#ExerciseMedicine

A Missouri schoolteacher who was diagnosed with osteoporosis, spondyloarthritis and hypogonadism at age 20 has completed an astonishing 6,050 knuckle pushups in a single 12-hour attempt, an achievement that spotlights how complex causes, careful rehabilitation and persistent strength training can reshape outcomes for people with early-onset bone disease. The feat — livestreamed with local church support, performed in August and now submitted for Guinness World Records review — reads like a human-interest triumph, but it also raises serious, practical questions for clinicians and communities in Thailand about how to detect, treat and safely support younger people living with fragile bones.

Strength training can cause a short spike in blood pressure during heavy lifts. (Health.com) (What Happens to Your Blood Pressure After You Strength Train).
Many studies show regular resistance training lowers resting blood pressure over weeks and months. (Scientific Reports; British Journal of Sports Medicine) (Strength training for arterial hypertension treatment; Exercise training and resting blood pressure).

High blood pressure affects one in four Thai adults. (NHES trends) (Trends in hypertension prevalence, awareness, treatment, and control in Thailand).
This risk makes the new guidance important for Thai patients and clinicians.