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Sex differences in the gym

Weight training can elicit numerous benefits including injury prevention. However, weight lifting has it’s share of injuries and according to a study in Cincinnati Ohio, which examined a sample of 3713 patients, these injuries vary between genders. The objective of this study was to examine the differences in injuries associated with strength training in adolescents and young adults.

Comparisons of accidental injuries between the sexes revealed that women had significantly greater odds while strength training when compared to men. Women had higher foot, trunk, and leg injuries, where as men had higher arm, hand, and head injuries. Men had a much higher percentage of their injuries in the form of strains and sprains compared to women, but there was no difference in reported fractures. The trunk was by far the most commonly injured body part for both men (36.9%) and women (27.4%).

The findings of this study show that men are at far greater risk for exertional types of weight training injuries than women. However, women had significantly higher odds of accidental weight training injuries compared to men, which researchers say is of particular concern. Common accidental injuries include dropped weights, improper use of equipment, or tipping over of equipment. Does this really surprise anyone?

Best exercise for building big lats

Over the years it has been well established that performing exercises behind the neck, like lat pull downs, is detrimental to the shoulder joint. The unnatural movement pattern of bringing the bar behind ones head causes external rotation combined with horizontal abduction, which places the shoulder at a great risk of injury. However, when the lat pull down is performed to the front of the head, there is a lower stress on the shoulder joint because of a higher degree of stabilization by the rotator cuff muscles.

Not only is the front of the neck lat pull down (FNL) a safer exercise, but it allows for a great range of motion. Despite the amount of empirical and anecdotal evidence illuminating the possible negative effects of behind the neck pull downs (BNL), proponents tout is greater efficacy for building bigger lats. But Is there a difference in the activity of the primary movers during different lat pull down exercises?

A recent study analyzed the electromyographical (EMG) activity of 3 different lat exercises. The exercises used where the BNL, FNL, and V-bar behind the neck lat pull (V-bar). Twenty four experienced weight lifters participated in the study performing 5 reps with each exercise, with electrodes positioned over 4 muscle bellies (pectoralis major, latissimus dorsi, posterior deltoid, and biceps brichii). Although a previous study (J Strength Cond Res 16:539-546) showed a greater activity of the latissimus dorsi muscle using FNL when compared to the BNL, this was not the case with the present study. (J Strength Cond Res 2009:23(7);2054-2060)

If your objective is to build bigger lats, than any of the 3 exercises in this study can be used with equal activation. However, with no advantage being found in this or any other study to date performing the BNL, one should question it’s use. There is no movement in sport or daily activity that the BNL mimics. Conversely, the FNL mimics movement patters in sports and daily activities helping to reduce injury and improve function.

There are a few concerns I have with this and previous studies analyzing prime mover activation in lat exercises. The distance between the hands, which were the same for this and other studies, has a huge impact on the range of motion, the load used, and EMG activation. The closer the grip one uses performing a lat pull down, the greater the range of motion and load, which consequently yields a greater activation of the prime movers.

Changing exercises alters movement patterns and muscle recruitment, which can increase or decrease the load used. A greater load, which elicits a greater EMG activation, can always be achieved with movements to the front of the neck as opposed to the back of the neck. For this reason, using the same load for all 3 exercises doesn’t show the true ability of an exercise to activate target muscles. The correct load used would be such that each exercise was performed with maximum intensity. Only then can there be an apples to apples comparison.

Eat less salt and increase your risk of heart disease.

We are continuously told to reduce our sodium intake by eating a low sodium diet. Dr.s, dietitians, and nutritionists insist it’s good for our cardiovascular system especially if one has cardiovascular disease. But is it?

Salt induced hypertension, despite what you’ve heard, is very uncommon. More-over, the vast majority of people who switch to a diet low in sodium have no change in blood pressure and may be doing more harm than good. According to a cohort study of 7154 individuals, sodium is inversely related to cardiovascular mortality.

After adjusting for variables, low sodium consumption was associated with a 37% greater risk for cardiovascular disease mortality, and 28% increased risk of all-cause mortality.

Government’s intrusion into health care has long been frowned upon.

“If people let the government decide what foods they eat and what medicines they take, their bodies will soon be as sorry a state as are the souls of those who live under tyranny.”

— Thomas Jefferson

Natural remedy for arthritis

Osteoarthritis (OA), also known as degenerative arthritis, can be painful and debilitating. It?s caused by the breakdown and eventual loss of cartilage. OA is the most common form of arthritis out of over 100 different types, and affects nearly 27 million people. With one third of people over 65 being diagnosed with OA, tradition treatments, as with western medicine in general, address only the symptoms. More and more people, in an effort to try and prevent as well as treat the disease, are turning to alternative methods.

Natural eggshell membrane (NEM) is an alternative dietary supplement that contains hyaluronic acid, chondroitin, and glucosamine. NEM was investigated for its effects and safety for pain and stiffness in osteoarthritis of the knee in a double-blind, placebo-controlled clinical study. Sixty-seven study participants took 500 mg of NEM daily for eight weeks. They were evaluated at 10, 30 and 60 days for joint pain.

After 60 days, 32 percent of the NEM group had more than a 50 percent reduction in pain. Their stiffness also continued to get better, with an average 27 percent reduction compared to the placebo group. By the end of the trial natural eggshell membrane had reduced stiffness by half for the majority of the patients.

In a related study in which researchers evaluated the use of eggshell membrane extract in people who had joint and connective tissue disorders, 39 patients received 500 mg once daily for four weeks. After seven days, patients reported a 27.8% improvement in flexibility. After 30 days, the participants reported a 72.8% reduction in general pain, a 43.7% increase in flexibility, and a 75.9% reduction in pain associated with range of motion. As with the above study of eggshell membrane extract for osteoarthritis, the patients in this study tolerated the supplement well.

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