Reader Fun Steve previously wrote with his success losing weight and getting in shape with Fitness Fixer. Then he moved from Thailand to Japan. What happened next?
Steve writes:
"I 'done did' something to my stomach. Without having visited any doctors here, my own diagnosis is/are hiatal hernia or tearing of the linea alba area of my stomach muscles.
"No 'pain' but constant discomfort. Constant but mild indigestion. Shortness of breath. Here is the real kicker... If I do leg lifts while doing 'slight' crunches, I have a 2-2.5 inch vertical band of 'something' that reaches from my xiphoid process down to below my belly button. Feels like a strip of weak muscle. I normally don't do full crunches. Perhaps I lift my shoulders 2-3 inches at most.
"My rectus abs are solid. Rock hard .. but the area between left and right side is soft now. This odd strip of 'something' doesn't protrude unless I do leg raises and crunches (so I'm not doing them!) but if I use my hands to press it inward, I can do the crunches or leg raises without that strip pressing up. It's as if the rectus abs, once contracted, hold it in.
"So... what have I done to myself? Besides not doing any crunches and leg lifts, what shall I do to heal myself?"
I answered that (using my e-mail x-ray machine) it sounded like a diastasis, full name Diastasis Recti.
The vertical muscle fibers pull apart, leaving an area between them. This is popular in pregnant women and men with bellies. The 'rock hard' belly is often the large amount of fat (or pregnancy) pushing against the covering muscle, stretching it tightly. Weight loss will let it rejoin and heal. It's not surgical, meaning it can heal if you lose the belly.
I reminded Steve that crunches are not functional exercises, meaning they do not use your abdominal muscles the way you need them to function during any real activity in your daily life. Crunches repeat the bent forward posture that people already spend too much daily time in, and that he already new I had developed a method called The Ab Revolution™ that solves the counterproductive nature of crunches and leg lifts. For the time needed to heal, he could stop belly stretches - back bends, yoga cobra, and updog, and stretching the belly with too much food and weight gain. Continuing to do crunches and leg raises using hands as manual splinting has turned out to make things worse - since the muscles atrophy more.
Steve replied:
"How could I be pregnant?!? Actually, I have 6-pack abs! (Well, really two 3-packs right now. Unfortunately there is a thick layer of blubber covering them.) Under them too. ">>Dr. Bookspan wrote: Sorry to hear. "Yes... me too. I came back from Thailand having lost almost 20 kilos, and due to McDonald's introduction of the 'Double Quarter Pounder with Cheese' into Japan and a side of trans-fat potatoes, I put it all back on."
I reminded Steve that weight loss will let the split area rejoin and heal, and that a diastasis was not surgical, meaning it can heal if you lose the belly and stop pulling it open with Pilates style leg lifts and crunches.
Steve wrote:
"Lose the belly. Lose the belly. That's all anybody says. Lose the belly. Hey, Buddha had a big belly and he didn't have this problem!?! Humpty Dumpty had a big belly and all that happened to him was that he fell off a wall. Well I don't sit on no walls!!! No sir! Not me. I sit on a couch doing bicep curls with the TV remote! I do full presses with bags of Doritos! Pectoral presses crushing my beer cans! Lose the belly?!? Oh well... I guess I gotta..."
I had developed The Ab Revolution™ to solve one common source of lower back pain - a slouching posture of too much inward curve in the lower spine. The Ab Revolution™ retrains function. Conventional ab exercises are often mistakenly prescribed for back pain. Conventional strengthening does not make people stop the actual cause, the slouch. They are just stronger people who slouch. Doing crunches also perpetuates another cause of back pain. It is an irony of pop fitness that without understanding causes, counter productive exercises are prescribed, then repeated by reporters then repeated by trainers and so on. The same is true for hamstring stretches, covered separately. What was interesting was all the documentation I received from people with diastasis and hernias who could use The Ab Revolution™ without pain and with benefit to build abdominal wall strength without pushing things out further with crunches. It made sense. I am looking into it further.
Steve wrote again:
"I follow the the Ab Revolution™. That's what's made my back feel so much better. I haven't had so much as a twinge in my back in the past year or so! It's been your work that made the difference. As my stomach gets smaller so does the diastasis. I'm not worried... now :o) Just PO'd. Thanks for the info about my (larger than necessary) stomach."
Steve went back to healthier eating and was easily losing weight following the healthier, smaller, traditional Japanese meals without fast food.
We planted a vegetable garden this Spring in my mother's field. Hard exercise changed a rocky ruined area into beautiful food. It's getting cold now. Readers asked how the garden turned out. Here are stories:
We are harvesting. By afternoon it is dark with a large orange moon overhead lightning our work. The hard work keeps us warm.
When we first cleared the area, we filled the wheelbarrow with concrete slabs, pried and dug from the patch. Paul bent to grasp the wooden handles. When he rose lifting the handles, the barrow was so heavy that both handles snapped, scattering everything. Paul is strong.
We sawed and attached new handles. Much good squatting, bending, rising, lifting, and reloading. Paul bent well (upper body fairly upright, knees bent over heels). At almost seven feet tall, he needed to bend low. When he rose, the wheelbarrow handles were so high in the air, the front of the barrow tipped forward so far that contents spilled everywhere.
Hoeing a field, breaking concrete, digging stumps and rocks, bending and reaching, lifting right, hauling bales of compost, and all the rest that gardening can involve, is more exercise than you can get in a gym. It combines hard natural movement using much of the body at once to give muscular and cardiovascular exercise. To pull weeds, you squat well, both heels down, loosen roots with a digging stick, grasp weeds at the roots, rise pulling slowly. Over and over. Rise and bend. Garden prayer.
We were amused that more grew outside than inside the garden. Outside, tall weedy grasses grew everywhere. Inside, small seedlings grew into low herbs and vegetables. Deer and other animals didn't eat our garden. We had built a 6-foot fence around it, but deer can easily jump that height, and small burrowing groundhogs and rabbits can wiggle through or under. What we had done is leave them a bushy meadow near the garden area, with plenty of food and hiding places. They didn't need to bother the garden. The municipality cited my mother for a violation of some kind for not mowing her "lawn." Sorry Mom! We paid it for her.
Large slabs of concrete lay buried, inches below the surface of much of the area we wanted to plant. We needed to break and remove them. I managed to lift Paul's huge sledgehammer, swinging it with both hands over my head. It came down on the slab and bounced. I tried a wider stronger swing. It was heavier to swing than it looked. It bounced off the concrete each time. I handed it to Paul. He swung it quickly with one arm, splintering the slab. We dug the dozens of new football-sized pieces and made a rock border for the flowers nearby.
We gardened without pesticides or chemicals. We hauled hundreds of pounds of compost that the municipality gives away free at the recycling centers. Thank you recycling center for all the good exercise, compost, and manure. Plants grew healthy and didn't need chemicals to fight insects. They could fight them from their own internal health - people can do the same much of the time from simple good health practices. Plants manufacture their own anti-inflammatories against disease. That is part of why eating vegetables and fruit is good for your own health against inflammation.
The work it took to eak out a few plates of vegetables for each meal reminded us of subsistence farmers - how worrisome it is to have to rely on what you can scratch out of your own soil. If we had to last the winter on what we grew, it would be a long thin winter. Much of the world does not sit around indulgently with fast food in the refrigerator. Many do not have refrigerators. Before spending money on junk food, then complaining you are too heavy, think. Save the money. Improve your health. Refraining from eating does not make anyone fat.
The tomatoes grew tall and long. They grew so much that we could not find the strawberries.
We are saving the seeds from the sweetest cantaloupe, the largest cabbages, and the most wonderful purple peppers and white eggplants for next year.
The wonderful Thai bamboo hoes we brought back with us have shrunk in our colder dryer climate, loosening the heavy metal shovel-heads so they tilt sideways with each overhead swing. We have been fixing them, then going back to hoeing. The ground will soon freeze. Hoeing is more upper back strengthening and work than anything in a gym, even more than all the pushups and handstands that I love. Bend knees, upper back upright, breathe in, swing up, breathe out, swing down. Over and over.
Saturday night was Halloween. The World Series was playing. Paul didn't want to disappoint me by not going out to see the fun going on for Halloween in the city, and would never have said anything. I put on a costume and sat with him to watch the game. It was a great evening. The next day I put on a scarecrow costume and we worked in the garden.
We were just two city kids, who grew up in urban slums. I didn't know about gardening, but we read, worked, learned from mistakes, and sweated under the hot sun and the cold evening air.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Exercise and Weight Loss Reduces Kidney Disease and Death
Wednesday, October 14, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
We recently found a cure for "irony deficiency disease." My near-7 foot tall husband and I were walking to a Vidocq forensic society meeting. A bake sale was set up in the building lobby - junk food, refined junk pastries, pies with artificial colorings. The sign stated "Bake Sale for Kidney Disease." I asked which items caused the most kidney disease. I was sure it was a staged joke for a commercial on nutrition awareness. The sellers were disappointed with me. Apparently, it was a real bake sale. "Bake Sale for Kidney Disease" is true, both for them and their kidneys.
Research reported in the Clinical Journal of the American Society Nephrology of pooled data from 13 studies showed found, in obese adults with kidney disease, losing weight through diet and exercise prevented additional decline in kidney function and reduced proteinuria, which is excess excretion of protein in the urine, a major characteristic of kidney damage.
Regular exercise of the recommended amount cuts risk of death in patients with chronic kidney disease by 56%, according to an analysis of National Health and Nutrition Examination Survey (NHANES) data. People who exercised, but less than recommended levels were still 42% less likely to die during follow-up than sedentary people.
1. Weight Loss Interventions in Chronic Kidney Disease: A Systematic Review and Meta-analysis. Sankar D et al. Clin. J. Am. Soc. Nephrol., September 17, 2009 as doi: 2. Physical Activity and Mortality in Chronic Kidney Disease (NHANES III). Beddhu S, et al. Clin J Am Soc Nephrol 2009; DOI: 10.2215/CJN.01970309. doi:10.2215/CJN.02250409.
Obesity is a major factor in kidney disease. A large percentage of the United States adults and children are overweight or obese, increasing their risk of kidney ailments, plus diabetes and high blood pressure, which in turn affect kidney function. More than 20 million Americans already have chronic kidney disease, with the number and severity growing.
Researchers of the Systematic Review and Meta-analysis stated,
"The health care costs that are associated with this increase are staggering. In obese adults, weight loss may offer real benefits in terms of the kidneys, in addition to the heart-related benefits of shedding excess pounds."
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Three years ago, Merlene's closest friend died. Merlene, who is 74, lost all motivation. Because she was not exercising, she gained a lot of weight. This is where Ivy came in...
Ivy from New Zealand, frequent success story contributor, wrote me in August about her neighbor Merlene:
"You will be pleased that I have a new lady under my wing so to speak. I lent her your book "How To Fix Your Own Pain Without Drugs Or Surgery." Along with giving her advice she tells me that it has changed her life which pleases me."
I wrote to Ivy to ask her if Merlene would be comfortable telling us more on what she did, so others could try it too. Ivy replied:
"I encouraged her to walk again. At first it was difficult, she had difficulty breathing. I noted that she was walking flat footed and taught her to lift her toes. She complained of back pain - I showed her how to lie on her stomach and lift herself up on her elbows before getting out of bed in the mornings. She has now learnt to put her spine into the neutral position. Re her breathing, I showed her how to breathe deeply. She told me that she rolled her neck every day in a circle - she now does the trapezius stretch plus pectoral stretch instead.
"Instead of bad bending, she does squats and lunges while making the bed, doing the vacuum cleaning, going to the fridge and the like, plus gardening.
I checked in with Ivy a while later to make sure all was still improving, and gave her questions to ask Merlene so I could make sure all was well. Ivy wrote again:
"Today I visited Merlene and asked her some questions. She is stronger, breathing has improved, she is more flexible, can walk further, the back pain has improved immensely. She hasn't weighed herself yet, however, is hoping that there will be a weight loss when she weighs herself next week.
"She finds your books "How to Fix Your Own Pain Without Drugs or Surgery" and your Stretching Smarter book very helpful so I left them with her so that she can refer to them.
"She also tells me that your books along with my help and advice has changed her life for the better. She has lost that negativity and feeling positive about life again.
"Merlene is a very quiet, private lady so I try to treat her in a gentle way. She comes from another country and I gather that life has been very hard. She is so enjoying what she is doing. Most important is the fact that she trusts me plus she is very happy you are doing this article.
"Merlene is happy for you to use her name. Re the photo and title (of the article) she would rather it was your choice. "Hugs Ivy "
How to Fix Your Own Pain Without Drugs or Surgery and Stretching SmarterStretching Healthier, and others, on www.DrBookspan.com/books.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
For weightlifters who enjoy Olympic lifts, rows, cable cross-overs, curls, and all the other good stuff with endless heavy weight, you may like growing vegetables.
We have been tilling a vegetable garden from a rocky field at my Mom's. Seems her home was built on landfill. We had to sledge-hammer and pry concrete slabs - prodigious squatting, levering, clean-and-jerking, and hundred pound medicine ball throws over the just-built garden fence into a pile. Then lifting and hauling away the pile.
Carrying sand, earth, rocks, weed bales, tree branches as heavy as you can lift, over uneven rocky hilly earth back and forth from the truck, the field, and the new compost pile a hundred feet away for hours is functional weightlifting. Hours of repetition-maximum (RM) hoeing gives a harder abdominal, arm, and gluteal workout than it looks.
Healthline software still isn't uploading my own photos. At left above, a photo of a statue with too much lumbar curve/hyperlordosis to be healthy, but in general doing functional weightlifting. Use your muscles to prevent overarching like this when you swing a sledge, a kettlebell, or other weight. For Fitness Fixer posts on neutral spine and hyperlordosis, click the photo or here.
Over the winter while visiting home in Asia, my husband Paul and I went to a workman's shop. The store-keeps remembered us and smiled. The first time we went there years ago, they were so sure we were lost tourists, they took our shoulder and gestured at a restaurant. In the best Thai I could manage, I explained that Paul is a carpenter, has done forge metal work, and loves old-world tools, strong bamboo handles, and hand-hammered metal. They smile each year we return. In the US, we live in a crowded urban area with minimal bricked exterior in deep shade from surrounding buildings. Vegetable gardens don't grow. Paul wanted to plant my Mother's field - a brambled overgrown area.
In the Thai tool store, I explained with the words I knew that Paul was looking for a specific Thai tool, shaped like a backward shovel, that you use in overhead action, like a mattock (flat bladed pick).
Quickly, excitedly, word went from the store-keep, to her friend in the next shop, to the next, and next:
"Man who good to Mother of wife!"
The coconut telegraph was happy. We bought two heavy tools, called "job" in Thai. Both had thick lovely bamboo handles. One was giant sized for Paul, the other for me. Fun getting them through flights and US customs.
Mom had asked a local man what it would take to clear her field, and he told her a blowtorch, a machine plow, three men, and a week. Paul and I cleared it in one day in early April with a digging stick and the Thai hoe-shovels. The ground was half frozen. Six, or so hours massive exertion - first clearing brush and tall grasses, then hours of half-squats to seize handfuls of stalks, standing back up to pull them with grip strength. Then excavating slabs of concrete and discarded materials with a pry bar, the Thai digging tools, and bare armed weight lifting.
The packs of seeds we had scattered in assorted flowerpots, pans, shoeboxes, and containers sprouted over just a week into tiny plants - broccoli, cabbage, pea, hot and sweet peppers, strawberries, eggplants, and assorted spices. We have been learning about complementary planting - plants, just like people, who are better and healthier with specific other kinds of plants so that chemical fertilizer isn't needed. We are learning about plants that repel pests, instead of using insecticides.
We got a rain barrel to reduce water bills. We attached an old broken hose. The holes made it a natural soaker hose. We poked more holes and arranged it around the garden for drip irrigation. We don't know the water quality of either the rain or from the tap. We will send six dollars and a soil sample to an agricultural university for testing. Maybe other toxic things are in that landfill that we don't want the vegetables absorbing. Maybe commercial food factories have the same problem. Many things to learn.
Weeks pass squatting and sitting well to plant seedlings, still hitting buried rubble. More lifting and hauling. Each night we are too tired to worry or think anything bad. We are barely were able to lift hands and feet. I consider what people for thousands of years have been doing just for subsistence farming, day after day, year after year. I thought of Fitness Fixer success story Ivy and her story - Farm Work, Lifestyle Exercise, and Preventing Overuse Pain.
We thought we planted everything, then found a half pack of pea seeds left. Paul mentioned we didn't have one more container for them. I laughed, "we didn't have a pot to pea in."
Ideas:
If you're a tough vital strong person, or want to be, dig a garden.
If you don't have anywhere to dig one, hook up with some nice elder who wants one, a community group, Habitat for Humanity, or someone who doesn't want to exercise like this but still wants a garden.
Contact your community to see about organizing parents and children out in sunshine for functional exercise doing good for all.
If you only want one hour a day of hard total body fat burning muscle building exercise, only plant a small vegetable garden.
No need to buy fancy tools, use what's handy.
If you don't want to exercise so hard, try a single pack of seeds in some potting soil in almost any container on a sunny windowsill. A chance to get the vegetables you like.
Fancy individual peat pots and seed starters aren't essential; a simple pack of seeds can get you a pan full of fragrant oregano, said to be very healthful. It gives a gasp of wonder (to me) when seedlings actually sprout.
Before the 2008 election, a video appeared by Roger Doiron (I don't know him, just liked the video). He asked the next President to grow a garden. It did come true. Here is his viewpoint of getting your own garden started, showing various bending, occasionally good:
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
Here is the latest fun update from Robert Davis on losing fat and increasing strength and flexibility. He has been sending success after success using Fitness Fixer techniques:
"I have noticed a big improvement since I started in my flexibility. I noticed this the other day when I realized just how much farther I can stretch now. I could not lower completely into a sitting squat without tipping before. Now I can and it sure as heck makes working in really low areas for a longer time very easy without resorting to bending (bad weighted flexed) which I refuse to do at all now.
"I have seen increases in all areas of stretching. I see that it just takes time and consistency.
"Since I am a musician, I carry a guitar bag everywhere. I decided to make a "portable" gym. Got a pull-up bar that goes in doors (removes and mounts quickly) and my guitar bag. That is all I need. I fill the bag with random objects to add weight and strap it on (like a backpack) and do everything from the books with increased weight and also pull-ups of all kinds of grips/variations for more challenge. You mentioned the wall handstand pushups and this reminded me of that. I strap my weighted bag to my back and do those now too. No need to go to the gym =P
"PS my friends think the wall stand pushups are "nuts" and can barely hold themselves up in position when they try. Who needs the military press? I actually found this to be much harder because of all the stabilization. Unlike a machine or barbell, it feels like a lot more muscles are coming into play a bit more when doing them like that. Seems so with almost all the body weight exercises. No wonder aside from cosmetics, weight training has no functional use outside of the gym. Takes a bonehead like me to realize this!
"Oddly, since I had changed my diet from meats and animal to Vegan (inspired by the body builders you have shown on the Fitness fixer) I have had people comment that I seem to be getting bigger! This is kinda funny because I actually lost some mass and it is mostly body fat from the weightlifting diet (now changed to vegan) and doing these exercises in place of weight training. They often do not believe me when I say I have not touched the bench in 3 months or so now. =0"
Watch for Fast Fitness this Friday to see what Robert Davis will show you next.
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Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from cool ones. Before asking, see if your answers are already here by clicking labels under posts, links in posts, and archives at right.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Become certified through the Academy - Dr.Bookspan.com/Academy BrowseDr. Jolie Bookspan's books on her website.
Health Homework Becomes AntiObesity Chronic Disease Reality Check
Thursday, April 23, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Jeff & Sabrina sent me an e-mail that their 7th grade son was given a school assignment about the "proper amount of calories to have a normal weight" but with junk foods listed in the menus.
They made a video of the events, explaining,
"Could it be that our schools are actually Suspect Number One in fostering obesity and chronic illness?"
This is not a surprise. I have taught at medical schools and attended medical conferences that serve unhealthy foods. I was on a national committee to determine nutrition consensus statements where the box lunches served had cookies, sodas, processed bread, cured meat and cheese sandwiches, "sports bars" which are candy in an expensive wrapper, and gloppy fatty dressing. I have received many letters from doctors and fitness instructors that they can't be expected to eat right, or even exercise enough given their busy schedules. This is not fitness. Fitness is not appearances, or being unhealthy while giving medical advice to others, or taking stimulant drugs to stay awake to work extra jobs to support a spending habit, or doing repetitions of artificial exercises 10 times, then returning to slouching and bad bending to pick up your gym bag. Fitness is how you think, move, act, and help the world be better.
We need some role models. Click the arrow to watch the video.
If the video does not appear on your screen, click their link
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from selected ones. Before asking, see if your answers are already here by clicking labels under posts, links in posts, and archives at right.
A debate in fad fitness is if you need aerobic activity to lose weight, or if weightlifting is sufficient. The larger issue is that you need to use your cardiovascular system for health.
A 21 year long study from the Stanford University School of Medicine found that older runners live longer and suffer fewer disabilities than healthy non-runners.
All 440 study participants were 50 years old or over at the beginning of the study. All ran an average of four hours a week. By the end of the study, all were in their 70s, 80s, and older, running an average of 76 minutes a week.
At the 19 year mark in the study, 34 percent of the non-runners had died, compared with 15 percent of the runners. Onset of disability was delayed in runners by an average of 16 years.
Lead study author, Dr. James Fries, is almost 70, runs 20 miles a week and plays tennis. He stated the positive numbers for runners was not even as high as compared to average populations, because "the control group was pretty darn healthy." The "health gap" between runners and non-runners increased with age. Fries said, "I always thought that the two curves would start to parallel each other and that eventually aging would overpower exercise. We can't find even a little twitch toward that gap narrowing in the present time."
Study authors also stated that, "The findings probably apply to a variety of aerobic exercises, including walking."
Study was published in the Aug. 11 2008 issue of the Archives of Internal Medicine.
Conventional medical texts originally stressed that exercise would harm elders. That viewpoint led to disastrous decades of needless infirmities among people who could have retained mobility and independence.
In 1980, Dr. Fries wrote a landmark paper of his "compression of morbidity" hypothesis, that "regular exercise would compress, or reduce, the amount of time near the end of life when a person was disabled or unable to carry out the activities of daily living, such as walking, dressing and getting out of a chair."
Stay active, keep moving whatever your age. It is the most important medicine you have.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
A study making repeated news was that less than half the athletic trainers in a recent survey get a healthful amount of exercise themselves. Of two hundred and seventy five certified athletic trainers who work with athletes, only 41% themselves exercised even half an hour on five or more days a week.
The survey was conducted by graduate student Jessica Groth, now an athletic trainer. In the study conclusion she wrote that (these) athletic trainers, "…were not ideal role models in demonstrating healthy behaviors." However, the Los Angeles Times quoted Groth as saying, "By and large the results are not too bad," and that trainers couldn't exercise enough since, "We're on other people's schedules as far as practices and games are concerned. We work a lot of long hours, and nontraditional hours, as far as mornings, nights and weekends are concerned. You add in families and personal lives, and we're spread pretty thin."
The study was published in the December issue of the Journal of Athletic Training, Self-reported health and fitness habits of certified athletic trainers. J Athl Train. 2008 Oct-Dec;43(6):617-23.
Trainers making the same excuses as the sedentary for not exercising?
Lack of exercise and excuses can happen when you separate healthy movement from real life. Healthful movement and activity should not be something you have to stop your real life to "do." Changing from artificial exercises to how your body needs to move in real life is the realm of functional fitness. The Fitness Fixer, most of my research in orthopedics, the classes I teach, and our new international sports medicine academy deals with functional fitness.
Here are ways to change the myth of "exercise as separate" to movement as functional daily life. It is life-changing:
See the beginning of our new International Academy of Functional Sports Medicine - www.DrBookspan.com/Academy.
--- Read and contribute your own success stories using these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply to get certifiedDrBookspan.com/Academy. Learn more with Dr. Bookspan's Books.
Olympic Calories for Michael Phelps and Everyone Else
Monday, August 25, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
I didn't intend to cover this topic until several reporters deluged me in one week. They said I must answer immediately because they had deadlines, gave specifics I must answer so they can be paid for their article (while I supply everything with no remuneration), hours I must contact them at my expense, perhaps without them knowing my time zone placing it in the middle of the night, and so on.
Two reporters seemed to want the usual myths, not corrections or understanding. In numerous interviews, I earnestly debunked urban legends and explained facts, then found their article quoting my name wasn't anything I said. With apologies to readers waiting patiently for earlier topics, here are some of the questions:
The reporters wanted a comment that it was uncommon or abnormal that Olympic swimmer Michael Phelps eats up to 10,000 calories a day when training. It is not a mystery. If athletes train hard over many miles, they need more calories.
It is not unusual to eat large quantities of food and calories, athlete or not. Eating a great deal is nearly customary in the West, certainly in the US. Many people eat many thousands of calories a day more than they burn, and so, gain weight. The only trick seems to be to get people to stop eating that much.
The reporters asked what special techniques are needed to get that many calories. None. Look around restaurants and grocery lines. A typical fast food entrée, with French fries and milkshake can total 5000 calories in only one meal. A "salad-bar" with dressings, sauces, and usual Western choices can start at 1000-2000 calories a plate full and go upward from there. A bag of crisps, chips, or nuts can total 1000 calories in one snack. Exercisers and dieters lulled by slick advertising add hundreds of calories with sports shakes and bars. Ordinary people can eat thousands of calories per meal that they really don't know about, plus snacks. It is not a math mystery that they eat thousands of calories per day, and have extra body weight, regardless of other personal factors.
Another question was what made Phelps burn such an unusual number. It is not unusual for a swimmer or other endurance athlete to burn thousands of calories. When I trained swimming for various competitions I ate between eight and ten thousand calories a day myself, swimming five to seven miles a day. I posted about the mileage in Last October in Fast Fitness - Healthier Sports Shake.
Two reporters asked me to confirm an item from a National Public Radio interview, that once Phelps (or anyone) stops exercise, the body stops feeling hungry, therefore, someone not exercising will eat less. Clearly, this isn't so. People can eat too much regardless of exercise. You are not a cause-and-effect automaton. Food choices and overeating habits can occur separately from exercise habits. Days I didn't swim twice a day, miles at a time, I had to remind myself not to eat the same as when training. Now that I don't train like that, I can't eat like that. It is not increased age but that I do less. No mystery.
No it is not hard for most Westerners to eat - they just buy the food. No special eating techniques are needed. Overeating and eating when not hungry are common. One cup of nuts is about 800 calories. I can stuff about half a cup in a brimming handful. My husband Paul, a hard working carpenter who is taller and more muscular than Phelps, but about as lanky, fits almost a cup in his giant hand. We may scoop a handful while commuting on bike to work. Other people may eat handful after handful while watching television, totaling many thousands of extra calories a week.
It is not true that Phelps is "pure muscle" and no one is. Hopefully they have bones, and brains, and lungs, and some skin and so on.
It is not true that only muscle burns calories, or gender is the deciding factor. All your cells that are alive need to breathe and eat in various amounts, male or female. That is why a fat person, male or female, uses more calories everyday to feed all the extra. A fatter person may need more calories to stay at that higher weight than a smaller muscular person, male or female. Weight loss occurs when they do not eat enough to feed it all. Add a small amount of exercise over the day to do functional daily movement. See the lifestyle links at the end for more.
Resting metabolic rate is not mysterious, or fixed by gender or age. A car in idle uses gas, and people also burn calories even at rest with no exercise. Just like different size cars get different mileage, so do we. Adding suitcases in a car trunk needs more gas to tote them around, even though suitcases are not motive parts. A small to average adult may burn about 75 calories an hour, depending on size, to fuel all the cells to stay alive. Over 24 hours that is about 1800 calories a day. A smaller person may need less. A larger person may need 100 an hour or 2400 a day. When you exercise you use more.
There were more questions, taking me days to write. Until then, click these:
For more on swimming and nutrition for hard endurance exercise click the label "swimming" under this post, or use the Fitness Fixer Index.
--- Read success stories and send your own. See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. Subscribe free - updates via e-mail or RSS, upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may earn certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
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Photo of NOT Phelps, 540-Gabe_Woodward_2.standalone.prod_affiliate.25 by andynoise
Reader Steve writes me funny updates. Steve fixed his back pain that surgeons said was hopeless, using my methods. Then his knees, arches, neck, and various dings and injuries he gets during his active life as an adventurer and professional photographer.
Now he is losing weight in healthful ways. Usually reader inspiring stories start at the beginning. Here is Steve's latest update, sent from Japan. Future posts will work backward, through Steve's upbeat updates. Steve writes:
"I have reduced my waistline by four inches so far. It's a wonderful feeling cutting the excess from my web belts! I've changed my diet to a more healthy one, eating lots of fruits and veggetables, cut out almost all fried foods and processed stuff. I've been exercising. No health club stuff, just ordinary PT. Push-ups, arm circles with weight (20lb potato sacks... Some day I might even put some potatoes inside...) hanging knee lifts, pull ups, etc, and my favorite, the hamster wheel thingie... the little tryk wheel with the handle going through it. About 15-20 minutes of actual work, roughly every other day. I can see my abs again. Hell, I can see my toes again! …I can fit into pants I haven't been able to wear in 8-10 years. Of course, right now I would love to order a nice big pizza, but I'll just have to wait for dinner.... My mid-afternoon snacks are now fruit or nuts. I do treat myself to a square of 80% chocolate after dinner. And of course, a bowl of popcorn later on in the evening. But I'm popping it myself using just a spoonful of olive oil. No more microwave popcorn. And the fat is dripping off me like melted butter. I like that!"
Click labels for more on each topic. The "nutrition" label, for example, gives all articles on healthy cooking and food choices for fitness. The label "readers inspiring story" gives all articles so far of readers who fixed their injuries and pain. These are not testimonials, but tutorials so you can learn what they did, why, and how. Read, have fun learning, then send in your own.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Here is Friday Fast Fitness - get in shape with true fitness:
"For attractive lips, speak words of kindness. For lovely eyes, seek out the good in people. For a slim figure, share your food with the hungry. "
- Audrey Hepburn (1929-1993) British Actress
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
Readers have been asking about overeating, drinking, not having time to exercise, and overstressing on the holidays. Is it unavoidable? How can you resist things that are bad for you. Of all times to mark an occasion that is meaningful to you, that marks endings and new beginnings of a new year, celebrates thanks, a rite of passage, a national day of remembrance, a day marking something holy to your highest beliefs, the reflection of a new things coming, that day is the time to be free of baggage. Of all times to do simple, healthful actions for yourself and others, this is the time.
After the fuss of the holidays, then what? After the smiles and gifts, where are happy times? Where are your resolutions? The rest of the year is also the time to check in on loved ones, sweep the floors of a shut-in, and do healthy actions. At a funeral, everyone is there helping. The next week, the survivors sit alone. On Western Christmas, cars stop at the steam grates to give mittens and treats to the homeless huddled to keep warm. The rest of the year, cars pass without stopping.
On Christmas, most of the grates are empty as the city programs sweep up homeless for day-long programs. Each year before and after Christmas I cook thick vegetable soup, bake fresh loaves, pack up, put on my Santa hat, and head out into the weather to the grates.
We know many of the guys. I make food for them the rest of the year, or we go in the convenience stores to pick up things for them when the store won't let them in. My dinners cast steam curls upward. They chuckled, "Heh heh it be Saaaan--tah." We squatted down with them and unpacked dinner. I gave out toothbrushes as presents. They smiled angelic toothless smiles. They asked me the weather report, which called for storms, but I told them it didn't smell like storms. The air smells different somehow when it is going to storm.
The photo is Paul who worked as a Western-style Santa when we helped at a center. Little girls ran to sit on his lap. So did big girls. Many men too. At almost 7 feet tall, Paul has enough knee-space for everyone.
Christmas is not over. Eastern Orthodox Christmas will be in almost 2 weeks, since the Julian calendar date of 25 December is January 7. Armenian Orthodox celebrate Jan 6. On lunar calendars, there are the Festivals of Light of Devali and hanukah. The winter solstice, Yalda, Saturnalia, Karachun, Kwanzaa, Yule, "Mother Night or "Modresnach," and Shinto Tohji-taisai are also celebrated around this time. There are festivals of appreciation, such as the Purnima. Islamic New Year of Muharram will be January 10th.
Be happy, be healthy. Is it not hard. It is not expensive. It is not stressful. Breathe. Stretch. Happy Holidays.
My mother is a Russian circus teacher. We recently went with her to a recital of a neighbor who teaches elementary trapeze arts. The performers, age about 10 to a women in her 50s, were having fun moving and pulling themselves up and down ropes, scarves, and hoops. It wasn't a polished performance or high technical ability. That wasn't the point. They were lifting their body weight, climbing, stretching, balancing, focusing, burning calories, learning safety and cooperation, exercising, developing arm, hand, wrist, and grip strength, and moving their bodies in functional ways.
Their over-dramatic costumes flopped over their faces when they hung upside down. One young performer wore fly-front long johns. They seemed to think they were great artists. True or not, they were moving, smiling, stretching, laughing, and exercising to do art and fun.
Check for fun safe programs near you of healthy movement of all kinds. Get the good they can provide of new fun ways to use your body and mind functionally. If they use traditional stretches and exercises to warm-up that are not healthful, change or skip them. These posts give ideas:
Thank you for the many e-mails. I am sorting through the piles. Readers are sending success stories, long and short, of improving their lives and fixing injuries and the moves that produced them. They changed their mindset so that exercise is not something you change clothes and go "do" - if you can make time - but all the ways you sit, bend, reach, lift, and move all day in real life, using muscles to hold the positioning that prevents body aches and joint wear and tear, and comfortable easy movement. They are now getting fresh air, sunshine, balance, and real exercise going to work or grocery shopping on a real bike or walking on real ground, instead of driving then rushing home or to the gym to "do" exercise, illogically spending money on an artificial machine, exercise cycle, or treadmill. Instead of thinking they have to lose weight first to try things, they are using daily movement to be able to exercise for the first time without injury. They are saving money and health, eating real food instead of processed unhealthful "sports food."
Yoga instructor David from Belgium first asked about fixing knee pain and fallen arches in the comments of the post Thank You Grand Rounds 3.51. Since then, he quickly applied the posts I recommended and fixed his pain, no longer needed shoe orthotics, sent photos of new progress, asked about other injuries from yoga, changed how he teaches yoga, given his students my techniques, started making short mpeg movies for us (see the first here), and is translating my work into Dutch for his web site and students. I look forward to more collaboration. Watch for wonderful posts to come.
There have been a small number of e-mails from readers applying techniques in ways so "unclear on the concept," that some posts may turn out to be Readers Inspiring Stories of What Not To Do. All for the greater good, learning, and health.
If I can't get to everything in the comments I will make posts for you, don't worry. I read and want to get to them all. The top number of requests for posts, so far, are how to stop shoulder injury from swimming, baseball and weight lifting; low back pain from swimming, baseball, and golf; separating truth from advertising in orthotics and shoe inserts; more healthy sports food; rowing; sports drugs; hamstring injuries (often from the usual bad stretches); plantar fasciitis; knee pain from rowing, yoga, and walking; wrist pain from pushups and handstands; healthy sitting; and many requests for martial arts and self defense for body and mind. If you have other requests, let me know. Until I post each specifically, start with:
Shoulder - use for all overhead reaching and lifting
Lower back - learn the concept and apply to all sports
Fitness has become unhealthy. Healthful natural, comfortable body movement has become foreign as more people think that exercise means artificial sets of repetitions on a machine or using equipment. How are you sitting right now reading this? Pull chin comfortably in, instead of jutting forward or down. Stand up, breathe a grateful breath, and walk away from the computer for a few minutes contemplating a new, healthy fun life of natural movement. Print out a post of something that will make your own situation happier. Lie face down on a comfortable surface, propped slightly on elbows to read it. If you can't lie comfortably that way, that signals tightness that makes daily movement unhealthy and uncomfortable. I will post about that too.
November 1 is World Vegan Day, and all of November is celebrated as Vegan month.
Vegans are vegetarians who don't eat, and often don't wear, any products from animals. The idea is no more unusual than not wanting to hurt, wear, or eat your pets.
Vegan living can be healthier than non-vegan, and vegan diet can fuel both endurance and strength athletes.
Vegans and vegetarians have been found to have lower body fat on average than non-vegetarians, and lower risk of diabetes. A new study by The World Cancer Research Fund making big news as "a landmark study" found that keeping slim is one of the best ways of preventing cancer, and that evidence is stronger than previously realized that eating meat, and processed meats such as ham and bacon, increase risk of colorectal cancer. The report makes 10 recommendations including getting exercise every day, drinking water rather than sugary drinks, and eating fruit, vegetables, and fiber. There is no fiber in meat, dairy, or eggs. Vegan meals can provide enough calcium to prevent osteoporosis.
Vegans may promote farm sanctuaries and work for better ways than vivisection (hurtful testing on animals). The argument isn't if you prefer that a child is deprived of medicine rather than test on an animal, the quest is for neither to suffer, and to find smarter, healthier ways for all. Significant examples exist of tests based on animal physiology that were ineffective or injurious when applied to humans in need.
Vegan bodybuilder Kenneth G. Williams is pictured above and at right. His web site is www.VeganMusclePower.org.
In the tradition of fighting monks, Chris Price is a vegan Muay Thai and mixed martial arts fighter. His web site is http://www.veganfighter.com/
Healthy Martial Arts - Healthier training for all sports, featuring vegetarian and vegan athletes. Chapters on strength, endurance, speed, balance, nutrition, performance enhancement, injuries, building the spirit and the mind.
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