In Praise of Walking
theguardian.com
theguardian.com
In May, a sweat chloride test came back positive. The verdict: atypical cystic fibrosis.
I had already stopped being largely bedridden the month before in April. Many years of rehabilitation would follow.
Walking played a very large role in my recovery. At one point, I was homeless and my daily routine involved walking six to eight hours per day for some months.
The lymphatic system is a key part of this.
Lymphatic fluid is basically your blood stripped of red and white blood cells. While in your blood, it gets moved around by your heart.
But it doesn't stay in your blood vessels. Like water in the Earth's ecosystem, it isn't confined to the creeks and rivers of blood vessels. It seeps out into your tissues like groundwater, becoming interstitial fluid.
It carries nutrients with it to nourish your tissues as it flows out. It carries wastes with it as it flows back into your blood stream.
While out in your tissues, it is beyond the reach of your pumping heart. Its return trip is typically sluggish.
Unless you are in motion. Then your skeletal muscles fill in where your heart can't reach.
Interstitial fluid returns to your blood at several times it's normal rate when you are active. When, in a word, you exercise.
Walking helps your body take out the trash, a necessary element of the healing process largely overlooked by our current medical mental models where we think to add inputs in the form of drugs but mostly don't talk about throughputs.
EDIT: Fact-checked the story above, back pain wasn't the cause. Bad hydration was. After drinking more the symptoms passed (swollen feet).
I'm betting a pinky that we'll all be happier doing "more" simple physical things.
I agree that modern society is very sick, but I don't think it's productive to look forward to the day when it all falls through. I do not aspire to die of starvation, or (if I survive) to live in feudal society of medieval technology. No matter how much exercise and fresh air I get. We need to think of a way to heal ourselves without losing the social and technological progress we have made.
This factors so heavily into my worldview right now; that our society is broken in some very strange ways. A lot of people will admonish you about "romanticizing the past", but I truly feel that maybe if people had a little more real, hard labor in their lives, everyone would be happier, healthier, and humbler. I'm reminded of the Calvin and Hobbes trope about "building character".
How do you study the effects of exercise when there are such massive confounding variables?
Sure, any conclusions you can draw from this don't have the rigor of those drawn from carefully accumulated scientific observations and controlled experiments...but it's also possible to be such a stingy devotee of scientism that it paralyzes you and divorces you from truths that are otherwise intuitive and simply a part of being human.
If you try to incorporate exercise into your daily routine you'll also have a direct experience of its benefits.
We don't necessarily need science for everything and we also don't need to establish proofs for everything. A clouded, unflagging allegiance to the scientific method is what distinguishes a dogmatic acolyte from a rational thinker (just as it does the religious fanatic and the rational practitioner)--it's just as important to circumscribe the space of the actual utility of science just as much as it is to stand firmly by its methodological principles.
I doubt it has a big impact on our health and longevity. Once a research says regular medium intensity exercise could potentially prolong our lives by 3 to 5 years. But that is it. If you exercise for 50 years, 3 times a week, and 1 hour per session plus 30 minutes preparation, that is actually 12150 hours in total and translates into about 2 years of productive life.
So its ROI from a longevity perspective is really not as high as some of us think.
Last week according to my log I rode for 213 minutes. That's a bit more than 30 minutes per day.
The main issue is that I used to spend the commute reading books. So I have basically exchanged "mental" excericse with physical excercise. I feel that listening to an audiobook while cycling is a bit too dangerous for an urban commute like mine.
I've been looking for information on risk, overall, by passenger miles travelled, by trips, and by time-in-mode (which adjusts for typical trip length).
Only partially successful, though I find:
30,690 overall auto fatalities.
- 6,067 cycling & edestrial fatalities, combined.
- "More than 90% of pedestrian fatalities occurred when the victims were hit by automobiles and light trucks."
- "A related study on risk factors for on-road cycling commuters indicated that prior to car-bicycle accidents, 89% of cyclists were traveled in a safe and legal manner. In addition, vehicle drivers were at fault in 87% of the events."
https://journalistsresource.org/studies/environment/transpor...
The risk externalities of motorised vs nonmotorised transport appear far greater.
Per distance, the average cyclist has more risk than the average driver. However, that's just the base rate, and is not destiny. Combine that with the fact that cyclists tend to travel much shorter distances than drivers. So much shorter that based on distance alone I've seen some cyclists argue, with statistics for average cyclists no less, that they actually face less risk on the road than many drivers. You don't see drivers with long commutes getting warned about the danger, but if people treated driving the same as cycling you would.
There are many things cyclists can do to reduce their risk per mile. As I recall, the majority of cyclist deaths involve riding after midnight or riding when drunk. If you don't do either then your risk is a lot lower. I've been riding for over a decade now and recognize the importance of where you live, infrastructure, defensive cycling, visibility gear (lights, vest, reflectors, etc.), and even a simple air horn.
Also recognize that cycling gets safer every year on average, even in the US. At some point I looked at the data and recognized that the cyclist mortality rate in the US is decreasing roughly linearly. If the linear trend continues then there will be roughly zero cyclist fatalities in 2050. Of course, it's more likely to taper off. But I never see the fact that cycling is becoming safer every year mentioned by its detractors.
Brief discussion of the data here:
https://predictionbook.com/predictions/133189
With all of this being said, yes, I do believe that cycling is more risky than I'd like. The reason why appears to be that the majority of road users (mostly drivers) do not take safety seriously. In my experience the road users who take safety the most seriously tend to be either cyclists or motorcyclists. No surprise why.
I swapped jobs so that I could ditch the car and am slowly reversing the damage.
It definitely has an impact on your quality of life and helps you attain your genetic potential. If you're body is prone to cancer or alzheimer you will still get them, but until then you'll be in top physical condition.
When you're 40 and start packing up weight, can't run nor climb 3 flights of stairs without panting, can't lift your kids, can't help your friends move to a new flat, &c. fast forward 20 years and you can't get out of bed without pain, walking is a chore, stairs are your nemesis, your back pain is a constant reminder of your unwillingness to exercise.
> translates into about 2 years of productive life.
I don't think making a distinction between "productivity time" and "staying in shape time" is a good thing to do. You better shave off time by working part time than shave off time by skipping physical exercise. Life doesn't have to be all about productivity.
Or during any sort of emergency really. Being fit has many practical uses.
At first it was a struggle but now I look forward to the daily run. I do not want the effects to wane and that alone motivates me.
I'm aware that running is hard on the joints. Not sure about my long term plans but I will dedicate at least this year to it.
I guess my point is: no matter if it's running, walking or another activity: just continue doing it and eventually you'll enjoy it.
https://www.webmd.com/fitness-exercise/features/does-running...
even if it only gives me 1 absolute year more alive, it will yield 50 years of chilly smooth days.
If the goal is higher-level health issue, like longevity, it is trickier because of, as you said, many confounding issues. I suspect there would be cyclic causality between exercise and longevity/overall health, and it would be quite difficult to separate the cause and the effect. IMO, maybe the best way is, making educated guess based on the studies with clearer metrics.
Epidemiology and nutrition have massive problems teasing out causation because people who X are different from people who don’t X in many more ways than in just that difference. The health benefits of wine over beer probably reflect socioeconomic differences in consumption for just one example.
And, I think we can control for the health decline. I.e., Stopping exercise because you have cancer vs. stopping because you have broken leg. And even then you can control for changing up the type of exercise. My wife broke her foot last year, and shifted from running 20 miles a week to doing "sit and bit fit" exercise. She actually improved her cardio capacity.
Finally, I think the logical conclusion of your argument is: exercise has no impact (or maybe even a negative impact) on health. Studies and every day experience don't seem to bear this out.
For example, people who run excessively tend to lose fast-twitch/bulk muscle mass and wear their hips, knees and ankles faster than most people. For example, one of the worst things you could do to your body would be to repeatedly run fast, downhill while letting your feet slap the ground.
And, you're never going to be able to measure all of the pluses and minuses intellectually or quantitively, which is why these choices tend to be primarily qualitatively-based with some quantified-self bits on the margins.
Pay for the exam, I'll debunk this one right away.
And I believe the whole, "Running is bad for your knees" argument has been debunked,
https://omrf.org/2016/09/12/is-running-bad-for-your-knees-su...
For example, one of the worst things you could do to your body would be to repeatedly run fast, downhill while letting your feet slap the ground.
I think falling off a cliff repeatedly would be a slight bit worse. Or taking up a meth hobby. Or other things that seems fairly obvious.
I do a lot of trail running on steep trails (or no trails!) My knees are fine. As mentioned, lots of worse things to do to your body. Here's another one: take up skiing.
https://books.google.com/books?id=ZuKTvERuPG8C&q=walking#v=s...
I was considering if a modification to a standing desk to make it a cycling desk would be a good idea but now I think there is just no point because you will be half assing both exercise and focus. Really what you want to do is do some high intensity effort while doing nothing else and then low intensity stuff while working. A walking desk might still be a good idea if you set it to 2-3km/h. I find standing to be a little uncomfortable for long periods but walking is fine.
I would pay good money for one that did.
Spark: The Revolutionary New Science of Exercise and the Brain
https://www.amazon.com/Spark-Revolutionary-Science-Exercise-...
Do yourself a favor and get a flat footwear. Zero-drop shoes will help body realign your lumbar spine and neck (heels push the butt outwards, forcing the spine to compensate). Enthusiastic walking, like running, is a repetitive stress activity so you want your joints in their evolved alignment to avoid fatigue or even damage seeping in. Note, if you choose minimal (or the nowadays called barefoot) footwear- go gradually, allow your foot to build it's strength back up.
Be aurally aware of your environment. Apple earbuds (wired or wireless) are very good in this regard, as these'll let you hear stuff around you. Bone-conducting headphones are also a good option.
Or, you know, just focus on one thing at a time and don't listen to music/take a call while walking.
I fail to parse that
Can you expand on that? Curious to know through your experience.
But even before old age and cancer, your skin will be healthier and look younger for much longer if you use sunscreen daily, use a hat, avoid 10am-2pm exposure, etc. The last one is interesting because during midday, the sun is directly overhead, meaning there is much less atmosphere between you and it, so even less UV is blocked.
It's free, great exercise, and on busy days it's a great feeling to overtake all those people trapped in traffic ;)
That said, when I watch the games in bars on Sunday, people think I'm a bit strange...