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July 30, 2007

Why Fat is a Friendship Issue

BE CAREFUL whom you hang out with - your friends can make you fat. Researchers have found that the company you keep has a huge influence on the size of your waistline

The study, by the Harvard Medical School and the University of California, found that if a person becomes obese, those closely connected to him or her have a greater chance of becoming obese themselves - even if they live far apart.

The study, which involved more than 12,000 people over 32 years and was published in The New England Journal of Medicine, suggests that obesity is "socially contagious", spreading from person to person, but does not affect neighbours and colleagues who are not friends.

If your friend becomes obese, the researchers found, your chances of becoming obese go up 57 per cent.

Individuals in same-sex friendships experience a 71 per cent increased risk if one becomes obese. Between two brothers, the risk rises 44 per cent; between sisters, 67 per cent.

If one spouse becomes obese, the likelihood for the other increases 37 per cent.

But blaming friends and family for your burgeoning stomach is a cop-out, says Dr Louise Hardy, of the NSW Centre for Overweight and Obesity at the University of Sydney. "I would hate to see these findings used by people to say, 'I don't want a fat friend or I might catch obesity,"' she said yesterday.

"Obesity is complex and has many partners. Rather than just looking at social networks, we need a collaborative approach which looks at urban planning, public transport, housing and the food industry. We don't want obese people stigmatised further by these findings."

But Professor Ian Caterson, of the University of Sydney, said the findings could be used to encourage people to seek social networks where being overweight was unacceptable.

"We've already seen this with smoking and if we get to the point where obesity is socially unacceptable and people find alternative friends who encourage them to maintain a healthy weight, this kind of study could become a new way of combating the problem."

smh.com.au

July 24, 2007

On your bike - join the happy throng

The Tour de France is no longer a late-night gimmick for Australian Francophiles to watch on television in search of inspiration for their next European vacation. Neither is cycling a sport that Australian fans take up for one month a year to "experience" the pain the Tour riders go through, in the short time these fans have left between sitting up at all hours to watch the great race and putting in a full day at work.

Click here for the full story

July 19, 2007

Pregnancy and Exercise

Pregnancy doesn't mean you'll be kicked out of the aerobics class, but there are precautions to take.

With pregnancy, they will tell you these things: don't get too hot; make sure you have plenty to drink; make sure you have a snack handy; don't do anything that feels really wrong; stop if you feel faint; don't do high-impact aerobics; don't do abdominal exercises that necessitate lying on your back. You see how fast I did that? It will take them about 20 minutes and the rest of the class will look really bored, and they'll all give you dirty looks, and you'll wish you were dead. "Why isn't she in maternity spin?" their faces will say.

So what you want to determine is how many of those rules are real rules and how many of them can be filed under "stupid, put-your-feet-up advice, dating from when there was a world war on".

Warnings about overheating are valid. There is evidence to suggest that overheating in the first trimester (through saunas as well as by exercising) increases the risk of neural-tube defects in the foetus, causing, for instance, spina bifida. And in the second and third trimesters, studies on animals have associated overheating with low birth weight.

How do you tell if you're getting dangerously hot? Two ways: keep your aerobic exercise to a 45-minute maximum and do a "talk test" - if you cannot speak without gasping for breath, you are exercising too hard.

Drinking plenty of water will, unsurprisingly, help keep your core temperature down and avoid dehydration, which affects your efficiency adversely and may make you faint (you can't dehydrate your foetus, though, or at least not in a spin class).

The snack advice is just to prevent fainting. "Feeling really wrong" is a catch-all concept to cover the fact that you vomit more readily and are more likely than a non-pregnant person to go into labour. This is all commonsense and you definitely don't need to inconvenience your classmates to be told these amazingly obvious things.

Exercise undertaken in the supine position is a minefield. First, you have reduced cardiac output throughout your pregnancy and lying on your back reduces it further, as does the exercise itself, during which oxygen will be preferentially distributed away from the uterus. This is not a good thing. Plus, later on, if you lie flat on your back, the weight of the uterus can compress the inferior vena cava, which carries blood from your lower body back to your heart. This can make you feel faint: I know someone who actually did pass out from this recently.

A third of pregnant women will find that their abdominal muscles separate, in which case you have to desist from exercising any muscles in that area. Jogging and other high-impact aerobic moves (like, say, a really energetic grapevine) can cause lordosis (an abnormal forward curvature of the spine), which makes your behind stick out, hence its nickname "pride of pregnancy". It can also give you backache.

Returning to protocol: in an ideal world you could say you were pregnant once, they would tell you it all once and then you could continue as normal.
Unfortunately, aerobics teachers, like ticket inspectors, see 30 times more yous than you see of thems, so they never recognise you and you have to tell them every time.

Realising this, I didn't say anything at all to the female spin instructor until I was so, erm, pronounced that I got wedged between two of the exercise bikes on my way out. Like an earwig. Reasonably enough, she said, "Why didn't you say anything earlier?" I said, "I did! Months ago!" which I suspect she knows isn't true and now whenever I go she makes an enormous great fuss and diverts the fan right onto me, and everybody hates me, so I've had to stop going.

This dearth of exercise over the next three months will lead to increased breathlessness and weight gain, will amplify the likelihood of a difficult labour and lengthen my recovery. And all for the want of a bit of social eptitude.

The Guardian

July 11, 2007

Fitness Myths

If you believe running is bad for the knees or that yoga helps a sore back, think again, reports Peta Bee.

Working-out can be not only tough and time-consuming, it is often downright bamboozling. Listen to all the advice about which sort of exercise to choose and you might be excused for wanting to hang up your trainers in despair. To simplify gym matters, let's see how the five biggest fitness myths stack up against scientific fact.

Myth: You can spot-reduce fat from any part of the body
The diet and fitness industries have traded for so long on the concept of targeting specific body parts for fat removal - hip-and-thigh eating plans, bums, tums and thighs work-outs, etc - that quite a few people have actually come to believe that spot-reduction is possible. But scientific studies cast considerable doubt on the possibility of selectively taking weight off the waist, thighs or buttocks. Dr Cedric Bryant, chief science officer for the American Council on Exercise, a consumer watchdog for the fitness industry, says there is little evidence to support such claims. One landmark study designed to test the spot-reduction theory was carried out at the University of Massachusetts where 13 male subjects did a vigorous abdominal exercise program for one month. Each subject performed a total of 5000 sit-ups over 27 days. But when fat biopsies from their stomachs, buttocks and upper backs obtained at the beginning and end of the trial were analysed, fat loss proved similar at all three sites, not just the abdomen. "If caloric expenditure is enough, it will cause fat from the entire body, including that from a target area, to be reduced," Bryant says. "However, although fat is lost from the entire body through exercise and calorie reduction, it appears that the last areas to become lean tend to be those areas where an individual tends to gain fat first. For most men, that is the abdominal region and for women it is hips, buttocks and thighs."

Myth: Running is bad for your knees
Slapping the pavement with the soles of your trainers has gained a reputation as hazardous to the knee joint. But a recent study showed that running actually protects those joints from damage and pain. Reported in the journal Arthritis Research and Therapy, a team from the department of immunology and rheumatology at Stanford University in southern California found that adults who run consistently can expect to have 25 per cent less musculoskeletal pain and less arthritis when they get older than non-runners

Dr Bonnie Bruce, the study's author, followed more than 500 runners from a local club (called "ever runners" in the study) and 300 inactive people ("never runners" though not necessarily sedentary) in their 50s and 60s for 14 years. When results from an annual health questionnaire were analysed, Bruce and her colleagues found that the ever runners, who ran at least six hours per week on average, experienced less joint pain by their 60s and 70s and only 35 per cent of the joggers got arthritis (compared with 43 per cent of non-runners).

Sammy Margo, a sports physiotherapist for the Chartered Society of Physiotherapy, says running doesn't deserve its bad press. "The key is consistency," Margo says. "If you run consistently, your joints, tendons, ligaments, disks and muscles get used to the habitual pounding of the activity. The body accommodates and copes with the demands."

It is the yo-yo runners, says Margo, who take up jogging and then drop it repeatedly over a number of years who might have problems after a while.

Myth: Pilates will give you a celebrity body
Fans are reported to include Madonna, Jodie Foster and Liz Hurley, but while the cult gym practice might leave you with a super-strong core or middle-section, it will do little to improve your cardiovascular fitness and lower-body fat, at least according to the results of a study last year by the American Council on Exercise (ACE). Professor John Pocari and his team of exercise scientists at the University of Wisconsin analysed the demands of 50-minute beginner and advanced-level Pilates classes and found the intensity of each to be lower than the recommended level for improving cardiovascular fitness.

In the beginner classes, the maximum heart rate of the healthy and moderately fit female subjects was only 54 per cent when the accepted range for boosting fitness is 64-94 per cent. They burned 175 calories. Even the advanced class failed to raise heart rates above an average 62 per cent and burned only 254 calories, equivalent to the benefits gained from walking at a slow pace. In order to get fitter and slimmer, the experts suggested that Pilates be done in conjunction with aerobic activities such as running or cycling. "Pilates has a long list of benefits including improved body mechanics, balance, co-ordination, strength and flexibility," says Dr Cedric Bryant of ACE. "A Pilates session burns a relatively small amount of calories, but it is still a valuable addition to an exercise routine."

Myth: Yoga is good for back pain
Contorting yourself like a pretzel on a yoga mat may be good for many things but not, apparently, for your back. In a study published in the Annals of Internal Medicine, researchers found that a gentle yoga class seemed a better alternative to "either general exercise or a self-help book" for back pain. However, Dr Karen Sherman, who conducted the study, conceded that more vigorous types of yoga, such as ashtanga, and classes led by poorly qualified instructors, could potentially make problems worse. Matt Todman, consultant physiotherapist at the Sports and Spinal Clinic in London, goes further, saying "yoga is generally not good for back pain and a lot of its postures can compound the problem by loading pressure on the back".

Staying active, though, is important, although back-pain sufferers should do so only on the advice of their physiotherapist. Jeremy Fairbank, consultant orthopaedic surgeon at Nuffield Hospital, Oxford, found that patients obtain as much benefit from an intense program of exercise therapy as from spinal surgery. Fairbank's trial, involving almost 350 patients, revealed that those who followed a tailored daily exercise program involving step-ups, treadmill walking, cycling and core stability work for five days over three weeks made huge progress.

Myth: You don't need to "feel the burn" to get fitter
Current recommendations suggest that totting up half an hour of activity by performing tasks such as housework, gardening or collecting the newspaper is enough to ward off heart disease and keep us healthy. But these are minimum requirements (even though many barely manage to meet them) and if you really want to shape up, it requires a lot more sweat and toil.

Research by the American College of Sports Medicine (ACSM) sets what are widely regarded as the core targets of exercising: three to five times a week for 20 to 60 minutes at 55-90 per cent of your body's maximum capacity, calculated according to your heart rate, if you want to improve fitness. "That constitutes a fairly vigorous work-out that would leave you breathless and puffing," says Dr Greg Whyte, sports science co-ordinator for the English Institute of Sport. "And it is the level you need to be doing if you want to get fitter."

That doesn't mean we can rest on our laurels for the rest of the time. Whyte believes too many people have "reached a point where they think going to the gym three times a week is enough". But, he says, while working out will contribute considerably towards overall fitness, "there are 23 and a bit hours remaining in the day and we should try to be active at least during some of them". -- Guardian