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Nutrition Myths | Part 2

Check out Part 1 of this article for more nutrition myths.

Looking for weight loss and overall health in the digital age can be a mixed blessing. Technology, on one hand, is a threshold to endless potential weight loss diets, nutrition facts, health and fitness approaches.

But, on the flip side, it can be difficult to know what to follow and what activities could supercharge your health and fitness.

Take a look at some common nutrition myths…

Myth#6: All sugars are bad.

Fact: Go for natural sugars over artificial sugars. Natural sugars are already present in whole foods, such as milk (Lactose), plain yogurt (Lactose), and fruits (Fructose).

Natural sugars are a better alternative to added sugars as they are packed with health-promoting nutrients such as calcium, iodine, magnesium, potassium and fiber, along with natural sugars.

Added sugar sabotages your metabolism leading to heart disease, type-2 diabetes, cancer, weight gain and other inflammatory diseases. You will be surprised to know that, even if you don’t eat sweetened foods like dessert and cookies. your foods have hidden sugar in it.

Added sugars present in your diet include high fructose syrup, maple syrup, honey and glucose. Around 70% of processed and packaged foods (breakfast cereals, soups, flavored yogurt) have added sugar in it.

As per a CDC report (1), 14% of total calories are comprised of added sugars in the Western diet. Consumption of added sugars should be less than 10% of 2000 calories/day (<200 calories).

According to the American Medical Association, 6 teaspoons of sugar (25g) for a woman and 9 teaspoons of sugar (36g) for a man is enough to add sweetness to your diet.

The Takeaway: Try to add fruits to your breakfast for sweetness. Buy plain oats over flavored oats, which are loaded with added sugar and excess sodium.

Also, you can enhance your meal with the addition of plain yogurt, not flavored yogurt. Then you can enjoy more natural sugars. Reconsider your diet and lifestyle.

Myth#7: Drink 8-ounce glasses of water daily to stay hydrated.

Fact: Our body comprises of 60% of water. You can’t store water; you need to continually replenish your body with water throughout the day.

Drinking those bland and boring 8-10 glasses of water is now revamped to include flavor-infused water, along with herbal tea and green tea.

Along with a glass of water and beverages (tea, coffee), you can add foods rich in water. Water-rich foods (pineapple, strawberry, celery, watermelon, oranges, and spinach) not only keep you hydrated, but are packed with vitamins, minerals and antioxidants.

During summer, you can drink smoothies that have a blend of fruits, vegetables, and healthy fats for a morning go-getter.

Myth#8: Organic foods are better than conventional foods.

Fact: Despite the high prices of organic foods, its consumption has increased over the last few years. Organic, as the name suggests, means more natural, ethical, and healthy, without artificial GMO seeds, pesticides, and fertilizers.

Unlike conventional processing of foods organic farming involves traditional ways and uses organic compost.

We tend to buy organic foods as they are touted to be high on antioxidants, vitamin C, and omega-3 fatty acid. There is mixed evidence about it. Hence, there’s not a significant difference in its nutritional value compared to conventional foods.

Organic cultivation has less use of pesticides, like sulphur, natural vegetable oils, and copper sulphate.

Toxic content in any food depends on concentration and vulnerability of toxins, not on how natural that food is grown.

It is healthy to eat a variety of fruits and vegetables judiciously with little significance on how it is produced.

In respect to the environment, conventional foods are better than organic foods. A study showed that organic farming requires more land to produce and emits more greenhouse gas compared to the same crop grown from conventional methods.

The Takeaway: A healthy eating approach boils down to two factors viz. expectation and personal choice.

Research says to include more fruits and vegetables in your diet to attain health benefits. Buy locally grown foods that are in season to avail every nutrient.

The organic tag is not a guarantee for your food security. Moreover, the difference in taste and quality of organic and conventional foods are minimal if any at all.

Tip: In practice, rinse the food thoroughly before consumption to remove bacteria, pesticides from outside.

Myth#9: Multivitamins protect you from diseases.

Fact: Multivitamin intake should never interfere with a nutritious, varied and regular diet. Consumption of multivitamins daily for disease prevention is a double-edged sword.

As per Harvard led Physician Health study for a period of ten years in 1000 men showed that multivitamins lowered the risk of developing a diagnosis of cancer by 8%, but not death.

In another Harvard led PHC study no beneficial effect of multivitamin supplements were observed in the prevention of heart disease and related symptoms such as heart attack, stroke or death from cardiovascular disease.

The physicians in the study had a more nutritious diet, were more physically active and were involved in less unhealthy routines compared to the general population.

The Takeaway: More than spending time and money on supplements, focus on getting essential nutrients from healthy foods that are seasonal, locally grown and home-cooked.

According to the American Medical Association (AMA) and the American Cancer Society (ACS), a healthy diet is superior to taking a multivitamin. If you already eat a healthy diet, you are less likely to benefit from extra multivitamin pills, says Dr. Kormos.

Overall optimal health is not based on a single nutrient, rather a synergy of varied nutrients from the food we eat.

Choosing nutrient-dense foods such as plain yogurt, whole grains, salmon, leafy greens, nuts and seeds, and lentils helps you meet nutrient and vitamin needs.

But, people who eat a vegan and a vegetarian diet, vitamin D may be recommended if the intake cannot be met through foods. Vitamin D supplements (600-800 IU) are good, as sources of vitamin D are of animal origin (such as tuna, fatty fish, salmon, cod liver oil, and mackerel).

Hint: You can also add Vitamin D fortified foods in your diets such as orange juice, soy milk, some dairy products, and cereals.

The decision to include supplements in your diet is personalized based on your diet and your risks. Review the recommendation of supplements with your doctor to make the important health choice, says Dr. LeBoff.

Reprinted with permission from Akanksha Srivastava. Originally printed on healthrewardz.com.


Akanksha Srivastava is a Nutritionist, content writer & a food blogger. She is a life member of the Nutrition Society of India (LM No. LM-2018-0284). Her website, healthaadhar.com, is not just a hub of information which imparts views on health & nutrition related topics backed with scientific research papers, but a journey where everyone associated is a part of an endeavor through educative article beyond health. With a significant focus on the holistic approach to health and well-being, her blog successfully forays into empowering people with healthy eating behavior.

References

  1. https://www.cdc.gov/nutrition/data-statistics/sugar-sweetened-beverages-intake.html
achieve-1822503_960_720

Change, Habits, Comfort Zones and the Power of Fear

I am a creature of habit. I have always struggled with change throughout my life. I fought it and rarely embraced it until I was forced to acknowledge I was on the wrong path and needed to make a change. In my personal life, I held onto my marriage long after it ended creating unnecessary pain and anguish for all of us. I have learned that to RESPOND to the changes in my life is a far less traumatic way to live than always REACTING to the “fluid” circumstances and uncertainties of life.

Comfort zones, habits, and fear – the “Big 3” of life’s impediments to lasting and positive change in our lives need to be embraced for what they are: “False Evidence Appearing Real” – FEAR.  I see this today as I have seen it repeatedly over the past 2 decades with my clients. We seem to end up being FORCED to change our ways rather than willingly and knowingly taking the steps necessary to move us forward to a more fulfilling life. Let’s take a look at a model for change that has begun to work for me.

The principle behind change is that the universe is always in a state of flux. Nothing in this reality remains the same – especially as we age. One of my former teachers stated that “the only constant in the natural order is change” and yet we fight the changes in our lives and often label them “bad” or “good”. Even positive change brings new stresses into our lives – stresses that can fuel our creative “juices” and enable us and empower us to grow in ways that we could barely imagine. Being willing – and ready – to embrace change allows us to imagine with feeling what is possible. This can create new paths to a future that can embolden and encourage not only ourselves but others as well.

We all have to understand that we can’t control what is NOT ours to control and “let go” while embracing what it is that we DO have the power to influence. The next steps in my journey are being written RIGHT NOW as I type these words. The same holds true for each of us so let’s be BOLD and embrace change as a friend and see what can happen when we partner with change for a higher purpose.

Habits and comfort zones rely on each other to keep us from fulfilling our promise. I have lived for years with the notion that I didn’t possess the “right stuff” to leave a lasting mark on this world.

My daughter Lisa is a “big thinker” and strives for excellence in all aspects of her life even as she has had to struggle over the past three years with life’s inevitable challenges at a very crucial time in her life. I am proud to say that she is confident and hopeful and continues to trust her instincts making me feel very proud of her at this critical moment in time in her life. She has what I didn’t have at her age – an indomitable spirit that continues to believe in her own innate ability and talent. To her comfort zones are only “resting places” – not residences.

I have learned that my fears were of my own making and today I know that we can only improve our lot in life if we are willing to risk acting “in spite of our fears”.  Remember that fear is nothing more than “false evidence appearing real” and our clients need that reassurance every day as they attempt to change something significant in their lives.

We need to KNOW deep inside ourselves that we indeed CAN make a difference and move our clients – and all those we want to serve – one step closer to their OWN new reality. May we each benefit from the changes that we are experiencing right NOW in our OWN lives so that we can help others achieve their own victories as well!

Article reprinted with permission from Nicholas Prukop. 


Nicholas Prukop is an ACE Certified Personal Trainer & a Health Coach and fitness professional with over 25 years of experience. His passion for health and fitness comes from his boyhood in Hawaii, where he grew up a swimmer on Maui. He found his calling in writing his first book “Healthy Aging & You: Your Journey to Becoming Happy, Healthy & Fit” and since then he has dedicated himself to empowering, inspiring and enabling people of all ages to reach for the best that is within them and become who they are meant to be – happy, healthy and fit – and be a part of a world where each person can contribute their own unique gifts to life.

grocery basket

3 Common Grocery Shopping Nutrition Tips that are NOT Better

Are your grocery store habits keeping you from getting better health? We are all trying to grocery shop better and the tips out there currently are supposed to help you shop smarter – but are they really better? Here are 3 common grocery shopping “hacks” that actually won’t help you make better choices, and a better nutrition tip to help you shop better, more often.

Choose products with fewer (less than 5) ingredients.

This tip was created to help you make better, not perfect, packaged food choices. The idea is that if there are fewer ingredients, it should be better for you, right? Wrong. An organic frozen dinner with 25 ingredients that are whole foods, includes herbs and spices, balances nutrients etc. can be a better choice whereas there are plenty of 5 even 3 ingredient items that aren’t (hello a certain “energy” drink with artificial colors, artificial sweetener, and caffeine).

Shop the perimeter of the grocery store.

This tip was created to emphasize the ready-to-eat fruits and vegetable section (a better idea for sure), but then retailers heard this tip and saw where their customers were shopping and started planting chips and/or candy in the produce aisle (I’m not kidding, this occurred in my neighborhood grocery store!). Now, let’s not make retailers the bad guys, there is even more reason to NOT follow this tip: If you only shop the perimeter, you are missing out on a lot of better nutrition choices like organic frozen fruits/veggies (frozen is as fresh as ready-to-eat, lasts longer, and costs less typically), whole grains, spices, oils, and so much more. Every grocery store is also set up differently – so get to know where the better options are in your store.

The Veggie Choice is Always a Better Choice.

Better nutrition better be plant-based because humans (like all animals) need the nutrients that plants provide to build and repair our bodies. BUT not all plant-based products in a store are better nutrition options. Better nutrition needs to provide a balance of nutrients, from better quality ingredients. So make sure your plant choice is a) packed with whole or kitchen-processed plant ingredients b) doesn’t overdo your better amount of one nutrient group serving c) doesn’t pack in the salt, sugar or other preservatives. Some veggie burgers and bars use highly processed plant proteins or pack in 3-4 servings of carbs, now that’s not better!

Got a grocery shopping tip you are wondering about – is it better or not for your health and your wallet – share it with us on Facebook / Instagram — @thebetternutritionprogram — and we will answer it in our next round-up.

Want more Better Nutrition? Join nutrition expert Ashley Koff, RD for her webinar with MedFit:


Originally printed on ashleykoffapproved.com. Reprinted with permission.

Ashley Koff RD is your better health enabler. For decades, Koff has helped thousands get and keep better health by learning to make their better not perfect nutrition choices more often. A go-to nutrition expert for the country’s leading doctors, media, companies and non-profit organizations, Koff regularly shares her Better Nutrition message with millions on national and local television, magazines and newspapers. Visit her website at ashleykoffapproved.com. Ashley is also available for nutritional consultations.

healthy food basket

9 Nutrition Myths | Part 1

Looking for weight loss and overall health in the digital age can be a mixed blessing. Technology, on one hand, is a threshold to endless potential weight loss diets, nutrition facts, health and fitness approaches.

But, on the flip side, it can be difficult to know what to follow and what activities could supercharge your health and fitness.

Take a look at some common nutrition myths…

Myth#1: A Gluten-Free Diet is Healthier.

What it is: Diet that excludes gluten content in food. Gluten is a wheat protein.

What it is not: Gluten-Free Diet is not a Guilt-Free Diet

Fact: Replace gluten-free diet with a Low-Gluten Diet with High Fiber as a better alternative.

A gluten-free diet is beneficial for people suffering from Celiac Disease (an autoimmune allergic response to the gluten protein found in wheat, rye and wheat products).

A recent study (1) suggested a low-gluten diet with high fiber has a beneficial health effect on our microbiome (gut bacteria composition in the intestine) that improves healthy gut bacteria. These changes in intestinal function alleviate bloating.

Research (2) suggests that there is modest weight loss with both low-gluten, high fiber diet over a high-gluten diet.

Studies have previously shown improvement in the condition of irritable bowel syndrome (IBD) and other gastrointestinal symptoms (bloating, constipation, stomach cramps). These are the gastrointestinal disorders that prevail in about 20% of the Western population.

A long-term study is needed to establish the beneficial effects of a low-gluten diet in healthy individuals. Although, intake of the low-gluten diet is prevalent in the general healthy population to aid in weight loss and lessen intestinal discomfort caused due to gluten insensitivity.

Mostly, a gluten-free diet available in the market is deprived of fiber and nutritional content. Nutritional composition of a gluten-free diet can be enhanced when it is high fiber enriched and minimally processed, for those who prefer a low-gluten diet.

Benefits:

  1. Improves healthy gut bacteria
  2. Combat excess weight and intestinal discomfort
  3. Less bloating was observed in some healthy individual and along with IBS.

Tip: Replace fiber from wheat and rye with fiber from vegetables, brown rice, oats, quinoa, and corn.

My Advice: Check for gluten-free ingredients carefully.

Myth#2: It is healthy to lose weight with the low carbohydrate diet.

What it is: A quick-fix for weight loss

What it’s not: A long-term weight loss approach

Fact: Some carbs are good for your health and some aren’t.

Sugar is a bad carbohydrate and fiber is a good carbohydrate present in whole grains and oats, says Professor Jim, University of Otago. Therefore by cutting carbohydrates from your diet, you are also cutting down fiber that affects your health in the long-term.

High carbohydrate diet is good if it’s high in fiber, as it has protective effects on heart and gut. As WHO explains, a diet high in fiber (whole grain pasta), nuts and pulses will cut down chances of heart disease and aids healthy weight loss.

Tip: Dividing the number of carbohydrate per serving by number of grams of fiber can give you insight for good carbohydrate foods.

Cut down on added sugars, processed foods, and carbonated drinks. Add minimally processed foods in your diet. Try quinoa, amaranth, farro, millet in addition to brown rice and whole wheat products.

Myth#3: Cut fat for weight loss

What it is: Diet devoid of essential fats

What it is not: Healthy approach to eating

Fact: As per various studies, it has been proven that fat isn’t always the culprit when it comes to extra inches around your waistline.

It’s good to stay away from fried and processed foods as they are high in trans fat. Trans fat is found in foods cooked in partially hydrogenated oil (a type of “bad fat”). Such a diet increases your risk factor for developing cardiac disease by 12%, according to a study published in the British Medical Journal.

Take note of the good fats that improve health and aids in weight loss.

Good fats include: Healthy fats such as polyunsaturated fat (PUFA) and monounsaturated fats (MUFA) — they help lower bad LDL cholesterol and improve good HDL cholesterol. Polyunsaturated fats include vegetable oils, omega-3 fatty acids found in fish, nuts and seeds. Monounsaturated fats include avocado, plant origin oils like canola oil, olive oil.

Add healthy nuts and seeds rich in good fats (MUFA and PUFA) to your diet to improve heart health, lower inflammation, maintain healthy skin and hair.

Tip: Keep healthy nuts and seeds in your kitchen and bag as snacks.

Myth#4: Juices aids in weight loss

Fact: Juicing is not the right way to lose weight long-term, says Amy Gorin, MS, RDN. Relying on juices depletes you from protein and healthy fats required by your body for proper functioning.

Even 100% fruit juice adds more calories to your meal, along with other sweetened beverages. A 2011 Harvard study explains, sugar-sweetened beverages are linked to long-term weight gain, therefore stick to not more than one small glass of juice a day.

Juices fill you with only carbohydrates that are easily digested, making you feel hungry again. Whereas, protein and healthy fats keep you full for a longer duration and delays hunger.

People include a lot of sugar-sweetened drinks in their diet. According to a study consumption of sugar-sweetened beverages is about 63% in children and 49% in adults. This forms the major source of added sugar that provides calories without nutrients.

Home-made smoothies without sugar, plain green tea, infused water are a better alternative to provide ample an amount of nutrients.

It is recommended to eat a well-balanced diet that comprises of fruits and vegetables, whole grains, healthy fats, along with non-sweetened beverages.

Good protein like salmon and chickpeas are great picks. Also avoid foods that add empty calories and no nutrition, such as alcohol, fizzy drinks etc.

Eat food as a whole, rather than liquid form, as it leaves you much fuller. Simple fruit juices are loaded with sugars and high in calories. One bottle of cola has 200 calories, and one cup of apple juice is around 115 calories. One can of beer has 154 calories with no significant nutrition content.

Myth#5: Dieting is a good way to lose weight

What it is: Modest to severe food restriction

What it is not: Magic pill to lose weight

Fact: Focus on what works — healthy eating behavior to maintain a healthy weight.

Why dieting doesn’t work? It is an outdated and ineffective approach to weight loss. If you want to be healthy, you need to get of this relic and find a new approach! Dieting posses little significance today, as calorie restriction leads to undernourishment and calorie-dense but nutrient deficient food leads to malnourishment.

Don’t neglect colors in your diet: Fruits and vegetables are loaded with nutrients to provide you with vitamin A, B, K and minerals such as fiber, iron, carotenoids, and anti-oxidants, says clinical dietician Beth Morris.

Time is the key: It’s good to change your eating pattern rather foods. A study says to eat within a 12-hour window to let your body perform repair and regenerative activities at night. This process works within the biological clock of 24 hours.

For example, if you eat breakfast at 8:00am, then eat your dinner before 8:00pm. This helps your body overcome inflammation and disease.

My advice: Cook your meals more often at home. This will help you develop a healthy relationship with your food. You’ll enjoy the taste, flavors, aroma of your meal more than counting each calorie!

Part 2 Next Week!

Reprinted with permission from Akanksha Srivastava. Originally printed on healthrewardz.com.


Akanksha Srivastava is a Nutritionist, content writer & a food blogger. She is a life member of the Nutrition Society of India (LM No. LM-2018-0284). Her website, healthaadhar.com, is not just a hub of information which imparts views on health & nutrition related topics backed with scientific research papers, but a journey where everyone associated is a part of an endeavor through educative article beyond health. With a significant focus on the holistic approach to health and well-being, her blog successfully forays into empowering people with healthy eating behavior.

References

  • (1) https://medicalxpress.com/news/2018-11-low-gluten-high-fiber-diet-healthier-gluten-free.html
  • (2) https://www.nature.com/articles/s41467-018-07019-x
  • https://www.amydgorin.com/
  • https://www.bmj.com/content/351/bmj.h3978
  • https://www.cdc.gov/nutrition/data-statistics/sugar-sweetened-beverages-intake.html
  • http://phs.bwh.harvard.edu/phs2.htm
  • https://hms.harvard.edu/sites/default/files/assets/Sites/Longwood_Seminars/Nutrition_3_5_13.pdf
gym training, young man and his father

Allostasis and Exercise Dosing

Three sets of ten repetitions of pushups.

How long should repetition be?

How much rest should occur between each repetition?

How much rest should occur between each set?

How should the push up be performed?

How would a trainer determine the dose of this exercise was appropriate?

How would a trainer know that the total amount of exercise for a given exercise session was tolerated well by the client?

The dosing of exercise can be an uncertain process with lots of assumptions and guesswork involved. Often the trial and error nature of prescribing a dose of exercise can lead to a client not feeling so good… either during the session, or after. It is definitely no fun to have a client start feeling unwell during a session, or come back following a session only to report a couple days of misery due to soreness and malaise.

An understanding of the relationship between homeostasis and allostasis can inform the exercise prescription dose.

Homeostasis (n.) the tendency toward a stable equilibrium between elements of a system, especially as maintained by physiological processes. The inherent inclination of the body to seek, and maintain, an internal condition of balance, equilibrium, and ease, within its internal environment, even when faced with external changes. Energy conservation and efficiency. Normative. Homeo=same and stasis=not moving.

Allostasis (n.) the intrinsic process by which the body responds to stressors to regain homeostasis. Maintaining stability through change. Adaptive system responses. Coping.

System element excursion in reaction to a stimulus/demand.

It is critical that the exercise professional take a thorough personal health history in order to gather information that directs physical assessment process. Past and current medical conditions, prior injuries and surgeries, life stressors, and activity history can give insights into the overall state of the clients system. This insight may give rise to precautions to physical assessment, and create a conservative frame for asking the client to undergo the physical stress of exercise, both systemically and locally.

A physical assessment can give quantified data points, and qualitative information, that leads to a better understanding of the client’s bodily tolerance potential to mechanical and chemical stressors experienced during and after exercise. This is referred to as the Allostatic Load of the client.

Allostatic Load (n.) the accumulative damage of the body’s cells as an individual is exposed to repeated acute and/or chronic stressors with inefficient regulation of the responses within cells. It represents the physiological consequences/costs of exposure to fluctuating or heightened neural or neuroendocrine responses that result from repeated acute or chronic stressors. This leads to maladaptive system responses. Protective responses that are on too long, not down regulated properly, or cycles of normal hormone change throughout the day, or the response didn’t come on line at all to govern the process of change.

Allostatic Load can accumulate and the overexposure to neural, endocrine, and immune stress mediators can have adverse effects on various organ systems, and their response and return to subsequent stressors, leading to dysfunction and disease. (5)

Join Greg Mack for a webinar for more on this topic, Allostasis and Dosing Exercise


Greg Mack is a gold-certified ACE Medical Exercise Specialist and an ACE Certified Personal Trainer. He is the founder and CEO of the corporation Fitness Opportunities. Inc. dba as Physicians Fitness and Exercise Professional Education. He is also a founding partner in the Muscle System Consortia. Greg has operated out of chiropractic clinics, outpatient physical therapy clinics, a community hospital, large gyms and health clubs, as well operating private studios. His experience in working in such diverse venues enhanced his awareness of the wide gulf that exists between the medical community and fitness facilities, particularly for those individuals trying to recover from, and manage, a diagnosed disease. 

REFERENCES

  1. Bruce S. McEwen and Peter J. Gianaros, Stress and Allostasis-Induced Brain Plasticity, Annu Rev Med. 2011; 62: 431–445. doi:10.1146/annurev-med-052209-100430.
  2. Douglas S. Ramsay and Stephen C. Woods, Clarifying the Roles of Homeostasis and Allostasis in Physiological Regulation, Psychol Rev. 2014 April ; 121(2): 225–247. doi:10.1037/a0035942.
  3. Julie Bienertová-Vašků, Filip Zlámal, Ivo Nečesánek, David Konečný, Anna Vasku Calculating Stress: From Entropy to a Thermodynamic Concept of Health and Disease, Department of Pathological Physiology, Faculty of Medicine, Masaryk University, Kamenice 5 A18, Brno, 625, 00, Czech Republic.
  4. Barbara L. Ganzel, Pamela A. Morris, Elaine Wethington, Allostasis and the human brain: Integrating models of stress from the social and life sciences, Psychol Rev. 2010 January ; 117(1): 134–174. doi:10.1037/a0017773.
  5. Allostatic Load and Allostasis: Summary prepared by Bruce McEwen and Teresa Seeman in collaboration with the Allostatic Load Working Group. Last revised August, 2009.
  6. Bruce S. McEwen, PhD, Stressed or stressed out: What is the difference? Laboratory of Neuroendocrinology, The Rockefeller University, New York, NY.
Parkinson's disease

Why Parkinson’s Doesn’t Have To Win

An exercise management program specifically designed to attack Parkinson’s disease can help you reduce falls, improve energy, and restore function so you can live a normal, independent, and productive life.

Medical exercise and medical fitness professionals can guide you in using exercise to recover a happy, fulfilling, independent life with this condition.

I know this because I have witnessed exercise win. I have seen people claim victory. I have seen them take their life back from the thief called Parkinson’s (keep reading and I will share a story with a great ending)

The Condition

Parkinson's disease

Just to familiarize you, Parkinson’s is a progressive neurologic disorder that affects 1% of the population over 50. The condition progressively destroys cells in the brain that produce dopamine, a neurotransmitter controlling movement. Parkinson’s is characterized by tremors, postural instability, impaired movement, rigidity, a shuffling walk, difficulty moving the body, and speech impairment.

The Parkinson’s posture is characterized by an excessive forward head drop, rounded shoulders, forward trunk lean, and side to side shuffling. This posture is very taxing on the body and leaves its afflicted depleted of strength, energy, and confidence in their body.

Falls are a major concern with Parkinson’s disease as the body loses its ability to “catch” itself if it starts to fall. A person will experience decreased reaction time, and a feeling of “slowness”, making it very easy to fall and sustain serious injury.

If I just described your daily struggle, there is GOOD NEWS!

Medical Exercise

An exercise management program specifically designed to attack Parkinson’s disease can help you reduce falls, improve energy, and restore function so you can live a normal, independent, and productive life.

Let’s discuss the components of an effective exercise program for Parkinson’s and how it can benefit you or your loved one.

Range of Motion or Flexibility Training

Parkinson’s disease (PD), reduces the tone (or pull) of the extensor muscles (helps you stand upright). Consequently, when walking, the PD client takes shorter steps and his/her posture is stooped with bent arms, bent knees, and a forward falling head. Over time, this flexion posture (leaning forward) results in further weakening of the extensor muscles (helps you stand upright), and it becomes more difficult to fully stand upright. Joint and muscle stiffness discourages movement, and eventually, the tissue around the joint shortens and restricts movement. Flexibility training improves joint function, reduces stiffness, and improves mobility.

I recommend you focus on the following areas for stretching:

  • Ankle plantar flexion
  • Rotation & lateral flexion of the pelvis
  • Cervical & thoracic extension, rotation, lateral flexion
  • Outer hamstrings
  • Elbow extension and supination
  • Finger flexion and extension

Resistance Training

Gentle strengthening exercises for your extensor muscles (muscles that hold you upright) are super important because they counteract the flexion (forward lean) tendency seen in PD. Extensor muscles of the body include calf (gastrocnemius), anterior thigh (quadriceps), buttocks (gluteals), back (spinal extensors), back of the upper arm (triceps), mid-back (posterior shoulder girdle) and back of the neck (neck extensors). With this, the muscles included in hip extension, external rotation, and abduction are vitally important to improving balance and gait and preventing falls.

The benefits of improving your muscle strength and endurance include:

  • Increased ability to perform Activities of Daily Living
  • Increased independence and self-efficacy
  • Increased lean body mass
  • Maintained or increased bone mineral density
  • Counteraction of the Parkinson’s posture
  • Enabling you to feel better, stand taller, and function more effectively
  • Strengthening muscles and joints, helping you stand upright and move

Cardiorespiratory training

Rigidity can reduce your ability to inhale and exhale your breath. Additionally, PD may cause decreased chest expansion, slowed movements, fatigue, and poor endurance during prolonged activity. Aerobic activity has been shown to be extremely beneficial for improving cardiovascular and respiratory fitness, as well as the generalized health of the PD client. You want to perform aerobic (or cardiorespiratory) exercises involving large muscle groups to increase your heart rate, thereby improving cardiorespiratory function. Aerobic exercise is most beneficial when started early in the disease process.

Some great ways to perform CV exercise include:

  • Walking
  • Stationary biking
  • Elliptical
  • Swimming (aqua aerobics)
  • Yoga
  • Pilates
  • Low-impact dance

Balance & Postural Training

Incorporating postural and balance training into your exercise program cannot be emphasized enough. Parkinson’s pain, stiffness, and lack of muscle strength disrupts your ability to perform efficient, controlled, and coordinated movements like walking. Awkward movement and postural patterns, like side shuffling, will require more energy and will increase your fatigue, resulting in decreased body stability and increased risk of falling.People with PD may develop new postural problems elicited by the disease, or the disease may exacerbate old postural problems. Poor posture fatigues the body. Injury can occur if proper body mechanics are not utilized. Therefore, it is very important that you learn what healthy posture is and how to maintain it throughout your daily activities and during exercise.

Postural training is highly beneficial as it:

  • conserves your energy
  • prevents falling
  • reconnects you with your body

trevor-parkinsons1Postural exercises should focus on increasing your awareness of proper posture and teaching you how to achieve and maintain correct body alignment with all exercise. Proper body mechanics should be a component of the total exercise program. Your program should emphasize sitting, standing, and walking tall. Include techniques for bed mobility tasks, getting in and out of chairs, descending and rising from the floor, and exercises involving proper use of the back muscles in tasks of daily living/lifting, etc.

Body awareness is another component of posture training. This means learning how to observe and listen to your body. People who are aware of their bodies are more likely to recognize incorrect positioning and movements that could unnecessarily stress a joint, increase muscle tension, or increase risk of falling. They are also better able to avoid overexertion.

Prior to activity, you should go through an alignment checklist from foot to neck focusing unloading your joints and using the right muscles to stand. You can practice this in front of a mirror to visually learn how to adjust your body.

Check out this great diagram (right) from the Mayo clinic that illustrates some postural checkpoints to focus on during walking.

Activities that enhance postural awareness go a long way toward improving your ability to recognize and correct postural problems.

Victory

As you read at the beginning of this article, Parkinson’s attempts to steal freedom people by overwhelming them with frustration, grief, or fear of living as a slave to a disease for the rest of their lives. However, as you can see, exercise can set you free. Exercise can teach your body to move right again, and exercise can teach you the tools you need to fight back and reclaim your freedom.


Trevor Wicken has been practicing as a Medical Exercise Practitioner for almost two decades and has a Bachelors degree in Sports Medicine and a Masters Degree in Exercise Science. He is certified as an elite trainer through NASM and has spent his entire career passionately helping people to use exercise and movement to reduce pain, prevent injury, and manage medical conditions.