HAWKESBURY INDEPENDENT IND 180 May 2025 | Page 27

HEALTH & WELLBEING

Can simple stretching improve

your cardiovascular health?

SUFFERING constant BACK PAIN? Want to ENJOY LIFE again?

Work & play like you used to after just a few sessions! with Andreas Klein
Facilitated stretching is a part of every session of MET at our clinic and we provide stretches for patients to do at home. Stretching may reduce cardiovascular risk. A 2017 study by Shinno etal., asked healthy women over 40yo to stretch 3 times per week, for 3 or 6 months. They conducted 20-30 second static stretches of 15 muscle groups:‘ trapezius, arm-flexors, deltoids, triceps, upper-back muscles( trapezius / rhomboids), pectoralis major, latissimus dorsi, gastrocnemius, soleus, hip abductors, hip adductors, quadriceps, hamstrings, gluteus maximus, and lower erector spinae. Stretching intensity was participant-rated as“ somewhat-heavy” to“ heavy”.
To see whether the stretching routine had any long-term effects on blood vessels flexibility( compliance), researchers measured an index called RH-PAT both before and after 3 or 6 months of stretching. RH-PAT is determined by:
1. measuring normal arterial blood flow in the forearm, then
2. inflating an upper-arm cuff to stop blood flow for 5 minutes, then 3. releasing the cuff and measuring blood flow 1 min after cuff release.
4. Calculating the ratio of arm blood flow before cuffing and 1 min after cuff-release
5. This gives a ratio called the“ reactive hyperaemia peripheral artery tonometry( RH-PAT) index”
RH-PAT is a“ powerful predictor of allcause and cardiovascular morbidity and mortality”.
It can predict a. endothelial( blood vessel lining cell) dysfunction; 2. coronary artery disease & atherosclerosis; 3. microvascular dysfunction following sepsis; and 4. coronary plaque formation.
The arteries of healthy people are flexible / dilatable and have a higher HR-PAT index; people with cardiovascular diseases have a low HR-PAT index because their arteries have difficulty dilating. So how did regular stretching effect participants artery’ s ability to dilate( health)? a. all study participants had an RH- PAT index below 1.67 at study’ s beginning b. both 3 and 6 months of stretching improved RH-PAT index significantly c. a further 6-months of no-stretching saw RH-PAT index return to preintervention values
These results suggest regular stretching can increase the compliance( flexibility) of arteries, reducing cardiovascular risk, and that regular stretching may lead to health benefits beyond increased muscle-flexibility for maintaining a healthy back. Importantly, once women stopped stretching accrued cardiovascular benefits were slowly lost over the following 6 months.
If you have back pain and would like to know more about the type of stretches that will help reduce pain and keep you back loose and pain free, just give Andreas a call to book an appointment at the clinic on 0418 166 269.
Andreas Klein Nutritionist & Remedial Therapist
BSc, Adv Dip Nut Med, DRM

FREE OFFER!

If you’ re sick of being in constant back pain CALL NOW for your FREE 30min Assessment Session!
Valued at $ 55
I’ ve personally developed this technique after 16 years experience:
“ After years of severe back pain I’ m now enjoying golf, fully pain free and even started brick-laying again!” John Hasler, Glenmore Park
“ I’ d given up really- I’ d tried so many things. In just a couple of sessions the pain and muscle spasms had gone. I’ d recommend your work to anyone.” Craig Gibson, Richmond
Remedial Muscle Elongation Therapy targets the cause of chronic back pain and inflammation to really eliminate them. This technique works well for shoulders and knees too!

Call Andreas 0418 166 269

Exercise before bed linked to disrupted sleep

Exercising too close to bedtime may negatively affect the duration, timing and quality of sleep, according to new research led by Monash University. More strenuous workouts carried out shortly before sleep were associated with greater disturbances to both rest and nocturnal cardiac activity.
Published in Nature Communications, the study revealed that exercising within four hours of bedtime was linked to later sleep onset, reduced sleep duration and quality, a higher resting heart rate, and lower
heart rate variability. It is the first and largest study to clearly identify these associations.
The international study analysed data from 14,689 individuals over the course of a year, amounting to four million nights of recorded data. Participants wore a multi-sensor biometric device( WHOOP Strap) to track exercise, sleep patterns, and cardiovascular function.
Researchers from Monash University and WHOOP examined the relationships between evening exercise, exercise
intensity, sleep quality, and nocturnal cardiac metrics such as resting heart rate and heart rate variability.
They found that the combination of later exercise and higher exercise strain was consistently linked to delayed sleep onset, shorter and poorer quality sleep, elevated night-time heart rate, and reduced heart rate variability. These results were adjusted for variables such as age, gender, day of the week, season, general fitness, and sleep on the previous night.
High-intensity activities included in the study— such as HIIT( high-intensity interval training), football, rugby, and long-distance running— are known to significantly raise breathing rate, core body temperature, heart rate, and mental alertness.
Lead author Dr Josh Leota, from the Monash University School of Psychological Sciences, said he aimed to shed light on the“ important yet puzzling” link between exercise timing and sleep.
“ Intense evening exercise can keep the body in a heightened state of alertness, which is why public
health guidelines have typically advised against it. However, findings from controlled laboratory studies have been inconclusive, often suggesting evening exercise does not necessarily impair sleep,” Dr Leota explained.
“ Such studies are limited by small sample sizes and controlled settings, and they rarely include exercise that generates significant cardiometabolic demand— raising questions about their relevance to real-world conditions.” The new study suggests that individuals looking to improve their sleep may benefit from completing exercise sessions at least four hours before bedtime.
“ If exercising within that four-hour window, lower-intensity activities such as a light jog or swim may be less disruptive and allow the body to unwind,” Dr Leota advised.
Senior author Dr Elise Facer-Childs added:“ Our findings show a clear and consistent relationship— particularly where high cardiovascular strain is involved— between evening exercise and disrupted sleep and recovery markers.”
“ These novel and timely results hold important implications for public health advice regarding the timing, duration and intensity of physical activity. This is especially crucial given that two in three Australian adults report at least one sleep issue, and one in five fail to get the recommended seven or more hours of sleep per night.”
THE HAWKESBURY INDEPENDENT theindependentmagazine. com. au ISSUE 180 // MAY 2025 27