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12月26日

My Annual Review

Start Weight: 581 pounds, Mar 11, 2005
Current Weight: 220 pounds

Goals I have achieved:
  1. I rode my first Metric Century (62 miles)
  2. I rode my first SAE Century (100 Miles)
  3. I rode 167 a mile ride in less than 12 hours and reached the March 2006 goal for a 2 day ride in a day! (Labor Day Weekend)
In the 21 months since I had my bariatric surgery, I have gotten my life back!

Total weight loss: 361 pounds.


Spinner Report will be out tomorrow!Photobucket - Video and Image Hosting
12月6日

Motivation and Weight Loss

How do you motivate yourself to lose weight? This is one of those difficult questions. I could give you any number of external motivations, from social pressure to having a better physical fit with the world at large. External motivators, in the long run, just don't work as well as an intrinsic motivation!

So we come to the question, just what is intrinsic motivation? It's that motivation that comes from inside yourself. This is the same motivator that drove DaVinci to paint the Mona Lisa. It's the same motivation that drives someone to master a difficult subject of study. It's doing something not for a specific reward, but instead, just because you can!

This is the same motivation that drives the riders like the guys that ride Race Across America (RAAM). It's not the financial reward, believe me! It's not the fame either. It's that sense of accomplishment of completing a difficult or virtually impossible task (Referring to RAAM here). Weight loss, on the surface, can appear to be the same kind of thing.

Losing the weight is a long and slow process with, under normal circumstance, little immediate tangible reward. Sure, you live longer after dumping some of that excess weight, but you start to wonder to yourself if it's worth it? Is it worth not having that second helping of those oh so good beef and noodles? Is it worth depriving yourself to match society's view of what is normal or not?

What has to occur is a paradigm shift in how you think, and how you view yourself. first off, you aren't "depriving" yourself in reducing your food intake. Take the word "diet" out of your vocabulary. You aren't dieting, you are making saner nutritional choices. This shift in how you view yourself becomes a catalyst that acts as an agent of change in your life.

Exercise is a component of weight loss. What's funny is that going to the gym, for me, isn't fun! Choose an activity that you love to do. In my case, that's riding a bike. Do this exercise at every opportunity! We only have one go 'round and I choose to make mine last as long as I can!

There's the key concept of intrinsic motivation, though, right there! Those simple words, "I choose" can change your life far more than any other external motivator. Matter of fact, those people who, meaning well, ask you those questions like "Don't you think you'd feel better if you lost some weight?" used to just cheese me off to no end! Choose to do this, for your own reasons. You aren't losing the weight for anybody but yourself. It's your control of the world and how it affects YOU. You aren't helpless in the face of it, even though you may feel that way. I know I did. I had dieted and dieted and dieted and I continued to gain. This turned out to be because of a metabolic disease associated with the pituitary. Once I address that issue though, I still had, if you'll pardon the pun, an enormous task.

Since I was so physically debilitated from the weight gain, my metabolism was flat......I couldn't exercise, and I was stuck in this body that was more or less dying.


As you can see, things were getting pretty tough! I had come to a crossroads where I couldn't deny anymore I had a serious health problem, and it was my weight. I had developed diabetes, and was on oxygen because I had too much body mass to be supported by my lungs. I was experiencing crushing chest pain if I walked more than 50 feet, hence the wheelchair. At this point, I chose to live instead of exist. I chose to exert my control over MY world instead of letting my world control me. I'm not going to blow smoke here and say it's easy, it isn't! Nothing worthwhile ever is. Make your choice and follow through.

I started at 581 pounds, and have worked my way down to 229. I used every tool in the inventory, starting with bariatric surgery and finishing with exercise. Use the tools you need to, and get your life back. It's fun! You can get out with your kids, or wife and ride, for example. It's emminently more satisfying than sitting in front of the TV and vegetating. Engage in life!

It's worth the effort. If I had continued the path, I would never have met my niece, Mallie for example. There are all kinds of reasons to lose the weight, but the motivation has to come from inside yourself. You get to choose.




Now, as a reminder, in July, on the 14th, I am riding in the Tour de Cure. This is a fundraising ride sponsored by the American Diabetes Association. You can find my sponsorship page here.

Here is my team page as well if you want to join up with the team for fundraising efforts. The money donated is direct to the American Diabetes association and is secure.

11月9日

I started a Wiki for Weight Loss Cyclists

That's right, I sure did! The URL is http://cycling4bariatricpatients.wiki.com/Home if you'd like to visit. It's still under construction, but I'll be placing resources for information about bariatric surgery and surgeons there. I'll also be posting links to cycling resources as well as files like mileage tracking files, etc. Feel free to visit!
11月2日

This survey will help me out!

Self Assessment Questionnaire 

  1. When I look in the mirror I see __________:

A) A healthy person Score 1 ________

B) An overweight person Score 2

C) A big fat pig Score 3

  1. When others see me, they see ____________:

A) A handsome/beautiful person (A stud) Score 1 ________

B) OK looking person, not great but not spectacular Score 2

C)An ugly fat person Score 3

  1. When I think about losing weight, I feel ___________

A) Confident I can Score 1 ________

B) I don't know if I can, but I'm trying Score 2

C) I have given up Score 3

  1. I have been dieting ________:

A) This is my first try Score 1 ________

B) I try and fail and wind up heavier than before Score 2

C) Why bother, it won't work anyway Score 3

  1. I _______ Exercise

A) love Score 1 ________

B) am OK with, but it isn't that important Score 2

C) hate it with a passion Score 3

  1. When I exercise I like to _______:

A) walk Score 1

B) swim Score 1

C) Ride a bicycle Score 1 

D) Play Nintendo or another computer game Score 4

E) Do nothing at all Score 4

  1. I exercise________ a week ________

A) 3-4 times a week Score1

B) 1-2 times a week Score 2

C)every once in a while when I remember or have time Score 3

D) Never, if I can help it score 4

  1. When I eat I____________

A) Feel full quickly Score 1 ________

B) Have seconds a lot Score 2

C) Never feel full Score 3

  1. I eat when I am __________ (More than one response is possible here)

A) Hungry Score 1 ________

B) sad Score 2

C) Happy Score 2

D) Depressed Score 2

E) Feeling guilty Score 2

F) angry Score 2

G) Upset Score 2

H) Bored Score 2

I) Watching TV Score 2

J) Driving Score 2

K Could be anytime or all the time, I'm never satisfied Score 3

  1. I _________ feel distressed about my weight

A) never Score 1

B) sometimes Score 2

C) Often Score 3

C) Always Score 4

Total Score_________

Adj Score=Total score/10_________

Weight_________

BMI_________

Divide your total score by 10, enter this in Adj score.

Enter your weight

Enter BMI (You can find out what your BMI is at

http://www.wvda.org/calcs/bmi.htm )


Email this information to

weight_bmi_outlook_survey@yahoo.com



I don't want your personal information, and will not list it anywhere in the database. I will simply assign a numerical code to the data and enter it for statistical charting purposes.

10月28日

Bariatric surgery, the pro's and con's: is the procedure group both an efficacious treatment plan as well as a true reduction in mortality risk

I wrote this paper for my English 112 class. Jason, yes, it's me under my pseudonym here!

Abstract:

Purpose:Addressing the issues of the efficacy as well as risk of bariatric surgery in a manner which is accessible to lay persons preparing to undergo bariatric surgery as well as their families. Addressing the risk as well as benefit, the evidence presented proves the case that bariatric procedures most assuredly reduce cardiac and other co morbidity risks and is beneficial as a treatment for chronic morbid obesity. This paper will address these issues from both an evidenciary standpoint as well as a personal standpoint.

I will be addressing both physiological as well as psychological issues associated with morbid obesity and it's treatment. Evidence from sources such as the American Society for Bariatric Surgery, as well as a competent body of physicians, peer reviewed, and my personal on line journal will be presented to both document the issues and make my case.


Bariatric surgery, the pro's and con's: is the procedure group both an efficacious treatment plan as well as a true reduction in mortality risk

Before my surgery, I weighed in at 581 pounds, and was more or less wheelchair bound due to the fact that I could only walk about fifty feet without experiencing crushing chest pain. I had developed Type II Diabetes, and an enlarged heart as well as non healing wounds on both legs. Within 30 days after my surgery, I was off of the insulin and all cardiac medications. I experienced immediate relief of the comorbidities and was already seeing improvement in the condition of my legs due to better blood sugar management as well as an eighty five pound weight loss in the first thirty days. The benefit was already enormous, and included an enormous reduction in the risk of early death due to these comorbidities associated with obesity.

When you see the news and the current rash of horror stories in the news media concerning the complications that can occur after bariatric surgery, you have to wonder if it is worth it or not. Based on my personal experience, it is. I had the Roux-N-Y procedure performed on me on March 11, 2005 and in the last year and a half, I have succeeded in losing and keeping 352 pounds off my body. My activity levels are off the charts and essentially, I have a new lease on life. This paper will look at the evidence presented from both points of view and present the case that bariatric surgery is beneficial and in all honesty, the only truly effective long term solution to morbid obesity in the toolbox as things currently stand.

This is not to say that the surgery is without risk. What do the risks entail, you ask? The first risk is death during the procedure. This is quite rare, fortunately. The statistics nationally are about 1 person in 200 or 0.5% of the total number of patients undergoing this procedure annually(R Jones, personal communication, March 11, 2005). I acquired this particular statistic from my surgeon, Dr. Rosemarie Jones, with Carmel Surgical Specialists during my preparation for surgery. This is about the average for the surgical discipline, incidentally.

Post surgery, the risks are quite rare. Post surgical infection, wound leakage and other post surgical complications account for approximately a 10% total mortality rate after the procedure according to the American Society for Bariatric Surgery. This rate is the combined total of all of the possible complications, incidentally. The risk is actually quite low, overall.

Why are the risks actually lower than the perception presented by the news media? When a person is preparing for bariatric surgery, the process is grueling. This is all designed, of course to minimize the risk to the patient as well as determine if the patient is a candidate both clinically and psychologically. The Roux-N-Y procedure is a radical and irreversible procedure primarily done as a laparoscopic surgery and the patient has to be able to discipline themselves to follow the diet and hydration requirements as well as activity requirements or the consequences can be disastrous. The lifestyle and dietary changes are permanent.

To explain the procedure, what happens is this: the stomach is separated into two pieces. The top section is formed into a pouch about the volume of an egg. The small intestine is severed three feet below the stomach, and the lower section is attached to the upper stomach section. The upper three feet of small intestine and remaining stomach section are rejoined an additional three feet down on the small intestine, forming a Y. The treatment was originally used for repair of stomach ulcers, but surgeons noted marked weight loss after this surgery (American Society for Bariatric Surgery, 2001). The surgery has the net effect of bypassing approximately 90- 92% of the receptors for carbohydrates and sugars, hence one aspect of the enforced weight loss.

Due to the increased mobility from this weight loss, post surgery, the patient is better able to exercise. This has many benefits, not the least of which is the increase of cardiac health. As the strength of the heart increases, the cardiac output fraction increases and the heart rate at rest decreases. In addition, the peripheral circulatory system gains in both volume of flow capability and flexibility. The blood chemistry also changes in the patient’s favor, with a net reduction if both LDL and HDL cholesterol as well as saturated fats called triglycerides. The long term net effect is to greatly decrease the chances of coronary incident or coronary artery disease. The long term effect of obesity has demonstrated a direct correlation to early mortality due to MI (Myocardial Infarction) as compared to individuals with a normal BMI (Body Mass Index) (Romero-Corral, et al, 2006). This fact, along with the immediate reduction in other comorbidities, such as diabetes and hypertension, add up to less stress on the heart and other internal organs. There are other benefits as well.

Additional benefits include the simple fact that if you weigh less, there is less stress on your skeletal system. Morbidly obese individuals are clinically far more likely to require knee and hip replacements due to excess wear on the joints. They are far more prone to spinal problems due to asymmetric stress on the spine caused by body geometry issues. These skeletal issues are a major contributor to long term disability of the morbidly obese.

Another contributor to the co morbidity chain in the chronically morbidly obese is sleep apnea. This is a respiratory issue where the patient frequently stops breathing for a period of time multiple times per night. The respiration cycle stops until the blood oxygen saturation drops far enough to trigger the gasp reflex to restart the breathing. This has several long term effects on the body.

The first of these is simple anoxia. This is chronically low blood oxygen saturation. This puts enormous stress on every structure in the body on a cellular level. It also has the net effect of reducing the metabolism, which slows the body’s ability to heal, as well as the ability to even produce energy on the cellular level by shortening the body’s ability to utilize the Kreb Cycle (Oxidative Phosphorilosis) to produce energy. The Kreb, or Citric Acid Cycle is how the body processes nutrients to produce ATP in the high energy metabolism and requires oxygen. This is the basic stuff of life, how your cells remain functional (Shier, Butler, and Lewis, 2004). This reduces the patient’s endurance for exercise and further increases the tendency to obesity as well as reinforcing the low blood oxygenation due to reduced pulmonary capacity in relation to the body mass. This condition is called pulmonary insufficiency, and it is also a major co morbidity. It contributes to muscle damage and weakness, in both skeletal and cardiac muscles.

Sleep apnea is a major contributor to the condition known as an enlarged heart. With an apnea patient, one of the long term effects is a specific enlargement of the right ventricle of the heart, causing impaired cardiac output fraction and reduced capability to circulate the blood. This factor alone is one of the greatest causes of death outside of congestive heart failure or myocardial infarction. The reduction in body mass after the surgery greatly reduces or eliminates these problems. Sleep apnea has been documented by multiple studies as being caused by obesity and the reduction of body mass in most cases reduces or eliminates this entirely.

Another aspect of the complications caused by obesity is impaired kidney function, resulting from the combination of failure to get a full sleep cycle and a net reduction of the production of the controlling hormones that regulate the kidneys. This reduces the output of the kidneys, which also contributes to the associated congestive heart failure due to this reduced output. This causes a pooling of fluid in the thoracic cavity, reducing the efficiency of the heart and simultaneously reducing lung capacity. The reduced lung capacity contributes to the oxygenation problems, which increases the congestive heart failure, which reduces the kidney efficiency and the reduced lung capacity and additional mass contribute to worsening sleep apnea....I think you see the cycle.

In combination with the physical comorbidities, there is an associated deepening depression that goes with morbid obesity. This tends to contribute to eating more, due to the combination of seratonin imbalance and “comfort” eating. The depression is actually a symptom of the loss of control of your life as the weight gets more and more debilitating. The comfort eating is quite often a manifestation of the only issue of your life that you can control. This leads into another vicious circle, the heavier you get, the less control you have over your life, so you eat more. In addition there are other psychological factors

A Prime example of this would be the issue of guilt. You feel guilty for being so large. This is another area where comfort eating comes in. Eating stimulates hormones and endorphins. These neurochemicals make you feel better, temporarily at least. Then the guilt kicks in and you eat, feel better and feel guilty again. There is a sense of learned helplessness associated with the condition. The combination of physical and psychological issues is both devastating and lethal when you look at it from a long term survival perspective. To better understand the situation, there is a blogsite called The Amazing Shrinking Man (Leonard,2006), which addresses the long view, both before and after bariatric surgery,. This is my on line journal and it shows the progression, both the good and the bad, warts and all.

In addition to just performing surgery, there is a program of cognitive-behavioral therapy through education, group support and dietary training specific for post surgical life. This is provided free as aftercare and is available for the rest of your life. Your life is going to be far more rewarding, and far longer with the surgery than without it.

To summarize, the evidence clearly demonstrates that the risk of mortality during the surgery or from post surgical complications are greatly outweighed by the potential benefit. The associated risks of morbid obesity, whether through a psychological derivation, or physiological, are most assuredly life shortening in a drastic manner at best. Bariatric surgery is currently the only tool that has long term results in weight management and has fewer risks than a pharmacological approach (American Society for Bariatric Surgery, 2001). It has far greater efficacy than dieting, which contributes to weight issues and co morbidity due to weight swings caused by failure of the diet. Surgery shouldn't be considered as a first option, though. It should not be ruled out though, due to it's proven benefit and long term success rate.

References

Lopez-Jiminez, F, Bhatia, S, Collazo-Clavel, M, Sarr, M, & Somers, V (2005).

Safety and efficacy of bariatric surgery in patients with coronary artery disease..

Mayo Clinic Proceedings. 80, 1157-1162.


Karmali, AuthorS, & Shaffer, E (2005). The battleagainst the obesity epidemic:

is bariatric surgery the perfect weapon. Clinical and Investigative Medicine. 28, 147-156.


Romero-Corral, A, Montori, V, Somers, V, Korinek, J, Thomas, R, & Allison, T, Mookadam, F, Lopez-Jiminez, F (2006). Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic view of cohort studies. 368, 666- 678.


American Society for Bariatric Surgery, (November 29, 2001).

American Society for Bariatric Surgery. Retrieved October 6, 2006, from Rational for the surgical treatment of morbid obesity. Web site: http://www.asbs.org/html/rationale/rationale.html


Shier, D., Butler, J., & Lewis, R (2004). Holes Human Anatomy and Physiology,

10th Edition. Boston, Ma.: McGraw Hill.

© 2006, Tom Leonard, all rights reserved


To cite this entry, APA format:

Leonard, T (2006, Oct 28). [Weblog] Bariatric surgery, the pro's and con's: is the procedure group
                                               both an efficacious treatment plan as well as a true reduction in mortality risk. The Amazing Shrinking Man. Retrieved                                                    [Month, Date, Year], from http://theamazingshrinkingman.spaces.live.com/blog/cns!82AE0160B9B87B82!3439.entry

9月15日

My Latest Pics

Just a reminder where I started in March, 2005Before:After:
8月29日

Flu

Tom has the flu. That's why the Spinner Charts haven't gone up.

Mrs Stormcrowe
8月25日

Riding Safely

Riding Safely

In light of the events this week in Covington, Indiana, I thought I would revisit riding safely. Sometimes, circumstances catch you with nowhere to go, like in the case of the 2 police officers killed on their ride. They had no possible escape route available, other than just being somewhere else at the time. This is NOT to say they shouldn't have been riding where they were. They were perfectly legal in their actions and had taken every possible precaution. As I said, sometimes you get caught with nowhere to go. My prayers for their family.


To maximize your safety,you should make yourself as visible as possible:

  • Bright, loud colors, flashing lights, anything you can do to attract the eye of the motorist you are sharing the road with.

  • Be predictable, don't do unexpected things, like suddenly darting out into the traffic lane. If you lose an argument with a motor vehicle, at the best, it's going to hurt.....a lot!

  • Ride in a legal manner, obey the traffic laws. Don't be running the lights or stop signs.

  • I realize it's not mandatory, but wear a helmet! The road is a lot harder than your head. You aren't 10 feet tall and bulletproof wearing that helmet, but it significantly reduces you risk of catastrophic brain injury.

  • Operate on the presumption that the other guy can't see you! Prepare for that fact and plan escape routes accordingly, always have a plan. Reducing the action/ decision chain speeds up your reaction to an emergency, and decreases your risk.

  • Ride with the traffic, not against it. You are traffic yourself, so ride accordingly. Riding against traffic also reduces the time for reaction on both sides of the equation.

  • Don't ride the sidewalk, motorists are not prepared for a cyclist to pop out into the crosswalk at speed. They aren't looking for you there. If you must use a crosswalk due to traffic conditions, or a light sensor that won't recognize a bike, then walk the bike.....with the walk signal. Don't bounce back and forth between pedestrian space and vehicle space in an unpredictable manner.

  • Avoid the “door zone” A motorist suddenly opening the door right in front of you can ruin your day! Try as best you can to avoid coming within three feet of a parked car and observe, if possible, if the vehicle is occupied. Be alert at all times!


I would also advise you to become familiar with your state laws regarding cycling. Knowing these laws can help you immeasurably as far as judging the risk of a route, legal or physical. Know your rights AND responsibilities to operate your bike. Cycling is great for health and fitness, but it's all a waste if you argue with that car and leave a corpse that used to be in pretty good shape!

8月17日

The Jared Foundation

Jared Fogle,( yes, that Jared, from the subway ads) has started a foundation to address childhood obesity. This falls right in with my mission for fighting obesity, so I thought I would give them a little exposure. The Jared Foundation is located at the URL: http://www.jaredfoundation.org/.
Photo from jaredfoundation.org
7月28日

Pre and Post Ride Nutrition, forPost Bariatric Cyclists

Nutrition
The following is based on my experience and is not to be construed as medical advice.
One of the issues that faces a cyclist after bariatric surgery is the dreaded "Dumping Syndrome". Essentially, this is a result of a basic inability to absorb certain nutrients. What happens then is a process called osmosis where fluid is drawn into the intestinal tract by a greater concentrate of particulate( Food), and that horrible "D" word occurs. That's right, Diarrhea! Also, chills, nausea, rapid heart rate and even heart palpitations can occur!
Early on, when you have had the Roux -N Y procedure, the first three feet of small intestine as well as a signifigant portion of the stomach are bypassed. You lose most of the receptor sites for sugars and carbohydrates as a result, which forces an intentional malabsorption condition for the purposes of weight loss. Among the beneficial side effects of the procedure are an immediate abatement of Type II Diabetes symptoms and often an immediate reduction in blood pressure as well.
For the long distance cyclist, this can present unique problems. Malabsorption can trigger issues like low blood sugar, muscle mass cannibalization, and issues with anemia. As time goes on, the body can replace a number of the sites for sugars and carbohydrates, but initially, you are solely reliant on the lipid/protein metabolism. This means you have to get your energy from fat and protein. Consequently, you have to supplement your protein intake to prevent cannibalization of your muscles. When you are supplementing your protein intake, you also need to keep up the fluid intake as well. When you are consuming a high protein, very low carb diet, your kidneys get a workout removing the end products from the protein metabolism out of the blood stream to the bladder and out of the body. This process is why the urine gets so dark, by the way, is those end products in a high concentration. The high level of fluid intake protects the kidneys by diluting this as much as possible. You need a minimum of 64 fluid oz water a day.
About a year post surgical or a bit less, you start to be able to absorb some of the sugars again. I've had my best results with Maltodextrin or brown rice syrup, by the way as far as avoiding Gastrointestinal distress. A Glycemically moderate food like Clif Bars, for example, can be consumed with no real problems about 8 months out. This is my experience again, and not specific dietary or medical advice, people! Twin Labs makes a drink called Ultra Fuel, that I've had pretty good results with. Other malabsorption issues are B Complex vitamins.
You'll need to supplement the following as well as a good chewable multivitamin:
  • Vitamin B12
  • Vitamin B6
  • Vitamin B1
  • Calcium
  • Vitamin C


Post ride, you can drink some chocolate milk, believe it or not! Chocolate milk, as long as you don't have lactose intolerance issues makes a wonderful recovery drink and contains protein as well as calcium and Galactose, a complex sugar that is easily metabolizable. Look here for my article on the subject.

In other news:

Bariatric Nursing News

Business Wire Release

NEW ROCHELLE, N.Y.--(BUSINESS WIRE)--July 27, 2006--Professional nursing care is critical to preventing patient complications after surgery, according to Bariatric Nursing and Surgical Patient Care, a new peer-reviewed journal published by Mary Ann Liebert, Inc. (www.liebertpub.com). A free sample issue of the Journal is available online at www.liebertpub.com/bar

It is the nurse, at the patient's bedside, who is aware of small health status changes that are indicative of future problems, according to editor-in-chief Lisa Rowen, RN, DNSc, Director of Nursing, Department of Surgery, The Johns Hopkins Hospital and Assistant Professor, The Johns Hopkins University School of Nursing. "Bariatric surgery patients are best served by nurses who are trained to immediately recognize the signs and symptoms of complications from this type of surgery," says Dr. Rowen. "Since the bariatric patient frequently has a compromised circulatory, respiratory, and nutritional status prior to surgery, the nurse's ability to analyze post-operatively becomes that much more important. Bariatric surgery nurses require a specialized knowledge base to perform physical and psychosocial assessments. They also are patient advocates, utilizing excellent communication skills to function as the patient care manager on the health care team."

Bariatric surgery is a burgeoning field of specialty for health care professionals. Bariatric Nursing and Surgical Patient Care, the official Journal of the National Association of Bariatric Nurses (www.bariatricnurses.org), features comprehensive coverage on optimizing health outcomes; occupational hazards for bariatric healthcare professionals; transfer, mobility, and patient safety issues; pre-op, peri-op, and post-op standards of practice; pre-surgical work-up and consultation; dietary modification and counseling; malabsorption and malnutrition; lifestyle modification and psychological support; patient compliance; anticipating and managing surgical complications; wound care and infections; care of the patient with special needs; ethical issues and cultural sensitivities; and much more.

Mary Ann Liebert, Inc. is a privately held, fully integrated media company known for establishing authoritative peer-reviewed journals in many promising areas of science and biomedical research, including Obesity Management, Journal of Laparoendoscopic & Advanced Surgical Techniques, and Diabetes Technology and Therapeutics. Its biotechnology trade magazine, Genetic Engineering News (GEN), was the first in its field and is today the industry's most widely read publication worldwide. A complete list of the firm's 60 journals, books, and newsmagazines is available at www.liebertpub.com

More Cycling News

Landis Interview

Here's an interview in MP3 format from Floyd Landis in the above link!

7月26日

Short ride this morning.

Mrs Stormcrowe has been directed to participate in more aerobic activity, so we went riding this morning. She did a nice 3.827 mile ride, and did quite well, actually. We rode a section of the Multiuse path called the NW Greenbelt over in West Lafayette as well as a short turn through one of the neighborhoods. Attached is a GMap Pedometer image of the ride!
7月21日

Aerobic Exercise and Memory

 

Aerobic Exercise and Memory

It's official, exercise improves memory and cognitive function. In a study done at Duke University, the effects of exercise (Hard aerobic exercise to VO2 Max levels) were studied by James A Blumenthal and David J Madden. Blumenthal is with the Department of Psychiatry at Duke and Madden is with the Center for the Study of Aging and Human Development. Essentially, while your general ability to recall are unaffected, the ability to search your memory are significantly improved. This means that while you can't learn faster or better, you can utilize what you already have in your memory better. This persists into old age, by the way, so it boils down to the idea that if you want to remember things later in life, then exercise now. It appears to improve your ability to recall in later stages of your development.

The study used 28 men of ages ranging from 30-58 years of age. There were two groups, one exercising anaerobically, the other using aerobic exercise. All subjects were free of cardiovascular disease. The mean ages of both groups were statistically congruent at +/- 8-9 years approximately.

Psychological and physiological testing was completed on all subjects twice during the study, the first at 1 week preceding the study and the second testing battery after 12 weeks of exercise. VO2 max was the standard used to determining the aerobic level of the exercise over the 12 week period on the physiological end. The VO2 Max of each group was comparatively studied statistically during the testing and there was no significant variance. The end result was that after the testing batteries, the subjects experienced a marked increase in the ability to memory search.

Cycling, now, to tie this into my general blog topic is both an aerobic and anaerobic exercise, depending on the intensity of the riding involved. If you exercise the body, you also exercise the mind. Another interesting side effect of the exercise was a greater capacity for the synaptic gap to manage seratonin reuptake. This shows in a reduction of symptoms of depression, although this may be an effect of the endorphin release brought on by intense exercise. What it comes down to, to put it in simple terms is that if you ride your bike (exercise), not only does your outlook improve, but you can also remember more clearly as far as what you've learned already! Walking also has this physiological effect as do other forms of exercise, such as strength training or running or swimming.  Let's get out there and improve that memory!

©2006- Tom Stormcrowe (Pseudonym) Creative Commons- Some rights reserved


Title:Effects of Aerobic Exercise Training, Age, and Physical Fitness on Memory-Search PerformanceAuthor(s):Blumenthal, James A., Department of Psychiatry, Duke University Medical Center
Madden, David J., Center for the Study of Aging and Human Development, Duke University Medical CenterSource:Psychology and Aging, Vol. 3(3), September 1988. pp. 280-285. Publisher:American Psychological AssociationISSN:0882-7974Digital Object ID:10.1037/0882-7974.3.3.280 Article Type:Journal ArticleAbstract:We investigated the effects of exercise training on memory performance. One group of 13 men (M = 42.92 years of age) participated in supervised aerobic exercise (jogging) three times a week for 12 weeks. A second group of 15 men (M = 43.67 years of age) performed anaerobic exercise (strength training) for the same period of time. Subjects' reaction time (RT) performance in a memory-search task was assessed both before (Time 1) and after (Time 2) the 12 weeks of exercise training. Results indicated that there was no significant change in memory-search performance over time as a function of exercise training. Analyses of the Time 2 RTs demonstrated that aspects of memory-search performance were related significantly both to subjects' initial (Time 1) level of fitness and to age, but not to the amount of change in fitness associated with aerobic exercise training over this 12-week duration in this age group.Accession Number:pag33280Persistent link to this record:http://search.epnet.com.allstate.libproxy.ivytech.edu/login.aspx?direct=true&db=pdh&an=pag33280Database: PsycARTICLES


References

1. Anders, R. T., Fozard, J. L. & Lillyquist, T. D. (1972). Effects of age upon retrieval from short-term memory. Developmental Psychology, 6, 214-217.

2. Balke, B. & Ware, R. W. (1959). An experimental study of physical fitness of Air Force personnel. U.S. Armed Forces Medical Journal, 10, 675-688.

3. Berger, B. G. & Owen, D. R. (1983). Mood alteration with swimming: Swimmers really do “feel better.” Psychosomatic Medicine, 45, 425-433.

4. Blumenthal, J. A., Emery, C. F., Cox, D. R., Walsh, M. A., Kuhn, C. M., Williams, R. B. & Williams, R. S. (1988). Exercise training in healthy Type A middle-aged men: Effects on behavioral and cardiovascular responses. Psychosomatic Medicine, 50, 418-433.

5. Blumenthal, J. A. & McCubbin, J. A. (1987). Physical exercise as stress management. In A. Baum & J. Singer (Eds.), The handbook of psychology and health (pp. 303–331). New York: Erlbaum.

6. Blumenthal, J. A., Williams, R. S., Needles, T. L. & Wallace, A. G. (1982). Psychological changes accompany aerobic exercise in healthy middle-aged adults. Psychosomatic Medicine, 44, 529-536.

7. Botwinick, J. E. & Storandt, M. (1974). Cardiovascular status, depressive affect, and other factors in reaction time. Journal of Gerontology, 29, 543-548.

8. Botwinick, J. E. & Thompson, L. W. (1968). Age differences in reaction time: An artifact? Gerontologist, 8, 25-28.

9. Cerella, J., Poon, L. W. & Williams, D. M. (1980). Age and the complexity hypothesis. In L. W. Poon (Ed.), Aging in the 1980s: Psychological issues (pp. 332–340). Washington, DC: American Psychological Association.

10. Clarkson, P. M. & Kroll, W. (1978). Practice effects on fractionated response time related to age and activity level. Journal of Motor Behavior, 10, 275-286.

11. Cunningham, D. A., Rechnitzer, P. A., Howard, J. H. & Donner, A. P. (1987). Exercise training of men at retirement: A clinical trial. Journal of Gerontology, 42, 17-23.

12. Dustman, R. E., Ruhling, R. O., Russell, E. M., Shearer, D. E., Bonekat, H. W., Shigeoka, J. W., Wood, J. S. & Bradford, D. C. (1984). Aerobic exercise training and improved neuropsychological function of older individuals. Neurobiology of Aging, 5, 35-42.

13. Elsayed, M., Ismail, A. H. & Young, R. J. (1980). Intellectual differences of adult men related to age and physical fitness before and after an exercise program. Journal of Gerontology, 35, 383-387.

14. Folkins, C. H. & Sime, W. E. (1981). Physical fitness training and mental health. American Psychologist, 36, 373-389.

15. Hanson, J. S. & Neede, U. H. (1974). Long-term physical training effect in sedentary females. Journal of Applied Physiology, 32, 112-116.

16. Hilyer, J. C. & Mitchell, W. (1979). Effect of systematic physical fitness training combined with counseling on the self-concept of college students. Journal of Counseling Psychology, 26, 427-436.

17. Hughes, J. R. (1984). Psychological effects of habitual aerobic exercise: A critical review. Preventive Medicine, 13, 66-78.

18. Hurley, B. F., Seals, D. R., Ehsani, A. A., Cartier, L.-J., Dalsky, G. P., Hagberg, J. M. & Hoolszy, J. O. (1984). Effects of high-intensity strength training on cardiovascular function. Medicine and Science in Sports and Exercise, 16, 483-488.

19. Plude, D. J., Kaye, D. B., Hoyer, W. J., Post, T. A., Saynisch, M. J. & Hahn, M. V. (1983). Aging and visual search under consistent and varied mapping. Developmental Psychology, 19, 508-512.

20. Rikli, R. & Busch, S. (1986). Motor performance of women as a function of age and physical activity level. Journal of Gerontology, 41, 645-649.

21. Sherwood, A., Light, K. C. & Blumenthal, J. A. (1987). Aerobic exercise reduces blood pressure response to mental stress in borderline hypertensive men. Manuscript submitted for publication.

22. Simons, A. D., McGowan, C. R., Epstein, L. H., Kupfer, D. J. & Robertson, R. J. (1985). Exercise as a treatment for depression: An update. Clinical Psychology Review, 5, 553-568.

23. Spirduso, W. W. (1975). Reaction and movement time as a function of age and physical activity level. Journal of Gerontology, 30, 435-440.

24. Spirduso, W. W. (1980). Physical fitness, aging, and psychomotor speed: A review. Journal of Gerontology, 35, 850-865.

25. Spirduso, W. W. & Clifford, P. (1978). Neuromuscular speed and consistency of performance as a function of age, physical activity level and type of physical activity. Journal of Gerontology, 33, 26-30.

26. Sternberg, S. (1969). Memory-scanning: Mental processes revealed by reaction-time experiments. American Scientist, 57, 421-457.

27. Thomas, S. G., Cunningham, D. A., Rechnitzer, P. A., Donner, A. P. & Howard, J. H. (1985). Determinants of the training response in elderly men. Medicine and Science in Sports and Science, 17, 667-672.

28. Tomporowski, P. D. & Ellis, N. R. (1986). Effects of exercise on cognitive processes: A review. Psychological Bulletin, 99, 338-346.

7月20日

Here's Another Reason to Watch Your Weight!

Obesity is associated with memory deficits in young and middle-aged adults.
Recent findings suggest obesity is associated with reduced memory performance in older adults. The present study examined whether similar deficits also exist in younger adults and the degree to which the relationship between body mass index (BMI) and memory varies as a function of age. Prior to inclusion, participants were rigorously screened and excluded for medical conditions known to impact cognitive functioning, including neurological disorders, head injury, cardiovascular disease, and diabetes. A total of 486 healthy adults completed a verbal list-learning task. Participants were categorized into normal weight, overweight, and obese groups based on their BMI. Performance on learning, delayed recall, and recognition performance were compared across BMI groups. Results showed obese individuals had poorer memory performance when comparing persons across the adult lifespan (age 21-82 yr), but also when examining only younger and middle-aged adults (age 21-50 yr). Regression analyses found no evidence of an interaction between BMI and age on any memory variable, suggesting the relationship between BMI and memory does not vary with age. These findings provide further support for an independent relationship between obesity and reduced memory performance and suggest these effects are not limited to older adults. Further research is needed to identify etiological factors.
Brown Medical School, Department of Psychiatry, Center for Behavioral Medicine, Providence, RI, USA. jgunstad@kent.edu

This article abstract was retrieved through Google on July 20, 2006 from EntrezPubMed at www.pubmed.gov

As you can see, the field of cognitive study is even affected by the study and treatment of Obesity. There are several other articles about this fascinating aspect of the study of Obesity and how it affects your general health. Drs Gunstad, Paul, Cohen, Tate and Gordon have collaborated in the publication of the results of this study and are eminent researchers in this field. I thought it might be of interest to you, my readers. Upcoming, the effect of exercise on memory.

Related articles:

Kuo HK, Jones RN, Milberg WP, Tennstedt S, Talbot L, Morris JN, Lipsitz LA. Related Articles, Links Abstract Cognitive function in normal-weight, overweight, and obese older adults: an analysis of the Advanced Cognitive Training for Independent and Vital Elderly cohort.
J Am Geriatr Soc. 2006 Jan;54(1):97-103.
PMID: 16420204 [PubMed - indexed for MEDLINE]

7月10日

Spinner Graphs coming out this afternoon!

No time to really post anything other than Mrs Stormcrowe is getting sprung from the hospital this morning! Waaaahhhoooooo!
7月7日

Mrs Stormcrowe Back in Hospital

Hello all, I'm going to be a bit busy to post so just remember to shoot me your miles for Spinner tomorrow! I'll be at hospital visiting my wife. She just had a surgical biopsy done on a mass in her right lung, and is doing well after the surgery this morning. She's in quite a bit of pain and very groggy, but other than that, she's doing quite well. I'll try to check in and update tomorrow so until then, keep riding!
7月4日

Happy Fourth of July! Additional Answers as well!

Hello all! Time to do a little catch up here. First and foremost, I'd like to welcome someone to my "Old Friends" list, Zeynep Ankara. Zen is an interesting writer and Psychologist from Turkey, who's as far as I am concerned, proof positive that there are enlightened people everywhere in the world!
Addressing some of the questions I've had
I'd like to address some of the cycling related questions I've been recieving:

What kind of bike should you look at if you have problems with chronic pain:
That would depend on the type and location of the pain. One option would be a recumbent bike or trike. There are several styles of recumbent. Long wheelbase, short, touring, racing, they all share a common feature. That would be comfort! Essentially, it's like pedaling an easy chair. Lower back pain is virtually eliminated. You don't need to invest in padded cycling shorts, either.

Recumbent trikes, in two configurations, either the "Tadpole" or the "Delta", and they offer other options. The Tadpole is a single rear wheel dual front wheel configuration, is the most stable of the trikes. It's essentially like a sports car. They are fast and stable and are just plain fun to ride! The Delta is a more traditional design, with a single front and dual rear wheels. Greenspeed offers a Tadpole configuration trike designed for trekking and touring that has stood up to tours around the coast of Australia very nicely. Here is a Wikipedia article about recumbents, or as they are referred to, "Bents", that is truly informative. Incidentally, one point as to why I don't ride recumbent. Recumbents aren't sanctioned in most cycle races. The perception is that they offer an unfair advantage in aerodynamics over a conventional diamond frame bike. Matter of fact, the land speed record for a bicycle was set by a recumbent bike.

Drawback of a recumbent:
  • They don't climb hills as well, when climbing with a recumbent, first, you can't "stand the pedals" to increase the climbing power with your body weight
  • When climbing in too high a gear, you can blow out the knees (ACL damage), so you need to spin up the hill in a low gear at high cadence
  • Cost, recumbents can get very pricey, with some of the extreme high end models costing as much as a luxury SUV!
Advantages of a recumbent:
  • Comfort on a ride
  • less lower back stress
  • no problems with compression of the perineal artery, or groin discomfort
  • Far better aerodynamically
  • With a recumbent trike, balance issues go away completely. You can go uphill as slowly as necessary, without worrying about falling over.
  • The recumbent trike can be configured for paraplegic riders as a handcycle. During RAAM, there was a team of handcyclists from Austria that completed the race in 10 days and 12 minutes. This was a tremendous accomplishment. It truly shows that the only limiys we have are those we impose on ourselves! Here is the Bio from RAAM for this team, Team RC-Enjo Vorarlberg. As fine a group of atheletes as I have ever seen, and an inspiration to me as well!
Recumbent resources:
  1. Greenspeed Recumbents
  2. Whizwheel recumbents
  3. Valley Bikes and Fitness, Carmel, Indiana, specializing in recumbents
  4. Supersizedcycles
Feel free to browse through these sites and definately check out Team RC!

A Thank You!
I'd like to thank all of you who visited last week and especially those of you that voted for me! It was quite a ride! Most of the responses were very positive, and I recieved more email than I can possibly answer! If I didn't answer you personally, please understand that it was the sheer volume! At times I had as many as a quarter million emails on the server! To those of you that requested my phone number, I am truly sorry, but I can't do that, simply for the security of my family. I'm just an individual, with no staff, funding, or even an office (Nor am I rich ). I'm not an organization or foundation, nor am I a pro. I'm just a lowly ol' college student trying to set an example of what can be accomplished if you have sufficient drive and determination. I'll be happy to respond to email as it is humanly possible or I'll answer questions posted to my blog here as well. I won't give medical advice, by the way, as I'm not a doctor, or even a nurse yet. I will be happy to refer you to resources, whether it be for cycling, bariatric surgery, or dietary. They will be responsible and authoritative resources, as far as I am able to judge: reader beware, it's on your own responsibility as far as the use of them. You should also consult with your doctor before ANY diet or exercise regimen.

Spinner Saturday charts come out tomorrow, I need your data, members!
6月28日

Answers to some of the questions asked

Yesterday, I had record hits on my blog, at 269,138 hits for the day! Thanks for visiting, everybody! I also received an enormous amount of email. Actually, far too many to respond to personally! I'll try to respond to the general trends of the questions.

What Kind of Bike is Good for a heavier Rider

This was a fairly common question. One answer is a site I know of called SupersizedCycles.com. This is run by Joan Denizot, who also had bariatric surgery and started riding again. Joan researched the needs of the bariatric cyclist and offers a line of high weight capacity bikes and trikes. She has a new mountain bike on the site rated for a 500 pound rider. It's in the coming soon section of the site, but Joan tells me it is now currently available and will be added to the general inventory page as soon as she has a chance, possibly today.


An alternative would be a mountain bike, and I don't mean one of the “mountain bikes” from the various box stores. A department store bike sounds like a good value with a low price. What you get is a heavy steel frame with the extreme bottom end components. You also get no real service with it, unlike a bike you get from your local bike shop. In the long run, you'll spend as much or more than you would have by buying an entry level quality bike from the bike shop. Your bike shop will likely offer at least some free tuneup service and future discount on repairs. This isn't always the case, but often the shop that values your future business will. Try to stay with a 26” wheel for the greatest strength rather than a 700c (700mm) wheel. The shorter spoke run on the 26” wheel equates with greater strength. An older 1990's vintage mountainbike frame makes a great touring frame, by the way. Strong, and good chainstay geometry for the heel clearance on the pannier bags. Chro-Moly steel frames are a good choice, with a good ride and a long lifetime without metal fatigue occurring. Aluminum gives you a light and strong, but stiff frame. Unfortunately, aluminum does fatigue. Titanium gives you a light and strong frame with excellent corrosion resistance, but has the drawback of being both expensive on the purchase end and difficult to repair. Carbon Fiber frames really aren't suitable for a heavyweight rider, due to strength limitations imposed by the frame being built as light as is practical to accommodate a racer. Carbon forks though are good and carbon handlebars are stronger than the aluminum counterparts, but a LOT more expensive! The other drawback to Carbon is it shatters in a crash, or if you over torque a bolt you can ruin the frame or component as well.

What Kind of Saddle Do I use?

Depends on the bike, if I am riding my roadie, I use a relatively standard racing saddle with a groove down the center to prevent the compression of a rather important artery, avoiding numbness and other problems associated with restricting the blood flow to “Mr Johnson and the Boys”.


On my mountain bike, with it's more upright stance, I am actually using a comfort saddle made by Bell that I got at Walmart. It was the only saddle I could tolerate initially, because with the racing saddle my mountain bike came with, it was extremely painful to ride and when I dismounted the bike, there was a distinct popping sound as the saddle came out of my posterior, vaguely reminiscent of a champagne bottle opening!


Another thing that'll help with the comfort level is padded cycling shorts. The Chamois padding really does help!

How did I Lose My Weight

It was a combination of factors. I have a metabolic disease called Empty Sella Syndrome. Essentially it causes partial failure of the pituitary gland in hormone production. One of the side effects is massive weight gain. I had hormone replacement therapy to balance my metabolism and underwent bariatric surgery because my weight had gotten so high I was at imminent risk of dying and was unable to exercise in any meaningful way. Bariatric surgery, by the way, is not a crutch, or an easy out. It is a permanent commitment to a new lifestyle and is as of now the only truly effective tool for the treatment of morbid obesity. It isn't a matter of willpower and diet when you get to the size I did, because your metabolism is depressed so badly, along with other problems that pop up, like diabetes, and fluid retention due to impaired kidney function that you literally cannot lose weight! Morbid obesity isn't a character defect, or a sign of weakness, rather it is a disease that requires medical treatment to overcome. There is a genetic component to morbid obesity as well. It has been clearly established that there is a marker gene associated with obesity. I'm not making excuses, simply stating facts. We are responsible to ourselves to utilize whatever weapons there are in the arsenal to take back our health and lives. Bariatric surgery isn't a magic solution, but it is a useful tool. The rest is up to the individual. If you are able to lose weight without it, well, that's the optimal solution. Unfortunately for many of us it is the only viable option to stay alive. Cycling has also been a vital component in my weight loss. Exercise is a requirement after bariatric surgery and cycling has served to accelerate the weight loss and help with my endurance and strength. Without the cycling, I wouldn't be enjoying the level of health I have gotten or the enjoyment I am currently getting out of my life. Without both components together, neither would work as well!


Vote here, by the way

Vote for any one of us, but vote!

6月6日

Meet Jen4Luck!

Jen is a brand new cyclist! She recently bought a Sun EZ 1-SX. Drop by her site and welcome her to cycling. She's taken up riding for weight loss, like many of us and I fully support her desire and motivation to do this! Good on ya, Jen! This is a short post, I have been busy, what with getting ready to fly to San Diego Friday, and getting in training time for me, and all. I did get a short ride in today. Not very satisfying, only 15 miles, but a ride is a ride is a ride!


Miles: 15
Average speed: 20.3
Calories: 610
Watts:240



5月26日

Chocolate Milk as a Sports Recovery Drink?

Now I've heard everything! Here's a linked story from KETV about the use of Chocolate Milk for post race recovery. It looks interesting. You can bet I'll be doing followup on the research at IU, by the way and prepping an article on this subject in the near future. Here's your excuse to drink chocolate milk!

 

From the IU Website: http://newsinfo.iu.edu/tips/page/normal/1674.html

Health tips from Indiana University

EDITORS:This is a monthly tip sheet based on Indiana University faculty research, teaching and service. "Living Well Through Healthy Lifestyles" is the guiding philosophy of IU Bloomington's School of Health, Physical Education and Recreation. In keeping with that philosophy, this tip sheet offers information related to both physical and mental well-being. Faculty from other IU schools and departments also contribute their expertise in this area.

This month's tips discuss chocolate milk as an ideal exercise recovery drink, a fall outdoor educational activity, the importance of minimizing the negative impact of divorce on children, and stress related to cigarette smoking.

Chocolate milk is good for exhausted muscles. Indiana University Bloomington physiologist Joel Stager has found that drinking chocolate milk is one of the best things an athlete can do to recover shortly after a rigorous practice. Chocolate milk, as opposed to white milk, has a high carbohydrate and protein content, ideal for exhausted muscles. It also replaces fluids lost as sweat during workouts. Stager is a professor in the Department of Kinesiology in IUB's School of Health, Physical Education and Recreation and is the director of the Counsilman Center for the Science of Swimming. Stager also coaches swimmers. He first tested his "recovery by chocolate milk" theory several years ago on his swimmers, who had been struggling with their twice-a-day practices. The results were so promising that he and his doctoral students, led by Jason Karp, conducted a study involving cyclists in a more controlled environment. The chocolate milk proved to be just as effective a recovery product as one commercial sports drink and almost twice as effective as another commercial sports drink. Stager said chocolate milk would be particularly helpful for athletes such as swimmers, long-distance runners and cyclists enduring long or intense practices, and for other athletes who practice more than once a day. An athlete of average weight could drink around two 8-ounce glasses of chocolate milk each hour for four to six hours following a rigorous workout, according to research-based recommendations for maximum recovery. Stager added that milkshakes are a good alternative for athletes who don't like chocolate milk. The research was funded by Dairy and Nutrition Council Inc. For more information, contact Stager at 812-855-1637 and stagerj@indiana.edu and Karp at 812-332-3653 and runman@indiana.edu.