exercise Archives - MedFitNetwork

Can Mindfulness Improve your Balance?

Cate Reade, MS/1 October 2024/ All MFN blog/

Short answer: Absolutely.

Focused attention has the power to improve your health, mood and cognition. When it comes to moving steadier, research shows that practicing mindfulness while walking can improve balance in older adults. This is a simple practice that anyone can do to move more freely and live more fully with more confidence.

What is Mindfulness?

Being mindful means to simply focus on the present moment. Its roots stem from ancient eastern and Buddhist philosophy. It includes being aware of your thoughts, feelings, sensations and the surrounding environment through a gentle, nurturing lens. This way you can tune into what you are sensing in the present moment rather than living in and rehashing the past or projecting into the future.

Mindfulness Elevates Health

Do a PubMed search on “mindfulness and health” and 14,955 studies pop up in the National Library of Medicine! These research studies show there are numerous well-being benefits that can help people of any age with any health condition including:

Reducing stress and pain
Improving physical health and chronic conditions like arthritis, diabetes and cancer
Promoting cognitive function, attention and memory
Elevating emotional well-being and mood
Healthier aging and resilience
Improving balance!

One foundational way that mindfulness and meditation improve health is by calming your nervous system. Moving out of the sympathetic stress response and into the parasympathetic relaxation response is where health happens. It’s where the body can rest, digest, heal and repair itself.

Constantly living in “stress mode” where you always feel overwhelmed, fearful or tense puts your body into a chronic state of inflammation that damages cells, tissues and organs. This damage accumulates and can lead to impaired bodily systems from your nervous system, respiratory, cardiovascular, musculoskeletal, and immune system. This can result in inflammaging where the body is under constant stress and strain and breaks down more than it can repair itself. It is a major reason for the age-related decline in physical and cognitive function that makes it more difficult to move and think smoothly and easily.

Mindfulness for Better Balance

It’s well-accepted that practicing Tai Chi improves ankle proprioception and balance. Now studies are showing that walking meditation can do the same for elderly women and older adults with history of falling (1, 2). Walking meditation has even been shown to improve ankle proprioception and balance performance in people with chronic ankle instability! (3)

Walking meditation is a mindfulness practice where you walk slowly while focusing your attention on your leg and foot movements (2). Researchers saw improved ankle proprioception and balance improvements with older adults being able to stand on one leg for a longer time as well as increased neuromuscular control. When focusing your attention on your movement, researchers think that this improves the brain processes related to body awareness and balance adjustments (1).

Stronger neural and muscular connections mean you can be faster to sense and respond to your everyday environment, as well as recover from the loss of balance to effectively prevent a life changing injury or fall.

Practice Mindful Movement

For the happiest, healthiest and safest holiday season, before engaging in activity, focus on “BEAM” to relieve stress, boost mood, build a sharper brain, taller posture and better balance. BEAM is an acronym that stands for Breathe, Elongate, Align and Move Mindfully.

You can imagine being as long, strong and sturdy as a “beam.” Another meaning of “beam” is to be happy, smiling and radiating a line of bright light or energy. Visualizations can enhance physical and emotional well-being and help bring your attention into the present moment.

BEAM for Better Brain, Body and Balance

Breathe: take 3-4 deep breaths into the front, back and sides of your belly, up into your ribs and then chest; exhale in the opposite direction from your chest, ribs and then squeeze your belly button towards your spine.

Elongate: lengthen your spine on each inhalation lifting from the crown of your head

Align your body: feel light with body parts lined up; ears over shoulders, shoulders over hips, hips over knees and ankles. Practice standing with feet hip distance apart, toes pointing forward and knees softly bending over your second and third toes; pelvis is in neutral, your sternum lifts up and out with ribs aligned over pelvis, shoulders are back and down away from the ears, line up ears over shoulders that are over hips, knees and ankles.

Move Mindfully: think about where you are and what you are about to do; whether you are cooking, cleaning, going up or down stairs or walking inside or outside focus on your leg and foot movements

Practice BEAMing throughout your day so you can move mindfully and enjoy feeling sharper, steadier, lighter and more confident with each step you take throughout the holiday season.

Fit Pros: Guide Older Clients as a Geriatric Fitness and Lifestyle Specialist

Millions of people over age 65 looking for guidance from fitness professionals who are knowledgeable in exercise, nutrition and lifestyle principles that can help them improve functional mobility, while also preventing and managing chronic conditions to live their highest quality of life. The Geriatric Fitness and Lifestyle Specialist online certificate course will give you insights, strategies and tools to be a successful professional in this rapidly growing market. Learn how to be a valued part of clients’ continuum of care, working with the medical team to improve functional outcomes and positively impact people’s lives.

Cate Reade, MS, RD is a Registered Dietitian and Exercise Physiologist on a mission to improve functional mobility and health span utilizing the power of lifestyle medicine. She has been teaching, writing and prescribing healthy eating and exercise programs for over 25 years. Today, as CEO of Resistance Dynamics and inventor of the MoveMor™ Mobility Trainer, she develops exercise products and programs that target joint flexibility, strength and balance deficits to help older adults fall less and live more.

References

https://pubmed.ncbi.nlm.nih.gov/31563384/. Walking meditation promotes ankle proprioception and balance performance among elderly women.” Jour Bodywork & Movement Therapies 2019
https://pubmed.ncbi.nlm.nih.gov/34931904/. “Walking meditation versus balance training for improving balance abilities among older adults with history of fall: A randomized controlled trial.” Clin Rehabil. 2022
https://europepmc.org/article/med/35093512. Comparative effect of walking meditation and rubber-band exercise on ankle proprioception and balance performance among persons with chronic ankle instability: A randomized controlled trial. Europe PMC 2022

Chronic Disease Wellness: Disparities Among African American Active Agers

Nicole Gordon/19 September 2024/ All MFN blog/

Are you one of the 50% of people in the United States that suffers from chronic pain due to an illness or injury? Or are you the 1 in 4 adults with at least one form of arthritis or experience inflammation due to an autoimmune disease? Maybe you are a part of the 45% of people who have been diagnosed with type 2 Diabetes or the 12% that have at least 5 chronic illnesses?

According to the Center for Disease Control, an increasing proportion of Americans are dealing with multiple chronic illnesses and are living in chronic pain. However, the good news is that our medical and fitness industry has been making some headway when it comes to promoting and educating the public on the power of exercise to prevent and reduce the onset of chronic diseases. With the growing number of specializations and medical fitness certifications, the number of fitness professionals that are highly trained to work with this demographic is quickly growing due to the help of the most recent research that promotes exercise as way to prevent various diseases.

“You could really benefit from starting an exercise program.”

Do you have a doctor who understands the power of exercise? If so, that is a great start! Regular exercise such as: repetitive and exaggerated movements will activate and build muscle, which is valuable in restoring function, prolonging effects of diseases, and improving neural pathways, muscle memory & Neuroplasticity!

Exercise has been proven to help reduce pain, decrease the dependency on medication, and prevent diseases such as:

Heart Disease
Diabetes/Obesity
Metabolic Syndrome
Chronic Obstructive Pulmonary Disease
Stroke
Some Cancers

The benefits are seemingly endless, however, what about the people in the United States who lack the knowledge, time, money, or opportunity to implement and execute a fitness and wellness routine? What if YOU are a part of the active aging African American community who faces significant disadvantages when it comes to health and fitness due to a combination of systemic, socioeconomic, and cultural factors?

What Do You Know About Cultural Disparities?

Historically, African Americans have had limited access to quality healthcare and fitness resources, which has led to a higher prevalence of chronic diseases such as hypertension, diabetes, and obesity. Additionally, socioeconomic barriers such as lower income and education levels often result in reduced access to healthy foods, safe exercise environments, and preventive healthcare services. These disparities are compounded by cultural factors, including mistrust of the healthcare system due to historical injustices and a lack of representation in health and fitness professionals, which can discourage engagement in health-promoting behaviors.

Access to Healthcare and Fitness Resources: African Americans often have less access to quality healthcare and fitness facilities in neighborhoods where they reside. In addition, they have little to no access to parks, sidewalks, and in some cases, transportation.
Socioeconomic Barriers: Lower income and, in certain instances, education levels limit access to healthy foods, safe exercise environments, and preventive care.
Cultural Factors: Historical injustices and lack of representation in health and fitness professions contribute to mistrust and lower engagement. As a result, African Americans are disproportionately exposed to measurable physiological and psychological stress compared to those not of African American origin.

Some statistics are quite startling:

African Americans are 1.7 times more likely to have diabetes compared to their white counterparts (American Diabetes Association).
Only 23% of African American adults meet the federal physical activity guidelines, compared to 33% of white adults (CDC).
African Americans have a 50% higher prevalence of hypertension than their white counterparts (American Heart Association).
African Americans are more likely to die at an earlier age due to earlier prevalence of chronic conditions or diseases such as: diabetes, heart disease, cancer, stroke, asthma, HIV/AIDS. (CDC & The Office of Mental Health, part of the Department for Health and Human Services.

Addressing Disparities in Health and Fitness

Health and fitness coaches can play a crucial role in addressing these disparities by implementing culturally sensitive and accessible programs. Firstly, coaches can provide education on the importance of regular exercise and balanced nutrition, tailored to the specific needs and preferences of African American Active Agers. This can include offering workshops in community centers, churches, and other familiar settings, making it easier for individuals to participate. Secondly, coaches should advocate for and facilitate access to affordable fitness options, such as sliding scale gym memberships or community exercise programs. Ensuring that these programs are welcoming and inclusive can help reduce the intimidation or alienation that many African Americans may feel in traditional fitness environments.

Culturally Sensitive Education: Tailored workshops and programs in familiar community settings.
Affordable Fitness Options: Sliding scale memberships and community exercise programs.
Inclusive and Welcoming Environments: Reducing feelings of intimidation or alienation in fitness settings.
Provision of Resources: Having a database of resources to help clients with areas outside our scope of work/care/expertise.

Additionally, health and fitness coaches can foster partnerships with local healthcare providers to create a holistic approach to wellness that addresses both physical and medical needs. They can also serve as advocates for policy changes that improve access to health and fitness resources in underserved communities. By building trust and providing consistent support, coaches can empower African American Active Agers to take charge of their health and improve their overall quality of life. This multi-faceted approach not only addresses immediate fitness needs but also contributes to long-term health improvements and reduced disparities.

Nicole Gordon is a seasoned women’s fitness and health coach with over a decade of experience, specializes in empowering busy women to achieve holistic wellness. As a certified personal trainer, group exercise instructor, and integrative nutrition health coach, Nicole advocates for balanced relationships, meaningful movement, creativity, and spiritual well-being. Her coaching philosophy, centered on “staying in your lane” while striving for progress, helps clients attain improved mobility, flexibility, strength, and energy for a balanced life.

Christine M. Conti, BA, M.Ed, is an international fitness educator and presenter. She currently sits on the MedFit Education Advisory Board and has been nominated to be the 2020 MedFit Network Professional of the Year. She is currently writing the MedFit Network Arthritis Fitness Specialist Course and is the CEO and founder of ContiFit.com and Let’s FACE It Together™ Facial Fitness & Rehabilitation. Christine is also the co-host of Two Fit Crazies & A Microphone Podcast and the co-owner of TFC Podcast Production Co.

Exercise & Fitness: Cardio Conditioning & Training

Nicholas Prukop/10 September 2024/ All MFN blog/

The real power of being fit is in the ability of the cardiovascular system to perform at high levels throughout the day. The process of becoming fit is inherently tied to the heart’s ability to pump blood and oxygen to the organs, tissues, muscles, and extremities during periods of peak demand. The conditioning process is a daily effort requiring activity and movement. The training process is the planned activity that is designed to stress the system intentionally over time and at a prescribed intensity. They are two sides of the same coin and will be highlighted in this article.

The benefits of cardiovascular development and training are: Increased cardiac output (stroke volume), decreased blood pressure, reduced blood sugar levels and increased insulin sensitivity, increased aerobic capacity, increased energy levels, improved sleep patterns, improved emotional balance, decreased risk of developing heart disease, and of course – improved ability to control body weight. These and other benefits are derived from the purposeful movement and increased adaptability of the human body. We were meant to move, even run, and over the millennia have learned NOT to run – or even move – and this has led to the rise of chronic and debilitating diseases such as diabetes and heart disease on a massive scale.

Determining Your Training Heart Rate

The standard formula that has been used to determine your training heart rate has been a simple one: 220-your age = your maximum heart rate. Take the result and multiply by 55-85% and get the range for most people’s training heart rates. It is flawed and subject to a 10-20% margin of error. Example: 220-66 (my age) = 154x.85=131 or my maximum training heart rate. If by chance I am de-conditioned and have not exercised in quite a while I would choose a lower percentage – 70% or 108 beats per minute for my training heart rate.

The training number (or intensity) is subject to the individual’s level of fitness, medical profile, and their ability to perform the exercise as designed at the prescribed rate. If you feel that your weight is an issue then you start at a lower intensity (65-75% for example) for a shorter period of time, increasing the number of minutes gradually over time. This is the conditioning aspect of cardio conditioning and training. It is the first phase of the cardio conditioning process and can last up to 6 months to a year (or more), depending upon the individual’s ability and how often you schedule sessions during the week.

Cardiovascular Exercise

I have been a runner since 1964 so for the past 48 years I have been training my cardiovascular system at higher intensity levels in order to maintain its capacity to deliver blood and oxygen to my body’s tissues and organs – for a very long time. This is the point of the training activity over time. Training is determined by the body’s ability to adapt to varying levels of intensity over time. The more flexible and adaptable the program becomes the more flexible and adaptable the cardio system becomes. This long term approach enables and empowers us to reach for higher levels of achievement and accomplishment over time. Cardio conditioning and training are the long term partners in the fitness formula for success. Effort and discipline MUST be demonstrated over time for results to take hold and again, recording the training sessions is KEY to remaining dedicated, motivated, and directed toward your goals.

The final point I want to make about cardio training is that there are an unlimited number of activities that qualify as cardio conditioning and training methods. They are as diverse as the number of people engaging in these activities. Walking, swimming, cycling, hiking, skiing, rollerblading, skating, playing or participating in endurance sports and many others you can define for yourself can open the door to a happy and healthy fitness lifestyle. Running has always been my passion and over the past 48 years I have run approximately 70,000 miles. It is my hope that I will reach 100,000 miles before I leave this planet. Whatever you choose to do over the course of your life for cardio health and fitness make sure you choose something you LOVE to do. This is the secret to a long and healthy life. What is the best exercise? Answer: The one that you WILL DO! It is that simple. So get moving and breathe today!

Exercise to me is life itself. In our world today we are encouraged to sit – and sit some more. It is toxic to life and our lives in particular. Cardio activities are “breathing” activities. They require us to move our WHOLE bodies – not just individual parts. The feelings of joy and happiness that are generated by “intentionally” moving our bodies on a daily basis are lasting. They can carry us through many of life’s ups and downs – and help us emerge whole and healthy on the other side of sadness or defeat. I can remember many years where I was struggling emotionally, financially, and spiritually and running “saved” me so that I could try again tomorrow. My tomorrows came because I spent some of my days in activity that I loved – and that made all the difference. I believe in exercise as the KEY to our future health and well being. Let’s decide today to get moving and have many “happy tomorrows”!

Nicholas Prukop is an ACE Certified Personal Trainer & a Health Coach, a fitness professional with over 25 years of experience whose 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.

The Importance of Exercise for the Disabled or Handicapped

Terrance Hutchinson/14 March 2024/ All MFN blog/

Everyone must remain active. This is only achievable with the help of exercise. Contrary to popular belief, handicapped people also wish to stay fit and healthy. On the other hand, some of handicapped individuals do not realize the importance of it.

Let’s discuss the importance of exercise for handicapped people.

Prevention of Heart Disease

Exercise can help reduce the risk of developing diseases relating to the heart. This includes high blood pressure, heart attack and ischemic heart disease. Furthermore, exercise is essential for preventing various other medical conditions.

Prevention of Comorbidities

Inactivity is a disease in itself. Being inactive makes the body less productive. This makes them more prone to the development of illness, ranging from something as small as flu to as big as cancer. Disabled and inactive individuals have a higher chance of developing colon cancer and diabetes.

Prevention of Anxiety and Depression

Being inactive and indoors can lead to depression and anxiety. You may feel down most of the time. Exercising releases endorphins in our body. These help in regulating mood; those who exercise regularly experience improvement in their moods.

Alleviates pain

Inactivity can cause harm to your bones and muscles as well. The majority of people suffer from pain in joints and other complications. Stiff muscles are also an additional drawback of inactivity.

Handicapped people who exercise more often do not suffer from these symptoms. They report relief of pain. Furthermore, such people also have faster healing of wounds and injury from trauma.

Clears the mind

Exercising not only helps with our physical well-being. It also aids in improving our mental health as well. Brain fog is a real thing; people can be doubtful about the decisions they make. Exercising helps people to think clearly. They can divert their mind from useless jargon to more productive thoughts.

DO NOT LET OTHERS STOP YOU FROM EXERCISING

Being handicapped has a certain societal stigma with it. The perception of people can often stop you from exercising. Always remember that exercising will only benefit you alone. Don’t worry about what others think!

Conclusion

Being disabled can be a hard thing. But, exercise is an activity that will help you to gain self-esteem. You do not need to start with rigorous workouts.

This journey begins with a single step, time will help you get better in the long run. So what are you waiting for? Start looking for an exercise regimen that suits you best.

Here’s to your health!

Terrance Hutchinson is the Owner of Your Best Lifestyles Fitness and Nutrition. He is a Certified Personal trainer specializing in Exercise Therapy, Corrective Exercise, Sports Nutrition, and Corporate Wellness. He an author of 3 books, he has his own podcast, he has contributed articles to major newspapers and magazines, Terrance has spoken at health events, webinars, seminars, hospitals, schools, doctors offices and has been featured nationally syndicated television platforms. Terrance has clients in many states and counties and is looking to help others bridge the gap between the medical and fitness industries. To learn more about Terrance, visit yourbestlifestyles.com

Large group of fit and active people resting after doing exercise in nature.

Exercise Outdoors: Cross Training & Hydrate

Mirabai Holland, MFA, EP-C, CHC/12 March 2024/ All MFN blog/

Exercise outdoors when it’s hot can be a challenge. Cross training exercises are a good way to mix up your workouts and give yourself time to cool off, drink water and stay hydrated in summer heat.

Although I’m away from home, in the mountains, and not as affected by this huge triple digit heat wave, I did get a wake-up call of my own that I thought would be important to share. I was shooting an exercise video this week in 90-degree heat. It was hot, but I got on a roll and forgot about the time. Less than an hour in, I started to swoon. Not a good shot on an exercise video. I realized immediately what had happened; I’d gotten so involved, I forgot to drink water between takes. I can say from experience that it creeps up on you. So you need to take steps to keep yourself cool and well-hydrated when you exercise outdoors. Cross-train with strength exercises mixed in with your cardio gives you a lower intensity interval so you can drink water, stay hydrated and cool off.

According to the American College of Sports Medicine losing more than 2 percent of your body weight through dehydration puts your body at risk for heat illness. This is serious business. We’ve all read the stories of team athletes who have actually died.

When you exercise in the heat you can lose up to five cups of water per hour. So it’s important to drink water before, during, and after vigorous exercise. The rule of thumb is to drink 2 cups of water a couple of hours before you start exercising so you are fully hydrated. Remember to bring that water bottle with you and drink a cup of water every 15 minutes or so while you are exercising. Don’t wait till you’re thirsty. If you’re thirsty, you’re already getting dehydrated.

But you’re not done yet. You need to drink another 2 cups over a two-hour period after exercise.

Sounds like a lot of water. It’s not. It’s just making up for the water you lose when you exercise in the heat.

Pouring water over your head during exercise won’t help you rehydrate, but it does make you feel better. A study at Cal State Fullerton with trained athletes showed that athletes exercising in 92-degree heat in a controlled setting felt cooler and that the workout was easier to perform.

But you know what Noel Coward said about “mad dogs and Englishmen.” Give yourself a break. If you can, exercise outdoors when it’s cooler, early mornings or late afternoons when the sun is less direct. Try finding shady areas.

Instead of keeping up your brisk pace for the whole workout, break it up. Go at normal pace for a bit, do a short light interval and then pick up your speed again.

Another idea is when you exercise outdoors do cross training exercises. Add intervals of strength training between shorter bouts of cardio. You’ll get a chance to drink and pour some water over your head too! Stop at a wall, a tree or a fence, and do these five exercises: two for your upper body and three for your lower.

Exercise Outdoors Video

Here is an Exercise Outdoors video with some easy cross training exercises to tone you up, no equipment necessary. (Please subscribe to my YOUTUBE channel; I have several more health & fitness videos!)

Exercise Outdoors: Strength Exercises Using Your Own Body Weight

With all these Strength training exercises, remember to exhale on the exertion.

Standing Push Ups: Stand facing a surface with legs hip width apart and place hands shoulder width apart. Keeping your body straight, lower yourself down to the surface and then push back upright again. Muscles Worked: Chest, Triceps, and Shoulders

Calf Raises: Face surface and hold on for balance. With feet together pointing straight ahead, slowly lift your body up on to your toes, while tightening calf, abs and buttocks muscles. Then slowly lower yourself back down again.

Muscles worked: calves, abs, and buttocks.

Squats: Face surface, legs hip with apart. Hold on for balance. Shift weight back into heels. Keeping back straight, abs pulled in, gently bend at the knees and squat to about a 90-degree angle. Hold for a moment, then, using just your leg muscles, return to an upright position.

Muscles worked: Front of thigh (Quads), Back of thigh, (Hamstrings) Buttocks, Abs

Wall Sit: Stand against surface for back support. Holding on as needed for balance, slide down to a sitting position against wall, knees at about a 90-degree angle. Pull your abs in and hold for 10 to 30 seconds.

Muscles worked: Thighs and Abs

Upper Back Squeeze: Stand with your back to the surface, feet shoulder width apart. Place hands behind you on surface. Straighten your arms behind you and squeeze your shoulder blades together. Hold for 10 to 30 seconds.

Muscles worked: Back, Shoulders, Back of arms (Triceps)

Mirabai Holland MFA, EP-C, CHC is one of the foremost authorities in the health and wellness industry. Her customer top rated exercise videos are now available online 24/7 at on her website for Age-Onset health issues like Osteoporosis, Arthritis, Heart Disease, Diabetes, Orthopedic Issues & more. Mirabai also offers one-on-on Health Coaching as well as a NEW Weight Management 8 Week Course Lose To Win™ on ZOOM or Phone. For more info, visit mirabaiholland.com. Contact her at askmirabai@movingfree.com

Coaching Hardiness of Heart: Buffers vs. Band-Aids

Pat VanGalen/26 January 2024/ All MFN blog/

Like a leaky roof, do we just patch the hole, and hope for the best? Or do we replace and restore it, and do the maintenance to optimize it, despite extreme weather conditions? In ski-speak, we joke about variable conditions, never predictable. In life, it’s the same thing. Are we prepped and ready for the curveballs and Murphy-strikes that WILL come our way? Do we have an ample buffer, a reserve capacity to pull from? Can we bounce back, repeatedly, take hits and remain solid? Hardy folks can and do! Think of a hardy person you know. What keeps them surviving, and thriving?

Today, it is well-accepted that cardiovascular disease (CVD), the leading cause of death in the U.S., is rooted in inflammation, insulin-resistance, oxidative stress (rusting), hormonal imbalances and exposure to toxins. We also know that a lousy diet, long-term micro-nutrient deficiencies, physical INactivity, chronic DIStress, and various toxins, raise cholesterol and blood pressure exacerbating an inflammatory response in our arterial endothelium. Remember that half of the people who experience heart attacks do NOT suffer from hypercholesterolemia. To quote Mark Hyman, M.D., Founder, Cleveland Clinic Center for Functional Medicine, “CVD is not about cholesterol; it is about inflammation in a cholesterol environment.”

So, when 45 year old 2-stent Charlie, husband, father of three, small business owner, with a passion for hunting and fishing comes to me, I need Whole-Charlie coaching. A Hardiness model fills the bill.

Hardiness Coaching is designed to fortify FIVE structural pillars: 1) Movement, 2) Diet, 3) Rest-Recovery-Regeneration, 4) Stress Resistance and, 5) Purpose-Relevance-Meaning. The Pillars are grounded in a foundation of DAILY habits, patterns and practices, not programs with a start and end date. They are interconnected, and the robustness of one supports the others; if one crumbles, the others bear the brunt. By repairing cracks and leaks within a given pillar, we boost overall resilience, durability, and robustness, not just the CV issue at heart (no pun intended). Hey, what’s good for the heart, is good for the brain is good for the gut is good for the immune system is…

Our clients come to us with the desire to move better, feel better and get back to living life, even surpassing it, despite their issues. Their current health does NOT define them, nor does their age. It’s our responsibility to meet them where they’re at, know where they have been [for decades], and get them where they want to go. Keeping their hopes and dreams alive is paramount.

As Hippocrates so eloquently stated, “Know the person who has the disease, not just the disease that has the person.”

So, when we hear ‘cardiac or cardiovascular’, think beyond the heart and vasculature for transport and waste removal. Think integration with the lymph and respiratory systems, and their role in running a well-oiled machine, one where the other six systems [gut microbiome, immune/inflammatory, energy production (mitochondria), waste disposal – detoxification, communication (neurotransmitters, hormones), structural (cells, tissues, organs) synergistically thrive. This is a Functional Medicine model. Check it out.

Clinical psychologists, physical therapists or medical doctors, we are not. But, we impact lives in a multitude of ways, some measured by hard data, and others, by those intangibles like confidence and joy. Yes, we work within the physical realm, but when we take the integrated pillar approach to coaching Hardiness, we sync and link the pillars, buttressing them to exponentially resist and adapt better to the stresses and strains of life. Buttresses, NOT band-aids!

Coaching MUST transfer to performing and feeling better, at home, in labor, care-giving, recreation and even competition. For example, with regards to the movement pillar, there are three realms: 1) physical activity, as in walking, stairs, labor and chores, 2) recreation, as in sport, dance, all-seasons GO on snow, ice, sand or water, and 3) TRAINING, exercising with purpose. ALL contribute to the robustness of our movement pillar. Training is only one piece of the movement pie, so yes to targeted training, AND to more movement in labor, hobbies and play.

When training any adult, there are 7S Buckets that may need to be restored and refilled. The 7th Bucket is Specificity and Specifics. Specificity refers to “we get what we train for; we keep what we do!” Specifics are those things unique to our client; in this case, those CV conditions that propelled the client in our direction in the first place. It may have been a primary care Doc, a referral from cardiac rehab or simply the client’s grit to BE better. Whatever, we are here to fortify all their pillars of hardiness.

Don’t get me wrong. We must know CVD pathologies, physiology, metrics and measurement, and network with relevant healthcare professionals. But more importantly, we must customize and personalize coaching to provide the springboard for Charlie to thrive, as a husband, father, business owner and outdoorsman, to optimize his health-span, and his zest for living life to his fullest.

So, from pacemakers, stents, meds and more, to risk factors, co-morbidities, MSK challenges and all else in store, we practitioners are here to reboot, rebuild, coach, train and restore.

Specialization for Fit Pros

Join Pat VanGalen in the online course, Cardiac REHAB Fitness Specialist. Learn the nuts and bolts of coaching hardiness within the cardiovascular system. Evidence-based facts, figures, updates AND case studies will tweak your coaching. Integrate, don’t isolate!

Patricia ‘Pat’ VanGalen, M.S. brings a unique blend of education, practical experience, common sense application, science and research to her lecturing, teaching, training and coaching. She launched her professional career 40+ years ago in physical education and coaching, then spent the next 10 years in corporate-industrial fitness, health promotion, cardiac rehab and injury risk reduction programming design, implementation and management. Visit her website, activeandagile.com

Healthy-Lifestyle-Nutrition-Exercise-Medicine

The Power of Why: Motivation for Better Health

Trevor Wicken/15 January 2024/ All MFN blog, Conditions/

As a movement practitioner, I love it when my clients become my teachers. One conversation with someone going through the process of changing their life and fighting challenges may prompt, lead, or sometimes shove me into examining my practice, my approach, and my connection with the people I serve. Just recently Mary, one of my clients, wanted to meet with me to discuss her progress and our conversation inspired this article.

Best Exercises to Prevent Osteoporosis

Maurice D. Williams, MS/12 January 2024/ All MFN blog/

Osteoporosis is a disease that affects our bone system due to a decrease in bone mass, density and an increase in the space between the bones. As a result, one’s bones become brittle and suspect to breaking. There are two types of osteoporosis: type 1 and type 2. Type 1 is generally a result of the aging process and a decrease in hormones such as estrogen and progesterone. These hormones help regulate how fast bone is lost. Type 2 is a result of medications or other health issues that interfere with bone reformation. Thankfully, both types are treatable!

Most Common Areas Affected: Osteoporosis is generally found in the neck of the thigh and lower back. A lot occurs in these areas, so, a decrease in the strength of the bone there is not a good thing.

Nutrition: Since nutrition plays a factor in everything we do, it is important to mention it for those with osteoporosis. The three things to focus on the most are: an increase in calcium, and a stoppage of alcohol intake and smoking.

Exercises: Research shows that it takes about six months of consistent exercise at somewhat high intensities to produce enough bone mass change. With that being said, it is important to use proper exercises in a progressive fashion and make them specific to you. Exercises should focus on the following areas of the body as they stress the overall bone structure: core, hips, thighs, back and arms. Here are my top six exercises to start your 6-month program:

Planks: 1-3 sets of 8-20 reps

Supine Bridges: 1-3 sets of 8-20 reps
supinebridge

Prone Cobras: 1-3 sets of 8-20 reps
cobra

Squats: 1-3 sets, 8-20 reps
squats

Standing Tube Row: 1-3 sets, 8-20 reps
tuberow

Single leg balance: 1-3 sets, 8-20 reps
singlelegbalance

Conclusion

While osteoporosis can be a life threatening disease, it can be managed through exercise. Most people who include daily exercise are able to ward off further damage to their body and are able to do their normal daily activities of life. Performing the six exercises listed and then progressing to more challenging ones will keep a person with osteoporosis healthy!

Maurice D. Williams is a personal trainer and owner of Move Well Fitness in Bethesda, MD. With almost two deciades in the industry, he’s worked with a wide range of clients, including those with health challenges like diabetes, osteoporosis, multiple sclerosis, hypertension, coronary artery disease, lower back pain, pulmonary issues, and pregnancy. Maurice is also a fitness educator with Move Well Fit Academy and NASM.

Exercise and Prostate Cancer

Carol Michaels/22 December 2023/ All MFN blog/

The rising rate of prostate cancer necessitates developing better methods to prevent and treat prostate cancer. Prostate cancer is the third leading cause of cancer death among U.S. men, according to the American Cancer Society. The country’s 3.3 million prostate cancer survivors account for 21 percent of all cancer survivors.

There are many reasons why a cancer patient should stay as active as possible through cancer treatment and recovery. I will begin by pointing out a few studies that show how exercise can benefit cancer patients. These studies demonstrate how exercise can reduce certain side effects from treatment, increase energy, decrease stress, and improve quality of life.

There is evidence to support the use of exercise in prostate treatment. Exercise plays a role in the all-around improved physical and mental health and therefore should be considered in the treatment plan. We know that exercise can decrease recurrence for some cancers and the role it plays in weight control, which is correlated with some cancers. For prostate cancer specifically, data indicates that obesity increases the aggressiveness of prostate cancer, and thus mortality. Men receiving androgen deprivation therapy are at higher risk for depression. Exercise reduces depression.

Studies do have their limitations. Some use self-reported data about lifestyle and exercise. Moreover, there may be a low number of minority participants who may often have higher cancer rates. The following are a few of the published studies, which confirm that exercise should be included in the treatment plan for prostate cancer patients.

Studies have suggested that patients with high levels of physical activity had a lower rate of disease progression and also reduced mortality from prostate cancer. Ying Wang, PhD, a senior epidemiologist in the Epidemiology Research Program at the American Cancer Society in Atlanta, and colleagues analyzed data on 10,067 men diagnosed with non-metastatic prostate cancer between 1992 and 2011. Men with prostate cancer, which hasn’t spread may have longer survival the more they exercise. A study demonstrated that men who were the most physically active had a 34% lower risk of dying from prostate cancer when compared with men who were the least physically active. Men who either maintained or increased their exercise level also benefited. Prostate cancer patients who kept up a moderate to high level of physical activity also had better survival prognoses compared with their more sedentary counterparts. Those men who were more active before diagnosis were more likely to have lower-risk cancer tumors and a history of prostate screenings. They were also leaner, more likely to be nonsmokers and vitamin users and they ate more fish. Wang concludes, “Our results support evidence that prostate cancer survivors should adhere to physical activity guidelines, and suggest that physicians should consider promoting a physically active lifestyle to their prostate cancer patients.”

Androgen Deprivation Therapy leads to numerous side effects, which can be decreased through exercise. Side effects of ADT include loss of muscle, increase in fat mass and osteoporosis. Risk for diabetes and heart disease also increases. Brian Focht, reported at the November AICR convention, that functional ability increased dramatically as did quality of life for those that exercise, and side effects of ADT were reversed.

Exercise can decrease blood sugar levels, which lower insulin levels and also helps to lower inflammation. There does appear to be a positive association between insulin levels, inflammation and prostate cancer risk.

The evidence for physical activity in reducing anxiety and depression, while increasing general-well being is fairly substantial. Improving well-being can have a dramatic beneficial effect on sexual function. Consistent exercise will also help to lower insulin, blood sugar, and improve overall cardiovascular health, all of which have positive impact on erectile dysfunction and libido ().

In 2016, Rider and Wilson studied the connection between ejaculation and prostate cancer, which was published in European Urology. Men that reported higher ejaculatory frequency were less likely to be diagnosed with prostate cancer . This study showed a beneficial role of frequent ejaculation particularly for low-risk disease.

Some doctors have traditionally told patients to rest during this time but Favil Singh’s research confirms the importance of getting fit prior to surgery. Singh’s research published in the journal Integrative Cancer Therapies has shown that a regular dose of physical activity prior to surgery helps the recovery process. This reduces time in the hospital.

Singh stated “This is the first time we’ve been able to demonstrate the benefits of ‘pre-habilitation’ for prostate cancer patients. It is safe, side effect-free and can be done while undergoing chemo or radiotherapy. Just two sessions a week of resistance and exercise training for six weeks can make a difference to recovery.”

Often, there is a waiting period in between diagnosis and surgery. If fitness level can be improved before surgery the patient, then the patient goes into the surgery stronger and may have a better recovery.

The American Cancer Society and American College of Sports Medicine recommends at least 150 minutes of moderate physical activity or 75 minutes of vigorous exercise each week. This advice is a good goal for those who have been inactive. Unfortunately, in my view this is insufficient for a significant number of cancer patients. Having worked with cancer patients for over 20 years, I believe that this recommendation needs to be changed. It is impossible to include aerobic exercise, strength training, and other exercise methods in the current recommended time frame.

Carol J. Michaels is the founder and creator of Recovery Fitness® LLC, located in Short Hills, New Jersey. Her programs are designed to help cancer survivors in recovery through exercise programs. Carol, an award winning fitness and exercise specialist, has over 17 years of experience as a fitness professional and as a cancer exercise specialist. Visit her website, carolmichaelsfitness.com

References

Steven C. Moore PhD, et al, Association of Leisure-Time Physical Activity With Risk of 26 Types of Cancer in 1.44 Million Adults. JAMA Intern Med. 2016; 176(6): 816-825.

Lynch B.M., Dunstan D.W., Vallance J.K., Owen N. Don’t take cancer sitting down: A new survivorship research agenda. Cancer. 2013, Jun 1; 119(11): 1928-35 Medicine

Kristina H. Karvinen, Kerry S. Courneya, Scott North and Peter Venner, Associations between Exercise and Quality of Life in Bladder Cancer Survivors: A Population-Based Study, Cancer Epidemiology and Biomarkers Prevention May 2007, 10.1158/1055-9965

Gopalakrishna et al, Lifestyle factors and health-related quality of life in bladder cancer survivors: a systematic review. Journal of Cancer Survivorship, 2016 (5): 874-82

Vallance, J., Spark, L., & Eakin, E.. Exercise behavior, motivation, and maintenance among cancer survivors. In Exercise, Energy Balance, and Cancer (2013) (pp. 215-231). Springer

Cannioto et al., The association of lifetime physical inactivity with bladder and renal cancer risk: A hospital-based case-control analysis, Cancer Epidemiology, Volume 49 August 2017

Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2012; 14(11): CD006145.

Booth FW, et al., Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012 Apr; 2(2): 1143-211.

Stephanie Cash et al, Recreational physical activity and risk of papillary thyroid cancer among women in the California Teachers Study. Cancer Epidemiology, Feb 2013,37(1): 46-53

Hwang, Yunji MS; Lee, Kyu Eun MD, PhD; Park, Young Joo MD, PhD; et al, Annual Average Changes in Adult Obesity as a Risk Factor for Papillary Thyroid Cancer: A Large-Scale Case-Control Study, Medicine, March 2016, Mar; 95(9): e2893

Cao Y, Ma J. Body mass index, prostate cancer-specific mortality, and biochemical recurrence: a systematic review and meta-analysis. Cancer Prev Res (Phila). 2011; 4: 486-501.

Galvao, et al. Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: a randomized controlled trial. J Clin Oncol. 2010 Jan 10; 28(2): 340-7.

Galvao, et al. Exercise can prevent and even reverse adverse effects of androgen suppression treatment in men with prostate cancer. Prostate Cancer Prostatic Dis. 2007; 10(4):340-6.

Winters-Stone KM, et al. Resistance training reduces disability in prostate cancer survivors on androgen deprivation therapy: evidence from a randomized controlled trial. Arch Phys Med Rehabil. 2015 Jan; 96(1): 7-14.

Giovannucci EL, Liu Y, Leitzmann MF, Stampfer MJ, Willett WC. A prospective study of physical activity and incident and fatal prostate cancer. Arch Intern Med. 2005; 165: 1005-1010.

Storer TW, Miciek R, Travison TG. Muscle function, physical performance and body composition changes in men with prostate cancer undergoing androgen deprivation therapy. Asian J Androl. 2012, Mar; 14(2): 204-21.

Focht, Brian C.; Lucas, Alexander R.; Grainger, Elizabeth; Simpson, Christina; Fairman, Ciaran M.; Thomas-Ahner, Jennifer; Clinton, Steven K., Effects of a Combined Exercise and Dietary Intervention on Mobility Performance in Prostate Cancer, Medicine & Science in Sports & Exercise. May 2016:48(5S): 515.

Rider J, Wilson K.et al. Ejaculation Frequency and Risk of Prostate Cancer: Updated Results with an Additional Decade of Follow up, European Urology. December 2016, volume 70, issue 6

Singh F. et al. Feasibility of Presurgical Exercise in Men With Prostate Cancer Undergoing Prostatectomy, Integrative Cancer Therapies (2016). DOI: 10.1177/1534735416666373

Wang et al, Recreational Physical Activity in Relation to Prostate Cancer–specific Mortality Among Men with Nonmetastatic Prostate Cancer. European Urology July 2017 online bit.ly/2tXMK6Y