BMJ Opinion: Scarlett McNally: Exercise is the miracle cure

Discussion in 'Other health news and research' started by Andy, Feb 5, 2020.

  1. Andy

    Andy Committee Member

    Messages:
    21,999
    Location:
    Hampshire, UK
    https://blogs.bmj.com/bmj/2020/01/30/scarlett-mcnally-exercise-is-the-miracle-cure/
     
  2. chrisb

    chrisb Senior Member (Voting Rights)

    Messages:
    4,602
    Apparently, as a consultant orthopaedic surgeon, she is unable to find any exceptions to the rule. Perhaps surgery has become so specialised that a surgeon only offers the one treatment.
     
  3. Trish

    Trish Moderator Staff Member

    Messages:
    52,489
    Location:
    UK
    She is right for a lot of people, but ignorant about others like us. Elderly friends are being encouraged to exercise and finding it helps them avoid falls etc. All good. But not for everyone.
    I've had years of GP's telling me to get more exercise, and have sacked one carer who, while helping me shower, told me I should exercise myself to health, and refused to understand it was bad advice. My nice kind GP who does her best to be understanding, still talks about deconditioning, and asks couldn't I try to do a bit more.

    It's so ingrained in me that I still have that voice in my head most days that tells me my undoubted deconditioning now after so many years could be reversed if I just tried to do some exercises. I would love to find a way to strengthen my legs - I'm sure I'll have another fall sometime. But I can't see how I can without making my ME worse. I am already active up to my limit just doing essential living stuff.
     
  4. Mithriel

    Mithriel Senior Member (Voting Rights)

    Messages:
    2,816
    I am desperate to exercise. I envy my aromatherapist who goes to the gym every day despite being 66.

    If the BPS crew had not hijacked ME research and understanding in 1985 I might be active too. And they have the brass nerve to then blame me for being sedentary when their medical neglect let me deteriorate to a wheelchair 30 years ago and now having to lie down most of the time :mad:
     
  5. John Mac

    John Mac Senior Member (Voting Rights)

    Messages:
    927
    Which comes first people who exercise are healthier, or people who are healthy exercise more?
     
  6. Sarah94

    Sarah94 Senior Member (Voting Rights)

    Messages:
    3,601
    Location:
    UK
    Both are true.
     
  7. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    12,502
    Location:
    Canada
    A good rule of thumb when someone promotes a miracle cure is to ignore the person completely because there is no such thing as a miracle cure.

    Looking back at times when most people used to do vigorous exercise as part of their everyday job, health outcomes were definitely not very good. Nothing is ever so simple.
     
  8. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

    Messages:
    3,829
    Location:
    Australia
    I used to have that voice until I 'reversed' my deconditioning while my other symptoms (brainfog, headache etc) all got worse.
     
  9. ladycatlover

    ladycatlover Senior Member (Voting Rights)

    Messages:
    3,702
    Location:
    Liverpool, UK
    This woman is deranged. I don't know what else to say. She certainly is no friend to us.
     
    Invisible Woman and alktipping like this.
  10. lansbergen

    lansbergen Senior Member (Voting Rights)

    Messages:
    616
    Moving from no activity to just a little activity—walking briskly every day to the shop, rather than driving, for example—has been shown to yield the single greatest gain in health and wellbeing

    Walking two hours per week seems to be enough.

    120 min per week is that not 17 min a day?

    Do mild effected not walk 17 min per day?
     
    Last edited: Feb 5, 2020
  11. alktipping

    alktipping Senior Member (Voting Rights)

    Messages:
    1,201
    disability prevents you from doing enough actual exercise to be of benefit .in most cases people become disabled after previously being fit and well . many professions today though have sedentary jobs so getting professionals with those kind of jobs to do more physical activities could be of benefit to their long term health but and there is always a but many people actually become disabled by their fitness regimes how many here know people who have needed hip replacement after decades of jogging operations on tendons etc . you can not treat every human being the same this is the worst assumption of so called modern medicine . I am worn out just typing this so does this count as exercise.
     
  12. lansbergen

    lansbergen Senior Member (Voting Rights)

    Messages:
    616
    Lately there were news stories about dying earlier doing intensive fitness regimes.
     
    Invisible Woman and alktipping like this.
  13. Sean

    Sean Moderator Staff Member

    Messages:
    7,240
    Location:
    Australia
    Next week:

    Oxygen and Water: The Unsung Heroes of Good Health.
     
  14. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

    Messages:
    3,829
    Location:
    Australia
    Read carefully, note the word "briskly". Simply walking a bit more each day does basically nothing for your health or fitness.
     
  15. Sarah94

    Sarah94 Senior Member (Voting Rights)

    Messages:
    3,601
    Location:
    UK
    Really? For most people it is true though? ME is just an exception.
     
    Hip, James Morris-Lent and MEMarge like this.
  16. lansbergen

    lansbergen Senior Member (Voting Rights)

    Messages:
    616
    That is what they say but in this country there were newsstories normal walking is good enough.
     
    Invisible Woman likes this.
  17. chrisb

    chrisb Senior Member (Voting Rights)

    Messages:
    4,602
    She is a professional person tendering advice. She should be aware of the possibility of exceptions and frame the advice accordingly.
     
  18. Mithriel

    Mithriel Senior Member (Voting Rights)

    Messages:
    2,816
    While moderately affected by ME - by evening I had to be helped upstairs, had episodes of paralysis, inability to speak and blindness - I walked briskly for at least 50 minutes everyday taking kids to school and nursery, shopping, going to the park, as well as housework and gardening. I was never sedentary, and much fitter than most office workers.
     
  19. Invisible Woman

    Invisible Woman Senior Member (Voting Rights)

    Messages:
    10,280
    Experts should be held accountable for their publicly given advice. They'd be far less free with it.

    I have two close relatives who had hip replacements over a decade apart. Patient 1 an early 40s non smoker and patient 2 a mid 30s smoker. Patient 1 had quite a few days rest whereas Patient 2 was up and out of bed and moving around asap. The difference in recovery between the two was remarkable. So I can see how an orthopaedic surgeon would have this idea about exercise being a panacea.

    However they should apply caveats loud and clear. Exercise needs to be appropriate to the individual. For example Patient 2 was warned not to cycle or do the breast stroke when swimming. That was a couple of decades ago and the advice may have changed since. See, a caveat.
     
    Last edited: Feb 6, 2020
  20. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    12,502
    Location:
    Canada
    Hey, hold on there, I have it on good authority that 100% of people who breath oxygen and drink water eventually die. 100% mortality!
     

Share This Page