Catalyst pandemic | The Herald

Medical education is organized into study plans that are structured around long periods of reflection and analysis. In them, aspects of the profession that are considered scientifically, socially and culturally valuable for the graduate’s performance with professionalism are selected and organized for teaching. Evaluating the results achieved, and always conditioned by the variant environment, periodically the study plans should be made adjustments that allow them to continue developing the institutional curricular project.

In the last three decades and as part of that permanent evaluation exercise, a questioning has been installed in the curricular committees of medicine programs around the planet. The increasing speed with which the frontier of scientific knowledge began to move, the massification of information sources and the physical and technological interconnection of society, led to debates focused on the search for a balance between addressing with importance the many new aspects for professional training and the preservation of the relevance of the traditional components inherited from the beginning of the previous century, until that moment immovable.

In this context, the pandemic found us. Its declaration and the measures decreed by the governments for its control, confined the student population and limited, only to vital care, the health services provided by the institutions where we traditionally carried out our training practices. The chaos and uncertainty generated required us to support ourselves as never before on basic medical principles and on the coherent model of professionalism, altruism, quality and safety that we have always sought to develop in our students. This unprecedented situation also confirmed for us the need to guarantee emerging competencies in doctors in the 21st century such as: managing, with a global approach, public health problems, using large volumes of data processed with technologies to improve individual health care and decisively contribute to eliminating inequities in health care.

Special comment deserve the opportunities that appeared to introduce bioethical issues as part of daily events during the clinical training of the students. The limitation of vital resources, the futility of some interventions, the decisions to limit the therapeutic effort ceased to be theoretical dilemmas, without real life stories, to become “living” laboratories that support the development of essential competencies for physical integrity and mental in future professionals.

While many will only remember the COVID-19 pandemic as an event that put medical education on hold, for others it will be the opportunity to generate the immediate transformations in the curricula that have been postponed for decades in their programs, using this crisis as a catalyst.

The ability to adapt has been recognized as a very effective evolutionary tool for survival. Doctors for this century must be able to face the complex problems in public health, in medical care and in the health systems that the future will surely hold.

@hmbaquero

hmbaquero@gmail.com

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On video | Van Damme: 60 years of life, martial arts and excesses

The image of the Belgian actor Jean-Claude Van Damme performing a split (lateral opening of the legs) on any surface became a great reference in action cinema and martial arts. Its elasticity allowed him to create fantastic blows such as the flying kick with 360 ° rotation or helicopter kick, in which he mixed techniques of karate and classical ballet, something that aroused the interest of fans of this type of martial choreography.

In order to achieve world recognition, he had to migrate to the United States in 1982 with the illusion of venturing into Hollywood cinema. While that was happening, he made a living as a taxi driver, pizza delivery man, carpet installer, security guard and sparring partner for Chuck Norris, another action movie great.

His first role was as an extra in the 1984 film Missing in Action (known in Colombia as Prisoner of War), thanks to a recommendation from Norris. Two years later he begins to emerge after becoming the antagonist of the film Never Back Down, Never Surrender.

His first leading role was in the film Bloody Contact (1988), a tribute to Frank Dux, the greatest exponent of martial arts in Canada and the United States.

That movie co-starred Bolo Yeung, a Chinese bodybuilder also skilled in karate-do and kung fu. Bolo was a great friend of Bruce Lee and his success in the cinema is also due to Jean Claude Vandamme, with whom he still maintains a good friendship.

Among his most remembered films are: Kickboxer, Lawless Fighting Lion, Double Impact, Universal Soldier and The Colony.

Jean-Claude Camille François Van Varenberg (his first name) celebrates 60 years of life today. He knows very well what it is like to reach the top, but also due to his excesses of liquor, hallucinogens and women, he headed towards a dark alley from which it is difficult to escape. “He spent up to $ 10,000 a week on cocaine,” said Steven De Souza, director of the film version of the video game Street Fighter, which Van Damme starred in in 1994.

For others, especially people of the new generations, the image of Van Damme is only referenced in their conversations on WhatsApp and social networks as a meme, a funny character who dances in a very peculiar way in a scene from Kickboxer, while drinking in a canteen.

Beyond that, in his film career he had to defeat great rivals like Tong Po in Kickboxer, but he also found great allies such as basketball star Dennis Rodman, his fellow adventurer in The Colony.

His name is still valid as an actor, producer and director. In this last aspect, he has stood out for films such as The Quest or Full love. Another successful film in which Jean Claude Van Damme starred is The Indestructibles 2 (2012), in which he is the main villain. A constellation of stars from the action movies led by Sylvester Stallone participates in this film. They are followed by: Jason Statham, Jet Li, Dolph Lundgren, Chuck Norris, Terry Crews, Randy Couture, Bruce Willis, Arnold Schwarzenegger and Liam Hemsworth.

Julio Lara, teacher, critic and public educator, pointed out that Van Dame is a reference of the great exponents of martial arts in the film industry, and although he is not at the height of Bruce Lee or Yuen Woo-Ping, he remains in the Top 10.

“The first reference I had of him was from the movie Bloody Contact, from there I began to notice that his career coincided with certain directors who suddenly sowed some kind of seed in Hollywood. A memorable film in his career is Universal Soldier, which marks the debut of German director Roland Emmerich, who later made Independence Day, Godzila, The Day After Tomorrow, among others ”.

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Well-being in body and soul

According to an investigation by the University of the Basque Country (Spain) on the effects of the pandemic, now there is greater uncertainty and concern about suffering from Covid-19 or losing loved ones; a decrease in confidence and optimism, especially in women and in people in poor employment situations; and an increase in irritability, again with a greater impact on women and the unemployed.

If we do not act now, in concert with research with vaccines and treatments, the post-pandemic outlook will be bleak for the mental health of millions of people.

And taking action, obviously, is not prescribing more antidepressants or anxiolytics, or building more psychiatric hospitals. Both actions are necessary to address some consequences; however, the idea is to be proactive and avoid them.

In response to the feeling of anxiety, according to the consulting firm Llorente y Cuenca (LLYC), there has been a rapid and broad change that goes from the “concept of wellness [bienestar], centered on the individual, al by wellbeing [bienestar integral], a more holistic vision that includes different people and sectors of our societies ”.

What does this mean? A call for the participation of the whole society in the benefits of well-being.

Wellbeing is defined as the state of satisfaction and tranquility that a person presents, thanks to their good physical and mental conditions.

“If societies and companies are unable to focus holistically on people’s well-being (including physical, emotional and spiritual health), it will be almost impossible to create safety nets that allow citizens to return to work and be productive ”, They explain from LLYC.

For this reason, I have always opted for wellness programs in all their aspects: emotional, physical, social and financial. This is what happens every November in the event “In Body and Soul”, which this year will be held in an online version, with more universal access, more experts and with the empowering and transforming energy of always.

To keep your balance in difficult times, “you have to grab the bull by the horns” and get going, as a popular saying reflects.

According to the World Health Organization (WHO), the pandemic has disrupted or paralyzed mental health services in 93% of countries. And if, as the WHO itself says, mental health is related to the promotion of well-being, the prevention of mental disorders and treatment, then let’s look for our own tools. Healthy living is much more than curing or protecting yourself from disease.

@cala

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Is physical exercise recommended for cancer patients?

We all know that practicing sports on a regular basis is, along with balanced nutrition and avoiding toxic habits such as smoking or the consumption of alcohol and other substances that are harmful to our body, one of the fundamental pillars to enjoy good health. Thus, we can affirm that sport is beneficial for both the body and the mind, without reaching extreme cases in which the situation is reversed, since all physical activity taken to the limit can cause some type of disorder.

For several years now, the relationship between the sport practice with certain pathologies, such as cancer. The doctor. Guillermo López Vivanco, Head of the Medical Oncology service at the Quirónsalud Bizkaia Hospital, explains that it has been shown in studies carried out in very large population groups that, in some tumors, the practice of exercise or sport has a preventive effect on their appearance. In fact, “it is especially beneficial to the breast and colorectal cancer and, it appears, it could also be effective for lung and endometrial cancer. “

We start from the basis that any person with a positive mental and physical situation will have a better chance of recovering from any disease, including any type of cancer, than a person who is not in the same condition. “A better physical condition it is usually accompanied by a good psychological situation and helps us face the disease and the challenge posed by treatment. “In addition, generally, people who practice some physical activity or sport tend to lead healthy lifestyles and have a better condition for cope with this type of disease.

But how do we get it started? It should be noted that a cancer patient You can do physical exercise, but it should always be a controlled activity that is based on your clinical situation, your disease and your treatment. “We are not talking about putting on a pair of shoes and going out for a run”, emphasizes Dr. Vivanco, “but about doing a series of exercises that are monitored, regulated and monitored by professionals in this specialty.

Presurgical physical activity has been scientifically proven to help alleviate the negative effects of surgery

For years, a follow-up and regular regimen of the chemotherapy has been carried out, mainly in patients undergoing chemotherapy. practice of aerobic activities three days a week, combined with resistance exercises, and it has been found to improve the quality of life of patients. “Improvements are observed in subjective toxicity, that is, it reduces fatigue and loss of appetite, for example. What does not improve is the toxicity of drugs on the blood, leukocytes or red blood cells”, explains the specialist. This practice is fully incorporated into the care activity in cancer patients in countries such as Australia, where programmed exercise is prescribed during treatment and once it is finished.

The oncologist continues: “it has also been scientifically proven that presurgical physical activity can help alleviate the negative effects of surgery, thus maintaining normal functional capacity and muscle strength as much as possible. In this way, it is possible to reduce pain, depression and fatigue. “It can also help reduce postoperative pulmonary complications and the time of hospitalization of the patient.

After finishing the treatment, Dr. Vivancos stresses that “it is common, especially in patients who have undergone chemotherapy, that at the end of the treatment they lose cardiorespiratory function and one way to recover it is to carry out a programmed and progressive exercise according to your possibilities. This will improve your cardiorespiratory capacity and reach a range of normal practice in regard to this vital function for our body. What’s more, it also serves as a beneficial effect because they will feel better physically and emotionally. “

In this sense, there are programs that focus on raising awareness about the importance of sports practice while viewing a pathology that affects more people in the world every day. It is the case of Pelayo Life Challenge which, since 2015, brings together every year women willing to give hope to all those who are in the same struggle that they successfully went through, facing different sporting challenges. This year, the five participants in this adventure will sail around the Iberian Peninsula in three stages. They left Bilbao on October 12 and will finish in Barcelona on October 26, after two intermediate stops in Malaga and Valencia. A challenge in which the Quirónsalud Group repeats for the fifth consecutive edition as an official medical provider, after having participated in the Trasatlántica 2016, Polar 2017, Annapurna Bike 2018 and Los Andes 2019 editions.

In conclusion, we can affirm, without a doubt, that sport can prevent the appearance of cancer, in addition to helping to improve during the treatment period and maintain a good health once this disease has been combated, thus avoiding the risk of relapse.

* El Confidencial, in collaboration with Quirónsalud, presents a series of articles with practical information, advice and recommendations for practicing sports that improve our health and well-being. If you have any questions about this topic or want more information, you can contact him Quironsalud Bizkaia Hospital.

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Carmelo Valencia | The Herald

Due to my work as a commentator on Blu Radio, I have the opportunity to see all the Colombian professional soccer teams many times, not only when they face Junior. This, perhaps, helps me to form an idea closer to the true level of the players. To his current status, and not only to some antecedents, good or bad, or to the impression he caused the day he compared with the Barranquilla team.

Perhaps that is why I referred to Carmelo Valencia, right here, in this heap from where I look at football work, after the announcement of his arrival at Junior at the beginning of this year. “Very veteran and fast forward. Powerful, insistent. Surprisingly evolved the previous semester in defects that syndicated him: little fluidity with the ball and excessive wrong plays in the face of goal ”.

Later I described some of the virtues that he had displayed during the tournament: “He has had a formidable season in Cúcuta with goals, speed, imbalance, correct participation in the team game, physical energy, determination. Did you have any reservations for the Junior? We will know in time ”.

The question, surely, was due to the generalized prejudice that is installed around the players with the age of Valencia. Well, for now it seems that he still has physical and football reserves, and these days he has been the main actor for his goals in the series against América and in the Copa Libertadores in the win against Independiente del Valle. He is doing his part to be the starter. The other part depends on Amaranto Perea.

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A survey shows the physical and psychological distress associated with anemia due to chronic kidney disease, with 41% of patients reporting that they feel socially isolated

ADDLESTONE, England, May 23 / PRNewswire / – – More than half of the patients surveyed said that their illness determines their everyday lives

– Experts demand more understanding and better support

– Astellas Pharma Europe Ltd. today published the results of a European survey of 200 nephrologists and 203 patients with chronic kidney disease anemia. The study reveals the stress on the physical and mental health of patients caused by the disease. Over half of the patients surveyed reported that their illness determines their everyday life (57%), with 41% of the patients expressing feelings of social isolation due to their condition. Experts believe that a deeper understanding of the patient burden of chronic kidney failure anemia is needed among healthcare professionals, along with a greater focus on patient quality of life in daily routine.

Anemia is a common complication of chronic kidney disease, affecting one in five people.1 It leads to symptoms such as lack of energy, fatigue, and shortness of breath2 that can affect patients both at work and at home. The results of the survey show that the symptoms influenced the everyday life of 83% of the surveyed patients, which led to absenteeism of more than eight days per month on average. For almost half of the patients surveyed (44%), their condition meant that they had to stop working for an indefinite period of time. In addition to the work, more than two-thirds of the patients surveyed (67%) reported that they needed help around the house, which further illustrates the far-reaching effects of the anemia caused by kidney failure on the quality of life of the patients. The survey infographic provides additional insight from patients and nephrologists about the diagnosis, management, and the stress of living with anemia due to kidney disease.

Astellas appointed a team of five external experts to provide their views on the survey results. The team of experts included two senior nephrology professors (United Kingdom and Spain), a specialist renal nurse (United Kingdom), the president of a European association of renal nurses and the president of a national patient group (Spain). A detailed overview of the survey results and the assessments of the expert team can be found in the comprehensive survey report. The following key observations and actions were identified by the team of experts for future condition management:

“There is a clear need for a better understanding of what aspects of a patient’s condition affect their quality of life.” Jennifer Ann Williams, Specialized Kidney Nurse, Abertawe Bro Morgannwg University Health Board, UK.

“It’s no surprise that patients experience social isolation because of their condition. They’re tired and don’t want to go out or meet friends. They just don’t want to do anything.” Kidney Diseases (ALCER), Spain.

“It is important to consider the individual characteristics of the patient when it comes to the effects of anemia on everyday life.” Professor José Portolés Pérez, nephrologist at the University Hospital Puerta de Hierro de Majadahonda, Spain.

Together, these findings from patients, nephrologists and experts show that nephrologists need a better understanding of the psychological and physical stress on patients caused by anemia in renal insufficiency and that the patient’s quality of life needs to be given greater consideration in the treatment of the disease.

“At Astellas, tomorrow’s change is the ethos that guides everything we do. We recognize that addressing unmet needs is often best achieved in collaboration with others. This survey is just one of the initiatives we are engaged in with patient groups and professional organizations work to provide value to people with chronic kidney disease, their loved ones and the healthcare professionals who treat their condition. ” Gino Ciotti, Medical Director for Medical Affairs, Nephrology, Astellas.

To learn more about chronic kidney disease anemia, visit us at: www.astellas.com/eu/therapy-areas/nephrology

About Beyond CKD: The Hidden Truth Behind Anemia

Between January and February 2020, research firm Research Partnership conducted a survey on behalf of Astellas Europe Limited to investigate the assessment of patients and nephrologists regarding chronic kidney disease and the anemia it causes.

The participants were recruited through online committees and were suitable if:

– a patient has been diagnosed with anemia due to renal insufficiency.
– a nephrologist who has been practicing for at least two years and who has treated at least eight patients with anemia due to renal insufficiency from the third stage. The participants took part in a 25-minute quantitative online survey.

You can find out more about the survey at www.astellas.com/eu/media-centre/media-resources.

About chronic kidney disease and anemia

Renal insufficiency is characterized by a progressive loss of kidney function, which is caused by damage to the kidneys as a result of symptoms such as high blood pressure, diabetes or immune-regulated inflammatory conditions.3 One in ten people worldwide lives with chronic kidney disease.4 In Europe, one in eight people lives with it chronic kidney disease.4 According to data from the United Kingdom, every fifth patient with chronic kidney disease has anemia. In people with the most severe kidney disease (stage 5 kidney failure), this rate increases to every second patient.1 Globally, it is forecast that chronic kidney disease will be the fifth leading cause of premature death by 2040.5 It is a critical health problem worldwide, the one brings great and growing unmet medical needs with it.

Anemia is a common complication of chronic kidney failure, 6 resulting from the failure of the kidneys to produce erythropoietin, decreased oxygen uptake, and increased hepzidine and iron deficiency due to chronic inflammation. This is related to significant morbidity and mortality in both dialysis and non-dialysis patients, increasing in both incidence and severity as kidney disease progresses.7 Anemia in kidney disease increases the risk of adverse effects on the cardiovascular system, deteriorating kidney outcome and can have a negative impact on patients’ quality of life.8-10

About Astellas

Astellas Pharma Inc. is a pharmaceutical company operating in over 70 countries worldwide. We support the focus-area approach, which aims to identify opportunities for the continuous development of new drugs to treat diseases with high unmet unmet medical needs by focusing on biology and modality. We also look beyond our fundamental Rx focus to create Rx + ® solutions for the healthcare sector that combine our specialist knowledge and experience with cutting-edge technology in the various fields of activity of external partners. With these accomplishments, Astellas is at the forefront of healthcare change to turn innovative science into value for patients. For more information, please visit our website at https://www.astellas.com/eu.

Astellas warnings

This press release contains statements relating to current plans, estimates, strategies, and beliefs and other statements that are not historical facts but forward-looking statements about Astellas’ future performance. These statements are based on the current assessments and beliefs of management in view of the information currently available to it. They involve known and unknown risks and uncertainties. Various factors could cause actual results to differ materially from the forward-looking statements. These factors include, but are not limited to: (i) changes in the general economic situation and laws and regulations pertaining to the pharmaceutical markets, (ii) currency fluctuations, (iii) delayed launches of new products, (iv) poor marketing by Astellas of existing and new products, (v) Astellas ‘inability to continue effective research and development of products that are accepted by customers in highly competitive markets, and (vi) third party infringement of Astellas’ intellectual property rights.

Any drug information (including products currently under development) featured in this press release is not intended to be used as advertising or as medical advice.

SOURCES

1 Dmitrieva O, de Lusignan S, Macdougall IC, et al. Association of anaemia in primary care patients with chronic kidney disease: cross sectional study of quality improvement in chronic kidney disease (QICKD) trial data. BMC Nephrol 2013;14:24.

2 National Kidney Foundation. Anemia and Chronic Kidney Disease. Erhältlich unter: https://www.kidney.org/atoz/content/what_anemia_ckd. [Letzter Aufruf: Juni 2020]

3 Ojo A. Addressing the Global Burden of Chronic Kidney Disease Through Clinical and Translational Research. Trans Am Clin Climatol Assoc 2014;125:229-246.

4 International Society of Nephrology. Chronic Kidney Disease. Global Kidney Health Atlas 2017. Erhältlich unter: www.theisn.org/global-atlas (http://www.theisn.org/global-atlas) [Letzter Aufruf: Juni 2020].

5 Institute for Health Metrics and Evaluation (IHME). Findings from the Global Burden of Disease Study 2017. Seattle, WA: IHME, 2018. Erhältlich unter: http://www.healthdata.org/sites/default/files/files/policy_report/2019/GBD_2017_Booklet.pdf [Letzter Aufruf:: Juni 2020].

6 McClellan W, Aronoff SL, Kline Bolton W, et al. The prevalence of anemia in patients with chronic kidney disease. Curr Med Res Opin 2004;20:1501-1510.

7 Stauffer ME und Fan T. Prevalence of Anemia in Chronic Kidney Disease in the United States. PLoS One 2014;9:e84943.

8 Mohanram A, Zhang Z, Shahinfar S, et al. Anemia and end-stage renal disease in patients with type 2 diabetes and nephropathy. Kidney Int 2004;66:1131-1138.

9 Weiner DE, Tighiouart H, Stark PC, et al. Kidney disease as a risk factor for recurrent cardiovascular disease and mortality. Am J Kidney Dis 2004;44:198-206.

10 Eriksson D, Goldsmith D, Teitsson S, et al. Cross-sectional survey in CKD patients across Europe describing the association between quality of life and anaemia. BMC Nephrol 2016;17:97.

Press contact:

Director
Product communication
Kate Burd
Tel.: +44 7771 803076
Email: kate.burd@astellas.com

Original content by: Astellas Pharma Europe Limited, transmitted by news aktuell
Original message: https://www.presseportal.de/pm/61801/4717685

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Amaranth’s pleasant headache

He is not tormented by the decision to come. It is a ‘problem’ that gives him peace of mind, it is a ‘mess’ that all the coaches want to have. After Carmelo Valencia’s scoring exhibition against Independiente del Valle, Luis Amaranto Perea, Junior’s helmsman, will face, with a view to the duel against Envigado (Saturday 6:05 pm, at Parque Estadio Sur), a pleasant dilemma: return the starter to Miguel Ángel Borja, the stellar hiring and top scorer of the team this year with seven annotations (five in the League, one in the Super League and one in the Copa Libertadores) or keep ‘Tutunendo’, the man who conquered a triplet (the first by a footballer in red-and-white history) and made Independiente del Valle a former undefeated.

“There is no one like ‘Tutu'”, sing and publish many excited fans with the three goals of the Chocoano in the 4-1 victory against Independiente del Valle, but Borja has also made merits on the court to return to the eleventh starting player. It is not easy to tell the team’s gunner to stay on the bench without being suspended or injured.. Nor is it easy to do the same with the one who has just inflated the network three times in the Libertadores. And when will Teófilo Gutiérrez return? … Uffff … That is the question.

“They are difficult problems, but good ones. You always want the players to have the highest level, that your decisions basically go through minimal issues of the rival. Luckily Carmelo has done well and in some way helps so that internal competition is generated. In general terms, we have a very good team, very good players. There are a lot of games. It seems to me that in the end everyone is going to play ”, replied Luis Amaranto Perea, in the virtual press conference after the game between Junior and Independiente del Valle, when THE HERALD posed the dilemma.

The Solomonic decision you have at hand is to accommodate both of them, with which he must sacrifice Sherman Cárdenas (with what clarity and creation would be lost) or to one of its extremes. This last option seems unlikely, at the moment, for the style of play that Junior has assumed with periods of high blood pressure and fast transitions from defense to attack by exploiting the speed and skill of the men from the sides like Freddy Hinestroza, Luis ‘Cariaco’ González and Edwuin Cetré.

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Physical exercise is still the best strategy to live longer and better, despite your genetics

The genetics seems to play an important role in our chances of living longer and better. Curiously, polymorphisms that are linked to greater or lesser longevity are also associated with physical qualities such as strength. Thus, the D allele and the DD genotype of the angiotensin converting enzyme gene are associated with a increased likelihood of achieving exceptional longevity (live more than 100 years and without any major disease), which may be related, at least in part, to a greater preservation of strength and muscle mass.

“The benefits of exercise are so powerful at any age that, even in nonagenarians (90 years or older), its effects are appreciated”

On the other hand, carry the ε4 allele of the ApoE gene seems to have a negative impact on one’s longevity, which would have to do with a loss of muscle strength. However, beyond genetics, there is strong evidence that exercise allows living more time and enjoy a healthy aging.

When we grow old

Changes that occur during aging include a loss of muscle mass and strength, a process called sarcopenia. Although traditionally the sarcopenia has been seen as an inevitable consequence of aging, a research group wanted to evaluate whether it could be due rather to the reduction in the levels of physical activity that older people usually present.

And, indeed, the results showed that, contrary to what is usually observed in sedentary subjects, in those who did sports there were no differences in muscle mass between people of different age groups, not even in the over 70 years old. And although a decrease in muscle strength associated with age was found, the fact that in athletes it only occurred after the age of 60, something that occurs much earlier in sedentary people, shows us once again the protective role that the exercise in front of deleterious effects of aging. It is confirmed that the decrease in physical activity is one of the main causes of the loss of muscle mass and function and not aging per se.

Cardiorespiratory fitness

Another of the changes associated with aging is a progressive decrease in cardiorespiratory fitness (measured as VO2peak). VO2peak is the main clinical indicator of health, so keeping it at optimal levels is essential for healthy aging. It is estimated that the VO2peak decreases around 1% per year from the age of 25 and it is accentuated after 70 years. Every time we have more evidence of the protective role that exercise could have against this functional decline. Proof of this is a recent review conducted by experts such as Pedro Valenzuela and Alejandro Lucía, and published in the prestigious magazine ‘Sports Medicine’, in which they demonstrate how exercising throughout life promotes greater functional capacity, attenuating the decline associated with age, compared to sedentary people.

Photo: Unsplash / @ mister_a.
Photo: Unsplash / @ mister_a.

Therefore, exercising throughout life seems to be an effective strategy to lessen or even avoid some of the effects of aging. This is supported by several scientific investigations, such as the one recently published in the revista ‘Aging Cell‘, where it was shown how the people of 55 to 80 years what have they practiced cycling throughout their lives they have practically no no aging-related deterioration in muscle properties (composition, type and size of muscle fibers, as well as mitochondrial content). Similarly, a systematic review with meta-analysis published in ‘Aging Research Reviews‘, a medical journal focused on the latest findings on the mechanisms of aging and age-related diseases, observed that people over 59 years old and who had at least 20 years training they had VO2peak and muscle strength similar to those of healthy young people, and better than that of older people who had not exercised throughout their lives.

Telomeres

One of the key processes in aging is the shortening of telomeres that, as we have written in this same space of opinion, is related to the risk of morbidity and mortality. In fact, those people with shorter telomeres have a 25% higher risk of death compared to those with a longer telomere length. Regular physical activity also slows down cellular aging and, as we recently read in a study belonging to the National Health and Nutrition Examination Survey (NHANES) In the United States, the telomeres of people with higher levels of physical activity had a greater telomere length equivalent to a biological aging approximately 9 years younger than sedentary people. In addition, the sedentary had the double risk of having very short telomeres compared to active people.

Photo: iStock.
Photo: iStock.

The benefits of exercise are so powerful and at any age that, even in nonagenarians (people aged 90 and over), its effects are appreciated. Thus, in another study led by Dr. Lucía, a group of people over the age of 90 who were in residences, and who carried out a training program combined cardio and strength exercise for 8 weeks, improved leg strength by 17% compared to those who did not exercise at all. It is confirmed that it’s never too late to start and take advantage of the many benefits of exercise.

The evidence is clear in this regard, concluding that it is important to stay active at any age, including the most advanced, to avoid exponential decay what happens with aging. Therefore, as long as there is adequate medical control, we should not be afraid to include simple and adapted exercise programs in this population. Finally, it is also important to know the negative effects of sedentary lifestyle, so in the Current situation in which it is recommended to avoid leaving the house, mainly, to the elderly, we must apply the necessary prevention strategies from today so that tomorrow is not too late.

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They call to preserve sleep, diet and physical exercise routines – Córdoba News – HoyDia.com.ar

They call for maintaining sleep, eating and physical exercise routines

Specialists call to maintain routines of sleep, food and physical exercise before signs of “mental fatigue”

A reorganization of the habits of sleep, food and physical exercise before the breakdown of the routines that were carried out before the quarantine is essential to avoid the signs of “mental or cognitive fatigue” that can lead to muscle pain or anguish, said today a specialist from the Institute of Cognitive Neurology (INECO).

The expert, through a statement from the Institute, warned that with the prolongation of social isolation “the feeling of lethargy that people manifest when facing activities of their daily life that they previously carried out without any difficulty becomes more and more present. “.

Pablo López, psychologist and academic director of the INECO Foundation, assured that “the routine changes of adults and children, the health protocols that we must not forget and the level of attention that video calls require, represent a great cognitive effort for people; added to the fact that we have lost the stability and anticipation that the routine gave us ”.

He indicated that this situation can lead to a state of “mental or cognitive fatigue” whose main symptoms are “drowsiness, inability to concentrate and difficulty in” processing tasks to be carried out “

For López, mental fatigue entails “a loss of interest, attention and motivation; affecting both our personal, social and work life” and can lead to “muscle aches, headaches, anguish, sustained memory difficulties and non-restorative sleep as well as it also makes us prone to mental and physical health problems in the medium term “

The professional considered key to combat these symptoms “a reorganization of habits to restore the three most important pieces of our health: food, physical exercise and good sleep.”

He expressed that the tools to combat mental fatigue are “to regulate sleep schedules as much as possible, also establishing clear and pre-established spaces for rest during the day.”

In addition, he recommended “trying to get the overwhelming ideas out of the mind and look for concrete actions to modify them, or even notice them and then think about them and share them with someone”

He also mentioned not to confuse physical with social or emotional distancing and to resort to meditation techniques “that allow some emotional regulation, anxiety reduction and cognitive improvement.”

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What is fitness and how is it different from physical exercise?

The secret of fitness is in the supply of nutrients. A well-nourished body has greater energy, aerobic endurance, muscular strength, and body balance. If these parameters are met, the body has the correct fuel for its operation to be greater. The important thing is that the priority is to maintain motivation, nutrient intake and training.

Having a restrictive diet cannot be considered fitness because the basis is in a balanced diet where all foods are protagonists. Restricting yourself creates anxiety and an obsession with the body. It is important to understand that the changes are not immediate, it is something progressive where the objective is to achieve a better quality of life.

The result of good physical condition is not in the balance, but in body composition, energy and well-being. Physical results are simply the result of good habits. It is important that whoever is on this path values ​​what they have achieved. If at any time you move away from this habit, the key is to recognize it and there is always the possibility of starting over.

It is important that we understand that fitness is not about having perfect bodies but about improving habits where food and training along with motivation and discipline play a fundamental role. It is important that we understand that fitness is not about having perfect bodies but about improving habits where food and training along with motivation and discipline play a fundamental role.

Degree in Nutrition from UCALP (Registration 4353). He specializes in sports nutrition and aesthetics. Instagram: @ nutrition.cestaro

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