All MFN blog – Page 103

Strategies to Enhance Cognitive Fitness

Carisa Campanella/19 September 2017/ All MFN blog/

Often when we hear the term “fitness” – we automatically think of our physical health. Being mentally fit is equally as important. Cognitive fitness is a state of optimized ability to reason, remember, learn, plan and adapt that is enhanced by certain attitudes, lifestyle choices, and exercises. Better cognitive fitness translates into the ability to make better decisions, solve problems, and deal with stress and change. Neurogenesis is the process of developing new chemical messengers called neurons in the brain. This process can be profoundly affected by how you live your life. Here are eight strategies to help you facilitate the process of neurogenesis and have optimal cognitive functioning:

Daily Physical Activity: Aerobic activity for 30 minutes, three times per week helps improve brain blood flow and enhances memory performance. Regular exercise also releases brain chemicals called endorphins which reduce feelings of depression.

Be Open to New Experiences: Have you ever wanted to learn to play golf or sing in a choir? Participating in experiences that are unfamiliar and mentally challenging will strengthen neural connections in your brain.

Be Curious and Creative: Participating in arts and crafts projects leads to innovative thinking, and musical training may improve function and connectivity of different brain regions. It’s always a great time to take up painting, poetry, or piano!

Develop Meaningful Relationships: Studies have shown that the health consequences of feeling lonely can trigger psychological and cognitive decline – as well as alter immune cells and increase feelings of depression. Make every effort to engage with other people whenever possible.

Get Enough Sleep: Healthy sleep consolidates learning and memory and is necessary for clear thinking and optimal brain function. It is easier to sleep well in a peaceful and natural environment free of clutter.

Reduce Chronic Stress: Chronic stress produces a hormone called cortisol that can damage the brain. Chronic stress can also trigger long-term changes in brain structure that can lead to cognitive decline. Healthy ways to relieve stress include deep breathing, physical exercise, or talking with a trusted friend or family member.

Eat Specific Healthy Foods: Food plays a vital role in the health and proper functioning of the brain. Strive to eat real, whole foods such as fruit, vegetables, whole grains and lean meats – and drink eight 8oz bottles of water each day to keep brain cells hydrated. Apples, avocados, blueberries, unsalted nuts, broccoli and brown rice are great food choices for brain health.

Regular Learning: Continual learning is one of simplest methods to boost brain function. The size and structure of neurons and the connections between them actually change as you learn. Learning can include studying a new subject, travelling to a different place, learning a foreign language or participating in a new volunteer activity.

Practicing these strategies along with having a positive attitude will not only enhance your cognitive fitness, but also your quality of life!

Carisa Campanella, BA, AS, is an ACE Health Coach and ACSM Personal Trainer. She is the Program Manager at the Neuro Challenge Foundation for Parkinson’s. Neuro Challenge provides ongoing monthly support groups and educational programs, individualized care advising and community resource referrals to help empower people with Parkinson’s and their caregivers.

Wow! That Anxiety Looks Good on You!

Deborah Stern/18 September 2017/ All MFN blog/

To my dear friend in the locker room, you know who you are:

Thank you for being so honest. Your honesty brought up a topic that many people might have already touched on or made themselves aware of, but yesterday I saw another “twist.” Here is how it started:

There is a woman whom I have known for a while, first as a co-worker at the gym/my work and now as a devoted and loyal member of the gym. She has a full-time job and a little boy. On the days that I show up to work at 10:30am, she is always there in the locker room getting ready for work after she has finished her workout or fitness class. We are both running around at that point, but we smile or wave to each other, or sometimes not. Yesterday I came in at 10:30 and she was dressed and ready to leave. I smiled at her but had to do a double take. She was wearing a cute sleeveless top and her body looked soooo strong and fit. Her arms were toned with amazing muscle and the definition in her muscle looked great. I turned to her again and told her how strong and fit she looked, and that I always notice that she is there all the time and working very hard in the gym and it shows. She turned to me and said, “Thank you so much but let me tell you, I do this way more for my mental and emotional health than to look a certain way.”

And I just looked at her and said, “Isn’t that the truth??? I just went through the weekend with a massive amount of anxiety. There was not a specific reason for the anxiety, I have had it my whole life and some days it is worse than others. I remember being in the car and on the way to the gym thinking that I couldn’t get there fast enough. I knew that the only way for me to snap out of this and not let it ruin my weekend was to go to the gym and workout or go outside and jump rope. For me, putting on my music and moving my body is my form of escape, release, meditation, whatever you want to call it. This also forces me to BREATHE deeply, which I think has more benefits to our minds than we can ever know. And just being in my own head space with my music, my movement and my breathing is what releases at least 50% of my anxiety. The workouts help me release some of the negative chaos in my head and body.”

We had a good laugh at this because we both agreed that we find the “calm” we need through our workouts, and how awesome is it that the benefit of the chaos in our head looks great on our bodies! I actually said that out loud and it stopped me in my tracks. If we take a positive spin on anxiety, depression, anger, sadness, etc. and instead of looking at all the negative effects it has on our life, we can “twist” that statement to say, what are the benefits to having some of these issues? I have always needed to release my anxiety through exercise in order to get through the day, I now have added a tag line to that: My anxiety has shaped my body and has made me strong. The glass is now half full.

Deborah Stern has a degree in psychology/nutrition from DePaul University in Chicago, IL. She has been dedicated to helping women, men and children of all ages and all fitness levels in improving their lives through exercise, nutrition and personal growth. Deborah started early in life on this journey for herself and has been taking her clients on the journey for the past 25 years. Visit her website at foodprintforlife.com, and her blog at debapproved.blogspot.com.

Training Clients with Arthritis

Jane Curth/14 September 2017/ All MFN blog/

One of the biggest challenges for fitness professionals is working around medical conditions and injuries. When a prospective client asks if you can safely train them, you definitely want to be able to accommodate their situation. But what about their limitations? What should they do and not do? How do you ensure that you’re doing the right thing as a trainer? This is especially relevant when working with arthritic clients.

What is Arthritis?

Arthritis is, in short, an inflammation of joint tissue in the body. It rears its head in many different ways and the NIH does a great job of breaking down the various facets of the condition. What it ends up doing is causing symptoms like pain, swelling, stiffness of the joint and reduced range of motion. But, most of this can be countered with the addition of an exercise program.

What a Fitness Professional Can Do to Help

This is where fitness professionals come in. Because of the fact that arthritis hits the majority of people when they are older, this also means that they might need some assistance with getting enough exercise in a safe and reliable manner.

It’s a perfect mixture — fitness professionals have a great deal of knowledge and arthritic patients have a great deal of need in this respect. Especially in the current generation retiring, the baby boomers, exercise outside of athletics was far less common than it is today. As such, there are many people who are retiring having no experience with exercise for their entire lives.

Fitness professionals like you are a great resource for getting this population treatment in the form of exercise!

Considerations to Keep in Mind

The key here is to make sure that you aren’t loading your arthritic clients with too much. The CDC’s resources on training for arthritic individuals are quite extensive and are a fantastic jumping-off point for developing your programming. For the majority of clients, it will simply be a reduced-load variation of many programs you already employ.

So let’s dive into a few:

Range of Motion

Initially, this will be one of the first things that a trainer will need to focus on. Range of motion is the key to performing other exercises. For this, a stretch/yoga approach is going to be an ideal way to go. And for people who aren’t especially limber, even just stretching will be a workout. So start light and get the range of motion up to snuff. Then you will be good to go to move on to more engaging techniques.

Don’t Let Them Skip Cardio

There can be many different objectives to a personal training program. Oftentimes, training programs will have cardio as more of an “outside the session” activity. Just make sure that they are doing some form of cardio in addition to what your normal program entails. This could be walking, cycling, swimming, using an elliptical trainer, etc. This will help these clients to improve their endurance and you should see results from this in your sessions. Whereas someone new to exercise might not be able to do pushups everyday, they can likely still do low-impact cardio.

Weight/Resistance Training

No one is talking about your clients working to be the new clean-and-jerk Olympian, but some moderate training with weights in a controlled environment can be incredibly beneficial. Developing the muscles that assist and support joint structures will alleviate some major pain that arthritic clients likely have. In addition, having a higher percentage of muscle tissue will increase the client’s basal metabolic rate, allowing them to burn more calories and lose excess weight which can add painful pressure to joints. All around, it’s a great idea. Just make sure it’s safe.

This might mean starting with slight bodyweight movements first. Once range of motion has increased, they can then start taking the exercises a little further. Resistance bands and weight machines can also be an excellent way to safely train those muscles.

Group Fitness Classes Can Be Helpful

Socializing is a great way to get through discomfort. Whereas we don’t want to push our clients to the point of pain, there will likely be a little discomfort in the beginning, especially in the first few sessions. Misery might like company, but the thing is that great friendships can be formed in such groups as well. Thus, with group fitness classes, you could help a larger segment of people with safe exercises. And, they would have a great social group to encourage one another when the going gets tough.

A Final Note

Injuries take longer to heal as people age. This is why an injury for someone with arthritis will likely be more extreme than in some of your younger clients. As such, it’s that much more essential to go slow and to not overload your clients with too much.

Additionally, make sure that your client has cleared your programming with their doctor. A client’s physician is the best initial defense from injury. Furthermore, it’s a wonderful opportunity to even partner with the doctors you come into contact with. They doubtless have many patients who do not exercise like they should. Relationships like these are win-win for everyone involved.

Jane Curth is the co-founder and CEO of FitFixNow. Helping people on their wellness journey is her passion; Jane has helped clients and students with their diet and fitness struggles for over 20 years.

The PHIT Act: Insurance Reimbursement for Fitness Trainers?

MFN/13 September 2017/ All MFN blog/

Senior Woman Holding Fitness Sign With Family In Background The PHIT Act (Personal Health Investment Today) H.R. 1218 (U.S. House of Representatives) & S.2218 (U.S. Senate) is pending legislation that expands the IRS definition of a medical expense to include physical activity as a form of prevention. The practical impact of this definitional change would allow consumers to use their pre-tax medical accounts (HSAs & FSAs) on physical activity expenses to promote healthy lifestyles. The PHIT Act is an innovative concept that helps address two major Congressional concerns: (1) rising health care costs (2) the budget deficit. The rise in sedentary lifestyles is a major contributor to higher obesity rates and an increased incidence of expensive, preventable chronic illnesses. The PHIT Act will help reverse the ‘Inactivity Pandemic’ by providing an economic incentive to invest in physical activity. If enacted, physical activity expenses could be reimbursed using money in pre-tax medical accounts.

THE PHIT ACT: GREAT FOR THE FITNESS INDUSTRY

With nearly 82 million Americans who are physically inactive, working out in a health club, attending a group fitness class, or hiring a personal fitness trainer are three ways that Americans of all ages can get off the couch and moving.

“The best way to address our health care crisis is to improve health through exercise and physical activity,” says Tom Cove, president/CEO, Sports & Fitness Industry Association (Silver Spring, MD). “Being a member of a health club can be a great way to stay physically active for a lifelong physical activity that can make a difference in the health of Americans. The PHIT Act will encourage increased participation in fitness activities.”

To encourage your local Congressman and two U.S. Senators to pass the PHIT (Personal Health Investment Today) Act, PHIT America has created an electronic letter on its website (PHITAmerica.org) which can be sent to members of Congress on Capitol Hill, asking them to co-sponsor and support the PHIT Act.

HOW WOULD THE PHIT ACT WORK?

Currently, pre-tax medical accounts are primarily used for reimbursement of medical expenses once you become sick. The PHIT Act would allow taxpayers to place up to $2,000 a year in existing pre-tax medical accounts for reimbursement of physical activity expenses.

By attaching a financial incentive to a physically active lifestyle, it will result in improving the health of all Americans. The PHIT Act will put prevention in our health care system and increase spending in the fitness industry.

“The PHIT Act would allow funds to be applied to most fitness expenses, such as fitness equipment purchases (treadmills, elliptical machines, stationary bikes), health club memberships, group fitness classes, and fees for personal fitness trainers,” says Jim Baugh, founder, PHIT America, the non-profit cause working to get the PHIT Act passed.

The PHIT Act will also cover physical activity expenses such as sports league registration fees; pay-to-play fees;entry fees for 5K runs, triathlons, & marathons; and sport-specific equipment purchases such as golf clubs, baseball bats, soccer cleats, basketballs, and protective gear for baseball, football, and ice hockey.

Learn more at about PHIT Act legislation.

Why Do You Need Muscle Maintenance?

Gail Sas/12 September 2017/ All MFN blog/

The human body has over 650 muscles. Skeletal muscle is the body’s largest tissue accounting for approximately 45% of body weight in men and 36% in women.

Muscles are comprised of muscle fibers. Each fiber is thinner than a human hair and can support up to 1,000 times its own weight.

Every human movement is a sequence of skeletal muscle contractions woven seamlessly together by means of a complex interaction between the body’s muscles and the nervous system.

Classified according to the duties it must accomplish in the body there are three distinct types of muscle, cardiac, smooth and skeletal.

Cardiac muscle, found only in the heart. Smooth muscle consists of slender, cylindrical fibers which are aligned parallel to form sheets of muscle. Most smooth muscle is visceral (it surrounds nearly all of the body’s organs). Skeletal muscle fibers (elongated cylinders) are bundled into groups, which are then bundled together to form what most people refer to as “muscle.”

Anchored to bones, skeletal muscle pulls on them to cause the movement to occur.

One of the many reasons why I don’t assume anything about aging is that we need to maintain muscle to move our bones and our body! When people age without maintaining muscle mass the function is lost. Balance becomes a problem and falling occurs. Muscle contributes to the functioning of both and much more.

Between the third and eighth decades of life, without muscle maintenance, people lose up to 15% of our lean muscle mass, which contributes to a lower metabolic rate. These problems have a major impact on our quality of life and health.

Maintaining muscle strength and mass helps burn calories to maintain a healthy weight, strengthens bones, and restores balance, decreasing falls. The National Institutes of Health estimates more than one-third of people over the age of 65 fall each year, often resulting in injuries such as hip fractures which are a major cause of surgeries and disability among the elderly. Balance and strength exercises can help maintain balance and reduce this risk of falling, as well as building bone.

Muscles help to improve posture, circulate blood through the body, regulate breathing, generate heat, stabilize joints, aid digestion and protect vital organs.

The body is responsive to strength training at any age. In other articles on my site I have written about researchers who have gone into nursing homes and restored resident’s ability to get rid of walkers and stand up when getting out of a chair. The benefits are tremendous. Nothing about aging should ever be assumed! Muscle has memory and when retrained it benefits our overall health and functioning. It is the best contributor to longevity that we know of!

Strength doesn’t just involve building large muscles. Lifting weights just two or three times a week can increase strength by building lean muscle. Studies have shown that even this small amount of strength training can increase bone density, overall strength, and balance. It can also reduce the risks of fractures which often occurs when falling.

Just as muscle mass declines (when not maintained) so does endurance. The good news is that the body also responds to endurance fitness training such as walking. Any activity that increases heart rate and breathing for an extended period is considered endurance exercise. In addition to walking, swimming, cycling, dancing, and tennis are all endurance activities.

Your metabolic rate is strongly influenced by our body composition. People with more muscle and less fat generally have a faster metabolic rate, while people with more fat and less muscle generally have the opposite, a slower metabolism. Every pound of muscle uses about 6 calories a day just sustain itself. While each pound of fat burns only 2 calories daily. That small difference adds up over time. After a session of strength training muscles are activated all over your body, raising your average daily metabolic rate. One pound of muscle occupies around 22% less space than one pound of fat.

Unless you are an elite athlete, resting metabolism accounts for 60% to 75% of all the calories you burn each day, and it varies a lot from person to person.

Other benefits for muscle building is better sleep. Researchers have known that short sleep leads to weight gain. People who don’t get at least 6 hours of sleep at night are prone to overeating, and they usually crave starchy, sugary foods. Also not enough sleep slows metabolism.

Researchers at the University of Pennsylvania studied 36 healthy adults into their sleep study. Even though the sleep-restricted group was active and awake for more hours of the day, their resting metabolisms slowed by about 50-60 calories a day, says senior study author Namni Goel, PhD. Goel studies sleep medicine at the University of Pennsylvania School of Medicine.

It isn’t a huge amount, but “That can add up across multiple nights of sleep restriction.” she says. Her sleep-restricted volunteers were eating around 500 more calories each day, so the total calorie imbalance just from not getting sleep was substantial – around 550 calories a day, enough to lead to about a pound of weight gain each week.

Will you fight the assumptions of aging by improving your overall health? Include muscle function and you’ll be well on your way to aging well. Remember Ernestine Shepherd? i wrote about her last month and in other articles. She started body building at the age of 56. She is now 81! She wakes up at 2:30 a.m. every morning, consumes 10 egg whites then goes for a 10 mile run. I suspect part of her remaining day is at the gym! While everyone can’t do this, but whatever time spent is a contribution to our longevity!

Originally printed on Hormones, Health and Fitness. Reprinted with permission.

Gail Sas is a Health and Wellness Consultant with over 30 years of experience. She works with clients who are motivated towards making effective decisions in their personal health and longevity. Gail has an intensely curious mind, and loves learning and researching. She shares her content her monthly newsletter, Total Health Report. Visit her website to sign up, hormoneshealthandfitness.com.

Talking About Food

Nancy Clark, RD/11 September 2017/ All MFN blog/

Food is fuel and food is medicine. Food brings people together and is supposed to be one of life’s pleasures. Shared meals are a vehicle for building relationships, enjoying conversations, and nourishing the soul.

Unfortunately in today’s society, too many athletes and fitness exercisers alike report they have no time to enjoy meals. Sports parents struggle to gather their student athletes for a family dinner; practices and games inevitably interrupt the dinner hour. And even when seated at the same table, some family members may be eating just salad while the rest of the family enjoys steak. So much for eating out of the same pot.

Today’s food conversations commonly refer to good food, bad food, clean food, fattening food. We all know athletes who don’t do sugar, gluten, white flour, or red meat, to say nothing of cake on birthdays, ice cream cones in summer, or apple pie on Thanksgiving. We live with abundant food, but we have created a fearful eating environment with our words. This article invites you to pay attention to how you think and talk about food. Perhaps it is time to watch your mouth, so you can start to change the current culture that makes food a source of fear for many athletes.

Good food vs. Bad Food

“I eat only healthy foods —lots of fresh fruits and vegetables—and I stay away from stuff in wrappers with ingredients I can’t pronounce.“ While this may seem like a noble stance towards being a responsible caretaker for your body, it raises a few red flags for me.

One, a diet of only healthy foods can be a very unhealthy diet. For example, apples are a healthy food, but a diet of all apples is a very unhealthy diet.
Two, a diet with only unprocessed food eliminates refined or lightly processed grains that are enriched with vitamins and iron, nutrients of importance for athletes. For instance, “all natural” breakfast cereals like Puffins and Kashi offer only 4% to 10% of the Daily Value for iron, as compared to iron-enriched cereals like Wheaties, GrapeNuts, and Bran Flakes and that offer 45% to 100% of the recommended intake. If you eat very little red meat (a rich source of dietary iron), do not cook in a cast iron skillet (a meat-free source of iron), and eat only “all natural” grain foods, you could easily have an iron-deficient diet. This shows up in anemia and needless fatigue. A survey of female runners (ages 18-22) reports 50% had anemia, often undiagnosed.

Yes, many hard-to-pronounce and unfamiliar words like niacinamide, ferrous sulfate, and ascorbic acid are listed among the ingredients of many grain foods. These are the scientific names for the same vitamins in pills. There’s a reason why they were added to foods in the first place. Adding folic acid to grains has reduced the risk of having a baby with a birth defect. B-12 is important for vegans. Will the trend to avoid enriched and fortified foods come back to bite us? How about choosing the best of both?

Bad food vs. Fun Food

When athletes feel compelled to confess their nutritional sins to me (“I eat too many bad foods—chips, French fries, nachos… “), I quickly remind them there is no such thing as a bad food (or a good food, for that matter). Is birthday cake really a bad food? Is a hot dog at a baseball game going to ruin your health forever? Should you not make cookies with your children on a snowy day?

Those so-called bad foods are actually fun foods that taste yummy and can fit into an overall balanced diet. Rather than critiquing a single food, please judge your diet by the whole week, month, and year. Halloween candy is a fun treat in the midst of a steady intake of fruits, vegetables, lean meats and wholesome grains. So is pumpkin pie with ice cream.

Depriving yourself of fun foods creates good and bad foods, as well as a really bad relationship with food. Eating a fun food is not cheating. The problem arises when you restrict fun foods, only to succumb to devouring not just one cookie but all 24 of them. Binge-eating burdens you with not only excess body fat, but also (self-imposed) guilt for having broken your food rules, and disgust with yourself for having pigged out.

Eating the whole thing means you like that food and should actually eat it more often, rather than try to stay away from it. Contrary to what you may believe, you are not addicted to cookies. You are simply doing “last chance” eating. Last chance to have cookies (or so you tell yourself) because they are a bad food and I shouldn’t eat them at all.

There’s a more peaceful way to live. Try balancing a cookie or two into your daily menu. After all, you need not have a perfect diet to have an excellent diet. A reasonable goal is 85-90% quality foods; 10-15% “whatever.”

Healthy diet vs. A single ingredient

Salt, sugar, and saturated fat seem to be today’s food demons. Rather than look at each ingredient, I cannot encourage you enough to look at the entire food (and your entire diet). Take sugar, for example. Are the 3 grams of sugar in Skippy peanut butter really a source of evil? What about the 10 grams of refined sugar in chocolate milk? That (“evil”) sugar quickly refuels muscles after a hard workout. That’s why chocolate milk is an effective recovery food. After a hard workout, when you are tired and thirsty, but not yet hungry, the sugar in chocolate milk offers a quick energy boost that normalizes your low blood glucose and replenishes depleted muscle glycogen. While some athletes focus on chocolate milk’s 10 grams (40 calories) of added sugar, I invite you to welcome its high quality protein (needed to repair muscles) and abundant vitamins and minerals that invest in your good health. The fit bodies of athletes can metabolize sugar much better than the unfit bodies of couch potatoes.

The bottom line

You want to enjoy an excellent diet, and not strive for a “perfect” (but very strict) diet. You can win good health and perform well with a balanced diet, filled with a variety of foods, and enjoyed in moderation.

Sports nutritionist Nancy Clark MS RD CSSD has a private practice in the Boston-area (Newton; 617-795-1875), where she helps both fitness exercisers and competitive athletes create winning food plans. Her best-selling Sports Nutrition Guidebook, and food guides for marathoners, cyclists and soccer are available at nancyclarkrd.com. For online workshops, see www.NutritionSportsExerciseCEUs.com.

Pregnant woman doing yoga with a personal trainer

Prenatal Exercise Program Design: Exercise Duration

Catherine Cram/8 September 2017/ All MFN blog/

Exercise duration during pregnancy should reflect a woman’s current level of fitness and the type of activity she is doing. If you’re working with someone who’s just starting a prenatal exercise program the duration will be shorter (15-20 minutes) and progress slowly over time to 30-60 minutes. A pregnant woman who is already taking part in a fitness routine can continue with her current duration level, but exercise duration should be modified as needed to enable her to achieve a moderate to somewhat hard level of intensity without discomfort or undue fatigue.

Some exercise activities, such as swimming, may require a longer duration in order to achieve a moderate to somewhat hard intensity, so close monitoring of exercise intensity will help determine whether a longer bout is needed. As pregnancy progresses, pregnant women may find that they are able to tolerate a longer duration, lower intensity exercise bout better than a higher intensity, shorter bout, but avoid taking the intensity below the targeted zone of 12 to 14 on the 20-point scale or 3 to 4 on the 10-point scale.

In the case where a pregnant woman is having difficulty maintaining her normal exercise duration, try dividing the workout into two shorter sessions during the day. This is a helpful tool for enabling women to continue to exercise when she’s experiencing more fatigue in later pregnancy.

Want to learn more about how to develop a safe and effective maternal fitness program? The CE correspondence course “Prenatal and Postpartum Exercise Design” is available ppfconsulting.com

Catherine Cram, MS, is the owner of Comprehensive Fitness Consulting, a company that provides pre- and postnatal fitness certifications and information to hospitals, health & wellness organizations and the military.

Article reprinted from her blog with permission.

Health Trackers & Apps are Dangerous… Scientists Say What?

Dr. Steve Feyrer-Melk/7 September 2017/ All MFN blog/

With over 165,000 health-related apps in the App Store and Millions of wearables in the hands of the general public, scientists are wondering if they are “doing more harm than good”? One expert commented that the field can be “likened to the snake oil salesmen of the 1860s.” Is this true?

Question: What is the danger of health-related technologies in the hands of the general public?

Answer: Because health-related technology is often “one size fits all” with the data it provides mistakenly seen as the “holy grail” that leads to improved health, it can lead individuals down a path that does not correlate with improved behaviors. This should not be a shock to health professionals as it is certainly unfair to expect the average technology user to be a “health expert” who is able to accurately analyze health data and implement the proper behavior change.

Therefore, the real question should be . . . How can the power of health-related technologies that is already in the hands of the pubic, be appropriately leveraged? Well my friends, that answer lies square in the hands of the Health Professional who fills the significant gap between the individual and technology they use. I call this the Technology-Behavior Change Triad© (Details in the next article in this series).

Where the Rubber Meets the Road: While working with clients and patients for over 5 years we have successfully integrated health-related technologies with our patients and clients. During this time we have found them to be the key tool for providing patient-matched, actionable feedback related to long-term behavior change. Think about it, how else can we get “real-time”, individualized information from clients or patients when they are not with us? What’s more, smartphones and wearables are already in the hands in just about ALL of our current and potential clients and patients so as professionals we are remiss if we disregarded the use of this technology.

The Take Home Message: Health-Related technology provides valuable information to the end user. Can this be harmful? Well, the question really should be . . . How can this technology be most impactful for improved health? Simply put, the Health Professional can harness the power of Health-Related technology when it is integrated within the client or patient relationship. In the end, not only do these tools allow the creation of the best individualized motivational environment for each person, but they also take your business to the next level as you optimize your service offering with more efficient and effective engagement!

Reprinted with permission from Dr. Steve Feyrer-Melk.

Steve Feyrer-Melk, MEd, PhD, is a powerful, passionate, and trusted authority in Lifestyle Medicine who is bringing an innovative, refreshing, and successful approach to proactive health care. Dr. Steve co-founded the Optimal Heart Attack & Stroke Prevention Center where he crafts and hones real-world programs for immediate impact. Dr. Steve also serves as the Chief Science Officer of Nudge, LLC, a lifestyle medical technology company.

The Complete Guide for Exercising During Menopause

M Pimentel/6 September 2017/ All MFN blog/

“Grab those hand weights and get ready to go into a squat position,” a popular exercise guru cheerily calls out in her exercise video. So a group of women, ages 16 to 52, dutifully get their weights and huff and puff their way through the routine for 20 minutes three times a week. The oldest of them, Maria, has been doing aerobics for a year. She firmly believes that the workouts have helped her avoid the hot flashes, headaches, mood swings, sleeplessness and depression that is commonly experienced by women as they go into their pre-menopause stage — and she may be right.

Why Exercise is Good

Numerous studies have shown that exercise can be an effective antidote to the rough days caused by the hormonal changes when women hit their late forties or early fifties.

The most common symptoms, like hot flashes and sleeplessness, are associated with weight gain. Exercising also helps prevent weight gain and loss of muscle mass that goes with menopause.

The many benefits of regular exercise may also include boosting your mood, strengthening your heart, and even promoting bone density.

While many women opt for hormone replacement therapy (HRT) as a way to cope with the oftentimes debilitating physical and mental challenges of menopause, HRT often puts women at risk for blood clots, heart disease, breast cancer, Type 2 diabetes, osteoporosis, loss of muscle strength and dementia. Those push-ups and crunches are looking better by the minute, aren’t they?

So, it’s on with the sweat pants and off to the gym we go!

What are the Best Exercises?

Dr. Alexis Abrahams, a gerontologist (a doctor specializing in the elderly), advises that exercising consistently is the key to getting the best out the exercises rather than the kind of exercise. Women in their 40s, 50s and 60s should aim to do any of these three forms of exercises:

Aerobic/cardiovascular – these exercises strengthen the heart and lungs and can burn calories to help with weight management. If you’re a beginner, start with 10 minutes a day and gradually increase as you get stronger.

Walking
Jogging
Tennis
Cycling
Working out on the elliptical machine, StairMaster
Dancing – ballroom, zumba, salsa

Strengthening – When menopause hits, estrogen levels go down along with muscle mass. Working out on machines can help strengthen muscles and bones, burn body fat and rev up your metabolism. Choose a weight or resistance level that will tire your muscles after 12 repetitions.

Hand weights
Dumbbells
Resistance bands
Exercise machines that strengthen muscles and bones and help manage weight

Flexibility/stretching/range of motion – exercises that keep our aging bodies more flexible and helpful for improving (and maintaining) joint function if you have arthritis.

Stretching exercises
Yoga, taichi
Pilates

Before You Start

Always check with your doctor before you consider any strenuous activity. Ask what kind of exercises are safe and how much you can do without causing additional harm to your body. If you have bad knees, avoid running or jogging or jumping which will put additional stress on the knees. For women with osteoporosis, don’t do activities like biking or any sport that would put you at risk of impact that could break a bone. Better scratch those judo classes from your list!

Whatever the activity, choose exercises that you enjoy and chances are you’ll continue doing them regularly.

How Much Should You Do?

According to the Centers for Disease Control and Prevention, women younger than 65 should spend at least 150 minutes a week on moderate-intensity aerobic exercises, like walking or 75 minutes of vigorous aerobic exercises. This can be broken down into 30 minutes, five times a week or smaller increments such as 15 minutes daily.

Do strength training at least twice a week, making sure to rest for at least one day between these sessions. Do balance and stability exercises for 5 minutes every day, along with 1 to 3 minutes of stretching twice a day. If you choose to include yoga and meditation in your exercise regimen, do them on an as-desired basis, especially when you’re stressed and need something to keep you from throwing a brick at your loud next-door neighbor. Or your boss.

Here’s a sample workout schedule from the excellent book “The Ultimate Guide to Taking Control of Your Health and Beauty During Menopause” by Staness Jonekos.

Monday: Warm-up/Stretch, strength training, cardio
Tuesday: Warm-up/Stretch, cardio
Wednesday: Warm-up/Stretch, strength training, cardio
Thursday: Warm-up/Stretch, cardio
Friday: Warm-up/Stretch, strength training, cardio
Saturday: Warm-up/Stretch, cardio
Sunday: Rest

Doing your exercises right

Getting on the exercise bike or walking everyday just doesn’t cut it. To reduce injury and to make the most of exercising, make sure you steer clear of these 6 common mistakes.

You only do cardio

Sure, you’re sweating after a thirty-minute power walk, but as menopause kicks in, you also need strength training to maintain your muscles and burn the calories. Edna Levitt of 50+ Fitness recommends master squats and lunges to keep the big leg muscles strong and help people stay independent and active longer.

Focusing on low-impact exercises like swimming to walking or running

Yes, your muscles might be moving but your bones get left behind. Keeping your skeleton strong and healthy requires bone-jarring exercises like running and weightlifting to help ward off osteoporosis. For postmenopausal women, brisk walking four times a week may be enough to lower the risk of hip fractures compared to women who didn’t walk as much.

You take it easy

You can still do the exercises you did when you were in your 40s, says a JAMA Oncology study. Postmenopausal women who did 5 hours of vigorous aerobic exercises per week lost more body fat in a year than women who exercised less.

You eat the same

You were already eating healthy before, but when your metabolism slows down during menopause, you need to eat 200 calories less than you did during your 30s and 40s. Choose protein sources from fish, chicken, and turkey and lots and lots of fresh fruits and vegetables.

You forget to warm-up

Skipping the warm-up leads to injuries. A 10-minute warm-up like arm circles, high knees or neck rotations can get the old bones and muscles ready.

You think you can do it on your own

As always, check with your doctor about any of the intensive exercises you plan to do. Get a therapist or a personal trainer for proper guidance especially with the strength training and vigorous exercises.

To keep yourself motivated, get your pals and family to exercise with you. The more the merrier!

M is a happily married Filipino mother to three wonderful little daughters, ages: 8 years, 5 years, and 4 months old. Her daily life is a struggle between being the Executive Content Director for Project Female and deciding who gets to watch television next. She specializes in creating and editing content for female empowerment, parenting, beauty, health/nutrition, and lifestyle. As the daughter of two very hardworking people, she was brought up with strict traditional Asian values and yet embraces modern trends like Facebook, vegan cupcakes, and the occasional singing cat video.