El Paso, TX. Chiropractor Dr. Alex Jimenez examines working out on an empty stomach.
For a thing that should be simple, working out doesn�t consistently feel that way. There�s choosing the best fat-burning workout. There�s that pesky question of whether diet or exercise is essential for fat loss. And there�s a new one to throw into the mix: whether working out on an empty stomach can help you shed weight faster.
Bodybuilders swear by it while many people religiously enjoy their pre -workout protein shake. What exactly gives? Should you hitting the gym on an empty stomach and be forgoing food in the event you want to lose pounds?
Regrettably, like so much fitness guidance, this falls into the grey, �it depends� place. Let�s inquire.
Work Out On an Empty Stomach?
The theory behind exercising having an empty tummy is that when you squeeze before breakfast, your body burns fat faster.
See, what occurs is that glycogen, a type of carbohydrate which our bodies shop, � runs out� overnight. When you wake up and hit the gym first thing in the morning, because your body is low on carbs, the notion is the body will really turn to fats next to obtain energy. (1)
Things do get tricky because if the body is completely from glycogen � you had an early dinner, got the full nighttime�s remainder and perhaps snoozed an extra hour or two � the body might bypass fat burning and head directly to muscle shops instead, chipping away at body definition.
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Advantages of Working Out On an Empty Stomach
So what does the science say the huge benefits before working out to missing breakfast?
1. Burn Fat Quicker. One study followed 12 active males after breakfast who ran on the treadmill either or while they were still fasting from the night time before. (2) The men who hadn�t broken their fast, i.e. hadn�t had breakfast, burned up to 20 percent more body fat during the same work outs.
What�s especially fascinating is that the guys who jumped breakfast didn�t overeat after or attempt to otherwise make � for the early AM calories up they missed out on. So obtaining a head start on your fitness regimen pre-breakfast can help you lose more fat without making you sneak in extra calories later.
2. Improve Performance. There�s evidence that exercising when your carb levels are low, like when you�re on an empty stomach, actually helps improve functionality during �normal� workouts. The concept behind �train low, compete � that is high is that working out in a glycogen- low state helps the body become more efficient at burning off fat so at times when carb levels are quite high, the body is primed and raring to go. (3)
3. Time-Restricted Eating Can Help In Losing Weight. Work Out out on an empty stomach ties into the thought of time-limited eating. On this diet program, it is possible to eat as much as you want of anything you desire. The only caveat is that you just eat strictly between certain hours, with 12�16 hours of time where you don�t eat anything.
The notion is that when our bodies understand just when we�re going to be eating, our hormones react by burning fat and supporting weight reduction during the food-free hours. Scheduling workouts during fasting hours could encourage the body to burn more fat, particularly when you�re exercising first thing in the morning.
4. Improve Body’s Response To Insulin. When we eat, our bodies release insulin to consume all of the nutrients in the foods we�re enjoying. However, as soon as we�re eating way too many carbohydrates and sugar, our bodies become resistant to insulin � it�s unable to do its job at the same time.
All that insulin can bring in regards to an assortment of chronic illnesses and builds up. Among many health benefits of fasting, however, is reducing that susceptibility to insulin. Without continuous food, insulin isn�t so our bodies don�t become immune to the hormone, created often.
5. Inspiration To Work Out More.�Let�s confront it � we�re all super active. By working out each morning before stopping to make breakfast, having that cup of coffee or whatever it’s that might derail you in the mornings, you can get your calorie burning out of the way with no distractions that happen after.
In the event you have to be out of your house by 8 a.m., it�s a lot easier to hit the gym before eating as opposed to sitting down for breakfast, waiting to digest and then working out.
When It�s Not Wise To Work Out Without Any Food On Board
But working out on an empty stomach might not be the finest idea for everybody. For each study that says burning fat occurs more easily when you exercise before eating, there�s another one that says the opposite. An International Journal of Sport Nutrition and Exercise Metabolism study found that a pre-workout snack or light meal actually helps burn body fat. (4)
Plus study found no difference in weight reduction between women who ate a meal-replacement shake before exercising without eating and those that got directly in their workouts. (5)
Another problem is that without any fuel in your belly, you may well not be working out as hard as you could. A pre-workout snack that�s a mix of carbs, protein and healthy fats can give you the energy you need to push yourself harder.
That extra fire might be just things you must finish high-intensity interval workouts like Crossfit or Tabata, which actually help you burn off more calories in a briefer amount of time. These are intense work outs where you�re likely to need to max out your energy.
And when you�re training for endurance sports like long-distance racing or a triathlon, working out on an empty stomach might work for short distances, but you definitely wish to consume before longer work outs � depending on how much you�re going, you might even need to refuel during training.
Finally, if you�re someone who psychologically has to realize which you aren�t going to burn out mid way because you�ve eaten through exercising, it�s not a great day to work out on an empty stomach. Same goes for people who are diabetic or experience low blood sugar. Eating a small bite will make sure that you remain safe throughout your workout.
Final�Thoughts
I wish I possibly could tell you that working out on an empty stomach will cause results that are better. But because numerous variables are at play � how fit you are, what type of exercise you�re doing and the way you workout best � it�s impossible.
What is vital is that you just remain hydrated before, during and following your workout. Drinking enough water will keep up energy levels. Drinking enough H2O can also keep pounds from increasing because thirst is, in addition, mistaken for hunger.
Maybe more notably than whether you eat before a workout is what you�re having later. A mix of protein and healthy carbs can help muscle tissue recover. Drinking a post-workout recovery shake or eating eggs with veggies in the first 45 minutes after exercise while your blood is circulating well is ideal. Take a look at my list of 43 greatest post-workout meals for quicker results � you�re certain to find something you�ll adore.
Eventually, whether you�re working out on an empty stomach or not, kudos to you for getting out there and taking control of your quality of life. Keep up the work outs!
People who want a healthy heart should be mindful of not only what they eat, but when they eat, according to a new scientific statement from the American Heart Association (AHA).
The report is a response to the growing evidence that timing matters when it comes to heart disease risk, said Marie-Pierre St-Onge, the lead author of the statement. The various organs of the body have their own “clocks,” St-Onge explained, and that may affect how we handle food at different times of the day and night.
“For example, later in the evening, it’s harder for the body to process glucose [sugar], compared with earlier in the day,” said St-Onge, an associate professor of nutritional medicine at Columbia University in New York City.
The new statement highlights what’s known — and what’s not — about meal timing and heart health. The statement lacks specific rules, such as “Never eat after 8 p.m.,” or “Everyone should eat breakfast.”
It does, however, suggest that people spread out their calories over a “defined” period of the day — as opposed to either eating a lot over a short period, or grazing from morning until night. Based on the evidence, the AHA says, it’s probably a good idea to get a large share of your calories earlier in the day.
“A long fasting duration at night is better than a long fast during the day,” St-Onge said.
But there’s no declaration that breakfast is the most important meal of the day.
The evidence, St-Onge said, is just not clear enough to make specific recommendations on breakfast.
A number of studies have found that breakfast eaters are generally healthier than breakfast skippers: They tend to weigh less, have better blood pressure and cholesterol numbers, and have lower risks of type 2 diabetes and heart disease, according to the AHA.
The problem is, those studies don’t prove that breakfast deserves the credit. And few trials have actually tested the effects of “assigning” people to eat breakfast, the AHA says.
Based on what studies have been done, adding breakfast doesn’t seem to aid weight loss, the report said. Of course, if breakfast skippers simply add an extra meal to their day, they’ll gain weight, St-Onge pointed out. A few small trials have, however, suggested that breakfast can help regulate blood sugar and insulin levels, according to the AHA.
Sonya Angelone is a registered dietitian and spokesperson for the Academy of Nutrition and Dietetics. And she was clear in her support of eating breakfast.
“I think it’s very important to eat breakfast every day,” Angelone said.
Just as important, she said, is to hydrate after a long liquid-free night. Coffee does “count,” she noted, but a glass of water is better. According to Angelone, breakfast is critical because it’s hard to get all the nutrients you need in just two meals a day — even if you snack.
That raises another question: Should people eat “three square meals,” or is it better to stick with small, but more-frequent meals?
That’s not clear, according to the AHA.
Studies that track people in the real world have found that those who eat more often during the day have a lower risk of obesity and better cholesterol levels. On the other hand, the AHA says, small trials that have tested the effects of altering meal frequency have mostly come up empty. When daily calories are kept constant, meal frequency may not affect people’s weight, levels of “good” HDL cholesterol or other factors that affect heart health.
Of course, there is no one-size-fits-all approach to eating, St-Onge said.
Some people, she noted, do well with “grazing” throughout the day — as long as the food choices are healthy, and they do not keep grazing until midnight.
“If you’re someone with good control over your diet, maybe grazing is a good idea,” St-Onge said. “But if it’s difficult for you to stop eating once you start, it’s probably not a good idea.”
According to Angelone, frequent eating may not be wise for people with resistance to insulin — the hormone that regulates blood sugar. Insulin resistance is seen in people with type 2 diabetes or “pre-diabetes.” If those people eat often, Angelone explained, their insulin levels may never have a chance to drop. In general, St-Onge said, “mindfulness” is critical. Often, people eat not because they’re hungry, but to deal with emotions, she said.
“Ask yourself why you’re eating,” St-Onge said. “Is it because you’re stressed or sad or bored? Ask yourself whether you’re really hungry right now.”
The statement was published online Jan. 30 in the AHA journal Circulation.
SOURCES: Marie-Pierre St-Onge, Ph.D., associate professor, nutritional medicine, Columbia University, New York City; Sonya Angelone, M.S., R.D.N., spokesperson, Academy of Nutrition and Dietetics, Chicago; Jan. 30, 2017, Circulation, online
For more information, 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 research study published in the Journal of the American Medical Association in September 2015 demonstrated that nearly 50 percent of adults in the United States may have pre-diabetes or diabetes.
Approximately 9 out of 10 people may have undiagnosed pre-diabetes while 1 out of every 4 people may have undiagnosed diabetes. Statistics from the Center for Disease Control also revealed that about 30 percent of all individuals with pre-diabetes will develop type 2 diabetes within 5 years.
While these statistics have become dangerously alarming in the United States, the increasing issue of pre-diabetes and diabetes cases in adults has been growing throughout the world. Over the last decade, for instance, Great Britain has seen a drastic rise in both pre-diabetes and diabetes cases as well. According to a BBC News report, approximately more than one-third of British adults have been diagnosed with pre-diabetes, as compared to a 2003 report, where only 11.6 percent of British adults had been diagnosed with pre-diabetes. By 2011, the amount of individuals diagnosed with the conditions had almost tripled to about 35.3 percent.
Pre-diabetes is medically characterized as having a fasting blood sugar of 100-125 mg/dl or a hemoglobin A1C of 5.7-6.4 percent. Researchers medically defined diabetes as having a fasting blood sugar greater than 126 mg/dl or a hemoglobin A1C > 6.5 percent, a measure of long term glucose control.
Health Complications Related to Diabetes
A majority of the complications associated with pre-diabetes and diabetes can develop gradually over time. Individual�s who�ve had the condition for an extended period of time, and who also maintain less control of their blood sugar levels, may have a higher risk of suffering other complications commonly associated with type 2 diabetes. If these issues are not treated accordingly, they could eventually lead to disabling or even life-threatening complications.
Common complications associated with pre-diabetes and diabetes include:
Skin and tissue infections: Damage to blood vessels and nerves can affect the proper circulation and blood flow to the skin. This can result in the death of skin cells which may lead to a variety of changes in the skin as well as in other important structures of the body.
Foot damage: The Improper blood flow and circulation as well as damage to the nerves in the feet can increase the risk of experiencing a variety of foot issues. If left untreated, these foot complications, such as cuts and blisters, can develop into serious infections which can often heal poorly. Severe infections may ultimately require toe, foot or leg amputations.
Eye damage or retinopathy: Diabetes can damage the blood vessels of the retina which can potentially lead to blindness. This complication of the condition also increases the risk of other serious vision conditions, such as the development of cataracts and glaucoma.
Kidney damage or nephropathy: The kidneys are made up of millions of tiny blood vessel clusters, known as glomeruli, which function by filtering waste from the blood. Type 2 diabetes can damage these blood vessel clusters, affecting their normal function to properly filter the blood. Severe damage to the glomeruli can lead to kidney disease or kidney failure which may require dialysis or a kidney transplant.
Peripheral neuropathy or nerve damage: Increased blood sugar levels can injure the walls of the capillaries, tiny blood vessels which nourish the nerves, particularly those found in the legs. Peripheral neuropathy can cause pain, tingling and burning sensations and numbness along the upper and lower extremities. If this type of nerve damage is left untreated, the symptoms mentioned above may worsen, resulting in loss of strength and balance as well as the complete loss of feeling in the affected limbs. A majority of people with advanced stages of peripheral neuropathy experience chronic symptoms of pain and they may be unable to walk without the help of a cane or walker. Some people may need to use a wheelchair. Nerve damage can also affect the nerves of the digestive system, causing nausea, vomiting, diarrhea or constipation. For men, peripheral neuropathy may lead to erectile dysfunction.
Cardiovascular disease: Pre-diabetes and diabetes also dramatically increases the risk of developing a variety of cardiovascular problems, including coronary artery disease with chest pain or angina, heart attack, stroke and narrowing of arteries, or atherosclerosis. Individuals with diabetes are more likely to experience heart disease or stroke.
Hearing impairment: Individuals with diabetes have double the risk of experiencing hearing loss and other auditory complications than adults without the condition.
Alzheimer�s disease: According to various research studies, type 2 diabetes has been linked to the development of Vascular Dementia and Alzheimer�s disease.
Risk Factors Leading to Diabetes
Pre-diabetes and type 2 diabetes can develop due to a variety of risk factors. Knowing these factors can help individuals be more aware of their chances of developing the condition in order to help them take the necessary precautions to prevent diabetes from developing.
Several risk factors contributing to pre-diabetes and diabetes include:
Weight: Excess weight and obesity can cause the development of insulin resistance, one of the most common reasons behind pre-diabetes and diabetes in adults.
Inactivity: Sedentary individuals who engage in less exercise and physical activity can be at greater risk of developing the condition. Physical activity and exercise helps control weight, utilizes glucose as energy and improves insulin sensitivity.
Family history: A person�s risk of developing pre-diabetes or diabetes can increase if a parent or sibling has the condition. Although Type 2 Diabetes is not hereditary, it can develop due to lifestyle habits. Your family history can help predict the probability of developing diabetes.
Race: Research published in JAMA revealed that African-Americans, Hispanics, American Indians and Asian-Americans are at higher risk for developing Type 2 Diabetes.
Age: The risk of developing pre-diabetes and diabetes does increase with age. This is generally believed to be due to inactivity associated with aging, loss of muscle mass and weight gain. However, pre-diabetes and diabetes has also dramatically increased among children, adolescents and younger adults over the past several years.
Gestational diabetes: A woman who developed gestational diabetes while pregnant, may have an increased risk of developing pre-diabetes and type 2 diabetes. If you gave birth to a baby weighing more than 9 pounds, 4 kilograms, you may also be at risk of developing diabetes.
Polycystic ovary syndrome or PCOS: For women, having polycystic ovary syndrome, a common condition characterized by irregular menstrual periods, excess hair growth and obesity, can also increase the risk of developing diabetes.
High blood pressure: Having blood pressure of over 140/90 mm Hg, or millimeters of mercury, has been associated to an increased risk of type 2 diabetes.
High cholesterol and triglyceride levels: Individuals with low levels of high-density lipoprotein, HDL or good cholesterol, their risk of developing pre-diabetes or diabetes is generally higher. Triglycerides are another type of fat carried in the blood. People with high levels of triglycerides can be at risk of developing type 2 diabetes. Consulting a doctor at this point is important as they can inform you on what your cholesterol and triglyceride levels are.
Preventing Diabetes
Diabetes has become one of the most common diseases of the 21st century, most of which can lead to peripheral neuropathy. Although there are many factors behind this type of nerve damage, such as the use of medications and drugs, approximately 66 percent of all people with diabetes will develop peripheral neuropathy over time.
Fortunately, you can avoid developing pre-diabetes, diabetes and ultimately, peripheral neuropathy, by making some simple lifestyle changes. While changing the regular diet you are used to can be challenging, taking such a task slowly can help ease the daunting change. For instance, you can try changing one thing about your diet today. Whether it involves giving up soda or skipping sweets after dinner, this small change can be effortless for many. Now try doing this for 30 days. It will be difficult at first but it will get progressively easier.
For people who already developed diabetes as well as some of the common complications associated with the condition, keep in mind that both type 2 diabetes and peripheral neuropathy can be reversed with the right lifestyle changes as well. By addressing your diet and other lifestyle habits, such as the amount of exercise you participate in and how much sleep you get, the condition and its complications can be tremendously improved. In one 10-year long study of 70,000 diabetes-free women, researchers found that women who either slept less than five hours a night or more than nine hours each night were 34 percent more likely to develop diabetes than women who slept seven to eight hours each night.
In addition, getting the appropriate amount of vitamin D on a daily basis can also help improve diabetes. Evidence demonstrated that vitamin D can be extremely beneficial for both type 1 and type 2 diabetes. Taking vitamin D supplements if you�re not spending the necessary amount of time out in the sun can in turn help provide the required nutrients and minerals.
In conclusion, diabetes is considered to be one of the most prevalent conditions today, where nearly up to 50 percent of people have been diagnosed with type 2 diabetes. Many factors can often increase the risk of developing the condition but diabetes can be prevented as well as reversed. If you�ve been diagnosed with diabetes or you suspect you may have the condition, make sure to seek professional care to receive proper diagnosis and treatment.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient’s strength, mobility and flexibility.
Do you have a muscle imbalance? Muscle imbalances occur when one side of opposing muscles is stronger than the other. Many exercise enthusiasts may be getting chronic injuries because of muscle imbalances they don�t know they have. According to renowned physical therapist Dr. Kareem Samhouri, locating and correcting muscle imbalances is essential to good health, and can help cure many of the ailments people encounter daily.
Dr. Kareem is a doctor of Physical Therapy & Kinesiology and owner of Dr. Kareem F Samhouri Fitness LLC. In his practice, Dr. Kareem has rehabilitated and trained a wide variety of patients seeking help for an assortment health issues:
Improved athletic performance in Olympic and professional athletes
Joint pain in baby boomers
Balance issues in older patients
Coma victims
Spinal cord injuries
Rare diseases
Heart issues
Lung disease
Pregnancy
Stroke victims
Health issues among children and infants
How To Fix Muscle Imbalance
Dr. Kareem has had many amazing success stories throughout his medical career. One of his favorite patients is a 112 year old women who was wheelchair bound:
�She had very little strength or coordination, but had a great spirit and was willing to work hard. The mission was to reactivate her muscles and nervous system, so we started with simple exercises such as simply lifting one foot and putting it back down.
�Once she was able to do that, we focused on squeezing her knees together and moving them apart. In the beginning she needed assistance, but over time, she was lifting her knees, rotating her shoulders and pulling herself out of her chair with little assistance.
�When she was finally able to lift herself out of the chair without help, she asked me �is there any way I can dance?� The music was turned up and after a little help, she was able to dance for the first time in years!�
Another highlight of Dr. Kareem�s career was helping save the life of a four-day old baby who was born 18 weeks prematurely. This baby was the youngest baby ever born at that hospital and doctors didn�t think this baby was going to survive.
What Dr. Kareem did was to put the baby in different positions:
�Instead of it cringing into fetal position because of all the noises, and sirens, and bells, and whistles going off in the hospital, we opened him up and let his chest breathe a little bit. We moved the baby�s arms in diagonal patterns so he could actually get more breath. We also put a little pressure on the diaphragm so the baby could take deeper breaths, then took the pressure off as the belly would expand and contract.
�All of these factors led towards the baby really just developing a little bit more easily and a little bit faster. Of course, in an infant that�s that young, you really just have to be as gentle as can be. Oftentimes, instead of a hand, it�s just barely a fingertip touch that you�re going to do. When it came to actually moving the baby�s muscles, light, little taps in the areas where the nerve ties into the muscle to say, �Hey, right here.�
�Sure enough, baby got better, grew up totally healthy, and ended up living a healthy life.�
When Dr. Kareem consults with his clients, he shares his philosophy on health: �Your body is designed to heal or decay. From now on, decide on your own health momentum. Regain control while you begin to look and feel years younger.�
Dr. Kareem started on his health journey by simply wanting to help his mother with her health issues, but soon discovered he had health issues of his own. After close scrutiny, he was able to determine that his ailments were due to a muscle imbalance, and they were all alleviated by simply straightening out his posture. He eventually graduated from Pennsylvania State University College of Medicine and became a physical therapist. Shortly thereafter, he added personal training to his resume, opening the world�s first clinic where these practices were taught all under one roof. Dr. Kareem believes the body is meant to move, and the key to good health is getting it to move correctly.
This is the basis of muscle balance therapy, and it is designed to assist the body with the following health issues:
Alleviating pain
Faster healing
Improved mood
Improved posture
Increased athleticism
Greater quality of life
� Causes of Common Muscle Imbalance
There are many causes of muscle imbalance, following are the most common:
Improper Exercise When it comes to traditional exercise, many of us tend to exercise in a one or two-dimensional way, which is primarily comprised of movements that are either forwards and/or backwards. For example, the bench press and running are two exercises that are extremely popular, but they can cause muscle imbalances if other complementary exercises are not included in the workout regimen.
In many cases, muscle imbalances mean that the larger muscles are becoming stronger at a faster rate than the smaller muscles. According to Dr. Kareem, the issues caused by muscle imbalance affects more than the disturbed area and may cause a domino effect. For example, if a person has a rotator cuff imbalance, the nerve signal that shuts down the muscle is turned on. When a muscle gets shut down, not only does it stop a person from being able to move the way they want, but it slows down their metabolism as well. This can make a person less effective at many other things, which could eventually affect their mood.
Even as adults, we are meant to play. Our bodies are designed to move in every possible direction. That�s how you would naturally hit all the different muscles. Unfortunately, many of us don�t play. We go to a gym and try to simulate the movements, yet we�re missing different diagonals, rotations, and areas that would be balanced by real life dynamic movement. Repetitive workout routines can create muscle imbalances that wreck our bodies over time.
Moreover, imbalances can lead to injury. For some exercise enthusiasts who are getting chronic injuries, it may be from an underlying muscle imbalance. A person can be big and strong in certain areas, but his smaller stabilizer muscles are not being used. As a result, the body is thrown out of balance, oftentimes creating a functional problem.
Muscle imbalances can affect people of all ages. Kids can experience overuse injuries very quickly, making them less capable of excelling in a sport. In adults of all fitness levels, muscle imbalances can have a negative impact on performance; they�ll be slower, less coordinated, and unable to learn new movements quickly. In older individuals, muscle imbalances can result in decreased coordination, decreased strength and joint pain. Many times, the pain seems to have come out of nowhere or flares up suddenly, but in reality, it was based on a long history of improper movement.
Sedentary Lifestyle
The human body was made to move, not sit at a desk or in front of the television for an extended period of time. Excess sitting can cause muscles to become tight and eventually shorter than they are designed to be. The dangers associated with the sedentary lifestyle are well documented. According to data from the National Center on Health, Physical Activity and Disability (NCHPAD)1
Sedentary people have the highest rate of heart attacks.
For every 2 hours a person watches television, their risk of Type 2 diabetes�increases 14%
Sedentary individuals have an increased risk of breast and colon cancer.
The risk of stroke is reduced by two-thirds in physically active men and women by 50%.
Bone loss�increases in physically inactive individuals.
Walking for sixty minutes daily can reduce a person�s risk of obesity by 24%.
A Weak Core
A strong core helps keeps the muscles and internal organs properly aligned. A weak core can cause slouching, which can lead to poor posture, which could lead to muscle imbalances. These imbalances in the core can lead to health issues such as constipation, acid reflux, and other issues.
Common Muscle Imbalance Areas
Muscle imbalances can happen throughout the body. Some of the most common imbalances include the following:
Neck flexors.�A person�s neck flexors actually end up quite stretched, while their neck extensors become compressed. This often occurs if a person is right handed and they�re always writing with their right hand, typing in a specific way, reaching for a mouse or a stapler, or just rotating their spine in a very specific pattern and shoulder in the same manner over and over again.
Tight hip flexors. Tight hip flexors are caused by sitting for extended periods of time. The human body was not designed to sit as long and as often as we do, and the result is the hip flexors become shortened. This in turn causes the pelvis to rotate or tilt downward, causing the glutes to become lengthened and weak. This will put more pressure on the hamstrings, increasing the risk of hamstring tears, strains and pulls.
Weak upper back. Another common problem is forward shoulder posture, or �upper crossed syndrome.� This is common among individuals who spend long hours in front of a computer. The head goes forward, and as people make that adjustment, chin comes up, which causes an additional strain. Another cause of the upper back imbalance is performing �pushing� exercises such as pushups and bench presses, but not doing any �pulling� exercises for the back such as bent over rows or pulldowns.
As a result of these imbalances, the trapezius and rhomboid muscles become lengthened and weak, while the pectoral muscles and anterior deltoids become tight.
Tight calves. Women who wear high heels increase their probability of having tight calves. The soleus, gastrocnemius, peroneal, and other muscles in the lower leg become tight. This muscle imbalance can lead to different foot, heel, and ankle problems such as plantar fasciitis and fallen arches.
Tight Piriformis. The piriformis is muscle in the glutes which is also part of the external rotator in the hip. A tight piriformis occurs more often in men than women because men tend to sit with their legs open more often than women. Individuals with a tight piriformis often have knee problems, while others may experience problems with sciatica, which is shooting pain from the glutes to the back of the legs.
Tight abductors. Tight abductors usually occur in women because they tend to sit with their legs crossed. If a person has tight abductors, the femur may become internally rotated, which increases the probability of knee pain.
Muscle imbalance can occur in many different ways. Not only is It important to be aware of their causes, but it�s also important to know the various ways they can harm the body.
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Dangers of Muscle Imbalance
Many people are unaware how muscle imbalances can affect their overall health. Oftentimes, I would explain to my clients how �structure affects function.� I would show them an x-ray so they can see how an imbalance could erode their discs early and cause injury. However, it was a challenge for me to get them to understand how that affects their immune system.
Dr. Kareem explains the dangers of muscle imbalance by looking at the problem from both an Eastern medicine philosophy and Western medicine philosophy. He feels both viewpoints are valid, even though they are based on different rationales.
For example, in Western medicine, it�s understood that if we don�t take care of our bodies and keep them in proper alignment, they will begin to deteriorate and become weak very quickly. Pain signals will take over instead of muscle signals and contractions. We�ll begin to lose coordination, which ultimately, means we�ll lose our mobility and become less active. We�ll be less motivated to eat right and begin to feel helpless and assume the fetal position.
When we�re stressed, we curl up in the fetal position, and that�s a position of self-defeat. This position is a sign of anxiety, depression, and tension throughout the entire body. As we begin to look at illness from this perspective, we start to branch over to the Eastern medicine philosophy: how does this affect quality of life?
As we delve deeper into the Eastern medicine philosophy, we must consider the importance of the central nervous system and cerebral spinal fluid (CSF) and how it relates to muscle balancing: If you have a block in CSF flow, and it gets disrupted (through your brain, through your spinal cord, and back up,) it will change the way your entire body communicates.
Dr. Kareem elaborates further: �If there�s something more critical going on in your body right now, like for example, your nervous system�s compromised because CSF flow is blocked, then it doesn�t care if you want to lose weight. It doesn�t care if you have a cut or a laceration on your skin. It�s not going to heal it as well. It certainly doesn�t care if you have wrinkles that you want to get rid of or if your energy level isn�t what you want it to be. You got to fix the root cause, the number one priority in your body, and a domino effect takes place.
�That, perhaps, linked with oral health are two of the most important foundational things you can do to improve your health, period. If you�re not taking good care of your mouth, and you�re not taking good care of the messaging system for your entire body, those are primitive areas of your body that change everything else. The body�s organized in a way where it�s going to work from the highest priority backwards.�
When it comes to health, many people are focused on the wrong things. People are concerned more about the wrinkles� and the weight loss so energy and focus goes there. They don�t realize that root canals, cavitation, and amalgam fillings�in their mouths are making them toxic. It�s important for people to understand these things can cause inflammation, accelerated aging, and other issues. Toxins do this by getting into the cells the nervous system, and ultimately the anterior head. They�re not aware how their spinal cord is stretched and interfering with their nervous system. Instead of focusing on issues like the skin and weight loss, it�s more important to look upstream�and get to the root cause of our health issues.
Dr. Kareem believes that it is important to work on the number one system first, which is the endocrine system. When the endocrine system is under stress, hormones are more important than going on a particular diet. For example, if your pelvis is out of position and it�s properly realigned, you might uncover a six-pack you didn�t know you had:
�This is one of my biggest lessons and one of my earliest personal training finds. This was an introduction for me to muscle balancing. You see, there was this girl named Lindsey, and she worked as hard as anybody could work. She wasn�t anorexic, but she was borderline at that point where she was just doing everything she possibly could in the gym. She was eating correctly, so she wasn�t really skimming off food, but she just couldn�t get that final six-pack. She just wanted a little bit of definition. She always had the four at the top of the abs, but nothing at the bottom.
�Finally, I ended up doing a postural assessment on her. I took a peek. You know what? We just needed to tip her pelvis backwards a little bit. When we tipped her pelvis backwards a little bit, lo and behold, all those folds went away. Her love handles weren�t actually there. There was no extra body fat on her body preventing her from having the body she wanted. She just needed to be in a slightly different position.
�Now, the coolest thing is not only did she end up getting the body that she wanted, but she starting moving so quickly, all her results accelerated. It was months of work to get to this point, where then all of a sudden, in the next 30 days, she hit every single one of her goals. Truth was, it only took two weeks to tip her pelvis back into position and a few simple exercises that anybody can do at home with just their body weight alone.�
Do You Have Muscle Imbalances?
Our subconscious mind knows when the body�s out of position. If we turned the lights off in the room, you know your arms are behind you. You don�t have to look over to see that. That�s because there�s these little mechanoreceptors in every muscle telling your brain, �We�re over here.�
Same with when the head is forward. The mechanoreceptors are firing, letting the brain knows it�s out of position. When something is out of position, it sucks the energy right out of the cell. This �energy drain� is disruptive to your central nervous system and, if uncorrected, your entire body over time.
The subconscious mind knows this, but the average person is unaware the imbalance is occurring. They don�t know their head is tilted forward or their hips are slightly misaligned. They look in the mirror and think they are ok. I remember when I did this type of work saying, �Look at your low shoulder,� and they would look at themselves and say, �What low shoulder?� The point is this imbalance is the norm, but it�s can be a huge performance zapper.
If a person has had muscle imbalance for a period of time, one or both of these things can happen:
Our bodies are going to balance themselves out. If your head is tilted one way, you�ll subconsciously raise your shoulder a little bit to balance.
A person may opt to take medication to try relieve symptoms of discomfort. However, medication doesn�t get to the root cause of the issue, which is the muscle imbalance. In reality, a slight adjustment may be all that is needed.
Checking for Muscle Imbalances
You can check for muscle imbalances in the comfort of your own home:
Take a string and hang it from the ceiling, or have someone hold it for you. With the string, divide your body between right and left sides. Take a picture of yourself and compare your two sides.
1. When you look closely at the picture, look for the following signs of muscle imbalance:
Is one shoulder is up a little bit more than the other?
Is your side bent a little bit?
Is your head slightly tilted?
Is one hip raised little higher than the other?
Do you have a little bit more of a love handle on one side?
Is one hip is tighter than the other?
2. Take a second picture with the string dividing the body from front to back by taking it with the string at your side.
Is your head forward?
Is your chin tipped up?
Is one shoulder a little bit higher or rounder than the other one?
Is your pelvis tipped so that your lower back is arched a bit, and your belly is sticking out?
These imbalances can affect a person in many different ways. For example, if you�re a runner or athlete you may ask yourself �why can�t I get my hamstrings stronger?� or �why can�t I get faster?� This may be a case where you�re not getting the signal because your back�s arched, and you�re tipped out of position. Identifying the imbalances with a concrete image you can reference is an excellent place to begin looking for clues.
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Correcting Muscle Imbalances
Once the muscle imbalance is found, steps can be taken to correct it. While many people have the same types of muscle imbalances, Dr. Kareem stresses that it�s also important to focus on personalized health. This simply means to tailor muscle balancing techniques based on your symmetry.
�A lot of people say, �My right bicep is stronger than my left. Should I just lift heavier on my left and try and make up for it?� No. You actually want to back down. You want to cater to the more limited side of your body. Symmetry comes first. The fastest results come from slowing down to balance your body�s strength, and then everything accelerates from there. You want to back off from your weights on both arms to match the strength of your left, and then you would increase.�
�The same thing reflects ability and mobility in tissue release. If you can raise both arms up into the air, but one of your shoulders is hiking up a little bit, don�t go quite as far. Cater to the more limited side just before your shoulder hikes up, and come back. Work on your mobility just here, opening up your chest, increasing your ability to take a deep breath through your diaphragm. Then what happens is before you know it, even just a few reps in oftentimes, you�ll start to get a little bit further. If you just keep pushing past that point of resistance, sure, the left can keep going as far as it wants, but the right�s never going to get any better. That just results in more twisting through your body.�
Dr. Kareem has devised a short, five-minute program that uses a diagonal pattern that brings the body back into alignment naturally:
1. Free Squat
Stand hip width apart or slightly wider
Exhale and slowly lower, looking straight ahead
Inhale and rise back to starting position
Repeat for 50 seconds
Notes: Keep feet firmly planted. Arms can be crossed in front of body, fingertips at your ears, or held out (as shown.)
2. Superset pushup
Start with hands close together
Exhale and lower
Inhale and rise to starting position
Move hands out to shoulder width apart
Exhale and lower
Inhale and rise to starting position
Move arms out passed shoulder width apart
Exhale and lower
Inhale and rise to start position
This is one rep.
Repeat for 50 seconds
Notes: Pushups can be modified by doing them on your knees.
3. Fast Bridges
Lay on back with your feet planted onto the ground
Keep arms on your sides for stability
Raise hips toward the ceiling and lower quickly
Repeat for 50 seconds
Notes: Keep upper back planted on floor. Make sure to raise both hips evenly. Do not tilt the body.
4. Middle Trap (Bird Exercise)
Lower body into squat position
Feet shoulder width apart
Dig heels into floor
Tuck your chin
Extend arms out to sides
Lower arms to floor
Raise arms parallel to sides
Lower
Repeat for 50 seconds
Notes: Move shoulder, not the arms.
5. Rotational Plank
Start in pushup position
Keep core tight
Exhale and slowly roll body upwards on your left side
Inhale and slowly lower body back to pushup starting position
Repeat for 50 seconds
Notes: Keep core tight at all times. Body should be rolling back and forward in one fluid motion. Keep arms in plank positions at all times. Exercise can also be done on forearms.
For more information on these exercises, go to Dr. Kareem�s website.
This exercise program is designed to stimulate the front of body, the back of body, the lower body, and the upper body. This excites all of the nerves in the body and involves the smaller muscles. As a person performs these exercises, his body will quickly learn how to challenge the smaller muscles as well.
The body will begin to balance itself out by recruiting the big muscles to send the signal to the smaller ones. The idea here is to �train a nerve, not a muscle,� and that nerve starts in your head.
Dr. Kareem recommends performing these exercises every day or every other day. 50 seconds of work and 10 seconds of rest before you transition to the next exercise. Everything is one minute, and it�s a total of five minutes every other day.
A popular misconception is we must do a certain amount of weight or reps for an exercise to be effective. Popular opinion is we are to do three sets of 10, three sets of 15, five sets, etc. In actuality, there is no solid evidence saying that that has to be the number instead of three reps or instead of six. The reality is your body just wants the cue in the right direction and let it take over. Instead of overanalyzing, we should just let nature take its course. We can self-optimize and trigger our small cues to say, �hey, body, I want to do this now.� When we send that signal for the first time, the body will understand, and it�ll start to superimpose it onto our lives and our body.
The Power of Visualization
An important part of this exercise is visualization. When a person thinks about a movement, the body begins to respond to that movement. Elite athletes use this method to prepare for a race or athletic event. They visualize the entire race before it happens.
It�s important to watch somebody else demonstrate properly first, then picture yourself doing the same move identically. This is the fastest way to learn a movement, and your body will begin to subconsciously learn how to perform the movement as well. Visualization techniques are very effective, and have shown to increase contractile strength by 30%.
On average, it takes about six weeks for a new exercise or activity to become second nature. A good example is getting out of a chair: the average person just gets up and walks without thinking about it, but in the beginning it may have taken effort. This is often the case with babies first learning to walk or people who are going through rehabilitation. They have to learn certain things all over again until they can do them without thinking about them.
Dealing with Chronic Injuries
When dealing with chronic injuries, Dr. Kareem suggests a person back off from their current activities or lower the intensity to ensure they�re not overtraining. It�s time to allow the body to learn something new, and that can be accomplished by performing the five muscle balance exercises described above. Here are a few tips from Dr. Kareem:
Weekend warrior.�If you�re not moving at all during the week, it may be helpful to decrease the intensity on the weekend warrior activities. If you�ve been playing two hours of basketball a day, cut it down to one just for a few weeks until you get the postural piece right.�
Elite athlete.�If you�re an elite athlete, maybe you�ll cut out a little bit of the time that you�re spending in the gym weight training. What you want to do is just use these five exercises initially, and then replace them over time. Use these five exercises. Do your workout, so you�re still playing basketball, or you�ll still play your sport. Within a few weeks, you�ll notice that your posture�s improved. Do that plumb line test, and you�ll see, �Where do I stand?�
Older individuals.�If you�re an older adult, avoiding falls is going to be the number one predictor of your longevity and quality of life. Take the same five minutes and use it as your five-minute mini circuit, or five-minute circuit in anything that you�re doing to enhance your health.�
�Once you know your body�s moving the way you envisioned, you can replace the five exercises with something different and something more powerful for you. It can be coordination training, speed training, balance reaction training, etc.�
In addition to athletics, doing muscle balancing exercises can help alleviate many other health conditions as well.
Additional Benefits of Muscle Balancing
Muscle balancing therapy has shown to help many conditions including the following:
Arthritis
Speed
Chronic pain
Chronic Fatigue Syndrome
Muscle balancing exercises are designed to improve health on a cellular level, giving attention to cells in the body that need them most.
Improved circulation. Muscle balancing helps the circulatory system become more efficient. This is important because red blood cells carry oxygen and the oxygen mitochondria needed to create energy production for every cell in the body.
Strengthened nervous system. Muscle balancing teaches the body to contract a muscle at the right time and in the right sequence by targeting our nerves instead of our muscles. The body then creates a �pump effect� that allows the deoxygenated blood stuck in your ankles and fingertips to find its way back to your heart efficiently and easily. This allows the heart to focus on getting rich, oxygenated blood back to the rest of your body.
Muscle Balancing with Massage
Dr. Kareem believes in myofascial release, which is a method of applying gentle pressure to eliminate pain and restore motion. When a person gets a massage and they experience a �good hurt,� that can indicate they either have a muscle imbalance or a knot in the muscle.
In addition to the five exercises, a tennis ball, foam roller, or massage are all effective ways to help remove knots and eliminate muscle imbalance. By using these methods, you�re taking something that functions almost like scar tissue, and giving it more slack. When you give your body more slack, you give it more forgiveness. Ultimately, that leads to a more effective, younger-feeling body.
Muscle imbalances can affect a person in many different ways. By eliminating imbalances, a person can see quality of life improve physically, mentally and spiritually. However, fixing muscle imbalance is one piece of the puzzle to realizing optimal health. I encourage you to address any imbalance, but to get real and lasting results a Multi-Therapeutic Approach must be implemented. My MTA involves diet change and variation, proper exercise, fasting, True Cellular Detox�, emotional detox, and more. Combining multiple proven health strategies is the most surefire way I know to fix cellular dysfunction and enjoy your best life.
Peripheral neuropathy may be more common in patients with pre-diabetes than previously thought, and early interventions may be warranted in this patient population, according to researchers from the University of Utah.
Currently, 86 million adults � more than one in three U.S. adults � have prediabetes, according to CDC estimates. Without weight loss and moderate physical activity, 15% to 30% of these people will develop full-blowntype 2 diabetes within 5 years.1
�We know now a lot more than we did 3 or 5 years ago about neuropathic pain in patients with prediabetes. Neuropathy affects patients with prediabetes in a continuum,� said J. Rob Singleton, MD, who is a professor of neurology at the University of Utah in Salt Lake City. �We think it is more obesity and dysfunction of lipids (fats) that is causing the problem.�
Research Shows the Link between Obesity, Pre-diabetes and Neuropathy
In another study conducted by researchers from the University of Michigan, peripheral neuropathy was also common in obese patients, even if they had normal blood sugar levels, when compared with lean control participants. This same study also confirmed that rates of neuropathy were increased in participants with prediabetes and diabetes, leading the researchers to conclude that diabetes, prediabetes, and obesity are likely metabolic drivers of peripheral neuropathy. The findings were published in JAMA Neurology.1
Dr. Singleton and his team have been studying peripheral neuropathy associated with prediabetes and metabolic syndrome as well as what treatments may work best. Metabolic syndrome is the name for a group of risk factors that raise the risk for heart disease, diabetes and stroke. Risk factors include high blood pressure, elevated blood glucose, elevated cholesterol, and abdominal fat. Through their research, they have found that many patients with metabolic syndrome have pre-diabetes and peripheral neuropathy. Therefore, a multi-pronged approach to managing these patients is essential.
�We have shown that, in pre-diabetics with neuropathic pain, exercise reduces neuropathic pain and increases the intradermal nerve fibers in the thigh and ankle. We are in the process now of replicating that study,� Singleton said in an interview withEndocrinology Advisor. �You need to improve lipid (cholesterol) function and glucose levels. So, lifestyle issues have to be addressed.�
Relationship Between Nerve Damage and Pre-diabetes
New studies evaluating the link between prediabetes and peripheral neuropathy are filling in some of the gaps in knowledge.
In a study recently published in Diabetes Care, C. Christine Lee, PhD, of the University of Toronto, and colleagues reported that prediabetes was associated with similar risks for nerve dysfunction and damage leading to peripheral neuropathy as one develops with �new-onset� diabetes.2
While the exact mechanisms behind these associations are unclear, a growing body of evidence suggests that peripheral neuropathy begins in the early stages of diabetes pathogenesis, the researchers noted.
Lee and colleagues analyzed data on 467 individuals. The researchers found that the prevalence of peripheral neuropathy was 29% in adults with normal glucose levels, as compared with 49% in adults with prediabetes and 50% in adults with new-onset diabetes.
The researchers also found that progression of elevated glucose (pre-diabetes) over 3 years predicted a higher risk for peripheral neuropathy and nerve dysfunction.
Early intervention with lifestyle changes involving diet and exercise may be vital to preventing the severity of nerve damage, Dr. Lee stated. This had previously been backed up by another study published in 2006 in Diabetes Care, by Dr. Singleton. Singleton and his colleagues found that dietary changes and exercise can result in cutaneous reinnervation and improved pain in patients with prediabetes.3
Nerve Damage Occurs Long Before Diabetes
It is imperative to realize that the nerve damage seen in peripheral neuropathy can actually occur long before diabetes sets in. In fact the most current research has shown that obesity, even with normal glucose (blood sugar) levels has been linked with causing peripheral neuropathy as well as pre-diabetes. Although it is important to strive for maintaining fasting glucose levels between 70 � 80 mg/dL, it is equally important to keep your weight down, lower LDL cholesterol and triglycerides. All of this can be accomplished without the use of medication or bariatric procedures.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Neck Pain and Auto Injury
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
It�s often assumed that in order to develop type 2 diabetes, you have to be overweight. While it�s true that excess weight is clearly associated with insulin resistance and diabetes, it�s the insulin resistance � not necessarily the weight gain � that drives the disease.
As such, many people with a healthy weight are not metabolically healthy, putting them at risk of diseases like type 2 diabetes � even without being overweight or obese.
One of the greatest risk factors, according to University of Florida researchers, is actually inactivity, which drives up your risk of pre-diabetes regardless of your weight.
Inactivity Is Associated with Diabetes
If you were looking for motivation to get moving, this study, published in the American Journal of Preventive Medicine, is as good as it gets.
In a survey of more than 1,100 healthy-weight individuals, those who were inactive (physically active for less than 30 minutes per week) were more likely to have an A1C level of 5.7 or higher, which is considered to be pre-diabetic.
The researchers suggested that people who live a largely sedentary lifestyle yet have a healthy weight may have �normal-weight obesity or �skinny fat,’� which they described as a �high proportion of fat to lean muscle.�
�Don�t focus solely on the scale and think you�re OK. If you have a sedentary lifestyle, make sure you get up and move,� lead author Arch Mainous III, chair of health services research, management and policy in the University of Florida�s College of Public Health and Health Professions, said in a news release.
Weight Doesn�t Always Reveal Metabolic Health
Weight isn�t always an accurate tool by which to gauge metabolic health, and research by Dr. Robert Lustig, professor of pediatric endocrinology at the University of California, San Francisco (USCF), bears this out.
Lustig is perhaps best known for speaking out about the health risks of sugar, but in our 2015 interview he explained the problem with �judging a book by its cover� in terms of weight and health.
More than two-thirds of the American population is overweight or obese. About 50 percent have diabetes or pre-diabetes, and 1 out of every 3 have high blood pressure. Many also have high serum triglycerides, which is a risk factor for heart disease and stroke. Insulin resistance is a component of all of these health issues.
According to Lustig, at least 50 percent of Americans have some form of insulin resistance � whether you�re overweight or not � and that is what�s driving our seemingly out-of-control disease statistics.
Exercise Is Important
The evidence is clear that regular physical activity, which includes reducing your time spent sitting and exercising, is crucial to lower your risk of diabetes (and treat it if you�ve already been diagnosed).
For instance, sitting for more than eight hours a day has been shown to increase your risk of type 2 diabetes by 90 percent, while people with diabetes who engaged in a six-month moderate-intensity exercise program experienced significant health improvements, including decreased fat in the abdomen, liver and around the heart.
How to Determine if You�re Pre-Diabetic
If you�re reading this and aren�t sure what your fasting insulin and glucose levels are, these are blood tests I recommend receiving annually. Your fasting insulin level reflects how healthy your blood glucose levels are over time.
A normal fasting blood insulin level is below 5, but ideally you�ll want it below 3. A fasting glucose level below 100 mg/dl suggests you�re not insulin resistant, while a level between 100 and 125 confirms you have pre-diabetes. If this, or your A1C level, confirms you either have or are at risk of pre-diabetes or diabetes, the time to take action is now. You might also find a hip-to-waist size index chart helpful.
This is far better than body mass index (BMI) for evaluating whether or not you may have a weight problem, as BMI fails to factor in both how muscular you are and your intra-abdominal fat mass (the dangerous visceral fat that accumulates around your inner organs), which is a potent indicator of insulin/leptin sensitivity and the associated health problems.
You Can Improve Your Insulin Sensitivity in Just Two Weeks
Fortunately, proper exercise and attention to diet can reverse the course of this disease, with benefits seen in as little as two weeks (and to some extent after just one exercise session).
For instance, unfit but otherwise healthy middle-aged adults were able to improve their insulin sensitivity and blood sugar regulation after just two weeks of interval training (three sessions per week). A follow-up study also found that interval training positively impacted insulin sensitivity.
The study involved people with full-blown type 2 diabetes, and just one interval training session was able to improve blood sugar regulation for the next 24 hours.10 You can actually reap much greater benefits by exercising in short, high-intensity bursts known as intervals than you can exercising for longer periods at a slower steady pace.
The high-intensity interval training (HIIT) approach I personally use and recommend is the Peak Fitness method, which consists of 30 seconds of maximum effort followed by 90 seconds of recuperation, for a total of eight repetitions. I also recommend super slow weight lifting for your resistance training.
Getting Up From Your Chair Is Also Important
When you hear the term sedentary, it�s important to understand that exercising for 20 or 30 minutes a day, and then sitting for much of the rest, is not enough to pull you out of this category. Long hours spent sitting are linked to chronic diseases including diabetes, and this may be, in part, because it increases aging at the cellular level.
In a study of 64- to 95-year-old women, those who sat for more than 10 hours a day and got less than 40 minutes of moderate-to-vigorous physical activity had shorter telomeres and were, on average, eight years older, biologically speaking, than women who moved around more often.
Every time a cell divides, the telomeres get shorter, which is why they�re used as a measure of biological aging. Short telomeres have also been linked with chronic diseases such as cancer, heart disease and diabetes.
In addition, your body�s ability to respond to insulin is affected by just one day of excess sitting, which leads your pancreas to produce increased amounts of insulin. Research published in Diabetologia also found that those who sat for the longest periods of time were twice as likely to have diabetes or heart disease, compared to those who sat the least. I recommend replacing the majority of your sedentary sitting time with active movement, keeping sitting to three hours a day or less.
What to Do if You Have Pre-Diabetes or Diabetes
You may be thin but that doesn�t mean you have more lean muscle than fat in your body. Having a higher percentage of fat than lean muscle can set the stage for insulin resistance.
The take-home message to remember is that you shouldn�t assume you�re metabolically healthy just because you�re not overweight or obese � especially if you live a largely sedentary lifestyle. You could actually be �skinny fat,� with many of the same health risks as someone who�s overweight or obese and sedentary.
The good news is that there�s plenty you can do to not only reduce your risk of type 2 diabetes and pre-diabetes but also improve your metabolic health at the same time.
During the three-year Diabetes Prevention Program study, for instance, lifestyle interventions were found to be more effective than the diabetes drug metformin at preventing or delaying the development of diabetes in people at high risk of the disease. A follow-up study monitored the group for 15 years � and lifestyle interventions were still more effective than metformin at preventing diabetes.13
One of the most important dietary recommendations is to limit net carbs (total carbohydrates minus fiber) and protein, replacing them with higher amounts of high-quality healthy fats, like seeds, nuts, raw grass-fed butter, olives, avocado, coconut oil, organic pastured eggs and animal fats (including animal-based omega-3s).
If you�re insulin resistant or diabetic, I also strongly suggest you limit your total fructose intake to 15 grams per day until your insulin/leptin resistance has resolved (then it can be increased to 25 grams) and start intermittent fasting as soon as possible.
As mentioned, exercise and reduced sitting time are also crucial, along with attention to proper sleep, optimized vitamin D levels and gut health. Taken together, this plan will lower your risk of diabetes and related chronic diseases and help you to avoid becoming victim to a health condition you might not even realize you have.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Early Intervention After Auto Injury
When a person is involved in an unexpected automobile accident, the most common type of injury which often results from the incident is whiplash. Whiplash is identified as a neck injury caused by the sudden, back-and-forth motion of the head during a car crash. Whiplash can cause a variety of symptoms and complications if left untreated, which is why seeking medical treatment immediately after being involved in an auto accident is essential in order to help people recover quickly without developing further issues.
For many families, type 2 diabetes can develop in several members of the household. For some people, diabetes has been diagnosed throughout previous generations of family members. However, does this mean, you are bound to inherit the condition?
Over a period of 25 years, according to statistics, the number of people in the world who are diagnosed with type 2 diabetes has increased from 35 million to 240 million. Moreover, these statistics don’t take into account the number of individuals with undiagnosed diabetes. Many families have the relevant concern regarding whether they or future generations could genetically develop type 2 diabetes. While the magnitude of cases is quite significant, the reality is that the widespread issue of diabetes couldn’t have simply occurred through genetic or inherited means in such a short time span.
If genetic alteration is not the reason behind the dramatic increase in type 2 diabetes cases, then why has the condition been on the rise over the past few decades? As a matter of fact, diabetes is a condition that is almost entirely caused by environmental and lifestyle factors. Our genetic code itself may not be altered through these circumstances but our environment as well as stress and improper nutrition and fitness habits can influence the way those genes are expressed. Predisposed genes can certainly contribute to the development of diabetes, however, if you are not exposed to these environmental and lifestyle triggers, the diabetes gene may never fully develop.
The factors that can have the greatest influence on the development of type 2 diabetes among the general population include: diet, exercise, stress management, exposure to environmental and/or food-based toxins and habits which promote weight gain and obesity.
Ultimately, an individual’s exposure to these environmental and lifestyle factors, which subsequently affects their genetic expression, is the greatest contributor to the development of diabetes among families than their actual genome, or set of genes. In fact, according to the World Health Organization, approximately 90 percent of diseases may be caused due to external factors, not through genetic or inherited means.
External environmental sources which can contribute to type 2 diabetes include:�
Air
Water
Diet
Drugs / medications
Pollutants
Heavy metals
Radiation
Physical or psychological stressors
Internal processes include:
Inflammation
Free radical production
Oxidative stress (body�s ability to detoxify chemicals)
Allergens
Infections
Dysbiosis (imbalance of bad to good biotic gut flora)
It�s essential to understand that genetic code cannot change. What can change are which parts of this code are expressed. Research studies have discovered that our environment, as well as our diet, microbes, allergens, toxins, stresses and social connections, even our thoughts and beliefs can trigger which genes are expressed. A person’s genetic code can be tagged by an environmental or lifestyle factor, then, those can alter how their genes are expressed and passed down through future generations.
For example, if your grandmother consumed an excess amount of sugar, smoked, or was exposed to mercury from eating too much sushi, she may have triggered the genetic expression that could lead to obesity and the development of type 2 diabetes, passing it down from generation to generation. However, this does not necessarily mean that you will develop the same conditions she did. The predisposed genes could contribute to obesity and diabetes but this does not mean you are bound to inherit the condition. If you do not expose yourself to the same environmental and lifestyle factors as your grandmother, in this example, you may never develop type 2 diabetes.
In the end, diabetes shouldn’t be strictly considered to be a genetic or inherited disorder. While it’s true that the hereditary genes from your parents and/or grandparents increase your risk of developing the condition, this doesn’t mean you will develop type 2 diabetes. The condition is a direct outcome of environmental and lifestyle factors. Fortunately, you can change this outcome.
Can Type 2 Diabetes be Reversed?
Most people believe that diabetes is irreversible and that once you have it, you will gradually begin to experience a decline in function, including hear disease, kidney failure, blindness, amputation, strokes and dementia. Nonetheless, research studies and scientific evidence has demonstrated that type 2 diabetes is reversible, especially if it is treated aggressively in its early stages through changes in environmental exposure and lifestyle habits, including nutrition and fitness interventions.
Even more advanced stages of diabetes can be reversed with very intense lifestyle changes, supplements and medications. A research study showed that individuals with progressive type 2 diabetes can indeed recover from the condition, even if their pancreas have becomed damaged. The research study also demonstrated that diabetes can be reversed in just one week through drastic changes in diet, particularly a plant-based diet, low in glycemic and calories.
When patients modified their lifestyles, their blood sugar levels plummeted, triglyceride levels fell and the pancreas recovered. After a single week, they were taken off their medication, proving that diabetes is not a progressive, incurable condition. The consumption of a balanced nutrition became the source of their overall health and wellness. While it may take a lot of commitment to reverse type 2 diabetes, you can certainly heal your own body with the right conditions.
7 Strategies to Control Diabetes
Even if you�ve recently been diagnosed with type 2 diabetes or you’ve lived with the condition for years, diabetes is reversible. For further support, you can read “the Blood Sugar Solution” to learn essential strategies and incorporate their comprehensive dietary, nutrient and lifestyle plan to help you reverse your diabetes.
In the mean time, there are several other strategies you can implement right now to prevent or reverse type 2 diabetes.
Whether diabetes is a condition found in several members of your family, it has been diagnosed throughout several generations in your family or you have this disorder yourself, the ability to normalize blood sugar levels and lower insulin can be under your control, beginning with the following seven strategies.
Ask your doctor for the proper tests. Most doctors focus on fasting blood sugar. This is actually a poor indicator of diabetes. The best test to help properly diagnose the condition is an insulin response test where insulin levels are measured first in a fasting state and then again at one and two hour intervals after consuming a sugary drink. Request this test from your doctor.
Avoid sugar.�The basics of nutrition are very simple. Considerably decrease or eliminate refined sugars and processed carbohydrates from your diet. Include whole, real foods, such as lean protein (chicken or fish), veggies, nuts, seeds, beans, and whole grains.
Supplement intelligently. Supplements are an essential part of treating diabetes. A good multivitamin, vitamin D, fish oil, and special blood sugar balancing nutrients, such as alpha lipoic acid, chromium picolinate, biotin, cinnamon, green tea catechins, and glucomannan, should also be included.
Relax. Stress is a major unrecognized contributor to insulin resistance and blood sugar imbalances. Relax every day with deep breathing, visualization, yoga, meditation, and other relaxation techniques.
Be more active. Aside from changing your diet, exercise and physical activity is probably the best form of treatment for obesity and diabetes. Walk a minimum of 30 minutes every day to experience the wonderful benefits of exercise. For some, 30 to 60 minutes of vigorous aerobic exercise, 4 to 6 times a week may be necessary.
Address your environment. Environmental toxins have also been proven to contribute to obesity and the development of diabetes. Filter your water, look for green cleaning products and avoid plastics whenever you can.
Get enough sleep. Studies show even one partial night of poor sleep can contribute to insulin resistance as well as other complications which could lead to the development of type 2 diabetes.
Many people who have family members with type 2 diabetes are concerned whether they themselves or future generations could be at risk of inheriting the condition. While scientific studies and evidence have shown that predisposed genes could influence the development of diabetes, more research studies have demonstrated that environmental and lifestyle factors are the true source of type 2 diabetes. However, changing these factors could prevent and even reverse diabetes.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
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