As the population is aging rapidly, there is a strong increase in the number of individuals with chronic disease and physical limitations. The decrease in skeletal muscle mass and function (sarcopenia) and the increase in fat mass (obesity) are important contributors to the development of physical limitations, which aggravates the chronic diseases prognosis. The combination of the two conditions, which is referred to as sarcopenic obesity, amplifies the risk for these negative health outcomes, which demonstrates the importance of preventing or counteracting sarcopenic obesity. One of the main challenges is the preservation of the skeletal muscle mass and function, while simultaneously reducing the fat mass in this population. Exercise and nutrition are two key components in the development, as well as the prevention and treatment of sarcopenic obesity. The main aim of this narrative review is to summarize the different, both separate and combined, exercise and nutrition strategies so as to prevent and/or counteract sarcopenic obesity. This review therefore provides a current update of the various exercise and nutritional strategies to improve the contrasting body composition changes and physical functioning in sarcopenic obese individuals.
The results of this study indicate that whole body metabolic and cardiovascular responses to 140 min of either steady state or variable intensity exercise at the same average intensity are similar, despite differences in skeletal muscle carbohydrate metabolism and recruitment
One of the characteristics of arts-based environmental education is that it encourages participants to be receptive to nature in new and uncommon ways. The participant is encouraged to immerse him or herself in nature, to seek a “deep identification.” In my paper I explore if there could be cases where such immersion may reach – or even go beyond – a point of no return. A point, where the “intertwining” with nature causes the subject to sever the “life lines” to the world which would enable him or her to maintain the psychological, cultural and spiritual integrity of the ego. The dissolving of the ego’s boundaries through artistic practice can be seen as having certain shamanistic qualities, specifically in cases when this transgression involves efforts to connect with other animal species. Such undertakings may constitute – at least in the perception of the shaman-artist – a form of “going native,” becoming “one” with the non-human Others.As relevant cases I discuss the “trespassing” from the world of culture into the world of nature by Joseph Beuys in his famous studio encounter with a coyote and Timothy Treadwell entering the life-world of the grizzly bears in Alaska, for which he ultimately paid the price of death (the tragic story was documented in Werner Herzog’s film “Grizzly Man”).I analyze these phenomena along the distinction between Apollonian versus Dionysian sensibility in cultural activity as articulated by Nietzsche. Finally I discuss some pedagogical implications for teachers and facilitators who encourage an attitude of radical amazement and vulnerability in arts-based environmental education.
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