there is no finish line...enjoy the ride...

What goes in, must come out....

There’s a plethora of information about the good food and the bad food we put into your bodies everyday, but you don’t read much about what comes out.  I came across a great article written by Jonathan M. Vapnek, MD, a urologist and the clinical associate professor of urology at Mount Sinai School of Medicine in New York City and I think you would be surprised by how much information can be gleaned from the urine you produce each day.

For example, the simple “dipstick” urine test that doctors often use to check for a urinary tract infection also can help them diagnose kidney disease, diabetes, cancer and other conditions. But there is more.

What you may not realize: If you know what to look for, you can tell a lot about your health just by being aware of the physical characteristics of your urine—such as colour, smell and frequency.

COLOUR

When you’re healthy and drinking enough water, your urine should be mainly clear or straw-coloured with just a hint of yellow. The yellow colour comes from urochrome, a pigment produced by the breakdown of a protein in red blood cells.

Urine is naturally darker in the morning because you don’t drink water while you sleep. If a colour change persists, however, it could be a problem.

For example...

Brown or dark brown. Pay attention if your urine is dark for more than a week.

What this usually means: Liver disease. The liver normally breaks down and excretes bilirubin, a pigment that’s produced by the turnover of red blood cells. Patients with liver disease accumulate bilirubin. This initially will cause jaundice, a yellowing of the skin or the whites of the eyes. As more bilirubin accumulates, it can cause the urine to become brown. A combination of dark-coloured urine and jaundice means that liver disease might be getting worse. See your doctor right away.

Dark-coloured urine also can be a side effect of some antibiotics, laxatives and muscle relaxants. Eating large amounts of fava beans, rhubarb or aloe can cause brown urine as well. In some cases, dark-coloured urine can signal kidney failure.

Red or pink. Urine that’s tinged with red or pink could simply mean that you have been eating beets. (The medical term for beet-induced urine changes is beeturia). Or it could mean that you’re urinating blood.

The amount of blood will affect the colour. If the urine resembles cabernet wine, you’re bleeding a lot…urine that’s pinkish or just slightly red contains only traces of blood. A microscopic amount of blood won’t be visible—it can be detected only with a laboratory test.

What this usually means: Blood in the urine is always a problem. Make an appointment to see your doctor. If you see blood and it also hurts when you urinate, you could have an infection—in the urethra, bladder or kidney or even a malignancy in the bladder, for example. Bleeding without pain also can indicate these conditions.

Green. Though rare, a person’s urine can turn a greenish colour.

What this usually means: Green urine can appear when you’ve consumed a chemical dye—from food colouring, for example, or from taking medications such as amitriptyline (Elavil), an antidepressant, or indomethacin (Indocin), a nonsteroidal anti-inflammatory drug. In some cases, urine with a greenish tint can signal a urinary tract infection with certain bacteria (such as pseudomonas) that affect the colour.

If your urine is greenish, increase fluid intake to see if it clears. If it doesn’t in two days, see your doctor or a urologist.

 ODOUR

If you’re healthy, your urine should be highly diluted, consisting of about 95% water, with only small amounts of dissolved chemical compounds and metabolic by-products. It typically has no—or only a faint—odour.

Of course everyone is familiar with the effect that asparagus and some other foods, such as onions or fish, have on the smell of one’s urine. This strong “rotten” smell is due to the chemical compounds in certain foods, particularly molecules that are not completely broken down by the body. The smell usually disappears within a day or so.

Some other less common urine smells include…

Ammonia-like. If your urine is concentrated, with a larger-than-normal amount of urea (a chemical compound in urine), you might smell an aroma that resembles ammonia. Or you might just notice that it has a stronger smell than usual.

What this usually means: Dehydration. The less water you drink, the higher the concentration of urea and other substances—and the stronger the smell. You can diagnose this yourself by drinking, say, one extra glass of water an hour for several hours to add water to your urine. The strong urine smell will probably disappear within a few hours. If it does not, see your doctor.

Foul-smelling. If your urine smells foul or unusual in any way for more than a few days, pay attention to the odour.

What this usually means: If it’s not caused by a food that you’ve eaten, it could signal an infection in the bladder or kidneys. Less often, it’s due to a metabolic disorder that reduces the body’s ability to fully break down foods during digestion.

Uncontrolled diabetes can cause an abnormally sweet odour, and penicillin can cause a distinctive medicinal odour.

Even if you have no other symptoms, such as pain while urinating, but your urine continues to have an unusually strong smell for more than a couple of days, talk to your doctor.

FOAMY OR BUBBLY

It’s natural to see foam in the toilet when you really have to go and have a heavy stream. But urine that’s consistently foamy or bubbly could mean that you’re losing protein.

What this usually means: Kidney disease. Large amounts of protein in the urine is one of the main signs of chronic kidney disease. See your doctor right away.

MUCUS OR CLOUDY

Mucus in urine could indicate inflammation in the urinary tract.

What this usually means: Urinary tract infection. See your doctor.

Cloudy urine also can be related to infection but often is just an indication that your urine is alkaline, which is harmless at low levels.

VOLUME AND FREQUENCY

The average adult typically urinates four to eight times in 24 hours. A change in the frequency of your urinary habits, including getting up more than twice a night to urinate, or an increase or decrease in the amount that you urinate, warrants attention.

What this usually means: An increase in the frequency of urination, along with an increase in volume, is one of the telltale signs of diabetes.

If the amount of urine seems the same but you’re urinating more often, you could have a urinary tract infection. If this is the case, you’ll probably have very strong urges to urinate even when just a small amount comes out.

Frequency of urination and/or urinary urgency in the absence of a urinary tract infection can indicate an overactive bladder.

In men, enlargement of the prostate gland can trigger urinary urgency. Patients with neurological conditions, such as multiple sclerosis, can also have this symptom. Don’t worry if there’s been a decrease in the amount or frequency of urination. You probably just need to drink more water. If this doesn’t help, see your doctor.

So a basic understanding of the physical characteristics of the pee coming out of your body can be just as important as what you're putting in your body.  That being said, I can almost guarantee that if what’s going in isn’t healthy, what’s coming out will simply confirm it.

Enjoy the Ride.....Rob

What Are You Made Of?

My regular guest blogger, Dr Les Davidson and I align on most health related topics and this week is no exception.  Of the people that actually monitor their body weight, I wonder how many understand what makes up the number on their scale, and why is it important.  That’s the topic of today’s post by Dr Les.

Besides our nation being just lazy, the obesity epidemic gripping North America may be in part due to what I call, “health illiteracy”.  So many people have preconceived ideas of what “healthy” is, but in actual fact they score very low on the health literacy scale when it comes to nutrition, diet, body weight, fitness, sleep, stress, etc., and even lower on execution.

Specifically related to Dr Les’ topic of weight, I’m experiencing this “illiteracy” first hand as I train for the hardest amateur bike race in the world this August - Haute Route.   This 7 day stage race starts in Geneva and finishes in Nice France and covers 860km through the beautiful French Alps.  But it's not the distance that makes this race so grueling; it’s the 21,000 meters (68,000 feet) of climbing over the Alps that makes is so hard.  Below is the profile of the 7 days of racing facing the 600 participants of Haute Route. 

 

Given the amount and severity of climbing involved, special attention to a rider's body weight and its composition is of primary concern to every participant.  There’s a reason why cyclists pay more attention to their weight than international super models, and it has little to do with vanity.  In fact, it has everything to do with how much power a rider can produce for every kilogram of body weight.  And the relationship between power output and weight has greater sagnificance when long, steep mountain climbs are involved.

At the beginning of January, I weighed 171lbs, but to race Haute Route, I would have to shed between 15lbs to 20lbs to increase my “power-to-weight” ratio to over 4 watts/kg.  Losing weight is just half the battle, as one must also be mindful of what type of weight that's lost.  In my case, I want to lose body fat, while maintaining or even increasing lean muscle mass. 

There’s an old saying in business, “If you can measure it, you can manage it”.  So, at the beginning of February I started measuring my body fat using skin fold calipers.  By focusing on the quality and even more importantly, the quatity of food I consumed, I now weight 156lbs.  During this time I also gained 4lbs of lean muscle, so effectively I’ve lost 19lbs of body fat since January.  Since fat occupies more volume than muscle, I’ve also lost an inch from my chest, waist and hips, so I actually appear much thinner.  Below is my progression of weight loss and muscle gain since I started recording this information in February.

And here in lies the “health illiteracy” issue.

It seems in North America you can be overweight, or even obese, and no one will ever mention that you have a serious and potentially life threatening health issue.  In fact, a recent study found that over 60% of parents with overweight children considered them to be of normal weight.  But if you’re thin, as in healthy thin, people take it upon themselves to point out that you’re too thin and don’t look healthy.  Can you imagine the reaction you would receive if you told a friend that she was overweight and didn't look healthy?  The duel standard is because of three reasons:

1. Given there are so many overweight and obese people in North America, our mental model of what constitutes a healthy weight and size has been skewed over the decades.  People of a healthy thin composition are now in the minority and look different to the majority of overweight North Americans.
2. Most people are illiterate when it comes to what a healthy size and weight should be.  Just like the majority of people no longer know what represents a healthy food portion.  As a result, the bigger is better attitude prevails.
3. Finally, weight loss is generally associated with serious illnesses such as AIDS, Cancer or Eating Disorders.  My good friend Pierre LeClair who I coach was once 250lbs.  After losing 80lbs last year, he tells me people that haven’t seen him for a while ask him if he’s sick because he looks too thin, even though he’s the healthiest he’s been in decades.

This is obviously frustrating to a guy like myself that’s uber aware of my health and fitness, but more importantly, it draws attention to the fact that so many people are “health illiterate” which has negative consequences at both individual and national levels. 

Dr Les, has done a great job of framing the issue, why it’s important to understand what you’re made of, monitoring techniques, and how to bring yourself back to a healthy and well proportioned size. 

As always with much of what I share, “knowledge is power, but action flicks the switch”. 

Enjoy the ride….Rob

 

What Are You Made Of?

by: Dr Les Davidson

What are you made of? Or stated more technically, what is your body composition? Are you a lean, mean athletic machine, or are you getting a little soft?  Every year billions (with a “b”) of dollars are spent on weight-loss endeavors in North America. Beyond the obvious — looking good at the beach — is there any reason to be concerned about the composition of your body.

As a competitive wrestler throughout high school and university, the scale was a constant companion because we were grouped according to our weight classes for competition.  I learned quickly that the quality of my weight was crucial; reducing extraneous fat became an important objective. Forty years later the challenge to maintain an optimum fat to muscle ratio is still there but my motivation is less about competing and more about remaining healthy and active. In order to do that, I need to pay close attention to my body composition.

Body composition is simply a measurement of lean body mass (bones, muscles, ligaments and organs) compared to fat mass which is referred to as adipose tissue. Technology allows us to accurately measure the amount of lean mass versus fat mass. These measurements are expressed as percentages of overall weight and knowing these percentages and what they indicate is important to your health.

A certain amount of body fat is essential to insulate our body, protect our organs from trauma, provide energy, and to assist hormone production necessary for reproduction. The amount of essential fat will vary dependent on sex and age but there are recommendations for ideal body fat percentages. The table below from the American Council on Exercise is typical fat percentages.

	Male	Female
Essential fat	3-5%	10-16%
Competitive Athletes	6-13%	14-20%
Recreational Athletes	14-18%	21-24%
Average	19-20%	25-31%
Obese	25+%	32+%

 

An equally important variable is where the fat is located; excess fat found at the waist (also known as central obesity) is associated with increased risk to our health. Our waists are thickened not just by the fat we can feel but also because excess fat accumulates around the organs (visceral adipose tissue).

Historically, we believed this fat to be an inert storage of extra energy. Medical science has now come to understand that adipose tissue is a major endocrine organ that produces hormones associated with insulin resistance and general body inflammation. The conditions associated with excess fat are often discussed as separate syndromes but in reality, they are a group of interrelated issues that cascade into ill health. Insulin resistance and inflammation leads to Metabolic Syndrome or Syndrome X — conditions associated with an elevated risk of Type Two diabetes and Cardiovascular Disease. There is also strong evidence that Metabolic Syndrome increases risk for certain Cancers. Then there is the impact that excess adipose tissue has on the musculoskeletal system with increased back pain and damage to the weight-bearing joints of the lower extremities. In my office each day I see patients impacted by being overweight. It may not cause their back, hip or knee pain but it aggravates their symptoms and limits their ability to be as active as needed to regain good health.

Determining your risk:

Body weight alone is a poor indicator of body composition as it does not differentiate between lean tissue (bones, muscles, connective tissue and organs) and body fat. There is no single ideal percentage of body fat for everyone. Estimating body composition is attempted with the body mass index using the variables of weight and height (weight divided by height squared). More accurate methods using DEXA (dual energy X-ray absorptiometry) or hydrostatic weighing (calculating what sinks (lean mass) versus what floats (fat) when the client is submerged under water) are often difficult for most individuals to access. Using calipers to measure skin folds or employing Bioimpedance are affected by the skill of the person measuring and the formulas applied, but can be easily mastered with a little practice. At our office we employ the bioimpedance method. With careful attention to patient hydration and selection of the optimum formula, we have had results that match closely to results of the DEXA scan.

Another method to stratify those who have high levels of body fat ignores the percentage of lean mass and body fat and focuses instead on the amount of belly fat. Measuring your waist circumference may be a more sensitive test because, as I mentioned, Intra-abdominal or visceral fat (regardless of overall body fat) has a particularly strong correlation with cardiovascular disease, diabetes, cancers and other life shortening diseases. There are three ways that this measurement is used to quantify risk:

1. Waist circumference, Absolute waist circumference (>102 cm in men and >88 cm in women)
2. Waist–hip ratio (the circumference of the waist divided by that of the hips of >0.9 for men and >0.85 for women)[19]
3. Waist circumference divided into height. This has been described as the index of central obesity. (0 .5 or greater is suggested as a sign of increased risk. More specifically the range for women was suggested to .47-.54 and for men as .51-.58).

Reducing the risk:

1. Diet: You cannot exercise at the same pace you can eat so it is critical to moderate your calories regardless of the protein, fat or carbohydrate content of your food or the amount you exercise. Look for food in a natural state with no “improvements” by the food industry (such as partially hydrogenated fat, preservatives or high-fructose corn syrup).
2. Exercise: Just remember we are designed to move and not doing so compromises our health. Vary the intensity and duration and include resistance activity. This challenge becomes greater as we age because hormonal shifts make building lean mass harder and layering on fat easier
3. Sleep: Sleeping too little or of a poor interrupted quality increases insulin resistance and raises cortisol the stress hormone. (See Rob’s blog, The Sleep Mistake Many of Us Make)
4. Stress reduction: Being overwhelmed or on heightened alert increases the sympathetic nervous system activity. This releases cortisol and directly increases belly fat. Moderating our moods by eating or drinking too much is often seen in response to stressful situations.

The body has tremendous recuperative powers if it is provided with the right inputs. March is Nutrition month and I would like to encourage you to think of the importance of quantity as well as quality of your food! Exercise is critical for good health but it can’t exercise your way out of a bad diet! Don’t pursue some unrealistic and media-hyped expectation for your body.  People come in all shapes and sizes but no shape is improved by an expanding layer of belly fat.

Pay more attention to what you’re made of. This will be good for your health and you just might look better on the beach this summer!

Believe ‘A Calorie is a Calorie’? Coke says it is....Think Again!

I read the following article today by Dr Robert Lustig, Professor of Pediatrics at UCSF, and President of the Institute for Responsible Nutrition. 

I’ve shared Dr Lustig’s research and information in the past and given Coca Cola’ latest slick new 2 minute ad – Coming Together on YouTube suggesting to their consumers that a Calorie is a Calorie, thereby implying that it’s the fault of the general public for the obesity epidemic because they offer reduced and low calorie options (claiming no culpability on their part) is reprehensible, but predictable.

 

Dr Lustig’s research below is certainly timely given this slick piece of marketing and something every person that cares about their health and the health of their families should know and understand. 

Let's be clear, companies like Coca Cola, PepsiCo, and others that market processed foods are no friends of yours, mine or our families when it comes to selling products that are harmful to our health and the health of our families. They care only about revenues at the expense of a healthcare system that are struggling and on life support, while giving little consideration for their customers that are addicted to their unhealthy products.

Think about your health the next time you reach for the “Real Thing”, because you're not only paying for their products, you're also paying for a dying healthcare system.

I’ve copied the full article written by Dr Lustig for your convenience below.

Enjoy the Ride....Rob

Still Believe ‘A Calorie is a Calorie’?

By Dr Robert Lustig

If you do, you fly in the face of mounting and incontrovertible evidence that some calories -- in particular, "sugar calories" -- are jeopardizing both your and your family's health. Physicians and politicians who cling to the dogma that "all calories should be treated equally" imperil our country's health care system, food supply and standing in the world for the next hundred years.

A calorie is a measurement of energy (a matter of physics), not a value judgment on where that energy goes (a matter of biochemistry). As my book Fat Chance explains, you get sick from inappropriate energy storage (in your liver and muscle), not defective energy balance (bigger love handles). Nonetheless, "a calorie is a calorie" continues to be promulgated by the food industry as their defense against their culpability for the current epidemic of obesity and chronic metabolic disease. But it is as dishonest as a three-dollar bill. Here are just four examples that refute this dogma:

1. Fiber. You eat 160 calories in almonds, but you absorb only 130. The fiber in the almonds delays absorption of calories into the bloodstream, delivering those calories to the bacteria in your intestine, which chew them up. Because a calorie is not a calorie.
2. Protein. When it comes to food, you have to put energy in to get energy out. You have to put twice as much energy in to metabolize protein as you do carbohydrate; this is called the thermic effect of food. So protein wastes more energy in its processing. Plus protein reduces hunger better than carbohydrate. Because a calorie is not a calorie.
3. Fat. All fats release nine calories per gram when burned. But omega-3 fats are heart-healthy and will save your life, while trans fats clog your arteries, leading to a heart attack. Because a calorie is not a calorie.
4. Sugar. This is the "big kahuna" of the "big lie." Sugar is not one chemical. It's two. Glucose is the energy of life. Every cell in every organism on the planet can burn glucose for energy. Glucose is mildly sweet, but not very interesting (think molasses). Fructose is an entirely different animal. Fructose is very sweet, the molecule we seek. Both burn at four calories per gram. If fructose were just like glucose, then sugar or high-fructose corn syrup (HFCS) would be just like starch. But fructose is not glucose. Because a calorie is not a calorie.

Up until now, scientists have shown that sugar is "associated" or "correlated" with various chronic metabolic diseases. For instance, the increase in sugar consumption over the past 30 years paralleled the increase in obesity, diabetes and heart disease. Areas that drink more soda (e.g., the American Southeast) experience higher prevalences of these diseases. But correlation is not causation.

Which direction do the data go? Does sugar cause obesity and metabolic disease? Or do obese people with metabolic disease drink soda? You can't tell, because you only have one point in time -- the snapshot, not the movie. In the February 27 issue of the journal PLoS One, my colleagues Dr. Sanjay Basu, Paula Yoffe, Nancy Hills and I put this issue to rest, because we now have the movie.[1]

We asked the question, "What in the world's food supply explains diabetes rates, country-by-country, over the last decade?" We melded databases from the Food and Agriculture Organization (FAOSTAT), which measures food availability, the International Diabetes Federation (IDF), which measures diabetes prevalence, the World Bank World Development Economic Indicators, and the World Health Organization Global Infobase. We assessed total calories; meat (protein); oils (fat); cereals (glucose); pulses, nuts, vegetables, roots, and tubers (fiber); fruit excluding wine (natural sugar); and sugar, sugarcrops, and sweeteners (added sugar). We controlled for poverty, urbanization, aging, and most important, obesity and physical activity.

Bottom line -- only changes in sugar availability explained changes in diabetes prevalence worldwide; nothing else mattered.

Total caloric availability was unrelated to diabetes prevalence; for every extra 150 calories per day, diabetes prevalence rose by only 0.1 percent. But if those 150 calories per day happened to be a can of soda, diabetes prevalence rose 11-fold, by 1.1 percent (and Americans on average consume the added sugar equivalent of 2.5 cans of soda per day, so that's 2.75 percent!). And this effect of sugar was exclusive of obesity; controlling for body mass index did not negate the effect. Even more important, we showed that the change in sugar availability preceded the change in diabetes (that's cause, not effect); and we showed directionality -- those countries where sugar availability rose showed increases in diabetes, while those where sugar availability fell showed decreases in diabetes. This is a very robust signal, with little noise. While epidemiology can't prove scientific causation, the data allow for objective inference. Sugar drives diabetes worldwide, and unrelated to its calories.

When you do the math, fully one-quarter of the world's diabetes is explained by sugar alone.

The food industry has contaminated the American food supply with added sugar to "sell more product" and thereby uphold their Wall Street mandate to increase profits. Of the 600,000 food items in the American grocery store, 80 percent have been spiked with added sugar; and the industry uses 56 other names for sugar on the label. They know when they add sugar, you buy more. And because you do not know you're buying it, you buy even more.

The outcome: By the year 2050, one-third of all Americans will have diabetes. Trustees of the Medicare program predict that Medicare will be broke by 2024. No health care for you. Yet just six weeks ago, Coca-Cola had the temerity to introduce its two-minute ad "Coming Together," in which they say: "All calories count" because a calorie is a calorie; if you're fat, it's your fault (they claim no culpability); and because they make non-caloric drinks, they're part of the solution. The problem is that a calorie is not a calorie; if non-caloric drinks are the solution, then by inference they're saying that caloric drinks are the problem.

Sugar in excess is a toxin, unrelated to its calories. The dose determines the poison. Like alcohol, a little sugar is fine, but a lot is not. And the food industry has put us way over our limit.

The food industry will summon their spin doctors. They will yet again argue that the statistics are wrong, the interpretation is too broad -- but they will not be able to effectively refute the science. They haven't yet, and they won't succeed now. Sunlight is the best disinfectant, and it's shining brightly on the food industry's practices. They will continue the propaganda, and try to sow the seeds of doubt. But they will be on the losing end of this battle. The UK and Australia have just this past week laid down stricter guidelines for sugar consumption. The people and scientists of the United States are onto them as well. It's just a matter of time before the politicians follow.

Robert H. Lustig, M.D., is Professor of Pediatrics at UCSF, and President of the Institute for Responsible Nutrition (responsiblefoods.org), at which the Doctors' Food Project is the first campaign. He is currently getting his Masters in Studies of Law at UC Hastings College of the Law. His YouTube lecture, "Sugar: The Bitter Truth" has been viewed over 3 million times. His book, Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity and Disease (Hudson Street Press, 2012), is in bookstores now.

Lance Armstrong...he is the best and worst of all of us

I’m not sure if it’s my last name or that I’m a cyclist, or both that makes me a target for opinion on this whole Lance Armstrong thing and I, like so many others couldn’t resist watching the Oprah interview to see what he said.  I struggle every time someone asks me the question, “so what do you think of Lance Armstrong”?

Externally my answer is pretty clear, although internally I have mixed opinions. 

You see, the integrity part of me hates the bastard for all the bullying, cheating, and lying over these many years.  I watched him race and speak directly into the camera that he didn’t cheat and he would attack anyone that challenged his word.  He ruined the lives of many people whose only fault was telling the truth.  He represents everything I despise in a person, so of course I hold him in great distain.

I’m also a competitive cyclist and I respect his drive, dedication, discipline, athletic capabilities (without the drugs), and his all out, never say die attitude that’s required in all high performing champions. I wish I had more of that.  So I respect the guy.

Wait a minute; a second ago you said you hated the guy.  Come on Rob, you can’t suck and blow at the same time, you either hate him or you respect him, you have to pick a side. But in the case of Lance Armstrong, you can suck and blow at the same time.

Lance has this polarizing effect on the public.  He contains the personality traits we respect and hate, all embodied in the same individual. It's why some will respect him, while others hate him passionately.  It just depends on the dominating characteristics each of us possesses whether you're a "Hater" or "Believer".  He is the best and worst in all of us. 

The next time you get into a heated debate over the details of why you feel the exact opposite to someone else about Lance, remember that your personality traits are different to theirs and they may respect and value certain aspects of Lance's character and overlook the traits that you passionately distain. There’s no right or wrong answer, only shades of grey.

So here’s my new answer that I’m borrowing from my friend Matt Young as it summarizes him best.

Lance Armstrong is a cancer survivor, legend, icon, son of a single parent, father to 4, boyfriend, ex husband, womanizer,  white, American, overachiever, athlete, role model, spokesperson, Olympian, team mate, captain, charismatic leader, businessman, above average hypocrite, me-centric, ego centric, ass-hole who’s now a scorned product of a society that loves to feed off his great story and then revel in the downfall, skinny, dork, really fast cyclist who cheated to reach a level of infamy we all dream of – but could only get to if we cheated and had his natural ability.

So basically in many ways, he’s like you and I.....only on steroids.

Enjoy the Ride….Rob

Good information, Wrong interpretation

A good friend of mine once said that people can only hear the information that supports their own belief systems.  We see this all the time.  It’s why there’s polarizing opinions when it comes to topics like politics, or the existence of a God.  Regardless of the information, people will only hear what justifies the continuation of their own beliefs, even when the actual facts beg to differ.

I thought about this as I read the results of a recent study published by the British medical journal, “Heart”. This study was recently featured in articles within the Wall Street Journal and the Globe and Mail.  The study suggests that people that run too fast, for too far, for too many decades, may find themselves running to their early and ultimate “finish line”.   

My 87 year old father running in Greece

In the shadow of a national health crisis, where overweight and obese people represent the majority of the population, and citizens with chronic illnesses such as Diabetes, CODP, Cardiac Disease and various forms of Cancer are reaching epidemic proportions, I’m concerned that a health illiterate public will interpret the results of this study as an excuse NOT to exercise.  They will read the headline in the paper that says, “One Running Shoe in the Grave”.  As a result, this will fuel the belief system of many that if daily exercise isn’t good for runners, so why bother exercising at all. 

In actual fact, the study involved 52,600 subjects that were followed for three (3) decades, but what was glossed over was the fact that the runners in this group had an overall 19% lower death rate than the non-runners, and within the running group only the runners that ran longer than 40kms/week and faster than 13km/hour lost their mortality advantage. 

We’ve seen the impact of this kind of reporting from the past.  A study from a few decades ago suggested drinking a glass of red wine a day is good for your heart health.  Now we have a culture of social alcoholics who justify two to three drinks a day because it’s good for their heart health, when in fact nothing could be further from the truth.  Let's be clear, alcohol should not be part of a person's health habbits.

We live in a world where people have limited attention spans and are bombarded with catchy buy lines and punchy sound bites; the headline of this running report should have read, “Long term study suggests that life-long runners enjoy a lower death rate than non-runners”.  Just like the headline of the wine report should have said, “Study finds that consuming more than one drink a day for women and two for men, leads to negative health consequences”. 

We now have a population that takes little to no interest in their personal health until they’re told by their doctor that they have a serious, possibly life threatening chronic disease and that's the moment they decide it's time to practice positive health practices.  And the sad part is many of these situations are entirely preventable. 

How are we supposed to motivate our children to be active and make healthy life choices when they watch their parents make poor choices?  Media that report the findings of studies like this recent running study have a responsibility to be mindful of the role they play in the health of the public.  Our hospitals and long term care facilities are full of people that got there because they were inactive and made poor lifelong health choices. 

This study contains valuable information for a very small number of aging runners that push the performance envelope in their training and racing.  These runners should consider the consequences of these findings and adjust their running programs accordingly. 

Finally, I’d like to report that my father who is pictured above turns 88 next year and has been walk/joggng 8kms to 10kms every day, (or about 56+km a week) for years and only stopped racing marathons when he turned 79.  While he stills enjoys excellent health, most of his friends and family that lived a sedentary life, are either ill, immobile, or dead.  I guess he and the many seniors like him are the exceptions to this study.

Enjoy the Ride....Rob

6 Rules that will Increase the Quality of your Life

Over the weekend I participated in the Gran Fondo Rockies 170km cycling “race”.  Well, they say it’s not a race, but hey, they give you a number, a time and the top 5 male and female finishers were awarded prize money.  So as far as I can tell, it had all the characteristics of a race. 

Training for a 170km bike race, or just trying to increase the basic quality of your life requires 6 key criteria. If you follow these 6 basic rules, you will enjoy increased energy levels (at any age). 

1. Eat Healthy, (Most of the Time):  I have to admit, I have a sweet tooth and I love French Fries and Onion Rings.  That said, I rarely eat this stuff because over the years, I’ve made small changes to my diet whereby I don’t crave it.  When grocery shopping, stick to the outside aisles, because that’s where you’ll find the healthy whole food and avoid the inside aisles where they stock the processed foods that are accountable for the health crisis in North America.  Over time, increase your fruits, vegetables, leafy greens, whole grains and lean meats, to the point where this becomes the majority of your calories consumed and junk food is the exception.  Finally, watch your portions.  North Americans eat way too much and generally have no idea what a healthy portion looks like.
2. Keep Moving & Move More:  I’m often asked how many times a week should one exercise for optimal health.  The answer is 7 days a week for a minimum of an hour.  If you live a sedentary life, start walking.  Instead of plopping your butt in front of the TV with a bag of chips and a beer, or wine and cheese.  Get moving and go for a brisk walk.  It’s easy, free of cost and you will feel better when you’re done.  If you’re already active, try switching up your routine, or increase the training intensity.  As the ad goes, “Just Do It”.
3. Sleep:  This is one of my areas where I can certainly improve.  Sleep is critical for the body to recover, especially for those of us that are active.  I’ve written on this topic before and I have two suggestions, 1) go to bed this week 30 to 60 minutes earlier, and 2) get into a pre-bed routine that reduces the exposure to TV, Computers, and work e-mails.  Making these two changes will increase the quantity and quality of your sleep, thereby increasing your body’s ability to recover and be energized for the next day.
4. De-stress Your Life:  I look at stress as being both negative and positive.  The stress that you place upon yourself to improve and drive yourself to new levels is positive.  By its very nature, healthy stress is a motivator.  It makes us better people.  Having just watched the Olympics for the past 17 days, we witnessed incredible performances that were the result of positive stress.  While at the same time these very same athletes do everything in their power to eliminate all negative stress from their lives.  If you have issues at work, or within your family that are causing internal turmoil, deal with it, because the stress is unhealthy and will affect your ability to sleep, exercise and eat properly.  The good thing about negative stress, it’s usually within your power to control, or eliminate.  But like most things pertaining to health, it requires action on your part to make it happen. 
5. Drink H2O:  With all the exotic drinks that are available these days, there’s still nothing better than good old fashion water (even our tap water).  Water is the ultimate energy drink and don’t let anyone convince you otherwise.  If you eat a healthy diet, there’s no need for vitamin water, energy drinks, sports drink, electrolyte replacement drinks, etc, etc.  And if there’s just one thing you take away from this post that will make a huge change in your energy levels, stop drinking soda pop.  Just remember, the majority of the human body is water and it needs approximately 2 litres (67 oz) every day, and more depending on the intensity of your exercise.  If you want to turn you water into a more exotic drink, slice up a lemon, lime or orange for some flavour.  Finally a word on alcohol; if you’re female, more than 1 drink a day is considered unhealthy and 2 drinks a day for men.  Many of our chronic diseases are directly attributed to the increase in social drinking habits, especially amongst women.
6. Find and Fuel Your Passion:  Anyone that's met me for more than 5 minutes will know my passion is cycling.  Living your passion fuels your spirit.  Finding and living your passion is a key criterion for living a quality life.   If you don’t know what your passion is, list the things you used to love doing and start doing them again until one emerges.  People often lose their way when they live without something they love to do that defines who they are.  If you know what your passion is, but aren’t doing it, now’s the time to stop procrastinating and make it happen.  You’re body and soul will thank you.

I placed 2^nd overall in that Gran Fondo and after 170km of hard racing, it came down to a sprint finish between three of us and I was edged out by a wheel at the line by the guy in the front of this picture.  This picture was taken after 160km of racing with only 10km to go and by this point, we were all sufferring. 

After we finished the other two guys I sprinted with were surprised that a 56 year old guy could compete with guys that were 15 to 25 years younger.  The answer was simple and contained in the 6 points listed above. 

For the most part, I eat well (most of the time), I train every day (a day off is the exception), maybe if I got a little more sleep, I could have beaten the other guy to the line (note to self, go to bed 30 minutes earlier, starting this week), I drink approximately 4 litres of water every day to fuel my body, I deal with all stressors in my life and eliminate the negative ones that affect my wellness and finally, I know my passion and enjoy doing it every day.

Implementing these 6 basic rules will certainly increase the quality of your life.

Enjoy the Ride...Rob

Ride to Conquer Cancer

A week ago I participated in the Ride to Conquer Cancer with seven of my work colleagues.   We joined over 1800 cyclists from across the province of Alberta as they rode over 230km over a weekend.  Collectively our team raised over $43,000, adding to the over $8,000,000 this single event raised in the fight against cancer. 

It’s said a picture is worth a thousand words, than I guess a video must be worth a million words.  Below is a short 10 minute video I produced to capture the event’s highlights.  Enjoy. 

  

My Observations:

The majority of the people riding in this event were your everyday person and I couldn’t find a single person that hasn’t somehow been personally affected by cancer, either personally or through a close friend or relative. 

I write this blog with the intent to increase the quality of life through providing readers information about diet, exercise and general healthy lifestyle choices.  During the weekend, I listened to the many stories about people that had cancer and lost the fight, and those that won the fight.  But as I listened, I found myself making a mental tally how many cases were the result of “bad cards” vs how many were because of “bad habits”.  It didn’t take long to realize the majority were the result of poor lifestyle choices.  Obviously, this is not a scientific study, but the point I’m trying to make, is that many people contract cancer because they have adopted unhealthy habits from their parents, or friends and without even knowing it they find themselves running directly towards a serious cancer event. 

Too many of these cases is simply a lack of education regarding the risk factors beyond genetics.  For example, eating a diet that’s high in acid, is a breeding ground for cancer (the typical North American diet, especially soft drinks and alcohol are very acidic), or not eating foods that are high in antioxidants, that remove free radicals that cause oxidative stress, which may lead to cancer.  In the absence of information, people will do what others do with little consideration to the consequences.

The other comment I heard over and over again during the weekend was how cancer caught the person by surprise.  Cancer is generally a disease that takes years or decades to develop to the point of crisis.  Except for the people that were given “bad cards”, cancer should never come as a surprise.  If you are overweight (BMI greater than 24.8, which is now over 55% of all Canadians), or you smoke (21% of Canadians), or you drink more than the safe limit of alcohol (one drink a day for women, two for men), or if you don’t exercise daily, etc. etc. then don’t be surprised if one day cancer knocks on your door.  The decisions you make today about your health will affect you decades from now.

Regardless of how or why a person contracts cancer, this disease affects more than that individual, and events such as the Ride to Conquer Cancer raise much needed awareness in addition to the funding needed for scientific research that hopeful brings a day when we live in a cancer free world.  Until that time comes, take it upon yourself and make healthy lifestyle choices for you and your loved ones.

Enjoy the Ride.....Rob

Happy Valentine’s Day - Top tips for a Healthy Heart

It’s Valentine’s Day and I felt it was only appropriate to share my top 10 tips to for maintaining a healthy heart. There are many steps you can take to prevent heart disease and concentrating on key lifestyle areas such as eating, exercise, smoking and drinking, and considering other factors like diabetes and stress are all great places to start. Here are my 10 top tips for a Happy Valentine heart

1. Stop smoking. Quitting smoking is the single most important thing you can do to live longer. If you are a smoker, you are twice as likely to have a heart attack than a non-smoker. But from the moment you stop smoking, the risk of heart attack starts to reduce. With public smoking bans introduced just about everywhere, there has never been a better time to give up.
2. Cut down on salt. Too much salt can cause high blood pressure, which increases the risk of developing coronary heart disease. Avoid foods like chips, salted nuts, canned and packet soups and sauces, baked beans and canned vegetables, pork pies, pizzas and processed meals from a package. Many breakfast cereals and breads that appear healthy also contain high levels of salt, so keep your eye on these too.
3. Watch your diet. A healthy diet can help to reduce the risk of developing heart disease, and can also help increase the chances of survival after a heart attack. You should try to have a balanced diet, containing plenty of fresh fruit and vegetables, oily fish and limit you consumption of starchy foods. Avoid foods like cookies, cakes, pastries and dairy products that are high in saturated fats and most importantly, all forms of sugar.
4. Monitor your alcohol. Too much alcohol can damage the heart muscle, increase blood pressure and also lead to weight gain. Binge drinking will increase your risk of having a heart attack, so you should aim to limit your intake to one (for women) and two units a day for men.
5. Get active. The heart is a muscle and it needs exercise to keep fit so that it can pump blood efficiently round your body with each heart beat. You should aim for a minimum of 30 minutes of exercise a day. If this seems too daunting, start off gently and build up gradually. Keeping fit not only benefits your physical health - it improves your mental health and wellbeing too.
6. Manage your weight. The number of people who are overweight in Canada and the United States is rising fast - already more than half of the adult population is overweight or obese. Carrying a lot of extra weight as fat can greatly affect your health and increases the risk of life-threatening conditions such as coronary heart disease and diabetes. If you are overweight or obese, start by making healthy changes to what you eat, and try to become more active.
7. Get your blood pressure and cholesterol levels checked by your Doctor. The higher your blood pressure, the shorter your life expectancy. People with high blood pressure run a higher risk of having a stroke or a heart attack. High levels of cholesterol in the blood - produced by the liver from saturated fats - can lead to fatty deposits in your coronary arteries that increase your risk of coronary heart disease, stroke, and diseases that affect the circulation. You can help lower your cholesterol level by exercising and eating high-fiber foods such as porridge, beans, lentils, nuts, fruits and vegetables.
8. Learn to manage your stress levels. If you find things are getting you down, you may fail to eat properly, smoke and drink too much and this will increase your risk of a heart attack.
9. Make sure you can recognize the early signs of coronary heart disease. Tightness or discomfort in the chest, neck, arm or stomach which comes on when you exert yourself but goes away with rest may be the first sign of angina, which can lead to a heart attack if left untreated.
10. Know your Numbers. Monitor the top ten health indicators and take the necessary action if they trend negatively. Knowledge is Power, but it takes Action to flick the Switch.

Happy Valentines and Enjoy the Ride.....Rob

Is Something You're Eating Making you Sick?

If you eat cheeseburgers and french fries all the time, or drink six Coca Colas a day, you likely know you are shortening your life. But eating a nice slice of whole wheat bread--how could that be bad for you? 

What most people don't know is a dietary staple that humans have been eating for thousands of years may be causing serious health complications for many.  That staple is wheat; well not so much wheat, but the Gluten within wheat.  A very good friend of mine is fighting her second battle with cancer and only now, in her 50’s has she discovered that she is Gluten intolerant and her cancer events and her gluten intolerance may be linked.  In addition to this kind of more serious condition, do you wake each morning with thick mucus congestion, blow mucus for an hour after waking, or do you have asthma, or get the bi annual flu or head-cold, sore throat, fever thing, or suffer from frequent ear, nose and throat infections.

Well, new research shows that people with wheat allergies and gluten intolerance in particular have these symptoms, in addition to serious conditions like heart disease, cancer and even death.   After nearly a year of researching this topic, in today's blog I want to reveal the truth about gluten, explain the dangers and provide you with a simple system that will help you determine whether or not gluten is a problem for you.

Background:

Gluten is a protein contained in many grains, including wheat, barley, rye, and oats. It is even found in more unusual grains, such as spelt, kamut and even in beer. Wheat or gluten intolerance plague many people and cause gastric disturbances, but research now shows chronic health conditions are triggered by gluten intolerance, gluten sensitivity, and the extreme form of wheat allergy called celiac disease.

Gluten sensitivity creates inflammation in the entire body, beginning in the gut. It is a form of autoimmune disease. Celiac disease, the chronic and most severe type of gluten intolerance, affects 1 in a 100 people. This represents over 3.5 million in North America alone. Less severe symptoms of gluten allergy or gluten sensitivity may affect as much as 1/3 of the entire North American population.

An article published in the Journal of the American Medical Association reported on a study with over 30,000 patients. The data was collected from 1969 until 2008. Divided into three groups, the patients either had celiac, had intestinal inflammation but not full-blown celiac disease or had gluten sensitivity. Those individuals with full blown celiac disease had a 39% higher risk of death. The risk was 72% for those with intestinal inflammation, and 35% for those with gluten sensitivity.

Another study looked at the blood tests of ten thousand people from 50 years ago and compared them to tests on 10,000 people today. The study discovered a 400% increase in full-blown celiac disease. The results were measured by elevated antibodies in the blood, called TTG antibodies, which increase when there is a reaction to gluten.

Many people suffer from gluten intolerance and are not aware that this is the cause of their symptoms. Symptoms can include irritable bowel disease, canker sores, rheumatoid arthritis, lupus, osteoporosis, anemia, cancer, autoimmune disease, MS, and neurological problems such as depression, anxiety, dementia, schizophrenia, nerve damage, migraines, epilepsy, and autism.

The Real Cost of Gluten

Undiagnosed gluten problems cost the North American healthcare system billions of dollars.  Dr. Peter Green, Professor of Clinical Medicine for the College of Physicians and Surgeons at Columbia University studied all 10 million subscribers to CIGNA and found those who were correctly diagnosed with celiac disease used fewer medical services and reduced their healthcare costs by more than 30%. Unfortunately only 1 % of those with the problem were actually diagnosed. That means 99% are walking around suffering without knowing it, costing the healthcare system billions of dollars.

Why haven't you heard much about this?

Well, actually you have, but you just don't realize it. Celiac disease and gluten sensitivity masquerade as dozens and dozens of other diseases with different names.

Gluten Sensitivity: One Cause, Many Diseases

A review paper in The New England Journal of Medicine listed 55 "diseases" that can be caused by eating gluten. A few more common ones include, osteoporosis, irritable bowel disease, inflammatory bowel disease, anemia, cancer, fatigue, canker sores, rheumatoid arthritis, lupus, multiple sclerosis, and almost all other autoimmune diseases. Gluten is also linked to many psychiatric and neurological diseases, including anxiety, depression, schizophrenia, dementia, migraines, epilepsy, autism and neuropathy (nerve damage).

We used to think that gluten problems or celiac disease were confined to children who had diarrhea, weight loss, and failure to thrive. Now we know you can be old, fat, and constipated and still have celiac disease or gluten sensitivity.

Of course, that doesn't mean that ALL cases of depression or autoimmune disease or any of these other problems are caused by gluten in everyone--but it is important to look for it if you have any chronic illness.  By failing to identify gluten sensitivity and celiac disease, we create needless suffering and death for millions. Health problems caused by gluten sensitivity cannot be treated with medication.  They can only be resolved by eliminating 100 percent of the gluten from your diet.

The question that remains is: Why are we so sensitive to this "staff of life," within our diet?

There are many reasons...

There is fairly strong Paleolithic evidence that 10,000 years ago humans did not consume many grains. We were hunter-gatherers who subsisted mostly on vegetables and meats.  10,000 years is a mere blip on the evolutionary scale with over 99% of our genetic make-up already in place, before we ever started consuming grains.  Wheat was introduced into Europe during the Middle-Ages, and 30 percent of people of European descent carry the gene for celiac disease (HLA DQ2 or HLA DQ8), which increases susceptibility to health problems from eating gluten.

American strains of wheat have a much higher gluten content (which is needed to make light, fluffy Wonder Bread and giant bagels) than those traditionally found in Europe. This super-gluten was recently introduced into our agricultural food supply and now has "infected" nearly all wheat strains in America.

To find out if you are one of the millions of people suffering from unidentified gluten sensitivity, just follow this simple procedure.

The Elimination/Reintegration Diet

While testing can help identify gluten sensitivity, the only way you will know if this is really a problem for you is to eliminate all gluten for a short period of time (2 to 4 weeks) and see how you feel. Get rid of the following foods:

• Gluten (barley, rye, oats, spelt, kamut, wheat, triticale--see http://www.celiac.com/ for a complete list of foods that contain gluten, as well as often surprising and hidden sources of gluten.)

• Hidden sources (soup mixes, salad dressings, sauces, as well as lipstick, certain vitamins, medications, stamps and envelopes you have to lick, and even Play-Doh.)

For this test to work you MUST eliminate 100% of the gluten from your diet--no exceptions, no hidden gluten, and not a single crumb of bread.  Then eat it again and see what happens. If you feel bad at all, you need to stay off gluten permanently. This will teach you better than any test about the impact gluten has on your body.

But if you are still interested in testing, below are some things to keep in mind.

 

Testing for Gluten Sensitivity or Celiac Disease

There are gluten allergy/celiac disease tests that are available through medical Labs. Ask your doctor.  All these tests help identify various forms of allergy or sensitivity to gluten or wheat. They will look for:

• IgA anti-gliadin antibodies
• IgG anti-gliadin antibodies
• IgA anti-endomysial antibodies
• Tissue transglutaminase antibody (IgA and IgG in questionable cases)
• Total IgA antibodies
• HLA DQ2 and DQ8 genotyping for celiac disease (used occasionally to detect genetic suspectibility).
• Intestinal biopsy (rarely needed if gluten antibodies are positive--based on my interpretation of the recent study)

When you get these tests, there are a few things I found to keep in mind.

In light of the new research on the dangers of gluten sensitivity without full blown celiac disease, consider any elevation of antibodies significant and worthy of a trial of gluten elimination.  Many doctors consider elevated anti-gliadin antibodies in the absence of a positive intestinal biopsy showing damage to be "false positives." That means the test looks positive but really isn't significant. Given the new research we can no longer say that. Positive is positive and, as with all illness, there is a continuum of disease, from mild gluten sensitivity to full-blown celiac disease. If your antibodies are elevated, you should go off gluten and test to see if it is leading to your health problems.

So now you see--that piece of bread may not be so wholesome after all! Follow the advice I've shared and find out if gluten may be the hidden cause of your health problems. Simply eliminating this insidious substance from your diet may help you achieve lifelong vibrant health.

Now I'd like to hear from you...

Are you one of the millions that have been lead to believe gluten is perfectly safe?

How do foods that contain gluten affect you?

What tips can you share with others about gluten and your diet?

Please let me know your thoughts by posting a comment below.

Enjoy the Ride .... Rob

 

Let Thy Food Be Thy Medicine

My step brother Gerry Patterson forwarded me this TED video and it reminded me of this famous quote: “Let thy food be thy medicine and thy medicine be thy food.” -- Hippocrates (460-377 B.C.)

Hippocrates made this statement over 24 centuries ago and if there was ever a case that supports this philosophy, this is it.

Dr. Terry Wahls, was diagnosed with Progressive Multiple Sclerosis in 2003 and after all the leading scientific efforts failed her, she took matters into her own hands.   After understanding the foods that are necessary for optimal brain health, she developed a diet based on these findings, and went from being restricted to a motorized wheel chair to the freedom of a self propelled bicycle, and is here to tell her story of this amazing recovery through proper nutrition.  Furthermore, she is here to tell us all her story, so we can take preventative action and avoid her personal struggle.

While modern medicine spends billions of our dollars researching and developing drugs and pushing them onto the public through our health providers, or performing unnecessary and ineffective medical procedures as we accept lifestyles that do nothing more than reduce the quality or destroy our lives.  I think we deserve more for the money we pay into a healthcare system that basically focuses on illness treatment and does little to prevent these very illnesses from ever occurring through healthy diets and regular exercise.

What we find through Dr. Wahls' story is everything she discovers has been preached for years.  We know that eating a diet rich in fruits, vegetables, leafy greens and lean protein is good for us.  What she's done by saving her own life, is back this understanding up with clinical trials and the rigor of scientific method.  For many, her recovery will seem like a miracle, but actually, it's the science behind "Mother Nature" that's the real story.

 

Enjoy the Ride....Rob