How we deal with stress

When it comes to matters of the mind and our physical health the medical industry was slow to accept that how we think could influence our physical health. Mainstream medicine didn’t really like the idea that emotions could affect health directly and it wasn’t until Hungarian doctor Hans Selye built on the earlier work of Walter Cannon and Claude Bernard that things started to change. Selye’s discovery in the 1930’s of the harmful effects of stress was though more a consequence of his ineptitude at handling small furry rodents than it was a carefully designed plan. While running experiments that involved injecting rats with ovarian extract, Selye noticed that they were developing a host of maladies that seemed inconsistent with the effects of the hormone. Later he was to discover that the responses to the stress of the experiment itself was causing these negative health effects and the first modern theory on the human stress response was born. Since then many scientists have gone on to look deeper at how the human body responds to stress and why. Research has enabled us to better understand the chemical and nervous pathways in the body that communicate our stress responses as well as the structures that drive it and feed it.

Of course, we need our stress responses. Without them even getting out of bed in the morning would be impossible and indeed for the chronically stressed it often is. It’s those unrelenting or repeated stresses that are causing the damage as the systems designed for short-term survival flood the body with powerful hormones that over time can make us fat, depressed, lethargic, forgetful, uninterested in sex, constantly sick, and at greater risk of serious illness like diabetes, heart disease, peptic ulcers, and many more. In the right amounts our stress hormones can help us survive a dangerous situation or perform better on the sports stage, but on a chronic basis they may just be slowly killing us.

Eliminating stress from our clients lives is a Sisyphean task as so many modern stressors are either related to the environment we live and work in, or worse still are simply products of our own minds. Montaigne said “my life has been full of terrible misfortunes, most of which have never happened” reflecting on how our brains are able to create future events often with negative outcomes. Psychologist Daniel Gilbert links our desire to think ahead to the feeling of being able to in some way control or influence our futures. However it is the lack of control that often causes us great angst and in turn has our stress hormones pumping on a daily basis. Research has shown that the effects of stress are greater in those with no perceived control over their situation, and even worse in those who previously had control only to have had it suddenly removed. Similarly, while we often think of the stressed executive as the prime candidate for stress, the effects are often a lot more pronounced in those lower in the socioeconomic strata and workplace.

We are better off trying to steer our clients down the path of positive coping strategies to help them manage their stress. Short-term strategies such as alcohol, smoking, drug use, and of course reaching for the Dairy Milk, all provide us with an immediate escape from the travails of our mind. But these easy-outs ultimately lead us deeper into the well of despair as they suck up valuable chemicals in our brain like dopamine and serotonin, which are already depleted under chronic stress.

Instead as is often the case, the advice for our clients has changed little from that which our grandparents knew intuitively many years before the mechanisms were known. Take some regular exercise (the actual mode of this is less critical than many make out), go for a walk, eat good quality unrefined foods, get a good nights sleep (easier said than done in some cases but often the first thing that goes awry under stress), take time out for yourself, enjoy positive relationships with those you work, live, and socialise with, and get some happiness into life. It can seem trite and for many it won’t be that simple, but these methods may offer an alternative or at least an adjunct to the Prozac solution that so many find themselves on now.

Diagnosis of medical illness is a complex science best left to the professionals, but advising and supporting our clients to be healthier and happier isn’t something we should hand over control of so readily, particularly to a system already buckling under the load. As complementary therapists we can, with simple, easy to follow advice and a positive outlook, help educate, inspire, and protect our clients from the damaging effects of chronic stress.

 

For further reading on this topic Graeme recommends:

  • The End of Stress As We Know It: Bruce McEwan
  • Why Zebras Don’t Get Ulcers: Robert Sapolsky
  • Stumbling On Happiness: Daniel Gilbert

You can hear Graeme speak more on this topic this weekend at the B-Fit Expo and at the Complementary Therapists Association in Putney.

 

 

 

Ten Tips of Christmas: Tip 4

Make your workouts time efficient with maximum impact

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Time is always at a premium for our clients here at The Foundry and it doesn’t get any easier over Xmas with the usual compliment of social engagements, shopping, clearing desks before the break, and navigating the crowds of commuters desperate to get home as the nights draw in.

For most people, spending their time in the gym probably won’t be high on their priority list but the good news is that this can be a time to just maintain progress and fitness with relatively short workouts.

Here is how.

  1. CV Fitness: First to go if you stop training, it is also the easiest to regain and to keep.
    2 short sprint workouts a week is more than adequate.
    Warm up for 3-5 minutes and then perform sprints of 20-30 seconds with an equal rest period.
    Repeat this 6-8 times and hit the showers and you can be in and out in the gym in no time. Time taken 20 minutes per week.

  1. Strength and Muscle: To use the most muscle you need the biggest exercises so Curls and abs can take a back seat.
    Two workouts with three exercises per workout is adequate.
    Perform each exercise for 6-8 reps and do as many circuits as possible in 15 minutes. On the second day you can do the other circuit.
    Time taken 30 minutes per week.

Circuit 1.

  • Back Squat

  • Seated Row

  • Push Press

Circuit 2.

  • Deadlift

  • Dips or DB Bench Press

  • Pull Ups Or Pulldowns if not able to do pull ups.

  1. Lastly, but by no means least, mobility. The most underrated of fitness qualities. Simply worked on by 6 minutes of mobility work a day.

Do a little circuit of 5 static stretches for the key muscles. Hold each stretch for 30 seconds and repeat the circuit twice. 6 minutes and you are sorted. For maximum effect do it at night after a hot shower or bath. It will help you relax and unwind.

Stretches:

  • Standing Hamstring

  • Standing Calf Stretch

  • Standing Lat Stretch

  • Kneeling Hip Flexor Stretch 30 sec each side.

  • Laying Hip Rotator stretch 30 sec each side.

So there you have it, only 50 minutes a week of actual exercise and just 6 minutes mobility work a day for 6 days a week. All in all only 86 minutes of activity, leaving you a spare 9,994 minutes for work, shopping, and all that wot not!

——

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Ten Tips of Christmas: Tip 1

A little tipple at Christmas...?

How to avoid a hangover

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When it came to writing some tips on alcohol intake I was for some reason the team’s first choice. Presumably it is my sommelier level skills in wine appreciation or my understanding of biochemistry that was the reason, rather than my social habits!

Either way, I have been carrying out some extensive field research to help you all best deal with the effects of the inevitable Christmas indulgences that despite best efforts are likely to befoul you at some point this festive season. So, follow my tips below to ensure a good night free of hangovers and prayers to the porcelain god!

  1. Never drink on an empty stomach. This is guaranteed to ensure a precipitous slide into slurring of words and stumbling faster than you can say “Large glass of course!!!”. Food slows the ingress of alcohol and slows down drinking. My solution is to arrive everywhere fashionably late.

    So simple yet so effective

  1. Take a large glass of water with every alcoholic drink. Men should take a pint of water and girls a half. Drink it at the bar when you get your drinks if you feel self conscious. Given that so many hangover symptoms are down to dehydration and the need of our body to shift the burden of dealing with alcohol, you can have a major impact by staying hydrated as you go.
  1. Try to limit the damage where possible. Avoid the sugary cocktails and pints of liquid bread that is beer. Instead aim for low-carb options like dry red wine or a spirit like vodka with a low sugar mixer. Ladies, add soda water to a small glass of wine to make a large glass. I believe this is called a ‘soda spritzer’ though I have never ordered one.
  1. Avoid shots. These always seem like a good idea at the time but rarely are. Highly sugary shots of concentrated alcohol like Jaegermeister will make you feel hideous. Steer clear.
  1. Drink a pint of water before you go to bed. See point 2 above.
  1. Lastly, avoid DORS or Delayed Onset Remorse Syndrome. Remember that it is about having fun and enjoying yourself with your friends and family so have a few drinks and don’t spend the next day feeling bad about it. Move on. Take the time off to get outside, go do something fun, eat good food and forget about it. Life is too short.

Enjoy!!

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The New Gym Culture and Why I don’t like it

It’s funny isn’t it how one day you realise you are starting to sound more and more like your parents? All of a sudden things just ‘aren’t as good as they used to be’ and ‘I used to go places when they were all just fields’. I’m only 36, yet already I can reflect on the health and fitness industry and see changes that I am not so sure represent the so-called progression and innovation that everyone blathers on about on fitness websites and blogs. Every year we hear about emerging trends or how fitness is ‘evolving’, yet I don’t see this transferring to the average gym user. In fact, I see some stupid shit being done now that years ago didn’t exist and for a good reason.

Not an elliptical machine in sight

I grew up in gyms, mostly dirty, messy, weights rooms. One of which was at the back of my dad’s coal yard and the other at Bury St Edmunds sports centre. They were a long way from the plasma screened, functional zoned, cardio packed, health chains that are on every corner basement here in London now. There were no BOSU’s or ViPR’s and terms like ‘core stability’ and ‘functional training’ hadn’t been invented yet. I’d sit and watch my dad lift weights with guys who had mostly all finished a day in a physical job, lifting coal, bricklaying, or digging, and see the camaraderie that ran among them. People would share training routines, spot for each other, encourage and motivate, and take pleasure in seeing others achieve. They would squat, bench, row, and overhead press, typically rotating a few key exercises to build size and strength. Newbies to the gym would be given guidance freely by those who had been lifting longer and were keen to share their knowledge. Sure, it wasn’t always the best advice, after all we all know that being REP’s level 3 makes you competent these days right? Heck, you can have never lifted a weight yourself and still get insured to ‘teach’ others how to do it. Is that what we consider evolution or progression?

Meanwhile, the gym culture of the past five to ten years has moved to iPods and ignorance. Gym banter is practically non-existent. The proliferation of stupid information and advice that is so complex that the general public misinterpret or misapply it to their own detriment has led to many people getting hurt at worst or seeing little or no results at best. Training with barbells and dumbbells in the movements of squatting and pressing has become pejoratively termed as being ‘old-school’, ‘non-functional’, or too ‘sagittal plane dominant’ while advocates of more ‘modern’ training methods, albeit unsubstantiated by evidence or any real anecdote position themselves to look down on those they consider too stupid or ignorant to understand their methods.

It seems a lot of the time now that the acquisition of ‘training knowledge’ is used more often as a tool to mock others than it is to actually help them. I’m not sure this is a positive improvement in gym culture, or whether this trend is being driven by a demand from the consumer or by the marketing of the equipment suppliers and procurers within the health clubs? Either way, I miss the weight room culture of old where it was less about impressing or having a laugh at others expense and more about helping and inspiring others to achieve. Am I looking at it with rose-tinted glasses? Maybe so, but then it’s just my opinion after all.

London’s premier corporate health & fitness seminars

“Exercise Delusions & Diet Confusions”

The Foundry Health and Fitness

Graeme Marsh at a previous corporate seminar

Drawing upon our slightly geeky passion for health and fitness research (Graeme Marsh and Dave Thomas), our unparallelled sporting excellence (Sarah Lindsay, Evelyn Stevenson, Fiona Pocock & Richard Thompson) and our experience of years working in the corporate environment (Helen Thomas) The Foundry has become renowned for the health and fitness presentations we give to businesses across London.

Our clients this year have included Whistles, Weil Gotshal Manges,  RBS, UBS and Innocent Drinks for the seminars “Building the Executive Athlete” and “Exercise Delusions & Diet Confusions”

UBS Liverpool StreetToday Fitness Industry ‘Statesman’ Graeme Marsh returned to the Liverpool Street offices of UBS, taking England Rugby player Fiona Pocock  with him to help dispel the many confusions and delusions about diet and exercise.

The event was attended by over 90 executives and the feedback so far has been excellent:

Hi Graeme,

I was present at the UBS talk today and just wanted to say thank you very much for the excellent talk.  It was really refreshing to hear someone debunking the corporate and media spin that this country suffers from to such a large extent.

A common theme at all these talks is bewilderment, as evidenced today by the huge number of questions directed at Graeme. The public at large are being bombarded with ever increasing volumes of nutrition and fitness dogma, often from those who lack the understanding (or what Ben Goldacre would call ‘intellectual horsepower’) to interpret evidence correctly.  Even more worrying are those who knowingly ignore, twist, cherry pick, or simply falsify ‘evidence’ in an attempt to sell a catchy concept, product, course, or pill to the end user.

If you are interested in The Foundry coming to your company to cut through the confusion please email Graeme directly at Graeme@foundryfit.com

The Foundry featured on Sky Sports School of Hard Knocks

The Foundry Personal Training Team with rugby legend Scott Quinnell

Sport means a lot to us at The Foundry.  That might not sound too profound given our business, but bear with me.

Our trainers all have inspirational stories about how they got into sport, how it changed their lives, how they used it to overcome hurdles and open up new doors.

Sarah Lindsay spent over a year out of her sport with a serious back injury being told she may never skate again. The motivation to compete was what kept her going despite all the pain and boredom of months of rehab.

Becoming an expert Skiing instructor gave Graeme Marsh the dream opportunity he’d always craved to travel extensively throughout Europe at the world’s best resorts.

Fiona Pocock famously ruptured her knee in the last Rugby World Cup Semi Final.  Her struggle to overcome a career threatening injury with incredible committment and a positive attitute has even attracted the attention of Dame Kelly Holmes and her legacy trust to help mentor, support and train other young athletes.

A younger Rich Thompson excelled at long-distance endurance events like cross country running and went on to be a triathlon competitor while living in Hong Kong.  After starting to lift weights and put on some muscle, he decided he had had enough of being the tall skinny guy and went from 70kg to 85kg in the first year and a half of lifting weights.  He’s never looked back and is now a competitive powerlifter!

Rugby quite literally changed my life.  I had a fairly rotten time as a kid at a military school which led to plenty of discipline problems.  Through fortuitous circumstances I was shipped off to a rugby school in Yorkshire where I discovered not only that I loved the game but also that I was half decent. The rugby coach gave me an ultimatum along the lines of “If you want to play rugby you’ll have to sort your life out”. 22 years later not only do I still play and love rugby more than anything outside of, you know, family and stuff, but it’s now a large part of my career.

School of Hard Knocks RugbyWhich leads nicely onto a community rugby project that I believe strongly in.  School of Hard Knocks is a TV documentary broadcast by Sky Sports fronted by international rugby stars Will Greenwood and Scott Quinnell, and the coaches Chris Chudleigh and Ken Cowen from Rugby Performance

The overriding aim of School of Hard Knocks is to help unemployed people take significant steps towards employment that is both sustainable and realistic using rugby as a vehicle for change.

A key element of the programme is to introduce young men to the game of rugby union, promoting a healthy, sociable and active lifestyle. To address this, in addition to the employment section of the programme, School of Hard Knocks also addresses:

  • Nutrition
    School of Hard Knocks Rugby

    Evelyn Stevenson demonstrating squat technique

  • Health
  • Injury management
  • Physical fitness

And that’s where London’s premier personal training team comes in.  Due to our reputation and experience in sports conditioning The Foundry was asked to coach barbell techniques and put the team through a rugby specific strongman workout, all under the eyes of the Sky camera crew.

Jack Cannon:
“Thanks to The Foundry I’m hurting in places I did not even know were there. Great day yesterday thank you”
Michael Finnegan:
“Epic day today. Weightlifting training and getting beasted by The Foundry and Scott Quinnell.  Quality coaching all round.”

The feedback was excellent and the lads and our coaches had a great time together training; although there are bound to be some very sore bodies this week.  There were some surprises which will make for great television and plenty of funny moments.

Strongman Training

It was a real pleasure to work with some very determined young men

The series, based in Tottenham this year, will be airing early 2012.  It looks set to be a great programme so make sure you tune in to see how the lads get on with the incredible opportunities being given to them and to watch The Foundry Superstars in action.

You can catch earlier series from our friends over at RugbyDump: http://www.rugbydump.com/categories/sohk

The Foundry wishes all this year’s particapants the best of luck with the series and I really hope you grab the opportunities with both hands.

Should your grandma be worried about cholesterol?

Cholesterol and heart disease is becoming somewhat of an obsession for me. With a big talk coming up in the next week at a major investment bank I know questions on the topic will be popular, particularly given the evidence and opinions I present.  I can often hear the intakes of breath and see eyebrows raising when I suggest why you shouldn’t be so worried about saturated fat or indeed your cholesterol being ‘slightly elevated’ and why you should be concerned if your doctor suggests a statin as a solution.

So, I was interested to hear that my grandmother was worries after her GP had recently expressed concern to see her cholesterol elevated. While I don’t have time for a diatribe on the whole diet/heart hypothesis and the complexity of the evidence surrounding heart disease, it is worth just exploring why the doctor would be worried.

I can understand why the public at large still believes cholesterol to be nothing more than an indicator of impending death.  It is drummed into us both directly and indirectly by products that line the shelves claiming to lower it (despite a stunning lack of evidence to show that consuming these products will actually have any impact on your life expectancy).  These products are often aimed at women, who seem more concerned about this issue despite the fact that there is very little reason for most women to be worried about their cholesterol level (heart disease is after all only one cause of death and doesn’t become the leading cause of death in women until after 85 years old).

Very few people realise that far from being a dangerous risk to health, such as cigarette smoke or air pollution that have both been shown to increase a woman’s risk of death, cholesterol is essential for a healthy life.  Without it we couldn’t manufacture vitamin D or bile acids, and it is critical for a range of functions; from nerve transmission to cell structure and formation. It is so important that if we don’t eat enough of it our body manufactures it to compensate. It’s worth mentioning that it is also an essential component of breast milk, which would seem strange if it were such a noxious disease-forming substance. Nature is rarely so errant.

Unfortunately, or indeed perhaps fortunately, it really isn’t as simple as a raised cholesterol level indicating impending doom. Firstly, we have to realise that heart disease (which is after all what all the fuss is about when it comes to cholesterol) should not be considered in the same context for men and women. Death rates are wildly skewed with women in the UK suffering a third of the amount of deaths from heart disease as men. It gets even more confusing when you consider that in study after study results have actually shown higher cholesterol to be linked to living longer in women and that a higher level may actually be healthier than a lower one. So, hold back on the Benecol and the Flora Pro-Active ladies, you may just find that eating butter isn’t so bad after all.

A study from the Lancet is one of many to conclude that older women with a lower cholesterol level may be at a greater risk of death. They found that those with a level of 4.0mmol had a death rate five times that of those with the highest levels of 7.0mmol.  Although this study was on a relatively small population group it’s not the only one that has failed to show that there is any real evidence for older women to worry about their cholesterol levels. The Framingham Heart study, which is the longest running study to look at heart disease, concluded that low cholesterol significantly increased risk of death in people over the age of 50 from all causes, while studies from Italy and Austria both concurred, finding that high cholesterol was actually associated with greater longevity and less cardiac events in older women. Disturbingly the Austrian study found lower cholesterol to be linked with increased death rates from cancer, liver disease, depression, and mental illness.

In fact, there is a surprising amount of evidence that runs contrary to what most of us believe, which is that even the most modest of increases in cholesterol levels is harmful and that we should all seek to obtain lower levels in order to improve our health. Despite this fact, cholesterol still remains the arch villain of heart health perhaps due in no small part to the ability of the pharmaceutical companies to produce drugs that are able to modify this apparent ‘risk factor’ so effectively (again with little efficacy in older women without existing heart disease).

So, at the tender age of 87, what does my grandmother have to fear about having an elevated cholesterol level? From the evidence it would seem not much and more to the point, how much harm can you do by telling someone that they should be worried about their health when in fact they may have no reason to be concerned at all? While we would all do well to reduce our risk of ill health, we cannot afford to look at these issues in such simplistic fashion. Risk factors are many and varied and the data is complex and often confusing. So, many people trust their doctors to be guided on what is and what isn’t ‘healthy’.

With cholesterol-lowering statin sales in the tens of billions of pounds per year worldwide and doctors bombarded by the PR from drug companies, it is perhaps no wonder that so much of this evidence goes unnoticed by the general population. Lets hope our health professionals speak from the evidence in the literature and not just from the propaganda that the statin manufacturers circulate.

If you are interested to know more about this topic you can find the links of the aforementioned studies below and an entertaining and thorough dissection of this topic in the books The Great Cholesterol Con By Dr Malcolm Kendrick and Trick and Treat by Barry Groves.

  • Tikhonoff V et al, “Low-density lipoprotein cholesterol and mortality in older people,” Journal of the American Geriatrics Society 2005; 53:2159-2164.
  • Forette et al Cholesterol as a Risk Factor for Mortality in Elderly Women. The Lancet Volume 333, Issue 8643, 22 April 1989, Pages 868-870
  • Ulmer H, Kelleher C, Diem G et al. Why Eve is not Adam: Prospective follow-up in 149,650 women and men of cholesterol and other risk factors related to cardiovascular and all-cause mortality. Journal of Women’s Health. 2004; 13(1):41-53.
  • Albert CM, Chae CU, Grodstein F et al. Prospective study of sudden cardiac death among women in the United States. Circulation. 2003; 107:2096-2101.