

Hi All
None of you seemed to be interested in being bored with
images taken on our recent tramping expedition, so I’ll burble on about the
normal semi-routine happenings that Program Fitness members get up to.
Debbie Twiss, an intrepid race walker, has been dabbling
in bike riding but is now due to walk around
Shanna Crispin is looking forward to
her next half marathon in about a month’s time. This one should be a little
easier now that she has more than a year of training under her belt.
Cheers
"Sustained
motivation is essential to achieving your potential." GRETE WAITZ
PROGRAM
FITNESS
If you should be aware of someone
who might benefit from being on a running or walking exercise program, please
get them to log on to www.profitness.net.nz
for more information on how I may be able to help. They may also wish to
contact me direct via my email address. If you wish to know a bit about our Homestay operation, the
website can be seen at www.foreststay.com

***************************************************
By Rick Morris
1. Set the treadmill
elevation at 1 percent and run for one mile at your easy pace.
2. Increase the elevation to 2 percent and run for one mile at your easy
pace.
3. Increase the elevation to 4 percent and run for one mile at your easy
pace.
4. Increase the elevation to 5 percent and run for one mile at your easy
pace.
5. Decrease the elevation to 2 percent and run for one mile at your easy
pace.
6. Increase the elevation to 6 percent and run for ½ mile at your easy
pace.
7. Increase the elevation to 7 percent and run for ½ mile at your easy
pace.
8. Decrease the elevation to 2 percent and run for 1 mile at your easy
pace.
From http://www.runningplanet.com
MyPyramid
Tracker
MyPyramid Tracker is
an online dietary and physical activity assessment tool that provides
information on your diet quality, physical activity status, related nutrition
messages, and links to nutrient and physical activity information. The Food
Calories/Energy Balance feature automatically calculates your energy balance by
subtracting the energy you expend from physical activity from your food
calories/energy intake. Use of this tool helps you better understand your
energy balance status and enhances the link between good nutrition and regular
physical activity. Keep track of your energy balance history and view it up to
one year. MyPyramid Tracker translates the principles of the 2005 Dietary
Guidelines for Americans and other nutrition standards developed by the U.S.
Departments of Agriculture and Health and Human Services.
Go to http://www.mypyramidtracker.gov/
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What
is the Best Predictor of
5000-m
Run Performance?
Recently
researchers from
Thirty
nine untrained subjects participated in
this
investigation which included measurements of running economy, maximal oxygen
uptake, final velocity at maximal oxygen uptake, and the lactate threshold.
After
6-weeks of training the maximal oxygen uptake, final treadmill velocity, and
running velocity at the lactate threshold all increased. Additionally, after
6-weeks of training the average velocity during a 5000-m run increased
significantly.
Interestingly
running economy was not shown to
improve.
When looking at the factors that are related to the average 5000-m run velocity
only, the lactate threshold, maximal oxygen uptake at the lactate threshold,
and maximal oxygen uptake were all related to performance.
The
single best predictor of 5000-m run performance was found to be the treadmill
velocity at maximal oxygen uptake. Thus suggesting that the highest velocity
that can be achieved during a maximal oxygen uptake assessment gives the
greatest indication of 5000-m running ability in both trained and untrained
individuals.
Stratton,
E, O’Brien, BJ, Harvey, J, Blitvich J, McNicol AJ,
Janissen
D, Paton C, Knez W. Treadmill Velocity Best
Predicts
5000-m Run Performance. Int J Sports Med
30:40
– 45. 2009.
From
www.nsca-lift.org
High
Intensity Interval Training
Increases
Fat Metabolic
Capacities
in Skeletal Muscle
High
intensity interval training has recently received a lot of attention for being
a time efficient method of training.
With
high intensity interval training all out efforts are repeated. Recently
researchers for
Using
untrained subjects they examined the effects of 6-weeks of high intensity
interval training consisting of 1-hour of 10 x 4 minute intervals performed at
90% of peak oxygen consumption separated by 2-minutes of rest. The interval
training regime was performed 3-days per week.
After
the completion of the 6-week training program the subject’s peak oxygen
consumption was increased by 9% and their power output was elevated by 21%. Additionally,
it was noted that after training there was a reduction in glycogen metabolism,
a decrease in lactate accumulation, a 2-fold increase in time to exhaustion, a
significant increase in fat oxidation.
Ultimately
this study demonstrated that 6-weeks of high intensity interval training has a
powerful effect on the muscles ability to oxidize fat. The
results
of this study lend support to the idea that high intensity interval training is
an effective method for increasing oxidative capacity and fat oxidation.
Perry
CG, Heigenhauser GL, Bonen A, and Spriet LL.
High-intensity
aerobic interval training increases fat and carbohydrate metabolic capacities
in human skeletal muscle. Appl Physiol Nutr Metab 33:1112 – 1123. 2008.
From www.nsca-lift.org
Patellofemoral Syndrome
Diagnostic Pointers and Individualized
Treatment
Michele LaBotz, MD
In Brief: Most patients who have
patellofemoral syndrome can be successfully treated once contributing factors
are identified during history taking and physical examination. After pain and
inflammation are treated, patients are encouraged to start activities that do
not provoke pain. Exercise programs should be implemented that address
underlying strength and flexibility deficits. Return to play primarily relies
on advancement of pain-free activity, with some allowance for patients'
competitive goals. Patients remaining symptomatic after compliance with a
structured rehabilitation program or those with indicators of other
intra-articular pathology should be referred to an orthopedist.
A Multifactorial Pathophysiology
PFS often arises from a combination of intrinsic and extrinsic factors.
Although quadriceps flexibility and function, genu varus, and hypermobile
patellae have been identified by prospective studies as intrinsic risk factors
for PFS, such studies are limited because of the disorder's multifactorial
nature. Understanding PFS requires an understanding of the function of the
patellofemoral joint. It is important to appreciate the tethering effect of
tendons and ligaments adjacent to the patella, as these are major determinants
of forces across the joint. In addition, overall lower-extremity alignment and
the anatomic relationship between the trochlear groove and the posterior
patella also produce variable forces across the patellofemoral joint. As the posterior
aspect of the patella moves through the trochlear groove with knee movement,
normal patellofemoral alignment and function disperse these forces across the
articular surfaces.
Footwear. Physicians should also
inspect shoes used for athletic activity and daily wear. The wear patterns are
not often helpful in diagnosing PFS, but the condition and choice of footwear
usually are. With athletic shoes, midsole cushion and support functions
generally fatigue after 300 to 400 miles (about 3 months in the 30 mile/wk
runner).
Coping With Patellofemoral Syndrome
Q.
What causes PFS?
A. PFS is usually an overuse syndrome
caused by doing "too much, too soon." Other risk factors for PFS
include decreased strength or flexibility of the upper leg or hip muscles, poor
alignment of the leg bones, or a combination of factors.
Q. How is PFS treated?
A. The first step is to reduce the pain
and swelling. Frequent use of ice (about 15 minutes at a time), especially
after exercise or when the knee is sore, can ease pain. Anti-inflammatory
medications (such as ibuprofen or naproxen) can help reduce pain and
inflammation (swelling). Once pain eases, you can begin a stretching and
strengthening program guided by your doctor to further decrease symptoms and
the risk of recurrence.
Q. Which exercises are useful for PFS?
A. Strengthening and stretching for the
hamstring and thigh (quadriceps) muscles should be included. All stretches
should be held for 15 to 20 seconds and repeated three times on each side. Your
doctor may also recommend physical therapy or other treatments.
Q. Can I still train if I have PFS?
A. You can train if you have PFS, but
you may find that symptoms tend to come and go depending on your activity
level. Keep in mind, however, that the more you train through pain, the longer
your knees will hurt. A good rule of thumb is to try reducing the intensity and
amount of training by about half. Runners will often benefit from a temporary
switch to either swimming or bicycling while the knee recovers. When you are
ready to resume or advance your activity, do it slowly. Most patients can
tolerate adding about 10% per week to training volume (for example, increasing
from 20 miles in week 1 to 22 miles in week 2). Many factors determine when you
can return to activity, so work with your doctor to determine when you can
return to full activity or competition.
THE
PHYSICIAN AND SPORTSMEDICINE - VOL 32 - NO. 7 - JULY 2004