Getting fit even if it kills you

are you kidding me? This is from the New York Times:

By STEPHANIE COOPERMAN
WHILE many gymgoers complain that they might not survive a tough workout, Brian Anderson can speak from experience. For his first CrossFit session, he swung a 44-pound steel ball with a handle over his head and between his legs. The aim was to do 50 quick repetitions, rest and repeat. After 30 minutes, Mr. Anderson, a 38-year-old member of the special weapons and tactics team in the sheriff's office in Tacoma, Wash., left the gym with his muscles sapped and back pain so excruciating that he had to lie in the driveway to collect himself.
That night he went to the emergency room, where doctors told him he had rhabdomyolysis, which is caused when muscle fiber breaks down and is released into the bloodstream, poisoning the kidneys. He spent six days in intensive care.
Yet six months later Mr. Anderson, a former Army Ranger, was back in the gym, performing the very exercises that nearly killed him. "I see pushing my body to the point where the muscles destroy themselves as a huge benefit of CrossFit," he said.
In the last year this controversial exercise program has attracted a growing following of thousands nationwide, who log on to CrossFit.com for a daily workout, said its founder, Greg Glassman. Participants skip StairMasters and weight machines. Instead they do high-intensity workouts that mix gymnastics, track and field skills and bodybuilding, resting very little between movements.
The emphasis is on speed and weight hoisted, not technique. And the importance placed on quantifiable results has attracted hard-charging people like hedge fund managers, former Olympians and scientists. But some exercise experts are troubled by the lack of guidance for beginners, who may dive into stressful workouts as Mr. Anderson did. (He had not worked out regularly for two years.) "There's no way inexperienced people doing this are not going to hurt themselves," said Wayne Winnick, a sports medicine specialist in private practice in Manhattan, who also works for the New York City Marathon.
Other critics say that even fit people risk injury if they exercise strenuously and too quickly to give form its due, as CrossFit participants often do. For people who like to push the limits of fitness and strength - there are many police officers, firefighters and military personnel in the ranks of CrossFit athletes - the risks are worth it, because they consider it the most challenging workout around.
The short grueling sessions aren't for the weekend gym warrior. The three-days-on, one-day-rest schedule includes workouts like "Cindy": 20 minutes of as many repetitions as you can of 5 pull-ups, 10 push-ups, 15 squats. "Fight Gone Bad" entails rotating through five exercises, including throwing a 20-pound ball at a target 10 feet away. And only veteran CrossFit devotees even attempt, and few complete, "Murph," a timed mile run, 100 pull-ups, 200 push-ups, 300 squats and then a second mile run. (A weighted vest is optional.)
Mr. Glassman, CrossFit's founder, does not discount his regimen's risks, even to those who are in shape and take the time to warm up their bodies before a session.
"It can kill you," he said. "I've always been completely honest about that."
But CrossFitters revel in the challenge. A common axiom among practitioners is "I met Pukey," meaning they worked out so hard they vomited. Some even own T-shirts emblazoned with a clown, Pukey. CrossFit's other mascot is Uncle Rhabdo, another clown, whose kidneys have spilled onto the floor presumably due to rhabdomyolysis.
Mr. Glassman, 49, a former gymnast from Santa Cruz, Calif., walks with a slight limp because of a knee injury, and at 5-foot-7 and 185 pounds admits he should lose weight. He began developing CrossFit more than two decades ago, but he says that he spends so much time running the business now that he no longer regularly does the routines. At first his program was a hard sell to clients who weren't keen to climb ropes or grapple with gymnastic rings.
Then in 2001 he launched CrossFit.com and began publishing a monthly journal and holding seminars at his California gym. People from around the world have come to learn Mr. Glassman's techniques. Today CrossFit has more than 50 affiliates in 21 states and 5 countries, Mr. Glassman said. And CrossFit.com has 25,000 unique visitors a week, according to WebSideStory, a Web analytics company in Seattle.
Mr. Glassman's followers call him Coach and share a cultlike devotion to his theories.
"We are all drinking the Kool-Aid," said Eugene Allen, another Tacoma SWAT team member who introduced Mr. Anderson to CrossFit last summer. "It's hard not to catch Coach's enthusiasm."
Devotees say CrossFit has enabled them to challenge their bodies in ways they never thought possible. Eva Twardokens, 40, an Olympic alpine skier in the 1992 and 1994 Games, said years of CrossFit training have enabled her to bench-press 155 pounds, 20 more than she could when she was training for the Olympics.
Tariq Kassum, 31, a research analyst in New York, found both the workout community and the variety of difficult exercises he was looking for. Online, where some participants record their workout progress, people cheered him on as his upper-body strength increased. When he started CrossFit, Mr. Kassum was unable to do a handstand, but after a year with the program he can do push-ups from that position. CrossFit exercises can be made more or less intense based on a person's abilities, but the workouts are the same for everyone, from marines to senior citizens. And some critics say that is a big part of what's wrong.
"My concern is that one cookie-cutter program doesn't apply to everyone," said Fabio Comana, an exercise physiologist at the American Council on Exercise. He said people in their 60's who have osteoporosis, for example, may not be able to do an overhead press, pushing a barbell over one's head.
CrossFit enthusiasts are also criticized for being cavalier about the injuries they sustain, including chronic soreness, pulled muscles and even some separated shoulders. Norma Loehr, 37, a vice president for a financial services company in New York, was sidelined for a week after she strained her back doing "Three Bars of Death," 10 sets of 3 lifts using barbells that weigh up to one and a half times as much as the person using them. She realized the barbells were too heavy, but she didn't want to waste the seconds it would have taken to change plates.
Mr. Glassman said that he has never been sued by an injured client and that paramedics have never had to treat one of his clients in his gym. But he acknowledged that as many as six CrossFit participants have suffered rhabdomyolysis, which often sets in more than a day after excessive exercise.
After they complete the workout of the day, hundreds of people post their times and the amount they have lifted on the Web site, making CrossFit a competitive online sport.
"When I first started the program, I could barely do a pull-up, so I was embarrassed to post," Mr. Kassum said. "Now that I can do 20 or 30, I'm on there every day. People on there are animals."
Those people include Kelly Moore, a 42-year-old Wisconsin police dispatcher and former powerlifter who is 5 feet tall and 117 pounds and has eight-pack abs. Her self-reported statistics have become the stuff of legend on CrossFit.com, inspiring both praise ("Pull-ups with a broken hand? You rock!") and amazement that she beats most men on the site. ("I'll be chasing Kelly until I die. At this rate, literally.")
CrossFit has an especially large number of police, firefighter and military participants. Members of Navy Seals, Air Force Pararescue and Special Forces groups also do workouts. And though it is not recognized as an official military regimen, CrossFit has drawn the attention of people in charge of military preparation. Capt. Timothy Joyce teaches CrossFit to marines in the Fleet Support Division in Barstow, Calif. And Capt. J. T. Williams, the chief standards officer at the Canadian Infantry School, where officers are trained, helped run a six-week trial where half of the participants followed the school's fitness program and half did CrossFit workouts. He declared CrossFit "very effective."
In recent months a group of New York CrossFit athletes have tried unsuccessfully to find a home gym. Joshua Newman, the group's organizer, said gym managers expressed concerns that they took up too much space, or even that their fast and furious pull-ups would break the apparatus.
"They used too many pieces of equipment at one time, and we got a lot of complaints from trainers who didn't like being on the floor with them," said Eric Slayton, the owner of New York Underground Fitness, a Midtown gym that Crossfit New York called home for a few weeks. "They put too much emphasis on getting things done in a certain amount of time and not enough on form."
But for Mr. Glassman, dismissals of his extreme workouts merely help him weed out people he considers weak-willed. "If you find the notion of falling off the rings and breaking your neck so foreign to you, then we don't want you in our ranks," he said.
 
I think that the exercises used in this training method are great! I prescribe many of the same exercises for my clients.

However, to have someone who is deconditioned using a load that will cause someone to incur poisoning of the kidneys, or to have created a following that believes that training until you puke is the way to go, is completely irresponsible!

It sounds like it's just a matter of time before this guy or one of his trainers is sued. His lack of progression and disconcern for technique would probably be construed as negligence if a case came upon him. Many trainers have been sued for MUCH less!

Looking at your website, I see that you endorse Crossfit and some of it's methods. Don't get me wrong; I am going based on what I read from this article. If you can speak differently (and first hand) on the training principles of the founder of Crossfit, then please do. But what is written in this article is some scary stuff!!

What is this guy's background?
 
I agree with you the story is scary. However, my point is its shoddy journalism. Quoted directly off the CrossFit Site.
In any case it must be understood that the CrossFit workouts are extremely demanding and will tax the capacities of even the world's best athletes. You would be well advised to take on the WOD carefully, cautiously, and work first towards completing the workouts comfortably and consistently before "throwing" yourself at them 100%. The best results have come for those who've "gone through the motions" of the WOD by reducing recommended loads, reps, and sets while not endeavoring towards impressive times for a month before turning up the heat. We counsel you to establish consistency with the WOD before maximizing intensity. CrossFit has a whole page devoted to getting started and a forum to ask questions concerning starting. Not a mention of that in the article. No mention of how people like myself get people started.

There is a whole section of the CrossFit site dedicated to descriptions of and videos of the exercises used. There is even a place you can submit your own videos and have trainers help you with your form if you don't have a trainer available to you.

It is shoddy journalism for precisely the reasons you quote. You got out of the story that there is a lack of progression and disconcern for technique . The story quotes Tariq Kassum (the story calls him a research analyst, he is actually an M.D.)"CrossFit exercises can be made more or less intense based on a person's abilities, but the workouts are the same for everyone, from marines to senior citizens." It spends no time on this but rather goes to an ACE guy who says he's worried that seniors can't hoist weights over there head. If they had spent anytime looking at the workouts the would see that the workouts are ultimately scalable. A typical CrossFit workout might be:
3 Rounds
Run 400 M
21 Push presses with 95#'s
12 Air Squats
The Marine might do this, scaled for the senior it might look like this.
3 Rounds
Walk 100 M
10 Presses overhead with PVC pipe
5 sit and and stands to a chair
The workout is the same. The loads and ranges are modified and adapted to fit the individuals ability. Can the senior eventually put weight over their head and do a full squat? I hope so, but if not there is still benefit drived from doing the motions.

It bothers me that the reporter interviewed another Dr. , who is Dive Medical Officer for SEAL’s and has extensive clinical and personal experience with the program. Not a word of her interview with him was included. I think thats shoddy journalism. She was also provided and ignored data from the Canadian Infantry School’s clinical trial of CrossFit where the CrossFitting soldiers were no less injured in six weeks of CrossFitting than the control group working a program chosen in no small part because of its low incidence of injuries. Similar data is available from Colorado State Patrol and Jacksonville, Florida’s Sheriff’s Academy showing that CrossFit is safer than traditional PT.

The focus of the article was on rhabdomyolysis. There have been six cases in five years of the CrossFit program being on the web. CrossFit has 25,000 people visiting its site each day. That makes the incidence incredibly low. What are the incedence of Rhabdo occuring in the typical marathon Google Muscle fiber necrosis associated with human marathon runners and see what comes up. The incedence is high.

I have been training this way for 2.5 years now. I'm 46. I haven't suffered any major injuries since starting, and I haven't puked either. My time for the mile has gone from 7:30 to sub 6:00. I've gone from 5 pull ups to 57. At 165# I'm closing on a 400# deadlift. My bodyfat has gone from 12% to 8%. While I am proud of these things, I'm not unique. Everyone I put on the program is experiencing the same kind of returns.

So what should the articles focus be?

Oh the Navy Doc recently beat me in a pull up competition he got 60.
 
Back
Top