Time.  It seems that these days few people have enough of it.   For some, this has made exercising difficult.  Let me walk that back a bit.  People's busy lives have made them think they don't have time to exercise.  It's created an almost built in excuse for those looking for an excuse not to exercise.  What I've attempted to do with this post is remove some of those EXCUSES.  I've shown you in the past that if you want to get in the best shape of your life you not only need to eat more, many of you probably need to exercise less (HERE).  That's right, the good news for many of you is that research has repeatedly shown that when it comes to exercise, less is often more.

What this means, however, is that at least some of your exercise should be intense.  I'm not talking about 'kill-yourself' intense, but many of you would do well by significantly shortening your workouts, while cranking things up a bit in the intensity department at least part of the time.  What are some of the ways to do this for people who don't ever seem to have enough time?  I've left you a list below, but honestly, if all you did were combinations of the first four bullet points, many of you reading this would be well on your way to a fitter future.

• DUMBELLS ON AN EXERCISE BALL:  While I have a short post on my site (HERE), YouTube has about a jillion videos on the subject.  Incorporating RESISTANCE TRAINING and CORE STRENGTH via the ball (keep your feet together) is one of the cornerstones of any 10 minute workout.

 

• SPRINTS:  All too often, jogging is slogging.  Don't slog your workouts --- keep them intense.  If you like to jog, jog a 40, sprint a forty, jog a 40, sprint a 40.  SPRINTING is metabolically similar to resistance training --- the best form of exercise for just about whatever you are looking to accomplish (including building lean body mass, while dropping body fat).

 

• KETTLEBELL SWINGS:  If you are looking for a single exercise that does everything, the KETTLEBELL SWING is about as close as you can get.

 

• STRETCHING / YOGA / PLANKS:  There are numerous variations of all of these.   These are also a part of my CURE YOUR BACK PAIN PROGRAM as well.  For those of you still doing situps, STOP IT ALREADY!   And with the cost of WHOLE BODY VIBRATION having come down so much in recent years, it's fun to incorporate it into this bullet as well (yoga or stretching on a WBV machine).

 

• BODYWEIGHT EXERCISES:  The original king of body weight exercises was one of my fitness heroes, DR. JACK LALANE.  Jack proved that if you've got 10 minutes and a floor or chair, the workouts you can do are nearly unlimited.  Since it's tougher to workout your legs with the ball and dumbells (first bullet point), you can do things like wall sits, air squats (or squats against the ball against the wall), bridges (hamstrings), lunges (butt), and any number of others.  Many of these can be done with a ball as well.  Like I said, YouTube.

 

• BALANCE & PROPRIOCEPTIVE TRAINING: Use the ball or a bosu, or you could even put a slackline in your back yard (no, you don't have to train like BEN).  For kicks, try jumping rope on your bosu.  And if you have a TRAMPOLINE (or even a mini tramp), the possibilities are endless.

 

• BURPEES & MOUNTAIN CLIMBERS:  No, I get it --- you don't like these either.  Incorporate them into a circuit and hammer them in short bursts.

 

• OTHERS: The list is literally endless, and with the internet it's easy to find things you can mix together for 10 or 15 minutes.   Be aware that if you are working out outdoors, try and incorporate GROUNDING into whatever you might be doing.  And if you are going to workout, you may as well be helping your cause by eating the right foods (HERE). 
  

Naturally, some of these activities require more physical skills than others.  With whatever exercise program you decide on, start slow and build up.  But the point is to start.  Get an ACCOUNTABILITY PARTNER, create a written plan, and get started. It's Saturday for Pete's sake so you can start today. No; YOU ARE NOT TOO OLD.  For those struggling with chronic health issues, consult your physician and take a look at THIS POST as well.  Don't forget to visit our FACEBOOK PAGE, and if you like what you're seeing, be sure to show us some love by liking, sharing, or following.

Back in my original post on CARDIO TRAINING -VS- RESISTANCE TRAINING, I told you that when it comes to weight loss and / or body composition, sprints are better than long distances.  And it's not even close.   The truth is however; if you want the very best all-round form of exercise, you need to be doing some WEIGHT LIFTING as well (KETTLEBELLS work great for this).  Today I want to show you some research concerning the fact that intense cardio --- the kind of training seen in longer distance running --- is not really as big of a health boon as it has been made out to be.  Some of the problems associated with hardcore Cardio Training include things like DEGENERATIVE ARTHRITIS of the hips and knees, chronic infections, and an inability to lose weight.  In fact, sometimes running can actually cause people to gain weight.

But how can this be?  Everyone has always been taught that Resistance Training (weightlifting) is what bulks people up, but that "Cardio" (swimming, biking, etc --- but particularly running / jogging) is what you do if you want to LOSE WEIGHT.  The reality is that this idea has been on the way out for at least two decades.  Cardio training is not the best or fastest way to lose weight or get in great physical shape, and the peer-reviewed scientific literature bears this out.  The first thing I want to look at when it comes to Cardio Training (aka Cardiovascular Training) is that more is not better when it comes to your heart.

INTENSE CARDIO & CARDIOVASCULAR HEALTH
Dr. Joe Mercola, dealing with four scientific studies on Cardio Training and heart health says on his site that, "According to a study presented at the Canadian Cardiovascular Congress 2010 in Montreal, regular exercise reduces cardiovascular risk by a factor of two or three. But the extended vigorous exercise performed during a marathon raises cardiac risk by seven-fold!  In a study published in the Journal of Applied Physiology, half of the older lifelong athletes showed some heart muscle scarring as a result, and they were specifically the men who had trained the longest and hardest.  Published in the journal Circulation, an animal study was designed to mimic the strenuous daily exercise load of serious marathoners over the course of 10 years. All the rats had normal, healthy hearts at the outset of the study, but by the end most of them had developed "diffuse scarring and some structural changes, similar to the changes seen in the human endurance athletes." Yet another study showed that long-term endurance athletes suffer from diminished function of the right ventricle of the heart after endurance racing. They also had increased blood levels of cardiac enzymes, which are markers for heart injury, and 12 percent of the athletes had detectable scar tissue on their heart muscle one week post-race."  The thing to take note of here is not that all cardio-style training is bad for the heart, but when done to excess, it can be very detrimental to heart health.  How much is too much?  That is a question that everyone needs to answer for themselves.  I personally hate the fact that it took me a very long time to figure this out for myself.   It is my belief that because Cardio Training can be so addictive, many people have difficulty answering this question honestly.

RUNNING & DEGENERATIVE ARTHRITIS
Another problematic area for the hardcore running crowd concerns potential DEGENERATIVE ARTHRITIS of the hips, knees, and spine.  Although there are a number of studies saying that running does not cause Degenerative Osteoarthritis, there are several studies saying it does.  Although getting out and moving is great arthritis prevention, here is what I know.  Spending lots of time on concrete or asphalt is hard on joints --- particularly the three joints mentioned above.  Ask anyone who lives or works on the stuff.  Most people who run outdoors, tend to run on hard surfaces (not sure that gravel roads are any better).  The more time you spend pounding the pavement, the more mechanical stress you put on these load-bearing joints.  And although many people can handle this, many others cannot. 

This is particularly true of people who are overweight.  While there tends to be fewer runners in this category, because nearly 70% of our adult population is either overweight or outright OBESE, you will see a fair number of oversize runners.  This is why for years I have been recommending that my patients who run find an area where they can run on grass (a football field, park, golf course, or even a pasture with a path mowed through it).   Some municipalities actually have running trails covered with wood chips.  Good shoes will help tremendously, but softer running surfaces can be a saving grace over the long haul.  Now it's time to shift gears and deal with endocrine issues related to intense training or over-training.

INTENSE CARDIO & THE ENDOCRINE SYSTEM
Lets first look at a study from the September 2011 issue of the medical journal Psychoneuroimmunology (Elevated Hair Cortisol Concentrations in Endurance Athletes).  Listen to the cherry-picked conclusions from the abstract of this article.  "Engaging in intensive aerobic exercise, specifically endurance sports, is associated with HPA axis activation indicated by elevated cortisol levels.  Hair samples were obtained from 304 amateur endurance athletes (long-distance runners, triathletes, cyclists) and 70 controls. Endurance athletes exhibited higher cortisol levels in all three hair segments compared to controls. Positive correlations between the cortisol concentration in the first hair segment and each indicator of training volume were found. These data suggest that repeated physical stress of intensive training and competitive races among endurance athletes is associated with elevated cortisol exposure over prolonged periods of time."  In order to grasp the magnitude of the implications of this study, we need to have a cursory understanding of the HPA Axis.

The HPA-Axis refers to the intimate and delicate relationship between the HYPOTHALAMUS (a part of the BRAIN), the Pituitary Gland, and the ADRENAL GLANDS.  Without going into great detail (you can read more about these relationships at ENDOGUT), just be aware that when you increase cortisol --- your body's chief stress hormone, which is made by the Adrenal Glands  --- the end result is rarely a good thing.  ADRENAL FATIGUE is the old name for FIBROMYALGIA.  It's because of this issue of Cardio Training firing up the  HPA-Axis and increasing Cortisol production that last year I wrote a post pertaining to the Yahoo article IS YOUR CARDIO WORKOUT MAKING YOU FAT?   How long have we known this about Cardio Training?  Actually, we've known it for longer than you might imagine.

Go back 17 years ago to the June issue of The Journal of Sports Science.  They published a study called, "Oxidants, Antioxidant Nutrients, and the Athlete".  The conclusions of the study as found in the abstract stated, "Strenuous physical exercise induces oxidative stress. Severe or prolonged exercise can overwhelm antioxidant defenses... Evidence for oxidative stress and damage during exercise comes from direct measurement of free radicals, from measurement of damage to lipids and DNA, and from measurement of antioxidant redox status, especially glutathione."  Glutathione is probably the single most powerful anti-oxidant in your body, and other than a "recycler" product made by AE, there is no good supplement that I am aware of for replacing it.

Later that same year, the Journal of Sports Medicine and Physical Fitness published a study called, Blood Free Radical Antioxidant Enzymes and Lipid Peroxides Following Long-Distance and Lactacidemic Performances in Highly Trained Aerobic and Sprint Athletes.  Here were the study's conclusions.  "Both strenuous long duration exercise and exhaustive sprint training overwhelm our capacity to detoxify ROS, producing oxidative stress."  You need to be aware that oxidative stress leads to CHRONIC INFLAMMATION.  Although most people think they know what Inflammation is, few have any real clue.  This study showed that while both elite sprinters and elite distance runners had elevated inflammatory markers in their systems, the cardio athletes had double the amount of these same chemicals.  In case you did not know it, one of the many health issues associated with Chronic Inflammation is Obesity (HERE).

And if you are looking for a literal kick to the groin, look no farther.  According to a study published a decade ago in the Canadian Journal of Applied Physiology called Intensive Swimming Exercise-Induced Oxidative Stress in Male Reproductive Function.......    Listen to what the abstract said concerning rats that swam three hours a day, five days a week, for four weeks.  "After 4 weeks of exercise, significant diminutions [shrinkage] were noted in somatic indices of testes and accessory sex organs....  Intensive swimming exercise-induced oxidative stress causes dysfunction in the male reproductive system....."  The October 2008 issue of the journal of Applied Physiology, Nutrition, and Metabolism dealt with this same issue in a similar study.  These researchers stated that, "It can be concluded that intensive-swimming-induced oxidative stress causes dysfunctions in the male reproductive system...."  So, if intense cardio-based exercise is at the very least capable of inducing a number of serious physical problems and ailments, what can an avid runner or swimmer do to prevent these situations from happening to them?  The answer to this question is easy.  Virtually every study coming out today is saying that when it comes to exercise duration, less is more.

OVER-TRAINING: LONG-DISTANCE RUNNING -vs- SPRINTS
Earlier this week, I had a conversation with a boy (a high school freshman) and his mother about his weightlifting schedule.  It seems he has frequently been working out more than once a day, and some of these workouts were as long as 2.5 hours.  No matter how you slice it, this is not good.  According to virtually all the research coming out of the field today, we need to be doing higher intensity, shorter duration workouts.  This is true of virtually all forms of exercise (including Resistance Training), and is one of the big reasons that Cross-Fit like exercise programs have become so popular.  Many of these workouts are only 15 or 20 minutes long (some are shorter than that), and I do not think that any of their running workouts is farther than a mile.  Most of their cardio comes from non-stop exercises or sprints.  Which brings us to our next topic.

If cutting back on intensive Cardio Training (particularly running) is a good thing, what should a person replace it with.  It is my belief that for those of us who are not professional or semi-professional athletes, most "running" can be replaced by Resistance Training and Sprints.  I will talk about Resistance Training a little bit more shortly, but let's take a quick look at sprints (I will cover the research promoting sprinting sometime in the future).  Sometimes you will see Sprint Training referred to as Interval Training, Burst Training, Explosiveness Training, or any number of other monikers.  The method is simple.  Find a grassy field (or you can do this on a treadmill in bad weather) and run sprints of a certain distance or duration.  Walk for a certain amount of time during the recovery phase.  And then do it again.  You can run uphill, and walk down if you feel you need to crank things up.  You can do 40 yard dashes, 100 yard dashes, or whatever distance you feel is best for you.  You can take a few seconds, thirty seconds, or even more (if you need it), for recovering between sprints.  If you want details, simply Google Weight Loss Sprints and start reading (there were close to a million hits). 

My personal story as it pertains to this issue is at least somewhat similar to that of MARK SISSON of Mark's Daily Apple.  Although I was not the incredible (elite) distance guy like Mark was (I've always hated running for the sake of running), I lifted weights to excess, played tons of pick up basketball, frequently walked many miles a day, went to school, held down several part time jobs (one as a personal trainer), stayed up late, and as has been the habit my entire life --- got up early.  Unfortunately, I was a child of my era and bought into the whole Low Fat / No Fat (High Carb) thing that I was being inundated with while enrolled in Kansas State's dual-degree "Corporate Fitness" program (Nutrition & Exercise Physiology). 

My best guess is that Mark would agree with me that many of us can get away with this sort of lifestyle and serious over-training while we are young.  The problem is, as we age, the damage from Oxidative Stress / Chronic Inflammation continues to accumulate.  Couple this with a carb-loaded diet, and you have the makings of a proverbial "recipe for disaster" (Weight Gain, a crumbling HPA-Axis, Endocrine Dysfunction, Weakened Immune System, Diminished Sex Drive / Low Testosterone, etc).  And here's the kicker.  Although I certainly did not have most of the problems mentioned above (weight gain was my tipping point); until I was a few years into practice (mid 90's), I'm embarrassed to say that I actually believed I was doing things right.  I was just following the advice of my instructors, the media, and the fitness gurus du jour. 

I knew I was on to something when a patient came to me years ago insisting she could not lose weight no matter how hard she worked out.  She was walking something like 12 miles a day and wanted to know if kicking it up to 15 miles a day might be the solution to her "problem".  I cut her back to no more than an hour of walking a day, got her to lean more toward the LOW CARB side of things, and had her start doing 15 minutes of RESISTANCE TRAINING ON A BALL three days a week.  The results were remarkable.  Not only did this gal lose the excess weight she was trying to lose, within a matter of a couple of months her shape and overall muscle tone had improved dramatically, despite the fact she was exercising two or more fewer hours a day than she had previously been doing.

Over-training is something that for people who are really into fitness and exercise, often comes a bit too naturally.  This is probably because it's easy to buy into the old adage that if a little bit is good, more must be better.  And a whole lot must be extra super fantastic.  One of my favorite stories of this less-is-more principle in action is that of THE WOMAN who lost 100 lbs in 100 days by simply going Low Carb and doing 2-3 15 or 20 minute KETTLE BELL SESSIONS a week. 

If you follow similar protocols (with your doctor's blessing of course) and do not get great results, you probably have some sort of underlying metabolic issue going on.  It could be that you are GLUTEN SENSITIVE or AUTOIMMUNE (two problems that are intimately related to each other).  You may have LEAKY GUT SYNDROME or a NON-DIABETIC issue with INSULIN RESISTANCE or even HYPOGLYCEMIA.  You may have already fouled up your ENDOCRINE / THYROID / ADRENAL SYSTEM in a sub-clinical manner.  In other words, standard medical tests are telling you that everything is fine when it is obviously not.  The bottom line is that with the proper approach, virtually all of these problems can improve or be completely resolved.  

I know; you can go ahead and start calling me stupid.  Although I've used other web pages as my homepage over the years, my current "home" on the web is Yahoo.  The reason is simple --- it's where I receive most of my email.  So, since I see Yahoo's main page at least a couple times a day, I am exposed to all of their "headline stories".  Most of the time I fly right on by without a second glance, but every once and awhile something catches my eye.  Like the story from a few days ago concerning the fact that when Sir Ian Flemming's books were recently scientifically analyzed by physicians, it seems that 007 was drinking something like 100 martinis per week (shaken of course, and not stirred).  They calculated that in all reality, Bond was probably IMPOTENT from regularly consuming that much booze.   Today I want to spend a few minutes talking about another headline that caught my eye ---- this one about running and weight loss.  The article was called 4 Reasons Running is Best for Weight Loss.  I would like to take just a couple of minutes to set the record straight for those of you who may have read this or similar articles --- and might be inclined to believe them. 

The article starts out by saying that, "Any exercise is good exercise, but when it comes to losing weight, it's hard to beat running. After all, running is one of the most efficient ways to burn calories and get fit without having to restrict your diet."  This entire statement is false.  The truth is, there is a great deal of exercise that is not good.   For example, although we have far too many folks here in America who are sedentary, there is also a large number of regular exercisers who are -- believe it or not -- overdoing it (the technical word for this is 'over-training').  Furthermore, the reason you workout is NEVER so that you can, "get fit without having to restrict your diet".  If you are EATING PROPERLY, there are always things that should you should be restricting from your diet --- no matter what your weight is.  We could start with SUGAR, JUNK FOOD, and TRANS FATS, and move from there to things like MSG, and ASPARTAME).  I want you to understand that both diet and the kind / amount of exercise you do are critical for WEIGHT LOSS.   Today, I am specifically going to show you that when it comes to the STRENGTH TRAINING -vs- CARDIO debate, Strength Training is a runaway winner. 

Yahoo says that, "running works even when you're at rest".  They then go on to tell you that running burns more calories at rest (after you have exercised) than does walking.  I will buy this, but be aware that you are not being told the whole truth.  Sprints are better than running for weight loss, and guess what is even better than sprints?  That's right ---- Strength Training.  And it's not even close.  Runners increase their metabolism for about four hours post-workout.  That goes up to well over 30 hours for those who engage in Resistance Training.  Case in point (HERE).   You can also click on the last link in the previous paragraph for more information on the subject.

The next point that Yahoo wants you to swallow is that, "running is time efficient".  This begs the question of exactly what running is more time efficient than?  Again, they compare it to walking.  This is certainly true, as you will undoubtedly burn more calories running a mile than walking a mile.  They also compare it to "The 7 Minute Workout".  When it comes to working out, the scientific literature on the subject says that High Intensity / Short Duration is best.  But 7 minutes?  That might be a wee bit short.  The secret to using your workout to lose weight is not the number of calories you are burning while you are working out ---- it is the number of calories you burn at rest (the amount by which you are able to increase your metabolism).  For a review of this, please re-read the preceding paragraph.

The third on their list is, "running is convenient".  I can buy this.  According to the article, running is double convenient because you don't even need shoes (they tout barefoot running).  However, is it really more 'convenient' to run than to do simple workouts like THIS?  I say not!  Click on the link because it defeats one of those old WORKOUT MYTHS I recently dealt with ---- you don't have to go to the gym to get a good workout.

And as for their last point, "the runner's high", are we to believe that running is the only form of exercise that releases "endorphins and morphine-like brain chemicals"?  Not on your life!  In fact, the authors themselves answer this question by saying that the link to the "runner's high" is not specifically with running, but with any form of, "moderate to intense exercise".   All four of their points are busted!

The thing is, look at the source.  The article originally appeared in Runner's World, and was actually written by their editors.  This is not science.  It is feel-good fluffiness.  If you want more articles on this topic, you will find them HERE.  Oh, and one more thing.  For those of you who absolutely love to run --- great.  I don't have a problem with it.  Just make sure you don't go overboard, and add some simple Strength Training to your regimen.  All it takes is 15-20 minutes, two or three times per week.

Although Jane Fonda is usually the one credited with starting the whole "no pain; no gain" mantra in her early 80's leg-warmer workout videos, I would guess it's been around much longer than that.   While I totally believe her statement to be true, everything hinges on one's definition of the word pain.   Another of Fonda's quotes from her videos (feel the burn), helps clarify this concept's original meaning.  Suffice it to say that her point was to work through the "burn" ---- not to train until you permanently damage your muscles.  Unfortunately, there are some who actually advocate this sort of thing.  And although there are many different kinds of "extreme athletes" today, some of the most extreme seem to come out of Crossfit movement.

Let me start by saying that I have never officially been part of a CrossFit program or gym.  However, because I have a gym in the basement of my clinic, I am able to incorporate many of their training methods into my workouts.  A few of the things my son and I do that could be considered "CrossFit-like" are KETTLEBELL SWINGS, all sorts of Burpees, several novel kinds of pushups and pullups, and pounding a tire with a sledge hammer as well as two five pound hammers (one for each hand).  I am also getting ready to put up some rings. 

I am sold on CrossFit's typically short duration, high intensity style of training, as well as the wide variety of atypical exercises.  But, with any sort of physical training (running, powerlifting, swimming, gymnastics, MMA, etc, etc, etc), people can push things beyond what their body can withstand and repair ---- sometimes far beyond.  It has taken me a lot of years to figure out that when it comes to getting in shape, sometimes less is more.  I can remember Joe Wieder writing about over-training back in early 1980's issues of Muscle & Fitness.  Although I did not "get it" then, I now understand just how easy is is to "over-train" and end up wearing your body down instead of building it up.  Speaking of over-training; a few days ago someone sent me a link to a recent article called, CrossFit's Dirty Little Secret.  The article, written by a Physical Therapist, was about the, "troubling trend among CrossFitters".  And just what is this troubling trend?  Have any of you heard of something called Rhabdomyolysis?

I'll get to exactly what Rhabdomyolysis is momentarily, but the thing to remember is that none of this is new information.  For years, newspapers and magazines have been carrying headlines touting the dangers of CrossFit such as, "Getting Fit, Even if it Kills you" (2005, New York Times), Inside the Cult of CrossFit (2011 Men's Health), and "Lawsuit Alleges CrossFit Workout Damaging" (2008, Navy Times).  There have even been a couple articles on the topic of Rhabdo by CrossFit's founder himself, Greg Glassman.  I am not going to get into depth here (read the articles if you want), but if you are a novice who is trying to do advanced workouts; or if you are pushing your body to the realm of stupidity, you are headed for a breakdown --- probably sooner than later.  It is only common sense to workout within your body's limits.  I'm not in terrible shape now, and I used to be in really good shape.   However, I would not even think of doing some of the workouts that I have seen others do.   Again, know your limitations, and exercise your brain before exercising your body.

We live in a culture of excess.  Americans take something like two thirds of the world's medications even though we are less than 5% of the world's population.  We act like every meal is going to be our last (just look at OBESITY RATES here in America --- nearly 40% of the adult population).   And when we do exercise, some of us really exercise.  The hottest video workouts today are things like P-90X, Insanity, and other super high intensity routines, with every new video being touted as more intense than the one before it.  Unfortunately, most of these could in no ways be considered to be "low duration".  Low Duration Exercise.  It is one of the things that drew me to the concept of CrossFit in the first place (many of their workouts last no more than 15 minutes). 

The last several years have seen my workouts get progressively shorter.  Why?   Virtually all the peer-reviewed literature says that this is the best way to train (here are several articles on CARDIO TRAINING -vs- STRENGTH TRAINING).   One of the first books I read on the subject (Bill Phillip's Body for Life), was talking about high intensity / low duration exercise a decade and a half ago.  I even remember reading Arthur Jones talking about the famous "Colorado Experiment" with the recently deceased CASEY VIATOR back when I was in college, but blew it off assuming that his gains were all steroid-related.  I guess the problem is that just like the disagreement we have over what "no pain, no gain," really means, we cannot seem to agree what either 'high intensity' or 'low duration' really mean either.  But let's get back to the real reason you are reading this post ---- Rhabdo.

Allow me to break down the word "Rhabdomyolysis" for you.  Rhabdo = "striped", Myo = "muscle", and lysis = "to break or separate".  Thus, Rhabdomyolysis is the breakdown of striped (skeletal) muscle.  , now let's talk about what causes it.  Although it is quite possible to induce Rhabdomyolysis via working out really really hard (such as in CrossFit), there is another far more common way to develop this problem.  Although Rhabdo can occur from injuries, overworking or over-training muscles, as well as a host of other reasons, the number one on the list is STATIN DRUGS --- by a landslide (HERE).  For example; I do not personally know anyone who has ever developed Rhabdo from working out too hard.  But I know scores of people who have had varying degrees of muscle pain and weakness as the direct result of taking Anti-Cholesterol Meds. 

Rhabdomyolysis can occur when overworked, abused, traumatized, or poisoned skeletal muscle rapidly undergoes lysis.  The muscles cells rupture their contents as the tissue is broken down into its components. This releases muscle cells and their constituent parts into the bloodstream.  Certain byproducts of this process such as the oxygen-carrying protein myoglobin, can damage the kidneys to the extent that dialysis is required for survival.   But short of complete kidney failure, Rhabdo can cause permanent muscle damage as well a host of other nasty problems.  So; how would you have any idea you might be dealing with Rhabdomyolysis?  Just watch for the signs.

But let's go one better.  Wouldn't it be nicer to altogether avoid Rhabdo in the first place?  With some common sense, it can be done.  Here are a few of the steps for avoiding Rhabdomyolysis.

• GET TO AN EMERGENCY ROOM IF YOU SUSPECT YOU ARE DEALING WITH RHABDOMYOLYSIS:  In case you have not figured it out, this stuff is serious.  The diagnosis is made via a simple blood test (CPK).  Don't gamble with this problem as it can be both permanent and deadly!

• DRINK LOTS OF WATER:  One of the risk factors for Rhabdo is dehydration.  Notice that I said to drink more "water".   Sorry, SODA, juice, and Gatorade don't count.
  

• START SLOW AND KNOW YOUR LIMITS:  Although many who develop workout-induced Rhabdo are untrained or under-trained, many are extremely fit individuals who simply pushed the envelope too far. As you get in better shape, push the envelope slowly --- a little bit at a time.  A "Murph" (Named after Navy Lt. Michael Murphy, who was killed while serving in Afghanistan; the Murph consists of a one mile run, followed by 100 pull ups, 200 pushups, and 300 air squats, and then another mile run ---- all for time), is probably not the best place to start.  

• REALIZE THERE IS NO DISHONOR IN BACKING OFF:  If you think a certain workout might be over your head, modify it. 

• LEARN MORE ABOUT STATIN DRUGS:  I realize that this bullet point seems out of place, but you have to understand that the most common side-effect of Statin Drugs is "muscle pain / soreness".  I recently asked two medical doctors what drugs they would never take.  Top of the list for both?  The ANTI-CHOLESTEROL drugs.   To begin to understand why they would say this, pay attention to the words of world-renowned cholesterol expert, professor Flemming Dela from the Center for Healthy Aging at the University of Copenhagen, Denmark (the study was reported in the January 2013 issue of the Journal of the American College of Cardiology). "A well-known side effect of statin therapy is muscle pain. Up to 75 per cent of the physically active patients undergoing treatment for high cholesterol experience pain. This may keep people away from either taking their medicine or from taking exercise.......  The effect of statins is marginal for these patients.  In a previously published Cochrane analysis only 0.5% reduction in all-cause mortality was detected, indicating that for every 200 patients taking statins daily for five years, one death would be prevented."  This research was done because 40% of the Dutch over the age of 65 are on Statin Drugs, with a whopping 75% of these complaining of muscle pain.
  

Should you stop taking Statin Drugs?  Only you and your doctor can answer that question.  However, once you learn that CONTROLLING YOUR BLOOD SUGAR is the best way to deal with all sorts of blood lipid issues, dropping the dangerous drug might just be an option for you (HERE is more information on the blood sugar / cholesterol link with Dr. Oz, and HERE are some diet tips).   Should you do nothing but wimpy workouts?  No way Jose!  Even the intense CrossFit workouts can fantastic when done correctly.  Never let your trainer or instructor push you into something you are not comfortable with.  Use some good old fashioned common sense when you are pushing things to the max.

I recently got an email from Helen in response to my PIRIFORMIS SYNDROME PAGE.  "Thank you so much! So informative and completely explains the type of pain I've been feeling.  I walk 10+ miles a day and I've been hurting like crazy. I couldn't explain it, but this article does the job for me."  I am not picking on Helen, but what is she doing walking (or running for that matter) over ten miles a day?  Believe it or not, I run into this situation more frequently than you might imagine.  There are many problems associated with this approach to exercise.  With Jim's help, I will tackle a couple of them today.

Jim Karas used to have a weight problem.  Today he is a celebrity trainer who has several best selling books under his belt besides a regular guest on numerous TV programs --- including the Dr. Oz Show.  Last week he wrote an article for Yahoo called, "Is Your Exercise Making You Fat?".  I surely don't agree with everything Jim espouses (one article about a day in his life had him drinking DIET COKE for BREAKFAST), but as far as this topic goes, he largely hit the nail on the head with his article.  The quote at the top of the page was taken from the first paragraph of his article. 

Some of you like to run for the sake of running.  Far be it from me to discourage you.  Just be aware that there are some serious myths floating around about the benefits of running / Cardio Training (I wrote about some of these in depth in my numerous posts filed under CARDIO TRAINING -vs- STRENGTH TRAINING).  Jim's biggest beef with using Cardio Training as a weight loss tool is that it causes the loss of lean body mass ----- i.e. muscle tissue.  According to the scientific literature, he is correct.  Why would anyone perform exercise that is known to make you lose muscle mass when muscle mass is so tough to acquire in the first place?  They buy into all those old WEIGHT LOSS MYTHS.

I have always heard that after the age of 30, people are losing 10% of their muscle mass per decade for the rest of their life ---- unless they are actively and specifically doing something to combat it (and as is usually the case, women are affected by this phenomenon significantly more than men).  How do you combat this muscle loss?  There is only one real way ---- STRENGTH OR RESISTANCE TRAINING.  You see; loss of lean body mass presents an ugly metabolic dilemma once you realize that muscle burns more energy at rest than does an equal amount of fat --- far more energy. 

He is absolutely correct here.   This quote then begs the question of what sort of diet you should be eating for weight loss. It is essentially the same base diet I would recommend for gaining weight as well.  You need to be eating a LOW CARB diet based on WHOLE FOODS, that will not only CONTROL YOUR BLOOD SUGAR, but is non-reactive as well (HERE).  Although some of you will get away with eating a wider variety of foods, non-reactivity is a concept that is absolutely critical for people with CHRONIC ILLNESSES.  The sort of eating that best promotes all of this leans towards PALEO. 

Besides the weight issue, Jim goes on to talk about some of the other problems associated with Cardio Training.  These range from postural issues to JOINT POUNDING, along with several others.  He touches on a big one in a round about way.  Running, he says, actually weakens the Immune System.  He is correct you know.  Much of this has to do with the fact that the peer-reviewed research is showing that Cardio Training seriously stimulates the ADRENAL GLANDS.   While this is not all bad, it provides an addictive factor to Cardio Training along with a big shot of Cortisol ---- a stress hormone that among other things makes weight loss difficult to impossible by causing people to gain BELLY FAT.

This is a great point that I have made on numerous occasions.  For some reason, Resistance Training / Strength Training boosts your metabolism long after you are finished exercising.  And while Interval Training (sprints) has the ability to change your body's shape, true Cardio Training will not do this.  If you want to sculpt your body, you need to spend a half hour in the gym several times a week or be TRAINING AT HOME.   Here is another WEIGHT LOSS post.

I am going to simplify your life by showing you how you can get in your best all-time shape, while spending a fraction of the amount of gym time (even if your "gym time" is not being spent in a gym). 

• IT'S ALL ABOUT DIET:  Far too many people want to read all about the latest "workout secrets" in Men's Health or Cosmo, while ignoring their diets.  Sorry, it does not work that way.  Especially once you're on the back side of thirty.  If you are not eating some form of LOW CARB DIET, you are setting yourself up for future problems, and sabotaging your efforts in the process.  Take just a moment to learn why CONTROLLING YOUR BLOOD SUGAR while getting ample high quality protein is not only the best way to eat to get in great physical shape, it is the best way to eat if you are interested in defeating CHRONIC PAIN and / or CHRONIC ILLNESS as well.

• BACK OFF OF THE CARDIO:  I realize that this will upset some of my regular readers.  Before you start throwing rocks and bottles, just listen to me for a moment.  Cardio Training is not nearly as effective as helping you lose weight or get in shape as is Strength Training.  I think that some Cardio Training is great (especially when you combine it with your Strength Training --- Crossfit style or in the form of Intervals).  But a little goes a very long way.  Instead of getting mad at me, read the last decade's worth of research on the topic and use it to your advantage.  Short workouts are all that is required to get in great shape.  Learn the hows and the whys HERE --- especially if you are a woman.

 

• HARDER, FASTER, HEAVIER, SHORTER:  I am not necessarily advocating that you start training for the the World's Strongest Man / Woman competition.  In fact, I don't train nearly as heavy as I used to.  But the fact remains that far too many people (especially women), don't lift hard and heavy enough if they are even lifting at all.  I will not belabor this point, but ask you to click on the link above.  Let me give you an example of an intense Cardio / Resistance workout that can be done in your own home in less than 10 minutes.  Do a set of 10 KETTLEBELL SWINGS followed by 10 Burpees.  Immediately follow it with 9 Kettlebell Swings and 9 Burpees.  Immediately follow it with 8, 7, 6............  Make sure you have a trash can near by if you are not used to working out like this.

 

• DEAL WITH UNDERLYING CHRONIC ILLNESS:  If you are finding it all but impossible to make any headway with your efforts, you may be one of the millions of Americans dealing with some sort of Chronic Illness.  HERE is a great starting point as far as figuring out what may be going on. 
  

The primary idea when you work out should be how much can you get done in the shortest period of time, at the highest intensity.  Why not work out smarter?  Contrary to popular belief, if you go about things the right way, huge changes can be made in a very short amount of time (HERE).

Did you catch that?  What an amazing conclusion from last week's issue of PLOS One.  The thing is, it's not new information --- not by a long shot.  For the past two-plus decades we have been seeing a move in the scientific literature away from slogging cardio, toward High Intensity / Low Duration resistance-based training as the superior form of exercise.  Think about it for a moment.  If you count those who are "SKINNY FAT", more than 3 of every 4 Americans are either OVERWEIGHT OR OBESE, and it is creating a national health crisis, the magnitude of which no amount of money can take care of.  Folks; this study should give you hope!  Use it to your advantage. 

Simply dealing with this LARGELY MISUNDERSTOOD HEALTH PROBLEM will improve your overall health (and weight) by leaps and bounds --- and the study showed that this form of exercise does just that.   Listen to this sentence from the study's Abstract, and let it sink into your brain.  "A growing body of evidence suggests that exercise training with low-volume but high-intensity may be a time-efficient means to achieve health benefits."  These people were on a treadmill for a 10 minute "warmup" at 70% of their max heart rate.  They then kicked the intensity to 90% for one minute, followed by three minutes at 70% and a five minute "cool down".   Add it up.  That is 19 minutes, with only a single minute of what we would truly call "high intensity" exercise.

I get it.  You don't have the time to do do the entire hour to hour and a half of P-90X or "Insanity".  You don't have the money for a gym membership.  You don't have room in your house for a bunch of bulky gym equipment.  The thing is, these individuals saw huge changes in only 10 weeks, while exercising for less than 20 minutes three times a week --- walking / jogging / running.  No one, and I do mean no one can tell me that they do not have 19 minutes, three times a week.  All you have to do is crank your heart rate up.  You can accomplish this in any number of ways.  But if you really want to boost your results, try doing the same amount of time with some modified RESISTANCE TRAINING.  I promise that your results will be even better! 

One of my favorite success stories of High Intensity / Low Duration exercise is TRACY REFKIND'S crazy body transformation that took place over a period of about three months.  All she did was perform Kettlebell Swings two or three times a week for an average of 20 minutes or so (in "interval" fashion, of course).  Coupled with a LOW CARB DIET, she lost 100 lbs in 100 days and now runs a Kettlebell Fitness Studio. 

If you are CHRONICALLY ILL or dealing with CHRONIC PAIN SYNDROMES, you will not be able to jump right in and go.  But do something.  The health benefits of just a little bit of exercise are too good to pass up.  Not to mention, I have never one time heard a person say that they started exercising and feel worse.  You can do this.  Simply make a plan and stick to it.  Oh; just one more thing.  If you have great results, let me know so that I can share them with everyone.

I find it interesting how people think.  You would be surprised at the number of people I see who believe that since the Affordable Care Act was passed, they can finally be healthy.  False!  Your health is and always has been completely up to you.  I get it; some people were unfortunate enough to be born with genetic diseases, physical defects, or other severe inborn health problems. In the big scheme of things, these are RARE.  I am speaking to the rest of you.  It is time you take what God gifted you with and take care of it!  Don't tell yourself that you will start next week.  Start today.

Remember my EXCUSES post from last week?    I want to give you some things that you can do on your own to take care of your body, and spend as little time as possible doing it.  As far as working out / exercising is concerned, HERE is my short post on the best way to lose weight and keep it off forever.  As you already know, I am a huge believer in STRENGTH TRAINING.  Sure, I think think that Cardio Training is great, but if you simply look at the research, you'll see that a little of it goes a long way.  This is to your advantage!  You do not have to be a gym member, nor do you have to spend 1-2 hours a day doing workouts like P-90X (or running mile after mile after mile) to achieve incredible results.  If you'll cut the JUNK and SODAS, and eat a diet based on WHOLE FOODS (specifically think PALEO HERE), you can spend a brief time working out (emphasis on brief) --- in the privacy of your own home if you like --- and achieve incredible results quickly (HERE). 

How good of a workout can you get without being a member of a gym?  Believe it or not, you can possibly do better than you could in many gyms.  And all you need are an EXERCISE BALL and some light hand weights (dumbells), and if you are really motivated --- a HOMEMADE KETTLEBELL.  The Exercise Ball (they go by lots of names including balance ball, fit ball, fitness ball, gym ball, physio ball, Pilates ball, sports ball, stability ball, Swedish ball, Swiss ball, therapy ball, etc, etc, etc) is simply a large inflatable ball that can be purchased at Cramazon or Mal-Wart (make sure to spend a few more bucks and get the 'burst resistant' heavy duty ball). 

The real advantage to incorporating the Exercise Ball into your strength training is that the instability of the ball builds strength and stability into all parts of your body ---- particularly your CORE.  Instead of working out on a stable surface (a bench or floor), the ball forces the body to engage many more muscles just to maintain balance (which is great PROPRIOCEPTIVE TRAINING).  Not only is this great for your body, it is great for your brain as well (HERE).  There is arguably no better (or easier) core strengthening program than to spend time on the ball.  Simply head on over to YouTube and check out their videos on how to do strength and proprio training on a ball.

The ball workouts below are not necessarily the best, nor are they the only thing out there.  My hope is for you to watch these, take from them what you like, get started, and then continue to add exercises from there.  I promise that if you get with it and don't slog, you can do a total body workout in 10-15 minutes.  Make sure that you mix it up and are not doing the same workout every single time.  If you are watching what you eat, and doing a ball / resistance workout several times a week, you will see changes.  In fact, INCREDIBLE HEALTH AND BODY CHANGES are quite possible in a brief period of time.  And if you really want to do something cool, invest in a WBV MACHINE as they are quite versatile.