Thursday, October 30, 2014

So, you know how old you are. But do you know your fitness age, which may be a better indicator of longevity? The NY Times reports on two different Norwegian studies that looked at VO2max and found that having a younger fitness age than chronological age is advantageous and well worth knowing.



What’s Your Fitness Age?

 
You already know your chronological age, but do you know your fitness age?

A new study of fitness and lifespan suggests that a person’s so-called fitness age – determined primarily by a measure of cardiovascular endurance – is a better predictor of longevity than chronological age.

The good news is that unlike your actual age, your fitness age can decrease.

The concept of fitness age has been developed by researchers at the Norwegian University of Science and Technology in Trondheim, who have studied fitness and how it relates to wellness for years.

Fitness age is determined primarily by your VO2max, which is a measure of your body’s ability to take in and utilize oxygen. VO2max indicates your current cardiovascular endurance.

It also can be used to compare your fitness with that of other people of the same age, providing you, in the process, with a personal fitness age. If your VO2max is below average for your age group, then your fitness age is older than your actual age. But if you compare well, you can actually turn back the clock to a younger fitness age. That means a 50-year-old man conceivably could have a fitness age between 30 and 75, depending on his VO2max.

Knowing your fitness age could be instructive and perhaps sobering, but it also necessitates knowing your VO2max first, which few of us do. Precise measurement of aerobic capacity requires high-tech treadmill testing.

To work around that problem, the Norwegian scientists decided several years ago to develop an easy method for estimating VO2max. They recruited almost 5,000 Norwegians between the ages of 20 and 90, measured their aerobic capacity with treadmill testing and also checked a variety of health parameters, including waist circumference, heart rate and exercise habits.

They then determined that those parameters could, if plugged into an algorithm, provide a very close approximation of someone’s VO2max. 

But while fitness age may give you bragging rights about your youthful vigor, the real question is whether it is a meaningful measurement in terms of longevity. Will having a younger fitness age add years to your life? Does an advanced fitness age mean you will die sooner?

The original Norwegian data did not show any direct correlation between fitness age and a longer life.

But in a new study, which was published in June in Medicine & Science in Sports & Exercise, the scientists turned to a large trove of data about more than 55,000 Norwegian adults who had completed extensive health questionnaires beginning in the 1980s. The scientists used the volunteers’ answers to estimate each person’s VO2max and fitness age.

Then they checked death records.

It turned out that people whose calculated VO2max was 85 percent or more below the average for their age — meaning that their fitness age was significantly above their chronological years — had an 82 percent higher risk of dying prematurely than those whose fitness age was the same as or more youthful than their actual age. According to the study’s authors, the results suggest that fitness age may predict a person’s risk of early death better than some traditional risk factors like being overweight, having high cholesterol levels or blood pressure, and smoking.

Of perhaps even greater immediate interest, the scientists used the data from this new study to refine and expand an online calculator for determining fitness age. An updated version went live this month. it asks only a few simple questions, including your age, gender, waist size and exercise routine, before providing you with your current fitness age. (I discovered my own fitness age is 15 years younger than my chronological age — a good number but still not as low as I could wish.)

Thankfully, fitness age can be altered, said Ulrik Wisloff, professor at the K.G. Jebsen Center for Exercise in Medicine at The Norwegian University of Science and Technology, who led the study. His advice if your fitness age exceeds your chronological years or is not as low as you would like? “Just exercise.”

Dr. Wisloff and his colleagues offer free exercise suggestions on their website. But he said almost any type and amount of exercise should help to increase your VO2max and lower your fitness age, potentially increasing your lifespan.

In upcoming studies, he added, he and his colleagues will directly compare how well fitness age stacks up against other, more established measures of mortality risk, like the Framingham Risk Calculator (which does not include exercise habits among its variables). They also hope to expand their studies to include more types of participants, since adult Norwegians may not be representative of all of the world’s population.

But even in advance of this additional data, there is no harm in learning and lowering your fitness age, Dr. Wisloff advised. “There is a huge benefit,” he said, “larger than any known medical treatment, in improving your fitness level to what is expected for your age group or, even better, to above it.”

Sunday, October 26, 2014

If you've ever dieted, you've surely be told that losing weight gradually keeps the pounds from coming back compared to if you lost weight rapidly. Right? Well, a new study debunks that theory. The moral of the story...lose weight in whatever way is easiest for you.

Los Angeles Times - 

Losing weight quickly is just as good (or bad) as losing it gradually

Clinical trial debunks the conventional wisdom that losing weight quickly is worse than losing it slowly
No matter how rapidly dieters lost weight, most wound up gaining back most of the pounds they had shed
When it comes to dieting, the conventional wisdom holds that losing weight gradually is more sustainable in the long run than losing weight quickly. But new results from a long-term clinical trial show that this is just another dieting myth. 
Both fast and slow weight loss produced pretty modest results over the long term. But in some respects, the rapid weight-loss regimen tested in the study worked better than its slow-but-steady counterpart, according to a report published Thursday by the journal Lancet Diabetes and Endocrinology.
The study involved 200 obese Australian adults between the ages of 18 and 70. Ninety-seven of them were randomly assigned to a strict diet that replaced breakfast, lunch and dinner with Optifast shakes. By consuming only 450 to 800 calories per day, their goal was to lose 15% of their body weight in 12 weeks. The other 103 volunteers were asked to drink Optifast shakes once or twice a day and prepare their remaining meals according to the recommendations in the Australian Guide to Healthy Eating. This plan was supposed to lead to a 15% reduction in body weight over 36 weeks.
Volunteers in both groups also had meetings with dietitians and received educational materials about healthful eating.
Despite its austerity, the extreme diet worked better for more people than the gradual diet, according to the study. Among the volunteers who made it to the end of the weight-loss portion of the study, 81% of those on the rapid plan lost at least 12.5% of their body weight. For volunteers on the gradual diet, only 62% achieved the same goal.
One of the reasons for this success was that the extreme diet was more tolerable than the gradual one (perhaps because it lasted for only three months instead of nine). Only 3% of those assigned to the rapid weight-loss regimen dropped out of the study, compared with 18% of those in the gradual program.
Volunteers who followed the rapid plan were getting more exercise (2,291 extra steps per day, on average) than their counterparts on the gradual diet (an average of 1,300 extra steps per day). However, the gradual dieters saw bigger improvements in both waist and hip circumference. The drop in BMI was virtually the same in both groups: 5.3 points lower for those fueled only by Optifast and 5.2 points lower for those who got to eat at least some real food.
But losing weight isn’t the hardest part of a diet -- the bigger challenge is keeping it off. So the researchers tracked the volunteers who were still part of the study for 144 more weeks. During that time, all of them were advised to follow an “individualized diet for weight maintenance,” according to the study.
Of the 127 volunteers who completed the study, all but six -- five who lost weight rapidly and one who lost weight gradually -- started to gain back some of the pounds they had shed. Those who started with the extreme diet lost a little more than 32 pounds after the initial 12-week period but gained back 23 of them. And those who lost weight gradually dropped 31.5 pounds after 36 weeks but gained back 22 of them. 
The net result after more than three years: Those who followed the gradual diet ended up losing 0.44 pounds more, on average, than those who followed the rapid diet. 
The researchers found several reasons to endorse the all-Optifast diet: It is simpler to follow than a gradual diet that requires people to prepare some of their own meals. It produces results more quickly, which may encourage people to exercise more. The hormone changes detected in those on the rapid diet seemed to make them feel less hungry than their counterparts on the gradual diet. And it is probably cheaper.
But in the end, both approaches ultimately did a poor job of helping obese people lose weight in a sustainable way. 
“A strategy to suppress hunger after weight loss and therefore prevent weight regain ... is still awaited,” the researchers concluded.

Monday, October 20, 2014

More and more of us are leading active lifestyles and increasing the amount of exercise we do. But if you're a woman and pre-menopausal, you may have a risk of iron deficiency anemia that has symptoms which are exacerbated by the fitness regimen. Feeling tired, lack of energy, poor sleep, and wanting to chew ice? It could be you.

What female athletes need to know about iron deficiency


October 14
 
A year ago, local running coach and veteran marathoner Kathy Pugh was preparing for the Marine Corps Marathon. But despite a tried-and-true training program, it wasn’t going well.

“I just didn’t have the energy,” Pugh says. “I was struggling and felt like I never wanted to do a marathon again.”

What had happened?

As Pugh found out through a blood test, she was iron-deficient, something that’s not all that unusual for premenopausal women, particularly athletes.

“It’s quite common for female athletes to have iron deficiency,” says Nancy Clark, a Boston-based sports nutritionist and author of the “Sports Nutrition Guidebook.”

“And it really affects performance.”

Exactly how prevalent iron deficiency is among female athletes isn’t known, but Clark says it could be as high as 50 percent. In the general premenopausal female population, the prevalence is roughly 9 percent. A 2011 study of female collegiate rowers in New York state found 10 percent were anemic and 30 percent had low iron stores.

(Anemic refers to low hemoglobin, for which the most common reason is low iron. But you can be iron-deficient without being anemic — as was true for Pugh.)

Clark attributes iron deficiency among female athletes to monthly blood loss (true for most premenopausal women) and an added demand on iron stores through high-intensity training as well as a focus on lean, vegetarian and natural foods.

But wouldn’t “lean, vegetarian and natural” be a good thing?

“Absolutely, but if you are vegan, especially as an athlete, you have to make sure you are getting what you need nutritionally,” says Lisa Lilienfield, a doctor with the Kaplan Center for Integrative Medicine in McLean, whose expertise includes women’s health and sports medicine.

Iron can be taken as a supplement but is readily available in our food — especially in red meat and seafood (in particular, clams). It is also abundant in green-leafy vegetables such as spinach and in beans and fortified cereals.

And so, Clark says, the trend among female athletes and other health-conscious consumers to move away from red meat and to give up fortified foods in favor of natural foods creates a “perfect storm” for iron deficiency.

“Female athletes tend to be very health- and weight-conscious,” she says. “And when they want to lose weight, they’ll give up things like hamburgers and steaks,” as well as processed food, she says.
For example, good ol’ Grape Nuts – a fortified (“processed”) cereal has 90 percent of the recommended daily allowance for iron, while the natural Kashi Go Lean Crunch has 8 percent.

The recommendation for the general female premenopausal population is 18 mg of iron per day. Lilienfield suggests that should be higher — in the range of 20 mg or higher — for female athletes.

“I would recommend that female endurance athletes get screened so they can see if they need iron supplementation,” Clark said. Note: Too much iron is not healthful, either, so it’s important to know the right level before taking any iron supplementation.

Pugh says she can relate to both parts of Clark’s perfect storm: She moved away from red meat and tried eating all-natural foods for the year leading up to the 2013 Marine Corps Marathon.

“I was doing my green smoothies and eating nutritional yeast — I felt like I was the picture of perfect health, and yet I felt tired,” Pugh says.

For women who want to get more of their iron from plants, one possibility is to consume greens or beans together with vitamin C, which improves iron absorption, Lilienfield says.

For example, says Pugh, who is now also a trained health coach with the Institute for Integrative Nutrition: “You could have your salad with a lemon vinaigrette.”

It’s also worth limiting consumption of foods that inhibit the uptake of iron, she says, including calcium and coffee and tea.

So, what are some of the signs — aside from lack of energy — of low iron, and why is iron important in sports?

One is the desire to chew ice, says Clark (the medical term is pacophagia). In addition, “being cold all the time, feeling depressed and feeling tired,” can be signs of iron deficiency.

Iron is essential for successful athletic performance since it helps carry oxygen to cells throughout the body. But when athletes feel overtired from workouts they often assume they need to lose weight — and in doing so they often deplete their iron stores even more.

“Athletes in endurance sports will notice it the most,” Clark says. “But iron deficiency could impact all sports.”

And she adds that iron deficiency is a “needless” problem, “since it’s totally preventable. I see it as an education problem.”

Pugh says she definitely has learned what works better for her these past few months. Her diet still consists of mostly natural foods and lots of greens, but she has added some red meat once a week or so — and says she thinks there is a link to her feeling better.

“Maybe it’s just a coincidence, but I feel much more energetic, and I have no trouble sleeping, which was also an issue last year,” Pugh says.

Monday, October 13, 2014

With the world's population as large as it is and many countries still facing issues of starvation, a new source of food is being looked at as becoming a regular part of the diet. High in protein, fiber, Omega-3 fatty acids, and vitamins, new research demonstrates that the food source has now passed a taste test....and it's not a GMO! Got seaweed?

Med News Today -

Seaweeds pass nutrition and taste tests: new Deakin research

Last updated: 26


Australian seaweeds have passed taste and nutrition tests in a Deakin University study that could eventually pave the way for seaweed to become a regular part of our national diet.
The results of the crowd-funded "Would you like seaweed with that?" research project under a Pozible Research My World partnership show Australian seaweeds tested positively from both nutritional and taste perspectives.
Project coordinator and Marine Biologist at Deakin's Centre for Integrative Ecology, Dr Alecia Bellgrove, said the research group had plenty of new questions to answer as a result of the project, but early indications were exciting.
Several seaweed species collected from south-west Victorian beaches were put to the taste test in Warrnambool last year in miso soup and seaweed salads. They were also compared to Japanese seaweed species," Dr Bellgrove said.
She said the Australian species used in the soup rated highly in both nutrition and taste.
"There was no difference between Australian and Japanese species in the soup but there was a preference for the Japanese species in the salad due to differences in texture," she said.
While the results are positive and show Australians could develop a liking for seaweed, Dr Bellgrove said it could be some years before it became a regular part of the national diet.
"Some of the seaweed species are important habitat forming species and we need to understand the impact of putting them into commercial aquaculture or sustainable wild harvesting," she said.
"The first step is to see if they taste good and suit the Australian palate and that is looking very positive."
Dr Bellgrove said seaweed was healthy and an important part of the diets of Asian cultures but was not often consumed in Australia and other western countries.
Seaweeds are high in protein, dietary fibre, long-chain omega-3 fatty acids and a suite of vitamins, minerals, fucoxanthins and antioxidants. Regular consumption of seaweeds can significantly reduceobesity and associated illnesses.
"There is compelling evidence from both health and sustainability literature that seaweeds should become a common part of global diets," Dr Bellgrove said.
"Seaweeds are incredibly nutritious and can significantly reduce obesity and associated illnesses. Regular consumption of seaweeds has the potential to enhance the health of societies now, and for generations to come."
The research was a collaboration between Deakin University's Centre for Integrative Ecology, Centre for Chemistry and Biotechnology and Centre for Physical Activity and Nutrition Research.

Friday, October 10, 2014

Life can be busy for anyone working and trying to raise a family. Fitting in time to exercise and pay attention to your health only adds to the shortage of minutes in the day. While it used to be just working Moms having to juggle this type of lifestyle, A Kansas State University study says Dads are having the same issue.

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Dads, not just moms, battle balancing work, family, exercise 

Date:
October 9, 2014
Source:
Kansas State University
Summary:
Fathers experience the same exercise barriers as mothers: family responsibilities, guilt, lack of support, lack of time, scheduling constraints and work, a researcher has found. Although barriers for both parents are similar, working moms reported an additional hurdle. Mothers cited work and scheduling constraints as more of a barrier than fathers. Many active fathers found time to exercise during the workday, but mothers reported fear of being judged by co-workers for leaving to workout and lack of time to freshen up after a workout.















Some fathers are exercising their emotions as much as mothers when balancing fitness and family, according to a Kansas State University kinesiology researcher.Emily Mailey, assistant professor of kinesiology, researched working parents' struggles in establishing anexercise program in the study "Physical activity barriers and facilitators among working mothers and fathers," published in BioMed Central Public Health, a peer-reviewed journal.

As gender roles change and fathers become more active in their children's lives, they experience the same barriers as mothers: family responsibilities, guilt, lack of support, lack of time, scheduling constraints and work, Mailey said. The transition to parenthood is associated with declines in physical activity for mothers and fathers; yet programs to encourage physical activity historically have targeted only working moms.

"A decline or lack of exercise among working parents has mostly been recognized as a female issue," Mailey said. "The ethic of care theory -- that females have been socialized to meet everyone else's needs before their own -- explains why women feel guilty when they take time to exercise, though the same principle hasn't been studied for fathers."

For the study, working mothers and fathers participated in focus groups about the barriers they encounter to a consistent exercise routine. The top barriers for moms and dads were lack of time and guilt.

"The guilt parents feel is because they think of exercise as a selfish behavior," Mailey said. "Fathers reported guilt related to family and taking time for themselves, whereas mothers reported guilt related to family, taking time for themselves and work."

Fathers reported their children as a barrier to maintaining an exercise program more than mothers. Fathers also said family-related guilt was associated with time away from their wives and children, while mothers' guilt was associated with time away from their children.

"Fathers mentioned feeling guilty about not spending time with their spouses," Mailey said. "That really didn't come up for the women. The men felt guilty about exercising after the kids go to bed because that would be time they could spend with their wives."

Although barriers for both parents are similar, working moms reported an additional hurdle. Mothers cited work and scheduling constraints as more of a barrier than fathers. Many active fathers found time to exercise during the workday, but mothers reported fear of being judged by co-workers for leaving to workout and lack of time to freshen up after a workout.
"A lot of active dads were taking time during the lunch hour or during the workday to exercise," Mailey said. "Moms felt more guilt for taking time out of the workday to the extent that most weren't doing it. If moms were active, they were exercising first thing in the morning."

Mailey said facilitators for establishing consistent exercise programs had a common theme.

"Regardless of their activity levels, parents view their families as the top priority," Mailey said. "Active parents were able to see exercise as something that contributed to the good of the family and that was not at odds with being good parents. As a result, they felt less guilty about taking time to exercise and were more apt to prioritize physical activity because they valued the benefits."

Monday, October 6, 2014

Have you ever posted an amazing experience on Facebook only to have few or no one respond? According to a new study published in Psychological Science and reported in MedPage Today, it happens because readers can't share the experience...they more commonly respond to a posting of the "ordinary" rather than the "amazing" because they can relate better.

Sharing 'extraordinary experiences' with others may socially alienate us

Last updated:

It typically follows that after experiencing something extraordinary - such as skydiving, going on an amazing vacation or eating at a 5-star restaurant - we want to share the details with our friends. But a new study suggests there are social costs attached to sharing such remarkable experiences. 
 
vacation photos
Just returned from an epic trip? You may want to rethink how you share your experience with your friends, cautions a new study, which suggests there are surprising social costs attached to sharing our most coveted experiences.
 
"Extraordinary experiences are pleasurable in the moment but can leave us socially worse off in the long run," explains study author Gus Cooney, psychological scientist from Harvard University in Cambridge, MA.

He and his colleagues publish their findings in the journal Psychological Science.

Cooney says he noticed social dialogue tends to center around ordinary topics, which made him wonder "if there might be times when extraordinary experiences have more costs than benefits, and whether people know what those times are."

As such, the researchers had 68 participants in total come to their lab in groups of four. In these groups, one participant was tasked with watching a "4-star" video of a street magician performing in front of a crowd, while the other three watched a "2-star" animated video.

Each participant was aware of which video the others were tasked to watch, and after the viewing sessions, the four participants had 5-minute conversations.

Results showed that the participants who had the "extraordinary experience" - by watching the higher rated 4-star video - felt worse following the group discussion than those who watched the 2-star video, reporting they felt more excluded during the discussion period.
 
The researchers note that further data suggest those who had the extraordinary experiences felt worse because they did not expect social costs of having an experience that divides them from the group.

'A surprising price for most-coveted experiences'

In two further studies, participants were asked to anticipate how they or others would feel as a person in the study who had the extraordinary experience. As the researchers expected, these participants wrongly assumed the person would feel better than those having an "ordinary experience."

Additionally, the team says, the participants guessed that the extraordinary experiencers would talk more during the discussion and would not feel excluded.

"The participants in our study mistakenly thought that having an extraordinary experience would make them the star of the conversation," says Cooney. "But they were wrong, because to be extraordinary is to be different than other people, and social interaction is grounded in similarities."
 
He and his colleagues say their findings suggest we may want to consider how we share our experiences with others.

"When choosing between experiences, don't just think about how they will feel when they happen - think about how they will impact your social interactions," Cooney adds. "If an experience turns you into someone who has nothing in common with others, then no matter how good it was, it won't make you happy in the long run."

Speaking with Medical News Today, Cooney said:
"We definitely don't want the takeaway to be that extraordinary experiences aren't worth having or talking about. The idea is that people don't naturally consider the social costs of having extraordinary experiences.
Sometimes the costs will outweigh the benefits. Sometimes the benefits will be worth the costs. But the social costs of extraordinary experiences are real, and we should be aware of them when making decisions."
Though the team concludes that their findings "suggest that people may pay a surprising price for the experiences they covet most," one thing to note is that the researchers did not also conduct the study with one person watching the 2-star film and three people watching the 4-star film.

So whether the person in the minority watching a 2-star film would likewise feel more negative after the discussion period was not assessed.

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