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non-exercise-activity-thermogenesis-(NEAT)

The NEAT Movement Secret to Longevity

Do you want to live longer better without long hours spent in the gym and grueling workouts? If so, then get ready for this NEAT hack that will reveal a powerful form of simple and fun movements that can add years to your life and life to your years.  

Recent research has shed light on an often overlooked aspect of energy expenditure known as non-exercise activity thermogenesis (NEAT). NEAT encompasses the calories burned through daily activities that are not classified as formal exercise. This article explores the findings of a study published in the Journal of Exercise Nutrition and Biochemistry, which highlights the impact of NEAT on all-cause mortality and its potential for promoting longevity.

Understanding Non-Exercise Activity Thermogenesis (NEAT)

NEAT represents the energy expended in activities such as fidgeting, standing, walking, and other forms of non-exercise movements. Unlike planned physical exercise, NEAT is the spontaneous, low-intensity physical activity that we engage in throughout the day. It includes activities like taking the stairs instead of the elevator, standing instead of sitting, or even simple actions like tapping our feet or drumming our fingers. While each of these activities may seem inconsequential on its own, their cumulative impact on energy expenditure and overall health should not be underestimated.

NEAT and Its Influence on Mortality

The study published in the Journal of Exercise Nutrition and Biochemistry aimed to examine the relationship between NEAT and all-cause mortality. The research involved a large-scale analysis of data from multiple studies and demonstrated a significant association between higher levels of NEAT and reduced risk of premature death. Participants with higher NEAT levels had lower mortality rates, independent of their engagement in structured exercise. This finding suggests that NEAT may play a vital role in promoting longevity and mitigating the adverse effects of sedentary behavior.  Simple moments are the key to your life and health extension.

Mechanisms Behind NEAT’s Health Benefits

Several mechanisms explain how NEAT positively influences overall health and mortality. NEAT contributes to an increase in daily energy expenditure, which can help maintain energy balance and prevent weight gain. As obesity is a significant risk factor for many chronic diseases, NEAT’s role in weight management is crucial for reducing the incidence of conditions such as cardiovascular disease, diabetes, and certain types of cancer.

NEAT movement also impacts various physiological processes in the body. Studies have shown they influence insulin sensitivity, glucose metabolism, and lipid profiles, all of which play important roles in maintaining optimal health. And they have also been associated with improvements in cardiovascular health, including reduced blood pressure and improved arterial function.

Promoting NEAT in Daily Life

Given the potential benefits of NEAT, finding ways to incorporate more non-exercise activity into our daily routines becomes essential. Here are some practical suggestions to increase NEAT:

  • Active transportation: Opt for walking or cycling whenever feasible instead of relying solely on motorized transportation.
  • Standing breaks: Take regular breaks from sitting, especially if you have a sedentary job. 
  • Stand up, stretch, and move around for a few minutes every hour.
  • Household chores: Engage in household chores like gardening, cleaning, or vacuuming. These activities provide an opportunity to increase NEAT levels while accomplishing necessary tasks.
  • Desk exercises: Incorporate simple exercises like leg raises, shoulder rolls, or stretching into your work routine to break up prolonged sitting.
  • Take the stairs: Avoid elevators and escalators whenever possible. Climbing stairs provides a valuable opportunity to engage in physical activity.

Take your pick, find as many ways to move through your day and enjoy just how NEAT it is to live longer better.

Take a deeper dive into longevity solutions that will help you & your clients feel better, perform better, and live better longer

Check out Dr. Melissa’s Longevity Lifestyle and Fitness Specialist online course on MedFit Classroom!


Dr. Melissa Petersen is a THRIVE Catalyst For over 25 years, she has been a sought out leader in the fields of precision health and human longevity.

As the founder of the Human Longevity Institute, a TEDx Speaker, host of the Human Longevity Podcast, author of the best-selling book, the Codes of Longevity, an adjunct professor of continuing education at Life University, a clinical educator and advisory board member for Medfit and a scientific advisory board member for Awakend, she is dedicated to up-leveling flourishing across the planet,.

She is a true change agent, on a mission, to help people thrive by design as they unlock the potential within to live their longest, healthiest and most fulfilling life. To discover what is possible for you or to learn more about Dr. Melissa and the ways to connect, visit www.DocMelissa.com and www.HumanLongevityInstitute.com

Senior-Woman-Balance-Exercise

Better Balance via Dynamic, Integrated Training

With the right training, you can help older adults retain or regain balance and reduce fall risk. Losing balance as we age is not inevitable. However, your older clients may express increasing concerns about falling. Those concerns may be well founded, especially if their senses are diminishing with each passing year. Certainly lack of movement also contributes to balance challenges.

We rely on information from our body in space and the environment to stay upright. Both internal and external factors affect this ability (over 200 factors. Wow!). For instance, we notice where we are in relation to the terrain and anticipate and adjust accordingly. But if the information coming in is compromised – due to weakening vision or hearing loss, for example – balance is compromised. Certainly if your clients have lost muscle mass over the years, their fall risk rises as well.

Fortunately, whether you work one-on-one or with a group, you can design effective, science-based, cutting edge balance workouts. The “old school” approach of offering static balance moves to reduce the risk of falling by standing on one leg is not backed by research. Instead, offer dynamic, integrated, functional tasks and movement challenges.

Three Systems Affecting Balance

Before addressing training protocols, let’s review the three internal systems that affect balance. Let’s call these three systems “Feel Me, Hear Me, See Me.” (Any of you just get “Tommy, the Who” playing in your head?) When any system is not functioning correctly, a person can feel off-balance.

Visual – See Me: (the most heavily used system) The visual system works with the vestibular system (defined below) by sending signals from the eye muscles to the balance organs in the inner ear. For instance, when you turn your head, your eyes go in the opposite direction. If eyesight degenerates, balance becomes more challenging.

Vestibular – Hear Me: This inner ear system lets us know that even when our bodies move through space, the world is not suddenly shifting. Our legs, ankles, knees, and neck muscles also send signals that help us keep our balance.

Somatosensory – Feel Me: A complex system of sensory neurons and pathways that responds to changes at the surface or inside the body, the somatosensory system is also involved in maintaining postural balance. Proprioceptors within the joints, muscles, and inner ear give us info about our body’s movement relative to its base of support and the various body parts. Relaying information about body position to the brain allows it to activate the appropriate motor response or movement.

If any of these three systems give faulty or reduced data to the Central Nervous System, the response will be also reduced. Bad data in; bad data out. So if your clients have inner ear issues, sarcopenia or stiff feet, for instance, balance will be negatively affected.

Four Integrated Factors to Address: Balance: Posture, Strength, Cognition

In addition to taking into account the three internal systems defined above, Balance, Posture, Strength (including speed and power), and Cognition are also critical and integrated factors. If you affect one, you affect the others.

A well-designed and effective balance program will offer tasks that recognize the integrated aspect of balance, posture, speed, power, and coordination (aka cognition). Look for dynamic exercises that enhance the above.

Walking: The Ultimate Dynamic, Functional Balance Activity

The prime example is gait. Walking is our number one functional balance activity. Every leg swing through requires balance on one leg. Therefore a balance program for older adults needs to offer some form of gait training: walking slowly, walking quickly, walking with stops and starts, walking up and down steps, walking backwards, walking with frequent turns, walking around obstacles. You get the idea.

In order to accomplish these gait tasks, clients will simultaneously improve their posture and/or strength as they strive to follow your cues. For an additional posture challenge, they can put glider discs, foam yoga blocks, or small, deflated balls on their head while walking (forwards and backwards). You can cue random squats or hops or small jumps as they walk with the glider or ball staying in place.

They may also improve their cognition if they are walking while citing their childhood phone number or counting backwards by threes or naming animals in alphabetical order. To challenge their senses, you can dim the lights or play music or cue them to walk in ever-decreasing space without running into each other or anything in the room. Of course, safety is always the first consideration, so choose your variations according to your client’s or group’s abilities.

Can your clients walk and talk at the same time? We take this ability for granted, however older adults may start to walk in stops and starts if the cognitive load increases. Challenge them to maintain a constant speed while thinking through a conversation, math problem, recall task, or verbal pattern (such as naming their teachers from kindergarten through sixth grade).

To challenge their somatosensory, vestibular, and visual senses, ask them to toss a tissue or balloon or scarf in the air as they walk. Right hand toss and catch only; then left; then two-handed. Then have them toss the item back and forth with you or other group members. Do you see where you are also addressing at least two of the four integrated factors with these challenges?

Walking examples are just a fraction of the tasks, games, and exercises you can use to help your clients with their balance. For more ideas and exercises that out the above factors into action, view the related webinar, “Help Your Boomers Achieve Better Balance.”

Older adults want to ford streams when hiking, climb stairs abroad where no railings exist, recover when they do fall. In short, they want the freedom to move, walk, and balance with confidence and a spring in their (upright) step.  If you apply the concepts of function, dynamic movement, and an integrated approach, you will offer them an effective (and dare I say, “fun”) balance program.

Webinar: Help Your Boomers Achieve Better Balance

Whether you work one-on-one or with a group, you can design effective, science-based, cutting edge balance workouts. Join Kymberly Williams-Evans for this webinar to learn more!


Kymberly Williams-Evans PhD (ABD) has taught fitness to more than 40,000 participants on 4 continents in 4 languages. Her teaching career spans land, sea, and airwaves and started in the first aerobics studio in Europe. Former faculty at University of California Santa Barbara in both the Dept of Exercise and Sports Studies and English, she specializes in baby boomer and older adult group exercise. Her newly released online Better Balance course offers more than 120 videos and concise manual for both pros and consumers.

change-neon-light

Motivation Plus Mobilization: Coaching For Success At Lifestyle Improvement

“I just don’t seem to have the motivation to really make changes.” This is a lament frequent to the ears of health and wellness coaches. Our clients are often puzzled by a lack of success in their efforts to start living a healthy lifestyle, or keep such efforts going. They blame it on either a lack of motivation to get started, or that their motivation fades as old habits reassert their rule.

Coaches help their clients examine and re-examine whatever sources of motivation they have mentioned. They help their clients revisit their desire to change and what drives it. They look at fear-based motivations such as not wanting to have an illness get worse, or not wanting to develop the maladies that have been prevalent in their family. They look at the love-based motivators like caring enough about ones self, wanting to be there for their grandchildren as they grow up, the intrinsic joy of dancing, swimming, tasting delicious and nutritious food, etc.

Perhaps the coach concludes, like their client, that these motivators just ‘aren’t enough’. The next step is to begin a usually fruitless search for additional motivators. Their client runs out of ideas and coaching descends into ‘what about this?’ suggestion after suggestion. What is really going on? What’s a more productive avenue to explore?

Your client may have enough motivation. They may in fact, have listed three, four or more reasons they want to change. They may possess a terrific combination of motivators. Motivation is like the fuel for a vehicle to run on. The problem might not be the fuel, but the lack of an actual vehicle! The vehicle is a methodology, a structure, and a process that facilitates change. To get where they need and want to go, the client needs both a vehicle to carry them and the fuel to put in it.

How do we mobilize motivation? By providing our client with methodology. I’ve always been amazed at how simple successful change can sometimes be when clients have a well-developed way of achieving it.

Coaches often hear their client’s frustration at wanting to improve their lifestyle, but not having much of a history of success at it. If we inquire if they have ever started their change efforts by first taking stock of their health and wellness in a really clear way, we find they rarely have. If we ask if they have ever begun by first developing a thorough plan as to how they will make their changes happen, we often find them admitting that they usually just get their will powered amped up and set some sort of goals. Rarely have they ever carried out their change efforts with the help of an ally who helped them with support and accountability. And, all too seldom have they ever keep track of their efforts at change and actually written it down.

A mentee of mine was recently coaching a middle-aged woman who complained of a lack of motivation holding her back. As we began listening to the recording, the coach helped the client describe at least four strong motivators that had propelled her into action. She realized that when her children were younger playing with them had provided her with more activity and energy. Now her energy was low and she wanted to reclaim that. She also talked about hoping for grandchildren and wanting to be a very active part of their lives. The client was concerned about her advancing age and not wanting to lose the health she had. She didn’t want to become a burden to anyone. She went on to list at least two more motivators.

As the client described her lack of success at change, her conclusion was that she was just lacking motivation. She described coming home from work tired and just fixing a quick (though not necessarily healthy) meal and watching television in the evening. “I just don’t have the motivation I need” the client lamented. She intended to be more active and intended to eat better. All she had for a plan were intentions.

Doing a great job of coaching, my mentee gently confronted his client and recited the substantial list of motivators that she did, in fact, have. He questioned whether it was a ‘lack of motivation’, or something else that was missing.

Clients try to figure out what is keeping them stuck. Unless it’s a matter of identifiable internal or external barriers, clients often say it’s a lack of motivation. They are looking for an explanation and, frankly, they often don’t know what else to call it.


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Co-Creating The Coaching Alliance

An often ignored part of coaching is the work it takes to Co-Create The Coaching Alliance. In addition to getting acquainted with our client and hearing their story, an important part of our first session with a client is to convey to the client just how coaching works. Clients are used to meeting with consultants, not coaches. They expect to be able to provide the consultant with lots of great information and hear the expert recommendations. We spoke about this from the coach’s point of view in our blog post, Making and Maintaining The Shift To The Coaching Mindset”. The client also needs to make a mindset shift to get oriented to this new way of working with someone.

Coaching is about co-creating agreements. We co-create with our client agreements about how we are going to work together. Some aspects of our working together are negotiable and can involve compromise. However, we are not going to compromise the nature of our coaching relationship. That is, we are not going to agree to just be our client’s educator, and let go of the role of coach.

Part of what an effective coach does is to explain, in a succinct fashion, exactly how coaching works, how it is structured and what the benefits of this structure are. The client-centered nature of coaching is conveyed with real reassurance that the client remains the one in the driver’s seat.

Part of the coach’s job is to facilitate the client’s use of the coaching structure. The coach does this by showing the client how advantageous it can be to operate with a solid plan, to track one’s progress at making changes, etc. The coach provides tools that make these processes easier. Mobile apps for tracking can be recommended and then, importantly, integrated into the coaching accountability.

Mobilizing Motivation

Motivation can be puzzling and elusive, but when it is present a methodology, a structure, is what the client needs in order to mobilize it. By providing our client with the vehicle, we help them get where they want to go.

Word Origin – Coach: In the 15th Century the Hungarian village of KOCS was the birthplace of the true carriage or “coach” as the word evolved in English.

In other words we might define both types of coaches as: A coach takes you from where you are at, to where you want to be!


Originally published on Real Balance blog. Reprinted with permission.

Dr. Michael Arloski is the CEO and Founder of Real Balance Global Wellness Services, Inc. (www.realbalance.com). Real Balance has trained thousands of wellness coaches worldwide. Dr. Arloski is a board member of The National Wellness Institute, and a founding member of the executive team of The National Consortium For Credentialing Health and Wellness Coaches. He is author of the leading book in the field of wellness coaching: Wellness Coaching For Lasting Lifestyle Change, 2nd Ed.

weight lifting barbel

Lift Ugly!

The title of this article is a quote from UK physiotherapist Adam Meakins. The context is that one does not need to exhibit or use “proper exercise technique” constantly throughout daily life or even during physical rehabilitation for pain or injury.

Now, this at first sounds counterintuitive to what the majority of fitness professionals and even physical therapists are taught and believe. The mantra of “poor exercise technique leads to injury” has been spouted for decades… but there is absolutely no proof of this in medical and fitness-related academic research.

Yep, your absolute most favorite go-to coaching point as a FitPro is pretty much bunk. So, do we throw the baby out with the bathwater and let our clients lift just however they please? No, not exactly, context is king.

If you are working with an athlete, which includes body builders, stricter exercise technique is beneficial to a high degree (esp. with physique athletes who require symmetry and maximal muscle development) but real-life sport doesn’t look anything like the gym when it comes to movements. Some variation in technique is beneficial as it will expose the athlete to forces in various, and more realistic fashions that provide greater benefits on the sport field or ring.

If you are working with general population, mostly healthy clients, “proper” exercise technique should honestly not be force fed initially, as this can be both physically uncomfortable for the client as well as demotivating if they’re “still not able to keep the back flat on a deadlift.” Find whatever movement pattern is natural for them and coach from there.

I used to be a hardcore stickler for technique, now, not so much. Instead, I coach my patients to lift in a manner that “feels stable, safe, and powerful” for THEM. The result? Better client engagement, better client results, and far less stress on them and yourself during the coaching session.

Now what about medical fitness and physical therapy? While strict joint actions may be required during some phases of physical rehabilitation or other therapy, we must consider how a client naturally and instinctively moves and wants to move. We need to understand any fear-avoidance behaviors they might have developed previously, and we certainly want to know their beliefs about physical activity.

So, if “improper” exercise technique isn’t to blame for gym and sport injuries, then what is?

We don’t have a firm answer, but we can say with a high degree of certainty that it’s a combination of physical and mental stress, distractions, nutritional state, hydration, focus in the moment, and how well prepared the individual is for that movement they are about to engage in. Simply not getting a good night’s sleep before deadlifting the next day can potentiate an injury, but that’s not a guarantee either. Load management and recovery are far more important when it comes to injury prevention than anything else, and this is why you should be writing and logging client training plans and sessions and not winging it. Otherwise, you have no historical record with which to troubleshoot things with which will only frustrate you and your client.

I sincerely hope that I have ruffled some feathers and also have given you some food for thought. There’s a time and place for everything, including strict exercise technique, it just takes some insight and thought to determine if “this” is the appropriate context.


Reprinted with permission from the Move Well, Live Well blog.

Joshua Slone is an Exercise Physiologist and Pain Therapist. He serves as Rehab Team Lead/Physiologist at the Center for Health in Yucca Valley, CA. His clinical expertise includes chronic pain management, joint replacements, sport and orthopedic injuries, complex medical condition management, geriatrics, degenerative neurological conditions, and psychiatric disorders. Visit his website, movewelllivewell.org

adaptive-fitness-wheelchair

What is This Thing Called Adaptive Fitness?

Her insurance benefits had just run dry, we were at a critical point in her rehabilitation and recovery following a Spinal Cord Injury (SCI)  from an automobile accident. “What should I do?” she asked me as we neared the end of a therapy session. “Why don’t we meet up and just keep exercising.” I replied and the rest was history. 

There are countless other stories with other patients at the time that could have easily pointed me in the same direction. “I am being discharged with a home exercise program, but I want to keep working on my Stroke recovery.” or “I have been using a wheelchair for the past 20 years and I want to maintain my health and function as I continue to age but every time I go to a gym it just does not work out.” or “I wish there were a way I can be active besides adaptive sports.”

In my case, it was the former, a patient of mine with so much potential for continued outcomes was being prematurely discharged from physical therapy due to insurance limitations — the start of my personal journey into adaptive fitness began.

Up until the start of this journey in 2005, the majority of activities for individuals living with or recovering from disability was limited to adaptive sports… Wheelchair Basketball, Quad Rugby, Wheelchair racing, etc. The availability of fitness programs, group fitness, and even accessible gyms were very limited. 

The idea that there was a trainer that was performing one-on-one fitness training with an SCI client and that the individual was excelling to the point that once therapy resumed, newer goals could be addressed by the therapists leading to better outcomes, spread throughout the rehabilitation halls and soon more folks wanted this type of training in addition to therapy.

What initially started as a temporary fix to aid a patient in need, has led to redefining my own career and sharing through experience and education what adaptive fitness is and how adaptive fitness trainers can bridge a huge gap. 

Adaptive Fitness has really blossomed and now (thanks to social media) Adaptive Fitness Trainers, clients, and facilities are able to share training experiences to the public.

Wheelchair users can highlight their fitness workouts, PRs, and other fitness trends and challenges. Facilities can highlight client success stories, and brands can and have sponsored wheelchair athletes. 

For the purpose of this article, I would like to highlight education and standards as I identify what adaptive fitness means to me.

Group Exercise, Virtual Group exercise, Seated Exercise, Adaptive Crossfit, one-on-one personal training can all be identified as Adaptive Fitness and really anyone can lead a group exercise class for any and all abilities… but should they?

Understanding the needs of a participant who is living with Multiple Sclerosis, Transverse Myelitis, Cerebral Palsy, Stroke and SCI in the same group class is extremely important for the safety of all individuals and should not be taken lightly. 

Adaptive options presented to one participant may not work for another. Some folks may need specific cueing to maintain safety while others may be able to accept any challenge without adaptive needs.

Understanding risks, precautions and limitations to maintain safety in the group class setting but still make it an effective class is vitally important, and is why having the proper education to lead such classes is a must.

Working one-on-one with an adaptive fitness client who is focused on neuro recovery following a neurological impairment is not a cookie cutter type workout. You can use exercises you may know of, but the set and rep schemes differ entirely and blow traditional routines with 4 sets of 10 reps out of the water. There are specific strategies that can be utilized to effectively challenge someone working on improving neuroplasticity, but how you implement those strategies is dependent upon the individual, the diagnoses, and the strategy being utilized. Having an understanding of all of the above is imperative to your success as an adaptive trainer and their success for their outcomes

The same can be said for an adaptive client working on functional mobility. If floor transfers or stair climbing is a challenge then working on movements and exercises to improve those abilities is a must, but it’s important to have an understanding of how to guard, how to support, how to transfer, how to use your adaptive trainer body to aid your adaptive client in successful progressions toward achieving the movement they are working towards.

An understanding of adaptive training, adaptive accessories that can be used, equipment that can be modified, and strategies that can be used to make an adaptive client successful in the pursuit of their goals should be your goal as a Medical Fitness Professional. So that you become that trainer that should be leading adaptive fitness classes/session and not the trainer that is leading the classes/sessions but shouldn’t be.

Become an Adaptive Fitness Specialist

The Adaptive Fitness Specialist online course is designed to provide the knowledge needed to safely and effectively design and implement adaptive exercise programs for individuals living with or recovering from a physical disability or disease.


Devon Palermo is a leading authority on Adaptive Fitness for those living with or recovering from a disability. He is the Founder and Principal director of DPI Adaptive Fitness, A company focused on safe and effective adaptive fitness for individuals living with disabilities. With over 15 years of experience in both fitness and rehab, He is the go-to resource for clients, therapists, and doctors in the DC, Maryland and Virginia area looking to maximize the benefits of adaptive exercise to improve strength, balance, function and abilities. dpiadaptivefitness.co