Podcasts about j appl physiol

Let's unpack something most midlife women are totally missing – protein for Menopause Hormone Support. Are you feeling moody, low-energy, or constantly craving carbs in midlife? It might not just be your hormones—it could be your protein intake… and its effect on your hormones.  In today's episode, know how protein connects hormones and why your daily meals might be the hormonal tune-up you didn't know you needed. Cortisol & Protein: The Stress-Balance Dance Cortisol levels increase in response to low blood sugar or stress, which are common when meals are high-carb and low-protein. A high-protein diet blunts cortisol spikes post-meal and improves the body's stress response.   Insulin: Protein's Role in Glucose Control Protein stimulates insulin—but in a modulated way that helps with blood sugar stability, not spikes. In midlife and beyond, protein helps preserve insulin sensitivity, especially when combined with resistance training.   Ghrelin & Leptin: Protein vs. Cravings Ghrelin = your hunger hormone. Protein is the most effective macronutrient at suppressing ghrelin. Leptin = satiety hormone. Protein helps regulate leptin sensitivity over time. The Protein theory goes that if the body doesn't get enough protein it will message you it wants more. The problem is the message is not clear. It's just a hunger signal. You're left to figure it out or deal with the tempting cookies, cakes, and chocolate hidden in the icebox.    Estrogen: From Muscle Protector to MIA Estrogen is an anabolic hormone—it supports muscle maintenance, insulin sensitivity, and metabolic efficiency. As estrogen declines in perimenopause and menopause, its natural support of muscle protein synthesis (MPS) disappears. With estrogen no longer stimulating MPS, women must now rely on two primary tools to stimulate it: Resistance training Adequate high-quality protein (especially leucine-rich) “Estrogen enhances the anabolic response of skeletal muscle to both feeding and resistance exercise, and its loss results in anabolic resistance.”   More Truths About Protein for Menopause Hormone Support Muscle Protein Synthesis declines with age—and even more so without estrogen.  This is why RDA-level protein (0.8g/kg) is not sufficient in midlife - a statement agreed on by Registered Dietitians, longevity and geriatric experts alike.  Experts (ISSN) recommend ≥1.6–2.2g/kg of body weight for active women in midlife to maintain muscle, metabolism, and hormonal resilience.   The Anabolic vs. Catabolic Hormone Framework Anabolic Hormones = Build & Repair These are hormones that stimulate tissue growth and regeneration: Testosterone – promotes muscle growth, strength, libido Growth Hormone (GH) – supports repair, recovery, and fat metabolism Estrogen – helps preserve lean mass, regulates insulin sensitivity Insulin – can be anabolic by shuttling nutrients into cells, especially post-exercise Protein intake supports all of these by providing the amino acid building blocks needed for anabolic activity. Catabolic Hormones = Break DownThese are hormones that promote the breakdown of muscle, tissue, and energy stores: Cortisol – breaks down muscle for glucose during stress Epinephrine/Norepinephrine – mobilize energy in fight-or-flight Chronically elevated catabolic hormones + low protein = muscle loss, cravings, fatigue. Fat Storage Insulin isn't actually a catabolic hormone but it does increase fat storage. You can't be burning fat if insulin is high, as is true for many women. Focusing on boosting the anabolic hormones is the game-changer.    Other Episodes You Might Like: Previous Episode - Can We Just Stop the Self Sabotage to Feel Your Best Ever  Next Episode - How and Why to Consider Meditation in Menopause More Like This - Where Protein Recommendations for Women Come From?   Resources:  This episode is brought to you by Flipping 50 Longevity Pro Protein & Fiber, the simplest ingredient, cleanest, third-party-tested protein powder formulated specifically for midlife metabolism. No bloat, no fillers, just functional fuel. Use code PODCAST10 for 10% off at checkout.   References:  Lemmens SG, Born JM, Martens EA, Martens MJ, Westerterp-Plantenga MS. PLoS One. 2011 Feb 3;6(2):e16826. doi: 10.1371/journal.pone.0016826. PMID: 21304815; PMCID: PMC3033415. Layman et al., 2008 reported that diets with higher protein and lower carbs improved insulin sensitivity in adults. DOI: 10.1093/jn/138.3.514 Leidy HJ, Ortinau LC, Douglas SM, Hoertel HA. Am J Clin Nutr. 2013 Apr;97(4):677-88. doi: 10.3945/ajcn.112.053116. Epub 2013 Feb 27. PMID: 23446906; PMCID: PMC3718776. Tang JE, Moore DR, Kujbida GW, Tarnopolsky MA, Phillips SM. J Appl Physiol (1985). 2009 Sep;107(3):987-92. doi: 10.1152/japplphysiol.00076.2009. Epub 2009 Jul 9. PMID: 19589961.  

You're doing it all but could there be hidden mistakes hijacking your menopause fitness. Increasing protein, lifting weights, doing high intensity… How can you be this active but not working?  Disclaimer: This could trigger you. The mistakes hijacking your menopause fitness you could be doing on purpose because you were told once this is what you SHOULD DO.  This episode is for all women, and for you. So let's unpack these mistakes hijacking your menopause fitness.  Before anything.. Measure.  If you aren't measuring your body composition - skeletal muscle mass vs. body fat—you won't truly know what's working. I'll link to the 4 Smart scales in my store. You can get a Dexa or go to a gym. #1 Not Consuming Enough Fuel Women are not the same as men on carbohydrate needs. We get little, we disrupt hormones. You are influenced by cortisol, insulin, thyroid, testosterone, growth hormone and the endocrine.   How much fuel do you need? Endocrine dysfunction - ~30-35 calories per kg of FFM in women; but around 15 calories per kg FFM in men. Fat Free Mass (FFM) - say you're 130kg and you have 25% body fat. You need 2923 kcals to keep your body functioning well.   Fueling Your Workouts: Cardio: 30g carbs and 15g protein before Strength: 15g protein before + 30-45g protein after (higher in and after menopause)    Thyroid & Carbohydrates Low carb diets (under 100g) - pivotal point for lower thyroid function.  Serotonin - produced in the gut, declines with low carb diets.  Low-carb diets - don't lead to better weight loss long-term, they cause water loss.   What Happens When You're Under-Fueled?Low Energy Availability from brain (hypothalamus) to body… Hypothalamus signals HPA axis dysfunction Adrenals releases cortisol Thyroid slows metabolism Body conserves energy and breaks down muscle instead of fat for fuel   When You Fast, try one of these: High intensity intervals  Lift heavy weights  High intensity boot camp class  Reduce carbs, maintain a keto-like diet while increasing your walks   Know the Sneaky Mistakes Hijacking Your Menopause Fitness #2 Never REALLY Recovering From Hard Intervals or Hard Workouts  Some bootcamps and spin classes are rapid, high-intensity intervals without adequate recovery. Your cortisol levels during this session accumulate.  It feels like you crushed it, but here's the truth: if you're not giving yourself real recovery, you're not hitting your peak.  When you skip the full recovery, you're not building the strength and power that protect against sarcopenia (muscle loss). Try these: Warm-up A:  Run up a steep hill for 40 seconds Mark that point on the hill Slowly go back down Fully recover, with your nasal breathing. Repeat until you don't make it to the same spot on the hill Warm-up B: Run up a steep hill for 40 seconds Mark that point on the hill Quickly make your way down Cool down within 60 seconds Immediately run up again Repeat until you don't make it to the same spot on the hill They both will feel hard, but only one gets you to your maximum capacity.  The glycolytic fibers - fast twitch that sustain power fatigue quickly. Women have fewer of them than slow twitch and lose twice as fast as slow-twitch fibers. Fast-twitch fibers need power moves — like heavy lifting or box jumps — and plenty of recovery to reload and go again.  You're fooling yourself into thinking you're getting in better shape.  So test yourself… a simple protocol you can do at home. Try a full test battery you can easily do at home - I'll provide access to it in the show notes as soon as it's ready.  Measure. Monitor your waist girth, your body fat percent and your skeletal muscle. Rate your energy, sleep, focus, digestion and elimination. Are you improving, worse or the same? When you're exercising optimally these things also improve. It's not just muscle mass and fat.    Are these Mistakes Hijacking Your Menopause Fitness?   #3 Relying on Caffeine, Bar Codes and Over Emphasis on Packaged Food By nature, your cortisol level is highest at about 8am. You've fasted overnight and if you're not eating soon after waking, especially if you're exercising as a female, your body has stressor on top of stressor: Punched your ticket in midlife (less estrogen, more cortisol) Caffeine (more cortisol)  No fuel (more cortisol)  Exercise (more cortisol)  Fuel before intense exercise.  Fuel again after, especially within the 24 hour period after resistance training or other HARD workouts the need for recovery persists, so it's not just that single meal following activity. #4 Always High and Hard You have never needed high intensity more in your life than whatever age over 40 you are now.  You also need full recovery … between intervals, strength training sets and sessions.  Here's the secret: Muscle gets stronger between sessions. The exercise is the stimulus. The recovery is where fitness happens – the release of hormones, the repair and supercompensation.  Recovery time. Get AT LEAST 48 to 72 hours between hard use of the same muscle groups. Active Recovery. The low intensity movement between your hard sessions is absolutely important in increasing circulation, blood sugar stabilization, improving sleep and mood and overall fitness levels.    Keep It Simple: Movement Time. Walking at the level below where cortisol negatively spikes so you can reduce or optimize it. Short & Intense. Spend small amounts of time in high intensity interval session - where you recover completely between sessions. All Major Muscle Groups. Spend 2-3 sessions a week hitting all major muscle groups or twice to total muscle fatigue. If you're in post menopause, the volume of sets has to be greater compared to a perimenopause woman. Recover. Give yourself at least 48 hours.. 72 is often BEST.  Resources: Flipping50 Membership Flipping50 Insiders Group   Other Podcasts You Might Like: Previous Episode - Is Red Light Therapy the Answer to Aches, Pains and More Movement? Next Episode - 3 Short Strength Training Session Strategies for Women in Menopause More Like This - 12 Strength Training Mistakes in Menopause Robbing Your Results   References: Loucks AB, Verdun M, Heath EM. Low energy availability, not stress of exercise, alters LH pulsatility in exercising women. J Appl Physiol (1985). 1998 Jan;84(1):37-46. doi: 10.1152/jappl.1998.84.1.37. PMID: 9451615. https://doi.org/10.1152/jappl.1998.84.1.37 Naude CE, Brand A, Schoonees A, Nguyen KA, Chaplin M, Volmink J. Low-carbohydrate versus balanced-carbohydrate diets for reducing weight and cardiovascular risk. Cochrane Database Syst Rev. 2022 Jan 28;1(1):CD013334. doi: 10.1002/14651858.CD013334.pub2. PMID: 35088407; PMCID: PMC8795871. https://doi.org/10.1002/14651858.cd013334.pub2 Shulhai AM, Rotondo R, Petraroli M, Patianna V, Predieri B, Iughetti L, Esposito S, Street ME. The Role of Nutrition on Thyroid Function. Nutrients. 2024 Jul 31;16(15):2496. doi: 10.3390/nu16152496. PMID: 39125376; PMCID: PMC11314468. https://doi.org/10.3390/nu16152496 

L'esercizio fisico influisce direttamente sulla pressione arteriosa, portando a benefici sia a breve che a lungo termine. Esploriamo le strategie migliori per gestire l'ipertensione attraverso attività aerobiche e di resistenza. L'allenamento può aiutarti a mantenere la salute cardiovascolare e ridurre i rischi associati all'ipertensione. Segui Postura Da Paura su Instagram e Facebook per trovare altri consigli e informazioni per vivere una vita più equilibrata e serena. Per noi il movimento è una medicina naturale, visita il sito www.posturadapaura.com per trovare il programma di allenamento più adatto alle tue esigenze. Come promesso ecco le fonti citate durante la puntata:  Romero SA, Minson CT, Halliwill JR. The cardiovascular system after exercise. J Appl Physiol (1985). 2017;122(4):925-932. doi:10.1152/japplphysiol.00802.2016 Privett SE, George KP, Whyte GP, Cable NT. The effectiveness of compression garments and lower limb exercise on post-exercise blood pressure regulation in orthostatically intolerant athletes. Clin J Sport Med. 2010;20(5):362-367. doi:10.1097/JSM.0b013e3181f20292 MacDonald HV, Johnson BT, Huedo-Medina TB, et al. Dynamic Resistance Training as Stand-Alone Antihypertensive Lifestyle Therapy: A Meta-Analysis. J Am Heart Assoc. 2016;5(10):e003231. Published 2016 Sep 28. doi:10.1161/JAHA.116.003231 Nascimento LS, Santos AC, Lucena J, Silva L, Almeida A, Brasileiro-Santos MS. Acute and chronic effects of aerobic exercise on blood pressure in resistant hypertension: study protocol for a randomized controlled trial. Trials. 2017;18(1):250. Published 2017 Jun 2. doi:10.1186/s13063-017-1985-5 Perrier-Melo RJ, Germano-Soares AH, Freitas Brito A, Vilela Dantas I, da Cunha Costa M. Post-exercise hypotension in response to high-intensity interval exercise: Potential mechanisms [published online ahead of print, 2021 Aug 11]. Rev Port Cardiol (Engl Ed). 2021;S0870-2551(21)00320-6. doi:10.1016/j.repc.2021.05.006

Iniziamo il primo di due episodi dedicati al dimagrimento localizzato. Analizziamo se è possibile perdere peso in aree specifiche del corpo e sfatiamo i miti comuni. Scopri come raggiungere i tuoi obiettivi di peso in modo sano e realistico. Segui Postura Da Paura su Instagram e Facebook per trovare altri consigli e informazioni per vivere una vita più equilibrata e serena. Per noi il movimento è una medicina naturale, visita il sito www.posturadapaura.com per trovare il programma di allenamento più adatto alle tue esigenze. Come promesso ecco le fonti citate durante la puntata: Hargreaves, M., & Spriet, L. L. (2020). Skeletal muscle energy metabolism during exercise. In Nature Metabolism (Vol. 2, Issue 9, pp. 817–828). Nature Research. https://doi.org/10.1038/s42255-020-0251-4 Heinonen, I., Bucci, M., Kemppainen, J., Knuuti, J., Nuutila, P., Boushel, R., & Kalliokoski, K. K. (2012). Regulation of subcutaneous adipose tissue blood flow during exercise in humans. J Appl Physiol, 112, 1059–1063. https://doi.org/10.1152/japplphysiol.00732.2011.-Regula Masullo, V., Fischetti, F., Esposito, G., & D'Elia, F. (2021). Pre-workout muscle vascularization and its effects on localized fat areas. Journal of Human Sport and Exercise, 16(Proc3), S1023–S1030. https://doi.org/10.14198/jhse.2021.16.Proc3.19 Paoli, A., Casolo, A., Saoncella, M., Bertaggia, C., Fantin, M., Bianco, A., Marcolin, G., & Moro, T. (2021). Effect of an endurance and strength mixed circuit training on regional fat thickness: The quest for the “spot reduction.” International Journal of Environmental Research and Public Health, 18(7). https://doi.org/10.3390/ijerph18073845 Pedersen, B. K., & Febbraio, M. A. (2008). Muscle as an Endocrine Organ: Focus on Muscle-Derived Interleukin-6. https://doi.org/10.1152/physrev.90100.2007.-Skeletal Polak, J., Bajzova, M., & Stich, V. (2008). Effect of exercise on lipolysis in adipose tissue. In Future Lipidology (Vol. 3, Issue 5, pp. 557–572). https://doi.org/10.2217/17460875.3.5.557 Purdom, T., Kravitz, L., Dokladny, K., & Mermier, C. (2018). Understanding the factors that effect maximal fat oxidation. In Journal of the International Society of Sports Nutrition (Vol. 15, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12970-018-0207-1 Scotto di Palumbo, A., Guerra, E., Orlandi, C., Bazzucchi, I., & Sacchetti, M. (2017). Effect of combined resistance and endurance exercise training on regional fat loss. The Journal of Sports Medicine and Physical Fitness, 57(6), 794–801. https://doi.org/10.23736/S0022-4707.16.06358-1 Stallknecht, B., Dela, F., & Helge, J. W. (2007). Are blood flow and lipolysis in subcutaneous adipose tissue influenced by contractions in adjacent muscles in humans? American Journal of Physiology – Endocrinology and Metabolism, 292(2). https://doi.org/10.1152/ajpendo.00215.2006

Continuiamo e concludiamo con il secondo episodio dedicato al dimagrimento localizzato. Approfondiamo ulteriormente le strategie per perdere peso in modo sano e sfatiamo i miti sulla riduzione del grasso in aree specifiche. Impara le tecniche efficaci per un dimagrimento equilibrato e sostenibile. Segui Postura Da Paura su Instagram e Facebook per trovare altri consigli e informazioni per vivere una vita più equilibrata e serena. Per noi il movimento è una medicina naturale, visita il sito www.posturadapaura.com per trovare il programma di allenamento più adatto alle tue esigenze. Come promesso ecco le fonti citate durante la puntata: Hargreaves, M., & Spriet, L. L. (2020). Skeletal muscle energy metabolism during exercise. In Nature Metabolism (Vol. 2, Issue 9, pp. 817–828). Nature Research. https://doi.org/10.1038/s42255-020-0251-4 Heinonen, I., Bucci, M., Kemppainen, J., Knuuti, J., Nuutila, P., Boushel, R., & Kalliokoski, K. K. (2012). Regulation of subcutaneous adipose tissue blood flow during exercise in humans. J Appl Physiol, 112, 1059–1063. https://doi.org/10.1152/japplphysiol.00732.2011.-Regula Masullo, V., Fischetti, F., Esposito, G., & D'Elia, F. (2021). Pre-workout muscle vascularization and its effects on localized fat areas. Journal of Human Sport and Exercise, 16(Proc3), S1023–S1030. https://doi.org/10.14198/jhse.2021.16.Proc3.19 Paoli, A., Casolo, A., Saoncella, M., Bertaggia, C., Fantin, M., Bianco, A., Marcolin, G., & Moro, T. (2021). Effect of an endurance and strength mixed circuit training on regional fat thickness: The quest for the “spot reduction.” International Journal of Environmental Research and Public Health, 18(7). https://doi.org/10.3390/ijerph18073845 Pedersen, B. K., & Febbraio, M. A. (2008). Muscle as an Endocrine Organ: Focus on Muscle-Derived Interleukin-6. https://doi.org/10.1152/physrev.90100.2007.-Skeletal Polak, J., Bajzova, M., & Stich, V. (2008). Effect of exercise on lipolysis in adipose tissue. In Future Lipidology (Vol. 3, Issue 5, pp. 557–572). https://doi.org/10.2217/17460875.3.5.557 Purdom, T., Kravitz, L., Dokladny, K., & Mermier, C. (2018). Understanding the factors that effect maximal fat oxidation. In Journal of the International Society of Sports Nutrition (Vol. 15, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12970-018-0207-1 Scotto di Palumbo, A., Guerra, E., Orlandi, C., Bazzucchi, I., & Sacchetti, M. (2017). Effect of combined resistance and endurance exercise training on regional fat loss. The Journal of Sports Medicine and Physical Fitness, 57(6), 794–801. https://doi.org/10.23736/S0022-4707.16.06358-1 Stallknecht, B., Dela, F., & Helge, J. W. (2007). Are blood flow and lipolysis in subcutaneous adipose tissue influenced by contractions in adjacent muscles in humans? American Journal of Physiology – Endocrinology and Metabolism, 292(2). https://doi.org/10.1152/ajpendo.00215.2006

Hypohydration but not menstrual phase influences pain perception in healthy women Tan B, Philipp MC, Che Muhamed AM, et al. J Appl Physiol. 2022;132(3):611-621. doi:10.1152/japplphysiol.00402.2021 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

Monday Motivation is a bite sized snack of inspiration to start your week right. Join Nikki every Monday Morning to get the motivation that will enable you to tackle all of life's challenges with a positive mindset. In this episode Nikki talks about Heat Therapies Vs Cold Therapies. Nevone A, Merlini G, Nuvolone M. Treating Protein Misfolding Diseases: Therapeutic Successes Against Systemic Amyloidoses. Front Pharmacol. 2020 Jul 10;11:1024. 2. Von Schulze AT, Deng F, Fuller KNZ, Franczak E, Miller J, Allen J, et al. Heat Treatment Improves Hepatic Mitochondrial Respiratory Efficiency via Mitochondrial Remodeling. Function (Oxf). 2021 Jan 22;2(2):zqab001. 3. Sebők J, Édel Z, Váncsa S, Farkas N, Kiss S, Erőss B, et al. Heat therapy shows benefit in patients with type 2 diabetes mellitus: a systematic review and meta-analysis. Int J Hyperthermia. 2021;38(1):1650–9. 4. Archer AE, Von Schulze AT, Geiger PC. Exercise, heat shock proteins and insulin resistance. Philos Trans R Soc Lond B Biol Sci [Internet]. 2018 Jan 19;373(1738). 5. Johnson CN, Jensen RS, Von Schulze AT, Geiger PC. Heat Therapy Can Improve Hepatic Mitochondrial Function and Glucose Control. Exerc Sport Sci Rev. 2022 Jul 1;50(3):162–70. 6. Von Schulze AT, Deng F, Morris JK, Geiger PC. Heat therapy: possible benefits for cognitive function and the aging brain. J Appl Physiol. 2020 Dec 1;129(6):1468–76. 7. Touchberry CD, Gupte AA, Bomhoff GL, Graham ZA, Geiger PC, Gallagher PM. Acute heat stress prior to downhill running may enhance skeletal muscle remodeling. Cell Stress Chaperones. 2012 Nov;17(6):693–705.See omnystudio.com/listener for privacy information.

What does it sound like when a young researcher meets one of his science heroes for the first time? Listen to this episode of The AJP-Heart and Circ Podcast to find out. Associate Editor Dr. Keith Brunt (Dalhousie University) interviews author Dr. Holger Burchert (University of Basel) and leading expert Dr. William Stringer (Lundquist Institute at Harbor-UCLA Medical Center) about a new Methods and Resources article published by Burchert and Klimpel as part of the recent Call for Papers on Exercise, Physical Activity, and Cardiovascular Health. The article by Burchert et al. is an important contribution of methodological advancement built upon a foundation of established literature, dating back to Fick's Principle, which first appeared as a two-paragraph conference abstract published in German in 1870 and later translated by The New England Journal of Medicine in 1948. Fick was the first to realize that cardiac output is equal to oxygen consumption divided by the arterial mixed venous oxygen content difference, allowing the first accurate determination of cardiac output. While non-invasive measurements of oxygen consumption and heart rate are now routine, sampling arterial and mixed venous blood is inherently challenging. This makes finding non-invasive techniques for these measurements incredibly important. Enter the OG of the linear method for determining the arterial mixed venous oxygen content difference, Dr. William Stringer. In his seminal 1997 article published in the Journal of Applied Physiology, “Cardiac output estimated noninvasively from oxygen uptake during exercise”, Dr. Stringer found that the arterial mixed venous oxygen content difference during incremental exercise can be estimated because it behaves in a predictable, linear fashion, thus avoiding the difficult blood sampling. Reading the article by Stringer et al., which was referenced in the CPET (cardiopulmonary exercise testing) machine manual Burchert used during his PhD work, sparked Burchert's interest to investigate the literature and ultimately build on Stringer's methodological approach by collaborating with this former school friend Dr. Fabian Klimpel. Burchert et al. found that a 3rd order polynomial S-curve described the arterial mixed venous oxygen content difference slightly better. More importantly, the authors also determined that the inflection point of this function could be related to the first ventilatory threshold and the inflection point of the oxygen dissociation curve. Why is this important? A deeper understanding of the mechanisms behind the s-shaped response has potential clinical translation, as the method could be further developed by tailoring it to individual patients. Listen as we discuss why it is important for early career researchers “to look back in order to look forward,” to use collaborators from other disciplines to support thinking creatively about cardiovascular physiology, and to align with mentors who facilitate young careers through constructive peer review and publication.   Holger Burchert and Fabian Klimpel Revisiting cardiac output estimated noninvasively from oxygen uptake during exercise: an exploratory hypothesis-generating replication study Am J Physiol Heart Circ Physiol, published August 25, 2023. DOI: 10.1152/ajpheart.00330.2023   William W. Stringer, James E. Hansen, and K. Wasserman Cardiac output estimated noninvasively from oxygen uptake during exercise J Appl Physiol, published March 1, 1997. DOI: 10.1152/jappl.1997.82.3.908   Fick, A On the Measurement of the Blood Quantum in the Ventricles of the Heart. Bauhaus-Universität Weimar, 1870, p. 16.

Déjate guiar y empieza a entrenar con nosotros 👉https://bit.ly/quiero_entrenar ------------------------------------------------------ Hoy desciframos todas las dudas que puede haber entorno al entrenamiento concurrente: - Qué es, cómo puede generar interferencias y por qué. - Cuáles son las claves que debemos respetar para poder sacarle el máximo partido. 📚 Para crear este episodio nos hemos basado en: 1. Kraemer W. et col. Compatibility of high-intensity strength and endurance training om hormonal and skeletal muscle adaptations. J Appl Physiol. 1995. 2. Bentley DJ, et col. Muscle activation of the knee extensors following high intensity endurance exercise in cyclist. Eur J Appl Physiol. 2000 3. Bompa T. Periodization: Theory and methodology of training. Human Kinetic, Champaign, 1999 4. Tanaka H. et col. Impact of resistance training on endurance performance. A new form of cross -training?. Sports Med 1998.

Nachdem wir in der letzten Ausgabe die Basics zur Trainingsintensitätsverteiung (TID) geklärt haben, widmen wir uns diesmal den richtig spannenden Fragen zur Evidenz: - Welche TID ist "die beste"? UND: - Was muss man dabei (noch) beachten? Den Rahmen dieser Episode bildet der "Schlagabtausch" zwischen zwei verschiedenen Arbeitsgruppen, die das für und wider polarisierten Trainings diskutieren. Wer am Ende die Oberhand behält und wie ihr die individuell "beste" TID findet, erfahrt ihr in dieser Folge. Link zum Videopodcast auf YouTube: https://youtube.com/playlist?list=PLGrWhjV7T1HabXM9m-UvepBHn36iFphEX 0:00:00 Intro 0:01:54 Recap zu den Basics 0:05:37 Welche TID ist optimal? 0:07:39 PRO polarisierte TID 0:08:39 Korrelationsanalysen 0:13:14 Meta-Analyse 0:18:28 Interventionsstudien 0:23:15 CONTRA polarisierte TID 0:25:08 pyramidale TIDs 0:28:34 fehlende Evidenz 0:37:10 Response von Foster et al. 0:45:56 Response von Burnley et al. 0:50:38 Was sollte man beachten? 1:02:20 alternative Konzepte 1:04:31 Konzentrationsprofile 1:06:53 Zusammenfassung 1:09:43 Outro Literatur: Bourgois et al. (2019). Int J Sports Physiol Perform: https://pubmed.ncbi.nlm.nih.gov/31484159/ Burnley et al. (2022). Med Sci Sports Exerc: https://pubmed.ncbi.nlm.nih.gov/35135998/ Burnley et al. (2022). Response to Forster et al.: https://pubmed.ncbi.nlm.nih.gov/35576139/ Casado et al. (2021). J Strength Cond Res: https://pubmed.ncbi.nlm.nih.gov/31045681/ Esteve-Lanao et al. (2007). J Strength Cond Res: https://pubmed.ncbi.nlm.nih.gov/17685689/ Filipas et al. (2022). Scand J Med Sci Sports: https://pubmed.ncbi.nlm.nih.gov/34792817/ Foster et al. (2022) Med Sci Sports Exerc: https://pubmed.ncbi.nlm.nih.gov/35136001/ Forster et al. (2022). Response to Burnley et al.: https://pubmed.ncbi.nlm.nih.gov/35576138/ Henritze et al. (1985). Eur J Appl Physiol: https://pubmed.ncbi.nlm.nih.gov/4018061/ Hydren & Cohen (2015). J Strength Cond Res: https://pubmed.ncbi.nlm.nih.gov/26595137/ Muñoz et al. (2014a). Int J Sports Physiol Perform: https://pubmed.ncbi.nlm.nih.gov/23921084/ Muñoz et al. (2014b). Int J Sports Physiol Perform: https://pubmed.ncbi.nlm.nih.gov/23752040/ Neal et al. (1985). J Appl Physiol:https://pubmed.ncbi.nlm.nih.gov/23264537/ Passfield & Hopker (2017). Int J Sports Physiol Perfrom: https://pubmed.ncbi.nlm.nih.gov/27967295/ Röhrken et al (2020). Front Physiol: https://pubmed.ncbi.nlm.nih.gov/33281607/ Rosenblat et al. (2019). J Strength Cond Res: https://pubmed.ncbi.nlm.nih.gov/29863593/ Seiler & Kjerland (2006). Sand J Med Sci Sports: https://pubmed.ncbi.nlm.nih.gov/16430681/ Sjödin et al. (1982). Eur J Appl Physiol: https://pubmed.ncbi.nlm.nih.gov/6213407/ Sperlich et al. (2022). Med Sci Sports Exerc: https://pubmed.ncbi.nlm.nih.gov/35704443/ Stöggl & Sperlich (2014). Front Physiol: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912323/ Stöggl & Sperlich (2019). Front Physiol: https://pubmed.ncbi.nlm.nih.gov/31178747/ Zinner et al. (2018). Med Sci Sports Exerc: https://pubmed.ncbi.nlm.nih.gov/29509644

ReviewersRyan Thomas, MDElizabeth Fiorino, MDRob Tepper, MDAlbin Leong, MDAdditional AcknowledgementsMichael Kiernan, MD (for expertise on scuba physiology)Contact InformationEmail: TidalVolumeATSPeds@gmail.comTwitter: @ATSPedsReferences Ratjen FA, Colin AA, Stark AR, Mead J, And Wohl MEB, Changes of time constants during infancy and early childhood. J. Appl. Physiol. 67(5):2112-2115, 1989. LeSouef PN, England SJ, and Bryan AC, Passive Respiratory Mechanics in Newborns and Children, Am Rev Respir Dis, 1984:  129:552-558. Otis AB et al, Mechanical Factors in the Distribution of Ventilation, J Appl Physiol,  8(4):  427-443. Deranged Physiology > Respiratory System > Mechanics of Breathing >Time Constants:  https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20034/time-constants

In this MEGAphone episode we will be shouting out one of the most informative people to follow on social media that I know about, he specializes in power lifting and biomechanics and injury prevention and physical therapy. His Instagram handle is @SquatUniversity and his name is Dr. Aaron Horschig. As a physical therapist & strength coach, Aaron helps athletes move better, decrease their aches & pains associated with training, and find their true athletic potential.Dr. Horschig wrote an extremely informative and also controversial article that I love and want to share. This information addresses a well known injury protocol… A protocol that I used when I was an athlete in high school in college. A protocol that I used with clients and family members of mine when they got injured… A protocol that I believed in whole heartedly and taught every chance I could. A protocol my college courses taught me, straight out of the text books. It was simple… when you get hurt… the solution is RICE. Rest, Ice, Compression, Elevation. We all knew RICE.   And it turns out… we were all wrong. References: Dr. Aaron Horschig IG: @SquatUniversitywww.squatuniversity.com Book: Rebuilding MiloArticle Citations:1.    Mirkin G, Hoffman M. The Sports Medicine Book. 1978. Little Brown & Co2.    Lu H, Huang D, Saederup N, et al. Macrophages recruited via CCR2 produce insulin-like growth factor-1 to repair acute skeletal muscle injury. FASEB J. 2011;25(1):358-69.3.    Summan M, Warren GL, Mercer RR, Chapman R, et al. Macrophages and skeletal muscle regeneration: a clodronate-containing liposome depletion study. Am J Physiol Regul Integr Comp Physiol. 2006;290(6):R1488-954.    Pelosi L, Giacinti C, Nardis C, Borsellino G, et al. (2007) Local expression of IGF-1 accelerates muscle regeneration by rapidly modulating inflammatory cytokines and chemokines. FASEB J. 21, 1393–14025.    Singh DP, Lonbani ZB, Woodruff MA, Parker JP, et al. Effects of topical icing on inflammation, angiogenesis, revascularization, and myofiber regeneration in skeletal muscle following contusion injury. Front Physiol. 2017;8:93.6.    Takagi R., Fujita N., Arakawa T., Kawada S., Ishii N., Miki A. (2011). Influence of icing on muscle regeneration after crush injury to skeletal muscles in rats. J. Appl. Physiol. 110, 382–388.7.    Tiidus PM. Alternative traetments for muscle injury: massage, cryotherapy, and hyperbaric oxygen. Current reviews in musculoskeletal medicine. 2015;8(2):162-78.    Reinl G. Iced! The illusionary treatment option. 2nd Edition. Gary Reinl. 2014.9.    Khoshnevis S, Kraik NK, Diller KR. Cold-induced vasoconstriction may persist long after cooling ends: an evaluation of multiple cryotherapy units. Knee Surg Sports Traumatol Arthrosc. 2015;23(9):2475-238310. Dirks ML, Wall BT, van Loon L CJ. Interventional strategies to combat muscle disuse atrophy in humans: focus on neuromuscular electoral stimulation and dietary protein. J Appl Physiol. 2018;125:850-86111. Raynor MC, Pietrobon R, Guller U, Higgins LD. Cryotherapy after ACL reconstruction: a meta-analysis. J Knee Surg. 2005;18(2):123-912. Spencer JD, Hayes KC, Alexander IJ. Knee joint effusion and quadriceps reflex inhibition in man. Arch Phys Rehabil. 1984;65:171-17713. Buckwalter JA, Grodzinsky AJ. Loading of healing bone, fibrous tissue, and muscle: implications for orthopaedic practice. J Am Acad Orthop Surg. 1999;7(5):291-9.14. Silveria EM, Rodrigues MF, Krause MS, et al. Acute exercise stimulates macrophage function: possible role of NF-kappaB pathways. Cell Biochem Funct. 2007;25(1):63-7315. Teixeira E, Duarte JA. Skeletal muscle loading changes its regenerative capacity. Sports Med.

Episode 100: Sexercise. Written by Valerie Civelli, MD. Comments by Namdeep Grewal, MD; and Hector Arreaza, MD. Have you ever wondered if sex is a good workout? Drs. Civelli, Grewal and Arreaza discuss the topic based on evidence offered by science. The following episode is not recommended for young children or people who consider sex a sensitive topic. This is the Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.___________________________Sexercise. Written by Valerie Civelli, MD. Comments by Namdeep Grewal, MD; and Hector Arreaza, MD. A: If I say “bow chika wow wow” what's the first thing that comes to mind? The Chipmunks movie right?B: Yes, exactly, I can hear Alvin in his high-pitched voice, [higher tone] “bowchicka wow wow”. For those of you unfamiliar with this movie, don't feel too left out because even Alvin was hinting to exactly what you're thinking.A: Yep, we're going there today people.  Let's talk about sex.  Medically speaking of course. B: That's right because 1. If you're doing it, your risk for heart attacks and strokes are decreased after age 50 and 2. If you're not doing it, ask you're doctor, we should be discussing it and why not.A: Yes, that is the guideline-directed recommendation actually. We're recognizing more and more the importance of sexual activity in medicine and its impact on overall health, quality of life and even level of risk for mortality. However, given the sensitive nature of sexuality, few studies have been done to better correlate and define exactly what this means for our health specifically. Sex can be an embarrassing topic to discuss by patients, doctors and researchers which has been largely influenced by culture, religion and other societal norms.  Well, today let's break this proverbial glass. B: I agree, let's talk about sexuality activity and what research do we have.A: It has been said that Dr. Masters and Dr. Johnson were the earliest pioneers of this type of investigation. They published the first study of its kind in 1966, which examined the physiological responses of sexual activity. This was an 11-year observational study involving 382 females, ages 18 to 78, and 312 male volunteers, 21 to 89 years of age. The study identified a progressive increase in respiratory rates, up to 40 per minute, an increased heart rate 110 to 180 beats/min and an increase in systolic blood pressure by 30 to 80mmhg during sexual activity. In 1970, Hellerstein and Friedman identified the mean heart rate at the time of orgasm was 117.4 beats per minute with a range of 90 to 144. This was done in middle-age men, average age 47.5. Interestingly, the 24-hr ekg monitoring also identified a lower peak post coital heart rate, which was usually lower than the heart rates achieved with normal daily activities (around 120.1 beats per minute). In 1984, Bohlen et al. did a racier study with 10 couples using ECG, oxygen consumption (measured using a fast-responding polarographic O2 gas analyzer), heart rate and blood pressure monitoring before and during 4 types of sexual activity. This study obtained data during self-stimulation, partner stimulation, man-on-top and woman-on-top coitus.  The men were aged 25 to 43 years of age.  Results showed that self-stimulation increased the heart rate by 37 % from baseline to orgasm compared with a 51 % increase with man-on-top coitus. B: So already it was clear in 1966 to 1984 that physical exertion in the bedroom correlates to physiologic responses like increased heart rate, blood pressure, etc.  However, our question of the day is, does sexual activity count as exercise, and to that question we ask why or why not?A: When I think about exercise, I think about heart rate and blood pressure.  I think about indicators of energy expenditures and/or intensity. And specifically, while I'm working out…I'm talking about at the gym, and I'm running on the treadmill for example, my mental state is, how much longer until I can quit.  Duration and level of intensity while under this physical exertion feels most important. And according to the AHA, this has been heavily studied.  That's why 150 active intentional minutes of exercise are recommended per week to improve cardiovascular health. Does this translate to sexual activity? B: Well before we answer this, let's first mention the Bruce protocol. Have you ever heard of this? The Bruce protocol is a standard test of cardiovascular health, comprised of multiple stages of exertion on a treadmill, with three minutes spent per stage. Also at each stage, the incline and speed of the treadmill are elevated to increase cardiac work output, which is called METS. Stage 1 of the Bruce protocol is performed at 1.7 miles per hour and a 10% incline. Stage 2 is 2.5 mph and 12%, while Stage 3 goes to 3.4 mph and 14%. If you're a pilot for example, the FAA expects testing to achieve 85-100% of Maximum Predicted Heart Rate (220 minus your age) for a 9-minute duration.  With the Bruce protocol in mind, we circle back to our question of the day, does sex count as exercise?A: In 2007, Palmeri et al. reported that in 19 men and 13 women aged 40-75 years old, the intensity of sexual activity was comparable to stage II of the standard multistage Bruce protocol (moderate intensity) on a treadmill for men and stage I (low intensity) for women. In addition, maximal heart rate and blood pressure during sexual activity was approximately 75 % of that attained during maximum treadmill stress testing of the Bruce protocol. Collectively, based on these above studies, the physiological responses of sexual activity seem to be at a moderate intensity. B: Okay, so “you're saying there's a chance.” Right, one in a million Lloyd. Another movie reference, if you've seen the American classic Dumb and Dumber, you can appreciate it.  The point is, the level of intensity was identified by Palmeri's research but are we convinced sex may be used as exercise based on studies that were conducted more than a quarter of a century ago? As a studious, thriving resident physician, with a heavy background in research, I turned to Up to date for more data, and recommendations.  I had zero findings. Naturally I turned to Men's Health magazine to see what is out there to the general public:A: “You're in bed with your partner and you just finished a vigorous sex session. You're hot and sweaty, worked past that side cramp you got while thrusting, and are convinced you just burned as many calories as you would at the gym. You figure you can skip the treadmill today since your sex workout—a.k.a sex exercises, a.k.a sexercises—got you plenty of cardio.Well, we may have bad news: it depends on the type of sex you're having—specifically, how active you are during it, and how long you're having it—but unless you're really going at it for a couple of hours, odds are, it wasn't that great of a workout. To better quantify this, couples were evaluated while running on a treadmill for 30 minutes and compared to their sexercise. The results, which were published in the journal PLOS ONE, concluded that men burn 100 calories during the average sex session, while women burn about 69 calories. The researchers estimated that men burn roughly 4.2 calories per minute during sex, while women burn 3.1 calories. B: Men may be more physically active during sex which potentially explains why they burn more calories, study author Antony Karelis. But the main reason, Karelis told Time, is that “Men weigh more than women, and because of this, the energy expenditure will be higher in men for the same exercise performed.”It's also worth knowing that sex sessions in the study lasted an average of 25 minutes That's far longer than average. Times varied in the study, ranging from 10 to 57 minutes.  A: The longer the session, the more calories burned.  B: One study in the New England Journal of Medicine found that most sex sessions last six minutes. A: Here are some tips for burning more calories during sex:Make some moans and sighs to burn some extra calories.Change your position to make it more of a workout, especially women. If you're on top, move your hips like a belly dancer. It will feel good while giving you a workout.Experiment with a position where you squat on top of your partner and then bounce up and down. That's a great way to work out your thighs and rear.Try being on top rather than on the bottom, because research suggests that requires more energy.Kiss in unusual positions. Have the guy on his back. Do a push up on top of him. Come down to kiss him and then push back up.Take off your clothes in ways that burn calories. Draw it out and make it part of your foreplay. Or tease him as you get undressed. Do a seductive dance with a silk scarf, for example.Give a good massage to get your heart rate up. Ramp things up by going deeper. It's more sensual and works different muscles. Take turns so you can both get the calorie burn and its arousing impact. B: Harvard source:  During sexual intercourse, a man's heart rate rarely gets above 130 beats a minute, and his systolic blood pressure nearly always stays under 170. All in all, average sexual activity ranks as mild to moderate in terms of exercise intensity.  A: As for oxygen consumption, it comes in at about 3.5 METS (metabolic equivalents), which is about the same as taking a walk or playing ping pong. Sex burns about five calories a minute; that's four more calories used than watching TV. B: How do we decide if one is fit enough for sexual activity? For a 50-year-old man, the risk of having a heart attack in any given hour is about one in a million; sex doubles the risk, but it's still just two in a million. For men with heart disease, the risk is 10 times higher — but even for them, the chance of suffering a heart attack during sex is just 20 in a million. In short, if you are able to climb 3 flights of stairs, you are safe to proceed.  A: Circling back to exercise, keep in mind 4-5 calories burned per minute is still better than zero. Any time spent engaging in any level of physical activity is better than sitting on the couch.  B: Further, “Having sex for at least 10 minutes contributes to your cardiorespiratory health, increased serotonin levels (the happy hormone), and improved sleep,” Silberstang says. Studies have found that sex can relieve everything from anxiety and depression to high blood pressure.  A: When men orgasm, their bodies release serotonin, oxytocin, and prolactin, all hormones associated with better moods, relaxation, and lowered stress. Multiple studies have also found links between regular sex and a reduced risk for heart disease and prostate cancer, and a stronger immune system. One reason that sex isn't classified as a workout is due to its average duration: 3 to 13 minutes,” Silberstang explains. “So, naturally, one of the ways to make sex more of a cardio workout is to increase the time of the act.” C: The present study indicates that energy expenditure during sexual activity appears to be approximately 85 kcal or 3.6 kcal/min and seems to be performed at a moderate intensity in young healthy men and women. These results suggest that sexual activity may potentially be considered, at times, as a significant exercise. Moreover, both men and women reported that sexual activity was a highly enjoyable and more appreciated than the 30 min exercise session on the treadmill. Therefore, this study could have implications for the planning of intervention programs as part of a healthy lifestyle by health care professionals. B: We look forward to future studies that may further show the relationship between psychosocial/qualitative factors and energy expenditures which could explain how these variables could affect overall health and quality of life.____________________________Now we conclude episode 100, “Sexercise.” If you ever wondered if sexual intercourse was a good workout, today we learned that in general it is not an energy-demanding activity. The average man burns just 24 kilocalories during sex, but with some adjustments you can burn more calories, especially if the activity takes longer. If your patient is not having sex, they do not have to start having it just to exercise, remind everyone to be sexually responsible to prevent the spread of sexually transmitted infections and unintended pregnancies. Even without trying, every night you go to bed being a little wiser.Today we thank doctors Valerie Civelli, Namdeep Grewal, and Hector Arreaza. Thanks for listening to Rio Bravo qWeek Podcast. If you have any feedback, contact us by email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. Audio edition: Suraj Amrutia. See you next week!_____________________References:Frappier, Julie; Isabelle Toupin, Joseph J. Levy, Mylene Aubertin-Leheudre, and Antony D. Karelis. Energy Expenditure during Sexual Activity in Young Healthy Couples, PLOS One, plos.org, Published: October 24, 2013, https://doi.org/10.1371/journal.pone.0079342. Casazza, Krista, Ph.D., R.D.; Kevin R. Fontaine, Ph.D.; Arne Astrup, M.D., Ph.D.; et al. Myths, Presumptions, and Facts about Obesity, N Engl J Med 2013; 368:446-454 DOI: 10.1056/NEJMsa1208051 Blaha, Michael Joseph, M.D., M.P.H. Is Sex Dangerous If You Have Heart Disease?. Health. Jons Hopkins Medicine, accessed June 20, 2022. https://www.hopkinsmedicine.org/health/wellness-and-prevention/is-sex-dangerous-if-you-have-heart-disease    Jackson G. Erectile dysfunction and cardiovascular disease. Arab J Urol. 2013;11(3):212-216. doi:10.1016/j.aju.2013.03.003. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442980/   DeBusk R, Drory Y, Goldstein I, Jackson G, Kaul S, Kimmel SE, Kostis JB, Kloner RA, Lakin M, Meston CM, Mittleman M, Muller JE, Padma-Nathan H, Rosen RC, Stein RA, Zusman R. Management of sexual dysfunction in patients with cardiovascular disease: recommendations of The Princeton Consensus Panel. Am J Cardiol. 2000 Jul 15;86(2):175-81. doi: 10.1016/s0002-9149(00)00896-1. PMID: 10913479.Davey Smith G, Frankel S, Yarnell J (1997) Sex and death: are they related? Findings from the Caerphilly Cohort Study. BMJ 315: 1641-1644. doi:https://doi.org/10.1136/bmj.315.7123.1641. Ebrahim S, May M, Ben Shlomo Y, McCarron P, Frankel S et al. (2002) Sexual intercourse and risk of ischaemic stroke and coronary heart disease: the Caerphilly study. J Epidemiol Community Health 56: 99-102. doi:https://doi.org/10.1136/jech.56.2.99. Laumann EO, Glasser DB, Neves RC, Moreira ED Jr. (2009) A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America. Int J Impot Res 21: 171-178. doi:https://doi.org/10.1038/ijir.2009.7. Lindau ST, Gavrilova N (2010) Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing. BMJ 340: c810. doi:https://doi.org/10.1136/bmj.c810. Lindau ST, Schumm LP, Laumann EO, Levinson W, O'Muircheartaigh CA et al. (2007) A study of sexuality and health among older adults in the United States. N Engl J Med 357: 762-774. doi:https://doi.org/10.1056/NEJMoa067423. McCall-Hosenfeld JS, Jaramillo SA, Legault C, Freund KM, Cochrane BB et al. (2008) Correlates of sexual satisfaction among sexually active postmenopausal women in the Women's Health Initiative-Observational Study. J Gen Intern Med 23: 2000-2009. doi:https://doi.org/10.1007/s11606-008-0820-9. Bartlett RG Jr. (1956) Physiologic responses during coitus. J Appl Physiol 9: 469-472. Bohlen JG, Held JP, Sanderson MO, Patterson RP (1984) Heart rate, rate-pressure product, and oxygen uptake during four sexual activities. Arch Intern Med 144: 1745-1748. doi:https://doi.org/10.1001/archinte.144.9.1745.  Hellerstein HK, Friedman EH (1970) Sexual activity and the postcoronary patient. Arch Intern Med 125: 987-999. doi:https://doi.org/10.1001/archinte.125.6.987.  Larson JL, McNaughton MW, Kennedy JW, Mansfield LW (1980) Heart rate and blood pressure responses to sexual activity and a stair-climbing test. Heart Lung 9: 1025-1030.  Masini V, Romei E, Fiorella AT (1980) Dynamic electrocardiogram in normal subjects during sexual activity. G Ital Cardiol 10: 1442-1448. Nemec ED, Mansfield L, Kennedy JW (1976) Heart rate and blood pressure responses during sexual activity in normal males. Am Heart J 92: 274-277. doi:https://doi.org/10.1016/S0002-8703(76)80106-8.  Palmeri ST, Kostis JB, Casazza L, Sleeper LA, Lu M et al. (2007) Heart rate and blood pressure response in adult men and women during exercise and sexual activity. Am J Cardiol 100: 1795-1801. doi:https://doi.org/10.1016/j.amjcard.2007.07.040. Casazza K, Fontaine KR, Astrup A, Birch LL, Brown AW et al. (2013) Myths, presumptions, and facts about obesity. N Engl J Med 368: 446-454. doi:https://doi.org/10.1056/NEJMsa1208051. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN et al. (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39: 1423-1434. doi:https://doi.org/10.1249/mss.0b013e3180616b27.  Drenowatz C, Eisenmann JC (2011) Validation of the SenseWear Armband at high intensity exercise. Eur J Appl Physiol 111: 883-887. doi:https://doi.org/10.1007/s00421-010-1695-0.  Johannsen DL, Calabro MA, Stewart J, Franke W, Rood JC et al. (2010) Accuracy of armband monitors for measuring daily energy expenditure in healthy adults. Med Sci Sports Exerc 42: 2134-2140. doi:https://doi.org/10.1249/MSS.0b013e3181e0b3ff. Mackey DC, Manini TM, Schoeller DA, Koster A, Glynn NW et al. (2011) Validation of an armband to measure daily energy expenditure in older adults. J Gerontol A Biol Sci Med Sci 66: 1108-1113.  Mignault D, St-Onge M, Karelis AD, Allison DB, Rabasa-Lhoret R (2005) Evaluation of the Portable HealthWear Armband: a device to measure total daily energy expenditure in free-living type 2 diabetic individuals. 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Appl Physiol Nutr Metab 36: 339-343. doi:https://doi.org/10.1139/h11-016. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN et al. (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 116: 1081-1093. doi:https://doi.org/10.1161/CIRCULATIONAHA.107.185649. Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr. et al. (2011) 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc 43: 1575-1581. doi:https://doi.org/10.1249/MSS.0b013e31821ece12.  Steinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S et al. (2013) Sexual Counseling for Individuals With Cardiovascular Disease and Their Partners: A Consensus Document From the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Circulation. 

Overview of the REC Conference (Speakers are named in the audio)Long-term effects of strength training: research and findingsGood to Go: What the Athlete in All of Us Can Learn from the Strange Science of Recovery by Christine AschwandenRecovery as a businessDoes more recovery work = the ability to train more?Top recovery methodsHow to use social mediaYour brand as a businessTime-efficient strategies for trainingMulti-joint vs. single-joint exercises of hypertrophyThe minimum effective dose for increases in strengthProtein around a workout and how beneficial is supplementing proteinTraining to failure and hypertrophy gainsHormone hypothesisThe role of effort with supervision in resistance training: failure vs. non-failureReview on variations of exerciseMentioned article: Does Lifting Boost Testosterone – at T-NationThe Flex Diet Podcast is brought to you by the Flex Diet Certification. Go to https://flexdiet.com/ for 8 interventions on nutrition and recovery. The course will open again in June 2022.Speaker InformationDr James FisherDr Brad Broenfeld (Schoenfeld)Dr Stu PhillipsDr James SteeleAndrew CoatesKristin Rowell Luke CarlsonDiscover Strength Dr PakChristie AschwandenSelected ReferencesAndroulakis-Korakakis, P., Michalopoulos, N., Fisher, J. P., Keogh, J., Loenneke, J. P., Helms, E., . . . Steele, J. (2021). The Minimum Effective Training Dose Required for 1RM Strength in Powerlifters. Front Sports Act Living, 3, 713655. doi:10.3389/fspor.2021.713655Angleri, V., Damas, F., Phillips, S. M., Selistre-de-Araujo, H. S., Cornachione, A. S., Stotzer, U. S., . . . Libardi, C. A. (2022). Resistance training variable manipulations are less relevant than intrinsic biology in affecting muscle fiber hypertrophy. Scand J Med Sci Sports, 32(5), 821-832. doi:10.1111/sms.14134Barbalho, M., Coswig, V. S., Steele, J., Fisher, J. P., Giessing, J., & Gentil, P. (2020). Evidence of a Ceiling Effect for Training Volume in Muscle Hypertrophy and Strength in Trained Men - Less is More? Int J Sports Physiol Perform, 15(2), 268-277. doi:10.1123/ijspp.2018-0914Behm, D. G., Alizadeh, S., Hadjizedah Anvar, S., Hanlon, C., Ramsay, E., Mahmoud, M. M. I., . . . Steele, J. (2021). Non-local Muscle Fatigue Effects on Muscle Strength, Power, and Endurance in Healthy Individuals: A Systematic Review with Meta-analysis. Sports Med, 51(9), 1893-1907. doi:10.1007/s40279-021-01456-3Burd, N. A., Mitchell, C. J., Churchward-Venne, T. A., & Phillips, S. M. (2012). Bigger weights may not beget bigger muscles: evidence from acute muscle protein synthetic responses after resistance exercise. Appl Physiol Nutr Metab, 37(3), 551-554. doi:10.1139/h2012-022Burd, N. A., Moore, D. R., Mitchell, C. J., & Phillips, S. M. (2013). Big claims for big weights but with little evidence. Eur J Appl Physiol, 113(1), 267-268. doi:10.1007/s00421-012-2527-1Burd, N. A., West, D. W., Staples, A. W., Atherton, P. J., Baker, J. M., Moore, D. R., . . . Phillips, S. M. (2010). Low-load high volume resistance exercise stimulates muscle protein synthesis more than high-load low volume resistance exercise in young men. PLoS One, 5(8), e12033. doi:10.1371/journal.pone.0012033Carlson, L., Gschneidner, D., Steele, J., & Fisher, J. P. (2022). Short-term supervised virtual training maintains intensity of effort and represents an efficacious alternative to traditional studio-based, supervised strength training. Physiol Behav, 249, 113748. doi:10.1016/j.physbeh.2022.113748Farrow, J., Steele, J., Behm, D. G., Skivington, M., & Fisher, J. P. (2021). Lighter-Load Exercise Produces Greater Acute- and Prolonged-Fatigue in Exercised and Non-Exercised Limbs. Res Q Exerc Sport, 92(3), 369-379. doi:10.1080/02701367.2020.1734521Gomes, G. K., Franco, C. M., Nunes, P. R. P., & Orsatti, F. L. (2019). High-Frequency Resistance Training Is Not More Effective Than Low-Frequency Resistance Training in Increasing Muscle Mass and Strength in Well-Trained Men. J Strength Cond Res, 33 Suppl 1, S130-S139. doi:10.1519/JSC.0000000000002559Grgic, J., Lazinica, B., Mikulic, P., Krieger, J. W., & Schoenfeld, B. J. (2017). The effects of short versus long inter-set rest intervals in resistance training on measures of muscle hypertrophy: A systematic review. Eur J Sport Sci, 17(8), 983-993. doi:10.1080/17461391.2017.1340524Grgic, J., Schoenfeld, B. J., Davies, T. B., Lazinica, B., Krieger, J. W., & Pedisic, Z. (2018). Effect of Resistance Training Frequency on Gains in Muscular Strength: A Systematic Review and Meta-Analysis. Sports Med, 48(5), 1207-1220. doi:10.1007/s40279-018-0872-xHenselmans, M., & Schoenfeld, B. J. (2014). The effect of inter-set rest intervals on resistance exercise-induced muscle hypertrophy. Sports Med, 44(12), 1635-1643. doi:10.1007/s40279-014-0228-0Iversen, V. M., Norum, M., Schoenfeld, B. J., & Fimland, M. S. (2021). No Time to Lift? Designing Time-Efficient Training Programs for Strength and Hypertrophy: A Narrative Review. Sports Med, 51(10), 2079-2095. doi:10.1007/s40279-021-01490-1Lim, C., Nunes, E. A., Currier, B. S., McLeod, J. C., Thomas, A. C. Q., & Phillips, S. M. (2022). An Evidence-based Narrative Review of Mechanisms of Resistance Exercise-induced Human Skeletal Muscle Hypertrophy. Med Sci Sports Exerc. doi:10.1249/MSS.0000000000002929McKendry, J., Stokes, T., McLeod, J. C., & Phillips, S. M. (2021). Resistance Exercise, Aging, Disuse, and Muscle Protein Metabolism. Compr Physiol, 11(3), 2249-2278. doi:10.1002/cphy.c200029Mitchell, C. J., Churchward-Venne, T. A., West, D. W., Burd, N. A., Breen, L., Baker, S. K., & Phillips, S. M. (2012). Resistance exercise load does not determine training-mediated hypertrophic gains in young men. J Appl Physiol (1985), 113(1), 71-77. doi:10.1152/japplphysiol.00307.2012Morton, R. W., Oikawa, S. Y., Wavell, C. G., Mazara, N., McGlory, C., Quadrilatero, J., . . . Phillips, S. M. (2016). Neither load nor systemic hormones determine resistance training-mediated hypertrophy or strength gains in resistance-trained young men. J Appl Physiol (1985), 121(1), 129-138. doi:10.1152/japplphysiol.00154.2016Morton, R. W., Sonne, M. W., Farias Zuniga, A., Mohammad, I. Y. Z., Jones, A., McGlory, C., . . . Phillips, S. M. (2019). Muscle fibre activation is unaffected by load and repetition duration when resistance exercise is performed to task failure. J Physiol, 597(17), 4601-4613. doi:10.1113/JP278056Nunes, E. A., Colenso-Semple, L., McKellar, S. R., Yau, T., Ali, M. U., Fitzpatrick-Lewis, D., . . . Phillips, S. M. (2022). Systematic review and meta-analysis of protein intake to support muscle mass and function in healthy adults. J Cachexia Sarcopenia Muscle, 13(2), 795-810. doi:10.1002/jcsm.12922Nunes, J. P., Schoenfeld, B. J., Nakamura, M., Ribeiro, A. S., Cunha, P. M., & Cyrino, E. S. (2020). Does stretch training induce muscle hypertrophy in humans? A review of the literature. Clin Physiol Funct Imaging, 40(3), 148-156. doi:10.1111/cpf.12622Phillips, S. M. (2014). A brief review of critical processes in exercise-induced muscular hypertrophy. Sports Med, 44 Suppl 1, S71-77. doi:10.1007/s40279-014-0152-3Phillips, S. M., & Van Loon, L. J. (2011). Dietary protein for athletes: from requirements to optimum adaptation. J Sports Sci, 29 Suppl 1, S29-38. doi:10.1080/02640414.2011.619204Santos, W., Vieira, C. A., Bottaro, M., Nunes, V. A., Ramirez-Campillo, R., Steele, J., . . . Gentil, P. (2021). Resistance Training Performed to Failure or Not to Failure Results in Similar Total Volume, but With Different Fatigue and Discomfort Levels. J Strength Cond Res, 35(5), 1372-1379. doi:10.1519/JSC.0000000000002915Saric, J., Lisica, D., Orlic, I., Grgic, J., Krieger, J. W., Vuk, S., & Schoenfeld, B. J. (2019). Resistance Training Frequencies of 3 and 6 Times Per Week Produce Similar Muscular Adaptations in Resistance-Trained Men. J Strength Cond Res, 33 Suppl 1, S122-S129. doi:10.1519/JSC.0000000000002909Schoenfeld, B. J. (2010). The mechanisms of muscle hypertrophy and their application to resistance training. J Strength Cond Res, 24(10), 2857-2872. doi:10.1519/JSC.0b013e3181e840f3Schoenfeld, B. J., Contreras, B., Krieger, J., Grgic, J., Delcastillo, K., Belliard, R., & Alto, A. (2019). Resistance Training Volume Enhances Muscle Hypertrophy but Not Strength in Trained Men. Med Sci Sports Exerc, 51(1), 94-103. doi:10.1249/MSS.0000000000001764Schoenfeld, B. J., Grgic, J., Contreras, B., Delcastillo, K., Alto, A., Haun, C., . . . Vigotsky, A. D. (2019). To Flex or Rest: Does Adding No-Load Isometric Actions to the Inter-Set Rest Period in Resistance Training Enhance Muscular Adaptations? A Randomized-Controlled Trial. Front Physiol, 10, 1571. doi:10.3389/fphys.2019.01571Schoenfeld, B. J., Grgic, J., & Krieger, J. (2019). How many times per week should a muscle be trained to maximize muscle hypertrophy? A systematic review and meta-analysis of studies examining the effects of resistance training frequency. J Sports Sci, 37(11), 1286-1295. doi:10.1080/02640414.2018.1555906Schoenfeld, B. J., Ogborn, D., & Krieger, J. W. (2017a). The dose-response relationship between resistance training volume and muscle hypertrophy: are there really still any doubts? J Sports Sci, 35(20), 1985-1987. doi:10.1080/02640414.2016.1243800Schoenfeld, B. J., Ogborn, D., & Krieger, J. W. (2017b). Dose-response relationship between weekly resistance training volume and increases in muscle mass: A systematic review and meta-analysis. J Sports Sci, 35(11), 1073-1082. doi:10.1080/02640414.2016.1210197Schoenfeld, B. J., Ogborn, D. I., & Krieger, J. W. (2015). Effect of repetition duration during resistance training on muscle hypertrophy: a systematic review and meta-analysis. Sports Med, 45(4), 577-585. doi:10.1007/s40279-015-0304-0Schoenfeld, B. J., Pope, Z. K., Benik, F. M., Hester, G. M., Sellers, J., Nooner, J. L., . . . Krieger, J. W. (2016). Longer Interset Rest Periods Enhance Muscle Strength and Hypertrophy in Resistance-Trained Men. J Strength Cond Res, 30(7), 1805-1812. doi:10.1519/JSC.0000000000001272Steele, J., Androulakis-Korakakis, P., Carlson, L., Williams, D., Phillips, S., Smith, D., . . . Fisher, J. P. (2021). The Impact of Coronavirus (COVID-19) Related Public-Health Measures on Training Behaviours of Individuals Previously Participating in Resistance Training: A Cross-Sectional Survey Study. Sports Med, 51(7), 1561-1580. doi:10.1007/s40279-021-01438-5West, D. W., Burd, N. A., Staples, A. W., & Phillips, S. M. (2010). Human exercise-mediated skeletal muscle hypertrophy is an intrinsic process. Int J Biochem Cell Biol, 42(9), 1371-1375. doi:10.1016/j.biocel.2010.05.012West, D. W., Burd, N. A., Tang, J. E., Moore, D. R., Staples, A. W., Holwerda, A. M., . . . Phillips, S. M. (2010). Elevations in ostensibly anabolic hormones with resistance exercise enhance neither training-induced muscle hypertrophy nor strength of the elbow flexors. J Appl Physiol (1985), 108(1), 60-67. doi:10.1152/japplphysiol.01147.2009West, D. W., Cotie, L. M., Mitchell, C. J., Churchward-Venne, T. A., MacDonald, M. J., & Phillips, S. M. (2013). Resistance exercise order does not determine postexercise delivery of testosterone, growth hormone, and IGF-1 to skeletal muscle. Appl Physiol Nutr Metab, 38(2), 220-226. doi:10.1139/apnm-2012-0397 

Beskrivelse: Tid for den årlige julepodden! Vi svarer på spørsmål fra lytterne og denne gangen snakker vi om hvordan du best trener langrennsteknikk, hvordan komme i gang med trening etter COVID-19 og etter kyssesyken og hva påvirkes mest når du stopper å trene - muskelmasse eller styrke. Vi ønsker deg en fortsatt gledelig jul og godt nyttår! @Prestasjonsprat Linker: COVID-19: https://www.uptodate.com/contents/covid-19-return-to-play-or-strenuous-activity-following-infectionGraded return to play following COVID-19 infection (med infografikk) : https://bjsm.bmj.com/content/54/19/1174Olympiatoppen: Retur til trening og konkurranse etter COVID-19, https://www.olympiatoppen.no/om_olympiatoppen/regioner/innlandet/aktuelt/media70710.mediaKyssesyken: https://www.olympiatoppen.no/fagomraader/helse/aktuelt/media3833.mediaFelleskatalogen: https://www.felleskatalogen.no/medisin/sykdom/kyssesykeTokmakidis SP, Kalapotharakos VI, Smilios I, Parlavantzas A. Effects of detraining on muscle strength and mass after high or moderate intensity of resistance training in older adults. Clin Physiol Funct Imaging. 2009 Jul;29(4):316-9. doi: 10.1111/j.1475-097X.2009.00866.x. Epub 2009 Mar 10. PMID: 19302225. https://pubmed.ncbi.nlm.nih.gov/19302225/Correa, C. S., Baroni, B. M., Radaelli, R., Lanferdini, F. J., Cunha, G., Reischak-Oliveira, Á., Vaz, M. A., & Pinto, R. S. (2013). Effects of strength training and detraining on knee extensor strength, muscle volume and muscle quality in elderly women. Age (Dordrecht, Netherlands), 35(5), 1899–1904. https://doi.org/10.1007/s11357-012-9478-7Psilander N, Eftestøl E, Cumming KT, Juvkam I, Ekblom MM, Sunding K, Wernbom M, Holmberg HC, Ekblom B, Bruusgaard JC, Raastad T, Gundersen K. Effects of training, detraining, and retraining on strength, hypertrophy, and myonuclear number in human skeletal muscle. J Appl Physiol (1985). 2019 Jun 1;126(6):1636-1645. doi: 10.1152/japplphysiol.00917.2018. Epub 2019 Apr 11. PMID: 30991013 https://journals.physiology.org/doi/full/10.1152/japplphysiol.00917.2018Delshad, M., Ghanbarian, A., Mehrabi, Y., Sarvghadi, F., & Ebrahim, K. (2013). Effect of Strength Training and Short-term Detraining on Muscle Mass in Women Aged Over 50 Years Old. International journal of preventive medicine, 4(12), 1386–1394. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3898444/ See acast.com/privacy for privacy and opt-out information.

Custos e benefícios de usar GH para perder gordura Artigos citados:Crist DM, Peake GT, Egan PA, Waters DL. Body composition response to exogenous GH during training in highly conditioned adults. J Appl Physiol (1985). 1988 Aug;65(2):579-84.Gravhølt CH, Schmitz O, Simonsen L, Bülow J, Christiansen JS, Møller N. Effects of a physiological GH pulse on interstitial […]

Professor Chris Imray is a consultant vascular, renal transplant and trauma surgery at the University Hospitals Coventry & Warwickshire NHS Trust in Coventry, UK. He is also an Honorary Professor at Warwick Medical School, Coventry and Exeter Universities and immediate Past President of the Vascular Society of Great Britain and Ireland. Professor Imray has combined his love of mountaineering with clinical vascular surgery - he is involved in a number of polar medicine societies and is a world expert on the management of frostbite and non-freezing cold injuries. He has conducted research into hypoxia and ischemia at altitude and has published extensively. His personal accomplishments include a wide range of expeditions across the globe, from the sea cliffs of the Outer Hebrides in Scotland to the volcanoes of Chile and, most notably, to the summit of Everest. Useful links: Selected papers about altitude / extreme medicine: Femoral stabs at 8400m with the lowest recorded ABGs: Grocott et al. Arterial blood gases and oxygen content in climbers on Mount Everest. N Engl J Med. 2009 Jan 8;360(2):140-9. Transcranial Doppler at 8000m, with novel insights: Wilson et al Cerebral artery dilatation maintains cerebral oxygenation at extreme altitude and in acute hypoxia--an ultrasound and MRI study. J Cereb Blood Flow Metab. 2011 Oct;31(10):2019-29. Novel insights from Everest (8000m) confirmed: Sagoo et al. The use of MR to investigate the potential mechanisms involved in the development of high altitude cerebral oedema. J Cereb Blood Flow Metab. 2016 Jan 8. pii Wilson et al.  The cerebral venous system and anatomical predisposition to high altitude headache. Annals of Neurology 2013 Wilson and Imray. The Cerebral Venous System and Hypoxia. J Appl Physiol. 2015 Aug 20:jap.00327.2015. The effect of altitude on the brain: Wilson et al.  The cerebral effects of ascent to high altitudes. Lancet Neurol. 2009 Feb;8(2):175-91. Women are at least as strong as men on hyper-endurance events: Hattersley et al.  A comparison of the metabolic effects of sustained strenuous activity in polar environments on men and women. Sci Rep. 2020 Aug 17;10(1):13912. Evidence-based guidelines on the management of frostbite: McIntosh et al. Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Frostbite: 2019 Update. Wilderness Environ Med. 2019 Jul 17. pii: S1080-6032(19)30097-3. Handford et al. Frostbite: a practical approach to hospital management. Extrem Physiol Med. 2014 Apr 22;3:7. Collaborative teamwork gives the best results: Fisher et al. Pedicled Abdominal Flaps for Enhanced Digital Salvage After Severe Frostbite Injury. Wilderness Environ Med. 2019 Mar;30(1):59-62. Other useful resources Information on the management of frostbite:  https://www.thebmc.co.uk/how-to-get-expert-frostbite-advice Oxford Handbook of Wilderness and Expedition Medicine: https://oxfordmedicine.com/view/10.1093/med/9780199688418.001.0001/med-9780199688418 Media appearances by Prof Imray: Radio: http://news.bbc.co.uk/today/hi/today/newsid_9722000/9722707.stm Television: BBC Panorama: Horizon Doctors in the death zone: http://www.bbc.co.uk/sn/tvradio/programmes/horizon/broadband/tx/everest/ Polar medicine / extreme environment and research organisations: https://worldextrememedicine.com/products/courses/polar-medicine/polar-medicine-norway/ https://www.rgs.org/in-the-field/advice-training/expedition-medicine-(1)/committee-members/ https://www.rgs.org/in-the-field/advice-training/resources-for-expeditions/global-polar-altitudemetabolic-research-registr/ https://bmrescouk.wordpress.com https://www.xtreme-everest.co.uk/Scientific-Strategy-Group The Vascular and Endovascular Research Network (VERN) COVER Study (COVID-19 Vascular sERvice Study): https://vascular-research.net/projects/cover-study-covid-19-vascular-service-study/ To learn more about The Rouleaux Club, visit http://rouleauxclub.com

Waging war on modern chronic diseases: primary prevention through exercise biology. Booth FW, Gordon SE, Carlson CJ, Hamilton MT. J Appl Physiol (1985). 2000 Feb;88(2):774-87. doi: 10.1152/jappl.2000.88.2.774. PMID: 10658050 --- Send in a voice message: https://anchor.fm/moveman/message

In this episode, we explore the evidence on whether smaller endotracheal tubes are... 1. Less likely to maintain a secure patent airway 2. Less reliable in facilitating positive pressure ventilation 3. Less able to seal the trachea and protect the lungs from aspiration We also discuss the potential harms associated with larger endotracheal tubes.  Our guests are Dr. Shamir Karmali and Dr. Peter Rose from the Department of Anesthesiology at Vancouver General Hospital. Thanks for listening! If you enjoy our content, consider supporting our mission at https://bit.ly/3n0sklh. — Follow us on Instagram @DepthofAnesthesia and on Twitter @DepthAnesthesia. Email us at depthofanesthesia@gmail.com. Music by Stephen Campbell, MD. — References Coordes A, Rademacher G, Knopke S, Todt I, Ernst A, Estel B, Seidl RO. Selection and placement of oral ventilation tubes based on tracheal morphometry. Laryngoscope. 2011 Jun;121(6):1225-30. doi: 10.1002/lary.21752. Epub 2011 May 6. PMID: 21557233. Dominelli PB, Ripoll JG, Cross TJ, Baker SE, Wiggins CC, Welch BT, Joyner MJ. Sex differences in large conducting airway anatomy. J Appl Physiol (1985). 2018 Sep 1;125(3):960-965. doi: 10.1152/japplphysiol.00440.2018. Epub 2018 Jul 19. PMID: 30024341; PMCID: PMC6335094. El-Boghdadly K, Bailey CR, Wiles MD. Postoperative sore throat: a systematic review. Anaesthesia. 2016 Jun;71(6):706-17. doi: 10.1111/anae.13438. Epub 2016 Mar 28. PMID: 27158989. Ellis SF, Pollak AC, Hanson DG, Jiang JJ. Videolaryngoscopic evaluation of laryngeal intubation injury: incidence and predictive factors. Otolaryngol Head Neck Surg. 1996 Jun;114(6):729-31. doi: 10.1016/s0194-5998(96)70093-1. PMID: 8643294. Fiastro JF, Habib MP, Quan SF. Pressure support compensation for inspiratory work due to endotracheal tubes and demand continuous positive airway pressure. Chest. 1988 Mar;93(3):499-505. doi: 10.1378/chest.93.3.499. PMID: 3277803. Futagawa K, Takasugi Y, Kobayashi T, Morishita S, Okuda T. Role of tube size and intranasal compression of the nasotracheal tube in respiratory pressure loss during nasotracheal intubation: a laboratory study. BMC Anesthesiol. 2017 Oct 17;17(1):141. doi: 10.1186/s12871-017-0432-1. PMID: 29041911; PMCID: PMC5645985. Hu B, Bao R, Wang X, Liu S, Tao T, Xie Q, Yu X, Li J, Bo L, Deng X. The size of endotracheal tube and sore throat after surgery: a systematic review and meta-analysis. PLoS One. 2013 Oct 4;8(10):e74467. doi: 10.1371/journal.pone.0074467. PMID: 24124452; PMCID: PMC3790787. Hwang JY, Park SH, Han SH, Park SJ, Park SK, Kim JH. The effect of tracheal tube size on air leak around the cuffs. Korean J Anesthesiol. 2011 Jul;61(1):24-9. doi: 10.4097/kjae.2011.61.1.24. Epub 2011 Jul 21. PMID: 21860747; PMCID: PMC3155132. Karmali S, Rose P. Tracheal tube size in adults undergoing elective surgery - a narrative review. Anaesthesia. 2020 Nov;75(11):1529-1539. doi: 10.1111/anae.15041. Epub 2020 May 16. PMID: 32415788. Koh KF, Hare JD, Calder I. Small tubes revisited. Anaesthesia. 1998 Jan;53(1):46-50. doi: 10.1111/j.1365-2044.1998.00290.x. PMID: 9505742. Pavlin EG, VanNimwegan D, Hornbein TF. Failure of a high-compliance low-pressure cuff to prevent aspiration. Anesthesiology. 1975 Feb;42(2):216-9. doi: 10.1097/00000542-197502000-00019. PMID: 1115375. Randestad A, Lindholm CE, Fabian P. Dimensions of the cricoid cartilage and the trachea. Laryngoscope. 2000 Nov;110(11):1957-61. doi: 10.1097/00005537-200011000-00036. PMID: 11081618. Shah C, Kollef MH. Endotracheal tube intraluminal volume loss among mechanically ventilated patients. Crit Care Med. 2004 Jan;32(1):120-5. doi: 10.1097/01.CCM.0000104205.96219.D6. PMID: 14707569. Stenqvist O, Sonander H, Nilsson K. Small endotracheal tubes: ventilator and intratracheal pressures during controlled ventilation. Br J Anaesth. 1979 Apr;51(4):375-81. doi: 10.1093/bja/51.4.375. PMID: 465261. Tanaka A, Isono S, Ishikawa T, Sato J, Nishino T. Laryngeal resistance before and after minor surgery: endotracheal tube versus Laryngeal Mask Airway. Anesthesiology. 2003 Aug;99(2):252-8. doi: 10.1097/00000542-200308000-00005. PMID: 12883396. Tonnesen AS, Vereen L, Arens JF. Endotracheal tube cuff residual volume and lateral wall pressure in a model trachea. Anesthesiology. 1981 Dec;55(6):680-3. doi: 10.1097/00000542-198155060-00013. PMID: 7305056. Walker EMK, Bell M, Cook TM, Grocott MPW, Moonesinghe SR; Central SNAP-1 Organisation; National Study Groups. Patient reported outcome of adult perioperative anaesthesia in the United Kingdom: a cross-sectional observational study. Br J Anaesth. 2016 Jun 12;117(6):758-766. doi: 10.1093/bja/aew381. Erratum in: Br J Anaesth. 2017 Sep 1;119(3):552. PMID: 27956674. Wilson AM, Gray DM, Thomas JG. Increases in endotracheal tube resistance are unpredictable relative to duration of intubation. Chest. 2009 Oct;136(4):1006-1013. doi: 10.1378/chest.08-1938. Epub 2009 May 1. PMID: 19411293. Young PJ, Rollinson M, Downward G, Henderson S. Leakage of fluid past the tracheal tube cuff in a benchtop model. Br J Anaesth. 1997 May;78(5):557-62. doi: 10.1093/bja/78.5.557. PMID: 9175972. __ By listening to this podcast, you agree not to use information as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating. Opinions expressed are solely those of the host and guests and do not express the views or opinions of Massachusetts General Hospital.

Quando lesionamos um membro, seja um braço ou uma perna e ficamos impossibilitados de treinar musculação, talvez a primeira coisa que passa pela nossa cabeça seja não treinar o outro lado, pois isso possivelmente criaria uma diferença de força e tamanho muscular, resultando em uma assimetria funcional e estética. Será que o exercício de força de um membro pode conduzir ganhos de força no membro contralateral não treinado? @fabiodominski Fonte: Manca, A., Dragone, D., Dvir, Z., & Deriu, F. (2017). Cross-education of muscular strength following unilateral resistance training: a meta-analysis. European journal of applied physiology, 117(11), 2335-2354. Carroll TJ, Herbert RD, Munn J, Lee M, Gandevia SC (2006) Contralateral effects of unilateral strength training: evidence and possible mechanisms. J Appl Physiol 101:1514–1522 Lara A. Green & David A. Gabriel (2018) The effect of unilateral training on contralateral limb strength in young, older, and patient populations: a meta-analysis of cross education, Physical Therapy Reviews, 23:4-5, 238-249. --- Support this podcast: https://anchor.fm/fabio-dominski/support

Veja como ela ocorre e quais as formas de combater o problema. Artigos citadosHeinonen et al. (2012). Regulation of subcutaneous adipose tissue blood flow during exercise in humans. J Appl Physiol 112: 1059–1063, 2012. doi:10.1152/japplphysiol.00732.2011Stallknecht et al. (2007). Are blood flow and lipolysis in subcutaneous adipose tissue influenced by contractions in adjacent muscles in humans? […]

Os benefícios da musculação para o emagrecimento continuam mesmo nas horas e dias depois do treino. Artigo citado:Allman BR, Morrissey MC, Kim JS, Panton LB, Contreras RJ, Hickner RC, Ormsbee MJ. Fat metabolism and acute resistance exercise in trained women . J Appl Physiol 126: 739 –745, 2019

ATTENTION, CET ÉPISODE COMPREND DES ÉLÉMENTS QUI PEUVENT ÊTRE PLUS SENSIBLES POUR LES GENS AYANT UNE RELATION PLUS DIFFICILE AVEC LES ALIMENTS. Dans cet épisode de podcast, je discute avec Anny-Kim, étudiante en nutrition en actuellement en stage avec moi. Elle est passionnée par tout ce qui a trait à l’alimentation et la nutrition. **JE NE RECOMMANDE PAS LE JEÛNE** Ici, on parle entre autres de: - Unwell, le nouveau documentaire sur Netflix - Diètes restrictives - Détox et autres formes de nettoyage des toxines - De jeûne intermittent - De jeûne à l’eau Si tu as d'autres questions au sujet de tout ce qui touche de près ou de loin aux sujets couverts ici, n'hésite pas à les écrire en commentaires! ------------ FORMATION LA FAIM Imagine si tu avais accès à une nutritionniste et à une source d'informations fiables, lorsque tu en as le plus besoin.

YouTube Video Version: https://youtu.be/QSXzRWiuvxE Chubbyemu video of this case ▶️ https://youtu.be/fr8bp8a2QS4 The Body After Drinking A Snowglobe ▶️ https://youtu.be/elzijduKNS8 The Body After 2 Gallons Coffee In 3 Hours ▶️ https://youtu.be/rn-WLpa_nyQ Tweet me: https://www.twitter.com/hemereview FB me: https://www.facebook.com/hemereview IG me: https://www.instagram.com/hemereview Music by @Lifeformed Heatstroke is a serious problem and the heatwaves that cause it, claim more lives on average than any other weather event in USA. While generally thought to affect the elderly and the very young, it can affect people of all ages, not just because of the heat in the environment (classic heatstroke) but also because of activity (exertional heatstroke). The problems caused by heatstroke sometimes happen but don't appear clinically, like GI ischemia. Bitcoin is a decentralized cryptocurrency that's used in peer to peer transactions. This happened in 2011 when individual people could still mine coins, but now, miners are usually pools or in large facilities in places that have cheap electricity and cool climate to save on computer cooling costs. The followup: https://web.archive.org/web/20110612111539/http://www.bitcoinminingaccidents.com/ References: 0 Heat Stroke. Compr Physiol 5:611-647, 2015. 1 Heatstroke N Engl J Med 2019; 380:2449-2459. 2 Mechanisms of circulatory and intestinal barrier dysfunction during whole body hyperthermia. Am J Physiol Heart Circ Physiol 280: H509–H521, 2001. 3 The Impact of Mild Heat Stress During Prolonged Running On Gastrointestinal Integrity, Gastrointestinal Symptoms, Systemic Endotoxin and Cytokine Profiles. Int J Sports Med 2018; 39: 255–263. 4 Heat stroke: Role of the systemic inflammatory response. J Appl Physiol (1985). 2010 Dec;109(6):1980-8. 5 Endotoxaemia in exhausted runners after a long-distance race. S Afr Med J. 1988 May 7;73(9):533-6. 6 Pathogenesis of nonocclusive ischemic colitis. Ann Surg. 1986 Jun;203(6):590-9. --- Support this podcast: https://anchor.fm/chubbyemu/support

¿Entrenar en ambientes calurosos supone una ventaja a la hora de mejorar el rendimiento? ¿Qué adaptaciones tendré si entreno con calor? ¿Es peligroso? ¿Qué tipo de entrenamientos puedo hacer? Hoy hablamos del entrenamiento de resistencia en condiciones calurosas como la que vivimos actualmente. Para crear este episodio me he basado en: 1. Lorenzo, S. et al. Heat acclimation improves exercise performance. J Appl Physiol. 2010 2. Chalmers, S. et al. Short-Term Heat Acclimation Training Improves Physical Performance: A Systematic Review, and Exploration of Physiological Adaptations and Application for Team Sports. Sports Medicine. 2014 -------------------------------------------------------------------------- Suscríbete a la Newsletter: https://bit.ly/HijosdelaResistencia

¿Entrenar en ambientes calurosos supone una ventaja a la hora de mejorar el rendimiento? ¿Qué adaptaciones tendré si entreno con calor? ¿Es peligroso? ¿Qué tipo de entrenamientos puedo hacer? Hoy hablamos del entrenamiento de resistencia en condiciones calurosas como la que vivimos actualmente. Para crear este episodio me he basado en: 1. Lorenzo, S. et al. Heat acclimation improves exercise performance. J Appl Physiol. 2010 2. Chalmers, S. et al. Short-Term Heat Acclimation Training Improves Physical Performance: A Systematic Review, and Exploration of Physiological Adaptations and Application for Team Sports. Sports Medicine. 2014 -------------------------------------------------------------------------- Suscríbete a la Newsletter: https://bit.ly/HijosdelaResistencia

We are honored to talk about sweet spot training with Dr. Andy Coggan, Ph.D on this podcast.  Dr. Coggan is an Associate Professor of Kinesiology at Indiana University's School of Health and Human Sciences.  IU has a doctoral program in Kinesiology so if there's a young cyclist out there that wants to study how to get faster, IU's Department of Kinesiology could be the place for you. 39701More Training For Your Limited Time Andy and Frank go way back to the early days of USA Cycling Coaches Education Program primarily from the power based training seminars and clinics.  In 2004 Andy presented at the Coaches Summit at USA Cycling's headquarter's in Colorado Springs, CO and introduced a power based impulse – response performance model. The term sweet spot training was born a few months later from a group of coaches working to validate the model which would later become the Performance Manager Chart in TrainingPeaks and WKO. Andy is also the co-author of “Training and Racing with a Powermeter” along with Hunter Allen. Of course we reference the sweet spot graph, address the arbitrary units from the y-axis and the expected physiological adaptations from training in Zones 1 – 7. We also reference two important OG exercise physiology studies here: Effect of training on enzyme activity and fiber composition of human skeletal muscle Gollnick PD, Armstrong RB, Saltin B, Saubert CW 4th, Sembrowich WL, Shepherd RE. J Appl Physiol. 1973 Jan;34(1):107-11. Linear increase in aerobic power induced by a strenuous program of endurance exercise. Hickson RC, Bomze HA, Holloszy JO. J Appl Physiol Respir Environ Exerc Physiol. 1977 Mar;42(3):372-6. You can read about and listen to the story behind the performance manager chart, TSTWKT,  here. Thanks to everyone for tuning in, subscribing and reviewing on Apple Podcasts, and for engaging in our forum! For more things cycling training, visit http://fascat.wpengine.com. Save 25% on your next training plan with code 25podcast The post Sweet Spot Training with Dr. Andy Coggan, Ph.D appeared first on FasCat.

I denne episoden snakker vi med manuellterapeut og idrettsfysioterapeut Lars Haugvad om styrketrening. Paradoksalt er hans hobby og idrettsprestasjoner primært innen snowboard og jøgling, samt innen utholdenhetssegmentet med 2.47på maraton og 2.plass i Ironman. Allikevel slenger han oppdatert litteratur på bordet når vi diskuterer hvordan og hvorfor vi tester styrke og hvilken verdi ulik styrketrening har som tiltak i håndteringen av muskel- og skjelettplager. Vi går løs på noen myter både om styrketrening og coretrening, noe vi også skal høre mer om i fremtidige episoder. Lars er spesialist i idrettsfysioterapi og jobber på Olympiatoppen primært med landslagene i snowboard, beachvolley og seiling og har tidligere jobbet som medisinsk koordinator hopplandslaget. Han er også screeningansvarlig for de norske olympiske utøverne. Lars vil gjerne takke kolleger ved NIMI og Olympiatoppen for faglig utvikling, samt forskningsmiljøene ved Norges Idrettshøgskole, og rette ekstra takk til Gøran Paulsen som lar han surre rundt i fagmiljøet kraft/styrke.Referanser:Beyer, R. et al. Am J Sports Med, 2015.Bjornsen, T. et al. Med Sci Sports Exerc, 2019.Bjornsen, T. et al. J Appl Physiol (1985), 2019.Clausen, M.B. et al. PeerJ, 2018.Cook, J.L. et al. Br J Sports Med, 2009.Docking, S.I. et al. J Musculoskelet Neuronal Interact, 2019.Douglas, J. et al. Sports Med, 2017.Gravare Silbernagel, K. et al. Br J Sports Med, 2019.Halperin, I. et al. Int J Sports Physiol Perform, 2018.Helms, E.R. et al. Strength Cond J, 2016.Ioannidis, J.P. Milbank Q, 2016.Loenneke, J.P. et al. Sports Med, 2019.Low, M. J Orthop Sports Phys Ther, 2018.Malliaras, P. et al. J Orthop Sports Phys Ther, 2015.Moholdt, T. et al. Br J Sports Med, 2014.Rhodes, R.E. et al. Br J Sports Med, 2017.Rio, E. et al. Br J Sports Med, 2015.Roig, M. et al. Br J Sports Med, 2009.Silfies, S.P. et al. Braz J Phys Ther, 2015.Smith, B.E. et al. BMC Musculoskelet Disord, 2014.Smith, B.E. et al. Br J Sports Med, 2019.Steele, J. et al. BMC Public Health, 2017.Wirth, K. et al. Sports Med, 2017. Andre referanser:  2020 Eitzen I, Hollekim-Strand SM, Markussen, H: Idrettsfysioterapeuten. Breddeidrett – toppidrett – aktivitetsmedisin. Se kap 26: Testing og screening av utøvere (Lars Haugvad),Podcast: The InForm Fitness Podcast2015 Gardeton achilles clinical treatment guidelines2019 Hargrove Playing with movement; How to explore the many dimensions of physical health and performance MUSIKK: Joseph McDade-Mirrors   

Imagine what it would have been like, to have lived in 1918. Spanish influenza killed approximately 3% of the world’s population. Other than the world war, international travel was fairly limited. There was no social media. No flu vaccine. No mechanical ventilators. No World Health Organization. A century later, we’re facing the next great pandemic. And what have we learned? What do we know? From the neurologic complications of SARS-CoV-2, to non-infectious consequences, the environmental impact of a pandemic, and lessons learned polio, we hope to leave you with a few important take-home messages, a silver lining—and some food for thought—about the ongoing COVID pandemic. ** IF YOU’RE TAKING YOUR NEUROLOGY BOARDS THIS SUMMER, CHECK OUT THE PENN NEUROLOGY BOARD REVIEW COURSE AT https://upenn.cloud-cme.com/default.aspx?P=5&EID=65373. AND FOR A DISCOUNTED RATE ON THE ONLINE OR STREAMING RESOURCES, USE PROMO CODE ‘WAVES2020’. ** REFERENCES Murata K, Inoue O, Akutsu M and Iwata T. Neuromotor effects of short-term and long-term exposures to trichloroethylene in workers. Am J Ind Med. 2010;53:915-21. Umapathi T, Kor AC, Venketasubramanian N, Lim CC, Pang BC, Yeo TT, Lee CC, Lim PL, Ponnudurai K, Chuah KL, Tan PH, Tai DY and Ang SP. Large artery ischaemic stroke in severe acute respiratory syndrome (SARS). Journal of neurology. 2004;251:1227-31. Li Y, Wang M, Zhou Y, Chang J, Xian Y, Mao L, Hong C, Chen S, Wang Y, Wang H, Li M, Jin H and Hu B. Acute cerebrovascular disease following COVID-19: a single center, retrospective, observational study. Lancet. 2020;Epub ahead of print. Mao L, Wang M, Chen S, He Q, Chang J, Hong C, Zhou Y, Wang D, Miao X, Hu Y, Li Y, Jin H and Hu B. Neurological Manifestations of Hospitalized Patients with COVID-19 in Wuhan, China: A Retrospective Case Series Study. Lancet. 2020;Epub ahead of print. Perbellini L, Olivato D, Zedde A and Miglioranzi R. Acute trichloroethylene poisoning by ingestion: clinical and pharmacokinetic aspects. Intensive care medicine. 1991;17:234-5. Guehl D, Bezard E, Dovero S, Boraud T, Bioulac B and Gross C. Trichloroethylene and parkinsonism: a human and experimental observation. European journal of neurology : the official journal of the European Federation of Neurological Societies. 1999;6:609-11. Gash DM, Rutland K, Hudson NL, Sullivan PG, Bing G, Cass WA, Pandya JD, Liu M, Choi DY, Hunter RL, Gerhardt GA, Smith CD, Slevin JT and Prince TS. Trichloroethylene: Parkinsonism and complex 1 mitochondrial neurotoxicity. Annals of neurology. 2008;63:184-92. Wang G, Zhang Z, Ayala C, Dunet DO, Fang J and George MG. Costs of hospitalization for stroke patients aged 18-64 years in the United States. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 2014;23:861-8. West JB. The physiological challenges of the 1952 Copenhagen poliomyelitis epidemic and a renaissance in clinical respiratory physiology. J Appl Physiol (1985). 2005;99:424-32.

- ¿Qué cambios hay en mi cuerpo si entreno en ayunas? - ¿Sirve el entrenamiento de ayunas para perder peso? - ¿Y para mejorar mi composición corporal? - ¿Qué conclusiones sacamos de todo esto? En el post que acompaña a este episodio en mi web, podrás encontrar varias gráficas y material de apoyo para comprender mejor el episodio. Esta es la bibliografía en la que me he basado: 1. López Chicharro, J. “Entrenamiento de resistencia aeróbico en ayunas”. Adaptaciones hormonales y sanguíneas asociadas al ejercicio. Universidad de Murcia. 15 de abril de 2018 2. Schoenfeld J.B, et al. Body composition changes associated with fasted versus non-fasted aerobic exercise. Journal of the International Society of Sports Nutrition 11:54, 2014 3. Trabelsi, K. et al. Effect of fed versus fasted state resistance training during Ramada non body composition and selected metabolic parametrers in bodybuilders. Journal of the International Society of Sports Nutrition 10:23,2013 4. Gillen, B. et al. Interval training in the fed or fasted state improves body composition and muscle oxidative capacity in overweight women. Obesity Journal, november 2013 5. Psilander, N. et al. Exercise with low glycogen increases PGC1-? gene expression in human skeletal muscle. J Appl Physiol 113:951-963, 2013 6. Van Proeyen, K. et al. Training in the fasted state facilitates re-activation of e EF2 activity during recovery from endurance exercise. J Appl Physiol, 111:1297-1305, 2011

- ¿Qué cambios hay en mi cuerpo si entreno en ayunas? - ¿Sirve el entrenamiento de ayunas para perder peso? - ¿Y para mejorar mi composición corporal? - ¿Qué conclusiones sacamos de todo esto? En el post que acompaña a este episodio en mi web, podrás encontrar varias gráficas y material de apoyo para comprender mejor el episodio. Esta es la bibliografía en la que me he basado: 1. López Chicharro, J. “Entrenamiento de resistencia aeróbico en ayunas”. Adaptaciones hormonales y sanguíneas asociadas al ejercicio. Universidad de Murcia. 15 de abril de 2018 2. Schoenfeld J.B, et al. Body composition changes associated with fasted versus non-fasted aerobic exercise. Journal of the International Society of Sports Nutrition 11:54, 2014 3. Trabelsi, K. et al. Effect of fed versus fasted state resistance training during Ramada non body composition and selected metabolic parametrers in bodybuilders. Journal of the International Society of Sports Nutrition 10:23,2013 4. Gillen, B. et al. Interval training in the fed or fasted state improves body composition and muscle oxidative capacity in overweight women. Obesity Journal, november 2013 5. Psilander, N. et al. Exercise with low glycogen increases PGC1-? gene expression in human skeletal muscle. J Appl Physiol 113:951-963, 2013 6. Van Proeyen, K. et al. Training in the fasted state facilitates re-activation of e EF2 activity during recovery from endurance exercise. J Appl Physiol, 111:1297-1305, 2011

- ¿Qué significa realmente "estar en ayunas"? - ¿Qué es lo que gastamos cuando estamos en ayunas? - ¿Mejoraré algo si salgo a entrenar en ayunas? - Y en ese caso..., ¿qué tipo de entrenamiento debería hacer? En el post que acompaña a este episodio en mi web, podrás encontrar varias gráficas y material de apoyo para comprender mejor el episodio. Esta es la bibliografía en la que me he basado: 1. López Chicharro, J. “Entrenamiento de resistencia aeróbico en ayunas”. Adaptaciones hormonales y sanguíneas asociadas al ejercicio. Universidad de Murcia. 15 de abril de 2018. 2. Carl J. Hulston, et al. Training with low muscle glycogen enhances fat metabolism in well-trained cyclist. Medicine and science in sport exercise, 2010 3. Ferreira Vieira, A. et al. Effects of aerobic exercise performed in fasted v. fed state on fat and carbohydrate metabolism in adults: a systematic review and meta-analysis. British Journal of Nutrition 116: 1153-1164, 2016. 4. Stephen R. Stannard et al. Adaptations to skeletal muscle with endurance exercise training in the acutely fed versus overnight-fasted state. Journal of Science an Medicine Sport 13: 465-469, 2010 5. Van Proeyen, K. et al. Beneficial metabolic adaptations due to endurance exercise training in the fasted state. J Appl Physiol 110: 236-245, 2011

- ¿Qué significa realmente "estar en ayunas"? - ¿Qué es lo que gastamos cuando estamos en ayunas? - ¿Mejoraré algo si salgo a entrenar en ayunas? - Y en ese caso..., ¿qué tipo de entrenamiento debería hacer? En el post que acompaña a este episodio en mi web, podrás encontrar varias gráficas y material de apoyo para comprender mejor el episodio. Esta es la bibliografía en la que me he basado: 1. López Chicharro, J. “Entrenamiento de resistencia aeróbico en ayunas”. Adaptaciones hormonales y sanguíneas asociadas al ejercicio. Universidad de Murcia. 15 de abril de 2018. 2. Carl J. Hulston, et al. Training with low muscle glycogen enhances fat metabolism in well-trained cyclist. Medicine and science in sport exercise, 2010 3. Ferreira Vieira, A. et al. Effects of aerobic exercise performed in fasted v. fed state on fat and carbohydrate metabolism in adults: a systematic review and meta-analysis. British Journal of Nutrition 116: 1153-1164, 2016. 4. Stephen R. Stannard et al. Adaptations to skeletal muscle with endurance exercise training in the acutely fed versus overnight-fasted state. Journal of Science an Medicine Sport 13: 465-469, 2010 5. Van Proeyen, K. et al. Beneficial metabolic adaptations due to endurance exercise training in the fasted state. J Appl Physiol 110: 236-245, 2011

Happy New Year everyone. Today's podcast looks into low load BFR training and achilles tendons. This is quite an exciting paper due to the positive effects of Blood Flow Restriction training with tendon adaptation. Previously only high load strength training has shown positive responses to tendon so this is a great result for what BFR can bring to the user - i.e. we can finally use low load training to elicit a tendon response (with the addition of BFR). The other advantage of this session was how simple it was. There was a couple of points that I feel are quite important to note. Firstly, it was a 14-week training intervention. Typically a lot of academic studies are of 4-6weeks in lengths and probably this is why previous studies may not have shown positive training responses. The other point, was an incremental loading protocol - although the loads were still low (20-35% 1RM) every 4 weeks the load was increased by 5% and the subjects' max strength was reassessed and readjusted. This highlights that the body needs a continual increase in strength, even if we are using low-load BFR training. Therefore we can start to look at bringing this type of training to an "at-home" situation providing a simple solution for everyone. This same principle for other tendons (esp. shoulder and patella) I feel can also be applied. I've had great success with tendon issues acutely and this paper highlights that a longer (14 week) approach to tendon adaptation is needed. The article I review today is: Low-load blood flow restriction training induces similar morphological and mechanical Achilles tendon adaptations compared with high-load resistance training. Centner C1, Lauber B1,2, Seynnes OR3, Jerger S1, Sohnius T1, Gollhofer A1, König D1. J Appl Physiol 2019 Dec 1;127(6):1660-1667. doi: 10.1152/japplphysiol.00602.2019. Epub 2019 Nov 14. Abstract Low-load blood flow restriction (LL-BFR) training has gained increasing interest in the scientific community by demonstrating that increases in muscle mass and strength are comparable to conventional high-load (HL) resistance training. Although adaptations on the muscular level are well documented, there is little evidence on how LL-BFR training affects human myotendinous properties. Therefore, the aim of the present study was to investigate morphological and mechanical Achilles tendon adaptations after 14 wk of strength training. Fifty-five male volunteers (27.9 ± 5.1 yr) were randomly allocated into the following three groups: LL-BFR [20-35% of one-repetition maximum (1RM)], HL (70-85% 1RM), or a nonexercising control (CON) group. The LL-BFR and HL groups completed a resistance training program for 14 wk, and tendon morphology, mechanical as well as material properties, and muscle cross-sectional area (CSA) and isometric strength were assessed before and after the intervention. Both HL (+40.7%) and LL-BFR (+36.1%) training induced significant increases in tendon stiffness (P < 0.05) as well as tendon CSA (HL: +4.6%, LL-BFR: +7.8%, P < 0.001). These changes were comparable between groups without significant changes in Young's modulus. Furthermore, gastrocnemius medialis muscle CSA and plantar flexor strength significantly increased in both training groups (P < 0.05), whereas the CON group did not show significant changes in any of the evaluated parameters. In conclusion, the adaptive change in Achilles tendon properties following low-load resistance training with partial vascular occlusion appears comparable to that evoked by high-load resistance training.NEW &  Before you go and listen to the podcast could I ask a couple of favours: 1. If you know of someone who is suffering from achilles tendon issues please get them to listen to this podcast. 2. If you are enjoying the podcast please give it a positive rating on iTunes.   Thanks for listening.   In the methods, there was a couple of points around how Tendon properties was calculated and I mentioned that I would put it in the notes: How did they measure Tendon Stiffness? To assess tendon stiffness, elongation of the Achilles tendon was determined during ramped isometric contractions by B-mode US scans at 100 Hz at the gastrocnemius medialis myotendinous junction After familiarization with the procedure and preconditioning of the tendon with five trials at 80% of MVC, participants were instructed to steadily exert torque to their individual maximum with a standardized loading rate of 50 Nm/s. This loading rate was chosen because it resulted in a ramped isometric plantar-flexion contraction lasting between 3 and 5 s for all subjects. During this process, visual online feedback of the torque signal was provided. Achilles tendon force was calculated by dividing plantar flexion torque by the tendon moment arm with a subsequent correction for ankle joint rotation by kinematic data Tendon moment arm was calculated by measuring the perpendicular distance from the inferior tip of both medial (L1) and lateral (L2) malleolus (center of rotation) to the posterior part of the Achilles tendon. For this purpose pictures were taken from the medial and lateral sagittal planes (Sony Cyber-shot DSC-RX100 Digital Camera). In accordance with previous studies, the mean of these two measurements (L1,2) was used for further calculations. Subsequently, the intersection of L1 and L2 was indicated with a needle and the perpendicular distance (M) from the needle to the tendon’s line of action was measured (32). Tendon moment arm was then determined by subtracting M from L1,2 (for detailed descriptions see Refs. 32 and 50). All analyses were conducted with ImageJ (1.51; NIH). Tendon stiffness was then calculated as the slope of the force-elongation curve between 50% and 80% MVC. This procedure has previously been used in the scientific literature (56). Young’s modulus was calculated as the slope of the stress-strain curve between 50% and 80% MVC. What is Young’s Modulus? Young's modulus is a measure of the ability of a material to withstand changes in length when under lengthwise tension or compression. Sometimes referred to as the modulus of elasticity, Young's modulus is equal to the longitudinal stress divided by the strain.

Episode 248 is a brief overview and breakdown on the all new formula for ProjectAD's RAGING FULL! This is their intra workout carbohydrate and hydration blend that has some awesome new aspects to it! This is a brief overview which should help you guys understand why I am a huge fan of this new formula! There will be an extreme in depth breakdown in the future for those science nerds like me that LOVE the details!   INTRAWORKOUT CARBOHYDRATE/AMINO ACID REFERENCES Bird SP, et al. Liquid carbohydrates/essential amino acid ingestion during a short-term bout of resistance exercise suppresses myofibrillar protein degradation. Metabolism. 2006 May;55(5):570-7.   Bloom PC, et al.  Effect of different post-exercise sugar diets on the rate of muscle glycogen synthesis.  Med Sci Sports Exerc.  1987 Oct;19(5):491-6.   Desbrow B, et al. Carbohydrate-electrolyte feedings and 1h time trial cycling performance. Int J Sport Nutr Exerc Metab. 2004 Oct;14(5):541-9.   Erith S, et al.  The effect of high carbohydrate meals with different glycemic indices on recovery of performance during prolonged   Haff GG, et al. Carbohydrate supplementation and resistance training. J Strength Cond Res. 2003 Feb;17(1):187-96.   Ivy JL, et al. Muscle glycogen synthesis after exercise: effect of time of carbohydrate ingestion. J Appl Physiol. 1988 Apr;64(4):1480-5.   Jentjens RL, et al.  Oxidation of combined ingestion of glucose and fructose during exercise.  J Apply Physiol.  2004 Apr;96(4):1277-84.   Jentjens RL, et al.  Oxidation of exogenous glucose, sucrose and maltose during prolonged cycling exercise.  J Apply Physiol.  2004 Apr;96(4):1285-91.   Jentjens RL, Jeukendrup AE.  High rates of exogenous carbohydrate oxidation from a mixture of glucose and fructose ingested during prolonged cycling exercise.  Br J Nutr.  2005 Apr;93(4):485-92   Jeukendrup AE. Carbohydrate during exercise and performance. Nutrition. 2004 Jul-Aug;20(7-8):669-77.   Keizer HA, et al.  Influence of liquid and solid meals on muscle glycogen resynthesis, plasma fuel hormone response, and maximal physical working capacity.  Int J Sports Med.  1987 Apr;8(2):99-104. https://www.ncbi.nlm.nih.gov/pubmed/25080121 https://www.jstage.jst.go.jp/article/fstr/21/3/21_499/_html   Ferrando, A.A., et al., Oral branched-chain amino acids decrease whole-body proteolysis. JPEN. Journal of parenteral and enteral nutrition, 1995. 19(1): p. 47-54. http://www.ncbi.nlm.nih.gov/pubmed/7658600   Ruderman, N.B., et al., Regulation of alanine formation and release in rat muscle in vivo: effect of starvation and diabetes. The American journal of physiology, 1977. 233(2): p. E109-14. http://www.ncbi.nlm.nih.gov/pubmed/888947   Shimomura, Y., et al., Exercise promotes BCAA catabolism: effects of BCAA supplementation on skeletal muscle during exercise. The Journal of nutrition, 2004. 134(6 Suppl): p. 1583S-1587S. http://www.ncbi.nlm.nih.gov/pubmed/15173434   Fujii, H., et al., Branched-chain alpha-keto acid dehydrogenase kinase content in rat skeletal muscle is decreased by endurance training. Biochemistry and molecular biology international, 1998. 44(6): p. 1211-6. http://www.ncbi.nlm.nih.gov/pubmed/9623776   Lamont, L.S., et al., Comparison of leucine kinetics in endurance-trained and sedentary humans. Journal of applied physiology, 1999. 86(1): p. 320-5. http://www.ncbi.nlm.nih.gov/pubmed/9887146   Wagenmakers, A.J., et al., Carbohydrate supplementation, glycogen depletion, and amino acid metabolism during exercise. The American journal of physiology, 1991. 260(6 Pt 1): p. E883-90. http://www.ncbi.nlm.nih.gov/pubmed/2058665   Louard, R.J., et al., Effect of infused branched-chain amino acids on muscle and whole-body amino acid metabolism in man. Clinical science, 1990. 79(5): p. 457-66. http://www.ncbi.nlm.nih.gov/pubmed/2174312   Gualano, A.B., et al., Branched-chain amino acids supplementation enhances exercise capacity and lipid oxidation during endurance exercise after muscle glycogen depletion. The Journal of sports medicine and physical fitness, 2011. 51(1): p. 82-8. http://www.ncbi.nlm.nih.gov/pubmed/21297567   Shimomura, Y., et al., Branched-chain amino acid supplementation before squat exercise and delayed-onset muscle soreness. International journal of sport nutrition and exercise metabolism, 2010. 20(3): p. 236-44. http://www.ncbi.nlm.nih.gov/pubmed/20601741 Coombes, J.S. and L.R. McNaughton, Effects of branched-chain amino acid supplementation on serum creatine kinase and lactate dehydrogenase after prolonged exercise. The Journal of sports medicine and physical fitness, 2000. 40(3): p. 240-6. http://www.ncbi.nlm.nih.gov/pubmed/11125767   Bolster, D.R., et al., Regulation of protein synthesis associated with skeletal muscle hypertrophy by insulin-, amino acid- and exercise-induced signalling. The Proceedings of the Nutrition Society, 2004. 63(2): p. 351-6. http://www.ncbi.nlm.nih.gov/pubmed/15294054   Atherton, P.J., et al., Distinct anabolic signalling responses to amino acids in C2C12 skeletal muscle cells. Amino acids, 2010. 38(5): p. 1533-9. http://www.ncbi.nlm.nih.gov/pubmed/19882215   Kimball, S.R. and L.S. Jefferson, Signaling pathways and molecular mechanisms through which branched-chain amino acids mediate translational control of protein synthesis. The Journal of nutrition, 2006. 136(1 Suppl): p. 227S-31S. http://www.ncbi.nlm.nih.gov/pubmed/16365087   Gran, P. and D. Cameron-Smith, The actions of exogenous leucine on mTOR signalling and amino acid transporters in human myotubes. BMC physiology, 2011. 11: p. 10. http://www.ncbi.nlm.nih.gov/pubmed/21702994   Greiwe, J.S., et al., Leucine and insulin activate p70 S6 kinase through different pathways in human skeletal muscle. American journal of physiology. Endocrinology and metabolism, 2001. 281(3): p. E466-71. http://www.ncbi.nlm.nih.gov/pubmed/11500301   Atherton, P.J., et al., Muscle full effect after oral protein: time-dependent concordance and discordance between human muscle protein synthesis and mTORC1 signaling. The American journal of clinical nutrition, 2010. 92(5): p. 1080-8. http://www.ncbi.nlm.nih.gov/pubmed/20844073   Matthews, D.E., Observations of branched-chain amino acid administration in humans. The Journal of nutrition, 2005. 135(6 Suppl): p. 1580S-4S. http://www.ncbi.nlm.nih.gov/pubmed/15930473   Paddon-Jones, D., et al., Amino acid ingestion improves muscle protein synthesis in the young and elderly. American journal of physiology. Endocrinology and metabolism, 2004. 286(3): p. E321-8. http://www.ncbi.nlm.nih.gov/pubmed/14583440     Wolfe, R.R., Effects of amino acid intake on anabolic processes. Canadian journal of applied physiology = Revue canadienne de physiologie appliquee, 2001. 26 Suppl: p. S220-7. http://www.ncbi.nlm.nih.gov/pubmed/11897897   Floyd, J.C., Jr., et al., Evidence That Insulin Release Is the Mechanism for Experimentally Induced Leucine Hypoglycemia in Man. J Clin Invest, 1963. 42: p. 1714-9. http://www.ncbi.nlm.nih.gov/pubmed/14083162   Chow, L.S., et al., Mechanism of insulin’s anabolic effect on muscle: measurements of muscle protein synthesis and breakdown using aminoacyl-tRNA and other surrogate measures. Am J Physiol Endocrinol Metab, 2006. 291(4): p. E729-36. http://www.ncbi.nlm.nih.gov/pubmed/16705065   Shimomura, Y., et al., Nutraceutical effects of branched-chain amino acids on skeletal muscle. The Journal of nutrition, 2006. 136(2): p. 529S-532S. http://www.ncbi.nlm.nih.gov/pubmed/16424141    •••SUPPORT OUR SPONSOR••• (COACHING) Alex - www.theprepcoach.com   (FREE OPEN FORUM w/ EXCLUSIVE VIDEOS) http://www.theprepcoachforum.com (SUPPLEMENTS) www.projectad.me___use discount code “BFR25” to save off your order! www.maresearchchems.com___use discount code “alex15” to save off your order! www.masupps.com___use discount code “alex20” to save off your order! (INJECTABLE L-CARNITINE) www.synthetek.com___use discount code “alexkikel” to save off your order! (BULK SUPPLEMENTS) www.truenutrition.com___use discount code “AXK5” to save off your order!   •••FIND THE EPISODES••• ITUNES:https://itunes.apple.com/us/podcast/beastfitness-radios-podcast/id1065532968 LIBSYN:http://beastfitnessradio.libsyn.com VIMEO: www.vimeo.com/theprepcoach YOUTUBE: https://www.youtube.com/c/ThePrepCoach    •••PREP COACH APPAREL••• https://teespring.com/stores/the-prep-coach-apparel

Será que você precisa mesmo comer proteína logo após o treino? Isso é uma verdade ou um mito? Nesse episódio de hoje vamos contar para você tudo sobre a Janela Anabólica e se você realmente precisa comer proteína como pós treino. Também vamos falar sobre como funciona o ganho de massa magra no seu corpo! Dá o play e vem saber mais com a gente! Compartilhe esse Podcast e um abraço Legião AF. Quer se juntar a nossa Legião? espaco.autoridadefitness.com/ Também estamos por aqui: Instagram > instagram.com/afnoinsta Youtube > www.youtube.com/c/AutoridadeFitnessOficial Facebook > www.facebook.com/autoridadefitness/ Fontes: Jentjens R1, Jeukendrup A. Determinants of post-exercise glycogen synthesis during short-term recovery., Human Performance Laboratory, School of Sport and Exercise Sciences, University of Birmingham, Edgbaston, Birmingham, UK., 2003. Anne K. Hansen, Christian P. Fischer, Peter Plomgaard, Jesper Løvind Andersen, Bengt Saltin and Bente Klarlund Pedersen. Skeletal muscle adaptation: training twice every second day vs. training once daily., J Appl Physiol 98:93-99: 2004 Brad Jon Schoenfeld, Alan Albert Aragon and James W Krieger. The effect of protein timing on muscle strength and hypertrophy: a meta-analysis, Journal of the International Society of Sports Nutrition: 2013 Poole, CHRIS., C. WILBORN., L. TAYLOR AND C. KERKSICK. The Role of Post-Exercise Nutrient Administration on Muscle Protein Synthesis and Glycogen Synthesis. Journal of Sports and Science Medicine, 2010. J. L. IVY, A. L. KATZ, C. L. CUTLER, W. M. SHERMAN, AND E. F. COYLE. Muscle glycogen synthesis after exercise: effect of time of carbohydrate ingestion , Exercise Physiology and Metabolism Laboratory, Department of Kinesiology and Health Education, University of Texas, Austin, Texas: 1985. Alan Albert Aragon, Brad Jon Schoenfeld, Nutrient timing revisited: is there a post-exercise anabolic window?, Journal of the International Society of Sports Nutrition: 2013 http://authoritynutrition.com/does-nutrient-timing-matter/ Peter W.R. Lemon, PhD, John M. Berardi, BS, and Eric E. Noreen, MS. The Role of Protein and Amino Acid Supplements in the Athlete's Diet: Does Type or Timing of Ingestion Matter?, The University of Western Ontario, London, Ontario, N6A 3K7, Canada. 2002

Timestamps: 00:36 - Texas Method, Weight Loss, and Powerlifting https://www.barbellmedicine.com/how-t... https://www.barbellmedicine.com/584-2/ https://www.barbellmedicine.com/the-b... https://startingstrength.com/article/... 04:29 Fructose and calorie balance Lowndes J, Kawiecki D, Pardo S, et al. The effects of four hypocaloric diets containing different levels of sucrose or high fructose corn syrup on weight loss and related parameters. Nutrition Journal. 2012;11:55. doi:10.1186/1475-2891-11-55. https://www.ncbi.nlm.nih.gov/pmc/arti... 11:22 Golf specific training Torres-Ronda L, Sánchez-Medina L, González-Badillo JJ. Muscle Strength And Golf Performance: A Critical Review. Journal of Sports Science & Medicine. 2011;10(1):9-18. https://www.ncbi.nlm.nih.gov/pmc/arti... 16:05 Muscle fiber type shifting, sprinting, and jumping higher Liu Y, Schlumberger A, Wirth K, Schmidtbleicher D, Steinacker JM. Different effects on human skeletal myosin heavy chain isoform expression: strength vs. combination training. J Appl Physiol. 2003;94(6):2282-2288. https://www.ncbi.nlm.nih.gov/pubmed/1... Luden N, Hayes E, Minchev K, Louis E, Raue U, Conley T, Trappe S. Skeletal muscle plasticity with marathon training in novice runners. Scand J Med Sci Sports. 2012;22(5):662-670. https://www.ncbi.nlm.nih.gov/pubmed/2... Wilson JM, Loenneke JP, Jo E, Wilson GJ, Zourdos MC, Kim JS. The effects of endurance, strength, and power training on muscle fiber type shifting. J Strength Cond Res. 2012;26(6):1724-1729. https://www.ncbi.nlm.nih.gov/pubmed/2... https://www.barbellmedicine.com/the-p... 24:55 Gaining weight, losing body fat, and getting stronger 27:30 Coming back from an illness and training 30:18 Rack pulls and snatch grip movements instead of deadlifts 35:00 Supersetting Got a question or a form check for us? Submit it to media@barbellmedicine.com If submitting a video, please shoot it in landscape, from the side at 1080p or higher resolution (4k ideally) at 30 or 60 frames per second. Please trim your video as well and include the amount of weight lifted in the email. Otherwise, we can't use it :( For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael.ray.dc @mderek4011 Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://eepurl.com/cpqB3nd

Having trouble changing yourself permanently for the better?Get ready for a brutal dose of reality. The good news is there are still things you can do to see progress, but you're going to have to be smarter than the hype. Use these truths to bring your program to the next level!1. Mandel AL, Breslin PA. High endogenous salivary amylase activity is associated with improved glycemic homeostasis following starch ingestion in adults. J Nutr. 2012 May;142(5):853-82. Falchi M, et al. Low copy number of the salivary amylase gene predisposes to obesity. Nat Genet. 2014 May; 46(5):492-7.3. Gardner, C. D. et al. Comparison of Atkins, Zone, Ornish, and LEARN Diets for Change in Weight and Related Risk Factors Among Overweigth Premenopausal Women. JAMA 2007; 297: 969-977.4. Kruis, W., Forstmaier, G., Scheurlen, C., & Stellaard, F. (1991). Effect of diets low and high in refined sugars on gut transit, bile acid metabolism, and bacterial fermentation. Gut, 32(4), 367–371.5. https://www.wiseguyreports.com/reports/global-hormone-replacement-therapy-market-2015-20196. Tiidus PM, Lowe DA, Brown M; Estrogen replacement and skeletal muscle: mechanisms and population health. J Appl Physiol (1985). 2013 Sep 1;115(5):569-78. doi: 10.1152/japplphysiol.00629.2013. Epub 2013 Jul 18.7. Menopause, Vol. 20, No. 11, 2013. The North American Menopause society. Available online:http://www.menopause.org/docs/default-source/for-women/what_you_should_know_about_hormone_therapy_health-17.pdf8. Villaverde-Gutierrez, C. Journal of Advanced Nursing, April 2006: vol 54; pp 11-19. News release, Journal of Advanced Nursing.Become a supporter of this podcast: https://www.spreaker.com/podcast/faithful-fitness-by-better-daily--5150768/support.

Having trouble changing yourself permanently for the better?Get ready for a brutal dose of reality. The good news is there are still things you can do to see progress, but you're going to have to be smarter than the hype. Use these truths to bring your program to the next level!1. Mandel AL, Breslin PA. High endogenous salivary amylase activity is associated with improved glycemic homeostasis following starch ingestion in adults. J Nutr. 2012 May;142(5):853-82. Falchi M, et al. Low copy number of the salivary amylase gene predisposes to obesity. Nat Genet. 2014 May; 46(5):492-7.3. Gardner, C. D. et al. Comparison of Atkins, Zone, Ornish, and LEARN Diets for Change in Weight and Related Risk Factors Among Overweigth Premenopausal Women. JAMA 2007; 297: 969-977.4. Kruis, W., Forstmaier, G., Scheurlen, C., & Stellaard, F. (1991). Effect of diets low and high in refined sugars on gut transit, bile acid metabolism, and bacterial fermentation. Gut, 32(4), 367–371.5. https://www.wiseguyreports.com/reports/global-hormone-replacement-therapy-market-2015-20196. Tiidus PM, Lowe DA, Brown M; Estrogen replacement and skeletal muscle: mechanisms and population health. J Appl Physiol (1985). 2013 Sep 1;115(5):569-78. doi: 10.1152/japplphysiol.00629.2013. Epub 2013 Jul 18.7. Menopause, Vol. 20, No. 11, 2013. The North American Menopause society. Available online:http://www.menopause.org/docs/default-source/for-women/what_you_should_know_about_hormone_therapy_health-17.pdf8. Villaverde-Gutierrez, C. Journal of Advanced Nursing, April 2006: vol 54; pp 11-19. News release, Journal of Advanced Nursing.

Having trouble changing yourself permanently for the better?Get ready for a brutal dose of reality. The good news is there are still things you can do to see progress, but you're going to have to be smarter than the hype. Use these truths to bring your program to the next level!1. Mandel AL, Breslin PA. High endogenous salivary amylase activity is associated with improved glycemic homeostasis following starch ingestion in adults. J Nutr. 2012 May;142(5):853-82. Falchi M, et al. Low copy number of the salivary amylase gene predisposes to obesity. Nat Genet. 2014 May; 46(5):492-7.3. Gardner, C. D. et al. Comparison of Atkins, Zone, Ornish, and LEARN Diets for Change in Weight and Related Risk Factors Among Overweigth Premenopausal Women. JAMA 2007; 297: 969-977.4. Kruis, W., Forstmaier, G., Scheurlen, C., & Stellaard, F. (1991). Effect of diets low and high in refined sugars on gut transit, bile acid metabolism, and bacterial fermentation. Gut, 32(4), 367–371.5. https://www.wiseguyreports.com/reports/global-hormone-replacement-therapy-market-2015-20196. Tiidus PM, Lowe DA, Brown M; Estrogen replacement and skeletal muscle: mechanisms and population health. J Appl Physiol (1985). 2013 Sep 1;115(5):569-78. doi: 10.1152/japplphysiol.00629.2013. Epub 2013 Jul 18.7. Menopause, Vol. 20, No. 11, 2013. The North American Menopause society. Available online:http://www.menopause.org/docs/default-source/for-women/what_you_should_know_about_hormone_therapy_health-17.pdf8. Villaverde-Gutierrez, C. Journal of Advanced Nursing, April 2006: vol 54; pp 11-19. News release, Journal of Advanced Nursing.

Brain death, you'd be surprised to know, has its roots in non-neurologic specialties. Specialties like pulmonary critical care, cardiology, and transplant surgery. How the term was conceived, why it was needed, and what it means in our current practice of medicine will be the focus of this week's BrainWaves episode. Featuring Drs. Joshua Levine and Mike Rubenstein. Produced by James E. Siegler. Music by Chris Zabriskie, Damiano Baldoni, Josh Woodward, and Julie Maxwell. BrainWaves' podcasts and online content are intended for medical education purposes only and should not be used for routine clinical decision making. Please refer to local and regional policies on how brain death is determined at your institution. REFERENCES Kacmarek RM. The mechanical ventilator: past, present, and future. Respir Care. 2011;56:1170-80. De Georgia MA. History of brain death as death: 1968 to the present. J Crit Care. 2014;29:673-8. West JB. The physiological challenges of the 1952 Copenhagen poliomyelitis epidemic and a renaissance in clinical respiratory physiology. J Appl Physiol (1985). 2005;99:424-32. A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. JAMA : the journal of the American Medical Association. 1968;205:337-40. Wijdicks EF, Varelas PN, Gronseth GS, Greer DM and American Academy of N. Evidence-based guideline update: determining brain death in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2010;74:1911-8.

Plus:  Bringing together hip extension, ankle dorsiflexion, looking at the 6 locomotion compensations to strategize around impaired ankle dorsiflexion during gait/running. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20).   * and on iTunes, Soundcloud, and just about every other podcast harbor site, just google "the gait guys podcast", you will find us.   Show Notes: Exercise releases hormone that helps shed, prevent fat https://www.sciencedaily.com/releases/2016/10/161004130812.htm Lifelong strength training mitigates the age-related decline in efferent drive. Unhjem R, et al. J Appl Physiol (1985). 2016. http://www.ncbi.nlm.nih.gov/m/pubmed/27339181/ Telemeres and aging http://well.blogs.nytimes.com/2015/10/28/does-exercise-slow-the-aging-process/?_r=0&module=ArrowsNav&contentCollection=Health&action=keypress®ion=FixedLeft&pgtype=Blogs Using Virtual Reality in Paraplegics: https://www.theguardian.com/science/2016/aug/11/brain-training-technique-restores-feeling-and-movement-to-paraplegics-virtual-reality Above ankle brace: https://www.edgemobilitysystem.com/products/brace2play-above-the-joint-ankle-brace?variant=21314299587 Weak toe grip strength https://www.researchgate.net/publication/304271421_Weak_TGS_Correlates_with_Hallux_Valgus_in_10_12_Year_Old_Girls_A_Cross-_Sectional_Study Altra Lone Peak 3.0 https://www.altrarunning.com/men/lone-peak-3-neoshell-mid  

March 9, 2016 Podcast: A 382 Day Fast, How To Biohack A Hotel, Chia Seeds vs. Flax Seeds, Carb Cycling For Fat Loss & More! Have a podcast question for Ben? Click the tab on the right (or go to ), use the Contact button on the , call 1-877-209-9439, or use the “” form at the bottom of this page. ----------------------------------------------------- News Flashes: You can receive these News Flashes (and more) every single day, if you follow Ben on , , and . ----------------------------------------------------- Special Announcements: This podcast is brought to you by: -EXO Protein - go to , you can try a sampler pack with all their most popular flavors for less than ten bucks including free shipping (that's 33% off!) and discover what all the hype is about...protein bars using cricket protein powder...that’s right, bugs! - get nootropic infused coffee at and use 10% discount code BEN. Below is the Kimera Seashore Orchard Spice recipe... When counting calories substitute dessert with this delicious drink, which  can be served hot or ice cold after a meal. -2 tablespoons Kimera Koffee -1 dash of nutmeg -1 dash of cayenne pepper -1 1/2 cups of water -1 tablespoon of organic brown sugar -1/2 tablespoon organic unsweetened cocoa powder -1 cinnamon stick -Add Kimera Koffee to a French Press with nutmeg and cayenne pepper. -Combine water and organic brown sugar in a pot and bring to a boil. -Once water comes to a boil, remove from heat and let it rest for 30 seconds. Pour half the water into the French Press. Wait one minute and then add remaining water. Mix with spoon. Wait five minutes before pushing the press down. -When ready to serve, place the organic unsweetened cocoa powder and cinnamon stick into a mug. Pour coffee over this and mix for 15 seconds. - - use 20% discount BEN on the best tasting greens superfood blend on the planet. Use latte frother and icy cold water for an amazing taste! -, and get ready for some epic stories on his morning, daily and evening routine! - - 50% discount on instant access to a box shipped to your front doorstep and full of the latest cutting-edge biohacking gear, nutrients, smart drugs and more, handpicked and curated by Ben. Did you miss the weekend podcast episode with Laird Hamilton and Gabby Reece? It was a must-listen - titled "Anti-Aging, Homeschooling, Underwater Workouts, Pooping & More." New course from Ben! Optimal fitness and health are closer than you think. In just one week, you can set yourself up for a strong, long, lean and healthy body. May 21-22, 2016: Ben is speaking at the Biohacker's Summit in London. The venue will be one of the most charming venues of London, Tabacco Dock, and features an Upgraded Dinner with wild forager Sami Tallberg and a great opportunity to bring together some fantastic UK based biohackers in the realms of digital health, wearables, supplements, biohacking, lifehacking, quantified self and much more. You'll discover digital health & wellness providers, nutrition & supplement companies, wearables & mobile applications and smart home appliances from infrared saunas to smart sensors. . May 27-29, 2016: Ben is speaking at in Austin, Texas. This is the The Who’s Who gathering of the Paleo movement, with world-class speakers including New York Times bestselling authors, leading physicians, scientists, health entrepreneurs, professional athletes, fitness professionals, activists, bloggers, biohackers, and more. And you DON’T need to be Paleo to be able to get a ton of benefit and fun out of this one! Also, one day prior, on May 26 is Health Entrepreneurs f(x) - a full day of deep discussion on marketing, business development, and entrepreneurship for health and wellness people, featuring Mark Sisson, Robb Wolf, Melissa Hartwig, Sarah Ballantyne, Mike Bledsoe, Abel James, and a bunch of other speakers in small group coaching sessions. Nov 17-18, 2016: Ben is speaking at the in Helsinki, Finland. Discover the latest in wearables, internet of things, digital health, and mobile apps to increase performance, be healthier, stay fit, and get more done. Learn about taking food, preparation, cooking, and eating to the next level with the latest science and kitchen chemistry. Even delve into implanted chips, gene therapy, bionic arms, biometric shirts, robotic assistants, and virtual reality. Two days with an amazing crowd and a closing party with upgraded DJs to talk about. Grab this that comes with a tech shirt, a beanie and a water bottle. And of course, this week's top iTunes review - gets some BG Fitness swag straight from Ben - ! ----------------------------------------------------- Listener Q&A: As compiled, deciphered, edited and sometimes read by , the NEW Podcast Sidekick. Chia Seeds vs. Flax Seeds (And The Truth About Flax, Chia & Estrogen) Brock says: What's your take on the Chia/Flaxseed phyto-estrogen thing that a lot of people have been taking about? Flax are apparently extremely high in phyto-estrogen and Chia seeds are getting a bad rap. Both of them are things you recommend in the past, not in huge quantities, but is there anything he should be worried about? In my response, I recommend: - Carb Cycling For Fat Loss Wendy says: She recently listened to the Mark Sisson podcast and was in agreement with everything. She's wondering what your thoughts are on eating a LCHF diet for 5 days then switching to a LFHC diet for three days and repeating this cycle forever for fat loss? In my response, I recommend: - -Dulloo AG, Samec S. Uncoupling proteins: their roles in adaptive thermogenesis and substrate metabolism reconsidered. Br J Nutr 2001;86:123-139. -Douyon L, Schteingart DE. Effect of obesity and starvation on thyroid hormone, growth hormone, and cortisol secretion. Endocrinol Metab Clin North Am 2002;31:173-189. -Friedl KE, et al. Endocrine markers of semistarvation in healthy lean men in a multistressor environment. J Appl Physiol 2000;88:1820-1830. de Rosa G, et al. Thyroid function in altered nutritional state. Exp Clin Endocrinol 1983;82:173-177. -Klein S, et al. Leptin production during early starvation in lean and obese women. Am J Physiol Endocrinol Metab 2000;278:E280-E284. -Ahima RS, et al. Leptin regulation of neuroendocrine systems. Front Neuroendocrinolgy 2000;21:263-307. -Weyer C, et al. Changes in energy metabolism in response to 48 h of overfeeding and fasting in Caucasians and Pima Indians. Int J Obes Relat Metab Disord 2001;25:593-600. -Mansell PI, MacDonald IA. The effect of underfeeding on the physiological response to food ingestion in normal weight women. Br J Nutr 1988;60:39-48. -Kozusko FP. Body weight setpoint, metabolic adaption and human starvation. Bull Math Biol 2001;63:393-403. -Dulloo AG, Jacquet J. Adaptive reduction in basal metabolic rate in response to food deprivation in humans: a role for feedback signals from fat stores. Am J Clin Nutr 1998;68:599-606. How To Biohack A Hotel Ian says: He's trying to build a high end luxury bed and breakfast in Canada and wants your suggestion for what to provide people. Its a very active sporty town - hardcore mountain biking, skiing, dirt biking etc. What would be the best gear, home set up, supplements, sleep optimization and recovery ideas to include? In my response, I recommend: - (& cold pool) -Fats & exogenous ketones (e.g. ) / - - The Ultimate Altitude Training Supplement Stack Hans says: He's training for a 50K ultramarathon in Patagonia, in April, and he's doing it from Cuzco in Peru - 3500 m above sea level. His body has taken 3 weeks to adapt and now he can go for long runs with out feeling exhausted. His heart rate compared to effort is very high - how can he adjust his training at this altitude so he can get the most out of it? Also, the race is at sea level, is there a golden number of days he should stay at sea level before the race? In my response, I recommend:   -Nitric oxide precursors (e.g. ) -Hydration (e.g. coconut water, , etc.) -Adaptogens to assist with nervous system (e.g. )   -Mitochondrial support (e.g. )   -Electrolytes (e.g. ) -We finish this episode with a tip from Jordan Harbinger at . ----------------------------------------------------- Prior to asking your question, do a search in upper right hand corner of this website for the keywords associated with your question. Many of the questions we receive have already been answered here at Ben Greenfield Fitness! -We finish this episode with a tip from Jordan Harbinger at , on being a better leader by leading without domination, and also a special announcement from . -----------------------------------------------------  

Background: Inspiratory activity is a prerequisite for successful application of patient triggered ventilation such as proportional assist ventilation (PAV). It has recently been reported that surfactant instillation increases the activity of slowly adapting pulmonary stretch receptors (PSRs) followed by a shorter inspiratory time (Sindelar et al, J Appl Physiol, 2005 [Epub ahead of print]). Changes in lung mechanics, as observed in preterm infants with respiratory distress syndrome and after surfactant treatment, might therefore influence the inspiratory activity when applying PAV early after surfactant treatment. Objective: To investigate the regulation of breathing and ventilatory response in surfactant-depleted young cats during PAV and during continuous positive airway pressure ( CPAP) early after surfactant instillation in relation to phrenic nerve activity (PNA) and the activity of PSRs. Methods: Seven anesthetized, endotracheally intubated young cats were exposed to periods of CPAP and PAV with the same end-expiratory pressure (0.2 - 0.5 kPa) before and after lung lavage and after surfactant instillation. PAV was set to compensate for 75% of the lung elastic recoil. Results: Tidal volume and respiratory rate were higher with lower PaCO2 and higher PaO2 during PAV than during CPAP both before and after surfactant instillation ( p < 0.05; both conditions). As an indicator of breathing effort, esophageal deflection pressure and PNA were lower during PAV than during CPAP in both conditions ( p < 0.02). Peak PSR activity was higher and occurred earlier during PAV than during CPAP ( p < 0.01), and correlated linearly with PNA duration in all conditions studied ( p < 0.001). The inspiratory time decreased as tidal volume increased when CPAP was changed to PAV, with the highest correlation observed after surfactant instillation ( r = - 0.769). No apneic periods could be observed. Conclusion: PSR activity and the control of breathing are maintained during PAV in surfactant-depleted cats early after surfactant instillation, with a higher ventilatory response and a lower breathing effort than during CPAP.