by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
Pike push-up
A variation of the traditional push-up, the pike push-up zeroes in on your arms and shoulders. You won’t have to worry about what’s your best angle in your wedding photos—your arms will look sexy from every angle.
How to do it: Begin in push-up position with hands in a wide diamond (fingers pointing toward each other).
Bend at waist, lifting hips up and coming onto toes (walk them in a bit if needed) so body forms upside-down “V”. Bend elbows to lower head toward hands.
Press back up; do 10 reps. For even more of a challenge, do 10 reps with right leg raised, then repeat with left leg raised.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
Nothing says summer like sleeveless tops and strapless dresses. But the idea of showing so much skin can be daunting. Our solution? Get started early with these six sculpting exercises from Nike trainer Lauren Williams. They will sculpt your upper body stat, so you’ll feel good at your next wedding or outdoor social event. Watch this video and try Lauren’s best get-fit moves for awesome arms, strong shoulders, and a beautiful back.
1. Wide hand walkout: Start in a plank position with your hands directly underneath your shoulders. From here, walk your hands out to a wide push-up position. Return to plank and repeat.
2. Tricep drops: Start in a plank position with your hands slightly in front of your shoulders. Gently drop your elbows to the ground. Return to high plank and repeat.
3. Front and side dumbbell arm raises: Stand tall with a dumbbell in each hand. Raise both to chest level to create a 90-degree angle with your torso, then lower back down. Next, raise both arms out straight to each side on the diagonal, stopping at shoulder level to create an open T shape with the arms, palms facing each other. Lower back down and continue to repeat this combination, moving the arms up and down as they extend in front of you and to the sides.
RELATED: Get Sculpted Shoulders and Toned Arms With Emily Skye’s Upper-Body Workout
4. Bent-over tricep kickbacks: From standing, lean your upper body forward so you’re slightly bent over with a dumbbell in each hand. Bend arms at the elbows until dumbbells reach chest, then straighten arms back out as the weights reach back behind the upper body. Repeat.
5. Bent-over alternating rows: From standing, lean your upper body forward so you’re slightly bent over with a dumbbell in each hand. First raise your right arm up so your elbow bends deeply and the weight is next to your chest. Return arm down to center, then repeat the row movement on the left arm. Continue alternating arms.
6. Inverted push-up: From a downward dog, bend the elbows out wide to create a 90-degree angle, keeping the hips raised high toward the ceiling. Extend arms to return to starting position and repeat push-up.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Fitness, Health, Wellness
The birth of my twins 13 years ago coincided with the death of any semblance of privacy or personal space.
First there was the nursing, which kept at least one of them dangling off my body for a good part of the day and night. Then, once they could crawl, I was afraid to shut the bathroom door for fear they’d bring a bookshelf down on their heads or eat the refrigerator magnets and get stuck to one another at the belly.
I was a nervous mom to begin with, and the two of them, constantly in motion and mischief, made me anxious and hypervigilant. Unfortunately, my open-door policy with my toddlers led to their begging to sit on my lap, even when I was peeing. I said no, but I was too ridden with working-mom guilt (bad mommy, earning money to support your children!) to boot them out and too exhausted to deal with the ensuing meltdowns if I tried.
I’d gotten myself into a bad pattern in which the kids felt entitled to a 24-hour all-access mommy pass, and I didn’t know how to break it. I loved them to the moon, but I was depleted and not exactly a joy to be around.
That’s when I started saying, “Mommy has to go to the gym.” I’m not sure whether my husband was more thrilled to afford me the free time or to just be rid of me, but it didn’t really matter. For a full hour, I’d go downstairs to our building’s gym and do… whatever. At first, I’d simply sit in the ladies’ room and marvel at what it was like to not have to rush out—pants open, hands unwashed—to avert some impending crisis. I’d noodle around on the bike and then head back upstairs, a saner person for it. Sometimes I made uninterrupted phone calls, and occasionally I cried from the stress of it all.
RELATED: 4 Superpowers of New Moms
But eventually I began to use my time efficiently, doing 40 minutes of cardio and either stretching or using the weight machines. I’d been a regular before I had my kids, so getting back in shape wasn’t hard. And just going to a place where I could have myself all to myself was amazing.
Now my children are teenagers, and when I text them through the closed door of their bedroom to say, “Mommy’s going to the gym,” I’m lucky if I get a thumbs-up emoji in reply. But it’s all good, and the gym is still my sanctuary, a place I will forever associate with blissful escape.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Integrative Functional Wellness, Integrative Medicine
A Natural Cholesterol-Lowering Supplement Red Yeast Rice Poses Same Health Risks As Statin Drugs
a new study contends.
Red yeast rice could increase risk of muscle injury or liver damage, Italian researchers reported after reviewing 13 years of patient data.
“These findings raise the hypothesis that the safety profile of red yeast rice is highly similar to that of synthetic statins and warrants further investigations to finally characterize the safety profile of red yeast rice,” the researchers concluded.
American heart experts said it’s not surprising that the researchers discovered adverse reactions to red yeast rice that are similar to those produced by statins.
That’s because one of the compounds in red yeast rice — monacolin K — has the same chemical structure as the statin drug lovastatin, said Dr. Paul Thompson.
“Statins actually exist in nature, in fungi and molds and stuff like that,” said Thompson, an American College of Cardiology fellow. “Patients need to know there is lovastatin in this product.” (Brand names for lovastatin are Mevacor and Altoprev.)
However, the new report only details 55 reports of adverse reactions during the entire study period. To Thompson, this indicates they are “a very rare problem.”
“It’s a tempest in a teapot,” Thompson said of the new study.
Red Yeast Rice Is Concocted From Yeast Grown On Rice
U.S. sales of red yeast rice dietary supplements totaled about $20 million a year in both 2008 and 2009, the most recent years for which data are available, according to the U.S. National Center for Complementary and Integrative Health (NCCIH).
The U.S. Food and Drug Administration views red yeast rice products containing more than trace amounts of monacolin K as unapproved new drugs, since they are chemically identical to lovastatin, and cannot be sold legally as dietary supplements.
But dozens of red yeast rice products remain on the market. And products tested as recently as 2011 have been found to contain monacolin K in substantial amounts, the NCCIH says.
For the new study, the Italian researchers reviewed government data collected on natural health products between April 2002 and September 2015.
Reports of muscle pain came from 19 patients, including some who experienced an increase in levels of creatine phosphokinase, an enzyme released when muscle tissue is damaged, the researchers said.
Thirteen of 14 “serious” cases required hospitalization. Ten patients suffered liver damage, the researchers found.
In addition, 12 patients reported gastrointestinal reactions that included upset stomach, nausea, vomiting and diarrhea.
The researchers noted that muscle pain and liver damage are common side effects of statins, which countless people take to lower their cholesterol and their risk of heart attack and stroke.
Study Doesn’t Directly Tie Red Yeast Rice To Any Of These Health Problems
“There’s no way to be absolutely guaranteed certain that most of these cases were related to the red yeast rice,” he said. Thompson is chief of cardiology at Hartford Hospital in Connecticut.
Patients with high cholesterol often buy red yeast rice over the counter when they’re concerned about the side effects of prescription statins, said Dr. Robert Eckel, a spokesman for the American Heart Association.
“You have to let them know that, well, you’re actually taking a statin,” said Eckel, who’s also a professor at the University of Colorado School of Medicine.
The Council for Responsible Nutrition, a supplement manufacturer trade group, recommends that people talk with their doctor before taking red yeast rice to lower cholesterol.
“For the small percentage of people who may have an adverse response to red yeast rice, a doctor can help to determine whether it can be tolerated, and if not, to seek other alternatives,” said Duffy MacKay. He’s the council’s senior vice president of scientific and regulatory affairs.
Some clinical trials have shown that people with a history of statin intolerance seem to tolerate red yeast rice, Eckel said.
Thompson said he prescribes a fair amount of red yeast rice in his clinic as a way to ease reluctant patients into statin treatment.
But because it’s a supplement, the amount of active ingredient in red yeast rice can vary widely from brand to brand and even batch to batch, Thompson and Eckel said.
“The products are not as well-controlled and the dosages are variable,” Eckel said.
Red yeast rice also can prove expensive if taken regularly, because it isn’t covered by insurance, Thompson said.
“My advice is people should take regular statins, even if they have to take it at very low doses,” Thompson said.
The new study appears in the British Journal of Clinical Pharmacology.
SOURCES: Paul D. Thompson, M.D., chief, cardiology, Hartford Hospital, Hartford, Conn., and fellow, American College of Cardiology; Robert Eckel, M.D., professor, University of Colorado School of Medicine, and spokesman, American Heart Association; Duffy MacKay, senior vice president, scientific and regulatory affairs, Council for Responsible Nutrition; Jan. 19, 2017, British Journal of Clinical Pharmacology, online
News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
Call Today!
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Herbs
While there’s scant evidence that herbal medications are safe or effective to treat heart conditions, they remain popular among people with heart disease, a new review suggests.
“Physicians should improve their knowledge of herbal medications in order to adequately weigh the clinical implications related to their use,” said senior review author Dr. Graziano Onder.
Onder, of the Catholic University of the Sacred Heart in Rome, Italy, is an assistant professor in the department of geriatrics, neurosciences and orthopedics.
Physicians Should Explain That Natural Does Not Always Mean Safe
Onder�said in a news release from the American College of Cardiology.
In the United States, herbal medications can be sold without being tested in clinical trials. As a result, there’s little evidence of their safety or effectiveness, the review authors explained.
The U.S. Food and Drug Administration can only determine that an herbal medication is unsafe after it has already hurt someone. However, this hasn’t stopped many people with heart disease from taking herbal treatments to improve their heart health, the researchers said.
To explore the issue, the investigators looked at 42 herbal medications that have been identified as a possible treatment for one or more heart conditions, including high blood pressure, heart failure and hardening of the arteries.
Onder’s team found there isn’t enough evidence to determine if herbal remedies are causing potential complications.
Many people don’t tell their doctor they are taking herbal medications, probably because they don’t view these as treatments that could cause serious side effects, the study authors said.
Complicating matters even further, many people taking herbal medications don’t follow through on their treatment plan and fail to take the medication prescribed by their doctor properly, the findings showed.
Doctors Should Talk To Their Patients About Potential Risks Of Using Herbal Medications
researchers concluded.
“Communicating with the patient is a crucial component of the process,” Onder said. “The pros and cons of specific herbal medications should be explained and their risk-benefit profile properly discussed.”
The review was published Feb. 27 in the Journal of the American College of Cardiology.
SOURCE: American College of Cardiology, news release, Feb. 27, 2017
News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
Call Today!
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Diets, Fitness
Wearable fitness monitors (think Fitbit) provide a “motivation alert” as you approach the magic number of 10,000 steps per day, with a “celebration” of lights on their displays when that goal is reached. But a new study shows that objective may not be anything to celebrate — and focuses on a new threshold for maximum health benefits.
The study, published in the March International Journal of Obesity, and reported in The New York Times, is based on mail carriers in Scotland, and researchers at the University of Warwick in England found that the 10,000-step regimen is too conservative. For optimum heart-health benefits, it’s best to go the extra mile — to 15,000 steps.
Mail carriers in Glasgow mostly cover their routes on foot, so researchers knew they would perfect test subjects for the study. They also knew office workers there were seated for most of the day, providing contrast participants. For their study, they followed 111 postal workers of both categories (56 mail carriers, and 55 office workers) and included both sexes between the ages of 40 and 60. Researchers compiled data on blood sugar levels, body-mass index (BMI — a measure of body fat based on height-to-weight ratio), waist sizes, and cholesterol levels. Participants each wore a fitness monitor throughout the day for a week, including time at work, at home and on the weekends.
Researchers compiled data based on activity during waking hours. This included time spent seated and on foot. What they found was enlightening. Between work and home, some of the office workers sat for more than 15 hours in total each day. The office workers who sat for most of the day tended to have larger waistlines, higher BMI numbers, and unfavorable cholesterol profiles. The researchers also figured in late-night shift work (which has been proven affect heart health), family history, and age.
The study also showed that for every hour spent sitting beyond five hours, office workers added about two-tenths of a percent to the likelihood of developing heart disease.
In contrast, any amount of walking or standing reduced the chances of having a large waistline and other risk factors associated with a healthy heart.
But the benefits of the postal carriers who walked the equivalent of at least three hours per day (the magic 15,000) were a step up: They had normal BMIs and waistlines and metabolic profiles — in other words, lessened risk of heart disease.
The study seems to confirm that the 10,000-step goal has not kept pace with modern waistlines and eating habits. Quite a few sources, including RunnersWorld.com, say the 10,000 steps-per-day goal gets its origins from Japan in the 1960s. Dr. Yoshiro Yatano, then a professor at Kyushu University of Health and Welfare, pegged the goal at 10,000 after concern over growing obesity rates. That’s roughly the amount of steps that would burn about 20 percent of a person’s daily calories at the time. He coupled his concerns with a pedometer that was developed in 1965 and the campaign took off.
But it’s a moving target in terms of optimum health benefits. Diets change. Even before the Glascow study, not all health experts agreed to the amount of steps necessary, and some argue the type of exercise makes a difference as well. In fact, the Centers for Disease Control and Prevention offers no step guides at all, preferring instead to focus on 150 minutes of moderate activity per week (which, in steps-per-day language, translates to about 8,000).
Of course, any amount of exercise is better than none at all, and it’s important to remember not to be discouraged if you can’t reach 15,000 steps per day or even 10,000 steps per day. But if you’re among those who set out to get the most heart-health protection possible, and you’ve relied on that magic 10,000, you might want to consider the results of the Glasgow postal workers. Better get moving.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Diets, Fitness
Food labels that say ‘low salt’ or ‘no fat’ may be misleading, suggests a new study.
These ‘low-content’ claims are based on comparisons with other foods and are not standard definitions. Making such a claim doesn’t necessarily mean the food is more nutritious than other brands, the authors say.
Consumers should “turn the package around and look at the entire nutritional profile as well as the ingredients list in order to get a better sense of whether the product overall is healthier or less healthy,” Lindsey Smith Taillie of the University of North Carolina at Chapel Hill told Reuters Health in a phone call.
Smith Taillie and colleagues analyzed data on more than 80 million food and beverage purchases made in the United States by 40,000 families from 2008 to 2012.
“We found that higher-income households tended to be more likely to buy products with these types of claims, which is consistent with previous research that suggests that claims tend to be more utilized by people with higher levels of education,” Smith Taillie said.
As reported in the Journal of the Academy of Nutrition and Dietetics, 13 percent of food and 35 percent of beverage purchases included products with some type of low-content claim. Low-fat purchases were the most common, followed by low-calorie, low-sugar, and low-sodium claims.
On average, packaged foods with low-nutrient claims had 32 percent fewer calories, 11 percent less sugar, and about half the fat and sodium compared to foods that didn’t carry any claims on the packaging.
However, some products with low-nutrient claims actually had more of that substance than foods without those claims.
Also, Smith Taillie said, when a product has a low-sugar claim, for example, it might have less sugar than a reference product or a similar product, “but it doesn’t mean that it has an overall better nutritional quality.”
Or, “it could be a high-sugar food but be low in fat, so it’s going to say low fat on the label. That doesn’t mean that it’s healthy,” she said.
“Essentially, it can be kind of misleading to make a decision about a product based on a front-of-package claim,” she added.
The U.S. Food and Drug Administration regulates what products can claim, Smith Taillie said.
“It’s not that the products are technically wrong in making a low-content claim, it’s just that the rules that allow them to make this kind of claim vary by the claim and by food category,” she said.
Food labels can be confusing, agreed Melissa Rifkin, a dietitian with Montefiore Medical Center in New York City who was not involved in the study.
Understanding what a nutrition fact label means is more important than focusing on marketing claims,” Rifkin told Reuters Health by email.
Key items to focus on are serving size, quantity per container, calories, fat, sodium and sugar, she said.
A new and revamped nutrition fact label is under development, Rifkin said.
“Slowly we will begin to see all labeling take on the new information,” she said.
