July/August 2008
BADGE OF HONOR
ISSUE: 7
Home What To Expect Locations What Is Said
Letter from the Founder

EBC Founder, Linda TaixHappy summer to all of you!  I am one to love the sun. I appreciate how great a tan looks; however, while the sun is exhilarating and a great source of vitamin D, it is also responsible for skin cancer and heat-related illnesses.  Be cautious as you workout outside or even walking out your front door...always wear sunscreen.  Experts suggest applying sunscreen every two to three hours, particularly if you've been in water or sweating.  It's just as important to be healthy on the outside as it is on the inside.  Have a wonderful summer...and as a good friend once told me, "the new tan...is white".  

- Linda Taix
 
Summer SnacksJill Brook

Hello!

Summer is officially here, so enjoy these superfoods while they are in season:
  • Gazpacho soup (Keep handy as an anytime snack)
  • Mango slices (with cinnamon, perhaps)
  • Corn on the cob (If you consider it a grain instead of a veggie, it's super nutritious!)
  • Berries & cherries (The fountains of youth)
  • Grape tomatoes
  • Button mushrooms (You can buy them pre-washed and ready to eat)
  • Red peppers (They travel well as snacks. Slice them ahead of time or just carry them along with a paring knife)
  • Papaya with lime
  • Portobello mushrooms (Grill them like hamburgers)
  • Watermelon (Tastes like fudge cake when sprinkled with cocoa powder. No foolin')
Anything else you find at the farmer's market ...well...ALMOST anything.  When it comes to Kettle Korn, candied nuts, etc., enjoy your free sample and don't even THINK of buying any!

Jill Brook, M.A.
Diet for Health
1047 Foothill Blvd.
La Canada, CA 91011
(818) 952-0668
 
www.DietforHealth.com


Do you truly have a knee injury? Andre van Commenee

At Active Rehabilitation we see people with knee injuries daily.  Although the pain is located in the knee, it doesn't necessarily mean the cause of the problem is in the same location.

Some of the diagnoses we see are patello-femoral dysfunction, chondromalacia patella, ilio-tibial band friction syndrome, infrapatellar tendenitis, medial collateral ligament sprain, medial meniscus irritation and many other wonderful words describing the location of the injury.
 
Although it is important to know where the injury is located, the diagnosis itself doesn't tell us anything about the cause of the injury!  And this is of course the most important aspect to know before we start thinking about a solution.

Knee Anatomy

When a trauma occurs (someone kicked your knee instead of the ball) the cause of injury is pretty clear, but when the injury occurred without known trauma it becomes more complicated to make a correct diagnosis and to develop an optimal treatment plan. 

Too many times we see people coming to us sharing that they had the same injury a few months/years before.  Many of them never received any treatments and because they took enough rest for the tissue to calm down, they felt good enough to get back to their previous level of activity.  But if the real cause was not diagnosed and thus never got appropriately treated, the tissue became irritated again because the load was too much for the structure (ligament, tendon, muscle, etc.).  

Many times knee injuries are due to problems located somewhere else.  Some of the true causes of knee injuries are tight calf muscles, inflexible or old and worn-out running shoes, over-pronation, weak pelvic muscles, imbalance in thigh muscles, bowlegs, excessive hill running, running on sand/hard surfaces/ tilted sidewalks/indoor, high/flat arches, wrong running technique, inflexible big toe, sudden extreme change in workload, etc..

As you can see there are many different causes of a knee injury, and for that matter any type of injury.  That is why it is rare that the same type of (knee)pain in different people has the same exact cause.  This means that the solution is different for each person.  So don't just copy your neighbor's treatment because he/she also had "the same" knee injury.
 
So what is the best thing to do?
A physical therapist who specializes in functional biomechanics and who understands your normal activity involvement (running, cycling, soccer, basketball, etc.) is the right person to guide you in your rehab.  Working with an educated mind with experience will result in the best possible treatment.

Andre van Commenee, P.T.
Active Rehabilitation

39 Congress Street, Suite 303
Pasadena,CA 91105
(626) 795-0800
andre@congressmedical.com

Antioxidants 101
By Karen Ansel, M.S., R.D  of Cookinglight.com .
Article from CNN.com
tea
Hardly a week goes by without news of antioxidants' health-promoting benefits. Experts believe these nutritional substances may help prevent heart disease, fight certain cancers, ward off dementia, and even slow certain aging processes.

There are thousands of antioxidants found in fruits, vegetables, whole grains, nuts, legumes, meats, poultry, and fish. Even foods once not known for being especially healthful, such as chocolate, coffee, and red wine, are now recognized as potent delivery systems for beneficial antioxidants.

However, the growing number of antioxidants being discovered (so far, there are more than 4,000 known flavonoids, and that's only one class of antioxidant) and the continual discoveries of new antioxidant food sources cloud understanding of these substances.

"Most people know that calcium is good for bone health, for example, but they don't know specifically what antioxidants do or how these chemicals benefit human health," says Milton Stokes, R.D,. a spokesperson for the American Dietetic Association.

Read on as we simplify the latest science to answer those questions for you.

Antioxidants 101

We need oxygen to live. It travels from the lungs to every corner of the body, helping cells metabolize food into energy. But oxygen has a downside. Normally, the molecules in our cells have a full set of electrons, which keep them stable (think of them as a fortress surrounding a castle). But when these molecules come into contact with oxygen (i.e., they are "oxidized") they lose an electron, converting to an unstable type of molecule known as a free radical.

"Free radicals, if left unchecked, assault whatever cell constituents are nearby, including proteins, fats, and DNA," says Joe Vinson, Ph.D., a professor of chemistry at the University of Scranton. "Once those molecules are attacked, their structure and function are changed and they don't work as well."

Ingeniously, Mother Nature created an instant free-radical fix. Antioxidants disable free radicals by donating electrons to replace those lost during oxidation. Some antioxidants can be manufactured by your body; others must be obtained from food. Dietary antioxidants fall into two groups. The first is made up of certain familiar vitamins and minerals, like vitamins C and E, selenium, and zinc, that have antioxidant capabilities. The second consists of the thousands of organic compounds found in plant foods that have functions like giving grapes their purple skins or cabbages their slightly sulfurous odor. They have names like anthocyanidins, catechins, lutein, quercetin, and resveratrol.

Preventing oxidation may have earned antioxidants their name, but we now know these substances do more than disable free radicals. Antioxidants also help reduce inflammation, keep arteries flexible, and preserve the genetic material every cell contains to prevent mutation. Each antioxidant also offers unique perks. For example, flavonoids in berries may help improve artery health, while lutein in spinach may help prevent macular degeneration.

Sorting out food sources

To measure a food's antioxidant content, scientists test it in a lab, where they usually measure equal quantities of each food they test. However, that amount may not be close to the serving size we usually eat. Realizing this, many-but not all-researchers convert their findings to common portion sizes before publishing the results of their work. That's one reason why Monday's health news may place blueberries on top of the antioxidant heap, while Thursday's may claim broccoli contains the highest levels of the compounds.

Also, several kinds of tests are used to measure a food's antioxidant power, another reason for the multiplicity of findings. The most popular test is Oxygen Radical Absorbance Capacity (ORAC). ORAC measures an antioxidant's ability to protect against the most common free radical in human plasma, the peroxyl radical.

ORAC is a helpful starting point to guide consumers to foods that are rich in antioxidants as part of a diet that contains many different antioxidant-rich foods, especially since new antioxidants are being discovered all the time. But most nutrition researchers view antioxidant-counting surveys critically. How a food behaves in a test tube is one thing; how it behaves in our bodies is another.

"We don't know as much about what happens during digestion, absorption, and metabolism," says Ronald L. Prior, Ph.D., a research chemist with the USDA's Arkansas Children's Nutrition Center. "Some of these compounds may be absorbed well and others not as well." Anthocyanidin-rich blueberries are a good example. They may be antioxidant powerhouses in a test tube, but we don't absorb their antioxidants well and their effectiveness in our bodies is short lived. To gain the full benefit, you'd likely need to eat more of them than foods with a lower ORAC score that contain more readily absorbable antioxidants, such as kiwifruit or grapes.

What's more, antioxidant levels vary among different samples of the same food. For example, all apples don't have the same amount of quercetin and all lettuces don't provide the same dose of lutein. "The variability has to do with the climate, the nutrients in the soil, and storage conditions," Vinson says.

 To view the full article, including more information on antioxidents and nutrition, as well as the types of antioxidents, please visit CNN.COM

Stopping Side Stitches
By Martica Heaner, M.A., M.Ed., for MSN Health & Fitnessexercise

Q: How can I avoid getting a side stitch when I run and exercise?

A: It can hit you suddenly-a sharp, stabbing pain in your side that stops you in your tracks. Commonly known as a "stitch" or an abdominal "cramp," the pain will usually subside once you slow down or stop what you're doing. By taking a break, you'll be able to resume your activity in no time.

Some people blame cramps on eating too soon before a workout, or on high-fiber foods. Others believe this sharp ache is a muscle-spasm response that occurs in those who are unfit or who overdo it. Another take: Side stitches are a sign that you haven't warmed up enough.

The truth about cramps: Researchers aren't sure what exactly causes this pain.

A recent study published in the Journal for Science and Medicine in Sport found that side stitches, referred to as "exercise-related transient abdominal pain," were a common problem among active people. After surveying 848 participants in a 14K walk/run race event held in Sydney, Australia, researchers found that around 27 percent of the participants experienced this pain.

The participants under 20 years of age showed a higher incidence than those in their 30s and older. And while the pain occurred all around the front part of the torso, 46 percent of people experienced their cramps to the right of their bellybuttons, in their midsection.

The runners suffered more than the walkers did, with 37 percent of the female runners and 27 percent of the men reporting the pain. But 16 percent of the walkers also said they'd felt this ache during the race. Again, women showed a higher incidence: 18 percent compared to 12 percent of the male walkers.

Fitness level did not appear to play a role in this study, since there was no correlation between cramping and race time. Plus, there was no greater occurrence of stitches from walking or running up or down hills versus the flats.

Since the onset of this pain seemed to occur almost evenly during all points of the event-during the first third, middle and final third of each participant's total race time-warmed-up time couldn't be blamed as the trigger. If inadequate warm-up time was a factor, the pain would occur more often at the start of the exercise.

Interestingly, 11 percent of the runners/walkers who experienced pain in their torsos experienced it in the shoulders as well-known as shoulder-tip pain. The researchers linked it to the phrenic nerve, which runs from the neck and shoulder area to tissues in the torso's diaphragm. However, it's still unclear as to what is triggering the ache in either area.

One variable did appear to play a role in people's side cramps: The amount of food eaten prior to exercising. While only 2 percent of those surveyed didn't eat before the event, nearly 80 percent ate or drank calorie-containing liquids at least two hours prior to race time. More than one-third of the participants ate or drank between one and two hours beforehand.

The researchers found that the runners who ate the most in the one-to-two hours before exercising were more likely to experience pain. But it was how much, not what they ate in terms of foods high in fat, fiber, protein, carbohydrates or sugar that was associated with their cramps.

The women ate bigger meals relative to their body weight than the men-and when this was weeded out statistically-it explained why women showed a higher occurrence of cramps. So it wasn't gender-but the amount of food or drink ingested-that made the difference. Nearly 50 percent of the respondents said that the pain developed after they had either a sports drink or water during the race.

So what's the take-home message?

Keep in mind that this study only looked at self-reported incidences during this one race. The researchers did not individually monitor each participant over several workouts; nor did they scrutinize them carefully and measure physiological symptoms during the race. Still, the cumulative experiences of those who experienced the pain may give indicators of when it's more likely to come on.

So, if you are prone to getting side cramps, start by evaluating how you eat before exercising. Eating a big meal too close to a long session of physical activity may not be a good idea.

On the other hand, the longer and harder you work out, the more calories you'll need to stay well-fueled. So what can you do? Experiment with different sources of calories-from energy gels and sports drinks to easily digested solid foods like bread, pasta, oatmeal and fruit. Also, make sure that whatever you eat is well-chewed and eat slowly to help the food pass through your digestive system.

The good news: There's no proof that a side stitch is anything serious. Even if you have to stop completely when the pain comes on, the stitch usually diminishes and goes away if you simply slow down or go from running to walking for a while.


Does Running Outdoors Burn More Calories?
By Anadad O'Connor, The New York Times

THE FACTS

Pavement or treadmill? Most avid runners have a strong preference for one or the other, but how do the two differ in producing results?

According to several studies, the answer is not so simple. Researchers have found in general that while outdoor running tends to promote a more intense exercise, running on a treadmill helps reduce the likelihood of injury, and thus may allow some people to run longer and farther.

A number of studies have shown that in general, outdoor running burns about 5 percent more calories than treadmills do, in part because there is greater wind resistance and no assistance from the treadmill belt. Some studies show, for example, that when adults are allowed to set their own paces on treadmills and on tracks, they move more slowly and with shorter strides when they train on treadmills.

But other studies show that treadmill exercisers suffer fewer stress injuries in the leg. One study published in 2003 in the British journal of sports medicine, for example, analyzed a group of runners and found significantly higher rates of bone strain and tension during pavement running than during treadmill running, particularly in the tibia, or shinbone. This increased strain can heighten the risk of stress fractures by more than 50 percent, the study found.

THE BOTTOM LINE

Studies suggest that running on pavement generally burns slightly more calories, but also raises the risk of stress fractures.


 
Happy 4th!
IN THIS ISSUE
Letter from the Founder
Summer Snacks
Knee Injuries
Antioxidants 101
Stopping Side Stitches
Running Outdoors and Burning Calories
Tips for Healthy Sleep
Announcements

NEW Fitness Center
In Monrovia!

Congratulations to EBC Monrovia on their new Extreme Boot Camp™ Fitness Studio! The Grand Opening is July 9th!

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Extreme Boot Camp MySpace

We've completely revamped our MySpace page! Check it out and drop us a comment!

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Happy 4th of July!

Extreme Boot Camp™ salutes the local men and women who fight for our continued freedom and wishes all of them, and their families a safe and healthy Independence Day!

fireworks

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Tips For Healthy Sleep
From the Glendale Adventist Medical Center: Health Quarterly Spring 2008

sleep
Getting a good night's sleep is sometimes a chore. But there are steps you can take to get the sleep you in need in order to feel rested, refreshed and ready for Boot Camp the next day!

"The most important thing is establishing a regular bedtime routine," says Pam Kushner, M.D.,associate clinical professor, UC Irvine, College of Medicine. "You need to try to allow yourself to unwind."

Unwinding before bedtime may involve soaking in a hot bath, reading a book or listening to soothing music.

The National Sleep Foundation says you should also:

· Try to go to bed at the same time each night and get up at the same time each morning - even on weekends.

· Create a quiet, dark, comfortable and cool sleeping environment.

· Sleep on a comfortable mattress and pillow.

· Make your bedroom a place to sleep. Keep computers, televisions and other distractions out!

· Exercise regularly, but wrap it up at least 3 hours before bedtime.

· Avoid large meals at night

· Avoid drinking coffee, tea, or other beverages with caffeine for at least six hours before bedtime.

· Avoid taking naps after 3 p.m.

· Limit the time you lie in bed awake. If you're still awake after 20 minutes, get up and do some relaxing activity until you feel sleepy.
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10 Diet Flubs
and how to fix them
By Liz Plosser of Self Magazine
diet

We've uncovered 10 sneaky ways your workout, your work habits and even your clothing can undermine your diet, and we devised easy fixes for each. Spot what's holding you back, try our tips and set off toward your ideal body!

Diet flub #1: You grocery shop on the fly

The supermarket and an empty stomach are similarly mismatched. Shopping when you're hungry makes you more likely to fill your basket with junk.

Fix it: Skip the checkout line and go online. Dieters who shopped at Web-based groceries bought fewer high-fat foods, a study from the University of Connecticut at Storrs finds. "It makes it easier to stick to your list," says Amelia Lake, Ph.D., a research fellow at the Human Nutrition Research Centre at Newcastle University in Newcastle Upon Tyne, England. If you shop in person, stick to the store's perimeter (typically the produce and dairy areas) to avoid impulse buys.

Diet flub #2: You work late

Women who worked 40-plus hours per week were more likely to gain weight during the year than those who clocked out earlier, a study in the International Journal of Obesity reports. Stress and fatigue may make desk jockeys more apt to eat fast food and less inclined to exercise.

Fix it: Take mood-lifting breaks. "Pinpoint when during the day you're most likely to hit a slump," Hall says. "Then engage in something playful or soothing during that time - doing so produces feel-good endorphins to battle stress." Physically active downtime is especially effective, Hall says; stretch, toss a foam ball with an officemate or pump out a set of biceps curls using a dumbbell stashed under your desk.

Diet flub #3: You celebrate workouts with M&M's

Women ate about 120 more calories following intense exercise than after a lighter workout that burned the same calories, a study from the University of Ottawa reveals. The splurge may feel justified because the workout seemed so difficult.

Fix it: Stow a healthy snack in your gym bag so you don't overdo your next meal.

Diet flub #4: You don't ever count calories

You may think you're vigilant about monitoring portions, but mindless bites can equal hundreds of unaccounted-for calories.

Fix it: Simply thinking about your most recent meal can keep overeating in check, a study from the University of Birmingham in England suggests. When women were asked to write down what they had for lunch before they were offered cookies later in the day, they ate fewer treats than those who weren't asked to remember their meal. "Recalling what you ate may remind you of how filling that food was," says lead researcher Suzanne Higgs, Ph.D.
(This should be easy for you Boot Campers keeping a Mess Log!)

Diet flub #5: You're an e-mail addict

The number of calories you burn e-mailing a coworker? Five. The number it takes to walk over to her? Eleven. Multiply that by how often this scenario plays out in a week (roughly a bazillion), and you see how tech squelches your activity level.

Fix it: Slip movement into your entire day, not only your gym time. Stand up when you're talking on the phone, and deliver at least five messages a day in person. You can torch about 100 calories daily this way, says James Levine, M.D., an endocrinologist at the Mayo Clinic in Rochester, Minnesota.

Diet flub #6: Your workouts are routine

When your body grows accustomed to performing the same exercise over and over, it starts to get better at it. The result? Each move requires less effort, so you burn fewer calories.

Fix it: Step out of your comfort zone!
(No worries for you Boot Campers, we switch it up for you!)

Diet flub #7: You prefer comfy clothing

Forgiving styles, such as flowy tops and unstructured dresses, make it easy to miss cues that extra pounds are creeping on.

Fix it: Keep tabs on your tush by zipping up your favorite pair of denims every Friday. "I tell my clients all the time, 'Jeans don't lie,' " says Jim Karas, a trainer in Chicago and author of "The Cardio-Free Diet" (Simon Spotlight Entertainment). "Wear your jeans on the weekend; most people tend to eat more on those two days," Karas says. Once you've dropped a size, give away your larger clothes to ensure you won't drift into them again.

Diet flub #8: You taste while you cook

You can slice and dice with the best of them, so you can whip up a nutritious, light meal instead of dialing for oil-drenched takeout. But a spoonful here, a bite there and that glass of wine you sip while you're stirring can quickly add up until you've consumed a meal's worth of calories before dinner even hits the table.

Fix it: To keep your mouth busy, fix yourself a bowl of chopped veggies to munch on, or chew a piece of gum - it's no fun sneaking samples of stew with spearmint breath.

Diet flub #9: Your kitchen is packed

If your fridge resembles a Trader Joe's display case, then you'll be constantly tempted to nosh. Dieters who were allowed to eat whatever they wanted for snacks took in more snack calories each week than those who were limited to one type, a study in the journal Eating Behaviors notes. The same concept applies whether you're faced with unlimited options at a buffet, a restaurant or your own stuffed pantry. The more choices you have, the bigger your appetite will seem.

Fix it: Pick one splurge item to keep in the house at a time and have a little each day to satisfy your taste buds.

Diet flub #10: You slim down solo

It's tempting to keep your 10-pound goal a secret (and wow everybody later with your results), but coming clean about your diet to pals increases your odds of success, according to an analysis of 46 studies by researchers at Tufts-New England Medical Center in Boston.

Fix it: Tell roommates, family and coworkers that you're eating healthfully. "They can provide encouragement, serve as role models or at least avoid acting as a bad influence," says lead author Michael Dansinger, M.D. "It also adds accountability." Pretty soon, the news will be everywhere: You've lost the weight for good.

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Extreme Boot Camp™ Headquarters: 1420 Foothill Blvd, La Canada, CA 91011

Phone: (818) 790-7511
Fax: (818) 790-7589
E-Mail: bootcamp@extremebootcamp.com

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