The Science of Exercise & Nutrition. Evidence-based 'opinions' & 'expertise"

USA
Joined December 2009
Amazing news for exercise science! A few months ago, I wrote about a landmark trial showing that exercise reduces cancer recurrence and argued it should become standard cancer care. Guess what? It’s happening! UPMC will now cover exercise oncology. Others might soon follow. 😇
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Can Coffee decrease body fat & increase testosterone? A few points people have overlooked.🙏
🤖 Made with AI
People who drank more coffee had less body fat, less visceral fat, and more lean mass than less-frequent or non-drinkers. The biggest benefit was seen at 5 or more cups per day. And for men, every extra cup per day was associated with a ~10 ng/dL higher total testosterone. Higher coffee intake was also associated with better glucose and insulin regulation in men. This was an observational study, but mechanistic and experimental evidence actually supports coffee's benefits on metabolic and hormonal health. I'm willing to believe there's a real link here rather than draw a conclusion such as "coffee drinkers live healthier lives in general."
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The old trick of saying both groups "improved comparatively" or were equivalent when it is not statistically significant. The simple conclusion is heating was not effective in improving FM"s compared to exercise & control.
Hot water immersion improved vascular function as effectively as zone 2 aerobic exercise. Participants completed three weekly sessions of either 40-minutes in 104°F (40°C) water or 40 minutes of moderate-intensity aerobic exercise. After 12 weeks, both groups showed comparable improvements in flow-mediated dilation (a measure of how effectively blood vessels widen in response to increased blood flow). Research supports similar benefits for other passive heat modalities such as sauna. Neither is a replacement for exercise, but their ability to produce similar improvements in endothelial function is remarkable.
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Mind your evidence. Even the best of us, including Harvard trained researchers, can succumb to the power of anecdotes & expert opinion! 😊
The whole body MRI thing is controversial for obvious reasons. It’s costly & there are a lot of false positives. But I have neurosurgeon friends who tell me they do life-saving surgeries *every month* b/c people got full body MRI merely b/c they curious & found operable issues.
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Excellent info!! Subscribe if you are an exercise enthusiast. Two renowned exercise science researchers sharing their expertise for free!! 🙏😊
Fighting Frailty: Maintaining Muscle as You Age realexercisescience.com/p/fi… You have an older person in your life, or perhaps you are an older person yourself and you need that push to start strength training.
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Just finished reviewing an article: The authors conclude that “both groups showed similar results.”❌ Common mistake: A statistically non-significant difference between grops cannot be used to claim similar results. To demonstrate equivalence, you need an equivalence design ✅
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Common mistake in SR/Meta analysis is looking at statistical significance!❌ Cochrane reviews recommend authors of SR/Meta analysis NOT to describe results as ‘statistically significant’/ ‘non-significant’ /unduly rely on thresholds for Pvalues ✅ Watch the 2 min video: 👍
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10 yr follow-up study of the arthroscopic partial meniscectomy vs sham surgery for torn meniscus. Guess what they found?? Same as the original 1 year-trial: No benefit!!👎 In fact, most outcomes favored the sham surgery! Why we need RCT's!! 😊nejm.org/doi/full/10.1056/NE…
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Excellent article by @oncology_bg !! 🙏🙏 I would add one more simple critique: What's the Absolute risk reduction? RR always tend to exaggerate the risk reduction.
A MUST-READ! This is probably one of my most important papers where I try to teach how to fish rather than offer fish. How I Read a Clinical Trial Report? BG’s primer for Busy Clinicians. Thank you @JCOOP_ASCO @EthicsdoctorP for the kind invitation. I hope the readers will find this useful. ascopubs.org/doi/10.1200/OP-…
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Another mechanism why exercise protects you from cancer: Mechanical force due to the heart beat helps protect your heart from cancer. Amazing 🙏
New @ScienceMagazine Why is the heart resistant to cancer? Role of the heart beat! Mechanical force helps protect the heart from cancer science.org/doi/10.1126/scie…
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Excellent study! In fact, the Placebo group improved physical function more than Rapamycin in older adults after 13 weeks. Another example of why mechanisms/physiology can be wrong & why we need trials!
Our Rapamycin & Exercise clinical trial has just been published! The topline result? Rapamycin didn't help. Instead, it may have made things worse. Here's what we found 🧵 onlinelibrary.wiley.com/doi/…
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Big thanks to @theproof for hosting @TheAlanAragon and I for an in depth podcast focusing on building muscle over the lifespan. We delve extensively (over 3 hours!) both into how exercise- and nutrition-related strategies can stave off the aging process. It was particularly fun to be able to interact and exchange ideas with Alan, who I consider one of the world's top minds in sports nutrition. Check out the episode on the link below. youtube.com/watch?v=YQagUsX6…
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Fascinating study! 🙏 Vagus nerve stimulation (1 min/day) using an implanted device, compared with sham stimulation, showed a 10% improvement in rheumatoid arthritis (RA) symptoms after 3 months in 242 adults with difficult to treat RA!! Link: nature.com/articles/s41591-0…
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Dr. Phillips on what matters "Physical activity/exercise plus a good diet get so much of the “job” of being healthy done. The rest, supplements, bespoke exercise prescriptions & “superfoods” are just details Ignore the noise & focus on the big picture" 🙏 wapo.st/4q9t07M
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Exercise Biology retweeted
In the US, approximately 40% of men older than 50 years have lower urinary tract symptoms. This JAMA Patient Page describes lower urinary tract symptoms in men and their associated diagnoses and treatments. ja.ma/3MJrAm5
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My take: 1000 people went through prostate screen, 2 people will have a mortality benefit in 23 years! Harms include false-positives require more testing, possible prostate biopsy, overtreatment & issues, like incontinence & erectile dysfunction Now who wants to be screened?😊
🚨23 years of PSA screening in @NEJM 🚨 👉ERSPC RCT of >162k patients 📅Median 23 year f/u PSA screening lead to... 📉 #prostatecancer mortality by 13% ✅1 death prevented for every 456 men invited for screening or 12 diagnosed w/ PCa 📉Risk of advanced PCa by 34% ⭐️Benefit continues to rise over time as harm-benefit ratio improves 🔗shorturl.at/ajgNN @PCF_Science @PCFnews @urotoday @UrologyTimes @renalandurology @UroOnc
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Exercise Intensity Terminology is a bit of a mess 😵‍💫 Our attempt to try & summarise some of the different approaches, and make some recommendations going forward, has finally been published in both MSSE: bit.ly/4nT7Pq5 & JSaMS: bit.ly/46U7ptq.
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Excellent article on how to communicate medical numbers/risks to the public! 🙏jamanetwork.com/journals/jam…
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