Sunday, June 30, 2013

Heat Exhaustion & Heat Stroke

When I think of hot summers growing up in the Dallas area the first one that comes to mind is the summer of 1980. When you watch the weather and they post the record temperature for that date, there is a better chance than not that record is from the summer of 1980 which posted 42 consecutive days over 100 degrees in Dallas/Ft. Worth. The year 2011 has the most days over 100 degrees but in 1980 the temperature was in the 90's by 8am in June. I was able to parlay that first summer working at the age of 16 into a job working on the asphalt crew for the City of Carrollton Street Department, followed by two weeks of two a days in August. I learned early on the importance of staying hydrated that summer which consisted of back to back days of 113 degree weather on June 26th and 27th.(1) Thank goodness it was 1980 and not the 1950's when some of the greatest coaching minds of all time like  Paul "Bear" Bryant, believed depriving his players of water  in hot weather made them tougher. This was still 1980 though and not all coaches had bought into the idea of having water available to drink freely actually improved athletic performance. Every function in the body requires water so it only makes sense that staying hydrated improves athletic performance. It wasn't until college that I saw water all over the practice field. The first day of practice I remember wondering if it was okay to just go up and get a drink. In high school we had two water breaks during each practice. In most cases we got plenty of water but in 1980 I saw a few of my friends leave practice with heat exhaustion and even heat stroke. Heat exhaustion often occurs when someone is exposed to high temperatures. Especially when combined with high intensity physical activities that cause dehydration from sweating and overheating. Heat exhaustion can cause the person to have an elevated temperature, but not over 104. Heat stroke is a life threatening medical condition. This is when the body's cooling system quits working. The body's cooling system is controlled by the brain. It causes the body's temperature to rise above 104 degrees F at times. Heat stroke can cause brain damage or damage to other internal organs . On average 119 people die each year in the U S due to extreme heat conditions, according to the National Oceanic and Atmospheric Administration. (2) 

When possible you should avoid strenuous activity in hot humid environments. Those not used to the heat should pay particular mind to avoid intense exercise in the heat. Plan your exercise programs so you avoid the hottest part of the day, and drink plenty of water through out the day. Plan breaks in the shade and take in fluids during your activity. Athletes and those engaging in activity are not the only ones at risk. Coaches, trainers and managers need to make sure to pay close attention to staying hydrated during hot humid days. 

 Heat exhaustion symptoms
  • Pale with cool, moist skin
  • Profuse sweating profuse
  • Muscle Cramps & Muscle Pain
  • Feeling Dizzy
  • Headache
  • Thirst
  • Nausea  
  • Temperature elevated-usually more than 100 F 
  • Heart Rate Increased

Heat stroke symptoms
  • Unconsciousness 
  • Abnormal mental status (dizziness, confusion, hallucinations)
  • Flushed, hot, and dry skin 
  • High blood pressure 
  • Low blood pressure
  • Hyperventilation
  • Coma
  • Temperature of 105 F  or higher

Mild heat exhaustion can be treated by getting the person in a cool place with feet slightly elevated. Give them a 1/2 cup of water every 15 minutes. If the symptoms do not improve seek professional medical help. Moderate to severe heat exhaustion, and heat stroke require medical care immediately. We are entering the hottest part of the summer. Exercise smart. Try to plan your physical activities in the cooler part of the day and stay hydrated. If you are thinking about beginning an exercise program and you have not exercised in a while please see a Doctor first

1. www.examiner.com -"The Summer of all-time record. June 1980 "Desert Heat" in Dallas-Ft Worth 
                                         June 18th, 2011
2 eMedicinehealth



Friday, June 28, 2013

Does Fat Free mean Healthier?

I post healthy meals and recipes on some of my social network pages from time to time. I sometimes put fat free cheese in my egg white omelets which raised a question from a martial arts expert I have known most of my life. "Is Fat Free better?" I knew he knew the answer to this question and was wondering if I knew the answer. The fact is most of the time fat free foods are left tasting bland so filler ingredients are added for flavor like sugar, flour, thickeners and salt.(1)  These ingredients are prone to raising the calories in food. Sometimes the fat free foods are not much lower in calories than their regular counter part if any. There are a few products out there like Kraft fat free cheese which is 25 calories a slice compared to a slice of regular Kraft cheese that is 60 calories. Non fat milk is another product that is lower in calories compared to whole milk. Nonfat milk is 90 calories compared to whole milk which is 150 calories. (2) That does not mean Fat Free milk is the best decision. Some of the lower calorie fat free foods block the absorption of vitamins and minerals like milk which is high in vitamin A and vitamin D. They are fat  soluble vitamins. Without the fat found in whole milk or even 1 percent milk they are not  properly absorbed.  If your looking to just reduce calories Fat Free may not  be the best choice. If the calories are not much less than the regular product chances are they have been filled with empty calories like sugar which is counter productive to what you are trying to achieve. Sugar drives up fat storage and makes the brain think it is hungry.  Using these products every once in a while is probably not going to hurt you. Just like most things done in moderation. If your pantry or refrigerator is loaded with Fat Free items, chances are you are lacking good fat, vitamins, minerals or some other necessity the body requires for proper nutrition and function through your diet. This brings us back to why I would have fat free cheese in my egg white omelets? I am not trying to get my A and D vitamin needs or any other nutritional benefit from a twenty-five calorie slice of fake cheese. I just like a little cheese flavor in my eggs and I am saving calories so that slice of cheese is not going to have an adverse affect on my total nutrition plan.   

1 Web MD


2 Popsugar Fitness Jan 2011

Tuesday, July 31, 2012

Exercising During Pregnancy

According to the April 2007 edition of Strength and Conditioning Journal, "there are three primary concerns for exercising during pregnancy: trauma to the fetus, hyperthermia, and maintenance of normal blood flow to the uterus." The American College of Obstetrics and Gynecology has guidelines for women exercising during pregnancy. There is a difference between women who were on a regular exercise program before they became pregnant and those who begin an exercise program after pregnancy. It is generally accepted "that as long as the woman who has been on a regular exercise program has no complications she can continue her exercise program during her pregnancy. There may be some limitations and modifications as the pregnancy progresses. A woman initiating an exercise program during pregnancy is a bigger concern. A more conservative approach should be taken.   Improving posture, relieving lower back pain, and strengthening weight-bearing muscles are the primary goals. This will help with mobility as weight gain continues,  and eases labor.  Always talk to your doctor and a professional trainer before beginning a program during pregnancy. If you work with a trainer find out if they have ever worked with someone who is pregnant. Some exercises will need to be disconuted as the pregnancy moves along. Make sure your trainer knows what is safe and what isn't safe.  Exercise should be low to moderate intensities during the second and third trimesters. Finally, consult with your doctor before beginning an exercise program and throughout your pregnancy.

Sunday, July 29, 2012

Fat Burning Zone

Let's face it. Most of us do cardio to burn fat and look better. The tricky part is figuring out how much you have to raise your heart rate through intensity of exercise to get in your target heart zone. An easy formula is take the number 220 minus your age. You then take that number and multiply it by .60 and .70 because your body burns fat most efficiently when we exercise between 60 and 70 percent of our maximum heart rate capacity. Here is an example: I am 48 so 220-48 =172.  172x.6=103 and 172x.7=120. So my target heart rate is between 103-120 if I am trying to burn fat most efficiently.



References
Texas Tech University Health/PE/Recreation Department

Thursday, July 26, 2012

Ice or Heat with Injuries?

I’ve been working in gyms since 1986 and one of the most common questions I get asked is “do I use ice or heat after an injury?” Ice should be applied as soon as possible after an acute injury such as an ankle sprain or any type of injury where swelling occurs. Ice should be applied in 10 to 15 minute increments and can be reapplied when the skin temperature returns to normal. Using an ice application will decrease swelling around the injured area and it will help to decrease pain. Never apply ice to bare skin, always use a thin towel or an ice pack. For those of you suffering from chronic pain caused by overuse it is best to apply the ice to the injured area after the activity to control swelling. Never apply ice before exercise with a chronic injury.


Heat can be used before exercise on chronic injuries to help loosen up the tissue and promote blood flow to the area. It is best to use moist heat such as a moist towel under a heating pad or warm water in a tub or shower. Heat should never be used after exercise or after an acute injury.

It is also very important to remember to never use heat or ice for long periods of time and do not go to sleep with ice or heat applied.



References
About.com
Johnathon Cluett MD