UNIVERSITY Health Risks and Monitoring Tools Lesson Overview Health Risks of Bodybuilding and PED usage Lab Work Monitoring Cardiovascular Work up Blood Pressure Monitoring Glucose Monitoring Bodybuilding and Health This has become an oxymoron in modern body buildng, but we must keep health in the forefront along with our goals Natural or Enhanced carrying large body weights for years increases health risks Large bodies put more strain on all body systems, especially the cardiovascular system In recent years many large bodybuilders have passed away form Myocardial Infarctions Its not down to only body weight but also what we use to push up bodyweight; excess food and excess PEDs Health Risk of Body Building and PED usage Lipid alterations Enlarged Heart Cardiac Damage Hypertension Blood Clots and Polycythemia Elevated Homocysteine Decreased Immune Function Kidney Failure and water retention Liver toxicity Insulin Resistance Acne and Hair loss Tendon Injury Loss of Menses and virilization (females) Monitoring and Intervention Awareness is key to prevention of future health issues If you want to be great bodybuilder you need to be able to this for the long term Monitoring Tools: Lab work Chest CT Calcium Score Echocardiogram Blood Pressure Self Monitoring Blood Glucose Self Monitoring Lab Work Natural Athletes every months (peak offseason, post show) Enhanced Athletes every months (prior to prep, post prep, pre blast phases, post blast phases) Obtain via Primary Care Doctor or Online Lab Services Preparation: 8-10 hour fast prior No exercise 48 hour prior to testing Get hydrated, 40-60oz fluid prior to test Lab Work to Assess Comprehensive Metabolic Panel (CMP) (electrolytes, BUN, creatinine, Glucose, albumin, total protein and bilirubin, ALT, AST, ALP, Calcium) Complete Blood Count (CBC) (hemoglobin, RBC, Hematocrit, WBC and differential, Platelet Count) Lipid Profile: (LDL, HDL, total cholesterol, Triglycerides) Thyroid Panel: TSH, FT4, FT3, Reverse T3 Hormone Panel: Testosterone total, Estradiol, SHBG Female: DHEA-S, Progesterone Additional Add on: Serum 25 OH Vitamin D Fasting Serum Insulin Hemoglobin A1C C-Reactive Protein GGT Cystatin-C Prostate Specific Antigen Cardiovascular Testing Cardiac CT Calcium Score X ray of chest to determine level of calcified plaque in coronary arteries Calcium score is generated and is prognostic tool for cardiovascular event risk Benefit: convenient and noninvasive evaluation of heart attack risk Young individuals might still be at risk even with a low calcium score Echocardiogram Ultrasound to map shape and function of heart Can check cardiac size, wall thickness, pumping ability, proper valve function Noninvasive Blood Pressure Self Monitoring High blood pressure is a silent killer for bodybuilders High body weights and increased PED usage drive up blood pressure Increased risk of Heart attack/stoke, heart failure, kidney failure Normal Blood Pressure: below 120/80mmHg Elevated Blood Pressure: systolic 120 to 129mmHg, diastolic 140mmHg, diastolic >90mmHg Monitor every other week LifeSource Upper Arm Blood Pressure Monitor with Extra Large Cuff Blood Glucose Self Monitoring Natural athletes monitor glucose and A1c on lab work 1-2 per year Might be useful if suspect of adrenal issues Enhanced athletes using HGH and insulin need to monitor weekly Chronically elevated blood glucose can lead to insulin resistance and Diabetes Blood glucose trending upward leads to inflammation, poor gut health and nutrient uptake, increased visceral fat gain, poor nutrient partitioning Fasting Blood Glucose Taken first thing AM after 20-30oz water, ensure good sleep prior Normal: 70-99mg/dl Diabetes: >126mg/dl Optimal: