{"id":9287,"date":"2011-06-09T08:27:32","date_gmt":"2011-06-09T07:27:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=9287"},"modified":"2011-08-17T09:54:11","modified_gmt":"2011-08-17T08:54:11","slug":"domhnall-macauley-barefoot-runners-western-habits-and-gp-records-more-from-acsm","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2011\/06\/09\/domhnall-macauley-barefoot-runners-western-habits-and-gp-records-more-from-acsm\/","title":{"rendered":"Domhnall MacAuley: Barefoot runners, Western habits, and GP records &#8211; more from ACSM"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/domhnall.jpg\" alt=\"Domhnall Macauley\" width=\"162\" height=\"110\" align=\"left\" \/>Should we abandon running shoes? Running shoes are a relatively new phenomenon &#8211; primitive man did not wear shoes when hunting in the savannah and would look in wonder at modern running shoes with their huge wedges, motion support, and cushioned soles. They have changed the way we run and, in spite of all the claims, running injury rates remain the same. Daniel Lieberman (Harvard)\u00a0presented some anthropological and observational work that form the background to his paper in <a href=\"http:\/\/www.nature.com\/nature\/journal\/v463\/n7280\/full\/nature08723.html\">Nature<\/a>, and Irene Davis (Harvard) took it a step further by advocating that we should try to run without shoes. Gait analysis and force plate studies are quite convincing: runners wearing shoes have a high impact heel strike and large wedges increase the moment arm accentuating pronation.\u00a0Although the arguments were persuasive, I am not ready to abandon running shoes just yet. And,\u00a0Irene did introduce some caveats &#8211; don\u2019t run in the cold, where your numb feet will not feel injury, don\u2019t run in the dark, and don\u2019t run on a rough surface &#8211; which pretty much excludes most of my running opportunities.<!--more--><\/p>\n<p>Should we promote physical activity in developing countries? Evidence for the benefits of physical activity are overwhelming and the principles are important across the world. A number of sessions addressed global health and the importance of promoting physical activity. But, in a world where basic living conditions are poor, and the major problems are child health, infectious disease, and poor sanitation, I wonder if physical activity is a priority. Diabetes and cardiovascular disease rates are rising, but I doubt if the developing countries really need a lecture from us. I asked Festus Adams (Ghana) who\u00a0told me that physical activity is an integral part of the traditional lifestyle &#8211; their goal is not so much to promote activity but to avoid introducing\u00a0the worst habits of an inactive western lifestyle.<\/p>\n<p>Should GPs record physical activity? GPs have a lot to do without adding another tick box to the QoF checklist. But, Kaiser Permanante in Southern California is the first major healthcare system to do\u00a0 it and I guess it will arrive in the UK soon. Since October 2009 patients are asked two questions\u00a01) \u201cOn average how many days do you engage in moderate or greater exercise (like a brisk walk) and 2) \u201cOn average how many minutes do you engage in exercise at this level.\u201d Bob Sallis (Kaiser Permanante Medical Centre, Fontana)\u00a0told me that exercise level is now recorded in 81% of\u00a0 electronic medical records.<\/p>\n<p>Looking around the convention centre, very few had a\u00a0BMI greater than 25 and it is the only meeting I have been to where, when they ask for volunteers for clinical examination, there is a rush of guys willing to take their shirts off. Not your average medical conference.<\/p>\n<p><strong>Domhnall MacAuley<\/strong> is primary care editor, <em>BMJ<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Should we abandon running shoes? Running shoes are a relatively new phenomenon &#8211; primitive man did not wear shoes when hunting in the savannah and would look in wonder at [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2011\/06\/09\/domhnall-macauley-barefoot-runners-western-habits-and-gp-records-more-from-acsm\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1287],"tags":[2341,2342,1807,217],"class_list":["post-9287","post","type-post","status-publish","format-standard","hentry","category-domhnall-macauley","tag-barefoot-running","tag-gp-records","tag-physical-activity","tag-sports-medicine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Domhnall MacAuley: Barefoot runners, Western habits, and GP records - more from ACSM - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2011\/06\/09\/domhnall-macauley-barefoot-runners-western-habits-and-gp-records-more-from-acsm\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Domhnall MacAuley: Barefoot runners, Western habits, and GP records - more from ACSM - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Should we abandon running shoes? 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