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Exercise For Sobriety

The crucial element that I always recommend to people when they say they have been experiencing anxiety, depression, addiction/s of some sort, or even sleeplessness, is exercise. Almost every time, I get a response like, “Does that help you?” Then I get to explain to them why I am so incredibly passionate about fitness. I discuss the fact that I never used to enjoy working out, and, as a matter of fact, still don’t enjoy it, but rather enjoy the feeling it gives me afterwards. This then opens the gateway for me to plead my case as to my passion and explain the many benefits that fitness provides. Exercise has helped people in many ways, but especially in terms of boosting mood and keeping mental illnesses at bay, both of which have a direct impact on addiction. 

Types of Sobriety

The reason I live, eat, drink, and breathe all things fitness is because of how beneficial it has been on my own personal wellness journey. Rather than get into my whole life story, I will instead discuss how crucial fitness is to achieve sobriety. When people hear the term “sobriety” they tend to think of only substance abuse — mainly alcohol, opioids, or hard drugs. Not only can sobriety refer to the latter, it can also include medications that an individual was prescribed that their body happened to develop an addiction to, or could even refer to an undesirable behavior or reaction. For example, I had a client who would unconsciously binge eat after an unpleasant encounter with her then-husband, now ex-husband. Eventually, we realized that she was using food, and unhealthy foods at that, to make her feel better after arguments. In essence, she was supplementing her body with sugary foods that would help her body produce the dopamine her body was craving in order to produce the emotional high that would make her feel better. Here’s a different example: a different client would unconsciously lash out at her mother after having been insulted by her critical father. Once we realized why this was happening, I had her incorporate fitness into her daily schedule, right before she went home from school to her parents. Going to the gym every time she got angry with her father resulted in much less conflict between her and her mother, and, in conjunction with therapy, opened up a new line of communication between the two of them.

Improved Physiology and Psychology

Another common comment I encounter is after discussing the fact that I generally hit the gym for an hour and a half each day. Almost every single time, I get the exact same response, “I wish I had your energy!” For me, it’s not energy, it’s anxiety. I have discovered that I cannot eliminate it any other way than, as I say, “working out until I pass out,” or at least, until I’m thoroughly exhausted. I have found many other individuals who share my same sentiment, most of whom have also endured several instances of trauma, with the later group showing the most benefit and overall improvement from fitness. There have been numerous studies about the positive impacts that physical activity has on an individual’s mood and overall state-of-being. Exercise has been proven to reduce anxiety by promoting positive adaptations of several physiological processes within the body, such as improving dysregulations of the HPA axis of the brain, restoring abnormalities in monoamine function, producing endogenous opioids in the brain, and increasing BDNF (brain-derived neurotropic factors). There have been studies that suggest that fitness may increase neurogenesis, as well. Exercise has also proven to reduce the psychological effects of anxiety as well, such as reducing anxiety sensitivity, improving one’s sense of self-efficacy, and providing “time out” from one’s daily activities and stressors.

Work Out to Work It Out

In short, work out to “work it out.” All of the above are reasons why I always suggest to anyone struggling with their mental health that they start some sort of exercise regimen. Whether a person is addicted to a substance or even an undesirable or destructive behavior, fitness will improve the problem and provide results.


Tambryn Crimson-Dahn is a certified personal trainer, fitness coach, nutritionist, and addiction recovery specialist with 4 years of experience. After having worked in the gym industry, she founded and now operates her own company, Crimson Wholistic Fitness. She specializes in overall mental health and wellness, addiction, and relationships and how they can affect mental health.

References

2-Pilates-Resp

5 Pilates Exercises to Improve Respiratory Function

Pilates is a total body exercise method that is highly effective for strengthening and lengthening the entire body. While Pilates is mostly known to improve core strength (the “Powerhouse”), posture, and range of motion, this exercise method can be used to improve respiratory function in those suffering from respiratory diseases. Respiratory diseases include asthma, COPD, chronic bronchitis, emphysema, lung cancer, cystic fibrosis, pneumonia, and now COVID-19.  These diseases affect the way one breathes and lowers oxygen saturation that the body needs to function properly. One of the main principles in Pilates is breathing, thus the need to take a closer look at the effects of Pilates on respiratory function.

Benefits of Pilates Related to Respiratory Disease

  • Improves postural cavity to breathe properly.
  • Expands breathing capacity with diaphragmatic breathing.
  • Increases pulmonary ventilation which is needed for better respiratory function.
  • Improves lung volume.
  • Develops intercostal muscles (respiratory muscles) to better “squeeze” out impure air.
  • Improves exhaling all impure air out of the body while inhaling pure air.
  • Improves thoracoabdominal mobility.
  • Improves circulation to deliver oxygenated blood more efficiently.
  • Increased SpO2 (blood oxygen saturation).
    • >95% indicates healthy respiratory function.
    • <95% indicates taxed respiratory function.

The Pilates Breathing Method

Joseph Pilates, the creator of Contrology, stated in his book Return to Life Through Contrology: “Lazy breathing converts the lungs, literally and figuratively speaking, into a cemetery for the deposition of diseased, dying and dead germs as well as supplying an ideal haven for the multiplication of other harmful germs.”1

  • Lateral Breathing: The main goal for Pilates breathing is to breathe deeply expanding the ribcage without raising the abdominal muscles training them to jet out. Therefore, deep lateral breathing through the ribcage is the hub of the breathing technique. Proper breathing is inhaling through the nose and exhaling forcefully through the mouth. When one inhales, the ribcage expands out to the sides using the intercostal muscles, and then when exhaling the ribcage knits together like one is being sinched in a corset. According to Joseph Pilates, one should exhale forcefully getting all impure air out of the lungs like wringing out every drop of water out of a wet cloth.
  • Set Breathing Pattern: When performing the Pilates exercises, one should inhale to prep for the movement and exhale as one performs the movement.
  • Rhythmic Breathing Pattern: In some exercises, one breathes in rhythm to the exercise. This breathing consciously activates respiratory muscles to enable the lungs to expand and transport oxygen.

5 Effective Pilates Exercises to Improve Respiratory Function

The Hundred (Rhythmic Breathing)

  • Begin a tabletop position with the shoulder blades and head lifted off the mat looking forward.
  • Pump the arms up and down 100 times vigorously so the abdominals respond to and control the movement.
  • Inhale through the nose 5 times to the rhythm of the arms pumping, then exhale 5 times to the rhythm of the arms pumping.
  • Keep the lower back imprinted to the mat at all times.

Single Leg Stretch (Rhythmic Breathing)

  • In a supine position, lift the shoulder blades and head off the mat looking forward.
  • Bend the right knee towards the chest as the left leg extends straight out hovering over the mat.
  • Inhale through the nose as you switch the legs 2 times, then exhale as you switch the legs 2 times.
  • Inhale, inhale, exhale, exhale as you switch, switch, switch, switch.
  • Keep the lower back imprinted to the mat at all times.
  • Perform 8 sets.

Dying Bug (Set Breathing Pattern)

  • In a supine position, position the legs in table-top and arms extend straight up towards the ceiling.
  • Press the right hand firmly on the right thigh and press the right thigh to the right hand in opposition.
  • Inhale through the nose as you extend the left arm back overhead and the left leg extends straight out hovering over the mat.
  • Exhale through the mouth and draw the arm in and the leg back to tabletop. Repeat on same side and switch.
  • Keep the lower back imprinted to the mat at all times.
  • Perform 8 reps on each side.

Toe Taps (Set Breathing Pattern)

  • In a supine position, lift the legs into tabletop keeping the upper body and head down on the mat.
  • Anker the arms next to the body pulling the shoulders back and down on the mat.
  • Inhale through the nose as you lower both feet and legs together towards the mat. Keep the knees at 90º and the feet away from the glutes.
  • Exhale as you pull the legs back up to tabletop.
  • Keep the lower back imprinted to the mat at all times.
  • Perform 10 reps.

Thread the Needle (Set Breathing Pattern)

  • Start in a side kneeling position with the hips lifted off the mat and one forearm down on the mat with the other arm straight up to the ceiling.
  • Inhale through the nose as you lean the body back an inch to expand the ribcage.
  • Exhale through the mouth as you rotate forward and thread the arm under the armpit towards the back. Crunch the obliques and transverse abs.
  • Inhale through the nose as you un-rotate and return to the start position with the arm lifted towards the ceiling.
  • Perform 8 reps on each side.

Pilates, respiratory function and research

The literature is scarce and sometimes conflicting about the benefits of Pilates breathing related to the respiratory system. However, there are some existing studies that look at the increase in lung volumes, respiratory motion, SpO2, and the reduction in respiratory rate using Pilates breathing exercises. More research needs to be conducted. Refer to suggested reading at bottom of article.

Education for Fit Pros

Fitness Professionals & Personal Trainers: Become a Respiratory Disease Fitness Specialist!

Some of your clients may suffer from a respiratory disease and you may be an important source of relief. The Respiratory Disease Fitness Specialist online course will equip you with the knowledge to safely and effectively work with these clients to help improve their quality of life.


CarolAnn, M.S. Exercise Science and Health Promotion, is a 30+ year veteran in the fitness industry educating other health/fitness professionals to increase their expertise and brand influence.  She is on the MedFit Education Advisory Board and the head health/fitness educator for FiTOUR.  She is currently the Head Instructor at Club Pilates in Athens, GA.

Suggested Reading

  1. Cancelliero-Gaiad, K. M., Ike, D., Pantoni, C. B., Borghi-Silva, A., & Costa, D. (2014). Respiratory pattern of diaphragmatic breathing and pilates breathing in COPD subjects. Brazilian journal of physical therapy, 18(4), 291– https://doi.org/10.1590/bjpt-rbf.2014.0042
  2. de Jesus, L.T., Baltieri, L., de Oliveira, L.G., Angeli, L.R., Antonio, S.P., Pazzianotto-Fort, E.M. (2015) Effects of the Pilates method on lung function, thoracoabdominal mobility and respiratory muscle strength: non-randomized placebo-controlled clinical trial. Pesqui. vol.22 no.3. http://www.scielo.br/scielo.php?pid=S1809-29502015000300213&script=sci_arttext&tlng=en
  3. Hagag, A.A., Salem, E.Y. (2019) Pilates Exercises Improve Postural Stability, Ventilatory Functions and Functional Capacity in Patients with Chronic Obstructive Pulmonary Disease. IOSR Journal of Nursing and Health Science (IOSR-JNHS), vol. 8, Issue 4 Ser. VI., PP 86-91 http://iosrjournals.org/iosr-jnhs/papers/vol8-issue4/Series-6/M0804068691.pdf
  4. Baglan Yentur S, Saraç DC, Sarİ F, et al. (2020). Fri0613-hpr the effects of pilates training on respiratory muscle strenght in patients with ankylosing spondylitis. Annals of the Rheumatic Diseases;79:912. http://dx.doi.org/10.1136/annrheumdis-2020-eular.2129

References

  1. Pilates, J., William, J. M., Gallagher, S., Kryzanowska, R. (2000). The Complete Writings of Joseph H. Pilates: Return to Life Through Contrology and Your Health. BainBridge Books, Philadelphia, PA. (Originally written 1945)
feet sneakers

The Feet: The Body’s Foundation

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.

male-trainer-male-client

Fitness: Readiness Assessment & Setting Priorities

My biggest concern as a personal trainer was always the safety of my clients – both physically and medically. Over the years a common theme emerged with each new client relationship that I developed and that was how unprepared people were to really engage in a significant training program and what skills and knowledge they would be required to develop for success. Physicians were often unprepared to advise their patients on what to do, how to proceed, or what limitations and issues needed to be acknowledged by their patients before engaging a trainer to help them “get to the next level”.

stretching

When Should I Stop Stretching?

Stretching is the most overlooked form of exercise. After returning to see my physical therapist, she insisted that I stretch more often so I can improve the range-of-motion in my hips. Geez, I thought I was already doing plenty of stretching, or I thought, just enough so I could audition with confidence for Cirque du Soleil. Apparently, I wasn’t ready. How much more should I stretch?

inflammaging word cloud

Inflammaging: The Link Between Sarcopenia and Cognitive Decline

Awareness is the first step to making changes to live healthier, stronger, and longer. Older adults love to learn, and sharing life-saving information empowers them.

If you ask an older adult client, “What is inflammaging?”, they usually won’t know; yet inflammaging is a key concept to understand because it contributes to the decline of the body and brain, threatening functional independence, and increasing the risk of a devastating fall.

group-of-seniors-biking

Understanding Ageless Marketing

It took the 70th birthday parties of a few thousand leading edge baby boomers for corporate America and the mainstream media to wake up to the fact that the median age of adults in the US increased by about a decade while they weren’t looking. Today, articles and conference topics on boomers proliferate, but understanding the underlying values and cognitive decision making processes of older adults remains a mystery to most… old paradigms die hard.

If you are among those that believe there are easy steps or simple typologies that will insure success in the aging marketplace, you are on a fool’s errand. The typical boomer, like the typical senior, is as much like other older adults as a snowflake is typical. Consumers become more dissimilar as they age not more alike, although they share common ‘gut level’ values.

Only a few have successfully targeted the mature consumer, so evidence on what works best is limited. In the last ten years, most targeted the mature market using traditional features and benefits methods only to conclude there was little potential because consumers failed to respond. Those failing blamed neither the medium nor the message, but the intended recipient.

Likewise, millions of dollars have been spent on aging sensitivity without first developing an empathetic understanding of the consumer and their decision-making processes. In fact, sensitivity training often reinforces rather than correcting stereotypes. To increase the probability of future success, marketers must first abandon the approaches that worked so well in yesterday’s youth market; and adopt an ageless approach more likely to appeal to a maturing consumer base while not alienating younger segments.

The first step is to always project a positive, mindful image of aging. This image should underlie all communications and collateral material. Consumers tend to select products/services that reflect images of what they want to be not what they are, and this applies to older adults as well. While physiology changes, older consumers “feel” anywhere from 10 to 15 years younger than their biological age, but this doesn’t mean they think they “look” 10 to 15 years younger. Therefore, when models are too young or engaged in extreme sports, the consumer simply dismisses the message. The key is realistic people in real world activities.

Advertising and communications should also focus on lifelong health and well-being, productivity, later life autonomy and empowerment, and connectedness to family, friends and community. Remember that a prospective customer’s mind will consider your initial message for from .2 to .8 of one second (your cognitive window of opportunity). Not much time to make a first impression – that is why every word and image is so important.

The brain does not process words; it processes pictures and sensory data in context with the circumstances. If the perception “senior” is old, frail, dependent, or other traditional stereotypes, the mind may “exclude” whatever is associated with that word from conscious consideration if the consumer does not view themselves as fitting the stereotype.

By mindfully pursuing an ageless approach to marketing communications, perhaps the general public will come to view later life as something to look forward to and enjoy rather than a time of loss and decline. Ageless marketing solutions do not have to be complex or expensive.  Keeping open minded to all possibilities, some big fixes can be surprisingly simple and low in cost.


For 35 years, Richard Ambrosius has been educating companies, nonprofit organizations and public agencies on how better to communicate with and serve middle-aged and older adults. Moreover, he was among the first in the United States to realize the potential of the New Consumer Majority and specialize in older markets. Ambrosius has delivered keynote addresses and motivational workshops in 49 states.

Prescription for good health diet and exercise flat lay overhead with copyspace.

Sam: A Case Study

Question from Sam, age 84: Hi Pat! Sam, here. I appreciate your ‘real people’ common sense approach to this aging thing. Your 7S Buckets resonated with me, and I would like to report that I am doing my darndest to keep them ALL full and robust.