Is Bad Posture Holding Back Your Running?

Runners focus on sport-specific training techniques and aerobic conditioning, sometimes neglecting biomechanics and human physiology. (go to article)

Study Finds Optimal Angles for That Uphill Climb

To what extent should we trade slope steepness for slope length to minimize energy expenditure?
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A Shoe Doesn't Need to Cost an Arm and
a Leg

The results of a new study indicate a higher price is not a good predictor of customer satisfaction.
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Yoga for KidS

Studies show that yoga can improve focus, memory, self-esteem, academic performance and classroom behavior.
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Spot Train and Weight Train for Best Ab Results

Visceral fat is a troubling health risk. Here’s how to get rid of it.
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The Facts so Far on Zika Virus

Keeping up with the latest information can be difficult; here is some of the latest of what we know.
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The Clinic

A 12-Year-Old Tear Returns to Haunt
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A Lump on the Bottom of My Foot
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When Military Presses Cause Shoulder Pain
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Persistent Achilles Pain
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The Back Page



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Flu Advisory Accompanied by
a Drug Warning

Cold and flu season continues at least through March, and this year in particular has been a difficult one for flu sufferers. The Centers for Disease Control and Prevention recently received reports of severe influenza, including fatalities; as a result they are urging clinicians to treat high-risk outpatients, patients with progressive disease and hospitalized patients promptly with antivirals. The agency advises that treatment should begin even without laboratory confirmation of flu.

In recent weeks, there has been a higher proportion of the H1N1 strain, the so-called swine flu, which is notable for the pandemic illness it caused in 2009. Many young and middle-aged adults are winding up in the intensive care unit, having developed severe respiratory illness with H1N1.

The good news is that the CDC says the circulating strains match well to those included in this season's influenza vaccine. (Seasonal flu vaccines have included the H1N1 pandemic virus since 2010.)

Acetaminophen warning
Cold and flu sufferers who are using multiple combination cough and cold remedies may inadvertently be taking more acetaminophen than they intend. Experts at Harvard Health Publications estimate that there are easily more than 30 o.t.c. medications available to treat symptoms of fever, headache, sore throat and achy muscles. Many of these multi-symptom products contain acetaminophen (also the active ingredient in Tylenol). There are over 600 o.t.c. and prescription medicines containing acetaminophen, Harvard Health reports. (continued)

Adolescent Fiber Intake Fights Breast Cancer Later

A new study in Pediatrics has found that adolescent females who eat a lot of fiber may be at lower risk for breast cancer later in life.

Data collected from the Nurses' Health Study II includes questions about high school diet, especially fiber intake. The 44,000 women aged 33 to 52 who participated also regularly provided information on breast cancer risk factors and incident breast cancer.

The methods were as follows: Among 90,534 premenopausal women who completed a dietary questionnaire in 1991, researchers documented 2,833 invasive breast cancer cases during 20 years of follow-up. In 1998, 44,263 of these women also completed a questionnaire about their diet during high school; among these women, the study documented 1,118 cases of breast cancer by end of follow-up.

After multivariable adjustment, the researchers found that women in the highest fifth of adolescent fiber intake were at significantly lower breast cancer risk than those in the bottom fifth of fiber consumption. The study notes that the effect was significant only for premenopausal breast cancer. In all women, each 10-gram per day increase in fiber consumption in adolescence and early adulthood was associated with a 13 to 14% reduction in breast cancer risk.

The association was apparent for most sources of fiber and was independent of other dietary factors, including red meat consumption. Higher fiber intake during early adulthood was also associated with lower alcohol consumption and lower adult BMI.

The findings support the increasingly accepted notion that higher fiber intake reduces breast cancer risk. As for potential biological mechanisms that support the beneficial role of dietary fiber on breast cancer risk, it is thought that fiber may reduce risk by improving insulin sensitivity and possibly decreasing plasma levels of estrogen.

What's new here is that the results suggest that intake during adolescence and early adulthood may be particularly important. (continued)

editorial board

Kenneth Cooper, MD
Kevin Beck
Jack Daniels, PhD
Randy Eichner, MD
Mary Jo Feeney, MS, RD
Mitchell Goldflies, MD
Paul Kiell, MD
Sarah Harding Laidlaw, MS, RD
Paul Langer, DPM
Douglas Lentz, CSCS
Todd Miller, MD
Gabe Mirkin, MD
Col Francis O’Connor, MD
Stephen Perle, DC, CCSP
Pete Pfitzinger, MS
Charles L. Schulman, MD
Bruce Wilk, PT, OCS
Mel Williams, PhD
Michael Yessis, PhD
Jeff Venables, Editor

board of directors

Jeff Harbison, President
Bill Young, Secretary-Treasurer
Immediate Past-President
(Vacant) Vice President
Robert Corliss
Charles L. Schulman, MD, AMAA Pres.
AMAA President
Terry Adirim, MD, MPH
Gayle Barron
Sue Golden
Senator Bill Frist, MD
Jeff Galloway
Jeff Harbison
Ronald M. Lawrence, MD, PhD
Jeff Moore
Noel D. Nequin, MD
David Pattillo

Association Staff

Executive Director: Dave Watt
Project Consultant: Barbara Baldwin, MPH

Running & FitNews is published by the American Running Association. Address inquiries to ARA, Attention: FitNews Editor, 4405 East-West Highway., Suite 405, Bethesda, MD 20814 or send e-mail to

The American Running Association is a nonprofit educational organization, designated 501(c)3 by the IRS. Running & FitNews provides sports medicine and nutrition information. For personal medical advice, consult your physician.

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