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Showing posts with label Exercise. Show all posts
Showing posts with label Exercise. Show all posts

Sunday, July 7, 2024

Figuring out the best time to exercise; Any regular exercise helps maintain the brain

For some people, early morning before getting ready for the day’s duties is the best time to get their daily dose of physical activity in. — Filepic

It's a long-standing discussion for all who want to get into shape: When is the best time to exercise?

Based on member data from American fitness company Future, about 41% of workouts take place between 7-9am or 5-7pm.

“The debate is intriguing with proponents of both morning and evening workouts citing various benefits,” says sports medicine research director Dr Andrew Jagim from the Mayo Clinic Health System in Wisconsin, United States.

“From increased energy levels to enhanced performance or greater weight-loss benefits, health experts delve into the science behind exercise timing to shed light on the optimal approach for achieving fitness goals.”

In the morning

For morning exercisers, the allure of starting the day with a workout is undeniable.

“Getting your workout in and completed before you even begin your day can provide a sense of accomplishment and set a positive tone for the day ahead,” explains Dr Jagim.

“The post-workout release of endorphins and the satisfaction of accomplishing something before 9am can serve as a powerful ego boost.”

Perhaps most importantly, morning workouts eliminate the need to worry about finding time for exercise later in the day.

This is as it’s often the only time of the day that hasn’t been previously committed to work, social events or family activities.

“By completing your workout in the morning, you free up your afternoons and evenings for other activities, such as cooking dinner, socialising or simply relaxing,” Dr Jagim notes.

“This sense of freedom and flexibility can alleviate stress and enhance overall well- being.”

For people embarking on morning workouts, strategic pre-exercise nutrition can make a significant difference in energy levels and performance.

“Starting the day with a balanced breakfast containing carbohydrates, protein and healthy fats can provide the necessary energy to power through a morning workout,” he advises.

“Opt for wholegrain cereals, Greek yoghurt with fruit, and allow sufficient time for digestion to prevent discomfort and optimize nutrient absorption.

“Or, if you’re not hungry in the mornings or don’t have time, something simple like an energy bar can suffice.”

In the evening

However, for some people, waking up early to exercise is the last thing they feel like doing, and therefore, the case for evening workouts is more appealing.

“Your body’s ability to perform peaks in the afternoon and early evening, with optimal muscle function, strength and endurance,” states osteopathic medicine practitioner Jake Erickson, who specialises in sports medicine at the Mayo Clinic Health System in Onalaska, Wisconsin.

“During this time, your body has time to wake up a bit by moving around throughout the day, you’ve likely gotten a meal or two in to ensure adequate energy available to use during the workout, and you may be more mentally alert.”

Additionally, oxygen uptake kinetics are more favourable in the evening, allowing for more efficient utilisation of resources during exercise.

“Your body is primed for performance in the late afternoon and early evening, making it an ideal window for high-intensity activities like interval training or speed work,” he explains.

Conversely, people opting for evening workouts face unique considerations in balancing time commitments and mental energy.

“After a long day at work or shuttling around the kids all day, it can be hard to muster the motivation to go to the gym and put forth a lot of physical effort during a workout,” says osteopathic medicine practitioner Alecia Gende, who specialises in sports medicine and emergency medicine at Onalaska’s Mayo Clinic Health System.

“Additionally, intense physical activity in the evening may trigger a stress response and cause difficulty falling asleep or waking in the middle of the night if your cortisol is disrupted and released at an inopportune time.

“If you have to get a workout in before sleep, it would be best to be lower intensity, such as a walk or lighter (weight-)lifting session.

“If that’s the case, moving the workout earlier in the day might be more beneficial for them.”

Lastly, if you choose to work out later in the day, it’s important to ensure that you are getting adequate nutrients throughout the day to make sure you have enough fuel available to support the workout, in addition to eating a well-balanced meal after the workout.

“After a long day, it’s essential to refuel the body with carbohydrates and protein,” Dr Jagim says.

“Consuming a nutrient-rich meal within two hours of your workout can facilitate muscle recovery and enhance adaptation to training.

“Consider options such as grilled chicken with quinoa and vegetables, or a protein-packed stir-fry to refuel and replenish after an evening workout.”

For people engaging in prolonged or intense exercise sessions (more than 90 minutes), mid-workout nutrition can play a pivotal role in sustaining energy levels and preventing fatigue.

He recommends incorporating carbohydrate-rich snacks during extended workouts to maintain endurance and performance.

At midday

Whether working or at home, most people hit the dreaded afternoon slump around 3pm.

A study of more than 90,000 people recently found that working out in the afternoon reduces the risk of heart disease or early death more than physical activity in either the morning or afternoon.

The benefits of afternoon exercise for longevity were most pronounced for men and the elderly.

“Morning workouts may not be ideal for shift workers, or those working late or staying up later in the evening,” says Gende.

“In that case, it may be more prudent to allow more sleep in the morning and perform a mid-day workout or early afternoon workout before your next evening shift or late night.”

According to a OnePoll survey, the most effective activity for people during an afternoon workout is getting up and going for a walk, which is a great way to perk up both your mind and body.

Find your right time

So, what is the best time to exercise?

For those who just say I don’t have any time available, there’s always time.

“I suggest scheduling a ‘snack competing’ activity,” says Erickson.

“This can be a good excuse to flip the script, and for people who know they may choose to sit on the couch and snack in the evenings.

“They can use that time to grab a workout of some kind instead.

“This can lead to a big swing in people’s fitness as they consume less calories by avoiding the typical snacking time and burn more calories by the workout.”

There are even benefits to splitting up a workout into short 10-minute mini-sessions throughout the day if you don’t have time to get a full 60-minute session in.

ALSO READAlways busy? Try stacking short workouts throughout your day

One thing is clear; even though science may seem contradictory, the importance of regular physical activity cannot be overstated.

“Ultimately, the best time to exercise is the time that fits into your schedule and aligns with your energy levels and preferences,” says Dr Jagim.

“Consistency and adherence to a regular exercise routine are key, and far more important, regardless of the time of day you choose to work out.

“Any time of day is better than no exercise in reducing the risk of death from any cause, including from heart disease and cancer specifically.

“Experimentation and self-awareness are essential in determining the ideal timing toward optimising exercise performance, recovery and overall well-being.” – By Rick Thiesse/Mayo Clinic News Network/Tribune News Service

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Any regular exercise helps maintain the brain

Exercising even once a month at any time during middle age helps preserve brain function in older age; although the best results are gained by those who consistently exercise five or more times a month throughout their adulthood. — Filepic

Any regular leisure-time physical activity at any age is linked to better brain function in later life, suggests a study published online in the Journal of Neurology, Neurosurgery & Psychiatry.

The findings also suggested that maintaining an exercise routine throughout adulthood seems to be best for preserving mental acuity and memory.

Even though factoring in childhood cognitive ability, household income and education weakened the observed associations, the findings remained statistically significant.

Physical activity is modestly associated with a lower risk of dementia, cognitive decline and loss of later life mental acuity. 

But it’s not known whether the timing, frequency or maintenance of leisure-time physical activity across the life course might be key to later life cognitive abilities.

The researchers were particularly keen to know if physical activity might be most beneficial in specific “sensitive” periods across the life course, or across multiple time periods.

To try and find out, they looked at the strength of associations between a range of cognitive tests at age 69 and reported leisure-time physical activity at the ages of 36, 43, 53, 60-64, and 69 in 1,417 people (53% women) taking part in the 1946 British birth cohort study. 

Physical activity levels were categorised as: inactive; moderately active (one to four times per month); most active (five or more times per month).

These levels were added together across all five age assessments to create a total score ranging from zero (inactive at all ages) to five (active at all ages).

Some 11% of participants were physically inactive at all five time points, 17% were active at one, 20% were active at two and three, 17% were active at four, and 15% at all five.

Cognitive performance at age 69 was assessed using the validated ACE-111, which tests attention and orientation, verbal fluency, memory, language, and visuospatial function.

The 69-year-olds were also given tests of verbal memory (word learning test) and processing speed (visual search speed).

Factors associated with a heightened risk of cognitive decline – cardiovascular (heart) and mental health, and carriage of the APOE-4 gene – were also assessed to see if these modified any observed associations.

Analysis of the results showed that being physically active at all five time points was associated with higher cognitive performance, verbal memory and processing speed at the age of 69.

The effect sizes were similar across all adult ages and for those who were moderately and most physically active, “suggesting that being physically active at any time in adulthood, even if participating as little as once per month, is linked with higher cognition,” write the researchers.

But the strongest association was observed for sustained cumulative physical activity and later life cognition, and for those who were most physically active at all ages.

The positive association between cumulative physical activity and later life cognitive performance was partly explained by childhood cognition, socioeconomic position and education.

But the effect remained significant when these were factored in, and the associations weren’t explained by differences in later life cardiovascular or mental health.

“Together, these results suggest that the initiation and maintenance of physical activity across adulthood may be more important than the timing... or the frequency of physical activity at a specific period,” say the researchers.

This is an observational study, and as such, can’t establish cause, and the researchers acknowledge various limitations to their findings.

The study included only White participants and had a disproportionately high attrition rate among those who were socially disadvantaged.

No information was available on exercise intensity, duration or adherence either.

But the researchers nevertheless conclude: “Our findings support guidelines to recommend participation in any physical activity across adulthood and provide evidence that encouraging inactive adults to be more active at any time and encouraging already active adults to maintain activity, could confer benefits on later life cognition.”



 

Sunday, November 13, 2022

Best time to exercise for better blood sugar control

 Credit: Getty Images
 https://www.eatingwell.com/article/8011727/best-time-to-exercise-for-blood-sugar/
 
EXERCISING in the afternoon or evening may be better for blood sugar control than spreading activity throughout the day, research suggests.

A new study published in the journal Diabetologia found that exercising between noon and midnight could cut insulin resistance by up to a quarter.

Insulin resistance is when cells in the muscles, fat and liver struggle to respond to insulin and cannot easily take up glucose from the blood.

This results in the pancreas making more insulin to help the glucose enter cells.

Blood glucose stays in the healthy range as long as the pancreas can make enough insulin to overcome the cells’ weak response, but sometimes the glucose levels rise too high and sugar stays in the bloodstream.

This can lead to pre-diabetes (the stage before diabetes is diagnosed) or diabetes.

The new study was carried out by Dr Jeroen van der Velde and colleagues at Leiden University Medical Centre in the Netherlands.

Previous studies have demonstrated that exercise is linked to better sensitivity to insulin, thereby cutting the risk of developing diabetes.

The team used data from the Netherlands Epidemiology of Obesity study, which included men and women aged between 45 and 65 years with a body mass index (BMI) of 27 or more (putting them in the overweight or obese category).

A separate group of people were used as a control group, meaning the overall study included 6,671 people. Those taking part underwent a physical examination during which blood samples were taken to measure blood glucose and insulin levels when people were fasting and after eating.

People were also asked about their lifestyles and some were randomly selected to have their liver fat content measured using MRI scans.

A random group of 955 people were also given a combined accelerometer and heart rate monitor to wear for four consecutive days and nights to monitor movement and activity levels.

Some 775 people with complete data were included in an analysis.

The results showed that spending time on moderate to vigorous physical activity reduced liver fat content and also reduced insulin resistance.

Doing exercise in the afternoon or evening was linked to reduced insulin resistance, by 18% and 25% respectively, compared to an even distribution of activity throughout the day.

There was no significant difference in insulin resistance between morning activity and activity spread evenly over the day, the study found.

The researchers concluded: “These results suggest that timing of physical activity throughout the day is relevant for the beneficial effects of physical activity on insulin sensitivity.

“Further studies should assess whether timing of physical activity is indeed important for the occurrence of type 2 diabetes.” -    dpa
 
 
 
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Tuesday, May 25, 2021

Vital to control blood pressure now

  

Dr Khan Show 4 Tricks to Lower Blood Pressure | How to Control Blood Pressure Fast!

 1 - Carotid Massage 2- Valsalva Maneuver 3- Breathing Technique 4 - Dive Reflex 

 MALAYSIA recorded 6,976 new Covid-19 cases on May 23, the highest number of daily cases reported since the start of the pandemic in March 2020. The number of Covid-19 deaths and severe cases that require intensive care has also increased tremendously.

According to Health Ministry statistics, from May 1 to 21, Malaysia lost 643 people, close to one-third of all Covid-19 deaths in the country since the pandemic started. Within the same period, patients admitted to ICUs increased by 91% (from 337 to 643) and patients requiring ventilation support doubled from 176 to 363.

Covid-19 has negatively impacted the care of patients with noncommunicable diseases such as hypertension and diabetes. Hypertension (high blood pressure) is the most common pre-existing medical condition among Covid-19 patients globally as well as in Malaysia. Patients with hypertension are 95% more likely to require ICU admission and 160% more likely to succumb to the disease. A local study reported that 49% of patients with the severe form of Covid-19 had hypertension, compared with 13% among mild cases. The high prevalence of hypertension in Malaysia – three in every 10 adults have it – means that a substantial proportion of our adult population is at risk.

Adherence to and compliance with medication is crucial. Stop-ping antihypertensive medications could lead to poor blood pressure control, which in turn can result in adverse cardiovascular events such as heart attack, stroke, or kidney failure. All these are linked to poor Covid-19 outcomes.

In addition, once the virus enters the body, it could lead to overactivation of the immune system resulting in a cytokine storm, further burdening a cardiovascular and respiratory system that is already in a suboptimal state. This probably explains why hypertension is the most common comorbidity among Covid-19 patients, especially among those who experience the severe version of the disease.

Maintaining a healthy blood pressure (below 140/90mmHg for systolic and diastolic respectively) is important. Take these steps to control your blood pressure:

> Know your blood pressure levels. Monitor them regularly. This is important to see whether efforts to control the pressure are sufficient or should be improved.

> Limit salt intake in your diet according to daily recommendations. This can be achieved by carefully inspecting food labels for salt and sodium content, avoiding preserved and processed foods, and replacing salt with herbs and spices in cooking.

> Keep your body weight within the normal range. For overweight people, weight loss of 3% to 9% from current body weight has been shown to reduce blood pressure readings by 3mmHg to 6mmHg.

> Exercise consistently. Regular aerobic exercise, such as brisk walking and jogging, for at least 150 minutes a week is recommended as it is beneficial for the cardiovascular system and can help lower blood pressure.

> Quit smoking and avoid alcohol intake as both activities have been shown to increase blood pressure.

> Keep taking your current medications and continue to go for follow-up appointments if you are hypertensive. Be assured that the medications are safe. Do not hesitate to contact your doctor if you are in doubt about your blood pressure control or medications.

Apart from all this, hypertensive patients must seriously follow the current Covid-19 SOP and make every effort to protect yourselves from contracting the disease.

DR NOR AFIQAH NORDIN, DR ANG SWEE HUNG, PROF DR MOY FOONG MING & PROF DR NORAN NAQIAH HAIRI Public Health Department, Universiti Malaya Medical Centre (UMMC)

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Tuesday, May 19, 2020

Wheelchairs

Self-Driving Wheelchairs Debut in Hospitals and Airports



https://youtu.be/pRo8FnS2XfY

Self-Driving Wheelchairs Debut in Hospitals and Airports 

The autonomous vehicles sense positions, select routes, and stop for obstacles

SMART scores another first with Singapore's self-driving wheelchair that has been piloted at a hospital

Autonomous vehicles can add a new member to their ranks—the self-driving wheelchair. This summer, two robotic wheelchairs made headlines: one at a Singaporean hospital and another at a Japanese airport.

The Singapore-MIT Alliance for Research and Technology, or SMART, developed the former, first deployed in Singapore’s Changi General Hospital in September 2016, where it successfully navigated the hospital’s hallways. It is the latest in a string of autonomous vehicles made by SMART, including a golf cart, electric taxi and, most recently, a scooter that zipped more than 100 MIT visitors around on tours in 2016.

The SMART self-driving wheelchair has been in development for about a year and a half, since January 2016, says Daniela Rus, director of MIT’s Computer Science and Artificial Intelligence Laboratory and a principal investigator in the SMART Future Urban Mobility research group. Today, SMART has two wheelchairs in Singapore and two wheelchairs at MIT being tested in a variety of settings, says Rus.

The robot’s computer uses data from three lidars to make a map. A localization algorithm then determines where it is in the map. The chair’s six wheels lend stability, and the chair is designed to make tight turns and fit through normal-sized doorframes. “When we visited several retirement communities, we realized that the quality of life is dependent on mobility. We want to make it really easy for people to move around,” said Rus in a recent MIT statement.

A second autonomous wheelchair recently premiered at Haneda Airport in Tokyo, designed by Panasonic and Whill, Inc., creator of the Model A Whill wheelchair, a sleek, hi-tech wheelchair now on the market in Japan and the United States.

According to a recent press release, Panasonic is planning to conduct technical trials of the WHILL NEXT this year. Like the SMART wheelchair, the WHILL NEXT uses sensors to detect nearby obstacles. It also employs automation technology developed for Panasonic’s autonomous (and adorable) hospital delivery robot, HOSPI. The wheelchair identifies its position, selects routes, and moves to a chosen destination based on a user’s input into a smartphone app. It can even be hailed with the app – the Uber of wheelchairs.

The WHILL NEXT is also able to sync up with nearby wheelchairs to travel in a column, which is useful for a family or a group, the company notes. Best of all, each wheelchair automatically returns to its home base, reducing the need for airport staff to collect the chairs.

Beyond use in hospitals and airports, the SMART team says they envision a connected autonomous mobility system, where a user could use a scooter or wheelchair indoors at an office, zip outside and pick up a golf cart to cross the parking lot, and slip into an autonomous car to drive home. Recent studies with the scooter suggest the control algorithms work indoors as well as out, according to a press release last year. “The autonomous wheelchair could be very useful in any pedestrian environmen—including hospitals and airports —and we are exploring all these possibilities,” Rus tells IEEE Spectrum.

Yet the field faces the challenge of commercialization. Not all hi-tech wheelchairs have sold well, such as Dean Kamen’s stair-climbing iBot, whose $25,000 price tag was one reason the device was discontinued in 2009. But hopefully the next generation of wheelchairs won’t be as expensive, says Rus. “The system consists of an off-the-shelf wheelchair augmented with an autonomy package. We hope the price point of the autonomy package can come down to make the system affordable.”

“A version of this post appears in the October 2017 print issue as “Lidar-Equipped Autonomous Wheelchairs Roll Out in Singapore and Japan.”


See wheelchair  

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Hospitech Standard Wheelchair | Shopee Malaysia

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Hospitech Standard Wheelchair | Shopee Malaysia

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Standard Wheelchair chrome body | Shopee Malaysia

Wheel Chair Wheelchair Hospital Standard with Sport Rim Kerusi Roda 轮椅
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Aluminium Super Lightweight Foldable Wheel Chair Transit Wheelchair
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