Prescribed drugs and Cyclists

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Drago

Legendary Member
Location
The Urban Fringe
I think Mrs D's situation illustrates the correlation / causation fallacy. I would suggest that people with physical disabilities are less likely to regularly cycle, and more likely to receive regular prescription medication. But it's not the lack of cycling which is leading to the incresead requirement for medication, which confounds the test of the implied hypothesis which is that cyclists are healthier and therefore take fewer meds.

Further complicated of course because some chronic conditions (not MS of course) could potentially have been mitigated by increased physical activity earlier in life, but may have progressed to the point of disability where that's no longer possible.

She was fairly active. She was a regular gym goer, cycled good miles at weekends with me. She did more than 95% of the population and kept herself trim enough to breeze through the older, and much more stringent, police fitness test.

Sadly the first MS symptom was losing her sight in one eye overnight. When the other started to fail a few days latwr the medicos hammered her with massive doses of steroids, 30 times that which they would use for other conditions. It saved her vision in the remaining good eye, but she went from 10 to 21 stone, and that alone made exercise very difficult for a 5'4" woman. It also left her with T2 diabetes as the cost of retaining some vision.

The sarcoidosis is linked to the MS and may or may not be transient - some sufferers recover in two or three years - and makes exercise difficult because the condition reduces lung capacity. I sold two of her regular cycles- she wouldn't let me sell her road bike, it sits there unused- and bought her an ebike, which she has been using under my supervision.

She has worked hard to reduce her weight, being really strict with her diet and walking as much as she is able, and over several years has got her weight back down to 10.5 stones, close to where she started. The lessons learned along the way have helped me lose weight too, 56lbs down since March, so I'm in the shape required to care for her as her illness progresses.

Sadly it will progress, and ever weakening limbs is making walking difficult, although she still walks using her sticks when she can. She's very much of the use it or lose it mindset. Some days she has no choice but to use the wheelchair though. Its relentless, but the current scientific understanding of the illness indicates she has done nothing untoward to contribute towards it. She didn't smoke, barely drank, exercised, kept an eye on her weight, taking more care of herself than 95% of the population borhter to. Indeed, it may be the case that her underlying health and fitness were such that the illness may have manifested itself later and less intensely than it otherwise would have done - its a life limiting illness and a lot of sufferers have dropped off their perch in the 16 years since she became symptomatic.

Your point is worthy of consideration. She would dearly love to be riding a proper bike or go for a jog and it narks her that healthy people who could do so instead choose to fritter away their health on processed food and too much tv.
 
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MadMalx

Senior Member
None in the last five years or so, other than vaccines.
Not related to spending the preceding 40 years working in drug research & teaching.
 

ColinJ

Puzzle game procrastinator!
The sarcoidosis is linked to the MS and may or may not be transient - some sufferers recover in two or three years - and makes exercise difficult because the condition reduces lung capacity. I sold two of her regular cycles- she wouldn't let me sell her road bike, it sits there unused- and bought her an ebike, which she has been using under my supervision.
By coincidence, a friend of mine who used to be very active texted me this morning. He had led a very active lifestyle until he too developed MS.

He was very excited with his recent trial of an ICE recumbent e-trike. I am not sure if he has bought one yet, but it sounded like he was going to.

I do wonder how he will manage getting on and off the trike though? Maybe not a problem if somebody lends a helping hand, but it could be tricky otherwise.
 

nogoodnamesleft

Senior Member
By coincidence, a friend of mine who used to be very active texted me this morning. He had led a very active lifestyle until he too developed MS.

He was very excited with his recent trial of an ICE recumbent e-trike. I am not sure if he has bought one yet, but it sounded like he was going to.

I do wonder how he will manage getting on and off the trike though? Maybe not a problem if somebody lends a helping hand, but it could be tricky otherwise.
ICE do a wide range of accessories to help people with limited mobility to get into and off the cycle. Also their range of trikes includes some models with a higher seating position. But the extent these can help any individual must depend on the individual.
 

vickster

Squire
Currently 2 a day until the end of the week.
Plus HRT patch which isn't medication per se although POM
B12 injections every 3 month, also not a medication but POM
 

Ming the Merciless

There is no mercy
Photo Winner
Location
Inside my skull
A few years later, Pedersen and Saltin followed up their 2006 report with an expanded version entitled ‘Exercise as medicine, evidence for prescribing exercise in 26 chronic diseases’ (Pedersen and Saltin 2015). The authors carried out a comprehensive search of published medical and scientific literature. They particularly looked at those studies where exercise had been included in research protocols. They found 26 diseases which could be positively affected by exercise.

Many of these 26 chronic diseases are directly associated with lifestyle choices in ageing and the paper describes the effect of exercise in the treatment of these diseases: which include psychiatric diseases (such as depression, anxiety, stress); dementia; metabolic diseases (obesity, high fat levels in the blood, type 2 diabetes); cardiovascular diseases and their effects (high blood pressure, heart attacks, heart failure, strokes and pain in the calves brought on by exercise); pulmonary diseases (emphysema, asthma); and musculo-skeletal disorders (osteoarthritis, osteoporosis, back pain); and cancers (two cancers, colon and breast, have been linked to lifestyle). This is quite a formidable list. All have the power to severely incapacitate and kill us. And nearly all are within our power to avoid by changing to a more active lifestyle.

More recently, it has been suggested – by others as well as by my colleagues and myself – that most of the diseases mentioned above, the so-called diseases of ageing, should be grouped and labelled as ‘Exercise Deficiency Diseases’.

Dr Norman Lazarus. Healthy ageing researcher and Professor at the Centre for Human and Applied Physiological Sciences, King's College London.

https://www.thelazarusstrategy.com/

Dr Norman Lazarus, 90, is an exception. As an expert on the physiology of healthy human ageing, he is living proof that our later years can be lived well. Even as an octogenarian, Dr Lazarus continues to lead an active lifestyle free of medication, with regular walking and cycling.
 
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