Articles related to EXERCISE/TRAINING

An 18-year-old man comes to you for a sports physical. He is asymptomatic, with no limitation in his exercise capacity. He has a history of exercise-induced bronchospasm for which he takes a budesonide-formoterol inhaler. He does not smoke, drink alcohol, or use any drugs. There is no family history of cardiac disease or sudden death. What’s the next appropriate test?

In a study involving 212 adults with symptomatic knee osteoarthritis, an unsupervised online yoga program delivered via prerecorded videos over 12 weeks netted improved physical function vs. the control group. At 12 weeks, knee stiffness, quality of life, and arthritis self-efficacy improved more with yoga than the control intervention. Benefits were not maintained at 24 weeks. Adverse events were minor.

The founding editor of Comprehensive Clinical Nephrology teases out for us our physiologic response to salt, sugar, fat, and water that creates a recipe for obesity – a recipe being used daily by many Americans with obvious results. His recommendation? “Drinking more water and reducing salt intake offer cheap, easy and healthy strategies that may prevent or treat obesity.” Click to see the evidence behind the conclusion.

This review with case example explores pericarditis and myocarditis and implications on limiting exercise. The authors summarize relevant guidelines and provide their own conclusion and guidance. They offer a helpful algorithm combining the ESC, ACC, and AHA guidelines and suggest an additional element around limiting heart rate during an acute inflammatory episode.

Muscle dysmorphia (MD), sometimes referred to as “reverse” or “big” anorexia (colloquially called “bigorexia”) is on the rise, and this article presents a comprehensive review on its history, highlights a few studies, provides the DSM-5 diagnostic criteria for both MD and body dysmorphic disorder (BDD), and discusses the behaviors associated with the conditions, including risk factors, comorbidities, and complications. In addition, the author provides questions to ask to ascertain whether MD may be present.

A follow-up to the discussion we recently presented, this article asks doctors to look beyond the physical health of the patient to recognize and potentially treat muscle dysmorphia, the notion in which an individual is preoccupied with the idea that his or her body build is too small or insufficiently muscular.