Adin

I first discovered the GHD sit-up exercise when my business partner forwarded me some images of it being performed;  he knew that I might not be able to believe my eyes and thought it would be funny to send it to me.  Initially, I thought it was some kind of crafted humor that you might see in a mass email.

Clicking on the link in the email brought me to a web article of the GHD exercise where the tone was serious and the exercise was being promoted.  Oh my.  Immediately I wanted to know a little bit about how this exercise was founded, who was doing it, and how long it has been around.

After doing a little research, I learned that GHD sit-ups are re-emerging into the fitness industry from an organization called CrossFit.  GHD situps (formerly known as the roman chair situp) are now gaining popularity in gyms even outside of the CrossFit organization.  When such an exercise like this starts to go viral in the strength and conditioning world, I take the time and energy to dissect it and explain the benefits and or drawbacks to my clients.  In the particular case of the GHD sit-up exercise, I hardly have any benefits to add from my dissection.

Below are the hard facts as to why glute ham developer (GHD) sit-ups are not safe for the majority of people.

1.  If you blow out a disc in this position, it would be particularly nasty.  You would need to have someone move you out of that position, which could cause more damage.

2.  Dangerous shear forces are exerted on all five the lumbar discs when rising up from the bottom of the exercise.  The hip flexors (medically known as the illiacus, psoas, rectus femoris and sartorious) are the prime movers in the exercise.  Within the hip flexor group, the psoas is a muscle that connects directly into transverse process T-12 and through all lumbar segments.  Additionally, the psoas inserts into the lateral aspects of all lumbar discs.  Too much force going through this muscle can cause some serious back problems.

3.  Since most people are weak in the abdominal muscles in comparison to the hip flexors, this exercise is likely to further promote a strength imbalance.  The abdominals do have to work extremely hard to stabilize the movement so they will get worked, but not in the degree that the psoas muscles need to work.

4.  There is a high risk of tearing an abdominal muscle.  Due to the extreme difficulty of the exercise, it is hard to “build up to it”.  As stated in point #3, the abdominal muscles are heavily taxed as they must counter forces going through muscles crossing the hip joint.  The problem is, most people cannot properly stabilize a movement like this with their abdominal muscles.  If you do not have a finely tuned, properly functioning abdominal wall- the risk for abdominal strain skyrockets.  Most abdominal type exercises are not even close to being as risky as the GHD exercise regarding risk of abdominal muscle tearing or strain.

5.  There is a high risk of cramping the quadratus lumborum (QL), a muscle that arises from the pelvis and inserts into 12th rib.  When under enough load in spinal flexion, the QL is activated, but it has a poor mechanical advantage, often resulting in a muscle strain.   As seen in most health clubs, the seated abdominal crunch machine can be quite the culprit for QL strains.  However, abdominal crunch machines (which I despise as well) are much safer than GHD sit-ups due to the legs being fixed in a flexed position.  …Which brings me to point #6.

6.  Due to the higher rate of speed in full spine flexion at the top of the range of motion, a posterior lumbar disc bulge is much more likely to happen due to the legs being locked.  When you lock the knees, the hamstring and leg muscles pull down on the pelvis so that it cannot rotate forward like it normally would.  One of the most common ways to injure your back is to have your legs locked in extension when reaching over a piece of furniture to open a window.  This exercise is somewhat analogous to lifting a window while locking the legs.

7.   There is a risk of severe hip flexor muscle strain, especially in those people who may have weak hip flexors.  The hip flexor in this exercise is the prime mover, moving over 70% of the total body weight.  This brings me to point #8.

8.  About 70% of the total body weight is being lifted, due to the apex point being located directly under the middle to upper femur, creating an aggressive lever on the hip, low back and sacral area.  Creating a heavy and long lever in the hip/back area and add in a little speed and you have yourself a nice little chiropractic basket.

9.  When rising up to the top of the position, the knee has a tremendous amount of extension forces going through it, subjecting it to both hyper-extension and shear.

10.  There is a high risk of tearing the hamstring muscle due to the legs being locked and the speed of the movement at the top range of motion.

There are many different exercises out there which strengthen the trunk and hip flexors.  The risk versus reward just doesn’t add up well with the GHD sit-up exercise.  Come to think of it, the only reward will be a financial one for an orthopedic surgeon when he has to operate on the GHD sit-up victim.

In the strength and conditioning arena, GHD sit-ups is not the first, and will not be the last exercise that blatantly needs to be policed.

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Recognizing Low Testosterone and Corrective Strategies

First of all, talk to your doctor if you have any of the following symptoms:

  • Changes in sexual function. This might include erectile dysfunction, reduced sexual desire, fewer spontaneous erections — such as during sleep, — and infertility.
  • Changes in sleep patterns. Sometimes low testosterone causes sleep disturbances, such as insomnia, or increased sleepiness.
  • Physical changes. Various physical changes are possible, including increased body fat; reduced muscle bulk, strength and endurance; and decreased bone density. Swollen or tender breasts (gynecomastia) and loss of body hair are possible. Rarely, you might experience hot flashes and have less energy. Your testes might become smaller as well.
  • Emotional changes. Low testosterone might contribute to a decrease in motivation or self-confidence. You might feel sad or depressed, or have trouble concentrating or remembering things.

Of course, some of these symptoms may be underlining causes of other medical problems which may or may not be related to low testosterone.  If your doctor decides to run a male hormone panel to take a look at your testosterone and other relevant hormones, feel free to print out the below blood panel and ask if it may be of help to include some of the tests.

Comprehensive male hormone panel that I generally suggest:

  • Free Testosterone
  • Total Testosterone
  • DHEA – Sulfate
  • Prostate-Specific Antigen (PSA)
  • Estradiol
  • TSH
  • Free T3
  • Free T4
  • Sex Hormone Binding Globulin (SHBG)
  • FSH/LH
  • IGF-1
  • RBC Mag
  • Vitamin D3
  • Copper
  • Zinc

If your doctor and or health insurance company will not run or cover a comprehensive male hormone profile — do it yourself.  Below are two companies where you can order comprehensive male hormone blood tests at a fraction of the costs you would pay if you purchased them directly from the lab.

Life Extension Foundation:  Blood Testing

Private MD Labs:  Blood Testing

Although LEF and Private MD Labs companies sell their version of a comprehensive male hormone blood test, I recommend the above suggested tests be included.

After you get your test results back, you’ll want to take it to your doctor for interpretation.   However, you may need to have those blood hormone tests interpreted by an endocrinologist who is typically better educated in the hormone arena.

If your blood tests come back with some hormonal deficiencies and/or imbalances, you’ll want to additionally consult a health and fitness expert.  This health/fitness expert should be someone who can coach you on exercise, diet and targeted supplementation to restore any of the hormonal deficiencies or imbalances.  Testosterone is greatly influenced by exercise, sleep quality, diet and supplementation.

Having integrated BioSignature for more than three years, I can say I have seen testosterone numbers increase dramatically without clients having to resort to clinical hormonal therapies (unless it is urgent, of course).  Many times men notice the beginning symptoms of low testosterone, but it’s not to the point where they need it medically treated.  For example, in the high-tech area where I live, even many men in their twenties and thirties are having troubles with testosterone!  The combination of over-working, sleep deprivation, lack of exercise and exposure to plastics can cause this to happen in younger populations.

In the cases of testosterone deficiencies in younger men, it is easier to restore because the lifestyle causing it to decline hasn’t been going on as long as it has for men in their 50′s and 60′s.  Prolonged periods of stress and unhealthy lifestyle can zap testosterone.  Take care of yourself through exercise, good sleep habits and nutrition/supplementation so you won’t have to repair the damage in your later years.

Stay tuned by subscribing to this blog for future posts on testosterone.  As always, comments are welcome.

Sources:

MayoClinic:  Male Menopause:  Myth or reality?

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Speed Eaters Gain Weight Easier Than Slow Eaters

Have you ever noticed how people consume food at different rates? We all know friends or family members who eat particularly fast and those who eat rather slowly.

Why is there so much variability with eating rates and what causes this variability? Below are three of the most common reasons or theories as to why this might be.

  1. Cultural
  2. Emotional
  3. Nutritional

Cultural

In countries with cultures such as France, for example, a meal can last for hours. The meal is an event in which people socialize, enjoying the food by eating small courses throughout the evening. On the other hand, in countries such as the U.S. people tend to eat quickly and independently.

Many statistical experts in the U.S. have estimated that the average eating time at dinner is around 11 minutes, with smaller meals lasting 2-4 minutes. Some of this may be due to habits formed in school systems early on in life. A recent article in USA Today Cutting short lunch time in school may lead to obesity stated:

“A new national survey by the School Nutrition Association shows elementary kids have about 25 minutes for lunch; middle school and high school students about 30 minutes. That includes the time students need to go to the restroom, wash their hands, walk to the cafeteria and stand in line for their meals.” (1)

Obviously, by the time the students sit down at the table with their meals, they better not talk too much, because they will barely have time to wolf down some food.  I am all too familiar with this scenario, as I was also rushed when going through grades K-12 and even sometimes even in college (depending on my class schedule).

Emotional

The Mayo Clinic suggests that there is a connection between mood, food and weight loss.  “Emotional eating is eating as a way to suppress or soothe negative emotions, such as stress, anger, fear, boredom, sadness and loneliness. Both major life events and the hassles of daily life can trigger negative emotions that lead to emotional eating and disrupt your weight-loss efforts.”  (2)

When negative emotions are tied to eating there is a tendency to eat almost unconsciously, causing both faster eating and overeating.

Nutritional

If a person is hungry due to skipping meals, like breakfast for example, this can cause fast eating and over eating problems.  If one goes more than about six hours without a meal, one may have a greater tendency to eat rapidly and too much.  Eating too many simple sugars without fat and protein can cause a blood sugar crash, ending up in craving more quick energy (sugar).

Remember that fat, protein and fiber all slow down blood sugar.  One way to curb cravings is to make sure you have enough of these in your diet (especially with all of the low fat diets out there).

If you do not get sufficient nutrients due to eating too many processed foods, your body may crave the missing trace minerals and nutrients which may lead to more unhealthy eating.

Are you a speed eater?

If you are a speed eater, know that you can take measures to control it.  If your school system doesn’t allow for a decent lunch, appeal to the school system, perhaps with backup (such as parents).  If your colleagues at work eat fast, take your time and try not to let their habits influence you.  If you notice your eating habits changing when you are under stress, try to eat more lean protein and do not skip meals.

References

1.  Mayo Clinic:  www.mayoclinic.com/health/weight-loss/MH00025

2.  USA Today:  http://yourlife.usatoday.com/parenting-family/story/2011/08/Students-feel-rushed-at-school-lunch/50027612/1

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I strongly suggest to my clients that they choose fish oil supplements inliquid form over capsule form.

1. Unless you cut and smell the capsule, you cannot tell if it is rancid or not.

2. It is easy to determine if liquid fish oil  is rancid and it is far more cost effective.

If a bottle of olive oil has been sitting around in the cupboards for a while, it would behoove you to give it the sniff test.  So why is it that when taking a fish oil supplement most of us are under the assumption that the oil is not rancid?

The fish oil capsule that you are taking has gone through several handling steps along the way.  Ranging from improper manufacturing to storage and delivery, there are ample opportunities for this supplement to go wrong.  For example, the factory could do a perfect job, use proper shipping methods that keep the fish oil at a safe temperature, yet when it gets dropped off at the merchant; it may sit in a hot warehouse for a week before it goes onto the shelves.

I have tested several brands at random from different stores and discovered rancid fish oil capsules by performing the cut and sniff test.  I suspect that in the summer months or warmer climates this problem may be more frequent, due to budgeted shipping methods (not shipping with ice packs or climate controlled trucks).

If you are going to supplement with fish oil (which I highly recommend to anyone who wants to achieve optimal health) make sure to sniff it out before you accept it into your body.  Consuming rancid fish oil is worse than taking no fish oil at all.

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What are the potential risks involved in lowering the olympic barbell to the chest during a bench press?

1. It can stretch the anterior shoulder capsule, creating anterior instability.

2. It can cause shoulder impingement in someone who is at a greater risk for impingement syndrome.  Those who are at greater risk of shoulder impingement often have poor upper body posture (rounded shoulders and forward head).

Through many years of experience, I can tell you that it is not worth risking the health of your shoulders by performing a traditional full range of motion olympic bench press.  There are of course exceptions to this rule.

Some athletes need full range of motion when performing pressing movements in the gym:

Athletes such as shot put throwers need a full range of motion (ROM) because they are doing it already for their sport.  In fact, a shot put thrower needs strength in a full ROM.  However, if the shot put thrower is having pain problems due to anterior instability and or impingement syndrome, a reduction in range of motion during a pressing movement is often advised.

For the vast majority of us who want to increase our general health and fitness, it is simply not necessary to complete full range of motion on a bench press movement.  Limited range of motion for general health and fitness enthusiasts also applies to most pressing type movements; shoulder press, incline press.

Pressing exercises exceptions are:

1. Decline press

Due to the fact that the range of motion in the shoulder joint will automatically decrease during a decline bench press, full range of motion is typically risk free.

2. Cable pressing movements in standing posture

During a standing cable press, other muscles are involved which take the load off of the shoulder;  abdominals, legs and hips.

3. Pushups — provided you have good posture

A pushup is considered a closed chain exercise, which is a more stable environment for the shoulders.  If you have good shoulder mechanics and good upper body posture, pushups are generally safe to perform the full range of motion;  chest to the floor.

Exercise selection in any strength and conditioning program should take the individual into account.  With the rising popularity in home workout videos, I have seen an increasing amount of people come into my clinic with injuries from these rubber-stamped, non-professionally designed and unsupervised programs.

Shoulder problems are on the rise due to increased sedentary jobs, lifestyles and faulty exercise programs.  Stay tuned for more shoulder articles as it is important to understand which exercises put the shoulder joint at risk and how to prevent injury.

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