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Subject: New Hope for Old Joints - July30, 2005



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"Exercise Tips"

From www.NutrActive.com
---Nutrition and Active Lifestyle Center

July 28, 2005
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In this issue:

1. Top Sponsor's Ad
2. A Word from the Editor
3. Exercise Tip (Part 1):
---New Hope for Old Joints
4. Advertisements
5. Recommended Reading:
---Body Building A Realistic Approach
6. Exercise Tip (Part 2)
7. Important Links to NutrActive

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A word from the editor:

The article in this issue is a little different than what
is usually published in this ezine. It is primarily about
a disorder - one that can affect your ability to exercise.
If you or a loved one suffers from osteoarthritis, you
should find this article helpful.

Best of Health!
Laura

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EXERCISE TIP (Part 1): New Hope for Old Joints
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More than 20 million Americans are afflicted with the most
common type of arthritis, which is called osteoarthritis
(OA). OA results from the deterioration of the cartilage
in the joints. OA often starts between ages 40 to 60 and
is common in overweight people.

In a study published in the October 2003 "Obesity Research
Journal", Dr. Fountain observed that only 12% of those who
were thin had OA joint pain compared to 60% of those who
were overweight.

The aging of the baby boomers, coupled with America's
expanding waistlines, makes it likely that millions more
Americans will develop OA in the next decade.

Surgery Doesn't Help
At the start of the 21st century, physicians were doing 650,
000 arthroscopic surgeries each year. The surgeons
believed they could reduce knee pain and improve joint
motility. Unfortunately, a controlled clinical trial
comparing the effectiveness of these arthroscopic
procedures to a sham (pretend) operation demonstrated that
these surgical procedures worked no better than the
"placebo" surgery.(1)

What Promotes Osteoarthritis?
Trauma to the joint can lead to inflammation and more
osteoarthritic damage. However, OA appears to be due in
part to a chronic low level of inflammation in the joints,
which contributes to the breakdown of cartilage even in the
absence of severe joint trauma.

Elevated levels of CRP (an inflammatory protein) are seen
particularly in those with more serious OA.(2) Drugs like
aspirin, Advil and other nonsteroidal anti-inflammatory
drugs (NSAIDS) often reduce the pain and stiffness of
osteoarthritIc joints within a few days, but taking these
drugs for a long time can often irritate the stomach and
occasionally cause life- threatening stomach bleeding. The
newer NSAIDS (COX-2 inhibitors) can increase blood pressure
in those on certain blood pressure medications.


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scientific information provided by our sponsors. If
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submit you specific question to Laura.RD@NutrActive.com.
_______________________________________________________

RECOMMENDED READING:

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How You Can Have a Great Body
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EXERCISE TIP (Part 2):
New Hope for Old Joints - continued
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Weight Loss Helps
It has been known for a long time that people who put a lot
of weight around their waist are far more likely to end up
with osteoarthritic joints. Increased body fat increases
the release of certain substances (leptin, cytokines, CRP)
in the blood that may play a role in developing OA. A
recent study at the Florida Pritikin Center found a 45%
drop in CRP levels in older women in just two weeks with
proper diet and exercise.(3)

Glucosamine May Help Repair Joints
One of the molecules the human body uses to make new
cartilage and the fluid that lubricates the joints is
called glucosamine. However, as people grow older, the
production of this natural component of cartilage may not
be adequate.

Glucosamine can be extracted from the shells of crab and
other crustacean shellfish as well as the cartilage of
cattle. Two long-term clinical trials have shown that 1,
500 mg/day of glucosamine sulfate prevented the loss or
cartilage in osteoarthritic joints and significantly
reduced the pain associated with OA. (4)(5)

The National Institute of Health is currently funding a
large clinical trial involving 1,600 people age 40 and
older to determine the effectiveness of supplemental
glucosamine in slowing or possibly even reversing some of
the damage caused to joints by aging, trauma, and
inflammation.

Vitamin C May Promote Osteoarthritis
For many years, people have been led to believe high doses
of vitamin C may protect their joints from OA. Guinea pigs,
like humans, require vitamin C in their diet and also
develop OA in old age. Vitamin C deficiency can impair
cartilage formation and higher doses were believed to help
protect joints by blocking free radicals that can damage
cartilage.

However, a recent study of guinea pigs at Duke University
published in the June 2004 "Arthritis and Rheumatism"
journal cast serious doubt on the long-term benefit of high-
dose vitamin C supplements for staving off OA. The results
showed that high doses of vitamin C did slow the loss of
cartilage in the joints over time; but it also stimulated
the overproduction of bone growth factor and led to the
formation of bony spurs in the joints, which significantly
increased joint damage and OA.

[Source Communicating Food for Health]

1.N Engl J Med 2002;34781-8
2.J Rheuamatol. 1995;22:1527-31
3. Metabolism 2004;53:377-81
4. Lancet 2001;357:251-6
5. arch Intern Med 2002;163:2113-23

5 TIPS to PREVENT or TREAT OSTEOARTHRITIS:
1) Adopt a healthful low-fat, high-fiber diet and lose as
much excess body fat as possible.
2) Nontraumatic exercise won't hurt and may help,
especially if it can help you control your weight.
Nontraumatic exercise includes walking, low-impact aerobics,
skating, swimming, riding a bike and resistance training
(weights).
3) Taking 1,500 mg/day of glucosamine sulfate is
definitely beneficial and a lot less risky than
Nonsteroidal Anti-inflammatory Drugs (e.g., aspirin,
ibuprofen, acetaminophen, etc.)
4) High doses of vitamin C may make OA worse and should be
discouraged. Eating a diet rich in vitamin C is a much
better idea. Vitamin C is found in green peppers, citrus
fruits and juices, strawberries, tomatoes, broccoli and
greens.
5) Arthoroscopic surgery for OA is ineffective.

------------------
About the author:
James Kenney, PhD, RD, LD, FACN writes for Communicating
Food for Health, Delicious Ideas and Resources for
Nutrition Education.
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Exercise Tips" is edited/published weekly by Laura S.
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questions or comments, please e-mail Laura at: Laura.RD@
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?© Copyright NutrActive 2005. All rights reserved. Reproduction
in whole or in part without written permission of copyright
owner is prohibited.

The information contained in this e-mail is intended to help you
better understand issues related to nutrition and exercise and
help promote a healthy lifestyle. It is not intended to replace
the advice of a physician. If you read something on this site
that contradicts what your physician tells you in any way,
always follow your physician's advice. We advice you to consult
with your physician before beginning any exercise program,
especially if you have any serious medical conditions.
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