Exercise and Prevention of Age-related Disease, Disability and Dysfunction – James T. Bell, PhD



a recent study by the a forum on dr. nikto Gatos lectures over the past five years has proven that listening to a 15 minute speech by dr. Nick is the equivalent of drinking 16 cups of coffee all right so uh I've always wondered after I follow him in a lecture of people were going to start falling asleep but I'll do the best I can the program today is about exercise prescription for the prevention of disease disability dysfunction I don't have time in the 15 minutes allotted to go into a great amount of detail but i do want to take some time to show you the critical components of exercise the sports medicine fellowship that i run is dramatically expanding the role of sports medicine i know for a lot of the sports medicine doctors in the room or those interested in sports medicine you think of it mostly on the joint replacement the surgeries the rehabilitation that goes into injuries we're expanding that role what we're looking at is over 65 different diseases disabilities and dysfunctions associated with physical activity from my perspective you get cardiovascular disease or metabolic syndrome or the other variety of disease we have out there because the underlying physiological systems have degenerated due to lack of use does that make sense because people are physically inactive your physiological systems that need the exercise activities in order to stay healthy don't get it so the disease as a result of sitting around doing nothing so we've identified 10 different components of fitness strength speed power and aerobic endurance aerobic endurance agility balance coordination flexibility and body composition when you identify as a physician what the physiological disorder happens to be your role should be to find the correct component of fitness that's going to regenerate that system so the idea with our protocols is to use exercise and sports medicine prescriptions to regenerate the underlying physiological system to get your patient back to health non-invasive techniques makes sense right this is the only machine ever invented that gets better with use so as you can see on that the handout here we've identified again over 65 disease that we can regenerate with a proper exercise and sports medicine prescription these are just a few of the health benefits of physical activity I don't have time to go into all 135 benefits of physical activity including improving your sex life that always gets people's attention know you like that one right we'll talk later all right there are many many things that exercise can do for you that no drug no pill no magic elixir nothing else can do if you want a healthy cardiovascular system and avoid cardiovascular disease you're going to have to do aerobic activity that makes sense that's pure logic right that's about as logical as dropping a hammer on a planet that has gravity it's going to fall to the ground if you exercise how many marathon athletes do you know they get heart disease how many competitive athletes do you know that get the diseases disabilities and dysfunctions that are killing the American population right now this is a powerful slide I want you to take a good look at this as you can see on here when we get to the point where you can get your patients to do 3,000 calories a week of in moderately intense too intense activities you will see virtually one hundred percent improvement in all medical and health markers I just put a few up here on this slide but virtually every single medical marker will improve dramatically now I know what you're thinking you've got someone out there a current patient whose idea of exercises walking from his couch to the refrigerator to get another beer so getting them to 3,000 calories a week is going to be a challenge that is true but we can do it using certain protocols that we've developed including motivational protocols because one of the problems we have is people just aren't motivated to exercise it's much easier when your patient walks into your office say doctor give me a pill for what hurts and of course you've recommended exercise in the past do they do it no well one of the problems is is when you tell your patients to go out and exercise the problem is that's kind of like send selling them an airplane without giving them any flying lessons telling them to exercise doesn't tell them how to exercise and how to improve their health through exercise so part of our protocols are to take care of that very thing now when you read the studies about all the bad things exercise does for you again you got to look at the bell curve right it doesn't matter what we're talking about any nutrient to nutrition if you're deficient in a nutrient your performance drops off and all there's the risk of disease disability dysfunctions and possibly death we get the patient up to optimum performance in that particular nutrient and they're good to go they're doing everything fine what happens if they take too much of that nutrient disease disability dysfunction possible death and it doesn't really wouldn't nutrient we're looking at you all heard the story just recently about the 21 horses that died in Florida did you hear what the cause was selenium overdose so if your patient doesn't have enough selenium are they going to optimally perform know if they get an overdose of selenium what happens if it can kill a horse let's look at a primary nutrient water you know that your patients need to drink water right they know if you don't have water within about three weeks you'll be dead what happens if you drink too much water you've heard the stories about people drinking two and three gallons of water in an hour period of time and they're dead exercise the same thing you have to find the right dose if you find the right dose the optimum amount they will optimally perform if you do too much exercise and this line tells you right here that when you get to the point where you have five hours of intense activity in a week period the chances of orthopedic injuries Rises significantly that's one of the reasons why you see advanced athletes having the problems that they do so one of our goals in the exercise protocols is to find the optimum level of exercise so your patients do not experience pain soreness stiffness dysfunctions for UX jocks out there that haven't been working out for a while some of you may have the intention after you've gotten all excited from listening to all these lectures and all the things you've said here that I'm hit the gym I'm going to hit it I know I'm going to be sore for two weeks but that's okay that's not optimal your body is very efficient if you're feeling pain you're doing something wrong you're going to intense the next day following exercise activity you should feel like you've used those muscles but it shouldn't be what you would describe is pain also when we're talking about physical activity it's not necessarily traditional exercise that you see in the gyms some of these activities you see up here you can get your patients to do your patient right now is the person that may live three blocks from the grocery store are they going to walk to the grocery store no not only will they get in the car and drive the three blocks of the grocery store but your patients are probably the people that will drive around the parking lot for 15 minutes so they can get that spot right next to the door right so what we have to educate them to do is instead of taking the elevator take the stairs instead of writing everywhere they go start walking instead of taking that parking spot right next to the door park in the far end of the lot start doing things that are going to use your body and use your muscles

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