-Diablo's Journal, 14 May 19

"Muscle mass should be a new vital sign, research shows"

"A comprehensive review published in Annals of Medicine confirms low muscle mass is linked to an increased risk of serious health complications and decreased survival
Growing scientific evidence suggests muscle mass should be a key factor in evaluating a person's health status, especially if living with a chronic disease
ABBOTT PARK, Ill., Oct. 18, 2018 -- Adults go to the doctor roughly three times a year.1 During their visit, vitals are taken such as blood pressure, pulse, and weight, but are these measurements really showing the full picture of a person's overall health? Extensive research shows health care professionals should be considering something often overlooked -- muscle mass. A new review paper published in Annals of Medicine, and supported by Abbott, confirms the critical role muscle mass plays in health with studies demonstrating that people with less muscle had more surgical and post-operative complications, longer hospital stays, lower physical function, poorer quality of life and overall lower survival.2

The review examined the latest research over the course of a year (January 2016 - January 2017) including more than 140 studies in inpatient, outpatient and long-term care settings, and had one resounding conclusion -- muscle mass matters. The data show muscle mass can say a lot about a person's overall health status, especially if living with a chronic disease. For example:

A study in the Journal of the American Medical Association (JAMA) showed women with breast cancer with low muscle mass had a 40 percent higher likelihood of mortality.3
Patients in the intensive care unit (ICU) with more muscle spend less time on the ventilator -- as well as less time in the ICU -- and have a better chance of survival.4,5,6
People with chronic obstructive pulmonary disease (COPD) who have more muscle experience better respiratory outcomes and lower occurrence of osteopenia or osteoporosis.7,8
In the long-term care setting, a study found individuals with lower muscle mass had more severe Alzheimer's.9
"Muscle mass should be looked at as a new vital sign," said Carla Prado, Ph.D., R.D., associate professor at the University of Alberta and principal author of the paper. "If healthcare professionals identify and treat low muscle mass, they can significantly improve their patients' health outcomes. Fortunately, advances in technology are making it easier for practitioners to measure muscle mass."

MUSCLE UP FOR BETTER HEALTH

For decades, healthcare professionals have relied on body mass index (BMI) to assess a person's health, mainly because it requires a simple calculation. But, this measurement can be misleading since it doesn't distinguish between muscle mass and fat mass. Low muscle mass can occur at any body weight, so someone who is normal weight may appear healthy, when they can in fact lack muscle. While there's potential for body composition tools -- which measure muscle mass -- to become more routinely used and available in healthcare settings, health professionals can use screening questionnaires and other simple methods to identify people at risk.

"Muscle may be skin deep, but it should be top of mind based on the growing body of science," said Suzette Pereira, Ph.D., research scientist at Abbott and one of the paper authors. "Something as simple as the firmness of a person's handshake can give a lot of insight into their overall health, and it's never too late to rebuild muscle with good nutrition, including protein, and proper exercise.""

https://eurekalert.org/pub_releases/2018-10/ghn-mms101718.php

View Diet Calendar, 14 May 2019:
3210 kcal Fat: 129.41g | Prot: 167.74g | Carbs: 394.26g.   Breakfast: Quest Chocolate Peanut Butter Protein Bar, Quest Birthday Cake Protein Bar, 2% Fat Milk, Post S’Mores Cereal, Better Body Foods PB Fit Peanut Butter Powder, Quest Chocolate Peanut Butter Protein Bar. Lunch: Cuties Clementines, Quest Blueberry Muffin Protein Bar, Home Run Inn Premium Classic Sausage & Uncured Pepperoni Pizza, Pears, Edwards Turtle Pie (77g). Dinner: Publix Movie Theater Butter Popcorn. more...
4030 kcal Exercise: Sitting - 7 hours, Standing - 6 hours, Weight Training (moderate) - 1 hour, Bicycling (leisurely) - <16/kph - 2 hours, Sleeping - 8 hours. more...

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Comments 
Invalidating it? You sound just like the people who get defensive about low carb when I show that carbs don't make you fat. I do cardio everyday. Lol 
14 May 19 by member: -Diablo
Yes! Great post 👏 
14 May 19 by member: Keilin_4
It's a fact that resistance training is better. Cardio is still good but if you have someone that goes into old age having only done cardio all of their life, they will have reduced mobility and more bone loss than the person who only did resistance training. Claiming one is better than the other doesn't make one useless. But stay defensive about it. 👍 
14 May 19 by member: -Diablo
I did some research when I was diagnosed with left ventricular hypertrophy (LVH), enlargement of the left ventricle indicating that it is being "overworked" due to weakness. A lowered ejection fraction (EF -- a measure of the volume of blood pumped out by the left ventricle). This condition is linked to LVH, in that a weakened heart muscle pumps out less blood with each beat. Exercise was cited as a way to maintain and even increase the EF. Of course! Judicious exercise strengthens the heart muscle and improves its ability to pump blood to the rest of the body. [CONTINUED] 
14 May 19 by member: Miraculum
I am not anti carb or anti muscle mass...soooo....don't think I am the one getting defensive...I am a complete blank slate. Never heard of the term CICO until you mentioned it. Never heard of the term insulin hypothesis, either. But after seeing what some things were, I chose to say yay or nay or maybe. There isn't anything for me personally to be defensive about. You asked why I have an issue with muscle mass...which CLEARLY I do not. So again....who is being defensive? 
14 May 19 by member: AboutMyTribe
So, even if *I* have no interest in "being muscled," my *heart* certainly does. This gives me a whole different reason to view exercise as the best treatment for my cardiac condition, just the way eating better is the best treatment for my diabetes. Who knew? 
14 May 19 by member: Miraculum
🤦‍♀️ 
14 May 19 by member: Keilin_4
You're speaking in circles on my journal. It's good though cuz it keeps bumping it up to the top. This is a great article. Thanks. 
14 May 19 by member: -Diablo
To clarify, the percentage of blood "ejected" by the left ventricle is a function of its health/strength. A normal ejection fraction is 55% and up. In other words, the left ventricle ideally pumps out 55% of the blood it contains each time the muscle contracts. An EF of less than 50% is considered an indicator of "heart failure." The lower the percentage, the weaker the heart. My EF is only 46% but it can be improved with activity that exercises the heart. Resistance training increases the heart rate, just not as aggressively as "cardio." Makes sense to me. 
14 May 19 by member: Miraculum
That should be *ideally* pumps out AT LEAST 55%... 
14 May 19 by member: Miraculum
We will never get as muscular as a bodybuilder, unless we train and eat like it. But a little bit of muscle will make us look, and feel better. 🏋️‍♀️👙 
14 May 19 by member: Keilin_4
You're the one that said there's no one hundred percent reliable tool, I disagree, resistance training is 100% reliable tool. I'm glad you enjoyed the article miraculum. Tell me about it keilin. 😁 
14 May 19 by member: -Diablo
Looking forward to living to be 102 with you, dear.  
14 May 19 by member: davidsprincess
Muscle mass measurements would be a great thing for people to get to understand. I don't think you get rate cardio over resistance training or vice versa - you really need both for best overall health. 
14 May 19 by member: abbadabba
You got it abba— both are very good. If you are a body builder power lifting may be your prime focus. A marathon runner, endurance and strong muscles. A mixture of both is what we can all use. I may be the nurse that talked about cardio. But it was definitely not me that said cardio is MORE important. Strong muscles and and a healthy cardio/pulmonary system are both important in order to help keep us healthy as we age. 
14 May 19 by member: Kenna Morton
Sorry Kenna for the misquote.  
14 May 19 by member: AboutMyTribe
About my tribe— not a problem. Hard to keep track of all the players sometimes. Hehehe 
14 May 19 by member: Kenna Morton
At Orange Theory Fitness their whole deal is we wear a heart rate monitor throughout the training - my heart rate can be just a high lifting as it is when rowing or doing elliptical. We do get cardio benefits when we exert to lift weight, and get the muscle mass to increase the metabolic burn. Not sure why people want to believe weight training is not cardio - they must not be lifting heavy enough! I sweat and my heart rate is high...so there for the non-believers!  
14 May 19 by member: HCB
Exactly. Guess what I dropped all winter? Cardio. I still did weight training and I had more energy for pushing myself while I lifted. I was still able to run over 5 miles with ease when I resumed cardio proving to me that weight training is plenty of cardio as well. If I would have dropped weight training instead I would have most likely gone up in fat percentage, lost strength, and looked worse. 
14 May 19 by member: -Diablo
And my metabolism would have suffered due to less lean mass. 
14 May 19 by member: -Diablo

     
 

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