:: Jun-Jul 2008

Welcome to our Monthly Online Newsletter!

Highlighted Article

Regular Walking Protects The Masai -- Who Eat High Fat Diet -- From Cardiovascular Disease “Scientists have long been puzzled by how the Masai can avoid cardiovascular disease despite having a diet rich in animal fats. Researchers at Karolinska Institutet believe that their secret is in their regular walking.”

Clinical Guidelines

AHRQ - Effectiveness of Behavioral Interventions to Modify Physical Activity Behaviors in General Populations and Cancer Patients and Survivors (2004)

NGC - Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease. (2003)

NGC - Initiating exercise in adults with chronic illnesses. (2004)

NGC - Physical activity and exercise recommendations for stroke survivors. (2004)

NGC - Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. (2007)

NGC - Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. (2007)

NGC - Physical activity in the prevention, treatment and rehabilitation of diseases.] (2004)

NGC - Physical activity/exercise and diabetes. (2004)

NGC - Progressive resistance training. (2004)

Internet Sites

Featured site

NIH - Benefits of Exercise

NIH - Exercise and Physical Fitness

NIH - Exercise for Children

NIH - Exercise for Seniors

NIH - Exercise/Physical Fitness

NIH - Tai Chi for Health Purposes

Related Topics - Highlighted Articles

Sports and Injury Prevention

Common Overuse Tendon Problems: A Review and Recommendations for Treatment (Am Fam Physician 2005) "Tendon injury may be secondary to acute trauma (e.g., rupture, laceration) or repetitive loading (e.g., overuse injury). The latter is the focus of this article and is the most common type of tendon problem seen by family physicians. Overuse injuries, including tendinopathies, account for nearly 7 percent of all injury-related physician office visits in the United States. Ä Most patients with overuse tendinopathies (about 80 percent) fully recover within three to six months, and outpatient treatment should consist of relative rest of the affected area, icing, and eccentric strengthening exercises. Although topical and systemic nonsteroidal anti-inflammatory drugs are effective for acute pain relief, these cannot be recommended in favor of other analgesics. Injected corticosteroids also can relieve pain, but these drugs should be used with caution. Ultrasonography, shock wave therapy, orthotics, massage, and technique modification are treatment options, but few data exist to support their use at this time. Surgery is an effective treatment that should be reserved for patients who have failed conservative therapy."

Cardiovascular

Can Adoption of Regular Exercise Later in Life Prevent Metabolic Risk for Cardiovascular Disease? (Diabetes Care 2005) "OBJECTIVEãTo determine the impact of chronic exercise training initiated later in life upon development of metabolic markers of cardiovascular disease risk. CONCLUSIONSãHigher fitness achieved over 10 years of regular exercise training in older adults was associated with reduced development of metabolic risk factors for cardiovascular disease, fewer exercise-induced cardiac abnormalities, and reduced comorbidity."

In this newsletter:

General Information

	General Information
Aerobic Interval Training Versus Continuous Moderate Exercise as a Treatment for the Metabolic Syndrome. A Pilot Study (Circulation 2008) “Conclusions—Exercise intensity was an important factor for improving aerobic capacity and reversing the risk factors of the metabolic syndrome. These findings may have important implications for exercise training in rehabilitation programs and future studies.” Association between muscular strength and mortality in men: prospective cohort study. (BMJ. 2008) “CONCLUSION: Muscular strength is inversely and independently associated with death from all causes and cancer in men, even after adjusting for cardiorespiratory fitness and other potential confounders.” Interactive soccer, tennis and golf - idle entertainments, or are they actually good exercise? UK researchers put them through their paces. Physical Activity and Insulin Sensitivity. The RISC Study. (Diabetes. 2008) “Conclusions: Accumulated daily physical activity is a major determinant of insulin sensitivity. Neither time spent sedentary, in light-activity, nor bouts of moderate or vigorous activity impacted on insulin sensitivity independently of total activity.” Rethinking Daily Exercise: Less Regular, High-Intensity Intervals May Be Best Bet for Metabolic Syndrome “According to the Norwegian investigators who tested two different exercise regimens, high-intensity exercise actually reversed most of the risk factors associated with metabolic syndrome; after just 16 weeks of the exercise program, almost half the patients enrolled in this arm of the trial no longer had metabolic syndrome, without making any changes to their diets. Less impressive gains were seen with consistent, moderate exercise.”