There is not a single person in USA and perhaps the world who DOES NOT know that EXERCISE is good for you and a basic understanding of what foods are bad for you.
I have felt that telling a patient, already cursed with Diabetes or Obesity that they should EAT RIGHT and EXERCISE, is a high crime committed by
Doctors
Mid Level assistants to the Doctor
Chiropractors parading as Nutritionists
and the plethora of Health Educators, Personal Trainers etc etc.
If you are reading this, you can answer this simple question, will you go to a Nutritionist or a Dietician for advice about FOOD ? Most Americans seek out self proclaimed Nutritionists rather than well trained or experienced Dietitians.
US physicians are notoriously ill educated about Nutrition, let alone the other non MD care providers (forget about Functional Medicine practice, I am not even sure what it is )
Today, most medical schools in the United States teach less than 25 hours of nutrition over four years. The fact that less than 20 percent of medical schools have a single required course in nutrition, it's a scandal.May 8, 2017
The Endocrine society, the professional society that I belong to, had indicated that the majority of its members are not capable of giving appropriate and/or relevant counsel on Nutrition. Patients would listen attentively to the doctors and trust them, but may leave with a piece of paper for 1500 cal diet or a book of recipes.
EAT WELL AND EXERCISE IS THE MANTRA
but from a cultural point of view, both are intricately involved with so many other factors most of which have social or spiritual significance.
Most of us would coil away from eating a snake whereas that is not so for a large number of people of this earth. Sacred and Profane was the name of a book by famous anthropologists including Raw and Cooked by Levi Strauss, Mirceal Eliade, Mary Douglas...
Let us dissect
Usually done Quantitatively
How much?
How often?
What sort?
If you are an anthropologist or a person interested in the person of the patient
what You would want to know?
what makes it difficult for you to exercise?
space, time, social perception. In many places I have been told that if they saw you walking for anything other than enjoyment, they would think that you are either poor or recently had a heart attack or a diagnosis of Diabetes
Front Cardiovasc Med. 2018; 5: 135.
Cardiovascular Effects and Benefits of Exercise
is widely accepted that regular physical activity is beneficial for cardiovascular health. Frequent exercise is robustly associated with a decrease in cardiovascular mortality as well as the risk of developing cardiovascular disease. Physically active individuals have lower blood pressure, higher insulin sensitivity, and a more favorable plasma lipoprotein profile. Animal models of exercise show that repeated physical activity suppresses atherogenesis and increases the availability of vasodilatory mediators such as nitric oxide. Exercise has also been found to have beneficial effects on the heart. Acutely, exercise increases cardiac output and blood pressure, but individuals adapted to exercise show lower resting heart rate and cardiac hypertrophy. Both cardiac and vascular changes have been linked to a variety of changes in tissue metabolism and signaling, although our understanding of the contribution of the underlying mechanisms remains incomplete. Even though moderate levels of exercise have been found to be consistently associated with a reduction in cardiovascular disease risk, there is evidence to suggest that continuously high levels of exercise (e.g., marathon running) could have detrimental effects on cardiovascular health. Nevertheless, a specific dose response relationship between the extent and duration of exercise and the reduction in cardiovascular disease risk and mortality remains unclear.
From Johns Hopkins Medicine.
where do the meat comes from ?
