The two 20-minute high-energy kickboxing routines combined with other cardio moves eliminate boredom in this program. When I felt particularly ambitious, I did both together for one calorie-blasting 40-minute workout; I chose one or the other when I only had 20 minutes to spare in the morning. Make sure to do this in a spacious room, because the amount of kicking, punching and movement, as I unfortunately discovered, is not tailored to tiny spaces.
Few interventions exist whereby patients can hope to achieve improvements in both psychiatric symptoms and physical health simultaneously without significant risks of adverse effects. Physical activity offers substantial promise for improving outcomes for people living with mental illness, and the inclusion of physical activity and exercise programs within treatment facilities is warranted given the results of this review.
^ Jump up to: a b c d Mura G, Moro MF, Patten SB, Carta MG (2014). "Exercise as an add-on strategy for the treatment of major depressive disorder: a systematic review". CNS Spectr. 19 (6): 496–508. doi:10.1017/S1092852913000953. PMID 24589012. Considered overall, the studies included in the present review showed a strong effectiveness of exercise combined with antidepressants. ...
This is what you should be doing before exercise to raise your heart rate and body temperature in preparation for the workout. During this type of warm-up, you moving through stretches and light exercises without stopping (as opposed to a passive stretches, which are held in place, like you do in a cool-down). This helps increase mobility and range of motion so you can get deeper into exercises. Here are five great dynamic warm-up stretches to try.
Wellcome Library [Internet]. Rodway H. Training for childbirth - and after (1940). 2015 Sep 24 [cited 2015 Oct 3]. Available from: http://wellcomelibrary.org/player/b16729006#?asi=0&ai=0. Morris,33 Morris M. Basic physical training. London: Heinemann; 1937. [Google Scholar] and Vaughan,47 Youtube [Internet]. Vaughan, K. Childbirth as an athletic feat (1939). 2009 Feb 23 [cited 2015 Aug 30]. Available from: https://www.youtube.com/watch?v=g9wRBWDxReY. [Google Scholar] Pilates emphasized breathing techniques, training in sunshine and fresh air. Pilates also advocated the use of minimal and light-fitting clothing, recommended cold exposure and the importance of bathing and treating the skin.45,46 Pilates J. Your health. Nevada: Presentation Dynamics; 1934.
When shopping, take some extra laps around the store. Instead of making your shopping trip efficient, take your time and stroll around the store a couple times. If that feels too aimless, add an objective of memorizing the store's layout. Or, when grocery shopping, don't group items on your list by type. Instead, randomize the order so that you get one thing from the produce section and then get something from a different section before getting your next produce item.
The simplest way to workout at home is to use your own body. There are a variety of effective body weight exercises that can help you build strength, endurance and burn calories. The downside is that, without added resistance, it's tough to work hard enough to really challenge your body and burn calories. One way around that problem? Circuit training. By going from one exercise to the next, without little or no rest, you keep your heart rate up, burn more calories and get the most out of your exercise time.
Bodyrock.tv is one of the forerunners in online fitness. This popular health and exercise blog is dedicated to weight loss, fitness, beauty, food, love and relationships. "Bodyrockers" find daily workouts that are either laid out with descriptions and pictures, or that are instructed in video format. All of the workouts can be done at home with minimal equipment.
You know you should exercise more. You want to exercise more. But sometimes it's tough to squeeze a full workout into your busy schedule. The good news: A number of published studies show that you can stay in shape and burn enough calories to maintain or lose weight by doing mini-workouts throughout the day. In fact, research has shown that short bouts of exercise—as few as three 10-minute sessions—are just as effective as long ones, provided the total cumulative workout time and intensity level are comparable. Repeat any of the following exercises for a minute.
How to: Keep your feet shoulder-width apart and your back straight. Bend your knees and lower your rear as if you were sitting down in a chair. Your weight should be evenly distributed on 3 points of your feet -- heel, outaside ball, inside ball -- that form a triangle. Your knees won't stay in line with your ankles that way, but there will be less strain on other parts of your body. Add dumbbells once you can do 12 reps with good form.
Absolute values for KE MVC torques and maximal EMG RMS are presented Table 3. As EMG RMS of the RF muscle at 60 deg/s pre-exercise values significantly differ between sessions, these data were not analyzed. Planned comparisons to explore main effect of time are presented Table 3. Despite a significant main effect of time for the EMG RMS of the RF muscle at 140 deg/s, planned comparison failed to demonstrate a significant difference between times. Changes in KE MVC torque and KE EMG RMS related to baseline are presented Figs 6 and 7. Isometric KF MVC torque did not change over time (75 ± 31 to 73 ± 27 N·m, P = 0.368).
One almost overall finding, at least in endurance and strengthendurance athletes having OTS, is a diminished maximal lactate concentration, whereas submaximal values remain unchanged or slightly reduced.10 12 This is confirmed in the present study where OTS patients did not reach maximal lactate concentrations above 8 mmol l−1. Two out of the four NFO patients did not reach [La]max of 8 mmol l−1 at the first exercise test either (for one patient [La]max was missing). Thus, although low [La]max has frequently been described as a diagnostic marker for OTS, from these results, it does not seem sensitive enough to distinguish OTS from NFO.
The overhead squat requires strength and flexibility. HOW TO DO IT: You can take the bar from a squat rack by snatching it overhead or by cleaning and jerking it. The arms should be wider on the bar, very similar to a snatch grip. The feet should be a little outside of shoulder-width. Brace your core, and send your butt back into a squat position while keeping your arms locked overhead. A good cue to think of is “show me your pits” or bending the bar, which automatically externally rotates the shoulders and locks them into a strong position. Once you have reached below parallel, drive your knees out, squeeze your glutes and stand the bar back up. MUSCLES USED: Glutes, quads, hamstrings, calves, core, shoulders and back.
It's no secret we love Denise Austin here at Woman's Day, and this DVD reinforces why. Her simple instructions and cheerful attitude help each of the three 15-minute routines zip by. She focuses on one area of the body per session — upper body, lower body or ab & core conditioning — so I can target a trouble zone (ahem, thighs) or get a great full-body workout.
My favorites are all free, though you can subscribe for more features to most of them as well. But free works just fine. They’re all available on iOS and Android (except for one). They’re all built around the science-based concept of high-intensity circuit training using body weight, so you don’t need any fancy equipment. I’ve done these in hotel rooms, my office, parks, and even in a quiet corner at the airport waiting to get on a plane.
* After you reach your peak of development, you lose muscle tissue every day up until your death. The rate at which you lose muscle tissue significantly affects how fast you "age". Strength building exercise will slow this natural loss of muscle tissue. Would you rather age quickly or slowly? What kind of shape would you prefer to be in when you're in the Fall and Winter of your life?
I have used the standard protocol (10 seconds plus or minus two for both concentric and eccentric contractions) of this method, although sometimes I prefer going a bit faster such as 4/4, 6/6 or 8/8 seconds respectively. It is not easy and even a bit painful to do a single set of each exercise and "inroad" the muscles. Moving from machine to machine between exercises with no rest, one experiences tremendous cardio-respiratory workload (experiences counterpulsation due to very large venous return to the heart) and some feel extreme fatigue when finished. A workout can last as little as 10-12 minutes, based on 5 basic compound exercises (ie: ankle raise, trunk extension, squat, shoulder or chest press, pulldowns), and personally, I found I needed 2 workouts/week in order to achieve the strength gains I desired. Some think only one session per week is needed and I believe this is a personal and time management choice.
There’s a simple way to get your body back in fat-blasting mode: Temporarily ditch your go-to moves. "When you change up your workout, your body works harder because it’s in unfamiliar territory," explains Amy Dixon, a Santa Monica, California–based trainer and exercise physiologist. "That’s what causes it to burn more calories and build more muscle."
The effects of exercise training appear to be heterogeneous across non-mammalian species. As examples, exercise training of salmon showed minor improvements of endurance, and a forced swimming regimen of yellowtail amberjack and rainbow trout accelerated their growth rates and altered muscle morphology favorable for sustained swimming. Crocodiles, alligators, and ducks showed elevated aerobic capacity following exercise training. No effect of endurance training was found in most studies of lizards, although one study did report a training effect. In lizards, sprint training had no effect on maximal exercise capacity, and muscular damage from over-training occurred following weeks of forced treadmill exercise.
In the realm of fitness, three-month workout programs dominate the landscape. You’ve even seen plenty of them in our magazine over the years. Are they effective? Absolutely. But we’re going to let you in on an interesting secret: It doesn’t necessarily take 8 or 12 weeks to get your feet wet in the gym. Not that you’ll be a seasoned vet after four weeks, but if you can just get that first month under your belt, you’ll get yourself over the proverbial hump, where so many fail and give up, and set the stage for a lifetime of muscle gains.
“The best exercise you can do if you only have 30 seconds each day is to learn and practice diaphragmatic breathing,” explains Carla Chickedantz, a personal trainer with Crunch gyms. “Diaphragmatic breathing is the most basic, original strength building technique that each and every human uses to build core strength as a newborn baby. As adults, we lose this skill and rely on auxiliary muscles in the chest, shoulders, and neck for respiration. This causes all sorts of problems. During our workouts, we often focus on the front, back and sides of the core, and neglect the top and bottom. Yes, the core is like a canister with the diaphragm at the top and pelvic floor at the bottom.”
Use your toilet time wisely. Take advantage of that toilet time by doing some kegels. Kegels are the muscles used to stop the flow of urination, so practice clenching those muscles the next time you're doing your business. Both men and women can do kegels, which will not only help guard against incontinence, but may also improve bedroom endurance, if you catch my drift.
Given that "Superslow" is long out-of-print and much more research and refinement has occurred since the early 1990's I am hesitant to recommend it to anyone other than hardcore collectors of bodybuilding or exercise related ephemera. Ken Hutchins recently updated the entire Superslow manual and further elaborated on many more topics by publishing "The Renaissance of Exercise: A Vitruvian Adventure Volume I" (2011) which is only available via mail-order and not in retail stores. It doesn't even have an ISBN number inside. But "The Renaissance of Exercise" will give you the majority of chapters from the original SuperSlow technical manual in a much more durable hardcover textbook format. It is 320 pages of no-holds-barred Ken Hutchins simply telling the truth about what he has learned after 35 years spent rigorously studying exercise. Considering current prices of some used copies of "Superslow" for sale here on Amazon you might as well spend the $150 with the folks at RenEx and you'll get _WAY_ more for your money. You can also read some of those chapters/articles for free on the RenEx website or at Hutchins' website called SuperSlow Research Zone.
Static Hold. Static holds are familiar to some as a great strengthening technique used in yoga. They can be performed with bodyweight movements — get in the top of a plank or a deep squat position and hold — or they can be done by holding weights (in a slightly contracted position or with full lock out). Our tip? Time how long you can hold a plank to see improvement from week to week.
Rock climbing is one of the most physically challenging sports, testing strength, endurance, flexibility, and stamina. To improve in the sport, climbers must build and maintain each of these assets. Written by veteran climber and performance coach, Eric Hörst, The Rock Climber's Exercise Guide provides climbers of all ages and experience with the knowledge and tools to design and follow a comprehensive, personalized exercise program. Enhance your skills, maximize your potential, and become the best climber you can be!
You might not be responsible for delivering the certificates of the swapped shares to your employer. Many stock option plans permit you to exercise with shares you already own, through a process called "attestation." You complete an affidavit of ownership and submit it with proof of stock ownership (such as a copy of stock certificates or recent brokerage statements).
To strengthen and tone your abs, Marks says to go with V-Ups. Here’s his instruction: Begin lying on your back with your legs straight and arms extended overhead. Engage your core by pressing your lower back into the ground. Keeping your legs and arms straight, simultaneously lift your legs and torso up, reaching your hands toward your feet. Your body will form a “V.” Slowly lower to the starting position. And if you want an added challenge? Dempsey says “don’t let your arms and legs rest on the ground in between reps.” Ouch! If you’re working this hard (even for just 30 seconds!) don’t undo your efforts by making any of these 30 Flat-Belly Mistakes Women Make.
The Pull-up is performed by hanging from a chin-up bar above head height with the palms facing forward (supinated) and pulling the body up so the chin reaches or passes the bar. The pull-up is a compound exercise that also involves the biceps, forearms, traps, and the rear deltoids. A chin-up (palms facing backwards) places more emphasis on the biceps and a wide grip pullup places more emphasis on the lats. As beginners of this exercise are often unable to lift their own bodyweight, a chin-up machine can be used with counterweights to assist them in the lift.
Both groups performed an equal proportion of exercise sessions alone (MCT: 50%, HIIT: 49.6%) and together with others (MCT: 50%, HIIT: 50.4%). In both groups, women had a significantly higher proportion of sessions together with others compared to men (56% vs. 44%, p < 0.01). The HIIT group had a significantly higher proportion of sessions organized by Generation 100 compared to the MCT group (8.1% vs. 5.9%, p < 0.01).
Anaerobic exercise differs from aerobic exercise in that it is comprised by short bursts of a high-intensity activity such as that repeated during strength training. While aerobic exercise uses oxygen for fuel (an early definition of aerobic is, after all, "living only in the presence of oxygen"), anaerobic exercise draws its fuel from carbohydrates. Anaerobic exercise also produces lactic acid, unlike aerobic exercise. To get started with some anaerobic exercises, check out this list of anaerobic exercises you can do anywhere. While anaerobic exercise does not burn as many calories as aerobic exercise burns, it will still help to improve respiratory and cardiovascular fitness. Additionally, because anaerobic exercise depletes energy more quickly than the blood can replenish the muscles' oxygen, the body's anaerobic metabolism kicks in, burning glucose as fuel. Even after the the anaerobic activity has stopped, the metabolism remains increased for up to several hours. If anaerobic exercise is repeated often, it will even have an effect on your resting metabolic rate. This will cause your body to burn more calories in general—even when you're sleeping.
Choose 10 different exercises - For cardio, focus on exercises with different levels of intensity. For example, you might alternate a high-intensity exercise (such as jumping jacks or burpees) with an easier move (such as marching in place). For strength training, choose compound exercises such as squats, lunges, pushups and dips to work the entire body. Exercise ideas: Step by Step Cardio Exercises, Step by Step Body Weight Exercises
One of the beautiful things about yoga is that you can do it anywhere, anytime. (Even in the middle of a desert, as this video proves.) But sometimes you need some instruction to get through an entire sequence. That’s where Tara Stiles comes in. The New York City-based yogi teaches a full flow class in this excellent 50-minute video (one of the best YouTube workouts, in our opinion). Her detailed, easy-to-follow instructions make it seem as though you’re working one-on-one with her, and by the end of it, you’ve had a super solid yoga experience.
Torque signal and knee angle signal were recorded using the same dynamometer as for the OLDE (Cybex NORM isokinetic dynamometer, CMSi, Computer Sports Medicine Inc., Stoughton, USA). During the tests a two shoulder harnesses and a belt across the abdomen limited extraneous movement of the upper body. Torque signal and knee angle signal were digitized on-line at a sampling frequency of 1 kHz using a computer, and stored for analysis with commercially available software. Torque signal was filtered prior to data analysis (Butterworth low-pass filter at 100 Hz). Torque signal, knee angle signal and EMG signal were recorded with the same device (MP150, Biopac Systems Inc., Goleta, USA) and analyzed with the same commercially available software (Acqknowledge 4.2 for MP Systems, Biopac Systems Inc., Goleta, USA).
Planning and preparation are important when you're getting started with exercise, but to be successful, you also need momentum—and the more you can create, the easier it is to stay motivated. The best way to build and maintain momentum is with action. While it's great to ponder your weight-loss goals, think about motivation, and work on your commitment to exercise, there's something to be said for just doing it—before too much contemplation drains your energy. It's easy to spend too much time researching, reading, and exploring rather than actually doing the exercise.
Although exercise testing is useful in the diagnosis and management of cardiovascular and pulmonary diseases, a rapid comprehensive method for measurement of ventilation and gas exchange has been limited to expensive complex computer-based systems. We devised a relatively inexpensive, technically simple, and clinically oriented exercise system built around a desktop calculator. This system ... [Show full abstract]Read more
In London, the Medical Officer of Thorpe Coombe maternity hospital approved and implemented the St Thomas method in 1940, presented as ‘Training for Childbirth - and After.’26 Wellcome Library [Internet]. Rodway H. Training for childbirth - and after (1940). 2015 Sep 24 [cited 2015 Oct 3]. Available from: http://wellcomelibrary.org/player/b16729006#?asi=0&ai=0. [Google Scholar] There was also interest from the USA, but this option did not materialize.29 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: http://www.tiveyfamilytree.com/Barbara-Mortimer-Thomas-Death-Article-SMH-11-9-1940.htm. [Google Scholar]
2) Another critique related to safety (and one that betrays my affection for yoga) is the BREATH is not emphasized nearly enough. Breath and movement go hand in hand with yoga. This helps give much needed oxygen to the tissues when their demands are the highest, but it also helps the person move with the body instead of jerking the body into cranked up positions. I believe this is another spot that could contribute to injuries.
There are TONS of exercise videos on the market today and trying to decide which ones are good and which ones will just end up on the shelf unused. The three exercise video sets featured here are all on the top ten lists on review sites and customers love them. While they may not be good for every fitness level, they are challenging, they bring results and users love them.
To shake up your strength workout, replace the everyone-does-'em moves (crunches, etc.) with this fresh routine created by Dixon. Do this series two to three times per week, alternating with cardio days; you'll start to see results in as little as two to three weeks. Each move hits the same major muscle groups as the old standbys, but challenges them more, giving you a stronger, sleeker body in the same amount of time. So it's efficient—in the best way possible.
Jump up ^ Zhou Y, Zhao M, Zhou C, Li R (July 2015). "Sex differences in drug addiction and response to exercise intervention: From human to animal studies". Front. Neuroendocrinol. 40: 24–41. doi:10.1016/j.yfrne.2015.07.001. PMC 4712120. PMID 26182835. Collectively, these findings demonstrate that exercise may serve as a substitute or competition for drug abuse by changing ΔFosB or cFos immunoreactivity in the reward system to protect against later or previous drug use. ... As briefly reviewed above, a large number of human and rodent studies clearly show that there are sex differences in drug addiction and exercise. The sex differences are also found in the effectiveness of exercise on drug addiction prevention and treatment, as well as underlying neurobiological mechanisms. The postulate that exercise serves as an ideal intervention for drug addiction has been widely recognized and used in human and animal rehabilitation. ... In particular, more studies on the neurobiological mechanism of exercise and its roles in preventing and treating drug addiction are needed.
Pilates is a fitness method that was developed by Joseph Pilates in Germany during World War I. Originally intended to help rehabilitate injured soldiers, Pilates broadened his method to help people of all walks of life, including police officers and dancers, to strengthen their bodies. His method stressed the use of the mind to control the muscles and was often used to help heal and build strength in individuals who were recovering from injuries.
Alert: Companies strictly follow their exercise rules and deadlines, and courts tend to side with them. See, for example, Deal v. Consumer Programs, Inc. (2006), decided by the 8th Circuit Court of Appeals. The court ruled that the mere submission of a written notice to exercise stock options may be insufficient when the grant agreement states that the notice must be "accompanied by full payment of the purchase price of the shares."
Ever notice how dancers have killer abs, despite never hitting the floor for crunches? There’s a reason for that — every move a dancer makes engages their abs. This quick workout with Heather Graham of BeFit walks you through the moves you need to shake your body like a dancer while getting an effective core workout, not to mention your fair share of cardio. This is a low-impact routine perfect for those just getting back into exercise.
The “Lying Bicycle” is one of the “gold standards” of abdominal moves according to Marie. “If it’s performed correctly, you will be targeting all areas of your abdominals and core for a tinier, tighter waistline.” To do it: Lie on your back on a mat, placing both hands at the base of your head to lightly support your head and neck (do NOT “yank”). In one continuous motion, bring one knee up to your chest and crunch up angling the opposite elbow towards that knee. Without pausing, alternate while bringing the other elbow up and toward the other knee. Perform this move in a fluid continuous motion without pausing. Count ten reps on each side. Rest and then begin again. Marie says to be sure not to “yank or turn your head,” as this move is done by the abdominals, not your neck. “Crunch up as much as you can throughout the start and finish,” she says. “Extend your legs completely; don’t just ‘cycle’ your feet.”
The deadlift is one of the foundational strength movements in any exercise program. HOW TO DO IT: The deadlift begins with the bar on the ground. You can perform this with a regular grip or an alternating grip, which means one hand facing towards your body and one hand facing away. With a proud chest and locked core, pull the bar up while keeping it as close to your body as possible. Use your hip hinge and push your knees back to keep your body over the bar. Then extend the hips and squeeze the glutes to complete the move. MUSCLES USED: Glutes, quads, hamstrings, calves, back and core.
The Alfredson protocol should be continued for 12 weeks to see optimal results. During that time, you may wish to consult with a physical therapist who can offer advice on when to return to normal activities, such as running. Your physical therapist can prescribe balance exercises with a BAPS board and plyometric exercises to ensure that you will be able to run and jump without suffering a re-injury to your Achilles' tendon.
This exercise is similar in movement to the back squat; however, the bar sits in the front rack position across the collarbones and shoulders of the athlete. HOW TO DO IT: As you drive back up, it is imperative that you raise your elbows to the sky to keep the bar in the correct position. The core should be tight to prevent the back from rounding. If you have mobility issues in the front rack position, you can cross your forearms in front of your body, parallel to the ground. MUSCLES USED: Glutes, quads, hamstrings, calves and core.
Celebrity fitness instructor Tracy Anderson (clients include Madonna, Gwyneth Paltrow, and Jennifer Lopez) offers six 10-minute, total-body dance workouts in this DVD. The first lesson covers basic steps, while the other workouts have titles like "Cardio Party" and "Sweat Fest." Don't worry if you have two left feet: Even novice dancers can master these moves.
Video Abstract for the ESSR 46.4 article “Modulation of Energy Expenditure by Estrogens and Exercise in Women” from authors Kathleen M. Gavin, Wendy M. Kohrt, Dwight J. Klemm, and Edward L. Melanson. Reducing estrogen in women results in decreases in energy expenditure, but the mechanism(s) remain largely unknown. We postulate that the loss of estrogens in women is associated with increased accumulation of bone marrow–derived adipocytes in white adipose tissue, decreased activity of brown adipose tissue, and reduced levels of physical activity. Regular exercise may counteract the effects of estrogen deficiency.
We’ve gone on the record with our love of MMA conditioning exercises, and that’s why we bookmarked this video. Even the warm-up is jam-packed with explosive movements that’ll get your heart pumping (think high knees and walking front kicks). And once you move into the actual workout, you’re in for even more high-energy exercises, like hopping front kicks, that are sure to condition your body from head to toe.
The neurobiological effects of physical exercise are numerous and involve a wide range of interrelated effects on brain structure, brain function, and cognition. A large body of research in humans has demonstrated that consistent aerobic exercise (e.g., 30 minutes every day) induces persistent improvements in certain cognitive functions, healthy alterations in gene expression in the brain, and beneficial forms of neuroplasticity and behavioral plasticity; some of these long-term effects include: increased neuron growth, increased neurological activity (e.g., c-Fos and BDNF signaling), improved stress coping, enhanced cognitive control of behavior, improved declarative, spatial, and working memory, and structural and functional improvements in brain structures and pathways associated with cognitive control and memory. The effects of exercise on cognition have important implications for improving academic performance in children and college students, improving adult productivity, preserving cognitive function in old age, preventing or treating certain neurological disorders, and improving overall quality of life.
Ten patients were referred to the laboratory with a possible diagnosis of having OTS. Based on the criteria used in the consensus statement of the ECSS,1 the decision was made to perform a double maximum test with these athletes. One of the criteria to define an athlete as OTS is that recovery from the status will take months, or even years.1 2 In the present study, an arbitrary cutoff of 1 year was used. Those patients who needed more than 1 year for recovery were retrospectively diagnosed with OTS, the others with NFO. There seemed to be a good distinction between the patient groups based on this criterion, as the OTS patient with the shortest recovery time (1) experienced underperformance and other symptoms for 2 years, whereas the NFO patient with the longest recovery time (10) had NFO for 8 months. In addition, although subjective, there seemed to be a good parallel with the severity of the symptoms.
These classes are rooted in military-style training, so are typically pretty tough, and they often include a combination of cardio and strength exercises. “Boot camp programs are designed to build strength and fitness through a variety of intense group intervals,” explains Denver-based personal trainer Tara Laferrara. “It often starts with running, followed by a wide variety of interval training, including bodyweight moves like push-ups and sit-ups, and various types of intense explosive exercises.”
These leisurely pursuits have their place, but there’s no substitute for the intensity of intervals and strength training or plyometrics. “When you reduce your intensity, athletic performance declines,” he says. “Cardiovascular fitness and other physiological metrics drop off.” Bone density suffers, too — particularly in women. In short, when you stop pushing yourself, you’ll become less fit, less healthy.
The severity of angina and the effects of therapeutic interventions in patients with coronary artery disease have been assessed by determining changes in both exercise performance and the triple product (TP) of heart rate, systolic pressure, and ejection time occurring at angina. However, the validity of conclusions based on such changes is uncertain since the effects of different exercise protocols on these variables have not been determined. Twelve patients with angina were studied during upright bicycle exercise; repeated bouts of exercise using a standard protocol of 20-w increments every three minutes produced no consistent changes in TP at angina. When exercise began 20 to 60 w above the work load of the standard protocol that produced angina, exercise capacity was reduced (average 1'40'' vs. 4'40'', P < 0.001), and triple product at angina exceeded control anginal values (average 4,840 vs. 4,150, P < 0.001). In the control studies nitroglycerin (TNG) and carotid sinus nerve stimulation (CSNS) enabled patients to exercise to a higher level, although the triple product at angina was unaltered. However, at the higher work load TNG and CSNS exerted only minimal effects on exercise capacity, indicating that if the work load is excessive, a reduction in myocardial oxygen consumption produced by a therapeutic intervention may be comparatively minor so that a potentially salutary effect would be masked. We conclude that work loads causing angina in less than three minutes cannot reliably be used for studying the effects of therapy. However, if progressive work loads are chosen which cause angina in the control studies in three to six minutes, exercise capacity and triple product at angina provide important information about the efficacy and mechanism of action of a therapeutic intervention.