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200617 Bone Health Exercise Recommendations

200617 Bone Health Exercise Recommendations

The mode of exercise should be a combination of weight bearing and endurance activities such as stair climbing, tennis, jogging and jumping. Add in regular sessions of resistance training to round out the weeks program.

The intensity level of all these exertions has to be in the moderate to high ranges in order to engage the bone loading force mechanisms leading to high quality rebuilding of these tissues.

The resistance training level of intensity will be in the 80-85% areas for the majority of the selected movements. The selected exercises are those that involve the major muscle groups that focus on the shoulders, chest, upper back and the legs front and rear. Repetitions will be in the 6-8 range for two to four sets with two to three minutes rest between sets.

These exercise sessions need to be at least as frequent as 3-5 times per week for the weight bearing endurance activities and 2-3 times per week for the resistance ones in order to elicit a positive effect on the skeletal structure.

Once these regimes are in place the desired time spent on each one per session is 30-80 minutes per day. This will be a combination of both types of exercise and not just one of the two recommended modes.

130617 Exercise suggestions for increasing bone mineral density

130617 Exercise suggestions for increasing bone mineral density

Before engaging in any new exercise program consult with your primary health care provider.

To increase your lean body mass, add strength and power, follow these guidelines for the suggested group of exercises:

1. Full body resistance training program on a schedule of at least two times per week, with three times to optimize the results.
2. Utilize correct exercise technique at all times
3. Three sets of ten to twelve repetitions each exercise unless otherwise noted.
4. Work to rest ratio is 1:2, meaning if you work out for ten seconds you then rest for twenty seconds.
5. If you are able to add weight after completing the series three times, then do so the next session.
6. If you have added weight then do only ten repetitions and work up to twelve.

Warm up for 5-8 minutes
Squats
Calf raises
Dead lifts
Military presses
Shoulder shrugs
Abdominal work-15-20 reps for two sets
Bench presses
Bar bell rows
Barbell curls
Triceps extensions
Abdominal work again to end the session-15-20 reps for two sets

 

060617 Mechanical load consists of the following:

060617 Mechanical load consists of the following:

Magnitude of force

Magnitude of the load density or the intensity of the load will generally be above eighty to ninety percent one to ten repetition maximum in order to see improvements in the tissue response.

Speed of force development

The rate or speed of loading means how fast the force is being applied to move the load in a concentric muscle contraction (force applied against a weight with the muscles shortening). Think speed during the lift.

The direction of forces

Varying the direction and pattern of movement will stress the bone and the attaching musculature. Full range of motion in all exercises ensures to a certain extent that the forces are applied as required.

Volume of force applied

The first three mentioned above are primarily responsible for bone mineral improvements. Typically the repetitions do not need to exceed thirty to thirty five to see improvements IF the load is within the correct intensity zone (80%-90% 1-10RM).

Exercise prescriptions for bone growth stimulation*

  1. Volume 10 reps for 3-6 sets
    2. Load 1-10 RM at 80%-90%
    3. Rest 1-4 minutes between sets
    4. Variation Undulating periodization patterns
    5. Exercise selection Structural, multi-joint, large muscle groups

    *Essentials of Strength Training and Conditioning
    Baechle, T. R., Earle, R.W. Human Kinetics 2001

Summary:

The greater the magnitude or intensity, the higher and faster the power output, and the direction of force all contribute to the successful laying down of new bone growth.

300517 The stimulus for new bone formations.

300517 The stimulus for new bone formations.

Minimal essential strain (MES) refers to the threshold amount of stress applied to the structure which is necessary to elicit growth of new bone material. A force exceeding MES is required to signal the osteoblasts to move toward the periosteum and begin this transformation. MES is thought to be 1/10 of the breaking force needed to fracture the bone. Training effects have a positive relationship to bone density just as sedentary living habits play a role in the loss of bone density.

Training to increase bone formation

Programs designed to stimulate bone growth, also known as bone mineral density (BMS), will incorporate the following characteristics:

  1. Specificity of loading
    2. Proper exercise selection
    3. Progressive overload
    4. Variation

Specificity of loading will see the exercise patterns emphasizing specific areas in need of assistance. New or unusual forces in varying angles of stress will enable your bones to adapt to the greater intensities. Military presses, bench presses, upright shoulder shrugs, push ups, chin ups, plus other similar exercises would help develop stronger upper body bones. Lower body exercises selections would be along the lines of these types of movement patterns: squats, calf raises, dead lifts, and straight leg dead lifts.

Exercise selection promotes osteogenic stimuli (factors that stimulate new bone formation) and will exhibit these characteristics: Compound exercise muscle movements consisting of multi joint, structural loading and varying force vectors. Such exercises are the squat, dead lift, military press and the bench press along with the Olympic style moves.

Progressive overload

Greater than normal loads force the body to adapt in a positive manner regarding new bone formation. This response is greater if the load changes are dramatic and repetitive in nature. Younger bones may be more receptive to osteogenic changes in the load variance than older bones.

Variations of exercise selections

The body adapts quickly to imposed loads per the SAID (Specific Adaptation to Imposed Loads) principle. In order to prevent accommodation the exercises need to be varied on a periodic basis. There are many individual differences in the same exercise. As an example the squat has at least seventy variations! And these variations do not include any machine versions.

230517 Adaptation of Bone to Exercise

230517 Adaptation of Bone to Exercise

By Danny M. O’Dell, MA.CSCS*D

Background information-briefly stated

Bone is considered a connective tissue that when stressed, deforms and adapts as a result of the load. To meet the strain imposed upon the external structure caused by the bending, compressive, torsional loads and the muscular contractions at the tendinous insertion point’s osteoblasts migrate to the surface of the bone.

At the point of the strain, immediate modeling of the bone begins. Proteins form a matrix between the bone cells. This causes the bone to become denser due to the calcification process occurring during the growth response to the load.

The new growth occurs on the outside of the bone to allow the manufacture of new cells to continue in the limited space with in the bone itself. This outer layer is commonly known as the periosteum.

Adaptations take place at different rates in the axial skeleton (skull/cranium, vertebral, ribs, and sternum) and the appendicular skeleton (shoulder, hips, pelvis and the long bones of the upper and lower body-essentially the arms and legs). This is due to the differences in the bone types- trabecular (spongy) and cortical (compact) bone.

160517 The major keys to good bone health

160517 The major keys to good bone health

*Exercise plays a highly beneficial role in maintaining bone integrity and preventing fractures by increasing the strength of the bones.

*Bone mineral density is directly related to long term physical activity via load bearing, impact exercise regimens.

*The loss of bone mineral density weakens the bones and makes them susceptible to a fracture.

*The sites most frequently fractured are in the hip, spine, and wrist.

Summary:

Take care of your health by exercising, eating right and having yearly full physical exams.

090517 Osteoporosis strength training

090517 Osteoporosis strength training

High impact exercise such as these listed builds stronger bones

  • Vertical jumps
  • Skipping rope
  • Jogging in place
  • Knees semi straight hops in place
  • Ankle hops
  • March around your home or gym with dumbbells or extra weight on your shoulders

Weight bearing aerobics

  • Walk with a set of dumbbells. Avoid repetitive motion injuries by switching up on your method of carrying the extra weight on your walk or run.

There is a delayed response of up to six months before changes in your bone mineral density will be noticeable. Weight bearing and bone load bearing lowers your risk of fractures.

200317 Fluid replacement-Water and the body-why we need it (2/3)

200317 Fluid replacement-Water and the body-why we need it 

In the book Essentials of Strength Training and Conditioning (page 247), it states that a fluid loss of around 1% of body weight will increase core temperature with a disproportionate rise in heart rate. These increases in temperature causes further fluid loss and the cycle repeats itself.

Plasma volume becomes reduced when sweating causes a fluid loss of 2-3% body mass. The blood thickens, which makes the heart work harder at pumping it through out the body. As dehydration progresses and plasma volume decreases, peripheral blood flow and sweating rate are reduced and thermo regulation becomes progressively more difficult. (Page 509 reference #1)

A 5% dehydration of the body mass significantly increases rectal temperature and decreases sweating rate. There is 25-30% decrease in stroke volume from the heart that is not off set by a higher heart rate so the system output and arterial blood pressure decline. For each liter of sweat loss, the heart rate increases by about eight beats per minute, with a corresponding decrease in cardiac output. “The primary aim of fluid replacement is to maintain plasma volume so that circulation and sweating progress at optimal levels”.

In Essentials of Strength and Conditioning, it (page 247) states that at 7% body weight loss a collapse is likely. Obviously, this is a serious condition if left unchecked.

Ultimately, the strain on the circulatory system impairs the thermo regulation of the body. (Page 507 reference #1)

Thirst is not a good indicator of hydration level as it normally lags behind the body’s needs. Each adult requires from 2-3 quarts of water/fluid daily, less than that, will gradually result in a dehydrated state over a period.

Indicators of the need for more fluid in the body that are relatively simple to monitor are (Page 247 reference #2)

  • Dark yellow urine (unless excessive vitamin intake has occurred)
  • Strong smelling urine
  • Decrease times of having to urinate
  • A rapid resting heart rate
  • Muscle soreness that lingers longer than normal

Normal urine loss for an adult is about 4 times per day for a total of about 1.2 quarts. This means the elimination of 8-10 fluid ounces about 4 times per day. If a person is drinking over and above the normal requirements bathroom breaks could occur more often. If this is not the case, and you are not drinking excessively, perhaps a check for diabetes is in order.

180217 Bend like the willow

180217 Bend like the willow

Being faithful to your exercise and health programs is an admirable trait. But what happens when it starts interfering with your life and more importantly to the lives of those who love you? I’ll tell you. It’s time to reappraise the situation and make some necessary changes.

Most hardcore fitness enthusiasts exercise come hell or high water, no matter what they will find a way to get their exercise session in every day. I know a person who has not missed one single day in over twenty years.

Every day this person did something positive for their health and fitness; even while recovering from major joint surgery. They have pushed to get better by regaining their range of motion and doing isometrics to build the muscle strength back to its pre-surgery status.

Has this dedication caused conflicts in their life? I suspect so. Let’s look at how you can avoid these same issues.

Putting the check on the calendar

I call minimally doing something positive for yourself putting a check on the calendar for that day. The check on the calendar simply means you did something on this particular day to help improve your health in some small way. It doesn’t mean you went all out on the exercises; just that you did a little bit.

Suppose you were scheduled to max out on one of your lifts or run a faster than normal mile but your wife or child became ill and had to be cared for. No one in their right mind would consider taking time off to exercise as planned if a loved one needed their help. You are no different.

Abandon your schedule and help them out. There will be breaks in the day when you can get out the skip rope and hit it hard. Do as many pushups and sit ups as you can in one or more minutes. Do something for yourself, but not at their expense, during the time you’ve got before they need you again.

If you aren’t in good mental and physical shape it’s going to be much harder caring for someone else.

Sometimes it really is better to stop the head long pursuit of strength and high level physical fitness and smell the roses for a brief minute or two before hitting it again. Just don’t take to long…

Prescriptions for strength training

300117 Starting a weight training program

Starting a weight training program.

Are you just beginning to lift weights? If so, then seeking out a knowledgeable coach to guide you along may be the first and most important thing you should consider doing. Check their credentials. Are they certified by a recognized organization such as the National Strength and Conditioning Association (NSCA) or the American College of Sports Medicine (ACSM)? Do they care about you or just your money and the gym membership? Ask them for references. After all, it truly is a buyer beware situation when you are trying to get stronger and are paying out good money for the results you desire.

Maximum lifts are to be avoided in any new weight training program. If this is the case then how are you expected to lift heavy if you don’t know how to lift in the first place? The answer is you can’t. So don’t be intimidated into adding more and more on the bar in your first sessions. Learn how to lift, build up a base and then gradually start adding the weight.

Excessive initial loads contribute little to becoming stronger but do expose you to an increased likelihood of injury. A new lifter will do quite well with a load varying in the range of 60-80% of a muscles force generating capability. You may be wondering how this is determined. One of the safer ways is to simply estimate a conservative load and try it out.

Another more frequently used method is to do a set amount of repetitions, i.e. ten, five or three, and then use commonly available charts to determine the percentage weight to use based on the outcome of the multi repetition test. Once the percentage has been figured out then the sets and reps will be a matter of professional knowledge and experience for your coach.

Using lighter weights for more repetitions is generally wiser for the inexperienced lifter. Selecting loads that allow ten to fifteen repetitions for two to four sets in each exercise helps build a strong base to continue future training. This repetition and set scheme will not place an excessive load on the bones, ligaments, muscles or tendons of the new lifter. More importantly it will not cause negative disruptions on the nervous system.

Certainly if the lifter is able to easily lift the selected percentage load for the chosen repetitions then more weight can be added the next session. A minimum of twelve repetitions is the determining factor in this decision to go to a higher load. This process will be trial and error for the first two to three sessions unless the coach is highly experienced.

Once the weight has been figured out then it’s time to set up the training load schedule in one of several ways: Progressive, over load, or step loading.

Progressive is effective for the new lifter for a short time then becomes less productive. The schedule will appear in this fashion. Three to four sets of various loads with a certain number of repetitions. For example, a warm up followed by one set of eight reps, then one set of six and finally one set of four. This schedule is followed for the rest of the training time.

The overload scheduling scheme leads to over training which in turn will lead to staleness, lack of interest and even injury. Many coaches like this as they believe the athlete benefits from the extra work. Not so. The athlete becomes disinterested and fatigued. In this system the load progressively increases every week or even every session. There is no rest built into this loading program and the constantly increasing intensity quickly leads to overtraining and its attendant problems.

The step load seems to be the best alternative for the new trainee in that one load is used throughout the entire sequence of one exercise. In the step load the warm up is completed and then one load is chosen which has been determined by the previous testing. This load then remains for three to five sets until it is no longer a challenge to the lifter. This is co-determined by both the lifter and the coach’s observations of the lifters speed and bar path.

An able coach will also start out the exercise session with a dynamic warm up such as riding a bike, skipping rope (my favorite warm up exercise) or some other active motion type of movement. If your coach starts out with static stretches then it’s time to find one more knowledgeable in the field.

Depending on the sessions some will begin with the larger muscle groups first and gradually work their way to the smaller ones such as the arms or calves. On other occasions the exercises will begin with the targeted muscle groups and work from this point onward.

One final note or two; keep a log of your progress in the weight room it will show you how well you’ve done…or not. If the or not is taking place it’s time to find another coach and begin to make some progress.

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