April 11, 2024

To Jog Or To Walk (Between Interval Repeats), That Is The Question

Interval training is the most studied and most proven of all methods to boost fitness by increasing your vo2 max. But one question has been debated through the ages.


Should you jog between intervals (or, more accurately, between the hard repeats)? Or should you walk slowly, or even just stand in place until your next repeat? These are generally termed “active” vs “passive” recovery methods.


It’s tempting to quickly deduce that jogging between repeats should be superior, since it raises the overall intensity a smidgeon or two. On the other hand, a more passive recovery could allow you to run more or faster intervals, which is the point of the workout. So the question doesn’t resolve readily.


That’s why a recent systematic review and meta analysis set out to find an answer. The authors located 13 relevant studies that used passive recoveries, and 11 with active recoveries. Then they compared and contrasted the results of these 24 total studies.


Conclusion: “The applied recovery type (active or passive) during interval training seems not to affect the training-induced outcomes.” To put it simply, they found both methods roughly equivalent “in trained and untrained adults.”


This implies that, when doing interval training, you should concentrate on the length and pace of your repeats, and less so on the recovery method you use between repeats. More at Sports Medicine Open with free full text.


Loneliness & Lifespan--And Why They Are Linked

Here’s a fascinating new line of research that brings to mind all those studies indicating that “socialization” is a key ingredient in health and longevity, along with other basic habits like not smoking, exercise, diet, good sleep, etc. Here's one such study, a meta analysis.


It has always seemed a difficult to quantify/comprehend this socialization factor in the way that we understand exercise, cholesterol, blood pressure, and so on. Socialization has appeared murkier than other specific, biological measures. At least to me.


But what if socialization was simply a proxy for something else? Suppose it could be shown that socialization is linked to higher levels of exercise. Then we’d have something.


That’s one of the key findings from a new paper with meta-analysis titled “Life-course social participation and physical activity in midlife.” It followed more than 17,000 British citizens born during a single week in 1970, and revisited 9 times on the way to age 46. Those check-ins included 4 assessments of “social participation” and an objective measure of physical activity at age 46, using accelerometers (Fitbit-like instruments).


Result: The participants who were the most social also engaged in more physical activity.


Conclusion: “Our study provides empirical evidence on the importance of sustaining social participation at all ages over the life-course.” The association was particularly strong for moderate to vigorous physical activity, generally obtained from leisure-time exercise like running, cycling, and playing soccer. This association remained even after the researchers controlled “for a wide range of potential confounders.”


Also: “Given that increased physical activity is evidently linked to chronic disease prevention, our findings are of great importance in promoting ‘healthy aging’.” So be social, and keep moving. More at Frontiers in Psychology with free full text.


Sole Mates: Camille Herron’s Guide To Healthy Feet

I knew Camille Herron was a fantastic, record-breaking ultra runner. I didn’t know she was obsessive about good foot care during her long races. But it makes good sense. No one’s going to cover 500+ miles in 6 days, as she recently did, without getting a pedicure or two en route. 


Here Herron discusses and shows photos of her foot-health regimen for the recent Further race sponsored by Lululemon. She began by training exclusively in the recently developed Lululemon shoes that she planned to wear for 6 days. Practice makes perfect. She then had her “foot guru” tape her feet, especially her longer Morton’s toe.


During the race, when she wanted a “softer” feel from her shoes, she added a thin inner sole. She wore four pairs of shoes over 6 days, and also multiple pairs of high compression socks. 


Nothing could stop her feet from swelling with all the daily mileage. But Herron says: “My feet were the healthiest part of my body when I finished!” Any marathoner or ultra runner would be happy to say the same post race. She also showed a photo of how she laces her shoes for ultras. More at Instagram Run Camille with shoe-lacing photo.


4 Steps To Get Rid Of Tight Muscles

If you’ve never had a tight leg muscle after running or racing, congratulations. But also: Hey, now, you’re supposed to crank it up a bit every now and then. Which often leads to tight/sore muscles.


Every veteran runner has experienced tight muscles on multiple occasions, often after running a race quite a bit faster/longer than normal training efforts. This is the natural order of things.


But, of course, you want to get rid of that tightness as quickly as possible. And maybe figure out a way to prevent it next time around.


Many of us conclude that we haven’t been stretching or foam rolling enough. Maybe we try massage, ice, or the opposite--a warm bath with epsom salts.


If these work for you, that’s great. You’re in luck. But running physio Tom Goom thinks there’s a better way--in fact, 4 ways.


He recommends: 1) a recovery week with low training volume to resolve muscle fatigue; 2) testing your leg muscles when they feel strong again to determine if you need a specific strength training program; 3) easing into such a program if it’s necessary; and 4) a gradual return to your desired training level. More at Running Physio with a simple infographic.


Boost Your VO2 Max For Maximal Longevity

Dr. Peter Attia is author of the best-selling Outlive: The Science & Art of Longevity, and a popular podcaster and blogger as well. Lately he’s been writing a lot about the links between vo2 max and longevity. 


VO2 max is a simple, powerful measure of your fitness. There are two contributing factors to vo2 max: the amount of blood your heart can pump, and the amount your muscles can utilize. These are known as the “central” (heart) and peripheral (local muscles) factors. 


I think of vo2 max as my 5K time: It’s been going down for 50 years, because that’s what happens when you age, but it still places me above the 90th percentile among my peers. And I’m satisfied with that. 


Attia titles this first linkThe [almost] unbelievable effects of a high maximal aerobic capacity on all-cause mortality.”  He further states that “increasing VO2 max is associated with a monotonic risk reduction in cardiovascular mortality” and also “monotonic risk reduction of all-cause mortality (ACM) at any age.” 


I had to look up the meaning of monotonic. In this context, It means “always” or even “always increasing.” In other words, Attia believes vo2 max improves your longevity, and the higher your vo2 max, the greater the benefit.


A second Attia link provides greater explanation of the power of vo2 max by analyzing the results of this powerful paper titled “Association of Cardiorespiratory Fitness With Long-term Mortality Among Adults Undergoing Exercise Treadmill Testing.” It followed more than 122,000 adults for 8.4 years after each had taken a treadmill test to determine their vo2 max.


Result: “Cardiorespiratory fitness was inversely associated with all-cause mortality.” The higher your fitness, the lower your risk of death. 


Not only that, but “Extreme cardiorespiratory fitness was associated with the lowest all-cause mortality.” In other words, those who trained the most to achieve an extremely high vo2 max also lived the longest.


Attia notes, in addition, that the benefits derived when people lift themselves from low fitness to average fitness and above are greater than the benefits derived from Improving your smoking status, your diabetes, your blood pressure, and so on. 


This, he writes, “gives you a greater appreciation for how much improvement in mortality comes from improving your fitness.” On his podcast, Attia has also interviewed exercise, vo2 max, and marathon expert, Michael Joyner.


Careful About Those Post-Marathon Recovery Walks

You’re probably not planning to do much running in the days after your next marathon. And that’s a good thing. Better to give your body the full recovery it needs.


Instead, maybe you’re planning a leisurely saunter around Boston, London, Duluth, or wherever you’ll be. On a modest walk, you can visit a few of the local tourist highlights that everyone wants to see.


However, a new study indicates that even a simple stroll could increase your risk of post-marathon injury. And the explanation is simple, and common-sensical.


The marathon beats up your body, especially the quadriceps muscles. As a result, they don’t function normally for the next several days. Call this “neuromuscular fatigue.”


That’s not just a fancy name for “tired.” It means that you actually move differently--with “a significant decrease in peak knee flexion and an increase in peak hip internal rotation.”


Result: You have a greater chance of “developing patellofemoral PFPS pain,” ie, a knee injury. So, if you’re feeling the need for some post-marathon activity, it might be smart to substitute swimming or stationary bicycling for several days. Those have long been the preferred post-marathon-recovery exercises of experienced runners. More at J of Sports Sciences.


Strange But True: You Run As You Think

Here’s one of those “didn’t see that one coming” reports that I enjoy so much. It explores “the intriguing interplay between personality traits of individuals and their preferred movement patterns.” Okay, I’m hooked.


The paper is based on a branch of brain research called “embodied cognition.” This is defined as “a compelling theoretical framework in cognitive science that challenges conventional notions that divorce the mind from the body.”


When it comes to running, this means that your biomechanics aren’t simply a matter of how your legs and feet move over the ground. They’re also partially based on your “thinking-feeling.”


Researchers in this field use tools like the well known Myers-Briggs questionnaire. The MB characterizes people along four different dichotomies: extraversion-introversion, sensing-intuition, thinking-feeling, and judging-perceiving.


It has been shown, for example, that extroverted individuals tend to develop an “ideally aligned” posture with a relatively flat back, while introverts develop rounded shoulders and lower-back. In effect, they’re trying to shrink their bodies to be less noticed by others.


In this study, running researchers examined the MB test results and biomechanics of 80 runners. And they found distinct running-form differences between “sensing” runners and “intuition” runners. Sensing individuals are those who pay attention to physical realities and prefer practical and specific facts. Intuition individuals prefer abstract concepts and theories rather than the practical.


The sensing runners adopted “a more earthbound running form.” They had a longer contact time, and a shuffling stride. They tended to describe their running form as: “I run very close to the ground to save as much energy as possible.” 


Conversely, intuition runners “demonstrated a more dynamic and elastic running form.” They had a short contact time, and bounced upward. They tended to describe their running form as: ““I spend energy to fight against gravity because I can use my leg springs to recover energy from each step.”


The study protocol did not include a measure of actual running economy to see which personality-driven system worked more efficiently. Also, the researchers sounded disappointed that they uncovered only this sensing-intuition difference among runners from the 4 Myers Briggs types. The other three produced no significant differences in running form.


Conclusion: “This exploratory study offers compelling evidence that personality traits, specifically sensing and intuition, are associated with distinct running biomechanics.” You run as you think. More at PLOS ONE with free full text.


We Need (And Are Getting) Better Knee Therapies

Every veteran runner has experienced knee pain at some point or another. This usually isn’t terrible news--it doesn't cause arthritis or demand surgery in most cases. But it’s troubling and frustrating at the least. No one wants to run with knee pain. We aim to run smoothly, without discomfort.


The medical world would like to help us, not that there are any miracle cures. Here, a group of physicians reviews the last 23 years of progress in the field of knee health. They aim to identify the best emerging techniques, and those likely to yield good results in the near future. 


Conclusion: There’s plenty of room for improvement. Research hotspots include “hip-knee joint strength and core strength, lower limb kinematics and biomechanics, female (runners), muscle activation, risk factors, gait retraining.”


Key areas include “the clinical effectiveness of combined hip and knee strengthening to address PFPS, characterization of lower limb kinematics and biomechanics, and gait retraining.”


Future research will likely focus on “the effectiveness of innovative exercise therapies such as blood flow restriction training, gait retraining, and neuromuscular control training.”


Also, gait retraining holds potential for female runners in particular, and “a novel PRP formulation” could provide a breakthrough in knee injury treatment.  Some recent studies have suggested that PRP (platelet rich plasma) injections work better to restore knee health than other injections. More at Frontiers in Medicine with free full text.


SHORT STUFF You Don’t Want To Miss


>>> Help Sara Hall hit her goal: Boston Marathon is my 41st Birthday and I'll be committing the race to raising money for The Hall Steps Foundation and microloans to extremely poor individuals in Ethiopia. I will be personally matching all donations until I hit my goal!


>>> Get stronger now: How deadlifts can improve your running and injury protection


>>> Weight loss for real: A cardiologist explains how to lose 10 pounds over several months. (No special diet required.)  Also, from meta analysis: You need to cut calories, exercise more, focus on protein.


>>> RunTok instead of TikTok: TikTok too much for you? (Yes!) Then try RunTok for running-only content (article link). Direct link to RunTok.


GREAT QUOTES Make Great Training Partners

“Run like hell, and get the agony over with.” 

-- Clarence DeMar, 7-time Boston Marathon winner


That’s all for now. Thanks for reading. RLRH is taking next week off for the Boston Marathon. You’ll receive your next RLRH Newsletter on April 25. Amby


April 4, 2024

 APRIL 4, 2024  xx

Peak Right: The Ultimate Marathon Taper Guide

For marathon runners headed to Boston on April 15, it’s time--or maybe past time--to begin a solid marathon taper. Others heading to London or another spring marathon will have to do their own calculations.


But the goal is always the same: to find and follow a taper plan that will yield the kind of marathon performance you’ve been hoping for. 


While there’s no single answer for all runners, the accumulating data is leaning toward a longer-rather-than-shorter taper. Many marathon training programs now recommend a three-week taper after your last long run. This article summarizes much of the best advice about a marathon taper. 


You don’t stop running when you taper, or even stop running hard. You simply aim to reduce the long, fatiguing workouts in your program. You continue to do tempo runs or even speedwork, but you make them shorter and/or do fewer repeats.


The idea is to keep the legs and cardio system accustomed to race pace while allowing the body to freshen up with less volume. As coach Jason Karp says: “You want to decrease fatigue without losing fitness.”


Also, stop strength training 2 weeks before your marathon. Aim for totally recovered legs on marathon day. 


Research also indicates that you’ll fare better if you follow a detailed, written taper plan. In other words, don’t taper haphazardly. Have a plan for every day, and follow that plan. 


As for reductions in days of running and weekly mileage, a good rule of thumb is to maintain days, but reduce mileage by 25 percent for each of the 3 weeks. If your highest week (probably during that last long run) was 40 miles, reduce the following weeks to 30, 22, and 16. But continue running the same number of days each week. Your body will appreciate the consistency. More at Marathon Handbook.


What To Drink For Long Life (And What NOT To Drink)

Runners drink more than non runners. I don’t mean alcohol, though that could also be true. But one way or another, we drink more water, tea, coffee, juice, sports drinks, etc, to replace the sometimes-large amounts of sweat we lose during regular training.


So it’s interesting to us to know how daily consumption of certain beverages correlates with cardiovascular (heart) mortality in humans. This paper investigated that question with regard to 6 common beverages: 1) tea; 2) coffee; 3) sugar sweetened or artificially sweetened drinks; 4) alcohol; 5) fruit juice; and 6) energy drinks.


Most previous studies of this kind have ooked at beverage consumption during just one specific time-point in subjects' lives. This systematic review and meta-analysis (with free full text) differed in only considering “prospective studies that recorded beverage consumption at more than one time.” Hence the researchers call it a report on “long term” beverage consumption.


Results: Tea was the best overall beverage for males and females combined; it reduced cardiovascular mortality by 19%. Coffee gave men a substantial mortality advantage, but the same was not true for women. This difference could be caused by the relatively small number of studies with women.


Sugar-sweetened beverages increased mortality by 31%. There was no clear effect from artificially sweetened beverages. Alcohol was linked to higher CVD mortality and stroke risk in both males and females.


With regard to energy drinks and fruit juice, the researchers were unable to draw a conclusion “owing to the limited number of studies available.”


The present paper did not look at basic water consumption, per se. However, another recent study found that total water intake “was associated with lower mortality risks” overall. This probably resulted from the fact that increased hydration is linked to “lower blood pressure, increased body temperature, diluted blood waste materials, and protected kidney function.” More at Frontiers in Nutrition with free full text.


Unlock The Power Of Self Massage For Your Leg Muscles

If you don’t own a massage gun, and don’t enjoy commiting time and funds to a massage therapist, you can still use self massage for those battered leg muscles. If you do, you’ll likely have more success with certain leg muscles, and less success with others. 


We know this from a new systematic review and meta analysis titled “Self-Massage Acute Effects on Pressure Pain Threshold, Muscular Electrical Activity, and Muscle Force Production.”

The paper investigated 5 previous studies of self massage (SM) and pain threshold, 7 studies of SM and electrical activity in the thigh muscles, and 15 on lower leg strength after SM. 


Result: Self massage worked well to reduce pain in the quadriceps muscle group, and also helped the quads regain strength. However, SM was not useful for the hamstrings or the lower legs muscles that contribute to plantar flexion. 


Also, “self massage pressure volume application seems to be a determining factor.” You might have to press down hard, and do many massage repeats. More at J of Strength & Conditioning Research.


The Truth About Sleep And Performance

Since sleep is a key component of good recovery from hard training, you’d think the best athletes would also be good sleepers. But that’s not necessarily the case, according to a new report on sleep habits of 1600 U.S. Olympic and Paralympic athletes. 


In fact, nearly 40 percent of them reported “poor sleep” in the International J of Sports Physiology & Performance. This caused Alex Hutchinson to wonder the following in his Outside Online column:


Does it mean that Olympians have a lot of room for improved performance if they can develop better sleep habits? Or does it mean that sleep isn’t quite as important as all the articles we read?


Those are the right questions, and Hutchinson has a solid answer. Sleep is important, but it’s probably not worth “relentless self-optimization.” One sleep expert told him, “If you get what you need, that’s as good as it gets.”


On the other hand, if you’re competing in an ultra-endurance event that requires one or more nights of sleep deprivation, you should focus hard on your pre-competition sleep. That’s the conclusion from a new paper that investigated sleep and performance of 15 runners who competed in one of those “Backyard Ultras” where you have to run a 4.167-mile loop every hour for as many hours as you can.


The results showed--are you ready for this?--that running through the night and beyond does indeed “impair cognitive performance.” Not exactly a big surprise. 


But it also yielded another “novel finding.” The runners who reported good sleep quality in the week before the competition suffered “a smaller decline in cognitive performance” than those who hadn’t slept so well. You could think of this is carb loading for the brain.


The paper didn’t say anything about the race results, so we don’t know if less cognitive decline produced better endurance performance. But that would seem reasonable. More at PLoS One.


Hey, Look: Some Positive News About Negative Heels

Many runners experience knee pain of some kind during their training and racing through the years/decades. So of course we would like to find a relatively simple solution that could provide relief. And also to allow for continued training. 


This study tested the value of negative drop shoes for runners with knee pain. Most shoes have a raised heel. In other words, the shoe has more cushioning material under the heel than under the forefeet. Typically, the heel is 6 to 10 millimeters higher than the toes. This is called the “heel-toe drop.”


But shoes can also have a negative heel drop, meaning that the toes are higher than the heels. In this case, 16 runners with knee pain were tested while wearing a shoe with a 5 millimeter heel-toe differential, and another pair of shoes with a minus 11mm drop. The research team measured various forces and biomechanics, and also asked the runners to report their perceived pain in the two shoes. 


Some things changed from one shoe to the next, and some didn’t. Reported pain was one of the unchanged measures. The researchers nonetheless noted that, “Compared to positive heel running shoes, running in negative heel shoes decreased the foot inclination angle of knee-pain runners.” This in turn led to lower peak forces at the knee. 


Conclusion: Running in negative drop shoes “may decrease patellofemoral joint loading, thus reducing the possibility of further development of PFP.” Other studies have shown that changing your footstrike from a rearfoot to a forefoot/midfoot strike could also reduce knee-pain issues. Negative drop shoes are one way to assist his footstrike change. More at J of Foot & Ankle Research with free full text.


Heatstroke--A Runner Fear Factor That’s Not Easy To “See”

Running and heat-stress experts from the University of Connecticut’s Korey Stringer Institute have spent many years studying heat-related issues at the Falmouth Road Race on Cape Cod, Massachusetts, every August. Temperature and humidity are often high at Falmouth, and there have been notable heat stroke cases over the years. 


Decades ago, the Korey Stringer researchers helped develop the best road-race treatment for runners with heatstroke: Toss them in a plastic play pool filled with ice water.


There remain other areas of running and heat illness worth studying, and this new paper describes one. It’s notable for 2 reasons: 1) the runners used several very different digital devices; and 2) the researchers did not find what they were expecting.


First, the runners. Before the race, 20 runners (half female, average age 48) swallowed an “ingestible thermistor” to measure their internal body temperature. They also wore sensors that recorded various “biomechanical assessments” during the race.


The folks from Korey Stringer hypothesized that if runners’ body temperature increased, they would also suffer from notable changes in biomechanics. In other words, you could perhaps spot a heat-threatened runner by his/her running form near the end. This would help medics identify and treat those runners quickly.


Result: Over the course of the 7.1-mile Falmouth race in 2022, runner body temperatures increased significantly, and runner biomechanics changed significantly. But the two were not related. Thus, the researchers had to reject their hypothesis. 


Conclusion: Changes in body temperature are most closely aligned to heat and humidity. Biomechanical changes, on the other hand, are most likely aligned with muscular fatigue after running a long distance. 


Clinical recommendation: Medical personnel at a road race finish line can “not expect changes in biomechanical movement patterns to signal thermal responses.” More at Sports Health.


RLRH note: Of course, gross changes in movement (wobbling, staggering, collapsing) may indicate significant heat distress, and such runners should be evaluated immediately at the finish.


The Mysterious (But Super Important) Science Behind Endurance “Durability”

There’s an exciting race being contested in the running-science Olympics. That’s not an actual event, of course … but I think you get the idea. Researchers are just as eager to make breakthroughs as marathon runners.


The current competition focuses on muscle “durability”--also called “fatigue resistance.” Endurance experts now believe it’s a real thing, and they’re hoping to understand it better.


Here’s how muscle durability works. No one runs very fast at the end of a marathon. For example, Eliud Kipchoge has a best mile time of 3:50. But in the last 6 miles of a marathon, he’s happy if he can hold a 4:35 pace. 


Kipchoge’s got plenty enough speed for that. The question is: Can his leg muscles still manage 4:35 pace after 20 miles? That will depend on his muscle durability.


Durability also comes into play in super-shoe discussions. Some believe super shoes have improved marathon times by increasing fatigue-resistance. In other words, they prevent the leg muscles from getting torn up so badly after 20 miles. 


Okay, sorry for the long intro. Here’s why. A new paper has become one of the first, if not the first, to “prove” that durability exists as a muscle function. That’s a nice step forward. However, it was unable to identify how durability works.


Here’s how the research was structured. Thirteen well trained cyclists performed a 5-minute time trial on two separate occasions: once while fresh, once after completing a 2.5-hour bike ride at moderate intensity. After each time trial, they “donated” a small chunk of quadriceps muscle for biopsy.


First finding: The cyclists performed significantly worse at the time trail after the 2.5-hour ride. You’re thinking: Doh. But this did at least show a loss of “durability,” which was an important first step. 


Second finding: The researchers couldn’t identify anything in the biopsy to explain the durability difference. They looked at several amino acids and enzymes in the muscle, but … nada.

Importantly, they were able to rule out increased fax oxidation as an explanation. This has often been used to explain outstanding endurance performance, particularly by women athletes.


So here’s what we’ve got. Yes, durability is a real thing. And It’s apparently not a result of fat-burning differences. We don’t know what the underlying factors are yet. 


So the running-science Olympics will continue to seek podium winners in this new event. More at European J of Applied Physiology with free full text.


How to Fight Harassment Against Women Runners

We will have many reminders this year that it’s the 40th anniversary of Joan Benoit’s epic win in the first women’s Olympic Marathon in 1984. And here’s a big and insightful, anecdotal update on her, along with Nike’s plans to relaunch a Women’s Race Series in 2025. (I wonder why they mistimed the relaunch by a year?)


Something more important began 10 years later, roughly coincident with Oprah Winfrey completing the Marine Corps Marathon (4:29:20) in 1994.


That’s when the women’s running boom began in earnest--about 30 years ago. That social-cultural phenomenon--women discovering the pleasures, benefits, and competitive challenges of running--is the biggest and best thing that has ever happened in running.


It is also, if we are honest, fraught with potential issues. There are greater eating disorder rates among runners, especially those during the key teen years and early 20s when they need to maximize bone growth; possibly greater injury rates due to female anatomy; and, of course, harassment and worse on the run.


Women face far greater safety problems than men, as was recently clarified by a paper titled “Public Harassment of Runners in the United States: Differences by Gender and Sexual Orientation.” The outcomes were based on questionnaire responses from more than 1600 runners, “primarily cisgender women.”


Result: “Most participants (84.2%) reported at least one form of harassment while running.” It was no surprise that cisgender women reported more fear and had to make more behavioral changes than cisgender men. Also, “sexual minority cisgender women” runners, including LGBQ+ runners, “reported significantly more lifetime and past-year harassment than straight cisgender women.”


Conclusion: “This study, the largest investigation of harassment among runners, highlights the need for prevention campaigns to make public spaces safer for all runners.” No doubt. 


Women can also help themselves by running defensively. In fact, they must. This isn’t a case of blaming the victim. It’s just common sense, and common safety. Whenever possible, women should run with others, avoid darkness, gravitate to heavily-trafficked parks, trails, and neighborhoods, and stay away from remote locations. More at Psychology of Women Quarterly.


SHORT STUFF You Don’t Want To Miss

>>> Get in the pace line: Kelvin Kiptum could have run 1:57:34 at Chicago last fall if only he had drafted properly behind several pacers.

>>> Stay the course. Air pollution can disrupt “the benefits of short-term endurance exercise.” But over the long term, “increased aerobic fitness through endurance training” limits any damage.

>>> Getting uglier all the time: The biggest, most comprehensive analysis of processed-food consumption (with almost 10 million subjects) uncovered 32 distinct (and bad) health outcomes linked to consumption of processed foods.


GREAT QUOTES Make Great Training Partners

"You miss 100% of the shots you don't take." 

--Wayne Gretzky, hockey great