One road to Rome Exercise

One road to Rome: Exercise

By Dr Nicky Keay (@nickykfitness) Metabolic syndrome comprises a cluster of symptoms including: hypertension, dyslipidaemia, fatty liver disease and type 2 diabetes mellitus (T2DM). The underlying pathological process is insulin resistance which distorts metabolism. Temporal and mechanistic connections have been described between hyperinsulinaemia, obesity and insulin resistance. Insulin levels rise, potentially stimulated by an excess intake of refined carbohydrates and in addition the metabolic …

Mental health of elite young athletes

Mental health of elite young athletes: Spot and support them before it’s too late

Undergraduate perspective on Sport & Exercise Medicine – a BJSM blog series By Johnson Pok-Him Tam (@tamph4) and Manroy Sahni (@manroysahni) Elite sport is results driven. Each generation of new athletes is pushing themselves to new limits, to reach new heights and eclipse records set by their predecessors. But what impact can this constant cauldron of pressure and expectation have on the …

Exercise and fitness in young people – what factors contribute to long term health?

Part-2 of the blog mini-series on youth By Dr Nicky Keay Recent reports reveal that children in Britain are amongst the least active in the world. At the other end of the spectrum there have been a cluster of articles outlining the pitfalls of early specialisation in a single sport. Regarding the reports of lack of physical activity amongst young people in Britain, this is …

What distinguishes a healthy level of commitment from exercise addiction?

By Dr Nicky Keay nickykeay Health is not just the absence of illness, but rather the optimisation of all components of health: physical, mental and social. Exercise has numerous benefits on all these aspects. However, a recent article in the British Medical Journal described how exercise addiction can have detrimental physical, mental and social effects. Dedication and determination are valuable qualities required to be successful in life, including achieving …

Sleep for Success – Dr Dale Rae

What is your current area of interest/research? Chronobiology: the study of sleep and circadian rhythms as they relate to both general health (esp obesity and cardiometabolic diseases) and sports performance What is the most fascinating or complex realisation you have come to about this area so far? Sleep is a “not negotiable” factor when it comes to performance and health …

Doping in Sport ... Is it a Real Problem

Doping in Sport … Is it a Real Problem?

A BBC poll into the use of performance enhancing drugs at every level of sport concluded it “is fast becoming a crisis”. Results of the poll stated that 35% of amateur sports people say they know someone who has doped, and 8% said they had taken steroids. The investigation found that 49% of participants though that performance enhancing drugs are …

Cardiovascular Care in Athletes

Cardiovascular Care in Athletes … Pulsingforward

Sudden Cardiac Death (SCD) remains a leading cause of mortality in athletes during sport participation. A position statement by the American Medical Society for Sports Medicine (AMSSM) released at the end of 2016 and endorsed by 16 major international sports medicine and two cardiology societies (including SASMA) is regarded as a major step forward in the cardiovascular care of the …