If you’re overweight and lose weight, chances are you’ll be doing your knees a world of good, says a new study published in the journal Radiology. Researchers from the University of California, San Francisco, found that overweight and obese people who lose a substantial amount of weight over four years significantly lowered degeneration of their knee cartilage.
Obesity is a risk factor for osteoarthritis, says the National Institutes of Health since extra pounds can place extra pressure on joints and cartilage, causing them to erode. In addition, extra body fat may produce higher levels of chemicals that cause inflammation in the joints, which also raises the risk for osteoarthritis.
“For this research, we analyzed the differences between groups with and without weight loss,” said the study’s lead author Dr. Alexandra Gersing. “We looked at the degeneration of all knee joint structures, such as menisci, articular cartilage, and bone marrow.”
Researchers investigated the link between weight loss and the progression of cartilage changes on MRI over a 48-month period in 640 overweight and obese patients. All had risk factors for osteoarthritis or MRI evidence of mild to moderate osteoarthritis.
Patients were categorized into three groups: those who lost more than 10 percent of their body weight, those who lost five to 10 percent of their body weight, and a control group whose weight remained stable.
Patients who lose 5 percent of their total weight had lower rates of cartilage degeneration when compared with stable weight participants. Degeneration slowed even more in patients who lost 10 percent of their body weight.
In addition, the researchers also saw changes in the menisci. Menisci are crescent-shaped fibrocartilage pads that protect and cushion the joint.
“The most exciting finding of our research was that not only did we see slower degeneration in the articular cartilage, we saw that the menisci degenerated a lot slower in overweight and obese individuals who lost more than 5 percent of their body weight, and that the effects were strongest in overweight individuals and in individuals with substantial weight loss,” she said.
“Our study emphasizes the importance of individualized therapy strategies and lifestyle interventions in order to prevent structural knee joint degeneration as early as possible in obese and overweight patients at risk for osteoarthritis or with symptomatic osteoarthritis,” Gersing said.
According to the Centers for Disease Control and Prevention, osteoarthritis is the most common form of arthritis. In addition to obesity, risk factors include age (the risk increases with age), sex (more women have the condition), and joint injury or overuse.
Osteoarthritis affects more than 30 million American adults.
Energy drinks are known for their high caffeine content, which often tops that of soda and even coffee. But they seem to affect people�s hearts and blood pressure differently than other caffeinated beverages, suggests a small new study published in the Journal of the American HeartAssociation.
In the study, researchers divided 18 men and women into two groups. Half were given a 32-ounce commercially available energy drink with 320 mg of caffeine, as well as other ingredients like taurine and ginseng (both dietary supplements). People in the other group were given a soda-like control drink of the same size that contained the same amount of caffeine with a bit of lime juice, cherry syrup and carbonated water. After six days, the groups switched and drank the other beverage.
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Results of Consuming Energy Drinks
The researchers measured everyone�s blood pressure at the start of the study and one, two, four, six and 24 hours after drinking the beverage. They also measured everyone�s heart activity using an electrocardiogram.
People who drank the energy drinks had a QT interval�meaning the time it takes the heart�s ventricles to prepare to beat again�10-milliseconds higher than those who drank the caffeinated control beverages. Irregularity in the QT interval can sometimes lead to abnormal heart beats. Fletcher says that the disparity may be important, since some medications that affect the QT interval by 6 milliseconds carry warning labels.
Both groups had higher blood pressure after their drinks, though never out of normal range. The blood pressure of people who had the control drink returned to baseline levels after six hours. But when people drank the energy beverage, their blood pressure remained elevated for more than six hours. The researchers believe that could mean that the other ingredients in energy drinks may alter blood pressure beyond the effects of caffeine alone.
�What the growing body of evidence is pointing to is that there are effects on the heart that are different than caffeine alone,� says study author Emily Fletcher, a deputy pharmacy flight commander from David Grant U.S.A.F. Medical Center at Travis Air Force Base in California. �Consumers should be aware that drinking an energy drink is not the same as drinking coffee or soda.�
More research is needed. The study was small, and researchers only looked at the effects of the beverages on people who were healthy�and not at the differences over the long term. The American Beverage Association, which represents the non-alcoholic beverage industry, said in a statement that �energy drinks have been extensively studied and confirmed safe for consumption by government safety authorities worldwide including a recent review by the European Food Safety Authority.�
Fletcher says that the findings suggest people should approach energy drinks with some caution, especially those who have risk factors for heart issues. �I would recommend only moderate consumption of energy drinks and particular avoidance in people with underlying cardiac disease or hypertension,� says Fletcher, �or during activities that would also increase your blood pressure and heart rate, such as exercise or sports.�
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Weight Loss Eases Back Pain
Back pain and symptoms of sciatica can affect a majority of the population throughout their lifetime. Research studies have demonstrated that people who are overweight or obese experience more back complications than people with a healthy weight. A proper nutrition along with regular physical fitness can help with weight loss as well as help maintain a healthy weight to eliminate symptoms of back pain and sciatica. Chiropractic care is also another natural form of treatment which treats back pain and sciatica utilizing manual spinal adjustments and manipulations.
A combination of exercise and sufficient vitamin D levels may reduce the risk of serious heart problems more than either one alone, a new study suggests.
An analysis of data spanning 20 years from more than 10,000 U.S. adults found that those who got the recommended amounts of exercise and had adequate vitamin D levels had a 23 percent lower risk of heart attack or stroke.
People who met physical activity targets but were deficient in the so-called “sunshine vitamin” did not have a lower risk.
The combined benefit of having adequate vitamin D and exercise levels was better than either factor alone, according to the Johns Hopkins University study. It was published recently in The Journal of Clinical Endocrinology & Metabolism.
While the observational study does not prove cause and effect, it does support the idea that adequate exercise and vitamin D are signs of good health, the researchers said. Vitamin D is produced when the body is exposed to sunlight and is found in some foods.
“In our study, both failure to meet the recommended physical activity levels and having vitamin D deficiency were very common,” study co-author Dr. Erin Michos said in a university news release.
“The bottom line is we need to encourage people to move more in the name of heart health,” Michos added.
She is associate director of preventive cardiology and associate professor of medicine at the Ciccarone Center for the Prevention of Heart Disease at Johns Hopkins.
Though the study found that the more people exercised, the higher their vitamin D levels, this was true for whites but not for blacks, the researchers said. Michos said people with darker skin may produce vitamin D less efficiently because their skin pigments act as a natural sunscreen.
Most adults can get adequate levels of vitamin D with a few minutes a day of sunlight in spring, summer and fall, along with eating a well-balanced diet that includes oily fish such as salmon and fortified foods like cereal and milk, according to Michos.
SOURCE: Johns Hopkins University, news release, April 27, 2017
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Chiropractic and Athletic Performance
Chiropractic care is a popular, alternative treatment option which focuses on the diagnosis, treatment and prevention of injuries and/or conditions associated to the musculoskeletal and nervous system, primarily the spine. Many athletes, and civilians alike, seek chiropractic care to restore their natural health and wellness, however, chiropractic has been demonstrated to benefit athletes by increasing their athletic performance.
Mothers who eat a diet high in fructose-containing sugars while pregnant or breastfeeding are more likely to have a child with fatty liver disease, increasing their chances of developing obesity or type 2 diabetes according to new Australian research.
Carried out by the University of South Australia, the animal study looked at female rats given water supplemented with fructose-containing sugars including sucrose or high fructose corn syrup (HFCS) before, during and after pregnancy.
The amount of sugar was equivalent to levels found in standard soft drinks.
After they were born, the offspring were either weaned by a mother who had access to the fructose-containing beverage, or by a mother who had access to water only.
The team then analyzed the offspring’s body weight, fat mass and glucose control and analyzed their tissues to find out the amount and type of fat in their livers.
They found that the offspring from mothers who had consumed the drink high in fructose were more likely to have a fatty liver, and that this was especially true for offspring who were weaned by mothers who drank the fructose-containing beverage.
Fatty liver can also have a negative effect on metabolic health, potentially leading to obesity or type 2 diabetes in the future.
The results also suggest that the timing of exposure to fructose sugars is important, and highlights the importance of diet for breastfeeding mothers.
Dr Sheridan Gentili, lead investigator of the study cautioned that, “As there are differences in physiology between humans and rodents, we need to be careful when translating this research directly to humans.”
However, she also added that, “This study highlights the importance of maternal nutrition during the lactation period. Guidelines for consuming added sugars or sugar-sweetened beverages during pregnancy should consider this.”
As well as soft drinks, many cereals and other processed foods also contain fructose-containing sugars.
The study can be found online published in The Journal of Physiology.
Schools won’t have to cut more salt from meals just yet and some will be able to serve kids fewer whole grains, under changes to federal nutrition standards announced Monday.
The move by President Donald Trump’s Agriculture Department partially rolls back rules championed by former first lady Michelle Obama as part of her healthy eating initiative. Separately, the Food and Drug Administration said on Monday it would delay � for one year � Obama administration rules that will require calorie labels on menus and prepared food displays. The rule was scheduled to go into effect later this week.
As his first major action in office, Agriculture Secretary Sonny Perdue said the Agriculture Department will delay an upcoming requirement to lower the amount of sodium in meals while continuing to allow waivers for regulations that all grains on the lunch line must be 50 percent whole grain.
Schools could also serve 1 percent flavored milk instead of the nonfat now required.
“If kids aren’t eating the food, and it’s ending up in the trash, they aren’t getting any nutrition � thus undermining the intent of the program,” said Perdue, who traveled to a school in Leesburg, Virginia, to make the announcement.
Health advocates who worked closely with the Obama administration on nutrition issues criticized the two moves, saying that the Trump administration is messing with rules that are popular with the public.
The menu labeling law would have required chain restaurants and other establishments that sell prepared foods to post the calorie content of food. The FDA said the delay “allows for further consideration” of ways to reduce costs or make the rules more flexible as supermarkets and pizza delivery companies have lobbied against it.
“The Trump administration is showing in two important ways that it puts business interests before its populist rhetoric on the campaign trail and what mainstream Americans want,” said Margo Wootan, a lobbyist for the Center for Science in the Public Interest.
The school meal changes reflect suggestions from the School Nutrition Association, which represents school nutrition directors and companies that sell food to schools. The group often battled with the Obama administration, which phased in the healthier school meal rules starting in 2012.
The Obama administration rules set fat, sugar and sodium limits on foods in the lunch line and beyond. Schools have long been required to follow government nutrition rules if they accept federal reimbursements for free and reduced-price meals for low-income students, but these standards were stricter. Obama pushed the changes as part of her “Let’s Move” campaign to combat childhood obesity.
The Trump administration changes leave most of the Obama administration’s school meal rules in place, including requirements that students must take fruits and vegetables on the lunch line. Some schools have asked for changes to that policy, saying students often throw them away.
But the health advocates who have championed the rules are concerned about the freeze in sodium levels, in particular. School lunches for elementary school students are now required to have less than 1,230 mg of sodium, a change put in place in 2014. The changes would keep the meals at that level, delaying until at least 2020 a requirement to lower sodium to 935 mg. That requirement was scheduled to begin in the 2017-2018 school year.
“By forgoing the next phase of sodium reduction, the Trump administration will be locking in dangerously high sodium levels in school lunch,” Wootan said.
Before he signed the proclamation, Perdue and Senate Agriculture Chairman Pat Roberts, R-Kan., ate chicken nuggets, fruit and salad with children at Catoctin Elementary. Perdue said he doesn’t see the changes as a rollback, but “we’re just slowing down the process.” He praised Obama’s nutrition efforts as first lady but said he wants the healthier meals to be more palatable.
He said the department will work on long-term solutions to further tweak the rules.
Becky Domokos-Bays, the nutrition director for Loudon County, Virginia, including Catoctin Elementary, said she has been experimenting with the lower sodium levels and she’s had a hard time adjusting some of the more popular foods she serves. Kids like her chicken noodle soup, she says, but rejected it when she lowered the sodium content because it was thinner and had less taste.
Perdue, a former governor of Georgia, said some schools in the South have had problems with grits, because “the whole grain variety has little black flakes in it” and kids won’t eat it.
“The school is compliant with the whole-grain requirements, but no one is eating the grits,” Perdue said. “That doesn’t make any sense.”
Others don’t want to see any changes to the healthier meals. Outside the school, Leesburg Mayor Kelly Burk and about 20 others protested ahead of the announcement. One sign read: “Sonny � Our children do not want big business soda, chips and fries!”
“Some people don’t like regulations, but these are important regulations that impact kids,” Burk said.
Doctor of Chiropractic, Dr. Alexander Jimenez takes a look at the latest diet drink with fiber.
COCA-COLA
Coca-Cola recently unveiled a new pop with the ingredient that�s sure to drop easily with its customers: dietary fiber.
The beverage firm introduced the product, which will be called Coca-Cola Plus. The soda is exclusively sold in Japan and features five grams of indigestible dextrin (which is a form of dietary fiber).
According to an announcement from Coke in February, the product is an integral part of Coca-Cola Japan�s Food of Specified Health Use (FOSHU) beverages. FOSHU beverages are intended to appeal to Japan�s health conscious consumers who are 40 and older. Coke, which has had a popular FOSHU tea beverage in the marketplace since 2014, said it took over a decade to research and develop Coke Plus, which was recently accepted by the Japanese government. If its � � claims that are healthy will actually do that much to help consumers, yet, individuals aren�t too certain.
�Drinking one Coca-Cola Plus per day with food may help suppress fat absorption after eating,� the firm asserted in a press release, and help moderate the levels of triglycerides in the blood.
Companies adding dietary fiber to its drinks is nothing new. Pepsi added beverages in its Japanese market a few years ago and dietary fiber and made similar claims about fat absorption and triglycerides that Coke did in the statement above.
�Unless Pepsi can provide data from controlled studies in humans to the contrary, their claim should be thought of as bogus and deceptive,� Walter Willett, Fredrick John Stare Professor of Epidemiology and Nutrition and chair of the Department of Nutrition at Harvard School of Public Health, told Time in 2012.
HuffPost reached out to Miriam E. Nelson, Ph.D, one of the state�s leading nutritionists and director of the Sustainability Institute at the University of New Hampshire, to talk about the inclusion of dietary fiber to pop.
�There isn’t any evidence that supplying fiber, scattering it in here or there, that that fiber has an entire health benefit, so that�s an important difference,� Nelson told HuffPost. �The evidence for dietary fiber having a health-promoting impact is with eating a routine of foods (such as fruits and vegetables and whole grains) that supply that fiber.�
Nelson said that adding the fiber won�t do anything harmful to the customer, but just adding the fiber by itself won�t have the well-being aspects a fiber-rich diet would offer. But she did find one part �disturbing� about the fiber claims.
“The companies are trying to add a positive halo or health attribute within a product which doesn�t have some health benefits,� Nelson said. If it�s a sugar-sweetened beverage afterward it truly has a lot of health benefits that are negative, so it�s trying to counterbalance that. That�s the disturbing part, since I believe they�re trying to link with the consumer and develop a health aspect where there isn�t one.�
If You Need To Incorporate More Fiber Into Your Daily Diet, Do It With Whole Grains, Fruits & Veggies
Doctor of Chiropractic, Dr. Alex Jimenez goes through some tips on how to avoid back injuries.
When it comes to avoiding back injuries, your fate is largely in your own hands. It�s true that an unexpected fall or auto accident may cause an injury that�s beyond your control, but a large percentage of back injuries are caused by your own actions, which means you can take measures to prevent them or stop them from getting worse. Here are a few valuable back injury tips from a El Paso chiropractor.
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Pay Attention to Your Lifting Technique
How you lift boxes, laundry baskets, children�s toys, a pair of shoes or just about anything else, has a bearing on the health of your back. When you lift correctly your spine is in the proper alignment and there is no added stress placed on your back. This means you should bend your knees and keep your back as straight as possible when you pick anything up off the floor.
If you have a lot of lifting to do try to place items on a table or chair so there isn�t as much bending required picking it up. Your back is not designed to work like a crane so anytime you use it that way you are putting stress on your back that doesn�t need to be there. Take a balanced stance, lift with your legs and move your feet if you need to change direction while holding the object.
Sensible Body Management
Performing activities with your back health in mind is a great strategy to help you avoid back injuries. That means stretching before any type of physical activity, taking it slow if you have a lot of repetitive lifting to do, and taking breaks to rest and stretch during the activity.
Getting yourself into good physical condition also protects your back and helps to avoid injuries. This includes losing weight in your midsection, and strengthening core muscles, to make lifting and general movement less stressful on your back. Most El Paso chiropractors will also tell you that sleeping on a firm mattress is another way you can nurture your back and prevent injuries.
Don�t Let Injuries Linger
If you end up with a back injury despite your efforts to avoid it, you should seek treatment with a El Paso chiropractor as soon as you can. Spinal misalignment, bulging discs, herniated discs, and other injuries often only get worse if you let them linger. Prompt treatment will restore blood flow to the area, relieve any compressed nerves and get you back to normal in the shortest time possible.
Doctor of Chiropractic, Dr. Alexander Jimenez looks at four ways of reducing back pain.
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1. Understand The Way Your Spine Works
The best approach to take care of your spine and prevent back pain is to begin with a superb understanding of how the spine works. By understanding how your backbone works when you’re performing jobs that are day-to-day or moving during your day, you may be able to take care of your spine and keep it working for a long time with fewer problems and less back pain.
2. Incorporate Safe Body Mechanics Into Activities
Use good body mechanics during day-to-day jobs at home and work. What does that mean? Good body mechanics means while you go, keeping your back in a safe posture that is balanced. You can help to prevent back pain and injury, by remembering several easy notions. You should employ your leg and arm muscles when lifting and stooping �not your back muscles. Second, keep your back straight when bending and lifting. And last but not the very least, be sure to bend at your hips and knees, not at your waist.
An example of correctly bending at the hips and knees
3. Exercise On A Regular Basis
Regular care of stuff we possess helps to keep them working efficiently, with less effort and safely. Exactly the same is true of the back.
Exercising on a regular basis really helps to keep up long term to a healthy back.
Regular exercise helps to increase endurance and reduces fatigue.
But Don’t I Get Enough Exercise At Work?
Many people believe their occupations provide enough exercise�specially occupations which are physical and could include manual labor. Regrettably this really isn’t accurate. Individuals need daily exercise to state and strengthen their muscles to perform job tasks safely and efficiently.
Exercise could be fun! There are lots of types of exercise. One method when selecting to start a workout program to ensure success would be to pick some form of exercise that fits into your lifestyle. If exercise is accessible and convenient, you’ll be prone to continue exercising on a longterm basis. As an example, determining to swim daily or do water aerobics without easy use of a pool year round would make success less likely and consistency difficult.
A typical exercise that a lot of people start successfully with is walking. Walking just takes a superb pair of walking shoes, may be done any day of the year, and is usually simple to fit right into a daily program.
Remember, whatever type of exercise you decide on, always start out small (10 minutes vs 60 minutes), and slowly increase your own exercise time. This may help to make sure your success at getting started and sticking with a fitness plan. Add two or one stretching exercises, like a calf stretch, for your routine for one more benefit.
An example of a calf stretch
4. Fuel Your Body With Proper Nutrition
Eating a healthy diet supplies the fuel your body has to make energy. And energy must do work, meaning the jobs we do throughout the day, like work tasks and exercise. Appropriate nutrition also helps to maintain your ideal body weight. Weight management is a great way to restrain stress on the joints in your body, including the spine.
Unsure where to start to understand about proper nutrition and establishing a healthier diet for you personally as well as your lifestyle? Then take a look at Introduction to Nutrition. By integrating these suggestions into your everyday life, you’ll be able to promote a healthier back�and lifestyle�for a long time.
In the study, researchers divided 18 men and women into two groups. Half were given a 32-ounce commercially available energy drink with 320 mg of caffeine, as well as other ingredients like taurine and ginseng (both dietary supplements). People in the other group were given a soda-like control drink of the same size that contained the same amount of caffeine with a bit of lime juice, cherry syrup and carbonated water. After six days, the groups switched and drank the other beverage.
The researchers measured everyone�s blood pressure at the start of the study and one, two, four, six and 24 hours after drinking the beverage. They also measured everyone�s heart activity using an electrocardiogram.
People who drank the energy drinks had a QT interval�meaning the time it takes the heart�s ventricles to prepare to beat again�10-milliseconds higher than those who drank the caffeinated control beverages. Irregularity in the QT interval can sometimes lead to abnormal heart beats. Fletcher says that the disparity may be important, since some medications that affect the QT interval by 6 milliseconds carry warning labels.
Both groups had higher blood pressure after their drinks, though never out of normal range. The blood pressure of people who had the control drink returned to baseline levels after six hours. But when people drank the energy beverage, their blood pressure remained elevated for more than six hours. The researchers believe that could mean that the other ingredients in energy drinks may alter blood pressure beyond the effects of caffeine alone.
�What the growing body of evidence is pointing to is that there are effects on the heart that are different than caffeine alone,� says study author Emily Fletcher, a deputy pharmacy flight commander from David Grant U.S.A.F. Medical Center at Travis Air Force Base in California. �Consumers should be aware that drinking an energy drink is not the same as drinking coffee or soda.�
More research is needed. The study was small, and researchers only looked at the effects of the beverages on people who were healthy�and not at the differences over the long term. The American Beverage Association, which represents the non-alcoholic beverage industry, said in a statement that �energy drinks have been extensively studied and confirmed safe for consumption by government safety authorities worldwide including a recent review by the European Food Safety Authority.�
Fletcher says that the findings suggest people should approach energy drinks with some caution, especially those who have risk factors for heart issues. �I would recommend only moderate consumption of energy drinks and particular avoidance in people with underlying cardiac disease or hypertension,� says Fletcher, �or during activities that would also increase your blood pressure and heart rate, such as exercise or sports.�
Cycling is on the rise. Bike shares�are popping up in cities across the country. An increasing number of workers are commuting�on two wheels. And�more folks are pedaling for fresh air and fitness. The number one concern among all of them? Traffic�specifically staying safe when navigating streets busy with cars.
The good news is that a few bits of bike safety knowledge go a long way in keeping you out of harm�s way. Here�s how to avoid common causes of car-bike collisions.
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Bike & Rider Visible
When a driver hits a cyclist, the first words out of his mouths are inevitably, �I didn�t see her!� Though the onus is on drivers�to be aware of their surroundings, you can take a few easy steps to make them aware that you�re there. This is especially important in low-light conditions, when accidents are most common. Stats show serious accidents happen most often between 6 p.m. and 9 p.m.
Get daytime running lights. The latest trend in cycling is to run daytime running lights�white in the front and red in the rear�just like motorcycles and many cars. Portable, rechargeable lights like Bontrager�s Ion 100 are intense enough that cars can see you from nearly a quarter mile away.�They also have a flashing mode, which gets the attention of distracted drivers. One study found that the incidence rate of bicycle accidents with personal injury to the rider was 19%�lower for riders using permanent running lights.�Well worth the 40 bucks they cost!
Wear reflective clothing.�It�s easy to blend in with the surroundings when you�re pedaling a skinny bike along the roadside. Create a contrast by wearing �hi-viz� clothing or accent pieces like vests, a helmet, and gloves that make you easier to see. Research shows it can lower your risk of run-ins with cars by 40%. When the light is dim, wear cycling-specific reflective accessories.
Be Predictable
Follow the rules of the road. Flow with (never against) traffic. Obey street signs, traffic signals, and road markings. Hold a straight line as much as possible (obviously skirting around obstacles like potholes and storm grates) and avoid weaving in and out of parked cars. Signal your intentions to turn�simply put your arm out and point�so cars know which direction you�re going.
Mind The Intersections
The majority of accidents happen in intersections. The most common scenario is a car turning right turns into you without seeing you. Other common scenarios include an oncoming car turns left into you as you�re going straight. Or a car simply pulls out into the intersection directly in front or into you. To avoid these, you can do the following:
Ride further left. Riders often hug the edge of the road as far right as possible. But in traffic, especially when you�re moving about the same rate of speed as the cars, it�s safer to move into the lane where you are fully visible. Riding in the lane is also smart when the road is simply too narrow for cars to pass you at a safe distance.
Stay out of the blind spot. When coming to a stop at a traffic light or stop sign, avoid stopping right next to the car to your left. The driver�can�t see you and may turn right into you. Stop behind the car�so you can see its blinkers. If the driver fails to use her blinkers, you’ll also be able to see the car turning before it turns into you.
Be cautious passing on the right. When you�re riding to the right of traffic, especially if you�re in a bike lane, you will likely find yourself occasionally passing cars on the right hand side, especially when traffic is slow. It�s best to avoid passing on the right. But if you do, be vigilant and keep your eye out for intersections, driveways, parking lots, and other places cars may be turning right (or crossing traffic and making a left from the opposite direction), so a driver doesn’t�inadvertently turn right into or in front of you.
Make eye contact. When at an intersection with cars coming in from either side, make eye contact with the drivers to be sure they see you before pulling into the intersection. If they don�t appear to see you, wave an arm to get their attention. (Lights help a lot here, too.)
Check our our sister site: Biking Experts to learn more…
Give Yourself A Door Buffer
When riding past parked cars on your right, give yourself ample space to avoid being �doored� by someone opening their car door into traffic. It helps to keep an eye on side view mirrors, as well, since you can see cars that are occupied, where someone may step out without looking.
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