Archive for February, 2008

MIKE PERRY, a 31-year-old rower, trained by himself in Ann Arbor, Mich., for six years while his wife attended medical school. Now he is a member of the United States rowing team and hopes to be selected in a couple of months to compete in the Summer Olympic Games.

These days, he works with a coach and a team, and for the first time he is also going to a gym twice a week and lifting free weights for his upper and lower body, and doing a lot of core exercises, he said. His coach insists upon it. Mr. Perry, though, said he cannot tell whether weight lifting is helping his performance.

His 29-year-old teammate, Mark Flickinger, thinks weight lifting has helped him. He said it is difficult to distinguish between the effects of training by rowing on the water and weight lifting at the gym.

But, he added, after three years of working with weights — including lifting to failure, the point at which he cannot do another repetition — he has become a better athlete. The training “improved my P.B.’s by a substantial margin,” he said, referring to personal bests, his best performances.

As it turns out, the question of whether weight training matters to serious endurance athletes is a matter of debate.

Researchers who study weight lifting, or resistance training as it often is called, are adamant. It definitely helps, they say. But other experts in the field are not so sure.

Gary R. Hunter, a professor of exercise physiology at the University of Alabama at Birmingham, is a believer. He cites, for example, a recent study involving middle-distance runners. Three months of resistance training, he said, improved their leg strength and running efficiency, a measure of how much effort it took to run.

And, he said, it is not just runners who become more efficient.

“There is no doubt that an appropriate weight-training program would improve efficiency in pretty much any athlete,” Dr. Hunter said.

William J. Kraemer, a kinesiology professor at the University of Connecticut in Storrs, said lifting weights also can increase endurance and reduce the risk of injury, especially to connective tissue.

And don’t worry about becoming too muscular, Dr. Kraemer said.

“The fear of getting really big is not plausible for most people,” he said. Competitive distance runners and cyclists, who are naturally slender and light, “don’t have the muscle fiber number to get really big,” Dr. Kraemer said. “I can train them until the cows come home and they are not going to have big muscles.”

But other researchers, like Patrick O’Connor, an exercise scientist at the University of Georgia, are not convinced.

Dr. O’Connor points out that the weight-lifting studies, as is typical in exercise science, are small. And each seems to examine a different regimen, to measure outcome differently and to study different subjects — trained athletes, sedentary people, recreational athletes. It becomes almost impossible to draw conclusions, he said.

That may be one reason why different athletes end up doing different weight-lifting exercises. Chris Martin, a 31-year-old chemical engineer who has an elite racing license from USA Triathlon, the governing body for the sport, works on his entire body. But for his legs, he does exercises like leg extensions using one leg at a time, to correct any muscle imbalances or weaknesses. Mr. Martin, who lives in Lawrenceville, N.J., said he got the idea from coaches and from his own reading.

“Cycling and running are one-leg-at-a-time activities,” he explained. And one-legged exercises “recruit more muscles that help the hips.”

Steve Spence, who won a bronze medal in the marathon at the 1991 track and field world championships in Tokyo, is also a proponent of one-legged exercises. Now 45 years old and the head cross-country coach at Shippensburg University in Pennsylvania, Mr. Spence enters local 5-kilometer races and typically finishes in about 15 ½ minutes.

“I feel that every major breakthrough with my running has come after a period of strength training,” he said. He attributes this to the emphasis he puts on leg exercises, but he also believes that working his upper body and abdomen helped.

Other athletes concentrate on exercises that require them to jump or leap to develop explosive power.

And many top athletes spend lots of time in gyms lifting weights, and many trainers and coaches swear by it.

For example, the distance runners who are part of Team Running USA do resistance training for 30 to 60 minutes six days a week, said Terrence Mahon, a coach for the team. This group includes marathon stars Deena Kastor and Ryan Hall, the winner of the Olympic marathon trials last November.

“We do it all,” Mr. Mahon said. “We do upper body, core and lower body. The stronger the athlete is in a total body perspective, the more efficient they become as a runner.”

The Team USA runners do five to six exercises per session, he said. For example, upper body exercises may include pull-ups, the overhead press, bench press, rowing and exercises for the biceps and triceps. Lower body exercises include step-ups, squats, single leg squats, snatches and the leg press.

The main problem with weight lifting is that many people do it all wrong, said Kent Adams, the director of the exercise physiology laboratory at California State University at Monterey Bay. They don’t have a program or a goal. Technique may be sloppy. Or, Dr. Adams said, they use weights that are too light. Muscles need to be stressed if they are to respond, he said.

Dr. Kraemer is on the same page. One study, he said, found that women tend to lift half or less of what they could lift. And this happened even when women were working with personal trainers, he said.

“There is so much misinformation,” Dr. Kraemer said. “It’s a quagmire out there.” He recommends trainers certified by the National Strength and Conditioning Association, which also supplies educational information. Dr. Kraemer is a past president of the organization.

The right trainer, these researchers say, can be helpful when people are learning to lift weights. Not only can trainers teach proper technique, but they also can help people develop programs that meet their goals.

“I hate to say that a trainer is required for everybody,” Dr. Adams said. “But I think it is an excellent way to learn.”

That said, though, the evidence that weight lifting can improve performance is equivocal enough to leave plenty of room for the skeptics. And not every successful athlete spends serious time lifting weights.

DR. O’CONNOR, for example, lifts weights for health, for enjoyment and for vanity’s sake (he does not want an emaciated upper body, he said), but stops lifting when he is training to run a marathon. Those muscles, he said, “are just dead weight you have to carry around.” He adds that a sport like rowing, swimming or running requires specific muscles and nerve-firing patterns that may best be developed by actually doing the sport.

“If your goal is to improve running performance, then weight training should probably mimic the running pattern,” he said. “If you do leg extensions, you can get stronger, but people don’t run like that.”

That’s pretty much what Cathy O’Brien, a 40-year-old distance runner, thinks. She started racing when she was 12 and ran the marathon in the 1988 and 1992 Olympic Games.

“As far as resistance training, I have always been a minimalist,” she said. She does push-ups, pull-ups and dips for her upper body, and abdominal exercises, but does not work her legs.

“I think that running is the best thing for running results, ” Ms. O’Brien said.

Kevin Hanson, a coach for the Hansons-Brooks team of distance runners, is of like mind.

“We do some weight training,” he said. But other than some abdominal exercises, “everything we do is for the upper body.”

He has a ready answer for runners who ask about doing exercises for their legs.

“You let me know if you think we are not working your legs enough,” Mr. Hanson said. “There’s a lot more we can do to beat you up. But you don’t have to lift weights.”

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All children aged six months to 18 years in this country should receive an influenza shot every year, a federal advisory panel said on Wednesday.

The recommendation expands by about 30 million the number of children who should get annual influenza shots. Current pediatric recommendations call for influenza vaccinations for children six months to about 5 years old.

In expanding the new upper age limit to 18 years, the aim is to reduce the time children and parents lose from visits to pediatricians and missing school, and the need for antibiotics for complications, said Dr. Anne Schuchat, who directs the disease agency’s program on immunization and respiratory diseases. An added expected benefit would be indirect, reducing the number of influenza cases among parents and other household members, and possibly spread to the general community.

The recommendation, which is voluntary, was made by the Advisory Committee on Immunization Practice, which advises the Centers for Disease Control and Prevention in Atlanta. C.D.C. and its parent, the Department of Health and Human Services, generally follow the advice of the committee, which is composed of vaccine experts from academia and the private sector.

The committee voted unanimously that the expanded immunization should start as soon as possible, but no later than the 2009-2010 flu season. The centers expect that the vaccine industry, which made 132 million doses available this year, will be able to produce a sufficient supply in future years.

Almost but one state reported widespread influenza illness this winter (in Florida, activity is regional). Last week, the centers reported that 22 children had died in this influenza season.

C.D.C. has long urged older adults and those with chronic ailments to get influenza shots each season.

In 2004, following the advisory committee’s recommendation, the centers urged that all infants from six to 23 months receive influenza shots to protect them from serious complications of the viral illness. Hospitalization rates among the infant group rival those among elderly Americans.

In 2006, the centers expanded the recommendation to include children from 24 to 59 months to provide them direct protection against influenza infection.

For initial protection, infants from six months to 9 years require two doses of influenza vaccine, at least one month apart, the committee said. Then they should receive annual shots.

In a new study reported at Wednesday’s meeting, Dr. David K. Shay, who led a team from C.D.C. and eight state health departments, found that full immunization against influenza provided about a 75 percent effectiveness rate in preventing hospitalizations from influenza complications in the 2005-2006 and 2006-2007 influenza seasons. (The confidence intervals, a standard statistical range, were wide, from 41 to 91 percent.) The study, which involved children aged 6 to 23 months who had laboratory confirmed cases of influenza, will continue through this influenza season. Because this season seems to be more severe than the last two, the researchers expect to have a larger number of cases to analyze and improve the statistical odds.

Influenza vaccines typically are designed to protect against the three strains of influenza. Experts determine the strains based on data from current seasonal transmission and their judgment about future activity. Usually one or two strains are changed in each year’s vaccine.

But committees from the World Health Organization and the United States Food and Drug Administration voted earlier this month to change all three strains in next season’s vaccine. It is the first time that all three strains were changed at once, Dr. Nancy Cox, an influenza expert at C.D.C., said in a news conference on Feb. 22.

The centers’ recommendations for annual influenza shots for adults include, among others: all Americans aged 50 and older; people with chronic lung, heart and other ailments; health-care workers; and women who will be pregnant during the influenza season.

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