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Doctors MUST Prescribe Exercise For Better Health

One of the more popular articles I've posted about the benefits of exercise in recent years described a movement by some doctors to fight the onset of obesity and diabetes more safely, sanely and naturally by prescribing an individual physical fitness program for their patients.

For doctors who haven't the faintest clue about how to begin that process, however, a pair of family physicians from the University of Michigan have developed a practical guide to nudge their colleagues into working with their sedentary patients to prescribe an exercise program.

Data from the study may have been limited, but it didn't stop researchers from pointing out that their peers have a far greater responsibility in communicating the benefits of exercise, encouraging a greater amount of physical activity and taking a more active role in doing so.

The approaches vary from patient-centered collaborations with their doctors to helping patients form individualized exercise plans based on their skills and expertise, all of them designed to get people moving, because, as one researcher so brilliantly pointed out, Sitting still is making people sick.

For most of my life I have focused on endurance aerobic training. When I was competing in college, and for the next 15 years, I used to do interval training, but since I haven't competed for over 15 years, I stopped those workouts. However, I have become ever more impressed with the convincing evidence of the usefulness of this technique.

Now, I now only run once a week and do sprint training combined with pull-ups, dips, and singles tennis whenever I can find someone to play with. I just love tennis because it is, without question, the most fun I have when I exercise, and it gives a great opportunity to move in so many different directions.

This was motivated by Al Sears, MD who reawakened me to the value of interval training with his take on it which is called the P.A.C.E. program.

I also recently started Russian kettlebell training, which is also a very short high-intensity, interval-type activity. DragonDoor is the organization that introduced Russian kettlebells and is where you can find out more about them.

I, now, firmly believe that although endurance cardio training is important, it really needs to be part of a more comprehensive program that includes short bursts of activity at very high intensity that is individualized for your specific fitness level.

Journal of Clinical Outcomes Management, Vol. 14, No. 3, March 2007: 161-171

Diabetes Health April 26, 2007

Rocky Mountain News April 24, 2007




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Article's Comment     ( 12 Comments )
 
 
 +8 Points           
 
Author of the Article
BY Lloyd Fielder, D.C.   
  
[ Joined on 06/06 ]
[ Posted on May 11, 2007 ]
Post Reply
WOW!  Great article and what an awesome topic to really delve deeper into.  I think it is worth really getting into the semantics and words that we use in all of health and wellness and for most on this board I think using nutritional examples would be good.

Exercise is such a vague term that means many different things to many different people and the use of it can cause not only confusion but actually inhibit a person from taking the next step in health due to emotional distress.

Lets start with the concept of movement.  Movement would be analagous to Eating.  The opposite of movement is being sedentary and the opposite of eating is starving.  When we are sedentary for a majority of our day it is very much like starving physiologically since movement is absolutely a form of nutrition for our nervous system, especially our brain.  

As we know from Mercola.com there are different metabolic types and a spectrum of individuality that lay across those types which makes it an individual's responsability to discover what truly feeds them best.  The same holds true for movement and while kettle bell and vigorous activity resonate with some, a 20 minute walk might resonate with others.  The importance is to simply start to understand the body's massive need for movement and that not moving is actually starving yourself which leads to ill health and disease states.  

The additional point is that if the broad term of exercise is similar to that of eating, we know that you can eat and still not be nourished.  The same does go for movements that might fall under what we would call exercise.  The stimulus and activity levels and especially the forms and repititions while all "theoretically" should be great for a person might be detrimental to any one individual.  
 

 +6 Points           
 
Author of the Article
BY Cacao   
  
[ Joined on 03/07 ]
Author of the Article [ Posted on June 05, 2007 ]
 
When I was too young to have a car and too poor to own a bike I had to walk. I walked to work, school and play. I was in the best of heath.

For the past 10 years I've been driving a sports utility everywhere. It was a gas guzzler. Now that the gas prices have gone up, I sold my vehicle and now I walk almost everywhere. I had forgotten how wonderful walking was. Now my lower back is not hurting as much. My mind and body feels more invigorated. What a blessing!

            
 
Author of the Article
BY healthdog   
  
[ Joined on 06/07 ]
Author of the Article [ Posted on June 10, 2007 ]
 
I've read that exercise causes systematic damage. Based on the article I read on blindguru.com it said that exercise is not natural and for those that are trying to lose weight by exercising that this is the worst thing you can do.
Am I the only one that has read this that believes this? is this really accurate?

 
 +3 Points           
 
Author of the Article
BY Bob2   
  
[ Joined on 06/06 ]
[ Posted on May 11, 2007 ]
Post Reply
People tend to forget, if they ever knew in the first place, that one of the major benefits of physical movement is keeping the lymph system flowing. 

We hear a lot about the heart, blood, and arteries all the time.  But there is a complementary system to these components that circulates and filters the blood plasma proteins.  This is the lymph system.  About the only time it comes up as a topic is when someone succumbs to lymphoma or Hodgkins' Disease, a couple of the more nebulous cancers that frequently come unannounced.  The lymph system is a major, major component of the immune system (some would say it is the immune system).  This system has no pump and so normally requires regular bodily movement to keep it functioning well.

So, in addition to the added benefits of maintaining/reducing weight, building bone through load bearing activities, and flexing the heart and vascular system, keep in mind that one of the best things about ANY kind of regular motion, aerobic or not, is keeping the wastes down and immunity up by circulating lymph.


 
 +3 Points           
 
Author of the Article
BY Russ Bianchi   
  
[ Joined on 09/06 ]
[ Posted on May 11, 2007 ]
Post Reply
LSD (Long Slow Distance) and Interval regiments remain among the best options. But start gradually and build up over time.
 

 +3 Points           
 
Author of the Article