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Senior couple on country bike ride

Creating Fit and Functional Older Adults

Beginning in the seventh grade, I became fascinated with age—specifically how our bodies’ functional capacities decrease with the passage of time. When I once shared this perception with my 98-year-old grandmother, she said, “Just wait until you’re 80.” I’m still far from 80, so I can only imagine how difficult it will be then to stand up from a chair or run around the neighborhood.

The biggest factor in the decline in physical capacity with age is level of physical activity. When your clients remain active throughout adulthood, they can retard the aging process and continue to live a life worth living. I know 70-year-olds who are fitter than 30-year-olds.

Physiology of the Older Adult

After age 30, most physiological functions decline at a rate of approximately 0.75 to 1 percent per year. Perhaps the biggest functionally-related physiological change with age is a decrease in muscle mass, called sarcopenia, which is due to a loss of motor units (a motor neuron and all the muscle fibres it connects to) and atrophy of fast-twitch muscle fibres. With the loss of motor units comes denervation of muscle fibres (a lost connection between the motor neuron and the fibres within the motor unit). This denervation causes the muscle fibres to deteriorate, resulting in a decrease in muscle mass, which significantly decreases the older adult’s muscle strength and power, making certain activities of daily living difficult.

Men and women generally attain their highest strength levels between ages 20 and 40, after which the strength of most muscle groups declines, slowly at first and then more rapidly after age 50. Muscle strength decreases approximately eight percent per decade after age 45, with greater strength losses occurring in women compared to men. In both men and women, lower body strength declines more rapidly than upper body strength.

With the loss of muscle mass also comes a loss in mitochondria, which decreases muscular and aerobic endurance. Mitochondria are unique in that they have their own specific DNA, so when older adults lose mitochondria, they also lose mitochondrial DNA. If your clients want healthy functioning muscles as they age, they need lots of healthy mitochondria.

Cardiovascular fitness also declines with age, in part due to a decrease in maximum heart rate and stroke volume (the volume of blood the heart pumps per beat). With a lower maximum heart rate and stroke volume comes a lower maximum cardiac output (the volume of blood the heart pumps per minute), a decreased ability to deliver oxygen to the muscles, and thus a lower VO2max (the maximum volume of oxygen the muscles can consume). VO2max decreases by 8 to 10 percent every 10 years after the age of 30 in healthy, sedentary adults. When maximum cardiovascular functioning declines, so does the workload that can be tolerated at a given percentage of the (lower) maximum. Decreases in VO2max with aging can be variable, particularly if your clients remain active. But if not attended to, a youthful run becomes an aged walk.

Training the Older Adult

Although many physiological factors decline with age, up to 50 percent of this decline is due to deconditioning rather than aging. With proper training, your clients can lessen the physiological effects of aging and remain fit and functional.

Arguably, cardiovascular exercise will always be more important than strength training throughout your client’s life because heart disease is the most common cause of death for both men and women. No one has ever died of a weak biceps muscle. But people die of weak hearts every day. One cannot live very well or very long without a strong heart. Since the risk of heart disease increases as people age, older adults need cardiovascular exercise just as much or even more than do younger adults. Like younger adults, older adults should do at least 30 minutes of cardiovascular exercise on most, if not all, days of the week. The more physically fit one remains, the slower the rate of cardiovascular decline. Maintaining exercise intensity, rather than a higher volume of training, is the key to minimizing the loss of aerobic fitness as your clients age.

Strength training also becomes more important as people age. Given that aging is accompanied by a decrease in muscular endurance, strength, and power, resistance training should take on greater weight (pun intended) when training an older client. I’d even go as far to say that every person over the age of fifty should strength train because that’s about the age at which people start to lose a significant amount of muscle mass. And that loss in muscle mass with age affects your client’s ability to function. If you’ve ever seen a senior citizen try to stand up from sitting in a chair or witnessed how catastrophic a fall can be to a senior, you know how much benefit strength training can have. The positive effects of strength training on bone density, muscular strength and endurance, balance and coordination (which reduces the risk of falling and fractures), functional mobility, physical aesthetics, and self-esteem cannot be denied.

Train older clients with heavier weights and fewer reps per set to target improvements in muscular strength, or with lighter weights lifted quickly to target the fast-twitch muscle fibres and improvements in muscular power. Greater strength gains occur at intensities of 80 to 90 percent of the one-rep max (the maximum weight that can be lifted just once). Although we tend to think of power training as something done to improve athletic performance, it has big implications for older adults, whose muscles lack strength and power. Research has shown power training to be very effective for strength and power development in seniors. Since it takes longer to recover from workouts as people age, give your clients more time between intense resistance and cardio workouts.

If you train older adults with higher intensity, less volume, and more recovery between workouts, not only will they be fitter and stronger, they may even be able to keep up with my 98-year-old grandmother.

From CanFitPro magazine. Sept./Oct. 2017.  Reprinted with permission from Jason R. Karp, PhD


Jason Karp, PhD, is the 2011 IDEA Personal Trainer of the Year, 2014 recipient of the President’s Council on Fitness, Sports & Nutrition Community Leadership award, and creator of the REVO₂LUTION RUNNING™ certification. He has more than 400 published articles in international running, coaching, and fitness magazines, is the author of eight books, including Run Your Fat Off and The Inner Runner, and speaks at fitness conferences and coaching clinics around the world. Get training programs and autographed copies of his books at run-fit.com.

Senior-doctor-throat-open-wide

Parkinson’s Symptoms: “OPEN WIDE” – A Trip Down Our Throat

Our throat muscles, through which we speak, sing and scream, give us our signature sound. In many situations, people affected by Parkinsons disease (PD) have diminished voice control. According to Wikipedia, Parkinsons disease can cause changes in speech. The voice may get softer, breathy or hoarse, causing others difficulty hearing what we say. Speech may be slurred. Speech changes can interfere with communication, which can be isolating and harmful.

Other causes of voice disorders include infections, stomach acids that move upward in the throat, growths due to a virus, cancer and diseases that paralyze the vocal cords. Here is a brief understanding of what, how and ways to care for your precious voice.

What Are Your Vocal Cords?

Your voice box sits between the base of your tongue and the top of your windpipe, which is where your Adams apple likes to hang out. (The Adams apple is more pronounced in men than in women.) The vocal cords are two bands of smooth muscle membrane tissue, each covered in a mucous membrane, that stretch across the voice box like the strings on a guitar.

How They Work

When youre quiet: listening, observing, perhaps meditating your vocal cords sit apart, creating a tunnel through which you breathe in. But the moment you begin speaking, they clap together as the diaphragm pushes air up from the lungs. This air causes a buzz sound or vibration and sends sound waves through your throat, nose and mouth, which amplify them. As these humspass through, they are transformed into song or sentences.

Your Sound

Vocal cords vary in thickness and length, which is why each person has his or her unique tune. Think of the singer Barry Whites voice. Deep and strong. Those who have booming voices, such as Barbra Streisand have larger resonating cavities (throat, nose and mouth).

Take Care of Your Cords

Yelling, or screaming can cause inflammation and lesions on your vocal cords. Even a long-lasting cough can do damage. If you are hoarse, rest your voice. Speak softly and try to avoid throat clearing, even if your throat is congested. Drink lots of water to thin excess mucus and lubricate. Menthol and eucalyptus can be irritating.

For those with Parkinsons disease, if you notice your voice is diminished, see a speech-language pathologist (SLPs) specializing in voice therapy. They can assist with diagnosis, assessment, planning and treatment of voice disorders including difficulty with swallowing. Some exercises include moving your tongue up and down, moving it from corner to corner, placing your tongue at the tip of your mouth or smiling and saying EEEloudly. Repeat 10 times, at least twice a day.


Reprinted with permission from Lori Michiel. 

Lori Michiel, NASM, has been assisting seniors in their homes since 2006 with customized exercise programs including those designed to address Parkinson’s, metabolic disorders, arthritis and diabetes. These adaptive programs are specifically designed to improve balance, circulation, flexibility, mobility and promote independence. Lori Michiel Fitness has over 40 certified trainers who are matched with clients in Los Angeles, Ventura and Orange Counties. Connect with Lori at www.LoriMichielFitness.com.

deep-breathing

Your Rate of Breathing Can Reveal Your Health!

Minute Ventilation (VE) is the amount of oxygen we breathe in or out over a given period, usually a minute. Hence Minute Ventilation.

Healthy Minute Ventilation is between 5 and 8 liters/minute of oxygen (normally 12-14 breaths per minute).  There are times when Minute Ventilation is increased, for example, during exercise, which is good.  But other times could be an indication of disease.

During exercise, the physiological demands on the body require you to consume more oxygen to offset the lactic acid and CO2 that are byproducts of increased activity. Our respiration therefore increases from 35 to 45 breaths /minute in healthy young adults, to elite athletes which can achieve 60+ breaths per minute.  This is necessary to offset the effects of increased activity. This amazing process continues throughout our lives keeping us in balance!


An interesting recent twist to this is breathing aware athletes have been taking less breaths, utilizing more oxygen, and recovering faster with conscious breathing techniques. The number of breaths per minute now have dropped to the low 20s for intense exercise! Research from Patrick McKeown, the author of The Oxygen Advantage, has shown that controlled nasal diaphragmatic breathing can greatly decrease the number of breaths needed, increase the oxygen uptake, enhancing performance!

Disease states are a different story.  Certain conditions like cardiovascular disease or diabetes require more oxygen to provide the same recovery process that a healthy person requires, therefore putting more stress on the body.

Here are some examples of corresponding disease states and the corresponding oxygen needs at rest:

  • Healthy Subjects ~8 L/min
  • Heart Disease ~16 L/min
  • Diabetes ~15 L/min
  • Asthma ~15 L/min
  • COPD ~15 L/min
  • Cancer ~14 L/min
  • Sleep Apnea ~16 L/min
  • Hyperthyroidism ~16 L/min
  • Epilepsy ~14 L/min
  • Panic Disorder ~13 L/min

Referenced from www.normalbreathing.com

As you can see, disease states put a heavy burden on the respiratory system and have a detrimental effect on overall health. In essence, their bodies are constantly exercising! 

Deep breathing techniques, specifically diaphragmatic breathing are an easy, learnable, and quick way to help offset the burden of disease states on our health. The better you breathe the less you need to!

Conscious breathing along with recognition of triggers of stress (for another blog) can create almost immediate changes in our health.

Take a deep breath!


Reprinted with permission from authors.

Mike Rickett MS, CSCS*D, CSPS*D, RCPT*E is a nationally recognized health and fitness trainer of the trainers, fitness motivator, author, certifier, educator, and the 2017 NSCA Personal Trainer of the Year.  He has been a fitness trainer for more than 35 years. With Cheri Lamperes, he co-directs BetterHealthBreathing.com, a conscious breathing educational program focusing on the diaphragmatic technique to enhance overall wellness.  In addition, he also directs the personal training site ApplicationInMotion.com.

aging-hands

From Stifled Screams to Suicide: More People 85+ Choose the Latter

In my private practice, I hear people repeatedly say, “I feel so ____ and I just want to yell.”

“Do you?” I ask. Fairly often the answer is, “No.”

I ask, “What stops you from yelling?” We may explore this reluctance, or I might ask, “What would need to be different for you to feel comfortable yelling, screaming, humming or making some other audible release?”  

Perhaps you too feel like releasing energy in this way. Recently, a woman in her eighties shared with me, “I was shopping with my friend who is 35-years younger than me and all the store clerks’ directed their answers to her when I was the one asking the questions. Even if I screamed, right there in the store, I am certain I wouldn’t be heard.”

There is a disproportionate number of older adults who commit suicide. Many countries are witnessing declining rates, while the US is seeing higher rates – with older Americans having the highest suicide rate of any age group. While older Americans contribute to 13 percent of the population, this age group accounts for 20% of the people who commit suicide. 

American Foundation for Suicide Prevention reported in 2019, that suicide among those 85 years and older represented the second largest number of suicides by age range, with the greatest number being among those in the 45 to 64-year age range. 

There are many reasons why a person may seek out mental health support – fear, stress, anger, sadness, confusion, substance abuse concerns – and yet the U.S. Department of Health and Human Services estimates a mere 3% of people 65 and older have made the brave move of utilizing mental health services. 

We can turn to the research of Speer & Schneider to see a direct link between untreated mental health and physical manifestations – immune and cardiac functions, increased susceptibility of infections, higher levels of reported pain, asthma and increases in length of recovery following surgery. Just think of how much less physical health needs there might be if we tend to our mental health.

Some older adults are much more likely to get a physical check-up than access mental health services. Another reason for some older adults not accessing mental health services may be due to insurance payment disparity. Medicare covers 80 percent of procedures and processes related to physical health and only 50 percent of mental health. Discussions of cataracts, glaucoma and hip procedures flow from the mouths of some older adults as freely as the Neuse River flowed once the Milburnie Dam was removed. And yet when it comes to talking about mental health, chatter is at a minimum.

I invite you to tap into your primal roots and begin making noise. Harmonize your body by screaming, yelling, humming or something else. Let it out. Perhaps love can fill the space that is being occupied with years of stifled screams.


Adrienne Ione is a cognitive behavioral therapist and personal trainer who integrates these fields in support of people thriving across the lifespan. As a pro-aging advocate, she specializes in the self-compassion of dementia.

Website: yes2aging.com
Guided Meditations: insighttimer.com/adrienneIone
Facebook: silverliningsintegrativehealth


References

Speer & Schneider. (2013). Mental health needs of older adults and primary care: Opportunities for interdisciplinary geriatric team practice. Clinical Psychology: Science and Practice10(1).

boomers-biking

Mountain Grit: Meet Jim

For all you medical fitness professionals out there, meet Jim, 75. Jim exemplifies the mindset towards aging that we all can emulate.

From urban to suburban, rural to remote, the glass is half-full – so lets fill-it-up’. SPIRIT truly can change the way and the pace at which we age.

[Excerpted from The Training Corner column in the Lone Peak Lookout]   

Q: Hi Pat!  I am sick and tired of my family members and friends telling me to slow down.   

I am 75 and in pretty darn good health. I was blessed with some good genes. Both of my very active parents lived well into their 90s. I’ve never gotten fat, and I quit smoking and heavy drinking back in my 20s. I drive my wife crazy because I am one of those ants-in-pants guys who just can’t sit still until the day is done. OK, I have some aches and pains, wear a hearing aid and need glasses just for reading. No big deal!   

Right now, I am in the throes of remodeling my daughter’s kitchen. I thrive on projects. They are a challenge, so I am always looking for something to fix. I am also the go-to guy when my neighbors need a helping hand. My true passion is calf-roping, so I mentor and teach the younger dudes. Yeah, I can still do it, but I lost my favorite horse last year, so I coach instead. My wife and I love the outdoors, and enjoy hiking, fly fishing, skate skiing and snow shoeing 1-2X/week.

We do all of our own outdoor maintenance, too. If for some reason, my day is void of physical work or play, I walk for 30 minutes, just to keep the pump pumping.  

I did construction all my life, and my back and shoulders act up on occasion. But over the years, I have collected a bag of maintenance tricks from various physical therapists. I have a morning routine of breath-work with tai-chi like moves, and some core preservation exercises. I use that foam roller with the bumps, too, my best friend for about 10 years, now. This regimen seems to work.  

Pat, am I just plain oblivious to this aging thing? Isn’t the body in motion the best brain and overall health potion? I am confident in my skills and abilities, so why would I slow down?  Any suggestions on telling the naysayers to put a sock in it?

Jim, 75

Pat’s Answer:  Hi Jim!  No, you are not oblivious. Yes, a body in motion is the best path to aging younger. Continue to get up and get after it every day. You have purpose, passion, meaning and relevance in your life. There is no need to slow down. You are thriving at 75, and are inspiring others. Keep up the pace, unless something rocks your competence and confidence. We CAN continue to learn, grow and discover throughout our lifespan, if we avoid ruts, complacency and stagnation.

Here is some ammunition for you:

  • Traditional retirement is dead. We reWIRE!  60+ is the time to wind up, not wind down. Act III is ripe with opportunity, adventures, vocations, projects, dreams and sharing the wisdom. You chart your journey.
  • The way and the pace at which we age is malleable. It is deeply rooted in Hardiness and GRIT, not talent. When we invest in our 5 Pillars of Hardiness (Purpose, Movement, Diet, Rest-Recovery-Regen, and Stress Ops), through DAILY habits, patterns and practices, we fortify our resilience, durability and robustness for the long haul. Aging is NOT a disease. It is an accumulation of how we react and respond to the ‘ups and downs’ of life, how we adapt to and bolster our reserve capacity.
  • Aging is living life to the fullest, a journey. 35 is seasoned, that is we have reached our peak biological development. This does not mean that we cannot continue to learn, grow and discover, nor set personal bests in physical endeavors. Check out the Senior and Master Games.   
  • We are individuals. We age at different rates. We are unique in personality, upbringing, physical work-play experiences, life lessons, and ‘what makes us tick’. “If I choose to climb a ladder and clear snow off the roof, quit barking at me. I know my limits, after doing it for 40 consecutive years. And by the way, I take no MEDS, so my balance is pretty darn good.”  
  • “We don’t live life to be safe and healthy; we live safely and healthfully to live life to the fullest!”

From Albert Einstein, and so relevant today, “A ship is always safe at shore, but that’s now what it was built for.” Reasonable risk is the springboard into learning, growth and discovery. Push out of the comfort zone, or slide backwards. A fool-proof safe, static and secure mentality can lead to stagnation, apathy, and even depression. 

In summary, Jim, keep moving, working and playing ‘til you can’t. Vintage vehicles need DAILY maintenance to run well, so continue your morning regimen. If you notice that you are losing strength, you may need to tweak your training for strength and power gains. Mentor and lead by example. No need to preach to the naysayers. Just ask them, “What makes YOU tick? Ok, I’m not YOU.” 

In the soon to be released, Cardiac Rehab Fitness Specialist course, be prepared to rethink your approach to coaching people up to living life to their fullest. In my Pillars and 7S Buckets approach to reclaiming, restoring and rebuilding Hardiness for the long haul, you will be inspired to change the way and the pace at which you age. Jim has the Spirit, and Hippocrates had it right…

“Know the person who has the disease; not just the disease who has the person.”  —Hippocrates


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

Senior-Fall-Prevention

After a fall, would you make it back up? Moves for Functional Fitness

The primary reason we move to a long-term care facility is not an illness but dependence on others due to physical weakness. Deconditioned seniors have the greatest potential to improve functional strength. With practice, you can develop muscles to recover from a fall. Fear only increases our risk.

A Recovery

Imagine you fell. Take deep breaths. Do toes and fingers move? Where is the phone? If it’s not close, you roll, drag, crab walk or crawl. Once near a chair or low table:

  1. Roll onto your belly. Rest.
  2. Raise onto forearms and knees. Rest.
  3. Aim your buttocks toward the chair. Rest.
  4. Press up to hands and feet. Rest.
  5. Go backwards to the chair. 
  6. Back your hips onto the chair. Rest.

The 10 Moves

Hopefully, you never fall, but practiced weekly, these exercises can improve strength and stamina for moving in bed, sitting up and life. Do these on your bed. Have a friend nearby. Start with one exercise 1-3 days a week for 1-3 weeks. Then add on. To gain more, try them under the weight of your covers. Listed in progression: 

  1. Practice rolling. Lie sideways across the bed; feet hanging off. Exhale away from the bed. The exhale stabilizes your low back and releases pressure on the heart. Face up, roll to each side. Rest. Repeat 10 times. Roll from face down to your sides. Rest. Repeat. Roll from the foot of the bed to head of the bed. Rest. Repeat 10 times. Avoid rolling from edge to edge on the bed. 
  2. Lie on your side; place your upper hand on the bed. Exhale- push on your lower elbow and top hand to lift shoulders and head up. Rest. Repeat 10 times. Switch sides.
  3. With no pillow, lie on your back to lift your hips. Exhale before and during the lift. Rest. Repeat, but stay up for a count of 5. Do not hold your breath! For low back issues, try it with one leg straight. Rest. Alternate. Repeat.
  4. Lie on your side with a head pillow. Keep head, shoulders and knees down; lift your hips with an exhale. Rest. Repeat. Stay up for a count of 3. Switch sides. Try it up, on one elbow. Rise out of the shoulder. Press into your upper hand too.
  5. Practice scooting: Lie face up. Exhale- lift your hips, shift them to one side, lower hips. Then lift to return to center. Repeat, alternating sides. Try scooting twice to each side, adding your upper body to travel. Stay on the bed!
  6. Crawl onto the bed on all fours. Engage your abdominals for support. Practice staying on forearms and knees. Rest. Repeat, adding a few seconds. Practice on hands if your wrists allow. Rest. Repeat.
  7. Crawl onto your bed from the foot of the bed. Crawl to the headboard. Crawl backward. To practice crawling sideways, enter the bed from the side. No slippery bedspreads!
  8. Drag your hips or crab walk on forearms or hands. Use deep breathing to move. Rest often. Use your glutes. Stay aware of your location on the bed.
  9. Standing with back of legs touching a chair, walk hands down the legs and back up to standing. Sit to rest. Repeat. Stop if dizzy. From a fall, standing is not a goal, but prepares us for the next move.
  10. When you feel ready to walk on all fours on the floor, stay near a couch or low table. Look behind to go backward. Sit to rest. Repeat. 

Please Note

Do whatever you can. Many of us feel dizzy or have joint limitations that affect performance. The biggest mistake is to quit, because of temporary discomfort or lack of confidence. With consistent practice, discomfort typically lessens.

Another way to recover from a fall involves kneeling to a lunge position next to a chair. This works for able-bodied seniors. Find what is best for you. Every week, practice your weakest steps until you gain confidence.


As an ACE-certified Medical Exercise Specialist with decades of experience training fragile to fit seniors, Emma Spanda Johnson designs adaptive exercise programs, for clients of all abilities. She is a nationally certified personal trainer with an Orthopedic Specialty. Emma offers virtual training sessions, visit her MedFit Network profile for details.

 

References and Resources

Smiling elderly woman training in a group

It’s time to play!

I had just returned home from an amazing educational conference in Arizona. Some of the most educated and credentialed humans in the fitness world had come together to share and learn the most up-to-date and evidenced-based systems in the fitness world. My thoughts felt like a bag of ping pong balls had been dropped, bouncing in many directions at once.

I was getting out of my car on the way to get groceries. All the lessons, lectures, and workouts swirling in my mind. I was looking for a common thread. What was the connection to all that I have learned?  Then, I hear this clippity clack clippity clack! I look over my shoulder in the parking lot of a Publix. There was this young girl holding her mother’s hand. She had her princess outfit on, crooked crown, fake jewels and plastic shoes. The shoes skipping on the pavement was the clippity clack sound that made me look. I giggled at the difference between mom’s face, stress, deep thought and worry, and the young girl’s free and happy smile. Then I see them in the store. The young princess was leaping from colored tile to colored tile. I could see the imaginary moat she might be trying to cross while being chased by the creatures below.

I flashback to a seminar and one of the drills I just experienced with Master Instructor, Andy Hainey. Bounding in multiple planes of motion to challenge the athlete’s ability to accelerate and decelerate force efficiently. This beautiful happy princess was naturally doing some of the most advanced programming I flew thousands of miles to study.

BOOM! It hit me. PLAY…. she was PLAYING! The sessions and lessons that shone brightest and stayed with me from the workshops, were those that felt like play. They were technical and evidence-based, and they were fun! No one used jargon or spoke of the sagittal plane or the eccentric phase.  They made it fun.

Benefits of Incorporating “Play” into Your Programming for All Ages

The are many studies of the benefits of play and physical relation between activity in youth populations. The evidence shows a positive relation between physically active youth, and seven areas of cognitive performance (perceptual skills, intelligence quotient, achievement, verbal tests, mathematics tests, developmental level/ academic readiness, and other). Sibley et al., 2003

Playing increases enjoyment and adherence at all ages. It creates a positive reaffirming cycle of success. The more you enjoy something, the more time spent doing it. The more time spent doing an activity, the more skilled you become. The greater the skill level you achieve or the higher the achievement, the more you will enjoy doing the activity. 

We forget what it was like to play as we age with all the responsibilities and stresses we have We are told to put childish things aside. As a “fitness professional” we are blessed to keep playing in many senses of the word. I have spent many hours of my life educating myself and gaining certifications. While I believe that time has been well spent, my clients continually tell me their favorite aspect of our time together is the fun factor.  

Many feel as though they haven’t repeated a workout ever. This is not the case. I do follow the NASM OPT model. It is a progressive system that can be applied to every aspect of fitness training. Our body has a miraculous ability to adapt to specific demands placed on it. That is my primary guide to programming for my clients. Once we establish their baseline abilities through comprehensive assessments, and what goals they want. Then we create the program based on the S.A.I.D. principle (Specific Adaptation to Imposed Demands). The assessments many times feel intimidating and clinical and set that as the tone for you and your client.  If we as trainers and coaches make the assessments fun and non-intimidating games (I use the term drills in place of games for my adults many times) or play, we can start creating a positive nurturing environment for our clients.  Don’t just show them where they are deficient. Let them show and celebrate what they are capable of.

Bottom line is, have fun and play! You will enjoy every session. Your clients will look forward to each session. They will give their all and get better results.  Keeping clients training is one of the most challenging parts of what we do.  Embrace your inner child, and theirs. Get them to hop from stone to stone in monster infested waters or bring out the agility ladder. Either way just play!


Coach Pete Guzman is a NASM Master Trainer with CES, PES, YES, CNC, SGPT MMACS and 4th degree Black Belt. Look for his upcoming seminar in June to find out more about youth programming and adding fun to your clients’ journeys.

Dont-panic

Pandemic of Panic Is Worse than COVID-19

While the threat of the COVID-19 needs to be taken with great concern, it is as important to understand the useless and counterproductive effects of panicking. Whether you take the vaccine or not, prevention is the best approach to any viral challenge. Panic is an extreme fear response triggering stress hormones that suppress immune function increasing susceptibility to any pathogen, including viruses.

plant-protein

Eat Plant Protein to Live Longer

Scientific research continues to show consuming red and processed meats or a high-animal protein diet has a profoundly damaging effect on overall health and longevity. It is vitally important that red meat in our diet should be replaced (or at least greatly limited) in favor of foods that are proven to offer protection against cancer – such as green vegetables, berries, beans, nuts and seeds. This should not be seen as controversial and is supported by an overwhelming amount of data. 

Long-term studies

Large, long-term studies investigating intakes of animal and plant protein with regard to mortality have consistently concluded that more plant protein and less animal protein is linked to a longer life. (1-4) Studies consistently link greater red meat consumption to a greater risk of premature death. (5-7)

Here’s an example:

A 2016 study published in JAMA Internal Medicine investigated the relationship between animal vs. plant protein sources and mortality risk from almost 30 years of follow-up from the Nurses’ Health Study and Health Professionals Follow-up Study. Together, these two studies included over 170,000 participants.

Interesting findings came out of one particular question the researchers asked: What would happen if the participants replaced some of their animal protein with plant protein?

They analyzed the data to estimate how participants’ risk of death from all causes over the follow-up period would change if some of the animal protein sources (equivalent to 3 percent of total daily calories) were replaced with plant protein sources:

  • Replace processed red meat: 34 percent decrease in risk
  • Replace unprocessed red meat: 12 percent decrease in risk
  • Replace poultry: 6 percent decrease in risk
  • Replace fish: 6 percent decrease in risk
  • Replace eggs: 19 percent decrease in risk
  • Replace dairy: 8 percent decrease in risk3

Higher intake of plant protein sources is associated with better health: for example, seeds and nuts reduce the risk of cardiovascular disease and are linked to longevity, and micronutrient and fiber-rich beans are linked to improved blood pressure, LDL cholesterol, body weight, insulin sensitivity and enhanced lifespan. (4, 8-13)

Prospective cohort studies are observational and cannot prove causality, but these studies are crucial to our understanding of health and longevity, because heart disease and cancer – our two biggest killers – develop over the course of multiple decades, not just a few months. Studies that follow tens of thousands of people for 10 or 20 years or more, and evaluate hard endpoints (death, heart attack, stroke, cancer, etc.) provide valuable insights into the habits that may promote or prevent these diseases. The significance of findings from observational studies is supported by laboratory studies showing there are plausible mechanisms for the association – good reasons why it’s not just a random correlation, but likely a causal relationship.

Many meat-centered diet proponents dismiss these important studies out of hand, ignoring the careful collection of data and complex mathematical analysis by skilled epidemiologists that control for potential confounding factors and detect potentially significant associations. 

The correlations between animal protein intake and all-cause mortality in long-term prospective studies are consistent with other observational studies on specific diseases, and are backed up by laboratory studies that have uncovered the plausible cellular and molecular mechanisms behind the correlations:

  • High animal protein intake excessively elevates insulin-like growth factor 1 (IGF-1), which promotes cancer development. (14-18) 
  • Research on nutrient-sensing pathways that respond to protein intake suggests reducing essential amino acid intake (i.e. reducing animal protein) promotes longevity. (19) (Note that the elderly require more protein than younger adults. (20, 21))
  • The pro-inflammatory effects of dietary saturated animal fats. (22-25)
  • The pro-oxidant and pro-inflammatory properties of excess heme iron. (26, 27)
  • Cooking-produced carcinogens in meats, such as heterocyclic amines and polycyclic aromatic hydrocarbons. (28-31)
  • Genotoxic N-nitroso compounds produced from processed meats. (30-33)
  • Detrimental effects of carnitine and choline on the gut microbiome that promote inflammation. (34-37)

Although eating a keto or carnivores’ diet can lower blood sugar and promote weight loss in the short term, the long-term effects of a diet so high in animal products (according to the preponderance of evidence) is damaging over the long term. That is why I reiterated that it is important to see the long-term studies with hard endpoints. Looking at short-term weight loss studies will lead you on a path to damage your potential for optimal longevity.

Although the disease-promoting effects take many years to build up, several short-term studies point to the beginnings of the damage of a high-animal product diet:

  • Measured after a single meal, butter impaired vascular function compared to nuts and other predominantly unsaturated plant fats. (38)
  • A study comparing Atkins, South Beach, and Ornish weight maintenance diets (all with the same calorie counts) assigned participants to each diet for four weeks each. At the end of the Atkins diet phase, LDL cholesterol was higher and vascular function lower compared to the other diets. (39) 
  • Participants (who lived at the study site during the study) were fed 420 g red meat or a vegetarian meal daily for 15 days, with the rest of their diets kept exactly the same. Stool samples and colon cells collected after 10 days on each diet showed an increase in production of carcinogenic N-nitroso compounds during the red meat diet compared to the vegetarian diet, and an increase in N-nitroso compounds binding to DNA in colon cells (which leads to DNA damage and colon cancer). (40)
  • A study comparing about two servings daily of fiber-rich whole grains to red meat for three weeks each suggested the whole grain diet improved gut microbiome diversity compared to the red meat diet. Body fat mass was also lower after the whole grain intervention. (41)
  • After four weeks, a diet containing red meat increased production of the pro-inflammatory compound TMAO, compared to white meat and vegetarian diets. (36)

Meat-heavy diets get one important thing right: They cut out weight gain-promoting, disease-promoting high-glycemic refined carbohydrates. But large amounts of animal products are unquestionably disease-promoting, too.  The Nutritarian diet does more than just restrict one type of harmful food. It limits or completely avoids all other disease-promoting foods and focuses heavily on foods that are richest in protective nutrients and are linked in scientific studies most consistently to a lower risk of cardiovascular disease, cancer, and other chronic diseases.

 


Joel Fuhrman, MD is a board-certified family physician specializing in nutritional medicine. He is President of the Nutritional Research Foundation and the author of 7 New York Times bestselling books, including his most recent book, “Eat to Live”. Visit his website, DrFuhrman.com.

👉👉Get $10 off $150 or more on Dr. Fuhrman’s website. Use coupon LS10OFF150.

Originally posted on DrFuhrman.com. Reprinted with permission.

References

  1. Budhathoki S, Sawada N, Iwasaki M, et al. Association of Animal and Plant Protein Intake With All-Cause and Cause-Specific Mortality. JAMA Intern Med 2019. doi: 10.1001/jamainternmed.2019.2806
  2. Huang J, Liao LM, Weinstein SJ, et al. Association Between Plant and Animal Protein Intake and Overall and Cause-Specific Mortality. JAMA Intern Med 2020. doi: 10.1001/jamainternmed.2020.2790
  3. Song M, Fung TT, Hu FB, et al. Association of Animal and Plant Protein Intake With All-Cause and Cause-Specific Mortality. JAMA Intern Med 2016, 176:1453-1463. doi: 10.1001/jamainternmed.2016.4182
  4. Tharrey M, Mariotti F, Mashchak A, et al. Patterns of plant and animal protein intake are strongly associated with cardiovascular mortality: the Adventist Health Study-2 cohort. Int J Epidemiol 2018. doi: 10.1093/ije/dyy030
  5. Wang X, Lin X, Ouyang YY, et al. Red and processed meat consumption and mortality: dose-response meta-analysis of prospective cohort studies. Public Health Nutr 2016, 19:893-905. doi: 10.1017/S1368980015002062
  6. Pan A, Sun Q, Bernstein AM, et al. Red Meat Consumption and Mortality: Results From 2 Prospective Cohort Studies. Arch Intern Med 2012. doi: 10.1001/archinternmed.2011.2287
  7. Sinha R, Cross AJ, Graubard BI, et al. Meat intake and mortality: a prospective study of over half a million people. Arch Intern Med 2009, 169:562-571. doi: 169/6/562 [pii] 10.1001/archinternmed.2009.6
  8. Grosso G, Yang J, Marventano S, et al. Nut consumption on all-cause, cardiovascular, and cancer mortality risk: a systematic review and meta-analysis of epidemiologic studies. Am J Clin Nutr 2015, 101:783-793. doi: 10.3945/ajcn.114.099515
  9. Jenkins DJ, Kendall CW, Augustin LS, et al. Effect of legumes as part of a low glycemic index diet on glycemic control and cardiovascular risk factors in type 2 diabetes mellitus: a randomized controlled trial. Arch Intern Med 2012, 172:1653-1660. doi: 10.1001/2013.jamainternmed.70
  10. Bazzano LA, Thompson AM, Tees MT, et al. Non-soy legume consumption lowers cholesterol levels: a meta-analysis of randomized controlled trials. Nutrition, metabolism, and cardiovascular diseases : NMCD 2011, 21:94-103. doi: 10.1016/j.numecd.2009.08.012
  11. Papanikolaou Y, Fulgoni VL, 3rd. Bean consumption is associated with greater nutrient intake, reduced systolic blood pressure, lower body weight, and a smaller waist circumference in adults: results from the National Health and Nutrition Examination Survey 1999-2002. J Am Coll Nutr 2008, 27:569-576. doi:
  12. Darmadi-Blackberry I, Wahlqvist ML, Kouris-Blazos A, et al. Legumes: the most important dietary predictor of survival in older people of different ethnicities. Asia Pac J Clin Nutr 2004, 13:217-220. doi:
  13. Li SS, Blanco Mejia S, Lytvyn L, et al. Effect of Plant Protein on Blood Lipids: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Am Heart Assoc 2017, 6. doi: 10.1161/JAHA.117.006659
  14. Travis RC, Appleby PN, Martin RM, et al. A Meta-analysis of Individual Participant Data Reveals an Association between Circulating Levels of IGF-I and Prostate Cancer Risk. Cancer Res 2016, 76:2288-2300. doi: 10.1158/0008-5472.CAN-15-1551
  15. Vigneri PG, Tirro E, Pennisi MS, et al. The Insulin/IGF System in Colorectal Cancer Development and Resistance to Therapy. Front Oncol 2015, 5:230. doi: 10.3389/fonc.2015.00230
  16. Anisimov VN, Bartke A. The key role of growth hormone-insulin-IGF-1 signaling in aging and cancer. Crit Rev Oncol Hematol 2013, 87:201-223. doi: 10.1016/j.critrevonc.2013.01.005
  17. Key TJ, Appleby PN, Reeves GK, Roddam AW. Insulin-like growth factor 1 (IGF1), IGF binding protein 3 (IGFBP3), and breast cancer risk: pooled individual data analysis of 17 prospective studies. Lancet Oncol 2010, 11:530-542. doi: 10.1016/S1470-2045(10)70095-4
  18. Kaaks R. Nutrition, insulin, IGF-1 metabolism and cancer risk: a summary of epidemiological evidence. Novartis Found Symp 2004, 262:247-260; discussion 260-268. doi:
  19. Mirzaei H, Raynes R, Longo VD. The conserved role of protein restriction in aging and disease. Curr Opin Clin Nutr Metab Care 2016, 19:74-79. doi: 10.1097/MCO.0000000000000239
  20. Bauer J, Biolo G, Cederholm T, et al. Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. J Am Med Dir Assoc 2013, 14:542-559. doi: 10.1016/j.jamda.2013.05.021
  21. Volpi E, Campbell WW, Dwyer JT, et al. Is the optimal level of protein intake for older adults greater than the recommended dietary allowance? J Gerontol A Biol Sci Med Sci 2013, 68:677-681. doi: 10.1093/gerona/gls229
  22. Erridge C. The capacity of foodstuffs to induce innate immune activation of human monocytes in vitro is dependent on food content of stimulants of Toll-like receptors 2 and 4. Br J Nutr 2011, 105:15-23. doi: 10.1017/S0007114510003004
  23. Erridge C, Attina T, Spickett CM, Webb DJ. A high-fat meal induces low-grade endotoxemia: evidence of a novel mechanism of postprandial inflammation. Am J Clin Nutr 2007, 86:1286-1292. doi: 10.1093/ajcn/86.5.1286
  24. Masson CJ, Mensink RP. Exchanging saturated fatty acids for (n-6) polyunsaturated fatty acids in a mixed meal may decrease postprandial lipemia and markers of inflammation and endothelial activity in overweight men. J Nutr 2011, 141:816-821. doi: 10.3945/jn.110.136432
  25. Fritsche KL. The science of fatty acids and inflammation. Adv Nutr 2015, 6:293S-301S. doi: 10.3945/an.114.006940
  26. Cornelissen A, Guo L, Sakamoto A, et al. New insights into the role of iron in inflammation and atherosclerosis. EBioMedicine 2019, 47:598-606. doi: 10.1016/j.ebiom.2019.08.014
  27. Brewer GJ. Risks of copper and iron toxicity during aging in humans. Chemical research in toxicology 2010, 23:319-326. doi: 10.1021/tx900338d
  28. Zheng W, Lee S-A. Well-Done Meat Intake, Heterocyclic Amine Exposure, and Cancer Risk. Nutrition and Cancer 2009, 61:437-446. doi: 10.1080/01635580802710741
  29. National Cancer Institute. Chemicals in Meat Cooked at High Temperatures and Cancer Risk.
  30. International Agency for Research on Cancer, World Health Organization. Press Relsease No. 240. IARC Monographs evaluate consumption of red meat and processed meat. 2015.
  31. Turesky RJ. Mechanistic Evidence for Red Meat and Processed Meat Intake and Cancer Risk: A Follow-up on the International Agency for Research on Cancer Evaluation of 2015. Chimia (Aarau) 2018, 72:718-724. doi: 10.2533/chimia.2018.718
  32. Lunn JC, Kuhnle G, Mai V, et al. The effect of haem in red and processed meat on the endogenous formation of N-nitroso compounds in the upper gastrointestinal tract. Carcinogenesis 2007, 28:685-690. doi: 10.1093/carcin/bgl192
  33. Herrmann SS, Granby K, Duedahl-Olesen L. Formation and mitigation of N-nitrosamines in nitrite preserved cooked sausages. Food Chem 2015, 174:516-526. doi: 10.1016/j.foodchem.2014.11.101
  34. Koeth RA, Wang Z, Levison BS, et al. Intestinal microbiota metabolism of L-carnitine, a nutrient in red meat, promotes atherosclerosis. Nat Med 2013, 19:576-585. doi: 10.1038/nm.3145
  35. Tang WH, Wang Z, Levison BS, et al. Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk. N Engl J Med 2013, 368:1575-1584. doi: 10.1056/NEJMoa1109400
  36. Wang Z, Bergeron N, Levison BS, et al. Impact of chronic dietary red meat, white meat, or non-meat protein on trimethylamine N-oxide metabolism and renal excretion in healthy men and women. Eur Heart J 2019, 40:583-594. doi: 10.1093/eurheartj/ehy799
  37. Wang Z, Klipfell E, Bennett BJ, et al. Gut flora metabolism of phosphatidylcholine promotes cardiovascular disease. Nature 2011, 472:57-63. doi: 10.1038/nature09922
  38. Keogh JB, Grieger JA, Noakes M, Clifton PM. Flow-mediated dilatation is impaired by a high-saturated fat diet but not by a high-carbohydrate diet. Arterioscler Thromb Vasc Biol 2005, 25:1274-1279. doi: 10.1161/01.ATV.0000163185.28245.a1
  39. Miller M, Beach V, Sorkin JD, et al. Comparative effects of three popular diets on lipids, endothelial function, and C-reactive protein during weight maintenance. J Am Diet Assoc 2009, 109:713-717. doi: 10.1016/j.jada.2008.12.023
  40. Lewin MH, Bailey N, Bandaletova T, et al. Red meat enhances the colonic formation of the DNA adduct O6-carboxymethyl guanine: implications for colorectal cancer risk. Cancer Res 2006, 66:1859-1865. doi: 10.1158/0008-5472.CAN-05-2237
  41. Foerster J, Maskarinec G, Reichardt N, et al. The influence of whole grain products and red meat on intestinal microbiota composition in normal weight adults: a randomized crossover intervention trial. PLoS One 2014, 9:e109606. doi: 10.1371/journal.pone.0109606