Rucking for seniors.
I’m a 70 yo Ironman/marathoning family physician recently retired and have added 3x weekly rucking - currently at 50# x 4 miles @ 3.4 mph and 6’4” 220 lbs. Need some help with upper body strength also wanted to pass along an excellent reference I wish I’d had before my retirement- Implementing Ruck Training (Loaded Walking) with the Aging Adult by Robert Linkul, MS, CSCS,*D, NSCA-CPT,*D, FNSCA Personal Training Quarterly May 2022 Vol 9, Issue 1 4concise practical pages …..
Osteoporosis of lumbar spine in 47 y/o
Hi Peter, I am a 47 y/o female LMP 2 years ago. Mild hot flashes. No HRT. Previous runner with pelvic stress fracture in 2017 (1st BMD exam then showing osteopenia) accelerated now to osteoporosis of my lumbar spine. Please see report below. I am devastated. Have an upcoming appointment with endocrinologist. What would you be recommending for treatment for patients such as myself from both a lifestyle and medication standpoint? Thank you so much! Kari COMPARISON: Serial Comparisons Left Total Hip results: Exam Date BMD T-score 12/21/2017 1.030 g/cm2 0.2 10/31/2022 0.942 g/cm2 -0.5 Change vs. Previous (difference): -0.088 g/cm2 *Change vs. Previous (%): -8.5 % The absolute BMD change from previous, -0.088 g/cm2, is greater than least significant change: Yes The absolute BMD change from baseline, -0.088 g/cm2, is greater than least significant change: Yes Spine results: Exam Date BMD T-score 12/21/2017 1.073 g/cm2 -1.0 10/31/2022 0.870 g/cm2 -2.6 Change vs. Previous (difference): -0.203 g/cm2 Change vs. Previous (%): -18.9 % The absolute BMD change from previous, -0.203 g/cm2, is greater than the least significant change: Yes The absolute BMD change from baseline, -0.203 g/cm2, is greater than the least significant change: Yes ------------------------------------------------------------------------------------------------ FINDINGS: Left Hip: Femur Neck: BMD = 0.944 g/cm2 T-score = -0.7 Z-score = 0.2 Total Hip: BMD = 0.942 g/cm2 T-score = -0.5 Z-score = 0.1 Lumbar Spine: L1: BMD = 0.745 g/cm2 L2: BMD = 0.913 g/cm2 L3: BMD = 0.944 g/cm2 L4: BMD = 0.867 g/cm2 Total Lumbar Spine (L1-L4): BMD = 0.870 g/cm2 T-score = -2.6 Z-score = -2.1 Trabecular Bone Score: L1-L4: TBS = 1.280 < 1.23: low
Oxidized LDL
Hi Peter! This is a question that one of my carnivorous colleagues ask me and I don’t know the answer: If oxidized ldl-c is an essential step for the formation of atheroma plaques should we just care for the level of oxidized ldl-c? In other words don’t treat/reduced ldl-c/ApoB unless we demonstrate that ldl particles are oxidized. Thanks