Hump Day Hustling – Weekly Research Summary – November 15, 2023

An ICE movie recommendation, the power of lifestyle behavior modification, and much more in this edition of Hump Day Hustling! Enjoy, and if you want to dive deeper with ICE content make sure to check out Upcoming Course Dates and Locations

Chronic Disease & Genetics

Is the fate of your health predetermined?

It may be time to stop saying “I inherited it”, and start taking extreme ownership in regards to your health to reverse your chronic disease. Have a look at what lifestyle behaviors you “inherited” and recognize these may be to blame instead of genetics!

Paper: “A pilot retrospective study of a physician-directed and genomics-based model for precision lifestyle medicine” (Open Access)

Description of Wild Health Program: genomic testing, biomarker analysis, physician consultation and health coaching, with a focus on lifestyle intervention to prevent and/or treat common chronic diseases such as pre-diabetes, diabetes, and hyperlipidemia. Physician recommendations for specific lifestyle interventions were discussed with patients, who subsequently received health coaching support through motivational interviewing and structured behavior change. Patients received lIfestyle and behavioral recommendations based on their genetic and laboratory data, as well as their specific goals and pre-existing conditions. Recommendations were comprehensive and covered key pillars of health including nutrition, training, sleep optimization, stress reduction, and supplement use as needed for vitamin or micronutrient deficiencies.

Findings: Notably, normalization of several biomarkers associated with chronic disease occurred in 47.5% (hemoglobin A1c [HbA1c]), 33.3% (low density lipoprotein particle number [LDL-P]), and 33.2% (C-reactive protein [CRP]).

Limitations: Obvious here with a retrospective pilot study, but very encouraging to see how profound an impact lifestyle behavior modification can have on chronic disease!

    Netflix Recommendation


    We rarely recommended movies here in Hump Day Hustling, but this fantastic one dropped on Netflix a few days ago and ya gotta see it. Annette Bening plays Diana Nyad, a world-champion open-water marathon swimmer and Jodie Foster plays her coach, Bonnie Stoll, a world-champion racquetball player. In the movie, Nyad is training to open-water swim from Havana, Cuba to Key West, Florida. Some of you may already know the story so don’t spoil the ending for your friends!

    A fantastic way to chill out and watch a really cool story that’s equal parts “Rocky” training montages and #OldNotWeak action.

    A sample dialogue from the film for hype:

    “I’ve talked with some sports medicine doctors, you know, the guys that predict marathon times and Tour de France winners and stuff.”
    “Oh yeah, what they’d say?”
    “They don’t think it’s possible for anyone, especially you, given your advanced age.”
    “Well, fuck that.”

    Running Related Injuries

    When do runners consider themselves “injured”

    At the end of the day it’s the patient or client’s perception of a situation that always matters most, yet research often neglects to consider this fully. When do our athletes describe pain as an “injury”? We as clinicians rarely go into training feeling like we have full range, no discomfort, no DOMS… so when is it described as an injury in the literature?

    This open access published in October aimed to examine recreational runners’ description and management of the injury development process. The image on page 7 is particularly illuminating as it lays out the results of how runners categorize their different discomforts and furthermore how they manage them.

    Change Lives to Change Pain?

    Chronic back pain predicted by co-morbidities

    At ICE we love to say “Change lives, not just back pain” but perhaps a more accurate quote is “You can’t change back pain without changing lives”

    This longitudinal study published in Novembers Journal of Geriatric Physical Therapy included 220 older adults (age > 60) with chronic low back pain who filled out the Self Administered Co Morbidity Questionnaire. The study examined whether the number of co-morbidities patients reported predicted pain and disability at 6 and 12 months.

    Conclusion: “The number of co-morbidities at baseline predicted pain and disability at 6-month and 12-month follow-ups in older adults with chronic LBP. These results highlight the role of comorbidities as a predictive factor of pain and disability in patients with chronic LBP, emphasizing the need for timely and continuous interventions in older adults with multimorbidity to mitigate LBP-related pain and disability.”

    If this doesn’t highlight the importance of lifestyle behavior modification we aren’t sure what will. “We don’t treat pain, we treat the environment that allows pain to thrive” – Justin Dunaway


    Maternal death rates: An unacceptable reality

    Fact: Black women are 3x more likely to die compared to white women due to complications from pregnancy, birth, or postpartum.

    This is the Kira’s heartbreaking story. We typically want to turn away from sad stories, but Black women don’t have that option. If after reading the article you are as moved as we were and agree we must do better, her husband started a non-profit in 2018 and already has made big impacts (ex: congress passed the Preventing Maternal Deaths Act of 2018 bill). Could be a great spot to contribute and make a difference.

    PTonICE Rewind

    Did you miss any of our ICE Physio podcasts last week? Well here you go!

    Monday: “Exercise risk tolerance in the perinatal space” (Christina Prevett)
    Tuesday: “But did you die?” (Zac Morgan)
    Wednesday: “International guidelines for physical activity and exercise in dementia” (Alex Germano)
    Thursday: “Clinically relevant statistics: The forest plot” (Christina Prevett)
    Friday: “Cadence” (Megan Peach)

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    📢 Did you know we have two other free email subscriptions just like Hump Day Hustling but geared towards Pelvic and Older Adult demographics? Simply click those links, drop your email, and sit back to receive the bi-weekly goods!

    📢 On Virtual ICE next week we’ll be chatting “Peripheral nerve dry needling” with ICE faculty Paul Killoren! Not in our virtual mentorship program? Find out how to enroll and learn more HERE