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What’s on your mind? Ask Dr. Kasia

Katarzyna M. Ostrzenska, M.D. Bay Medical Center Medical Director 7001 Central Avenue, Suite 3 Saint Petersburg, FL 33710


Should we all cut back on salt—regardless of our blood pressure level? Most of the sodium in our diet comes from salt, or sodium chloride. Sodium has many important functions in the body, including: • Transmitting nerve impulses • Contracting and relaxing muscle fibers • Maintaining proper fluid balance. But we get much more than we need (3,400 mg of sodium per day), on average. (See the chart below for recommended intake.) The kidneys regulate the body’s sodium level by getting rid of any excess. But if there’s too much sodium in the bloodstream, the kidneys can’t keep up. Excess sodium in the blood pulls out water from the cells. As this fluid increases, so does blood volume. That means more work for the heart, increased pressure in the blood vessels, and often, eventually, stiffened vessel walls, chronic high blood pressure, and an increased risk of heart attack or stroke. Bringing our sodium intake in range is an important step in preventing serious health issues. Current recommended intakes of sodium for healthy adults by age group Group Adequate intake (AI) of sodium* Salt equivalent Upper limit (UL) of sodium intake** Ages 19-50 1.5 g/1,500 mg 3,800 mg, or 2⁄3 teaspoon (tsp.) 2.3 g/2,300 mg (equivalent to 5.8 g/5,800 mg, or 1 tsp., salt) Ages 51-70 1.3 g/1,300 mg 3,200 mg, or ~½ tsp. Less than 2.3 g, but a precise amount has not been determined Ages 71 and over 1.2 g/1,200 mg 2,900 mg, or ½ tsp.


Overtraining: When pushing hard is harmful With so much emphasis placed on increasing physical activity, we hear very little about overtraining. For competitive athletes and some recreational athletes, however, overtraining can be a serious problem. The definition of overtraining is personal. It is the point at which an athlete is training so hard and for so many hours that recovery does not occur with usual periods of rest. Athletic performance demands a balance of extreme effort and recovery. The athlete must expend a tremendous amount of energy on some days and also determine an adequate, but not excessive, number of days off, to be spent either resting completely or exercising with less intensity. Many recreational and competitive athletes tend to think that more exercise and effort is always better. Even if they are aware of the facts, the tendency is to want to exert them a little longer and a little harder during the next workout. Symptoms of overtraining Fatigue is one of the earliest symptoms of overtraining. If you continue overreaching without recovery, you may experience some of these symptoms of overtraining: Tension, irritability, decreased appetite, restless sleep, loss of sexual desire, more aches and pains and declining athletic performance. In the more severe form of the overtraining syndrome, the following can occur: Depression, menstrual irregularities in women, more significant sleep problems, prolonged muscle soreness and markedly diminished athletic performance. Till next month, Be well. Dr. Kasia Kostrzenska@baymedical.com



Florida in November



Photography by: Keith Bowling



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By KEVIN HELLIKER

Stand-up paddling is the fastestgrowing segment of the surf industry. “For my money it’s the best total body workout you can get,” says Mr. Krause, a 44-year-old triathlete who runs a matchmaking service for promising athletes and college coaches.


Stand-up paddle surfing is the fitness rage of the summer. In lakes, rivers and bays where the surf is never up, Americans in skyrocketing numbers are standing on boards and paddling, a balancing act that strengthens the muscles of the legs, buttocks, back, shoulders and arms.

on California and Hawaii, the trend is rapidly forging new sales territories. “Suddenly, our fastest-growing markets are places like Chicago, Boise and Austin, Texas,” says Ty Zulim, sales manager for Surftech International, a surf-board maker and distributor based in Santa Cruz, Calif.

“Stand-up paddle surfing is a valuable new form of cross-training, in part because it’s so low impact,” says Cindi Bannink, a triathlon coach in Madison, Wis. For an industry long dependent

“Stand-up paddling is the fastest-growing segment of the surf industry,” says Sean Smith, executive director of the Surf Industry Manufacturers Association, whose most recent study found that the industry

had sales in 2008 of $7.2 billion. Some manufacturers say they can’t make them fast enough. “Every one we make is already sold, and that’s the case with most manufacturers,” says surfing legend Laird Hamilton, who has licensed his name and stand-up board designs—including a model called the Laird—to Surftech and other manufacturers. After introducing stand-up boards at west coast stores last year, Recreational Equipment Inc. this summer stocked it in a number of land-locked


“Wassup?”), the stand-up paddling trend comes on the heels of the kayak craze, but offers potentially greater health benefits, especially given recent research showing the hazards of Even general mer- prolonged sitting. Like yoga, standing chandiser Costco on a board requires Wholesale Corp. basic balancing began selling abilities, which in stand-up boards turn strengthen this summer to great success, says and tone any and all muscles used to Jack Weisbly, the stay in position. (A Kirkland, Wash., new trend in some chain’s sporting goods’ merchandise still-water locales involves staging manager. “We’re selling a lot of them yoga classes on stand-up boards.) to hotels and resorts that are located near water,” he People of any age says. can get started, proKnown as SUP (pronounced as in ponents say, recomstores—and met its annual sales projections by midJune, says Nathan Grothe, product manager for REI, based just outside of Seattle.

mending that newcomers should use the widest—and therefore sturdiest—boards. While conventional surf boards are about 20 inches in width, stand-up boards can be 32 inches wide. Children older than toddlers can use them alongside their grandparents, although life preservers are recommended and in some locations required. Newcomers should kneel on the board and paddle that way before trying to rise to their feet. In still water, standing up is hardly more difficult on a stand-up board than on solid


ground. Once afoot, staying that way is relatively easy. This reporter—who during yoga class takes frequent tumbles— stayed dry during an hour of debut paddle surfing last week on the choppy waters of Lake Michigan. Like cycling, paddle surfing can be done at a recreational pace or, for an aerobic workout, at heart-thumping speed. And like yoga, stand-up paddle surfing is proving particularly popular with women. “Nearly 50% of the buyers of our stand-up boards are women, which is a much much higher

percentage than” conventional surf boards, says Mr. Hamilton. At worst, a tumble means getting wet. But many veterans say they never do. “If falling off was a real danger, my wife and I wouldn’t be out on Lake Michigan doing it in March,” when chunks of ice are floating in the lake, says Mr. Krause, who says only his feet ever get wet. High-end models of stand-up boards sold in sportinggoods stores range from about $900 to $1,500, with the paddle costing an additional $150 to

$300. Costco, however, offers a boardand-paddle set for as little as $429. Paddles have given rise to races. Dozens are scheduled this summer, up from none only a few years ago, with the fastest paddlers moving well beyond 10 miles an hour. “This is to surfing what snowboarding first was to skiing,” says Mr. Hamilton. “I’m convinced it will be an Olympic sport.” Mr. Hamilton declines to call himself the inventor of the sport because Pacific Islanders—and Italy’s Venetians— for centuries have stood in boats using paddles or poles.


Violeta







Calve Muscle Anatomy

There are two primary muscle groups on the back of the lower legs - the gastrocnemius and the soleus muscles. The soleus is a wide, flat muscle that lies beneath the heart shaped gastrocnemius. Both muscles contract to extend the feet and toes, but the soleus can only fully contract when your leg is bent to at least a 30-degree angle. There are several other smaller muscles in your lower legs , all of which will be developed by focusing on working the calves. The only exception is the tibialis anterior muscle, which runs up the front of your shin and contracts to pull your foot and toes upward. The calf muscle is often neglected at the gym. Very rarely you’ll see people training their calves. When fully developed, the calves are eye-catching and you can actually see the separation between the outer and inner muscles. 10 Calve Exercises recommended: 1) Leg Press Machine Calf Press 2) Rocking Barbell Calf Raises 3) Seated Calf Raises 4) Barbell Calf Raises 5) Hack Machine Calf Raises 6) Dumbbell Calf Raises 7) Barbell Seated Calf Raises 8) Seated Single Leg Calf Raises 9) Single Leg Calf Raises 10)Dumbbell Single Leg Calf Raises Note: Please make sure not to attempt to use very heavy weights if you decide to try the one-legged version of the exercise.



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