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    #13 Exercise & Activity - with Dr John Sykes

    enJanuary 14, 2019
    What type of gifts does Blue Nile offer for Mother's Day?
    How can exercise affect cancer patients' mortality rates?
    What is the focus of Dr. Rupi's book, "Eat to Beat Illness"?
    Why might HIIT not suit everyone on stressful days?
    What are the mental health benefits of regular exercise?

    Podcast Summary

    • Celebrate Mother's Day with Thoughtful Gifts, Delicious Recipes, and Expert AdviceExpress love with gifts from Blue Nile, save at Whole Foods, learn healthy habits from Dr. Rupi's book, and prioritize food, lifestyle, and exercise for improved health.

      This Mother's Day, express your love and appreciation to the extraordinary women in your life with thoughtful gifts. Blue Nile offers exquisite pearls and gemstones with fast shipping and returns, making it an ideal destination for Mother's Day shopping. At Whole Foods Market, enjoy unbeatable savings on premium gifts, flowers, desserts, and more. Meanwhile, Dr. Rupi's new book, "Eat to Beat Illness," provides a science-backed blueprint for improving health and happiness through nutrition and lifestyle. The first part focuses on preventing and beating various illnesses, while the second part offers 80 new, delicious, and simple recipes. Lastly, exercise plays a crucial role in optimizing health and well-being, as discussed in the Doctor's Kitchen podcast with Dr. John, a leading expert in exercise as medicine. Remember, when you prioritize your food, lifestyle, and physical activity, you can significantly improve your overall health.

    • A Doctor's Journey to Learn from Australia's Healthcare SystemDoctor embarks on 18-month journey to Australia to focus on lifestyle medicine, faces challenges discussing lifestyle changes in NHS, plans to bring back new ideas to improve patient care in NHS, appreciates bite-sized info and motivational support, aims to tackle growing burden of non-communicable diseases.

      The speaker is going on a 18-month journey to Australia to work as a GP and learn from a different healthcare system, with a focus on lifestyle medicine and making a difference in managing non-communicable diseases. They acknowledge the challenges of discussing lifestyle changes in the time-constrained NHS environment and express a desire for more dedicated follow-up clinics and specialist support. They also appreciate the use of bite-sized information and motivational support, like the graphics on health and fitness doctor's social media, and plan to incorporate these techniques into their consultations. Overall, the goal is to bring new ideas and potential solutions back to the NHS to improve patient care and tackle the growing burden of non-communicable diseases.

    • Small lifestyle changes can make a big differenceIncorporating simple habits and adjusting diet & physical activity can significantly improve overall health and well-being. Personal experiences can inspire passion and advocacy for these changes.

      Small lifestyle changes, such as incorporating simple habits and making subtle adjustments to diet and physical activity, can have a significant impact on overall health and well-being. This was emphasized through the examples of Dr. Zoe Williams' approach to introducing physical activity conversations and Professor Trevor Thompson's use of a "jar of healthy items" to illustrate the Mediterranean style diet. The speakers' personal experiences further highlighted the importance of physical activity and lifestyle medicine. One speaker shared how overcoming a knee injury fueled their passion for sports medicine and led them to become an advocate for the benefits of physical activity in treating and preventing disease. Another speaker expressed the profound impact of being told they couldn't engage in their beloved sports for an extended period. These experiences underscored the strong connection between personal identification and daily activities, especially when it comes to something as meaningful as sports.

    • Physical activity's impact on mental healthRegular physical activity, especially outdoors, can significantly improve mood and reduce risk of various health conditions. Adults should aim for 150 minutes of moderate-intensity activity weekly and two muscle-strengthening activities.

      Regular physical activity, especially outdoors, has a profound impact on mental health, particularly in relation to depression and anxiety. Personal experiences and anecdotal evidence from patients show that even small increases in activity can lead to significant improvements in mood. Moreover, the benefits of physical activity extend beyond mental health, reducing the risk of various conditions such as diabetes, heart disease, osteoarthritis, and even certain types of cancer. According to the guidelines, adults aged 18 and above should aim for at least 150 minutes of moderate-intensity activity per week, along with two muscle-strengthening activities. If exercise could be packaged into a pill, it would likely be the most widely prescribed and beneficial medicine due to its extensive health benefits.

    • Assessing physical activity intensity with the talk testThe talk test is a simple way to determine the intensity of physical activity based on individual ability. During vigorous activity, conversation becomes difficult, while moderate activity allows for easy conversation. Prolonged periods of sitting pose significant health risks, and it's essential to find ways to incorporate movement throughout the day.

      The talk test is a simple and effective way to gauge the intensity of physical activity based on individual ability. During vigorous activity, you may not be able to carry on a conversation due to heavy breathing. Moderate activity, on the other hand, allows for easy conversation while still providing health benefits. The talk test is more personalized and relatable than the term "moderate," which can be vague. It's important to remember that even if someone is active during the day, prolonged periods of sitting are still considered sedentary and pose health risks. In fact, around 78 days a year in the UK are spent sitting, and about 64 days are spent watching TV. Traditionally, patients with conditions like COPD and heart failure were advised to rest after a heart attack, but now it's understood that not exercising comes with significant risks. The risks of being sedentary are substantial, and it's crucial to find ways to incorporate movement throughout the day.

    • Health Risks of Excessive Sitting and Sedentary BehaviorProlonged sitting increases the risk of heart disease and death. Simple hacks like using a standing desk, taking frequent breaks, and incorporating physical activity can help reduce sedentary behavior and improve overall health.

      Excessive sitting and sedentary behavior pose significant health risks, including increased risk of heart disease and death. Studies show that markers associated with disease, such as high cholesterol, triglycerides, and low HDL levels, are linked to prolonged sitting. Furthermore, spending over 10 hours a week in a car or over 23 hours a week being sedentary increases the risk of heart-related death by 84% and 64%, respectively. To combat this, simple hacks like using a standing desk, taking frequent breaks to move around, and incorporating physical activity into daily routines can help improve overall health and reduce sedentary behavior. Additionally, being active, even in small ways like standing or moving around, can stimulate the brain and improve learning and memory.

    • Physical Inactivity: A Significant Health Issue in the UKPhysical inactivity affects a large proportion of the UK population, particularly children, with significant costs to the NHS. Low cardiorespiratory fitness, a major contributor to death, is difficult to measure, but initiatives like Park Run and incentives for active practices can help.

      Physical inactivity is a significant issue in the UK, affecting a large proportion of the population, particularly children. About 19% of men and 26% of women are physically inactive, with 33% of men and 45% of women not active enough for good health. Even more alarming is that 79% of boys and 84% of girls aged 5 to 15 are not meeting physical activity guidelines. The consequences of this inactivity are substantial, with estimates suggesting that the cost to the NHS could be as high as £20 billion a year. Research shows that low cardiorespiratory fitness, which can be measured on a treadmill test, is the biggest contributing factor to death, even surpassing the risks associated with smoking, diabetes, and hypertension. Given the importance of fitness, there is a case for the NHS to screen for it more actively. While screening for certain conditions like hypertension and diabetes is well-established, measuring cardiorespiratory fitness is more challenging. Initiatives like Park Run, which encourages community-based physical activity, can help address this issue. Incentives for practices that promote activity, such as partnerships with organizations like Park Run, should also be encouraged.

    • Community initiatives like Park Run boost health and wellbeingRegular community activities reduce inflammation, improve mental health, and inspire transformative journeys.

      Community initiatives, such as participating in activities like Park Run, can significantly improve people's health and wellbeing. These initiatives not only help reduce loneliness and social isolation but also have biochemical benefits. At a cellular level, regular exercise helps reduce inflammation by decreasing visceral fat, which is an inflammatory agent. Additionally, it has anti-aging effects. Furthermore, these community initiatives can lead to incredible transformations in individuals' lives, from improving mental health to inspiring them to run marathons. The importance of community-based activities, especially in addressing loneliness, cannot be overstated. As a GP, witnessing the impact of social isolation and loneliness on patients of all age groups, it's crucial to prioritize initiatives that foster collaboration and group activities to improve overall health and wellbeing.

    • Regular Exercise Reduces Inflammation and Boosts Cell HealthExercise reduces inflammation by producing anti-inflammatory cytokines and suppressing harmful TNF alpha. It also maintains healthy mitochondria, which produce energy and prevent cell damage.

      Being active reduces inflammation in the body, which in turn can help prevent various chronic diseases such as diabetes, high blood pressure, cardiovascular problems, and dementia. This is due to the production of anti-inflammatory interleukin 6 during exercise, which suppresses the production of harmful TNF alpha. Additionally, being active stimulates the production of other anti-inflammatory cytokines. Furthermore, regular exercise can lead to a reduction in inflammation markers such as CRP, contributing to overall health and potentially even reversing metabolic diseases. Another key takeaway is the importance of healthy mitochondria for cell function and longevity. The mitochondria, known as the "batteries" of cells, produce energy but also generate reactive oxygen species. In normal situations, the body can deal with these species, but if we're inactive, a build-up of these reactive oxygen species can damage the mitochondria, disrupt cell function, and even lead to cell death. Therefore, regular physical activity is essential for maintaining healthy mitochondria and overall cell health.

    • Maintaining mitochondrial health through regular exerciseExercise, especially a balanced routine of HIIT, endurance, mobility, and flexibility workouts, supports mitochondrial health, leading to improved energy levels, better aging, and increased mitochondrial size and number.

      Maintaining mitochondrial health is crucial for optimal cellular function and overall wellbeing. Regular physical activity contributes to this by releasing excess charges in the mitochondria, reducing reactive oxygen species buildup, and promoting mitochondrial biogenesis. This leads to improved energy levels, better aging processes, increased number and size of mitochondria, and even longer telomere length. While there are benefits to various types of exercise, it's essential to maintain a balanced routine, including both high-intensity interval training (HIIT) and endurance training, as well as mobility and flexibility exercises. Contrary to popular belief, there isn't a significant difference in weight loss between HIIT and steady-state cardio for individuals within normal weight ranges. Instead, the primary benefits of HIIT come from increased fitness levels. It's important to remember that all forms of exercise have their merits, and a balanced approach is key to overall health and wellbeing.

    • Choosing the right exercise for stressful daysRegular exercise, especially activities like yoga, stretching, and long runs, can help reduce stress and offer significant health benefits, including reduced risk of dying from various types of cancer.

      Finding the right type and timing of exercise that suits an individual's schedule and preferences is crucial for maintaining a healthy lifestyle. High-Intensity Interval Training (HIIT), while convenient and effective, may not be suitable for everyone, especially on stressful days. Instead, activities like yoga, stretching, or long runs can offer relaxation and stress relief. The benefits of exercise extend beyond physical health, with studies showing significant reductions in risk of dying from various types of cancer for those who are active. For example, prostate cancer patients reduce their risk by 30%, breast cancer patients by 40%, and colorectal cancer patients by 50%. As healthcare practitioners, it's essential to encourage patients to find enjoyable and sustainable forms of physical activity to improve overall health and wellbeing.

    • Exercise and cancer: A crucial component in holistic careRegular exercise reduces mortality rates for cancer patients by impacting hormones, inflammation, and immune system, and also positively affects mental health.

      Encouraging physical activity for cancer patients is not only beneficial for improving functionality and ensuring quality years, but it also reduces mortality rates. This reduction in death statistics is linked to various factors including the potential impact on hormone levels, chronic inflammation, and the stimulation of natural killer cells in the immune system. Additionally, exercise has been shown to positively affect mental health by producing brain-derived neurotrophic factors and releasing endorphins, acting as natural antidepressants. The impact of exercise on cancer recurrence and prevention, as well as its positive effects on mental health, make it a crucial component in a holistic approach to cancer care.

    • Incorporating physical activity into daily lifeStudies show that physical activity interventions can improve physical and mental health, even small changes can lead to significant improvements, and simple steps can help people be more active towards the recommended 150 minutes per week.

      Incorporating physical activity into daily life can have significant positive effects on both physical and mental health. Studies suggest that activity interventions can be as effective as medication, and they offer additional benefits such as improved mental health, reduced risk of dementia, and even a decrease in depression. The good news is that even small changes, like a 1-hour exercise intervention per week, can lead to substantial improvements. To encourage people to be more active, it's essential to understand their lifestyle and find ways to incorporate activity into their daily routines. Simple steps like walking part of the way to work or getting off public transportation a few stops earlier can make a big difference. The ultimate goal is to aim for the recommended 150 minutes of moderate activity per week, but any increase in physical activity is beneficial.

    • Encouraging the Inactive to Start MovingIncorporating small amounts of physical activity can have significant positive impacts on health. Apps and resources like NHS Couch to 5k can help motivate and guide individuals as they gradually increase their activity levels, benefiting both physical and mental health.

      Starting from a sedentary lifestyle and incorporating even small amounts of physical activity, such as a 1-minute workout or a daily walk, can have significant positive impacts on health. Dr. John emphasized the importance of reaching and encouraging those who are inactive to begin moving, and apps and resources like the NHS Couch to 5k can be helpful for motivating and guiding individuals as they gradually increase their activity levels. Additionally, the benefits of exercise extend beyond just physical health, improving mental health, cancer risk, and diabetes management. The key is to incorporate a variety of exercises and find what works best for each individual.

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    🥗 Join the newsletter and 7 day meal plan

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    *The Doctor's Kitchen App gives you access to all of our recipes, with specific suggestions tailored to your health needs and new recipes added every month. We’ve had some amazing feedback so far and we have new features being added all the time - check it out with a 14 day free trial too.


    Do check out this week’s “Eat, Listen, Read” newsletter, that you can subscribe to on our website - where I send you a recipe to cook as well as some mindfully curated media to help you have a healthier, happier week.


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    🎬 Watch the podcast on YouTube here

    📱 Download The Doctor’s Kitchen app for free*

    🌐 View full show notes, including guest details, on our website


    *The Doctor's Kitchen App gives you access to all of our recipes, with specific suggestions tailored to your health needs and new recipes added every month. We’ve had some amazing feedback so far and we have new features being added all the time - check it out with a 14 day free trial too.


    Do check out this week’s “Eat, Listen, Read” newsletter, that you can subscribe to on our website - where I send you a recipe to cook as well as some mindfully curated media to help you have a healthier, happier week.


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    #257 The Surprising Benefits of Vinegar with Dr Rupy

    #257 The Surprising Benefits of Vinegar with Dr Rupy

    Vinegar shots, gummies and acetic acid based drinks are everywhere. But what’s the evidence behind them and can they live up to the claims of improving blood sugar regulation, prevent type 2 diabetes and even lowering cholesterol.


    Well the team and I decided to deep dive into this subject and we found some surprising results. Is it worth a shot, listen on to find out our take on vinegar for health benefits and how to source and prepare your vinegar if you’re interested in giving it a go yourself!



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    *The Doctor's Kitchen App gives you access to all of our recipes, with specific suggestions tailored to your health needs and new recipes added every month. We’ve had some amazing feedback so far and we have new features being added all the time - check it out with a 14 day free trial too.


    Do check out this week’s “Eat, Listen, Read” newsletter, that you can subscribe to on our website - where I send you a recipe to cook as well as some mindfully curated media to help you have a healthier, happier week.


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    We would love to get your feedback on the subject matter of these episodes - please do let me know on our social media pages (Instagram, Facebook & Twitter) what you think, and give us a 5* rating on your podcast player if you enjoyed today’s episode





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    How easy it is to miss the Menopause

    How easy it is to miss the Menopause


    Today’s snacksize Doctor’s Kitchen podcast is about how Dr Louise Newson figured out she was menopausal.


    Why women struggle with weight during and after the menopause,  is the key question I’m put to Dr Louise Newson on #223 What Women need to know about the Menopause.


    But during this episode, Louise told me the story of how she figured out that she was menopausal, and despite being a specialist, an experienced GP she still missed the key obvious signs.


    🎬 Watch the podcast on YouTube here


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    Related Episodes

    How do I Look Great and Feel Great?

    How do I Look Great and Feel Great?
    To learn more about The Flex Fam Membership, visit https://theflexfam.com/ Join Rachel’s weekly newsletter: https://www.metflexlife.com/newsletter  In this episode, Rachel discusses practical tips for both well-rounded nutrition and consistent physical activity. Rachel Gregory is a Board-Certified Nutritionist, Strength and Conditioning Specialist, Podcaster, and founder of MetFlex Life. She is also the author of the international best-selling book, "21-Day Ketogenic Diet Weight Loss Challenge." Rachel received her Master’s Degree in Nutrition & Exercise Physiology from James Madison University and Bachelor’s Degree in Sports Medicine from the University of Miami. Rachel completed the first-ever human clinical trial looking at the effects of the Ketogenic Diet in non-elite CrossFit athletes, which is published in the International Journal of Sports and Exercise Medicine.

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    Exercise - Series 3 preview

    Exercise - Series 3 preview

    Drs Chris and Xand van Tulleken investigate the science of exercise and the dangers of inactivity.

    Is modern exercise a wellness cult? Or is it a vital cure for a world that’s struggling with ill health and stuck on the sofa? Most of us might like to get a bit fitter, but how easy is it to actually start exercising and give up sedentary habits?

    In this series Drs Chris and Xand van Tulleken examine exercise and how best to do it. How much should we be doing? How does it help our bodies? And how does our surrounding environment stand in the way of us getting fitter? Chris is challenged to examine his scepticism towards exercise. Similarly, Xand is asked to look at his new-found exercise evangelism and see what he is really running from.

    Recently Xand has discovered the joys of physical activity. He’s running, cycling, heading to the gym and playing ping pong like never before. It’s been a real transformation and a way to keep on top of things after years of unhealthy living.

    His twin brother Chris, on the other hand, is really feeling the aches and pains of middle age. With a busy job and a young family, he has precious little spare time for exercise. After a very active period in his 20s and 30s, Chris is now embracing his ‘Dad bod’ and sliding into a creaky middle age. Xand wants to help him turn things around. Can he do it?

    The box set is available now on BBC Sounds.

    #381 Why Your Brain Wants You To Be Anxious, Lazy & Fat (And What You Can Do About It) with Dr Anders Hansen

    #381 Why Your Brain Wants You To Be Anxious, Lazy & Fat (And What You Can Do About It) with Dr Anders Hansen

    I think it’s fair to say that human beings have got it pretty good. Compared to most of our evolutionary history we have never been richer, safer, or lived longer lives. Yet, despite that, more of us are struggling with our health than ever before. What’s going on? This is the question that my guest today has spent years trying to answer.

     

    Dr Anders Hansen is a Swedish psychiatrist, a globally renowned speaker with his own TV series exploring the human brain and he is also the author of multiple bestselling books, including his latest two The Happiness Cure and The Attention Fix.

     

    He believes we can start to understand the struggles of modern life by looking to the brain, where our emotions are created. The brain did not evolve for intelligence, creativity or even happiness. Its sole purpose is to help us survive and reproduce – to make it to tomorrow, alive. We have inherited the evolutionary defence mechanisms that kept our ancestors hyper alert, fearful, and able to evade danger.

     

    The trouble is that modern life has evolved at a pace our genes and brains have been unable to match. So today, these incredible survival skills that once helped us, now show up as unwanted feelings like chronic anxiety, distractibility, an urge to overeat, under exercise and even gamble. We often see these as mental health failings – something broken that needs to be fixed, says Anders. But when you look at them through the lens of evolutionary psychology, these behaviours all start to make perfect sense.

     

    We no longer live on the Savanna: we live in a world of abundance and super-stimulation – and, if we want to thrive, we need to work against our brains’ natural instincts.

     

    Easier said than done? Perhaps, but this conversation contains some excellent practical advice to get you started.

     

    Anders is someone who really wants all of us to learn how exactly our brains are wired -  so we can more easily understand ourselves and our daily behaviours. He is passionate, knowledgeable and a brilliant communicator. I thoroughly enjoyed my conversation with him, I hope you enjoy listening.


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    DISCLAIMER: The content in the podcast and on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.



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    Can Exercise Make You Smarter?

    Can Exercise Make You Smarter?

    For years, scientific evidence has suggested that there could possibly be a link between exercise and cognitive function. A new study in Scientific Reports analyzed the genetic data of over 350,000 people to determine whether or not regular physical activity can really improve our brain health. So can working out really make us smarter? What type of exercise is best for our brains?

    Here, University of Geneva senior researcher and study lead author, Dr. Boris Cheval, joins Move host Dr. Andrew Miners to explore the connection between movement and cognition, and to suggest how you can train your brain to love working out— whether or not you have that genetic predisposition to exercise.

    Check out the episode webpage for links and more info.