Transcript: Sports Injuries | Jan 11, 2001

(music plays)

The opening sequence shows a wooden table with a small lit candle as several words fly by: Nutrition, medicine, prevention, treatment, health.

Fast clips show different sets of hands performing activities on the table such as pulling petals from a daisy, drawing a big red heart, tuning a violin, flipping through the pages of a book, cooking, and pouring a glass of red wine.

In animation, the title appears inside the shape of a house: “More to life.”

Karen Horseman sits in a red armchair in a studio with yellow walls. Behind her a placard reads “More to Life.”


Karen is in her late thirties, with short choppy black hair. She’s wearing a blue blazer over a black dress.

She says GOOD AFTERNOON,
I'M KAREN HORSEMAN SITTING
IN FOR MAUREEN TAYLOR.
WELCOME TO “MORE TO LIFE.”
MAYBE ONE OF YOUR NEW YEAR'S
RESOLUTIONS WAS TO GET INTO
SHAPE BUT BE CAREFUL IF
YOU'VE BEEN LIVING THE LIFE
OF A COUCH POTATO, BEWARE.
OVER EXERTION AND OVER DOING
IT CAN LEAD TO INJURIES.
TODAY Dr. DAVID LOWE IS HERE,

Dr. David's in his thirties, clean-shaven with sparse hair and glasses. He wears a light beige shirt and black pants.

Karen continues HE IS OUR GUEST, HE'S A
MEDICINE SPECIALIST IN TERMS
OF SPORTS INJURIES BUT ALSO
IN EXERCISE AND WE'RE GOING
TO HELP YOU GET BACK IN
SHAPE GRADUALLY, SLOWLY, AND
CERTAINLY SAFELY.
SO WE'RE GOING TO TAKE YOUR
QUESTIONS HERE IN TORONTO
ABOUT EXERCISE, YOUR
EXERCISE REGIME.
MAYBE YOU'RE JUST GETTING
STARTED, NEED THE MOTIVATION
OR QUESTIONS ABOUT AN INJURY
OR POSSIBLE ONE.

A caption appears on screen showing two phone numbers.

She continues OUR NUMBER IN TORONTO AGAIN IS
416-484-2727.
OR
CALL LONG DISTANCE TOLLFREE TO 1-888-411-1234.
OR WE'D LOVE TO GET YOUR e-mail AT moretolife@tvo.org.
DAVID, WELCOME,
THANKS FOR COMING IN.

Dr. David says THANK
YOU.

Karen says LET'S GET STARTED
IN TERMS OF MOTIVATION.
HOW CAN YOU SPEAK TO THAT IN
TERMS OF GETTING US -- WELL,
DECIDE WE'RE GOING TO
EMBRACE THIS EXERCISE REGIME
AND THEN GOING FOR IT.

The caption changes to “Dr. David Lowe. Sports Medicine Specialist.”

Dr. David says WELL IT'S
INTERESTING FROM.
A PHYSICIAN'S PERSPECTIVE,
IT'S OFTEN A DIFFICULT THING,
BUT THE WAY I LIKE TO LOOK
AT IT IS WE WRITE A LOT OF
PRESCRIPTIONS AS DOCTORS AND
IF I WERE TO TELL YOU THAT I
CAN GIVE YOU SOMETHING THAT
WOULD INCREASE YOUR ENERGY,
DECREASE YOUR RISK OF
DEPRESSION, DECREASE YOUR
BLOOD PRESSURE, DECREASE
YOUR CHOLESTEROL AND I COULD
WRITE YOU A PRESCRIPTION FOR
THAT YOU'D MOST LIKELY TAKE
IT.
I THINK THAT'S THE WAY WE
NEED TO LOOK AT EXERCISE AND
THAT'S ONE OF THE WAYS OF
MOTIVATING PEOPLE IS LETTING
THEM KNOW WHAT ALL THE
BENEFITS THAT ARE AVAILABLE
TO THEM FROM A SIMPLE THING
LIKE EXERCISE ARE.

Karen says MY BRAIN SAYS THAT
MY BRAIN SAYS THESE ARE ALL
THE GOOD THINGS THAT COME OF
EXERCISE.
IT'S THE WAY WE RATIONALIZE
THINGS AND MAKE IMPORTANT
DECISIONS IN OUR LIFE.
BUT ABOUT MAKING THE CHANGE,
THE COMMITMENT OF THREE OR
FOUR TIMES A WEEK CAN BE
HUGE WHEN MANY OF US ARE SO
BUSY.

Dr. David says THAT'S
RIGHT, AND THAT'S PROBABLY
THE BIGGEST ISSUE WE HAVE
AND I THINK THAT'S ONE OF
THE THINGS THAT WE'VE GONE
AWAY FROM, IS THE FEELING IN
THE PAST WAS THAT YOU HAD TO
EXERCISE FOR AN HOUR, YOU
KNOW, DO SOME VERY VIGOROUS
THING GO, TO A GYM TO DO
THOSE KIND OF THINGS TO GET
IN SHAPE.
NOW THE EMPHASIS IS MORE ON
FINDING THOSE 20 MINUTE
PERIODS WHERE YOU CAN DO
SOMETHING THAT DOESN'T CAUSE
AS.OF A DISRUPTION TO BUSY
LIFESTYLES AND TO TRY TO
WORK THOSE THINGS INTO YOUR
REGULAR EVERYDAY KIND OF
LIFE AND MAKE THEM PART OF
YOUR LIFESTYLE SO IT BECOMES
SOMETHING THAT YOU'RE GOING
TO CONTINUE TO DO.

Karen says SO SOMEONE'S
DECIDED THEY'VE GOT THE
MOTIVATION.
LET'S FACE IT NEW YEAR'S IS
THE TIME TO DO IT.
SO THEY'RE GOING TO GIVE IT
THEIR BEST SHOT.
THEY PICK THREE, FOUR TIMES
A WEEK WHERE THEY'RE GOING
TO PUT THAT TIME ASIDE.
WHAT HAPPENS IF YOU GO TOO
FAST TOO QUICKLY.

Dr. David says WELL
THERE'S A NUMBER OF THINGS.
OBVIOUSLY DEPENDING ON THE
PERSON'S UNDERLYING HEALTH
CONDITIONAGE, THOSE ARE ALL
FACTORS THAT WILL HAVE
SOMETHING TO HELP US DECIDE
WHAT THEY'RE DOING CAN WHAT
THEY SHOULD BE LOOKING OUT
FOR.
CERTAINLY FOR PEOPLE WHO
HAVE BEEN ACTIVE OTHER TIMES
IN THEIR LIFE, AND IT'S BEEN
A SHORTER PERIOD OF TIME IN
THEIR LIFE THEY'VE BEEN IN
FACTIVE, THERE'S LESS RISK
OF SERIOUS PROBLEMS LIKE
HEART ATTACK AND THINGS LIKE
THAT.
THOSE THINGS WE WANT TO
AVOID MOST DEFINITELY,
SOMETHING CATASTROPHIC.
WITH REGARDS TO STRAINS AND
SPRAINS, THOSE THINGS HAPPEN
WHEN AS YOU SAY YOU GO FROM
BEING A COUCH POTATO TO
DOING TOO MUCH TOO SOON.
SO WE REALLY TRY TO
ENCOURAGE PEOPLE TO
GRADUALLY INCREASE THEIR
ACTIVITY SLOWLY AND DO IT IN
A SAFE MANNER.

Karen says WHEN YOU SAY
GRADUALLY AND SLOWLY,
BECAUSE I HEAR A LOT OF
EXPERTS SAY THAT, CAN YOU
QUANTITY TIE THAT?
IS IT TWO WEEKS OF SLOW
STRETCHING?

The caption changes to “Today's Topic: Sports Injuries.”

Dr. David says NO, IT'S A LITTLE BIT
TOUGH.
IT'S GOT TO BE DONE ON AN
INDIVIDUAL BASIS BUT WE KIND
OF HAVE TO GEAR IT TO WHAT
YOU DO IN YOUR LIFE SO IF
YOUR JOB IS YOU SIT AT YOUR
DESK, DRIVE YOUR CAR INTO
THE PARKING LOT RIGHT
OUTSIDE THE DOOR, YOU GO
HOME AND SIT IN FRONT OF THE
TV AND FLICK THE CONVERTER
WHAT'S SLOW TO YOU IS GOING
TO BE DIFFERENT THAN TO
SOMEBODY WHO HAS A MORE
ACTIVE, REGULAR LIFESTYLE
THAT MAYBE NOT -- WHICH THEY
WOULDN'T CALL EXERCISE SO
WHAT WE WOULD TELL THOSE
PEOPLE WOULD BE DIFFERENT.
USUALLY THE EASIEST THINGS
ARE STARTING WITH WALK
ASKING THAT'S WHAT WE
SUGGEST TO MOST PEOPLE, IF
YOU HAVE TO DO SOME DEGREE
OF WALKING, MOST PEOPLE HAVE
TO DO THAT IN THEIR LIFE TO
START WITH SO WE WORK ON
THAT.

Karen says THAT'S A NICE
GRADUAL SLOW START TO IT BUT
I BECAME ONE OF THESE PEOPLE
THAT GOT CAUGHT UP INTO THE
RUNNING WAVE.
RUNNING IS HUGE.
ANY RUNNER WHO'S LISTENING
TO ME NOW SAYS RUNNING'S
ALWAYS BEEN HUGE BUT THERE'S
BEEN A LOT MORE IN TERMS OF
BECOMING HEALTHY, THAT
RUNNING MIGHT BE A WAY TO DO
IT.
SO I'VE TAKEN A FEW STABS AT
IT OVER THE YEARS AND THE
LAST TIME AROUND WAS THE JOG
ONE MINUTE, WALK TWO, JOG
ONE.
AND YOU KNOW WHAT IT COMES
DOWN TO, DAVID?
IS I JUST DON'T LIKE IT.
I FIND IT HURTS.
IT'S PAINFUL.

Dr. David says AND
CERTAINLY, WITH ACTIVITY --
YOU'VE GOT TO FIND SOMETHING
THAT YOU LIKE.
I MEAN, IF YOU'RE LOOKING AT
MOTIVATION, IF IT'S
SOMETHING THAT YOU'RE
DREADING DOING, YOU'RE NOT
GOING TO DO IT.
SO AGAIN WE HAVE TO LOOK TO
THINGS THAT PEOPLE ARE GOING
TO FIND ENJOYABLE AND IN
THAT WAY THEY'RE GOING TO
CONTINUE TO DO THEM.
IF IT'S SOMETHING YOU'RE
JUST DOING BECAUSE YOU HAVE
TO DO IT YOU'RE NOT GOING TO
CONTINUE WITH IT.
I THINK YOU TALKED ABOUT
RUNNERS GET INTO IT AND
REACHED A CERTAIN LEVEL
WHERE IT BECOMES ALMOST
ADDICTIVE.

Karen says PASSIONATE.

Dr. David says YEAH AND
THOSE PEOPLE ARE VERY TOUGH
TO DEAL WITH WHEN THEY HAVE
AN INJURY BUT FOR OTHER
PEOPLE, YOU'VE GOT TO GET
THEM TO LOOK AT WHAT THINGS
APPEAL TO THEM.

Karen says FROM WHAT I'M
HEARING IS THAT THEY DON'T
WANT TO COMMIT TO THE GYM
NECESSARILY, BUY THE
EXPENSIVE EQUIPMENT, WHICH I
WANT TO GET INTO LATER, BUT
THEY'RE PICKING THINGS LIKE
WALKING, RUNNING, SOMETHING
THAT THEY COULD -- SWIMMING,
BUT IT'S NOT A SET CLUB THAT
THEY'RE SPENDING A LOT OF
MONEY ON.
SO THAT'S WHY RUNNING SEEMS
TO BE, BECAUSE IT'S CHEAP
AND YOU CAN WORK IT INTO
YOUR SCHEDULE.

Dr. David says THAT'S
RIGHT.
BASICALLY YOU NEED A PAIR OF
SHOES AND SOMEWHERE TO DO IT
AND YOU CAN WORK IT -- YOU
DON'T HAVE TO HAVE OTHER
PEOPLE TO DO IT WITH, YOU
CAN DO IT ON YOUR OWN, YOU
CAN FIT IT INTO YOUR
SCHEDULE WHENEVER IT'S
APPROPRIATE FOR YOU.
I KNOW THAT WHEN YOU TALK
ABOUT HEALTH CLUBS A LOTS OF
PEOPLE HAVE BEEN STUNG IN
THE PAST BY MAKING THEIR NEW
YEAR'S RESOLUTIONS, GOING
OUT -- HEALTH CLUBS HAVE A
BAD REPUTATION UNFORTUNATELY
FOR HOOKING PEOPLE INTO HUGE
CONTRACTS AND THAT'S THE
KIND OF THING I THINK YOU
REALLY NEED TO GO WITH THAT,
WITH A MORE GRADUAL
MEMBERSHIP KIND OF APPROACH
IF YOU'RE GOING TO, IF
THAT'S WHAT YOU THINK YOU'RE
GOING DO IS TO TAKE A
SHORTER MEMBERSHIP AND THEN
SEE IF THAT'S REALLY WHAT
YOU'RE ENJOYING AND CONTINUE
FROM THERE.

Karen says WHEN WE TALK ABOUT
EXERCISE, IS IT ABOUT BEING
HEALTHY OR WEIGHT LOSS FOR
THE MOST PART?

says WELL FOR THE MOST PART, I
THINK THAT IF YOU LOOK AT
YOUNG WOMEN, THERE'S A LOT
OF RESEARCH THAT SHOWS THAT
EXERCISE AND EXCESSIVE
EXERCISE MAY WELL BE A FORM
OF WEIGHT CONTROL.

Karen says OH, I WAS RUNNING
TO LOSE WEIGHT.
THERE WAS NO OTHER REASON
WHY I WAS DOING IT.

Dr. David says YEAH, AND
I GUESS -- I'M NOT GOING TO
HAVE A PROBLEM WITH THAT
BECAUSE YOU'RE GOING TO GET
THE HEALTH BENEFITS AS WELL,
UNLESS OF COURSE THEY'RE THE
PEOPLE TAKING IT TO EXCESS
AND RUNNING INTO HEALTH
PROBLEMS AS A RESULT OF
THAT.

Karen says BUT IN TERMS OF
THIS HEALTHY LIFESTY,
BECAUSE YOU ALLUDED TO THAT
WE'RE NOT GOING NUTS ANYMORE
IN THE GYMS OF THE '80s, THE
'80s WERE ALWAYS REFERRED TO
THAT, THE ME GENERATION,
WHERE WE SPENT EXCESSIVE
AMOUNTS OF TIMES IN GYMS,
NOW IN THIS 2001, WE'VE
DECIDED THAT WE'RE GOING TO
BE HEALTHY, THAT WE'RE GOING
TO LIVE, EAT WELL AND
EXERCISE FOR HEALTH IS IT
ABOUT SPIRIT AND MIND OR --

Dr. David says IT'S A
COMBINATION OF THOSE THINGS.
CERTAINLY WEIGHT IS ONE PART
OF THAT, BUT AGAIN THERE'S A
LOT OF RESEARCH THAT SHOWS
IT DOESN'T MATTER
NECESSARILY WHAT YOUR WEIGHT
IS IF YOU'RE AN ACTIVE
PERSON WHOSE WEIGHT IS NOT
WHAT FALLS WITHIN I GUESS
THE RANGE OF NORMAL, AS LONG
AS YOU CONTINUE TO BE ACTIVE
YOUR HEALTH IS GOING TO BE
BETTER.

Karen says AND HOW MUCH DOES
EXERCISE HELP IN TERMS OF
WEIGHT LOSS?
BECAUSE THERE'S VARYING
OPINIONS ON THAT.

Dr. David says NO, I THINK IT
CERTAINLY -- THE TYPE OF
EXERCISE IS IMPORTANT WHEN
YOU'RE LOOKING AT WEIGHT
LOSS.
WITH WEIGHT LOSS YOU WANT TO
BE DOING LOWER INTENSITY
EXERCISE MORE FREQUENTLY,
AND THE AIM OF THAT IS TO
INCREASE YOUR METABOLIC RATE
ON A ROUTINE LEVEL THAT WILL
THEN, YOU KNOW, WEIGHT
ISSUES ARE BASED ON HOW MUCH
ENERGY GOES IN VERSUS HOW
MUCH ENERGY GOES OUT.

Karen says BECAUSE IT TURNED
ME OFF MY HEARTRATE HAD TO
BE IN A CERTAIN ZONE FOR 15
PLUS MINUTES BEFORE I WAS
GOING TO BURN OFF THE OR YO
I HAD FOR BREAKFAST.

Dr. David says AND WHEN
IT GETS TO THAT TECHNICAL
LEVEL IT CAN PUT PEOPLE OFF
AND THAT'S WHY WE TRY TO
MAKE THINGS AS SIMPLE AS
POSSIBLE.

Karen says I'M NOT HAVING
OREOS ANYMORE FOR BREAKFAST.
MY NEW YEAR'S RESOLUTION.
WE'RE TALKING ABOUT EXERCISE
REGIMES, HOW TO DO IT
GRADUALLY, SAFELY AND ALSO
SPORTS INJURIES BECAUSE
THAT'S DAVID'S SPECIALTY AS
WELL.
TAKING YOUR PHONE NUMBERS
HERE, FOR Dr. DAVID LOWE.
LET'S START WITH COLLIN
WHO'S PHONING IN FROM
WALKERTON.
HI COLLIN.

Collin says YEAH, GOOD AFTERNOON.
I SUFFER FROM RHEUMATOID
ARTHRITIS AS WELL AS FIBROMY
AL GENTLEMAN.
I HAVE GREAT DIFFICULTY
EXERCISING.
NOW I'VE NOTICED I'VE BEEN
PUTTING ON THE BEEF.
HOW WOULD I GO ABOUT
STARTING OFF SLOWLY OR WHAT
DO YOU RECOMMEND I GET INTO.

Karen says THAT'S A GREAT
FIRST QUESTION.

Dr. David says IT IS
BECAUSE YOU RAISE A NUMBER
OF ISSUES THAT OBVIOUSLY
HAVE SOME SIGNIFICANT
UNDERLYING HEALTH CONDITIONS
WHICH ARE DIFFERENT FROM
MOST PEOPLE.
OBVIOUSLY THE FIRST THING IS
YOU WANT TO CLEAR THIS WITH
YOUR FAMILY PHYSICIAN OR
MOST RESPONSIBILITY
PHYSICIAN TO MAKE SURE BEING
ACTIVE IS GOING TO BE
HELPFUL.
IT'S INTERESTING YOU'RE FROM
WALKERTON.
MY FIRST CHOICE FOR SOMEONE
WITH THE KIND OF CONDITIONS
YOU HAVE WOULD BE IN THE
WATER, AND I GUESS THAT'S
SOMEWHAT UNTIMELY IN
WALKERTON BUT POOL WORK IS
PROBABLY THE MOST BENEFICIAL
AND LEAST HARMFUL WITH THE
RHEUMATOID ARTHRITIS AND THE
FIBRONYALGIA.
THERE'S A LOT OF TREATMENT
PROGRAMMES BASED ON POOL
ACTIVITIES AND WHAT THAT
DOES, ALSO WITH YOUR
RHEUMATOID ARTHRITIS,
DOESN'T HAVE YOU PUTTING
WEIGHT THROUGH THE JOINTS AS
MUCH AS DOING SOMETHING LIKE
RUNNING OR WALKING WOULD AND SO
THAT'S WHERE I THINK A
GRADUAL POOL PROGRAMME WOULD
PROBLEM LEAVE THE BEST BET
FOR YOU.
YOU NEED TO LOOK IN YOUR
AREA TO SEE, OF THERE ARE
PROGRAMMES AVAILABLE THAT
LOOK AT THESE PARTICULAR
TYPES OF PROBLEMS AND
PRIMARILY THE ARTHRITIS
ASSOCIATIONS, OR THERE ARE
FIBROMYALJIA ASSOCIATIONS AS
WELL.

Karen says BUT COLLIN'S
TALKING ABOUT WEIGHT GAIN,
TOO, SO IN TERMS OF CALORIE
BURNING IN THE POOL, I'VE
HEARD ENDLESS THINGS ON PAIN
RELIEF, BUT WHAT ABOUT
WEIGHT LOSS?

Dr. David says WELL IT'S
SLIGHTLY DIFFERENT BUT AGAIN
BY DOING THE WORK IT'S GOING
TO BE BETTER THAN NOT DOING
SOMETHING.
SO IT MAY NOT BE THE SAME AS
RUNNING OR CROSS-COUNTRY
SKIING OR SOMETHING LIKE
THAT BUT IF YOU DO IT LONG
ENOUGH AND WITH -- AGAIN,
USING YOUR HEARTRATE
GUIDELINES AND THINGS LIKE
THAT, THERE WILL BE BENEFITS
THERE FOR THE WEIGHT AS
WELL.
AND GIVEN THAT YOU'RE
STARTING WITH A WEIGHT
PROBLEM, BEING IN THE POOL
IS MUCH SAFER FOR YOUR
JOINTS AND THINGS LIKE THAT
BECAUSE YOU'RE NOT PUTTING
THAT EXCESSIVE WEIGHT
THROUGH THOSE JOINTS WHICH
ALREADY HAVE SOME PROBLEMS
I'M ASSUMING FROM YOUR
RHEUMATOID ARTHRITIS.

Karen says WHEN SOMEONE HAS, WHID
WHICH SHOP YOU GOT IT FROM ALL
BECAME SORT OF FASHION SYMBOLS
AND TEA BECOMES VERY, VERY
POPULAR.ONTARIANS DO, WHEN THE
WEIGHT GAIN HAPPENS IS THAT
WHEN YOU HAVE TO GO ON A
“DIE YET” OR START MODIFYING
THE WAY YOU EAT?

Dr. David says
EVERYTHING HAS TO BE IN SOME
FORM OF MODERATION.
I THINK THAT THE DAYS OF FAD
DIETS AND THINGS LIKE THAT
ARE PROBABLY -- THEY'RE
ALWAYS GOING TO BE WITH US,
BUT I THINK THAT IT'S ALL
GOT TO BE A BALANCE.
YOU'VE GOT TO BALANCE THE
AMOUNT OF ACTIVITY WITH THE
AMOUNT OF INTAKE.

Karen says THERE'S A STUDY
JUST OUT TODAY FROM THE
AMERICAN HEALTH ASSOCIATION
SAYING YET AGAIN THAT THESE
FAD DIETS JUST DOAN WORK.
I DON'T KNOW HOW MANY TIMES
WE NEED TO BE TOLD THAT BUT
THERE'S LOTS OF PEOPLE JUST
LIKE ME THAT HAVE TRIED THEM
AND THE HIGH PROTEIN, LOW
CARB, ALL OF THOSE THINGS WE
DESPERATELY TRY TO GET WHEN
IT'S TOLD TO US AGAIN AND
AGAIN BY THE EXPERTS IT'S
ABOUT FOLLOWING THE FOOD
GUIDE.

Dr. David says AND IT
COMES DOWN TO WHAT ARE YOU
GOING TO BE ABLE TO DO WITH
YOUR LIFE, NOT JUST FOR
THREE WEEKS TO LOSE SOME
WEIGHT.

Karen says WHAT CAN BE A
LIFETIME --

Dr. David says YEAH AND
THAT'S WHAT YOU'VE GOT TO
FIND.
SOMETHING THAT'S GOING TO
FIT INTO YOUR LIFE AS
OPPOSED TO BEING A QUICK
ANSWER.

Karen says I'M GOING TO BRING
ON SOPHIA CALLING FROM
MISSISSAUGA WITH A QUESTION.
HI SOPHIA.

Sophia says HI.

Karen says HI.

Sophia says I'M IN MY EARLY
PREGNANCY AND I'M WONDERING
WHAT IS THE BEST EXERCISE
FOR ME TO DO.

Karen says CONGRATULATIONS,
THAT'S GREAT.

Sophia says THANK YOU.

Dr. David says YEAH,
THIS IS ANOTHER AREA THAT A
LOT OF RESEARCH IS GOING
INTO, AND GENERALLY --
THERE'S ACTUALLY A STUDY
GOING ON RIGHT NOW THAT'S
LOOKING AT EXERCISE IN
PREGNANCY BUT ONE OF THE
THINGS WE NEED TO KNOW IS
WHAT YOUR ACTIVITY LEVEL WAS
LIKE BEFORE.
GENERALLY IN PREGNANCY THEY
DON'T LIKE TO HE SEE YOU
PARTICULARLY IN THE FIRST
TIME NEST STER INCREASING
YOUR EXERCISE MUCH BEYOND
WHAT YOU WERE DOING BEFORE
BUT THERE'S A LOT OF
RESEARCH THAT SHOWS THAT
IT'S QUITE SAFE.
THINGS LIKE CHROG GA ARE
GOOD FROM A FLEXIBILITY
STANDPOINT.
THERE ARE A LOT OF AEROBIC
CLASSES, MORE IN THE LOW
IMPACT STATE.
SOME OF THE CHANGES THAT
HAPPEN IN PREGNANCY DEAL
WITH HORMONE LEVELS AND
LOOSENING OF LIGAMENTS AND
THINGLIES LIKE THAT SO YOU
WANT TO AVOID HIGH IMPACT
ACTIVITIES WHICH COULD
RESULT IN SOME PROBLEMS
BASED ON THE CHANGES IN YOUR
LIGAMENTS.

Karen says SO THE KEY THING
HERE IS TO MAKE SURE -- IF
YOUR ACTIVITY WASN'T MUCH
BEFORE, AS SOON AS YOU GET
PREGNANT -- A LOT OF WOMEN
DO THAT FOR FEAR OF MY
WEIGHT GAIN.
MY SISTER CALLED ME THE
MINUTE SHE GOT PREGNANT AND
SAID “I'M PREGNANT, DO YOU
WANT TO JOIN A WATER
AEROBICS CLASS WITH ME?”
BECAUSE SHE WAS SO CONCERNED
ABOUT THE WEIGHT GAIN AND
THERE WE WERE THEY LOCAL Y
DOING IT SAYING WHOA, HAVE
YOU CLEARED THIS WITH YOUR
DOCTOR?
KNOWING WATER IS PROBABLY
SAFE BUT TO ADD TOO MUCH.

Dr. David says THERE ARE
SOME REASONS OF SAFETY WE
WANT TO LOOK AT --
TEMPERATURE RISES AND THINGS
LIKE THAT AS YOU'RE EXERCISE
WHILE PREGNANT, BECAUSE THEY
HAVE SOME IMPACT ON FOETAL
DEVELOPMENT BUT FOR THE MOST
PART MOST PEOPLE CAN
EXERCISE TO A RELATIVELY
GOOD DEGREE, AND THERE'S
AGAIN MORE STUD DHEES SHOW
PEOPLE WHO DO COMPERIZE
WHILE THEY'RE PREGNANT HAVE
MUCH FEWER PROBLEMS WITH
DELIVERY AND THINGS LIKE
THAT.

Karen says SOFIA, THE
PREGNANCY MAGAZINES IN TERMS
OF SHAPE OR FIT MAGAZINES
ARE FABULOUS IN TERMS OF A
LOT OF STRETCHING THAT THEY
SUGGEST AND A LITTLE BIT OF
WEIGHTS.
I FOUND THAT REALLY HELPFUL.

Dr. David says AND IT'S
A VERY GOOD TIME.
I MEAN, MOST PEOPLE ARE
THINK QUITE HEALTHILY WHILE
THEY'RE PREGNANT AND IT'S A
GOOD TIME FROM A LIFESTYLISH
SHOE TO ADD THAT TO YOUR
LIFE.
IF IT'S MISSING.

Karen says THEY'RE NOT, IF
THEY'RE NOT THROWING UP.

She looks at the computer screen and reads “I AM 29 YEARS OLD AND A
MOTHER OF TWO WITH A HOME
DAYCARE.
I'M IN PRETTY GOOD SHAPE AND
WHILE I DO NOT REALLY TO
WANT LOSE MY WEIGHT, I I
WOULD JUST LIKE TO SHAPE UP
THE NASTY MUSCLES IN THE
MIDDLE.”
SIT UPS JUST DON'T SEEM TO
BE DOING THE JOB VERY WELL.
WHAT WOULD WORK BEST FOR
THESE POST BABY SPOTS.
IT'S FROM TARA.

Dr. David says THAT'S A COMMON PROBLEM.
MY WIFE IS AT HOME -- NOT AT
HOME, AT WORK, BUT WE HAVE
TWO YOUNG CHILDREN AND IT'S
PROBABLY THE BIGGEST ISSUE
THAT WOMEN WILL PRESENT WITH
AFTER PREGNANCY.
IT SOUND LIKE YOUR JOB IS
PROBABLY KEEPING YOU FIT
FROM THE STANDPOINT OF
CARDIOVASCULARLY, WITH
LOOKING AT ABDOMINAL
EXERCISEDS, OBVIOUSLY SIT
UPS WORK FOR A LOT OF PEOPLE
BUT YOU'VE PROBABLY SEEN
THESE BIG SWEDISH BALLS?
AND THERE'S A LOT OF
ABDOMINAL EXERCISES YOU CAN
DO WITH THOSE.

Karen says THE ONES YOU ROLL
ON TOP OF?

Dr. David says YEAH, AND
A BUDGE OF THINGS YOU CAN DO
FROM AN ABDOMINAL
PERSPECTIVE PEOPLE WITH BACK
PROBLEMS, THEY'RE VERY GOOD
TOOLS IT USE.
THAT'S SOMETHING I WOULD
LOOK INTO, EXERCISING ON A
SWEDISH BALL.

Karen says SO JUST DOING 50
SIT UPS A DAY ISN'T ENOUGH?
COULD YOU PICK PERHAPS A 20
MINUTE REGIME EACH MORNING
THAT YOU COULD DO THAT IS
GEARED TOWARD THE STOMACH?

Dr. David says OH, YEAH, YEAH, I THINK
THAT THAT'S PROBABLY GOING A
LITTLE OVER BOARD IN GEARING
YOUR WHOLE 20 MINUTES TO ONE
BODY PART.
I THINK WITH ABDOMINAL STUFF
YOU NEED TO DO IT QUITE
FREQUENTLY BUT I THINK YOU
NEED TO AGAIN ADD SOME OTHER
THINGS TO IT BECAUSE YOUR
ABS WILL BECOME A LITTLE
TIRED.

Karen says ISN'T THAT A
PROBLEM AREA FOR MEN?
THEY FIND MEN LOSE WEIGHT
MORE EFFICIENTLY FOR WOMEN
BUT WHERE IT IS SITS FOR
THEM IS HERE AND THE MOST
DANGEROUS IN TERMS OF HEART
ATTACKS?

Dr. David says YEAH,
AGAIN THEY'VE LOOKED AT
DIFFERENT BODY TYPE EXAMINES
WHERE PEOPLE COLLECT FAT.
CERTAIN TYPES COLLECT HERE,
OTHERS ON THE HIPS AND FROM
THE STANDPOINT OF HEART
HEALTH AND RISK, PEOPLE WHO
COLLECT IT IN THE ABDOMINAL
REGION ARE --

Karen says TRADITIONALLY MALE?

Dr. David says MORESO,
RE, I GUESS THE BEER BELLY
WOULD BE I GUESS OUR BEST
EXAMPLE OF THAT.

Karen says LET'S GO TO
MARLENE CALLING IN FROM
TORONTO WITH THE NEXT
QUESTION.

Marlene says HELLO, I THOUGHT
THE DOCTOR MIGHT LIKE TO
COMMENT ABOUT WHAT I'VE
DISCOVERED, MY ANSWER TO
EXERCISE, THAT'S BALLROOM
DANCING.
I'M 73 YEARS OLD, BUT I'VE
FOUND THAT IT'S IMPROVED MY
POSTURE IMMENSELY, I HAVE
LOT MORE STAMINA, I HAVE
BETTER DEXTERITY, IT'S
KEEPING MY ARTHRITIS IN
CHECK.
I HAVEN'T LOST ANY WEIGHT.
PEOPLE SAY THAT I LOOK LIKE
I HAVE, SO MAYBE I'VE PUT ON
MUSCLE SO WOULD THE DOCTOR
LIKE TO COMMENT ABOUT
BALLROOM DANCING?

Dr. David says YEAH, I
THINK THAT THAT'S A GREAT
EXAMPLE OF YOU DOING
SOMETHING THAT YOU'RE
ENJOYING AND NOT THINKING OF
IT AS BEING EXERCISE BUT
YOU'RE GETTING THAT EFFECT.
AND THE COMMENT ON THAT IS I
WORK WITH A PHYSICIAN WHO'S
JUST STARTED, AND SHE TELLS
ME HOW DIFFICULT IT IS AND
HOW MUCH OF A WORKOUT AND
HOW MUCH TROUBLE SHE'S
HAVING KEEPING UP WITH IT
AND KEEPING FIT.
SO I THINK THAT CERTAINLY
THAT'S A GREAT EXAMPLE OF AN
ACTIVITY WHICH ROUTINELY WE
WOULDN'T CALL EXERCISE BUT
IT'S GIVING YOU THE BENEFITS
OF EXERCISE AND YOU'RE MORE
LIKELY TO KEEP GOING BECAUSE
YOU'RE ENJOYING IT.

Karen says THIS IS WHERE WE
GET DOWN TO THAT IMPORTANT
DISCUSSION BETWEEN ACTIVITY
AND FITNESS EXERCISE.
THAT IF WE'RE NOT BURNING A
WHOLE WHACK OF CALRY, THEN
IS IT EVEN DESCRIBED AS
EXERCISE?

Dr. David says THAT'S
RIGHT, I THINK THINGS HAVE
CHANGED.
I LOOKED AT ONE OF THE
HIGHSCHOOL GYM CURRICULUM,
WHEN WE WERE ALL GROWING UP,
IT WAS ALL ABOUT PLAYING
FOOTBALL, BASKETBALL,
SOCCER.
THOSE DON'T TEND TO BE THE
KIND OF THINGS THAT YOU'RE
NECESSARILY GOING TO CARRY
ON THROUGH THE REST OF YOUR
LIFE AND YOU'RE STARTING TO
SEE SOME CHANGES IN THE
CURRICULUMS WHERE THEY'RE
DOING MORE LIFESTYLE THINGS,
YOU KNOW, CANOEING, TENNIS,
GOLF, ACTIVITIES THAT YOU'LL
BE ABLE TO CARRY ON AND
CONTINUE WITH AS OPPOSED TO,
YOU KNOW, YOU NEED 20 PEOPLE
TO PLAY SOCCER, AND YOU
CAN'T ALWAYS HAVE THAT.

Karen says MARLENE TALKING
ABOUT BALLROOM DANCING
REMINDED ME OF GARDENING AND
HOW THAT'S THE NUMBER ONE
PASTIME IN CANADA AND IT'S
BEEN SUGGESTED THAT
THAT'S -- WELL IT'S GOOD FOR
THE SPIRIT AND THE SOUL BUT
IS IT GOOD NECESSARILY IN
TERMS OF EXERCISE.
I'VE HEARD THAT IT IS BUT I
STILL CAN'T SEEM TO MAKE
THAT LEAP.

Dr. David says YEAH, NO
I MEAN, AGAIN YOU'RE LOOKING
AT VARIATIONS IN WHAT
INTENSITY OF EXERCISE YOU'RE
GETTING, BUT CERTAINLY BEING
OUT IN THE GARDEN AND
WEEDING FOR HALF AN HOUR, AN
HOUR IS GOING TO HAVE
BENEFITS FROM YOU FOR A LOT
OF PERSPECTIVES, YOUR
HEARTRATE IS GOING TO GO UP,
FLEXIBILITY AND STRENGTH AND
THEN THERE'S ALSO THE
PSYCHOLOGICAL BENEFITS OF
BEING OUT IN YOUR GARDEN AND
DOING THAT.
AND I THINK THAT THOSE ARE
THE KIND OF THINGS THAT
WE'RE MISSING WHEN WE'RE
INSTRUCTING PEOPLE ON HOW TO
GET ACTIVE.

Karen says JOANNA'S CALLING
IN FROM COBOURG.
HI, JOANN SNAMD GO AHEAD?

Joanna says THANKS.
I JUST WANTED TO TALK WITH
YOU ABOUT HOME EXERCISE
EQUIPMENT.
I'VE DONE TAEKWONDO OUT OF
THE HOUSE BEFORE AND I'VE
DONE FITNESS CLUB
MEMBERSHIPS AND NOT USED
THEM BEFORE, SO WE'RE TRYING
TO FIT SOMETHING MORE INTO
OUR SCHEDULE THAN BE
MANDATED BY SOMEONE'S
WORKOUT SCHEDULE AT A GYM SO
WE'RE LOOKING AT EXERCISE
BIKES AND ALSO WEIGHT
TRAINING, AND I WAS WONDER
PHYSICAL YOU HAVE ANY
SUGGESTION IN REGARDS TO
THOSE, TO WHAT PIECES OF
EQUIPMENT OR PRICE RAIN JAS
WE MIGHT BE LOOKING AT.

Dr. David says IT'S
DIFFICULT TO MAKE SPECIFIC
SUGGESTIONS FOR YOU.
I THINK YOU'RE LOOKING IN
THE RIGHT REALM WHEN YOU
LOOK AT AN EXERCISE BIKE OR
SOME SORT OF AEROBIC
ACTIVITY, THAT NEEDS TO BE
PART OF YOUR EQUIPMENT,
WHATEVER THAT IS.
BUYING A STEP JUST TO DO
YOUR OWN STEP PROGRAMME,
BUYING A BICYCLE TO DO YOUR
CYCLING OR A TREADMILL.
THOSE KIND OF THINGS ARE
PROBABLY THE MOST ESSENTIAL
THING TO HAVE.
WITH REGARDS TO DIFFERENT
TYPES OF BIKE, YOU KNOW,
THERE IS A WIDE VARIETY OF
THINGS.
YOU KNOW, DO YOU NEED ONE
THAT HAS A CUTE TER?
PROBABLY NOT.
DEPENDING ON YOUR CONDITION
OF YOUR BACK AND THINGS LIKE
THAT, THERE ARE RECLINING
BIKES THAT MAY BE A LITTLE
BIT SAFER FOR THAT.
I THINK THAT WE'VE ALL GONE
THROUGH THIS OR A LOT OF
PEOPLE HAVE BOUGHT EXERCISE
EQUIPMENT, HAVE IT END UP
HOLDING OUR LAUNDRY.
YOU KNOW, I MIGHT SUGGEST
TRYING TO FIND SOMEWHERE
WHERE YOU COULD RENT IT FOR
A LITTLE WHILE TO SEE
WHETHER YOU'RE ACTUALLY
GOING TO BE USING IT.

Karen says THAT'S A GOOD
IDEA.

Dr. David says BUT THE
SPECIFICS OF WHICH ONE, YOU
REALLY HAVE TO GO IN AND
LOOK AT WHAT IT IS THAT
YOU -- WHAT EXERCISES YOU
THINK YOU WANT TO DO FROM A
WEIGHT PERSPECTIVE AND THE
PRICE RANGE -- OBVIOUSLY THE
MORE MONEY YOU SPEND, THE
BETTER THE PIECE OF
EQUIPMENT IS GOING TO BE,
BUT USUALLY, YOU KNOW, IN
THE 500 DOLLAR RANGE YOU'RE GOING
TO FIND SOMETHING THAT'S
GOING TO BE SUITABLE FOR
YOU.

Karen says IN TERMS OF THE
BIKES THAT YOU RIDE, LIFE
CYCLES WERE ALL THE RAGE
LAST TIME I WAS INSIDE A
GYM, AND THOSE OLD EXERCISE
BIKES WHERE YOU JUST GET ON
AND PEDESTRIAN DARBLGS DO
THEY -- PEOPLE STILL BUY
THOSE?

Dr. David says YEAH, THEY STILL BUY
THEM.
THE ISSUE AGAIN IS BOREDOM,
I GUESS AND THAT'S ONE OF
THE THINGS WITH A LIFE CYCLE,
BECAUSE YOU CAN CHANGE THE
PATTERN OF WHAT YOU'RE
CYCLING.
THE BIG THING WITH CYCLING
NOW IS THE SPINNING CYCLES,
AND THE SPINNING CLASSES ARE
PROBABLY THE MOST POPULAR
CYCLING FORM OF EXERCISE IN
GYMS THESE DAYS.
AND AGAIN, THAT'S BASED ON A
CLASS SITUATION WHERE YOU GO
THROUGH CYCLING TO DIFFERENT
EXTREMES AND THEN THEY'LL
HAVE YOU CLIMB HILLS AND
YOU'VE GOT SOMEONE
ENCOURAGING YOU ALONG WITH
THE POUNDING MUSIC.
SO IT IS A MUCH MORE SOCIAL
ACTIVITY.

Karen says AND WHEN JOANNA'S
TALKING ABOUT DOING IT AT
HOME, WHICH I THINK SO MANY
OF US ARE TRYING TO DO THE
EQUIPMENT THAT WE CAN CHOOSE
FROM CAN BE OVERWHELMING AND
I THINK WHAT YOU SUGGESTED
ON RENTING IS A GREAT IDEA,
BUT WHAT ABOUT SOME OF THE
OTHER CONTRAPTIONS, I GUESS
I'D CALL THEM.
YOU MENTION THE BALL THAT
MIGHT FALL INTO THAT
CATEGORY, BUT ALL THE ONCE
YOU SEE BEING PITCHED ON
INFO --

Karen says YEAH, COMMERCIALS,
THEY SELL A LOT OF
EQUIPMENT.

Karen says THEY DO.

Dr. David says YOU KNOW,
IS THERE REALLY ANY RESEARCH
INTO THOSE?
MOST OF THEM NOT.
MOST OF THEM, YOU KNOW,
THEY'RE PROBABLY -- THEY
SELL BECAUSE THEY HAVE GOOD
LOOKING PEOPLE USING THEM
WHO I WONDER VERY OFTEN HOW
MANY OF THOSE PEOPLE GOT IT
LOOK LIKE THAT USING THAT
EQUIPMENT, PROBABLY NONE OF
THEM.

Karen says THE BUN
CRUNCHERS -- I GUESS BACK IN
THE '70s, IT WAS A PULLEY
THING THAT HAD ROPES AND YOU
DID THIS AND IT HUNG ON THE
DOOR KNOB IN THE HOUSE FOR
AGES SO THEY DO SEEM FADS
BUT PEOPLE ARE BUYING INTO
THEM.
DO YOU THINK THAT SOME OF
THEM LEGIT MATLY SGHORK.

Dr. David says YEAH,
SOME OF THEM DO GIVE YOU THE
POTENTIAL TO DO THE
ACTIVITIES.
IT'S WHETHER YOU ACTUALLY DO
THEM IS WHAT IT COMES DOWN
TO A LOT OF THEM, ARE THEY
ANY BETTER THAN ANYTHING
ELSE YOU COULD BUY?
A FREE WEIGHT OR SOMETHING?
PROBABLY NOT A WHOLE LOT BUT
A LOT OF THEM GIVE YOU SOME
VERSATILITY IN BEING ABLE TO
BE DO A NUMBER OF DIFFERENT
EXERCISES WITH ONE PIECE OF
EQUIPMENT THAT MAYBE DOESN'T
TAKE UP MUCH SPACE.
GETTING BACK TO JOANNE'S
QUESTION, IF YOU'RE GOING TO
BE DOING IT AT HOME, SET IT
UP IN A PART OF THE HOUSE
WHERE YOU'RE GOING TO WANT
TO BE THERE AND DO IT.
SO WHETHER YOU'VE GOT A
STEREO IN THE ROOM, A
TELEVISION, SOMETHING THAT
WILL MAKE IT SEYMOUR
COMFORTABLE TO BE DOING AND
LESS OF A CHORE.

Karen says WHAT DO YOU THINK
OF TREADMILLS?

Dr. David says OH,
GREAT.
I THINK PROBABLY THE NUMBER
ONE PIECE OF EQUIPMENT, YOU
KNOW, TREADMILLS OR A
BICYCLE WOULD BE TOPS ON
ANYONE'S LIST IF THEY'RE
GOING TO BE GETTING HOME
EQUIPMENT.

Karen says BUT IF SOMEONE'S
THINKING OF EQUIPPING
THEMSELVES WITH THAT, THE
PRICE RANGE YOU USED WAS
500 DOLLARS.
BE KALE OF GOING NUTS.

Dr. David says PROBABLY
WITH A TREADMILL YOU NEED TO
GO A LITTLE HIGHER, DENDING
ON HOW MUCH YOU'RE GOING TO
USE IT.
WITH TREADMILLS TO GET GOOD
QUALITY THAT'S GOING TO LAST,
AND IF YOU'RE GOING TO USE
IT QUITE A BIT, YOU NEED TO
SPEND A LITTLE BIT MORE, I
THINK.

Karen says YEAH.
THERE'S ALWAYS THE YARD
SALES OR SOMEONE -- A FAMILY
MEMBER I THINK WAS TRYING TO
PITCH ONE TO ME OVER THE
HOLIDAYS.
WE'RE NOT USING IT A LOT, I
GIVE YOU A GOOD PRICE --

Dr. David says CERTAINLY
FROM EXERCISE EQUIPMENT, IF
YOU GO THROUGH THE
CLASSIFIED SECTION, YOU'LL
FIND ALL OF THOSE PEOPLE
WHO --

Karen says THE PENNY SAVER.
BARRY FROM HUNTSVILLE IS
CALLING NEXT.
HI?

Barry says GOOD AFTERNOON,
MY QUESTION IS ABOUT A
WEIGHT TRAINING SUPPLEMENT,
CAROTENE HYDRATE.
I DON'T KNOW IF THERE'S ANY
SIDE EFFECTS, BUT IT'S
SUPPOSED TO GIVE YOU THE
RIPPLING EFFECT.
I'VE BEEN WORKING OUT FOR
TEN YEARS AND I'VE GOTED
SIZE BUT I DON'T HAVE THE
RIPPING THAT I WANT.
I WAS WONDERING IF I STARTED
TAKING THE CAROTENE, AND IF
I GO OFF IT WILL I LOSE ALL
THAT I'VE GAINED?
:THERE'S A LOT BEING SAID
ABOUT IT RIGHT NOW --

Dr. David says YEAH,
THERE ARE A LOT OF
SUPPLEMENTS OUT THERE AND
THE BIGGEST CONCERN WE HAVE
WITH THEM IS SAFE TEAM.
OBVIOUSLY WITH CREATINE,
IT'S NOT BEEN A BANNED
SUBSTANCE, IT'S AVAILABLE
AND YOU CAN GET IT IN A
NUMBER OF PLACES, A LOT
OF -- IN MOST GYMS THERE'LL
BE SOMEBODY WHO'S USING IT.
A LOT OF THE NUTRITIONAL
STORES WILL CARRY IT.

Karen says AND THEY'RE REALLY
PUSHING IT.

Dr. David says YEAH, YOU
KNOW, IT'S GOT A LOT OF
PRESS AND SO IT HAS BECOME
QUITE POPULAR.
THE ESSENTIAL WHAT IT IS
SUPPOSED TO BE DOING IS
REPLACING ONE OF THE
PRODUCTS THAT YOU USED IN
ENZYMES TO PRODUCE MUSCLE
ENERGY ENERGY, AND THE
QUESTION IS, IS THERE REALLY
A DEPLETION?
DO YOU REALLY NEED TO HAVE
MORE?
SOME PEOPLE FIND THAT WHAT
IT HELPS THEM IN IS TO
RECOVER FROM A WORKOUT SO,
THAT GENERALLY THE WAY
PEOPLE TAKE IT IS THEY'LL
TAKE A LOADING DOSE OR A
HIGHER AMOUNT FOR A FEW DAYS
AND THEN GET ONTO A MORE
STABLE DOSE FOR A WHILE.
MOST OF OUR CONCERNS WITH
THESE KIND OF THINGS COME
FROM HEALTH ISSUES AND THE
ONE THING WITH CREATINE IS
KIDNEY PROBLEMS IS AND
DEHYDRATION AND MUSCLE
CRAMPING SO WE'VE SEEN SOME
ISSUES AROUND THAT.
ESSENTIALLY ANY OF THESE
THINGS YOU'RE GOING TO USE,
YOU NEED TO GET AS MUCH
INFORMATION ABOUT SAFETY AND
HOW TO USE THEM PROPERLY.
IS THAT GOING TO BE THE
THING THAT'S GOING TO GIVE
YOU THE RIPPING EFFECT?
PROBABLY NOT.

Karen says I'VE GOT TO ASK
ABOUT THE RIPPING EFFECT IS
THAT OPPOSED TO RIPPLING?
LIKE WASH BOARD KIND OF
STOMACH?

Dr. David says YEAH,
THAT WOULD BE A RIPPED
STOMACH BUT I THINK HE'S
JUST TALKING ABOUT ANYWHERE
WHERE YOU GET VERY GOOD
DEFINITION BETWEEN MUSCLES
AND SO ONE OF THE THINGS IS
THAT REMOVING SOME OF THE
WATER BETWEEN THE SKIN AND
THE MUSCLES, THAT WILL GIVE
YOU THAT AFFECT, WHICH IS
WHY BODYBUILDERS WILL KIND
OF DEHYDRATE THEMSELVES
PRIOR TO COMPETITIONS.

Karen says AND WHEN IT COMES
TO NATURAL PRODUCTS I ALWAYS
LIKE TO ADD IN TERMS OF
REGULATION, IT'S NOT IN
PLACE YET.
LABELLING IS STILL -- IT'S
IN THE FUTURE, IT'S COMING
AND A LOT OF PEOPLE WHO ARE
IN SUPPORT OF THE PRODUCTS
AND SUPPLEMENTS ARE IN
FAVOUR OF THIS BECAUSE SOME
JUST DON'T CONTAIN THE
ACTIVE INGREDIENT, SO RIGHT
NOW IT'S A BIT OF BUYER
BEWARE.

Dr. David says THAT'S
RIGHT, YOU REALLY HAVE TO BE
CAREFUL WITH THE SUPPLIER OF
ANY OF THOSE PRODUCTS.
IT'S NOT QUITE THROUGH THE
SAME LEVEL AS PHARMACEUTICALS
WHERE WE'VE GOT STRINGENT
CONTROLS OVER WHAT GOES INTO
THEM AND HOW THEY'RE PACK
PACKAGED AND MAKING SURE THE
CONCENTRATIONS ARE WHAT THEY
SAY THEY ARE.

Karen says WHAT DO YOU SEE
THE MOST COMMON INJURY IN
TERMS OF WEIGHTLIFTERS?

Dr. David says MOST
COMMONLY WE'RE LOOKING AT
SHOULDER PROBLEMS THEY'RE
DEVELOPING, AGAIN A
COMBINATION OF OVER-USE,
ROTATOR CUFF PROBLEMS.

Karen points to her shoulder and says IN HERE?

Dr. David says YEAH.

Karen says I WOULD HAVE
THOUGHT IT WOULD BE BACK.

She motions like she is curling a weight and says THIS MOTION? I WOULDN'T THOUGHT THE STRAIN WOULD BE ON YOUR BACK.

Dr. David says IT'S MORE
FROM REPEATED OVERHEAD
ACTIVITY, BLANCH BACK BENCH,
BENCH PRESSES, THE SHOULDER
PROBLEMS COME FROM REPEATED
USE AND THE BACK FROM ONE
QUICK THING GONE WRONG.
SO IT'S LESS OF AN ACUTE
TRAUMATIC THING, MORE OF A
GRADUAL BUILD UP.

Karen says IN THAT SAME VEIN,
IF WE BROAD DEN IT IN AND
LOOK AT EXERCISE IN GENERAL,
A LOT OF ANKLE INJURIES.

David says THAT'S ALWAYS
GOING TO BE THE NUMBER ONE
PROBLEM BECAUSE MOST
ACTIVITIES REQUIRE YOU TO BE
ON YOUR TEET AND THERE'S A
NUMBER OF REASONS FOR PEOPLE
GETTING THEM.
YOU KNOW, DEPENDING ON THE
SPORT, YOU MAY TRIP ON
PROBLEMS WITH THE SURFACE,
YOU MAY, YOU KNOW, COME OFF
SOMEBODY ELSE'S FOOT, SO
THERE'S A BUNCH OF ISSUES
BUT ANKLE INJURIES ARE BY
FOR NUMBER ONE.

Karen says LET'S GO TO RON IN
OTTAWA NEXT AS WE TALK ABOUT
EXERCISE HERE ON “MORE TO
LIFE.”
HI RON.

Ron says THANKS FOR TAKING
MY CALL.
Dr. LOWE, A QUESTION FOR YOU,
I'VE BEEN RECENTLY PLACED ON
A BLOOD PRESSURE MEDICATION,
AND I'M WONDERING WHAT SORT
OF HEARTRATE I SHOULD BE
LOOKING AT TRYING TO OBTAIN
WHILE ON THE BLOOD PRESSURE
MEDICATION.
IS IT DIFFERENT THAN NOT
BEING ON IT?
AND THE OTHER QUESTION IS
SHOULD I DO ANY WEIGHT
TRAINING EXERCISES WHILE ON
BLOOD PRESSURE MEDICATION.

Dr. David says OKAY,
VERY GOOD QUESTIONS.
AGAIN, IT DEPENDS ON WHICH
TYPE OF MEDICATION YOU'RE
ON.
CERTAIN BLOOD PRESSURE
MEDICATIONS HAVE AN EFFECT
ON YOUR HEARTRATE, AND ONE
OF THE WAYS OF CONTROLLING
HEARTRATE -- SORRY,
CONTROLLING BLOOD PRESSURE
IS BY DECREASING YOUR
HEARTRATE SO, IT MAY HAVE
SOME IMPACT ON SETTING TARG
GOT GOALS FOR YOUR HEARTRATE
WHEN YOU'RE DOING ACTIVITY.
SO WE WOULD REQUIRE KNOWING
SPECIFICALLY WHICH
MEDICATION YOU'RE ON AND
WHAT IMPACT THAT HAS ON YOUR
HEARTRATE.
GENERALLY WITH PEOPLE WITH
HYPERTENSION, ONCE YOU'RE ON
THE MEDICATION IT USUALLY
CONTROLS IT SO THERE'S LESS
OF A CONCERN ABOUT WHAT WE
HAVE YOU DO.
BUT WITH REGARDS TO WEIGHT
TRAINING, IF YOU'RE GOING TO
DO WEIGHT TRAINING, ONE OF
THE THINGS WE LIKE TO AVOID
IS DOING THE KIND OF MASSIVE
SINGLE MAXIMUM EFFORT LIFTS,
SO THAT WHERE YOU'RE TRYING
TO PUSH THE MOST WEIGHT YOU
CAN BECAUSE THAT TENDS TO
INCREASE INTERNAL PREJUDICE
SECURE AND BLOOD PRESSURE
AND CAN CAUSE SOME PROBLEMS
WITH SMALL BLOOD VESSELS IN
THE BRAIN SO FROM A
WEIGHTLIFTING STANDPOINT WE
WOULD TEND TO HAVE YOU AVOID
TRYING TO BUILD BULK BUT
MORE TRYING TO LOOK AT TONING.

Karen says THAT WOULD BE MORE
OF THE EMPHASIS?

Dr. David says YEAH.

Karen says THANKS FOR YOUR
QUESTION, RON.
GETTING BACK TO THE INJURY,
JUST IN TERMS OF CHILDREN,
THERE'S BEEN TWO HIGH
PROFILE STUDIES RELEASED IN
THE LAST WEEK ABOUT
SNOWBOARDING ACCIDENTS AND
THIS IS THE SEASON FOR IT.
SNOWBOARDING'S NEVER BEEN
BETTER.
IT'S RISKS, BUT HOW IS --
BECAUSE THAT'S WHERE THE
IMPACT IS GOING, BUT AS
PARENTS WHAT CAN WE DO WHEN
WE SEE OUR TEN-YEAR-OLD,
TWELVE-YEAR-OLDS AND EVEN
OUR TEENAGER GOING OUT THERE
AND TELLING THEM TO BE
CAREFUL WHEN IT'S ALL ABOUT
ATTITUDE AND PUSHING THE
VERY WELL LOPE?

David says YEAH, WELL IT'S ABOUT
THOSE THINGS, AND WITH ANY
ACT ACTIVITY, IT'S REALLY
ABOUT HOW WE GO ABOUT DOING
THAT ACTIVITY.
BUT THE BIGGER ISSUE IS
SAFETY EQUIPMENT.
SO I MEAN, FIVE YEARS AGO WE
WOULDN'T HAVE SEEN VERY MANY
KID RIDING AROUND THE STREET
WITH BICYCLE HELMETS ON.
NOW YOU KNOW, PRETTY MUCH
MOST PARENTS WON'T HAVE
THEIR KIDS GO OUT THE DOOR
WITHOUT THE HELMET ON.
SAME THINGS HOLD TRUE WITH
ROLLER BLADING AND
SNOWBOARDING, IF WE HAVE
THEM IN WRIST GUARDS THEY'RE
NOT GOING TO BREAK THEIR
WRISTS CAN AT THE UNIVERSITY
OF TORONTO WE TEND TO SEE A
LOT OF THE INJURIES AFTER
THE BREAK.
AFTER THE CHRISTMAS BREAK, A
LOT OF PEOPLE WHO HAVE GONE
AWAY AND THEY'VE TRIED IT
FOR THE FIRST TIME OR BEEN
SNOWBOARDING A LOT AND THEN
AFTER THE READING WEEK BREAK
IN FEBRUARY, AGAIN THE SAME
THING.
PEOPLE HAVE MORE TIME.
THEY GO AND DO THESE THINGS
AND THEY HAVE SPILLS.
BUT -- SO THE ISSUES ARE
TWO-FOCHLT PUSHING THE OUTER
LIMIT, BUT THEN THE
PROTECTIVE EQUIPMENT.
SO REALLY, IF YOU WEAR WRIST
GUARDS YOU REALLY REDUCE THE
RISK OF INJURING YOURSELF.

Karen says I DON'T KNOW WITH
THAT SET IT PROBABLY
WOULDN'T BE COOL, BUT THERE
WAS A STUDY OUT THAT SHOWED
THAT ON ANY AVERAGE WEEKEND
AT BLUE MOUNTAIN IN ONTARIO
THAT 35 TO 50 FRACTURES COME
IN A WEEKEND.
AND AT WHISTLER IT'S EVEN
MORE DRAMATIC.
SO I THINK IT'S -- YEAH, IF
THE WRIST GUARD WAS PART OF
IT.
BUT AS A PARENT WHEN WE'RE
TALKING TO OUR PARENTS AND
TEACHING THEM ABOUT SAFETY
IT'S THE ATTITUDE.
BECAUSE THAT GROUP OF KIDS
ARE JUST SO INTO THE IMAGE
AND THE LOOK AND REALLY
TRYING TO DO A STUNT.

Dr. David says YEAH SO,
IT CERTAINLY HAS TO COME
FROM THE PARENTS AS A
STARTING POINT.
THE CANADIAN ACADEMY OF
SPORT MEDICINE LOOKS AT A
LOT OF INJURY PROTECTION AND
PROFILES AND CERTAINLY
THERE'S GOT TO BE A LOT OF
LOBBYING DOUBLE.
THE EASIEST WAY WOULD BE TO
HAVE IT AT THE SKI HILLS
WHERE IT SAYS YOU CAN'T
SNOWBOARD UNLESS YOU'VE GOT
WRIST GUARDS ON.

Karen says MAKE THE EQUIPMENT
MANDATORY.

Dr. David says IF YOU
ARE GOING MOUNTAIN BIKING ON
THEIR HILLS IN THE SUMMER,
YOU HAVE TO HAVE A HELMET
ON.
SO THE SAME KIND OF THINGS
COULD BE PUT IN PLACE AS
SAFE GUARDS WITH THINGS IF
WE'RE SEEING THOSE KINDS OF
INJURIES, YOU KNOW, THERE'S
A WAY TO GET AROUND IT.

Karen says WHENEVER WE GET
INTO THAT DISCUSSION OF
MAKING ANY EQUIPMENT
MANDATORY, I'M ALWAYS AMAZED
AT HOW STRONG THE REACTION
IS.
BECAUSE IT LOOKS LIKE IT'S
AN ENCROACHMENT ON FREEDOM.
BUT LET'S GO TO HOCKEY THEN,
BECAUSE I KNOW WHAT IT --
WHEN IT COMES TO WHAT I WEAR
AND THINGS WE COULD HAVE
HAVING OUR KIDS WEAR, YOU
SEE CONCUSSIONS A LOT IN
HOCKEY, ESPECIALLY WITH OUR
YOUNG ONES.

Dr. David says THAT'S
RIGHT.
I THINK WE TEND TO SEE ARE
IT A LITTLE BIT MORE AS THE
KIDS GET OLDER AND THEY'RE
GETTING INTO MORE BODY
CONTACT.
AND OBVIOUSLY IT'S IN THE
PRESS QUITE A BIT BECAUSE WE
SEE A LOT OF HIGH PROFILE
ATHLETE WHOSE ARE SUFFERING
CONCUSSIONS.
AND IT'S A DIFFICULT ONE.
I MEAN, KIDS ARE MANDATED
NOW TO WEAR FULL FACE
PROTECTION, AND TO WEAR
HELMETS.
AGAIN, LAST YEAR -- WELL
MAYBE IT WAS TWO YEARS AGO,
THERE WERE SOME STUDIES THAT
LOOKED AT PROTECTIVE
EQUIPMENTPEOPLE WHO HAVE HAD
HELMETS FOR A NUMBER OF
YEARS, TEND TO BE LESS OF A
PROBLEM IN KIDS, MORE OF A
PROBLEM IN THE RECREATIONAL
ADULT WHOSE PROBABLY CHANGE
THEIR EQUIPMENT EVERY 20
YEARS.
THE HELMETS PROBABLY AREN'T
DOING WHAT THEY WERE
ORIGINALLY SET UP TO DO.
ALL HELMETS HAVE A C.S.A.
APPROVAL ON THEM AT SOME
POINT.
THE ISSUE IS HOW LONG DOES
THAT APPROVAL LAST?

Karen says BUT YOU SEE, YOU
SEE THE BRETT LINDROSES OF
THE WORLD AND A HIGH EXAMPLE
OF THAT, WHERE HE CAN'T PLAY
THE SPORT ANYMORE, AND HIS
BROTHER, OF COURSE EVERYONE,
WITH ALL OF THE DISCUSSION
AROUND ERIC LINDROS, I DON'T
THINK THAT -- YOU'D LIKE TO
THINK BEING ROLE MODELS
THAT'LL DO SOMETHING, BUT
WITH THE PASSION WE HAVE FOR
OUR SPORT OF HOCKEY IN THIS
COUNTRY, AND OUR KIDS GOING
TO IT IN DROVES DO YOU THINK
THERE'S ENOUGH EMPHASIS ON
SAFETY?

Dr. David says I THINK
IT'S OUT THERE.
CERTAINLY WITH REGARDS TO
CONCUSSION, THE MOVEMENT IN
THE LAST COUPLE OF YEARS HAS
BEEN ASTOUNDING COMPARED TO
WHAT THINGS WERE LIKE AND
THE KNOWLEDGE BASE ABOUT
CONCUSSIONS IN THE GENERAL
PUBLIC AND AMONG THE MEDICAL
PROFESSION ITSELF HAS REALLY
REALLY PICKED UP.
RIGHT NOW AT THE UNIVERSITY
OF TORONTO, TOGETHER WITH
THE TORONTO REHABILITATION
INSTITUTE, WE'RE DOING A
STUDY ON LOOKING AT HOW DO
WE MAKE SURE OUR ATHLETE,
ONCE THEY'VE GOT A
CONCUSSION, HOW DO WE MAKE
SURE THEY'RE SAFE ONCE THEY
GO BACK?
AND I THINK THERE'S TWO WAYS
OF LOOKING AT IT.
HOW TO PREVENT THEM
OBVIOUSLY IS MOST IMPORTANT,
BUT SECOND DARELY, ONCE
WE'VE GOT ONE, HOW DO WE
MAKE SURE WE GO BACK TO A
WHEN IT'S NOT GOING TO PUT
OUR KIDS AT INCREASED RISK.

Karen says WE'RE TALKING ABOUT EXERCISE TODAY, DOING
IT SAFELY, GRADUALLY AND
PREVENTING INJURIES.
OUR GUEST IS Dr. DAVID LOWE.
AND OUR NUMBER
IN TORONTO IS 416-484-2727.

OR CALL LONG DISTANCE TO 1-888-411-1234.

AND YOU CAN e-mail YOUR

QUESTION TO

moretolife@tvo.org
MARJORIE'S NEXT
FROM SMITH FALLS.
HI MARJORIE.

Marjorie says GOOD AFTERNOON.
I'M ENJOYING YOUR PROGRAMME.
AND I WOULD LIKE TO KNOW,
WOULD A MINI TRAMPOLINE BE
BENEFICIAL FOR THOSE
SUFFERING FROM OSTEOPROSES
AND I AS WELL SHOULD YOU USE
WEIGHTS TO INCREASE THE
WEIGHT BEARING BENEFITS.

Dr. David says WELL,
CERTAINLY A LOT SAFER THAN
THE BIG TRAMPOLINES.
YES, I MEAN, I THINK THAT
ONE OF THE THINGS WITH THE
MINI TRAMPOLINES IS IT DOES
REDUCE THE AMOUNT OF IMPACT
THAT YOU'RE FEELING AS
YOU'RE HITTING THE SURFACE.
ONE OF THE CONCERNS THOUGH
IS THAT THERE'S I GUESS A
BIGGER CHANCE OF YOU FALLING
OFF OR HAVING A MISSTEP, AND
WITH OSTEOPOROSIS THE RISK
OF FRACTURE IT IS THERE.
CERTAINLY DOING WEIGHT
BEARING ACTIVITY IS
IMPORTANT IN DEALING WITH
OSTEOPOROSIS, AND CERTAIN
WEIGHT ACTIVITIES ARE SAFE,
OTHERS AREN'T.
SO AS FAR AS THE MINI
TRAMPOLINE, I THINK AS LONG
AS YOU HAVE NO OTHER HEALTH
PROBLEMS THAT ARE GOING TO
INCREASE YOUR RISK OF
FALLING, IT'S LIKELY TO BE A
GOOD ACTIVITY USING WEIGHTS
ALONG WITH IT CERTAINLY
IMPORTANT IN DEALING WITH
OSTEOPOROSIS, BUT THERE ARE
CERTAIN ACTIVITIES OF DOING
THINGS LIKE ROWING-TYPE
ACTIVITIES THAT ARE NOT
PARTICULARLY SAFE FOR PEOPLE
WITH OSTEOPOROSIS.

Karen says THE MINI
TRAMPOLINES HAVE BECOME A
RAGE FOR THE KIDS, TOO, AND
THAT MAYBE MOM OR DAD IS
USING IT AND THE KIDS ARE
GOING TO IT.
IS THAT MUCH OF A PROBLEM?

Dr. David says WELL
DEPENDS ON HOW THEY'RE USING
IT.
IF THEY'RE GOING IT USE IT
LIKE A REGULAR TRAMPOLINE,
YEAH, THERE'S SOME CONCERNS.
AGAIN, NOT AS MUCH CONCERN
AS I HAVE FOR THE ONES THAT
ARE FOUR FEET OFF THE GROUND
AND IN THE BACKYARDS THAT
ARE CAUSING BIGGER ISSUES
FOR US.

Karen says YES, AND THESE
AGAIN ARE BEING USED TO TRY
TO GET SOME OF THE IMPACT
OFF THE JOINTS, RIGHT?

David says RIGHT.

Karen says IT'S THIS WHOLE
LOW IMPACT MOVEMENT.
THERE'S A FLYER THAT'S
POSTED HERE AT TVO ABOUT IF
YOU INDULGED OVER THE
HOLIDAY, GET ONTO YOUR
EXERCISE REGIME WITH US.
YOU CAN WORK OUT TWICE A
WEEK I THINK THE FLYER SAYS
FOR AN HOUR BUT IT REALLY
EMPHASIZES THE LOW IMPACT.
IS ANYONE DOING HIGH IMPACT
ANYMORE IS THAT EVEN BEING
DONE IN GYMS?

Dr. David says UM, AGAIN,
TO A MUCH LESSER DEDEGREE.
THERE'S STILL PEOPLE WHO DO
IT.
AGAIN, IT'S NOT HARM OF TO
ALL PEOPLE AND IT'S LIKE
EVERYTHING, THERE'S A BROAD
RANGE OF ACTIVITIES THAT ARE
SAFE FOR SOME PEOPLE AND NOT
SO SAFE FOR OTHER PEOPLE.
FOR THE GENERAL POPULATION
AS A WHOLE THOUGH, IMPACT IS
MUCH BETTER.

Karen says BUT THE INTENSITY
OF TAE BO --

Dr. David says YES.

Karen says BUT SOME OF MY
GIRLFRIENDS WERE INTO IT AND
THE INTENSITY OF IT THAT WAS
A MAJOR YARD YAK -- CARDIAC
WORK OUT.
I THAURLT MAYBE THAT WAS A
FAD --.

Dr. David says THERE'S A
WIDE VARIETY.
I DON'T THINK WE SEE THE
PUSH TO HAVE ALL PEOPLE
DOING THAT.
THAT'S WHAT YOU SAW IN THE
'80s.
IF YOU WEREN'T DOING THAT
YOU WEREN'T GETTING EXERCISE,
AND I THINK THAT NEW, YOU
KNOW, AS WITH A LOT OF
THINGS IN LIFE, WE SEE A
BROADER RANGE OF ACTIVITIES
SUITABLE FOR A BROADER RANGE
OF PEOPLE.

Karen says SO IF YOU CAN DO
IT IF YOU'RE IN THE
CONDITION AND YOU CAN DO IT
AND IT'S WORKING FOR YOU,
THEN YOU'RE SAYING IT'S
SAFE.

Dr. David says
CERTAINLY.

Karen says SOME PEOPLE CAN DO
THE HIGHER IMPACT.

Dr. David says FOR SURE.

Karen says NICKI FROM NORTH
BAY.
HI NICKI.

Nick says HI, IT'S ACTUALLY
NICK FROM NORTH BAY.

Karen says HI NICK.

Nick says I HAVE A QUESTION
ABOUT WHEN I INITIALLY START
MY EXERCISE ROUTINE, I'LL DO
IT FOR ABOUT TWO WEEKS AND
THEN I GET SIDE TRACKED AND
THEN I DON'T DO IT FOR ABOUT
A MONTH, AND THEN I'LL END
UP BACK AT THE GYM AGAIN.
AND I NOTICE WHAT HAPPENS IS
SOMETIMES I GET SICK.
I END UP GETTING A FLU OR A
COLD AFTER IS THERE A
RELATIONSHIP BETWEEN YOUR
IMMUNE SYSTEM GETTING
EFFECTED FROM STARTING UP
EXERCISES, OR IS IT JUST A
MATTER OF THERE'S A LOT OF
PEOPLE IN THE GYM, OTHER
PEOPLE BREATHING HEAVY AND
SWEATING, THERE'S A LOT OF
VIRUSES GOING AROUND.

Karen says SO AFTER YOU'VE
TAKEN THE BREAK AND THEN
WENT BACK TO YOUR REGIME
THAT'S WHEN YOU GOT SICK?

Nick says YEAH.

Dr. David says CERTAINLY,
ACTUALLY FROM THE BROADER
PERSPECTIVE, EXERCISE HAS
BEEN SHOWN TO HELP WITH YOUR
IMMUNE SYSTEM.
BUT IN YOUR PARTICULAR CASE
THERE MAY BE A NUMBER OF
FACTORS.
ONE OF THEM MAY BE THAT AS
YOU'RE STARTING BACK UP, IF
ENERGY LEVELS HAVE DECREASED
A BIT AND YOU'RE USING
ENERGY UP TO START YOUR
EXERCISE PROGRAMME, THEN
THERE'S LESS ENERGY TO FIGHT
OFF THINGS AND I THINK
YOU'RE CERTAINLY RIGHT,
GOING IN AND OUT OF THESE
ENVIRONMENTS WHERE THERE ARE
LOTS OF PEOPLE, WHO KNOWS
WHAT THEY'RE COUGHING INTO
THE AIR, THOSE KIND OF
THINGS WILL MAKE IT MORE
LIKELY FOR YOU TO PICK UP
THESE KIND OF THINGS.
IF YOU WERE ABLE TO STICK
WITH IT FOR A WHILE YOU
WOULD FIND ACTUALLY THAT
YOUR IMMUNE SYSTEM WOULD
IMPROVE AND YOU'D HAVE LESS
TROUBLES.
IT'S ONE OF THOSE OTHER
THINGS EXERCISE HELPS WITH.

Karen says HOW MUCH OF AN
EVIL IS IT FOR PEOPLE LIKE
OF NICK AND OTHERS WHO TAKE
THE BREAK AND THEN START
BACK UP AGAIN?
BECAUSE I THINK WHEN WE
STARTED THE SHOW ABOUT
MOTIVATION, WHAT HAPPENS IS
MAYBE IF WE TALKED AGAIN IN
FEBRUARY, AND PEOPLE HAVE
FALLEN OFF THE WAGON, THAT
THAT'S THE POINT WHERE
PEOPLE JUST DON'T DO IT FOR
THE REST OF YEAR, SOMETIMES,
BECAUSE THEY “I'VE FAILED”
AS OPPOSED IT STARTING BACK
AGAIN.

Dr. David says RIGHT.
I MEAN I THINK IT'S -- AGAIN,
THERE'S A WHOLE SERIES IN
PSYCHOLOGY ABOUT HOW WE DEAL
WITH CHANGE AND HOW WE --
WHEN ARE WE READY TO START
MAKING CHANGES IN YOUR
LIVES.
YOU LOOK AT PEOPLE TRYING TO
QUIT SMOKING, DO WHATEVER.
THERE'S THIS WHOLE CYCLE OF
YOU'VE GOT TO GET TO A
CERTAIN POINT BEFORE IT'S
GOING TO HAPPEN.
WITH COMPR SIZE, I DON'T
THINK IT'S EVIL TO GO ON AND
OFF THE BOAT, ON A AND OFF
THE BOAT -- WITH MOST PEOPLE
TRYING TO QUIT SMOKING IT'S
NOT THE FIRST TIME IT
HAPPEN.
I'D BE HAPPIER SEEING PEOPLE
CONTINUING TO TRY TO GET ON
THE EXERCISE KICK THAN NOT
TRY.

Karen says DO YOU LOSE ALL
THE BENEFIT OF THREE WEEKS'
WORTH OF WORK IF YOU TAKE A
TWO WEEK WEEK?

David says I DON'T THINK AT TWO
WEEKS YOU DO.
IF IT'S TWO WEEKS EVERY SIX
MONTHS, YES YOU'RE NOT
GETTING MUCH BUT IF IT'S
SHORTER BREAKS IN BETWEEN,
THAT'S NOT NECESSARILY A
PROBLEM.

Karen says BECAUSE I'VE
ALWAYS WONDERED THAT.
IF YOU'RE DOING IS
INCREDIBLY WELL AND YOU ARE
SENSING A BY THE OF TONING,
YOUR WEIGHT SEEMS TO BE
RESPONDING NICELY AND THEN
IF YOU FALL OFF THE WAGON
THAT YOU'RE JUST BACK AT
SQUARE ONE.

Dr. David says THAT'S
RIGHT AND AGAIN THAT'S WHERE
I LIKE TO LOOK AT IT AS
BEING LIFESTYLE STUFF.
YOU'RE TRYING TO FIND THE
THING IT FITS INTO YOUR LIFE
AND YOU'RE GOING DO IT.

Karen says DOES MUSCLE WEIGH
MORE THAN FAT?

Dr. David says FAT, YES.
WE GET THAT QUESTION ALL THE
TIME.
IT DOES.
SO THAT GOES BACK TO ONE OF
OUR PREVIOUS CALLINGERS
WHO'S TALKING ABOUT PEOPLE
SAYING SHE LOOKED BETTER BUT
HER WEIGHT HASN'T CHANGED.
THAT'S A COMMON THINK WE
FIND.
YOU TONE UP, RE-DISTRIBUTE
THE WEIGHT AND PEOPLE ARE
QUITE HAPPY WITH THAT.
I DON'T THINK THE ACTUAL
NUMBERS NECESSARILY MEAN
THAT MUCH TO MOST PEOPLE.
OBVIOUSLY THEY DO --

Karen says YOU THINK SO?

Dr. David says THE
NUMBERS ON THE CLOTHES SIZES
MIGHT MEAN MORE THAN THE
WEIGHT.

Karen says THAT'S THE HEALTHY
APPROACH.
IF YOU FEEL BETTER, YOU LOOK
BETTER, CLOTHES FIT BETTER
AS OPPOSED TO BEING A SLAVE
TO THE SCALE.
OBVIOUSLY THAT'S THE WAY
WE'RE SUPPOSED TO PROCESSING
IT.
MARK WHO'S CALLING IN FROM
TORONTO, HI MARK.

Mark says HI.

Karen says HI.

Mark says HELLO, Dr. LOWE.

Dr. David says HELLO.

Mark says I'VE GOT A COUPLE
QUESTIONS FOR YOU.
THE FIRST HAS TO DO WITH
MYSELF, ACTUALLY.
I'M AN AVID SPORTSMAN, I
PLAY A BIT OF RUGBY AND I
INJURED MY SHOULDER, I DON'T
KNOW, MANY YEARS BACK, AND
NEVER REALLY GOT IT CHECKED.
THE PAIN WENT AWAY AND
THINGS STARTED TO GET NORMAL
AGAIN, AND I CAN LIFT
WEIGHTS AND I CAN DO
ANYTHING I WANT TO DO WITH
MY SHOULDER, BUT I CAN STILL
SENSE THAT THERE'S SOMETHING
NOT FLIGHT THERE.

Karen says SOMETHING'S
TWINGING --

Mark says AND I'M JUST
WONDERING WHERE I SHOULD GO
AND GET THIS CHECKED AND
LOOKED AT NOW.
WILL IT CAUSE PROBLEMS LATER
ON?
I CAN SENSE THAT THERE MAY
BE LIKE SCAR TISSUE THERE
INSIDE AND I'M NOT SURE.

Dr. David says YEAH,
CERTAINLY I MEAN IF YOU'VE
GOT THIS KIND OF REKURG
PROBLEM THAT POPS UP EVERY
NOW AND AGAIN, AND NEVER
QUITE SEEMS NORMAL, I THINK
THAT'S A GOOD REASON TO GO
AND HAVE IT LOOKED AT.
OBVIOUSLY HAVING IT LOOKED
AT WHEN IT'S MORE
TROUBLESOME MAKES IT EASIER
FOR SOMEONE TO FIGURE OUT
EXACTLY WHAT THE
POSSIBILITIES OR THE PROBLEM
ARE.
WHEN YOU TALK ABOUT SPORTS
LIKE RUGBY, FOOTBALL, THINGS
WHERE THERE ARE TRAUMATIC
JERKS THERE CAN BE MINOR
TISSUE TEARS WHERE FOR 90 PERCENT
OF YOUR LIFE DON'T CAUSE
TROUBLE, BUT WHEN YOU GET TO
A CERTAIN POINT IN YOUR LIFE
THAT TYPE OF INJURY CAN
FLARE UP AND CAUSE ONGOING
NAGGING ISSUES FOR YOU.
SO I THINK WITH THAT
PARTICULAR SHOULDER PROBLEM
IT'S WORTH WHILE TO HAVE IT
LOOKED AT AND I WOULD TRY TO
DO SOME OF THE THINGS THAT
IRRITATE IT FIRST BEFORE YOU
GO TO SEE SOMEBODY.

Karen says AND MARK, YOUR
SECOND QUESTION?

Mark says THE OTHER
QUESTION I HAVE IS ABOUT
ACTUALLY FINDING A GOOD
DOCTOR, GOOD SPORTS MEDICINE
DOCTOR IS THERE SOMEPLACE
YOU CAN CALL TO GO THROUGH
THAT?
DO YOU GO THROUGH YOUR
PHYSICIAN TO GET REFERRED --

Karen says YOU'RE IN TORONTO
AND WE'RE GOING TO GIVE A
TORONTO NUMBER DRDZ FOR THE
POPULATION AT HOME THERE ARE
A COUPLE OF WAYS.
A LOT OF SPORTS MEDICINE
SIGNIFICANCES ARE MEMBERS OF
AN ORGANIZATION CALLED THE
CANADIAN ACADEMY OF SPORT
MEDICINE AND THEY HAVE A
WEBSITE AND PHONE NUMBER
THAT YOU CAN LOCATE --
THEY'RE ACTUALLY LOCATED IN
OTTAWA BUT THEY PRODUCE A
LIST OF DOCTORS WHO HAVE
REACHED CERTAIN ACCREDIT
ACCREDITATIONS --

Karen says WHAT'S THE
CANADIAN ACADEMY WEBSITE?

Dr. David says WWW.CHASM.ORG.
I BELIEVE.

Karen says BUT THEY CAN
CONTACT YOU THROUGH THE
TORONTO NUMBER WE'RE GOING
TO GIVE OUT.

Dr. David says THAT'S
RIGHT, YES.
THE OTHER WAY IS MOST TIMES
YOUR FAMILY PHYSICIAN WOULD
BE ABLE TO SET YOU UP WITH
SOMEBODY.
IN WANT TORONTO AREA THERE
ARE A NUMBER OF CLINICS
SPREAD OUT IN DIFFERENT
AREAS OF THE CITY, ALL WITH
QUITE CAPABLE PEOPLE.

Karen says IS THERE SOMETHING
TO STORIES -- I THINK IT'S
MORE ANECDOTAL, THAT AN
INJURY LIKE MARK, 20 YEARS
DOWN THE ROAD THAT IT
BECOMES ARTHRITIC?
IS THERE SOMETHING TO THAT?

Dr. David says UM, YES.
I MEAN MORESO IN KNEES AND
SHOULDERS.
WITH THE KIND OF INJURY THAT
IS -- IT'S USUALLY GOT TO BE
A PRETTY SIGNIFICANT INJURY
THAT LAYS YOU UP FOR A WHILE
THAT'S GOING TO LEAD TO
ORTHOARTHRITIS DOWN THE
ROAD.
SHOULDER ARTHRITIS IS NOT
QUITE AS COMMON BUT YES,
THERE IS THAT RELATIONSHIP
BETWEEN TRAUMATIC INJURIES
AND ARTHRITIS.

Karen says WHAT ABOUT ANGLE
KELS?

Dr. David says AGAIN
LESS COMMON, BUT BECAUSE
ANKLE INJURIES ARE MORE
COMMON AND PEOPLE TEND TO
GET REPEATED ONES YOU REALLY
NEED TO HAVE A RELATIVELY
SEVERE ONE THAT PUTS
BRUISING TO THE TISSUE THAT
WILL CAUSE YOUR RISK FOR
ARTHRITIS TO GO UP.

Karen says AND WILL THAT
INJURY, IF IT WAS DONE WHEN
YOU'RE A 15-YEAR-OLD VERSUS
A 30 YEARS OLD, IS THERE ANY
CORRELATION BETWEEN THE
CHANCE OF ARTHRITIS?

Dr. David says THERE ARE
DIFFERENCES IN THE TYPE OF
TISSUE PEOPLE HAVE IN THEIR
BODY AT THAT TYPE.
SO A 15-YEAR-OLD OR
10-YEAR-OLD INJURY IS
DIFFERENT THAN THE INJURY
THAT A 30-YEAR-OLD GETS
BASED ON THE TYPE OF
INSTRUCT TUFRT TENDONS AND
ATTACHMENTS TO BONE PEOPLE
HAVE.

Karen says BECAUSE KIDS DO
HEAL FASTER.

David says FROM CERTAIN INJURIES,
YES BUT ALSO GET A DIFFERENT
TYPE OF INJURY BECAUSE
ACTUALLY IN CHILDREN, AS
THEY'RE GROWING, WHERE THERE
ARE GROWTH PLATES, WHICH ARE
JUST ABOVE THE JOINTS,
USUALLY, AND YOU'RE MORE
LIKELY TO INJURY THAT THAN
TO ACTUALLY INJURY THE
LIGAMENTS SO THAT TISSUE
TENDS TO BE LESS STRONG THAN
YOUR LIGAMENTS DO.
WHEREAS ADULT, YOU SPRAIN
THE ANKLE AND MAY DAMAGE THE
LIGAMENT, A CHILD MAY
ACTUALLY DAMAGE THE BONEY
STRUCTURE.

Karen says BECAUSE THERE IS A
HORMONE THAT OUR BODY DOES
PRODUCE AFTER AN INJURY,
ISN'T THERE?
A SPECIAL HORMONE --

Dr. David says WELL,
THERE ARE A NUMBER OF THING,
BUT WITH RELATION TO HEALING
OR --

Karen says WITH HEALING.

Dr. David says YEAH, I
MEAN, WE REPRODUCE COURT
SEASON, WE REFUSE ENDORPHINS
ALL KIND OF THINGS THAT DEAL
PRIMARILY WITH PAIN.
THERE'S USUALLY MORE LOCAL
MEDIATORS THAT DEAL WITH
HEALING.

Karen says I ASK THAT BECAUSE
WOMEN HAVE BEEN KNOWN TO
MAYBE NOT HEAL AS WELL OR
QUICKLY BECAUSE OF THE
HORMONAL IMBALANCE PERHAPS,
ESPECIALLY AROUND
MENSTRUATION.

Dr. David says AND THERE
ARE SOME STUDIES OUT NOW
THAT SAY WOMEN MAY BE AT
HIGHER RISK OF SUFFERING
CERTAIN LIGAMENT TYPE
INJURIES BASED ON DIFFERENT
TIMES OF THEIR CYCLE BASED
ON THAT VARIABILITY IN
HORMONAL LEVELS.

Karen saysALSO STRESS, THAT
HAS A LOT TO DO WITH
RECOVERING FROM A MAJOR
INJURY, WOMEN TEND TO FEEL
LIKE THEY HAVE TO PUSH
THEMSELVES HARDER --

Dr. David says I THINK
WHEN YOU LOOK AT ATHLETES,
MOST OF THE ISSUE IS WHEN
SOMEONE GETS ISSUED IT'S
TOUGH TO GET THEM TO SLOW
DOWN A BIT.

Karen says I GUESS I'M
TALKING ABOUT MOM AS OPPOSED
TO THE SPURS EXPECTIVE OF
ATHLETE.
I'VE GOT AN E-MAIL FOR YOU.
THIS IS FROM TAMMY.

She looks at the computer screen and reads COULD Dr. LOWE GIVE ME SOME
SUGGESTIONS FOR STRETCHES
AND EXERCISES TO HELP
RELIEVE MY SCIATIC NERVE
THAT HAS BEEN PINCHED EVER
SINCE I WAS PREGNANT WITH MY
SON.
IT HAS BEEN ALMOST ELEVEN
MONTHS NOW AND STILL BOTHERS
ME IF I DO ANYTHING
SIGNIFICANT, ANY AMOUNT OF
BENDING AT THE WASTE WAIST.

Dr. David says BASICALLY
WHAT THAT REFERS TO IS THE
NERVES THAT SUPPLY YOUR
LOWER LEGS EXIT IF YOUR
SPINE, THE LOWER PART OF
YOUR SPINE AND PRESSURE CAN
BE PUT ON THEM.
PRIMARILY WHEN PEOPLE TALK
ABOUT SCIATICA THEY'RE
TALKING ABOUT A DISC PUTTING
PRESSURE ON THE NERVES.
THE MOST COMMON THING THAT
RESULTS IN MAKING IT
AGGRAVATED IS BENDING
FORWARD AND IT'S TOUGH WHEN
YOU'VE GOT AN ELEVEN MONTH
OLD BECAUSE THAT'S A LOT OF
BENDING OVER AND PICK UP SO
IT MAKES IT MORE DIFFICULT.
OBVIOUSLY TRYING TO DO MORE
BENDING AT THE KNEES, TO GO
DOWN AND PICK YOUR CHILD UP
IS IMPORTANT.
ONE OF THE THINGS THAT IS
MOST COMMONLY USED IN
TREATING THAT TYPE OF INJURY
AN EXTENSION PROGRAMME, THE
McCONTEND ZY EXTENSION
PROGRAMME, THE NAME OF A
PHYSIOTHERAPIST FROM TRAIL
WHY OR NEW ZEALAND WHO CAME
UP WITH THIS PROGRAMME.
REALLY WHAT YOU'RE TRYING TO
DO IS BEND YOUR BACK
BACKWARDS AS OPPOSED TO
FORWARDS.
PUTTING YOUR HANDS ON YOUR
WAIST, ARCHING YOUR BACK
BACK, HOLDING FOR TEN OR 15
SECONDS AND DOING THAT 10 OR
15 TIMES AND REPEATING IT
THROUGH THE DAY.
THE OTHER WAY OF DOING THAT
LYING ON THE FLOOR, ON YOUR
STOMACH, KEEPING YOUR PELVIS
ON THE FLOOR AND DOING WHAT
YOU'D CALL A LAZY PUSH-UP
AND PUSHING THE TOP OF YOUR
BODY UP AND ARCHING YOUR
BACK BACK.
THAT'S THE MOST COMMON TYPE
OF EXERCISES THAT WE USE FOR
THAT --

Karen says ARE THOSE
EXERCISES FOR REPAIRING THE
DAMAGE OR IS IT SOMETHING
YOU'D HAVE TO DO --

Dr. David says IT'S
TRYING TO RELIEVE THE
PRESSURE.
MOST CASES OF SCIATICA GO
THROUGH A PERIOD WHERE
THEY'RE IRRITATED, INFLAMED,
THEY GET BETTER, THE NATURAL
HISTORY IS THEY COME BACK.
YOU MAY GET BETTER FOR YEARS
OR MONTHS, EVENTUALLY THEY
GO AWAY COMPLETELY, BUT
THERE CAN BE REPEATED BOUTS
THAT ARE UNCOMFORTABLE.

Karen says AND THE EXERCISE
HELPS WITH THE PAIN.
LET'S GO TO NOREEN FROM
WINDSOR FIRST.
HI NAUR -- NOREEN.

Noreen says I'VE HAD
OSTEOARTHRITIS, HAD A HIP
REPLACEMENT AND DONE A LOT
OF WALKING IN THE SUMMER BUT
WITH ALL THIS ICE AND
EVERYTHING... SOME OF THEM
HAD AN EXERCISE MACHINE, A
TRACKER.
I FIND THAT A TREADMILL, THE
IMPACT WHEN I WALK ON MY
FEES IS TOO BAD.
WHAT DO YOU CONSIDER WITH
THE TRACKER?
IS THAT A GOOD --

Dr. David says I DON'T
KNOW THE NAME SPECIFICALLY
BUT I'M ASSUMING IT'S ONE OF
THE ONES WHERE YOU PRESIDENT
YOUR FEET IN A STIR RUNNY
THING AND YOU'RE FOOT IS NOT
ON THE GROUND AND YOU'RE
SLIDING YOUR FOOT BACK AND
FORTH?

Noreen says RIGHT, AND IT HAS
THE HANDLES.

Dr. David says RIGHT.
THOSE KIND OF THING, THE GYM
FORM OF THAT WOULD BE
SOMETHING CALLED AN
ELIPTICAL TRAINER I BELIEVE
AND THOSE ARE GOOD BECAUSE
THERE IS NO FORCE.
FOR SOMEBODY WITH
OSTEOARTHRITIS, WHETHER IN
YOUR HIP OR KNEE, THAT'S A
GOOD FORM OF EXERCISE
BECAUSE YOU'RE ALLOWING YOUR
JOINTS TO GO THROUGH A RANGE
OF MOTION BUT NO FORCE TO GO
THROUGH THEM FROM WEIGHT
BEARING.
SO SIMILAR TO BEING IN THE
POOL, YOU'RE REDUCING THE
AMOUNT OF WEIGHT GOING
THROUGH IT BUT ALLOWING YOUR
BODY TO STILL MOVE AND I
THINK THAT'S A VERY GOD
ACTIVITY FOR SOMEBODY WITH
OSTEOARTHRITIS.

Karen says AS OPPOSED TO THE
TREADMILL IS THERE MUCH
IMPACT ON THAT?

David says YEAH, IT'S LESS THAN
WALKING ON CONCRETE SO IT'S
STILL YOUR BODY WEIGHT.

Karen says I'M THINKING ABOUT
A COUPLE CALLS ABOUT PEOPLE
IN THE GYMS AND WEIGHT
TRAINING AND THERE'S BEEN A
SUGGESTION THAT MAYBE THE
TRAINER WITHIN THE GYM --
THIS WAS AN ARTICLE WITHIN
“THE GLOBE and MAIL,”
SUGGESTING THAT TRAINERS
SHOULD HAVE MORE OF A SAY OR
GET INVOLVED MORE IF THEY
SEE SOMEONE WHO'S GOING TO
EXCESS.
AND SOMEONE WITH YOUR
SPECIALTY, I'D LOVE TO GET
YOUR OPINION ON THAT.

Dr. David says WELL I
MEAN, CERTAINLY FROM A -- I
GUESS FROM A CONSUMER
STANDPOINT, I THINK IT WOULD
BE GREAT IF PEOPLE ACTUALLY
HAD MORE SUPPORT AND FELT
NOT INTIMIDATED BY USING
THOSE PEOPLE.
INNING A LOT OF CASES YOU
GET INTO A JICHL, YOU START
USING EQUIPMENT AND WHETHER
YOU'RE OUTSING IT PROPERLY
OR NOT YOU MAY NOT KNOW.
I THINK IT'S IMPORTANT THAT
PEOPLE STARTING OUT IN GYMS,
THEY GET SOME PROPER ADVICE
IN THE BEGINNING AND USUALLY
THERE SHOULD BE SOME
FOLLOWING-UP ON THAT, PEOPLE
COMING BACK AND CHECK,
WHETHER IT'S A MONTH, TWO
MONTHS LATER TO MAKE SURE
YOU'RE STILL DOING THINGS
PROPERLY IN A SAFE FASHION.

Karen says I THINK WHAT THE
SUGGESTION HERE IS THAT THE
PEOPLE YOU WORK WITH HERE
MOST, I'M GOING TO USE THE
WORD FANATIC, AND THAT MAY
NOT BE APPROPRIATE IN ALL
CASE, BUT THE ONES THAT ARE
DRIVEN, WHATEVER GOAL IT MAY
BE, WEIGHT LOSS OR JUST
WANTING TO TONE, THAT THEY
GET IN THE ZONE, AND THEY
DON'T WANT ANYONE TO MESS
WITH THEM.
AND A TRAINER WHO MAY SAY
“LOOK, THIS PERSON'S IN A
GYM DOING TOO MUCH TOO OFTEN,”
I DON'T KNOW IF I CAN BREACH
THAT I DON'T KNOW IF WE HAVE
THE RELATIONSHIP.

Dr. David says YEAH,
THAT'S A TOUGH ONE.
I MEAN, OBVIOUSLY YOU GET
THESE PEOPLE WHO, AS YOU SAY,
THEY GET IN A ZONE, THEY'RE
WORKING OUT AND THAT TENDS
TO BE -- WELL THERE'S TWO
CASES I CAN THINK OF, IT'S
THE HEAVY DUTY WEIGHTLIFTERS
AND RUNNERS.
PROBABLY THE TOUGHEST PEOPLE
TO GET TO STOP THEIR
ACTIVITIES BECAUSE IT
BECOMES INGRAINED, A PART OF
WHO THEY ARE AND HOW THEY
SEE THEMSELVES AND THE DAY
DOESN'T SEEM RIGHT IF THEY
DON'T DO THOSE ACTIVITIES
AND SO IT BECOMES VERY
DIFFICULT FROM A
PSYCHOLOGICAL STANDPOINT TO
MANAGE THAT KIND OF THING.
AND ONE OF THE THINGS WE
LIKE TO DO WHEN WE DEAL WITH
PEOPLE IS -- WHO HAVE AN
INJURY FROM AN ACTIVITY,
REST IS A DIRTY WORD TO US.
WE LIKE TO MODIFY THE
ACTIVITY.
WE ALLOW THEM -- TELL THEM
WHAT THEY CAN DO AS MUCH AS
WHAT THEY CAN'T DO.

Karen says THAT WORK, I WOULD
THINK, BECAUSE YOU'RE GOING
CHASE THEM AWAY --

Dr. David says YEAH, THE
PEOPLE WE DEAL WITH, IF YOU
TELL THEM TO SIT DOWN AND DO
NOTHING, THEY'RE NOT GOING
TO COME BACK.
AND THAT'S ONE OF THE
REASONS I THINK WE'RE ABLE
TO GET IT ACROSS TO THEM,
BECAUSE WE ARE ABLE TO TELL
THEM WHAT THEY CAN DO.

Karen says RIGHT, UNTIL THE
INJURY HEALS ITSELF.
LET'S GO TO TOM NEXT CALLING
IN FROM TORONTO.

Tom says HI, HOW ARE YOU?

Karen says FINE THANKS.

Tom says MY QUESTION IS
ABOUT THE DREADED LOVE
HANDLE SITUATION.
I'M NOT REALLY PARTICULARLY
OVERWEIGHT, BUT I'M IN MY
EARLY 40s AND PROBABLY MAYBE
FAVE TO EIGHT POUNDS
OVERWEIGHT, BUT I HAVE NOT
REALLY A STOMACH, NOTHING IN
THE FRONT BUT AT THE SIDE
AND AROUND THE BACK OF MY
WAIST LINE, YOU KNOW, THIS
ACCUMULATION THAT DOESN'T
SEEM TO REALLY TO WANT GO
ANYWHERE, AND UNLESS I LOSE
A LOT OF WEIGHT TO A POINT
WHICH I DON'T REALLY LIKE
THE WAY THE REST OF MY BODY
LOOKS, I DON'T KNOW AN
TEXTIVE WAY TO DEAL WITH
THIS AND IS THERE ANYTHING
OTHER THAN LIPOSUCTION?

Karen laughs and says
EXERCISE SEEMS TO BE THE
ANSWER.

Dr. David says IT'S
REALLY A DIFFICULT QUESTION.
WE'VE TOUCHED ON THIS BEFORE,
I THINK, THAT THERE ARE
CERTAIN AREAS IN CERTAIN
PEOPLE THAT THAT'S WHERE FAT
DEPOSITS STAY.
AND PEOPLE DO A LOT OF WORK
AND SOMETIMES IT JUST
DOESN'T GO.
SOME OF IT'S RELATED TO
GENETICS.
I MEAN, THERE MAY BE SOME
LOOKING AT DOING SPECIFIC
EXERCISES THAT WORK ON THE
MUSCLES IN THOSE REGIONS.
WHAT YOU NEED TO LOOK AT IS
THE ABDOMINAL OBLIQUE MUSCLE,
SIT-UPS WITH A BIT OF
ROTATION, SIDE BENDS AND
THINGS LIKE THAT.
PROBABLY -- I MEAN AGAIN,
GIVEN THE STORY THAT YOU'VE
TOLD ME, WHICH YOU'RE
PROBABLY NEVER GOING TO BE
ABLE TO GET RID OF
COMPLETELY BUT YOU SHOULD BE
ABLE TO REDUCE WITHOUT LIPO
IS SUCTION TO A NOTICEABLE
EXTENT BY MODIFYING YOUR
EXERCISE ROUTINE A BIT NEEDS
TO INCLUDE SOME AEROBIC
ACTIVITY, OBVIOUSLY, BUT YOU
NEED TO WORK ON GETTING
EXERCISES THAT TARGET THAT
AREA.

Karen says BECAUSE THE WEIGHT LOSS
WILL GO OTHER PLACES.

Dr. David says WHAT HE
MENTIONED, WHEN HE LOSES
WEIGHT HE'LL LOSE IT FROM
OTHER AREAS WHICH IS NOT
WHAT HE'S LOOKING FOR SO
TARGETING -- DOING SOME
SPECIFIC TONING EXERCISES IN
THOSE REGIONS.

Karen says HOW ABOUT OUR
CHILDREN IN TERMS OF
IDENTIFYING WHETHER THEY
NEED TO BE MOTIVATED TO GET
ON AN EXERCISE REGIME.

Dr. David says OH, IT'S
A HUGE PROBLEM.
AGAIN, I CAN'T RECALL THE
SPECIFICS OF STUDY, BUT
THERE'S BEEN NUMEROUS
STUDIES OVER THE LAST FIVE
YEARS THAT SHOW HOW IN
FACTIVE CHILDREN ARE
BECOMING AND IT'S NOT ONLY
COMPUTER AGE, VIDEO GAMES,
ALL THOSE THINGS, PLAY A
ROLE, BUT EVEN IN SCHOOL
SYSTEMS THERE'S A LOT OF
PLACES WHERE PHYS. ED IS NOT
A MONDAY TREE THING OR GET
IT A COUPLE OF TIMES A WEEK.
I WAS SURPRISED MYSELF.
I WENT OUT TO PLAY HOCKEY ON
THE HOLIDAYS AND WHEN I WAS
A KID YOU COULDN'T GET ON
THE RINK AND WHEN I WENT, I
WENT TO FOUR RINKS AND THERE
WERE NO KIDS.

Karen says AND THE DEATH OF
PARTICIPACTION --

Dr. David says YEAH, AND
THE EARLIER KIDS GET INTO
DOING IT THE MORE LIKELY
IT'S GOING TO BE SOMETHING
THAT BECOMES NORMAL FOR THEM
SO WE WON'T BE TALKING TO
ALL THESE PEOPLE HEN THEY'RE
45 ABOUT BEING ACTIVE IF
KIDS START AT A YOUNG AGE
AND SEE IT'S PART OF A
FAMILY LIFE.
IT BECOMES PART OF THE
EVERYDAY ROUTINE.

Karen says BUT THAT'S THE
KEY.
IF T
AND THE KIDS ARE BEING
INVOLVED IN THE FAMILY
ACTIVITY, THEN YOU DON'T
HAVE TO WORRY, IT'S JUST
GOING TO TAKE CARE OF
ITSELF.
BUT IT'S GETTING THE COUCH
POTATO PARENT, RIGHT?

Dr. David says THAT'S
RIGHT.
UNFORTUNATELY, AND I MUST
ADMIT, I'M A LITTLE BIT OF A
VICTIM OF THAT AS WELL.

Karen says SO WE'RE BACK TO
WHERE WE STARTED OFF OUR
DISCUSSION ABOUT MOTIVATING
WE ADULTS TO GET OUT THERE
AND THE CHILDREN WILL
FOLLOW.
SO LET'S RECAP IN TERMS OF
SOMEONE WHO'S MAYBE TWO
WEEKS INTO THIS, MAYBE JUST
TEN DAYS OR SO, AND DECIDING
THAT THEY'RE GOING TO --
THEY FEEL GOOD ABOUT IT
THEY'RE KEEPING WITH IT BUT
NOW THEY WANT TO BUMP IT UP
A LITTLE BIT.
WE ARE EMPHASIZING STARTING
GRADUALLY SO HOW DO YOU KNOW
WHEN YOU CAN READ YOUR BODY?
WHEN YOU'RE READY FOR MORE?

Dr. David says MOST
PEOPLE HAVE A GOOD SENSE
ABOUT WHAT THEY'RE DOING AND
FEELING ANY KIND OF SYMPTOMS
WHATSOEVER.
OBVIOUSLY ANYBODY FEELING
ANY SYMPTOMS, FEELING THEIR
HEART IS BEATING TOO FAST,
TROUBLE BREATHING, JOINT
PAINS, THOSE ARE THINGS YOU
NEED TO GO AND TALK TO
SOMEBODY ABOUT.
IF YOU'RE NOT FEELING ANY OF
THOSE THING, TYPICALLY
YOU'RE LOOKING AT INCREASING
YOUR ACTIVITY BY ABOUT 10 PERCENT
TO 20 PERCENT IN BOTH DURATION AND
INTENSITY ON A KIND OF AN
EVERY TWO WEEKS --.

Karen says SO 15 MINUTE WALK
TO 20.

Dr. David says YEAH.

Karen says AND LITERALLY THAT
SLOWLY.

Dr. David says YEAH, SO
YOU FIRST -- YOU EITHER
DECIDE TO INCREASE THE TIME
OR INCREASE THE INTENSITY.
SO IF YOU'RE WALKING AT A
CERTAIN PACE, YOU KNOW, YOU
MAY DECIDE TO CONTINUE
WALKING AT THAT PACE AND
FIRST INCREASE THE TIME
UNTIL YOU GET IT TO THE TIME
YOU WANT TO DO IT AND THEN
WHEN YOU REACH THE TIME YOU
WANT TO DO IT YOU WANT TO
INCREASE THE PACE AT WHICH
YOU'RE WALKING.

Karen says AND THE SPEED
WALKER, DON'T WORRY ABOUT
WHAT YOU LOOK LIKE?
JUST GO OUT THERE AND DO IT?

Dr. David says THAT'S
RIGHT, YEAH.

Karen says AND IT'S GOT TO BE
SOMETHING YOU ENJOY.
I THINK THAT'S WHAT I'VE GOT
FROM YOU THE MOST.

Dr. David says JUST
THINK ABOUT HOW YOU GET TO
WORK.
IF YOU TAKE THE SUBWAY, GET
OFF A STOP EARLY, IF YOU
DRIVE YOUR CAR, PARK AT A
PARKING LOT THAT'S A LITTLE
FURTHER AWAY AND THOSE KIND
OF THINGS DON'T TAKE AS MUCH
OUT OF YOUR DAY OR LIFE TO
GET THEM INVOLVED.

Karen says I APPRECIATE VERY
MUCH ALL OF YOUR ADVICE.
I THINK WE'VE GOT EVERYONE
MOTIVATED FOR THE REST OF
THE MONTH.
GOING TO CHECK BACK IN
FEBRUARY THOUGH.
THANKS SO MUCH.
Dr. DAVID LOWE, A SPORTS
MEDICINE SPECIALIST, AND HIS
PHONE NUMBER, IF YOU WANT
MORE INFORMATION, YOU CAN
CONTACT HIM AT HIS TORONTO
CLINIC.
AND THAT NUMBER IS 4169784678.

A slate pops up that reads “Macintosh Clinic. 416-978-4678

Karen continues AND THAT'S ALL THE

TIME WE HAVE

FOR

MORE TO LIFE

TODAY.

BUT I HOPE YOU'LL

TUNE IN AGAIN ON TVO,

MONDAY THROUGH

FRIDAY AT 1:00.

A closing slate reads “The advice given in the preceding program is of a general nature only. Viewers should consult their own medical professional for medical advice specific to their circumstances.”

Watch: Sports Injuries