I did the following WOW before going in to work.

MedX Overhead Press-used pop-pins for a triple drop

EZ bar biceps curl

Nautilus plate-load triceps extension

Formulator Flex/Ext

Med X Leg Press- Entire stack at “0″ holes and using a packing strap for end-stop technique

I was still in recovery mode when I arrived at work, but I was back to baseline as I began to see patients.  It has been a busy series of shifts, and I am again amazed at the poor protoplasm of the folks we see in the ER.  It is sad to know that almost everything I see could be prevented or reversed with simple diet and exercise interventions.  On the up side, lots of patients have an i-phone or i-pad with them to pass the time.  A lot of patients will “google” my name which unleashes a treasure trove a BBS articles, interviews and youtube clips.  This has led some of them to seek further advice on the lifestyle we advocate on this blog, whereas they otherwise never would have been receptive to any such advice.  Slowly and steadily we are changing things.

I have always maintained that muscle is the storehouse for “the active genotype” and that proper strength training results in a spontaneous rise in physical activity.  The following article is another one for the “BBS told you so file”.

J Pediatr. 2010 Feb;156(2):242-6. Epub 2009 Oct 20.

High-intensity training increases spontaneous physical activity in children: a randomized controlled study.


Center for Pediatric Endocrinology Zurich, Mohrlistrasse 69, CH-8006 Zurich, Switzerland. urs.eiholzer@pezz.ch



To test the hypothesis that resistance training may increase spontaneous physical activity in children.


Two junior ice hockey teams were randomly assigned to unchanged training schedules (team ZSC, 21 boys; mean age, 13.2 years) or to participate twice weekly in guided resistance training for 4 months (team GCK, 25 boys; mean age, 13.4 years). Spontaneous physical activity energy expenditure (SpAEE; 3-axial accelerometry for 7 days), muscle strength, and body composition (dual energy x-ray absorptiometry) were measured at 0, 4, and 12 months.


Baseline measures did not differ in the groups, except for higher leg and trunk strength in team ZSC. In the intervention group compared with the control group, SpAEE significantly (P < or = .02) increased at 4 months (+25.5% versus 0%) and 12 months (+13.5% versus -9.5%). Leg and arm strength increased because of training intervention; all other variables were unchanged. None of these variables correlated with changes in SpAEE.


In boys who play ice hockey, spontaneous physical activity is inducible with resistance training; this effect seems to be independent of changes in body composition and strength. If this was confirmed in unselected children, resistance training might be a new strategy for childhood obesity prevention programs.

Post your WOW’s and your thoughts