Dr. Ken Roth: Breakfast with Bob 2024
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- Опубликовано: 1 окт 2024
- Dave Scott, Dean Harper, and John Howard are just a few top endurance athletes who have been diagnosed with heart issues over the years. Dr. Ken Roth is a long-time runner and endurance athlete who just happens to be my personal doctor and someone I figured could help explain to me why this is happening. An important discussion on heart health for endurance athletes.
Thanks to Dr. Roth for taking time to chat with me about these important issues. Let me know what you think.
Great info, 17 year triathlete, 7 marathons, 20 years running, mountain biking, now at 66 I’ve found walking and indoor rowing to work well to maintain weight and overall well being, best statement said here is listen to your body. Thanks Bob for all you do.
Thank you.
Excellent show Bob and Dr. Roth. Thank you. I agree with “Listening to your body.” - Reminds me of my Xmas day run in 2023 along the ocean side, San Diego, pounding the concrete. Embrace older age with a better vision.
Great topic and discussion for us endorphin junkies/mood stabilizers. I had a month of Atrial flutter after my last Ironman in 2022. It was a wake up call.
Thank you
Great topic Bob . As an endurance athlete for 50 plus years we think we’re helping long term heart health. Five years ago I had a heart attack ( similar to Tim ODonnell where there was calcium break causing 100 blockage resulting in stent placement. My heart rate and BP was normal during incident. My EF rate the day after the incident was normal.. At age 69 I’m still able to swim,bike,and or run daily . While the prospects of heart incidents is troubling my cardiologist told me that my lifetime of fitness and healthy diet allowed me to survive the incident with no damage.
Thank you for sharing. Great to hear your outcome.
Love this, really interesting subject
Thank you
Thanks Bob, for great discussion with Dr Ken. I have had Atrial Fib off and on (mine is hereditary) and the great discussion on aging well. Getting ready for second knee replacement. After healing looking forward to maybe a few mini tris again. My days of the long distance races are over, and I went through the issues of dealing with reality 😅. Thank you SO MUCH for the Challenged athletes work that you have done all these years 🙏🙏🙏🙏🏆🏆🏆🏆
Thank you. Here's to aging well!
Thanks Bob and Ken. 60-year-old exercise addict here. 11 Ironmans, multiple ultramarathons and a daily surfer. Had a stroke out of the blue last September and the docs still don't know why, but was back at it 1 week after the stroke (thankfully). Really insightful discussion here about reducing the intensity as you age. I have scaled back the running distance and intensity and try to keep everything moderate now. Lung capacity has reduced greatly in that past few years, so I've modified the workouts to compensate. Incorporated more weights/pushups and reduced the cardio.
Do whatever it takes to KEEP MOVING.
Great info Bob. You know I’m hot on your heels entering the 70-death age group. My father had bradycardia and so a pacemaker but with nothing more aerobic than golf.
I would love to hear some takeaways for those of us who are still competitively racing and for Ironmans in our 30s. Anything we should look out for / tests we should do that allow us to keep doing our passion (competitively) while not risking heart attacks / serious issues down the road?
Great suggestion!
I am also in my 30s, just starting to get into triathlons, and would also like to know how to do this sensibly for a long-range health outlook.
Running on trails/grass barefoot and with much larger shoes (to allow for foot movement for energy dispersal) seems to make sense.
So does doing a lot of the zone 2 training with yogic exercises like surya namaskars (done fast), which can elongate muscles and keep joint capsules open/circulating restorative fluids. I notice that a lot of older runners look like their whole bodies are stiff.
One big thing I notice when I watch people doing races, is how many people are running/cycling hard mouth breathing. When I do that, the increase in stress I feel is considerable, versus just nose breathing. There are also a lot of studies about nose breathing, nitric oxide production, and reduction of stress hormones. I would think going through races without opening the mouth would be healthier for the heart. As for swimming, difficult to swim freestyle with the mouth closed. But maybe transitioning to back stroke? Or allowing people to use swim masks that enable nose breathing.
Overall, associating identity with competitive results leads to fight-or-flight nervous system experience. Big stressor on the whole body. Having a motivation to race other than beating somebody appears very important.
The main question I have in my mind as I'm researching training methods (for a 70.3) is: How can I have more energy to go faster and farther at a lower heart rate/with less exertion/stress? That is an interesting question that opens up a lot of exploration. Versus training yourself in the no-pain no-gain mindset (that's eventually going to break something).
Any other input people have, I would love to hear.
-Justin Gabriel
You are so right Bob. Triathlon IS a form of cross training and it avoids doing repetitive movement patterns ... plus have some competitive fun. Thanks Bob for helping to highlight a crucial issue for us ageing athletes.
Thanks David
Thank you for bringing awareness to this. I personally didn't know that low heart rate sometimes is not good thing. All over the internet all the people saying that you want to train in HR Zone 2 to expand your heart muscle, so your resting HR can become lower, and that is overall good. Thank you for inviting a real Doctor to this channel and making this interview.
Thank you
Hi Bob, as always, great informative interview. I think everyone is built different, I'm 73 still doing middle distance racing but obviously less races per year, down to one half IM per year. I do train everyday, 3 x swim, 3 x run, 3 x bike, seems to work for me. As for as what I do for running, when I go out for a run, it's whatever my body allows me to do, sometimes I'm flying and the next time, takes forever to warm up. Hope I can keep running until I'm 80 like Jimmy Carter, bless his heart. Bring it!
Thank you. Keep being great.
@@babbittville Going up to Wildflower in two weeks now known as Lake San Antonio tri. Different race organizer as well as you probably know. Lake apparently has refilled due to all the rain the past couple of years, will really be nostalgic for me, just doing the Oly distance. If you're going, I'll be at Harris Campground, like old times!
@@raydaitch905 sure miss Wildflower
@@babbittville Forgot to mention that I've a free entry to the race, April 27th, any distance, I've reserved a camping spot in Harris Creek and carpooling is a possibility if you know anyone that might be interested. Thanks Ray
I'd love to see how sweat composition and sweat rates factor in to heart issues in athletes.
Interesting
I had to DNF a race due to palpitations. Later on I read an article about sodium to potassium ratios. I looked at my own blood work. For the last three years, I was on the low side of normal for potassium, high side of normal for sodium. I mentioned this all to a cardiologist. He prescribed potassium supplement for me. I haven't had a issue since. My last few potassium readings have been in the mid range of normal. He said as long as my kidney function is normal, it would be difficult to overdose on potassium. I take potassium during races just like others take sodium.
The doctor said I was heading towards developing AFib. I wonder if other athletes who develop AFib have similar blood work...
@@alisonthielmann189 natural sea salts like celtic brand say they have higher amounts of potassium and lower sodium content than regular table salt. as a lifelong tennis player, i've long used sea salt on hot days for electrolyte replenishment. As well as water soaked in some seaweed for minerals. perhaps being mindful of how you get your salt can make a difference for key heart mineral levels?
Fascinating I'm 70 and did my first triathlon in 1984 officially but trained much earlier unofficially. Just ended a 431-day streak on my Peloton. Sobering news, indeed! Danny