Podcasts about cardiorespiratory

Send us a textDiagnostic accuracy of an over-the-counter infant pulse oximeter for cardiorespiratory events.Travers CP, Nakhmani A, Armstead KM, Benz RL, Foshee KM, Carlo WA.Arch Dis Child Fetal Neonatal Ed. 2025 May 12:fetalneonatal-2025-328540. doi: 10.1136/archdischild-2025-328540. Online ahead of print.PMID: 40355254As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Cardiorespiratory fitness might be the strongest predictor of how long you'll live, with a massive study showing fitness level may have a more significant impact than traditional risk factors like smoking or diabetes.• Study of 122,000 people undergoing treadmill testing followed for eight years• People with elite fitness were 80% less likely to die than those with low fitness• Being unfit appeared worse for mortality than smoking, diabetes, or heart disease• Benefits were seen across all age groups and genders• Even modest improvements in fitness can make a significant difference• Benefits begin at 0.1-7.5 MET hours per week of activity• Optimal benefits occur at 22.5-75 MET hours weekly• Strength training benefits begin at once weekly and peak at 60 minutes per week• VO2 max can be tracked with fitness watches to monitor cardiorespiratory fitnessPlease send us an email at yourcheckuppod@gmail.com with questions or topics you'd like us to cover in future episodes.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Commentary by Dr. Erin Howden

John Konsin is co-founder and CEO of Prapela, a company pioneering noninvasive stimulation to improve infant breathing and oxygenation. The company's infant mattress technology has already received two Breakthrough Device designations from the US FDA, which expedites clearance for clinical usage. Prapela expects to debut an additional application based on the technology in 2025.  John and Wendy connected at the Redefining Early Stage of Investment (RESI) Conference in Boston, which Life Science Nation hosted. (Wendy recently interviewed Dennis Ford, founder and CEO of Life Science Nation, which specializes in fundraising for life sciences companies.) In this episode, John describes three clinical applications for Prapela's technology and outlines the company's global expansion strategy, focusing on providing valuable insight into navigating international markets, regulatory challenges, and cross-cultural communication.  The Science Behind Safer Sleep  At the heart of Prapela's innovation is that 62% of healthy infants experience irregular breathing patterns and oxygen desaturation in their first three months of life. The Collaborative Home Infant Monitoring Evaluation (CHIME) study monitored over 1,000 healthy infants at home using hospital-grade equipment to track their respiration, cardiac activity, movement, and oxygen saturation levels. Episodes varied in frequency, severity, and duration among babies—some experienced them once, while others showed multiple occurrences.  Most significantly, these breathing irregularities occurred not just in at-risk infants but in otherwise healthy babies, highlighting a previously unrecognized challenge in early infant development. (Ramanathan, R., et al. (2001). Cardiorespiratory events recorded on home monitors: Comparison of healthy infants with those at increased risk for SIDS. JAMA, 285(17), 2199-2207.)  Prapela's infant mattress helps to regulate babies' breathing through a gentle, barely perceptible vibration. The innovation grew out of research by Dr. David Paydarfar, who, in the 1990s, discovered that a specific type of random vibration, known scientifically as "stochastic" vibration, could improve the “pacemaker function,” the neurons in a baby's brain that controls automatic breathing. The vibration is so subtle it moves less than half the diameter of a human hair, making it effective and non-disruptive to sleep patterns.  The Hospital-First Strategy  The company has secured over $8 million in funding through grants and awards, allowing them to maintain control while developing their technology. John says this will enable the company to seek equity investment from a position of strength, with FDA clearance on the horizon and a clear path to commercialization.  Their market strategy began in hospitals, aiming to directly and immediately impact infant care in critical settings. This approach is grounded in decades of successful medical device launches, which built a foundation of clinical credibility before venturing into the broader consumer landscape. The technology has already demonstrated its potential, reducing reliance on supplemental oxygen and minimizing the need for traditional breathing interventions.  John envisions a future where "Prapela Inside" becomes as recognizable in infant care as "Intel Inside" is in computers, starting with the 52 global manufacturers of hospital bassinets and incubators:  [W]e we can make this mattress fit any infant sleep device worldwide. So it doesn't matter if it's an incubator, bassinet, crib, or cot, as they use the term in international markets, right? We can make it fit those products. So, our strategy is similar to that of Intel with the microchip. You'll see a little badge when you buy a computer from Dell or some other company. It says Intel inside.  By positioning their technology as a vital component that transforms standard infant care equipment into advanced breathing support systems, Prapela aims to revolutionize hospital infant care worldwide. Following FDA approval, Prapela plans to pursue regulatory clearance in other markets, initially focusing on Europe, India, and the Middle East. The sequential approach allows them to leverage their FDA clearance while adapting to local regulatory requirements in each new market.  Cultural Intelligence in Global Marketing  John offers valuable insight into cross-cultural communication and marketing. He emphasizes several key principles for successful global expansion:  Language Simplification: English is widely spoken in international business, but vocabulary depth varies significantly. John advocates using simpler terms and friendly communication to bridge language gaps.  Local Market Adaptation: Success in one market doesn't guarantee success in another. Companies must adapt messaging, pricing, and marketing approaches to local market conditions rather than forcing an American-centric approach.  Brand Management: While maintaining global brand consistency is essential, give local managers some latitude in adapting messages to their markets. This is particularly critical when moving from clinical to consumer marketing, where terms like "calmness" might carry different cultural connotations across markets.  He underscores the importance of remaining open to and respectful of local customs and traditions in international business relationships with a memorable story from his early career in Mexico. The general managers of manufacturing operations presented him with a stuffed armadillo. Initially puzzled by the gift, he later learned it symbolized appreciation for his patience and understanding of their culture.  Brand Identity Across Borders  John explains that "Prapela" was carefully constructed from Latin roots to create a unique name that wouldn't carry unintended meanings in other languages. This thoughtful approach helps avoid the pitfalls that some major companies have encountered, such as the famous case of Chevrolet's Nova in Latin American markets, where the name unfortunately translated to "doesn't go."  The company's branding strategy balances global consistency with local flexibility from the outset. It maintains core clinical messaging that resonates with medical professionals worldwide while recognizing the need for nuanced consumer-market approaches. John explains that exercise is particularly important when communicating concepts like infant calmness or comfort, as cultural interpretations can vary significantly.  Listen to the full episode to learn more about Prapela's innovative approach to their technology and market entry strategy.    Links:   Website: https://www.prapela.com/  LinkedIn: https://www.linkedin.com/in/jkonsin/    Connect with Wendy - https://www.linkedin.com/in/wendypease/  Music: Fiddle-De-Dee by Shane Ivers - https://www.silvermansound.com 

Research and articles about senior health and wellbeing include:"Social Security Retirement Age Going Up In 2025: What It Means In MD". "Patch.com". Link: https://patch.com/maryland/belair/md-social-security-retirement-age-change-2025"Coffee may help prolong lifespan by almost 2 years, on average". "MedicalNewsToday.com". Link: https://www.medicalnewstoday.com/articles/coffee-may-help-prolong-lifespan-by-almost-2-years-on-average"Not money, not fame: An 85-year-long study shows what makes us happiest". "MSN.com". Link: https://www.msn.com/en-us/health/wellness/not-money-not-fame-an-85-year-long-study-shows-what-makes-us-happiest/ar-AA1q2xEc"Holiday stress can lead Alzheimer's patients and those with dementia to go missing". "MedicalXpress.com". Link:: https://medicalxpress.com/news/2024-12-holiday-stress-alzheimer-patients-dementia.html"Reading books over watching TV linked to lower dementia risk". "MedicalXpress.com". Link: https://medicalxpress.com/news/2024-12-tv-linked-dementia.html"You can't remember what you can't hear: The hearing loss, brain-health link". "MedicalXpress.com". Link: https://medicalxpress.com/news/2024-12-loss-brain-health-link.html"How can I manage my health anxiety?"  "Happiful". Link: https://cdn.mc-weblink.sg-mktg.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-Q7GafbzQ=="How and why music can reduce distress in people with dementia: A blueprint for personalized music therapy". "MedicalXpress.com". Link: https://medicalxpress.com/news/2024-12-music-distress-people-dementia-blueprint.html"Walking in a rhythmic wonderland with holiday songs that could help save lives". "MedicalXpress.com". Link: https://medicalxpress.com/news/2024-12-rhythmic-wonderland-holiday-songs.html"Cardiorespiratory fitness could protect cognitive health as we age". "MedicalNewsToday.com". Link: https://www.medicalnewstoday.com/articles/cardiorespiratory-fitness-could-protect-cognitive-health-as-we-age"What to know about exercise after being sick". "MedicalNewsToday.com". Link: https://www.medicalnewstoday.com/articles/exercise-after-being-sick"Best Humidifiers of 2024". "ConsumerReports.org". Link: https://www.consumerreports.org/appliances/humidifiers/best-humidifiers-of-the-year-a1138350061/"Best Smoke and Carbon Monoxide Detectors of 2024". "ConsumerReports.org". Link: https://www.consumerreports.org/home-garden/smoke-carbon-monoxide-detectors/best-smoke-and-carbon-monoxide-detectors-of-the-year-a9237799621/---Host:Stephen Carter - Website: https://StressReliefRadio.com - Email: CarterMethod@gmail.com---Technical information:Recording and initial edits with Twisted Wave. Additional edits with Amadeus Pro, Hush, Levelator, and Audacity (click removal).  Final edits and rendering with Hindenburg Pro Microphone: Earthworks Ethos.---Keywords:senior_health, senior_wellbeing, heart_health, dementia, senior_happiness, Alzheimer's_Disease, ---

HEALTH NEWS   ·         Can your diet help reduce brain iron and cognitive decline? ·         Mediterranean diet linked to reduced risk of inflammatory bowel disease ·         Cardiorespiratory fitness linked to preservation of cognitive abilities in older age ·         Increasing polyunsaturated fatty acid intake, including omega-3, associated with longer life ·         People with a positive attitude are built differently, suggests study ·         Study finds ultra-processed foods may increase colorectal cancer risk

Send us a textIn this episode of the podcast, Robin McNelis joins me again for part 2 of a series where we aim to cover a variety of topics which will support pacing/micropacing and much more. In this episode we discuss the exertion types and what uses energy, we recap on what pacing is and why it is important when you live with a chronic condition such as ME and long covid. Robin discusses the principles of pacing and the varying forms of pacing, we discuss listening to your body and the challenges of this with PEM/PESE. Robin explains how monitoring your HR/HRV is important, what is available to monitor this data and how to understand what level to set your alerts at to remain within the anaerobic threshold. We discuss the lactate threshold and Robin explains the zones of this threshold and how important it is to remain within the lactate threshold, especially those with PEM. Robin advises how the lactate threshold can be tested at home, and clinical testing. We additionally discuss how those with Orthostatic intolerance, PoTs can find it challenging to maintain their heart rate within their threshold due to heart rate spikes. Robin gives some great advice on how to support this and lots of other amazing information and advice throughout this podcast, so grab a cuppa and have a listen. As always thank you for listening to the podcast, take care #onedayatatimeLinks from today's episodeWebsite:https://www.robinthephysio.co.ukhttps://twitter.com/robinthephysiohttps://www.instagram.com/robinthephysio My Links:Long Covid clinic -Dr Binita Kane & Julie Taylor; Email: info@thelongcovidclinic.co.uk for more information Episode sponsor; Turnto - This is a brilliant app, a one stop shop to support anyone living with, caring for or supporting and additionally professionals working with people living with Long Covid and or MECFS - please mention The Long Covid podcast n the "how did you hear about us" section, thank you https://turnto.ai/download?utm_source=link&utm_medium=share&utm_campaign=livinglongcovidpodcastLinktree:https://linktr.ee/joulestXhttps://twitter.com/julieTa58407536Facebook page:https://www.facebook.com/livingwithlongcovid/Instagram:https://www.instagram.com/julie_livingwithlongcovidPlanners:https://amzn.eu/d/9v9MP4vReturn to work planner:https://amzn.eu/d/1QVK8zn Well being planner:https://amzn.eu/d/a1Safxc

About Brady:Brady Holmer is a researcher and science writer. He has a Master's degree in Human Performance from the University of Florida. He frequently writes about exercise and nutrition in his popular newsletter, Physiologically Speaking, a publication dedicated to providing the latest science-based information on health and human performance. Links:Learn more about Brady at his website, bradyholmer.comFollow Brady on X (@B_Holmer)

Send us a textThis is part 1 of a series with Robin McNelis, Clinical Specialist Cardiorespiratory physiotherapist. In this episode we discuss pacing and micro pacing, how it can be challenging to understand and to navigate. Robin explains the principles of pacing, identifying triggers, the lactate threshold and how to break down tasks and why this is important. Robin shares his own journey and how he identified his activity triggers and applied micro pacing. He explains how certain tasks can use the same energy requirement however the mechanics/movement of certain tasks can be more of a trigger spiking the heart rate and causing PEM/PESE. Robin discusses the difference between a strength issue and a fatigue issue. How it is not always understood that PEM is a physiological issue, not a muscle wasting issue.We talk about the lactate threshold and the protocol Robin has developed to test a person's lactate threshold. We will discuss this further on a future podcast episode. Have a listen to this episode of the podcast to find out so much more; if you would like to contact Robin his details can be found below. Thank you for listening to the podcast and as always #onedayatatime. Links from today's episodeWebsite:https://www.robinthephysio.co.ukhttps://twitter.com/robinthephysiohttps://www.instagram.com/robinthephysioMy Links:Long Covid clinic -Dr Binita Kane & Julie Taylor; Email: info@thelongcovidclinic.co.uk for more information Episode sponsor; Turnto - This is a brilliant app, a one stop shop to support anyone living with, caring for or supporting and additionally professionals working with people living with Long Covid and or MECFS - please mention The Long Covid podcast n the "how did you hear about us" section, thank you https://turnto.ai/download?utm_source=link&utm_medium=share&utm_campaign=livinglongcovidpodcastLinktree:https://linktr.ee/joulestXhttps://twitter.com/julieTa58407536Facebook page:https://www.facebook.com/livingwithlongcovid/Instagram:https://www.instagram.com/julie_livingwithlongcovidPlanners:https://amzn.eu/d/9v9MP4vReturn to work planner:https://amzn.eu/d/1QVK8zn Well being planner:https://amzn.eu/d/a1Safxc

Kylee and Zoë take a magic school bus ride into the microbiome! We go back (waaay back) into the origins of the human microbiome and examine the research on how gut biota affects and interplays with athletic performance. Put your gloves on, because we're digging into Zoë's microbiome to get to know her on a very, very intimate level (the microbial level!). We also discuss common and uncommon causes of GI distress and what athletes can do to support their gut health (spoiler alert: you probably don't need all that kombucha). Yong, E. (2018). I contain multitudes: The microbes within US and a grander view of life. Ecco, an imprint of HarperCollinsPublishers.  Mohr, A.E., Jäger, R., Carpenter, K.C. et al. The athletic gut microbiota. J Int Soc Sports Nutr 17, 24 (2020). https://doi.org/10.1186/s12970-020-00353-w Bressa, C., Bailén-Andrino, M., Pérez-Santiago, J., González-Soltero, R., Pérez, M., Montalvo-Lominchar, M. G., Maté-Muñoz, J. L., Domínguez, R., Moreno, D., & Larrosa, M. (2017). Differences in gut microbiota profile between women with active lifestyle and sedentary women. PLOS ONE, 12(2). https://doi.org/10.1371/journal.pone.0171352  Clarke SF, Murphy EF, O'Sullivan O, et alExercise and associated dietary extremes impact on gut microbial diversityGut 2014;63:1913-1920. Estaki, M., Pither, J., Baumeister, P. et al. Cardiorespiratory fitness as a predictor of intestinal microbial diversity and distinct metagenomic functions. Microbiome 4, 42 (2016). https://doi.org/10.1186/s40168-016-0189-7 Jang, LG., Choi, G., Kim, SW. et al. The combination of sport and sport-specific diet is associated with characteristics of gut microbiota: an observational study. J Int Soc Sports Nutr 16, 21 (2019). https://doi.org/10.1186/s12970-019-0290-y Petersen, L.M., Bautista, E.J., Nguyen, H. et al. Community characteristics of the gut microbiomes of competitive cyclists. Microbiome 5, 98 (2017). https://doi.org/10.1186/s40168-017-0320-4 Flint, H. J., Scott, K. P., Duncan, S. H., Louis, P., & Forano, E. (2012). Microbial degradation of complex carbohydrates in the gut. Gut Microbes, 3(4), 289–306. https://doi.org/10.4161/gmic.19897 Scheiman J, Luber JM, Chavkin TA, MacDonald T, Tung A, Pham LD, Wibowo MC, Wurth RC, Punthambaker S, Tierney BT, Yang Z, Hattab MW, Avila-Pacheco J, Clish CB, Lessard S, Church GM, Kostic AD. Meta-omics analysis of elite athletes identifies a performance-enhancing microbe that functions via lactate metabolism. Nat Med. 2019 Jul;25(7):1104-1109. doi: 10.1038/s41591-019-0485-4. Epub 2019 Jun 24. PMID: 31235964; PMCID: PMC7368972. Marttinen, Maija, Reeta Ala-Jaakkola, Arja Laitila, and Markus J. Lehtinen. 2020. "Gut Microbiota, Probiotics and Physical Performance in Athletes and Physically Active Individuals" Nutrients 12, no. 10: 2936. https://doi.org/10.3390/nu12102936

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances discusses a recently published original research paper on the feasibility of an Augmented 6-Minute Incremental Step Test.

Would you run 100 miles with zero calories? Should you? In episode two, we break down the history - and the science - of fasting. We dive into why athletes seem drawn to a mentality of doing more with less fuel and the potential benefits of fasting compared with the downsides. Melin A, Tornberg ÅB, Skouby S, Møller SS, Sundgot-Borgen J, Faber J, Sidelmann JJ, Aziz M, Sjödin A. Energy availability and the female athlete triad in elite endurance athletes. Scand J Med Sci Sports. 2015 Oct;25(5):610-22. doi: 10.1111/sms.12261. Epub 2014 May 30.  Fensham NC, Heikura IA, McKay AKA, Tee N, Ackerman KE, Burke LM. Short-Term Carbohydrate Restriction Impairs Bone Formation at Rest and During Prolonged Exercise to a Greater Degree than Low Energy Availability. J Bone Miner Res. 2022 Oct;37(10):1915-1925. doi: 10.1002/jbmr.4658. Epub 2022 Aug 10. Vilaça-Alves J, Muller F, Rosa C, Payan-Carreira R, Lund R, Matos F, Garrido N, Saavedra FJ, Machado Reis V. Cardiorespiratory, enzymatic and hormonal responses during and after walking while fasting. PLoS One. 2018 Mar 1;13(3):e0193702. doi: 10.1371/journal.pone.0193702. PMID: 29494664; PMCID: PMC5833199. Roche, D. (2021, June 11). Fasted training may have long-term risks, especially for female athletes. Trail Runner Magazine. https://www.trailrunnermag.com/training/trail-tips-training/fasted-training-may-have-long-term-risks-especially-for-female-athletes/ Oakes, John. The Fast: The History, Science, Philosophy, and Promise of Doing Without. United States, Avid Reader Press / Simon & Schuster, 2024. The works of Benjamin Franklin, Vol. xi letters and MISC. writings 1784-1788: Online library of liberty. The Works of Benjamin Franklin, Vol. XI Letters and Misc. Writings 1784-1788 | Online Library of Liberty. (n.d.). https://oll.libertyfund.org/titles/franklin-the-works-of-benjamin-franklin-vol-xi-letters-and-misc-writings-1784-1788 Sandip T Gaikwad, "Apprehending Concept, Canons and Types of Fasting in Buddhism", International Journal of Innovative Research and Creative Technology vol. 2, issue 4, pp. 164–168. 2017.

About Peter:Dr. Sprague holds the positions of Assistant Professor of Rehabilitation Medicine and Assistant Professor of Orthopaedics in Emory University's School of Medicine. His primary teaching appointment is within the Physical Therapy Division in the Emory School of Medicine where he is the co-course coordinator for the Musculoskeletal Rehabilitation course, the course coordinator for the Introduction to Interventions course, and course coordinator for a course he developed entitled “A Movement System Approach to the Orthopaedic Client.”  He is a Board Certified Clinical Specialist in Orthopaedic Physical Therapy and currently serves on the Committee of Content Experts for the American Board of Physical Therapy Specialties.  Dr. Sprague has extensive clinical experience working with high school and collegiate athletes in an interprofessional team setting and has assisted in the development and implementation of screening procedures assessing for musculoskeletal injury risk for collegiate and professional sports organizations. He has an active research agenda exploring movement as it relates to outcomes following ACL reconstruction and is interested in exploring teaching methodology that promotes learning related to the identification and treatment of movement dysfunction that results in pain and injury or is caused by pain and injury. Dr. Sprague lives in the Atlanta area and enjoys outdoor activities with his wife and 3 dogs.

About Jonathan:Jonathan Fisher, MD, FACC, is a cardiologist, certified mindfulness teacher, and well-being and resiliency leader at Novant Health, supporting a team of 38,000. He is also the founder of Mind Heart Now LLC, delivering keynotes and workshops on mindfulness, stress mastery, total well-being, and heart-centered leadership for teams and organizations globally including IBM, Bank of America, IE Business School (Madrid), the American College of Lifestyle Medicine, and many others. He is a founding board member of The Charlotte Center for the Humanities and Civic Imagination; co-founded the Ending Clinician Burnout Global Community; and organized the world's first global summit dedicated to ending clinician burnout, with over a thousand participants from 43 countries. Dr. Fisher completed his medical training at Mt. Sinai School of Medicine in New York City and Harvard University.He lives in Charlotte with his wife, Julie, their three teen-aged children, and two doodle dogs, Cosmo and Hugo.Dr. Fisher's mission is to help others harness the power of the mind-heart connection to create a kinder, more compassionate world. Links:Connect with Jonathan on LinkedIn at https://www.linkedin.com/in/happyheartmd/Visit Jonathan's website, https://www.drjonathanfisher.com/Order Just One Heart: A Cardiologist's Guide to Healing, Health, and Happiness at https://a.co/d/31aUl69

Dr. Jeff Moore // #LeadershipThursday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, ICE Chief Executive Officer Jeff Moore discusses three fundamentals to working with individuals new to a fitness routine who encounter their first injury: avoid medical imaging, stay in the gym & modify around the injury, and be goal-driven to maintain motivation to continue to create a fitness habit. Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about courses designed to start your own practice, check out our Brick by Brick practice management course or our online physical therapy courses, check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION INTRODUCTION Hey everybody, Alan here, Chief Operating Officer at ICE. Thanks for listening to the P-10 ICE Daily Show. Before we jump into today's episode, let's give a big shout out to our show sponsor, Jane. in online clinic management software and EMR. The Jane team understands that getting started with new software can be overwhelming, but they want you to know that you're not alone. To ensure the onboarding process goes smoothly, Jane offers free data imports, personalized calls to set up your account, and unlimited phone, email, and chat support. With a transparent monthly subscription, you'll never be locked into a contract with Jane. If you're interested in learning more about Jane or you want to book a personalized demo, head on over to jane.app.switch. And if you do decide to make the switch, don't forget to use our code ICEPT1MO at sign up to receive a one month free grace period on your new Jane account. JEFF MOOREAlright crew, what's up? Welcome back to the P.T. on Ice Daily Show. I am Dr. Jeff Moore, currently serving as the CEO of Ice and always thrilled to be here on a Leadership Thursday, which is always a Gut Check Thursday. So first things first, let's hit the workout. Gut Check Thursday this week is going to be a bit of a partner WOD. So we've got four times, relatively simple. It's going to be 100 deadlifts, 100 power cleans, 100 power snatches. The weight is going to be 225-155 on the deadlifts, 135-105 on the power cleans, and then 95-65 on those power snatches. Essentially, you're going to decrease load with each movement, but obviously increasing complexity, and maybe more importantly, increasing grip fatigue. I'm looking at that workout thinking, boy, that's a lot of pulling on that barbell, but it's in teams of two, so break it up however you want, maybe five, maybe 10 reps on some of those things, and then pass it over to your partner, bang all of that out for time, and then post it so we can see how you did. Tag Ice Physio, hashtag Ice Train. I'm gonna do this at three o'clock with Say over at CrossFit Endure, our marketing director. We're gonna challenge this workout. I will make sure to post my time. so you have something to try and smash later on today or tomorrow whenever you have a chance to get to the workout. So that is Gut Check Thursday. Let's move on to the episode. THE ROAD TO FITNESS RUNS THROUGH MUSCULOSKELETAL PAIN We are talking about the fact that their life is in your hands. It sounds a little dramatic. I don't think it is, okay? We're gonna start off with the fact that whether we like it or not, we have to acknowledge it's true and that is the fact that the road to fitness runs through musculoskeletal pain. The road to fitness runs through musculoskeletal pain. We don't have to like that to acknowledge the reality of that. Meaning, if you're gonna take somebody who's relatively sedentary, is not on the path yet, and you're gonna bring them all the way to fitness, right? So through wellness, all the way to fitness, that journey, requires a lot of loading, and a lot of challenging, and a lot of recovering, and a lot of programming, and a lot of strain, and stress, and rebuilding, and remodeling. It is a journey, right, that involves a lot of stress to the organism, right, to be able to get it to adapt, to get to a point where you achieve fitness. You don't get there, first of all, quickly, and second of all, without ever experiencing any kind of symptoms, right? That's a lot of stress to the system. You're going to have some bumps and bruises and strains. I'm not talking about major injuries, but you're going to be working through some stuff, right? How we manage that stuff, especially acutely. And when I say we, I mean the entire team, right? Coaches, trainers, physios, chiros, fitness forward physicians, right? Everybody who these individuals are beginning to trust to guide them along this journey, how we all swoop in and manage the acute response to someone developing symptoms is going to dictate whether or not they stay on the path. And from our perspective, if they stay on the path, is a huge variable in the quality of their life. MANAGING THE INITIAL RESPONSE TO ACUTE INJURY DICTATES LONG-TERM OUTCOMES So when I say life is in your hands, what I mean is managing the initial response to someone's acute injury onset dictates probably the longevity, probably the level of thriving, probably the health span. That's why I'm saying life is in your hands because the way you respond to this will dictate those things. And those things really are the quality of this person's life. So let me tell you the three things specifically. that when someone develops symptoms in the gym, that our response kind of hangs in the balance whether or not this person continues along this path that we believe drives so many of the important metrics of the quality of someone's existence. Okay, so if an athlete develops symptoms, right, you're not going to get into a case study of how or why. It happens all the time. Somebody tweaks something, they develop symptoms. Here's the three things. AVOID MEDICAL IMAGING Number one, they avoid medical imaging, advanced medical imaging. If we want this person to stay on the path to fitness and they've recently developed symptoms, the number one most important thing is that they avoid advanced medical imaging, okay? We now know the problem, right? That most asymptomatic people have abnormal findings on imaging that can be really scary and knock someone off the path. I am not gonna get in to the myriad of studies here. Nobody reasonably well-read is gonna push back on this podcast and say that isn't true, right? We have now known for well over a decade, you think back to 2012 when the American Journal of Sports Medicine, right, took that cohort of folks, average age of 38. How many had abnormalities in their hips, asymptomatic people? 73%. How many had labral tears? 69%. No hip pain whatsoever, asymptomatic people. You think about that classic Brzezinski article, right? Not article, but systematic review paper. Took a bunch of different publications, bundled them all together, looked at the data, what did we see? Your average asymptomatic person, meaning no low back pain whatsoever, in their 50s. 80% disc degeneration, 60% disc bulges. We now know the average asymptomatic person has all of these findings on their imaging that can be concerning. This is why we focus on tissue health, not tissue shape. What we now all acknowledge is that your connective tissue changes over time in your face, inside your body, your spine, your labrum, right? It changes over time. It doesn't tend to correlate well to symptoms. The problem is if someone just got hurt, If they just started experiencing pain and they're nervous, right? And they're vulnerable and they get that image and they see something that looks kind of scary, it sticks with them. It bumps them off the path. They have a hard time letting it go. They say, well, yeah, I might be able to get healthier, but I saw that cartilage. It was torn. We're not going to fix that unless we go in there and fix that, right? And they get extremely fixated on this. They begin to lose confidence. in the rehab or strength and conditioning process. It really, really sticks. What we know is when that person develops symptoms, we could have sent the other 10 people in that class to get an image and we would have seen the same stuff, but it doesn't matter. We can say that until we're blue in the face. We have said that until we're blue in the face. When the person's injured, when they feel vulnerable, when they're in pain, when they're in that decision-making process and they get that image and they see something that looks scary and maybe somebody in the medical industrialized complex made it sound scary, Those things make it very, very difficult to keep that person on the path. So getting them to avoid that unnecessary image is a massive part of the acute triage process if we want to keep this person moving towards fitness. Now, it always is worth saying, But certainly there are some times when they should get an image. Of course there are. And that is why physios, chiros, physicians, I'm challenging you all to make sure you're available to these gym owners and these coaches that when something does happen, you've got that direct access training and license where you can come in and make that tough call. And it's a tough call on either side. Because if you do send them, we're risking this thought virus we're talking about here. If you don't send them and they needed it, you're possibly putting that person at significant risk. So don't make gym owners make that call. Don't make coaches make that call. This is what you're trained for. Get in there and make that call. And make sure that the gym owners know you're available that day for a quick consult to get that person's mind off of that possibility when that's appropriate, which usually it is, or doing the appropriate triage if it's necessary. Get that part accomplished, okay? Alright, number one, if you want to keep them on the path, avoid advanced medical imaging unless it's absolutely necessary. Have somebody qualified to make that tough call so that you can get over that hurdle quickly and efficiently. DON'T LEAVE THE GYM; USE THE GYM Number two, if you don't want them to fall off the path, You've got to convince them they don't need to leave the gym, they need to use the gym. People when injured, when in pain, are going to make a very broad assumption that they shouldn't be in the gym. It's the first thing they're going to say, right? They're going to go to put that membership on hold. Your job on the same day of injury is to help them realize that everything they need is actually in that gym. All the tools to rehab the injury that occurred are right there in that gym. The ability to regress the skill that maybe they were inefficient with is why they wound up straining something. are right in that jam. You can regress everything and build a better foundation so next time you get up to that PR or that new movement, you're more ready for it, you're doing it more efficiently, and you've done the accessory work so that you're not stressing different structures at an unnecessary rate, and now you're having a lot more success with these movements. All of those abilities, whether it's to rehab the area, to work on the skill that you struggled with, to build a better foundation, Those tools only exist in the gym. The number one place you should be after injury is in the gym. So don't let them leave, right? So help them understand that you might not do exactly what you just did, you will in a few months, but everything around here is what we're gonna use to make sure you can if you want to. Helping them realize, whoa, whoa, whoa, whoa, you don't need to be leaving the gym, you're gonna use this place, right? That's a critical part of the acute triage process. GET OBSESSED WITH GOALS And finally, number three, Get them obsessed with new goals or at least new angles at the same ones. What I mean by this? is that motivation is fleeting, especially in people that don't have well-formed habits yet, right? Something, some confluence of factors happened in their life where all of a sudden they became someone who goes to the gym, okay? That is a pretty fragile ecosystem early on. We know how tough habit formation is, you're learning new skills. Motivation can be fleeting and fragile. You gotta shift it, don't lose it. shift it, don't lose it. Get inside that person's brain quickly and figure out why they were coming to the gym and show them that they can achieve that while working around the injured area. If that person says, well, I'm here because I've been listening to so many podcasts and it sounds like Cardiorespiratory fitness is a massive predictor of longevity and healthspan and decreasing all-cause mortality. All the things, right? Like, I'm in, but I hurt my knee. So now I can't do the bike and run, etc. So I'm going to call it quits for a bit. You sure are not going to do that. You are going to be on the ski erg, right? Because those things don't involve high or low to those areas, but we can still challenge your cardiorespiratory fitness. We are going to get them obsessed with a different goal, right? If they had a gymnastics goal and right now their shoulders tweaked, we're going to help them realize there's nine other similar goals that don't involve that area that we have a very specific program to move towards. And we're going to get them obsessed with getting that goal. And then we're going to swoop right back around and get on the same path and grab the other one. We're just going to show them. There are so many amazing things that we can do in here. to keep chasing your original goal, add on new goals, work around the injuries, and still achieve everything you set out to do, we understand that motivation is fleeting and fragile. We are going to help them take that motivation they've got right now, and we're going to shift it a little bit. We are not going to let them lose it. And you've got to be convincing in that acute phase, because they're going to make some heavy-handed decisions with all that emotional energy, with pain on board, and you've got to be there to guide that process. SUMMARY Team… Whether people choose to chase fitness during their lives is going to be a huge predictor of the quality of their lives. As they chase fitness, they are going to have soreness. They are going to tweak things. We are not going to load the system for years and years and never bump into any of this stuff. How we as a support system come alongside that person in that acute emotional time when they're having pain is going to dictate if they stay on the path. If we can get them to avoid advanced medical imaging when unnecessary, if we can get them to stay in the gym and use it versus leaving it, and if we can take that motivation they have and shift it as opposed to getting rid of it, we can get this person staying on the path. and we can change the entire rest of their lives, their family's lives, everybody they interact with, their life is in your hands. Be a great resource. Think about those three things in that acute management phase. I hope it helps, team. Thanks for being here on Leadership Thursday. As far as courses coming up, We've got a bunch of them. Ice Sampler is coming up at the end of this month in just a couple weeks in Carson City. We're actually going to put a limited amount of tickets on sale for 2025 because we know this event is hard to get into. It sold out in one day last year so we're trying to make tickets available at different times to give folks an opportunity to be a part of the event in 2025. But before then, we've got a bunch of courses. We had 12 last weekend. I think we have another dozen coming up over the next weekend or two before Sampler. So get on PTNICE.com, check those out. A lot of online courses start on April 29th, which is only a few weeks away, and some of them only have a handful of seats. So get over to the website, check it out, have an awesome Thursday, do gut check. We'll see you next week, team. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.  

Chuck Biddle PhD, CRNA is a Professor Emeritus of anesthesiology at Virginia Commonwealth University and served as the editor in chief of the AANA Journal for 35 years.  His anesthesia education & master's degree are from Old Dominion University and he completed his PhD in Epidemiology at the University of Missouri.   Chuck is one […]

Discuss supporting friends, customers, and distributors in their Wellness/Fitness.

In this episode, Erik and Dr. Stephanie explore how to determine the right intensity and duration of exercise for your body, essential metrics to monitor, and even the influence of the menstrual cycle on your training. They discuss training residuals, compensatory acceleration, sleep quality for women in their thirties, forties, and fifties, and ways to achieve better sleep outcomes for enhanced physical performance. Additionally, they touch on balancing the parasympathetic and sympathetic nervous systems.The conversation wraps up with an intriguing discussion on building a supportive community, where they ask, 'How do you know what makes a good friend?' You won't want to miss this enlightening episode and make sure to stick around all the way to the end.Bio:Dr. Erik Korem has always been driven by a relentless pursuit of high performance. As time progressed, that drive became a purpose — to improve the lives of others in ways they didn't know were possible. Whether fueling the performance of NCAA athletes or the U.S. Dept. of Defense, implementing one of the NFL's first sports science programs, or coaching Olympic gold medalists, his desire to leave people and places better than he found them is unwavering. Resources mentioned in this episode:The Effect of Fluid Periodization on Athletic Performance Outcomes in American Football Players - https://uknowledge.uky.edu/cgi/viewcontent.cgi?article=1023&context=khp_etdsStop Exercise Burnout - https://www.stopexerciseburnout.comConnect with Erik at:www.aim7.com use the code BETTER for a free monthwww.erikkorem.com Instagram: https://www.instagram.com/erikkorem/Twitter: https://twitter.com/erikkoremLinkedIn: https://www.linkedin.com/in/erikkorem/Episode Overview:0:00:00 Intro0:00:35 Dr. Stephanie introduces Dr. Erik Korem and reads a listener's review0:05:15 What is the best way to train?0:09:11 The importance of strength and hypertrophy training0:18:12 Maximal oxygen utilization and decline in max heart rate0:27:16 Adjusting training based on stress response0:35:03 Training for muscle stimulation and parasympathetic system activation0:43:26 Agility training for speed and quickness0:43:53 Training for speed and power (the phosphocreatine system)0:53:03 Creating awareness of wellness with daily self-assessment1:01:12 The benefits of light walking and taking breaks1:10:23 Cognitive restructuring and psychological flexibility1:14:35 Finding purpose and identifying core values1:18:15 The role of accountability and choosing trusted friends1:23:09 Embracing vulnerability and taking accountability in relationshipsWe'd like to thanks our sponsors:NeurohackerGo to https://neurohacker.com/better to try Qualia Senolytic and use code BETTER to get you 15% off your order.Beam MineralsHead over to https://beamminerals.com/better for 20% off of the entire store.

After being on the road for some conferences and workshops related to my business, Wayza Health, I'm glad to be back to share all the amazing learning I did with fellow coaches! I do sometimes encounter vitriol when I talk about health at every size, though it's usually online. So it caught me off-guard to have such an encounter in person. It's that interaction, as well as the conversation with other women that followed, that prompted me to engage on this topic today: the weight-centric health paradigm we all live in. Our society equates weight with health and I want to address why this persistent attitude prevails and why it's a fallacy.The World Health Organization regularly publishes information that shows increasing obesity rates globally, and those graphs are used to make weight a public health and social issue. Of course, those graphs are also based on BMI which we all know is a useless tool that I've addressed many times on this podcast. We live in an obesogenic environment and studies that are often quoted are incomplete or don't factor in other key factors. We also seem to have this unshakeable belief that weight loss is as simple as calories in, calories out or energy intake and energy expenditure. Nothing is that simple, certainly not weight. So what I want to do in this episode is address all these beliefs and counter them with facts and studies that prove, sometimes, the exact opposite of the “weight is the issue” outcome that most people cling to. Join me as I unpack the weight-centric paradigm and examine some truths about bodies and health.About Dr. Michelle TubmanDr. Michelle Tubman is a physician and health coach. She helps women ditch dieting and thrive at any size. For the longest time she believed that weight loss was the answer to all her problems. But decades of yo-yo dieting and restriction left her miserable, unhealthy, and exhausted. Now she teaches women how harmful dieting can be and shows them the way to true health and wellness.As a physician specializing in both emergency and obesity medicine, with additional training in nutrition, eating psychology, and coaching, Michelle can tell you with certainty that dieting is dangerous. Studies associate compromised health more with yo-yo dieting than higher body weight. Yet, everywhere you turn, shrinking your body is hailed as the solution. Women don't need to change. Attitudes do. So let's stop self-shaming, speak out against sizeism, and fiercely champion unconditional self-celebration!—Resources mentioned in this episode:“What's Wrong With the ‘War on Obesity?' A Narrative Review of the Weight-Centered Health Paradigm and Development of the 3C Framework to Build Critical Competency for a Paradigm Shift” by Lily O'Hara and Jane Taylor, May 16, 2018Ignaz Semmelweis and ‘the Semmelweis Reflex'__Learn more about Dr. Michelle Tubman and Wayza Health:Website: www.wayzahealth.comFollow me on Facebook and Instagram

We talk about research articles and hot topics. Research shows that small gains in cardiorespiratory fitness is tied to improved longevity. Cardiorespiratory fitness should be a key health fitness indicator.

Dr Glenn McConell chats with Professor Mike Tipton from University of Portsmouth, England. He is an absolute authority on exercise in extreme environments. We talked initially about his important work examining the causes and prevention of drowning in cold water. Autonomic conflict and triathlon mass starts. We then discussed exercise in the cold and cold adaptations and cross adaptation between cold, heat, altitude etc. Smart to pre-cool and cool after exercise in the heat? Mike is very heavily involved with translating his research to the media and lifesaving organizations etc. Very interesting work and a fun chat. Twitter: @ProfMikeTipton 0:00. Introduction 1:55. Most drowning in cold water not due to hypothermia 3:57. Cardiorespiratory effects of falling into cold water. Cold shock 6:40. Gasp response and drowning 7:35. Stay as still as possible, “Float to live” 10:23. Cold and pain receptors 14:20. Rapid loss of heat from the arms in cold water 16:17. Mike heavily involved with translating his research 22:00. Best to keep clothes on if fall in cold water 25:08. Autonomic conflict, anger, breath holding 28:20. Triathlon mass starts and drowning, breath holding 37:10. Concurrent sympathetic and parasympathetic activation 40:04. Marathon swims and difficulties in cold water 42:15. Arm vs leg exercise and blood pressure 44:00. Physiological effects of cold water on muscle 48:40. Griffith Pugh re English Channel swims/climbing Everest 51:10. Acclimation to cold 53:40. We've become thermostatic: not perturbing our systems 58:00. Preparing athletes for exercise in the heat 1:00:10. Increased lifespan but not healthspan 1:02:25. Climate change and people that are thermostatic 1:03:40. Cross adaptation between cold, heat, altitude etc 1:10:03. Cold immersion and immunity 1:12:03. Smart to pre-cool and cool after exercise? 1:17:35. Consider the physiology of the body and think integratively 1:21:45. Non freezing cold injury 1:25:10. Consider the risks and the benefits of cold water immersion 1:26:15. Takeaway messages 1:28:10. Be careful where you get your information from 1:31:02. Outro (9 seconds) Inside Exercise brings to you the who's who of research in exercise metabolism, exercise physiology and exercise's effects on health. With scientific rigor, these researchers discuss popular exercise topics while providing practical strategies for all. The interviewer, Emeritus Professor Glenn McConell, has an international research profile following 30 years of Exercise Metabolism research experience while at The University of Melbourne, Ball State University, Monash University, the University of Copenhagen and Victoria University. He has published over 120 peer reviewed journal articles and recently edited an Exercise Metabolism eBook written by world experts on 17 different topics (https://link.springer.com/book/10.1007/978-3-030-94305-9). Connect with Inside Exercise and Glenn McConell at: Twitter: @Inside_exercise and @GlennMcConell1 Instagram: insideexercise Facebook: Glenn McConell LinkedIn: Glenn McConell https://www.linkedin.com/in/glenn-mcconell-83475460 ResearchGate: Glenn McConell Email: glenn.mcconell@gmail.com Subscribe to Inside exercise: Spotify: shorturl.at/tyGHL Apple Podcasts: shorturl.at/oFQRU YouTube: https://www.youtube.com/@insideexercise Anchor: https://anchor.fm/insideexercise Google Podcasts: shorturl.at/bfhHI Anchor: https://anchor.fm/insideexercise Podcast Addict: https://podcastaddict.com/podcast/4025218 Not medical advice

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this special episode filmed live in front of readers of Outlive, Peter answers questions revolving around his concept of the centenarian decathlon. He starts by defining the “marginal decade” and how that shapes his training for the events and activities that make up his personal centenarian decathlon. Peter explains how he coaches patients through the challenges of customizing their own list and building out a training plan, including how to set fitness goals early in life in preparation for the marginal decade. From there, he dives into training within the four pillars (zone 2, VO2 max, stability, and strength), including the minimum effective dose, how to split your time, his personal protocols, and other considerations. Additionally, he touches on bone mineral density, female-specific considerations, working through injuries, and the profound impact training can have on the overall quality of life. We discuss: The best interventions for longevity [2:15]; The marginal decade and the centenarian decathlon [4:45]; Peter's personal list of events for his “centenarian decathlon” and how he helps patients create their own list [8:00]; Determining your fitness goals early in life in preparation for the marginal decade, metrics to track, and more [15:00]; How does playing sports like tennis, basketball, or golf fit into training for the centenarian decathlon? [24:15]; Training within the four pillars: minimum effect dose, how to split your time, and other considerations [27:45]; Advice for the older person and why it's never too late to start [33:45]; Bone mineral density and other female-specific concerns and considerations [36:15]; Training advice for those with minimal access to a gym or equipment [39:30]; Injuries: prevention and working through existing conditions [41:00]; Cardiorespiratory training: how to split time between zone 2 and VO2 max training, and different modalities for a true zone 2 workout [44:15]; VO2 max training: modalities, Peter's protocol, and how to monitor progress [54:45]; The profound impact training can have on the overall quality of life [58:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this special episode filmed live in front of readers of Outlive, Peter answers questions revolving around his concept of the centenarian decathlon. He starts by defining the “marginal decade” and how that shapes his training for the events and activities that make up his personal centenarian decathlon. Peter explains how he coaches patients through the challenges of customizing their own list and building out a training plan, including how to set fitness goals early in life in preparation for the marginal decade. From there, he dives into training within the four pillars (zone 2, VO2 max, stability, and strength), including the minimum effective dose, how to split your time, his personal protocols, and other considerations. Additionally, he touches on bone mineral density, female-specific considerations, working through injuries, and the profound impact training can have on the overall quality of life. We discuss: The best interventions for longevity [2:15]; The marginal decade and the centenarian decathlon [4:45]; Peter's personal list of events for his “centenarian decathlon” and how he helps patients create their own list [8:00]; Determining your fitness goals early in life in preparation for the marginal decade, metrics to track, and more [15:00]; How does playing sports like tennis, basketball, or golf fit into training for the centenarian decathlon? [24:15]; Training within the four pillars: minimum effect dose, how to split your time, and other considerations [27:45]; Advice for the older person and why it's never too late to start [33:45]; Bone mineral density and other female-specific concerns and considerations [36:15]; Training advice for those with minimal access to a gym or equipment [39:30]; Injuries: prevention and working through existing conditions [41:00]; Cardiorespiratory training: how to split time between zone 2 and VO2 max training, and different modalities for a true zone 2 workout [44:15]; VO2 max training: modalities, Peter's protocol, and how to monitor progress [54:45]; The profound impact training can have on the overall quality of life [58:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

HEALTH NEWS   ·         Mediterranean diet plus AREDS supplements slows macular degeneration ·         Too much time in front of a screen? Omega-3s may ease computer-related dry eye ·         Living in walkable neighborhoods can boost your social life — and your health ·         Cardiorespiratory fitness levels associated with lower cancer death in men ·         Combination of curcumin and bicalutamide enhanced the growth inhibition of androgen-independent prostate cancer cells ·         Single tick bite can pack double pathogen punch

Michele Zanini is a PhD candidate at the University of Loughborough studying the connection between running economy, durability, and strength training). He is also a physiologist and strength and conditioning coach with the Italian Triathlon Federation, and he has been working alongside the legendary running coach Renato Canova. This is part two of a two-part interview, part 1 was published last week in EP#393.           IN THIS EPISODE YOU'LL LEARN ABOUT: -The science of strength training and endurance performance -How to implement this type of strength training in practice -The difference between the strength training described in the scientific literature and what some leading experts are proposing -Working with Renato Canova (one of the greatest running coaches of all time)  -Canova's training principles and how amateur runners can apply them   SHOWNOTES: https://scientifictriathlon.com/tts394/   SCIENTIFIC TRIATHLON AND THAT TRIATHLON SHOW WEBPAGE: www.scientifictriathlon.com/podcast/   SPONSORS: Precision Fuel & Hydration help athletes perform at their best through their online tools, patented Sweat Test and range of electrolytes and fueling products. Use the free Fuel & Hydration Planner and receive a personalised plan for your carbohydrate, sodium and fluid intake. If you want further help, book a free 20-minute video consultation to chat through your plan. Listen out for the code in today's show to get 15% off your first order of PF&H electrolytes and fueling products. If you missed the code, just email hello@pfandh.com.   ZEN8 - The ZEN8 Indoor Swim Trainer is a unique Dryland Swim Trainer that allows you to improve technique, power, and swim training consistency. With the trainer you can do specific power and technique work, including working on your catch and core activation, and it helps you stay consistent even if you don't have much time to train. You can try the Zen8 risk-free for up to 30 days, and you can get 20% off your first order on zen8swimtrainer.com/tts.   LINKS AND RESOURCES: Michele's Twitter profile Strength training for endurance performance with Richard Blagrove, PhD | EP#292 Bent Rønnestad, PhD | EP#386 Matt Pendola | EP#387 Strength coach Erin Carson | EP#367 Peak Performance – The Science of Success with Brad Stulberg | EP#28 Nitrate loading, marathons, and endurance sports science with prof. Andy Jones | EP#187 Peak Performance: Elevate Your Game, Avoid Burnout, and Thrive with the New Science of Success - book by Brad Stulberg and Steve Magness El método Renato Canova. Claves del entrenamiento de maratón - Youtube video Strength training improves 5-min all-out performance following 185min of cycling - Rønnestad et al. 2009 Strength training improves performance and pedaling characteristics in elite cyclists - Rønnestad et al. 2014 Strength training improves cycling performance, fractional utilization of VO2max and cycling economy in female cyclists - Vikmoen et al. 2015 Strength training improves double-poling performance after prolonged submaximal exercise in cross-country skiers - Øfsteng et al. 2017 Heavy strength training improves running and cycling performance following prolonged submaximal work in well-trained female athletes - Vikmoen et al. 2017 Cardiorespiratory adaptations and performance improvement in response to high-intensity interval training in distance runners: physiological vs race pace approach - Mazzolari et al. 2022   RATE AND REVIEW: If you enjoy the show, please help me out by subscribing, rating and reviewing: www.scientifictriathlon.com/rate/   CONTACT: Want to send feedback, questions or just chat? Email me at mikael@scientifictriathlon.com or connect on Instagram, Facebook, or Twitter.

Heart rate characteristics and demographic factors have long been used to aid early detection of late-onset sepsis, however respiratory data may contain additional signatures of infection. In this episode we meet Early Career Investigator Brynne Sullivan from the University of Virginia. She and her team developed machine learning models to predict late-onset sepsis that were trained on heart rate and respiratory data to provide a cardiorespiratory early warning system which outperformed models using heart rate or demographics alone.Read the full article here: Cardiorespiratory signature of neonatal sepsis: development and validation of prediction models in 3 NICUs | Pediatric Research Hosted on Acast. See acast.com/privacy for more information.

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2023.05.02.539098v1?rss=1 Authors: Geva, S., Hoskote, A., Saini, M., Clark, C. A., Banks, T., Chong, K. W. K., Baldeweg, T., de Haan, M., Vargha-Khadem, F. Abstract: Copy rights belong to original authors. Visit the link for more info Podcast created by Paper Player, LLC

In this month's podcast, Journal of Investigative Medicine Social Media Editor John Dickinson, MD, PhD, University of Nebraska Medical Center, welcomes guest, Dr. Stephen Farrell, senior investigator in the research division at the Cooper Institute in Dallas, Texas, for a discussion of the article "Associations among cardiorespiratory fitness, C-reactive protein, and all-cause mortality in men and women," published in the April 2023 issue of the Journal of Investigative Medicine.

Today, I cover the third of the 3 components of an optimal activity plan for women 45+; cardiorespiratory training. What is it and why you need to incorporate it into your activity plan.   EPISODE INFO: RPE scale https://drive.google.com/file/d/1OOF0nD16siGAfWFhM2V7gngXA59yCACR/view?usp=sharing METs for Common Activities https://drive.google.com/file/d/1K3Td51ZxqRzOz8pSyWikKJpo8ueutQwg/view?usp=sharing METs to RPE conversion https://drive.google.com/file/d/1JLnbTa_tVhPgLD50K-WIEH1UyHipp633/view?usp=sharing   To connect: FB: https://www.facebook.com/WellWomenCoaching IG:https://www.instagram.com/wellwomencoaching/ Web: https://wellwomencoaching.com/home  Email:  support@WellWomenCoaching.com To join my private Facebook group CLICK HERETo schedule a weight loss coaching strategy call CLICK HERE  

Commentary by Dr. Valentin Fuster

April is examining a patient with cardiorespiratory dysfunction. The patient denies any co-existing respiratory disorder however reports a recent trauma to chest. Upon examination, the patient has chest pain that is intensified with inspiration and a non-productive cough. Which of the following pathologies is the MOST likely present? A. Pulmonary embolism B. Pleurisy C. Pneumothorax D. Pneumonia LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K's Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://anchor.fm/thepthustle/support

For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources: ·Newsletter Sign Up·Purchase an Appointmen Today!·PrevMed's Locals·PrevMed's Rumble·PrevMed's website·PrevMed's YouTube channel·PrevMed's Facebook page·PrevMed's Instagram·PrevMed's LinkedIn·PrevMed's Twitter ·PrevMed's Pinterest

Fonte: Santana, M. R. D., Pontes, Y. M. D. M., Benjamim, C. J. R., Rodrigues, G. D. S., Liberalino, G. A., Mangueira, L. B., ... & Valenti, V. E. (2022). A Single Dose of Beer after Moderate Aerobic Exercise Did Not Affect the Cardiorespiratory and Autonomic Recovery in Young Men and Women: A Crossover, Randomized and Controlled Trial. International Journal of Environmental Research and Public Health, 19(20), 13330. Wiklund, U.; Karlsson, M.; Oström, M.; Messner, T. Influence of energy drinks and alcohol on post-exercise heart rate recovery and heart rate variability. Clin. Physiol. Funct. Imaging 2009, 29, 74–80. - Siga no Instagram: @fabiodominski https://www.instagram.com/fabiodominski/ Gostou do podcast? Você vai gostar mais ainda desse livro! - Livro Exercício Físico e Ciência: Fatos e mitos de Fábio Dominski https://www.amazon.com.br/dp/6586363187?ref=myi_title_dp - Grupo Exercício Físico e Ciência no Telegram: https://t.me/+VazaFBxgPq0y5v8p - Inscreva-se no canal no YouTube: https://www.youtube.com/channel/UC4Dwwly0tJa49CfHC0MSQ7A --- Support this podcast: https://anchor.fm/fabiodominski/support

Commentary by Dr. Neil Iyengar

Commentary by Dr. Anne Blaes

AF screening; sodium, potassium, BP, and CV outcomes; drug prices; and cardio-respiratory fitness are the topics John Mandrola, MD, covers in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. AF Screening - Using Wearable Devices to Detect AF Is 'Cost Effective' https://www.medscape.com/viewarticle/978861 - Cost-effectiveness of Screening for Atrial Fibrillation Using Wearable Devices https://jamanetwork.com/journals/jama-health-forum/fullarticle/2794835 - Screening for Atrial Fibrillation in Asymptomatic Older Adults https://www.nejm.org/doi/full/10.1056/NEJMclde2203726 II. Salt Substitutes - More Evidence Salt Substitutes Lower Risk of CVD and Death https://www.medscape.com/viewarticle/978999 - Effects of salt substitutes on clinical outcomes: a systematic review and meta-analysis https://heart.bmj.com/content/early/2022/07/21/heartjnl-2022-321332 - Effect of Salt Substitution on Cardiovascular Events and Death https://www.nejm.org/doi/10.1056/NEJMoa2105675 - Settling the controversy of salt substitutes and stroke: sodium reduction or potassium increase? https://doi.org/10.1093/eurheartj/ehac160 - Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia https://www.nejm.org/doi/full/10.1056/nejmoa1812792 - Fractional Flow Reserve versus Angiography for Guiding Percutaneous Coronary Intervention https://www.nejm.org/doi/full/10.1056/nejmoa0807611 III. Drug Prices - House Could Soon Give Biden Win on Medicare Drug Negotiations, Insulin Costs https://www.medscape.com/viewarticle/978988 IV. Fitness is Under-rated - Cardiorespiratory Fitness Key to Longevity for All? https://www.medscape.com/viewarticle/978854 - Cardiorespiratory Fitness and Mortality Risk Across the Spectra of Age, Race, and Sex https://www.jacc.org/doi/full/10.1016/j.jacc.2022.05.031 - Cardiorespiratory fitness, obesity and left atrial function in patients with atrial fibrillation https://doi.org/10.1016/j.ijcha.2022.101083 You also may like: Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine The Bob Harrington Show with Stanford University Chair of Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

In this episode Christina L. Master, MD, FAAP, CAQSM, FACSM, FAMSSM, lead author of the new policy statement and clinical report on vision and concussion, shares screening techniques primary-care pediatricians can use in daily practice. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also talk with Alexander Jones, PhD, about the amount of high-intensity exercise needed to maintain cardiorespiratory fitness. For resources go to aap.org/podcast.

Commentary by Dr. Valentin Fuster

Researchers from multiple departments of Boston University report in October 2021 in JAMA Network Open that a higher midlife estimated cardiorespiratory fitness level was associated with a lower burden of subclinical atherosclerosis and vascular stiffness, along with a lower risk of hypertension, diabetes, chronic kidney disease, cardiovascular disease, and mortality. Vascular stiffness refers to left ventricular afterload and the resulting coronary perfusion – leading to cardiovascular disease (CVD). It's measured by pulse wave velocity (PWV), which can slow with aging – leading to systolic (top blood pressure number) hypertension. Prior research has shown that a higher CRF level lowers the risk to CVD and all-cause mortality by itself and/or in conjunction with other CVD risk-reduction measures, such as with the Mediterranean eating strategy and weight control. The American Heart Association recommends that primary care physicians assess CRF in their clinical practices. As referenced in the Boston University research – Association of Estimated Cardiorespiratory Fitness in Midlife with Cardiometabolic Outcomes and Mortality – “CRF is measured via cardiopulmonary exercise testing; however, this method requires in-person assessment with specialized equipment and trained personnel, rendering it expensive and less accessible.” Luckily, non-exercise estimated CRF (eCRF) algorithms have been developed using readily available clinical information, such as age, sex, waist circumference, resting heart rate, and physical activity. In my former hospital-affiliated sports performance, fitness, and wellness programs, we used 12-lead EKG cardiopulmonary VO2 max testing – with a cardiologist interpretation of the data to determine the appropriate heart rate training intensity zones for both athlete and non-athlete.As for the eCRF, I have successfully used the Polar algorithms and heart rate monitoring devices (polar.com) to provide guidance to members of the US Army Special Operations Command.Read the rest on MaxWellNutrition.com

Fast Takes - Episode 40 Read the transcript at https://kesslerfoundation.org/sites/default/files/2022-06/Dr.%20B.%20Sandroff%20on%20cognition%2C%20fitness%20and%20physical%20activity%20in%20progressive%20multiple%20sclerosis-Ep40-TRANSCRIPT.pdf In this episode, Brian Sandroff, PhD, senior research scientist in the Center for Neuropsychology and Neuroscience Research at Kessler Foundation, talks about his peer-reviewed article, “Cardiorespiratory fitness and free-living physical activity are not associated with cognition in persons with progressive multiple sclerosis: Baseline analyses from the CogEx study,” published on October 1, 2021, in the journal Multiple Sclerosis. Funding source: Multiple Sclerosis Society of Canada (grant no. #EGID3185) Learn more about: Dr. Brian Sandroff at  https://kesslerfoundation.org/about-us/foundation-staff/brian-m-sandroff-phd Center for Neuropsychology and Neuroscience Research - https://kesslerfoundation.org/center-neuropsychology-and-neuroscience-research The peer-reviewed article at https://journals.sagepub.com/doi/10.1177/13524585211048397 Co-authors: Robert W Motl , Maria Pia Amato, Giampaolo Brichetto ,Jeremy Chataway, Nancy D Chiaravalloti (https://kesslerfoundation.org/aboutus/Nancy%20Chiaravalloti), Gary R Cutter, Ulrik Dalgas , John DeLuca (https://kesslerfoundation.org/aboutus/John%20DeLuca), Rachel Farrell, Peter Feys, Massimo Filippi, Jennifer Freeman, Matilde Inglese, Cecilia Meza, Maria A Rocca, Amber Salter and Anthony Feinstein ===================================================== Tuned in to our podcast series lately? Join our listeners in 90 countries who enjoy learning about the work of Kessler Foundation. Be sure to subscribe to our SoundCloud channel “KesslerFoundation” for more research updates. Follow us on Facebook, Twitter, and Instagram. Listen to us on Apple Podcasts, Spotify, SoundCloud, or wherever you get your podcasts. This podcast was recorded remotely on December 15, 2021, and was edited and produced by Joan Banks-Smith, Creative Producer for Kessler Foundation.

Commentary by Dr. Bonnie Ky

 What is inflammatory airway disease and how does it impact performance? How can we monitor a horse's heart to identify respiratory issues or pain? This fascinating interview with Dr. Emmanuelle van Erck - Westergren, sponsored by HayGain, discusses the latest research on cardiorespiratory health and provides practical solutions to ensure all horses can live and perform at their best. Listen in...Sport Horse Podcast Guests and Links Episode 6:Hosts:  Nicole Lakin and Dr. Tim Worden of the Equine High-Performance Sports GroupPodcast Website:  Sport Horse PodcastFeatured Image Credit: NATitle Sponsor:  Haygain (Use Discount Code 'HRN' to receive 5% off your next Haygain steamer or forager purchase (until May 25th)Presenting Sponsor: Equine High Performance Sports GroupGuest: Dr. Emmanuelle van Erck-Westergren, Instagram, FacebookSupport the show (https://www.patreon.com/user?u=87421)

 What is inflammatory airway disease and how does it impact performance? How can we monitor a horse's heart to identify respiratory issues or pain? This fascinating interview with Dr. Emmanuelle van Erck - Westergren, sponsored by HayGain, discusses the latest research on cardiorespiratory health and provides practical solutions to ensure all horses can live and perform at their best. Listen in...Sport Horse Podcast Guests and Links Episode 6:Hosts:  Nicole Lakin and Dr. Tim Worden of the Equine High-Performance Sports GroupPodcast Website:  Sport Horse PodcastFeatured Image Credit: NATitle Sponsor:  Haygain (Use Discount Code 'HRN' to receive 5% off your next Haygain steamer or forager purchase (until May 25th)Presenting Sponsor: Equine High Performance Sports GroupGuest: Dr. Emmanuelle van Erck-Westergren, Instagram, Facebook

Dr. Kaviarasi is a physiotherapist specialized in treating Cardiorespiratory patients and helping people achieve their highest goals in health. Thank you to those who have rated us!Please go ahead and follow us on the different social media platforms listed below!Vardians Connect!Facebook LinkedInInstagram Twitteremail: healthcareboulevard@gmail.comLife Boulevard... Tune in to the Lessons and Shenanigans

Join Caitlin as she explores how rhythm can help our bodies feel less stressed. Did you know that our brains can sync up with rhythms?! This episode reviews the current evidence on use of rhythm to reduce stress and explores the implications of rhythm in our lives. Full transcript of this episode is available, please e-mail: musicalhealththepod@gmail.com Join our community on facebook and instagram to get the latest updates about the podcast. Please like, review and subscribe if this is a podcast you love! Resources for today's episode are below. Resources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734071/pdf/pone.0070156.pdf https://news.stanford.edu/news/2006/may31/brainwave-053106.html https://www.unr.edu/counseling/virtual-relaxation-room/releasing-stress-through-the-power-of-music#:~:text=Music%20can%20have%20a%20profound,more%20alert%20and%20concentrate%20better.&text=A%20slower%20tempo%20can%20quiet,for%20relaxation%20and%20stress%20management. https://psychcentral.com/stress/the-power-of-music-to-reduce-stress#summary 4. Nyklicek I, Thayer JF, Van Doornen LJP (1997) Cardiorespiratory differentiation of musically induced emotions. J Psychophysiol 11: 304-321. 5. Khalfa S, Bella SD, Roy M, Peretz I, Lupien SJ (2003) Effects of relaxing music on salivary cortisol level after psychological stress. Ann N Y Acad Sci 999: 374-376. doi:10.1196/annals.1284.045. PubMed: 14681158. 6. Nater UM, Abbruzzese E, Krebs M, Ehlert U (2006) Sex differences in emotional and psychophysiological responses to musical stimuli. Int J Psychophysiol 62: 300-308. doi:10.1016/j.ijpsycho.2006.05.011. PubMed: 16828911. 7. Burns JL, Labbé E, Williams K, McCall J (1999) Perceived and physiological indicators of relaxation: as different as Mozart and Alice in chains. Appl Psychophysiol Biofeedback 24: 197-202. doi:10.1023/A: 1023488614364. PubMed: 10652638. 8. Blood AJ, Zatorre RJ (2001) Intensely pleasurable responses to music correlate with activity in brain regions implicated in reward and emotion. Proc Natl Acad Sci U S A 98: 11818-11823. doi:10.1073/pnas. 191355898. PubMed: 11573015. 9. Juslin PN, Sloboda J (2010) Handbook of music and emotion. USA: Oxford University Press. http://www.futurepundit.com/archives/003497.html https://www.tandfonline.com/doi/abs/10.1300/J184v08n04_03 Fitmind.co --- Support this podcast: https://anchor.fm/caitlin-krater/support

What is the cardiorespiratory system? How to improve my cardiorespiratory system? Subscribe to our email list to receive 50 Amazing Ways to Live A Healthier and Happier Life: https://www.AdventFit.org Join the AdventFit Community: https://www.facebook.com/groups/835826363999367 Instagram: https://www.instagram.com/advent_fit Leave us an email: Adventfit@mail.com Personal Contact Info: https://www.instagram.com/mrwhoke https://www.twitter.com/mrwhoke https://www.waynejamel.com Support Us: https://www.adventfit.org/support Notes can be found on: https://www.adventfit.org/podcast/ep29

Commentary by Dr. Daniel Zllotoff

Scientists in Sweden analyzed health records in over 279,000 subjects who had prior documented fitness and body fat screenings. They found strong, independent associations with low fitness levels and higher belly fat with increased odds of severe disease. Support Healthy Hydration and Exercise Performance with the new Electrolyte Stix by MYOXCIENCE Nutrition: https://bit.ly/3uAWrV6 **Pre-Sale Discount Ends October, 31st 2021** Link to studies, images and video: https://bit.ly/30UiScO Time Stamps: 0:00 intro 0:16 Fitness, Belly Fat and Poor Outcomes 0:17 Media has ignored these studies 1:15 Science on healthy living matters, too 1:43 New Swedish study in 279,455 adults REF: Ekblom-Bak, E., et al. (2021). Cardiorespiratory fitness and lifestyle on severe COVID-19 risk in 279,455 adults: a case control study. International Journal of Behavioral Nutrition and Physical Activity, 1–16. 2:10 UK study showing exercise is protective 3:23 Kaiser Permanente Study on Exercise and C*19 REF: Sallis, R. et al. Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients. Br. J. Sports Med. https://doi.org/10.1136/bjsports-2021-104080 (2021). 4:32 Belly Fat, not overall body fat is the issue 5:15 Belly Fat and C*19 outcomes Pranata, R., et al. (2021). Visceral adiposity, subcutaneous adiposity, and severe coronavirus disease-2019 (COVID-19): Systematic review and meta-analysis. Clinical Nutrition ESPEN, 43, 163–168. http://doi.org/10.1016/j.clnesp.2021.04.001 6:21 Closing gyms is bad policy REF: The Big Mistake of not Considering Physical Activity an Essential Element of Care During the Covid-19 Pandemic. (2021). International Journal of Cardiovascular Sciences. 7:02 Mechanisms as to how exercise is protective 7:18 Everyone's risk is the same is a lie 10:00 Electrolyte promotion ends soon 11:09 Swedish study: low fitness is a problem 12:16 Death rate in Sweden (this data set) 13:01 Low fitness, large waist circumference and poor outcomes 13:26 Study summary: LISTEN TO THIS 14:14 Underlying health conditions were a major driver 15:45 Why isn't exercise, healthy living being promoted?

Episode 27 is a solo episode where I discuss how I have been trying to focus on the 7 Lifestyle Components outlined by Episode 26 guest T. Kari Mitchell and making improvements in areas in my life that need it. I also delve into a new study about the importance of exercise in strengthening our immune systems and my newest obsession with the infrared sauna. Mentioned in this episode: Episode 26: Inspired Aging: Reclaim your Health, Confidence, Purpose, and Power with T. Kari Mitchell https://podcasts.apple.com/us/podcast/inspired-aging-reclaim-your-health-confidence-purpose/id1502634986?i=1000536729633 Episode 25: Liberation in your life and Home with Kayla Jackson https://podcasts.apple.com/us/podcast/liberation-in-your-life-and-home-with-kayla-jackson/id1502634986?i=1000533543947 Physical activity and the risk of SARS-CoV-2 infection, severe COVID-19 illness and COVID-19 related mortality in South Korea: a nationwide cohort study https://bjsm.bmj.com/content/early/2021/07/21/bjsports-2021-104203 See also: Cardiorespiratory fitness and lifestyle on severe COVID-19 risk in 279,455 adults: a case control study https://pubmed.ncbi.nlm.nih.gov/34666788/ Connect with me: Join my email list! https://linktr.ee/gohardchick Website: www.gohardchick.com Instagram: @gohardchick and @krisalisefit Facebook: Krisalise Fit Music: Mitsubachi by Smith The Mister https://smiththemister.bandcamp.com Smith The Mister https://bit.ly/Smith-The-Mister-YT Free Download / Stream: http://bit.ly/mitsubachi Music promoted by Audio Library https://youtu.be/0IgndUb1YQI Mi-Lo by Smith The Mister https://smiththemister.bandcamp.com Smith The Mister https://bit.ly/Smith-The-Mister-YT Free Download / Stream: https://bit.ly/mi-lo Music promoted by Audio Library https://youtu.be/--4tHbTT97g Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Kristal Holmes disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician or therapist.

Mike Pullano is the Chief Product Officer at ARXFit, an adaptive resistance exercise technology that integrates software and motorized resistance for clients to have a safe, quantified, and efficient resistance training experience. In this episode, Mike Pullano shares updates on ARX, new research comparing ARX to Moderate-Intensity Resistance Exercise, providing more evidence to support the effectiveness of high intensity training over traditional resistance exercise, and much more. Learn more about ARX here Grow your ARX business with HIT Business Membership For all of the show notes, links and resources - Click Here

For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources:  ·PrevMed's website·PrevMed's YouTube channel·PrevMed's Facebook page

Commentary by Dr. Valentin Fuster

Western diet found to impair function of immune cells in the gut Cleveland Clinic, May 18, 2021 According to new study results, a team of researchers led by Cleveland Clinic's Thaddeus Stappenbeck, M.D., Ph.D., have found that a diet high in fat and sugar is associated with impaired intestinal immune cell function in mice. The findings, published in Cell Host & Microbe, provide novel insights into pathways linking obesity and disease-driving gut inflammation, and have implications for developing targets to treat inflammatory bowel diseases (IBD) in patients. Using data from more than 900 patients, the researchers found that elevated body mass index is associated with abnormal Paneth cells among patients with Crohn's disease and non-IBD patients. Paneth cells are a type of anti-inflammatory immune cell found in the intestines that helps to protect against microbial imbalances and infectious pathogens. Dysfunction of these cells is driven by a combination of genetic mutations and environmental factors. Dr. Stappenbeck and others have previously linked Paneth cell dysfunction to gut changes indicative of IBD in preclinical models and a subset of Crohn's disease patients from multiple cohorts around the world. "With this understanding, we set out to investigate whether diet-induced obesity--specifically caused by a diet high in fat and sugar, or a 'western diet'--is one of the environmental factors that can lead to impaired Paneth cell function," said Dr. Stappenbeck, chair of Lerner Research Institute's Department of Inflammation & Immunity. The researchers compared the effects of a western diet versus a standard diet. The team's western diet contained about 40 percent fat and an elevated level of simple carbohydrates, which better resembles the diet of an average U.S. adult than regimens prescribed in other preclinical studies. After eight weeks, the group that ate the western diet had more abnormal Paneth cells than the group that ate a standard diet. In the western diet group, other changes become apparent two months after the Paneth cell defects, including increased gut permeability, where bacteria and toxins can enter the gut and which is well-linked with chronic inflammation. Notably, however, switching to a standard diet from the western diet completely reversed the Paneth cell dysfunction. "When we started to look into large-scale datasets for the specific mechanisms that might connect the high-fat, high-sugar diet with the Paneth cell dysfunction, a secondary bile acid called deoxycholic acid caught our attention," said Dr. Stappenbeck.  Deoxycholic acid is a metabolic byproduct of intestinal bacteria. Researchers found that consuming a western diet increased the bile acid in a region of the intestines called the ileum and, as a result, increased the expression of two downstream molecules, farnesoid X receptor (FXR) and type I interferon (IFN). "For the first time, we showed how coordinated elevation of FXR and type I IFN signals in multiple cell types contribute to Paneth cell defects in response to a diet high in fat and sugar. In previous research, stimulating FXR has shown to help treat other diseases, including fatty liver disease, so we are hopeful that with additional research we can interrogate how the combination of elevated FXR and IFN signals can be targeted to help treat diet-induced gut infections and chronic inflammation." Dr. Stappenbeck also explained that while the team was interested to learn that changing the diet regimen reversed the pathological changes, more research would be needed to determine if these changes also occur in patients.     Count your blessings: Short gratitude intervention can increase academic motivation Ritsumeikan University (Japan), May 17, 2021   Because of the ongoing pandemic, lifestyles have been subjected to drastic and dynamic changes, and many work- and study-related activities are now carried out online exclusively. This, among other complex factors, has made it difficult for some people to stay focused and motivated, and psychology researchers are trying to find effective and widely applicable solutions to address such problems. In a recent study published in BMC Psychology, researchers from Ritsumeikan University and the National Institute of Information and Communications Technology (NICT), Japan, have explored a simple strategy to increase motivation in college students by nurturing a positive emotion: gratitude. Many studies have shown that even short "gratitude interventions," which are activities that increase an individual's awareness of feelings of gratitude, can have a lasting positive effect on that person's mood, satisfaction and well-being. However, based on previous studies, the available evidence on the effect of such interventions on academic motivation is inconclusive. This prompted the researchers to test the effects of a different type of gratitude intervention: daily gratitude journaling. "Our main hypothesis was that engaging in an online gratitude journal by writing down up to five things one felt grateful for each day could make students be more aware of their academic opportunities—their 'blessings'—and help them re-evaluate their motives and goals, ultimately improving their motivation," explains Dr. Norberto Eiji Nawa from NICT, first author of the study. They recruited 84 participants, all Japanese college students, and divided them into a control group and an intervention group. Over the course of two weeks, students in both groups had to evaluate aspects of their daily life through online questionnaires each day, but only the intervention group had to keep the online daily gratitude journal. At the start of the intervention and after one and two weeks, and one and three months, the participants had to complete the Academic Motivation Scale (AMS), a tried-and-tested tool for measuring different aspects of academic motivation. The results were promising; through statistical analyses, the researchers found that the gratitude intervention through daily journaling significantly increased the students' academic motivation. Most notably, this robust positive effect was not restricted only to the two-week period of the intervention, as the increased level of academic motivation was maintained even after three months. In addition, through an exploratory analysis, the researchers established that the enhancement in academic motivation was mostly driven by a decrease in "amotivation scores." Amotivation, in this context, refers to the state in which a person perceives that their own actions are irrelevant to the resulting outcomes, leading to feelings of helplessness and incompetence. Academic motivation can be one of the primary determinants of both academic achievements and satisfaction with school life, and developing widely applicable intervention strategies is critical to foster student growth. "Online interventions have the advantage of being more accessible, scalable and affordable to large portions of the population. Gathering solid evidence to support their deployment will be essential to unleash their true potential in the future," concludes Professor Noriko Yamagishi from Ritsumeikan University. It appears that the positive impact of gratitude interventions extends well beyond the already documented effects on individual well-being. This study was partly supported by a research grant from the Ritsumeikan Inamori Philosophy Research Center. This Center aims to promote multidisciplinary research on the management philosophy advocated by Dr. Kazuo Inamori, a prominent Japanese entrepreneur and renowned philanthropist. With this major goal in mind, Professor Yamagishi, alongside Dr. Nawa, have been working on the scientific elucidation of the emotions of "altruism" and "gratitude" from the perspective of cognitive psychology and neuroscience. This particular study was conducted as part of this more overarching research. Until the day these human emotions become clearer, we can safely give this piece of advice: remember to count your blessings.   How Quickly Do We Become Unfit?   Anglia Ruskin University, May 14, 2021 Getting in shape isn’t easy. But after all that hard work, how long do we actually maintain it? Turns out that even the great effort we put into training, taking a bit of time off can mean that we become “unfit” much faster than it took us to actually get in shape. To understand how the body becomes “unfit”, we first need to understand how we become fit. The key to becoming fitter – whether that’s improving cardiovascular fitness or muscular strength – is to exceed “habitual load”. This means doing more than our body is used to. The stress that this has on our body makes us adapt and become more tolerant, leading to higher fitness levels. The time it takes to get fit depends on a number of factors, including fitness levels, age, how hard you work, and even environment. But some studies do indicate that even just six sessions of interval trainingcan lead to increases in maximal oxygen uptake (V02 max) – a measure of overall fitness — and improve how efficiently our body is able to fuel itself using the sugar stored in our cells during exercise. For strength training, some gains in muscle force can be shown in as little as two weeks, but changes in muscle size won’t be seen until around 8-12 weeks. Cardiovascular fitness When we stop training, how quickly we lose fitness also depends on many factors – including the type of fitness we’re talking about (such as strength or cardiovascular fitness). As an example, let’s look at a marathon runner, who is in peak athletic fitness and can run a marathon in two hours and 30 minutes. This person spends five to six days a week training, running a total of 90km. They’ve also spent the last 15 years developing this level of fitness. Now let’s say they stopped training completely. Because the body no longer has the stresses of training forcing it to stay fit, the runner will start to lose fitness within a few weeks. Cardiorespiratory fitness – indicated by a person’s V02 max (the amount of oxygen a person can use during exericse) – will decrease around 10% in the first four weeksafter a person stops training. This rate of decline continues, but at a slower rate over longer periods. Intriguingly, though highly trained athletes (like our marathon runner) see a sharp decline in V02 max in the first four weeks, this decline eventually evens out, and they actually maintain a V02 higher than the average person’s. But for the average person, V02 max falls sharply, back to pre-training levels, in less than eight weeks.   The reason V02 max declines is due to reductions in blood and plasma volumes – which decrease by as much as 12% in the first four weeks after a person stops training. Plasma and blood volume decrease due to the lack of stress being put on our heart and muscles. Plasma volume may even decrease by around 5% within the first 48 hours of stopping training. The effect of decreased blood and plasma volume leads to less blood being pumped around the body each heart beat. But these levels only drop to where we started – meaning we won’t get worse. Of course, most of us aren’t marathon runners – but we’re also not immune to these effects. As soon as we stop exercising the body will start to lose these key cardiovascular adaptations at a very similar rate as highly trained athletes. Strength training When it comes to strength, evidence shows that in the average person, 12 weeks without training causes a significant decrease in the amount of weight we can lift. Thankfully, research shows that you maintain some of the strength you gained before you stopped training. What is intriguing is that despite the significant decrease in strength, there’s only a minimal decrease in the size of the muscle fibres. The reason we lose muscle strength largely has to do with the fact that we’re no longer putting our muscles under stress. So when we’re no longer working our muscles hard, the muscles become “lazy”, leading the number of our muscle fibres to decrease, and fewer muscles being recruited during an activity – making us less able to lift the heavy loads we used to. The number of muscle fibres used during exercise decreases by around 13% after just two weeks of no training – though this appears not to be accompanied by a decline in muscular force. This implies that the losses observed across the longer periods of detraining are a combination of both this initial decline in the number of muscle fibres we use, but also the slower decline in muscle mass. For the average gym goer who lifts weights, they would experience a drop in the size of their muscles – over time finding it harder to lift heavy loads as they have less muscle fibres being recruited. So even after all that effort to get fit, we start losing cardiovascular fitness and strength within 48 hours of stopping. But we don’t start to feel these effects for at least two to three weeks for cardiovascular fitness and around 6-10 weeks for strength. Rates of “de-training” are similar for men and women, and even for older athletes. But the fitter you are, the slower you’ll lose your gains.   Non-drug therapies as good as or better than drugs for treating depression in people with dementia St Michael’s Hospital, University of Toronto, University of Calgary May 17, 2021   Doctors should consider more "social" prescribing of non-drug approaches for depression and loneliness, say researchers Non-drug therapies, such as exercise, appear to be as, or more, effective than drugs for reducing symptoms of depression in people with dementia, suggests research published online in The BMJ. The findings suggest that people with dementia will derive a clinically meaningful benefit from non-drug interventions, and the researchers say doctors should consider more "social" prescribing of non-drug approaches to treat symptoms of depression and loneliness. Fifty million people worldwide have a diagnosis of dementia. About 16% of these people also have a diagnosed major depressive disorder, and 32% will experience symptoms of depression without a formal diagnosis. Previous trials have shown that non-drug approaches, such as exercise, alleviate symptoms of depression in people with dementia, but it's not clear how effective they are compared with drugs to reduce symptoms of depression. To address this uncertainty, researchers analysed the results of existing trials to compare the effectiveness of drug and non-drug interventions with usual care or any other intervention targeting symptoms of depression in people with dementia. After screening 22,138 records, they focused on and reviewed 256 studies involving 28,483 people with dementia, with or without a diagnosed major depressive disorder. Drug approaches alone were no more effective than usual care, but they found 10 interventions associated with a greater reduction in symptoms of depression compared with usual care. These were cognitive stimulation, exercise, reminiscence therapy (a treatment to help people with dementia remember events, people and places from their lives), cognitive stimulation with a cholinesterase inhibitor (a drug used to treat dementia), massage and touch therapy, multidisciplinary care, psychotherapy combined with reminiscence therapy and environmental modification, occupational therapy, exercise combined with social interaction and cognitive stimulation, and animal therapy. Three interventions -- massage and touch therapy, cognitive stimulation with a cholinesterase inhibitor, and cognitive stimulation combined with exercise and social interaction -- were found to be more effective than some drugs. The authors acknowledge some study limitations, such as being unable to explore severity of depression symptoms or effects on different types of dementia. Nor did they look at the potential costs or harms of implementing drug and non-drug interventions. However, notable strengths included the large number of articles reviewed and use of a recognised clinical scale for capturing symptoms of depression. As such, they say in this systematic review, "non-drug approaches were associated with a meaningful reduction in symptoms of depression in people with dementia and without a diagnosis of a major depressive disorder. And they add that everyone -- patients, caregivers, clinicians and policy makers -- have a role in translating these findings into practice     Omega-3 lowers childhood aggression in short term, Penn research shows University of Pennsylvania, May 13, 2021 Incorporating omega-3, vitamins and mineral supplements into the diets of children with extreme aggression can reduce this problem behavior in the short term, especially its more impulsive, emotional form, according to University of Pennsylvania researchers who published their findings in the Journal of Child Psychology and Psychiatry. Adrian Raine, the Richard Perry University Professor of Criminology, Psychology and Psychiatry, has spent his career looking at how the brain's biological functioning affects antisocial behavior. He focuses specifically on understanding these actions and learning how to modify them, whether with something benign like a child acting out or with something extreme, in the case of a homicidal killer. "How do you change the brain to make people better?" he asked. "How can we improve brain functioning to improve behavior?" These questions formed the foundation for work Raine had previously done with adolescents on the African island of Mauritius. In a randomized control trial, one group received omega-3 supplements for six months, the other didn't. Those taking the fish oil saw a reduction in aggressive and antisocial behavior. "That was my starting point," he said. "I was really excited about the results we published there." Mauritius, however, is a tropical climate and a different culture from the United States, so Raine, a Penn Integrates Knowledge Professor, decided to test a new version of the study in Philadelphia, to aim for more broadly applicable outcomes. He partnered with Therese Richmond, the Andrea B. Laporte Professor of Nursing and associate dean for research and innovation, and several other Penn faculty, including Rose Cheney of the Perelman School of Medicine and Jill Portnoy of the Criminology Department in the School of Arts & Sciences. The Philadelphia randomized control study placed 290 11- and 12-year-olds with a history of violence into four groups: The first received omega-3 in the form of juice, as well as multivitamins and calcium for three months. For that same duration, a second group participated in cognitive behavioral therapy, or CBT, which included meeting weekly for an hour, with time split between the child, the parent and with both together. "Sessions focused on the links between thoughts, feelings and behaviors and also practicing alternative actions the children could take to deal with difficult situations rather than to emotionally react to something," said Richmond, who supervised the clinical trial. "It's helping the child build a toolbox of ways to interact with others. For example, if I'm angry, how might I cope with anger other than physically striking out?"All participants got homework, too. A third group in the study took the supplements and participated in CBT, and a fourth received resources and information targeted at reducing aggressive behavior. Blood samples at the experiment's start and conclusion measured omega-3 levels in each child. "Immediately after three months of the nutritional intervention rich in omega-3s, we found a decrease in the children's reporting of their aggressive behavior," Richmond said. The team also followed up three and six months later. At the first check-in, participants getting the combination of CBT and omega-3s reported less aggression than the control group and the therapy-only group. By the final check-in, however, any positive effects had dissipated. What remains unknown is whether continued use of omega-3s would lead to a long-term reduction in antisocial behavior. There were other minor limitations to the research. For one, self-reporting completed by parents and children didn't line up. The 11- and 12-year-olds in the omega-3 and CBT-supplement groups noted fewer aggressive behaviors; their parents said such tendencies hadn't changed. Also, some participants dropped out before the study had finished. Despite these challenges, Raine, Richmond and their colleagues said the findings provide some important insight. "No matter what program you use, could adding omega-3s to your treatment help?" Raine asked. "This suggests it could." And though the work answers some questions, it also creates new ones, which returns to a larger point regarding the mind-action connection: It's complicated. "We can't oversimplify the complexity of antisocial behavior. There are many causes," Raine said. "It's not just the brain. Is it a piece of the jigsaw puzzle? I think it is."     Lockdown led to positive lifestyle changes in older people University of Stirling (Scotland), May 17, 2021 The COVID-19 lockdown was a catalyst for many older people to embrace technology, reconnect with friends and build new relationships with neighbours, according to University of Stirling research. Understanding the coping mechanisms adopted by some over 60s during the pandemic will play a key role in developing interventions to help tackle loneliness, isolation and wellbeing in the future. The study, led by the Faculty of Health Sciences and Sport, surveyed 1,429 participants - 84 percent (1,198) of whom were over 60 - and found many had adapted to video conferencing technology to increase online contact with existing social networks, while others reconnected with previous networks. Participants reported that lockdown had led them to engage with neighbours and other members of their communities for the first time, while several said social distancing had brought an additional meaning to life, by highlighting what was important to them. Published in the International Journal of Environmental Research and Public Health, the paper comes six months after the study - funded under the Scottish Government Chief Scientist Office's Rapid Research in COVID-19 programme - reported in its preliminary findings that social distancing had increased feelings of loneliness in older people. Professor of Behavioural Medicine, Anna Whittaker, who led the study, said: "Our research found that the COVID-19 lockdown triggered feelings of loneliness in older people - with many experiencing less social contact and support. However, the study also highlighted positive outcomes, for example, lockdown encouraged some older people to embrace and engage with technology - such as Zoom, Whatsapp or FaceTime - to stay in touch with loved-ones or participate in exercise classes or religious groups. Those who engaged in such activity were able to prevent high levels of loneliness, therefore, helping older adults to increase their digital literacy and use of remote social interactions could be a really important tool for addressing loneliness. "Participants also reported actively looking for new social contact while restrictions were in place - such as contacting friends who they had not spoken to in years and increasing interactions with neighbours and other members of their communities. Significantly, many of our participants reported that social distancing has actually led them to find new sources of satisfaction in life. "Our study also highlighted that encouraging safe social contact through physical activity and engaging with people in the community may be an effective way to reduce loneliness, improve wellbeing, increase social activity, and improve social support." The study - which involved a survey conducted between May and July 2020 - examined the impact of social distancing during the pandemic on loneliness, wellbeing and social activity, including social support, in Scottish older adults. Participants were asked about the strategies they adopted to increase social interaction during this time and reported that the way they interacted with their friends and family, faith, chosen group activities and, to a lesser extent, their employer and colleagues, had changed. More than 300 participants mentioned 'Zoom' - the video conferencing tool - in their answers. More than 150 participants reported that their religious gatherings had moved online - replacing face-to-face gatherings - while 91 said that social gatherings with family and friends had changed in favour of online 'games nights'. New activities included bingo and quiz nights, while other activities moved online - such as bridge nights, book clubs, choir rehearsals, and dance and exercise classes. The role of community - particularly neighbours - was mentioned by more than 300 participants and some reported the common experience of getting to know previously unknown neighbours and increase interaction with others in the community at local shops or parks. A pleasant Scottish summer also supported such interactions, several said. At least 100 people said social interactions were linked to their physical activities - such as time spent outdoors while walking for exercise, walking the dogs or active commuting. Professor Whittaker added: "Our research underlines the importance of addressing loneliness and social support in older adults - but particularly during situations where risk of isolation is high. Although specific to the pandemic, this study has wider implications of helping us to understand the impact of social distancing and social isolation on older people. "The findings may be applicable in the future - both in and outwith pandemic situations. In Scotland, the recommendations for improvement may be through encouraging older adults to get to know their neighbours better, getting involved with local buddying systems and community initiatives, including via digital means, and engaging in physical activity, such as daily walks in the community." Brian Sloan, Chief Executive of Age Scotland, said: "While it may prove difficult to consider any aspect of the pandemic positive as such, it is important and worthwhile to reflect on what it has taught us, both about ourselves and society and about the necessary tools to tackle Scotland's increased levels of loneliness and isolation. "For example, we've seen first-hand how important the community response has been in terms of supporting older people throughout lockdown and it has been inspiring to witness how people across the country stepped in and stepped forward to help those in need around them. Even as restrictions ease, we hope to see this sense of community spirit continue.  "The ongoing impact of COVID-19 has also demonstrated just how important increased digital inclusion is and how easily those without access to technology can feel out of the loop. It's reassuring to see so many older people reporting that they have been able to embrace and engage with technology to stay connected and active.  "However, it's equally important to ensure those who are unable or do not wish to use the internet have alternative ways to stay connected to their communities and support networks. "As we take steps towards recovery together, it is vital that no one is left behind and those most impacted are supported to play a full part in society again.  "We know we will be living with the ongoing effects of lockdown loneliness for a long time to come, and this research will be incredibly valuable when considering how best to tackle loneliness and isolation and to improve the wellbeing of older people going forward."     Signs of Vitamin B12 Deficiency World Health Net,  May 1, 2021 Modern nutritional research offers much more information about which nutrients are required for optimal health than in years past. The general opinion of most health care providers has been that patients should eat a balanced diet in order to make sure their nutritional needs are being met. Until the past few decades this was good advice, but the nutrients contained in most foods sold in grocery stores has been depleted, due to the way they were grown and processed. This means the nutrients most important to the proper functioning of the human body are best ingested through supplementation. Those who have a deficiency of vitamin B12 may be experiencing some serious health problems that they are not even aware of. Food Sources of Vitamin B12 Food products that come from animals are the only sources of the vitamin, so someone who follows a vegetarian or vegan diet would most likely need to supplement B12. It is also good to supplement if one has a diet that restricts the consumption of meat, dairy, eggs because of the relatively high levels of cholesterol and fat.  Health Problems Caused by a Vitamin B12 Deficiency Some of these health issues are easily mistaken as symptoms of other diseases, such as diabetes. Others may be confused with common aging problems. Weakness Fatigue Tingling and/or numbness in the extremeties Memory loss and cognitive difficulties Difficulty in walking, because of staggering or balance problems Health care providers may not be able to identify these problems as a deficiency of Vitamin B12, so a blood test may be needed, in order to reach a correct diagnosis. There are a few other less common symptoms that indicate a deficiency of the vitamin. Paranoia and hallucinations Anemia Jaundiced skin An inflamed and swollen tongue Many people are not very well educated about their nutritional needs and the problems they may experience from various deficiencies. Most people have too much stress in their lives and struggle to find enough time in the day to get everything done. People often naturally think whatever fatigue or weakness they feel is the result of not enough time and rest, but symptoms could well be due to a Vitamin B12 deficiency.  Although seniors are most at risk for nutritional deficiencies due to dietary restrictions, a depressed appetite and medications, younger women also experience anemia due to monthly menstruation. The average person is often surprised how much better they feel once they begin a regime of Vitamin B12 supplementation. It is important to note that not all B12 supplements are the same, so if adding the vitamin to a diet it would be wise to research all the options available. One common B12 supplement actually contains arsenic and should be avoided. Since the best source of B12 is found in foods, eating more meat, eggs, dairy and especially poultry is a good choice. Poultry is relatively low in fat and cholesterol, so it is safer for those who are at risk for heart disease.

Hey, everybody. Welcome to your chapter fifteen review. We are going to continue to explore each component of integrated training in further detail. Today's topic - cardiorespiratory fitness training. Don't wait. Become one of the World's best trainers with NASM. It's quick, easy, and affordable. Find out more: http://nasm.co/3sQMUag

Hey, everybody. Welcome to your chapter 6 review. As you know, the human body is made of many different systems and subsystems that work collectively to support normal physiological functioning. These distinct yet interdependent systems also influence and impact the decisions you will make as a fitness professional to improve your client's health and fitness. In this episode we're going to review the cardiorespiratory, endocrine, and digestive systems. Don't wait. Become one of the World's best trainers with NASM. It's quick, easy, and affordable. Find out more: http://nasm.co/388LlMO

Stretching is good for you, right? Many of us feel we "should" stretch more, whether it's to prevent injury, as a warmup, to recover quicker, to feel less stiff, or just because it's somehow virtuous to stretch. Let's see what science has to say. LinksGene Kelly and Jerry mouse https://youtu.be/jHCsOFWuIb4 (here) 6RM squat elicits the same activation in the core muscles as a full plank to failure with 20% bodyweight on the lower back https://content.sciendo.com/configurable/contentpage/journals$002fhukin$002f62$002f1$002farticle-p43.xml (here) Strength training is as effective as stretching for increasing flexibility https://osf.io/preprints/metaarxiv/2tdfm/ (here) Static stretching temporarily reduces muscle force http://nectar.northampton.ac.uk/4049/1/Kay_etal_ACSM_2011_The_effect_of_acute_static_stretch_on_maximal_muscle_performance.pdf (here) Stretching has no effect on total risk of injury https://cdnsciencepub.com/doi/full/10.1139/apnm-2015-0235 (here) Stretching has no effect on post exercise muscle soreness or recovery https://www.frontiersin.org/articles/10.3389/fphys.2018.00403/full?dom=prime&src=syn (here) Cold water immersion reduces perceived, but not actual, fatigue after exercise https://www.frontiersin.org/articles/10.3389/fphys.2018.00403/full?dom=prime&src=syn (here) A subjective feeling of stiffness in the back has no correlation with actual tissue stiffness https://www.nature.com/articles/s41598-017-09429-1?fbclid=IwAR29bk3h_1EgKcvqcLUvbs4Qb_ysZuREijZhFGQkXG897N_vh6yCvH2zZ7E (here) Strength training makes you live longer https://academic.oup.com/eurjpc/article/26/15/1647/5925845?login=true (here) Cardiorespiratory exercise makes you live longer https://bjsm.bmj.com/content/45/6/504.short (here) Flexibility training makes you live longer.... nowhere Connect With Us On InstagramCloe https://www.instagram.com/cloebunterpilates/ (@cloebunterpilates) Raphael https://www.instagram.com/the_raphaelbender/ (@the_raphaelbender) Come Study With UsOur training is 100% online - you can study from anywhere in the world Certificate IV in Pilates Matwork and Reformer https://breathe.edu.au/certificate-iv-pilates/ (here) Diploma of Clinical Pilates https://my.captivate.fm/here (here) This podcast uses the following third-party services for analysis: AdBarker - https://adbarker.com/privacy

Why is it important to be fit snd strong? This week, Dr.Kahn discusses what cardiorespiratory fitness (CRF) is snd why it matters so much. He then described 4 ways to measure your CRF at home. Set a goal to increase your CRF in 2021 on this edition of Heart Doc VIP on Empower Radio.

Estudo do nosso grupo mostra treino que faz você perder em média 22% da gordura da barriga, sem fazer dieta! Artigo citado:Naves JPA, Viana RB, Rebelo ACS, de Lira CAB, Pimentel GD, Lobo PCB, de Oliveira JC, Ramirez-Campillo R, Gentil P. Effects of High-Intensity Interval Training vs. Sprint Interval Training on Anthropometric Measures and Cardiorespiratory […]

Commentary by Dr. Vivek Narayan

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.09.09.288910v1?rss=1 Authors: Hendrikse, J. J., Thompson, S., Suo, C., Yucel, M., Rogasch, N. C., Coxon, J. Abstract: Working memory (WM) refers to the capacity to temporarily retain and manipulate finite amounts of information; a critical process in complex behaviours such as reasoning, comprehension, and learning. This cognitive function is supported by a parietal-prefrontal network and linked to the activity of key brain neurotransmitters, such as gamma-aminobutyric acid (GABA). Impairments in WM are seen in a range of psychiatric and neurological disorders, and there are currently no effective methods of remediating WM deficits. In this study, we analysed secondary outcome measures from a trial investigating the effects of multi-day rTMS on cognition. Participants received four days of 20 Hz rTMS to an individualised region of left parietal cortex in one week, and an individualised region of pre-supplementary motor area (pre-SMA) in a separate week. We assessed changes to WM function before and after each week of stimulation (N = 39), and changes to GABA concentration before and after stimulation in week one using MR spectroscopy (N = 18 per stimulation condition). We hypothesised that multi-day parietal rTMS would enhance WM and reduce GABA concentration, but this was not observed. Instead, we report some evidence of improved WM function and increased GABA concentration following pre-SMA rTMS, although this effect was variable across individuals. Additionally, we found that higher cardiorespiratory fitness was associated with greater WM improvement following pre-SMA stimulation. While there are a number of factors known to influence the response to rTMS, increasing cardiorespiratory fitness may provide a novel approach to enhance cognitive outcomes. Given the clinical utility of both exercise and rTMS, future studies are required to determine whether additive effects may be achieved when applied in tandem. Copy rights belong to original authors. Visit the link for more info

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.09.01.271650v1?rss=1 Authors: Czepiel, A., Fink, L. K., Fink, L. T., Wald-Fuhrmann, M., Troendle, M., Merrill, J. Abstract: A concert is a common event at which people gather to share a musical experience. While techniques are increasingly offering insights into naturalistic stimuli perception, this study extended methods to a more ecological context in order to explore real-world music listening within a concert setting. Cardiorespiratory, skin conductance, and facial muscle responses were measured from participants attending one of three concerts with live chamber music performances of works of varying Western Classical styles (Viennese Classical, Contemporary, and Romantic). Collective physiological synchronisation of audience members was operationalised via inter-subject correlation (ISC). By assessing which musical features (obtained via Music Information Retrieval and music-theoretical analyses) evoked moments of high synchrony, logistic regressions revealed that tempo consistently predicted physiological synchrony across all concerts in Classical and Romantic styles, but not the Contemporary style. Highly synchronised responses across all three concert audiences seemed to occur during structural transitional passages, boundaries, and at phrase repetitions. The results support the idea that group synchronisation is linked to musical arousal, structural coherence, and familiarity. By employing physiological ISC and an inter-disciplinary musical analysis, the current study demonstrates a novel approach to gain valuable insight into experiences of naturalistic stimuli in an ecological context. Copy rights belong to original authors. Visit the link for more info

Level of baseline cardiopulmonary fitness strongly correlates with outcomes of atrial fibrillation ablation. Those that are more fit are more likely to maintain long term sinus rhythm, come off antiarrhythmic medications and have improved mortality. This study reinforces the impact that cardiovascular risk factors such as weight, blood pressure, diabetes, sleep apnea - and now cardiovascular fitness has on atrial fibrillation management.

In the Covid-19 world, research shows that being older – over 65 – with hypertension – high blood pressure – increases the risk to complications associated with this SARS-2 virus. In addition to older age, another associated-risk to hypertension has to do with arterial stiffness (AS) – which represents a decrease in the compliance of large, central arteries.According to research – Cardiorespiratory Fitness and Muscular Strength on Arterial Stiffness in Older Adults – which appears in the August 2020 issue of Medicine & Science in Sports & Exercise, “arterial stiffness is an emerging strong and independent predictor of cardiovascular disease.” In addition, “arterial stiffness also strengthens CVD (cardiovascular disease) risk prediction, when added to traditional risk factors, such as blood pressure, and may provide unique predictive insight that is undetected by traditional risk factors.” The study authors, from the Department of Kinesiology at Iowa State University, comment that higher levels of fitness – cardiorespiratory (CRF) and maximum strength (MS) - are associated with lower AS in older adults. Aerobic and resistance exercise have been shown to improve traditional CVD risk factors – along with numerous other conditions related to advanced vascular aging, such as AS.“Higher levels of CRF, which is often used to represent recent aerobic exercise participation, are consistently associated with reduced AS in populations generally predisposed to high AS, including older adults,” note the Iowa researchers.Yet, most of the research on the benefits of AS and MS have been performed on a younger study population. As such, the Iowa investigators sought to investigate the independent and combined associations of CRF and MS with AS in older adults -using data from the Physical Activity and Aging Study (PAAS) - an ongoing prospective, observational cohort study of older adults (497 men and women) at least 65 years of age.It was speculated that higher CRF would be associated with lower AS, independent of MS, while MS would be associated with lower AS, independent of CRF- with the combined association of CRF and MS being stronger than either CRF or MS alone. After appropriate exclusion criteria, 405 of the PAAS older adults - with a mean age between 66 to 78 – were assessed over two visits with a medical history questionnaire, pulse wave velocity, mean arterial pressure, height, weight, body mass index, blood lipid panel, cardiorespiratory fitness – 400-meter walking test, and strength – hand grip strength. It was determined that both CRF and MS were independently associated with reduced odds of having high AS in older adults. Additionally, “a joint analysis revealed that the relative contribution of CRF and MS appears to be similar, when directly comparing the “fit and weak” group with the “unfit and strong” group.”The research demonstrated that the “fit and strong” group showed the lowest incidence of having high AS - suggesting a possible additive benefit of being both fit and strong on AS. As noted, further research is necessary to gain a better understanding of how CRF and MS can reduce risk to age-associated health complications.

Dr. Ashish Khanna, Associate Professor, Department of Anesthesiology, Section on Critical Care Medicine at Wake Forest School of Medicine, presents on "Perioperative Cardiorespiratory Compromise - Connecting the operating room, the ICU, and the hospital wards."

Hey Athletes! This week we dive into a study that compared levels of cardiovascular fitness and longevity/mortality rates. So if you care about your health, check this out. Then on our topic we talk about Vegasnism and Jerred's recent experiment going vegan. We give some best tips and practices when doing ANY diet and also words of caution when doing things like vegan and other diets. Lots of pros and cons. This weeks workout, a tried and true classic for us. Murph.

Cardiorespiratory fitness (CRF) is also referred to as aerobic fitness so CRF and aerobic fitness are synonymous.

Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week!  They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer ...The post REPLAY: Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease appeared first on Healthy Debate.

Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week!  They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer ... The post REPLAY: Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease appeared first on Healthy Debate.

Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week!  They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer ...The post Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease appeared first on Healthy Debate.

Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week!  They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer ... The post Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease appeared first on Healthy Debate.

Dr James Steele is a principal investigator at the UK Active Research Institute as well as being an Associate Professor in Sport and Exercise Science at the Southampton Solent University Title for this episode was taken from this BMC Public Health article.  You can learn more about James by visiting the University website and connecting through his Twitter.  For more information about Mind Set Game connect with us on Facebook @mindsetgamepodcast For more information about James Roberts (the host of the podcast), visit fitamputee.co.uk and connect with me on Facebook, Twitter and Instagram

Commentary by Dr. Valentin Fuster

Find out the four necessary components of a complete fitness program.It's important to balance out your fitness program to make the most of your physical health.It's too easy to stick with one aspect, especially if it's all the rage. Before starting a fitness program you should speak with your doctor. If you haven't been active or are looking to increase your intensity, get a health screening. A complete exercise program has four components. Cardiorespiratory activities or aerobic exercises get the heart and lungs going. This category includes walking, jogging, swimming, cycling, and tennis. Pursue these activities three to five days per week. Resistance training is important to building muscle. Choose activities that stress the muscles, like lifting weights, bodyweight exercises and using resistance bands. Work targeted muscle groups two to three days per week. Allow 48 hours between working targeted muscle groups for recovery. Flexibility exercises are key for stretching the body. Do static stretches that are held for a period of time. You can also do dynamic stretches that flow through different positions. Balance exercises qualify. These should be done two to three days per week as part of a fitness program, or daily for faster improvement. Neuromotor training helps your brain to move your body smoothly. This is important for your brain connection to your muscles. Tai chi, pilates and yoga done two to three days per week will satisfy this aspect. You need all four components for stability. Pursue these activities at the gym or in your own home with minimal expense. Start at the intensity level that's right for you. Set goals to become stronger and find balance between all four components. Listen as Dr. Barbara Bushman joins Melanie Cole, MS to guide you on a well-rounded approach to fitness.

Find out the four necessary components of a complete fitness program.It’s important to balance out your fitness program to make the most of your physical health.It’s too easy to stick with one aspect, especially if it’s all the rage. Before starting a fitness program you should speak with your doctor. If you haven’t been active or are looking to increase your intensity, get a health screening. A complete exercise program has four components. Cardiorespiratory activities or aerobic exercises get the heart and lungs going. This category includes walking, jogging, swimming, cycling, and tennis. Pursue these activities three to five days per week. Resistance training is important to building muscle. Choose activities that stress the muscles, like lifting weights, bodyweight exercises and using resistance bands. Work targeted muscle groups two to three days per week. Allow 48 hours between working targeted muscle groups for recovery. Flexibility exercises are key for stretching the body. Do static stretches that are held for a period of time. You can also do dynamic stretches that flow through different positions. Balance exercises qualify. These should be done two to three days per week as part of a fitness program, or daily for faster improvement. Neuromotor training helps your brain to move your body smoothly. This is important for your brain connection to your muscles. Tai chi, pilates and yoga done two to three days per week will satisfy this aspect. You need all four components for stability. Pursue these activities at the gym or in your own home with minimal expense. Start at the intensity level that’s right for you. Set goals to become stronger and find balance between all four components. Listen as Dr. Barbara Bushman joins Melanie Cole, MS to guide you on a well-rounded approach to fitness.

In this podcast, I chat with Chuck Biddle, PhD, CRNA about his and other research on at-home cardiorespiratory events following ambulatory surgery.  We discuss risk factors, screening tools and patient education that is designed to enhance patient safety and decrease … #31 – At-Home Cardiorespiratory Events Following Ambulatory Surgery – Chuck Biddle, PhD, CRNA Read More »

En el ep. 14 de No es Gimnasia contamos con Jonatan R. Ruiz para hablar de la Batería ALPHA-Fitness. Nos permitirá conocer el nivel de salud del alumnado.En la charla hablamos de la importancia de conocer el nivel de condición física de nuestros alumnos, y como está Batería ALPHA nos proporciona los datos suficientes para poder tomar decisiones al respecto. Y como bien indica Jonatan ser el primer eslabón en la cadena de salud social.Esta batería ha sido pensada desde un primer momento para ser aplicada en los centros escolares, por lo que la eficiencia en su aplicación es alta.Los creadores hablan de aplicar la tabla completa en una clase de primaria o secundaria en dos días completos con un único docente.Otro de los aspectos relevantes de esta tabla, es que todos los test aplicados están basados en evidencia científica. Es decir, los test que la componen han sido seleccionados tras hace una extensa revisión bibliográfica y comprobar que realmente miden aquello para lo que se están aplicando. Defecto que tienen la mayor parte de las otras tablas que buscan medir la condición física.ENLACES DE INTERES:Batería ALPHA-Fitness: test de campo para la evaluación de la condición física relacionada con la salud en niños y adolescentes: http://bit.ly/2rgdKtrMANUAL DE INSTRUCCIONES Batería ALPHA-Fitness: test de campo para la evaluación de la condición física relacionada con la salud en niños y adolescentes http://bit.ly/2rg9ryeCardiorespiratory fitness cut points to avoid cardiovascular disease risk in children and adolescents; what level of fitness should raise a red flag? A systematic review and meta-analysis http://bit.ly/2qgLzMEPhysical activity, physical fitness, and overweight in children and adolescents: Evidence from epidemiologic studies http://bit.ly/2qGWKPPMANUAL PREFIT. Evaluación del FITness en PREescolares_16-03-2016 http://bit.ly/2qGQFTILos factores familiares influyen en el desplazamiento activo al colegio de los niños españoles http://bit.ly/2r6vD0uWEB del Proyecto ALPHA http://bit.ly/2qkljipDinamometro de prensión manual http://amzn.to/2r1g7AfAPPs para el test 20m (Course Navette): Course Navette Android http://bit.ly/2rfhNoS Course Navette iOS http://apple.co/1KxMgooFORMAS DE CONTACTOhttp://carlosminguez.com/contactar/@carlosminguez https://twitter.com/carlosminguez@noesgim https://twitter.com/noesgimMail: noesgimnasia@gmail.com

Cardiorespiratory fitness in young adults is associated with a lower risk of cardiovascular disease and death.A recent study that was posted by JAMA Internal Medicine found that young adults who participated in cardiorespiratory fitness had lower chances of developing cardiovascular disease and avoided the potential for early death. Researchers looked at 4,872 adults who were between the ages of 18 and 30. The study involved the participants using treadmill exercises from March of 1985 to June 1986, as well as 2,472 individuals who were tested seven years later. What did the researchers find? Out of the 4,872 participants, 273 died and 193 experienced cardiovascular disease during the follow-up tests. Among the 273 deaths, 200 were non-cardiovascular. How can cardiorespiratory fitness help young adults?John Higgins, MD, explains the study and discusses why fitness is so important to heart health, especially in young people.

Cardiorespiratory fitness in young adults is associated with a lower risk of cardiovascular disease and death.A recent study that was posted by JAMA Internal Medicine found that young adults who participated in cardiorespiratory fitness had lower chances of developing cardiovascular disease and avoided the potential for early death. Researchers looked at 4,872 adults who were between the ages of 18 and 30. The study involved the participants using treadmill exercises from March of 1985 to June 1986, as well as 2,472 individuals who were tested seven years later. What did the researchers find? Out of the 4,872 participants, 273 died and 193 experienced cardiovascular disease during the follow-up tests. Among the 273 deaths, 200 were non-cardiovascular. How can cardiorespiratory fitness help young adults?John Higgins, MD, explains the study and discusses why fitness is so important to heart health, especially in young people.

Commentary by Dr. Valentin Fuster

Commentary by Dr. Valentin Fuster

In this episode, Laura DeFina, MD, from Cooper Institute, is interviewed about research published this month in the Annals of Internal of Medicine. The study, shows that individuals who are fit at midlife have a lower risk of deveoping Alzheimer's disease and other dementias in their Medicare years. The study followed more than 19,000 generally healthy men and women who completed a preventive medical exam at Cooper Clinic in Dallas when they were, on average, 49 years of age. The exam also included an assessment of other health risk factors such as body mass index (BMI), blood pressure, and cholesterol. Their health status was evaluated using Medicare data between the years 1999 and 2009, an average of 24 years after their Cooper Clinic examination. Listen to hear Dr. DeFina's thoughts on the study. 

This video discusses the four components of physical fitness assessment and the importance of testing fitness level before beginning an exercise program. The video then demonstrates how to test cardiorespiratory endurance.