Physical Training – TED & 99u talks

Lissa Rankin, MD: Is Medicine Killing You?

Lissa Rankin, MD: Shocking Truth About Your Health

Charles Duhigg: The Power of Habit

Al Switzler: Use Skillpower Over Willpower

Simon Sinek: Why Leaders Eat Last

7 thoughts on “Physical Training – TED & 99u talks

  1. MGrodski Post author

    Based on the research studies published in the British Journal of Sports Medicine (two study abstracts are posted below) there is a perception problem if athletes (and especially parents and coaches of age group athletes) believe that: ‘ANY and ALL training and competition is synonymous with health/being healthy.’

    It can be, but it can equally be harmful, deleterious, and unhealthy if an athlete is training in opposition to their body. In fact, health is absolutely NOT synonymous with a reliance by athletes on NSAIDs (non steroidal anti-inflammatories) and/or pain medication in order to train and/or compete.

    No aspect of healthy involves silencing, deadening, or numbing the normal sensations body tissues provide as feedback to the stresses placed on them. In fact, these sensations are critical to athletes seeking peak performance because they are the parameters ensuring that training is performed with respect for the body. Only by listening to the body, heeding its messages and working with it can health be obtained, true fitness success achieved, and consistent peak performance delivered.

    To imply that training for a competition, or participating in an event is healthy irrespective of ‘how’ the athlete trained or competed perverts the definition of healthy, and places inappropriate expectations on athletes.

    Research has shown that NSAID use may inhibit the normal and natural healing processes of the body resulting in weakened tissue. Athletes attempting to bypass the inflammatory stages of normal healing processes in order to be able to continue training/competing may be able to do so by using over the counter or prescribed medications, but it comes at the cost of damaged tissues not given the opportunity to heal, rebuild, and strengthen.

    If the entire purpose of training is to stress tissue so that it rebuilds ‘stronger’, then athletes using pain meds and/or NSAIDs must seriously ask themselves what exactly are they attempting to achieve? How can anyone expect to ever improve if each time the body needs to heal the process is cut-off? This is especially critical amongst age group athletes as they are still in their primary growth phases – physical, mental, and emotional – and in the process of defining for themselves what is healthy active living and healthy participation in competitive sport.

    What is the goal? Is it to teach healthy living and healthy pursuit of personal development? Or is it to feed the ego of the athlete or coach? Or to keep the pain of fear and failure repressed (i.e. those of the athletes, their parents, or of the coach)? Any coach recommending medication so that an athlete can push through a workout or a competition – especially amateur athletes – needs to seriously reconsider their philosophy and coaching perspective.

  2. MGrodski Post author

    British Journal of Sports Medicine
    Use of NSAIDs in triathletes: prevalence, level of awareness and reasons for use

    T Gorski, E Lusa Cadore, S Santana Pinto, E Marczwski da Silva, C Silva Correa, F Gabe Beltrami, L F Martins Kruel
    Published Online First 6 August 2009

    To determine the level of awareness regarding nonsteroidal anti-inflammatory drugs (NSAIDs) and the prevalence and reasons for their consumption among athletes competing at the 2008 Brazil Ironman Triathlon (3.8 km swim, 180 km cycle and 42.2 km run).

    2008 Brazil Ironman Triathlon, Florianópolis, Brazil, May 2008.

    327 of the 1250 athletes competing at the 2008 Brazil Ironman Triathlon were enrolled in the study.

    Main Outcome Measures
    Athletes answered a questionnaire about NSAID effects, side effects and consumption at the bike checkout or awards lunch.

    196 (59.9%) Athletes reported using NSAIDs in the previous 3 months; of these, 25.5% (n=50), 17.9% (n=35) and 47.4% (n=93) consumed NSAIDs the day before, immediately before and during the race, respectively. Among NSAID users, 48.5% (n=95) consumed them without medical prescription. The main reason given for NSAID consumption in the previous 3 months was the treatment of injuries, while the main reason given for consuming NSAIDs during the race was pain prevention. Despite anti-inflammatory and analgesic effects, most athletes were unaware of the effects of NSAIDs, and the only adverse effects known by most athletes were the gastrointestinal complications.

    This study found a high prevalence of NSAID consumption, limited awareness of the effects and side effects of them and a high rate of nonprescribed use. It is suggested that long-distance triathlon events include in their programmes educational devices such as talks or folders about NSAID use, effects and side effects.

  3. MGrodski Post author

    British Medicine Journal
    Consumption of analgesics before a marathon and the incidence of cardiovascular, gastrointestinal and renal problems: a cohort study

    Michael Küster, Bertold Renner, Pascal Oppel, Ursula Niederweis, Kay Brune
    Published 19 April 2013

    To prevent pain inhibiting their performance, many athletes ingest over-the-counter (OTC) analgesics before competing. We aimed at defining the use of analgesics and the relation between OTC analgesic use/dose and adverse events (AEs) during and after the race, a relation that has not been investigated to date.

    The Bonn Marathon 2010.

    3913 of 7048 participants in the Bonn marathon 2010 returned their questionnaires.

    Primary and secondary outcomes Intensity of analgesic consumption before sports; incidence of AEs in the cohort of analgesic users as compared to non-users.

    There was no significant difference between the premature race withdrawal rate in the analgesics cohort and the cohort who did not take analgesics (‘controls’). However, race withdrawal because of gastrointestinal AEs was significantly more frequent in the analgesics cohort than in the control. Conversely, withdrawal because of muscle cramps was rare, but it was significantly more frequent in controls. The analgesics cohort had an almost 5 times higher incidence of AEs (overall risk difference of 13%). This incidence increased significantly with increasing analgesic dose. Nine respondents reported temporary hospital admittance: three for temporary kidney failure (post-ibuprofen ingestion), four with bleeds (post-aspirin ingestion) and two cardiac infarctions (post-aspirin ingestion). None of the control reported hospital admittance.

    The use of analgesics before participating in endurance sports may cause many potentially serious, unwanted AEs that increase with increasing analgesic dose. Analgesic use before endurance sports appears to pose an unrecognised medical problem as yet. If verifiable in other endurance sports, it requires the attention of physicians and regulatory authorities.

  4. MGrodski Post author

    Questioning the use of NSAIDs Given Inflammation is a Perfectly Healthy Response Following Acute Musculoskeletal Injuries

    Written by: Dr. Bahram Jam, PT
    July 14, 2014

    Nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed in the treatment of musculoskeletal injuries and are one of the most commonly used medications worldwide. It is estimated that more than 30 million people take NSAIDs daily for a variety of conditions ranging from headaches to low back pain (LBP) (McGettigan & Henry 2013).

    Ibuprofen is the most commonly used NSAID in North America while diclofenac is the most popular throughout the world (McGettigan & Henry 2013). Interestingly a 2013 review recommended that due to its high cardiovascular toxicity, diclofenac be removed from worldwide markets (McGettigan & Henry 2013). In fact it is well documented that all forms of NSAIDs are associated with potential adverse gastrointestinal (GI), renal, hepatic, and cardiovascular effects (Hunt et al 2007).

    In 1998 The American Journal of Medicine stated the following: “Conservative calculations estimate that approximately 107,000 patients are hospitalized annually for NSAID-related GI complications and at least 16,500 NSAID related deaths occur each year among arthritis patients alone in the USA, 4,000 deaths in Great Britain and 1,650 deaths in Germany. The figures of all NSAID users would be overwhelming, yet the scope of this problem is generally under-appreciated.” (Singh et al 1998)

    The use of prescription NSAIDs is reported to be the 15th most common cause of death in the United States and it is conservatively calculated that in the last 3 decades 300,000 people in the United States have died from GI complications due to NSAIDs (Wolf et al 1999).

    Download the full article

  5. MGrodski Post author

    Myth: Ibuprofen helps you recover better

    Truth: Over-the-counter doses of ibuprofen and acetaminophen may actually work against recovery. Current thinking is that they interfere with the ability of your muscles to repair themselves and get stronger after hard workouts, says Todd Trappe, Ph.D., professor at the Human Performance Lab at Ball State University who has researched the compounds’ effects on muscle.

    Normally, “your body’s rate of protein synthesis goes up 50 to 100 percent after exercise,” he says. But in one of his studies, “when people took the maximum over-the-counter doses, the drugs eliminated the ability of the muscle to turn on the protein synthesis response. If you kept taking these analgesics day after day, there’s no way you’d get muscle to grow or adapt.” Plus, other research suggests that these drugs may mess with healthy muscle adaptation by affecting the production of compounds like collagen that help give tissues strength.

    Too addicted to the relieving effects to give them up? Think again. In Trappe’s study and others, there was no difference in soreness between people who took the drugs than in people who took a placebo—although it’s possible that the achiness was too great for the drugs.

    The caveat: In a small study that shocked even the authors, Trappe and his team found that OTC analgesics in people over age 64 didn’t turn down muscle building after exercise—they raised it. Stay tuned for more if you’re in the masters group.

    From: Top Myths About Recovery

  6. MGrodski Post author

    Can I take even one pill? Your questions about painkiller heart danger.
    Maggie Fox
    10 Jul 2015
    Published at NBC News/CNBC

    The Food and Drug Administration has strengthened its warnings about painkillers such as ibuprofen and naproxen, saying not simply that they may raise the risk of heart attacks and strokes, but that they do. It’s got people asking questions. Here are answers to some of the most common ones:

    (a) How big is the risk from these drugs?
    (b) Are these drugs safe for kids?
    (c) What about occasional use?
    (d) So which drugs are we talking about?
    (e) Is there anything safe that I can take?

    For the answers to the questions and the entire article click here.

  7. MGrodski Post author

    Updated guidance on over-the-counter anti-inflammatories, aspirin.
    Amby Burfoot
    16 Jul 2015
    Published at Runner’s World

    Two new reports offer heart-health advice of potential interest and importance to runners.

    In the first, the Food and Drug Administration (FDA) has strengthened its warning that over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) increase the risk of heart attack and stroke. In the other, a well-known marathon-medicine expert has proposed that a pre-marathon aspirin could lower heart attack risk among older male marathoners.

    The FDA first warned consumers about NSAID-heart issues in a 2005 statement. The previous year, Merck voluntarily withdrew Vioxx from the marketplace due to adverse results. Among the points of the new report, issued on July 9:

    The risk of heart attack or stroke can occur in the first weeks of NSAID use, and grows greater with continued use. Higher doses of NSAIDs increase the risk. The risk is greater among those who have existing heart issues, or have had a prior heart attack. There is an increased risk of heart failure with NSAID use.

    Find the full article here.

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