As American kids pack on the pounds, the number of those with back pain is on the rise. One in three between the ages of 10 and 18 said they had backaches in the past year, according to a survey of about 3,700 youngsters. The incidence rose along with kids’ age and weight and was higher among those who play competitive sports. Though many people probably associate back pain with older people, the orthopedic surgeon who led the study was not surprised by his findings. “We see a lot of kids who have pain from overuse injuries or joint pain from playing sports,” said Dr. Peter Fabricant, who treats pediatric patients at the Hospital for Special Surgery in New York City. “Of these kids who had back pain, very few actually required any sort of medical intervention. Most didn’t need treatment at all.” About 80 percent of adults suffer from lower back pain at some time, according to the U.S. National Institutes of Health. But this is the first time the extent of back pain among children has been estimated on nationwide scale, the authors said. The youngsters surveyed were equally split by age and gender. On average, those who reported back pain weighed more and had higher body mass indexes, or BMIs. (BMI is a measure of body fat based on height and weight.)…  read on >

Working your triceps might not always be top of mind, but toning the muscles that run along the backs of your upper arms is key to the smooth functioning of your elbows and to also give bare arms a sleeker look. For a study sponsored by the American Council on Exercise (ACE), scientists from the University of Wisconsin, La Crosse, evaluated eight popular triceps strength-training exercises. Tops for Triceps Training Triangle push-ups Triceps kickbacks Overhead triceps extensions Bar push-downs Rope push-downs Closed-grip bench press Lying barbell triceps extensions Dips From this list, triangle push-ups, dips and triceps kickbacks best engaged these muscles. Here’s how to do them. (For each exercise, do 10 to 15 reps for a complete set. Progress from one to three sets as you get stronger.) Triangle push-ups are a variation on the classic push-up. The difference is that the hands are placed next to each other, directly under the upper chest, with thumbs and index fingers making a triangle shape. Flex your feet and contract your core and leg muscles. Keep your head in line with your spine as you slowly lower your body until your chest touches the floor. Focus on moving only your arms. With control, press back up until your arms are fully extended. Repeat. (If this is too hard, you can do the exercise with knees bent…  read on >

Though coaches and parents are more alert to the need for emergency attention after young athletes suffer a concussion, many may not realize how long symptoms and other effects can linger. A study in JAMA Pediatrics found that 31 percent of concussion victims had persistent symptoms after four weeks, as well as lower quality-of-life scores than kids whose symptoms had resolved. For some, lower quality of life was still an issue at 12 weeks, even after concussion symptoms were gone. And even kids without persistent symptoms had lower quality-of-life scores than typical. It’s important that young athletes don’t return to play too soon. Another JAMA study found that 15 percent return after at least 30 days, but 3 percent did so after fewer than 24 hours, which doesn’t allow time for key return-to-play protocols. Under nationwide guidelines, kids seen in emergency departments must be referred to a health care provider for follow-up care and a plan for a gradual return to school, and to play when fully recovered. They must not return to practice or play the same day or even be told when they could do so by emergency staff. Each child must be evaluated individually. There are five gradual steps for a safe return to play, but they should be started only after a period of physical and mental rest, and after all…  read on >

Can you tell how long you’ll live? For seniors, how fit you are may offer a clearer forecast of life span than traditional markers such as high blood pressure, high cholesterol, diabetes and smoking, a new study suggests. It included more than 6,500 people, age 70 and older, who had an exercise stress test between 1991 and 2009. The test measured their fitness by having them exercise on the treadmill as hard as they could. After the test, participants were tracked for an average of just under 10 years. During the follow-up, 39 percent died. Researchers found that the people who were most fit were more than twice as likely to be alive a decade later than the least fit. Surprisingly, the number of heart disease risk factors was not associated with odds of death. Participants with no risk factors had about the same chance of dying as those with three or more risk factors, according to the study, though researchers only found an association between fitness and life span. “We found fitness is an extremely strong risk predictor of survival in the older age group — that is, regardless of whether you are otherwise healthy or have cardiovascular risk factors, being more fit means you’re more likely to live longer than someone who is less fit,” said lead author Dr. Seamus Whelton. He’s an…  read on >

When you’re diagnosed with diabetes, your doctor is likely to start you on a program to lower blood sugar and help insulin work more efficiently — a regimen that may include a modified diet, exercise and possibly medication. Starting (or ramping up) an exercise program can be the hardest of all these lifestyle changes. Typical exercise guidelines to help manage type 2 diabetes recommend 150 minutes a week of moderate to vigorous aerobic exercise, plus strength training on two or three days. Meeting these goals, especially exercising for 30 minutes on most days, is a stumbling block for people who aren’t used to working out. And, unfortunately, many people with diabetes stay sedentary. But a study published in the journal Diabetes Care found an alternative that may be less taxing and more effective. The study looked at whether short but very frequent bouts of walking or strength training — three minutes every half-hour during an eight-hour workday — could improve the health of diabetics. For the walking study, participants walked on a flat treadmill at a pace of two miles per hour for each of their 16 daily three-minute stints (roughly 1/10 of a mile or 200 to 250 steps, depending on your stride). For the strength training, each three-minute stint included 20-second segments alternating half-squats, calf raises, glute contractions and alternating knee raises, using…  read on >

“Athlete’s heart” — an enlarged heart created by intense physical training — is a common and often brushed-off condition within elite and professional sports. But a new study of National Football League players is raising concern about the long-term consequences of athlete’s heart when it comes to retirees who have long left the field. These retirees are as likely to have an enlarged heart as those who’ve recently retired, according to a Tulane University study sponsored by the NFL Player Care Foundation. This runs counter to previous assumptions that an elite player’s enlarged heart would return to normal after stopping the intense training associated with his sport, researchers said. “I think we anticipated as these guys got older, they would actually change from having the enlarged heart back to a more normal-sized heart,” said study senior author Dr. Gregory Stewart, co-director of the Sports Medicine Program at Tulane University in New Orleans. “We didn’t see that.” The researchers are to present their findings at the American College of Cardiology’s (ACC) annual meeting March 16-18, in New Orleans. Research presented at meetings is typically considered preliminary until published in a peer-reviewed journal. Dr. Matthew Martinez, head of the ACC’s Sports and Exercise Cardiology Council, expects the findings to be “provocative.” “You’re seeing bigger and bigger folks running faster and faster,” said Martinez, a cardiologist in Allentown,…  read on >

Playing singles tennis is a great way to have fun and exercise, and if you have access to an indoor court, it can be a year-round workout option that builds camaraderie along with muscle tone. But before you hit the court, it’s important to get your game on safely. By practicing a pregame plan for these strenuous workouts, you’ll be less likely to experience injuries that could leave you sidelined. Tennis prep steps are simple — warm up and then stretch. First, take five minutes to jog, walk briskly or do jumping jacks to raise your body temperature and prepare your heart and lungs. Next, do a series of dynamic stretches. Dynamic stretches incorporate movement, and research shows they are beneficial to do before play. Start with 10 arm and wrist circles and then move to arm rotations, all for the upper body. For the lower body, try movements like cross over hip stretches and alternate side toe touches, 15 to each side. For the core, do 10 each of standing rotations and diagonal chops to the knees. What you do after play is just as important. As you leave the court, bring down your heart rate with five minutes of walking, jogging or side shuffling. Follow with static stretches — these are no-movement stretches that are held for 15 to 20 seconds each. Start…  read on >

Exercise has countless benefits, even in small doses. And new research suggests the payoffs might extend to colon cancer patients. Short sessions of intense exercise may slow the growth of colon cancer, Australian researchers report. “We have shown that exercise may play a role in inhibiting the growth of colon cancer cells,” said lead author James Devin, from the University of Queensland. The report was published Feb. 27 in the Journal of Physiology. “After an acute bout of high intensity exercise, there were specific increases in inflammation immediately after exercise, which are hypothesized to be involved in reducing the number of cancer cells,” Devin said in a journal news release. Devin and his colleagues at the University of Queensland worked with researchers at the University of Waterloo in Ontario, Canada. The team took blood samples from 10 colon cancer survivors who had one session of intense exercise, and 10 survivors who had 12 exercise sessions over four weeks. Analyzing the samples for the growth of cancer cells, the researchers found that even one session of high intensity exercise appeared to reduce the growth of colon cancer cells. These short exercise bouts are as important as longer regular exercise, they said. The findings also suggest that continued exercise may aid in the “fight against cancer.” Moreover, they highlight the importance of regular exercise and leading a…  read on >

Sweating it out on a treadmill is great, especially when the weather is bad. You might even be motivated by watching exciting vistas on an interactive panel. But to keep a walking or running routine from becoming stale, kick it up a notch by taking your workout outside. Running or walking in the great outdoors can burn more calories, because you have to work against the wind and you don’t have a moving tread to keep you going. If you’re used to monitoring the length of your treadmill workouts on a built-in screen, stay motivated by finding other ways to track your output. If you already have a smartwatch, there’s a good chance it has a step counter app already installed. If not, you can download any number of fitness apps that count time and distance, calorie expenditure and more. If you don’t have a smartwatch and are on a tight gadget budget, you can buy an inexpensive pedometer to count your steps. Remember that it takes about 2,000 to 2,500 steps to make a mile, depending on the length of your stride. Now you’re ready to rev up your walking/running. Here are four ideas you can mix and match. To add intensity to your outdoor workout and increase your cardio effort, choose a route with some hills. Pick up the pace with interval training.…  read on >

(HealthDay News) — Flexibility helps prevent injury. Young athletes should stretch muscles before and after playing a sport, says the American Academy of Orthopaedic Surgeons. After warming up with a brisk walk, the AAOS suggests these stretches: Forward and side lunges. Standing quad pull. Seated straddle. Knees to chest.