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HPRC Fitness Arena: Physical Fitness

The electrocardiogram (ECG): Matters of the heart

Filed under: Athletes, ECG, Heart
An ECG screening could be part of pre-participation screenings in the future.

Are your high-school students gearing up to play a team sport? You might want to consider the pre-participation screening requirements and what’s on the horizon for future changes. The electrocardiogram—a test used to examine electrical impulses of the heart—has been used as a screening tool to identify cardiac problems. At the American Medical Society’s annual meeting, Dr. Francis O’Connor (Medical Director for the Consortium for Health and Military Performance, HPRC’s parent organization) recently presented an evaluation of recent recommendations from the European Society of Cardiology for physicians interpreting ECG test results of athletes. The accuracy of the interpretation is under scrutiny, as the results of ECGs can be tricky to interpret.

In the United States, athletes aren’t required to have an ECG screening prior to sports participation—but that might change in the future if it’s deemed that accurate readings of such screenings are reliable and might identify underlying heart abnormalities. For now, however, Dr. O’Connor noted, “identifying abnormal from normal is not as easy as it may seem.”

Work out anytime, anywhere

The American Council on Exercise offers a variety of specific, easy-to-follow workouts online.

Looking to define your glutes, hips, and thighs? Want a total body workout to help you improve your score on the next PFT? Not close to your unit? You can access workouts complete with warm-up, cool-down, and videos of each exercise all online. There is a variety of routines, so depending on what you are looking to get out of a workout, there may be one for you. This is a handy resource for all Warfighters, but reservists and National Guardsmen often can’t work out with their unit, so these videos could provide a new twist to an individual workout. If you are far from your unit and are not able to participate in unit physical training, try these workouts! Sport-specific workouts are also available for the cyclists or swimmers in the service.

Minimalist running shoes: Do they really prevent injuries?

Barefoot-style running and minimalist running shoes are growing in popularity, but some new research now shows there are risks.

Barefoot-style, or minimalist, running shoes are still growing in popularity in the military, and the debate continues over whether this style of running prevents injuries or just causes different injuries. There is new research on minimalist running shoes (MRS) and their impact on lower leg and foot injury. After a 10-week study, runners who transitioned to Vibram FiveFinger minimalist running shoes showed signs of injury to their foot bones, while the runners who used traditional running shoes showed none. The types of injuries the MRS runners demonstrated were early signs of inflammation, which may or may not be associated with pain or joint dysfunction. If they are, it might be difficult for the runner to know he/she is actually injured until it is too late and the injury has progressed. More research is needed to determine if other factors (weight, running form/style, mileage, running surface) contribute to injuries associated with barefoot-style running. At least one recent study suggests running style may be a factor. For more in-depth information, read HPRC’s InfoReveal.

National Physical Fitness and Sports Month

Did you know that May is the National Physical Fitness and Sports Month?

May is National Physical Fitness and Sports month so get out and get moving—and include your family! There are lots of great reasons to add exercise to your daily routine: It decreases your risk for chronic health problems such as diabetes and cardiovascular disease and improves your mental health. Getting outside for a walk with your children can be great bonding time and may even help them (and you) sleep better at night! You can find ideas to incorporate physical activity into your life, including interactive tool kits and planners, at the Federal Occupational Health website. HPRC also provides resources (family friendly ones, too) to help you get started and stay on track!

Take some weight off your knees—or pay the price

A 2012 study demonstrated that an increase in body mass index (BMI) increased a person’s chance of sustaining a non-contact ACL injury.

Being overweight puts you at risk for a whole host of health issues, but most people don’t think about the risk posed to their knees. The anterior cruciate ligament, or ACL, is one of the major ligaments of the knee and one of the most susceptible to injury. Injury information on more than 1,600 men and women at the U.S. Naval Academy showed that those with a higher body mass index (BMI) had a greater incidence of ACL tears. A difference in BMI of only 1.2 (25.6 versus 24.4) made the difference between having and not having this kind of injury. (To learn more about BMI, read HPRC's explanation.)

Like the adage “You don’t know what you’ve got until it’s gone,” knees are something we generally take for granted. To stay on top of your game, you need your knees. An easy way to protect them is to drop the extra weight you’re asking them to carry around.

Announcing the 2013 Strong B.A.N.D.S. campaign

The Army’s yearly Strong B.A.N.D.S campaign, set to run in May, focuses on providing education and activities that support “Balance, Activity, Nutrition, Determination, and Strength.”

The annual Army “Strong B.A.N.D.S.” campaign is set to launch for another year beginning in May. Strong B.A.N.D.S. promotes physical fitness, nutrition, optimal health, and resilience by focusing on Balance, Activity, Nutrition, Determination, and Strength—forming the acronym B.A.N.D.S. The campaign has activities at numerous garrisons to help educate soldiers, their families, and civilians. Strong B.A.N.D.S. is a campaign of the U.S. Army Installation Management Command Family and Morale, Welfare and Recreation directorate and is “designed to energize and inspire community members to live a healthy lifestyle.”

Check out the website for detailed information and to see if there is a Strong B.A.N.D.S. activity near you.

May 1 Priority Registration for Army 10-Miler

Filed under: Army
Be one of 35,000 runners at the 29th annual Army 10-miler this October. Race fees and sponsor contributions support the Army Morale, Welfare and Recreation (MWR) programs.

Both service members and civilians with at least seven Army 10-miler finishes under their belt are eligible for one of the 10,000 bibs available via early registration starting May 1st just after midnight for the 29th annual Army 10-Miler on Sunday, October 20, 2013. Service members must register with their .mil email addresses. Regular registration opens on May 15. Visit the Army 10-miler website for more information.

Be flexible in your approach to fitness

It’s good to be strong, but don’t forget about flexibility. Improving it can boost your performance and reduce your risk for injury if done correctly.

Increasing your flexibility with a regular stretching routine can help improve your performance by allowing your joints to move with greater range of motion (ROM) with each step, swing, or turn. Stretching also is a great way to increase the blood flow to your muscles, so it can be helpful prior to PT or sporting events. You can start increasing your flexibility with simple stretching and foam rolling exercises; check out our Performance Strategies for tips on how to begin.

Are your kids active enough?

This week, the spotlight’s on children and teenagers—and whether they’re getting the exercise they need.

Previously HPRC reported on how much physical activity healthy adults need. This week, the spotlight’s on children and teenagers—and whether they’re getting the exercise they need.

According to the Physical Activity Guidelines for Americans, children and adolescents need at least 60 minutes of physical activity every day, including:

  • Aerobic exercise for most of the 60 minutes. Most days can include either vigorous-intensity activities (such as running, swimming, and jumping rope) or moderate-intensity activities (such as walking or skateboarding), but at least three days a week it should include at least some vigorous-intensity exercise. Check out Let’s Move! for ideas on how to get active as a family.
  • Muscle-strengthening activities such as playing tug of war, exercising with resistance bands, or climbing on playground equipment. Strengthening exercises should be done at least three times a week. For safety guidelines on strength training for children and teens, check out this article from HPRC.
  • Bone-strengthening (impact) activities such running, jumping rope, basketball, tennis, and hopscotch. Impact activities strengthen bones and promote healthy growth and also should be done at least three times a week.

For more ideas on moderate- and vigorous-intensity aerobic activities, as well as muscle-strengthening and bone-strengthening physical activities, check out the table in Chapter 3: Active Children and Adolescents of the Physical Activity Guidelines. For more ideas on getting fit as a family check out Let’s Move, a comprehensive initiative by the First Lady. For military-specific resources, check out HPRC’s Family & Relationships domain.

Moms-to-be: Keep the “active” in active duty

Pregnancy is a special time for most women, but it can be especially challenging for women in the military. Exercise before, during, and after pregnancy to help keep you and your baby healthy.

There are more than 200,000 women in the military today—almost 15% of active duty members. Not surprisingly then, pregnancy in the military has become a hot health topic as more and more women choose to serve. Even though most women should exercise during pregnancy, pregnant women still engage in less physical activity than their non-pregnant counterparts. Being active during pregnancy has a lot of health benefits, including maintaining a healthy weight and reducing risk of gestational diabetes and preeclampsia, stress, operative or assisted deliveries, and labor time. Remember this very important message – Don’t ignore pain or fatigue; listen to your body and consult your healthcare provider if you have concerns!

The U.S. Department of Health and Human Services (HHS) recommends that healthy pregnant women engage in moderate-intensity aerobic exercise at least 150 minutes a week, which comes out to around 20-30 minutes a day. Women who already engage in vigorous-intensity exercise can continue physical activity at this level as long as they remain healthy and check with their healthcare provider about when to adjust activity levels (and what limits they should keep in mind). A healthy fetus is not adversely affected even by vigorous exercise, but be careful that you don’t overdo it. Remember that your body is changing with pregnancy—it may take more effort to do the same exercises you did before you were pregnant, and you may not realize when you’re pushing yourself too hard. Monitor your heart rate and use tools such as the talk test to gauge intensity. The American College of Sports Medicine (ACSM) has adopted the age-based heart rate ranges for pregnant women from the Society of Obstetricians and Gynecologists of Canada.

After giving birth, you may find that the “baby weight” gained during pregnancy is stubbornly hanging around.  Excess weight carries a whole host of adverse health risks, so keep moving—even walking for 45 minutes three to four times per week at low to moderate intensity can reduce risk of chronic disease. As with any exercise program, resuming activity after giving birth should be a gradual process (after consulting with your Doctor).

Certain general precautions should be taken with exercise during pregnancy. Avoid contact sports and exercises that increase the risk of falling. Avoid exercises that require stomach-down (supine) positions, with the exception of swimming during pregnancy, which doesn’t place stress on your joints like other forms of exercise do. Regular exercise before you get pregnant can help you prepare for the physical changes that occur during pregnancy and keep you ready and resilient for your family and your military service.

If you’re pregnant, keep in mind there isn’t any consensus about exercising at altitude, so it’s even more important to know the symptoms of acute mountain sickness (AMS). Take time to acclimatize if you travel to altitudes above 2500 meters and allow two or three days before exercising moderately. Wait for complete acclimatization before engaging in heavy exercise.

First and foremost, however, if you become pregnant, consult with your healthcare provider before starting or continuing any exercise routine. Also, each service branch has its own policies regarding pre- and post-natal exercise (available via HPRC’s pregnancy resources page).

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