Why you should speed up your steps, even just in short bursts.
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Why should I focus on step intensity instead of just total step count?
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Norman. Yes. If I had to guess. I'd say that you're someone who counts your steps every day. Am I right?
Parshally. I might have been you know I might be known to have checked the little app on my iPhone now and again to see what I've done each day.
Do you carry it all the time though?
Well when I cycle it's usually in my pocket. Probably should my it should be in my backpack, but it's in my pocket. So I get satisfaction out of cycling w because somehow the the movement in my uh next to my thigh probably amplifies the number of steps I do. Oh my gosh. So it makes me feel a lot better. So you
don't care. So I do about
twelve thousand steps on my bike. I don't know if that's relevant or not. But anyway.
So the whole ten thousand steps per day, that number has been bandied about for quite a while.
We've actually undermined it on the health report suggesting that it doesn't need to be ten thousand, might need to be less, but uh or fewer, I should say, to be grammatically correct. But there seems to be an extra element to that as well.
Oh yes. It's all about pace. There's a lot of nuance in all of this and we are covering that on today's health report. I'm Pri Alexander on Warren Jeweland.
And I'm Norman Swan of Garnerland. Also in the show, we're covering cerebral palsy, much misunderstood condition, which has variable levels of disability. Kids tend to get diagnosed it not necessarily at birth, but um after birth uh as the kid grows up, with uh various degrees of muscular deformity, um, sometimes intellectual disability, mysterious disease in many ways, and
How much walking intensity is needed to lower mortality risk?
uh the genetics may be elucidating some of the causes.
And people might have seen results of a heart drug trial for cholesterol, lipoprotein delay, which we've covered on the health report before. The the trial hasn't delivered the results that everyone had hoped for, and so we cover what it all means.
And in news, the American College of Obstetrics and Gynecology has instituted guidelines on an issue that I think I first covered twenty odd years ago and you and I covered quite recently.
Yes, so this is basically this big body in the United States has strengthened the recommendation for salpingectomy, which is removal of the fallopian tubes. for the prevention of ovarian cancer. Now you did cover this. I'm about to give you some kudos, Norman Swann.
Yeah.
You you did cover this story last year. And my husband was operating with an anaesthetist who said, Oh, I've just seen this big update from the US. And Will said, this was covered on the health report 12 months ago. We were all over it, or you were.
Indeed. And if you're a long term listener, you would heard my story from Canada with the gynecologist who actually instituted this. So this is the idea here is not that you should go in deliberately to remove the tubes, but when you're already in there, say doing um a sterilization procedure. Or hysterectomy. Hysterectomy, or indeed uh an appendasectomy. Yes. Whip the tubes out because it's the discovery that uh some forms of ovarian cancer start in the fallopian tubes and spread to the ovary. So they're actually not ovarian cancer, they're fallopian cancer which spreads to the tubes. Remove the tubes, you prevent a significant proportion of ovarian cancer.
And according to ACOG, remove the fallopian tubes reduce the risk of ovarian cancer by as much as 78%. So these updated guidelines say that obstetricians and gynecologists should routinely be removing the fallopian tubes at the time of hysterectomy. They've also said that if someone is undergoing a procedure within the peritoneal cavity, you just mentioned appendisectomy.
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Chapters
7 chapters
1
Why should I focus on step intensity instead of just total step count?
0:00–2:20
2
How much walking intensity is needed to lower mortality risk?
2:20–7:45
3
What does recent cerebral‑palsy genetics research tell us about diagnosis and treatment?
7:45–11:18
4
What did the Pelacarsen (Lp(a)) trial reveal about cardiovascular outcomes?
11:18–14:07
5
What are the new guidelines for salpingectomy to prevent ovarian cancer?
14:07–15:09
6
Should I get tested for Lp(a) and how does it affect my heart risk?
15:09–34:22
7
How does chronic traumatic encephalopathy (CTE) develop in contact‑sport athletes?
34:22–44:42
Speakers
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