Stressing Fitness

The adventures of Paul, Black and Breinan offer a glimpse into a forgotten aspect of the running boom of the late 1970s. Preternaturally self-disciplined, they were among about 75 children (ages 8 to 13) who tackled the early years of the New York City Marathon in a time of novelty and naïveté. Organizers were uneasy about young runners, but it was not until 1981, records show, that age 16 became the requirement. New York’s official minimum age became 18 in 1988, after an advisory set by the International Marathon Medical Directors Association in the early 1980s, and reasserted in 2001. With no conclusive study, physicians still debate risks to children who compete in marathons, like muscular-skeletal injuries, stunted growth, burnout, parental pressures and the ability to handle heat stress.

Some marathons — Houston and Twin Cities in Minnesota — allow teenagers or admit younger runners on a case-by-case basis. Los Angeles has a program for schoolchildren ages 12 to 18.

A new study to be presented at the American Academy of Neurology 63rd Annual Meeting in April shows that people with an elevated heart disease risk in middle age were more likely to have associated memory and other cognitive problems. Researchers found that people who have a 10% higher risk of cardiovascular disease were more likely to have lower cognitive function and a faster rate of cognitive decline, compared to people with the lowest risk of heart disease.

The study looked at heart disease risk and cognitive function in more than 4,800 middle-aged men and women in the U.K. who participated in a long-term British study. The participants had their blood pressure, cholesterol, and other heart disease risk factors measured three times over a 10-year period and were also tested on various areas of cognitive function. Researchers found that middle-aged men and women with a 10% higher than average heart disease risk scored lower on all cognitive areas except reasoning for men and fluency for women. For example, a 10% higher heart disease risk was associated with a 2.8% lower score on memory tests among men and a 7.1% lower score among women.

Hospitalized patients diagnosed with coronary artery disease who had a positive outlook about their recovery were less likely to die over the next 15 years and had better physical functioning after one year, according to a new study. Previous studies have found that heart patients’ optimism and expectations have positively influenced their functional status and return to work. But researchers say this study takes it a step further by showing how patient beliefs affect their health over the long term and ultimate survival. The findings are published in the Archives of Internal Medicine.

Researchers at Duke University Medical Center followed 2,818 heart patients after they had coronary angiography to evaluate blood flow in the coronary arteries of the heart. They measured how patient expectations affected their recovery and ability to perform normal physical activities. Patients completed a questionnaire about their future lifestyle (e.g. “My heart condition will have little or no effect on my ability to do work,” “I expect that my lifestyle will suffer because of my heart condition”) and their future outcome (e.g. “I can still live a long and healthy life,” “I doubt that I will ever fully recover from my heart problems”).

the death rate of patients with the highest expectations was 31.8 deaths per 100 patients, compared to those with the lowest expectations at 46.2 deaths per 100 patients.

According to a recent study, regular exercise improves the ability of inactive, overweight children to do better in math. Researchers at Georgia Health Sciences University studied 171 sedentary and overweight 7- to 11-year-olds in an effort to identify what happens to children's brains with regular, vigorous exercise.

After allowing the kids to engage in fun, playful exercises, such as running games, hula hooping and jump roping, which raised their heart rates to 79 percent of their maximum, scientists used the Cognitive Assessment System and Woodcock-Johnson Tests of Achievement III, tests that measure abilities such as planning and academic skills, to identify brain activity before and after the bouts of physical activity. Students showed an increase in complex thinking and decision making -- the areas of the brain that are used in math. In fact, the more the children exercised, the more their brains responded. Intelligence scores increased an average 3.8 points in those exercising 40 minutes per day for three months. Those who exercised just 20 minutes a day also benefited, just in a smaller dose. Researchers noted that the improved math skills were "remarkable," since no math lessons were given as part of the study. This suggests longer, more sustained periods of vigorous physical activity throughout the entire school year could produce even higher results. And researchers believe all children -- not just those who are overweight -- could benefit with improved reasoning and complex thinking skills.

In a country where one-third of our children are overweight, it is increasingly important to motivate schools and parents to encourage daily physical activity. The Center for Disease Control recommends at least 60 minutes of exercise a day for children, yet there is no federal mandate for minimum standards in schools. Each state is responsible for setting their own requirements, and unfortunately, with increasing budget cuts, not all schools comply or engage the children in quality-rich physical education.

Besides its importance for maintaining weight and reducing health risks during a childhood obesity epidemic, physical activity may prove to be a simple, important method of enhancing aspects of children's mental functioning that are central to cognitive development. This information may persuade educators to implement vigorous physical activity.

I asked Rodney what's so great about meditation, and the first thing he told me was, 'You and I take our thoughts way too seriously.' When you meditate, you learn to notice all these stray thoughts that ping around in your head, and take you out of real life. "We're constantly wrapped up in everything we think. We don't really see what we're seeing. We see what we're thinking about what we're seeing," says Smith.

When you meditate, you learn to watch your thoughts come and go, and you don't have to attach to them. You might learn that you're really stuck on your own need to please people or prove something to yourself. And now we're getting into therapy stuff that basically life isn't doing anything to you, it's all about your reaction. And when you learn to see that, you're lightening yourself up to have a good time on this planet.

But because BMI is based on weight, people who are unusually muscular can have BMI values which would make them overweight or obese. Examples might include professional rowers and boxers.

BMI is a good proxy for total body fat, but it cannot distinguish between different types of fat distribution. Excess fat that is found deep down in the region of the stomach gives someone a large waist circumference and an 'apple' shape. This is often associated with risk factors for serious conditions such as heart disease, raised blood pressure and diabetes. Excess fat that is found under the skin, around the bottom, hips and thighs is usually accompanied by a smaller waist circumference and a 'pear' shape. This is generally accepted to be less harmful to health.

we should assess risk based on waist-to-height ratio (WHtR); saying that "Your waist circumference should not be more than half your height (WHtR 0.5)".

As if the recent prediction that half of all Americans will have diabetes or pre-diabetes by the year 2020 isn't alarming enough, a new genetic discovery published online in the FASEB Journal provides a disturbing explanation as to why: we took an evolutionary "wrong turn." In the research report, scientists show that human evolution leading to the loss of function in a gene called "CMAH" may make humans more prone to obesity and diabetes than other mammals.

"Our study for the first time links human-specific sialic acid changes to insulin and glucose metabolism and therefore opens up a new perspective in understanding the causes of diabetes." In this study, which is the first to examine the effect of a human-specific CMAH genetic mutation in obesity-related metabolism and diabetes, Kim and colleagues show that the loss of CMAH's function contributes to the failure of the insulin-producing pancreatic beta cells in overweight humans, which is known to be a key factor in the development of type 2 diabetes. This gene encodes for an enzyme present in all mammalian species except for humans and adds a single oxygen atom to sialic acids, which are sugars that coat the cell surface

"--fish oil (The omega-3 fatty acids in fish oil, docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), appear to be most effective at lowering triglycerides, an artery-clogging fat in the blood. ... Fish-oil supplements are probably safe for most people when taken in doses of 3 grams or less per day

--plant stanols and sterols (Those substances—which occur naturally in nuts, seeds, and whole grains—appear to reduce the amount of cholesterol the body absorbs from food.

--fiber (It's generally best to get fiber—which appears to lower LDL cholesterol, possibly by absorbing fat in the gut—from foods, such as beans, oats, produce, and whole grains.

Drinking yogurt with extra vitamin D may help people with diabetes regulate their blood sugar, a study from Iran finds. In the trial, 90 adults with diabetes were divided into three groups, all given daily yogurt drinks: one group received plain yogurt, one got yogurt with extra vitamin D, and one was given yogurt with extra vitamin D and calcium.At the end of 12 weeks, "we found a relatively remarkable improvement" in blood sugar levels in the groups that got extra vitamin D, compared to the plain yogurt group, co-author Tirang Neyestani, associate professor at National Nutrition and Food Technology Research Institute in Iran, told Reuters Health in an e-mail.

Going back to the 1980s, numerous studies have linked vitamin D to a lowered risk of diabetes, however others have found no benefit. A recent report showed no link between women's blood levels of vitamin D and their risk of developing type 2 diabetes, for example. (See Reuters Health story of February 22, 2011.)Few studies have directly tested the theory by giving people vitamin D and then seeing how they compare over time in diabetes-related measurements with similar subjects who did not consume the vitamin.

"Renewed interest in personal training" is the number-one fitness trend for 2011 by the American Council on Exercise (ACE) and this is driven by baby boomers' interest in health and an anticipated economic upswing, he said.

How personal training will change:   1. Client  expectations. Many clients will want to improve function to stay independent as long as possible, but a subgroup will seek new activities or assistance in training for sports-specific competitions. Trainers will need to guide both types of clients.

2. Demand for knowledgeable trainers. Personal trainers will need to become more knowledgeable in two key areas: the motivations and aspirations of older adults, and the health conditions that can affect a client’s ability to work out, Milner said. They also need to learn how to collaborate with other healthcare providers.   3. More comprehensive continuing education courses. Trainers will need to know learn not just about chronic health conditions and rehabilitation, but also learn about social and psychological perspectives, emotional issues, and lifestyle choices that affect their older-adult clients. They will need to be coaches as well as flexible program designers who can work with their clients in multiple settings besides the gym.   

Canada’s guidelines on sedentary activity (an oxymoron to be sure) released last week say children should spend no more than two hours a day in front of a TV, videogame or computer screen.

Only 7 per cent of children meet Canada’s physical activity guidelines. (Adults don’t fare much better at 15 per cent.)