Pages

Tuesday, February 12, 2013

Beshear will expand Medicaid, Democrat and Republican say; D says governor believes the state can opt out if it's not affordable

State legislators in both parties say they expect Gov. Steve Beshear to expand Medicaid to cover several hundred thousand more Kentuckians who earn up to 138 percent of the federal poverty rate.

Rep. Tom Burch, chairman of the House Health and Welfare Committee, told Ryan Alessi of cn|2’s "Pure Politics" that the governor told him exactly that last week. And Sen. Tom Buford, R-Nicholasville, told Kentucky Health News that he expects Beshear to do the deed.

Burch told Alessi that Beshear has decided to move forward with the expansion because he believes the state would be able to opt out if state officials discover that Kentucky can’t afford it after 2017.

Beshear didn’t mention expansion in his State of the Commonwealth Address last week, and the governor’s office said the official decision hadn’t been made yet but didn’t dispute Burch’s statement, Alessi reports. Here is the salient part of his interview with Burch:



Buford said Beshear will be under much political pressure to expand Medicaid because it is President Obama's signature program and expansion will create jobs. However, Republican legislators generally  have opposed the expansion of Medicaid because the state can’t afford it. The federal government will cover the cost of covering the extra people from 2014 through 2016. Kentucky would have to kick in 5 percent of the costs starting in 2017 and 10 percent by 2020.  

The federal government covers roughly 70 percent of Kentucky’s $6 billion Medicaid program. It covers more than 800,000 Kentuckians and with the expansion, that number could grow to more than 1 million — or roughly a quarter of all Kentuckians, reports Alessi.

“I think it’s critical that we take a look at those to see how we achieve that. I’m not sure that this would be the way that would be best-suited to Kentucky and be fiscally responsible for the state of Kentucky,” Sen. Julie Denton, R-Louisville and chairman of the Senate Health and Welfare Committee, told Alessi in December (at 4:10 of the interview below). “Frankly, I don’t think we can afford to do it,” she said.

State legislators in both parties say they expect Gov. Steve Beshear to expand Medicaid to cover several hundred thousand more Kentuckians who earn up to 138 percent of the federal poverty rate.

Rep. Tom Burch, chairman of the House Health and Welfare Committee, told Ryan Alessi of cn|2’s "Pure Politics" that the governor told him exactly that last week. And Sen. Tom Buford, R-Nicholasville, told Kentucky Health News that he expects Beshear to do the deed.

Burch told Alessi that Beshear has decided to move forward with the expansion because he believes the state would be able to opt out if state officials discover that Kentucky can’t afford it after 2017.

Beshear didn’t mention expansion in his State of the Commonwealth Address last week, and the governor’s office said the official decision hadn’t been made yet but didn’t dispute Burch’s statement, Alessi reports. Here is the salient part of his interview with Burch:



Buford said Beshear will be under much political pressure to expand Medicaid because it is President Obama's signature program and expansion will create jobs. However, Republican legislators generally  have opposed the expansion of Medicaid because the state can’t afford it. The federal government will cover the cost of covering the extra people from 2014 through 2016. Kentucky would have to kick in 5 percent of the costs starting in 2017 and 10 percent by 2020.  

The federal government covers roughly 70 percent of Kentucky’s $6 billion Medicaid program. It covers more than 800,000 Kentuckians and with the expansion, that number could grow to more than 1 million — or roughly a quarter of all Kentuckians, reports Alessi.

“I think it’s critical that we take a look at those to see how we achieve that. I’m not sure that this would be the way that would be best-suited to Kentucky and be fiscally responsible for the state of Kentucky,” Sen. Julie Denton, R-Louisville and chairman of the Senate Health and Welfare Committee, told Alessi in December (at 4:10 of the interview below). “Frankly, I don’t think we can afford to do it,” she said.

Read More


End of NFL? Fight withdrawal symptoms after Super Bowl effectively; Health Ranger informs public



 

The Super Bowl has created an enormous stir among the football loving people of the U.S. In a poll conducted in January 2012, this is what was found:

 

For 36 percent of the sports fans in the U.S., football is their favorite sport.

 

This is far higher than the popularity of any other sport in the country. The Super Bowl season is a time of ultimate jubilation for football fans. But as soon as the season ends, many football fans experience a withdrawal, similar to that of drug addicts, not being able to cope with the abrupt end of their favorite sport. This is a withdrawal symptom and it can be duly dealt with. 

 

Natural News reports that the withdrawal symptoms in football fans have psychological reasons. Dr. Angelos Halaris of Loyola University Medical Center is of the opinion that during merrymaking, the human brain releases dopamine, which is a pleasure producing neurotransmitter.

 

During the Super Bowl season, the brain of a football fan constantly releases dopamine and when the season ends, the brain stops releasing the substance, thus creating a sense of withdrawal in the fan’s mind. The withdrawal symptoms match those of drug addicts, but are less severe.

 

There are effective methods of coping with this. Halaris suggests that fans can watch recorded football games on television or on the internet. They can also spend their time watching other games like baseball and basketball. However, this procedure may not be effective for everyone.


 

It is important for a fan to talk about his feelings of withdrawal with his friends or family members because if this issue remains suppressed, it can usher in serious consequences. Natural News says that there is no room for self-medication and by no means should fans resort to antidepressants. It is only a matter of time before the withdrawal symptoms fade away completely and naturally, leaving the fans with ample time to prepare for next season, with positivity and enthusiasm that is devoid of the ill effects of antidepressants.


 

The Super Bowl has created an enormous stir among the football loving people of the U.S. In a poll conducted in January 2012, this is what was found:

 

For 36 percent of the sports fans in the U.S., football is their favorite sport.

 

This is far higher than the popularity of any other sport in the country. The Super Bowl season is a time of ultimate jubilation for football fans. But as soon as the season ends, many football fans experience a withdrawal, similar to that of drug addicts, not being able to cope with the abrupt end of their favorite sport. This is a withdrawal symptom and it can be duly dealt with. 

 

Natural News reports that the withdrawal symptoms in football fans have psychological reasons. Dr. Angelos Halaris of Loyola University Medical Center is of the opinion that during merrymaking, the human brain releases dopamine, which is a pleasure producing neurotransmitter.

 

During the Super Bowl season, the brain of a football fan constantly releases dopamine and when the season ends, the brain stops releasing the substance, thus creating a sense of withdrawal in the fan’s mind. The withdrawal symptoms match those of drug addicts, but are less severe.

 

There are effective methods of coping with this. Halaris suggests that fans can watch recorded football games on television or on the internet. They can also spend their time watching other games like baseball and basketball. However, this procedure may not be effective for everyone.


 

It is important for a fan to talk about his feelings of withdrawal with his friends or family members because if this issue remains suppressed, it can usher in serious consequences. Natural News says that there is no room for self-medication and by no means should fans resort to antidepressants. It is only a matter of time before the withdrawal symptoms fade away completely and naturally, leaving the fans with ample time to prepare for next season, with positivity and enthusiasm that is devoid of the ill effects of antidepressants.
Read More


Nursing homes push for lawsuit protection with fast-moving bill and broadcast ads; newspaper editorials excoriate sponsor, industry

A state Senate committee has approved a bill that would require lawsuits against nursing homes to clear a review panel before going to court, a move that has drawn very sharp criticism from the editorial pages of the state's two largest newspapers. Meanwhile, the nursing-home industry is running television and radio ads urging calls to legislators in favor of the measure, which the Senate Health and Welfare Committee approved 7-4 last Wednesday without hearing from its opponents.

"Slimy action on questionable bill" read the headline over Tuesday's Lexington Herald-Leader's editorial, which began, "Good ideas can withstand criticism. So, when lawmakers move a piece of legislation without hearing from any of its opponents, you have to wonder whether they're sneaking through a stinker."

The chairman of the committee and the bill's sponsor, Sen. Julie Denton, R-Louisville, said some members had to leave for other meetings. "But somehow they had time to listen to industry spokesmen before voting," the Herald-Leader noted. "The nursing home industry claims that it is under siege from frivolous lawsuits drummed up by attorneys advertising for clients and that this legal threat pushes up nursing homes' insurance and legal costs, taking money that otherwise could go into patient care." (Read more)

The Courier-Journal editorial, which first reported the committee's action, accused Denton of "a brazen abuse of her power as committee chairman" and said sarcastically that she was "humane" to spare members of he committee "the ugly details of nursing home neglect and abuse. . . . Why should members, before lunch, have to consider graphic testimony about bedsores, near-starvation, dehydration and bowel obstructions suffered by elderly, helpless people? But for members of the General Assembly who are interested in the facts, here are some:

• Kentucky currently has about 23,000, mostly frail, elderly people who are residents in about 280 nursing homes. About half the homes have been cited by federal inspectors for a serious deficiency since 2009.
• 40 percent of the homes are rated at below average by the U.S. Center for Medicare and Medicaid Services when it comes to basic health and safety.
• In 2012, Kentucky ranked first in overall federal fines for violations and one Kentucky nursing home racked up the nation’s highest fines for the year.
• Kentucky ranks first in serious nursing home deficiencies that threaten the safety of residents. (Read more)

Sen. Ray Jones, D-Pikeville, who called Denton's move "blatantly wrong." has filed several floor amendments to the bill, which remained in the Senate Rules Committee Monday.

The Kentucky Association of Health Care Facilities is pushing the bill with TV and radio commercials urging calls to legislators. It placed $9,464 worth of ads on Lexington TV stations through Feb. 14.
A state Senate committee has approved a bill that would require lawsuits against nursing homes to clear a review panel before going to court, a move that has drawn very sharp criticism from the editorial pages of the state's two largest newspapers. Meanwhile, the nursing-home industry is running television and radio ads urging calls to legislators in favor of the measure, which the Senate Health and Welfare Committee approved 7-4 last Wednesday without hearing from its opponents.

"Slimy action on questionable bill" read the headline over Tuesday's Lexington Herald-Leader's editorial, which began, "Good ideas can withstand criticism. So, when lawmakers move a piece of legislation without hearing from any of its opponents, you have to wonder whether they're sneaking through a stinker."

The chairman of the committee and the bill's sponsor, Sen. Julie Denton, R-Louisville, said some members had to leave for other meetings. "But somehow they had time to listen to industry spokesmen before voting," the Herald-Leader noted. "The nursing home industry claims that it is under siege from frivolous lawsuits drummed up by attorneys advertising for clients and that this legal threat pushes up nursing homes' insurance and legal costs, taking money that otherwise could go into patient care." (Read more)

The Courier-Journal editorial, which first reported the committee's action, accused Denton of "a brazen abuse of her power as committee chairman" and said sarcastically that she was "humane" to spare members of he committee "the ugly details of nursing home neglect and abuse. . . . Why should members, before lunch, have to consider graphic testimony about bedsores, near-starvation, dehydration and bowel obstructions suffered by elderly, helpless people? But for members of the General Assembly who are interested in the facts, here are some:

• Kentucky currently has about 23,000, mostly frail, elderly people who are residents in about 280 nursing homes. About half the homes have been cited by federal inspectors for a serious deficiency since 2009.
• 40 percent of the homes are rated at below average by the U.S. Center for Medicare and Medicaid Services when it comes to basic health and safety.
• In 2012, Kentucky ranked first in overall federal fines for violations and one Kentucky nursing home racked up the nation’s highest fines for the year.
• Kentucky ranks first in serious nursing home deficiencies that threaten the safety of residents. (Read more)

Sen. Ray Jones, D-Pikeville, who called Denton's move "blatantly wrong." has filed several floor amendments to the bill, which remained in the Senate Rules Committee Monday.

The Kentucky Association of Health Care Facilities is pushing the bill with TV and radio commercials urging calls to legislators. It placed $9,464 worth of ads on Lexington TV stations through Feb. 14.
Read More


Monday, February 11, 2013

First major study of diet and strokes links fried, sugary Southern diet, low on fruits and vegetables, to increased risk

Genuine Kentucky fried platter:
Cornbread, fried catfish, fried green
tomatoes, fried apples and fried okra
(Photo from Ramsey's, Lexington)
By Molly Burchett
Kentucky Health News

People with a Southern diet, or one heavy on fried food and sugary drinks like sweet tea and soft drinks, are more likely to suffer a stroke, a new study finds.

It's the first big look at diet and strokes, and researchers say it might help explain people in the nation's "stroke belt" or southern states suffer more of them, reports Marilynn Marchione of The Associated Press.

These findings have important implications for Kentuckians because stroke accounts for 5.5 percent of Kentucky deaths each year and more than 81 percent of Kentucky adults eat fruit and vegetables fewer than 5 times a day, which is a indicator of risk for stroke:

Heart Disease and Stroke Risk Factors
from federal Behavioral Risk Factor Surveillance System national survey
Ky.
U.S.
Eat fruits and vegetables less than 5 times/day81.675.6
Overweight or obese69.162.9
No moderate or vigorous physical activity55.850.5
High total blood cholesterol38.537.6
High blood pressure30.027.8
Cigarette smoking28.219.8
Diabetes9.98.0

"We're talking about fried foods, french fries, hamburgers, processed meats, hot dogs," bacon, ham, liver, gizzards and sugary drinks, said the study's leader, Suzanne Judd of the University of Alabama in Birmingham.  For the study, a southern diet also included jerky, red meat, eggs, and whole milk.

Fried foods tend to be eaten with lots of salt, which raises blood pressure and sweet drinks increases risk for diabetes- both are known stroke risk factors, Judd said.

People who ate about six meals a week featuring these sorts of "Southern" foods had a 41 percent higher stroke risk than people who ate that way about once a month, researchers found.
In contrast, people whose diets were high in fruits, vegetables, whole grains and fish had a 29 percent lower stroke risk, reports Marchione.
"It's a very big difference," Judd said. "The message for people in the middle is there's a graded risk" — the likelihood of suffering a stroke rises in proportion to each Southern meal in a week. 
These findings were reported last week at the American Stroke Association conference. The study was launched in 2002 to explore regional variations in stroke risks and reasons for them.

Stroke death rates in Kentucky vary widely among counties. Here's a county map of the rates, from KentuckyHealthFacts.org, which has a county-by county list:
The map shows stroke rates in ranges per 100,000 population from 2003 through 2007. Purple counties had rates above 69; blue counties ranged from 52 to 69; turquoise were 44 to 52; light blue were 31 to 44 (the number that is about the national average), and tan were 18 to 31.
Genuine Kentucky fried platter:
Cornbread, fried catfish, fried green
tomatoes, fried apples and fried okra
(Photo from Ramsey's, Lexington)
By Molly Burchett
Kentucky Health News

People with a Southern diet, or one heavy on fried food and sugary drinks like sweet tea and soft drinks, are more likely to suffer a stroke, a new study finds.

It's the first big look at diet and strokes, and researchers say it might help explain people in the nation's "stroke belt" or southern states suffer more of them, reports Marilynn Marchione of The Associated Press.

These findings have important implications for Kentuckians because stroke accounts for 5.5 percent of Kentucky deaths each year and more than 81 percent of Kentucky adults eat fruit and vegetables fewer than 5 times a day, which is a indicator of risk for stroke:

Heart Disease and Stroke Risk Factors
from federal Behavioral Risk Factor Surveillance System national survey
Ky.
U.S.
Eat fruits and vegetables less than 5 times/day81.675.6
Overweight or obese69.162.9
No moderate or vigorous physical activity55.850.5
High total blood cholesterol38.537.6
High blood pressure30.027.8
Cigarette smoking28.219.8
Diabetes9.98.0

"We're talking about fried foods, french fries, hamburgers, processed meats, hot dogs," bacon, ham, liver, gizzards and sugary drinks, said the study's leader, Suzanne Judd of the University of Alabama in Birmingham.  For the study, a southern diet also included jerky, red meat, eggs, and whole milk.

Fried foods tend to be eaten with lots of salt, which raises blood pressure and sweet drinks increases risk for diabetes- both are known stroke risk factors, Judd said.

People who ate about six meals a week featuring these sorts of "Southern" foods had a 41 percent higher stroke risk than people who ate that way about once a month, researchers found.
In contrast, people whose diets were high in fruits, vegetables, whole grains and fish had a 29 percent lower stroke risk, reports Marchione.
"It's a very big difference," Judd said. "The message for people in the middle is there's a graded risk" — the likelihood of suffering a stroke rises in proportion to each Southern meal in a week. 
These findings were reported last week at the American Stroke Association conference. The study was launched in 2002 to explore regional variations in stroke risks and reasons for them.

Stroke death rates in Kentucky vary widely among counties. Here's a county map of the rates, from KentuckyHealthFacts.org, which has a county-by county list:
The map shows stroke rates in ranges per 100,000 population from 2003 through 2007. Purple counties had rates above 69; blue counties ranged from 52 to 69; turquoise were 44 to 52; light blue were 31 to 44 (the number that is about the national average), and tan were 18 to 31.
Read More


Some Christian Co. health board members balk at director's idea of using $100,000 of $2.4 million reserve for recreational trail

The director of the Christian County Health Department urged its board to give $100,000 from reserves to fund a rail-to-trail project to provide residents with new opportunities for exercise.

Coverting old railroad beds to recreation trails could help improve Christian County's infrastructure to promote healthy living, which is needed because a study last year ranked Christian County 116th out of Kentucky's 120 counties in this area, said Health Department Director Mark Pyle.

The department has $2.4 million in reserve, but several board members opposed the idea, citing a budget shortfall this fiscal year, financial troubles with the school-nurse program and delays in Medicaid reimbursements, reports Nick Tabor of the Kentucky New Era.

The City of Hopkinsville hopes to raise $400,000 for the first phase of the trail project. A recreational trail would initiate a culture change and residents should have public resources equal to those of other regions, Mayor Dan Kemp told Taylor.

Pyle told Tabor the trail would help the health department accomplish its goal of advancing public health, and the reserve money isn't there for sitting on. He said he believes the board will agree to using the money for the project at its next meeting, April 22, after considering funding priorities.

The New Era endorsed the health department's contribution as a good investment in local health, which by law is the health board's responsibility. For a PDF of the editorial and the news story, click here.
The director of the Christian County Health Department urged its board to give $100,000 from reserves to fund a rail-to-trail project to provide residents with new opportunities for exercise.

Coverting old railroad beds to recreation trails could help improve Christian County's infrastructure to promote healthy living, which is needed because a study last year ranked Christian County 116th out of Kentucky's 120 counties in this area, said Health Department Director Mark Pyle.

The department has $2.4 million in reserve, but several board members opposed the idea, citing a budget shortfall this fiscal year, financial troubles with the school-nurse program and delays in Medicaid reimbursements, reports Nick Tabor of the Kentucky New Era.

The City of Hopkinsville hopes to raise $400,000 for the first phase of the trail project. A recreational trail would initiate a culture change and residents should have public resources equal to those of other regions, Mayor Dan Kemp told Taylor.

Pyle told Tabor the trail would help the health department accomplish its goal of advancing public health, and the reserve money isn't there for sitting on. He said he believes the board will agree to using the money for the project at its next meeting, April 22, after considering funding priorities.

The New Era endorsed the health department's contribution as a good investment in local health, which by law is the health board's responsibility. For a PDF of the editorial and the news story, click here.
Read More


Diagnosis of arthritis in cats

Klinck MP, Frank D, Guillot M and Troncy E. Owner-perceived signs and veterinary diagnosis in 50 cases of feline osteoarthritis. Can Vet J. 2012; 53: 1181-6.

Osteoarthritis (OA) is common in older cats and the associated chronic pain and functional limitations are a serious animal welfare concern. In this study from the University of Montreal, owners of 50 cats were interviewed to collect information on specific osteoarthritis signs observed in the home. Information was collected on signs relating to mobility, self-maintenance, social and exploratory behavior, and activity and habits at diagnosis and after treatment. The mean age at diagnosis of OA was 12 years and many cats (44%) had concurrent diseases. Owner-reported abnormalities led to OA diagnosis in most cases; either as the primary finding (30%), or combined with abnormal physical examination or radiographic findings (64%). Owners frequently reported changes in mobility, particularly gait, jumping, and use of stairs. It was rare for a diagnosis of OA to be based on physical examination findings alone. 

The most common treatments were glucosamine and polysulfated glycosaminoglycan products. Feline OA diagnosis and therapeutic monitoring remains challenging for veterinary practitioners and it appears to rely heavily on owner-perceived signs. Questioning of owners with cats at risk for OA revealed various observable signs potentially useful in detection and monitoring. [MK]

See also: Bennett D, Zainal Ariffin SM and Johnston P. Osteoarthritis in the cat: 1. how common is it and how easy to recognise? J Feline Med Surg. 2012; 14: 65-75. 

Related blog articles:
Improving treatment of chronic pain in cats (April 2012)
Osteoarthritis in cats (August 2010)

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Join us on Google+

Klinck MP, Frank D, Guillot M and Troncy E. Owner-perceived signs and veterinary diagnosis in 50 cases of feline osteoarthritis. Can Vet J. 2012; 53: 1181-6.

Osteoarthritis (OA) is common in older cats and the associated chronic pain and functional limitations are a serious animal welfare concern. In this study from the University of Montreal, owners of 50 cats were interviewed to collect information on specific osteoarthritis signs observed in the home. Information was collected on signs relating to mobility, self-maintenance, social and exploratory behavior, and activity and habits at diagnosis and after treatment. The mean age at diagnosis of OA was 12 years and many cats (44%) had concurrent diseases. Owner-reported abnormalities led to OA diagnosis in most cases; either as the primary finding (30%), or combined with abnormal physical examination or radiographic findings (64%). Owners frequently reported changes in mobility, particularly gait, jumping, and use of stairs. It was rare for a diagnosis of OA to be based on physical examination findings alone. 

The most common treatments were glucosamine and polysulfated glycosaminoglycan products. Feline OA diagnosis and therapeutic monitoring remains challenging for veterinary practitioners and it appears to rely heavily on owner-perceived signs. Questioning of owners with cats at risk for OA revealed various observable signs potentially useful in detection and monitoring. [MK]

See also: Bennett D, Zainal Ariffin SM and Johnston P. Osteoarthritis in the cat: 1. how common is it and how easy to recognise? J Feline Med Surg. 2012; 14: 65-75. 

Related blog articles:
Improving treatment of chronic pain in cats (April 2012)
Osteoarthritis in cats (August 2010)

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Join us on Google+

Read More


How Whole Body Vibration Exercises Can Help Improve Fitness in the Elderly


By Dr. Mercola
Exercise is a critical part of a healthy lifestyle, and it can be a part of your life no matter what your age. In fact, staying active becomes increasingly important as you get older.
Even frail seniors of advanced age can improve muscle strength and agility with exercise, which is important for preventing falls and injuries.
For seniors who have a hard time performing aerobic exercise, using a Whole Body Vibration (WBV) platform (such as The Power Plate) can help them improve performance, allowing them to become stronger, faster and more agile, according to recent research1.
As explained by Dr. Keith DeOrio, M.D2., WBV stimulation affects your entire body musculature, as well as your internal organs and glands. 
Your muscle spindles fire secondary to the mechanical stimulation produced by the vibrating plate, and this rapid firing of the muscle spindle causes a neuromuscular response that leads to physiological changes in your brain as well as your entire body.  

How Whole Body Vibration Can Improve Fitness in Those Over 65

The featured study was funded by the Spanish government, and while small in scale, it suggests Whole Body Vibration (WBV) training can stimulate muscle growth and improve overall fitness in the elderly. As reported by Reuters:
“Twenty-four men and women over 65 performed 10 squats held for 45 seconds on the vibrating platform, with a minute rest in between, three times per week for 11 weeks. The study also included 25 people who did not take part in the vibration exercises.
... Those who did the exercises were, on average, able to do two more reps of upper and lower body strength exercises, had almost half an inch more lower body flexibility, and walked 33 yards one second faster than before the vibration training...”
Other studies have also demonstrated significant gains in most measures of muscle performance in sedentary and elderly individuals when using WBV. It has also been shown to provide a number of additional health benefits in the elderly. For example, one study, performed by the University of Liege in Belgium3, investigated the effects of controlled whole body vibrations exercises on overall health in elderly patients and found that after six weeks (performing 4 one-minute sessions, 3 times a week), the participants experienced:  
143 percent improvement in physical function57 percent improvement in the quality of walking
77 percent improvement in equilibrium41 percent reduction in pain
60 percent improvement in vitality23 percent improvement in general health

Reduce Bone Loss with Whole Body Vibration

Loss of bone mass is one of the common signs of aging, because as you age your existing bone is absorbed by your body while new bone is created to replace it. In the case of osteoporosis, the formation of new bone falls behind the rate of bone absorption, leading to weakened, thinner and more brittle bones.
A thinning hipbone is a major concern if you are elderly, because any fall increases the risk of a broken hip, which always carries a great risk of complications and usually requires prolonged specialized care for recovery. It's estimated that 25 percent of elderly people suffering a hip fracture die as a direct result4.
Weight-bearing exercise, like resistance- or strength training, can go a long way to prevent brittle bone formation, and can help reverse the damage already done. WBV training can also be helpful here, especially in the elderly.
In a study5 by Medical College of Georgia researchers, using vibration therapy 30 minutes daily for 12 weeks improved bone density in mice, a finding that adds support for their use in humans, especially the elderly. It's thought that the vibrations prompt movement of the cell nucleus, which may trigger the release of osteoblasts to build bone. Previous studies have also found that WBV training increases bone density in the hip and inhibits bone loss in the spine and hip areas.

Vitamin D and K2 Are Also Critical Factors for Bone Health Throughout Life

For optimal bone health you also need to optimize your vitamin D levels, and make sure you’re getting enough vitamin K2. Both of these nutrients are essential for healthy bone formation and maintenance, and they work in tandem. This is why, if you take high doses of vitamin D3, you also need to take extra vitamin K2.
The biological role of vitamin K2 is to help move calcium into the proper areas in your body, such as your bones and teeth. It also helps remove calcium from areas where it shouldn’t be, such as in your arteries and soft tissues. Vitamin K2 deficiency is actually what produces the symptoms of vitamin D toxicity, which includes inappropriate calcification that can lead to hardening of your arteries.
So remember, if you take supplemental vitamin D, you're creating an increased demand for K2. Together, these two nutrients help strengthen your bones and improve your heart health.
While the ideal or optimal ratios between vitamin D and vitamin K2 have yet to be elucidated, Dr. Kate Rheaume-Bleue, author ofVitamin K2 and the Calcium Paradox: How a Little Known Vitamin Could Save Your Life, suggests that for every 1,000 IU's of vitamin D you take, you may benefit from about 100 micrograms of K2, and perhaps as much as 150-200 micrograms (mcg). So, if you take 8,000 IU's of vitamin D3 per day, that means you'd need in the neighborhood of 800 to 1,000 micrograms (0.8 to 1 milligram/mg) of vitamin K2.

Insulin Resistance and Age-Related Muscle Loss

In related news, the International Osteoporosis Foundation (IOF) Nutrition Working Group has released a scientific review6 that examines the role of nutrition in the development of sarcopenia (age-related loss of muscle mass).
Sarcopenia affects about 10 percent of those over 60, with higher rates as age advances. It may seem like common sense that if you don't use your muscles, they'll eventually atrophy away, yet so many people fail to apply this information. The older you get, the faster your muscles atrophy if you're not regularly engaging in appropriate exercise. However, dietary factors are also at play. According to the authors:
“A loss of fast twitch fibers, glycation of proteins, and insulin resistance may play an important role in the loss of muscle strength and development of sarcopenia.”
As I keep repeating, insulin resistance caused by excessive sugar consumption is at the root of virtually every disease and health ailment you can think of, and that includes age-related muscle loss. In fact, if your insulin receptors are insensitive, the mTOR mechanism, which is part of the insulin pathway and builds protein in your muscles, remains inactivated, making muscle wasting more or less inevitable. So, needless to say, it's very important to keep your insulin levels low to avoid becoming insulin resistant — not just for your overall health, but also to maintain healthy muscle.

Nutritional Factors that help Preserve Muscle Mass, Strength and Performance in Seniors

The IOF review identified a number of important dietary factors shown to have a beneficial impact on the maintenance of muscle mass with advancing age, as well as the treatment of sarcopenia. These include:
  • Protein: The authors suggest an intake of 1.0-1.2 grams of protein per kilo of body weight per day to maintain optimal muscle and bone health in seniors who do not have severely impaired renal function.
  • This is  more than the recommendations issued by Dr. Ron Rosedale, who believes one gram of protein per kilo of leanbody weight is sufficient for muscle maintenance and repair without detrimentally triggering the mTor pathway, which he believes ma play a role in the development of cancer.  
    So if you are really lean, the recommendation is close but if you are obese you could be consuming far too much protein based on the IOF recommendation. However if your goal is to increase muscle mass, then the extra protein would make sense.
    Whey protein is an excellent choice of protein for a number of reasons, but in part because it increases GLP-1, a satiety peptide that promotes healthy insulin secretion, and helps your insulin work more effectively.  Just use the dose of protein you feel is appropriate for your needs. 20 grams if you want to follow lower protein Dr. Rosedale approach and double that if you want to increase muscle growth.
  • Vitamin D: The authors recommend optimizing vitamin D levels through exposure to sunlight and/or supplementation if required.
  • Avoiding dietary acid loads: Acid-producing foods such as meats and grains can have a detrimental impact on musculoscletal health when consumed in excess, and especially in combination with insufficient intake of vegetables and fruits, which have an alkalinizing effect. The authors recommend increasing consumption of vegetables to help prevent sarcopenia
  • Vitamin B12 and/or folic acid
According to Dr. Ambrish Mithal, co-author and Chair and Head of Endocrinology and Diabetes division at Medanta, New Delhi7:
"Strategies to reduce the numbers of falls and fractures within our ageing populations must include measures to prevent sarcopenia. At present, the available evidence suggests that combining resistance training with optimal nutritional status has a synergistic effect in preventing and treating sarcopenia.”

Other Beneficial Supplements for Optimal Muscle Performance

Two additional supplements that can help optimize muscle performance, regardless of your age, are:
  1. Carnosine in the form of beta-alanine:  Carnosine is a pluripotent dipeptide composed of two amino acids (beta-alanine and histadine), found most notably in your muscles, where it helps buffer lactic acids and serves as a potent antioxidant that can help quell muscle inflammation. Most studies find that if you want to increase athletic performance with carnosine, your best bet is to use beta-alanine instead, since beta-alanine appears to be the rate limiting amino acid in the formation of carnosine.
  2. While you can easily purchase these as supplements, I do NOT recommend doing that. It is far better to get them from whole foods. The foods with the highest amount of useful dietary dipeptides like carnosine would be animal proteins, like eggs, whey protein, poultry and beef.
  3. Astaxanthin: A phenomenally potent antioxidant that has been shown to help improve muscle endurance, workout performance and recovery. It also reduces inflammation from all causes, including workout injuries, and even enhances your ability to metabolize fat.

How Whole Body Vibration Training Prevents Muscle-Wasting

Jumping back to where we started, by stimulating your fast- and super-fast muscle fibers, Whole Body Vibration training using a Power Plate appears to be very helpful for preventing and/or reversing age-related muscle wasting. It will also kick-start your pituitary gland into making more human growth hormone (HGH), which plays an important part in promoting overall health and longevity.
WBV is a truly revolutionary approach to fitness because it addresses your neuromuscular system as a whole, rather than one limb or muscle group at a time. Not to mention it's time efficient, allowing you to trim off several precious hours per week from your workout time. When used together with my Peak Fitness program, which includes high intensity interval training; a series of powerful high-intensity burst-type exercises, you can complete your entire workout a fraction of the time you'd have to spend on traditional workouts.
WBV training using the Power Plate is really the perfect complement to high intensity interval training to build strength, shed excess fat, and improve athletic performance. Both of these techniques also help you produce growth hormone (HGH) naturally. To learn more, please see this previous article.

It’s Never Too Late to Start Exercising

As you can see, age-related muscle wasting and bone loss doesn't have to happen to you... Following the advice detailed above can go a long way toward maintaining healthy bones and muscle mass as you age.
The earlier you start, the better, but remember, you are never too old to start exercising. Research shows that, no matter your age, you stand to gain significant improvements in strength, range of motion, balance, bone density and mental clarity through exercise. My mom didn't start working out until she was 74 and now, at the age of 78, she has gained significant improvements in strength, range of motion, balance, bone density and mental clarity.
And, if you’re presently incapable of engaging in aerobic exercise, using Whole Body Vibration training may be just the thing to help you get more active...  If you're still on the fence about starting an exercise program, there's no time like the present. I guarantee it will make a major difference in your energy level, self-esteem and probably your entire outlook on life. It is really THAT powerful, whether you're 18 years old or 80!



About Dr Kevin Lau


Dr Kevin Lau DC is a Singapore chiropractor and the founder of Health In Your Hands, a series of tools for Scoliosis prevention and treatment. The set includes his book Your Plan for Natural Scoliosis Prevention and Treatment, a companion Scoliosis Exercises for Prevention and Correction DVD and the innovative new iPhone application ScolioTrack. Dr Kevin Lau is a graduate in Doctor of Chiropractic from RMIT University in Melbourne Australia and Masters in Holistic Nutrition. He is a member of International Society On Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT), the leading international society on conservative treatment of spinal deformities. In 2006 I was awarded the "Best Health-care Provider Awards" by the largest Newspaper publication in Singapore on October 18 2006 as well as being interviewed on Primetime Channel News Asia as well as other TV and Radio. For more information on Dr Kevin Lau, watch his interviews or get a free sneak peek of his book, go to:

Website - http://www.hiyh.info.
ScolioTrack Website - http://www.ScolioTrack.com.
Facebook - https://www.facebook.com/HealthInYourHands.
Youtube - http://www.youtube.com/user/DrKevinLau.
Twitter - http://www.Twitter.com/DrKevinLau.

By Dr. Mercola
Exercise is a critical part of a healthy lifestyle, and it can be a part of your life no matter what your age. In fact, staying active becomes increasingly important as you get older.
Even frail seniors of advanced age can improve muscle strength and agility with exercise, which is important for preventing falls and injuries.
For seniors who have a hard time performing aerobic exercise, using a Whole Body Vibration (WBV) platform (such as The Power Plate) can help them improve performance, allowing them to become stronger, faster and more agile, according to recent research1.
As explained by Dr. Keith DeOrio, M.D2., WBV stimulation affects your entire body musculature, as well as your internal organs and glands. 
Your muscle spindles fire secondary to the mechanical stimulation produced by the vibrating plate, and this rapid firing of the muscle spindle causes a neuromuscular response that leads to physiological changes in your brain as well as your entire body.  

How Whole Body Vibration Can Improve Fitness in Those Over 65

The featured study was funded by the Spanish government, and while small in scale, it suggests Whole Body Vibration (WBV) training can stimulate muscle growth and improve overall fitness in the elderly. As reported by Reuters:
“Twenty-four men and women over 65 performed 10 squats held for 45 seconds on the vibrating platform, with a minute rest in between, three times per week for 11 weeks. The study also included 25 people who did not take part in the vibration exercises.
... Those who did the exercises were, on average, able to do two more reps of upper and lower body strength exercises, had almost half an inch more lower body flexibility, and walked 33 yards one second faster than before the vibration training...”
Other studies have also demonstrated significant gains in most measures of muscle performance in sedentary and elderly individuals when using WBV. It has also been shown to provide a number of additional health benefits in the elderly. For example, one study, performed by the University of Liege in Belgium3, investigated the effects of controlled whole body vibrations exercises on overall health in elderly patients and found that after six weeks (performing 4 one-minute sessions, 3 times a week), the participants experienced:  
143 percent improvement in physical function57 percent improvement in the quality of walking
77 percent improvement in equilibrium41 percent reduction in pain
60 percent improvement in vitality23 percent improvement in general health

Reduce Bone Loss with Whole Body Vibration

Loss of bone mass is one of the common signs of aging, because as you age your existing bone is absorbed by your body while new bone is created to replace it. In the case of osteoporosis, the formation of new bone falls behind the rate of bone absorption, leading to weakened, thinner and more brittle bones.
A thinning hipbone is a major concern if you are elderly, because any fall increases the risk of a broken hip, which always carries a great risk of complications and usually requires prolonged specialized care for recovery. It's estimated that 25 percent of elderly people suffering a hip fracture die as a direct result4.
Weight-bearing exercise, like resistance- or strength training, can go a long way to prevent brittle bone formation, and can help reverse the damage already done. WBV training can also be helpful here, especially in the elderly.
In a study5 by Medical College of Georgia researchers, using vibration therapy 30 minutes daily for 12 weeks improved bone density in mice, a finding that adds support for their use in humans, especially the elderly. It's thought that the vibrations prompt movement of the cell nucleus, which may trigger the release of osteoblasts to build bone. Previous studies have also found that WBV training increases bone density in the hip and inhibits bone loss in the spine and hip areas.

Vitamin D and K2 Are Also Critical Factors for Bone Health Throughout Life

For optimal bone health you also need to optimize your vitamin D levels, and make sure you’re getting enough vitamin K2. Both of these nutrients are essential for healthy bone formation and maintenance, and they work in tandem. This is why, if you take high doses of vitamin D3, you also need to take extra vitamin K2.
The biological role of vitamin K2 is to help move calcium into the proper areas in your body, such as your bones and teeth. It also helps remove calcium from areas where it shouldn’t be, such as in your arteries and soft tissues. Vitamin K2 deficiency is actually what produces the symptoms of vitamin D toxicity, which includes inappropriate calcification that can lead to hardening of your arteries.
So remember, if you take supplemental vitamin D, you're creating an increased demand for K2. Together, these two nutrients help strengthen your bones and improve your heart health.
While the ideal or optimal ratios between vitamin D and vitamin K2 have yet to be elucidated, Dr. Kate Rheaume-Bleue, author ofVitamin K2 and the Calcium Paradox: How a Little Known Vitamin Could Save Your Life, suggests that for every 1,000 IU's of vitamin D you take, you may benefit from about 100 micrograms of K2, and perhaps as much as 150-200 micrograms (mcg). So, if you take 8,000 IU's of vitamin D3 per day, that means you'd need in the neighborhood of 800 to 1,000 micrograms (0.8 to 1 milligram/mg) of vitamin K2.

Insulin Resistance and Age-Related Muscle Loss

In related news, the International Osteoporosis Foundation (IOF) Nutrition Working Group has released a scientific review6 that examines the role of nutrition in the development of sarcopenia (age-related loss of muscle mass).
Sarcopenia affects about 10 percent of those over 60, with higher rates as age advances. It may seem like common sense that if you don't use your muscles, they'll eventually atrophy away, yet so many people fail to apply this information. The older you get, the faster your muscles atrophy if you're not regularly engaging in appropriate exercise. However, dietary factors are also at play. According to the authors:
“A loss of fast twitch fibers, glycation of proteins, and insulin resistance may play an important role in the loss of muscle strength and development of sarcopenia.”
As I keep repeating, insulin resistance caused by excessive sugar consumption is at the root of virtually every disease and health ailment you can think of, and that includes age-related muscle loss. In fact, if your insulin receptors are insensitive, the mTOR mechanism, which is part of the insulin pathway and builds protein in your muscles, remains inactivated, making muscle wasting more or less inevitable. So, needless to say, it's very important to keep your insulin levels low to avoid becoming insulin resistant — not just for your overall health, but also to maintain healthy muscle.

Nutritional Factors that help Preserve Muscle Mass, Strength and Performance in Seniors

The IOF review identified a number of important dietary factors shown to have a beneficial impact on the maintenance of muscle mass with advancing age, as well as the treatment of sarcopenia. These include:
  • Protein: The authors suggest an intake of 1.0-1.2 grams of protein per kilo of body weight per day to maintain optimal muscle and bone health in seniors who do not have severely impaired renal function.
  • This is  more than the recommendations issued by Dr. Ron Rosedale, who believes one gram of protein per kilo of leanbody weight is sufficient for muscle maintenance and repair without detrimentally triggering the mTor pathway, which he believes ma play a role in the development of cancer.  
    So if you are really lean, the recommendation is close but if you are obese you could be consuming far too much protein based on the IOF recommendation. However if your goal is to increase muscle mass, then the extra protein would make sense.
    Whey protein is an excellent choice of protein for a number of reasons, but in part because it increases GLP-1, a satiety peptide that promotes healthy insulin secretion, and helps your insulin work more effectively.  Just use the dose of protein you feel is appropriate for your needs. 20 grams if you want to follow lower protein Dr. Rosedale approach and double that if you want to increase muscle growth.
  • Vitamin D: The authors recommend optimizing vitamin D levels through exposure to sunlight and/or supplementation if required.
  • Avoiding dietary acid loads: Acid-producing foods such as meats and grains can have a detrimental impact on musculoscletal health when consumed in excess, and especially in combination with insufficient intake of vegetables and fruits, which have an alkalinizing effect. The authors recommend increasing consumption of vegetables to help prevent sarcopenia
  • Vitamin B12 and/or folic acid
According to Dr. Ambrish Mithal, co-author and Chair and Head of Endocrinology and Diabetes division at Medanta, New Delhi7:
"Strategies to reduce the numbers of falls and fractures within our ageing populations must include measures to prevent sarcopenia. At present, the available evidence suggests that combining resistance training with optimal nutritional status has a synergistic effect in preventing and treating sarcopenia.”

Other Beneficial Supplements for Optimal Muscle Performance

Two additional supplements that can help optimize muscle performance, regardless of your age, are:
  1. Carnosine in the form of beta-alanine:  Carnosine is a pluripotent dipeptide composed of two amino acids (beta-alanine and histadine), found most notably in your muscles, where it helps buffer lactic acids and serves as a potent antioxidant that can help quell muscle inflammation. Most studies find that if you want to increase athletic performance with carnosine, your best bet is to use beta-alanine instead, since beta-alanine appears to be the rate limiting amino acid in the formation of carnosine.
  2. While you can easily purchase these as supplements, I do NOT recommend doing that. It is far better to get them from whole foods. The foods with the highest amount of useful dietary dipeptides like carnosine would be animal proteins, like eggs, whey protein, poultry and beef.
  3. Astaxanthin: A phenomenally potent antioxidant that has been shown to help improve muscle endurance, workout performance and recovery. It also reduces inflammation from all causes, including workout injuries, and even enhances your ability to metabolize fat.

How Whole Body Vibration Training Prevents Muscle-Wasting

Jumping back to where we started, by stimulating your fast- and super-fast muscle fibers, Whole Body Vibration training using a Power Plate appears to be very helpful for preventing and/or reversing age-related muscle wasting. It will also kick-start your pituitary gland into making more human growth hormone (HGH), which plays an important part in promoting overall health and longevity.
WBV is a truly revolutionary approach to fitness because it addresses your neuromuscular system as a whole, rather than one limb or muscle group at a time. Not to mention it's time efficient, allowing you to trim off several precious hours per week from your workout time. When used together with my Peak Fitness program, which includes high intensity interval training; a series of powerful high-intensity burst-type exercises, you can complete your entire workout a fraction of the time you'd have to spend on traditional workouts.
WBV training using the Power Plate is really the perfect complement to high intensity interval training to build strength, shed excess fat, and improve athletic performance. Both of these techniques also help you produce growth hormone (HGH) naturally. To learn more, please see this previous article.

It’s Never Too Late to Start Exercising

As you can see, age-related muscle wasting and bone loss doesn't have to happen to you... Following the advice detailed above can go a long way toward maintaining healthy bones and muscle mass as you age.
The earlier you start, the better, but remember, you are never too old to start exercising. Research shows that, no matter your age, you stand to gain significant improvements in strength, range of motion, balance, bone density and mental clarity through exercise. My mom didn't start working out until she was 74 and now, at the age of 78, she has gained significant improvements in strength, range of motion, balance, bone density and mental clarity.
And, if you’re presently incapable of engaging in aerobic exercise, using Whole Body Vibration training may be just the thing to help you get more active...  If you're still on the fence about starting an exercise program, there's no time like the present. I guarantee it will make a major difference in your energy level, self-esteem and probably your entire outlook on life. It is really THAT powerful, whether you're 18 years old or 80!



About Dr Kevin Lau


Dr Kevin Lau DC is a Singapore chiropractor and the founder of Health In Your Hands, a series of tools for Scoliosis prevention and treatment. The set includes his book Your Plan for Natural Scoliosis Prevention and Treatment, a companion Scoliosis Exercises for Prevention and Correction DVD and the innovative new iPhone application ScolioTrack. Dr Kevin Lau is a graduate in Doctor of Chiropractic from RMIT University in Melbourne Australia and Masters in Holistic Nutrition. He is a member of International Society On Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT), the leading international society on conservative treatment of spinal deformities. In 2006 I was awarded the "Best Health-care Provider Awards" by the largest Newspaper publication in Singapore on October 18 2006 as well as being interviewed on Primetime Channel News Asia as well as other TV and Radio. For more information on Dr Kevin Lau, watch his interviews or get a free sneak peek of his book, go to:

Website - http://www.hiyh.info.
ScolioTrack Website - http://www.ScolioTrack.com.
Facebook - https://www.facebook.com/HealthInYourHands.
Youtube - http://www.youtube.com/user/DrKevinLau.
Twitter - http://www.Twitter.com/DrKevinLau.
Read More