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Spa Business Handbook - Exercise is Medicine

Fitness

Exercise is Medicine

There’s increasing awareness of the important role exercise plays in wellbeing, from lengthening telomeres to reducing stress and spas are starting to adopt more comprehensive fitness programmes. We round-up some of the latest research to help spas educate guests about the varied benefits of physical activity

Exercise mends a broken heart

Regular and strenuous exercise can reactivate dormant stem cells, leading to the development of new heart muscle, according to research published in the European Heart Journal. These findings indicate that the damage caused by heart disease or failure could be partially repaired by exercise.

Researchers from Liverpool John Moores University in the UK showed that healthy rats undertaking 30 minutes of strenuous exercise a day demonstrated activity in 60 per cent of previously dormant heart stem cells. After two weeks, there was a 7 per cent increase in the number of cardiomyocites – the ‘beating’ cells in heart tissue.

While previous research has shown that injections of chemicals known as growth factors can coax dormant stem cells back to life, this is the first study to show that regular exercise can have a similar effect by stimulating growth factor production.

Scientists will now examine the effects of exercise on rats that have suffered heart attacks to determine if the results are even more pronounced. Dr Georgina Ellison, who led the study, says: “We hope exercise might be even more effective in damaged hearts, because you have more reason to replace the large amounts of cells that are lost” – ie the body has a greater need to adapt and repair itself after a heart attack.

While an exercise routine is normally included in cardiac rehabilitation programmes, “maybe to be more effective it needs to be carried out at a higher intensity, in order to activate the resident stem cells,” adds Ellison.

Waring, CD et al (Oct 2012). The adult heart responds to increased workload with physiologic hypertrophy, cardiac stem cell activation, and new myocyte formation. European Heart Journal

Exercise protects the brain from fat attack

A diet containing lots of fatty foods is associated with a decline in brain functioning, which elevate the risk of conditions such as Alzheimer’s. Exactly how this occurs remains unknown, but researchers think that fatty acids from food infiltrate the brain and jump-start a process that causes damage to the regions responsible for memory and learning.

A recent study carried out by researchers at the University of Minnesota in the US examined the result of a high-fat diet (where at least 40 per cent of calories were from fat) on memory in rats, and then the subsequent effects of exercise. Memory declined after four months of the high-fat diet, but then improved once exercise was introduced.

After seven weeks, the rats on the high-fat and exercise diet were scoring as well on the memory test as they had at the start, whereas the memory of those not exercising continued to decline. The results suggest that exercise stimulates the production of substances that fight the effects of fatty acids on the brain. The amount of exercise wasn’t excessive – the rats did the equivalent of 30 minutes’ jogging a day – but researchers stress the same protective effect might not be noted in humans.

Mavanji, V et al. (2012). Exercise reduces cognitive decline induced by dietary fat. Presented at the annual meeting of the Society for Neuroscience

Exercise improves male fertility

Recent research from Harvard University in the USA has reported that moderate exercise boosts the chances of fatherhood. Men who undertook 15 or more hours of moderate to vigorous exercise each week had, on average, sperm counts that were 73 per cent higher than those who exercised for less than five hours a week. Interestingly, mild exercise had no effect.

Sedentary activity, measured by the number of hours spent watching television, had a negative effect on sperm count. Those who watched 20 or more hours of television each week had a 44 per cent lower sperm count than those who watched very little television.
According to the researchers, one of the reasons for the higher sperm counts was an increase in the exposure to antioxidant enzymes, which have been shown to have beneficial effects on sperm count. Being inactive has the opposite effect, leading to high levels of oxidative stress and poor sperm production.

However, researchers warn that too much exercise can be harmful to sperm production. Previous studies involving professional marathon runners, cyclists and triathletes have reported poor semen.

Gaskins, AJ et al (Feb 2013). Physical activity and television watching in relation to semen quality in young men. British Journal of Sports Medicine

Exercise is thought to increase exposure to antioxidant enzymes which may help boost sperm count

A fitter outlook – exercise improves eyesight

According to a review of the current research, exercise is associated with an improvement in two measures of visual prowess: contrast sensitivity and visual acuity.

Contrast sensitivity is the ability to distinguish between overlapping, stationary and poorly outlined objects. For example, those with low contrast sensitivity may not detect black letters on a poorly-lit white page, while those with high contrast sensitivity may be able to distinguish between two overlapping, near-identical objects from a distance in poor light. Visual acuity, meanwhile, is the ability to see fine detail.

Athletes display higher levels of contrast sensitivity, and while exercise may or may not directly improve this measure of vision, previous research has suggested that the chemical dopamine may play a part. Dopamine levels increase with exercise, and higher levels of this chemical have been shown to increase contrast sensitivity.

In addition, the review showed that those who exercised had better visual acuity than non-exercisers. Indeed, visual acuity was shown to improve during exercise – as the intensity of the participants’ cycling increased, so visual acuity improved. Researchers repeated the tests two days later and found that visual acuity remained higher than before exercise, indicating that you may be able to retain these gains in the longer term, not just during exercise.

These improvements in visual acuity are thought to result from the temporary boost to various systems and functions in the body that occur as a response to physical exertion: the body interprets exercise as a form of stress and instigates the primitive ‘fight or flight’ response. As part of this process, pupil size increases, allowing more light into the eye and enhancing visual acuity.

Zimmerman, AB, Lust and KL, Bullimore, MA (2011). Visual Acuity and Contrast Sensitivity Testing for Sports Vision. Eye & Contact Lens. 37(3): 153-159

Vision may be better even after exercise

Exercise lowers prostate cancer deaths

In a study by Harvard Medical School and the University of California, US, researchers tracked 51,529 male health professionals over an 18-year period. Among the 2,705 who were diagnosed with prostate cancer, the amount and intensity of exercise undertaken was correlated with risk of death.

Any form of activity conveyed a protective effect, but the most significant reductions in risk were associated with vigorous exercise. Compared to those who did the least amount of activity, those doing 10 or more hours of non-vigorous activity a week had a 49 per cent reduction in risk of death from all causes.
Those doing more than three hours of vigorous activity a week had a 61 per cent reduction in risk of mortality from prostate cancer – even though they had already been diagnosed with this condition.

Researchers proposed a number of mechanisms by which exercise conveys its protective effects. Previously it’s been demonstrated that higher levels of insulin production and inflammation are associated with increased risk of prostate cancer death. Exercise has been shown to raise the body’s sensitivity to insulin, resulting in lower insulin production and levels of inflammation. Physical activity has also been shown to boost activity of the innate immune system – the body’s first line of defence against infection or disease.
While the present study was unable to identify which of these mechanisms was responsible, it was considered likely that one or more contributes to the protective effects of exercise.

Kenfield, SA et al (2011). Physical activity and survival after prostate cancer diagnosis in the health professionals follow-up study. Journal of Clinical Oncology. 29(6): 726-732

Walking women less likely to suffer stroke

Women who walk at least three hours a week are 43 per cent less likely to suffer a stroke than women who walk less or not at all, according to new research from Spain. In the study, researchers surveyed nearly 33,000 men and women and divided them by gender, the type of exercise undertaken and their total weekly exercise time.

Interestingly, women who walked for 210 minutes or more each week had a lower risk of stroke than those who cycled or did other higher-intensity workouts for a shorter amount of time. Another notable finding was that no reduction was seen for men based on type and frequency of exercise. The researchers did point out, however, that their findings might not translate directly to the general population due to certain characteristics: the majority of subjects in the study were blood donors, who tend to be in good health in order to give blood. These characteristics make the group studied very specific, with notable differences versus the general population.

That said, there is evidence to show exercise is related to a reduced risk of stroke and other diseases, and that 30 minutes of moderate physical activity a day can help prevent disease.

Study: Walking appeared more beneficial than cycling

Originally published in Spa Business Handbook 2013 edition