Wednesday, April 15, 2015

Peventive Health Care


Health Statistics and You


health-statistics
Preventive Care is the Best Care
In health care, an ounce of prevention is worth very much more than a pound of cure. If you can prevent health problems from happening, you save a great deal of time, effort, and money. Also, by avoiding the frequently ongoing stress and anxiety associated with treatment of a chronic illness, you and your family conserve precious, irreplaceable personal resources such as peace of mind. A comprehensive preventive care program incorporates a healthy food plan, consistent regular exercise, and regular chiropractic care. Regular chiropractic care, focusing on the spinal column and targeting nerve interference, is a key resource in your health care program. Regular chiropractic care provides the framework so that your body can function at peak efficiency, thus helping ensure your long-term health and well-being.
We are awash in numbers, thanks in large part to the proliferation of personal mobile devices and the wrong-headed use of so-called big data.1 But applying statistical tools to the same set of data can support competing theories and lead to contradictory results. Such conflicting outcomes, known as antinomies if you remember Philosophy 101, cannot logically co-exist, and the field of statistics gets a bad reputation as a result. But big data can provide substantial value for people as individual patients. The key is to set some ground rules and understand the limitations of statistical investigation.
First and foremost, it's important to gain some clarity regarding the concept of false positives in regards to health. This statistical construct is familiar to all of us, although we may not be aware of it. If one of your doctors sends you for a laboratory test and the results are "positive", you'll be sent for follow-up tests until a final determination is made. If the final test turns out "negative", then the earlier results represented a false positive. The test results said you had the condition or disease, but in fact you did not.
False positives create numerous serious problems, not the least of which is the emotional toll of stress, anxiety, and fear experienced by the patient and her family and close friends. This is especially true when the suspected disease is a malignancy or other serious, life-threatening condition. It's useful and empowering for people to learn that 5% of all test results are falsely positive right from the start. Medical tests are designed this way. The 5% false positive rate is a necessary part of statistical analysis. It's built-in to the statistical design. In other words, test values that represent "normal" are obtained by cutting off the bottom 2.5% and the top 2.5% of a large sample of results from people who are "normal" for the thing being tested, such as white blood cell count or hemoglobin level.
Thus, 5% of normal people automatically have false positive results. Another way of stating this outcome is to consider that if you undergo a panel of 20 blood tests, one result (5% of 20) will be positive no matter what.
The vast majority of patients are not familiar with the statistical concept of false positive results.2 With a basic understanding of this construct and its implications, patients could ask their doctors meaningful questions such as, "What do the test results mean?,", "Have you considered the possibility of a false positive result?," and "How will the additional tests you're recommending affect decision-making in my case?"
Posing such questions is tremendously empowering for you, the patient, and helps reestablish equity in the doctor-patient relationship.3 As a health care consumer, a little knowledge goes a long way. Gaining more than a little knowledge by reading articles on diagnostic methods and health care decision-making will further strengthen your own process as a patient.
1Bates DW, et al: Big data in health care: using analytics to identify and manage high-risk and high-cost patients. Health Aff (Millwood) 33(7):1123-31, 2014
2Paddock SM: Statistical benchmarks for health care provider performance assessment: a comparison of standard approaches to a hierarchical Bayesian histogram-based method. Health Serv Res 49(3):1056-73, 2014
3Stacey D, et al: Decision aids for people facing health treatment or screening decisions. Cochane Database Syst Rev 28;1:CD001431, 2014

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Wednesday, April 1, 2015

Health tips from Skrien Chiropractic Clinic

 


 

Rice and Beans


girl_eating_watermelon.jpg
Regular Chiropractic Care and a Healthy Lifestyle
The importance of making healthy lifestyle choices is becoming increasingly well known. Vigorous exercise, a healthy diet, and sufficient rest are key components of a healthy lifestyle, regardless of a person's age. But in order to get the most out of the good things you're doing on your own behalf, your nerve system must be functioning at full capacity. Nerve signals, messages between your brain and the rest of your body, need to be transmitted accurately and on time. "Service interruptions" result when spinal misalignments and nerve irritation are present. Your musculoskeletal system and digestive system are prevented from working efficiently. Such problems may lead to pain, symptoms, and even disease. Regular chiropractic care corrects spinal misalignments and helps reduce and resolve nerve irritation. As a result, regular chiropractic care helps maximize the benefit of all healthy lifestyle choices, enabling everyone to achieve greater levels of health and well being.
Rice and beans is a well-liked combination of foods that is not only delicious, but also good for you. Other well-known examples of food combinations, such as corn and lima beans (succotash), tomatoes and avocados, and even orange juice and oatmeal, provide benefits beyond those gained by eating these sound nutritional choices individually.1
For example, the combination of rice and beans provides complete dietary protein (containing all the essential amino acids we need to build all the other proteins in our bodies). Similarly, the succotash combination of lima beans and corn contains high concentrations of essential amino acids. When you combine avocados and tomatoes, the fat from the avocado helps your body more efficiently use heart-healthy and cancer-fighting antioxidants such as lycoprene contained in the tomato. A heart-healthy breakfast consisting of real oatmeal, such as oatmeal made from rolled oats or steel cut oats, and real orange juice (not from concentrate) provides a potent combination of phenols that are associated with reduced atherosclerosis and cancer. 2,3
These combinations are specific examples of the more general principle of food combining by which you combine proteins and complex carbohydrates at every meal. When you combine these complementary sources of nutrition on a regular basis, you retrain your body's metabolism. By consuming a "slow-burning" energy source, you're providing high-quality fuel for the next three to four hours. Several very good things occur as a result. Energy utilization is optimized, that is, your body gets more benefit out of every calorie it's burning. Additionally, insulin levels are stabilized throughout the day. Over time, food combining helps a person become a leaner machine and helps reduce the likelihood of developing type 2 diabetes. These benefits are especially important for people who have been told they are hypoglycemic or pre-diabetic. Of course, you should always check with your doctor to make sure a food combining strategy is right for you.
When you add a program of regular, vigorous exercise to your food combining lifestyle choice, you obtain even more profound benefits. The vigorous exercise you're doing raises your body's basal metabolic rate. Your body begins to burn calories even when you're asleep. Owing to the increase in lean muscle mass you're gaining from exercising over time, you're burning more calories throughout the day. You find yourself craving more nutritious foods, that is, those that will provide higher-quality nutrition, such as the nutrition contained in such combinations as rice and beans and oatmeal and orange juice. Thus, your positive lifestyle choices contain their own positive feedback system. The better choices you make, the healthier you become, and the healthier you want to be. The long-term results are enhanced health and well being for you, your family, and your friends.
1Liu RH: Health-promoting components of fruits and vegetables in the diet. Adv Nutr 4(3):384S-392S, 2013
2Hu D, et al: Fruits and vegetables consumption and risk of stroke: a meta-analysis of prospective cohort studies. Stroke 45(6):1613-1619, 2014
3Thomburg KL, Challis JR: How to build a healthy heart from scratch. Adv Exp Med Biol 814:205-216, 2014

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Tuesday, March 17, 2015

Avoiding Diabetes

Avoiding Diabetes


Avoid Diabetes with a Healthy Diet
Regular Chiropractic Care and a Healthy Lifestyle
Regardless of the prescription medication you may or may not be taking, regular chiropractic care helps provide a strong platform for managing the effects of chronic disease. Although the ultimate causes of chronic diseases such as high blood pressure and diabetes are largely unknown, nerve interference may be reasonably postulated as a key contributor to the development and maintenance of these conditions. If as a result of nerve interference, your body's cells, tissues, and organs are not receiving timely and accurate information from your brain, then a host of symptoms may develop. Over time, chronic disease may be the unwanted outcome. Regular chiropractic care helps eliminate nerve interference by detecting, analyzing, and correcting spinal misalignments that result from normal, everyday circumstances involving work and stress. By helping restore spinal function and reducing irritation to the nerve system, regular chiropractic care provides an environment in which chronic disease is less likely to flourish and your health and well-being can be maximized. Click here to find out how we may help
The worldwide type 2 diabetes epidemic has been thoroughly documented.1,2 Yet despite extensive study and analysis, there has been little actual progress in slowing the spread of this chronic disease. Numerous medications such as metformin and glyburide are available to help counter the severe problems that result from unchecked diabetes. But if the person with diabetes doesn't assist in the process of getting well, the disease will continue on its unrelenting course. There are many important  steps a diabetic patient can take to improve his or her health status. Better still, these same steps may be implemented by healthy persons to ward off type 2 diabetes in the first place.
In type 2 diabetes, the cells of your body become resistant to the effects of insulin. Normally, the hormone insulin promotes the absorption of glucose from the blood by muscle cells and fat cells. With insulin resistance, glucose fails to be properly absorbed by these cells and blood levels of glucose rise. Over time, some of this excess glucose is converted into fat, increasing the person's weight, causing high blood pressure, and placing undue stress on the heart. Further, prolonged exposure to excess glucose damages small blood vessels and nerve fibers, leading to significant pain along large nerve tracts (neuropathies), loss of circulation to and even amputation of a lower limb, kidney disease, kidney failure, eye disease, and blindness.
Thus, diabetes can be devastating for both patients and their families. The annual public health costs related to diabetes treatment are huge. Diabetes costs in the U.S. were $245 billion in 2012, representing $176 billion in direct medical costs and $69 billion in lost productivity. Worse, in 2012, 9.3% (29.1 million) of Americans had diabetes, up from 8.3% (25.8 million persons) in 2010. Costs of diabetes to patients, families, and society continue to rise.
The only feasible method of combating the worldwide diabetes epidemic focuses on individual initiative. Medical treatment, by definition, arrives after the fact, typically years after the diabetes process has been set in motion. Prevention is the best strategy. Adopting a lifestyle that, indirectly, leads to appropriate utilization of insulin rather than insulin resistance offers a real, effective solution to diabetes prevention. More than 20 years of research has demonstrated that 30 minutes of vigorous exercise a day, combined with a healthy diet and sufficient rest, will substantially assist a person in avoiding chronic diseases such as diabetes.3 Personal accountability and personal responsibility are called for. It is up to each of us to make such choices in the best interest of ourselves and our families.
1Vollenweider P, et al: HDLs, Diabetes, and Metabolic Syndrome. Handb Exp Pharmacol 224:405-421, 2015
2Skrha J: Diabetes mellitus--a global pandemic. Keynote lecture presented at the Wonca conference in Prague in June 2013. Eur J Gen Pract 20(1):65-68, 2014
3Orio F, et al: Lifestyle changes in the management of adulthood and childhood obesity. Minerva Endocrinol 2014 Dec 17. [Epub ahead of print]


Monday, March 9, 2015

The Fast Lane


Fitness and a Strong Core
Regular Chiropractic Care and Core Fitness
Many exercise-related injuries are caused, in part, by deficiencies in core muscle strength. Weakness in core performance leads to a lack of biomechanical support for movements such as bending, lifting, pushing, and pulling. You're not aware of such lack of support until, for example, you attempt a dumbbell squat or try to run a little faster in an interval training session. Even a simple exercise such as a lat pulldown or triceps pressdown requires sufficient core stabilization. A strong core is critically important for a successful exercise program. The core muscular system consists of numerous inner layers of sheets of muscle and a vast array of small muscles that help maintain coordinated movement among your spinal bones, pelvic bones, and hip joints. By detecting and correcting spinal misalignments that cause nerve interference, regular chiropractic care helps ensure that your core muscles are receiving the nerve information they need to function properly and help you get the most out of your exercise time.
Driving fast is not necessarily a good thing. We want to get where we're going as quickly as possible, but we also want to arrive safely. If we drive too fast, we may encounter all sorts of problems. If we drive too slow, we're wasting time and may be causing traffic problems behind us. These competing considerations will both be fulfilled by maintaining an average velocity that is at or close to the posted speed limit. We want to find the "sweet spot," the happy medium that both saves time and helps keep us safe.
The same principles may also be applied when we're exercising. We want to improve, get stronger, and build more endurance as soon as we can, while simultaneously avoiding injury and staying healthy. Very often, these goals may conflict. It's important to ensure that we're exercising efficiently and making certain we're deriving the greatest benefit from our exercise time. These benefits are obtained by a steady approach, one that focuses on incremental gains accomplished over time.1
It's natural to want to arrive at a desired outcome quickly. But as with any other form of training, whether learning to play the piano or becoming a competent chess player, substantial time is required to produce long lasting results. In the case of exercise, trying to hurry the process will usually cause an injury. You'll be set back at least weeks, if not months, and you'll have to start over, pretty much from the beginning.
For almost all of us the "tortoise" approach, rather than that of the "hare" in the well-known fable, will produce the health benefits we're hoping to achieve from our daily exercise. If you've never walked before and want to incorporate this aerobic activity as part of your exercise routine, start with a 10-minute walk. This doesn't sound like much, but that is precisely the point. Start by doing a little and build up gradually and consistently. Within 6 or 8 weeks you'll be doing 30-40 minute brisk walks several times a week, which will represent a very good aerobic exercise program. Incorporating strength training into your routine will employ a similar method. For each of your exercises (such as bench press, one-arm row, squat, toe raise, shoulder press, biceps curl, and lying triceps press), begin with a weight with which you can comfortably do 10 repetitions. If you can't do 10 reps, the weight is too heavy. Start with that weight and do 3 sets per exercise. Build up gradually by increasing the weight by 5%, if possible, each week or every 2 weeks. After 10 to 12 weeks you'll be noticeably stronger and your metabolism will begin to be more efficient.2,3
By progressing slowly and steadily, you will build a solid base and make consistent and possibly substantial gains in your exercise routine. You will get where you want to get safely and effectively. The long-term outcome will be enhanced health, wellness, and well-being.

1Marongiu E, Crisafulli A: Cardioprotection acquired through exercise: the role of ischemic preconditioning. Curr Cardiol Rev 10(4):336-348, 2014
2Huxel Bliven KC, Anderson BE: Core stability training for injury prevention. Sports Health 5(6):514-522, 2013
3Granacher U, et al: The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: a systematic review. Sports Med 43(7):627-641, 2013



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Tuesday, March 3, 2015

when the cure is worseb4han the disease

When the Cure Is Worse than the Disease

When the Cure is Worse than the Disease
Regular Chiropractic Care and Chronic Disease
Regardless of the prescription medication you may or may not be taking, regular chiropractic care helps provide a strong platform for managing the effects of chronic disease. Although the ultimate causes of chronic diseases such as high blood pressure and diabetes are largely unknown, nerve interference may be reasonably postulated as a key contributor to the development and maintenance of these conditions. If as a result of nerve interference, your body's cells, tissues, and organs are not receiving timely and accurate information from your brain, then a host of symptoms may develop. Over time, chronic disease may be the unwanted outcome.

Regular chiropractic care helps eliminate nerve interference by detecting, analyzing, and correcting spinal misalignments that result from normal, everyday circumstances involving work and stress. By helping restore spinal function and reducing irritation to the nerve system, regular chiropractic care provides an environment in which chronic disease is less likely to flourish and your health and well-being can be maximized.

Chronic diseases such as hypertension and diabetes have increasingly high prevalence in world populations.1 Such prevalence is rising despite extensive use of prescription medications. Problematically, many people have two or more concurrent chronic disorders and are taking multiple medications. But frequently the various physicians are not in contact and are not aware of the patient's complete list of current prescriptions. No single physician or nurse is managing the patient's array of medications. As a result, potentially harmful drug interactions are a common occurrence.2,3 Mistakes are made and patients may suffer serious side effects. In such adverse circumstances, the cure in fact may be worse than the disease.

In today's health care systems, people as patients need to be good custodians of their own care. In many health systems, a patient is lucky if he or she is able to spend more than five uninterrupted minutes with their doctor. Physicians are rushed and harried by numerous responsibilities related to management of their offices, all of which take precious time away from patient interactions. In such an environment, patients need to be proactive to do their best to ensure that recommended treatment is actually going to be helpful, rather than potentially harmful. This is a very difficult task, as most people do not have backgrounds that will help facilitate understanding of such decision-making. But especially for those with a chronic disease, it's critically important to master at least a basic level of information regarding their condition and various types of treatment.

In addition to expanding one's knowledge base, an important long-term strategy is to begin to make lifestyle choices that will support good health. Appropriate and effective lifestyle choices include regular exercise, a healthy diet, and sufficient rest. All three of these key components of good health can be started right now. An exercise program should consist of five 30-minute sessions of vigorous exercise every week. A healthy diet consists of daily selections from all five major food groups: fruits, vegetables, grains, proteins, and dairy. A daily diet should include at least five servings of fresh fruit and vegetables every day. Regarding sufficient rest, 7-8 hours of sleep per night is a good average for most people. If you're not waking up feeling rested and refreshed, you're probably not getting enough sleep.

Ultimately, each of us is responsible for our own health and well-being. Prescription medication may be necessary, but of course such treatment is primarily directed toward the effects of a person's disease or disorder. Changes in lifestyle are required to address the underlying causes of such conditions. Beginning to institute and maintaining healthful lifestyle choices will provide long-term benefit for the welfare and well-being of our families and ourselves.

1Bauer UE, et al: Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. Lancet 384(9937):42-52, 2014
2Rotermann M, et al: Prescription medication use by Canadians aged 6 to 79. Health Rep 25(6):3-9, 2014
3Marengoni A, et al: Understanding adverse drug reactions in older adults through drug-drug interactions. Eur J Intern Med 2014 Oct 10. pii: S0953-6205(14)00282-9. doi: 10.1016/j.ejim.2014.10.001. [Epub ahead of print]http//www.chiropracticfamilyclinic.net

Tuesday, February 24, 2015

A Fresh Coat of Paint

A Fresh Coat of Paint


A Healthy Diet Includes Fruits and Veggies
Regular Chiropractic Care and a Plan for Good Health
Worldwide, the number of people with diabetes, heart disease, and cancer continues to increase. Despite the expenditure of well over $100 billion in pharmaceutical research and new drug development, the impact on global health in the area of chronic disease has not been significant. It is reasonable to conclude that solutions to these dire problems lie elsewhere. In fact, lifestyle has come to be recognized as the key factor in both causation and treatment of these life-threatening disorders. A healthy diet, regular vigorous exercise, and sufficient rest are the cornerstones of such meaningful lifestyle change.
Regular chiropractic care is a critical supplement to these healthy lifestyle choices, as it provides necessary support to the functioning of the nerve system, your body's master system. With a healthy nerve system, your body is able to make the best use of the good things you're providing in terms of food, exercise, and rest. Adding regular chiropractic care to your lifestyle plan contributes substantially to your overall health and well-being.
As all real estate brokers know, a fresh coat of paint will make any property look good. Whether your home is a row house in Baltimore, a Paris atelier, or even a Winnebago, a new coat of paint will bring a shine to the interior and put a smile on the faces of both residents and guests. You may find that a similar smile will appear on your face and the faces of your friends and family members when you engage in activities that provide you with a metaphorical fresh coat of paint. Specifically, you'll obtain your "new look" by incorporating a healthy diet and regular, vigorous exercise in your daily routine.1,2
But what exactly is "a healthy diet," and what is really meant by "regular, vigorous exercise"? A healthy diet consists in a daily practice of consuming food from all five food groups: fruits, vegetables, grains, proteins, and dairy. Importantly, a healthy diet includes at least five daily servings of fresh fruits and vegetables. Overall, the more colors on your plate, the better. If you're consistently eating yellow, green, red, blue, orange, and purple foods such as squash, corn, grapefruit, kale, broccoli, apples, peppers, blueberries, carrots, oranges, potatoes, and eggplant, you're well on your way toward a lifelong healthy diet.
The grains food group contains whole grains such as whole wheat, brown rice, bulgur, and barley. For those who require gluten-free whole grains, the numerous choices include amaranth, buckwheat, quinoa, brown rice, and teff. The protein food group includes beef, lamb, chicken, eggs, fish, beans and peas, and nuts and seeds. There are plenty of protein sources for vegetarians and others who don't eat meat or other foods derived from animals such as eggs and milk. The dairy group is included to provide sources of calcium.3 These foods include low-fat and fat-free choices such as milk, yoghurt, and cheese. If you're a vegetarian or have allergies to dairy products, other sources of calcium include kale, collard greens, spinach, salmon, sardines, blackstrap molasses, and beans. For men and women aged 19 to 50, the recommended daily requirement for calcium is 1000mg. For women over age 50 and men over age 70, the recommended daily requirement for calcium is 1200mg.
Regular, vigorous exercise means doing at least 30 minutes of exercise five days a week. Walking, running, bike riding, swimming, using an elliptical machine or treadmill, and weight training are all good choices. Lifting weights three times a week and doing some form of aerobic exercise two times a week is one example of such a program of vigorous daily exercise. For some people, walking five days a week for at least 30 minutes each day represents an optimal program. Find out what works best for you and do that consistently. Change your program every few months to keep both your mind and body challenged. Again, the specific form of exercise is not critical. What works for one person will not work for another. The key is consistency. Five days a week, at least 30 minutes a day.
Your fresh coat of paint is not merely metaphorical. Once your new lifestyle changes take effect, probably within three to six weeks, you'll begin to develop an inner glow and an outer glow that will be visible for all to see.
1King DE, et al: Impact of healthy lifestyle on mortality in people with normal blood pressure, LDL cholesterol, and C-reactive protein. Eur J Prev Cardiol 20(1):73-79, 2013
2Lopresti AL, et al: A review of lifestyle factors that contribute to important pathways associated with major depression: diet, sleep and exercise. J Affect Disord 148(1):12-27, 2013
3Nachtigall MJ, et al: Osteoporosis risk factors and early life-style modifications to decrease disease burden in women. Clin Obstet Gynecol 56(4):650-653, 2013


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Tuesday, February 17, 2015

Exercise and Nutrition

Harness the Power of Hybrid Vigor


Hybrid Vigor
Regular Chiropractic Care, Wellness, and You
Just as combining strength training and cardiovascular exercise produces enhanced benefits in many areas of fitness, and food combining helps you get the most out of your daily nutrition, regular chiropractic care helps you achieve your goals of long-term health and well-being. Regular chiropractic care is the "x factor" in obtaining high levels of health and wellness. Adding regular chiropractic care to the other healthful things you're doing increases the benefits of those activities. By identifying and correcting areas of spinal misalignment and helping remove nerve interference, regular chiropractic care helps your musculoskeletal, cardiovascular, digestive, and hormonal systems do their jobs better. As a result, your body is optimized to obtain the greatest benefit from all your other health-promoting activities. The combination of exercise, nutrition, and regular chiropractic care makes all the difference.
Certain things in life just go together naturally. In the kitchen, peanut butter and jelly is a classic combination. Another such pairing is apple pie and ice cream.Other categories of life experience, such as human performance, prize the association of freedom and creativity. And in the field of health care, exercise and nutrition are two pillars of a solid foundation for long-term wellness and well-being.
The combination of exercise and nutrition makes intuitive sense, of course, but it's useful and informative to drill deeper into this relationship. Regarding exercise, almost any type of this activity is beneficial.1 "Whatever works for you" is a time-honored principle in fitness. Swimming, running, bicycling, lifting weights, playing basketball, doing yoga, and walking all provide substantial benefit for people. What's best is to do the things you like to do. Hidden beneath the surface, however, is a very interesting fact. If you combine certain types of exercise, specifically, if you do both strength-training activities and cardiovascular exercises during the course of a week, you'll obtain enhanced results. Interestingly, both your strength and endurance will improve more rapidly compared to doing only one type of activity.
Beyond expedited improvement (and the great satisfaction many of us derive from lifting heavier weights in the gym and running faster on the track), improved strength and endurance are very closely linked to numerous important indicators of optimal health and well-being. It's the combination that makes the difference.2,3
Similarly, good nutrition is not only a matter of making sure that every food group is represented in your daily diet. Choosing foods from the fruits, vegetables, proteins, grains, and dairy groups is the key first step in all nutritional programs that provide lasting value. But, again, there are hidden relationships. Combining proteins and carbohydrates at every meal causes improved digestion and improved absorption of all nutrients. By more efficiently breaking down the food you eat and more effectively absorbing valuable nutrients, you derive enhanced benefit from the calories you're consuming. You gain more energy to use throughout the day and are able to perform at a higher level. As a result, your sleep is more restful and you wake up refreshed, ready to engage with whatever challenges the new day brings.
The principle behind the power of these various combinations is that of hybrid vigor. The concept is derived from studies of genetics in the 19th century in which it was discovered that cross-breeding often produced hardier plants. We, too, can harness this principle to become hardier ourselves, enabling us to enjoy long-term health, wellness, and well-being.
1Lackland DT, Voecks JH: Metabolic syndrome and hypertension: regular exercise as part of lifestyle management. Curr Hypertens Rep 2014 Nov;16(11):492. doi: 10.1007/s11906-014-0492-2
2Sigal RJ, el al: Effects of Aerobic Training, Resistance Training, or Both on Percentage Body Fat and Cardiometabolic Risk Markers in Obese Adolescents: The Healthy Eating Aerobic and Resistance Training in Youth Randomized Clinical Trial. JAMA Pediatr 2014 Sep 22. doi: 10.1001/jamapediatrics.2014.1392. [Epub ahead of print]
3Ho SS, et al: The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial. BMC Public Health 2012 Aug 28;12:704. doi: 10.1186/1471-2458-12-704

Wednesday, February 11, 2015

The Power of Cross Training

The Power of Cross-Training


The Power of Cross Training
Chiropractic Care Optimizes the Benefits of Exercise
Cross-training places numerous physiological demands on your cardiorespiratory and musculoskeletal systems, as well as on your digestive, hormonal, and immune systems. These demands are necessary for your ongoing health and well-being, following both the principle of "use it or lose it" and Wolff's Law (bone remodels along lines of physiological stress).
But in order to maximize our cross-training gains, we want to make sure that our body's underlying structure is intact. Our various physiological systems must be able to communicate with each other efficiently, and each system must be able to receive and transmit information to the master system, the nerve system. Regular chiropractic care helps ensure these necessary interactions are taking place, consistently and over time. By detecting and correcting spinal misalignments and by removing nerve interference, regular chiropractic care helps optimize all physiological functioning and helps you get the most out of your cross-training activities.
Cross-training refers to a combination of different methods of exercise. Specifically, cross-training refers to the combination of strength training and cardiovascular training in your overall exercise program. Whether you're a 14-year-old just starting out on your first fitness program, or whether you're a 74-year-old who hasn't exercised in more than 40 years, cross-training will provide optimal results for the time and effort you spend on exercise.
In cross-training, it's not that you're doing aerobic and strength-training activities simultaneously. Rather, you're incorporating both methods in your weekly exercise regime. One week you might do three sessions of strength training and two sessions of cardiovascular activity. The next week you could do three sessions of aerobic exercise and two sessions of strength training. The result is that, overall, approximately half of your exercise time is devoted to each of these two methods.
The remarkable outcome of combining two distinctly different training modes is that both sets of results are enhanced.1,2 Doing cardiovascular exercise on alternate days makes you stronger. In other words, your muscular strength and size are greater than they would be if strength training were your only form of exercise. Correspondingly, doing strength training on alternate days provides you with heightened cardiovascular gains. Specifically, your stroke volume (the amount of blood pumped on each contraction of your heart muscle) and vital capacity (the amount of air you can take in on each breath) are greater than the results you would have obtained by only doing aerobic exercise.
The benefits of cross-training are automatic. There's nothing you need to do intentionally to achieve these gains, other than engaging in your cross-training program five days a week. When you train your heart and lungs by doing cardiovascular (really, cardiorespiratory) exercise, your skeletal muscles automatically participate in your walking, running, biking, or swimming activity. When you do strength training, exercising your chest, back, shoulders, arms, and legs (on different split-training days, of course), your heart and lungs automatically participate, pumping the extra blood and breathing in the extra oxygen required for any vigorous physical activity.
The synergy created by the cross-training format potentiates the results obtained from each method.3 The improved performance of your heart and lungs, derived from aerobic training, enables greater strength training gains. A stronger musculoskeletal system, derived from training with weights, causes your heart and lungs to become more efficient to meet new demands. A positive feedback loop is established from which you obtain improved health and enhanced wellness and  well-being.
The best time to begin your new cross-training program is today. Start slowly, increase duration and intensity gradually, and evaluate your gains at 6- and 12-week intervals. Your chiropractor is experienced in exercise rehabilitation and will help you design a cross-training program that works for you.
1Fournier SB, et al: Improved Arterial-Ventricular Coupling in Metabolic Syndrome after Exercise Training. Med Sci Sports Exerc  2014 May 27. [Epub ahead of print]
2Kolka C: Treating Diabetes with Exercise - Focus on the Microvasculature. J Diabetes Metab 4:308, 2013
3Dos Santos ES, et al: Acute and Chronic Cardiovascular Response to 16 Weeks of Combined Eccentric or Traditional Resistance and Aerobic Training in Elderly Hypertensive Women: A Randomized Controlled Trial. J Strength Cond Res 2014 May 19. [Epub ahead of print]

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Tuesday, January 27, 2015

Your Own Personal Trainer

Your Own Personal Trainer

fitness-trainer
Regular Chiropractic Care and Personal Fitness
Getting regular exercise is not a cure-all. Although it's very difficult to maintain good health if you're not exercising consistently, exercise in itself is not enough. Additional components of a healthy lifestyle include good nutrition, sufficient rest, intangibles such as a positive outlook on life, and regular chiropractic care.
Regular chiropractic care ties together all the other things you're doing to achieve high levels of personal health and wellness. By identifying, analyzing, and correcting spinal misalignments, your chiropractor is helping to reduce nerve interference and helping to facilitate optimal functioning of all your body's physiological systems. As a result, you're able to make maximum use of the good foods you're eating and get the most out of your exercise time. By making these healthy lifestyle choices, including regular chiropractic care, you're choosing to enhance your personal health and well-being.
Back in the day, there were no personal trainers. If you needed to learn how to exercise, you got a subscription to one of a few well-known "muscle magazines" and read several issues from cover to cover. Then you joined a "Y" and began to discreetly observe what was going in the weight room, trying to match up what you had read in the magazine with what you were seeing in the gym. Eventually, you put together a series of exercises, sets, and reps that worked for you. Back then, any strength training program you developed would be strictly based on a seat-of-the-pants approach. You learned by trial and error.
Today there is a vast body of scientific literature focused on the various benefits of numerous forms and types of exercise.1 However, scientific studies are not good at evaluating the how-to's of getting fit. Fortunately many informal resources are available, all intended to point you in the right direction. But not all of these resources are accurate or trustworthy, and the challenge is to identify a set of basic principles that will be applicable to your specific situation.
Firstly, before getting started you need to make sure that it's OK to actually get started. Let your  doctor (your family chiropractor, family physician, or internist) know what you're planning to do and have her tell you what you need to watch out for, if anything. Next, you need to make a commitment. Consistency is the key to deriving lasting value from exercise. Additionally, irregular exercise sessions will often lead to injury. If you're serious about getting fit, then make a commitment to yourself to participate in a 12-week program. At the end of 12 weeks, you'll evaluate how you feel, what you've accomplished, and whether you want to keep going. 
In terms of strength training (that is, weight lifting), three sessions per week is ideal. By doing "split routines" you can exercise all the major muscle groups each week. On one day you'll do exercises for the chest and back. Another day you'll do exercises for the legs. On the third day you'll focus on the shoulders, biceps, and triceps. This set of split routines will produce optimal results for many people.
Importantly, you'll be doing chest and triceps (and back and biceps) on different days, thus avoiding the potential for overwork and injury. But you may find that an alternate set of split routines works best for you. The key is to start slowly and build up strength gradually. Once you have some experience and an improved level of fitness, you may branch out and vary your basic routine, experimenting and seeing what works best for you. In terms of sets and repetitions (reps), three sets per exercise and eight to 12 repetitions per set represent the classical, tried and true method of getting fit and making gradual strength gains over time. For any strength training exercise, start with a weight at which you can do eight repetitions comfortably. This should be neither too easy, nor too difficult. Of course, it's far better to err on the side of caution. You never want to do too much too soon.
As you go along in your fitness program, you'll add core exercise routines2 and aerobics exercise such as walking, swimming, biking, and running. If you work out slowly and gradually and maintain consistency, you'll have a great deal of fun and gain substantially improved levels of health and well-being.3
1Storer TW, et al: Effect of supervised, periodized exercise training vs. self-directed training on lean body mass and other fitness variables in health club members. J Strength Cond Res 28(7):1995-2006, 2014
2Kahle N, Tevald MA: Core muscle strengthening's improvement of balance performance in community-dwelling older adults: a pilot study. J Aging Phys Act 22(1):65-73, 2014
3Huffman KM, et al: Metabolite signatures of exercise training in human skeletal muscle relate to mitochondrial remodelling and cardiometabolic fitness. Diabetologia 2014 Aug 5. [Epub ahead of print]




Thursday, January 8, 2015

Keep Motivated

It may be a snow day but don't let it be on off day of training. Here is some motivation to get out there and get it done.

https://www.youtube.com/watch?v=1SUzcDUERLo