My Strong Medicine

The adventures of a male nurse navigating through life, staying fit, surviving the journey.

Posts Tagged ‘research’

Are quieter hospitals safer?

Posted by Sean on June 11, 2011

This was another retrospective study that can raise some eyebrows, but it doesn’t do a good job relating direct cause and effect. Still interesting to say the least.

Hip and knee replacement surgery is riskier in hospitals that carry out fewer operations, researchers have found. People are more likely to get blood clots or die at quieter hospitals, compared with hospitals that perform the operations regularly.

According to the American Academy of Orthopaedic Surgeons, around 800,000 hip and knee replacement surgeries are performed in the United States each year. A joint replacement can help people with severe arthritis move around more easily and have less pain, but it involves major surgery and things can sometimes go wrong.

In the study, which looked at the medical records of around 30,000 people, hospitals that performed more than 200 hip or knee replacements each year had better results. Patients treated in hospitals that performed fewer operations ran a higher risk of getting a blood clot or dying within a year of surgery.

In hospitals that performed 25 or fewer hip replacements a year, 4 in 100 people died within a year of their operation. In hospitals performing more than 200, the death rate was less than 1 in 100….

……

Hip and knee surgery riskier at quieter hospitals | Consumer Reports

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Vibrating your way to fitness??

Posted by Sean on February 12, 2011

Hmm.. I dunno about this one. The skeptic in me is laughing hysterically, but my professional skills are piqued.
There are intriguing applications to this ‘gimmick’, but I would agree with the commentary from Dr. Kraemer. There are many, many other ways of eliciting the same results without the use of this one singular machine.
Reverberation and perturbation techniques for ‘pre-hab’, joint mobility, body stabilization and performance selectivity have been around for decades. I just wonder if this ‘machine’ is just being promoted as a retail promo instead of good science.
As the fine doctor said, the research is slowly catching up.

Amplify’d from www.nytimes.com

Gimmick or Not, Vibrating Platforms Have Joined the Gym

The idea seems sort of silly, just another exercise gimmick. Stand for a few minutes on a platform that vibrates. Get off and try to do some weight lifting — squats, for example. Or try a short sprint. Or see how high you can jump. You are somehow supposed to be able to lift heavier weights, sprint faster, jump higher.

But maybe it’s not so silly, exercise physiologists say. Although they don’t really know why vibrations should work, researchers report that they actually seem to slightly improve performance in the few minutes after a person gets off the machine.

The problem, though, is that there is little consensus on how fast the vibrations should be or in what direction platforms are supposed to vibrate. Some studies have failed to show any effects from vibrations. And then there is the question of what exactly vibrations are doing to muscles and nerves.

“It certainly is intriguing, and a large portion of the evidence would support that something is happening,” said Lee E. Brown, director of the Center for Sports Performance at California State University, Fullerton. But he added, “We are still trying to figure out exactly what the mechanism is.”

Meanwhile, several companies make the vibrating platforms, and they are being used at gyms and by some athletes.

One company, Power Plate, proclaims that stars like Serena Williams and Justin Morneau, of the Minnesota Twins, train with its device. A testimonial for another company, Wave, says the United States ski and snowboard teams used its vibrating plates in training for the 2010 Winter Olympics.

But researchers are wary.

“There is something to it,” said William J. Kraemer, a professor of kinesiology at the University of Connecticut and the editor in chief of The Journal of Strength & Conditioning Research, calling it “another tool” for athletic conditioning. But he added that other conditioning methods might yield the same or better results.

“If you think of conditioning as a toolbox, there are lots of tools,” he said. “But when companies are selling something, they want to pretend that one tool does everything.”

Experts who have tried the platforms describe them in different ways. The sensation is nothing like using a jackhammer, said Hugh Lamont, a sports biomechanist at Eastern Tennessee State University. Most vibration plates move no more than 50 times a second and feel like the vibrations in a seat over the wheel hub on a bus, Dr. Lamont said.

Others say the vibrations remind them of downhill skiing — they get the same sort of the rattling in their legs and feet. For Jeffrey M. McBride, an associate professor of biomechanics who is director of the neuromuscular laboratory at Appalachian State University in Boone, N.C., the word that comes to mind is “weird.”

“You can feel your muscles contract,” he said. “It sort of fatigues you.”

But if there is an effect, the researchers said, it seems to be short-lived. People seem to be slightly faster sprinters immediately after standing on a platform. They also seem to be able to jump a bit higher. Vibrations also seem to help people warm up before more strenuous exercise.

“The effect wears off very quickly,” Dr. Brown said. “We are not talking about using this to play a 90-minute soccer match. One sprint and the effect would be gone. You’d play for one minute and still have 89 minutes to go.”

But it could make a difference, he said, if an athlete is about to try a penalty kick in soccer or swing a bat in baseball.

And Michael G. Bemben, chairman of exercise science at the University of Oklahoma, said that “one thought was if you were, say, a high jumper on your third trial in the Olympics and you are at 7 feet 2 inches and need to get to 7 feet 3, this might give you the power for that jump.”

Investigators say they can only guess why vibrations might improve performance. Their leading hypothesis is that it somehow mimics the effect of following a difficult task with an easier one — a simple technique that has been in use for years.

“If you pick up something heavy and then pick up something considerably lighter,” Dr. Lamont explained, “you might be able to throw the lighter weight farther.”

Or if you want to jump, he continued, you might first put a huge weight on a training rack, do a quarter squat, partway down, and then, for three to five seconds, try to push up and lift the weight. You would be doing an isometric contraction of your leg muscles. After that, you might jump higher.

But does it matter? Why not just warm up in the normal way, or do isometric contractions before jumping, or pick up a heavy weight before trying to throw a lighter one?

Or why not combine everything and do warm-ups on a vibrating platform, or try isometric contractions between periods of vibration?

Researchers have thought of that, and say they are investigating. Meanwhile, they say, people should be appropriately skeptical about the effects of standing on a vibrating platform.

“We don’t know a lot about prescribing it,” Dr. Kraemer said. “There’s the rub.”

And yet it is being used many times without an understanding of how to do it best or what the long-term training effects will be.

“Research,” Dr. Kraemer said, “is trying to catch up.”

Read more at www.nytimes.com

 

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'Where' You Are Heavy Is More Important Than 'How' Heavy You Are

Posted by Sean on August 27, 2010

It seems that where your adipose tissue is distributed throughout your body matters in the battle against the bulge. Your success or failure can be contributed to ‘where’ you are ‘fat’.
The long time question and comparison of why someone loses weight and the other doesn’t even though they weigh the same, look the same, etc, seems to be linked to ‘where’ the heaviest part of your body is (the most adipose tissue). Or a more blunt way of saying ‘where’ you are the fattest.
Abdominal fat is of course the ‘culprit’. Is anyone surprised?
More proof to support all the evidence and information out there about how detrimental abdominal fat is to your health.

Amplify’d from www.medicalnewstoday.com

Fat Distribution Plays A Role In Weight Loss Success In Patients At Risk Of Diabetes

Why is it that some people lose weight and body fat when they exercise and eat less and others don’t?
“Abdominal and liver fat are the two most important factors in predicting whether a lifestyle intervention will be successful.”
“The participants who improved their health status as a result of diet and exercise started out with lower baseline levels of abdominal and liver fat,” Machann said. “In our study, these two factors predetermined whether or not a lifestyle intervention would be successful for a particular individual.”
Read more at www.medicalnewstoday.com
 

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I Wonder….

Posted by Sean on September 1, 2009

question

Image source: The Technium

Obesity and central abdominal fat are related to calcification in the abdominal and coronary aorta, researchers report in the August 15th issue of the American Journal of Cardiology.

I wonder who in the world pays for these studies? How do we fund such research, when common sense is free?

Sorry. Was that my outside voice?

Abdominal Fat Linked to Aortic Calcification.

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Do We HAVE To Have A ‘Scapegoat’ Answer For Obesity?

Posted by Sean on May 16, 2009

Why must we continue to dissect and study the ‘WHY’ of obesity? Whether in children or adults, obesity is obesity in my humble opinion.

The last time I checked obesity is due to consuming more calories than you burn off. Plain and simple.

Yep, there are ‘Ga-Zillion’ other contributing factors involved that can help or hinder your likelihood of being obese. Everything from family history to the environment. But let’s get serious here. Your obesity is not someone or something else’s fault. You are the one that sticks the food in your mouth (consume calories). You are the one that ‘moves’ (burns calories).

No one else.

So why are we still researching the ‘WHY’?

We all know why, we just don’t like the answer.

Carpe Diem

Posted in fitness | Tagged: | 12 Comments »

 
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