2 Oakley Flight Jackets As Early Chinese New Year Hong Pows

2 pairs of Flight Jackets

My Chinese New Year hong pows came early today. Joey from Oakley sent them personally to Sports Solutions this morning.

Two pairs of Oakley Flight Jackets! A Flight Jacket in Matte Navy and a Flight Jacket Carbon for low light conditions.

Since I just ended work earlier, I haven't worn it for to ride or run of course but what I like from first impressions will be the option to change the ear pieces as they give an extra pair of interchangeable temples.  Great as too long ear pieces sometimes get in the way of helmet fastening/ adjustment straps while riding.

Extra ear pieces to get your preferred length

Other impressions are the lack of a frame at the top of the lens. If you're in a breakaway or doing a time trial on your bike in an aero tuck position, this gives you a better field of vision. Another benefit would be improved air flow to decrease chances of fogging when you're huffing and puffing.

It also means you can't change lenses though. I guess that's why I got two pairs then. Good for me!

My personal observations are after the release of the Radars in 2006, the lenses have started to go downhill. They usually flake or peel off after a while. Hopefully they have improved on that aspect.

My first Oakley Razor Blades and  Blades lenses from 1989 are still in good condition. Yes, this is how long I've used Oakley sunnies.

Perhaps this has to do with Luxottica Group SpA (an Italian company) hostile takeover of the company in late 2007. Yes, Oakley founder Jim Jannard doesn't own the company anymore.

Here's a closer look at the two pairs of Flight Jackets.

Matte Navy

Flight Jacket Carbon

*Rode with the Matte Navy this morning (2/2/19). The lack of a top piece for the frame has made the vision field in front much better. It's unobstructed all the way to your helmet. Peripheral vision is great as always.

Increase Of Strokes In Young Adults

Last December, one of my colleagues needed to take urgent leave to go to Taiwan. He found out that his 36 year old brother had a suspected stroke and their whole family went to Taiwan to be with him.

I was shocked as his brother seemed relatively young to suffer a stroke (although I remember while still working in the hospital my youngest stroke patient was just 29 years young). The same colleague mentioned that at least four other friends younger than his brother also had a stroke!

Though it may seem shocking to you for such a young person to experience a stroke, evidence shows that this is becoming more common in young adults.

An article published in JAMA Neurology found that the number of men aged between 35 to 44 hospitalized for stroke increased by a staggering 42 percent when they compared 2003-2004 to 2011-2012.

It seems to be more common among males (41 percent versus 30 percent for females). The authors found significant increased risk of getting a stroke if you are diabetic, have hypertension, heart disease, smoking cigarettes currently and long term alcohol consumption.

The majority of the above listed factors are definitely easily modified, correctable or can be stopped. So prevention strategies definitely have the potential to reduce the impact of stroke in this young age group.

I'd add that exercising will definitely reduce your risk too.


Reference

George MG, Tong X and Bowman BA (2017). Prevalence Of Cardiovascular Risk Factors And Risk Factors And Strokes in Younger Adults. Jama Neurol. 74(6): 695-703. DOI: 10.1001/jamaneurol.2017.0020.

Drug Companies Admit That Curing Patients Is Bad For Business

Some of you may may have read this article written by Goldman Sachs analyst Salveen Richter earlier last year, but not me. I only read the article recently while looking for interesting articles so I can post on this blog.

My nephew had a anaphylactic shock (after being given the wrong food at their resort) while on holiday in Bali recently. Fortunately they used both the Epipens they had on him and he was discharged from hospital shortly after observation.

Because they couldn't find any Epipens anywhere in the whole of Bali, my wife ordered two for them in Singapore and then my mother-in-law flew there to make sure they had spare Epipens for the rest of their holiday.

Other than pricing their Epipens ridiculously expensive to make money, big drug companies have admitted that developing one-off treatments don't make them much money. They prefer to make pills/ drugs that just manages but do not totally cure diseases so that they are able to make more money.

Reliance on the medication (to keep the condition at bay) will ensure continuous streams of income.

Back in 2014, Bayer's CEO openly admitted that they developed medication for rich Westerners and not for the poor. Rather than wanting to save lives, they are more interested in maximising profits.

As we wrote before, we don't aim to be the biggest private physiotherapy chain of clinics in Singapore. We at Physio Solutions and Sports Solutions just want to be the best at treating the cause of your pain quickly. If we can get you better in 2-3 sessions, we won't want you to come back for further for more sessions unnecessarily. That's our promise to you.

The "What The Hell" Effect

All mine

This time of the year is usually special for most people. For our family, it is filled with holidays, parties and feasting. Christmas has just passed and we have New Year's day soon.
My wife and older boy's birthday is next week followed by my younger boy's birthday at the end of January. In between we have cousins, nephews and nieces celebrating birthdays and Chinese New Year after that.

For those of you who are done with training and racing, it must be nice relaxing and recovering both physically and mentally. It's also a good time to take stock of your season, to reflect and review so you can learn from it and do better next season.

Hopefully, you haven't been like me (eating too much) and piling on the pounds. I read about the "what the hell" effect which describes the the cycle where you indulge (and eat too much), regret what you've done and then go back for more.

Lots of jelly still ......

Your brain rationalizes your behavior by telling you that you already blew your goal of eating only two fruit tartlets, so what the hell, you might as well eat the whole tray. The phrase originally came from dieting researchers, but the effect may be applied to any setback or willpower challenge.

You definitely don't want the whole of this period to be a long "what the hell", if not it will take you a fair bit of time to regain your previous fitness levels.

I find it helpful during the holiday period to just do something first thing in the morning. A short run, a spin on the stationary bike or some weights is usually what I do now. Even if I do over indulge, I know that I'd already done some exercise to help my overeating.

Don't be dismayed that your weight has gone up during this period. Think of it as having increased glycogen (carbohydrate) stores that you can use on your next long run/ bike session.

Those potato chips or crisps (or other Christmas goodies) that you've snacked on also contains salt. Consumed in excess, salt causes more water to be absorbed into your system. That excess water can also show up as extra weight when you weigh yourself. The good news is extra water is easier to lose than fat.

Lack of sleep from family gatherings, office parties etc can have a impact on your weight too, Research shows that lack of sleep makes you eat more. Since you've trained all year round it's hard to lose everything that you've built up just don't overdo it.

While I was still racing, I never train for up til two weeks after my racing season ended. Yes, two weeks of no cycling, running or swimming to recuperate. I think of the rest period as taking a few steps back so I can move forward over the new year.

Then I'll pick a date on which I'll start to train again. I don't expect to be at the same level, physically or mentally. The time off usually makes my legs "start to itch" so I know I'm ready to start training again.

This is the last post for 2018, thank you for reading and Happy New Year to all.



References

Polivy J and Herman CP (1985). Dieting And Bingeing: ACausal Analysis: Am Psych 40(2). 193-201. DOI: 10.1037/0003-0666X.402.193.

Prinz P (2004). Sleep, Appetite, And Obesity- What Is The Link? PLos Med. 1(3): e61. DOI: 10.1371/journal.pmed.0010061.

Running, Weight Training And Your Tongue Muscles

Michael Jordan and his tongue. I like Rodman too!

Last week, I wrote about why strength training and aerobic exercises are both critical to us aging well. I'm sure most of us kinda knew that already.

Turns out now that exercise, particularly endurance exercises may be useful in preventing and perhaps even treating sleep apnea and dysphagia (difficulty swallowing). Your tongue, just like the rest of your body, was made to move.

Let me present the latest benefits of exercising. VanRavenhorst-Bell and colleagues (2018) has shown that exercise is associated with greater tongue strength and endurance. Just as written before, not all exercises are equal.

Before you start laughing or stop reading this post, consider the following information.  You'll need good strong tongue muscles to keep your airways open while you sleep (to prevent sleep apnea). If the slow twitch muscle fibers at the back of your tongue lack endurance, it increases your chances of mouth breathing and sleep apnea.

The fast twitch muscles near the front of your tongue is important for swallowing. Our tongue muscles do get weaker as we age, which can lead to dysphagia (difficulty swallowing), making it easier for you to choke.

Ideally, you you need great endurance at the back of your tongue to avoid airway breathing problems and great strength at the front of your tongue to prevent swallowing problems.

In their study comparing weight lifters and runners who trained at least four times a week, weightlifters were found to have greater maximal tongue strength and runners have greater endurance. Reason being weightlifters would use the front of the tongue to produce forceful inhales and exhales while the rhythmic panting of endurance runners would help in greater tongue endurance.

Here's Mo Farah with his tongue out

If you're keen to know how they test tongue strength have a look here.

So here's another reason reinforcing that there's way more physical benefits to exercising then what we know. We are definitely made to move.

Reference

VanRavenhorst-Bell HA, Coufal KL et al (2018). A Comparative Study: Tongue Muscle Performance in Weightlifters And Runners. Physiol Rep/ 6(22): e13923. DOI: 10.14814/phy2.13923.

Read the article here.

Here's 2 pictures of Michael Jordan when he was way younger.

Winning shot for North Carolina in 1982 in college

With a young John Stockton 

All the pictures I took with my iPhone X from this book "For the love of the game".

Since Michael Jordan and Dennis Rodman retired, I hardly watch the NBA now.

Aerobic Exercises Key To Aging Well?

Me on the left. Picture by Jeffrey Keng from Cycleworx

Slightly more than a year ago, I wrote that strength training may be just as important (if not more) than aerobic exercises. Why? Strength training has been found to decrease rates of early and cancer related death.

And earlier this year I disagreed with a funded study by Les Mills International when the article suggested that lifting weights was more beneficial for losing weight compared to running or cycling (aerobic exercises).

Now, some new research seems to show that aerobic exercises (like running, cycling, rowing or swimming) can make our cells younger. That same study found that weight training may not cause the same physiological changes in our cells.

Way back in 2009, a study found that competitive middle-aged runners had extended telomeres compared to inactive people of the same age. What are telomeres? All of us have telomeres at the tips of our chromosomes. Telomeres help protect our cells from damage and have been found to shorten and fray as a cell ages.

Many of the researchers in that 2009 study came together for this recent study to investigate whether exercise would change our telomeres.  They also wanted to know what type of exercise were needed and whether intensity played a part. It is hypothesized by the scientists that exercise helps lengthen the telomeres.

The researchers recruited a group of healthy middle aged men and women who did not exercise. They were tested for  their aerobic fitness and telomere length. In addition, blood markers of telomerase (an enzyme that influences telomere length) were tested as well.

Some in this group were randomly assigned to continue with their lives as normal as a control group. They did no exercises.

Others started a supervised program of brisk walking or running for 45 minutes three times a week or a high intensity interval program of four minutes of strenuous exercise followed by four minute rests with this repeated four times.

A third group took up weight training, doing a circuit of resistance exercises three times a week.

Heart rates were monitored and the exercise program was carried out for six months. Results were tested after this and all the subjects who exercised were found to be more aerobically fit.

At molecular level however, there were differences. Those who did the aerobic exercises and interval training had much longer telomeres than before starting the exercise program and more telomerase activity.

Those who weight trained and those in the control group (who did not exercise) had no change in telomere length. Some even had shortened telomere lengths.

Those who did weight training produced less nitric oxide, which is thought to affect telomerse activity and contribute to lengthening telomeres.

Even though weight training was strenuous, overall heart rate was lower compared to running in the study. This results in less blood flow and probably less physiological response from the blood vessels.

The researchers suggested that exercise needs to be aerobically taxing to extend telomere length and slow cellular level aging. In this aspect, endurance exercise was clearly ahead of resistance training.

The findings do not indicate that weight training does not combat aging as it also helped improved fitness, which itself is a very important indicator of longevity.

Like I wrote before, current research shows that both strength training and aerobic exercises are necessary to be healthy and functional. So run, bike or lift weights, (or whatever exercise you prefer) as they are all beneficial, it's much more important to keep moving.

I wanna for live a long time, so I lift weights too

References

Werner CM, Furster T et al (2009). Physical Exercise Prevents Cellular Senescence In Circulating Leococytes And In The Vessel Wall. Circulation. 120 (24): 2438-2437. DOI: 10.1161/CirculationHA.109.861005.

Werner CM, Hecksteden A (2018). Differential Effects Of Endurance, Interval And Resistance Training On Telomerase Activity And Telomere Length In A Randomized Controlled Trial. Euro Heart J. ehy585. https://doi.org/10.1093/eurheatj/ehy585.

Is Drinking Too Much Sparkling Water Bad for You?

In the fridge of our rented house 

One of the houses we rented during our recent trip had some fizzy (or sparkling) drinking water in the fridge. My younger boy tried it and seemed to like it. It was just a novelty to him. At home in Singapore, we drink filtered water and my wife doesn't allow our boys any sodas or fizzy drinks.

On the topic of sodas, some of you may remember I used to drink lots of Coca Cola while I was still competing. Actually until just before my accident. Sometimes I still get an urge to drink them, especially after a long bike ride.

Very few things beat the refreshing taste of an ice cold Coke or 100 Plus after a tough workout. One of my patients tells me he drinks sparkling Perrier water with lime to get the refreshing sensation without the sugar. He was also concerned about whether the bubbles (or carbonation) was bad for his teeth.

What my patient drinks after exercise

Yes, remember I wrote previously about how endurance athletes had significantly higher rates of tooth erosion.

So I decided to do a little search. Here's what I found regarding sparkling water. Unlike sports drinks, the carbonation in the sparking water will probably not erode your enamel and wear out your teeth (Reddy et al, 2016). Since sparkling water has no phosphoric acid, it won't affect your calcium absorption and leech the calcium from your bones.

Unlike here in Singapore, sparkling water is very popular in the United States of America and Europe. In America, sales of sparkling water from La Croix went from $10 million in 2010 to $667 million in 2016.

So the evidence seems to suggest that plain carbonated (or sparkling) water is just as hydrating and healthy as regular (flat) water. Just be wary of the flavored varieties as some may have added sugar. That's when your dental health may be affected if your consume too much of it.

 If your crave some flavor, I'll recommend adding some fruit. I often add lemons (yes, you read correctly) in my drinking bottle while cycling.

Lemons in my cycling bottle

Other than lemons, at home I like mint and watermelons. But that's just me.

Reference

Avanija R, Norris DF et al (2016). The PH Of Beverages In The United States. J Am Dental Assoc. 147(4): 255-263. DOI: 10.1016/j.adaj.2015.10.019.

Plain sparking water is best