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Alerts

FDA advises consumers to stop using any supplement products labeled as OxyElite Pro or VERSA-1. Please see the following advisories: FDA -10/08/13, FDA - 10/11/13 and CDC - 10/08/13.

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Announcements

New article on reporting side effects of supplements
Just published in The New England Journal of Medicine: A recent article brings up dietary supplement issues you need to be aware of and discusses how dietary supplement side effects could be monitored better. A PDF of the April 3rd article is available free online.

3rd International Congress on Soldiers’ Physical Performance
August 18-21, 2014
The ICSPP delivers innovative scientific programming on soldiers’ physical performance with experts from around the world.

DMAA list updated for April 2014

Fueling Performance Photo Campaign
Share photos of how you fuel your performance and be featured on our Facebook page!

Dietary supplement module
Earn continuing education credits (if eligible) for this two-hour online module.

Operation LiveWell

Performance Triad

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HPRC Blog

Welcome to the HPRC Blog. We've got lots of information here, from quick tips to in-depth posts about detailed human performance optimization topics.

HPRC Fitness Arena: Physical Fitness

Tips on tendonitis

Tendonitis results from damage to connective structures in your body. Learn more about it and get your body back in action.

You’ve been training, and now you’re in pain. It could be you’re having a painful introduction to one of your tendons. Strong tendons connect your muscles to the bones in your body and help you move by pulling on the bones when your muscles contract. Damage to tendons can occur from repetitive activities (including running and firing your weapon repeatedly over an extended period of time) or from sudden movements that put too much stress on a tendon. If you can’t avoid these activities, then pay attention to the warning signs that a tendon could be reaching its breaking point: pain, especially when moving the affected area; swelling over the area of pain; and, possibly, loss of motion in the joint.

The best way to avoid having to get treatment for tendonitis is to prevent it from happening in the first place! Follow these tips:

  1. Overall health: Maintain a healthy diet and weight, and check out HPRC’s Nutrition domain.
  2. Posture and body mechanics: Pay attention to your posture and make sure that you use correct body mechanics, especially when lifting and moving heavy objects.
  3. Maintain adequate muscle strength so your body can react to stresses you place on it.
  4. Maintain adequate flexibility.
  5. Consider proper workout gear, especially footwear; check out this HPRC article for more information.

How do get yourself back into your training program if you are suffering from tendonitis? The American Orthopaedic Society for Sports Medicine and the Cleveland Clinic recommend the following:

  1. Activity modification: Rest the affected area. This could mean taking some time off from activities that cause pain and further damage. For example, if you’re a runner with Achilles tendonitis, try biking instead until the tendon has healed enough.
  2. Ice: Cold can help to decrease pain and swelling.
  3. Physical therapy: Gentle stretching and strengthening exercises, as well as massage, might help but should be done under the supervision of a healthcare provider.
  4. Anti-inflammatory medications: Ask your physician about medications that can help your condition.
  5. Bracing or casting might be needed in severe cases.

You should see your doctor right away if you experience fever, redness, and warmth in the affected area, or multiple sites of pain. For more information on injury prevention, check out HPRC’s “Preventing common injuries,” which covers six specific areas of injury: wrist and hand, knee, ankle, rotator cuff, back, and IT band.

An app for U.S. Marines to HITT hard

Filed under: Apps, HITT, Marines
You can now access the Marine Corps’ HITT program on your smartphone.

The Marine Corps’ High Intensity Tactical Training (HITT) program is becoming more and more popular on Marine bases across the country. HITT is designed to enhance the operational fitness and optimize the combat readiness and resilience of U.S. Marines. You can now access the HITT library of exercises on the go: Download the HITT app from iTunes and Google play today!

Listen up!

Filed under: Hearing, Hearing loss
Hearing loss is a silent epidemic in the military, but it isn’t inevitable. When not around firearm explosions or helicopter noise, follow safe listening practices to help prevent hearing loss.

Veterans who served in the U.S. and abroad between September 2001 and March 2010 were four times more likely than civilians to suffer from severe hearing loss. In fact, two of the most common disabilities affecting service members today are hearing loss and tinnitus, says the Hearing Center of Excellence (HCoE). Hearing loss and tinnitus seriously impact force readiness as well as the emotional and social well-being of those affected.

However, not all hearing loss results from the noise pollution Warfighters experience in the field. Many everyday exposures, such as your MP3 player or loud music in your car, can be just as damaging as firearms or helicopters. To maintain good hearing and operational readiness, Warfighters must use safe listening practices at all times. HCoE recommends these safe listening practices:

  • Never listen to your MP3 player at maximum volume.
  • Following the “60:60” rule: 60 percent maximum volume on your MP3 player for no more than 60 minutes a day.
  • Take periodic breaks of 15–20 minutes when listening to loud music to allow your ears to recover.
  • Select headphones or earbuds designed to remove background noise.
  • Exercise caution when listening to music in the car. Listening in a confined space increases the risk of hearing damage.
  • Wear hearing-protection devices such as earplugs at concerts, sporting events, parades, and other high-noise situations.

For more information on how to protect your hearing, as well as treatment and rehabilitation for hearing loss, please read this article from HPRC and visit HCoE.

Treat your feet right!

Filed under: Feet, Footwear
Hiking and marching and training in boots can be problematic if you don’t take care of your feet. It’s time to give some TLC to a neglected—but important—part of your body.

You may not think about your feet much, but you should. The condition of your feet can make or break a ruck march, hike, or any other physical activity, especially ones that involve wearing boots. There are easy steps you can take to keep your feet blister-free, fungus-free, and in optimal shape for the many demands you put on them. Take a few minutes to self-examine your feet for any obvious problems. Military OneSource offers great advice on foot hygiene and the correct use of socks and boots. Something as simple as tying your boots correctly can prevent foot problems down the road!

Attention! Announcing the Army’s “Performance Triad”

Find out what the Army is doing to help you improve your physical fitness, develop better nutrition habits, and get a more restful night’s sleep with the new Performance Triad.

You’ve heard of “Army Strong?” As part of the Ready and Resilient campaign, the Army is rolling out its new Performance Triad as a “pathway to a fit and healthy force.” The triad consists of sleep, physical activity, and nutrition and provides online tools and information such as the Performance Triad Training Sessions (videos and websites packed with details to help you do everything from preventing injuries to choosing dietary supplements), cards with practical tips to become healthier and stronger, and a whole lot more. The Soldier's Guide is a good place to start; it includes numerous links to HPRC and other sources of information. Go ahead and start optimizing your health and performance today!

For more information on integrative practices and programs, check out HPRC’s Total Force Fitness domain.

Performance Strategies for injury prevention

An ounce of prevention is worth a pound of cure. Check out our performance strategies for preventing common military injuries.

Injury prevention is critical in maintaining optimal performance and operational readiness. Ankle sprains, knee pain, and back pain are very common injuries in the military. Take the time now to protect yourself from injury, and you’ll be glad you did later. Read our performance  strategies to help fend off common military and athletic injuries, compiled from our recent injury prevention series of posts.

A big name for a common knee problem

One very common cause of knee pain has a fancy name, but avoiding it can be quite simple if you follow some important advice.

Chondromalacia is a knee problem that can have a number of different symptoms, including pain. It can your ability to exercise, but even more problematic is that it can interfere with your ability to meet the demands of your military duties.

Here’s the basic rundown on chondromalacia: In a healthy state, the kneecap has soft cartilage beneath that allows the bone to glide smoothly against the other bones of your knee joint. When the smooth surface wears away, the back of the kneecap becomes rough and rubs the other bone surfaces, causing pain. The key to avoiding this condition is maintaining that smooth surface.

According to the American Academy of Orthopaedic Surgeons, muscle weakness, imbalance, or tightness in the thigh muscles can contribute to chondromalacia. It’s important to maintain strength in your quadriceps and hamstring muscles; follow a strength-training program to develop and maintain strong muscles. Also, make sure that you have enough flexibility in your quads; if the muscles and tendons are too tight, they can force the kneecap to move or “track” incorrectly in the natural groove of your knee joint. If you do a lot of running, make sure your footwear isn’t old and worn, because the shock-absorption of shoes decreases as they age. When it comes to knee pain, an ounce of prevention is worth a pound of cure. Strengthen and stretch your muscles, and you’ll be on your way to keeping your knees ready for action.

A snappy way to get into shape

Snap into shape! Learn about the benefits of using elastic bands during resistance training rather than free weights or weight-machine exercises.

Anything can disrupt your usual workout routinesummer travels, PCS, deployments, or injuries. If you need a way to stay in shape whatever the snafu, give resistance bands a try. Resistance band training involves targeting particular muscles by pulling and stretching elastic bands. Resistance bands come in different shapes, sizes, and even colors. Some look like oversized rubber bands; others look like cables or tubes. Depending on the length and type, these bands provide progressive resistance throughout various exercises. Unlike free weights, resistance bands also can be used to target key movements, such as a golf swing or a tennis serve. This focuses the exercise on targeted areas and can lead to stronger, more powerful muscles.

Resistance-band training has been studied for all types of people and for different types of activity levels, from NCAA Division I athletes to nursing-home patients. A study with people who were out of shape found that resistance exercises led to the same kinds of improvements in weight loss and strength as weight machines. In another study, athletes who trained with resistance bands were stronger and more powerful than those who used free weights alone. Resistance bands also can help improve muscle strength and range of movement after injury.

What’s more, resistance bands are relatively cheap, lightweight, and easily portable, so you can continue training even when you’re far from a gym. However, if you’re new to resistance bands, you need to learn to use them correctly to prevent injury and maximize your workout. If you’re interested in learning more about training with resistance bands, check out this pamphlet from the American College of Sports Medicine.

Stand up for your health!

You might consider yourself healthy since you get at least 30 minutes a day of exercise, but what you’re doing the rest of the day may have a greater impact on your health and performance.

You’ve heard it all before: You need to get at least 30 minutes of moderate to intense exercise each day to help prevent chronic disease and improve your health. But what do you do for the other 23½ hours? If the answer is sitting (or sleeping), then you might have what is known as “sitting disease.”

It sounds like a joke. Unfortunately, it’s not. If your typical day is spent sitting at a desk, sitting while commuting, sitting down for dinner and TV afterwards, and then going to bed, you’re putting yourself at a greater risk for chronic diseases such as heart disease, diabetes, high blood pressure, and even cancer. Studies consistently show that the more time you spend sitting or lying down, the greater your risk for chronic disease and early death. The simple act of standing up has even more physiological benefits when compared to sitting. The “active couch potato” phenomenon shows that even people who are relatively fit and meet the minimum requirements for daily exercise still exhibit risk factors for metabolic syndrome and other chronic diseases as sitting time increases. Sure, you might take the dog out for his morning walk, or maybe you even did PT before work; but the truth is that the more time you spend sitting the rest of the day, the greater the risk for disease.

You can see from the infographic below (from the American Institute for Cancer Research) that even those who engage in moderate amounts of exercise and physical activity are still at risk for cancer if 12 or more hours in the rest of their day is spent seated or lying down. The risk gets lower as people move more and sit less during the day.Make Time for Break Time Infographic [JPG]

Time is often a major reason that people say they don’t get enough exercise or physical activity during their day. It’s true that work can get busy, but it might just take a little creativity to turn it into a productive work AND physically active day. Here are some tips to help get you up and out of your fancy ergonomic chair.

  • Bike or walk to work if possible.
  • Take the stairs instead of the elevator (or at least partway if you work on a high-up floor).
  • Turn your meeting into a walking meeting.
  • Walk down the hall to give someone a message rather than email or call them.
  • Stand up while talking on the phone.
  • Don’t eat lunch at your desk; walk to the cafeteria or a nearby park, even if you packed your lunch.
  • Find out if you can get a standing or walking desk at work.
  • Buy a pedometer to track how many steps you take per day.

Doing what you can to increase the amount of time you spend standing, exercising and being physically active will improve your chances of a longer and healthier life,

What’s all the compression about?

Compression garments have become a part of sports uniforms and everyday athletic wear, but can they actually help your performance?

Compression garments are becoming more and more popular in the sports world. Back in 2001, NBA All-Star Allen Iverson began wearing a sleeve on his arm to help with bursitis in his elbow, helping to increase blood circulation and reduce swelling in his arm. Similar sleeves are used for clinical conditions such as lymphedema, where blood circulation is poor, or to prevent blood clots.

You can find compression garments as sleeves, socks, shorts, or even full-body suits. There are various levels of compression for garments, but they all have gradient pressure, which means they’re a little tighter at the bottom of the garment and a little looser at the top to help push blood toward your heart and prevent blood from ‘pooling’ or remaining in the compressed areas. Most garments need simple measurements around your arms or legs to make sure you have the correct size.

But can these garments also impact your performance and recovery? It’s been found that compression garments do actually help with blood flow and increase oxygen to working muscles. But whether that translates into improved performance is another question altogether.

Most performance-related studies have looked at the effects of compression sleeves or socks on running. Some participants said they didn’t feel they were working as hard when wearing compression garments on their legs. While the relationship between compression garments and performance is still not clear, some researchers have suggested that this psychological benefit of lower perceived exertion might help athletes train at higher intensity. However, more research is needed to show if this ultimately leads to actual performance improvements.

In terms of recovery, more research is needed too. The effects of compression garments on muscle soreness after exercise have been mixed, but there have been no studies on the use of compression socks or sleeves for shin splints and other leg pain. They are sometimes effective at reducing the muscle soreness that occurs 24-48 hours after exercise. Relief of symptoms from wearing these garments varies from person to person, sometimes with no benefit. And it isn’t clear whether wearing these garments during recovery will improve your performance next time.