fitness · injury · Physiotherapy · research

Virtual physical therapy: not an oxymoron anymore

I love me some physical therapy. it has helped me come back from orthopedic surgery, injury, accident, wear and tear and repetitive motion-induced pains.

One of the things I love the most about PT (physio in Canada) is how much I learn about my body through interacting with my physical therapist, adjusting and changing exercises over time. We always talk about what’s become easier, what is still difficult, how different body parts and functions are changing over time, and how that affects my health and fitness goals and practices.

Last year, I spent 5 months in PT for sciatica that had gotten to the point where climbing stairs was painful, hip pain woke me up at night, and even walking right after driving hurt. Yes, I know, driving is the one of the worst things for our musculoskeletal systems. Whatcha gonna do…

By the end of that rehab period, I felt so much stronger and happier and functional and knowledgeable about my vulnerabilities, needs and resources. Yay! Thanks Julian and Louis!

Here’s the thing: PT/physio seems like exactly the kind of healthcare that needs to be in person, with two bodies present: patient and physical therapist. Recovery trajectories aren’t linear. They involve dips and surges, all of which require on-the-spot adjustments to exercise regimens.

So you wouldn’t think that anyone would even consider outsourcing PT/physio to something like AN APP.

But guess what? They have. Yes, I’m aware of the We’ve-got-an-app-for-that approach to healthcare, but I just got a most unwelcome update when my state employee healthcare overseers, MassGIC, started hawking a new app (this one is called Hinge Health), with the promise of ease, flexibility and no copays. They also included this on their website:

From their webpage: transforming how MSK pain is treated. and delivered. I don't think that's what they meant to say.
From their webpage: transforming how MSK pain is treated. and delivered. I don’t think that’s what they meant to say. But hey, I’m a fussy humanities professor…

To be sure, not all apps for all uses for all healthcare are ill-concieved. In a 2024 qualitative study of use of exercise apps for people managing osteoarthritis at home, both patients and therapists report convenience of the app over paper copies of exercises, increased accountability through digital reminders and ease of recording at-home exercise sessions. However, patients also reported problems with the quality of the apps, technical problems and security concerns about their personal data. Therapists reported concerns over compensation for interacting with patients over apps (that is, they frequently weren’t reimbursed for time spent with them) and overall a preference for paper exercises over app use.

For this company, I did a little sleuthing, and found that 37% of reviewers on TrustPilot, an independent reviewer site, gave it one star (i.e. bad bad bad). They cited aggressive marketing practices and also billing the patients when the service was explicitly covered by their insurance. Recall that having no copays was the primary appeal for patients. Sigh.

Technology continues to transform the way healthcare is delivered. I know this. And there are lots of advantages: increased access for those in less-resourced areas, ease and flexibility of access to information, tracking and accountability, and sometimes even cost.

One one size does not fit all. Some of us want and need in-person interactions with qualified health professionals for our care.

Also, when technology is poorly handled, those qualified professionals are either forced to do less or uncompensated work (e.g. emails, app chats, etc) or entirely supplanted by unqualified workers who must rely on canned materials to try to answer the complex questions of patients.

Which gets us to a bigger problem: trust.

I want healthcare that I can trust. And in order to trust it, I need to trust the healthcare providers. And in order to trust them, I personally need to see them in person, at least most of the time. Which sometimes can include telehealth, and sometimes may include email or patient portal messaging, and sometimes maybe even an app. But I need to know that my healthcare providers will provide me the access I need. Arguing with my phone is not how I want to spend my recovery.

I know, phone, it's not you, it's them... Thanks Konstantin S from Unsplash.
I know, phone, it’s not you, it’s them… Thanks Konstantin S from Unsplash.
fitness · research · Science

All the things they said/all the things they said(about exercise duration): this is not enough…

Some questions just never go away.

  • Are we alone in the universe?
  • What is the nature of consciousness?
  • How much exercise should I really get each week?

Conventional advice from convention health sources says that at least 150 minutes of moderate-to-vigorous exercise per week is important to maintain health. The CDC (the good-old-fashioned one, based on real health studies) says so here.

And it turns out almost half of adults in the US get that amount. Which is better than previous studies showed.

But wait– there’s new research out there telling us in no uncertain terms that we were wrong.

Yeah, stick figure and I are equally flummoxed by this news.
Yeah, stick figure and I are equally flummoxed by this news.

I know. I mean, we’ve written so many blog posts about how small intervals of physical activity, whether in short bursts or in longer increments, are a huge boost to health and well-being.

But all those things I said, all the things we said… this is not enough.

THIS IS NOT ENOUGH

@mviti.ae

FW // THIS IS NOT ENOUGH // #foryou #heatedrivalry #ilyarozanov #shanehollander #heatedrivalryedit // FAKE EVERYTHING// HEATED RIVALRY EPISODE 4

♬ original sound – mviti 🩺 🚒

According to a study published in the British Medical Journal last week, the 150-minute amount is more of a minimum threshold than a top-end goal for adult fitness. Here’s what Outside Magazine had to say about the study:

The researchers analyzed data from 17,088 participants in the UK Biobank, a large biomedical dataset and research resource, between 2013 and 2015. Study participants, with an average age of 57, wore an activity tracker on their wrist for seven consecutive days to record their normal activity levels.

During a follow-up of the participants after nearly eight years, 1,233 cardiovascular events (heart attack and stroke) were recorded. People, regardless of fitness level, who got 150 minutes of exercise each week had a nine percent reduction in cardiovascular event risk.

But to achieve substantial protection from cardiovascular events—defined as more than a 30 percent reduction in risk—the participants needed to log between 560 and 610 minutes of moderate-to-vigorous exercise a week. This works out to about nine to ten hours of weekly exercise. Just 12 percent of people in the study hit those numbers.

Right. So, if we don’t measure up, are we just doomed? One of the researchers hastily responds no, every type and amount of movement counts.

[Senior researcher on the study] Ziheng Ning also says it’s important to avoid looking at exercise as a pass/fail threshold. “Instead, think of it as a continuum: more movement generally produces greater protection, and fitness level matters,” he says.

What are we to make of this? There have already been a bunch of criticisms and responses to the published study. Among the objections are these:

  • the study collected data for only one week for participants, potentially not accounting for variation in exercise patterns
  • the participant group was largely white and able-bodied, so not applicable to the general population
  • this was an observational study, so no causation could be concluded

But the bigger objections were from health and fitness professionals who argued that the notion of “optimun” is relative to a baseline, and these vary for a lot of reasons and at different times in one’s life. Also, other studies show modest but significant health benefits for all sorts of physical activities, in all sorts of amounts and durations.

For my money, I don’t think activity or fitness is a continuum, where we slide forwards and backwards. Instead, I think we dip in and out, try on something for size, take a new sport out for a spin, chill out, loll about, dance around, and feel the occasional spring in our step. It’s about finding a cadence that works with the playlist our lives are running at the moment.

What’s your cadence this week/this month/this year/this decade/this life? I’d love to hear what you’re up to.

fitness · research · Research Roundup

Exercise Snacks: What the Latest Research Actually Shows

I love the term “exercise snacks.” It sounds fun, it’s easy to remember, and it reframes movement in a way that feels less intimidating than “you need to work out more.”

I mean on the one hand, there are gruelling ultramarathons of longer and longer distances, and on the other, there are snack-sized bites of exercise.

What’s not to love? Who doesn’t love a good snack?

(Actually the blog’s usual Sunday morning writer Catherine isn’t such a big fan.  She’s written that there is something about the term ‘exercise snack’ that rubs her the wrong way. )

Two new meta-analyses just came out with some solid findings on exercise snacks, and I followed up after they floated by repeatedly on my social media newsfeed, which is heavily fitness-oriented.

Here’s what I found, including what the research actually supports and what it doesn’t.

First, what counts as an exercise snack?

  • We’re talking genuinely short — 2–5 minutes of movement, repeated throughout the day
  • Activities using large muscle groups work best: stair climbing, brisk walking, bodyweight moves such as squats
  • The sweet spot in the research: moving for 2–5 minutes every 30–60 minutes of sitting
  • So basically: get up, move, sit back down, repeat

What the research supports

  • Exercise snacks improved cardiorespiratory fitness in physically inactive adults — and this finding had moderate-certainty evidence behind it, which in research terms is genuinely meaningful, not a hedge
  • Breaking up sitting improved blood flow and caused a small but real drop in systolic blood pressure — and these effects showed up acutely, meaning during a sitting session, not just over months of training
  • I find this part kind of amazing: your blood vessels respond to movement pretty quickly. You’re not just banking future health credits. Something is actually happening right now, while you climb those stairs.

What the research doesn’t support (yet)

  • There isn’t strong evidence yet that exercise snacks improve other cardiometabolic markers like blood sugar or cholesterol. The hype sometimes gets ahead of the data on this one
  • Muscular endurance benefits in older adults were limited in the evidence
  • These studies focused on physically inactive people — if you’re already active, the cardiorespiratory gains are less likely to be dramatic for you, though the sitting-break findings apply to pretty much everyone

One nuance I think is really worth flagging

  • Reducing total sedentary time and avoiding long uninterrupted sitting may matter independently of whether you’re doing structured exercise snacks
  • In other words: taking three short walks doesn’t entirely cancel out eight hours in a chair
  • The duration of uninterrupted sitting itself seems to affect vascular function — these are related but genuinely separate things
  • I know that’s not the most cheerful finding if, like me,  you have a desk job, but hey, sometimes the truth hurts

The bottom line

  • If you’re not currently exercising, exercise snacks are a genuinely evidence-supported place to start — especially for your cardiovascular fitness
  • If you sit for long stretches (hi, fellow desk workers), building in movement breaks every 30–60 minutes has real short-term benefits for your circulation, even if you’re otherwise active
  • Use the stairs when you can — it keeps showing up in the research as a particularly good option, and now I feel vindicated every time I take them, now that I can post knee surgeries!
  • And as always: I trust research that tells me what it doesn’t know, not just what it does

What I read: Effect of exercise snacks on fitness and cardiometabolic health in physically inactive individuals: systematic review and meta-analysis

Rodríguez MÁ, Quintana-Cepedal M, Cheval B, et al, Effect of exercise snacks on fitness and cardiometabolic health in physically inactive individuals: systematic review and meta-analysis, British Journal of Sports Medicine 2026;60:133-141.

“Moderate certainty of evidence indicated that exercise snacks improved cardiorespiratory fitness in physically inactive adults. However, evidence for benefits on muscular endurance in older adults was limited, and the current data do not support their effectiveness for improving other cardiometabolic health markers.”

🥞🧇🫐🍒🥐

What I read: Acute effects of “exercise snacks” during prolonged sitting on hemodynamics and peripheral vascular function: a three-level meta-analysis

Wang, H., Chang, Y., Wang, H. et al. Acute effects of “exercise snacks” during prolonged sitting on hemodynamics and peripheral vascular function: a three-level meta-analysis. Nutr Metab (Lond) (2026). https://doi.org/10.1186/s12986-026-01120-5

“Breaking up prolonged sitting with short bouts of physical activity (“exercise snacks”) acutely improves flow-mediated dilation and peripheral blood flow, and is associated with a small but statistically significant reduction in systolic blood pressure. Mean arterial pressure, diastolic blood pressure, and peripheral arterial diameter did not show consistent significant changes. Findings for shear rate and heart rate were sensitive to bias correction and should therefore be interpreted cautiously. Activity breaks involving large muscle groups (e.g., stair climbing), performed for 2–5 min every 30–60 min, may be particularly beneficial for vascular protection. Where feasible, reducing total sedentary time and avoiding prolonged uninterrupted sitting may also be important.”

Cover of the journal 'Nutrition & Metabolism' by BMC, featuring a red background with geometric shapes in various shades.
fitness · research

Some beginner minds are less in tune with reality, some maybe more so…

Finally, finals are over, and I’m doing a bushel of grading. The bulk of it is logic exams, which we now give on paper because otherwise, students would cheat using GenAI tools.

Argh. Sigh.

Speaking of logic, though, I’m reminded of one of my favorite cognitive biases: the Dunning-Kruger effect. This cognitive bias happens when we wildly overestimate our own knowledge or competence when we ourselves have very limited knowledge or abilities in some area.

I’ve used this graph when I teach this bias in class. What it lacks in technical jargon it makes up for in humor and clarity.

Graph whimsically showing beginner confidence as climbing the peak of Mount Stupid.
This graph whimsically shows beginners climbing the peak of Mount Stupid.

My favorite example of this is a result from 2019, where a poll showed that 1 in 8 British men (12%) believed that they could take a point off Serena Williams in play. By contrast, only 3% of British women polled held this belief. What explains the difference?

This article from 2025 on overconfidence in beginner sports players offers a few insights. The bad combo of overconfidence and low self-awareness alongside low competence that some beginners have results in low performance (and sometimes injuries or accidents).

But what about so-called “beginner’s mind”? Isn’t being a beginner supposed to free us from expectations and limitations? This article explains:

It’s dropping our expectations and preconceived ideas about something, and seeing things with an open mind, fresh eyes, just like a beginner. If you’ve ever learned something new, you can remember what that’s like: you’re probably confused, because you don’t know how to do whatever you’re learning, but you’re also looking at everything as if it’s brand new, perhaps with curiosity and wonder. That’s beginner’s mind.

In yoga classes, I try to maintain beginner’s mind (to go along with my beginner’s ability), even though I’ve been practicing for years. It’s just more fun for me, taking it one pose at a time, exploring what it’s like (including the difficulties and physical limitations of my own musculature and range of flexibility) to do some pose or other.

Except for hero pose. I cannot now, nor have I ever been able to do that one. Go ahead, judge me.

This post came about not just because I’m trying to distract myself from grading, by the way. I saw this YouGov poll in which Americans were asked if they thought they could beat Donald Trump in a fistfight. Turns out that more Democratic women respondents believe they could beat Trump in a fight than Republican men respondents. Here’s the data:

71% of Democrat women think they could beat Trump in a fight, compared to 46% of Republican men and 19% of Republican women.
71% of Democrat women think they could beat Trump in a fight, compared to 46% of Republican men and 19% of Republican women.

So my question I leave you with, dear readers is: Is this Dunning-Kruger effect, some form of beginner’s mindset, or are lots of women fed up with Trump and locked and loaded for a one-on-one showdown? You make the call…

Happy Wednesday!

fitness · research · Science

Does exercise before breakfast burn more fat than exercise after dinner? And do we need to worry about this?

A 2025 study on fat oxidation rates and exercise timing is getting more press on social media this week. Because why not… 🙂 Here’s the deal:

In a study of (yes, you guessed it) male college students, researchers found that 60 minutes of morning exercise before breakfast, after fasting all night, resulted in 20% higher fat oxidation rates than an hour of the same exercise after eating dinner.

Uh, yay?

Actually, I think the more appropriate reaction here is: meh.

the word "meh" against a red background.
It bears repeating: meh.

Why am I not excited about this? I mean, it’s SCIENCE.

Yes, that’s so. It’s real science done by real scientists, on real experimental young male subjects. And, this is a real result. But, it doesn’t mean that we should all switch to exercising before breakfast. Why not? Here are some concerns of mine, plus some by the commenters:

  • The purpose of exercise is not necessarily to lose fat– we exercise for a host of reasons, and possible fat reduction is only one of them.
  • Fat oxidation does equal fat loss. In order to lose fat, there has to be a calorie deficit in addition to fat oxidation.
  • Some commenters argued that the results are largely due to the fact that the subjects had fasted before exercise; there’s no indication in the study that the time of day mattered (other than it’s easier to fast while sleeping– I don’t actually need a scientific study to assert this with confidence).
  • The metabolic effects on a busload of twenty-something males are not necessarily applicable to the larger population. And in particular, we know that metabolic effects of exercise vary by gender, so this result may not apply in the same way to everyone.

However, my main point is: newsy stories about studies that suggest “you oughta exercise like THIS rather than like THAT” ignore the value of just getting out there– to your neighborhood, living room, gym, yoga studio, pond, wherever you like to be while moving. Feel free to move wherever and whenever suits you.

And while we’re at it, moving before breakfast is something I plan on doing only if a bear is chasing me. Or if one of my friends (Samantha and Janet, I’m looking at y’all) manages to talk me into a very early-morning adventure. But even then, I’ll need snacks.

I love me some choices for exercise snacks. Granols bars, trail mix, chips. Thanks Nathan D for Unsplash.

fitness · research · Science

Research roundup: blurbs on new bits of possible knowledge about fitness

Hi readers– starting this month, I’ll be posting a research roundup– a selection of information about new studies out that may be of interest to us (or not), of relevance to us (or not), and whether we should pay attention to them (or not).

Usually I’ll be posting on the third Wednesday of the month, but this is a special Friday edition. Woo-hoo! So here goes…

We get this message from time to time, but luckily for us (well, me, at least), science is still saying that:

Messaging saying "thick thighs save lives". Yay!
Messaging saying “thick thighs actually do save lives”. Yay!

So what could this mean, exactly? Here’s some info from the HumeHealth Instagram post:

Large population studies have consistently found that lower-body strength is one of the strongest predictors of mortality ever identified in human health research.

And the relationship holds even when researchers control for:
• age
• body weight
• cardiovascular fitness
• physical activity

In other words: strength itself matters

We know that there are lots of simpler tests and functions that can serve as proxies for more complicated physiological tests and body functions; lower-body strength seems to be one of those.

We hear debates about intensity vs volume in exercise, and some recent reseearch suggests that intensity has more impact than volume. This 2026 article says so, in fact.

But, consistency matters, too. At least in resistance training, says this guy (who seems really happy, maybe because he got on the news?)

This is Stuart Phillips, who is psyched to tell you the results of his research study.
This is Stuart Phillips, who is super-stoked to tell you the results of his research study.

“The best resistance training program is the one you’ll actually stick with,” says Stuart Phillips, distinguished professor in the Department of Kinesiology and an author on the Position Stand. “Training all major muscle groups at least twice a week matters far more than chasing the idea of a ‘perfect’ or complex training plan. Whether it’s barbells, bands, or bodyweight, consistency and effort drive results.”

We already sort-of-knew that science believes that exercise helps our brains in a bunch of ways– maybe it helps stave off cognitive decline, boost memory and reasoning, and loads of other things. You can read a CDC overview about brain benefits of exercise if you want a deeper dive.

But what about the other way around?

Which way does the causal arrow go? Maybe both ways! Thanks Ian Taylor of Unsplash for the pic.
Which way does the causal arrow go? Maybe both ways! Thanks Ian Taylor of Unsplash for the pic.

In a recently published study, researchers found a connection between a group of neurons in the hypothalamus and capacity for boosting physical endurance in workouts over time.

IN MICE.

What? Well, here are some of the details:

[Researchers] worked with mice that underwent a rigorous exercise training program. They ran five days a week on a [teeny] tiny treadmill, with a single weekly long run that increased in speed. This training significantly raised their endurance, which peaked about three weeks into the program.

The researchers found that some SF1-producing neurons had an uptick in activity. As the training program continued, these neurons became increasingly active, seemingly forming a kind of “memory” of past exercise.

When these neurons were blocked from firing in mice after their exercise programs, their endurance capacity did not rise. Taking the opposite tack, artificially increasing the firing of SF1-producing neurons after their exercise programs led to continued endurance improvement even at the three-week mark, when it typically plateaued in mice with normal SF1-neuron firing rates.

Apparently the brain does something. And the brain stuff happens as the mouse is on the teeny-tiny treadmill. That’s all I got.

All this is very well and good, BUT: is anyone actually lacing up the sneaks and getting out there? Turns out, yes.

A CDC report released April 7 finds that nearly half of all US adults get the recommended level of physical activity. Here are some details:

  • In 2024, 47.2% of adults age 18 and older met the federal guidelines for aerobic physical activity, with men being more likely to meet the guidelines (52.3%) than women (42.4%).
  • The prevalence of meeting the federal guidelines for aerobic physical activity increased with increasing education level.
  • Adults living in the West were more likely to meet the federal guidelines for aerobic physical activity compared with those in other regions.
  • Aerobic physical activity was higher among adults without disabilities (49.8%), those with healthy weight (54.8%), and those with excellent or very good health (57.8%).

This is good news, as it shows an uptick in levels of physical activity, which (as we know) is good for a lot of things. Now, the fact that prevalence was lower among higher-weight folks and adults with disabilities shows (in my view) that we need more programs and more access and fewer structural barriers to physical activity for all of us. Don’t you agree?

A bunch of people playing with ribbons, doing gymmastics in a gym. Looks like fun.
A bunch of people playing with hula hoops, doing gymmastics in a gym. Looks like fun.

That’s it on the blurbs for now. See you all next month. If you have a request for comments or blurbs on any new research you come across, post it on our social media pages or add a comment down below.

fitness · research

Research Roundup: more vacations, not fewer sweets, and early to bed are all good for us?

Wondering what science has been up to while you’ve been working, working out, sleeping, cooking, streaming? Here are a few science news bits and bobs for your reading pleasure.

First up, great news that we already knew, but science is in our corner: people need 7 vacations a year to reduce stress. Well, duh. But hey, if science says so, maybe work and life will follow? One can always hope… You can find some studies here and here.

Nothing says vacation to me like flamingo floatie. BY Vicko Mozara for Unsplash.
Nothing says vacation to me like flamingo floatie. By Vicko Mozara for Unsplash.

New research suggests that cutting sweets doesn’t actually reduce cravings. Here are some details:

A new clinical trial found that adjusting how sweet a person’s diet is does not affect how much they enjoy sweet foods. Whether people ate more or less sweet-tasting items, their preference for sweetness stayed the same.

The study also found no meaningful differences in markers linked to heart disease or diabetes. Over six months, participants who increased or reduced their intake of sweet foods showed similar results across all health measures.

Interesting… Very interesting.

Here’s one that’s not particularly good news for me: a FB post cited a study saying that earlier bedtimes translate into greater longevity.

A recent study reveals a fascinating connection between sleep habits and longevity: people who go to bed before 10 PM live, on average, 6 years longer than late sleepers. Prioritizing early, consistent sleep supports the body’s natural circadian rhythm, improves hormone regulation, and strengthens the immune system.

Early bedtimes help the body repair tissues, consolidate memory, and detoxify the brain. Sleeping late disrupts these processes, leading to higher risks of chronic diseases, cognitive decline, and overall lower life expectancy. Studies also show that people who sleep early often maintain better heart health, stable metabolism, and reduced stress levels.

But I’m a bit skeptical about this. Digging a little deeper, we see that getting even a little more sleep (25 minutes, for example), can confer health benefits both short-term and long-term. We sort of knew that. And, lots of people work on earlier schedules, which means that early to bed and early to rise is a good plan.

BUT BUT– being a night owl when you don’t have to rise early doesn’t seem to be as harmful IF it’s not a symptom of sleep disorder, alcohol or substance use disorder, or depression. (I say this as a completely impartial night owl myself).

I don’t have a scientific study to back me me, but I think sleeping in this condition is to be avoided generally, mainly because it looks very uncomfortable.

This person should seriously consider changing into pajamas.  They are trying to sleep in a hoopskirt.
This person should seriously consider changing into pajamas.

Happy week, dear readers!

fitness · nutrition · research · Science

I love coffee, I love tea; when it comes to dementia risk, they love me

Yes, yet another study has come out linking some food/beverage product to increased/decreased risk of something-or-other. In this case, however, it’s about how coffee (and also tea) lower dementia risk and modestly better cognitive function.

I’ll drink to that.

The eight shades of coffee.Thanks Nathan D from Unsplash for the photo.
Many shades of coffee.Thanks Nathan D from Unsplash for the photo.

These results were drawn from very large cohorts of healthcare professionals in the UK that have tracked behaviors and conditions over 40+ years. So this is not a randomized controlled trial. Still, this is how researchers find connections between habits like drinking coffee and health outcomes. So, what did they find this time?

There was a statistically significantly reduced dementia risk, with lowered risks for higher caffeine intake (up to 4 cups a day of coffee, 2–3 of tea; no improvements reported for higher daily intake).

There were very modest reductions in subjective cognitive decline (self-reported by participants) and objective cognitive decline (performance on cognitive tests) in the caffeine consumers. Again, the reductions increased along with caffeine intake, but hit saturation at 4 cups of coffee a day.

A notable fact about this study is that they were able to distinguish the effects of caffeinated coffee and tea (vs. decaf beverages). Caffeine is reported to be neuroprotective and anti-inflammatory (I could insert fancy text from the study, but trust me, it’s very science-y).

But, we also know that caffeine is NOT good for everything that ails us. It can affect sleep quality and cause all sorts of bad upper GI symptoms. But not everything that’s good in one way is good in all ways. That’s simply not coffee’s fault.

So, all’s I’m saying is, Coffee doesn’t drink coffee; people drink coffee…

Oh, and one more thing: I love this ditty– Java Jive– performed here by the Manhattan Transfer. Enjoy with a steaming mug.

fitness · research · Science

Mini research roundup: new studies show exercise is good for you

News flash: some recent studies out this month strongly suggest that physical activity is beneficially for health.

Yes, I'm as shocked as she is. By Alexanders Krivitskiy for Unsplash.
Yes, I’m as shocked as she is. By Alexanders Krivitskiy for Unsplash.

Now that you’ve had some time to get used to this new-new fact, here are a couple of studies with not-surprising results about fitness and health.

Strength training before endurance training confers more benefits (IN MEN).

A study of 45 young men found small changes in bone health, body composition and overall physical fitness by switching up the order of strength training and endurance training (lifting weights first, then running).

As Miss Manners likes to say, how nice for them.

Small changes in physical activity make a big difference in overall mortality-risk (when you’re looking at the population-level).

Again, the messages here are clear: small increases in moderate-to-vigorous physical activity and 30-60-minutes decreases in sedentary time daily reduce mortality risk from 3% (cutting sedentary time) to up to 10% (increasing physical activity by 10 minutes a day in certain subpopulations– it’s a little complicated here). But this is the bird’s eye view, meaning this holds for big populations and not at the individual level. You can peruse the actual study here (in your copious free time, but maybe stand up while doing it…)

One wonders: does putting your hands in the air like you just don't care count as moderate physical activity? Thanks Handon Lu for the picture (from Unsplash.)
One wonders: does putting your hands in the air like you just don’t care count as moderate physical activity? Thanks Hanson Lu for the picture (from Unsplash.)

Stay tuned for more breaking news at Fit is a Feminist Issue!

fitness · research · Science · sleep

Are they coming for the naps now? No. Not over my sleeping body.

In my view, medical research gets a lot right. We have good evidence that, for instance:

  • ultra-processed foods contribute to health markers that are linked to a variety of serious illnesses (like cardiovascular disease, some cancers, and type 2 diabetes)
  • physical activity is one of the best things we can do for our health, longevity and well-being, across the lifespan
  • developing and maintaining social connections of all sorts helps us maintain wellness and address issues in our own mental and physical health
  • sleep is a magical elixir that rejuvenates us and prepares us for the daily lives we want to lead (okay, the study didn’t use the words “magical elixir”, but they should have)

Here’s what Unsplash thinks healthy living looks like:

Unsplash endorses huge artichokes and hanging upside down more than the usual experts, but hey...
Unsplash endorses eating huge artichokes and hanging upside down more than experts, but hey…

We also know that some health claims are absolute nonsense, like:

  • sleeping with a bar of lavender soap in your bed will NOT help treat or cure restless leg syndrome ( Dr Mehmet Oz said this)
  • (fill in the blank) vitamin supplement NOT will cure (Alzheimer’s, cancer, Parkinson, COVID, etc.) medical condition (Oz promoted a bunch of these, too)
  • Using coffee as anything other than a delightful morning beverage is a BAD IDEA (the Cleveland clinic explains why, if you must know)
  • Virtually all advertised weight-loss products are BOGUS (trust me on this)
Yeah, no to all these things. Thanks, Markus Spiske for Unsplash.
Yeah, no to all these things. Thanks, Markus Spiske for Unsplash.

Let us now return to that magical elixir, sleep. Sleep feels good, does good, is good for us. Check, check, check. But what about its sweet cousin, the nap? Surely that delicious sleep snack must be a positive contributor to our lives, right?

I have to say that a somewhat recent scientific study came out, saying that daytime napping is associated with adverse health outcomes. In particular, it said:

Longer naps, greater intra-individual variability in daytime nap, and higher percentages of naps around noon and in the early afternoon are associated with greater mortality risks.

What?! Nonononononononononono!

Well, Prevention magazine thinks these scientists may be on to something. In this article, it asks the following scary questions:

Whoa. But don’t worry, Imma answer all these, one by one.

First, do some nap patterns increase our risk of death? No, not really.

The study looked mainly at the timing and variability of naps taken by older adults in the UK. It found oh-so-small increased risk for those who took naps at different times of day, for those who took longer naps, and for those who varied the length of their naps (which averaged 24 minutes daily).

BUT (and it’s a big but)…These results varied by gender (men seem more affected than women), by what time people arose in the morning, what time of day they tended to take their naps, how much they slept in general, and how much physical activity they got during the day. See this study for more details. And they failed to show any clinical association, just a small statistical one.

So napping isn’t really associated with death. Okay, one down.

Second: why would napping be associated with death? It’s not, not really.

Some sleep patterns reveal underlying problems rather than cause them; sleep apnea and chronic insomnia, for instance, tend to be symptoms of a variety of health conditions that carry their own mortality risk factors. But we already knew this. One of the study authors conceded this:

“The napping and mortality relationship is complex and may be influenced by adverse or protective lifestyle factors (e.g., nutrition, physical activity, substance use), nighttime sleep patterns, and underlying sleep disorders, medical comorbidities, age, as well as sex and gender-related factors.”

HAH! Told you. Second one done away with.

I told you so. Such sweet words.
I told you so. Such sweet words.

We are now in the napping-is-not-deadly-blog-post homestretch. Prevention asked, timidly, how can the napping-death connection be broken? Easy. See below.

Just get some exercise. Any kind will do. Walking, jogging, shuffleboard, bike riding (outdoors or in), swimming, dancing, playing with friends and family, yoga, strength training, etc. Why does this help keep napping from killing us? Because the adverse napping pattern (not napping itself) is often a symptom of known risk factors (like drinking or unprescribed drug use) and known medical conditions.

So, once more with feeling: it’s not the napping, folks. I mean, if you want to optimize your napping patterns, feel free– there are lots of articles (like this, this, and this) offering tips, which may or may not be true.

I hope you enjoyed this post. Now you must excuse me– it’s time for my nap…

This dog is napping. Thanks Mittra Ronjoy from Unsplash.

Shhhh… Thanks Mittra Ronjoy for Unsplash.