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Oxygen- The Healthy Gas (livingiseasy.co.uk)

Added: (Sun Oct 31 2004)

Pressbox (Press Release) - Why does getting chilled to the bone or soaking wet during a winter workout seem to increase your risk of catching a cold, even though you know logically that colds result from exposure to viruses, not cold, damp air? Why does exercising in the cold increase your risk of having a heart attack compared with exerting yourself under temperate conditions? Why does cold weather exercise tend to clip corpulence from your body which might not fall during the summer?
To answer these questions correctly, you have to understand that your physiological responses to exercising in cold air are different from those that prevail under more moderate conditions. For example, researchers at Japan's National Defence Medical College have shown that exposure to cold air enhances the activity of 'suppressor macrophages' - large white blood cells which actually depress immune system functioning. The mechanism underlying this negative change may involve hydrocortisone (cortisol), a hormone produced by the adrenal glands in response to cold stress which tends to 'turn down' immune system activity. This somewhat perverse macrophage behaviour may explain, at least in part, why 'getting chilled' during a workout seems to increase your risk of getting ill; by contrast, overheating per se does not augment your chances of coming down with a viral infection.

Fortunately, the Japanese research mentioned above also suggests that continued training under cold conditions tends to blunt this suppressor-macrophage response (1): in other words, athletes who train regularly in cooler air (or in cold water) are less likely to experience downturns in their immune systems after workouts than those who are exposed to the cold only sporadically.

Although you may have known that exercising while exposed to wintry winds slightly increases your chances of catching a cold, you probably didn't know that it raises your risk of cardiovascular problems. But, in fact, various epidemiological studies have shown an increase in both fatal and non-fatal exercise-related myocardial infarctions (heart attacks) during periods of colder weather. Researchers aren't exactly sure why cold air is worse from this point of view than Bermuda breezes, but cold-air exposure is known to raise both the heart rate and arterial blood pressure, so increasing the stress on the heart. Human blood also clots more easily in cold weather, which might increase the risk of a coronary artery blockage. These changes are modified by frequent exposure to the cold, so it is probably sudden and unexpected or sporadic interactions with cold which carry the most risk (2).

How cold empties glycogen stores
A unique aspect of exercising in the cold is that it can - somewhat paradoxically - produce both glycogen depletion and high rates of fat metabolism. The glycogen depletion is caused by two factors: first shivering, which causes muscles to empty their glycogen stores at 5-6 times the normal rate; secondly, increased blood levels of epinephrine (adrenaline), a hormone which stimulates glycogen breakdown.

This high rate of glycogen usage tends to empty out muscle glycogen depots, forcing muscles to turn to fat as a source of energy. Epinephrine can also enhance fat metabolism, and there is some evidence that insulin levels are lower during the winter time, an effect which could also spur fat breakdown. Thus, colder portions of the year can be an excellent time to lose weight and improve body composition, especially since the cold also tends to raise one's resting metabolic rate. Additionally, exercising in the cold is often associated with an increased energetic cost of movement which can help push you into a 'negative energy balance' (3).

There is some evidence, albeit controversial, that winter exercise not only makes a sizable dent in your fat stores, but also helps to shed your most dangerous fat - the lard which is inside your body cavities, clinging to your internal organs. It is this deep, internal fat, not the tallow perched under your skin, which is most closely linked to high blood-fat levels and depressed concentrations of the protective high-density lipoprotein (HDL) cholesterol. Why is deep fat so hazardous? When fat cells inside your abdominal cavity release fat into the blood, the fat moves directly to your liver, where it can be transformed quickly into VLDLs and LDLs - the 'bad' fats which are associated with an increased risk of coronary artery disease. On the other hand, the fats inside your muscles and under your skin have a decent chance of being broken down by your muscles before they reach the liver. As athletes' muscles gobble up this fat, blood concentrations of HDL cholesterol tend to rise.

Are there special workouts which can enhance fat breakdown during the cooler part of the year? Basically, 60-minute bouts of exercise in nippy air, during which you attempt to push up the intensity a little rather than just poking lethargically along, are fantastic for breaking down fat, and slight adjustments in your workout schedule can also force the fat-burning fires to kindle with particular intensity. One useful strategy is to exercise for about an hour in the evening after dinner, refrain from eating afterwards, then complete another 60-minute bout of strenuous exercise on the following morning before breakfast. Your muscles will be quite glycogen-depleted during the sunrise session, causing fat to be metabolised at a higher rate than usual. This strategy also works during warmer parts of the year, but the unique nature of cold weather running may tend to magnify fat utilisation. Don't try this night-morning combo unless you are well-rested and feeling good, however.

Of course, one of the dangers of cold weather workouts is that you can sometimes get too cold. The danger does not arise from the frosty air per se but from the combination of frigid air and sweat. Cold air doesn't shut down the sweating process, and you begin to lose heat at an accelerated rate as your clothing becomes saturated with moisture. Water is a terrible insulator (it conducts heat away from the body about 25 times faster than air), so sweat-soaked clothes can transform an initially comfortable run into what feels like an arctic expedition. This can be especially dangerous if fatigue or injury produces a sudden downturn in running velocity.

I learned this the hard way last winter. During a long run, I was cruising along deserted country roads about six miles from my home in mid-Michigan when I suddenly heard ripping noises in one of my calf muscles. Within moments, I was transformed from a wet-yet-warm-as-toast runner into a shivering, hobbling walker, and I barely made it back to the house before becoming hypothermic. After a three-hour de-icing period, I emerged from beneath several layers of woollen blankets resolving to tie an extra-thick sweatshirt around my waist during all subsequent wintry excursions. It is true that English weather tends to be milder than our Michiganian (yes, that's a real word!) climate, but it is still possible to get into trouble with the cold on your 'fair isle'. How cold do you have to get before significant health problems occur? Well, I'm not fond of taking rectal temperature, but it's important to note that you'll die if your rectal temperature dips to around 75deg F, and putting on an extra pair of shorts or a layer of wool on your bottom won't protect you, since rectal temperature is simply a good indicator of overall body temp, not a precious commodity in its own right. In fact, once your body temperature falls below just 94deg F, your hypothalamus (a small part of your brain directly above your pituitary gland) loses its ability to regulate your body temperature and your problems really begin to accelerate. For each 10deg C drop in body temperature, metabolic reaction rates dip by about 50%, and drowsiness and coma result.

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