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Tuesday, June 24, 2014
UPRISING PROMOTIONS ADDS THREE TALENTED FIGHTERS TO STABLE
When Is Exercise an Addiction or Healthy Lifestyle Choice?
When Is Exercise an Addiction or Healthy Lifestyle Choice?
CHICAGO, IL–(Marketwired – June 19, 2014) – Exercising on a regular basis is beneficial. It contributes to health and disease prevention and has a positive effect on mental and physical well-being for all age groups. There are instances, however, where exercise becomes an addiction.
“Exercise addiction is a process addiction in which a person engages in compulsive, mood-altering behaviors with the intention of avoiding painful feelings,” said Kim Dennis, MD, CEO and medical director of Timberline Knolls Residential Treatment Center. “Those addicted to exercise chase the ‘high,’ and this behavior ultimately becomes unmanageable and destructive.”
The prevalence of exercise addiction in the general population is close to three percent, but is higher among ultra-marathon runners and sport science students. Exercise addiction also tends to cluster with food disorders, caffeine use, and shopping. Work addiction is also another co-occurring disorder.
Dr. Dennis adds certain criteria must be met for a behavior to be considered an addiction. Those include:
“As with many addictions, dependence on exercise can start innocently,” adds Dr. Dennis. “The individual often receives validation or reinforcement for exercising. Once an individual is hooked, a need to achieve the euphoric state eclipses all else. Work, family, and social life frequently take a back seat to the necessity of exercising. If deprived, we see withdrawal symptoms just like you would with any other addiction.”
Treatment is available and recovery from exercise addiction is possible. In time, reasonable, healthy and beneficial exercise can be reintroduced as part of a balanced life.
About Timberline Knolls:
Timberline Knolls is a leading private residential treatment center for women and adolescent girls (ages 12 – 65+) with eating disorders, substance abuse, trauma, mood and co-occurring disorders. Located in suburban Chicago, residents receive excellent clinical care from a highly trained professional staff on a picturesque 43-acre wooded campus. Women and families seeking Christian treatment can opt for specialized Christian-based therapy.
“Exercise addiction is a process addiction in which a person engages in compulsive, mood-altering behaviors with the intention of avoiding painful feelings,” said Kim Dennis, MD, CEO and medical director of Timberline Knolls Residential Treatment Center. “Those addicted to exercise chase the ‘high,’ and this behavior ultimately becomes unmanageable and destructive.”
The prevalence of exercise addiction in the general population is close to three percent, but is higher among ultra-marathon runners and sport science students. Exercise addiction also tends to cluster with food disorders, caffeine use, and shopping. Work addiction is also another co-occurring disorder.
Dr. Dennis adds certain criteria must be met for a behavior to be considered an addiction. Those include:
- Tolerance: increasing the amount to feel the desired effect
- Withdrawal: negative effects such as anxiety, irritability, restlessness, and sleep problems, when exercise is stopped
- Lack of control: attempts to reduce exercise fail
- Intention: unable to adhere to intended routine
- Time: a great deal of time is spent preparing for, engaging in, and recovering from exercise
- Reduction in other activities: social, occupational, and/or recreational activities are reduced
- Continuance: continuing despite negative physical, psychological, and/or interpersonal consequences
“As with many addictions, dependence on exercise can start innocently,” adds Dr. Dennis. “The individual often receives validation or reinforcement for exercising. Once an individual is hooked, a need to achieve the euphoric state eclipses all else. Work, family, and social life frequently take a back seat to the necessity of exercising. If deprived, we see withdrawal symptoms just like you would with any other addiction.”
About Timberline Knolls:
Timberline Knolls is a leading private residential treatment center for women and adolescent girls (ages 12 – 65+) with eating disorders, substance abuse, trauma, mood and co-occurring disorders. Located in suburban Chicago, residents receive excellent clinical care from a highly trained professional staff on a picturesque 43-acre wooded campus. Women and families seeking Christian treatment can opt for specialized Christian-based therapy.
Dance may be an effective strategy to implement physical activity in motivated subjects with type 2 diabetes or obesity
Posted on June 22, 2014 by Stone Hearth News
A standard ballroom and Latin dance program to improve fitness and adherence to physical activity in individuals with type 2 diabetes and in obesity
Felice Mangeri, Luca Montesi, Gabriele Forlani, Riccardo Dalle Grave and Giulio Marchesini Diabetology & Metabolic Syndrome 2014, 6:74 doi:10.1186/1758-5996-6-74 Published: 22 June 2014
Abstract (provisional)
Objective
To test the effectiveness of a dance program to improve fitness and adherence to physical activity in subjects with type 2 diabetes and obesity.
Research Design and Methods
Following a motivational interviewing session, 100 subjects with diabetes and/or obesity were enrolled either in a dance program (DP, n = 42) or in a self-selected physical activity program (SSP, n = 58), according to their preferences. Outcome measures were reduced BMI/waist circumference, improved metabolic control in type 2 diabetes (-0.3% reduction of HbA1c) and improved fitness (activity expenditure >10 MET-hour/week; 10% increase in 6-min walk test (6MWT)). Target achievement was tested at 3 and 6 months, after adjustment for baseline data (propensity score).
Results
Attrition was lower in DP. Both programs significantly decreased body weight (on average, -2.6 kg; P < 0.001) and waist circumference (DP, -3.2 cm; SSP, -2.2; P < 0.01) at 3 months, and the results were maintained at 6 months. In DP, the activity-related energy expenditure averaged 13.5 +/- 1.8 MET-hour/week in the first three months and 14.1 +/- 3.0 in the second three-month period. In SSP, activity energy expenditure was higher but highly variable in the first three-month period (16.5 +/- 13.9 MET-hour/week), and decreased in the following three months (14.2 +/- 12.3; P vs. first period < 0.001). At three months, no differences in target achievement were observed between groups. After six months the odds to attain the MET, 6MWT and A1c targets were all significantly associated with DP.
Conclusion
Dance may be an effective strategy to implement physical activity in motivated subjects with type 2 diabetes or obesity (Clinical trial reg. no. NCT02021890, clinicaltrials.gov)
Source - See more at: http://www.stonehearthnewsletters.com/dance-may-effective-strategy-implement-physical-activity-motivated-subjects-type-2-diabetes-obesity/dance/#sthash.Yr9cL4Rk.dpuf
A standard ballroom and Latin dance program to improve fitness and adherence to physical activity in individuals with type 2 diabetes and in obesity
Felice Mangeri, Luca Montesi, Gabriele Forlani, Riccardo Dalle Grave and Giulio Marchesini Diabetology & Metabolic Syndrome 2014, 6:74 doi:10.1186/1758-5996-6-74 Published: 22 June 2014
Abstract (provisional)
Objective
To test the effectiveness of a dance program to improve fitness and adherence to physical activity in subjects with type 2 diabetes and obesity.
Research Design and Methods
Following a motivational interviewing session, 100 subjects with diabetes and/or obesity were enrolled either in a dance program (DP, n = 42) or in a self-selected physical activity program (SSP, n = 58), according to their preferences. Outcome measures were reduced BMI/waist circumference, improved metabolic control in type 2 diabetes (-0.3% reduction of HbA1c) and improved fitness (activity expenditure >10 MET-hour/week; 10% increase in 6-min walk test (6MWT)). Target achievement was tested at 3 and 6 months, after adjustment for baseline data (propensity score).
Results
Attrition was lower in DP. Both programs significantly decreased body weight (on average, -2.6 kg; P < 0.001) and waist circumference (DP, -3.2 cm; SSP, -2.2; P < 0.01) at 3 months, and the results were maintained at 6 months. In DP, the activity-related energy expenditure averaged 13.5 +/- 1.8 MET-hour/week in the first three months and 14.1 +/- 3.0 in the second three-month period. In SSP, activity energy expenditure was higher but highly variable in the first three-month period (16.5 +/- 13.9 MET-hour/week), and decreased in the following three months (14.2 +/- 12.3; P vs. first period < 0.001). At three months, no differences in target achievement were observed between groups. After six months the odds to attain the MET, 6MWT and A1c targets were all significantly associated with DP.
Conclusion
Dance may be an effective strategy to implement physical activity in motivated subjects with type 2 diabetes or obesity (Clinical trial reg. no. NCT02021890, clinicaltrials.gov)
Source - See more at: http://www.stonehearthnewsletters.com/dance-may-effective-strategy-implement-physical-activity-motivated-subjects-type-2-diabetes-obesity/dance/#sthash.Yr9cL4Rk.dpuf
Monday, June 16, 2014
For peripheral neuropathy, balance training appears to be the most effective exercise intervention
Posted on June 15, 2014 by Stone Hearth News
Sports Med. 2014 Jun 14. [Epub ahead of print]
Exercise Intervention Studies in Patients with Peripheral Neuropathy: A Systematic Review.
Streckmann F1, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P, Gollhofer A, Bloch W, Baumann FT. Author information 1Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany, f.streckmann@dshs-koeln.de.
Abstract
INTRODUCTION:
Peripheral neuropathies (PNPs) encompass a large group of disorders of heterogeneous origin which can manifest themselves with sensory and/or motor deficits depending on the predominantly affected nerve fiber modality. It represents a highly prevalent disease group which can be associated with significant disability and poor recovery. Exercise has the potential to improve side effects of PNP.
OBJECTIVE:
Our objective in this systematic review was to analyze exercise interventions for neuropathic patients in order to evaluate the possible benefits of exercise.
METHODS:
Three independent reviewers used PubMed, MEDPILOT® (MEDLINE), Cochrane, and relevant reference lists to obtain the data. Relevant studies were graded according to the Oxford Levels of Evidence.
RESULTS:
Eighteen studies (ten randomized controlled trials and eight controlled clinical trials) met all inclusion criteria. Three (diabetic) studies were ranked very high quality [1b (A)], nine high quality (four diabetes, one cancer, four others) [2b (B)], while six (four diabetes, two others) showed low quality (4/C). Current data suggests that exercise is a feasible, safe, and promising supportive measure for neuropathic patients. This is best documented for patients with diabetic peripheral neuropathy (DPN), suggesting that endurance training has the potential to prevent the onset of and reduce the progression of DPN. In general, balance exercises showed the highest effect on the motor as well as sensory symptoms in all types of PNP.
CONCLUSION:
Overall, balance training appears to be the most effective exercise intervention. Studies focusing exclusively on strength, or a combination of endurance and strength, appear to have a lower impact. For metabolically-induced neuropathies, endurance training also plays an important role. Further research with high methodological quality needs to be conducted in order to establish evidence-based clinical recommendations for neuropathic patients.
Source
Sports Med. 2014 Jun 14. [Epub ahead of print]
Exercise Intervention Studies in Patients with Peripheral Neuropathy: A Systematic Review.
Streckmann F1, Zopf EM, Lehmann HC, May K, Rizza J, Zimmer P, Gollhofer A, Bloch W, Baumann FT. Author information 1Institute of Cardiovascular Research and Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany, f.streckmann@dshs-koeln.de.
Abstract
INTRODUCTION:
Peripheral neuropathies (PNPs) encompass a large group of disorders of heterogeneous origin which can manifest themselves with sensory and/or motor deficits depending on the predominantly affected nerve fiber modality. It represents a highly prevalent disease group which can be associated with significant disability and poor recovery. Exercise has the potential to improve side effects of PNP.
OBJECTIVE:
Our objective in this systematic review was to analyze exercise interventions for neuropathic patients in order to evaluate the possible benefits of exercise.
METHODS:
Three independent reviewers used PubMed, MEDPILOT® (MEDLINE), Cochrane, and relevant reference lists to obtain the data. Relevant studies were graded according to the Oxford Levels of Evidence.
RESULTS:
Eighteen studies (ten randomized controlled trials and eight controlled clinical trials) met all inclusion criteria. Three (diabetic) studies were ranked very high quality [1b (A)], nine high quality (four diabetes, one cancer, four others) [2b (B)], while six (four diabetes, two others) showed low quality (4/C). Current data suggests that exercise is a feasible, safe, and promising supportive measure for neuropathic patients. This is best documented for patients with diabetic peripheral neuropathy (DPN), suggesting that endurance training has the potential to prevent the onset of and reduce the progression of DPN. In general, balance exercises showed the highest effect on the motor as well as sensory symptoms in all types of PNP.
CONCLUSION:
Overall, balance training appears to be the most effective exercise intervention. Studies focusing exclusively on strength, or a combination of endurance and strength, appear to have a lower impact. For metabolically-induced neuropathies, endurance training also plays an important role. Further research with high methodological quality needs to be conducted in order to establish evidence-based clinical recommendations for neuropathic patients.
Source
Saturday, June 7, 2014
Treating Parkinson’s with Acupuncture
Treating Parkinson’s with Acupuncture
May 1, 2012 by Leave a Comment
In some of the newest studies, research shows that acupuncture has an antioxidant effect in the treatment of Parkinson’s. Increasing evidence shows that oxidative stress contributes to the progression of the disease. And the new research shows that 100 Hz electroacupuncture applied to certain acupuncture points has a neuroprotective effect on the brain because electroacupuncture is antioxidant. This information comes from collaborative studies including contributions from Xibin Liang, a researcher from the Department of Neurology and Neurological Sciences at Stanford University in Stanford, California.Researchers determined that stimulation of specific acupuncture points with electroacupuncture protects the brain by creating antioxidative and antiapoptosis (the process of programmed cell death that may occur in multicellular organisms) effects. The electroacupuncture protected the substantia nigra, a part of the mid-brain. The substantia nigra is an important part of the brain in controlling movement. Parkinson’s is caused by the deterioration of dopaminergic neurons in the substantia nigra. The substantia nigra supplies the area of the brain involved with motor action with dopamine. Dopamine is an essential nutrient for the brain and has neurotransmitter functions, it is also a precursor for norepinephrine and epinephrine.
IN SWALLOWING: Recently, research published in the Journal of Traditional Chinese Medicine concluded that acupuncture has potential “therapeutic effects and long-term efficacy for neurogenic dysphagia.” Dysphagia is a medical term for difficulty with swallowing. Neurological dysphagia is due to disorders of the nervous system such as Parkinson’s. Signs and symptoms include difficulty with food control in the mouth, difficulty initiating swallowing, choking, coughing, nasal regurgitation and a feeling of food getting stuck in the throat.The research indicated that patients receiving acupuncture responded significantly better, having better levels of food and fluid consistencies. The researchers suggest more studies of a larger sample size to confirm the results of this study.
IN RESTORING DIGESTION: These new studies find that acupuncture relieves digestive impairment due to stress. This finding suggests that acupuncture is an effective modality for the treatment of functional dyspepsia (indigestion). Dyspepsia usually involves pain of the upper abdomen, bloating and sometimes nausea, heartburn and belching. Dyspepsia is also linked to GERD, gastroesophageal reflux disease.
In Eastern philosophy, yin and yang balance in the body, resulting in good health. When disease encroaches, it is a result of an imbalance between these two energies.
One effective treatment for restoring health seems to be acupuncture. The Western medical community is trying to put the philosophy to the test. Among the test subjects are people with Parkinson’s, and among the methodologies is acupuncture — the practice of sticking needles into certain locations on the body at varying depths. The sensation of needle insertion is said to resemble a mosquito bite. Acupuncture is generally divided into a series of sessions of about 30 minutes each.
In China, acupuncture is common. Acupuncture has provided relief from the tremors of Parkinson’s for many.
Currently in the Parkinson’s Resource Organization WELLNESS VILLAGE, Dr. David Shirazi ParkinsonsResource.org/spotlight/2769/ is, among others, in the category of Acupuncture. Dr. Shirazi graduated from Howard University College of Dentistry, in Washington D.C. and earned a Master’s degree in Oriental Medicine from Samra University. He has completed over 2000 hours of continuing education in TMD and facial pain, craniomandibular orthopedics, and sleep disordered breathing.
He has also completed a hospital mini-residency in oriental medicine at the China Beijing International Acupuncture Training Centre which is the only organization the World Health Organization (WHO) has authorized to teach internationally on acupuncture and herbology, and another at Kyung Hee University and Medical Center, the top medical hospital and medical school in Korea.
7 things happy people do every day (#1 is exercise)
Posted on June 6, 2014 by Stone Hearth News
About one-third of the U.S. population describes itself as “very happy,” according to the polling agency Harris Interactive–a higher number than I think many of us might expect.
These are the people in your office who are upbeat and eager no matter what unexpected challenges come their way, and the ones who seem to get genuinely excited over the smallest opportunities and kindnesses. They’re the folks in your social circles who endure hardship with smiles on their faces and who seem hard-wired always to look on the bright side.
Studies show that half of happiness is determined by genetics, and a little under 40 percent is governed by the impact of external events. You own the 12 percent of the package that’s left, however, and it turns out that the choices you make within that sliver make all the difference between being happy or not. Happier people realize this, and as a result they make seven key choices every day.
More - See more at: http://www.stonehearthnewsletters.com/7-things-happy-people-every-day-1-exercise/exercise/#sthash.t95IEGyN.dpuf
About one-third of the U.S. population describes itself as “very happy,” according to the polling agency Harris Interactive–a higher number than I think many of us might expect.
These are the people in your office who are upbeat and eager no matter what unexpected challenges come their way, and the ones who seem to get genuinely excited over the smallest opportunities and kindnesses. They’re the folks in your social circles who endure hardship with smiles on their faces and who seem hard-wired always to look on the bright side.
Studies show that half of happiness is determined by genetics, and a little under 40 percent is governed by the impact of external events. You own the 12 percent of the package that’s left, however, and it turns out that the choices you make within that sliver make all the difference between being happy or not. Happier people realize this, and as a result they make seven key choices every day.
1. They choose to exercise.
There are many happy people who aren’t in great physical shape, so how does this make sense? The explanation is that you need only seven minutes of exercise a day if you’re exercising for the sake of happiness. That’s enough to make your body release endorphins, the neurotransmitters responsible for that famous “runner’s high.”More - See more at: http://www.stonehearthnewsletters.com/7-things-happy-people-every-day-1-exercise/exercise/#sthash.t95IEGyN.dpuf
Caffeine before exercise can increase post-exercise energy expenditure: new study
Posted on June 7, 2014 by Stone Hearth News
Int J Sport Nutr Exerc Metab. 2014 Jun 5. [Epub ahead of print]
Ingestion of a Moderately-High Caffeine Dose Before Exercise Increases Post-Exercise Energy Expenditure.
Fernández-Elías VE1, Del Coso J, Hamouti N, Ortega JF, Muñoz G, Muñoz-Guerra J, Mora-Rodríguez R.
Author information
1Exercise Physiology Laboratory, University of Castilla-La Mancha, Toledo, Spain.
Abstract
Caffeine is an ergogenic aid widely used prior to and during prolonged exercise. Due to its prolonged biological half-life caffeine effects could remain after exercise. We aimed to investigate the metabolic, respiratory and cardiovascular post-exercise responses to pre-exercise graded caffeine ingestion. Twelve aerobically trained subjects (mean VO2max = 54 ± 7 mL · min-1 · kg-1) cycled for 60-min at 75% VO2max after ingesting placebo (0 mg of caffeine per kg of body weight) or 0.5, 1.5, 3.0 and 4.5 mg · kg-1 on five occasions. During the 3 hours post-exercise, heart rate, blood pressure, glucose, lactate and fatty acids were analyzed. None of these variables were statistically affected by pre-exercise caffeine ingestion between 0.5 and 4.5 mg · kg-1. However, ingestion of 4.5 mg · kg-1 of caffeine raised post-exercise energy expenditure 15 % above placebo (233 ± 58 vs. 202 ± 49 kcal/3 hours; P < 0.05). Ventilation and tidal volume were elevated after the 4.5 mg·kg-1 caffeine dose above placebo (9.2 ± 2.5 L · min-1 and 0.67 ± 0.29 L · breath-1 vs. 7.8 ± 1.5 L · min-1 and 0.56 ± 0.20 L · breath-1, respectively; P < 0.05). Ventilation correlated with tidal volume (r = 0.45; P < 0.05) and energy expenditure (r = 0.72; P < 0.05). In summary, pre-exercise ingestion of ergogenic caffeine doses do not alter post-exercise cardiovascular responses. However, ingestion of 4.5 mg · kg-1 of caffeine raises 3 h post-exercise energy expenditure (i.e., 31 kcal) likely through increased energy cost of ventilation.
Source - See more at: http://www.stonehearthnewsletters.com/caffeine-exercise-can-increase-post-exercise-energy-expenditure-new-study/exercise-capacity/#sthash.HuYI9xY5.dpuf
Int J Sport Nutr Exerc Metab. 2014 Jun 5. [Epub ahead of print]
Ingestion of a Moderately-High Caffeine Dose Before Exercise Increases Post-Exercise Energy Expenditure.
Fernández-Elías VE1, Del Coso J, Hamouti N, Ortega JF, Muñoz G, Muñoz-Guerra J, Mora-Rodríguez R.
Author information
1Exercise Physiology Laboratory, University of Castilla-La Mancha, Toledo, Spain.
Abstract
Caffeine is an ergogenic aid widely used prior to and during prolonged exercise. Due to its prolonged biological half-life caffeine effects could remain after exercise. We aimed to investigate the metabolic, respiratory and cardiovascular post-exercise responses to pre-exercise graded caffeine ingestion. Twelve aerobically trained subjects (mean VO2max = 54 ± 7 mL · min-1 · kg-1) cycled for 60-min at 75% VO2max after ingesting placebo (0 mg of caffeine per kg of body weight) or 0.5, 1.5, 3.0 and 4.5 mg · kg-1 on five occasions. During the 3 hours post-exercise, heart rate, blood pressure, glucose, lactate and fatty acids were analyzed. None of these variables were statistically affected by pre-exercise caffeine ingestion between 0.5 and 4.5 mg · kg-1. However, ingestion of 4.5 mg · kg-1 of caffeine raised post-exercise energy expenditure 15 % above placebo (233 ± 58 vs. 202 ± 49 kcal/3 hours; P < 0.05). Ventilation and tidal volume were elevated after the 4.5 mg·kg-1 caffeine dose above placebo (9.2 ± 2.5 L · min-1 and 0.67 ± 0.29 L · breath-1 vs. 7.8 ± 1.5 L · min-1 and 0.56 ± 0.20 L · breath-1, respectively; P < 0.05). Ventilation correlated with tidal volume (r = 0.45; P < 0.05) and energy expenditure (r = 0.72; P < 0.05). In summary, pre-exercise ingestion of ergogenic caffeine doses do not alter post-exercise cardiovascular responses. However, ingestion of 4.5 mg · kg-1 of caffeine raises 3 h post-exercise energy expenditure (i.e., 31 kcal) likely through increased energy cost of ventilation.
Source - See more at: http://www.stonehearthnewsletters.com/caffeine-exercise-can-increase-post-exercise-energy-expenditure-new-study/exercise-capacity/#sthash.HuYI9xY5.dpuf
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