Prebiotics and Probiotics

Digestion is the way us humans process food into energy. When our digestive system is functioning optimally, it is the biological fueling system that keeps us active and engaged. Probiotics (basically ingestible bacteria) are a well known element in helping most of us improve upon this system. When ingested in the proper proportion, probiotics can be quite beneficial for a healthy individual.

Some of the purported benefits of probiotic intake include:

  • Management of lactose intolerance
  • Prevention of diarrhea
  • Reduced risk of colon cancer
  • Lowering of (bad) cholesterol and blood pressure
  • Improved immune system function

However, it is important to note that some of these potential benefits are being reported from preliminary research. The theory behind taking probiotics is to balance good and bad bacteria (also referred to as pathogens) in the gut. However, there is some proof that probiotics can be harmful for certain populations. For instance, in the study Probiotic prophylaxis in predicted severe acute pancreatitis, a correlation between the consumption of probiotics (in people with an existing illness) and mortality was shown. Because of this study and others like it, please consider your own health before considering probiotics.

If you think probiotics might be right for you consider taking prebiotics as well. Prebotics are indigestible carbohydrates that usually encourage the growth of probiotics in the body. Prebiotics can be found naturally in certain fruits and vegetables such as oats, wheat, garlic, bananas, asparagus, tomatoes and onions, and they can also be obtained from grains and legumes. Because of probiotics’ ability to live inside the body and prebiotics’ ability to encourage the growth of probiotics, both have gained popularity in the field of health and wellness.

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Weight as a Success Measure

In the health and fitness world we are bombarded with the word weight. Popular diet schemes have “weigh-ins” and mainstream media dramatizes the importance of weight as a success measure far too often. For instance, the network show The Biggest Loser spectacularly showcases people getting on a giant scale to announce to the world how much weight their participants have lost.

Weight as a Success Measure

The truth is that weight is only one of many measures you can use to gauge the success of a particular fitness regimen. Some people’s unhealthy obsession with weight loss influences them to worry about their scale weight so much that they will let themselves get dehydrated, lose valuable muscle, or in extreme cases fall victim to a life-threatening eating disorder. If your goal is weight loss, then weighing yourself all the time could actually deter you if you are swayed by days where internal fluid recalibration makes you believe you have had a setback.

Some fitness experts recommend only weighing yourself once a week. I’m actually a proponent of weighing yourself everyday because it is part of a daily routine that reminds me of my fitness goals, but that is because I have the self-disciple to not overreact if I see a five pound jump from one day to the next (and science backs up my methodology). These type of fluctuations are common, especially with dieters.

There are a number of other good data measures in addition to scale weight you can use to track your progress including body measurements (with a tape measure), body fat percentage, and fitness, flexibility and strength testing. In short, the scale is a valuable tool but there is no need to become a slave to daily weigh-ins.

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Remember to Breath

No matter what area of fitness you are involved in, practicing your breathing and maximizing your oxygen intake is essential. One of the biggest culprits of bad breathing techniques is novice weightlifters. Newbies to the weight room are often witnessed holding their breath while lifting heavy loads. It is true that anaerobic activity uses little oxygen in the body to create energy. However, when most people are engaged in heavy resistance exercise arterial hypertension goes up. If arterial hypertension gets too high, the lifter is potentially at a higher risk of a stroke (see Influence of breathing technique on arterial blood pressure during heavy weight lifting).

During aerobic activity, your breathing pattern can be a key indicator of exertion. Hyperventilation is your body’s way of cooling you down and also its attempt to get more oxygen into your body. For extended endurance activity, a good rule of thumb s is to operate at a level where it is still comfortable for you to engage in conversation with someone. If you are involved in short duration, high intensity, aerobic activity (as known as HIIT training) the rules are a bit different but rhythmic, full breathing techniques can still prove beneficial.

If you would like to get better at breathing there are numerous resources available ranging from how-to books to yoga classes. The benefits of proper breathing techniques only begin at optimizing oxygen consume. Some of the additional studied benefits are unique to the sport or activity you are participating in. These additional benefits include reduced stress, reduced risk of injury, and operating at a higher metabolic rate.

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Your Fitness Journey Should Start Now!

Just like most popular worthwhile endeavors, there is a plethora of information out there about health and fitness. The Internet has a lifetime of information you can consume about various, and sometimes competing, ways to get healthy or start a fitness program. With all this information available to you mere keystrokes away, when do you say enough is enough and get started?

The answer is now!

You probably aren’t studying for a fitness exam. And if you are an adult, there is little you need to mentally prepare for, you learned enough in high school to do something. Get up from the computer and get out there. Shorten the distance between contemplation and action. Fitness is a “learn as you go” proposition anyway. To get started most people need only to simply put one foot in front of the other and repeat. You don’t get your heart rate elevated by planning, fitness requires doing. So get started now! If something is not working for you spend some time to make the needed adjustment, then road test (or gym test) what you have discovered. You don’t like what you are currently doing? Take a class and learn as you go.

Bottom line, there is nothing wrong with researching and planning, but not doing this in tandem with exercise is simply your excuse to not get started. Start slow, but burn (calories) as you learn. Take the first step to a better you today!

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Making Fitness Fun

This week we are going to discuss making fitness fun. Too many of us drag ourselves to the gym to get in a quick workout because of some sort of self-imposed obligation. While the gym is great, why do we drive 20 minutes to sit on a treadmill for 30 minutes?

Fortunately more and more people are finding ways to exercise outside the gym, whether in a local or national park, the beach, a playground, or even their own backyard. For instance, simply jumping rope in your garage for 15 minutes is a great workout. It enhances and tones your legs, improves cardiovascular health, and does wonders for your vertical leap.

Hitting the dance club for a night of dancing (not drinking!) is another great example; it is good exercise and allows you to enjoy the company of friends while getting a full body workout. If you want to try something to really move your muscles, take a  hip hop dancing class.

If you are looking for something more serene, try an outdoor tai chi, yoga, or qi gong class. These ancient movement regimens combine smooth body movement and meditation to help improve overall wellness.

If you don’t want to go far from home and you are a video game junkie, the Wii and Microsoft Kinect are offering some increasingly intriguing options to have some fun while elevating your heart rate. Do you have any good ideas not mentioned here? Please share them by leaving them in the comments section below.

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Enhanced Kinetics Will Post Every Other Week in 2011!

Enhanced Kinetics will be posting useful health and wellness articles and information biweekly in 2011. There arguably is no better way to start off a new year than by either reassessing or creating goals, so for our first biweekly post we’ll discuss SMART goals.

Practice intelligent fitness with SMART goals
Creating goals is the cornerstone to any worthwhile fitness program. Whether you are starting with high aspirations or just humble beginnings, goals give you a meaningful purpose which is paramount to staying on track. SMART is a mnemonic device to remember the five attributes every good fitness goal should have:

  • Specific: I want to get in shape doesn’t cut it. I want to run a 9 minute mile is much better.
  • Measurable: There should be a quantitative component to your goal so you can track your progress over time.
  • Attainable: Gaining 10 pounds of muscle is a realistic goal, but gaining 10 pounds of muscle in 2 days is not attainable, readjust the goal into pieces that are attainable
  • Realistic: Winning the Boston Marathon is a privilege reserved for one elite person per year.  This isn’t a realistic goal for 99.99% of us.
  • Time-bound: A goal without a timeline is just a dream. Give yourself a deadline and your goal becomes real. Don’t make the goal too far into the future either, anything longer than six months away becomes hard to roadmap.

Stick with these simple guidelines and you’ll quickly be on your way to achieving your fitness goals.

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Interview with Thom Gilligan About Destination Marathons

Thom Gilligan is the president and founder of Marathon Tours and is a premier player in the endurance and adventure travel industry. He has been distinguished as the top specialist in running-related travel by Condé Nast Traveler magazine for many years. He has also been featured in The Wall Street Journal, Runner’s World, and made the cover of Travel Agent magazine. He is the former president of the Greater Boston Track Club and has personally run over 60 marathons.


Here are my 5 questions with Thom and his answers:
1)  Even though you are considered a top player in endurance travel, you have decided to primarily focus on destination marathons. Why marathons?
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I began endurance travel in the late 1970s and a lot has changed since then. The marathon used to be an endurance competition but it has evolved into a lifestyle activity… if not a phenomenon. This evolution/revolution means that, as a lifestyle choice, people now organize their leisure time around marathon training. It has also become a social activity and a very popular way to stay healthy. We tried organizing travel for triathletes in the 80s but ultimately the dynamics weren’t right.

What Marathon Tours does exceptionally well is blend the thrill of destination travel with the fulfillment of marathon racing. In a unique sort of way it inspires people to travel to places they might not otherwise. Intrigued by the face shaped statues and rich mysterious history of Easter Island one might have a yearning to visit, but couple that with a compelling race – The Easter Island Marathon – and now you tie in reason (the event) along with that desire. Or maybe someone has always wanted to go on a safari but needed an event to act as a tipping point to commit – in that instance a race like Safaricom is an excellent choice. Adding a great event to an exotic destination is a powerful motivator. We do our best to ensure that our travelers maximize their experience regarding both the destination and the event, which has helped us with our continued success in this space.

2) Many people come to you with various hopes and dreams. For instance, in 2005 I personally witnessed William Tan try to become the first wheelchair participant to complete the Antarctica Marathon and unfortunately he was unable to finish his goal due to circumstances outside of anyone’s control. In your business acts of nature and other unforeseen circumstances are going to happen, how do you help people cope when circumstances end up foiling long, hard-fought goals?

Most people seek out adventure because risk is part of the attraction. Runners are Type A people for the most part. In the case of Dr. Tan, we knew it would be a tough challenge but he asked us to let him try, and after consideration we let him try. Actually we let him try twice and ultimately the environment in Antarctica is just too prohibitive for wheelchairs (even well-equipped wheelchairs).

The downside is there are no guarantees. That is the risk. Especially with destination races, you never know what conditions you are going to get, what might happen between leaving Point A and getting to Point B, and how your body will react to the new environment. Ironically, that is the appeal as well. Runners like to tell stories and contingencies, acts of nature and other unforeseen circumstances help create the dynamics of their personal story regarding a particular event.

3) Reminiscing on all the fitness adventures you have had and/or orchestrated and made possible, what is your favorite war story?

I’m not sure if it is my favorite story, but certainly the most infamous story is when we had to facilitate the Antarctica Marathon on the deck of a ship.  Organizing a race in Antarctica (as you can imagine) brings with it a whole set of unique challenges, which consequently makes it the coolest race on earth. In 2001, we set forth for Antarctica on the Lyubov Orlova, which is important because it is the first time up to that point that we had a ship that had a deck that one could completely jog around. Weather conditions that year made it impossible for us to get Zodiacs over to race on land. We had to get resourceful due to these unforeseen circumstances, so we measured out how many laps it would take to complete a marathon on the ship (it ended up being 422 laps) and over a hundred runners were able to complete the challenge. As a result, they became part of history as the first runners to ever run a marathon on a ship. That year this became part of their particular story.

4) Since you organize and facilitate the marathon experience for so many people you must observe the positive and negative consequences of runner preparation. What is something that you see people do right that helps ensure a positive experience? What is something you see people do (or maybe not do) that is likely to contribute to a negative experience?

When I began running marathons the common goal of most runners was to qualify for Boston. Now the common goal shared by a majority of runners is to finish. Running went through an evolution, but now we are seeing more of a revolution. There is a new class of runner that is not worried about their finish time at all. This is okay. However, I believe the marathon experience can be enhanced by setting a personal time goal. This can be specifically unique to the individual, so I am not suggesting that everyone needs to try and qualify for Boston. The goal should be realistic, and since we have been talking about destination races, it is important to mention that they should be specific to the race itself as well. They should also be realistic given the individual’s skill and conditioning. With all that said, I believe that a realistic time goal adds to the experience of a race.

Again regarding destination races, I see people not honor the fact that travel is a fatigue inducing activity. They will fly to a foreign country less than 24 hours before a race assuming that they do not need to acclimate to a new environment. It takes time to recover from jet lag and it takes time to adjust to new time zones. When people don’t give themselves enough time to settle into new conditions it negatively affects performance, which ultimately will influence the level of satisfaction they experience from a particular event.

5) What are three pieces of good advice you can give to a new marathoner with regards to their first destination marathon?

1) Always carry your race day gear (including your shoes) in your carry-on luggage.
2) Traveling by airplane is dehydrating, so always drink extra water during and after long flights.
3) There are a lot of unknowns when running in a new destination: road conditions, weather and climate, course amenities, etc. Accordingly, temper how you measure your race day satisfaction. In other words, don’t go to the Antarctica Marathon in the hopes of setting a new personal marathon best. Set reasonable expectations, relish the challenges as a part of the process, and give the event your best effort.

Lastly, as a standard rule of thumb regarding any marathon, don’t try and/or test something new on race day. For example, if you want to experiment with local cuisine, perhaps it is best to wait until a day after the race to roll the dice. Race smart and you increase the probability of ensuring yourself an enjoyable experience.

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Interview with Brodie Burris About Acupuncture and Sport Injury

Brodie Burris is the President of the Michigan Association of Oriental Medicine, the Founder of The Lotus Center of Ann Arbor, and a standing member of the American Association of Acupuncture & Oriental Medicine. He is a seasoned acupuncturist, herbalist, and is renowned for his work in the field of Eastern Medicine.


Here are my 5 questions with Brodie and his answers:
1a)In your point of view, what is acupuncture’s place in the sphere of sport medicine?
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I believe acupuncture has a significant role in sport medicine, yet unfortunately it is currently being under utilized as a therapy. More often than not, athletes respond especially well to acupunctural treatments. Athletes tend to be full of vigor and in tune with their body, which helps with the response to treatment and makes acupuncture a very effective way to treat sports injuries. Regarding acute sport injury, acupuncturists have specific techniques and methods to decrease recovery time and reduce pain.

1b) What are the benefits of acupuncture beyond the treatment of sport injury?

There are quite a few actually:

  • Increases blood flow
  • Relaxes muscle tissue
  • Reduces cramping due to fatigue
  • Alleviates distorted energy and increases Qi
  • Accelerates the removal of metabolic waste and improves metabolism
  • Increases stamina
  • Helps with stress management
  • Lowers the body’s pain response
  • Increases one’s ability to concentrate, which can also assist dexterity

…and this is a short list of potential benefits. Through acupuncture we can stimulate the muscles, accelerate healing by assisting the body to remove noxious elements, and increase stamina and recovery by increasing one’s natural ability to provide nutrients to tissue. These benefits of acupuncture make it ideal for athletes in a number of different situations and applications.

2) What is the most common misconception you hear about acupuncture treatment that you would like to dispel?

One misconception is that acupuncturists use tons of needles per treatment. Photographers who want to capture interesting photographs of acupuncture in practice will tend to publish photos that are interesting to look at. However, these photos usually do not represent an accurate picture of a normal treatment. Rather, the average person can expect to have somewhere between 10 to 20 needles placed throughout their body in any given treatment.

Acupuncture is not without sensation, but for the most part it should be enjoyable, relaxing, and comfortable. It is known with Traditional Chinese Medicine that your Qi cycles about every 20 minutes. Therapies therefore will generally last between 20 to 60 minutes to give enough time for full cycles of Qi to take place.

3) If seeing an acupuncturist makes sense, what questions should one ask to help ensure they are choosing the right acupuncturist?

  • Confirm they have a degree from a reputable school
  • Confirm they have passed their National Boards
  • Ask how many years of practical experience they’ve had, and then ask yourself if you are comfortable with their level of experience

Acupuncture is a very interactive therapy, and outcomes can be tied to the working relationship you have with your acupuncturist. If you don’t feel that your situation has improved after 4 to 6 sessions seek out another acupuncturist. Results benefit from a good working relationship. If this relationship isn’t established, it behooves one to try another acupuncturist to try to improve upon the results.

4) Discuss an example of success where you believe Eastern Medicine served an athlete better than Western Medicine would have.

As a practitioner this is a fairly easy question to answer because by and large, in Western Society, people do not come to an acupuncturist first. A good portion of clients will come in when Western Medicine has already failed them, so I have numerous examples. Left to its own devices, our bodies will eventually heal from most ailments on their own. The object of medicinal intervention then is to assist this process and speed it along. The first responder to an athletic injury more times than not will be a trainer or physical therapist who will run down the checklist of what they believe to be appropriate treatments: rest, ice, compression, elevate, etc.

These are very useful treatments, but are not augmenting the body’s natural processes. I usually get patients after all these interventions have failed to produce an acceptable result. In 50 to 70 percent of the cases I see I can significantly improve the patient’s current condition. However, because acupuncture is still a bit misunderstood in Western society these successes can occasionally lead to complications for me and the patient as well. For example, I had a young female softball player come in with a rotary cuff injury so severe she could barely move her shoulder. Her range of motion was extremely limited when she came in and after three treatments she was practically mobile again (it should be noted that this was not necessarily a common result). It is important to remember however that like most Western treatments for sport injury, acupuncture simply assists the body to heal… albeit sometimes in miraculous ways. When extremely positive results are achieved quickly with acupuncture patients sometimes forget that acupuncture, like many other treatments, is a process and not an overnight miracle cure. In the case of the softball player, against my advisement, she went out and immediately played on her injured shoulder because of this positive result and to no one’s surprise reinjured herself.

5) If an athlete comes to an acupuncturist for treatment of an ailment, what can they expect?

I can only talk about my practice specifically. When you come in to see me for the first time you can expect a careful evaluation and assessment of your condition and if it is specific to an injury I will palpate the area to ensure I know exactly where things are disrupted.

If the ailment is acute you can expect to see me at least three times a week. If it is a semi-acute injury maybe two times will be enough, and pre-existing injuries perhaps as little as once a week. Another often overlooked aspect of acupuncture is that each treatment should be considered a dose. Treating with the correct dosage is important for creating successful treatments. There seldom will be the time that just one or two treatments of acupuncture are going to facilitate complete recovery.

As I previously mentioned, each treatment session will last between 20 minutes to an hour and usually consist of 10 to 20 strategically placed needles around the body.

Again, healing is a natural process. Acupuncture is a very useful tool in actively accelerating this natural process and because of this it is an ideal medium for treating sport related injuries.

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Interview with Gear Fisher About Performance Metrics

Gear Fisher is the Chief Operating Officer of Peaksware, a company that has been evolving since the late 1990s to provide coaches and athletes innovative tools to monitor, plan and analyze athletic performance. Gear is responsible for managing all business processes and product development at Peaksware. He is also an recreational cyclist, who in is prime landed top ten honors in various cycling events while competing at the category II level.


Here are my 5 questions with Gear and his answers:
1) You have been building exercise technology for more than a decade now. In that time what do you think the biggest game changer has been regarding technology and fitness – an innovation that when observed for the first time made you realize the environment has now permanently changed?
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The acceptance and understanding of downloadable training devices like heart-rate monitors, GPS, and power meters has changed how people train and their expectation of what to expect when buying these sorts of devices. From a high level, we’re seeing the formation of a “consumer health data warehouse” that previously only doctors, hospitals and maybe professional athletes might have had access to. We are seeing the landscape for an interconnected health management system affordable by the masses beginning to take shape. This will truly be the major game changer in the next 10 years as the world struggles with the changing health care system.

I first wrote a web-based .csv file reader for the PowerTap in 2001. At the time, it was pretty cutting edge, maybe too cutting edge. At one point, I was on the phone with Saris showing them what I had done and how you could view the data files on the web, they basically said, “nice, but nobody downloads, so, we’re not sure why you spent time doing it.” At the time, they had just been acquired and were rebuilding their newly acquired PowerTap technology from its original creator, so I think they might have underestimated the importance of post exercise data analysis and athletic performance metrics.

There were a few other companies with downloadable devices at the time (Polar, CompuTrainer, SRM, to name a few) but there are now so many excellent companies bringing downloadable training devices to market, consumers have come to expect the feature on any new device over $200. We’ve moved beyond a “geeky” feature into an expected and sought-after feature. Thanks to Garmin, Timex, Suunto, Saris, Polar, and SRM  many others are preparing more downloadable devices. To bring this topic fully up to date, I have to mention the work that Dynastream has done to standardize the ANT+ protocol for enabling wireless sensors and devices in the “personal area network” space too. This has made the sensors easy to install and manage, as well as allowed consumers to easily get the data from their device to the cloud or to their personal computer.

2) A big movement in health and fitness innovation has been the ability to amass and store user metrics quickly and easily. For example, regarding health, the consumer start-up company ZEO was able to accumulate the largest known sleep study database in less than a year. This has given ZEO the ability to identify key factors that affect people’s sleep, which up until this point had been unavailable (even to the academic community). In theory, the ability to amass and identify trends from performance metrics should be beneficial in fitness applications in a similar way. Do you see this evolution in the ease and ability to store performance data enabling fitness professions to expand the breadth of their ability to foster athletic improvement? And, if yes, then how?

Without a doubt, yes. As I mentioned above, we’re seeing a changing health care system, one that is moving from a 3rd party managed system, to a self-managed, self-informed system. We look at what we’re doing at Peaksware as the top of the health care pyramid. Our customers have taken control of their health, are self motivated and looking for fitness and performance. This will trickle down to the masses as health insurance, doctors and hospitals begin to adopt a more wide-ranging care system beyond the walls of the doctor’s office and hospital. Let the people manage the data collection, provide easy access to it by professionals, then make decisions based on data and consultation with experts. Right now, we are performing this feedback loop in the performance realm, but it makes sense to translate this to general health as well. We often refer to it as the “monitor, analyze, and plan” cycle.

The data we’re collecting is going to inform the decisions and algorithms of tomorrow’s innovation. Power meters are a great example. Before power meters, the training “dose” was pretty much limited to duration and distance. Now, we have new metrics like the Training Stress Score that provide concise feedback and performance prediction, born out of data collected by people using power meters. Of course, we believe in giving the tools and technology to the people, and our software lets you “visualize your fitness and performance” and enables our customers to monitor their own data. This gives every individual the user interface for their own physiology so they can investigate and discover their own correlations and metrics by analyzing their data through TrainingPeaks.

Who knows, someday we may find a correlation to threshold power/heart rate and heart disease. I’m certain there are amazing discoveries just waiting to be found in the data.

3) Biofeedback capturing is a key element in the ability to provide practical output to users regarding exercise. Are there any innovations you see on the horizon that will accelerate this ability, or alternatively, you have a desire to see? For example, GPS units are getting smaller, heart rate monitors better, bike computers more savvy, and we can tell body fat through electrical impedance… what’s next?

I think there is a long way yet to go with data collection. The easier and faster we can get data to the cloud, the better, faster, more intelligent we can become with regard to making decisions on our training or on our general health. Lots of people recognize this and we’re seeing some great innovation in this area. I would love to see more integration with Wi-Fi and cell networks to enable easier data transfer from device to the cloud. The Withings Wifi Body Scale is the first Wi-Fi device I’ve seen that really works. You stand on the scale, it sends your weight and body composition data directly to the cloud instantly. Nothing to write down, no “work” to save and store, it just gets saved right in your TrainingPeaks account. I want to finish a bike ride, roll into my garage, have the bike computer recognize my wi-fi network and beam the ride’s data to my TrainingPeaks account. Garmin and Dynastream have done some great work in this area too.

There are several iPhone and Android phone apps that do this sort of data collection, even in real-time, but it has got a ways to go for enabling more data sensors like heart-rate and power. I’ve seen several ANT+ dongles like Digifit that plug into an iPhone and enable ANT+ sensors to beam their data to your phone during a workout. You then can send the data to your personal TrainingPeaks account, but it’s just now coming to market. The phone essentially brings a super-computer along with you on your ride, run, hike or walk. It’s a great point for doing data capture and transmission. There are some problems and challenges with it, but we will see incredible innovation in this space soon.

I’m particularly excited to see these technologies move indoors as well. As odd as it sounds, we’ve captured more data out on the trails and roads than we have in health clubs and spinning rooms. There is so much potential for data collection within the walls of the health club, and the opportunity to further push the technology that has already been invented and adopted by athletes down to general consumers just trying to lose weight and maintain some healthy habits while in the gym.

I’ve also seen new athletic performance metrics being collected. Respiratory rate, body position, skin temperature, real-time VO2, water consumption… So many new sensors and things we can manage. My partner, and CEO, Donavon Guyot half-seriously joked 7 years ago about under-skin sensors that collect data. This year, Allan Lim had Lance Armstrong swallowing “pills” that measure core temperature during exercise. We simply don’t know how some of these data points affect performance, because we haven’t been able to collect the data in real-time during exercise outside of a lab. We’re getting there now. And that’s a critical component, outside the lab, under pressure of a race, in the heat and cold, while raining and at altitude. So many environmental factors go into performance, training and fitness.

4) How do you foresee fitness software progressing? Will it become more dynamic and adaptive? Currently, most online products sell static programs that promote authorship (and commerce) from fitness experts (i.e. training zones are established but then set for the duration of the program). However, this approach somewhat limits the potential of software to tailor itself to an individual’s specific adaptations over time. Do you think endurance software will advance to the point that programs literally optimize daily workouts based on biofeedback from the prior day/week?

Without a doubt, software will be able to do this, it’s already started. Remember that weather forecasting model I mentioned earlier? We need a physiology model to make optimized workouts and changes based on biofeedback. Several companies have, or have tried to build these tools, but I have yet to see a comprehensive system. It’s an enormous task to make it affordable and most of all, to make it actually work. As soon as a computer-generated system gets it wrong, you lose trust in it. It comes back to the data collection and analysis. We need a LOT more data to make this sort of model truly work. But, we’re getting there. The VirtualCoach within TrainingPeaks.com is based on Joe Friel’s “TrainingBible” methodology and was an early version of this sort of system. It’s a tool that embodies much of Joe’s periodization ideas into a down-to-earth, go workout today and do “xyz” system. However, even today, after many updates and tweaks, it continues to only serve a certain population, and it’s not comprehensive, but it’s very effective for that narrow band of user.

5) Lastly, where do you think the balance between a platform’s utility and ability to be user friendly lie? Dealing with the unfortunate reality that in the world of fitness that positive outcomes are for the most part reliant on user compliance, is it sometimes necessary to compromise sophistication for usability?

This is a fascinating topic for me. I live this balance every day and make decisions constantly that go one way or the other. Ultimately, and I’ve said this for years, it comes down to ‘reason for use’. It’s a term I’ve thrown around for a decade, and I believe it’s the ultimate driver of a user’s decision to buy or use a product. If the product provides enough reason for use, whether it be because a friend suggested it, a doctor told them to do it, or it provides a key feature or has a function that is not found elsewhere, it’s the ultimate decision maker. On top of reason for use though, comes ease of use. On top of ease of use, comes the age old cliche “form follows function”. So, if it does something cool, is intuitive and looks good, you’ve got the magic three ingredients… except there’s one more issue: everyone has a different opinion on what’s easy, pretty and useful. That’s both the frustration and the fun. We build stuff that we use, based on feedback from others and incorporate some very forward thinking into the recipe. The end result is our vision of an app. To be clear, I will say that again: we don’t think of ourselves as having a weblisite, we have an appcation.

Every software system that’s developed follows the same path: build it, start adding to it, eventually re-build it, add more stuff to it and repeat. We just went through this cycle ourselves. We chose to scrap 7 years of code and rebuilt our entire web application from the ground up much to the disdain of many users that were infuriated we’d do such a thing. Many people exclaimed that we’d “wake up” when our horrible decision hit us in the pocketbook. The end result: sales have doubled and we’re reaching new markets that would have never considered us before, largely because of the elegance and simplicity of the new interface. Some old customers wanted to strangle us, but over time, they’ve come to understand the new systems and how to get things done, and it’s been a big hit. New users have no “baggage” and we’re seeing that they get up to speed much faster with the revised tools.

As far as usability, if you can get the most critical things communicated to your user quickly, you’ve done a good job. From there, they can dig in to the deeper, more complicated features. The people that dig in are ultimately your best customers, and they quickly move past ease of use and just want features. Speed is the #1 feature, from there, it depends on what you identify as important for your audience. Carefully managed and supported features are the foundation to our approach.

Ultimately, deciding form over function depends largely on what you’re trying to accomplish, it depends more on your business model, target audience, corporate goals and direction. For instance, Nike+ is a huge hit, but they focus on a single sport: running. It’s a drastic simplification that they can afford to do. They also pour millions of dollars into it in order to engage customers with their brand, instead of charging a fee to buy it. That’s a fine business model if you like making people pay for shoes but not software. Selling software is tough, and constantly evolving, it’s hard to get people to pull out their wallets and actually make them pay for what you’ve produced. A couple years ago, we were told by many that we couldn’t charge for software and that we’d need to pay for it through advertising. No thanks, not the business we’re interested in. Same thing in 2000 when we started, it was only about eyeballs. Instead, we charged for our product from day 1. We focus on providing value to our customers, and we’re not afraid to make people pay for it. If we do a good job, we believe we’ll be rewarded by paying customers, and so far, that’s worked out very well for us.

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Interview with John Monagle About Naturopathic Medicine

Dr. John Monagle owns and operates the Marin Center for Natural Medicine, which is a state of the art medical clinic and natural pharmacy located 15 miles north of San Francisco in Larkspur (part of Marin County). John (who also goes by JK) has dedicated himself to helping others live their lives better, longer, and stronger through natural medicine. He is an expert in a variety of progressive sport therapies including Platelet-Rich Plasma (PRP), a treatment for regenerating and repairing connective tissue in the joints and Prolozone Therapy which is beneficial in repairing painful arthritic joints using the regenerative power of ozone. John treats a variety of clientele ranging from NFL superstars to the weekend warrior athlete, the old to the young, and everyone else in between.


Here are my 5 questions with John and his answers:
1) What do you see as the primary differences between Naturopathic Medicine’s approach to sports medicine versus a conventional Allopathic medical approach?

The primary differences are in the treatment of sports injuries, and whether the ailment is acute or chronic. Allopathic medicine has two major approaches; drugs and surgery. In my opinion, drugs do not heal, they relieve symptoms. Pharmaceuticals may help temporarily, but are also dangerous in that they can mask a problem that needs to be addressed and therefore risk causing further damage to the area, not to mention the addictive properties of pain killers. The other option in conventional medicine is surgery, which in my opinion, should only be considered as a last resort when every other alternative has been explored and there is absolutely no other choice. Period.

Two of the major tenet’s of Naturopathic Medicine are: Treat the underlying cause of illness; And treat the whole person. Following these principles, I address not just the injured area itself, but the whole body. I put my patients on a regimen of nutraceutical supplements to help build their energy, increase their healing strength, and decrease their pain. Then, with regard to the injury, whatever it may be, I use therapies to heal the area, and not just remove the pain. I treat a lot of chronic joint pain from normal wear and tear, or from repetitive use in sports or exercise like running, swimming, biking, lifting weights, etc.

One of the main tools that conventional Medical Doctors use for pain is a steroid injection, primarily Cortisone. These doctors mean well, because it does help with the pain. The problem is, it is like cutting the wire to the “check engine” light in your car. The pain may be gone, but the tissue is not fixed. In fact, multiple cortisone shots only serve to weaken the connective tissue further, because they block any possibility of healing in the affected area. The other non-surgical treatments of conventional medicine are pharmaceuticals like anti-inflammatory medicines, pain killers, and steroids, all with a host of negative side effects and no true healing effects.

2) In Western medicine (after far too long in my opinion) we are finally seeing clinicians and practitioners focus on prevention. For instance, doctors are making more of a concerted effort to prescribe exercise for mild hypertension rather than wait for it to progress and treat the problem with pharmaceutical drugs. Is this paradigm shift in ideology affecting Natural Medicine as well?

I think Natural Medicine is the paradigm shift. It is the way Naturopathic Doctors are trained to think about health in the first place. It is an ideology of true health and one that is far older than pharmaceutical medicine. It is affecting more and more doctors every year, and the beauty is, it is coming from their patients not wanting to take a drug or have surgery. More and more people are recognizing the downside of being a slave to prescription drugs. Thanks to the Internet, they are more informed about health in general and they want healthier alternatives; and they want their doctor to know about these alternatives.

3) Personally, I’ve had mixed results with both Non- Western medicine and Western medicine. Acupuncture cured some chronic arthritic pain I had in my thumb – where traditional pain relievers could do little to ease the ailment. Conversely, I tried to treat my insomnia with acupuncture – the approach was met with limited success – so I began using Lunesta which has worked wonders. Do you support the theory that the multiple disciplines augment each other? Is the best path for a patient trial and error to figure out what works best?

I do think that multiple disciplines augment and complement each other. Usually, you can’t get everything you need for your health from just one practitioner or modality. I think the best path is one that works for the individual. Contrary to what some might have you believe, it is important to be participant in nurturing your well-being. The more informed you are with the choices you have, the better you can tailor your own health care approach.

4) If you could clear up one misconception about Naturopathic Medicine what would it be?

That we are not “real” doctors or that we didn’t go to a “real” medical school. Anyone who does a little bit of research (www.naturopathic.org)
can learn that a Medical Degree from a Naturopathic Medical School is equivalent to any MD degree from an Allopathic Medical school. The first two years in either program are nearly identical. We take the same classes, use the same textbooks, and learn the same basic facts about how the body works, pathology, diagnosis, and yes, even pharmacology. I have a DEA license to prescribe pharmaceuticals, but I hardly ever need to use it, because I prefer to use natural and less toxic medicines. I’ll take it one step further and say that the didactic part of an MD’s education ends after their second year, when they begin rotations and learn more about disease management through the use of pharmaceuticals or surgery.

Conversely, in Naturopathic Medical after our second year, we begin rotations and seeing patients in a clinical setting, but we continue to take classes in our 3rd and 4th year to learn about Homeopathy, Botanical Medicine, Intravenous Therapy, Physical Medicine (Chiropractic, Physiotherapy, Physical Therapy), Chinese Medicine, and most importantly, Nutrition (where the average MD school might teach two weeks). Our board exams after year two and four are in the exact same subjects and are modeled in the same manner as an MD.

We are licensed Primary Care Physicians, and are exceptional at treating chronic illnesses by getting to the root cause of the problem.
We can order lab tests, radiographic imaging, and perform minor surgery if we choose to do so in our practice. When it comes to Primary Care and Family Practice Medicine, we resemble the “old fashioned doctor” who knows the family and makes an occasional house call as opposed to a focus on cranking out cases. We treat patients with the best of what modern Natural Medicine has to offer (based on the latest scientific and clinical research).

5) Thinking back through your years of practice, what is your favorite sport/fitness related success story (rehab, prevention, or otherwise) regarding Naturopathic Medicine?

I treated one of the Oakland Raiders who was told he couldn’t play in the game that upcoming weekend because of a pulled muscle. I saw him for two days in a row, and did several trigger point injection therapies and a prolotherapy treatment. In three days he was back on the field, playing full speed and ready to go on Sunday. His coaches were so surprised, they gave him a random drug screening to see if he took something illegal. He laughed, took the tests, which all came back negative, and played a great game.

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