Thank you! May I say, this is the best channel for those of us who are interested in exercise from a more scientific angle. This channel deserves a ton more subs - and it will happen in time.
I only recently discovered your channel and find it very informative, pertinent and beneficial for our overall healthspan and well-being. This was one of the more "accessible" and broadly appealing episodes with an affable guest who was articulate, unambiguous and educational, facilitated by your own knowledge and genuine interest! I'm a mature-age runner and cyclist and just completed the Melbourne half-marathon. Exercise is a necessity, not a luxury! Cheers from Melbourne.
Fantastic. Thanks for letting me know. Loving it here in Copenhagen but also really looking forward to getting home to wonderful Melbourne early December.
One of your better pc I feel Glen. Very clear and concise information delivered extremely well by Dr Gerche. He is someone l could listen to more. Keep up the ever impressive education of humans. Well done.
Ive always wondered if it's not the actual exercise that's causing calcium buildup but the sugar gels bikers and runners consume. Sugar is said to cause inflammation and the calcium is the "scab" that moves in to heal it (as stated in this video) but it takes years/decades. My aorta calcium has DECREASED since getting serious about exercising in the form of trail running and hiking 5 days a week on a KETO diet. I'm 68 years old and I have only one kidney as I lost the other one to cancer 12 years ago. I have not had a CAC scan but Ive had a LOT of regular CT scans because of the cancer and you can see the calcium in the artery but is less now after 5 years of endurance exercise hiking 20 miles a day. I have never taken a statin but all my doctors have tried talking me into taking a statin but I just tell them I wont take a drug like that just to chase a small statistic when it's known that just as many people have heart disease with good lipid profiles. There just too much to this topic that can probably be covered here but exercise improves the lipid profile but not by lowering colesterol but raising HDL and lowering *oxidated* and *glycated* LDL (healthier, younger lipids so to speak) Have you heard of Dave Feldman and the *"lean mass hyper responder"* studies that have just come out recently? Speaking of inflamation . . . I do have exercise induced vasculitis that shows up on the calves when I do 20 miles on a hot day but when I'm backpacking 20 miles a day EVERY day then I dont get it. I wish I knew why that was but vasculitis is an autoamune condition. It maybe can cause the artery blockage spoken of @34:14 . . . corticosteroid have no affect on my vasculitis but I was wondering if s statin would help but I read that they do not reduce vasculitis.
Agree, a very valid question and not the slightest mention of nutrition/diet in the conversation. I'm 77 and although I switched to lo-carb in 2020 I've just arrived at the CAD crash scene [3xCABG 99%, 90%, 85%, 70%]. Negligible symptoms [self diagnosed] doing 8-10-12 hrs a week 'Zone 2' training on the bike and occasional multi-day unsupported bikepacking racing over weeks. As a life long low level [ability] athlete I do wonder if the accumulation of residual micro inflamation damage [aka plaque] from the 'sports science sugar industry' hasn't contributed to some extent to my outcome. The surgeons/cardiologists have been glowing at my fitness/health and late arrival on the operating table .... 'you could have been here 15 yers ago'! Some consolation....
I have had afib but it wasn't due endurance exercise but rather mitral valve regurgitation which changed the shape of the atria. The changed shape or remodeling is believed to have set off the afib, which was quite severe. Severe means experiencing bpm from 60 to 200 within seconds and back down again. It was way more than uncomfortable but downright hazardous in terms of stroke risk. I have always been an amateur cyclist and that gave me the reserve to survive open heart surgery to fix the mitral valve and afib.
I found this a really informative podcast. Being a well trained athlete and having just had a heart attack, I've been wondering to what degree exercise might have contributed to the problem. I have one burning question for Andre - is there any link between endurance training and the development of Coronary Artery Ectasia?
Amazing talk! Learnt a ton. Would have loved to hear if HRV is a good measurement of cardiac recovery. My big take away is duration * intensity is the dose. Training easy miles you can likely do more than 6 hours a week but if you compete the intensities required to do so will limit duration for optimal health
I feel like this is a good place to make this comment. A decade ago, a loved one went to hospital with angina, he was in advanced age, calcified coronaries 70%, and the doctor said we have to stent. This person died during the stent procedure, as a risky maneuver was used to get past the calcification. After the event, I poured over the literature and discussed with other doctors who agreed he should've never been touched. The angina was not frequent enough nor debilitating enough to justify stents which had almost no evidence of increasing longevity for this particular demographic. The doctor who did the procedure built his reputation on preventing heart surgery, at a prestigious hospital whose initials are C.S. in California. You have to be your own advocate. Listen to these two discussing and make better medical decisions. Not all doctors are bad, but there are enough to do irreparable harm. Get second and third opinions. Not medical advice, just common sense.
I recently read the book “Up to speed” by Christine Yu about women and sport. Perhaps you’d cover this topic at some point. Louise Burke from Australian Catholic University and Anthony Hackney from University of North Carolina seem pretty interesting 😇😇
Thanks. I’ve had two episodes about exercise physiology in women (episode 11 and 35) and also I’ve had Louise Burke on talking about sports nutrition (episode 7). Anthony Hackney unfortunately declined my offer to come in the podcast. I will indeed have more women in sport episodes. Thanks again.
I have to listen to the old episode. Sorry for that. You do a great job and improved so much. Continue to bring sports science to the public. @@insideexercise
Yes indeed. I’ll definitely have more specifically on that women and sport/exercise. I have two booked in actually. The podcast episode with a Louise Burke wasn’t specifically on women. These two are: episode 11 and 35.
Thank you! May I say, this is the best channel for those of us who are interested in exercise from a more scientific angle. This channel deserves a ton more subs - and it will happen in time.
So happy to hear. Thank you again. It is building slowly. I hope you’re right. I’ll have to be patient.
I agree 100%
This episode sure went in a lot of interesting directions. I thought it was going to be about venous return and compression garments. 🙂
@@PerryScanlon lol.
I only recently discovered your channel and find it very informative, pertinent and beneficial for our overall healthspan and well-being. This was one of the more "accessible" and broadly appealing episodes with an affable guest who was articulate, unambiguous and educational, facilitated by your own knowledge and genuine interest!
I'm a mature-age runner and cyclist and just completed the Melbourne half-marathon. Exercise is a necessity, not a luxury!
Cheers from Melbourne.
Fantastic. Thanks for letting me know. Loving it here in Copenhagen but also really looking forward to getting home to wonderful Melbourne early December.
I totally agree. It wasn’t too “nerdy”… :) this was a very approachable episode.
One of your better pc I feel Glen.
Very clear and concise information delivered extremely well by Dr Gerche. He is someone l could listen to more. Keep up the ever impressive education of humans. Well done.
Thank you very much!
Ive always wondered if it's not the actual exercise that's causing calcium buildup but the sugar gels bikers and runners consume. Sugar is said to cause inflammation and the calcium is the "scab" that moves in to heal it (as stated in this video) but it takes years/decades. My aorta calcium has DECREASED since getting serious about exercising in the form of trail running and hiking 5 days a week on a KETO diet. I'm 68 years old and I have only one kidney as I lost the other one to cancer 12 years ago.
I have not had a CAC scan but Ive had a LOT of regular CT scans because of the cancer and you can see the calcium in the artery but is less now after 5 years of endurance exercise hiking 20 miles a day. I have never taken a statin but all my doctors have tried talking me into taking a statin but I just tell them I wont take a drug like that just to chase a small statistic when it's known that just as many people have heart disease with good lipid profiles. There just too much to this topic that can probably be covered here but exercise improves the lipid profile but not by lowering colesterol but raising HDL and lowering *oxidated* and *glycated* LDL (healthier, younger lipids so to speak)
Have you heard of Dave Feldman and the *"lean mass hyper responder"* studies that have just come out recently?
Speaking of inflamation . . . I do have exercise induced vasculitis that shows up on the calves when I do 20 miles on a hot day but when I'm backpacking 20 miles a day EVERY day then I dont get it. I wish I knew why that was but vasculitis is an autoamune condition. It maybe can cause the artery blockage spoken of @34:14 . . .
corticosteroid have no affect on my vasculitis but I was wondering if s statin would help but I read that they do not reduce vasculitis.
This is an interesting point indeed
Agree, a very valid question and not the slightest mention of nutrition/diet in the conversation. I'm 77 and although I switched to lo-carb in 2020 I've just arrived at the CAD crash scene [3xCABG 99%, 90%, 85%, 70%]. Negligible symptoms [self diagnosed] doing 8-10-12 hrs a week 'Zone 2' training on the bike and occasional multi-day unsupported bikepacking racing over weeks. As a life long low level [ability] athlete I do wonder if the accumulation of residual micro inflamation damage [aka plaque] from the 'sports science sugar industry' hasn't contributed to some extent to my outcome. The surgeons/cardiologists have been glowing at my fitness/health and late arrival on the operating table .... 'you could have been here 15 yers ago'! Some consolation....
Excellent insights clearly explained...particularly the paradoxical aspects of calcium burden and exercise , and many other topics.
Great information. Thanks for making this interview.
Loved listening and learning, explained information so clearly. Makes my reason for exercising daily for health better understood. Thankyou.
Thanks.Thanks.🇨🇦
Great informative discussion and lovely story about Derek Clayton.
👍👍 He is a total legend!
Thanks for this important interview!
I have had afib but it wasn't due endurance exercise but rather mitral valve regurgitation which changed the shape of the atria. The changed shape or remodeling is believed to have set off the afib, which was quite severe. Severe means experiencing bpm from 60 to 200 within seconds and back down again. It was way more than uncomfortable but downright hazardous in terms of stroke risk. I have always been an amateur cyclist and that gave me the reserve to survive open heart surgery to fix the mitral valve and afib.
I found this a really informative podcast. Being a well trained athlete and having just had a heart attack, I've been wondering to what degree exercise might have contributed to the problem. I have one burning question for Andre - is there any link between endurance training and the development of Coronary Artery Ectasia?
Amazing talk! Learnt a ton. Would have loved to hear if HRV is a good measurement of cardiac recovery. My big take away is duration * intensity is the dose. Training easy miles you can likely do more than 6 hours a week but if you compete the intensities required to do so will limit duration for optimal health
I feel like this is a good place to make this comment. A decade ago, a loved one went to hospital with angina, he was in advanced age, calcified coronaries 70%, and the doctor said we have to stent. This person died during the stent procedure, as a risky maneuver was used to get past the calcification. After the event, I poured over the literature and discussed with other doctors who agreed he should've never been touched. The angina was not frequent enough nor debilitating enough to justify stents which had almost no evidence of increasing longevity for this particular demographic. The doctor who did the procedure built his reputation on preventing heart surgery, at a prestigious hospital whose initials are C.S. in California. You have to be your own advocate. Listen to these two discussing and make better medical decisions. Not all doctors are bad, but there are enough to do irreparable harm. Get second and third opinions. Not medical advice, just common sense.
Very sorry to hear this. Thanks for taking the time to leave this comment.
I recently read the book “Up to speed” by Christine Yu about women and sport. Perhaps you’d cover this topic at some point. Louise Burke from Australian Catholic University and Anthony Hackney from University of North Carolina seem pretty interesting 😇😇
Thanks. I’ve had two episodes about exercise physiology in women (episode 11 and 35) and also I’ve had Louise Burke on talking about sports nutrition (episode 7). Anthony Hackney unfortunately declined my offer to come in the podcast. I will indeed have more women in sport episodes. Thanks again.
I have to listen to the old episode. Sorry for that. You do a great job and improved so much. Continue to bring sports science to the public. @@insideexercise
@@leniolesch896 No probs. I remember you now. Thanks for all the comments. Great you’ve seen an improvement. 👍😊
I re-listened to the episode with Louise Burke and still would like some more focus on women specifically ;) @@insideexercise
Yes indeed. I’ll definitely have more specifically on that women and sport/exercise. I have two booked in actually. The podcast episode with a Louise Burke wasn’t specifically on women. These two are: episode 11 and 35.
I think there is a type in the title. I think it should say "Should middle-aged men PUT on lycra"
No that’s the way us Aussies talk. Lol. That is not a typo.
Cholesterol isn't a problem if you're metabolically healthy. Stations are garbage