NYPD cop recounts helping chemo patient through UN traffic - New York Post

Posted: 29 Sep 2019 05:59 PM PDT

Sometimes you gotta break the rules to do the right thing.

An NYPD cop told The Post about the moment he helped an ill young woman make a prohibited right turn so she could pierce Manhattan gridlock and make it to her chemo appointment on time.

Officer Hamlet De Leon was monitoring 57th Street and 6th Avenue on Thursday — heavily congested thanks to the United Nations General Assembly — when Gabriela DeMassi, 28, and her mother got out of their car and asked the cop if there was a quicker route to Memorial Sloan Kettering Hospital.

At the rate the traffic was going, DeMassi –– who was undergoing her third round of treatments for lung cancer –– was doomed to miss her appointment.

"If I say bad, that's an understatement. Traffic was horrific. To get to complete a block, I would take at least 45 minutes," De Leon, 37, recalled in an interview with the Post.

For De Leon –– who has been on the force for four years –– the resolution was simple: Let her make a right turn onto 57th Street that was prohibited because of UNGA traffic changes.

"I said, 'Get back in your car, because you are getting to your appointment,' " he said.

"She looked at me kind of stunned. I went to the traffic agent who was instructed to not allow cars to make right turns — and I said 'I'm not asking you, I'm telling you that car will be making a right turn and I will be with that car,'" DeLeon recalled.

In their Mercedes-Benz, DeMassi and both of her parents followed De Leon, who led them away from the congestion and towards the hospital.

"I wasn't thinking whether or not I was disobeying the order. It was a life. And in my eyes, that takes precedence over anything. I was willing to take repercussions," De Leon said. "I said, 'You better keep fighting, you got this!' Then the mother started crying and I reached her hand and said, 'Ma'am, everything is going to be alright.' "

DeMassi left her appointment with happy news: Her tumors did not grow.

"Something like this will touch us forever," DeMassi wrote in an Instagram post afterward. "As if driving into NY isn't crazy enough, we all have a bit of anxiety planning for full days of labs, meetings, tests, treatments and scan results. This group of cops that we had the pleasure of running into … should know how their help today made all the difference in our day."

DeLeon learned about the social media post — and his Commanding Officer commended him for his work.

"I'm not going to lie, it brought tears to my eyes," De Leon said of the post. "I didn't do for any recognition. It was the last thing I expected. Police officers get a bad rap, but not all of us are bad. A lot of us think about the right thing to do."

Muscle Loss: How Long It Takes to Lose Strength and How to Prevent It - Greatist

Posted: 25 Sep 2019 04:16 PM PDT

Everyone has skipped a workout at some point — don't let anybody tell you different. At Greatist, we're firm believers in cutting yourself some slack and taking time off from exercise when you need to.

But we also know how easily 3 days off can snowball into 6, then 10. Before you know it, you're asking that question we've all asked when the gym feels like a distant memory: How long does it take to lose my fitness?

First, it's important to remember that taking time off now and again is a good thing. Exercise inflicts a degree of stress on your body.

Any good workout program includes a heck of a lot of rest days, especially if the exercise is very intense. And there are benefits to both "active recovery" and complete rest.

That said, "use it or lose it" is pretty much the rule. But exactly how much fitness you'll "lose" depends on the length of your break and how fit you were to begin with.

It's a lot easier to bounce back from time off if you're someone who exercises five or six times a week or if you've been exercising for a while. In fact, if you have that strong of an exercise habit, scientists are quite willing to drop you into the "athlete" category.

Generally speaking, if you've been working out several times a week for more than a year, your muscle memory is solid. A 2019 study showed that skeletal muscles may stick around even when other muscles shrink (called atrophy). Schwartz LM. (2019). Skeletal muscles do not undergo apoptosis during either atrophy or programmed cell death-Revisiting the myonuclear domain hypothesis. DOI: 10.3389/fphys.2018.01887

It's like having a head start once you get back to training. Your body can then facilitate faster growth of your muscles (called hypertrophy). This research was done on rodents and insects, so more studies are needed, but it's fascinating stuff.

Muscle memory aside, your fitness can still deteriorate at different rates depending on whether you're looking at strength or cardiovascular losses.

Strength loss

For most people, strength loss occurs after two to three weeks of inactivity, says Molly Galbraith, a certified strength and conditioning specialist. But it depends on why you take the break.

"If you are sick, your body is overstressed, so you'll start to lose strength after two to three weeks," she says.

Science agrees. A 2017 study showed that men who did resistance training held on to muscle strength after a two-week break. Hwang PS, et al. (2017). Resistance training–induced elevations in muscular strength in trained men are maintained after 2 weeks of detraining and not differentially affected by whey protein supplementation. DOI: 10.1519/JSC.0000000000001807

But by three weeks without a sweat sesh, it could be a different story. A 2013 study showed that athletes will start to lose muscle strength after three weeks without a workout, also called "detraining." McMaster DT, et al. (2013). The development, retention and decay rates of strength and power in elite rugby union, rugby league and American football: A systematic review. DOI: 10.1007/s40279-013-0031-3

And the more muscle you have, the more you stand to lose. A 2015 study found that active young adults lost one-third of their leg strength after just two weeks of inactivity. Vigelsø A, et al. (2015). Six weeks' aerobic retraining after two weeks' immobilization restores leg lean mass and aerobic capacity but does not fully rehabilitate leg strength in young and older men. DOI: 10.2340/16501977-1961

Given how quickly muscle loss can happen, try to get in at least a little movement during your fitness break, if at all possible.

"If you're not sick, and especially if you're able to get in some movement and light exercise, you can probably take three, four, even five weeks off without significant strength loss," says Galbraith.

Cardio loss

So, what about all the cardio lovers out there who are more concerned with the strength of their heart and lungs? Sadly, we lose this kind of conditioning a little more quickly than we lose strength.

The research on cardio loss is a bit older. A landmark 1984 study showed that after 12 days of inactivity, VO₂ max dropped by 7 percent and enzymes in the blood associated with endurance performance decreased by 50 percent. Coyle EF, et al. (1984). Time course of loss of adaptations after stopping prolonged intense endurance training. DOI: 10.1152/jappl.1984.57.6.1857

A 1993 study of endurance cyclists found that four weeks of inactivity resulted in a 20 percent decrease of their VO₂ max, which measures a person's maximum capacity to take in, transport, and use oxygen during exercise. Madsen K, et al. (1993). Effects of detraining on endurance capacity and metabolic changes during prolonged exhaustive exercise. DOI: 10.1152/jappl.1993.75.4.1444

In 2017, researchers analyzed the performance levels of soccer referees in the period between the end of the competitive season and the preseason. They noted a significant decrease in sprinting ability, cardiovascular fitness, and distance covered. Castillo D, et al. (2017). Effects of the off-season period on field and assistant soccer referees' physical performance. DOI: 10.1515/hukin-2017-0033

But keep your chin up. While your cardio conditioning does fall faster than your strength, it's easier to regain, Galbraith says. So get back on that horse, cowboy.

Congratulations on your newish exercise habit! If you've hit pause on your trips to the gym, don't take too long to hit play again.

Consistency is key for building new habits, and it's as true for the body as it is for the mind: If your body hasn't been enjoying exercise for long, it can be easier to lose the progress you've made.

Strength loss

As far as strength goes, it's best not to be too concerned about losing your headway, as those famous "newbie gains" make it somewhat easier to retain strength.

A 2013 study showed that nonathletes who trained their legs just once a week for three weeks were able to maintain their strength after two weeks of detraining. Ogasawara R, et al. (2013). Comparison of muscle hypertrophy following 6-month of continuous and periodic strength training. DOI: 10.1007/s00421-012-2511-9

In a 2011 study, previously untrained folks who took a 3-week break in the middle of a 15-week bench press program finished the course with strength levels similar to those of people who didn't take a break at all. Ogasawara R, et al. (2011). Effects of periodic and continued resistance training on muscle CSA and strength in previously untrained men. DOI: 10.1111/j.1475-097X.2011.01031.x

It's also worth noting that among newbies, eccentric strength — that is, the strength you use when lengthening a muscle or lowering a weight — may be harder to lose than concentric strength, which you use when contracting a muscle.

A 2005 study of 13 previously untrained men found that three months after ending a three-month training program, they had maintained their eccentric strength gains but not their concentric strength. Andersen LL, et al. (2005). Neuromuscular adaptations to detraining following resistance training in previously untrained subjects. DOI: 10.1007/s00421-004-1297-9

Cardio loss

Once again, cardio is a little more sensitive to time off. One of the best studies on the effects of detraining is from 2001. It showed that VO₂ max gains made in the previous two months are completely lost after four weeks of inactivity. Mujika I, et al. (2001). Cardiorespiratory and metabolic characteristics of detraining in humans. https://journals.lww.com/acsm-msse/Fulltext/2001/03000/Cardiorespiratory_and_metabolic_characteristics_of.13.aspx

A 2018 study of recreational runners found that after four weeks of detraining, the benefits of "athlete's heart" (which are normal adaptations to training) regressed. By eight weeks of detraining, performance on the treadmill significantly declined. Pedlar CR, et al. (2018). Cardiovascular response to prescribed detraining among recreational athletes. DOI: 10.1152/japplphysiol.00911.2017

While your fitness level is key to how quickly you get back to your fitness baseline, a few other variables also come into play.

A 2000 study found that age plays a role in bounce-back time. Among 41 study participants who were either 20 to 30 years old or 65 to 75 years old, the older people lost strength almost twice as fast as the younger people during a six-month "detraining" period. Lemmer JT, et al. (2000). Age and gender responses to strength training and detraining. https://www.ncbi.nlm.nih.gov/pubmed/10949019

Children have a serious advantage. A 2018 study found that 10- to 13-year-olds were able to hang on to fitness gains after four weeks of detraining. Chaouachi A, et al. (2018). Global training effects of trained and untrained muscles with youth can be maintained during 4 weeks of detraining. DOI: 10.1519/JSC.0000000000002606

And again, why you're taking the break is also a factor. When scientists injected inactive volunteers with hormones that mimicked the stress of trauma or illness, they had a 28 percent decrease in strength over 28 days — a higher rate than average. Paddon-Jones D, et al. (2006). Atrophy and impaired muscle protein synthesis during prolonged inactivity and stress. DOI: 10.1210/jc.2006-0651

Whether you're on a relaxing vacation or stuck on the couch with an annoying chest infection, there are a few ways to stay strong during downtime.

1. Do light cardio

"If you're able to take plenty of brisk walks, keeping your heart rate in the 120-ish range, then you should be able to stave off losing conditioning for a little longer," Galbraith says.

Indeed, training a little will do a much better job of maintaining your gains than totally stopping, especially if you're able to squeeze in the odd cardio session that'll train you at the upper end of your VO₂ max, like some quick intervals.

2. Incorporate some resistance training

There are plenty of reasons for taking a break, but if you have a localized injury, say in your ankle or wrist, don't use it as an excuse to completely stop exercising.

Cross-train through injuries, if you can. Do some bodyweight exercises or see if you can try swimming, which is the go-to exercise for a lot of injured athletes. Even a four-minute Tabata session (or two) will make a huge difference in maintaining your strength.

"Light, dynamic warmups are also a good way to help keep the body from getting too stiff and to slow the loss of mobility without putting too much additional stress on an overstressed body," Galbraith says.

But if you're sick from the neck down — think achy muscles, chest congestion, fever — it may be best to rest, she adds.

3. Eat well

Exercise helps control junk food cravings, so you may need to try harder to avoid less-healthy foods while you're not working out. Get lots of protein, healthy fats, and low-GI carbs, and your body will thank you.

Eating well will help you avoid any weight gain, which would make restarting fitness all the more challenging. Nutrient-dense foods will also speed up your recovery if you're injured or ill.

Galbraith also suggests raw honey for its antibacterial and antimicrobial properties, homemade bone broths for hydration, and garlic to lessen the severity of cold symptoms if you're under the weather.

4. Love yourself

No, not like that. But it's important not to judge yourself or lapse into self-loathing on account of taking some time off.

The gym will be right there waiting for you when you're ready for it, but for now, do what you can and what makes you happy.

If that means seeing what life is like without exercising so darn much, you do you! Look in the mirror, say a body-positive mantra, and know that you're perfect — no matter how often you hit the gym.

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