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Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 11:30am
by axel_knutt
Jdsk wrote: ↑11 Jul 2022, 2:58pm
axel_knutt wrote: ↑11 Jul 2022, 2:46pm
I've had numerous echos. My aorta was normal in 2009 & 2012, but the most recent ones are missing from my records.
I always dread these conversations, but... which country and which records are those, please?
Thanks
Jonathan
My records from the hospital in East Anglia that did the echos.
Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 11:33am
by Jdsk
axel_knutt wrote: ↑12 Jul 2022, 11:30am
Jdsk wrote: ↑11 Jul 2022, 2:58pm
axel_knutt wrote: ↑11 Jul 2022, 2:46pm
I've had numerous echos. My aorta was normal in 2009 & 2012, but the most recent ones are missing from my records.
I always dread these conversations, but... which country and which records are those, please?
My records from the hospital in East Anglia that did the echos.
Thanks.
Have you already checked with the local screening programme as well as the Trust? I don't know how long images should be kept but they should have the recent
measurements.
Jonathan
Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 11:37am
by Jdsk
axel_knutt wrote: ↑12 Jul 2022, 11:28am
Exercise is very good for you, in fact getting none at all is
about as bad for you as smoking, but the benefits don't accrue without limit. People like to assume that if a bit of exercise is good, then more is better, but it isn't. There's a law of diminishing returns with the health benefits of exercise, and it only takes a relatively small amount to get most of the health benefit you're ever going to get.
Plotting the data from
Arem &
Gebel, it's easy to see why the ACSM & NICE exercise recommendations are set where they are, and they're in stark contrast to my own exercise levels as a cyclist:
Arem Gebel.png
It's really difficult discussing exercise in a forum where there's such a range and there are so many competitors and so many actively training.
But in terms of public health and cost-effectiveness you've made the crucial point... the benefits are in somehow getting many more people to take a small amount of exercise.
Jonathan
Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 11:55am
by Carlton green
Bsteel wrote: ↑12 Jul 2022, 8:12am
Carlton green wrote: ↑12 Jul 2022, 6:31am
It is important that people do not inadvertently exercise beyond what their body can sustain without terminal damage and that they understand that just because they believe themselves to be fit and in sound enough health for what they are doing doesn’t guarantee that they are.
Apart from the Aortic screening as suggested by Johnathon what is the action to ensure you stay beneath the point of terminal damage ?
I think that a very good question but unfortunately I’m not able to give you ‘The Answer’. On a personal level I think taking advantage of offered screening can be wise but otherwise I’m now minded to draw back from pushing myself to the limit of what I think that I can manage and avoid situations where I might get drawn into what might be unusually heavy exercise for me. Life’s full of chance and luck, the idea is to try and load the dice in your favour and not to take unnecessary chances.
Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 12:00pm
by Jdsk
Carlton green wrote: ↑12 Jul 2022, 11:55am
Bsteel wrote: ↑12 Jul 2022, 8:12am
Carlton green wrote: ↑12 Jul 2022, 6:31am
It is important that people do not inadvertently exercise beyond what their body can sustain without terminal damage and that they understand that just because they believe themselves to be fit and in sound enough health for what they are doing doesn’t guarantee that they are.
Apart from the Aortic screening... what is the action to ensure you stay beneath the point of terminal damage ?
I think that a very good question but unfortunately I’m not able to give you ‘The Answer’. On a personal level I think taking advantage of offered screening can be wise but otherwise I’m now minded to draw back from pushing myself to the limit of what I think that I can manage and avoid situations where I might get drawn into what might be unusually heavy exercise for me. Life’s full of chance and luck, the idea is to try and load the dice in your favour and not take unnecessary chances.
I only mentioned that screening programme because there was a reference to the possibility of death caused by something to with a blood vessel. And because of the effect of the outbreak on screening programmes.
The general advice is also upthread:
The guidelines are very simple, and should help to reduce any concerns about starting exercise or supporting others in doing so.
Jonathan
Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 12:16pm
by Carlton green
From the NHS website:
Older adults should do some type of physical activity every day. It can help to improve your health and reduce the risk of heart disease and stroke.
Speak to a GP first if you have not exercised for some time, or if you have medical conditions or concerns. Make sure your activity and its intensity are appropriate for your fitness.
Speak to your GP first … well, in an ideal world you’d be able to get an appointment to do so and they wouldn’t be snowed under with genuinely ill people. To be fair my acquaintances husband should have gone and seen a Doctor before returning to cycling again, he wasn’t in the best of health - perhaps understandably feeling a bit run down - but who wants to trouble a Doctor or can even ‘get’ an appointment to see their GP?
The mention of stroke above reminds me of what happened to Andrew Marr and our own respected and much missed Brucey.
https://www.nicswell.co.uk/health-news/ ... rrs-stroke
Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 12:44pm
by bikes4two
- In answer to the OP's original question "How easy is it to overdo things", the answer for me is, yes it is!
- I've now tipped into the 70 something bracket - when I was 68 I started to notice heart palpitations which was eventually diagnosed as Atrial Fibrillation
- Now I know what I do, I'd probably had short episodes for a good few years before but in ignorance, ignored them and so even at the modest age of 'late sixties' I still happily stormed up hill and down dale because I could.
- Two years in to three rather debilitating episodes of AF I'd been AF-free for 10 months and was gradualy building back my cycling fitness on my converted ebike.
- So last week, out on a ride with a pal, the hills beckoned and I kept the bike in ECO and worked more hard than I have done for the last 2 years and it was great and feeling like I used to in 'cracked that hill' moment of yester-year.
- So what am I doing today? - siting down inside not able to do much because 3 days ago, the AF returned.
- Out of the 4 prolonged periods of AF that I've had, each has been preceeded by high levels of cycling activity - you'd think this dumb ass of a man would learn wouldn't you?
- A bit like Cidgel, I used to think well hell, I'd rather drop dead than stop cycling, but the thing is, if I have a stroke or crash due to loss of balance and are seriously injured etc etc, I may then become a burden on my family to say nothing of the health service. So I'm taking a long look in the mirror to remind myself that I'm not immortal and to stop being selfish about my medical situation and to think of others and not just those lovely long rides that now need more respect than I am giving them.
Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 6:35pm
by Bsteel
axel_knutt wrote: ↑12 Jul 2022, 11:28am
Exercise is very good for you, in fact getting none at all is
about as bad for you as smoking, but the benefits don't accrue without limit. People like to assume that if a bit of exercise is good, then more is better, but it isn't. There's a law of diminishing returns with the health benefits of exercise, and it only takes a relatively small amount to get most of the health benefit you're ever going to get.
Thanks for the graphs and paper references.
Am I just missing something or is there no way to view the data in the papers by age ?
Re: How easy it is to overdo things?
Posted: 12 Jul 2022, 9:31pm
by foxyrider
axel_knutt wrote: ↑12 Jul 2022, 11:28am
Exercise is very good for you, in fact getting none at all is
about as bad for you as smoking, but the benefits don't accrue without limit. People like to assume that if a bit of exercise is good, then more is better, but it isn't. There's a law of diminishing returns with the health benefits of exercise, and it only takes a relatively small amount to get most of the health benefit you're ever going to get.
Plotting the data from
Arem &
Gebel, it's easy to see why the ACSM & NICE exercise recommendations are set where they are, and they're in stark contrast to my own exercise levels as a cyclist:
Arem Gebel.png
If i read that right, you are doing 92 hours of exercise a week? That is a lot, I reckon i do a fair bit at @ 18 hours!
Re: How easy it is to overdo things?
Posted: 15 Jul 2022, 8:28am
by mjr
Carlton green wrote: ↑12 Jul 2022, 12:16pm - but who wants to trouble a Doctor or can even ‘get’ an appointment to see their GP?
I'm a patient at an oversubscribed GP practice and have cause to contact them regrettably often. I have never waited more than 2 days for an appointment offered even in the worst of the pandemic, although sometimes I chose to take a later one for a reason. Sometimes I spoke to a triage nurse over the phone first, but it was always dealt with appropriately.
What's your experience? Have you actually struggled to get appointments, or are exceptional problems reported in the news colouring your opinion?
Re: How easy it is to overdo things?
Posted: 15 Jul 2022, 12:04pm
by Carlton green
mjr wrote: ↑15 Jul 2022, 8:28am
Carlton green wrote: ↑12 Jul 2022, 12:16pm - but who wants to trouble a Doctor or can even ‘get’ an appointment to see their GP?
I'm a patient at an oversubscribed GP practice and have cause to contact them regrettably often. I have never waited more than 2 days for an appointment offered even in the worst of the pandemic, although sometimes I chose to take a later one for a reason. Sometimes I spoke to a triage nurse over the phone first, but it was always dealt with appropriately.
What's your experience? Have you actually struggled to get appointments, or are exceptional problems reported in the news colouring your opinion?
One can only speak as one finds. Talking to friends and relatives they all report difficulty and great difficulty in getting to see a GP. So far I appear to be in reasonable health so have had little need to contact a Doctor, but IIRC there’s always been a quite noticeable delay between asking for an appointment and one being available. YMMV is true of many things.
Re: How easy it is to overdo things?
Posted: 15 Jul 2022, 12:21pm
by mjr
Carlton green wrote: ↑15 Jul 2022, 12:04pm
One can only speak as one finds. Talking to friends and relatives they all report difficulty and great difficulty in getting to see a GP. So far I appear to be in reasonable health so have had little need to contact a Doctor, but IIRC there’s always been a quite noticeable delay between asking for an appointment and one being available. YMMV is true of many things.
They may be overemphasising the problematic instances. “I phoned the doctor and got an appointment promptly” is not an interesting anecdote to tell friends.
Re: How easy it is to overdo things?
Posted: 15 Jul 2022, 9:42pm
by gcogger
Over the last few years, the best I've had from my local GP surgery is a couple of one-line texts from a doctor and one phone call from a Nurse Practitioner. The phone call was a special case as I was in worsening pain with a large swelling around my elbow (bursitis, apparently).
It's frustrating, but I don't really blame the surgery. They're struggling to recruit any doctors but there have been a huge number of new homes built around here, so more patients and fewer doctors to see them

Re: How easy it is to overdo things?
Posted: 16 Jul 2022, 7:52am
by JohnMorgan
‘Overdo things’? Sorry, must be an idle git. If the hill gets too steep, I’ll get off and walk. If I can’t really be buttocked, I’ll have another cuppa and let the bike hang. I called time on rainy, wet exercise when I stopped triathlon (knees complaining too much for the runs), so it’s ‘fair weather’ cycling for me, thanks.
Now, that doesn’t mean I’ll avoid the cold weather, as long as it’s dry. And I’ll be taking the bike out in the heatwave we’re having, just because the Gov is telling us ‘we’re Doomed!’. But I’ll have a wet hat on and be happy to bail if it gets tedious.
Re: How easy it is to overdo things?
Posted: 11 Apr 2023, 7:40pm
by axel_knutt
foxyrider wrote: ↑12 Jul 2022, 9:31pm
axel_knutt wrote: ↑12 Jul 2022, 11:28am
Exercise is very good for you, in fact getting none at all is
about as bad for you as smoking, but the benefits don't accrue without limit. People like to assume that if a bit of exercise is good, then more is better, but it isn't. There's a law of diminishing returns with the health benefits of exercise, and it only takes a relatively small amount to get most of the health benefit you're ever going to get.
Plotting the data from
Arem &
Gebel, it's easy to see why the ACSM & NICE exercise recommendations are set where they are, and they're in stark contrast to my own exercise levels as a cyclist:
Arem Gebel.png
If i read that right, you are doing 92 hours of exercise a week? That is a lot, I reckon i do a fair bit at @ 18 hours!
No, the graph is in MET hours per week, not hours, so if your 18 hours was at ~12mph, that's about 7.4METs, giving 133 METhr/wk.
You're doing a lot more than I was.