Showing posts with label Wellness. Show all posts
Showing posts with label Wellness. Show all posts

Monday, July 14, 2008

Can Your Job Help You Lose Weight?

Study Shows Wellness Programs Are Useful Tools for Weight Loss
By Kelley Colihan
WebMD Health News

June 30, 2008 -- Workplace wellness programs are effective in helping employees lose weight, a research review shows.

Researchers sifted through 11 studies published since 1994, some which were updated in 2006. Most of the programs involved education and counseling to improve diet and increase physical activity.

Some programs offered a health risk assessment and lab work; others provided one-on-one and email counseling. Only one included on-site

exercise sessions, and another added healthy menu items in the cafeteria, along with nutritional information.

The work-site intervention programs lasted a minimum of eight weeks and involved workers aged 32 to 52.

Before and after the start of the work-site intervention the participants had their BMI (body mass index) or weight taken.

Workplace Weight Loss

On average participants lost 2-14 pounds compared to employees not involved in the work-site weight loss intervention programs.

The workers that did not participate either lost an average of 1 and 1/2 pounds, or gained an average of 1 pound.

So do on-the-job weight loss programs work? "For people who participate in them, work-site-based programs do tend to result in weight loss," researcher Michael Benedict, MD, from the University of Cincinnati College of Medicine, says in a news release.

What seems to matter most when it comes to dropping the pounds? The in-your-face approach, according to Benedict. "Programs that incorporated face-to-face contact more than once a month appeared to be more effective than other programs."

However, since the follow-up was slim it was hard to draw conclusions about whether the weight would stay off, Benedict says. From 56% to 100% of the participants finished the studies, which ranged from two to 18 months. "People who participate in these programs can lose weight, but we aren't really sure what happens after that."

In an article that runs alongside the review, authors point out that "65% of adults in the U.S. are classified as overweight or obese."

The researchers add that work-site weight loss programs can provide "unique opportunities for decreasing adult obesity."

The pros:

  • Emotional support from colleagues.
  • A structured program can offer opportunities to learn about nutrition and exercise.

The researchers write that employees have been offering more work wellness programs.

According to the researchers, a separate 2003 study showed that "approximately 6% of all U.S. health care costs ($75 billion dollars) were related to excess body weight."

It's not clear how much money employers could save if they offered weight loss programs. "Employers want to know that what they're doing will have a positive return on investment," Benedict says.

Benedict writes that efforts to curb obesity at work can look for success to similar workplace programs, including a drive to help people quit smoking and lower their blood pressure, a win-win for employers.

The researchers admit the data have limits; they call for "vigorous, controlled studies of work-site-based interventions that integrate educational, behavioral, environmental and economic supports."

The research is published in the July-August issue of American Journal of Health Promotion.

Saturday, April 5, 2008

Yoga Program May Help Prevent Falls in Elderly

Fri Apr 4, 11:47 PM ET

FRIDAY, April 4 (HealthDay News) -- A specific type of yoga may help improve stability and balance in women over age 65, possibly helping them to avoid falls, a preliminary study reports.

After nine weeks of participating in an Iyengar yoga program designed for senior citizens, 24 elderly females had a faster stride, an increased flexibility in the lower extremities, an improved single-leg stance and increased confidence in walking and balance, according to the findings of researchers at Temple University's Gait Study Center.

The researchers, scheduled to present their findings Friday at the Gait and Clinical Movement Analysis Society's annual meeting in Richmond, Va., suggested that improving balance and stability through yoga could help reduce the risk of falling.

"We were very impressed at the progress our participants made by the end of the program," principal investigator Dr. Jinsup Song, director of the Gait Study Center, said in a prepared statement. "Subjects demonstrated improved muscle strength in lower extremities, which helps with stability.

There was also a pronounced difference in how pressure was distributed on the bottom of the foot, which helps to maintain balance."

The U.S. Centers for Disease Control and Prevention has said that falls are the leading cause of nonfatal injuries and hospital admissions for trauma among people aged 65 and older. Almost a third of older adults suffer some type of fall each year, the CDC reported.

The program was crafted specifically for elderly people who have had little or no yoga experience. The Iyengar technique, which is known for the use of props such as belts and blocks, was chosen to help participants gradually master the poses while building their confidence.

"In the past, similar studies have been done that look at gait and balance improvement in elderly females using a more aggressive form of yoga," Song said. "For this study, we worked to create a very basic regimen that taught participants proper ways to breathe, stand and pose."

Researchers also found that some participants who had unrelated back and knee pain were pain-free by the end of the study.

Song said he hoped the work will pave the way for a larger study on how Iyengar yoga affects the function of the foot to improve balance and stability and prevent falls.

Wednesday, February 6, 2008

7 Most Effective Exercise

Experts offer their favorite moves for making the most of your workout time.
By Barbara Russi Sarnataro
WebMD Weight Loss Clinic-Feature
Reviewed by Louise Chang, MD

Experts say there is no magic to exercise: You get out of it what you put in. That doesn't mean you have to work out for hours each day. It just means you need to work smart.
That said, experts agree that not all exercises are created equal. Some are simply more efficient than others, whether they target multiple muscle groups, are suitable for a wide variety of fitness levels, or help you burn calories more effectively.
So what are the best exercises? We posed this question to four fitness experts and compiled a list of their favorites.

1. Walking.

Any exercise program should include cardiovascular exercise, which strengthens the heart and burns calories. And walking is something you can do anywhere, anytime, with no equipment other than a good pair of shoes.

It's not just for beginners, either: Even the very fit can get a good workout from walking.

"Doing a brisk walk can burn up to 500 calories per hour," says Robert Gotlin, DO, director of orthopaedic and sports rehabilitation at Beth Israel Medical Center in New York. Since it takes 3,500 calories to lose a pound, you could expect to lose a pound for every seven hours you walk, if you did nothing else.

Don't go from the sofa to walking an hour day, though. Richard Cotton, a spokesman for the American Council on Exercise, says beginners should start by walking five to -10 minutes at a time, gradually moving up to at least 30 minutes per session.
"Don't add more than five minutes at a time," he says. Another tip: It's better to lengthen your walks before boosting your speed or incline.

2. Interval training.

Whether you're a beginner or an exercise veteran, a walker or an aerobic dancer, adding interval training to your cardiovascular workout will boost your fitness level and help you lose weight.

"Varying your pace throughout the exercise session stimulates the aerobic system to adapt," says Cotton. "The more power the aerobic system has, the more capacity you have to burn calories."

The way to do it is to push the intensity or pace for a minute or two, then back off for anywhere from two to -10 minutes (depending on how long your total workout will be, and how much time you need to recover). Continue doing this throughout the workout. ^

3. Squats.

Strength training is essential, the experts say. "The more muscular fitness you have," says Cotton, "the greater the capacity you have to burn calories."
And our experts tended to favor strength-training exercises that target multiple muscle groups. Squats, which work the quadriceps, hamstrings, and gluteals, are an excellent example.
"They give you the best bang for the buck because they use the most muscle groups at once," says Oldsmar, Fla., trainer David Petersen.
Form is key, though, warns Petersen.
"What makes an exercise functional is how you perform the exercise," he says. "If you have bad technique, it's no longer functional."
For perfect form, keep feet shoulder-width apart and back straight. Bend knees and lower your rear, says Cotton: "The knee should remain over the ankle as much as possible."
"Think of how you sit down in a chair, only the chair's not there," suggests Gotlin.
Physical therapist Adam Rufa, of Cicero, N.Y., says practicing with a real chair can help.
"Start by working on getting in and out of a real chair properly," he says. Once you've mastered that, try just tapping the chair with your bottom, then coming back up. Then do the same motion without the chair.
Gotlin sees lots of patients with knee pain, and says quadriceps weakness is the cause much of the time. If you feel pain going down stairs, he says, strengthening your quads with squats may very well help.

4. Lunges.

Like squats, lunges work all the major muscles of the lower body: gluteals, quadriceps, and hamstrings.


"A lunge is a great exercise because it mimics life, it mimics walking," only exaggerated, says Petersen.


Lunges are a bit more advanced than squats, says Cotton, helping to improve your balance as well.


Here's how to do them right: Take a big step forward, keeping your spine in a neutral position. Bend your front knee to approximately 90 degrees, focusing on keeping weight on the back toes and dropping the knee of your back leg toward the floor.
Petersen suggests that you imagine sitting on your back foot. "The trailing leg is the one you need to sit down on," he says.
To make a lunge even more functional, says Rufa, try stepping not just forward, but back and out to each side.


"Life is not linear, it's multiplanar," says Rufa. And the better they prepare you for the various positions you'll move in during the course of a day, the more useful exercises are.

5. Push-ups.

If done correctly, the push-up can strengthen the chest, shoulders, triceps, and even the core trunk muscles, all at one time.
"I'm very much into planking exercises, almost yoga-type moves," says Petersen. "Anytime you have the pelvis and the core [abdominals and back] in a suspended position, you have to rely on your own adherent strength to stabilize you."

Push-ups can be done at any level of fitness, says Cotton: "For someone who is at a more beginning level, start by pushing from the kitchen-counter height. Then work your way to a desk, a chair, the floor with bent knees, and, finally, the floor on your toes."


Here's how to do a perfect push-up: From a face-down position, place your hands slightly wider than shoulder-width apart. Place your toes or knees on the floor, and try to create a perfect diagonal with your body, from the shoulders to the knees or feet. Keep the glutes [rear-end muscles] and abdominals engaged. Then lower and lift your body by bending and straightening your elbows, keeping your torso stable throughout.


There are always ways to make it harder, says Rufa. Once your form is perfect, try what he calls the "T-stabilization" push-up: Get into push-up position, then do your push-ups with one arm raised out to the side, balancing on the remaining three limbs without rotating your hips.

6. Abdominal Crunches.

Who doesn't want firm, flat abs? Experts say that when done correctly, the familiar crunch (along with its variations) is a good choice to target them.


For a standard crunch, says Cotton, begin lying on your back with feet flat on the floor and fingertips supporting your head. Press your low back down and begin the exercise by contracting abdominals and peeling first your head (tucking your chin slightly), then your neck, shoulders, and upper back off the floor.


Be careful not to pull your neck forward of the rest of your spine by sticking the chin out; don't hold your breath, and keep elbows out of your line of vision to keep chest and shoulders open.


For his part, Petersen teaches his clients to do crunches with their feet off the floor and knees bent. He says that with feet kept on the floor, many people tend to arch the back and engage the hip flexors.


"Crunches can be excellent, but if they're not done correctly, with the back arching, they can actually weaken the abdominals," Petersen says.


To work the obliques (the muscles on the sides of your waist), says Cotton, take the standard crunch and rotate the spine toward one side as you curl off the floor.


"Twist before you come up," he says. "It's really important that the twist comes first because then it's the obliques that are actually getting you up."


But keep in mind that you won't get a flat stomach with crunches alone, says Cotton. Burning belly fat requires the well-known formula: using up more calories than you take in.


"Crunches work the ab muscles; [they're] not to be mistaken as exercise that burns the fat over the abdominals," he says. "That's the biggest myth in exercise going."

7. Bent-over Row.

Talk about bang for the buck: This exercise works all the major muscles of the upper back, as well as the biceps.
Here's how to do it with good form. Stand with feet shoulder-width apart, then bend knees and flex forward at the hips. (If you have trouble doing this exercise standing up, support your weight by sitting on an incline bench, facing backward.) Tilt your pelvis slightly forward, engage the abdominals, and extend your upper spine to add support. Hold dumbbells or barbell beneath the shoulders with hands about shoulder-width apart. Flex your elbows, and lift both hands toward the sides of your body. Pause, then slowly lower hands to the starting position. (Beginners should perform the move without weights.)

Technique

These seven exercises are excellent, efficient choices, the experts say. But with just about any strength or resistance exercise, says Petersen, the question is not so much whether the exercise works as how well you execute.

"Done with good technique, all exercises do what they're supposed to do," says Petersen.

The trouble is that poor form can change the whole exercise, putting emphasis or even strain on different areas than intended. This can hurt, rather than help you.

So especially if you're a beginner, it's a good idea to seek the advice of a fitness trainer - whether it's a personal trainer or a trainer at your gym -- to be sure your form is safe and correct.

Tuesday, January 29, 2008

Steroids in Sports: Questions Answered (Man's health)


Steroids in Sports: Questions Answered
Get Answers to 16 Questions About Performance-Enhancing Drugs in Baseball and Other Sports

By Miranda Hitti WebMD Medical News
Reviewed by
Louise Chang, MD


Dec. 13, 2007 -- The Mitchell Report, released today, details the alleged use of performance-enhancing drugs including steroids and growth hormone in Major League Baseball.
The long-awaited report by former U.S. Sen. George Mitchell names names, but it doesn't show what the long-term effects of such drug use may be.


For answers to that and other questions about the use of steroids and other performance-enhancing drugs in sports, WebMD talked to John Morley, MD, professor of medicine and the acting director of the endocrinology division at St. Louis University and the St. Louis VA Medical Center.


(Will the Mitchell Report affect how you feel about
your baseball heroes? Discuss it on the Health Cafe message board.)

What are performance-enhancing drugs?


Performance-enhancing drugs come in many forms. Most people think of them as the anabolic hormones, which divide into the steroids (the testosterone-like products) and the growth-hormone-like products. In addition to that, we would include amphetamines as a performance-enhancing drugs, though I believe the Mitchell Report excluded amphetamines.


(Medical Editor's note: Anabolic steroids are different from corticosteroids, which are used to treat
rheumatoid arthritis, asthma, and other diseases.)

What do these drugs do for athletes?


It depends on which drug. Anabolic steroids build bulk very much; they put on extra muscles, so they make you bigger. So that's one piece.


But the other part of them, which is perhaps more important for a person who's perhaps a home-run hitter, is they improve visual-spatial function. Visual-spatial function means that the way you hit home runs is that you can wait long enough that you can commit a millionth of a second longer into your swing. If you do that, basically, you don't strike out all the time to change-ups.


Most home-run hitters are not necessarily bulky. It's nice if you are, but you don't have to be. You've got to basically have a great ability to wait that millionth of a second longer, and that's what anabolic steroids do for the hitters, as opposed to the pitchers or if you're looking at football players or athletes where you're trying to get an increase in strength, per se.


And what do they do for pitchers?


If you're using an anabolic steroid, you build strength. But many of the pitchers take with it growth hormone. The reason they use the growth hormone is growth hormone builds your muscle bulk out of proportion to your strength.


Now, if I'm going to be a pitcher and I'm going to throw, what I would like to be able to do is make the batter think that fundamentally, my ball is going to come slightly faster. In other words, the batter looks at your size, looks at the speed that you seem to be moving your arm, and makes a

calculation about how fast the ball will get there. This is all done sort of without thinking about it but that's what they do. And if I take growth hormone, my arm looks bigger, so the batter thinks the ball's going to get there faster and so therefore he commits a little earlier, so you're more likely to strike out.


edge?


You're not going to take somebody like me and make me, when I was younger, into a professional baseball player. This is somebody who's already there and you give them the 1% enhancement.


The best way to look at that is if you look at the world records for the 1 mile from 1880 through to the modern day. They improved by about 1% every four years. So if I can improve your

performance by 1%, I put you four years ahead of everybody else. So if you're not quite that good, I put you as good as everybody else. If you're really good, I put you four years ahead of where the rest of the people are going to be with modern training methods and so on.


Amphetamines do the same thing for focus.


What are some of the side effects for adult players?


This is the question. We don't really know. Obviously, people don't admit and we haven't been able to follow people taking steroids over a long period of time. The potential of liver damage is clearly one of those [risks], because steroids have a first pass through the liver. In addition ... there's a question of whether it would increase neoplastic disease [
cancer], either in the prostate or in other parts of the body.

If the use is relatively short-term, a couple of years, the effects may be minimal. Lots of sports players who've done this are turning up with diseases and problems.


We need some major, good studies looking at long-term effects within sport.


Amphetamines certainly create high-strung behaviors, bizarre behaviors, much more than any of the other drugs


In women, [steroids have] huge effects on hirsutism (excess hair) and effects on potential reproductive ability. Female athletes do it; they just seem to be less likely to be caught at the moment.


How widespread are these drugs among younger players?


We don't know. If I'm a young boy, or young girl for that matter, and I'm looking to be successful -- and when you're young, you really care about winning -- and when you see your heroes doing this, they become a role model. That's a very bad role model.


I think we've got a problem because as you go to younger kids, clearly this is not something you want to be doing and certainly, around puberty this could be a total disaster.


What are some of the side effects for younger players?


Younger players you can get alterations in growth, in particular. The other big potential effect is the effect on behaviors, the so-called "
roid rage."

How young are some players starting?


I think we've got people -- 12-, 13-, 14-year-olds -- who certainly see this as something that's worthwhile.


What would you want parents to keep an eye out for if they have a young athlete?


If they've got a young athlete and his muscles suddenly go up dramatically, that's probably the single best way to look for most of these drugs. Behavior changes in puberty -- all behavior changes don't mean they are taking drugs.


The big thing is if a person is suddenly bulking up. It doesn't come without working, as well. It's a combination of the person who starts to work out a lot but taking a steroid. Somebody whose performance goes up dramatically -- they were the sort of the middle of the pack and they're suddenly at the top. Now, this may be a normal growth spurt, but those sort of things, as a parent you've got to be suspicious that maybe your kid is doing something.


And if they do have those suspicions, what do they do?


You can go to the physician and have them tested for these drugs, just the same way as the sports authorities test for the drugs. Basically, the physician can send off tests for these drugs. I'm not saying that's what they should do, but I think that's what I would do if I felt it was important.


Do they drug-test young players in high school?


They usually don't. I think we're going to see more and more of this happening. The other group who don't [get tested] are the masters athletes, the people over 60. It's clearly something that stretches through all ages, into old age.


Are all performance-enhancing drugs illegal?


No. A number are very legitimate. We should not throw out the baby with the bath water.


How do you test for these drugs? Can you test for all of them?
The tests for growth hormone, at the moment, are very poor. The Olympic Committee is hoping that this year they will have an adequate test for growth hormone.


The tests for the others begin usually with a urine test looking for alterations in the urine testosterone ratio. All of them will affect that ratio. If that looks abnormal, the modern testing is now do to NMR scanning [nuclear magnetic resonance spectroscopy] and you can actually pick up the peaks, the abnormal peaks, of the different compounds. Most of those are known.


Where you can get away with it is if you have a compound that nobody actually knew existed.
We've got to recognize that there are a whole new set of ... pills that are being developed to help people in rehabilitation following surgery. And all of these are, quite honestly, much more powerful. They can be taken orally. They have less side effects, and my assumption is that now that most of the steroids are gone, that people are going to find a way to get growth hormone and the next thing you'll see is this large new class of drugs, these selective androgen receptor molecules [SARMs] -- will be used by the athletes. Many are in phase I and phase II trials


As for the tests for the things we can test for now, how accurate are those tests?


They are very, very accurate.


How do SARMs work?


Basically, they combine with either the testosterone or the dihydrotestosterone receptor and they activate it, but they do it by a nonsteroidal mechanism.


The other [class of drugs being developed] are the anti-myostatins.


Myostatin inhibits the growth of muscle and if you can block that, you will put on an extra 10% of muscle so you will bulk out pretty quickly, and there are drugs that are being developed by a number of companies now that are in phase I and phase II trials, and so that becomes yet another way to bulk people out.


There's a little boy in Germany who basically has a spontaneous myostatin deletion [a gene glitch] and he's extraordinarily strong at 5 years of age.


So all of these things are happening, and there's a very legitimate need to use these drugs if you get away from sport. For older people with disease, there's clearly a legitimate need to develop drugs that can strengthen you and allow you to function.


What else would you want to add about the topic?


We as a society have to decide what do we want out of our sports people. Do you want them to be superheroes? Is that what we really want, or do we just want to see people just playing to the best of their ability?


I think the public has spoken with their checkbooks. Over my lifetime, sports has gone from something that was not a huge moneymaker to an incredibly huge moneymaker. We're not paying to go watch the backyard players play anymore. We're paying to watch superstars and who are so much better than any of us. And there is a price to pay and it's going to come in performance-enhancing drugs.


I don't think that there's any belief that this hasn't been going on in every one of our professional sports over the last 20 years.


I would argue that this is not a new phenomenon. It's a new phenomenon for steroids
.