As an athlete, you have two jobs. One is to eat wisely to perform well. The other is to stay healthy by sleeping well, eating well, and living well. Wellness was the theme of the 35th Annual Symposium …
Did you ever think after your vacation you’d come back a transformed person?
When my husband and I returned home from our vacation last month, I noticed, other than the obvious feelings of content and relaxation, my clothes felt looser and I felt recharged. No challenge was too big. A bit grandiose, I know. However, it was short-lived, except I kept the weight off, and refrained from consuming caffeine and sugar. Around the time I had finished three loads of wash, I felt practically back to normal. Time fades. I still felt reinvigorated, but the shift towards normalcy was advancing.
Vacations are supposed to be about creating balance in our lives. Who am I, what is my purpose and why do I do what I do? I don’t pretend to have all the answers, but at 61, I have more than I did at 16. I know that a timeout and real rest is healthy for the soul. It is not so important whether you take a trip or not, as long as there is some form of escape.
In the meantime, I plan to seek some form of meditation I can stay committed to (no luck so far). I have returned to work, continue to read my business journals, and create fun and educational videos for my friends and clients. I am doing the best job I can. So for now, since none of my favorite TV shows are on, I may even pick up another novel to read.
Prepare yourself for the things that matter and have fun when you can.
Reprinted with permission from Lori Michiel. Read more from Lori at her website, lorimichielfitness.com
Lori Michiel NASM-CPT is the owner of Lori Michiel Fitness. She is a trainer, teacher and passionate advocate for fitness. I specialize in helping active adults and seniors fulfill their physical potential and experience the joy of being healthier and more active in their lives.
The feet are one of the most overused and taken for granted parts of the body. Since the feet are the foundation for the rest of the body, it would only be logical to begin developing strong, aligned, and full functioning feet from the start when developing a personalized fitness program. The feet should be a priority for developing sound fitness education in order to prevent injuries. Most fitness and sport injuries usually involve the feet. Even when the injury is to the knee, hip or back it can usually be traced back to a misaligned foot pattern.
In the fitness and wellness world there is hardly ever a designated focus on the feet. Since the feet are involved in almost all fitness activities it would make sense that starting with a careful assessment of a person’s feet would be the best place to start. Observing how a person stands, walks, runs, and moves normally can tell you why a person might have a hip, knee, or lower back problem. People who have difficulty with balance almost always have a foot alignment and gait which cannot support the body in movement. Maintaining and working foot function is crucial for insuring continuous mobility, and independence in populations who are handi-capped, have had strokes, who have M.S. or Parkinson’s, or diabetes.
Feet often are good indicators for what is going on in other parts of the body. Abnormalities or pain in the feet can often be a precursor for more serious health conditions. This means that we as wellness practitioners and fitness experts need to pay attention to the feet so much more than is commonly done today.
As wellness/fitness educators it makes sense to understand the anatomy of the feet. It is easy to understand and be able to explain to clients that there are three posterior muscles which go into the plantar foot, three muscles into the dorsal foot. There are three muscles which attach at the calcaneus stabilizing the ankle, heel and lower leg to knee. Both the tibialis posterior and anterior are major stabilizers and the flexors and extensors can only reach their insertions based on the full function of these two muscles. It is not difficult to give people simple and clear understandings of these basic muscles and how they need to be in balance in order for the muscles of the legs to work correctly.
Throughout the body we train muscle groups and chains to function and support the body in movement. These muscles are largely unrestricted by outside forces. Only in the feet are the muscle insertions cut off and thus, restrict the muscles from their full function.
This means that over time the muscle chains will slowly contract upward from these restricted insertions. Wearing shoes to train restricts full function of the feet and legs. This in no way means you should train people barefoot, however, it does mean that part of each training session should be focusing on the feet without shoes worn.
Here are simple facts about the feet:
- There are 52 bones in your feet which makes up 1/4 of the bones in your body. This means that it pays to focus on the anatomy of the feet and to best understand how to transfer weight through them.
- Each foot has 26 bones, 33 joints, 107 ligaments, and 19 muscles and tendons which are supposed to hold the structure and allow it to move the rest of the body. The more you can analyze a person’s gait and standing position and observe which muscles are not being used properly and where weight is impacting and damaging the foot, the easier it can become to correct the problem and prevent injuries.
- 75% of all Americans will experience foot problems at some point in their lives. This is epidemic. More people are living active lives and more foot injuries are occurring annually. Starting at the feet is essential for avoiding foot injuries.
- With a foot injury, without education about how to change the way a person is using his feet, the injury will continue to occur and worsen with time. Using orthotics and other devices does not re-educate the feet. They are temporary fixes. Over time a person will continue to breakdown in the same pattern while weight bearing into the orthotic.
- When walking the feet receive more pressure into them than the actual weight of a person and when running it can be up to four times the weight of a person. Learning how to use the entire foot when walking allows a transfer of weight throughout the foot. This can mean a person stops walking into the same point repetitively breaking down. Weight needs to be transferred equally through the feet.
- Only a small percentage of people are actually born with foot problems. People blame foot problems on their genetics. Genetics in the feet as well as in any other structural part of the body can be identified and improved upon to avoid repeating the family pattern.
Bringing the Best Foot Practices into the Medical Fitness Community
It is important to bring the feet into your client’s fitness/wellness program. Learn how to break foot education down so it is mindful and allows a person the ability to understand how to use his/her feet. Here are some pointers:
- Observe how your client stands, walks, and runs to see the most used foot pattern.
- Observe where this pattern might be repetitively stressing and impacting the joints of the feet and above in the body.
- Teach a client how to walk and stand in parallel with feet at hips distance a part.
- Train people how to transfer their weight from the heels, through the outside of the feet, through the transverse arch from lateral foot to medial, from fifth toe to big toe. The knee must stay in line with the middle foot when the big toe presses down into the floor.
- Explain what pronation and supination are. Explain the difference between pronation and collapsing the feet medial breaking down the arch.
- Train clients how to activate and strengthen and stretch their toes.
- If your client is weight bearing into the medial knee, focus on the feet to realign the knees and avoid a knee injury.
- The more you bring a foot practice into your program, the better your results will be and the less injuries will be experienced.
Learn more from Yamuna on this topic! Join her for the upcoming MedFit webinar, How to Rebuild Healthy Foot Function
Yamuna Zake is a visionary healer dedicated to demystifying the body and providing simple, powerful tools that make lifelong fitness and well-being a reality for everyone. She has developed her deep knowledge of how the body works over forty years, starting at sixteen, when she became a certified hatha yoga instructor. She is the founder of Yamuna, a leading source of education for teachers, therapists, and fitness instructors interested in expanding their knowledge in BodySustainability which can enhance their core expertise, and often lead to a longer term interest in becoming a certified Yamuna instructor.
*Information taken from Illinois Pediatric Medical association – Simple facts*Yamuna Foot Fitness Training Manuals – Bringing best foot Practices
As fitness professionals, what we can expect is the unexpected. Often the last person we think may send an inquiry, does. If you’re like me and the majority of your training is in-home, you often get the privilege to work with so many you may not otherwise in a traditional gym or studio setting.
The Unexpected Client
While I was used to receiving various inquiries from those with different chronic conditions or disease, disabilities and other limiting factors, the one I didn’t anticipate was a blind client. The first thing I did before responding was see what trainers in my area may be willing to work with this individual, no response, no one was interested. My first thought was my “scope of practice”. Surely this wasn’t in that category for me. While I took time to reflect on how I could possibly help this person, I did some asking around to a well-respected fitness professional not in my area. I asked him, “How do you train a blind person?” He responded by saying, “I have never had the chance to do that but I would say you train him just like anyone else.” That made complete sense to me in that moment. What I didn’t know I would research. Next, I would fully disclose that I did not have prior experience with training a blind person, but I would be happy to take him on. So, I did.
In researching training the blind community and speaking with a few people in various agencies, I couldn’t get much beyond the science and statistics. No methods, no accommodations, no modifications, no advice, not much to guide me. I did learn about Orientation and Mobility Specialists and while that was needed in the beginning for my client, it was not needed for him to have at the time for the training to take place.
You adjust everything you know about training. A huge eye opener for me was learning that I had a vision dependency on cueing. My verbal cueing was subpar. Too often I was used to saying, “Watch me first, then you try,” then correcting form as needed. In programming for my client, I needed to better learn to be descriptive so that what he could not see, he could imagine in the mind. It had to make sense.
What helped me to make progress, not just with my blind client but in general, was to really read the descriptions of exercise, movement and anatomy. Even if I had to read it continuously to better explain, that is what I did. When something didn’t make sense, we just eliminated it and found a better option.
Learning to count steps was another big deal. It was critical to know how to express inches, feet, yards when walking or moving around. For example, we are 2 yards from your driveway, in 2 feet there is a table, it is 35 steps to your mailbox.
Blindfold yourself. Close your eyes when exercising. Have another trainer, family member or friend, tell you some of the exercises that you find hard to describe and learn from those examples. Get a real feel for what your client may experience. Learn how they use their cane and the types of canes (sticks). One wealth of information came to me from a blind athlete. He took time to talk to me and just reinforce how important it is for my client to be independent.
Announce what you’re doing before you do it. It’s the same with asking to touch a client, “Is it okay if I touch your elbow?” Or, “I am going to pick up these dumbbells.”
Learning to not be so protective, smothering and motherly, as was my nature as a mother of five. I was scared every moment, what if my client falls, trips, bumps into the wall, anything. I felt I had to always be on guard and with the slightest change in movement or awkward movement, I would have my arm ready to catch if I needed. Too much! It was very helpful that a few times I had another trainer in training (my husband) come along with me and he brought it to my attention. I told him, I know I can do it, but what if something happens? He said, it just will and I can’t spend every minute in protection mode. It’s not good for me or the independence of my client.
Programming always changed. There were days we just walked because that was as much as my client could handle. Cancellations due to various reasons required me to step up and not be taken advantage of as well. Adapting to all of that and being patient in what my client needed took time.
Addictions (substance abuse). While I won’t get into much depth on this topic, there were many other challenges within this area that I was exposed to and needed to refer out and gain help for. Again, it was the unexpected.
Nutrition problems. Making sure my client was eating, what and when. There were many discussions we had regarding proper nutrition. Much of it would lead back to other barriers, such a cigarettes or substance abuse. It required other professional intervention, as I am not a Registered Dietitian, but we did review general eating habits and good vs bad. Occasionally, we got it just right.
While the primary goal was weight loss and increased strength for my client, we tackled everything. We incorporated cardiovascular activities and ones we did often were running together with a rope (tether), jumping jacks, and walking. But every part of the programming goals were to incorporate functional exercises which all required flexibility, balance, core, resistance, strength training, and what my client could focus on doing alone. We used dumbbells, resistance bands, sandbells, medicine balls, jump ropes, tires, picnic table, stairs, Airex pad and simply bodyweight. The most important use of all the exercise was in how it would further benefit my client and the goals we set. Nothing should be useless training.
While there is so much more to be said on how I trained my blind client, the most important message to relay is to not be afraid of what you can’t do, but do what you can. We should always ask questions, always expand our knowledge and do what we as fitness professionals are here for — to assist in living a healthier, active lifestyle. We can’t promise the moon, but it is our responsibility to do the very best we can within our scope, and what we are hired for. If you’re doing that, than you are probably doing it well.
Dawn Baker is an Independent Contractor Personal Trainer, founder of One Accord Fitness LLC and has been changing lives in the fitness industry for 6 years.
For many exercise professionals, the goal of training and educating clients is to improve health, increase strength and performance, and improve fitness parameters. The concept of reducing injuries may not be high on their radar screens.
However, in American business, the aspect of doing anything that will reduce injuries (and health insurance costs) is of utmost importance. So much so that many businesses, universities, and manufacturing companies are hiring wellness professionals as part of their efforts to reduce heath care costs.
One aspect of providing a wellness program to companies is to define your services. Will you be performing ergonomic analysis?
Is a comprehensive stretching program part of your offerings?
Will employees be able to train in a health club environment?
Will there be any post-rehab therapy services available?
Many wellness programs segregate their services from ergonomics – which is a certified practitioner who may perform intrinsic (body mechanics), or extrinsic ergonomics (fitting proper equipment to the employee). Wellness programs are also not athletic training or rehabilitation, but may incorporate some of the elements of each of these disciplines.
Wellness services concentrate on sound basic exercise, stress management, aerobic conditioning (walking/machines), massage therapy, weight management, smoking cessation, and general health services (coaching, phone follow ups, etc.).
Perhaps the most important aspect of wellness programs (other than great instruction) is defining outcomes. HOW will employees lose weight? Will gaining core strength reduce total lost days? Can stretching and balancing programs reduce total medical payments for low back pain?
Outcomes will make a program successful. Results from university programs show that regular exercise programs may reduce back pain levels by up to 50%. Workers who have less pain won’t mind coming into the office more often. These same programs help reduce total low back injuries (many by over 75%). Most importantly – these programs save money. From the Steelcase programs in the mid-1980s to programs today – people who are actively engaged in regular exercise, range of motion, massage therapy (chair massage), core training, balance training, nutritional intervention, relaxation training, smoking cessation, and regular health monitoring (body weight, body fat, blood pressure, specific blood lab values) improve health, reduce health risks, and save appreciable dollars over companies that do not provide these services. It is not uncommon for the return on investment to be higher than 4:1. This is remarkable considering most wellness programs have a modest budget.
Speaking of a modest budget – many wellness programs can be done well even if inexpensively. For a staff of 200 employees – approximately $2,500-3,000 can be spent on fitness balls, rubber tubing, dumb bells, stretch mats, and flyers can suffice to produce good results. Other equipment that may be used would include relaxation CDs, or a machine called Resp E Rate, which is a biofeedback unit that works to reduce heart rate through specific music programming. TENS units and chair massage may be used for pain management. Although these modalities are usually found in a PT office, they can be used anywhere where staff experience chronic pain levels that are not threatening.
The power of the wellness practitioner may also be the power to refer. When an employee experiences high levels of pain, depression or anxiety, or an injury or condition (blood pressure) that will not normalize – they need to be referred to medical personnel. It’s actually a great feeling to have a network of providers that can assist in bringing an employee to a more healthful and productive place in their work status.
In closing – the field of injury reduction and prevention is one of the fastest growing areas of health promotion – and should be investigated thoroughly. Some resources below may give wellness instructors some insight into the area of injuries, safety, and certifications. Remember, too that employers in private sectors companies may pay well for services that save them money. This is yet another reason to look into this interesting and challenging health promotion field of the future.
Eric Durak is President of MedHealthFit – a health care education and consulting company in Santa Barbara, CA. A 25 year veteran of the health and fitness industry, he has worked in health clubs, medical research, continuing education, and business development. Among his programs include The Cancer Fit-CARE Program, Exercise Medicine, The Insurance Reimbursement Guide, and Wellness @ Home Series for home care wellness.
Healing with release is based on the fundamental idea, backed by research, that stress, tension and trauma are both psychological and physical. Twentieth-century science is moving forward to a better understanding of the body’s deterioration. Hans Selye recognized that physiological disease could arise from psychological causes, such as stress (Somatic viewpoint). The pathology of chronic pain is associated with numerous losses such as a decline in physical fitness, disturbance of sleep, strained relationships, loss of energy and fatigue. Social isolation, loneliness and anger are often evident in people suffering from chronic pain. These negative emotions exacerbate pain and increase suffering. An estimated 33 to 35 million U.S. adults are likely to experience depression at some point during their lives.
In 2011 in USA alone hundred million Americans suffer with chronic pain and the cost of lost wages translated to $ 600 billion due to employees with chronic pain calling in sick because of a pain–related condition such as:
- Headache—$14 billion, only $1 billion of which consists of health care costs (Hu et al., 1999), partly because most people with migraine stop seeking medical care for the condition (Silberstein, 2010)
- Arthritis—$189 billion, less than half ($81 billion) of which is for health care costs (Yelin et al., 2007)
- Spine problems—$2,500 average in incremental medical costs (Martin et al., 2008); and low back problems—$30 billion (Soni, 2010) Opioid pain medication use presents serious risks, including overdose and opioid use disorder
- Between 1999 and 2015, more than 183,000 people in USA died from overdoses related to opioids.
By having a flexible spine with strong hips and thighs, the human body is ideally designed for movement such as walking, running, squatting, and claiming- throwing objects and swimming. Unfortunately, during the course of a person’s life, the sensory-motor nervous system continually responds to daily stresses and traumas with specific muscular reflexes. These reflexes, triggered repeatedly, create habitual muscular contractions which cannot be relaxed–at least not voluntarily.
If stressed, traumatized, overused and repetitively used muscles are required to continue to work, the muscle begins to tighten. Once this happens the contraction of the muscle constricts the blood vessels. This reduction of blood flow reduces the oxygen to the tissue. Once a tissue is oxygen deprived, it will shut down and tighten more. This creates a negative pattern of tension, oxygen deprivation, and more tension that ultimately results in rigid muscle tone. This results in one’s postural misalignment and muscular asymmetry with symptoms such as:
- Chronically hard, tight muscles
- Chronic tightness or chronic inflammation of a tendon(tendinosis)
- Chronic joint tension or chronic inflammation
- Limited range of motion in a joint
- Impingement of a nerve resulting in numbness or a tingling sensation
- Compression of a disc resulting in neck or back pain
- Muscle weakness in one area especially if the muscle feels tight
- Consistent muscle cramping
- Joint instability while performing daily tasks
- Recurring muscle strain or injury to the same muscles
Muscles needed to perform regular, daily tasks (such as sitting and standing) are what we call “functional muscles”. It is more important in daily life to have functional muscles than it is to have big, hard muscles. Functional muscles require more endurance than pure strength. The focus of restoring to maintain a healthy body is to increase the endurance of those muscles which are needed to function throughout the day.
The exercises which safely activate a natural reflex mechanism calming down the nervous system which releases muscular tension are based on restoring blood flow and oxygen to tissue.
Muscular tension release can be done by manual pressure that is applied to the most superficial layer of tissue where dysfunction appears (pain, tension or rigidity). Once the tight tissue is stimulated, blood flow to the area increases and the tight tissue will become suppler. This allows the therapist to access the next layer of tissue without applying excessive pressure. This pattern is repeated until all layers of dysfunctional tissue are restored and the tight, rigid tissue is replaced with supple and mobile tissue. Supple and mobile tissue will be free of pain and have a greater range of motion.
The ability to release muscular tension independently one must learn how to align their body and mind while experiencing an alert but relax state of awareness. The SykorovaSynchro Method℠ is a phenomenal educational tool with positive impacts to patients mentally, physically and emotionally and has three stages/ progressive levels:
- To balance function of sensory-motor cortex via sensory stimulation mental imagery (sometimes called visualization, guided imagery), progressive muscular relaxation and control breathing. Result is relaxed but alert state of awareness.
- To enhance sensory integration/ awareness of somatic movement (movement regulated by feeling, mental imagery, sensation). Result is ability to perform somatic/ intuitive movement.
- Ability to perform conscious exercises – via mental imagery, sensation. Positive result is in neuro muscular conditioning/ function – postural improvement, balance, coordination, flexibility and agility.
Research has shown that when we imagine an experience, we often have similar mental and physical responses to those we have when the event actually happens. For example, if one recalls an upsetting or frightening experience, she/he may feel their heart beating faster, may begin to sweat, and hands may become cold and clammy.
In life it is very important to minimize the negative effects and maximize the healthy, healing aspects of the mind–body connection. Each person has a unique capacity for getting better, healthier, achieving peak performance and recovering from injury.
The mind-body connection means that one can learn to use his/her thoughts to positively influence the body’s physical responses, to create abilities to be aware of their own thoughts and actions in the present, without judging them self.
Physical activity has the potential to be not just an activity of the body, but a whole body-mind-spirit system. Exercise can create a unique, beneficial mental state; and the positive mental state can enhance the benefit of exercise as a part of muscular release tension plan, which reinforces the perception that exercise is just an out of body experience. We have to remember, that our bodies are made to feel good and has abilities to heal.
A unique water exercise program based and structured on those principles will teach you to release tension, increase mobility and build endurance in muscles, tendons and joints. Those physical exercises are performed with an intense focus to utilize four principles such as breathing, proper form, control and concentration.
- Exercise is performed with controlled breathing that utilizes full inhalations and full exhalations that follow a specific number of counts or rhythm. The goal is to learn how to breathe at a pace of 6 breaths a minute, about 3 or 4 seconds inhaling and 6 or 7 seconds exhaling. Once we have the slow, deep breathing accomplished, we don’t have to worry about counting and imagine breathing out any tension in the body or thoughts that get in the way of comfort and relaxation. The benefit of the water environment is tremendous. Hydraulic pressure increases human vital capacity in shoulder depth immersion 7x more than air, which promotes deep breathing and natural relaxation.
- Exercise is performed with proper form or in precision. Quality of movement counts more than quantity in a mind-body exercise. Precision requires mental control. The mind has to be wholly focused on the purpose of the exercises as you perform them. The sensation of water on the skin is enhancing biofeedback’s, which helps with proper form greatly.
- Neuromuscular exercise always involves the control and balance of your own body-weight. In water exercise we have interplay between gravity and buoyancy, weight and weightlessness. Control of the body can become challenging and at the same time very beneficial for overall success. By implementing movement patterns in a variety of directions, we stimulate and enhance balance, coordination, and flexibility, and inspire the neuromuscular system to become more expansive and creative. Moving in different speeds is an aspect of our physical capabilities that must be practiced in order to maintain a sense of health and well-being.
- Releasing Movement is performed with intense concentration on yourself, in the present moment. The mind-body exerciser is focusing on his/her body rather than on the instructor, or on other participants. One should never be day dreaming about other things. The point-of-focus in a self- sensing exercise will differ from most other forms of physical exercise. One should be thinking about stabilizing, or anchoring, the area of the body that is NOT in motion. This is contrary to the usual Western method of trying to isolate the muscles that we perceive to be performing the movement.
Working as a health-fitness professional for the past 30 years, I am sensitive to the overall health of students/clients, and I continue to put research developments into practice. The focus in fitness these days for “Active Aging”, “Athletic Recovery”, “Chronic Pain Management”, “Healing with Release” are functional exercises – exercises that simultaneously use multiple muscles and joints to improve muscular endurance, overall strength, coordination, balance, posture and agility – to get a challenging, effective and fun full-body functional workout as well as prepare the body for every day, real world activities.
Join Dr. Sykorova Pritz for her upcoming webinar, Pain-Free Movement Techniques.
Reprinted with permission from Dr. Maria Sykorova Pritz and the Aquatic Exercise Association (AEA). The AEA is the leading educational agency in water fitness and is reaching health-fitness professionals in aquatic field. This article first appeared in the August/September 2018 issue of their AKWA magazine.
Dr. Maria Sykorova Pritz Ed.D earned her doctorate in education (specialty in Physical Education and Sports) from University Comenius in Bratislava, Slovakia. Maria is an ATRI faculty member, member of AEA Research Council, author of health fitness articles and FLS CE class, presenter for national and international fitness conferences. In her 32 years of professional career Maria is combining academic knowledge with hands on experience in functional fitness, pain management via land based and aquatic fitness. Maria’s unique training method (SykorovaSynchro Method℠) involves integration of multidisplinery techniques to achieve overall health and optimized performance. Maria is an ATRI faculty member, member of the AEA Research Committee, FLS continuing education developer, author and presenter.
- BURDENKO I, MILLER J. (2001) Defying Gravity. www.Burdenko.com.
- GREGOR T., SYKOROVA PRITZ M.: (2008) Pain management and psychophysical conditioning through water exercise. Revue Mediciny v praxi, Bratislava, MAURO Slovakia s.r.o. Rocnik 6, cislo 1, 2008, s.29, 30, 38 ISSN 1336-202X
- Discovery writers. (2013): Mind – Body Exercise Connection. Discovery Fit &Health; http://health.howstuffworks.com/wellness/diet-fitness/information/mind-body-exercise-connection.htm
- INSTITUTE of MEDICINE (2011): Relieving Pain in America. A Blueprint for Transforming Prevention, Care, Education, and Research
- JOHNSON, L.S.(2009):”Therapist’s Guide to Posttraumatic Stress Disorder Intervention”, Academic Press is an imprint of Elsevier, San Diego, California, USA.Page146-148, ISBN:978-0-12-374851-5
- RAMSEY L. (2018): As America fights opioid addiction, the healthcare system is failing people who live with chronic pain: http://www.businessinsider.com/people-with-chronic-pain-during-opioid-crisis-2018-1
- SYKOROVA PRITZ, M. (2007):” The effect of water exercise on selected aspects of overall health on a fibromyalgia population”. Aquatic Fitness Research Journal, October 2007, Volume 4, Issue 2, Nokomis, Florida, USA: Aquatic Exercise Association. page. 6-13
- SYKOROVA PRITZ, M. (2018):” Healing with Release” AKWA: Volume 32, No 2; Brunswick GA. USA; Aquatic Exercise Association, page 31-33,ISSN: 1536-5549
- STOLNICK, D.: (2000-2008) Looking for joint pain relief. Vilage Inc.
- VAN HOUDENHOVE, B, – EGLE, U, – LUYTEN, P. (2005): “The role of life stress in fibromyalgia”, Curr Rheumatol Rep. 2005 Oct; 7(5):365-70.
- THEARMAN, B.H.: (2007) Simple solutions to Chronic Pain. New Habringer Publication, Inc. ISBN-13: 978-1-57224-482-5.
NOTE: To learn more about SykorovaSynchro Method℠, it is recommended that you take the course “Application of Water Exercise for Health Fitness Professionals Specializing in Pain Management.” to increase your knowledge and skills. For more information, log on to www.FitnessLearningSystems.com.
What is Global Employee Health & Fitness Month?
Global Employee Health and Fitness Month (GEHFM) is an international and national observance of health and fitness in the workplace, created by 501c3 non-profit organization, the National Association for Health and Fitness. The goal of GEHFM is to promote the benefits of a healthy lifestyle to employers and their employees through worksite health promotion activities and environments.
Formerly titled National Employee Health and Fitness Day, GEHFM has been extended to a month-long initiative in an effort to generate sustainability for a healthy lifestyle and initiate healthy activities on an ongoing global basis with a reach into South America, Europe and Asia.
Employers everywhere are invited to participate. The website and toolkit are available to participants, healthandfitnessmonth.org
Employers will challenge their employees to create Healthy Moments, form Healthy Groups and develop a Culminating Project. Participants will be able to log these activities on the website through the month, allowing employer and employees to track, share and promote their individual and group activities. GEHFM is structured very simply for ease of use and primarily targeted on companies with 500 employees or less.
Healthy Moments are occasions of healthy eating, physical activity or personal/environmental health. (e.g., cooking a healthy meal or scheduling a dental/doctor visit.)
Healthy Groups are formed to create a sustainable activity continuing even beyond the month. (e.g., healthy lunch groups; company sports team; walking club.)
Culminating Project is an event that promotes health throughout the whole company or community. (e.g., planting a community garden; company/family fitness event.)
When is GEHFM and how it works?
GEHFM is held during the month of May every year (traditionally physical activity month). Health Moments occur daily, even multiple times a day and are created by individuals and groups. Healthy Groups implement activities to be performed several times throughout the month. Finally, the Culminating Project is developed during GEHFM and is executed at the end of May.
Why should employers/employees participate?
GEHFM is a great way to kickoff wellness and fitness programs and bring excitement and can complement existing programs. Workforce wellness programs have been shown to benefit the employer through enhanced employee productivity; reduced health care costs; reduced employee absenteeism and decreased rates of illness and injury. These programs benefit employees by lowering stress levels, increasing well-being, self-image and self-esteem, improving physical fitness, increasing stamina, increasing job satisfaction and controlling BMI and blood pressure.
Benefits of GEHFM
- Free, innovative and proven tool kit provided to help guide activities and events
- Promotional items advertising GEHFM available for purchase by participants
- Ability to log and track moments, groups and projects
- Option to implement friendly competitions and challenges to build teamwork
- Simple and adaptable to any wellness and fitness program
- Creates sustainable healthy programs, environments and policies
About the National Association for Health and Fitness (NAHF)
NAHF was founded in 1979 by the President’s Council on Physical Fitness and Sports and has as its vision that America shares in the social economic, health and environmental benefits that come from living an active lifestyle. Our mission is to improve the quality of life for all individuals in the United States by promoting physical fitness, sports and healthy lifestyles. We also champion environmental and policy support for active living and encourage and share innovation in the States. NAHF values active living (integrating physical activity into daily lives) community involvement and leadership development for all societal sectors; promoting quality physical education in our schools; developing workforce health promotion programs and active-aging programs. With our focus on the States, NAHF “bridges the gap” between federal and local action and unites researcher and community practitioner.
Global Employee Health and Fitness Month website: healthandfitnessmonth.org
Diane Hart, Owner of Hart to Heart Fitness, is a Nationally Certified Fitness Professional, Personal Trainer, Health Educator and is current President of the National Association for Health and Fitness founded in 1979 by the U.S. President’s Council on Sports and Fitness. She is also Chair and one of the original architects of Global Employee Health and Fitness Month, which strives to make healthy the norm in the workplace.
For most of the past 40 years, dieters have been told to limit dietary fat, believing it leads to obesity and heart disease. Today, dieters hear messages to indulge in a very high-fat (ketogenic) diet and limit the carbohydrate-based foods that fueled their low-fat diet. Confusing, eh? The bottom line is: calories count. You can lose weight by limiting carbs and/or fat. Let’s look at the weight management picture, as we understand it to date. (Nutrition is an evolving science!)
Are carbs fattening?
Foods such as white bread, pasta, rice and potato (“carbs”) have been demonized as being fattening because they have a high glycemic index. That is, they digest quickly and can spike blood glucose when eaten solo in 50-gram carbohydrate (200-calorie) doses. That happens when the average (unfit) American devours a basket of warm dinner rolls. Blood glucose rises quickly; the pancreas secretes insulin to carry glucose out of the blood and into the muscles. Insulin can stimulate hunger, the desire to eat, and the potential to gain weight.
But how often would you eat rolls without butter? A plate of pasta without sauce and Parmesan cheese? A large potato all by itself — with no butter or protein? Most likely, rarely. Eating “carbs” as part of a meal elicits a lower glycemic response than eating them solo. Protein and fat slow their conversion into blood glucose, thus blunting the glycemic response.
The advice given to the general public to limit high-glycemic foods often results in eating fewer calories (and losing weight). The advice can appropriately help stabilize blood glucose in women with polycystic ovary syndrome (PCOS), and unfit people with obesity, pre-diabetes, and Type II diabetes. But the advice may not pertain to YOU, an athlete. The bodies of athletes eagerly take up blood glucose to fuel exercise and replenish depleted muscle glycogen stores. Too little carb (grain, fruit, vegetable) results in needless muscular fatigue if you train hard day after day.
That said, some very athletic people live in large bodies. They tend to be frustrated they don’t shed fat despite religiously abiding a low calorie diet plus rigorous exercise. As one triathlete complained “I should be pencil thin by now, for the exercise I do…” What’s going on? The answer might relate to that athlete’s personal insulin response to carbohydrate. Research suggests genetics causes some people to be high insulin secretors. Just as not all couch potatoes secrete excess insulin, not all lean athletes escape Type II diabetes.
What does this mean for you, a weight-conscious athlete? If you struggle to lose weight, you might be a high insulin secretor. Take a look at your family genetics: Do your relatives gain weight easily? Do they have diabetes? If yes, you want to talk with your doctor. You might be better off choosing a low glycemic diet, trading processed carbs for whole grains and combining them with lean protein and healthy fats such as nuts, nut butter, and avocado. And plan to keep exercising, religiously.
Keto or veto?
You have undoubtedly heard people rave about the keto diet. This very rigid high fat, low carb food plan with more than 70% of the calories from fat and less than 5% of the calories from grains, fruits and veggies is touted to reduce weight and risk for heart disease, diabetes, cancer, and Alzheimer’s. Here’s some food for thought on the current keto rage. You can figure out if you want to jump in or think twice.
- Nutritional ketosis (NK) (as opposed to diabetic ketoacidosis, a life-threatening condition) curbs hunger due to the appetite suppressing effect of ketones. To induce NK, a person needs to restrict carbohydrate to about 20 to 50 grams a day. That means eating only a few berries, some leafy greens, mushrooms, no milk, yogurt or grains. You’d eat lots of avocado, olive oil, nuts, nut butter, and some cheese, bacon, and fatty meats.
- When carbohydrate is not available for fuel, the body adapts (painfully over several weeks of feeling lousy, hence the term “keto flu”) to burning fat and makes a byproduct called ketones. Infants burn ketones; the adult body needs to relearn how to use them.
- Due to lack of carbohydrate, keto dieters secrete very little insulin, which contributes to reduced appetite which, when combined with limited food options and consumption of fewer calories, leads to fat loss—and the health benefits associated with weight loss, including reduced risk of diabetes, heart disease, etc.
The questions arise:
- Would following a ketogenic diet suit your lifestyle? No bananas, beer, or birthday cake. What would you eat on Meatless Monday? Plant proteins like beans come with too many carbs. No hummus, burritos, chili.
- Would a high intake of saturated fat (bacon, sausage, spare ribs) create cardiovascular issues?
- Does the low fiber intake have a negative impact on your gut (constipation)?
- If you happen to love crunchy apples, fruit smoothies, and roasted veggies (to say nothing of a social life) how long could you sustain the keto lifestyle?
- What would happen when you get out of “Keto Jail”? Would you end up binge-eating carbs? Would that leave you with rebound weight gain, feeling depressed and being worse-off than your pre-keto status?
- Would changing the nutrient-poor food choices in your current lifestyle be the wiser weight management solution? Meeting with a registered dietitian (RD) could help you make those changes more easily than you may think.
You have to figure out your answer to the keto or veto question. For serious athletes who do intense exercise, take note: It is a lot of work with no proven performance benefits to date.
Nancy Clark, MS, RD CSSD (@nclarkrd) counsels both casual and competitive athletes at her office in Newton, MA (617-795-1875). Her best selling Sports Nutrition Guidebook offers additional fueling information, as does her blog at NancyClarkRD.com and online workshop NutritionSportsExerciseCEUs.com.
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