11 March 2013
Time to Get Moving!
As many as 13 years ago the U.S. Surgeon General declared that there was an "epidemic of inactivity" and since then an increasing number of Americans have become highly sedentary. Studies show that nearly 40% of adults now have sedentary jobs and do not engage in any leisure-time physical activity (Schoenborn & Barnes, 2002). 
The encouraging news…
·        People who are inactive can improve their health by becoming even moderately active on a regular basis
·        Physical activity does not need to be strenuous to achieve health benefits
·        Greater health benefits can be achieved by increasing the duration, frequency or intensity of physical activity
As a reminder, here are some of the many benefits of movement and exercise:
·        Promotes psychological well-being
·        Helps control weight
·        Reduces feelings of depression and anxiety
·        Helps maintain healthy bones, muscles and joints
·        Increases engagement and energy levels
·        Improves circulation
·        Reduces stress
·        Expands social circle
·        Helps increase life satisfaction and enjoyment
·        Reduces risk of developing some of the leading causes of illness (diabetes, cancer, heart disease) in the US  
A moderate amount of physical activity can be achieved in many ways and doesn't have to be in the form of a formalized, structured exercise session in order achieve the many benefits. Consider gardening, cleaning, walking, dancing, raking, and pushing a stroller as alternative, fun and even productive forms of activity!  
If it is time for you to get moving, to follow are some helpful guidelines:
The ACSM (American College of Sports Medicine) and the AHA (American Heart Association) have issued recommendations for physical activity and health:
·        All healthy adults ages 18-65 need moderate-intensity aerobic activity for a minimum of 30 minutes 5 days per week orvigorous activity for a minimum of 20 minutes 3 days per week.
·        Moderate and vigorous activity combinations can be formed to meet the recommendation.
·        Moderate-intensity aerobic activity can be accumulated in shorter bouts throughout the day.
·        All adults should perform resistance exercises a minimum of 2 days per week.    
·        Consult your physician if you are planning to begin any new exercise program. 
The decision to get moving and keep moving is highly personal. Connecting any of the benefits above to your personal values is a first step to your success!    
Posted by sgrunwaldt at 12:00 AM | Link | 0 comments
Post a Comment
04 January 2013
Resolve to Succeed

Resolve to Succeed

By Nicole Clark, R.D.


          Year after year January 1st comes and goes.  Along with it, thousands of New Years resolutions.  For what ever reason, January first, or perhaps the rotation of the calendar, always inspires us to create new habits.  Unlike the final three months of the year, there are no holidays in January where food and beverage “treats” are so prevalent!  Naturally, this is a good time to start working on a new health goal.  January is our first break from all the cookies, candies, pies, and bottomless glasses of eggnog in months!  Now that the holiday celebrations are finally over, we are at last coming down from the glorious sugar high that has been carrying us guiltlessly for months!  The sweetness of the holidays is soon followed by the bittersweet, inner guilt born from our recent three month binge on any and every treat imaginable.  To be honest, mine started kicking in on Christmas day when everyone in my family gave me exercise clothes!  What are you trying to say exactly?!?!?!  

            So here I am, and I bet I am not alone in dreading the thought of trying to get back into an exercise routine, or other such goal.  If I thought aerobic exercise was hard before, I can be most certain that after three months of holidays, its going to be even harder now!  Perhaps downright miserable would be a more appropriate description.  Staring over always is.  Despite my fear of that foreign building that now looked more like a torture chamber than a gym, I forced myself back on January 2nd.  Technically, January 1st is still a holiday, right?  At any rate, I confirmed that I was not alone in fearing the torture chamber.  90% of us were clearly regretting some of the decisions we made over the holidays.  The other 10%, well, they must have a good poker face!  As I lumbered along on the tread mill, and yes, I was indeed lumbering, I put some real thought into how I was going to possibly follow through with my New Years resolution.  If I was even able to move the next day, would I consider coming back?  At least I know my legs will be sore enough that getting off the couch to grab a cookie would be out of the question.

            In my post holiday, exercise induced delirium, this is what I came up with.  First, I have to have a goal.  I use that term singularly.  While I applaud my ambition to make 15 goals for this year, I feel it would be wise to save something for the next 14 years.  So I am going to stick to one goal.  I am also going to write this goal down.  A dry erase marker and the bathroom mirror will collaborate with me so that every day I am reminded of what my goal is.  If I don’t write this goal down, there is a good chance that come February, I’ll look in that mirror and say something along the lines of, “what goal?” or “goal, schmoal, let’s have chocolate and wine for Valentine’s Day!”. 

            With my goal in front of me every day, I have to find a way to reach it.  And, my goal has to be realistic and measurable.  Will I really go to the gym 6 out of 7 days of the week for an hour?  No how, no way!  I may wish to work up to 4-5 days, but I am going to start with 2-3 days for at least 30 minutes.  You see, if I start small, it will be easier to get into a new habit.  When I am used to my new habit at 2-3 days a week, then moving up to 3-4, and then 4-5 days won’t be so difficult.  When we start small, we are less likely to get overwhelmed, and therefore less likely to quit.  It takes a strong type A personality to jump into a lofty goal and keep with it.  Most of us aren’t like that, so start with something a little more reasonable!  Building up to a goal is more likely to be met with success! 

            Most importantly, what motivates you to make a change in your life?  If you do not have a good reason to make a given change, you won’t have much to push you when times get tough.  The reality is, going through any change will have tough moments.  When you find your self in this moment, take a second to reflect on how far you’ve come in your change so far.  It may be small, but it is a start.  There is nothing wrong with feeling pride in little actions.  Frankly, I had to give myself koodos for even making it to the gym.  I contemplated a thousand excuses why I shouldn’t go.  I went so far as to consider cleaning the oven before I should exercise.  In the end, I decided that if I had gone 8 years without cleaning the oven thus far, I could certainly go another 8.  When I weigh out the immediate satisfaction between pushing myself to the gym, and cleaning the oven, I will ultimately feel better after I follow through with my goal.  I will however consider testing the batteries in the fire alarm when I get back.  Ya know, just to make sure that oven can indeed make it another 8 years without cleaning!

            There will be a week when I fail miserably in my goals.  I have to accept this as part of the challenge of reaching a goal.  It may just happen on that week when I can no longer put off cleaning the oven.  Though I truly hope it doesn’t take me a week to clean!  Be willing to let the set backs go, and pick up where you left off.  It doesn’t matter if a day slipped by, a week, or even a month.  Starting again, today, is as good of a day as any day, and easier than tomorrow.

            At each stage I deserve a reward.  When I transition from 30 minutes of exercise to 45 minutes consistently, I will do something special for myself.  A day at the hot springs, a new pair of shoes, a self cleaning oven?  You decide what would be special for you!  Keep in mind that the ultimate reward is meeting your goal.  I know that in 2 months, I will feel rewarded by my goal because I will feel stronger, and for me, that is motivation! 




Posted by sgrunwaldt at 12:00 AM | Link | 0 comments
Post a Comment
06 April 2010
7 Facts About Exercise
Catching Up
So here it is April 6 and I am catching up on the blog site. I am happy to announce that we are working on changes for the FET website in the near future. It should be more interactive, educational, and fun to read. Meanwhile, the weather is getting nice (even if we are having 50 mile/hour gusts today) and more people are outside having fun. Here are some facts you  may not be aware of regarding exercise: (Information adapted from Nutrition Action Healthcare; Dec. 2009)

7 Facts You May Not Know About Exercise

1. Exercise Can Curb Your Risk of Cancer - Exercise may indirectly lower your risk by reducing excess weight / body fat and directly by reducing cancer risk. A study by Washington University School of Medicine in St. Louis reviewed 52 studies of colon cancer and the most active people were about 21 % less likely to be diagnosed with colon cancer. The fact that light to moderate regular exercise is related to less cancer risk is well documented in other studies too.   In the NIH-AARP study to hose who reported more than on hour a day of moderate to vigorous exercise were 16 % less likely to be diagnosed with breast cancer.

2. Exercise Creates New Brain Cells - Regular exercise seems to improve relational memory, spatial memory, and executive function by increasing blood flow to the brain, improving connections and synapses between cells, and growth of new brain cells.

3. Exercise Boosts Insulin Sensitivity - Insulin hormone transports allows blood sugar to enter the body's cells, where it is used as fuel. As weight increases and age increases, our cells become less sensitive to insulin resulting in less glucose inside the cells to be used as fuel. As a consequence, blood glucose levels begin to rise which is very harmful to the body and may ultimately lead to diabetes.  There a lots of studies that show aerobic exercise and strength training improve the cells sensitivity to insulin so that blood glucose levels are better regulated. Don't forget about your strength training too. Both aerobic exercise and strength training increase the number of proteins (GLUT4) that transport glucose from the blood into muscles and fat cells.

4. Creatine Builds Muscles - For those that want to strengthen muscles and bone, weightlifting and strength training is all you need. But some want to build even more and use the compound creatine for more strength. Actually your kidneys and liver produces about two grams of creatine a day from three amino acids that are in the protein we eat. If you are a vegetarian and want to improve your muscle strength and bone strength, you may want to consider using a pure form of creatine powder or pill. There are some side effects from creatine and creatine makes the liver and kidneys work harder so it is not for those with liver or kidney problems.

5. Sitting Can Kill You - "People who sit for the majority of their day have much higher mortality rates than people who don't, even if they're physically active during another part of the day" says Peter Katazmarzyk, an epidemiologist at the Pennington Biomedical Research Center in Baton Rouge, Louisiana. Sitting causes muscles to be extremely inactive, impedes blood flow to tissues and may affect the regulation of insulin and glucose. People who sit the majority of their day are at risk for metabolic syndrome and they are more likely to be obese. Just stand up periodically throughout the day (every 120 minutes) and walk around to encourage blood flow and increase muscle activity.

6. You're Never to Old To Build Muscle - You might not look like a 20 year old again but strength training two to three times a week will result in increased muscle strength quality especially in women. Women increase muscle mass only half as much as men but women improve their strength as much as men. Why does this happen? Women improve the muscle "quality" - the amount of force they can exert per muscle unit - more than men do when they train. Women, don't be afraid to pick up those weights or add some type of strength training to your exercise program.

7. Exercise Prevents Visceral Fat Gain - We all gain visceral fat, the type of fat that accumulates around the internal organs deep inside the belly, as we age UNLESS we do something about it. That something is a regular aerobic exercise program of 150 minutes or more a week. Dieting may also help you lose visceral fat but once the diet stops, many revert back to the same level of visceral fat or more.  Visceral fat is linked to insulin resistance, heart disease, and diabetes.

Do any of these surprise you?


Posted by leslie at 12:00 AM | Link | 0 comments
Post a Comment
31 July 2008
Benefits of Exercise


What healthy lifestyle change, diet or exercise, is harder to sustain over a long period of time? Ask anyone who has tried to make these two changes and the majority will answer exercise. We are biologically made to conserve energy! Staying with an exercise plan requires a strong purpose, a positive action plan, and will power initially to overcome the drive to conserve energy. Before grocery stores and markets, people had to hunt and search for food. If your food supply was intermittent, your body had an available storage of fat for back up fuel and you were driven to conserve energy. Unfortunately that drive to conserve doesn’t work in today’s lifestyle and the overabundance of calories is still stored as fat.  Obesity is now seen in 2 out of 4 Americans. Unhealthy diets, high in fats and calories, and lack of exercise are part of the cause.  How can exercise help? Studies have shown that a minimum of 150 minutes of aerobic exercise per week combined with a healthy diet is good for everyone.
Tips to Successful Exercise
  • Do something you enjoy like riding a bike, walking, swimming, jazzercise. Any exercise that increases your heart rate will benefit your health.
  • Link the reason to exercise to a core value (purpose) like being a healthy example to your children, being capable of traveling to see the world, or staying healthy enough to enjoy your grandchildren.
  • Find an exercise partner. Knowing someone is counting on you to be there helps on the days you just don’t think you want to exercise.
  • Think positive! If you focus on the negative talk about exercise you won’t enjoy it. Focus on how great it makes you feel, how much energy you have afterwards, how much better you breathe, or the great feeling of success that you did it.
  • Try interval training mixed with continuous training. For intervals raise your heart rate into your 80-85% zone for 2 to 3 minutes, and then recover for 2 to 3 minutes at our 65% aerobic zone. Don’t exceed your 90% aerobic heart rate and don’t allow it to fall below your 60% aerobic heart rate. Do this for 30 minutes for a great exercise plan.
  • Know your aerobic heart rate.

             Age – 220 = 100% aerobic capacity

             100% capacity x .85 = 85% aerobic heart rate

             100% capacity x .65 = 65% aerobic heart rate

  • Try out your new plan! Follow your plan for at least 90 days; most say it will take even longer to develop a strong habit with exercise.
Next Article: Cardiometabolic Syndrome – What is it?
Posted by leslie at 10:49 AM | Link | 0 comments
Post a Comment
  help help help help help   San Juan Regional Medical Center logo

 Offered to Staff at No Cost

FET - Full Engagement Training - Leslie Thompson - Phone 505.609.2170 - Email Me