Guest guest Posted February 13, 2004 Report Share Posted February 13, 2004 Thu, 12 Feb 2004 07:49:19 -0500 HSI - Jenny Thompson Muscle Up Muscle Up Health Sciences Institute e-Alert February 12, 2004 ************************************************************** Dear Reader, During a television interview to promote last week's National Wear Red Day (raising awareness of heart disease risk in women), First Lady Laura Bush told a reporter that as part of her exercise regimen, her trainer has her lift weights. And she added that she wasn't quite sure why. Like many people, Mrs. Bush probably equates weight-lifting with pumped-up body-builders. But the weight-lifting our First Lady does today, while she's still in her 50s, will pay very healthy dividends as the years go by. ----------------------------- The rewards of strength ----------------------------- According to a new report from the Centers for Disease Control and Prevention (CDC), only a very small percentage of older adults in the U.S. are doing enough to keep their muscles strong. In an interview with Reuters Health, Dr. Judy Kruger, a CDC specialist in elder care and chronic disease prevention, noted that exercises designed to strengthen muscles (such as weight training or resistance training) yield several benefits, including: * Reducing the risk of falls and fractures * Increasing endurance * Promoting healthy bone density * Improving insulin sensitivity But even though strength exercises promote general good health and make it easier for older people to carry out normal daily activities, a 2001 survey revealed that only 12 percent of people aged 65 to 74 perform this type of exercise on a regular basis. ----------------------------- Bonus number one ----------------------------- Another important benefit provided by strength training is an improvement of exercise capacity. If you have a high exercise capacity, then generally speaking you're in good health. But people who rate the lowest exercise capacities have a much higher risk of chronic diseases. In the e-alert " Precious Metals " (4/22/02), I told you about research from the University of Florida (UF) that showed how resistance exercise may have a dramatic impact on exercise capacity - particularly in those who are over the age of 60. The UF study measured exercise capacity and aerobic power in subjects 60 to 85 years of age before and after six months of resistance training exercise. The group of 62 volunteers were randomly assigned to either a low-intensity exercise group or a high-intensity exercise group. Muscular strength was assessed with eight resistance exercises: leg press, leg curl, knee extension, chest press, seated row, overhead press, triceps dip, and biceps curl. Subjects performed resistance exercises three times per week for six months. Throughout the testing sessions, the loads used on the resistance equipment were increased for each subject as their rate of exertion improved. At the end of the study, researchers reported that both low- and high-intensity resistance exercise significantly improved the participants' exercise capacities. People in the high-intensity group increased their oxygen peak by 20% and their exercise capacity by 23%. And taking some of the researchers by surprise, the participants in the low-intensity group saw even greater gains: they increased their oxygen peak an average of 23.5% and boosted their exercise capacity by 26%. In other words, you don't have to push yourself to intense levels of exercise to get the best results. ----------------------------- And, behind door number two... ----------------------------- Obviously, weight training increases muscle strength, but older people get yet another benefit: prevention of sarcopenia - the age-related loss of skeletal muscle. A recent report from the International Longevity Center-USA, details a variety of studies of subjects aged 60 to 96 who overcame the loss of strength and body mass associated with sarcopenia by using weight training regimens that lasted from 8 to 12 weeks. In as little as two sessions a week, most subjects increased their strength, while also improving balance and mobility. Subjects who continued their weight training regimens also increased metabolic rate and the ability to climb stairs. Needless to say, when weight training or resistance training is begun early on (as Mrs. Bush is doing in her 50s), the less likelihood there is that sarcopenia will be an issue as the years go by. And as the UF study shows, you don't have to pump iron like the governor of California to reap healthy benefits. Exercise specialists with the National Institute on Aging (NIA) advise older people to start with light weights - only one or two pounds - and then gradually increase the weight according to whatever feels comfortable. And Dr. Kruger also points out that trips to the gym aren't necessary. A few simple exercises that are easy to do at home are all that's required to improve muscle strength. The NIA has published a free guidebook for starting an exercise program, which is available on their web site: nia.nih.gov/exercisebook. One quibble I have with the book is a section on diet advice that offers the outdated USDA food pyramid as a dietary guideline. Other than that, the book provides useful guidelines for starting and staying with a strength exercise regimen. ************************************************************** To start receiving your own copy of the HSI e-Alert, visit: http://www.hsibaltimore.com/ealert/freecopy.html Or forward this e-mail to a friend so they can sign-up to receive their own copy of the HSI e-Alert. ************************************************************** ... and another thing This week's controversy over the release of Dr. Robert Atkins' autopsy report is about as disgraceful as any " journalism " you'll ever see. You probably heard that Dr. Atkins was obese. That's simply false. You probably heard that Dr. Atkins had heart disease. Again, false. The information about Dr. Atkins' supposed obesity and heart disease was supplied to the Wall Street Journal by the Physicians Committee for Responsible Medicine (PCRM). So let's first of all consider the source. To say that the PCRM is anti-Atkins is putting it mildly. In fact, in addition to its primary web site, the PCRM maintains an entirely separate site completely devoted to one thing: attacking the Atkins diet. According to the New York Times, the New York City medical examiner's office " mistakenly " sent a copy of Dr. Atkins autopsy report to a Nebraska doctor who then passed it on to the PCRM. Did PCRM representatives then make a RESPONSIBLE decision? No. They sent the report to the Wall Street Journal. Releasing an autopsy to the public is in violation of federal law, not to mention an incredible violation of respect for the deceased and his family. The autopsy reveals that at the time of his death, Dr. Atkins weighed 258 pounds. For someone who is six feet tall (as Dr. Atkins was) that could be considered obese. But on the day he took his fall on the ice and lapsed into a coma, Dr. Atkins weighed 195 pounds, which would be far from obese for a six-foot man. During the nine days Dr. Atkins was in a coma he retained fluid and his weight increased to 258 pounds. Friends say they didn't even recognize him. And Dr. Atkins didn't have heart disease. For several years it's been common knowledge that Dr. Atkins suffered from a condition known a cardiomyopathy, in which chronic bacterial infection weakens the heart. The bacterium was picked up while Dr. Atkins was traveling overseas, and had nothing to do with his diet. The PCRM is playing the role of sore loser - and playing it perfectly. More and more studies are showing that the Atkins diet has not only helped people lose weight, but also lower cholesterol and blood pressure, decrease triglycerides, and beat diabetes and other diseases. Personally, that's what I would call " responsible medicine. " There should be no room for personal attacks and smear tactics in a medical debate. PCRM representatives have disgraced themselves and their members by stooping to this new low. Rather than directing personal insults against a man who passed away or staging stacked press conferences featuring one or two people with bad personal experiences, they would put their time and resources to much better use by conducting a medically appropriate study to prove their position. Does anyone else think that would be responsible medicine? To Your Good Health, Jenny Thompson Health Sciences Institute ************************************************************** Sources: " Strength Training Among Adults Aged >65 Years " Morbidity and Mortality Weekly Report, Centers for Disease Control and Prevention, Vol. 53, No. 2, 1/23/04, cdc.gov " Strength Training Urged for Elderly " Merritt McKinney, Reuters Health, 1/23/04, story.news. " Weight Training in the Elderly " drkoop.com, 12/31/03, drkoop.com " Growing Older, Staying Strong: Preventing Sarcopenia Through Strength Training " International Longevity Center - USA, Issue Brief, September-October, 2003, ilcusa.org " Months After Diet Doctor's Death, Another Helping of Controversy " N.R. Kleinfield, The New York Times, 2/11/04, nytimes.com Copyright ©1997-2004 by www.hsibaltimore.com, L.L.C. 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