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Electronic bathroom scale and glucometer with result of measurem

Going Beyond Diabetes Treatment: Exercise!

/10 August 2017/ All MFN blog/

There are many treatments for Type II Diabetes (which will be referred to simply as diabetes in this article) but none come with the level of benefits seen by the implementation of a proper exercise program. This is a tall order but exercise is effective for the treatment of insulin resistance and diabetes in three areas. These areas are inflammation, the cell mitochondria (where the cell generates power), and hyperinsulinemia (high blood insulin).2 Treating these areas with exercise goes beyond the benefits of treating just diabetes. In turn, you will be helping prevent other health issues associated with diabetes such as heart disease, stroke, and circulation issues. The questions is how does exercise do this and what kind of exercise is necessary?1

To understand how exercise treats diabetes, it is important to understand that diabetes is the end result of insulin resistance. Insulin resistance can be illustrated in that: when we eat something with carbohydrates or sugar, our body breaks it down into blood sugar known as glucose. This glucose triggers a response from our pancreas to produce the hormone insulin. Insulin in turn shuttles the blood sugar into the cells to be used as energy. However, when someone becomes insulin resistant the cells do not respond to the insulin’s attempt to shuttle the blood sugar into the cell, so the pancreas produces more insulin to get the same job done. In essence, the cells are developing a tolerance to the insulin and in order to get the blood sugar absorbed the cells begin to require more and more insulin to do the same job. This leads to the blood retaining the blood sugar for prolonged periods of time as well as an elevated presence of insulin. When someone has prolonged high blood sugar, we call this hyperglycemia and the person is said to be diabetic. Having high blood sugar is dangerous due to the stress it places on cells. It can cause many problems up to and including death.

In the area of inflammation, it is known that not all inflammation is the same. Inflammation can be acute — meaning it is brought on for a short period of time — which happens with activities such as exercise or when tissue undergoes some sort of trauma. Inflammation can also be chronic, meaning it is persistent and recurrent.

Acute inflammation is necessary, and healthy, because it begins the healing and repair process by bringing in white blood cells, and ridding the tissue of damaged cells. Inflammation is required otherwise the body would be unable to heal.

Chronic inflammation can be found in many conditions, such as autoimmune diseases, prolonged injury/infection, obesity, diabetes and other chronic diseases. When inflammation remains present, even at a low level, it begins to damage the body’s cells. Science now knows that:2

  • Obesity creates a level of chronic inflammation.
  • Inflammation is the precursor to every chronic disease including heart disease, arthritis, and cancer.
  • Inflammation suppresses the insulin signaling pathway (how insulin and your cells communicate) which is believed to be related to a reduction of a heat shock protein, this protein however, can be increased through exercise.
    • Increases of the protein begin after the first session of exercise.3

You may remember from science class the power generator of the cell is the mitochondria. This is where the energy is created from fatty acids and glucose. It is now believed that when the mitochondria of the cell becomes dysfunctional, less fatty acids are taken in, elevating fat (lipids) in the blood, and increasing fat storage. It is also believed that the cell becomes dysfunctional as a result of insulin resistance. This relationship may then further feed into the increased body fat and increased inflammation. Further scientific studies in this area have determined that:

  • Proper exercise increases mitochondrial efficiency, proper exercise being summarized as:
    • No less than 150 minutes of moderate activity per week but ideally more than 250 (start light and increase intensity).
    • Incorporate a combination of resistance exercise (i.e. calisthenics and weights) and cardiovascular exercise.
    • Supervision by a registered clinical exercise physiologist if two or more chronic conditions are present is recommended.4
    • Exercising following an interval training protocol ranging from 70-90% of maximal heart rate may provide superior results if tolerable by participant.5
  • It is well known that aerobic training increases the number of mitochondria in muscle fibers in order to increase the delivery of oxygen to the muscle. More mitochondria means more energy that can be generated within the cell.

Hyperinsulinemia is best described as an elevated level of insulin relative to the amount of glucose (blood sugar) present in the blood. This may be the truest indicator of someone who is insulin resistant and about to become diabetic.6 In the beginning, it was illustrated how insulin resistance develops, and it being characterized as requiring more insulin to do the same job. This additional insulin is the definition of hyperinsulinemia. When someone has hyperinsulinemia it can be expected that in a matter of time, even higher levels of insulin will be required as the cell increases its tolerance to the insulin. Eventually the pancreas will not be able to produce the level of insulin required to lower blood sugar and the person will be said to have hyperglycemia, and will be classified as diabetic. When someone is experiencing hyperinsulinemia, they are already experiencing inflammation, and a weakening of the insulin signaling pathway (ways the cells communication for glucose uptake), and likely a dysfunction of the mitochondria, which in turn may magnify the issue further.

What is known is:

  • Exercise lowers glucose in the presence of insulin, and thus exercise will lower both glucose and insulin levels.
  • If you’re currently diabetic and taking insulin, the amount may likely need reduced prior to exercise.
  • Consistent proper exercise may lead to the need to have a physician re-evaluate dosage or usage of insulin and/or pills (i.e. metformin). Never discontinue use of a medicine without consulting with your physician.

Proper exercise not only goes beyond the treatment of diabetes to the treatment of the cause (insulin resistance), it helps prevent other health issues that stem from diabetes. Health issues such as cardiovascular disease, stroke, and issues with circulation dramatically decrease with exercise. Also, remember diabetes aside exercise reduces risk of nearly every chronic disease.1

Jeremy Kring holds a Master’s degree in Exercise Science from the California University of Pennsylvania, and a Bachelor’s degree from Duquesne University. He is a college instructor where he teaches the science of exercise and personal training. He is a certified and practicing personal/fitness trainer, and got his start in the field of fitness training in the United States Marine Corps in 1998. You can visit his website at jumping-jacs.com

References

  1. Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143–1211. http://doi.org/10.1002/cphy.c110025
  2. Ye, J. (2013). Mechanisms of insulin resistance in obesity. Frontiers of Medicine, 7(1), 14–24. http://doi.org/10.1007/s11684-013-0262-6
  3. Matos, M. A. de, Ottone, V. de O., Duarte, T. C., Sampaio, P. F. da M., Costa, K. B., Fonseca, C. A., … Amorim, F. T. (2014). Exercise reduces cellular stress related to skeletal muscle insulin resistance. Cell Stress & Chaperones, 19(2), 263–270. http://doi.org/10.1007/s12192-013-0453-8
  4. Moore, G. E., Durstine, J.L., & Painter, P. (2016). ACSM’s exercise management for personals with chronic diseases and disabilities. Champaign, IL: Human Kinetics.
  5. Roberts, C. K., Hevener, A. L., & Barnard, R. J. (2013). Metabolic Syndrome and Insulin Resistance: Underlying Causes and Modification by Exercise Training. Comprehensive Physiology, 3(1), 1–58. http://doi.org/10.1002/cphy.c110062
  6. Paniagua, J. A. (2016). Nutrition, insulin resistance and dysfunctional adipose tissue determine the different components of metabolic syndrome. World Journal of Diabetes, 7(19), 483–514. http://doi.org/10.4239/wjd.v7.i19.483
Pregnant woman using exercise bike at the gym

Benefits of Low Impact Exercise During and After Pregnancy

/9 August 2017/ All MFN blog/

Pregnancy can be a joyous time for women and it is also a period where the body experiences many significant changes. Since exercise can be beneficial to the mother in managing stress and staying healthy, it is important to for every pregnant woman to get clearance from their physician for both starting a new exercise program and/or maintaining her existing one.

Before becoming pregnant, I led a healthy and active lifestyle and continued to teach classes until I was ready to deliver. During the first trimester I had to change all strenuous workouts to low-impact workouts with lots of self-care such as taking frequent breaks to hydrate. This article can help women in all stages of pregnancy assess value of low-impact exercise during pregnancy and postpartum.

What is low impact exercise? Low impact (LI) basically means maintaining movement with one foot always on the floor. We do this when we are walking, doing yoga, dancing and strength training.1 Low impact exercises have several benefits such as maintaining healthier joints, weight and heart.

Benefits of Exercise During Pregnancy

A combination of low impact dance classes, strength training and stretching during pregnancy helped me maintain my sense of self and self-esteem as my body changed drastically both anatomically and physiologically. There are several documented benefits of exercise during pregnancy including: improved circulation, sleep, digestion, as well as muscle tone to support joints, increased energy and endurance; improved body image and self-esteem.2

ACOG recommends that pregnant women get at least 150 minutes of moderate-intensity aerobic activity weekly. Moderate intensity means that you are moving enough to raise your heart rate and sweat and you can talk normally, but you cannot sing.3 If you are new to exercise it might seem daunting to get a 20 minute work out every day, but you can start out slowly and gradually increase your activity. For example, you can start with 5 minutes a day and add 5 minutes each week until you can stay active for 20-30 minutes a day. If you were very active before pregnancy, you can continue doing the same workouts until the third trimester, when a logical reduction in activity is recommended.2

Regardless of fitness level, one commonality between pregnant women is the release of Relaxin, the hormone that is responsible for softening the ligaments and joints during pregnancy and childbirth. Having relaxin in the joints can lead to wobbly, unstable joints and a loose pelvis so women should take extra precaution while choosing or continuing a fitness regimen.4

­­­­­Examples of some exercises that you can do safely while you are pregnant are walking, water workouts, stationary bicycling, yoga and Pilates. Walking is a good option for many pregnant women because it is easy on the joints and muscles and it also gives a total body workout. If however you have low back pain you might consider wearing a pregnancy support belt and/or water workouts to reduce stress on the back. The water supports your weight so you avoid injury and muscle strain. For those who like bicycling and want to continue, stationary bicycling is a great alternative to avoid falls. Modified yoga and Pilates are great for reducing stress, improving flexibility, and focused breathing. Keep in mind that balance poses/exercises can be challenging due to a shift in the center of gravity caused by a growing belly, so it is okay to modify to accommodate this change. Pregnant women should also avoid poses that require them to be still or lie on their back for long periods.3

Benefits of Exercise After Pregnancy

The postpartum experience is different for every woman both emotionally and physically. My postpartum experience brought a mild-depression and weight-gain due to nursing (yes, many women gain weight during early nursing). Like many women, I waited 8 weeks before starting an exercise routine (most women are given a time period of 6-8 weeks for healing). Getting back to exercise helped me gain a sense of control over my body and helped cope with depressive episodes. According to ACOG, exercising after your baby is born may help improve mood and can help you lose the extra pounds that you may have gained during pregnancy.3 Additional benefits of exercise for postpartum women are that it helps strengthen abdominal muscles, can regulate energy level, can promote better sleep and relieve stress.3

Like the exercise guidelines during pregnancy, ACOG suggests that the duration of exercise for postpartum women, after physician approval, is at least 150 minutes of moderate-intensity. Working out after having a baby is different for every woman and it is a good idea to go at your own pace, listen to your body and gradually increase intensity. A key point to remember is that since relaxin can stay in the body for up to six months postpartum,4 it’s a good idea to choose a workout that is not too jerky in movement and stretching is controlled. Doing a good warm up prior to the workout and a good cool down after the workout are essential. ACOG suggests aiming to stay active for 20–30 minutes a day and trying simple postpartum exercises that help strengthen major muscle groups, including abdominal and back muscles. It is also a good idea to prepare for your workout by wearing clothing that will keep you cool and wear a high-support bra. Hydration is key, and it is okay to take water breaks as you need during your workout. For those mothers who are breastfeeding, it will be important for you to either nurse your baby or express your milk prior to working out to avoid the discomfort of engorged breasts.

Although the pregnancy and postpartum experience is different for every woman, and each stage of pregnancy brings unique challenges, maintaining a low-impact exercise program can be very helpful to the mother in managing stress and staying healthy.

Richa Jauhari is a fitness instructor, personal trainer and proud new mother based in Los Angeles. She has a passion for seeing individuals strive for their best and achieve their goals. Her personal weight loss experiences, pregnancy journey and working with senior populations have helped her understand the value of believing in oneself, balance, healthy eating and regular exercise. Visit her website at richajfit.wixsite.com/richaj

References

  1. Schwecherl, Laura. “21 Low-Impact Workouts That Are More Effective Than You Think.” Greatist. Greatist, 27 Mar. 2017. Web. 15 June 2017. <https://greatist.com/fitness/take-it-easy-21-unexpected-low-impact-workouts>.
  2. Yoke, Mary M., and Laura A. Gladwin. “Special Populations.” Personal Fitness Training: Theory & Practice. Sherman Oaks, CA: Aerobics and Fitness Association of America, 2010. 320. Print.
  3. “Women’s Health Care Physicians.” Exercise During Pregnancy – ACOG. The American College of Obstetricians & Gynecologists, May 2016. Web. 2 July 2017. <https://www.acog.org/Patients/FAQs/Exercise-During-Pregnancy>.
  4. Flashenberg, Debra. “8 Steps to Easing Back into a Fitness Routine After Birth.” Fit Pregnancy and Baby. Fit Pregnancy and Baby, 03 Apr. 2017. Web. 10 May 2017. <https://www.fitpregnancy.com/exercise/postnatal-workouts/8-steps-easing-back-fitness-routine-after-birth>.
brain-neurons

Health-Related Fitness and Parkinson’s Disease

/7 August 2017/ All MFN blog/

When people hear the words “Parkinson’s disease”, they don’t often think of health-related fitness as a simultaneous condition. However, many people with Parkinson’s are in fact very physically fit! As a Care Advisor for Neuro Challenge Foundation for Parkinson’s, I have met Parkinson’s sufferers and Parkinson’s fighters. The fighters know very well the benefits of exercise and strive to maintain their health and fitness to the best of their ability despite the challenges they face.

Parkinson’s disease is a neurodegenerative disease that is marked by tremors, slowness of movement, stiffness of muscles, and unsteady balance. Dr. Dean Sutherland, Director of the Southeastern Center for Parkinson Disease states that “exercise is as important as anything you can do for Parkinson’s.” How can you become a Parkinson’s fighter? The first step is to understand the five components of health-related fitness and how they affect functionality.

The first component is maintaining a healthy body composition. What does this mean? Your weight should be appropriate to your height and you should strive to have more lean muscle mass than fat mass in your body. You can find out your body mass index by going to the Center for Disease Control’s website and accessing their BMI calculator. Excessive fat in the body can result in loss of muscle mass, and muscle is something people with Parkinson’s should strive to maintain.

The second aspect of health-related fitness is muscular strength. Having strong muscles improves posture, decreases the risk of musculoskeletal injuries, improves balance and decreases the risk of osteoporosis. Muscular strength helps people with Parkinson’s maintain independence.

The third component important for health-related fitness is muscular endurance; or the ability of a muscle or group of muscles to work repeatedly over a period of time. An example of muscular endurance would be the ability of the leg muscles to ride a stationary bike for 30 minutes. People with Parkinson’s will experience better posture and stability if they are able to sustain muscular endurance. They will also be able to have more fun doing recreational activities!

Fourth, health-related fitness is greatly enhanced by good cardiorespiratory functioning. This is the ability of the heart, blood vessels and the lungs to work effectively together to deliver oxygen to all the cells and muscles in the human body. Activities of daily living are more easily performed with strong cardiorespiratory fitness, and cognitive functioning is enhanced as well.

Finally, the fifth component of health related fitness is flexibility, or the ability of joints to move through a full range of motion. People with Parkinson’s who maintain good flexibility experience enhanced postural stability and balance, and are less like to fall. Being flexible also makes it much easier to perform simple tasks like bending over to tie your shoes, pull a shirt on over your head, or swing a golf club.

It’s never too late to begin a program towards improving your health-related fitness. Your body is designed to last a lifetime, and you can help influence how well it performs for you. Always get a physician’s clearance before beginning an exercise program and if you are new to exercise, enlist the supervision of a certified fitness professional.

Carisa Campanella, BA, AS, is an ACE Health Coach and ACSM Personal Trainer. She is the Program Manager at the Neuro Challenge Foundation for Parkinson’s. Neuro Challenge provides ongoing monthly support groups and educational programs, individualized care advising and community resource referrals to help empower people with Parkinson’s and their caregivers.

women-lifting

7 Common Workout Injuries and How to Avoid Them

/28 July 2017/ All MFN blog/

As my ruthless and merciless coach always says, “No pain, no gain and you have to risk it to get the biscuit.” True as this may be when it comes to making physical progress in your workouts, there are exceptions you need to keep an eye out for.

I mean, you are human after all and there is only so much punishment that your body can take… even machines wear out. So, here are 7 common workout injuries that you should know about and great tips on how to prevent them from happening in the first place.

  1. The Famous Ankle Sprain

This commonly affects runners and joggers. Not only does this hurt like hell, it could also bench you for an entire month. If you’re a fitness fanatic like me, then that is a nightmare of profound proportions. You can easily get this running outside in uneven terrains like a rocky pathway.

Jumping on and off a pavement can also mess you up pretty badly. Even the treadmill doesn’t keep you safe from this: classic causes include jumping off too quickly or mistakenly stepping half on the belt and half off of it while it’s still running – ouch!

Preventive Measures:

The first and most important tip is to get yourself a quality pair of running shoes. The next thing you want to do is pick out a good old ankle brace just to be on the safe side. Once those are in check, you may need to rethink the terrain you run in.

Though running through the forest is a fantastic idea, make sure the path you pick is even with no rocky features or too many roots popping up all over the place.

And if you have to run indoors on your treadmill, then it is highly recommended that you get one with a clip that attaches to your clothes so that it turns off when the clip detaches from the treadmill.

  1. The Excruciation Shin Splints

You will know you have this when you get a sharp pain on the inner side of your shin bone every time you put weight on your leg. This is another common one among runners.

Although other activities that involve a lot jumping, like rope skipping, can also give you these. It is caused by a muscular inflammation and is the result of suddenly bumping up the volume of your current workout regimen.

Working out on hard, paved surfaces or using old, worn out shoes can also give you problems. You may need a doctor’s opinion once you start getting the symptoms. Some painkillers and a few weeks off should get you back up and running.

Preventive Measures:

As with ankle sprains, you will also need a good pair of running shoes for the splints. Next up, make sure that you stretch and warm up properly prior to your workout.

A few light bodyweight exercises and dynamic stretches are always a good idea. Make sure you use static stretches after your workouts to cool you off as well. As for your workouts, take it easy with the intensity increments. Don’t go higher than 10% percent with your frequencies or volumes every time you decide to take things to the next level.

  1. The Agonizing Lower Back Strains

A sudden pain in your lower back accompanied by some tenderness could be a sign that you’ve hit the threshold. This happens when you tear the muscles or ligaments in your lower back, especially the lumbar muscle.

Squatting and dead lifting with improper form or with excessively heavy weight could definitely put you at high risk. Skipping warm ups and stretches and doing side bends can also get you to this unpleasant point. Another reason could be a hunched back that causes you to overcompensate by bending backward by the lower back for upward presses. Worst-case scenarios include developing nerve compressions and herniated disks.

Preventive Measures:

First thing’s first, never skip your pre-workout warmup sets and stretches. These will get the blood flowing down lower back so that it can absorb all the stress from your workout. If you have a hunched back, then you need to start doing wall squats.

It is highly advisable to superset all the exercises in your workouts with this so as to fix your problem. Variety is key here so be sure you keep switching between workouts to improve the endurance of your lower back muscles. Lastly, your form for squatting and deadlifting should be flawless, done with the weight that you are comfortable with.

  1. The Busted Rotator Cuff

This one is common among weight lifters in the gym (or anywhere else for that matter). If you’re having pain in your shoulder every time you raise your arm over your head or reach behind your back, then this is probably the culprit.

It is made up of 3 muscles that attach the edge of the scapula to the top point of the upper arm. The work of these muscles is to rotate your shoulders externally.

The pain we are talking about here occurs because of a strength imbalance between these muscles and the deltoids. This results in an impingement or a tear in one of the muscles of the rotator cuff.

Preventive Measures:

This is a highly neglected muscle for most weightlifters. It is very rare to see anyone do any kind of external rotation exercise in the gym. This is where all the problems start. So, you need to integrate external rotation exercises to balance out strength between the rotator cuff and the deltoids. Exercises such as side-lying external rotation with dumbbells should become a staple among your shoulder workouts.

  1. The Classic Pec Tear

This happens when you tear either your chest muscle or the tendon that attaches it to the upper arm – quite the agonizing ordeal. This also happens among weight lifters within the famous benching community.

Every time you make up your mind to bite more than you can chew by adding too much weight on the bench press or chest flyes, you run the risk of getting this dreadful injury. You will feel the tear immediately when it happens before your upper arm turns color to blue-black.

Preventive Measures:

This has been said so many times, it feels cliché saying it all over again. But I’m going to say it anyway – leave your ego outside the doors of the gym. Just because overload causes muscle growth doesn’t mean you should go all Hercules with the weights.

Choose the weight that’s right for you, especially for the dumbbell bench press and pec flyes. It is also a good idea to have a spotter around so you don’t end up dropping the dumbbells behind you, causing you to overstretch your pec, resulting in the tear.

  1. The Old Rupture of the Bicep Tendon

If you are a curl junky, then you need to pay close attention here. This happens when the tendon attaching your bicep to your forearm tears and curls upwards.

It is extremely painful and it is caused by curling too heavy and uncontrolled movement that causes the arm to drop suddenly with the dumbbell or barbell in hand. If it happens to you, your bicep will become larger than usual with a blue-black coloration.

Preventive Measures:

As we said with the Pec tear, keep your ego in check and lift what you can handle. You will also want to control the weights on the way down – very important. In fact, it is this portion of the exercise, the eccentric, which comes with the most gains. So don’t neglect it. It will give you great gains and keep your bicep tendons rupture free.

  1. The Dreadful Hernia

Whether this is grosser than it is scary, I’m not very sure. It involves swelling, mostly around the belly, caused by protruding organs that tore through their encasings (ie, fascia). This is common among lifters and calisthenics enthusiasts. It happens when you hold your breath as you lift heavy objects.

This results in increased pressure that causes organs, like intestines, to pop through their encasings resulting in the bulge. Rotating your torso during one-arm dumbbell rows can also get you here. You most definitely want to dial 911 if this happens.

Preventive Measures:

Again, keep your ego in check and only lift what you can handle. The next thing you want to do is learn to breathe out through the concentric part of any exercise and breathe in during the eccentric. Also, keep your body from rotating every time you do those one-armed dumbbell rows.

For the long term, it is a good idea to strengthen your abdominal muscles so that your core is strong enough to even out imbalances that could lead you to get a hernia.

Tony John is a blogger and main Co-founder/ Editor at the BoostBodyFit.com. He loves fitness and bodybuilding. Follow BoostBodyFit on Twitter @boostbodyfit.

running-sunrise

Take Charge of Your Future Health & Fitness Future: Become Relentless

/26 July 2017/ All MFN blog/

It occurred to me recently that the only true answer to the question of how can we best accomplish our health and fitness goals consistently – and save our own lives – was to “become relentless”. I recognized this trait in myself as a boy on Maui and today I know that it is how I have maintained a high level of fitness over more than six decades of my life. I decided early on to never let myself “get out of shape”. I always wanted to be fit. In making this choice I became committed to my purpose: Never make excuses and treasure the physical gifts I had been given by always training as though today were my last on earth.

This article addresses three key principles to becoming relentless and exercising the control over your choices that only YOU can make. Nothing in life is more important than our health and if we lose it – we may never be able to get it back. We also cannot become fit because our health is a precursor to overall fitness achievement. I understand that we are confronted every day by challenges and that some of the circumstances we face are beyond our control. However, I also DO believe that the power we exercise in making our choices is always within our control. Do you want to live a fulfilling and healthy, happy, and fit life – or not? The choice is yours!

NO EXCUSES!

In my world there are no such things as excuses. We either commit to our own health and fitness future – or we don’t. There is no “in between”. I am asked frequently by people at the gym how many days I work out and my answer is always the same”. I train EVERY day if I am not sick or injured because I never want to “go backwards” and lose all the gains I have made. Every new day presents each of us with the opportunity to train mentally, physically and spiritually. What do you do to plan your day with your health and fitness needs in mind?

Most Americans are eating and sitting their way to an early death by not considering these important needs. It is as though they have turned off their brains and disconnected them from their bodies. I see this behavior every day and this pattern of “thoughtlessness” WILL become chronic if not changed. This “way of thinking” by parents then gets passed down to their children.

I see potentially obese children stuffing their faces with French fries while their parents model behaviors that are truly unhealthy. Technology is a now a major part of how

we interact with one another and this poses additional challenges for a healthy exchange of ideas and knowledge. We are “buried in our devices”!

The KEY here is NEVER MAKE EXCUSES! There is ALWAYS time to exercise your mind, spirit and body. MAKE the time. If you are not sick or injured commit yourself to your own “renewed” purpose: Train every day and NEVER LOOK BACK! Today is all any of us get. Do you want to waste while in making excuses about why you couldn’t take that walk, eat that salad, or meditate for a few moments on what you are grateful for in your life? I hope not. Regret is a terrible burden to carry into your future. Be Relentless!

LIGHT YOUR INNER FIRE!

The only true motivation is “inner inspiration”. I was inspired as a boy through my swimming coach at the time to strive for excellence and to use my talent to its highest potential. He saw me as a potential champion – even at the age of 8 – and I trained accordingly. The “fire was lit” by his belief in me and his encouragement during our training sessions. He gave me the strength to endure the many hours of repetition that it took to become skilled for competition.

I remember the joy I felt when I met with my teammates before practice. We were all friends and were close in age. The training was difficult at times but it gave me the understanding of how to become a better swimmer and maximize my talent. I knew the hard work would pay off and it did when we competed against other teams. I loved the competitive “fire” within me because it gave me purpose and a feeling of accomplishment when the training came together during our races.

This “inner fire” cannot be given to you. It has to be generated from within you. You have to “own it”. We can hire coaches to help us by inspiring and encouraging us but we have to do the work of “lighting the fire” for ourselves. It IS within each of us and this is our POTENTIAL. Don’t short change yourself. We ARE capable of accomplishing great things if we believe in our potential. This is what my swimming coach on Maui gave me when I was just beginning life as a swimmer: The belief in myself that I could become a champion.

I never forgot these lessons or his belief in me. I carried this “fire” within me during the many years that followed all the way up to this – my 71st year. I am capable of so much more today because I believed in myself and knew that every day was a gift that I could use to move myself forward – or I could have let my circumstances let me “slip” into obscurity and mediocrity. I REFUSE to live in mediocrity and I encourage you to not let this thought overwhelm you and stop you from pursuing excellence in your own life. Be relentless!

STAY THE COURSE!

Once you have decided to commit yourself to your health and fitness goals – STAY THE COURSE! Never let excuses or sloppy thinking prevent you from reaching for the “greater within you”. I have suffered badly these last 6-8 months from painful feet (plantar fasciitis) – a debilitating inflammatory condition at the bottom of both my feet characterized by searing pain. “It is often referred to as an “overuse” injury. Fifty three years of running can have this type of effect and it DID catch up to me!

It progressed to swelling in my right calf and ankle brought on by what I suspect was tearing of the soft tissue. I have not been able to run during this time so I substituted the lifecycle for cardio training and as a form of rehab it has served its purpose but I miss running very much. I KNOW that I am improving with the addition of my stretching program and new strength training methods but this time has served as a reminder to me that no matter what we do we are vulnerable to age, injury, and pain.

I have stayed the course with my training but I also know that at 70 I am not going to escape the possibilities of additional injury. I believe in the benefits of training so deeply, however, that I will NOT let anything stop me from my appointed training sessions. My time as a swimmer taught me that every action we take in support of our goals can propel us to becoming more than we ever dreamed possible.

What is your dream and what are you willing to do to fulfill it? I am willing to do what is necessary to see mine come true: Help the world become “more” by focusing all our energy on becoming happy, healthy and FIT! Be relentless!

IN CONCLUSION

Take time TODAY and review your mental. physical and spiritual needs and desires. Make an appointment with yourself that you WILL “show up” each day to work on advancing your health and fitness goals. DECIDE today to never let a moment “slip away” from you that could have moved you closer to becoming the person you were meant to be.

DECIDE TO BECOME RELENTLESS! Don’t make excuses, not the light the fire within you or NOT stay the course that you have set before you. Decide to be EXCELLENCE and pursue that idea every day – regardless of the circumstances or challenges you face. My feet will run again but I am taking the time right now to appreciate all that they have done for me over past 70 years!

Appreciate and be grateful for all that you have been given and start your day in gratitude and forgiveness. These two traits alone are omnipotent. I never will take today for granted because it is all I have. Your journey – and mine as well – has just begun. Cherish every moment and BE RELENTLESS!

Originally printed on HealthyNewAge.com. Reprinted with permission from Nicholas Prukop.

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.

Two women doing yoga workout at gym

Exercising with Arthritis

/17 July 2017/ All MFN blog/

Although it comes in many forms throughout the body, in general arthritis is an inflammation. There are various reasons that this condition occurs, but one thing is for sure — it can affect a person of any age and in many different situations.

bladder-cancer-ribbon

Exercise and Bladder, Thyroid and Prostate Cancers: The Impact of Staying Active

/11 July 2017/ All MFN blog/

Part I: Bladder Cancer

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. In the last article of this series, I will suggest ways to develop an exercise program that based on the individual’s needs and is safe and effective.

Introduction

Research has shown that exercise can reduce the risk of getting some types of cancers. There are numerous published studies on the benefits of exercise for those with colon cancer, breast cancer, and endometrial cancer. An American Cancer Society’s newsletter stated: “Among breast cancer survivors, a recent analysis shows that getting exercise after diagnosis was associated with a 34% lowered risk of breast cancer death, a 41% lower risk of dying from all causes, and a 24% lowered risk of breast cancer recurrence. Among colon cancer, studies suggest exercise cuts death from colon cancer and all causes, and cuts the risk of the cancer coming back by up to 50%.”

The Journal of the American Medical Association reported that exercise lowers the risk of 13 types of cancers. Since there is limited research on exercise and bladder cancer, it is important to note that the results of the study showed that those who exercised the most had a 13 percent lower risk of bladder cancer. The JAMA study is empowering because it provides further ammunition as to the importance of exercise for additional types of cancers.

Studies suggest that exercise is safe and helpful for many people who are suffering from cancer and may lower the risk of some cancers. Other health benefits of exercise are weight control, cardiovascular health, increased bone density, and decreased fatigue, stress, anxiety and depression. Exercise can improve range of motion, improve endurance, and decrease the risk of lymphedema.

Exercise helps to control obesity, which is positively correlated with several cancers. Studies have shown that weight gain increases the risk of cancer and the risk of recurrence during and after treatment. Since exercise is a crucial component of weight control which effects cancer risk, exercise needs to be considered as part of the treatment plan.

How does exercise play a role in cancer prevention, control, and cancer outcomes?

  • During exercise, epinephrine is released which helps natural killer cell infiltration.
  • Exercise may restore normal gene function and may influence tumor-suppressing genes. There is a relationship between hypomethylation and hypermethylation and cancer cells.
  • Exercise can affect hormone levels
  • Exercise reduces insulin, increases IGF-1, and decreases leptin and may have an anti-inflammatory effect.

What does the research show for bladder cancer?

It has been observed that exercise can improve outcomes for those with bladder cancer. Research conducted by J. Vallance suggests that strength training and aerobic exercise can improve psychological and physical issues for those with bladder cancer and increases the chance of survival.

In May of 2007, “Associations between Exercise and Quality of Life in Bladder Cancer Survivors: A Population-Based Study” by Kristina H. Karvinen et al was published in Cancer Epidemiology and Biomarkers. The authors examined the association between exercise and quality of life in a sample of 525 bladder cancer survivors. They found exercise to be negatively associated with several aspects of fatigue. The study also suggested that active bladder cancer survivors have improved mood and energy and quality of life.

In 2016, “Lifestyle factors and health-related quality of life in bladder cancer survivors: a systematic review” by Gopalakrishna, reviewed the literature on the associations between lifestyle factors and quality of life in bladder cancer survivors. Their conclusion was that there is some evidence for a positive association between quality of life and physical activity.

Kellogg Parsons, MD, an associate professor of Surgery at the University of California, San Diego, discusses modifiable lifestyle factors associated with bladder cancer on onclive.com. Parsons and his team found that participants who had any amount of physical activity had improved survivorship compared to those with no physical activity.

A recent study in by Cannioto et al in Cancer Epidemiology reports an association between living a life with little to no recreational physical activity and an increased risk for bladder cancer. The study suggests a connection between being inactive and increased risk of cancer.

In summary, we know that physical activity reduces the risk of numerous diseases. Now we have additional evidence, that it may also reduce the risk of bladder cancer.

Physical Activity in Bladder Cancer Patients

The sooner the patient starts to exercise the better. Starting before surgery and treatments and continuing during treatment can lead to a better recovery with less complications and medications.

Survivorship can serve as a strong motivator to make positive lifestyle changes. Everyone’s situation is unique. Accordingly, exercise needs to be tailored to individual people, taking into account their overall fitness, diagnosis, and other factors that could affect safety.

Regular physical activity can help rebuild a patient’s strength and energy level and help manage other health related issues. Health issues like diabetes, and cardiovascular diseases are a leading cause of death in cancer survivors and those without cancer. Managing health related issues through exercise could increase survival.

Some cancers and cancer treatments may result in incontinence. A side effect of biologic treatment may include irritation of the bladder, an urgent need to urinate, frequent urination, or incontinence.

Incontinence can occur in men or women with bladder cancer and last for a short time or longer. There are different types of incontinence, ranging from mild to severe. Some examples are: stress incontinence can cause a person to leak urine during activities such as coughing, laughing, sneezing, or exercising, urge incontinence is a sudden, urgent need to urinate and continuous incontinence is not being able to control the bladder at all.

Kegel exercises strengthen your pelvic floor muscles to control urine flow. The pelvic floor muscles are comprised of the bladder, sphincter and the pubococcyges muscle. These muscles are used to stop the flow of urine. You can find your pelvic floor muscles by squeezing your sphincter and contracting the urethra to stop the flow of urine when using the bathroom.

Exercise can help control incontinence without medication or surgery. It is wise to start Kegel exercises before surgery and treatments and to work with a pelvic floor specialist.

Kegel Exercise

Perform the Kegel 10 times holding for 5 seconds each. Try to do this four times per day. Take a 5-second break between each repetition. It may take several weeks or months to be able to contract your muscles for 5 seconds at a time, or to repeat it 10 times. If you perform the Kegel several times per day, your pelvic floor strength should improve.

Tips

  • Try not to use the surrounding muscle groups in the buttocks, legs and abdomen.
  • Try to lift the pelvic floor upward.
  • You can perform this exercise in any position: standing, sitting, or lying in bed.
  • Kegels can be done at any time, such as while watching TV, waiting in line or driving.

Part 2 will focus on thyroid cancer. Contact me at caroljmichaels@gmail or go to www.CarolMichaelsFitness.com or https://www.nfpt.com/product/cancer-recovery-specialist to find out about cancer exercise programs in New Jersey and cancer continuing education courses.

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.

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 PeterVenner, 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): 51