ventilatory-threshold (V˙O2 @VT). At timepoint 2 72 h later, subjects completed a ventilatory-threshold-endurance-ride [VTER(s)] timed to exhaustion at V˙O2 @VT power (W). One week later at timepoints 3 and 4 (time-of-day controlled), subjects repeated testing protocols under the alternate mouthpiece condition. Selected results (paired T-test, *<0.05): Experiment 1 PMP vs. CON, respectively: V˙O2peak= 45.2±2.4* vs. 42.4±2.3; V˙O2@VT= 33.7±2.0 vs. 32.3±1.6; GXT-TTE=521.7±73.4* vs. 495.3±72.8; VTER=846.2±166.0 vs. 743.1±124.7; O2pulse=24.5±1.4* vs. 23.1±1.3. Experiment 2 PMP vs. NMP, respectively: V˙O2peak=43.3±1.6* vs. 41.7±1.6; V˙O2@VT=31.1±1.2* vs. 29.1±1.3; GXT-TTE=511.7*±49.6 vs. 486.4±49.6; VTER 872.4±134.0 vs. 792.9 ± 122.4; O2pulse=24.1±0.9* vs. 23.4±0.9. Results demonstrate that the PMP conferred a significant performance benefit to cyclists completing high intensity cycling exercise.


Citations (39)


... [44] Choline, a precursor to acetylcholine, is vital for memory, mood, and muscle control. [45] Previous studies have linked choline and betaine, along with physical activity, to improved insulin sensitivity. At the baseline, it was 0.8-fold lower in subjects with diabetes compared to healthy control. ...

Reference:

Yoga Therapy Attenuates the Progression of Diabetes – Insights from Proteomics and Metabolomics Analysis
The Effect of Choline and Resistance Training on Strength and Lean Mass in Older Adults

... Furthermore, acute consumption of beetroot juice might improve aerobic exercise performance in prolonged cycling events that require alter-nations in relative intensity, from moderate to highVO 2 max (Dominguez et al. 2017). By contrast, the habitual consumption of high-or low-fat ground beef does not negatively alter vascular function (Lytle et al. 2023). Nonetheless, acute consumption of beef, but not bison, significantly reduces vascular endothelial function (McDaniel et al. 2013). ...

Assessment of Vascular Function in Response to High-Fat and Low-Fat Ground Beef Consumption in Men

... Unfortunately, the authors did not measure the dietary C intake. A low calorie diet may include a low C intake and possibly an induced C FAR. Lytle et al. [11] studied the effects of low-fat ground beef and high-fat ground beef on the voluntary adaptation of the food composition, on the serum lipoprotein levels, and on lipoprotein composition. Interestingly, the overall fat intake in the low-fat intervention period was lower than at entry. ...

Consuming High-Fat and Low-Fat Ground Beef Depresses High-Density and Low-Density Lipoprotein Cholesterol Concentrations, and Reduces Small, Dense Low-Density Lipoprotein Particle Abundance

... Previously, we have observed that a lower intake of choline was associated with reduced strength and lean mass gains following 12 weeks of resistance exercise training (RET) in 60-to-69-year-old individuals [13]. In that study, subjects' habitual, food-based choline consumption ranged between~49% and~85% of AI, and a positive linear relation was observed between choline intake and percent change in strength within that range [13]. ...

Low Intake of Choline Is Associated with Diminished Strength and Lean Mass Gains in Older Adults
  • Citing Article
  • September 2022

The Journal of Frailty & Aging

... In the current study, the sports that were collected could be less related to lower-body strength and more related to upper-body strength. Largely due to the heterogeneity of sports and the strength demands of these sports, the development of muscle and its relationship to leg strength may not be predicted as well as the trunk 36 . In other words, different sports require different body adaptations; so, the sport may have less of a demand on an individual's upper body or lower body (ex; soccer vs. baseball). ...

Predicting Muscular Strength Using Demographics, Skeletal Dimensions, and Body Composition Measures

Sports Medicine and Health Science

... Best practice guidelines recommend that participants be scanned after an overnight fast, in a euhydrated state, and refrain from intense exercise 24-h prior to scanning (7,33). However, most inaccuracies seen when best practice protocols are impractical will be reflected in lean mass compartmental shifts of water following acute exercise bouts (33,34) or food/fluid intakes (35). Best practice protocols also include appropriate operator training, calibration, positioning, and analyses of DXA scan results (7). ...

Effects of an Acute Strength and Conditioning Training Session on Dual-Energy X-Ray Absorptiometry Results
  • Citing Article
  • January 2020

The Journal of Strength and Conditioning Research

... It has been proposed that citrulline supplementation may enhance ammonia homeostasis, therefore enhancing muscular performance, given that urea is the major mechanism for eliminating ammonia, a stimulator of muscle tiredness (Breuillard et al., 2015). However, depending on the supplementation strategy utilized, testing this assumption has had inconsistent outcomes (Stanelle et al., 2020). Improved lactate and ammonia clearance during exercise has also been linked to increased plasma L-citrulline (Schaefer et al., 2002). ...

One Week of L-Citrulline Supplementation Improves Performance in Trained Cyclists
  • Citing Article
  • December 2019

The Journal of Strength and Conditioning Research

... A study conducted by Crouse et al. (2019) in Texas, United States, revealed that 472 subjects who were American-Style football athletes aged 18 years had an average VO2max value of 45 mL/min/kg, categorised as good. Research by Rosman & Anuar (2020) in a secondary school in Perak, Malaysia, showed that 20 football players under the age of 18 years had an average VO2max of 36.74 mL/min/kg, classified as low. ...

PREDICTING VO2 MAX FROM TREADMILL PERFORMANCE IN AMERICAN-STYLE FOOTBALL ATHLETES

The Journal of Strength and Conditioning Research

... Methodologically, it is harder to estimate total EE (TEE) using indirect calorimetry during strengthening and interval-type exercises such as BWRE since, compared with aerobic-type exercises (45), an individual's oxygen consumption ( _ VO 2 ) does not reach a steady state, _ VO 2 remains elevated post-exercise independent of fatigue (65), and it has a strong nonmitochondrial component (phosphagens, lactic acid system) that may contribute to the rise of _ VO 2 during recovery. As such, _ VO 2 was measured using indirect calorimetry both during and after exercise until it reached baseline values and coupled with lactate measurements pre-exercise and post-exercise (72). ...

Predicting Energy Expenditure of an Acute Resistance Exercise Bout in Men and Women

Medicine and Science in Sports and Exercise

... In previous studies, we demonstrated that in dogs with myxomatous mitral valve disease, both cardiac biomarkers have a high discriminatory ability, especially for cardiac dilatation [stage B2 in the most recent consensus statement from the American College of Veterinary Internal Medicine (ACVIM); Keene et al., 2019] and pulmonary oedema (Ogawa et al., 2021). However, cardiac biomarkers may be affected by salt intake, exercise, hydration status, and renal function, and these factors may cause abnormal values, even in the absence of cardiac problems (Engle and Watson, 2016;Joubert et al., 2018). Atrial natriuretic peptide (ANP) and B-type natriuretic peptide (BNP) are sensitive to hydration status because of their inhibitory action on the renin-angiotensin-aldosterone system, natriuretic activity, and vasodilator action (Daniels and Maisel, 2007;Tapolyai et al., 2013). ...

An Acute Bout of Aquatic Treadmill Exercise Induces Greater Improvements in Endothelial Function and Post-Exercise Hypotension than Land Treadmill Exercise: A Crossover Study

American journal of physical medicine & rehabilitation / Association of Academic Physiatrists