Thursday, September 17, 2015

The BMI Farce

The BMI Farce
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Taking a slightly different tact today as the majority of this post is a shared article about BMI that i am  using in its entirety

 someone was speaking to me about BMI ----- going on and on about it -- having to get their BMI under 30, etc. etc.  and really sounding a tad insecure

I have heard physicians foolishly reference BMI as well --- while being a bit overweight themselves

There are some valid reasons why everyone should just stop it with the BMI utterances.   The BMI index is an obscure formula developed in the mid 1800's by a mathematician, not a physician

----  the population has evolved since then ---    when the BMI was dreamed up, we were at a place in time where things like malaria , polio, and other things like that could out whole towns and if you got to age 55, you were doing remarkable

Nutrition today is better (well, thats debatable --- but our access to great nutrition is better-- access to garbage calories is also sadly at an all time high too ), bone density is better as a result of the better nutrition  , we are  living longer as a populace too

My thoughts are that one of the best tools we have available to us to tell us if we are too fat or not is not some chart from an obscure Belgian math whiz from the 1800's -- but its a simple mirror check  -

-- my thoughts are that American's in general are the world's best at over-justifying things, --- so if we divulge to some people that the BMI index is a fairy tale,   they will sigh a big sigh of relief and say  "Awesome, bring on the bacon flavored Frito Lays ! - BMI is bogus !"
   
    Thats not the point at all, --- at a certain point, common sense needs to take over ---  but here in North America i am convinced that at least half of us dont have much of that anymore



But Without further adieu, the print below is the actual article ,  i hope you find it as interesting as i did and i will be back soon with more original and (hopefully) helpful content soon

Thanks again

Doug
Dougmcbride@fitclaimspro.com
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The BMI Formula

BMI = weight in pounds/(height in inches x height in inches) x 703
The 703 is to convert the index from the original metric version of the formula.

CDC Recommendations:

Below 18.5 = Underweight
18.5 to 24.9 = Ideal
25.0 to 29.9 = Overweight
30.0 and above = Obese




Americans keep putting on the pounds — at least according to many reports. Studies find  that nearly two-thirds of states now have adult obesity rates above 25 percent.
But you may want to take those findings — and your next meal — with a grain of salt, because they're based on a calculation called the body mass index, or BMI.
 the body mass index fails on 10 grounds:
1. The person who dreamed up the BMI said explicitly that it could not and should not be used to indicate the level of fatness in an individual.
The BMI was introduced in the early 19th century by a Belgian named Lambert Adolphe Jacques Quetelet. He was a mathematician, not a physician. He produced the formula to give a quick and easy way to measure the degree of obesity of the general population to assist the government in allocating resources. In other words, it is a 200-year-old hack.
2. It is scientifically nonsensical.
There is no physiological reason to square a person's height (Quetelet had to square the height to get a formula that matched the overall data. If you can't fix the data, rig the formula!). Moreover, it ignores waist size, which is a clear indicator of obesity level.
3. It is physiologically wrong.
It makes no allowance for the relative proportions of bone, muscle and fat in the body. But bone is denser than muscle and twice as dense as fat, so a person with strong bones, good muscle tone and low fat will have a high BMI. Thus, athletes and fit, health-conscious movie stars who work out a lot tend to find themselves classified as overweight or even obese.
4. It gets the logic wrong.
The CDC says on its Web site that "the BMI is a reliable indicator of body fatness for people." This is a fundamental error of logic. For example, if I tell you my birthday present is a bicycle, you can conclude that my present has wheels. That's correct logic. But it does not work the other way round. If I tell you my birthday present has wheels, you cannot conclude I got a bicycle. I could have received a car. Because of how Quetelet came up with it, if a person is fat or obese, he or she will have a high BMI. But as with my birthday present, it doesn't work the other way round. A high BMI does not mean an individual is even overweight, let alone obese. It could mean the person is fit and healthy, with very little fat.
5. It's bad statistics.
Because the majority of people today (and in Quetelet's time) lead fairly sedentary lives and are not particularly active, the formula tacitly assumes low muscle mass and high relative fat content. It applies moderately well when applied to such people because it was formulated by focusing on them. But it gives exactly the wrong answer for a large and significant section of the population, namely the lean, fit and healthy. Quetelet is also the person who came up with the idea of "the average man." That's a useful concept, but if you try to apply it to any one person, you come up with the absurdity of a person with 2.4 children. Averages measure entire populations and often don't apply to individuals.
6. It is lying by scientific authority.
Because the BMI is a single number between 1 and 100 (like a percentage) that comes from a mathematical formula, it carries an air of scientific authority. But it is mathematical snake oil.
7. It suggests there are distinct categories of underweight, ideal, overweight and obese, with sharp boundaries that hinge on a decimal place.
That's total nonsense.
8. It makes the more cynical members of society suspect that the medical insurance industry lobbies for the continued use of the BMI to keep their profits high.
Insurance companies sometimes charge higher premiums for people with a high BMI. Among such people are all those fit individuals with good bone and muscle and little fat, who will live long, healthy lives during which they will have to pay those greater premiums.
9. Continued reliance on the BMI means doctors don't feel the need to use one of the more scientifically sound methods that are available to measure obesity levels.
Those alternatives cost a little bit more, but they give far more reliable results.
10. It embarrasses the U.S.
It is embarrassing for one of the most scientifically, technologically and medicinally advanced nations in the world to base advice on how to prevent one of the leading causes of poor health and premature death (obesity) on a 200-year-old numerical hack developed by a mathematician who was not even an expert in what little was known about the human body back then.

Monday, September 7, 2015

The Athlete's Corner: Episode 1 - Lactate Threshold



Folks -- i need a new blog server -- preferably one i can integrate with my  Dot-Com  (which is in a sad and neglected state ) --- any of you techies know how to do anything like that on the cheap , let me know in an email with a friendly suggestion ----

    My web site server is GoDaddy as well if there are any peculiarities with them   -- I would entertain switching servers as well if i got what i needed elsewhere





But that said ----  lets push on !    I dropped a teaser in my last Fit Claims Pro blog entry about  The Athletes Corner  ,  but here it is !!  


Settle in, grab a Budweiser and some onion rings , -- and lets have some "hot talk" about some of the issues that affect us all   --- just consider me Oprah's replacement from here on out

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Lets GO !!





-----     OK - well talking about hardcore specifics is not fun ---  but interestingly enough,  i have had more meaningful conversations about things like VO2 max and lactate threshold with a couple of amateur athletes i am good friends with than with lifelong cycling insiders

        Amongst my readers there are at least 5 of you guys' out there that we have spoke about this stuff ---  but noteworthy is the guy i just spoke to a couple of days ago  who brought up LT again

The term itself - Lactate Threshold - has a few different definitions and people argue how to correctly define it .  There is no one universally accepted definition but the terms Lactate threshold and Anaerobic Threshold are used almost interchangeably  -- from here on out - i will refer to this as LT


This illustration tying in performance to VO2, economy of motion and LT tells us that in theory,   VO2 max is the absolute most important factor in performance for endurance athletes

     VO2 max is marginally trainable - and may vary from event to event based on economy of motion ----   but  there are natural genetic ceilings in place regrettably

      VO2 max is 80% genetic roughly --- and the higher your natural max, the less trainable it becomes ---  For instance, if your VO2 max is 25 (which would be very low)  -- you may be able to train it to see a 50% improvement - bringing it to 37.5 - which is on the good side of average  ,  but if your VO2 max is naturally high - your training efforts may only yield a 2-3% improvement 

         A couple of modern examples -- Lance Armstrong's numbers were hovering around 85, ---  Steve PreFontaine, -84,    Greg Lemond - 94
          
   --  These type of numbers separate the genetically gifted from the rest of us --  they're freaks basically 


---  Another factor that is not trainable is the percentage of red (slow twitch) muscle fibers vs white (fast twitch) muscle fibers --- the guys and gals with huge VO2 max numbers typically have a larger % of red muscle fibers 

       I am branching out beyond the original scope by talking too much about VO2 max  -- as that is only part of the equation --- Red vs white muscle fibers are also outside the scope of this conversation and warrant another article entirely

  

A second aspect is Economy of motion --- that is ---  Do you know how to run ?   Do you know how to ride a bike?   
  are you doing these activities in as efficient a way possible ?   

This is a highly trainable aspect -- it may take a while (in many cases, years ) - but it is trainable and is very important  ----    

j
   

  ---  Miguel Indurain and BRadley Wiggins ,  hour record holders and TdF winners --- are both doing their thing at as effieient a level as humanly possible



This brings us finally to LActate Threshold,  or the onset of blood lactate accumulation

LT does not affect VO2 or Economy of motion,  but these 2 can affect LT and LT is a good indicator of competitive performance

What is not widely factored is anaerobic performance

Anaerobic capacity is what wins sprints and other short distance events but is a factor that can inhibit endurance performance and i will delve into the relationship between anaerobic and aerobic engines later

But how do you know when your there - at the LActate threshold?  - Or when your getting close?

This is cycling specific , but i am sure there is a similar running model out there or rowing model if either one of those sports are better

Put on a HRM (heat rate monitor ) - warm up for 20 minutes, then ride as hard as you can for 30 minutes ---  Your average heart rate during the last 20 minutes should be your LActate Threshold Heart Rate (LTHR) provided there are no interfering environmental factors

Trained cyclists can generally hammer just below LTHR for about an hour, but once you push past it - you have about 6 minutes or so before you need to back off .

This is marginally trainable with interval work once or twice a week -- more than this can lead to overtraining -- but once or twice a week, tiptoe to the outer edges of your LTHR for 4-6 minutes, then soft pedal for 5 minutes and repeat 4 or 5 times

-  small increases can yield big dividends  --- but my thinking is while most people are elusively chasing the golden goose by trying to raise their Vo2 max, --- they are actually improving their economy of motion , thus making their efforts more effective regardless of what someone's lab numbers might say
    And in summary , LT can go up a bit as well but improvements are often made in very small increments , but they are measurable


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Thats it ---  usually when i dig deep , i visualize most of my readership's eyes glazing over a bit as they go back to looking up old aquaintances on FaceySpace or something ----  but  this segment is for the rest who think about these things


Lastly -- i do not have a degree in physiology, kinesiology or exercise science --- my writings are my attempt to convey my teachings i have received from folks who do have degrees in such things to others in ways that are more understandable -- plus my perspective is from the receiving end of these teachings and the practical application in the field  -- If anybody has anything more relevant they would like to share , please write me and we'll pow wow and get it posted up

Eventually i would like this to be a mutual exchange of ideas and knowledge




Thanks for staying with me on this experimental off-shoot



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Just a quick reminder, if you like what you read, forward this email to a friend, or use the little tab at the bottom to link it to your facebook page.  

 Thank you very much in advance for your support and send me an email at   Dougmcbride@fitclaimspro.com   to be added to the hard subscriber list


---- Doug
_______________________________________________________________________________
disclaimer:    The information contained here is not intended to replace the medical advice of your physician and is not intended as medical advice.  This newsletter/blog is a sharing of knowledge and information from the research and experience of the staff of Fitclaimspro.com and professional colleagues unless otherwise noted



Hot weather survival Part Deaux



OK ==

Been a while  - a bit over 2 months in fact ---

-  Its been a hectic storm season that is just now winding down a bit --- i am having to travel a bit as a result to get in a good week -
   As a result , i am stuck in a hotel room in rural Kansas for a day or two (home base is OKC - roughly 250 miles away)  --- i have been thinking of my shortcomings in my blog today

If any of you technical types know how i can integrate a blog with my website  (yeah, i have one of those too --- FitClaimsPro.Com )-- Drop me a line   :)     ---
   With the rigors of trying to run a small business, develop another, and the miscellaneous personal things that crop up , i have to admit i am a bit off the back from a pure technical standpoint


   ---  But whats not off the back right now is the summer heat ------   this blog entry is way overdue since it is already September ,  but many of us on the adjusting side are watching the Gulf, The Atlantic, the African coast --- everything basically , -------   and i kid you not,  if something hits Florida soon , --- a lot of us are going to be sweating profusely


My last blog entry in June closed with some words of encouragement to stay hydrated, etc  during the summer months, --  and i meant to follow up soon,  -- but oh well

Here it is

    I cart around a Summer Survival Kit  and i will share that with you  and encourage you to implement a similar strategy should we all meet up in Florida  ---    And if not - file this away and implement it anytime else it gets hot in your neck of the woods


     This is a pic of the back seat of my truck loaded out for a meager 2 day trip  ---  looks like a bit much for a typical credit card tourist i know, but i am almost self supporting ----  I can't emphasize the importance enough of keeping a decent cooler around for your preps , you water, hydration and road food  -----   I endorse the Yeti brand personally and am going on 4 years experience with the brand ---- but you dont need to spend 300 bucks on a cooler -- (you'll just  be swapping out ice a bit more often )


The cheap plastic grab tote also contains a lot of my other hot weather preps  -- first and foremost is a small Camelbak  ---  strap this on if you have a roof to look at that will take more than 15 minutes or so on a triple digit day  -----  
           I have mentioned Camelbak before because they are the innovators for water bags and i have been using these for 22 years both in sport and work -------  
              There are many copies, but in my experience, at least with water bags, - the original is still the best ----  and unlike the Yeti coolers, there is not a huge price differential between the real deal and the great pretenders     ----  The extra 10 or 20 bucks is money well spent in terms of longevity and ease of use 





Pic of the road tote plus some of the "personal goods" contained within  


 water and electrolyte replacement  is paramount (Pedialyte is great - better than Gatorade/Powerade and the like for extreme conditions )  

     But there are other needs  ----    Its hard to see, but the black carry on type bag behind the tote has an extra set of work clothes, a towel, and a few extra pair of socks ---  Once your socks get wet with either sweat, or because some douchebag left his sprinklers on -- your day becomes miserable

    You will note some spray deodorant,  

The TP should not need an explanation -- i also carry baby wipes too 

I also do a 2 pronged attack against chafing ---  Monkey Butt Powder is available at Tractor Supply and many other similar establishments - also shown is Chamois cream ---  this is a carry over from my cycling roots  -- it does what baby powder and monkey butt powder does , but without the powdery mess



Extra set of gloves for hot weather roof inspections  ---  if its 100 degrees out, an asphalt roof might realistically be 160 degrees ----  you also need gloves thin enough to use your chalk and take pics, so i use thin motocross gloves   -- 




Last but not least  ----  some hot weather nutrition  -- this is just a small sampling of some of the easy stuff i keep on hand 

Some days you cant jack around with real food  -- its a mess, takes up a ton of space and a lot of time ---  and in the heat , your main job is to get your stuff done and get out of the heat ---- but you need your macros too

       Pictured for protein is a little Rubbermaid cup full of Macadamia nuts,  plus a Tanka bar  -- its  primarilly protein derived from Buffalo meat -- tastes good and good for ya
     Bananas need no introduction and are widely avail;able even at gas stations , -- 2 for 1$ deals -- bananas have a healthy carbohydrate content  , plus the potassium content inhibits cramping on a hot day ,     
             plus its a personal "like" of sorts , but i dig the Honey Stinger brand  when you need some carbs   too


Last but not least -----  I get raging headaches  on hot days and the miscellaneous BC and Goody's headache powders can give you some sweet relief if you can tolerate aspirin, -----  but i recommend getting inside and into some air conditioning , or at least under a tree or something if it gets bad enough that you have to drop some powdered aspirin


Thats a small guide for a hot weather survival kit  as specced by me  ----  Some of these items are crucial --   decent cooler, supply of water, gloves, nutrition, --

          -- the hygiene items ? -- Up to you --   I'd rather show up at my next appointment looking fairly fresh and ready to rip up the course, --- than like you've been drug through the ringer with a sweated out shirt, wet feet , a big red sweaty face  , stinky armpits and a chafed up crotch 


Feel like a winner, Look like a winner --- and be a winner   -- that sounds cliche',  but first impressions count - so dont look like Joe Schmoe the RagBag  just because its a tad warm out


Thanks 



I have a spin off blog on the same feed coming up  ---- i am calling it "The Athlete's Corner"   -- i have gone deep with a lot of information over the last year that may have limited information for the adjusting community but may still be of some interest for the guy trying to expand his horizons a bit  --

The first entry is coming up next  so give it a read and give me some feedback ----   I  can take the hard criticism so give it to me ---  but if not, settle in and lets get a little technical every now and then  :)         Dougmcbride@fitclaimspro.com 


Thanks for reading again






_______________________________________________________________________
Just a quick reminder, if you like what you read, forward this email to a friend, or use the little tab at the bottom to link it to your facebook page.  

 Thank you very much in advance for your support and send me an email at   Dougmcbride@fitclaimspro.com   to be added to the hard subscriber list


---- Doug
_______________________________________________________________________________
disclaimer:    The information contained here is not intended to replace the medical advice of your physician and is not intended as medical advice.  This newsletter/blog is a sharing of knowledge and information from the research and experience of the staff of Fitclaimspro.com and professional colleagues unless otherwise noted