Monday, August 15, 2011

Studies show 15 minutes of daily exercise can help (AP)

LOS ANGELES � Don't despair if you can't fit in the recommended 30 minutes of daily exercise. Growing evidence suggests that even half that much can help.

It's still no excuse to slack off. Regular exercise strengthens muscles, reduces the risk of some diseases and promotes mental well-being. The more exercise, the better.

But not everyone has the time or willpower. So researchers set out to find the minimum amount of physical activity needed to reap health benefits. The findings by a study in Taiwan suggest just 15 minutes of moderate exercise a day can lead to a longer life.

This "may convince many individuals that they are able to incorporate physical activity into their busy lives," Dr. Anil Nigam of the University of Montreal said in an email. Nigam had no role in the research but wrote an editorial accompanying the Taiwan study published online Monday in The Lancet.

Fitness guidelines by the World Health Organization, the U.S. and other countries recommend that adults get at least a half-hour of moderate workout most days of the week. This can include brisk walking, bike riding and water aerobics.

Realizing that it might be difficult for some to break a sweat, health groups have suggested breaking it down into smaller, more manageable chunks of time such as three 10-minute spurts a day on weekdays.

The latest study, a large one led by researchers at the National Health Research Institutes in Taiwan, sought to determine if exercising less than the recommended half-hour was still helpful.

The researchers noted that east Asians � including China, Japan and Taiwan � are generally less physically active than their Western counterparts and their workouts tend to be less intense.

About 416,000 Taiwanese adults were asked how much exercise they did the previous month. Based on their answers, they were put into five groups of varying activity levels from inactive to highly active. Researchers kept track of their progress for eight years on average and calculated projected life expectancy.

The study found those who exercised just 15 minutes a day � or 90 minutes a week � cut their risk of death by 14 percent and extended their life expectancy by three years compared with those who did no exercise. Both men and women benefited equally from the minimum activity.

Each additional 15 minutes of exercise reduced the risk of death by another 4 percent compared with the inactive group. Researchers did not report how additional exercise affected life expectancy.

There were some limitations. Answers were self-reported. The study, though large, was observational, which means the health benefits may not be entirely due to exercise. But researchers said they took into account other factors that might affect health such as smoking and drinking. And outside scientists said the findings are in line with other studies.

For the sedentary, the key is this: Some exercise is better than none.

"Get off the couch and start moving," said I-Min Lee of the Harvard School of Public Health.

In a study published in Circulation earlier this month, Lee and colleagues found that people who engaged in 15 minutes a day of moderate physical activity had a 14 percent lower risk of heart disease compared with inactive people.

That research, combining the results of nearly three dozen studies of people from North America and Europe, also found that the benefit increased with more activity and may provide more motivation to the physically fit.

People should strive to do the recommended level of exercise, but should not be discouraged if they can't achieve it right away. Start slow and gradually build up.

"As inactive persons start moving, they may very well find that they become more fit" and reaching their exercise goal becomes easier, Lee said.

Until a year ago, Bernadette O'Brien, a retired principal who lives in northern New Jersey, did not make time for exercise. She would occasionally walk around her neighborhood and swim in the pool at her local gym, but she did little else.

After the 80-year-old was diagnosed with diabetes, she decided to change her habits. Now O'Brien exercises between 15 and 45 minutes a day, five days a week. She mixes up her routine with water aerobics and strength training so she won't get bored.

"I feel healthy and energetic. And my balance is pretty good," she said.

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Online:

Lancet journal: http://www.thelancet.com

U.S. guidelines: http://www.cdc.gov/physicalactivity/everyone/guidelines/adults.html

WHO guidelines: http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/index.html

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Follow Alicia Chang's coverage at http://twitter.com/SciWriAlicia



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Do-it-yourself battlefield medicine saves lives (AP)

CHICAGO � When Army Ranger Leroy Petry's hand was blown off by a grenade as he was saving his comrades in battle, he knew just what to do. He used his remaining hand to twist a tourniquet around his arm to avoid bleeding to death.

Sgt. 1st Class Petry, awarded the Medal of Honor last month, was with a regiment trained in do-it-yourself battlefield treatment. That kind of quick care on the field led to a 92 percent survival rate for the regiment over more than seven years, a study found.

Of the 32 deaths, just one had wounds considered potentially survivable, in this case massive bleeding. That Ranger died from post-surgery complications.

The study found a 3 percent death rate from potentially survivable causes in the 75th Regiment between October 2001 and April 2010. That compares with a 24 percent rate in a previously reported set of U.S. military deaths in Iraq and Afghanistan, which included troops who didn't have the Ranger-style training, the study authors said.

Petry "is a prime example of how this works," said lead author Dr. Russ Kotwal of the Special Operations Command at Fort Bragg, N.C. President Barack Obama awarded Petry his medal in a ceremony where he shook the Ranger's new robotic hand.

Historically, about 90 percent of combat-related deaths have occurred in the field, before troops reached a medical facility. Mindful of that, the Rangers adopted a new approach more than a decade ago, focusing on certain types of injuries, after a review of casualties in previous wars.

The idea is straightforward: There aren't enough doctors or medics to treat battlefield wounds, so Rangers must be equipped with their own first aid devices and trained to use them.

"If you can't do it to yourself, then you grab somebody to do it for you," Kotwal said.

The study, published Monday in Archives of Surgery, details the Rangers' approach, which also has been adopted in some other parts of the military.

The Rangers are part of the Army's Special Operations Command. They undergo training over a couple of days in how to treat battlefield wounds.

The focus is immediately treating the three main types of "potentially survivable" injuries: extreme bleeding from arms or legs, collapsed lungs from chest trauma, and airway blockage, including blood or tissue caught in the throat.

Soldiers are equipped with tourniquets, special wound dressings and needles used to treat major chest injuries. Their medical training is considered "as important as shooting," said Dr. John Holcomb, the study's senior author.

"To really inculcate this training and mentality into the entire regiment takes a couple of years," Holcomb said.

Master Sgt. Harold Montgomery, a medic, said he's "an absolute believer" in the approach.

He said he has seen non-medics administer treatment without qualms. "The one time you see them flustered" is treating severe chest wounds, which can cause air to fill the chest cavity and collapse the lungs. Treatment "is sticking a big needle into somebody's chest" to deflate the air build-up. "It can quickly save a life," but non-medics sometimes seek assurance from more medically experienced comrades about when it's really needed, Montgomery said.

Causes of injuries and deaths examined in the study included explosive devices and gunshot wounds, which accounted for half of the deaths. Most battlefield treatment focused on controlling bleeding and non-medical personnel applied 42 percent of the tourniquets.

The approach studied teaches soldiers "to take a deep breath" in the middle of combat and "fall back on a basic set of concepts and maneuvers shown by this study to increase survival of those wounded," said Dr. Todd Rasmussen, an Air Force surgeon who is the deputy commander of the U.S. Army Institute of Surgical Research in San Antonio, Texas.

It is being adopted in some military settings and by police in nonmilitary settings, "to overcome the chaos of these types of events, whether it is an explosion on the battlefield or a live shooter at a mall," Rasmussen said. He was not involved in the study.

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Online:

Archives of Surgery: http://www.archsurg.com

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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner



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