Why do we exercise? We all know it's good for our health, but have you ever thought about it?  Do you exercise the way you do because you've heard that's the way it should be done? Is it possible that the current way of working out could be good for some parts of our body, but bad for others... are we doing more harm than good? Are we spending more time exercising than we need to?
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.

Pilates and his followers stood apart from the other MMB schools for surviving a turbulent century, for making multiple millions of people healthier in mind and body and for being a major force in reintroducing mind–body methods to healthcare establishments today. Furthermore, Pilates deserves credit for inventing his ingenious exercise equipment, which uniquely blends in harmoniously with the universal mind–body philosophy.
Jump up ^ Farina N, Rusted J, Tabet N (January 2014). "The effect of exercise interventions on cognitive outcome in Alzheimer's disease: a systematic review". Int Psychogeriatr. 26 (1): 9–18. doi:10.1017/S1041610213001385. PMID 23962667. Six RCTs were identified that exclusively considered the effect of exercise in AD patients. Exercise generally had a positive effect on rate of cognitive decline in AD. A meta-analysis found that exercise interventions have a positive effect on global cognitive function, 0.75 (95% CI = 0.32–1.17). ... The most prevalent subtype of dementia is Alzheimer’s disease (AD), accounting for up to 65.0% of all dementia cases ... Cognitive decline in AD is attributable at least in part to the buildup of amyloid and tau proteins, which promote neuronal dysfunction and death (Hardy and Selkoe, 2002; Karran et al., 2011). Evidence in transgenic mouse models of AD, in which the mice have artificially elevated amyloid load, suggests that exercise programs are able to improve cognitive function (Adlard et al., 2005; Nichol et al., 2007). Adlard and colleagues also determined that the improvement in cognitive performance occurred in conjunction with a reduced amyloid load. Research that includes direct indices of change in such biomarkers will help to determine the mechanisms by which exercise may act on cognition in AD.
The exercise videos became a series, and Fonda eventually released 23 workout videos. Fonda's exercise videos were such a success because they were the first media of their time to send the message that it was socially acceptable for women to participate in exercise culture and become muscular. Fonda's videos also helped to spark the aerobic exercise trend of the 1980s, not to mention the period's iconic fashion trend: a neon exercise outfit with a leotard and leg warmers. The aerobic exercise craze became so widespread that a Muppets parody tape titled Miss Piggy's Aerobique Exercise Workout Album was released in 1982. The album cover featured Miss Piggy in a Fonda-esque exercise outfit, complete with leg warmers and a leotard, in a pose imitating that which was famously modeled by Jane Fonda on the cover of her first tape.
If you've been to yoga before, you'll recognize this as a near chaturanga—but a little faster. Start in a down dog position with hands on the ground, hips high in the air, and feet on the ground so you form a triangle shape. In a fluid motion, dive head toward the floor, coming into a low push-up position, and then swoop chest forward and up so you end in an upward dog position. From there, push hips up to return to starting position.

If watching Dancing With the Stars inspired you to get grooving, you should definitely try this DVD for a guided shape-up. Although I suggest shutting your curtains and banishing anyone else from the house while you shake it, learning the routines kept me focused and by the end, I was sweating and laughing (at myself). Skimpy sequined outfits and B-list celebs not required.
A typical Pilates class usually lasts around 45 minutes to an hour. You need a fitness mat, water bottle and towel and comfortable clothing. Sometimes other gear such as balls, straps and Pilates-specific equipment is used. While available in most studios offering Pilates classes, these items may also be purchased if desired for home use. Like yoga, you will most likely be barefoot during workouts.
This move requires a great deal of strength, balance and flexibility. HOW TO DO IT: Start by standing on one leg. The opposite leg can be held out in front of your body with your hands on the non-working leg. Think about rooting your foot into the ground while you squat down and back so that the glutes pass below parallel. MUSCLES USED: Glutes, quads, hamstrings and calves.
Exercise videos are probably one of the most purchased items when it comes to fitness. They are also one of the most likely to end up on the shelves of users due to many different reasons. In many cases, it’s because the user didn’t know what they were getting into when they purchased the exercise videos, so once they got them home and watched them, it turned out it wasn’t what they were looking for at all.
The recent “consensus statement” of the European College of Sport Science indicates that the difference between NFO and OTS is the amount of time needed for performance restoration and not the type or duration of training stress or degree of impairment.1 In essence, it is generally thought that symptoms of OTS, such as fatigue, performance decline and mood disturbances, are more severe than those of NFO. However, there is no scientific evidence to either confirm or refute this suggestion.1 The distinction between NFO and OTS is most of the time based on “time to recover”. Hence, there is a need for objective, immediately available evidence that the athlete is indeed experiencing OTS.
Chase Squires is the first to admit that he's no fitness expert. But he is a guy who used to weigh 205 pounds, more than was healthy for his 5'4" frame. "In my vacation pictures in 2002, I looked like the Stay Puft Marshmallow Man at the beach," says the 42-year-old Colorado resident. Squires decided enough was enough, cut out fatty food, and started walking on a treadmill. The pounds came off and soon he was running marathons -- not fast, but in the race. He ran his first 50-mile race in October 2003 and completed his first 100-miler a year later. Since then, he's completed several 100-mile, 50-mile, and 50k races.
The baseline testing included clinical examinations, physical tests and questionnaires about health and lifestyle. Age and sex were obtained from the National Population Registry. A previously described questionnaire provided information on physical activity level and sedentary time at baseline [19]. Detailed protocol for assessment of body weight (kg), body height (cm) and body mass index (BMI; kg/m2) is described elsewhere [19]. Testing of peak oxygen uptake (VO2peak; mL/kg/min) was performed either as walking on a treadmill or cycling on a stationary bike. The test started with 10 min at a chosen warm-up speed. Approximately every two minutes, either the incline of the treadmill was increased by 2%, or the speed was increased by 1 km/h. The test protocol ended when participants were no longer able to carry a workload due to exhaustion or until all the criteria for a maximal oxygen uptake were reached [22].
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.
Two moves is better than one, right? You may want to do this move on a mat or a towel for padding. Start in a high plank position with core tight. Lower onto both forearms at the same time, maintaining a tight core and level hips. Now push back up onto hands at the same time to return to starting position. Finish by drawing right knee into chest, then left knee into chest, doing a mountain climber.
For this basic strength-training workout, you'll do 1 set of 15 reps of each of the nine exercises listed below, resting briefly between exercises as needed. The workout targets all the muscles in the body, including the chest, shoulders, arms, back, hips, glutes, and thighs. It's short and simple—a great way for beginners to get started with strength training. 
The Canadian Society for Exercise Physiology has published "The Canadian Physical Activity, Fitness & Lifestyle Approach", which details fitness assessment protocols. One such protocol, the mCAFT, is designed to give information about the aerobic fitness of a person, while using minimal equipment. The subject works by lifting its own body weight up and down double steps (40.6 cm in height total) while listening to set cadences from a compact disc. The end-stage of the age and gender specific stepping rate requires 85% of the age-predicted maximum heart rate. The heart rate increases approximately in a linear fashion from 50% to 100% of maximal oxygen intake. The heart rate does not decrease significantly during the first fifteen seconds of recovery. Thus, one can predict an aerobic fitness using the heart rate right after exercise of a known sub-maximal rate of working.
An evidence-based journal club of 9 faculty members and fellows reviewed the articles and extracted and tabulated the data. Individual outcomes for pain, range of motion (ROM), strength, and function were organized. Intragroup and between-groups outcomes were assessed for the effectiveness of treatment, and statistical outcomes were recorded when available. Clinical importance was determined when statistical value was P < .05 and the effect size or difference between treatments was 20% or more. Sixa major categories were created to organize the components of the physical therapy programs used in each study: ROM, flexibility and stretching, strengthening techniques, therapist-driven manual therapy, modalities, and schedule. Components from these categories were used to create a synthesized physical therapy program.

“Everyone can dance! Just embrace your style! And, if it’s for fitness, well, the point is to get you moving, not to be a professional! So, if you’re sweating and having a good time, you’re doing it right!” says Blogilates creator Cassey Ho. In this video, she takes you through a step-by-step, 14-minute dance cardio workout, complete with instructions. This video is great for those who need a bit of extra guidance. After you’ve learned the exercises, you may even be able to take a few of these moves to the floor.


Once you become more comfortable with the technique, you can try it while sitting up. Chickedantz says it will change your body by alleviating anxiety and stress, fix your posture, alleviate pain and strengthen abdominal and intestinal muscles. On a similar note, you can make the most of your stuck-in-a-seat time with these 21 Tricks to Lose Weight While Sitting Down!
There are many ways to do a handstand push-up. One starts in the handstand position against a wall. HOW TO DO IT: To complete this movement, lower your body to the ground so that your head touches the ground (or mat) below. Then, push yourself away from the ground into a handstand. You can also kip this so that your lower body helps drive the upper body. This can be done by bringing your knees to your chest while you lower your head toward the ground. Then, kick up to the sky as you push off of the ground with your hands. The two forces combine to bring you back to the beginning handstand position. MUSCLES USED: Shoulders, core and triceps.
The 1980s also brought the grueling workouts from Buns of Steel with Greg Smithey. In Buns of Steel, Smithey guided viewers in a series of rigorous exercises aimed to tone their rears and thighs. Despite the rigor and intensity of the workout, or perhaps because of it, over one million copies of the VHS tape were sold. That said, I can't help but wonder how much of Smithey's—also called the Bunmaster— success is due to his uncomfortably vivid and surreal line: "Don't forget to squeeze those cheeseburgers out of those thighs!" Wait, what? Smithey comes off as pretty sleazy throughout his tapes, but don't let that stop you. The workout is, after all, titled Buns of Steel.
As you strengthen your abs, it's vital to tone the back of the body as well. Lie on your back with your knees bent and your feet hip-width apart. Keep your arms at your sides and raise your hips without arching your back. Tighten the muscles of your buttocks and hamstrings, and hold for five breaths. Lower down one vertebra at a time to the floor if you're stopping here, or go on to the advanced posture.
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.
Hormonal responses to the two exercise bouts are presented in fig 4A–D. Visual inspection led to the conclusion that there are no differences in relative cortisol response between the NFO and the OTS group. ACTH, PRL and GH responses are higher in the NFO group compared with the OTS group, especially in the second exercise bout. However, the SE of GH in the NFO group was probably too large to draw clear conclusions. Indeed, the main effect of group gave an F ratio of F1,7=1.4 for GH. For ACTH and PRL, F ratios were F1,7=5.1 and F1,6=14.7, both significant at p<0.05, confirming larger responses for the NFO group. Visual inspection led to the conclusion that this larger response was much more pronounced after the second exercise bout. Indeed, parametric results pointed in the direction of an interaction effect between test and group for ACTH and PRL (F1,7=4.1; p=0.084; F1,6=4.0; p=0.092).
^ 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. ...
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.
Tracing the origins of Western MMB training suggests that the regular practice of movement-harmonizing exercises was embedded in ancient Greek culture.1 Herodotis. The history of Herodotus. New York (NY): Appleman and Company; 1885. [Google Scholar] Calisthenics in Greek means strength and beauty, a combination highlighted in Greek mythology and everyday life. This philosophy engendered sporting activities that were practiced to facilitate self-empowerment and prepare for events such as the Olympic Games or military actions.2 The Atlantic [Internet]. Cheever DW. The Gymnasium (1859). 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.theatlantic.com/magazine/archive/1859/05/the-gymnasium/305407/. [Google Scholar] Today, Calisthenics refers to full-body movement exercises benefiting the body and mind by employing functional motions such as bending, stretching, twisting, kicking, jumping, push-ups, sit-ups, and squats.3 Greek Calisthenics Movement [Internet]. History. 2015 Jun 25 [cited 2015 Aug 30]. Available from: http://calisthenics.gr/en/index.html. [Google Scholar]
Multiple new, yet generally typical MMB methods originated after 1950, including the Feldenkrais Method;51 Reese M [Internet]. A biography of Moshe Feldenkrais. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.feldenkrais.com/moshe-feldenkrais. [Google Scholar] the modern form of Calisthenics;52 Ozer Kaya D, Duzgun I, Baltaci G, Karacan S, Colakoglu F. Effects of calisthenics and Pilates exercises on coordination and proprioception in adult women: a randomized controlled trial. J Sport Rehabil. 2012;21(3):235–43. [Google Scholar] Gyrokinesis and Gyrotonic by Horvath;53 Gyrotonic and Gyrokinesis [Internet]. 2015 Aug 30 [cited 2015 Aug 30]. Available from: https://www.gyrotonic.com. [Google Scholar] Gaga by Naharin54 Gaga [Internet]. 2015 Aug 28 [cited 2015 Aug 30]. Available from: http://gagapeople.com/english/about-gaga/. [Google Scholar] and CoreAlign55 The CoreAlign [Internet]. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.pilates.com/BBAPP/V/education/corealign/index.html. [Google Scholar] and Human Harmony by Hoffman.56 Human Harmony Training [Internet]. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.fffforlife.com/#!human-harmony-training/c66t. [Google Scholar] In recent decades, many allied health professionals and therapists have embraced the MMB concepts as an integral part of their practice and detailed in mainstream scientific literature their research findings on its effectiveness.57–59 Wells C, Kolt GS, Marshall P, Hill B, Bialocerkowski A. Effectiveness of Pilates exercise in treating people with chronic low back pain: a systematic review of systematic reviews. BMC Med Res Methodol. 2013;13:7. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563510/10.1186/1471-2288-13-7
Checkley, Müller, Alexander, and Pilates initiated their interests from a self-requirement to improve health or overcome functional loss. They subsequently used their bodies as a model to demonstrate their method’s effectiveness and encourage others. Despite their turn of the 20th century separation from the gymnasium ‘Physical Culture’ and new independence, all six MMB pioneers advocated their exercises as an adjunct to other sports and regular daily activity; Müller recommended running on the balls of the feet as an aerobic activity, Pilates worked with dancers, while Morris, who besides her dedication to dance and dancers’ health also published ‘Tennis by Simple Exercises’ in 1937 together with French tennis mega-star Suzanne Lenglen.60 Lenglen S, Morris M. Tennis by simple exercises. London: Heinemann; 1937. [Google Scholar]
The Push Press is a move that incorporates your entire body. While the strict press focuses only on the upper body, the push press incorporates the lower body to drive the bar up overhead. This synchronic movement is great for building power and pure strength. HOW TO DO IT: Start with the bar across your shoulders. Your hands position on the bar should be just slightly outside of your shoulders, and your feet should be shoulder-width apart. Brace your core, dip slightly into a quarter squat and squeeze your glutes while driving the bar up overhead. Complete the movement with your arms in the lockout position overhead. There is only one dip in the push press, and that is when you push the bar overhead. There should not be a second dip at the top of the bar path or that movement would be called a “jerk.” MUSCLES USED: Glutes, quads, hamstrings, shoulders and core.
DOMS stands for delayed onset muscle soreness, which is the soreness you feel the day or two after a hard workout. This happens because when you’re working out you’re damaging muscle fibers (that’s a good thing!). The muscle then repairs and rebuilds and that’s how you get stronger. The soreness and pain you feel from DOMS comes from the chemicals that set off pain receptors during the repair process, Robert Hyldahl, Ph.D., an exercise physiologist at Brigham Young University, previously explained to SELF. This soreness may last anywhere from 24 to 72 hours after your workout. (Here’s what to do when DOMS kicks in after a workout.)
Walking was the most common exercise type in both training groups (Fig. 3). Compared to HIIT, MCT had a significantly higher proportion of sessions with walking and resistance training. Contrary, compared to MCT, HIIT had a higher proportion of sessions with cycling, combined endurance and resistance training, other types of endurance training (e.g. aerobic, treadmill), jogging, swimming and dancing. There were no group differences regarding cross-country skiing and domestic activities (e.g. housework, gardening) (Fig. 3).
The baseline testing included clinical examinations, physical tests and questionnaires about health and lifestyle. Age and sex were obtained from the National Population Registry. A previously described questionnaire provided information on physical activity level and sedentary time at baseline [19]. Detailed protocol for assessment of body weight (kg), body height (cm) and body mass index (BMI; kg/m2) is described elsewhere [19]. Testing of peak oxygen uptake (VO2peak; mL/kg/min) was performed either as walking on a treadmill or cycling on a stationary bike. The test started with 10 min at a chosen warm-up speed. Approximately every two minutes, either the incline of the treadmill was increased by 2%, or the speed was increased by 1 km/h. The test protocol ended when participants were no longer able to carry a workload due to exhaustion or until all the criteria for a maximal oxygen uptake were reached [22].

All three workout methods provide physical and mental benefits. In fact, the Centers for Disease Control and Prevention (CDC), reports that engaging in aerobic and/or muscle-strengthening activities 3 to 5 times a week for 30 to 60 minutes improves your physical health, mental health and mood. It serves to improve sleep, reduce stress and improve your overall sense of well-being. Exercising regularly can help you live a healthier, happier life.

I must confess: the title of this section is misleading, because while most of us associate the first home workouts with fitness icons Jane Fonda and Richard Simmons, they were not the first ones to bring workouts inside our homes. In fact, before there were VHS tapes, before there were even televised workouts, there were the audio-only vinyl record workouts, nicknamed vinylcise.


Fit septuagenarians may even need to be held back: “Strength training is super empowering,” she says. “And people get excited when they see and feel the results. I have older clients doing multiple timed sets of kettlebell swings. One older client biked 2,700 miles in 50 days. It takes a little longer, but they can reach really impressive levels of fitness.”
In summary, Kuhn demonstrated substantial evidence in randomized clinical trials that exercise is effective for treating individuals with RCIS, thereby supporting its use in clinical practice. However, as Kuhn indicated, detail related to which specific exercises are best to prescribe is lacking. Thus, it might be premature to label this exercise protocol as a criterion standard based on current available evidence. In addition, the multifactored nature of RCIS indicates that individuals do not present with a homogeneous list of impairments. Therefore, we believe that using the same exercise program to treat everyone who has RCIS is inappropriate. An effective exercise program is derived not only from the pathoanatomic diagnosis but also from the synthesis of factors, such as pain, impairments, and functional limitations. Furthermore, we believe follow-up examinations might be necessary to modify and progress the individual's exercise program. Development of a classification-based treatment approach using evidence-based exercises with standardized exercise dosage and progression guidelines might optimize outcomes for individuals with RCIS.
“Foam rolling is a form of massage (or trigger point release) that you can do to loosen tight muscles to help improve your mobility,” says Lefkowith. Using a foam roller helps smooth out “knots” in your fascia (the layer of connective tissue surrounding your muscles), which can get in the way of your range of motion. This is crucial for performing exercises with correct form and making sure the right muscle fibers are firing away. While you can stop, drop, and foam roll anytime, it’s often recommended to spend a few minutes with the foam roller before your workout to help get the juices flowing.
In 1912, Alexander claimed that the principles of ‘conscious control’ constitute an unfailing remedy for disease, including the cases of shortening of the spine, an injured arm, and a golfer who is practicing his swing.21 Pilates and Alexander [Internet]. Macy JA. Alexander Technique and the Pilates method of movement re-education: A biomechanical perspective. 2010 Dec 6 [cited 2015 Aug 30]. Available from: http://pilatesandalexander.com/articles/macy/. [Google Scholar] Alexander was against weightlifting, claiming that their focus on isolating muscles did not address the short- and long-term damage of impaired functional movements: ‘The physical body thus had two existences ... one fiercely active, muscular, dynamic, the other sedentary, nervous, static.’21 Pilates and Alexander [Internet]. Macy JA. Alexander Technique and the Pilates method of movement re-education: A biomechanical perspective. 2010 Dec 6 [cited 2015 Aug 30]. Available from: http://pilatesandalexander.com/articles/macy/. [Google Scholar] He allied himself with the turn of the 20th century MMB movement emergence:20 Alexander FM. Man's supreme inheritance. London: Methuen; 1910. [Google Scholar]
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.
In 1937, Randell’s number-two Thomas was sent to Australia to lecture on the St Thomas Project, teach the exercises, and assist local physiotherapists with the program’s implementation.35 Evans EP. The history of the New South Wales branch of the Australian Physiotherapy Association. Aust J Physiother. 1955;1(2):76–8.10.1016/S0004-9514(14)60817-5[Crossref] [Google Scholar] There are multiple indications of an unknown video Thomas made during this visit, and it was reported later that as a result of the visit, the St Thomas method was implemented in maternity hospitals in Sydney and Melbourne; the exercises were used by physiotherapists on an individual basis and that Thomas was remembered as a pioneer of Australian antenatal physiotherapy.29,35,36 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.
This DVD is focused on strength training — you can choose whether you want to do an upper body workout, a lower body workout, an abs and back routine, or a quickie 10-minute total body workout. But don't think you have to already be super buff to jump in: This workout is designed for people of any fitness level — though you will need some equipment for it, like a stretch band and exercise ball.
Jumping and throwing moves, punches, kicks, and swinging a club or a racket all require power, which comes from your core—and, yes, causes those ab muscles to cinch. "The core is the crossroads of your system, helping transfer force between your upper and lower body," says Rick Richey, a faculty member for the National Academy of Sports Medicine in New York City. Add medicine ball throws to your sets: A study in the Journal of Strength & Conditioning Research found they are ideal core strengtheners. (Don't just stop at tossing, medicine balls can be used for a full body workout.)
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).
You probably already spend one to three minutes brushing and flossing your teeth at least once a day. Why not brush your teeth while holding a deep squat, or while doing side leg lifts? These things are perfectly doable and add no additional time to your tooth-brushing activities. Simply tell yourself that you have no excuse for brushing your teeth without holding a deep squat. No matter how tired you are.
It should be emphasised that, depending on the training status, the time the hormone measurements are taken (diurnal variation), urinary, blood and salivary measures create a great variation inthe interpretation of the results. In pathological situations such as in major depression,15 16 post-traumatic stress disorder,17 and probably also in OTS,10 the glucocorticoids and the brain monoaminergic systems apparently fail to restrain the HPA response to stress. Indeed, we recently showed that a test protocol with two consecutive maximal exercise tests separated by 4 h may give a good indication of the HPA response to stress in well-trained and FO athletes relative to a case of OTS.10 We found a suppression of the HPA response to the second exercise bout in the OTS athlete as opposed to the normal responses. The question can be asked if this method is also a valuable tool to make a distinction between NFO and OTS. Therefore, we report the results of 10 patients who were referred to our laboratory with the diagnosis of suspicion of NFO or OTS.
Exclusion criteria included major diseases or conditions such as severe heart disease, uncontrolled hypertension, obesity, osteoarticular pathology, and neurological disease. Criteria were evaluated on the basis of clinical history, resting ECG, and physical examination. Participants maintained their lifestyles and were instructed not to take part in any other physical programs throughout the study. At the time of the initial design, the study consisted of a 12-week randomized controlled trial with a frequency of 3 times a week, 36 sessions in all, ending with a new assessment of their wellness and the potential persistence of the results on functional/physical capacities.
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