Jolie Bookspan, M.Ed, PhD, FAWMExercise and Fitness
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Fast Fitness - Figuring Heart Rate Training Range

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - How to know what heart rate will give you a cardiovascular training effect.

Several formulas calculate exact heart ranges and "target heart rates." There are a variety of commercial (expensive) heart rate monitors. Arguments in sports medicine continue on which is the right formula and if heart rates in water or at elevation can be calculated the same way. These issues will be covered in posts to come. For now:
  1. Your body is smart. Heart rate generally follows "perceived exertion." If you feel your running or other exercise pace is moderate, your heart rate is likely to be at a moderate training range. If it feels light, then heart rate will likely be too low to give much training effect.
  2. Find something you enjoy enough to continue more than ten minutes at a time.
  3. Keep a pace that you feel is moderate to hard, depending how you like it.


If your running or other exercise pace feels moderate, it is also moderate for your cardiovascular system. If it feels hard, your heart and body and mostly likely working hard for your current level If it feels light, then it is too light to give much training effect.

Photo by adamknits

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Indiana Jones Rocket Sled

Jolie Bookspan, M.Ed, PhD, FAWM
The new Indiana Jones movie came out this past weekend, the Kingdom of the Crystal Skull. It is set in 1957 with fun fitness and iconry of the era, for future blog posts. Today - the Rocket Sled.

In the early part of the movie, Indiana Jones and the Soviet Russians brawl through a US military testing base in Nevada. Jones and a Russian officer wind up on a rocket sled, which blasts them on a speed track into the desert.

Rocket sleds are one of several devices that create and test the effects of high acceleration on equipment and the people who use them. High acceleration forces occur when jets take off quickly, when launching a space flight, to eject from a hit (compromised) fighter jet, on roller coasters and spin and fall rides, when you fall from a height, and any time you change speed and/or direction quickly. Interesting changes occur in the body under acceleration. Acceleration is one of the areas of my study as a research physiologist and was my work for a time at two facilities testing air vehicle and human systems.

G-force is a measure of acceleration, not force, but the term g-force is also used for the reaction force that results from acceleration. More on meaning, spelling, and math of g and G in another post. Too much g-force can result in g-LOC (Loss of Consciousness), pronounced "jee-lock"in English, but just as meaningful when using the Cyrillic pronunciation of "loss." When piloting a multi-billion dollar property (the fighter jet) G-LOC is not a good thing for anyone. The pilot may convulse, called "doing an Elvis" because the flailing looks like playing an air guitar - a real air guitar. Then the pilot may "ding" (lose consciousness) and the vehicle may "descend below the level of the terrain" (crash) and "disperse energetically" (explode) and "value unfavorably" (be destroyed), and the crew and anyone they land on may "achieve a negative health status" (die).

So we test.

A rocket sled is a small platform. Rockets propel it on the ground on rails. It creates high onset g-forces for a time limited to the length of the track. When personnel or equipment riding it sit as in a car or plane, they experience acceleration pressing them from front to back (on an x-axis).

To measure the higher g-forces with short onset experienced in jet bail-out procedures, a vertical ejection tower can be used. A small seat is propelled quickly upward by a contained blast force under it (like lighting a bomb). If they are positioned to sit upright, the acceleration acts on them from head to foot, on their y-axis.

To experiment with varying accelerations over different amounts of time and onsets, one device used is a centrifuge. A long support arm swings around and around a center anchoring point -like swinging a ball on a string around your head. A container, often ball shaped, at the end of the support arm holds the equipment or personnel being tested. The ball can rotate to position the people inside at any angle to simulate the changing positioning of a cockpit during maneuvers, for example.

What happens to the people in these testing devices? Often they throw up all over my nice equipment. Some of my test subject pilots used to have contests who could eat the worst thing to redisplay on testing day. One ate plastic bugs just for the fun he was sure to cause - then he didn't throw up, no matter what we did to him. In vertical (y-axis) ejections, there is high impact and acceleration forces on the discs and spine. Back injury is a concern for ejection scenarios. Vibration, both during acceleration and non-acceleration situations, such as for helicopter and jack hammer operators seems to be a high contributor to back pain. It is not known if the various vibration devices sold as fitness devices are of the kind (vibration frequency or amplitude) that contribute to joint pain. G-LOC is another consideration. Why do we test it? To see how to prevent it, if we can screen for who is more likely to get it, if we can train those prone to it to be more resistant, and so on, in g-force tolerance improvement programs (g-TIP).

The set of photos at right is a well-known one of USAF Colonel John Paul Stapp, M.D., Ph.D., riding the rocket sled. He was a pioneer of acceleration study and is also known as the originator of the expression "Murphy's Law" for things that can go wrong. The effect on his face along the x-axis is not from his high speed, but the acceleration which is increasing in photos ii and iii, and decreasing in v and vi. Even though his speed is greatest in photo iv, speed is not increasing or decreasing much, so there is little effect.

More on the interesting effects of acceleration and environmental testing from roller coasters to jets to movies in posts to come.


Rocket Sled photo by samuraiCatJB
Col Stapp face photo reproduced on the site LightandMatter

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Fast Fitness - Easy Handstand for Balance, Upper Body Strength -The Movie

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - a quick, safer way to try a handstand. Standing on hands has many health and strength benefits and can be easily practiced in this way.

My student Dennis, Olympic medalist in wrestling, demonstrates in this short movie. Click the arrow to watch the movie:

video
  1. Stand with your back about a foot in front of a wall, and crouch to put your hands on the floor (avoid slippery surface)
  2. Put one foot high up on the wall, then lift the other foot up too
  3. To get down, step one foot back down, then the other


To see step by step still photos and more explanation, click the post Fast Fitness - Easy Handstand where David from Belgium shows the handstand plus how to add a nice overhead hamstring stretch.


Keep breathing. Smile. Relax. Send in your own photos of trying this. Be safe and have fun.


Movie © by Jolie


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Fast Fitness - Easy Handstand

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - if you have been afraid to try a handstand, here is a quick easy way to have success. You will strengthen your hands, wrist, arms, shoulders, upper body, and core, practice balance, and get blood circulating.
  1. Crouch down near a wall (avoid slippery floor)
  2. Put one foot high up on the wall
  3. Lift up the other foot



To add a nice stretch on the hamstrings,
lift one leg away from the wall into a wide split position in the air, as below.

If you have uncontrolled glaucoma or high blood pressure, ask your care providers first.

Demonstration and photos by reader David at www.hierennu.be

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Sepak Takraw

Jolie Bookspan, M.Ed, PhD, FAWM
We are here working in Asia. Everywhere, we see schoolyards with kids playing sepak takraw. Modern sepak takraw is played on a court with three players on each side. Players don't use their hands to volley. They use feet, legs, shoulders, and head to keep the ball in the air, volleying back and forth. Main features of sepak takraw are acrobatic mid-air kicks to keep the ball in play, and the athleticism and speed of the players.

Sepak takraw has been played in Southeast Asia for hundreds of years. The word "sepak" is Malay for kick and "takraw" is the woven ball. In Thailand, the game is often simply called Takraw. In 1984, a Thai inventor revolutionized the sport with a synthetic takraw to replace the slower traditional rattan ball.

Takraw has roots in Malaysian, Chinese, and other national games. In Bangkok Thailand, there are wall paintings at the Wat Phra Kaew (Temple of the Emerald Buddha) of Hanuman, the Vanara (Monkey-like) Hindu god, playing takraw in a ring with his monkey troops. The game developed into teams competing across a court with a net, about the size of a badminton court. This modern-day version is a Southeast Asian specialty.

Thailand wins most of the gold medals at the Asian Games. Here is a motion clip of just 48 seconds of playing Takraw. Click the arrow to watch.



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Swimming and Pulmonary Edema Part II

Jolie Bookspan, M.Ed, PhD, FAWM
In Monday's post, Katharine, an Ironman Triathlete, told of having pulmonary edema of swimming twice this year and asked if warm up or fluids were involved. US Open Water Swimming also interviewed me about pulmonary edema. Here are some things they asked.


1. What is pulmonary edema and why should swimmers know or be concerned about it?
Edema means too much fluid accumulation. Fluid suddenly fills the lungs. The left side of the heart is not pumping properly. It can cause you to have to stop a race. It can sometimes cause serious illness and death.


2. Is it more likely to occur in cold water?
It seems to be more likely in cold water. It has occurred in surface swimmers and scuba divers in both cold and warm water. Cold is only one of the several proposed causes.
Causes or contributors seem to be things that increase cardiac preload and afterload, including immersion in water, cold water, heavy exercise, negative pressure breathing (like breathing with a snorkel, and swimming with the chest below the surface and even the slight elevation of the head to breathe in), and drinking too much water or other fluids before swimming. Don't drink lots of water before swimming.


3. What are the signs and symptoms?
Unusually shortness of breath (not just fatigue) and coughing bloody froth. No chest pain.

With a stethoscope you can hear rales, an abnormal rattling breathing sound. Chest x-rays show the classic pattern of pulmonary edema. When blood oxygen in the arteries is checked, arterial O2 may be lowered.


4. Do wet suits provide any measure of protection against PE?
Difficult to say since it has occurred in people with and without wet suits. I haven't seen charts where the numbers of each predisposing possibility, like protective garments and temperature, were compared.


5. Can medical personnel easily detect PE?
Pulmonary edema is not subtle. The person is usually gasping and spitting pink froth, and asking for help with a worried look.

A swimmer who develops shortness of breath and cough in a race may have something else like exercise induced asthma.


6. What is the first aid if PE is suspected?
Get them out of the water. Sit them up to elevate the head, if conscious. Give them 100% oxygen by mask, and get them to the emergency facility.


7. If PE is untreated and the athlete continues to the race/swim, what could happen?
Depends how serious. Symptoms can resolve on their own or they can get worse. I wish I knew the future for them, but it's like other injuries. There have been deaths. We wonder how many people who suddenly went under were not drowning but developed pulmonary edema. We have no way yet to tell. Drowning also produces pulmonary edema (after the fact). Repeat cases of pulmonary edema can occur in the same person.

Interestingly, the frothing pulmonary edema occurs in racehorses after hard races. They are blowing bloody nose froth all over, but veterinarians have reassured me that the horses are fine. Any readers who are veterinarians, please tell me more. If a person is frothing, get help.

Photo by Salim Virji

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Swimming and Pulmonary Edema Part I

Jolie Bookspan, M.Ed, PhD, FAWM
Reader Katharine asked:
"I am an Ironman Triathlete and have recently experienced symptoms of swimming induced pulmonary edema on two occasions this year and am trying to find as much information about this condition as possible. I have a background in swimming and have not experience this phenomena until recently. In both instances, my breathing became labored and fluid built up in my lungs during the early stages of a competitive triathlon swim.
"The most recent instance of what I suspect was 'SIPE' (Swimming Induced Pulmonary Edema) was on July 22nd at Ironman USA in Lake Placid. After the swim portion of the event, I had to be taken to the hospital as I was unable to breathe and was coughing up a 'pink frothy foam.' I felt normal within 24 hours and have still been able to continue to train as normal –initial ECG and Echo tests of my heart are normal, as well as a lung scan and x-rays of my lungs, throat and sinuses.
"The problem has only occurred in 2 out of 4 triathlon’s I have been in this year – and both instances occurred at approx. the 750m mark of an open water swim.

"It doesn't seem to be a common ailment so I’m trying to gather as much information on SIPE as possible from anyone who has studied it. I'm primarily trying to find out how to prevent it from happening. I am fine in training in the same 'open' cold water as I race it, so why is it happening on race day... Perhaps not enough of a swim 'warm-up' and an immediate elevation in HR... that along with added fluids in the days leading up to a long distance event such as an Ironman."


Warming up does not seem to be related to developing pulmonary edema. Why pulmonary edema can happen with swimming, what fluids have to do with it, and what to do, follow on Wednesday.

Photo by Rick

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Grunting and Exercise

Jolie Bookspan, M.Ed, PhD, FAWM

Grunting in the gym made recent news. A member was forcibly removed from a gym when others complained. The article told of factions arguing who was right if grunting and other loud vocalizations when exerting for exercise were helpful or needless annoyance.

Exercise is supposed to be healthy and build discipline of mind and body. Antagonism and disputes are not healthy for mind or body. Moreover, both sides have missed the point.

Breathing out, either quickly or slowly in coordination with effort can help. It can be done silently - by exhaling without vocalizing. You can have both, the exhale and the peace. This quiet but forceful exhalation practice is used in many high exertion fields from martial arts to warfare to meditation.

Fighting ninjas were legendary for both focused effort and silent tactics. No sense making a war cry until it was needed for its better purpose - to increase tendency to submission by the other party on the receiving end of the cry. In other words, to be scary.

For exercise, focused exhalation can increase acceleration at specific points of the move to increase power. For heavy moves, it can help lessen increases of pressure in the chest cavity and blood vessels, depending how it is done. Sometimes, people put so much pressure into the exhalation that they increase internal pressure instead of prevent problems. Done either quickly or slowly, it can be used to strengthen the move by including expiratory muscles. Often in martial arts and yoga classes, we (teachers) use noisy breathing just to remind students to breathe at all. It is a cue until they remember to breathe on their own (quietly) instead of holding their breath.

In the war dances and drumming in many countries, in martial arts, and in meditation arts, a concentrated exhalation coordinated with effort is variously called kiah, kiai, hihap, battle cry, and other terms. Each school is certain that their own different translation and beliefs about these terms is the "right one." The exhalation can be vocalized in a short yell, a loud breath, or silent. In group efforts, from martial arts to hauling sheets on tall ships, to chain gangs, to exercise classes, it helps unify mood or keep cadence. Done without coordinating effort, it is called yelling, and sometimes it is just vocalizing in corny ways.

More about breathing, the kiai exhalation and exercise for any sport are in the book Healthy Martial Arts.


Photo by djfrantic

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Fast Fitness - Speed and Eye Hand Coordination

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Train speed and eye-hand coordination while having fun.

Have you seen martial arts movies where the master catches a fly with his chopsticks? The true master doesn't restrain or harm the lives of others. In the spirit of healthful exercise, World Vegetarian month and higher spirit, try this instead:

  1. Tear a sheet of paper to different size pieces
  2. Throw in the air
  3. Catch as many pieces as you can as they flutter downward.

Want more? Use only one hand to catch. Then switch.

You can play this with children too. Get more exercise and prevent pain by using healthy bending to pick pieces up and start again.

Have fun.

Photo by jimw

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World Vegetarian Day

Jolie Bookspan, M.Ed, PhD, FAWM
"Vegetarians have the best diet. They have the lowest rates of coronary disease of any group in the country. [T]hey have a fraction of our heart attack rate and they have only 40 percent of our cancer rate."
—William Castelli, M.D., Director, Framingham Heart Study, the longest-running epidemiological study in medical history
From my work in sports medicine, I will add to Dr. Castelli's work that I see fairly consistent reduction in joint pain and other pain syndromes when patients stop known "inflammatory foods" including meat and dairy.


October 1 is World Vegetarian Day (www.WorldVegetarianDay.org). The month of October is Vegetarian Awareness Month. The purpose is for a happier, more aware and respectful, and healthier society.

Hurting animals is unhealthy for all involved. In the spirit of healthy body and mind, this post gives four ideas:
  1. Build your own health and benefit your exercise: food and recipes for better exercise training (regardless of your sport), and preventing disease and pain syndromes. Get the book Healthy Martial Arts

  2. Enjoy healthy extra years: From the blog DiseaseProof.com - How Much Longer Do Vegetarians Live?

  3. Free vegetarian starter kit, free newsletter, with materials in Spanish, to avoid cruelty to yourself, animals, and the Earth, one meal at a time - TryVeg.com

  4. Reduce global warming: GoVeg.org reports on work published in NewScientist.com - It's Better to Green Your Diet Than Your Car (17 Dec. 2005). "You could exchange your "regular" car for a hybrid Toyota Prius and, by doing so, prevent about 1 ton of carbon dioxide from entering the atmosphere each year, but according to the University of Chicago, being vegan is more effective in the fight against global warming; a vegan prevents approximately 1.5 fewer tons of carbon dioxide from entering the atmosphere each year than a meat-eater does. The math is simple: You could spend more than $20,000 on a Prius and still emit 50 percent more carbon dioxide than you would if you just gave up eating meat and other animal products."

Feel encouraged. Being vegetarian or making occasional vegetarian meals does not have to involve any strange or expensive foods from specialty stores. You do not need any special pots or food processing equipment. It is a myth that vitamin supplements are necessary. Grocery bills can also be also far less expensive when you don't purchase meat (and don't substitute other expensive food that you do not need).

I will post easy-to-make healthful (real) food for athletes and exercisers, during October vegetarian month, and for Vegan month in November. NonVegetarians are welcome.


Graphic from WorldVegetarianDay.org

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Parcours - Old Fun Is New Exercise

Jolie Bookspan, M.Ed, PhD, FAWM

Parcours is pronounced par-core. It is a French word meaning "course" or trail. A parcours is a path with obstacles at varied intervals. You navigate using your body and brain, similar to steeplechase.

Some parcours are formally designed municipal parks. Some are impromptu collections of trees, walls, buildings, windows, and rocks. ABC news added this news video last Monday of urban exercise. On a rainy day you can make your own in your house.

In ancient times, a course might involve days of travel. Today, several cities around the world have public courses used by people of all abilities and ages. Modern fitness programs use it, with names like freerunning and various brand names, but the idea is not new.

Stations may be a log to walk across, rings to swing on, various height and shape objects to stretch on and around, a place to see how far or high you can jump, something to balance on, a ladder or wall to climb over or under.

To get to the next station, you can walk, run, bike, skate, or whatever you can do. Parcours length varies from a block to miles. Some people make a day of it with picnics and rests between stations. Others go make a quick lunch run over part or all of the course.

In the early 1980s I was the first person to put exercise programs aboard cruise ships. Until then, cruises were associated only with deck chairs and food. I was told exercise would not catch on. I ran exercise, health education, and stretch classes, and led the scuba and snorkel trips. I also led a parcours, taking about an hour, all over the ship, from deck to deck, stem to stern, over and under tables, chairs, hatches, and railings, and through the cha-cha lessons. We ran, we walked, we balanced, we cha-cha'd, we tip-toed very fast to get away, we laughed.

Parcours uses the body in natural ways to build strength, spirit, and balance. It can be healthier, better training, and more fun than doing artificial repetitions of an isolated exercise.

More to come on keeping parcours safe for joints, and preventing injuries.


Parcours photo 1 by JamesEverett
Parcours photo 2 by JamesEverett
Parcours photo 3 by Marco GomesParcours photo 4 by ouverture
Parcours photo 5 by Tatiana Sapateiro

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Fast Fitness - Quick Warm Up

Jolie Bookspan, M.Ed, PhD, FAWM

Here is Friday Fast Fitness - Warming up for activity.

No need to bicycle or jog 10 minutes:
  1. Do 10 lunges straight down and up, shown in yesterday's post.
  2. Switch legs.
  3. Do 10 more.
Standing lunges quickly raise body temperature, increase circulation, and move your hip and legs through a good range of motion.

Graphic 1 by subscription to Clipart.com
Photo 2 by Jolie from Healthy Martial Arts

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Respiratory Muscle Training for Better Health and Exercise

Jolie Bookspan, M.Ed, PhD, FAWM

At the American College of Sports Medicine conference last month, I attended an entire session on effects of training respiratory muscle function. Back when I was in school, we learned that the ability to breathe harder, better, faster, could not be trained with exercise or other modality, that it was fixed from person to person, like eye color, except that it got worse with aging, and that it didn't matter much, since ventilation did not do much to limit exercise potential anyway.

Even though the lungs don't have any muscles of their own, it didn't seem right to me, as the diaphragm and muscles that move the rib cage to voluntarily breath in and out are muscles like any other. What if there are people whose respiratory muscles are not trained to work hard enough and add to the metabolic cost of exercise, increasing fatigue and so, limit exercise? It is also true that many people are not in good enough shape to use more oxygen, so breathe most of the oxygen back out with each breath, even when exercising strenuously. What about someone in great athletic shape who could use that oxygen. Why couldn't they be trained to move more air faster if they needed some?

Exercising the muscles that you use to breath in (inspiratory muscle training) is known to improve the endurance of the respiratory muscles in people with spinal cord injury and cystic fibrosis, and is shown to improve exercise capacity in patients with heart failure. What about for people without these conditions or for athletes?

There is some published literature that does not show improved work capacity (J Sports Sci. 1991 Spring;9(1):43-52.) and some that show high-intensity training increases exercise capacity in people who are healthy (Phys Ther. 2006 Mar;86(3):345-54.).

The diving medicine conference two weeks ago had several studies that showed interesting and promising results with breathing training. Combat swimmers have long used various breathing training to get in shape for swims and other strenuous work. The next post covering respiratory exercises - Respiratory Muscle Training for Swimming, Diving, and Running - tells about it.

Respiratory muscle training in the above studies did not involve popping corks from your lips, as in the accompanying photo. To improve your breathing capacity and do training at home without respiratory training devices, see the post Do Breathing Exercises Work? and the book Healthy Martial Arts.



Photo by Brian "DoctaBu" Moore's photos

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Hyperbarics for Diabetic Foot Injury

Jolie Bookspan, M.Ed, PhD, FAWM

It is estimated that every 30 seconds someone in the world has their foot amputated because of a diabetic foot ulcer. Reduced blood supply to the feet and lower legs in people with diabetes delays wound healing and increases infection and chance of gangrene. Foot infection worsens the situation of inadequate blood supply by increasing the area's need for oxygen but decreasing blood supply. Poor blood supply further decreases ability to fight infection. Diabetic ulcers treated with antibiotics can become colonized with drug-resistant bugs.

I am at the annual meeting of the Undersea and Hyperbaric Medical Society (UHMS). Several interesting studies are being presented on diabetic wound healing. Enhancement of healing in selected problem wounds is one of the 13 approved indications for use of hyperbaric oxygen therapy as defined by the Hyperbaric Oxygen Therapy Committee. Hyperbaric treatments are done by putting the entire person in a small room or chamber and increasing the pressure inside so that the person breathes oxygen at higher pressure than what you are breathing now. The post Does Hyperbaric Oxygen Help Exercise Ability? explains more of how it works.

One of the studies presented here looked at 50 patients with severe diabetic foot ulcers. Half were treated with hyperbaric oxygen therapy (age and gender matched with the half who did not). Diabetic patients treated with hyperbaric oxygen had 56% chance of healing and 16% chance of amputation. Diabetic patients not receiving hyperbaric oxygen therapy had a 32% chance of healing and a 32% chance of amputation. Supplying oxygen to compromised areas, such as diabetic wounds, is important to restoring health. Hyperbaric oxygen is established to help that.

From the President's Competition came another study on hyperbaric oxygen therapy and stem cell mobilization in people with diabetes. This study was by researchers at the University of Pennsylvania's Institute for Environmental Medicine, where I did nine years of my research in diving medicine. Hyperbaric oxygen is already known to mobilize bone marrow stem cells in animals, healthy humans, and in patients with a history of radiation exposure. This study looked at diabetic patients with refractory foot ulcers or radiation necrosis who were receiving hyperbaric oxygen treatments. The study was small and results varied more than in previous trials. However, the researchers reported that overall, hyperbaric oxygen therapy increased circulating CD34+ stem cells three-fold in the patients with diabetics, and was shown to play a role in wound healing. Three patients of twelve in the study group did not increase stem cells. The researchers said that the reason for no increase should be investigated.

In the exhibit hall of the hyperbaric conference, various companies display their fun oximetry units. There are several kinds of oximeters. The most common ones painlessly assess oxygen levels through the skin. Oximetry is used to assess oxygen available to the injured and surrounding tissue, and to tell how well hyperbaric oxygen treatments are working to improve oxygenation and new blood vessel growth. I like to try them all on, on different parts of my body. I experiment with different exercises to see the different effects on oxygenating different areas. Movement makes rapid, effective increases in oxygen levels.

In the past, people with diabetes were cautioned not to exercise because it was felt that they would injure themselves. Now it's known that exercise is an important part of preventing injuries from diabetes, and preventing or curbing diabetes itself. Regular exercise:
  • Helps your body burn more sugar.
  • Increases the number of insulin receptors on your cells and increases the sensitivity of your body to insulin.
  • Helps your body grow new blood vessels and improve circulation.
  • Improves oxygen levels to areas to help them heal.
  • Reduces high blood fat levels (cholesterol and triglycerides) which leads to early aging of blood vessels.
  • Increases blood flow to the feet, which helps prevent diabetic foot problems.
Keep moving for many aspects of preventing disease, secondary effects from disease, and to improve your health.


Here is the next post from the conference Exercise and Fitness in Decompression Sickness Risk.


Photo by yngrich

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News from the ACSM Conference

Jolie Bookspan, M.Ed, PhD, FAWM

I am attending the annual meeting of the American College of Sports Medicine (ACSM). There are many hundreds of studies, seminars, clinics, workshops, lectures of all sorts, running concurrently. It is like drinking candy from a fire hose.

Dashing from one lecture to another in the enormous conference center trying to learn as much as possible from simultaneous sessions is exercise in itself.

Some of the "studies" predictably show glowing results. Studies funded or conducted by candy bar manufacturers show athletic gains from eating their candy bar. A study funded by the US Poultry Association concluded that dietary cholesterol may have a modest role in muscle mass and strength increases (and an "uncertain role on cardiovascular risk factors.") Studies from sugar water manufacturers, who are also major sponsors of this sports medicine conference, show high results in athletic events drinking their product. There is no doubt that hydration and blood sugar are enhanced from refined sugar products to complete athletic events with good results. Commenting professionally, I am not sold on these products for long-term health. Moreover, you can get the same results in most cases with healthier food. The post Is Your Health Food Unhealthful? gives some healthy food choice ideas. Click the label "nutrition" accompanying that post for all Fitness Fixer posts that give ideas for healthier sports nutrition.

One nice little study from University of Pittsburgh researchers showed that overweight adults who achieved higher levels of physical activity during a weight loss program also reported "adoption of eating behaviors recommended to improve weight loss." They also found that, "Failure to sustain physical activity reflects the failure to sustain recommended eating behaviors." The bottom line is still, "Stay active and eat right."

Another nice study from the Nutritional Interventions sessions found that, "Individuals at risk for developing cardiovascular disease (CVD) can reduce risk factors through diet and exercise before resorting to drug treatment," that, 'Ingesting vegetable versus animal protein has also been shown to have beneficial effects on various risk factors" and that "Participation in a 12 week resistance exercise training program significantly increased strength and decreased CVD risk factors in overweight, hypercholesterolemic men with no added benefit of protein supplementation." The bottom line is still, "Stay active and eat right."

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Healthy Mother's Day

Jolie Bookspan, M.Ed, PhD, FAWM

Neolithic groups (stone age) worshiped the mother. Ancient Germans worshipped the virgin Hertha holding her child. Scandinavians worshipped virgin Disa holding her child. In ancient Egypt it was Isis with infant Osiris. In India, Devaki had Krishna (also by virgin birth). In Asia, Cybele and Deoius. Chinese holy mother Shing Moo held her child in arms. Christian missionaries to Tibet, China, and Japan found that holy mothers depicted with splendid light around their head and holding a divine child had been worshiped long before they got there.

In Rome, the goddess was Demeter, meaning Earth Mother, wearing wreathes of braided corn in her hair. In ancient Greece, Demeter was called Ceres, the great mother with baby at breast. From her name "Ceres," we get the word "cereal" (grains), "which made man different from wild animals."

In the spring in ancient Greece, celebrations were held in honor of Rhea, the Mother of the Gods. Christian Europe celebrated the spring festival of "Mother Church" who (they believed) would protect them from harm. During the 1600's, England celebrated "Mothering Sunday" on the 4th Sunday of Lent, honoring the mothers of England. All cultures worshiped the divine, the Mother, who gives life and food, compassion and love.

So. How to celebrate this Sunday on Mother's Day? I'm in favor of some goddess worship, probably involving some rocks and food and chocolates and compassion and love. Not so original, but time tested and universal:

  • Visit Mom (or a Mom) and give her a massage (if she wants one). Neck, hands, feet, back. Good for circulation for giver and receiver. Touch can be healthy. Ask her stories.
  • Teach her a Nice Neck Stretch
  • Make her (and you) something healthy to eat. For light teas, try cinnamon, cloves, grated orange peel, or ginger in hot water.
  • For a cold treat without unhealthy junk food, mash a frozen banana with crushed raw walnuts or flax seeds. Use a food grinder or get free exercise by mashing them yourself in a bowl. It will taste like creamy ice cream. Flax seeds and walnuts have been found to be effective to help bone health as vegetarian sources of omega-3 (n-3) fatty acids. Raw walnuts (as part of a general low fat and cholesterol diet) have also been found to have a beneficial effect to decrease cardiovascular disease risk, among other benefits. This treat has fiber and is non dairy, both associated with lower breast cancer risk.
  • Goddess worship often is helped with chocolate. The primary chemical in chocolate is theobromine. "Theo-" means God and "broma" comes from a word meaning food. The theobromine in chocolate was named for "food of the gods." Theobromine is an antioxidant, weak diuretic, stimulant, and mood booster, opens breathing airways, and relieves coughing. Dark chocolate has more theobromine than lighter chocolate, with flavonoids and phenolics, plant substances that are good for the heart. People who get a kind of vascular headache called migraine do better not to eat chocolate. For others, get plain cocoa, unsweetened, not junked up with sugar. Add the unsweetened cocoa to the frozen mashed banana and walnuts for a healthy sweet wonderful treat that tastes better than you would expect. For exotic flavor and more health benefit, add fresh grated ginger root.
  • Sit outside in the air and sun to have your tea and frozen banana. Warnings on the dangers of overtanning are important for preventing skin cancer for people who work outdoors, who over-tan for cosmetic purposes, and a few other populations. Another group to consider is those spending too little time outdoors. Sunlight exposure is increasingly documented as crucial to bone density, healthy immune function, positive mood, sound sleep at night, relief of symptoms of rheumatoid arthritis, MS, and other health issues. A nice massage and tea and chocolate outside in the sunlight could be made into a wonderful Mother's Day. Nice excuse to buy a hat.
  • Make Mom (or a Mom) some homemade healthy skin lotion. Commercial products have preservatives, dyes, and chemicals. Try combinations of grape seed oil, tea tree oil (very small amount), vitamins C and E, ginger, honey, tea, fresh aloe, and fragrances from oils, fruit, flowers like lavender, or leaves like mint. (Don't wear citrus oils like lime out in the sun.)
  • Help out at a woman and child shelter. Or help at a men's shelter to help the guys get back on their feet to help their own families.
  • Celebrate Mother Earth - go out and pick up litter. It's good exercise. Bend right.
  • Make a trip to look around a home improvement center to see about some do it yourself solar projects, even if only to replace a few lights.
  • Go do gardening for your mother, or your mother Earth. Lift and bend right, reach right, carry in healthy ways.
  • Do some cooking, shopping, vacuuming, and cleaning for Mom (or a Mom). Water their plants. It's good exercise for you and a nice thing for them.
  • Be good to each other - all the children of Earth.
  • Follow the advice of the unknown who said, "The most important gift a father can give his children is to love their mother."
  • If that doesn't work, take the advice on the side of aspirin bottles: "Take two aspirin, and keep away from children."

Goddess Mother photo by Rosa y Dani
Santo Island Mother photo by Graham Crumb

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Fixing More Fitness Myths

Jolie Bookspan, M.Ed, PhD, FAWM

On April 1st, I covered some fun fitness myths and how to change myth into healthier exercise. Today continues with more fun ways to get more exercise and reduce injury at the same time:


Heart Health
Myth - Anger has no health effects. Instead, turn contempt and anger for others to healthy dialog with:
Healthier Heart.


Understanding How "Sticking Out in Back" Isn't Neutral Spine:
Start with this one to see what overarching the lower back means, and how correcting it lets you do more in healthier ways:
Fixing the Commonest Source of Mystery Lower Back Pain

Then try Using Abdominal Muscles is Not Tightening or Pressing Navel to Spine to visualize how you simply tuck enough to make the belt line level when standing, not tilted. A small inward curve in the lower back remains when you shift to neutral spine, but not large enough to cause degenerative pinching on the facet joints, the joints of the lower spine.

Then feel the difference of tucking until neutral: Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique

and Change Daily Reaching to Get Ab Exercise and Stop Back and Shoulder Pain

Here is how to try it during squats: Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending

Here are some abdominal exercises using these principles: Change Common Exercises to Get Better Ab Exercise and Stop Back Pain

Here is what it looks like not to use abs:
What Abdominal Muscles Don't Do - The Missing Link
What Does It Look Like to Not Use Abdominal Muscles?
and Healthier Carrying - Get Free Ab Exercise and Stop Pain.


Abs and Tightening:
Myth - Pressing navel inwards to tighten abs is the way to strengthen your abs or fix your posture. Fact - tightening will not move your spine out of unhealthy position and it impedes normal fluid motion:
Using Abdominal Muscles is Not Tightening or Pressing Navel to Spine.


Exercise Injuries
Myth - Exercise injuries are usually overuse and aging.
Fact - Simple misuse is easily fixed: Why So Many Aerobics Injuries? and What is "Fitness as a Lifestyle?"
A recent injury survey by US military revealed that 62% of American injuries in Iraq are occurring in the gym. Welcome to the Fitness Fixer tells more.
Some top docs say the military press should be avoided. I think it is a functional exercise and can be done in ways without upper body injury: Safer Overhead Military Press.


Dispelling Myths about Circulation and Massage:
Keeping Thai Massage Healthy Part III - Should You Do "The Blood Stop?"
Making Thai Massage Healthier Part II - Avoid Snapping Elbows or Knees Backward
Changing Thai Massage to Be Healthier Part I - Avoid Pressuring Lower Back Discs.


Sitting and Rising:
Myth - The way to sit and rise from a chair is to lean forward and stick out in back. Here is a way that uses muscles more:
Get Better Exercise From Your Chair
and
Aren't You Supposed To Stick Your Behind Out to Sit Down or Do Squats?


Dispelling the Myth That The Best Ab Exercise Means Crunches, Leg Lifts, and Bending Forward:
Abdominal Muscle Exercise - Better, Different, Not What You Think
Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique
Change Common Exercises to Get Better Ab Exercise and Stop Back Pain.


Knee Pain:
Myth - to avoid knee pain you must avoid impact activities or exercises that bend the knees. Here are ways to do all you enjoy and get stronger healthier knees:
Understanding positioning and impact: Healthy Knees.
For full squatting to the heels: Save Knees When Squatting
For half squatting for bending and exercise: Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending.


Backpacks and Back Pain:
Myth - Carrying the weight of backpacks makes your back hurt. Fact - You can change the source of the back pain by how you carry the same pack:
Healthier Backpack Carrying to Get Better Exercise and Stop Back Pain
and
Carrying Schoolbooks Is Not the Cause of Back Pain.


Back Surgery:
Myth - surgery is necessary to avoid later problems. Fact - Studies have now found that is it not true that you necessarily risk future consequences if you do not have surgery. Surgery itself can be a source of later trouble:
Fix Disc Pain Without Surgery
and
Studies Say Back Surgery Not Needed.


Squats:
There are medical people who say that squats are bad for the back and knees. I believe that healthy squats make daily life and exercise healthier and smarter, and can prevent much back and knee pain:
Bending Right is Fitness as a Lifestyle
How Often Should You Be Healthy?
Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending
How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending.


Cause of Disc Degeneration and Herniation:
Myth - Vertebral discs just go bad without warning, from small provocations like a sneeze or reaching or from aging, so it doesn't matter what you do. The good news is that discs are not soft "jelly donuts" as often described. They are tough like truck tires. It takes years of the same, specific, problem to break them down and move them out of place. See the mechanism:
Disc Pain - Not a Mystery, Easy to Fix

Then see examples during daily life:
The Cause of Disc and Back Pain
Are You Making Your Exercise Unhealthy?
and How Often Should You Be Healthy?


Brain Damage:
Myth - knocks to the head are funny and harmless. In reality, long-term damage may be common and serious. This has far reaching implication for law enforcement, domestic violence, full contact sports, and extreme entertainment:
Rocky IV and Head Injury.


Sitting and Back Pain:
It made headlines when researchers seemed to say that sitting up straight was wrong. Here is what they really meant:
Don't Fall for "Don't Sit Up Straight."

When you exercise for health, are you sitting in unhealthy ways? Are You Making Your Exercise Unhealthy?

and here are two for more comfortable sitting:
When Did Health Become Thinking Out Of The Box?
and Exercise and Stretch for Long Travel Sitting.


Upper Back and Neck Pain
Breasts Causing Upper Back Pain is a Myth

Myth - All neck stretches fix neck pain. Fact - there are some stretches that increase neck pain:
Upper Back Exercise and Neck Pain Prevention Too
and The Stretch You Need The Least.
Here are stretches that work better: