Cycling CME

A unique CME learning experience for Physicians, PA-C's and other Medical Providers who love cycling

Active CME:  Combining Continuing Medical Education (CME) and Bicycle Touring for the Healthcare Provider

What to think of the Ketogenic Diet?

One of my colleagues, Dr. Carmine Greco, exercise physiologist will again speak at our fall Cycling CME conference.  Carmine, who is in favor of a plant based diet, has done significant research on the ketogenic diet craze and will talk about this and fasting for our fall CME.  Here is an excerpt of his initial presentation on the ketogenic diet:

"The Ketogenic, or "keto" diet, runs contrary to everything you have been taught about nutrition.  Made popular (again) in the 1970's when Dr. Atkins released his first book advocating for a low-carbohydrate diet, the keto diet is enjoying another day in the limelight as researchers, celebrities and athletes are touting the advantages of this curious diet. The modern history of low-carbohydrate dieting dates back to at least the 19th century, when keto was a common treatment for epilepsy and type 1 diabetes. But is the diet more hype than hope? Is eating a diet comprised mostly of fat safe or even palatable?

Characterized by low-carbohydrate and high-fat consumption, recent research into the keto diet has demonstrated the promise of this seemingly bizarre diet for weight loss, improving cognitive function, physical performance and even treating a variety of diseases, including type 2 diabetes and cancer. Keto-style diets date back more than a century as a common treatment for disease, but it is only over the last 10-15 years that a resurgence of scientific interest has begun to legitimize the ketogenic diet. In fact, this "fringe" diet is now used as a front-line treatment of obesity and diabetes at a variety of medical clinics, including the well-known Duke Lifestyle Medical Clinic."

Carmine R. Grieco, PhD, CSCS, EPC

Assistant Professor of Kinesiology, Colorado Mesa University

Hopefully you will join us in October 2018 in Grand Junction Colorado as we discuss this diet both related to the patient with chronic disease as well as performance in the athlete.

Cycling CME

Strength Exercise as Vital as Aerobic Exercise for Health!

As discussed many times here and elsewhere, there is a well-established connection between regular physical activity and reductions in mortality, cardiovascular disease, diabetes and many cancers.  While many early studies emphasized the importance of aerobic exercise, strength-promoting exercises have become an integral part of most physical activity guidelines over the last 10 years.  Over this last decade, there has been mounting evidence for the benefits of strength training independent of aerobic exercise.  One of the most important examples is the reduction of type 2 DM with strength training.

A recent study by Stamatakis, et al, added very interesting research to the benefits of strength training. In a very large study from Scotland and England, they demonstrated a 23% reduction in mortality and 31% reduction in cancer mortality with anystrength promoting exercise.  In addition, they found that gym-based exercise and home-based exercise were both beneficial. They conclude that adherence to strength exercise is at least as important and aerobic exercise.

Although I believe in “the best exercise for you is the one that you will do”, it is important because of multiple health benefits to include both strength and aerobic training in our recommendations to patients. We should always include both types of physical activity to our patients in the treatment and prevention of chronic diseases.

Cycling CME

Stamatakis, E, et al. Does strength promoting exercise confer unique health benefits? A pooled analysis of eleven population cohorts with all-cause, cancer, and cardiovascular mortality endpoints. American Journal of Epidemiology, 2017.