BJSM Podcast

The gut microbiome for athlete health and performance. Episode #342

After listening to this one, you may want to think twice before reaching for that next bottle of kombucha!
On this week’s podcast, microbiome expert Dr Patrick Hanaway joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the implications of the gut microbiome for athlete health and performance.
Dr Hanaway is a family physician who has served as the Director of Medical Education for the Institute for Functional Medicine, as well as the Medical Director at the Cleveland Clinic Center for Functional Medicine. He is also a past president of The American Board of
Integrative Holistic Medicine. He is currently the Director of Research at the Cleveland Clinic Center for Functional Medicine (https://my.clevelandclinic.org/departments/functional-medicine), and practices at his clinic (http://www.familytofamily.org) in Asheville, North Carolina.
In this 20 minute conversation, Dr Hanaway shares how clinicians can apply our current understanding of the gut microbiome in their clinical practice, and addresses the following topics:
· What is the gut microbiome?
· Microbial diversity throughout the life cycle and its relationship with different disease states
· The relationship between different diets/foods/macronutrients and the gut microbiome
· The effects of different types of physical activity on the gut microbiome
· The role of probiotics in sport

Research imbalance: Sport and Exercise in Women versus Men. Episode #341

In this podcast Katie Marino speaks to Jack Forsyth.
Jacky Forsyth (@JackyForsyth) is a senior lecturer at Staffordshire University. She is a lead organiser of the Women in Sport and Exercise Conference. In this podcast Katie Marino (@krmarino1) speaks to Jacky about the difference in the amount of research done on exercise in women compared to exercise in men, and why we need to correct this imbalance. The research community needs to strengthen and promote research on women in sport and exercise, with the goal of optimising women’s athletic success and increase their participation rates.
The Women in Sport and Exercise Academic Network (WISEAN) is mentioned in the podcast. It is a research-orientated interdisciplinary group that focuses on: Generating high quality, impactful research into women in sport and exercise (WISE); Collaborating and sharing resources; Increasing the visibility of WISE issues and Research mentoring.
If you would like to join this network, please email claire-marie.roberts@uwe.ac.uk or J.J.Forsyth@staffs.ac.uk
To keep up to date on WISEAN and the Women in Sport and Exercise Conference follow WISEAN on Twitter (@WISE_AN)

The World Health Organization’s Global Action Plan for Physical Activity: Prof Fiona Bull

Thanks to BJSM editorial board member Daniel Friedman (@DDFriedman), who has also served as in intern at the World Health Organization, for hosting this podcast. The BJSM’s guest is Professor Fiona Bull, MBE – Program Manager of WHO Prevention of Noncommunicable Diseases Management Team, Geneva, Switzerland. @fiona_bull
The conversation gives the listener a 20-minute gem that covers the following points
What is the global action plan?
How was it developed?
Why was this needed? How does it differ from the 7 investments?
What is the overall goal? (15% reduction in physical inactivity by 2030)
What can the BJSM community and how can we follow progress?
The answer to the last question is via the WHO ‘Let’s be active’ page:
http://www.who.int/ncds/prevention/physical-activity/gappa
Here is the link for the ‘’7 investments” document: https://bjsm.bmj.com/content/46/10/709
Here is the link for the Bangkok Declaration on Physical Activity:
https://bjsm.bmj.com/content/bjsports/51/19/1389.full.pdf
If you are interested in physical activity, see the 2018 BJSM special issue on walking here:
https://bjsm.bmj.com/content/52/12

“Don’t mislabel nociceptors as pain fibres”. Lorimer Moseley on teaching pain science Ep:339

Thanks to Professor Lorimer Moseley for his 4th BJSM podcast over the last 4 years. Here he chats with final year medical student Daniel Friedman who is at the coalface (@DDFriedman). How are the terms pain, nociception and central sensitisation used? Are they taught accurately or poorly? All of us can learn from Lorimer as he clarifies these concepts.
Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. people.unisa.edu.au/lorimer.moseley
He combines Oxford rigour with a laconic and very popular Australian style of communication.
You can find his patient-focused website ‘Tame the Beast’ here: www.tamethebeast.org/#home
You can find his academic/health professional website ‘Body in Mind’ here: www.bodyinmind.org/
Lorimer’s 2014 BJSM podcast was on tendons. Still worth listening to. It has had 20K listens: ow.ly/5OGN30gkaD7.
The 2017 podcast on pain was on pain (some overlap): http://ow.ly/XgNi30kaQax
His 2018 update, focusing particularly on knowledge translation – helping the community become aware of, and benefit from contemporary pain science, is here: http://ow.ly/q3b230kIf4R

Need a big fat surprise? Iconoclast Nina Teicholz via Dr Mark Hyman on healthy fats. #Ep338

BJSM is one of very few channels that comments on food but doesn’t receive any funds from any food-related stakeholder. The BMJ doesn’t receive funds from food companies (as far as I know) and the new BMJ Open journal on nutrition doesn’t either. What about the ‘British Nutrition Foundation’ – sounds pretty helpful right? Well, it may be, but if you know where to click 5 times you can find that about 1/3 of its funding from corporate sponsors. The Academy of Nutrition and Dietetics has food sponsors too. That’s perfectly legal.
What about Government Food Guidelines – surely they are based on health evidence? Well, they may be, but governments run the food guidelines past their Departments of Agriculture before finalizing them. And that is OK too – I can understand why that would happen – of course that Department has to have input. Government requires balancing competing interests.
I don’t recommend people following national food guidelines (personal opinion – k2). I wouldn’t follow most nations’ food guidelines if I were given the food for free and paid $100 per day. Not for $500 per day – sorry. I’m fortunate as I’m on stable financial footing (touch wood). And what I eat may be ‘wrong’. This podcast is shared with the BJSM community in a spirit of humility and to provide data for folks to make up their own minds.
Nina Teicholz is a journalist (let’s get than in early to save the critics from bringing it up – pre-empting the ad hominem attack) and she has a fascinating book that argues fats have been unfairly demonized. Since that book was published the news that Harvard scientists were paid for a report suggesting that fats, not sugar, caused obesity. http://ow.ly/j1Bc30kCvqx. Nina Teicholz tweets from @bigfatsurprise.
Thanks to Dr Mark Hyman (@MarkHymanMD) for allowing us to edit his conversation with Nina Teicholz.
Link to a recent Nina Teicholz comment in The BMJ: https://www.bmj.com/content/360/bmj.k822/rr-13
Here’s a link to the book that documents the case for healthy fats: https://thebigfatsurprise.com/
The original (full version) of Dr Mark Hyman’s podcast with Nina Teicholz on YouTube https://youtu.be/Zc_e5ME_5Cg
Thanks again to Dr Mark Hyman and Nina Teicholz.

Treating hip pain including FAI syndrome. Arthroscopy or focused physio? Prof Damian Griffin Ep#337

Damian Griffin is the Professor of Trauma and Orthopaedic Surgery at the University of Warwick. He trained in Cambridge, Oxford and the United States, and worked as a Consultant in Oxford before taking up the Foundation Chair in Warwick and helping to establish Warwick Medical School. Here’s a link to his personal website: http://www.hiparthroscopyclinic.co.uk/
He was the chief investigator for the FASHioN trial, a large, multicenter randomised controlled trial of treatments for people with FAI syndrome, comparing surgery with physiotherapy-led rehabilitation:www.nets.nihr.ac.uk/projects/hta/1310302.
He has published a major paper in the field of hip pain in one of the top sports medicine journals – The Lancet. Published @TheLancet on June 2nd. http://ow.ly/4LhQ30kvJ1u BJSM fortunate to have chatted with @DamianGriffin courtesy of @footballmed. Podcast about it with the BJSM community in two weeks - 15th June (all 2018).
Previous podcast with Damian Griffin: About the FAI syndrome: http://ow.ly/oo7530kvJB5. Two years ago. Griffin DR, Dickenson EJ, O'Donnell J, et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med2016;50:1169-1176.
http://bjsm.bmj.com/content/50/19/1169
You can follow Damian on Twitter @DamianGriffin and @WarwickOrtho or reach him on damian.griffin@warwick.ac.uk

Anthem for football fitness. Football isn’t just fun, it’s broad-spectrum medicine. Ep #336

Dr Marcos Agostinho (@MarcMedMD) asks Professor Peter Krustrup (http://ow.ly/9slg30koLv1) about the history of football fitness. What is it? Does it involve games/competition? Who are the main beneficiaries? And what of ‘walking football’ – what does that entail? This short podcast is a celebration of the health benefits of football and it provides powerful practical examples of what can be done. Kudos!
The 2nd International Football and Medicine Conference will be held in Odense, Denmark, on 25-26th January 2019.
Here is a 2018 systematic review: Broad-spectrum physical fitness benefits of recreational football: a systematic review and meta-analysis. http://ow.ly/oGBs30koLzT

Time to catch the brain bus to learn from pain educators. Lorimer Moseley and Karim Khan.

Have you ever felt frustrated that research doesn’t get into the public domain? It’s stuck in journals, on shelves. But Lorimer is tackling that head on with community based engagement in his characteristic quirky way.
Listen to the story of the ‘Pain Revolution’ – a movement that engages local communities by having trained pain educators share contemporary pain science in accessible ways. Ignore the massive bike ride that Lorimer and friends undertake to spread the message and raise the funds (for now!). Listen to the story that underpins ‘Tame the Beast’ and watch it. Share it widely.
Part 2 next week!
Professor Lorimer Moseley (PT, PhD) is Chair of Physiotherapy at the University of South Australia and a professor of Clinical Neurosciences. people.unisa.edu.au/lorimer.moseley
He combines Oxford rigour with a laconic and very popular Australian style of communication.
You can find his patient website ‘Tame the Beast’ here: www.tamethebeast.org/#home
You can find his academic/health professional website ‘Body in Mind’
here:www.bodyinmind.org/
Lorimer’s 2014 BJSM podcast was on tendons. Still worth listening to. It has had 20K listens:ow.ly/5OGN30gkaD7.
The 2017 podcast on pain was on pain (some overlap): http://ow.ly/XgNi30kaQax

Running Biomechanics 101 with Chris Bramah. Episode #334

How do we assess running biomechanics? Does it translate to practice? BJSM editor Tej Pandya chats with Chris Bramah (@chrisbramah), England Athletics physiotherapist and biomechanist based at the Manchester Institute of Health and Performance. Chris is completing a PhD dissertation on the links between running gaits and running injuries.
They discuss:
- Biomechanics of elite running athletes
- Applying biomechanics to produce clinically relevant outcomes
- A case of ITB syndrome in runners: What’s the role of biomechanical assessment?
- Advances biomechanics technology
- How the clinician can use biomechanics to assess athletes
Links to some of the papers mentioned in the podcast:
- How to estimate centre of mass in running? https://bit.ly/2k4KbbV
- Movement of the spine and pelvis during running. https://bit.ly/2La501S

What limits sporting performance? Is it in the muscles or does the mind matter? Dr Alex Hutchinson

A great conversation between the fascinating Dr Alex Hutchinson and sports physiotherapist Chris Napier. Alex Hutchinson will be known to many because of his sports writing for Runners World (in the past) and Outside Magazine (now). He spent 9 years asking the question that is the title of this podcast – you get the answers in 20 minutes!
In addition to the discussion of limits of performance, they share practical tips on how to improve your own running times!
Here’s a link to Alex’s website https://alexhutchinson.net/about.htm and his twitter handle is @SweatScience. Here’s the link to Alex’s book ‘Endure’: http://ow.ly/oqlF30jWuiw
The insightful interviewer is also a runner - the Vancouver sports physiotherapist and near PhD graduate – Chris Napier @RunnerPhysio. Chris heads the Scientific Committee for the World Congress in Sports Physiotherapy (2019). That conference, which builds on previous World Congresses in Bern and Belfast will be held in Vancouver, Canada, October 4-5, 2019. http://ow.ly/Y1Qj30jWutO. The World Congress is being hosted by Sports Physio Canada @SportPhysio_ON.