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May 30, 2013 by Monica

Vitamin D – what’s the optimal level and how to achieve it?


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If you’re following the health news, you know that vitamin D currently is in the media spotlight, and rightly so. Will Brink just did a great podcast “Vitamin D3 – scam or panacea?“, giving an overview on the importance vitamin D. In this article I will expand upon some key points taken up in the podcast, and back up the case with a solid reference list of recent studies on the topic. I will also present some revealing prevalence stats on vitamin D insufficiency, in order to convince you to get your blood levels checked to find out your vitamin D status.

Vitamin D is interesting for several reasons:

1. The role of vitamin D for health promotion has undergone a paradigm shift. While traditionally thought to only be important for development and maintenance of strong bones, an impressive body of scientific research has accumulated over the past decade, showing that adequate vitamin D levels are necessary to prevent many diseases, especially cardiovascular disease, high blood pressure, endothelial dysfunction, diabetes (both type-1 and type-2), the metabolic syndrome, chronic inflammation, cancer, osteoporosis (including falls and fractures), muscle weakness, cognitive dysfunction and mental illness, autoimmune diseases (e.g. multiple sclerosis, rheumatoid arthritis), infectious diseases, as well as infertility and adverse pregnancy and birth outcomes [1-24].

Vitamin D deficiency/insufficiency is associated with all-cause mortality [1], and supplementation has been shown to decrease mortality rates [25, 26]. It has been estimated that doubling vitamin D levels in the general population (from 21 ng/mL to 44 ng/mL) would reduce  vitamin D-related disease mortality rate by 20%, and increase life expectancy with about 2 years [27].

2. Insufficient levels of vitamin D also have direct implications for fitness enthusiasts and athletic performance, due to the importance of vitamin D for muscle function (I will cover this in much more dept in an upcoming article) [28-39].

3. In contrast to other vitamins, vitamin D deficiency/insufficiency is very common (more on that below).

4. The vitamin D requirement for health promotion and protection against the mentioned diseases and muscle dysfunction is much higher than the dietary recommendations (RDA) for bone health [4, 40-45].

Having heard about all the vitamin D benefits you might wonder what is the optimal vitamin D level? How low is too low and how high is too high?  How much vitamin D does one have to consume to reap all the benefits? Let’s find out…

 
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May 8, 2013 by Sumi Singh

Strength Training with Parkinson’s


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Getting older doesn’t automatically preclude you from learning how to lift weights and resigning yourself to a loss of strength and functionality.

I have been diagnosed as having Parkinson’s, scoliosis and rheumatoid arthritis which have caused loss of muscle strength. I believe a regime of regular exercise can significantly retard further muscle atrophy and help increase tone and strength. Sumi has been a great help to me in achieving my goals.” Al

The effects of age related muscle-wasting (sarcopenia) may be counteracted by resistance training (J Strength Cond Res. 2011 Feb;25(2):326-33.), and we’re not talking about the little pink dumbbells, either. Somewhere around 60% of a maximal effort weight and higher reps, and even using free weights (not JUST the machines). For more information on the causes, prevention, and treatment for sarcopenia, there’s an extensive article on the BrinkZone HERE if interested in additional information.

Older trainees in the gym normally stick with familiar cardio machines, but if you’ve ever seen Al in action, you might want to clear some space. Al’s been a client of mine for over half a year now, and in that time he’s seen some impressive gains in strength and coordination.

Which is important when you also have Parkinson’s. He’s also in his 70’s.

Although Al’s determined personality makes our work outs fairly intense, trainees with Parkinson’s can use resistance training pretty much like everyone else. And just like anyone else, he got stronger with a basic program for resistance training.

 
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March 30, 2013 by Monica

A NEAT way to fat loss


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Part 1 of 3 on the deleterious effects of too much sitting 

Are you struggling to lose that extra flab and all those nasty calories that seem to be glued to your waistline? Do you ever wonder why, despite your hard training and dieting, you still have those annoying love handles? Then maybe you should try to implement the NEAT way to fat loss…

 
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March 18, 2013 by Monica

Caloric Restriction for Anti-Aging and Longevity – does it work in non-obese folks?


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If you are following the anti-aging media news, you’ve heard about the alleged benefits of calorie restriction (also known as food restriction or diet restriction). Studies in numerous species have demonstrated that reduction of calories 30-50% below ad libitum levels of a nutritious diet slows the aging process, increases lifespan, reduces the incidence and delays the onset of age-related diseases, improves stress resistance, and decelerates functional decline.

In a previous article http://www.brinkzone.com/general-health/calorie-restriction-vs-the-bodybuilding-lifestyle/ Will pointed out that practicing calorie restriction counters the bodybuilding lifestyle. Here I will explain that it not only counters the bodybuilding lifestyle, but also is makes it impossible to implement and reap the benefits of other healthy lifestyle habits, and in addition brings along several pitfalls and negative health consequences in humans.

While animal studies can and do shed light on what’s going on at mechanistic level, we have to be very careful and resist the temptation to extrapolate results from animal experiments to humans. Here I will make the case for that we can age gracefully and successfully and increase our health span and “youngevity” without having to starve ourselves for life.

 
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December 31, 2012 by Monica

Blood Cholesterol Testing – don’t let the simple numbers fool you!


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The mere word cholesterol gives many goose bumps. We have been indoctrinated since the well-known Framingham Studies that the higher the blood cholesterol level, the higher the risk of heart disease 1-3. However, much has been discovered in medical research since then. Today there is compelling evidence showing that strict reliance on the traditional cholesterol test that is routinely run in the clinic can falsely tell you and your doctor that you’re fine, even if you aren’t. Here you will find out what to look for…

 
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August 27, 2012 by Monica

Nitrate supplementation – ramp up the less well-known NO synthesizing pathway to boost performance and health


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Printer friendly pdf (right-click and chose save as)

Nitric oxide (NO) boosting “pre-workout” supplements based on arginine are currently in the rage among many athletes, particularly bodybuilders and strength athletes. While it’s true that arginine is a nitric oxide (NO) precursor and NO is a potent vasodilator 1, 2, most studies in healthy adults have not unequivocally supported the marketing hype that arginine supplementation increases muscle blood flow and/or performance in healthy folks 3-5. In my previous article “The L-Arginine Paradox” I explained why.

In this article I will cover the less well known, albeit highly significant, NO generating process, the nitrate-nitrite-NO pathway. This “new” NO producing pathway holds a lot of promise and supplements that target it will probably will replace the current arginine based NO boosters in the near future….The nitrate-nitrite-NO pathway is especially interesting in that it not only has performance enhancing effects in non-diseased people, but also offers cardiovascular protection.

 
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August 20, 2012 by Monica

The Arginine Paradox – find out if arginine based NO boosters really work for you


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Some of the most popular supplements today are the so called pre-workout nitric oxide (NO) boosters 1, 2. These contain a panoply of ingredients, but the main one is arginine. The rationale goes that arginine is a nitric oxide (NO) precursor and NO is a potent vasodilator 3, 4, which in turn supposedly will boost blood flow to exercising muscles,  performance and recovery. And while arginine supplementation is beneficial for various clinical populations (see below), studies in healthy adults have not unequivocally supported the marketing hype surrounding arginine supplementation and nitric oxide boosters 1, 5, 6. Why? Let’s take a look under the hood…

 
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July 20, 2012 by Monica

Testosterone Replacement Therapy – why is it so controversial?


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It is dangerous to be right when the government is wrong.      - Voltaire

Printer friendly pdf, 9 pages, 98 references (right-click to download and save):

Testosterone Replacement Therapy – why is it so controversial?

For reasons that are not readily apparent, there appears to be a conservative political movement that opposes the use of testosterone in older men. This was clearly demonstrated by the report of the Institute of Medicine, which felt that testosterone is not yet ready for prime time and that there is still a need for studies to prove its efficacy 1.  Along the same lines, the guidelines of the Endocrine Society on testosterone use in older men seem to be ultra-cautious 2 . But fortunately, there are also other, more liberal guidelines and recommendations  3-5.

Probably no other medical issue has been bombarded by the influx of “expert” views from all walks of life; from endocrinologists and psychiatrists to urological surgeons and gerontologists, from the lay press to the regulatory agencies and from the pharmaceutical to the entertainment industries. The dismal result of all this free-for all cacophony of opinions is a great deal of confusion, erroneous information and significant detriment to patients and physicians alike.

Let’s take an in-depth look at the reasons for the negative attitudes to male testosterone replacement therapy (I will cover post-menopausal testosterone replacement in an upcoming article), and the hard scientific data that refutes it…

 
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May 9, 2012 by Monica

Red Meat – good or bad for fat loss and body fat control?


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Consumption of red meat has been associated with fat gain (and weight gain) because of its high energy and fat content. Even though the role of fat intake as a causative factor for obesity recently has been seriously questioned, and rightly so, red meat still is a food that’s on the forbidden or avoid list of most diet plans. And while there are studies showing an association between meat intake and obesity [1-3], there are also studies not showing this [3-5]. And when digging deeper in the data, many of the studies that have reported a significant association with meat intake and fat gain / obesity have several flaws that invalidate their conclusions….

 
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March 19, 2012 by Monica

Successful aging – the importance of starting down the right path


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Risk factors and chronic diseases often get more attention among the middle-age and elderly population. And rightly so, since that’s when the manifestations of chronic diseases start to show up, and when people get reminded about their chronological age.  An integral component of successful aging (also known as healthy aging) is the freedom of physical disabilities and debilitating chronic diseases 1-3. While it is true that it is never too late to become health conscious and reap the benefits of a healthy lifestyle 4,5, the fact remains that the sooner we start the better off we will be as we get older. If you are in your 20s or 30s, or have kids, read on…

 
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