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senior fit

Hormone Balancing Fitness for Women in Midlife

Before hormone balance can be a goal you need a clear definition of what it or hormone imbalance looks like! It’s never just hormones though is it? For the majority of women in midlife and beyond, there’s also a special condition, a joint issue, or a crazy schedule that also needs to be addressed.

If any of these describe you:

  • You’re putting on weight lately no matter what you do
  • You have belly fat even though you’re weight is OK
  • You have cellulite on your thighs, belly, bum, or on your upper arms
  • You can’t seem to develop any muscle tone in your legs
  • You’ve got a saggy bum in spite of so many lunges and squats you can’t sit down
  • You’ve turned up the exercise and eat carefully but still no results
  • You’ve got saggy chest and neck skin

Plus:

  • You have touchy joints from prior or current injuries
  • You have had breast cancer surgeries
  • You’ve had other invasive surgery or joint replacement
  • You have a chronic condition

And potentially:

  • You can’t sleep well
  • Even if you do sleep you don’t wake up refreshed
  • You have high levels of stress right now
  • You’ve tested your hormones and you’re “normal” but don’t feel it
  • You still don’t have any idea how to exercise “normal” or not
  • You have depression or anxiety
  • You’re taking medications for the above or other things with side effects
  • Your digestion is off (even if you thought that was “just me”): You don’t poo every day at least once (more is better); You have rabbits or pudding instead of snakes, You have gas or bloating you just tolerate

And finally:

What you used to do doesn’t work any more.

Then this is definitely for you… if you want to change. Changing is the obstacle for a significant percent of women that express interest in change. If you aren’t willing to change habits, change beliefs, change what you eat and when, change how you exercise and when, then this will just be another blog. No set of exercises, videos, menu plans will ever help until you decide you are 100% in.

Throw Away the Textbook

Exercise for hormone balance is not your textbook exercise. “I’ve never heard that before,” is not a good excuse to dismiss something as true. How many research studies did you read last week about menopause, hormones, and exercise? They’re at anyone’s fingertips in today’s world. So holding onto old ideas without researching for yourself or finding a voice you trust instead of going by an outdated text is irresponsible. A published textbook is outdated by the time it goes to print. Research in this area is accelerating. Get help and get up to speed on research on hormone balance.

Approximately 6000 women a day go into menopause right now. That’s 2 million a year. Yet, 39% of all sports medicine and exercise research features females at all. It’s safe to say a small slice of that focuses on women in perimenopause, menopause, and post menopause and the hormones that influence and are influenced by her exercise.

It’s time to change the way we prescribe exercise during the change. If a woman begins perimenopause in her mid 40s and lives to her mid 80s she spends 40 years in menopause. Shouldn’t we be optimizing exercise for this large population of currently 38 baby boomer women, 25 million Gen X women and coming soon, an even larger number of millennial women? Fitness is either going to open a new level of health for women, who ultimately influence 80% of household decisions including health, or fail miserably. Conventional exercise prescriptions contribute to hormone imbalance.

Your hormone balance exercise

Start lifting weights focused on major muscle groups. Even if you swear by functional movement patterns, insulin, cortisol, and the half dozen more hormones that influence her fat and health are key for reducing risk of disease. Even if you want to tone those arms, you want to start with major muscle groups. Even if you want a flat belly, start with major muscle groups. Stop long slow exercise sessions and long endurance activity.

Increase your protein at every meal and eat regularly. Get to bed early and make sure you control your environment. If you love your wine or nightcap, you’ll want to stop that. All of these things kill testosterone, a key hormone for building lean tissue and libido. Testosterone gives you a kick of confidence too also important for libido.

These are but a few scenarios of exercise changes you can make for more hormone balance. Each woman has a unique set of health history, physical status, signs and symptoms that make her unique.

Want to learn more on this topic? Register for this FREE WEBINAR, presented by Debra Atkinson,  Dr. Michelle Maddux and Danielle Spangler.

Excerpt from the original blog post by Debra Atkinson for Flipping 50


Debra Atkinson is the #youstillgotitgirl who is flipping 50 and changing the way thousands of women think about their second half. She’s the host of the Flipping 50 TV Show and the Flipping 50 podcast. As a master personal trainer, strength and wellness coach with over 30 years fitness industry experience, she works with women who are pro-aging with vitality and energy. She is an international fitness presenter, author of hundreds of articles and multiple books. Visit her website, flippingfifty.com

postnatal exercise

Tips on Postpartum Exercise Programming for the Fitness Professional

Many women post-pregnancy are very eager to rejoin the exercise world and at least resume the physical activities they once enjoyed prior to pregnancy. More and more women are seeking out fitness professionals or exercise programs to help them lose the baby weight and engage in safe and effective exercises. Many women understand the toll pregnancy and childbirth took on their bodies and they are ready and willing to seek out professional advice. Working with the postpartum client has benefits for both the trainer and the client. I encourage those who treat this population to get as much education in this area so you can better serve their needs.

Once you begin your journey caring for the postpartum client, there are several important factors to consider when beginning exercise program design.

First, remember she gave birth. Look at birth like any client who is rehabilitating from any type of injury or surgery. The postpartum phase is typically the first 12 months after having a baby but can be longer if a woman is nursing.

Second, consider how long it has been since exercise has been part of her regular routine. Even if she exercised regularly during pregnancy, she probably was limiting the intensity compared to her pre-pregnant self. Keeping that in mind, it may feel like for you (and her) that you are working on a beginner level as you begin.

Third, it’s really important to know the type of birth the woman had and how it affected her pelvic floor muscles. Obviously for vaginal birth pelvic floor prolapse, vaginal tearing or possible Pubic Symphosis diastasis could have occurred. For women who have gone through a cesarean (C-section), the abdominal muscles have been affected through the incision made into the abdominal wall and uterus.

Fourth, it is vital to understand the fitness level of the woman prior to pregnancy and the activities in which she participated. The fitness level or prior activities or sports in which she participated could shape the type of recommended exercises in her program.

Finally, consider any injuries or medical history that may affect her current fitness especially if she has been inactive or just returning back into exercise. Many of this information may be obtained in your initial meeting or phone consultation. You can use a PAR-Q (Physical Activity Readiness Questionnaire) to access this information. I suggest customizing the Par-Q to be very postpartum specific and asking detailed questions about pregnancy and delivery before you begin treatment.

Considering all of these factors, lets now look at how to exercise safely and effectively following delivery.

Procede Gently

Start with basic range of motion exercises and corrective, posture-based movements that will help her body begin to feel restored. A little movement goes a long way.

Get to Know Her Limitations

As with other injuries, or surgeries, childbirth is comparable for your client as her body is still healing, hormones are still adjusting that affect range of motion, core is weak and most women are sleep deprived for months after giving birth. With this in mind, her balance and equilibrium are affected. Careful of movements that change position briskly or go from standing to lying.

Establish Realistic Expectations

Develop reasonable exercise goals for your client. Along with her physical health, mental health is also affected.
Exercise is directly linked in helping to prevent postpartum depression, however, setting fitness goals may create anxiety or worsen her mental state, so be sensitive to this. Start with manageable times to exercise during the week. As the client become stronger you can increase the number of days you exercise per week in addition to the exercise intensity.

Create a Supportive Network

Connecting clients who are going through similar life experiences may help motivate them to exercise more regularly and in a small group setting the cost is usually less per person and more efficient for the trainer for the hour. This may also help give the client additional accountability.

Teach Sustainable Lifestyle Habits

Help your client embrace this journey as a marathon rather than a sprint. Explain that the baby weight will come off but the end goal is to do this safely and cautiously. You must be ready to advise on sustainable, healthy eating habits and adapt if the woman is nursing.

Want to learn more on this topic? Register for this FREE WEBINAR, presented by Danielle Spangler, Debra Atkinson and Dr. Michelle Maddux.


Danielle Spangler, C.PT, has been a fitness professional for over 20 years. Danielle is the creator of “Coremom” (Corrective Obstetrical Related Exercises) for purposes of creating a pre and postnatal small group-training program in a variety of fitness facilities. Danielle’s goal is to train other qualified fitness professionals and group exercise instructors on teaching pre and postnatal small group exercise classes using her method. Visit her website, daniellespangler.com

Meta Slider - HTML Overlay - Pregnant woman holding fitness dumbbells

Prenatal Exercise: Training for the Main Event

Say good-bye to the myth of the “delicate” condition and hello to pregnancy in the 21st Century!

Current research continues to show that women can safely exercise and maintain their fitness level during the perinatal period.  The mom who laces up her sneakers instead of heading to the couch will be rewarded with a healthier pregnancy and a healthier baby.

Pregnant woman doing yoga with a personal trainerPregnancy is a time of excitement, uncertainties, fears, and many profound physical and emotional changes. This “season in life” affords mom a wonderful opportunity to adopt a healthier lifestyle.  Starting an exercise program during pregnancy is a great way to begin and continue this healthier lifestyle for herself and subsequently for her child.  With obesity on the rise in the US, it is important for everyone to increase their current level of physical activity.  This is especially important for pregnant women as the results of obesity and excessive weight gain have been shown to be detrimental to both mom and baby long term.

A Historical Perspective on Prenatal Exercise Guidelines

Moms today are inundated with information regarding pregnancy and exercise. Unfortunately, a great deal of this information is outdated.   It is important for women to have a working knowledge of the most current guidelines so that they can make intelligent choices regarding their exercise programs. For many years, pregnant women were advised to “take it easy” during pregnancy.  Mom was advised to rest and gain weight in order to ensure a healthy pregnancy.  In the 1950’s women were “allowed” to walk a mile a day for exercise and this mile was preferably “broken up” into smaller segments. The American Congress of Obstetrics and Gynecology (ACOG) issued the first formal guidelines for perinatal exercise in 1985 (1).  These guidelines were highly restrictive as they were not based on extensive research and were designed for the majority of pregnant women without regard to pre-pregnancy fitness levels. Four of the original guidelines are highlighted below:

  • Mom should exercise at a heart rate <140 bpm.
  • Strenuous exercise should not exceed 15 minutes
  • Maternal core temperature should not exceed 38 degrees C
  • No supine exercise after the first trimester

A great deal of research involving both sedentary and trained subjects was published

after the release of the 1985 guidelines. This prompted ACOG to publish a revision of the original guidelines in 1994 which lifted specific limitations for prenatal exercise (2).  ACOG said, “There are no data in humans to indicate that pregnant women should limit   exercise intensity and lower target heart rate because of adverse effects.”   In this revision, there was no mention of the 140 bpm maximal heart rate or an exercise limit of fifteen minutes. Women were advised to use the “talk test” and “perceived exertion” as ways to measure exercise intensity. We were making progress!    Although the 1994 guidelines were a refreshing change in the right direction for ACOG, they still did not address the pregnant athlete. In 2002, ACOG published “Exercise During Pregnancy and the Postpartum Period: ACOG Committee Opinion 267” (3). In this publication, which was reaffirmed in 2009, ACOG recognized that “in the absence of contraindications, pregnant women should be encouraged to engage in regular, moderate intensity physical activity to continue to derive health benefits during their pregnancy as they did prior to pregnancy.” This revision focused more on the athlete as well and was the first formal recommendation by an American physician group to include prenatal exercise. The major points of the 2002 update include:

  • Previously sedentary women and those with any medical or obstetrical problems should obtain medical clearance before embarking on an exercise program; NO PRENATAL CLEARANCE, NO EXERCISE, NO EXCEPTION.
  • Thirty minutes or more of moderate exercise daily, or on most days of the week is recommended. This brought the exercise guideline for pregnancy more in line with the ACSM guidelines for the general population.
  • Competitive and recreational athletes with routine pregnancies can remain active, “listen to their bodies” and modify their exercise routines if medical necessity arises.
  • Physically active women with a history of or risk for preterm labor or fetal growth restriction should reduce their activity in the second and third trimesters.

In 2006, the “ACSM Roundtable Consensus Statement: Impact of Physical Activity During Pregnancy and Postpartum on Chronic Disease Risk” was published (4). This report, based on an analysis of the most current research by a panel of scientific and clinical experts, supported the safety and long term benefits of prenatal and postpartum exercise for both mom and baby. Some of the benefits highlighted in this report and other studies show that exercise:

  • Reduces the risk of preeclampsia (a condition marked by high blood pressure, protein in the urine and marked fluid retention in the mom which can lead to serious maternal and fetal complications).
  • Treats or prevents gestational diabetes, the diabetes of pregnancy. For some women exercise alone may stabilize blood sugar. Moms with gestational diabetes are more prone to Type II diabetes later in life.
  • Helps manage or alleviate pregnancy related musculoskeletal issues. Exercise may help with low back pain, urinary incontinence, abdominal muscle and joint and muscle issues.
  • Links breastfeeding and postpartum weight loss. Weight loss can occur with moderate exercise and caloric restriction without affecting the quantity and quality of breast milk or infant growth.
  • Positively impacts mood and mental health. Exercise is a “mood elevator.”  It reduces stress, fatigue, anxiety and improves self-image.
  • Baby’s health and development: The panel advised that beginning or continuing a prenatal exercise program had both short and long term positive effects.

Beautiful pregnant woman thinking of her babyThe most recent guidelines for prenatal exercise were included in the 2008 US Dept. of Health and Human Services Physical Activity Guidelines (5).  Women who are not currently active should strive for at least 150 minutes of moderate intensity cardiovascular activity per week.  This translates to 30 minutes of exercise 5 days a week, very similar to the ACOG guideline.  They recommend that those women who are currently active may continue their normal routine providing there is an open line of communication with their healthcare providers

The latest research continues to showcase the benefits of prenatal exercise. A 2013 review of the international evidence reinforced the fact that women who engage in prenatal exercise have a decreased risk of developing gestational diabetes and other hypertensive disorders during their pregnancies.  They are also less likely to deliver big babies (> 9 pounds).  Other studies suggest that babies born to active moms are lighter and leaner at 1 and 5 years of age (6). Additional research has supported these findings and has extended the benefits to older children (8-10 year olds) (7).  This is quite significant considering the fact that childhood obesity is on the rise. We now have exciting evidence that the in utero environment of exercising mothers may provide long term effects for their offspring with regards to bodyweight and body fat.  Prenatal exercise may also boost babies’ brain activity.  Canadian research has shown that babies of exercising moms had greater brain activity 8 – 12 days after they were born, as evidenced by an increased ability to process repeated sounds (8).  This was the first study to link prenatal exercise with babies’ brain development.

In 2015, ACOG released two new publications, “Obesity in Pregnancy,” Bulletin Number 156 (9) and “Physical Activity and Exercise During Pregnancy and the Postpartum Period,” Committee Opinion Number 650 (10).   Both publications emphasize the need for regular exercise to prevent or combat excess weight gain and /or obesity in the perinatal population.   Greater than half of the women of childbearing age in the US are overweight or obese. Obesity in pregnancy is associated with significant risks for both mother and baby.  Bulletin 156 authors wrote, “Optimal control of obesity begins before conception.  Weight loss before pregnancy, achieved by surgical or nonsurgical methods, has been shown to the most effective intervention to  improve other health problems.”  The updated Bulletin 156 recommendations include:

  • Behavioral interventions that utilize both diet and exercise can improve postpartum weight loss better than exercise alone
  • BMI should be calculated at the first prenatal visit and used to counsel women on diet and exercise utilizing the Institute of Medicine Guidelines for prenatal weight gain
  • Small preconception weight losses in obese patients can improve pregnancy outcome
  • Losing weight between pregnancies in obese patients may decrease the risk for a large-for-gestational-age baby in a subsequent pregnancy

Pregnant women doing squatting exercise.Pregnancy is an ideal time for maintaining or adopting a healthy lifestyle. Recommendations from ACOG Committee Opinion Number 650, “Physical Activity and Exercise During Pregnancy and the Postpartum Period” include:

  • Physical activity in pregnancy has minimal risks and has been shown to benefit most women, although some modification to exercise routines may be necessary because of normal anatomic and physiologic changes and fetal requirements.
  • A thorough clinical evaluation should be conducted before recommending an exercise program to ensure that a patient does not have a medical reason to avoid exercise.
  • Women with uncomplicated pregnancies should be encouraged to engage in aerobic and strength-conditioning exercises before, during, and after pregnancy.
  • OB-GYN’s and other obstetric care providers should carefully evaluate women with medical or obstetric complications before making recommendations on physical activity participation during pregnancy. Although frequently prescribed, bed rest is only rarely indicated and, in most cases, allowing ambulation should be considered.
  • Regular physical activity during pregnancy improves or maintains physical fitness, helps with weight management, reduces the risk of gestational diabetes in obese women, and enhances psychological well-being.
  • 20-30 minutes of moderate intensity exercise per day, on most or all days, is recommended.
  • Exercise intensity should be monitored by RPE and the “talk test.” Suggested RPE is 13-14 on a 6-20 scale.
  • Women are encouraged to stay well hydrated, avoid long periods of lying supine and cease exercise if they have any warning signs (see below).
  • Women who were sedentary before pregnancy should gradually progress their exercise programming
  • Women who were regular exercisers prior to pregnancy and who have uncomplicated, healthy pregnancies should be able to engage in high-intensity exercise programs, such as jogging and aerobics, with no adverse effects. High-intensity or prolonged exercise in excess of 45 minutes can lead to hypoglycemia; therefore, adequate caloric intake before exercise, or limiting the exercise session, is essential to minimize any risk.\Contact sports, activities with a high risk of falling, scuba diving, sky diving and “hot yoga” are not recommended

Warning Signs and Symptoms to Discontinue Exercise (11)

If a woman experiences any of the following, she should cease exercise and contact her health care provider as soon as possible:

  • Vaginal bleeding or fluid leakage
  • Shortness of breath prior to exertion
  • Pelvic pressure or cramps
  • Dizziness
  • Headache or any vision problem
  • Pain of any kind
  • Uterine contractions
  • Muscle weakness
  • Calf pain or swelling
  • Preterm labor
  • Decreased fetal movement
  • Chest pain
  • Temperature extremes (hot or cold; clammy)
  • Nausea / Vomiting

As a result of almost 30 years of research showing the benefits of prenatal exercise, we have seen a substantial increase in the number of motivated personal trainers who are certified to work with this very special population.  No two pregnancies are the same and no two prenatal fitness programs should be the same.  Trainers certified in perinatal fitness and wellness possess the knowledge and skills to design and implement individualized programs to help mom prepare for the “marathon of labor” and the “tasks of mothering” after the baby is born.

Join Sheila for her upcoming webinar:

 


Sheila Watkins is a perinatal fitness specialist with over 25 years of experience training 2500+ pregnant and new moms, and educating hundreds of fitness instructors, health professionals, and childbirth educators on the rapidly changing field of perinatal fitness. She is the creator of Healthy Moms® Fitness Programs to provide safe and effective group exercise classes and personal training for new and expectant moms, as well as education and training in the field of perinatal exercise for fitness professionals, childbirth educators and other health professionals.

References

  1. ACOG. The ACOG Guidelines for Exercise During Pregnancy and Postpartum; Home Exercise Programs, 1985.
  2. ACOG. Exercise During Pregnancy and the Postpartum Period. ACOG Technical Bulletin, No.189, February 1994.
  3. ACOG. Exercise During Pregnancy and the Postpartum Period, ACOG Committee Opinion, No. 267, Washington, DC: ACOG, January 2002 (reaffirmed in 2009).
  4. Pivarnik, J. et al. American College of Sports Medicine Roundtable Consensus Statement, June 2006.
  5. http://www.cdc.gov/physicalactivity/everyone/guidelines/pregnancy.html
  6. Mudd LM, Owe KM, Mottola MF, Pivarnik JM. Health benefits of physical activity during pregnancy: an International Perspective Med Sci Sports Exerc. 2013 Feb;45(2):268-77.
  7. Pivarnik. J. and Kuffel, E. ACSM Sports Medicine Bulletin; Active Voice: More Maternal Physical Activity May Lead to Leaner Pre-Adolescent Children; June 20, 2010.
  8. http://www.nouvelles.umontreal.ca/udem-news/news/2013-exercise-during-pregnancy-gives-newborn-brain-development-a-head-start.html
  9. ACOG. Obesity in Pregnancy. ACOG Practice Bulletin, No.156, December, 2015.
  10. ACOG. Exercise During Pregnancy and the Postpartum Period, ACOG Committee Opinion, No. 650, December 2015
  11. Watkins, Sheila S. “Healthy Moms@ Perinatal Fitness Instructor Training Manual.” 2013.
fdn-pregnancy-article

Pregnancy, Hormones and Mood Swings

Why are women hormonal when they are pregnant?  And are there different types of food that can help alleviate the symptoms?

By “hormonal”, we are referring to the severe mood swings that many women experience during pregnancy. Mood swings are also a common symptom of PMS, and in both cases, hormone imbalance is a likely cause. Unfortunately, hormone imbalance is quite common and is often a result of the unhealthy habits that our modern lifestyles promote. While there are many health factors that can cause moodiness, female hormone imbalance will be the focus of this discussion.

Female Hormone Imbalance

Estrogen and progesterone are the primary hormones involved in menstruation and pregnancy. In general, estrogen promotes tissue growth and progesterone regulates it. As such, when an imbalance between these hormones develops, serious problems can result.

Low progesterone is the most common form of female hormone imbalance and typically results in a condition called “estrogen dominance.” Even if estrogen levels are normal, they’ll still be high in relation to the low level of progesterone. This can cause mood swings, breast soreness, migraines, irregular menstruation, water retention, weight gain and much more. If left untreated, some of the major problems it can lead to include fibroids, infertility, endometriosis, cancer, heart disease and stroke.

Although the production of both estrogen and progesterone are dramatically increased during pregnancy, the severity of estrogen dominance can increase if the body is not able to meet the increased demand of progesterone. In extreme situations, this can even result in miscarriage.

What Causes the Imbalance?

The two primary factors that contribute to progesterone deficiency have to do with how it’s made and its involvement with stress.

Progesterone is synthesized from another hormone named pregnenolone which is created from cholesterol. Because we’ve been programmed to fear dietary cholesterol, many people follow a low fat and low cholesterol diet. This deprives them of the materials needed to synthesize important hormones such as progesterone. Furthermore, because cholesterol is important to the function of the brain and nervous system, the body will always sacrifice hormone production in favor of these more important areas.

Another dietary factor that contributes to estrogen dominance is the consumption of xenoestrogens and phytoestrogens. Respectively, these are chemical and plant based substances that mimic estrogen in the human body. Xenoestrogens are commonly found in plastics, pesticides, and other agricultural chemicals while soy products are notorious for containing phytoestrogens. This is just one of many reasons why it’s important to eat organic food, avoid storing your food or water in plastic, and minimize your consumption of soy products.

The Contribution of Stress

Finally, stress is a major contributor to progesterone deficiency. Cortisol, the body’s primary stress and anti inflammatory hormone, is derived from progesterone. As such, chronic exposure to stress will greatly reduce the availability of progesterone for other purposes. Furthermore, common sources of chronic inflammation such as infection and food sensitivities will do the same.

Many of us live with excessive stress, eliminate saturated fat and cholesterol from our diets, eat conventionally farmed foods that are laced with chemicals, and unknowingly eat foods that we’re sensitive to. In fact, this typically occurs on a daily basis. Each of these factors can cause estrogen dominance and modern society promotes all of them!

Adrenal fatigue is another example of how modern living promotes hormone imbalance and poor health. And it plays a role in estrogen dominance as well.

Regaining Balance

The question asked assumes that eating specific foods can resolve all of this. While diet is part of the solution, it’s far from being the complete solution. Searching for a particular food or supplement to resolve a specific problem is nothing more than a natural form of chasing symptoms. As always, the solution to all health problems begins with living a lifestyle that incorporates the 7 foundational factors of optimal health.

Because cholesterol is a precursor to many essential hormones, it’s important to get past the fear that dietary cholesterol and saturated fat cause heart disease. For further information about the fallacies of this belief, read The Cholesterol Myths by Uffe Ravnskov MD, PhD.

A few good sources of saturated fat and cholesterol include beef, pork, butter, ghee, and eggs. Be sure to get these foods from quality sources, and consider following the Metabolic Typing Diet to understand what quantities of these foods would be best for you.

In chronic cases of hormone imbalance where progesterone is used excessively to produce the cortisol needed to handle frequent stress and inflammation, the body’s preferred pathways of hormone synthesis can become altered indefinitely. In such cases, lifestyle improvements are still necessary, but often not enough.

Supplementation of bio-identical hormones is often needed to re-establish the proper pathways. However, for this to happen, any existing food sensitivities or chronic infections must be addressed as well. For this type of treatment to be effective, and also safe, proper testing is absolutely essential.

Hormone Balance is Just One Part of Functional Nutrition. 

Integrate Functional Nutrition Into Your Services. Functional Diagnostic Nutrition (FDN) offers a certification for professionals with a passion for helping others and who is willing to walk-the-talk. Helping others to regain health, regardless of their starting point, requires only the proper training and leadership. Click here to learn more about the FDN Certification course.


Originally printed on the Functional Diagnostic Nutrition blog. Reprinted with permission.

The mission of Functional Diagnostic Nutrition is to educate as many people as possible about how to get well and stay well naturally, so that they may, in turn, educate others. FDN founder Reed Davis is a Certified Nutritional Therapist and Founder of the Functional Diagnostic Nutrition® (FDN) Certification Course. Reed is known as one of the most successful and experienced clinicians in the world today, having provided functional assessments to over 10,000 clients for hormone levels, bone density testing, adrenal function, digestive problems, immune system and detoxification issues as well as testing for pathogens, food sensitivities and many related health problems.

probiotics

Probiotics & Menopause

Probiotic, Prebiotic, Synbiotic, Antibiotic, Psychobiotic?

If you think this is the title to a new Sci-Fi flick, you’re not alone. How confusing can things get? We hear about them in the news and on ads but does anyone ever really explain what they mean and why you should care to know? Well, I’m breaking it all down for you into small digestible bites. 

Menopause is marked by a plethora of symptoms ranging from hot flashes, weight gain, and memory loss, to depression and anxiety, just to name a few. With probiotics being the new hot topic on the supplement market with its adds promising infinite health benefits, the question arises if they can be beneficial with menopausal symptoms as well. Is there truth to any of those claims? What are probiotics? Would you benefit from consuming them? The last question is one you will have to answer for yourself but after reading this blog you’ll be well-equipped to make an informed decision:

Probiotics:

Probiotics come from the Greek word “pro bios” which means “for life”. The internationally endorsed definition of probiotics is “live microorganisms that, when administered in adequate amounts, confer a health benefit on the host.” The key word here is “live”.

Prebiotics:

Dietary substances that nurture a selected group of microorganisms living in the gut. Example: Polyphenols in chocolate act as prebiotics, enhancing beneficial bacteria that are already in the gut. They favor the growth of beneficial bacteria over that of harmful ones. (1)

Synbiotics:

Appropriate combinations of prebiotics and probiotics.

Antibiotics:

A substance that inhibits the growth of or destroys microorganisms.

Psychobiotics:

Probiotics that have a specific health benefit in regards to mental health. This is not a scientific term but rather a term coined by a scientist that was researching the mental health benefits of probiotics. (2) It’s very catchy so I thought I’d share 🙂

There are over 100 trillion bacteria, most of them in the intestines. These bacteria are our own intestinal medicine cabinet, which is capable of protecting us from damaging organisms.

They produce neurotransmitters that relay messages from the intestines to the brain via the vagus nerve, which causes the body to react in many different ways:

Gut bacteria work in the body through different modes of action supporting essential functions:

  • Digestion
  • Immunity
  • Metabolism
  • Mental Health
  • Nervous system

And helping with a variety of diseases. A few are mentioned below:

  • Lactose intolerance
  • Stress
  • Hypertension
  • Cholesterol reduction
  • Irritable bowel syndrome
  • Crohn’s disease

A lot of the now marketed probiotics don’t have any benefits as they don’t make it passed the stomach acid. There are however, some that have great benefits:

Warning: No legal definition of probiotics currently exists, which allows companies to label their products “probiotic” even if they don’t meet the scientific definition of the term. No probiotic has of yet been approved for therapeutic purposes by the FDA. So when purchasing probiotic supplements, do your research. As with any other nutrient, always try to get as much in your daily fresh food (yogurt, kefir, fermented foods, sauerkraut, kimchi) instead of supplementing with pills or powders.

Due to their specific benefit, some of the strains of bacteria that may be beneficial for menopausal symptoms are listed below:

Combination of Lactobacillus helveticus & Bifidobacterium longum 

  • Reduced cortisol and inflammation
  • Cortisol is a big player in menopausal belly fat
  • Inflammation is a big player in musculoskeletal pain

Lactobacillus and Bifodobacterium

  • Secrete GABA, a neurotransmitter, who’s deficiency has been linked to depression. Polyphenols in dark chocolate act as prebiotics increasing both bacterial families

Lactobacillus rhamnosus

  • Reduces anxiety and depression by increasing GABA receptors in the brain

Bifidobacterium 

  • Alters levels of serotonin (similar to Prozac)

Lactobacillus reuteri 

  • Improves mood, appearance, and general health by increasing levels of the feel-good-hormone oxytocin

Lactobacillus acidophilus 

    • Influences canabinoid receptors, which are critical to regulating pain

B. infantis, L. reuteri 

    • Decrease inflammation

Active agents in yogurt 

    • Reduce anxiety and fear

Note: I was not able to find any specific studies that evaluated the benefit of probiotics for menopausal symptoms. This article, although based on information from peer-reviewed sources, is my own opinion on the possible benefits that probiotics can have on menopausal symptoms. It is intended to provide you with information but should not be taken as medical advice. Each situation is different. Contact your health care provider if you have other health conditions and are interested in exploring probiotics, as there may be interactions with medications that were not explored in this article.

Have a comment or question? Tweet me @doctorluque

Republished with permission from doctorluque.com


Dr. Maria Luque is a health educator and fitness expert that specializes in helping women take charge of their own wellness. A native of Germany, she pursued a career driven by a passion for health and fitness. Dr. Luque currently teaches at the College of Health Sciences at Trident University International, in addition to conducting workshops, group/personal training, and writing. She’s an IDEA Fitness Expert and has been published in the IDEA Fitness Journal as well as appeared as a guest at local news channel to talk about quality of life and menopause. Visit her website, doctorluque.com

References:

(1) Jain, D. & Chaudhary, H.S. (2014). Clinical significance of probiotics in human. International Journal of Nutrition, Pharmacology, Neurological Diseases, 4(1), 11-22.

(2) Davidson, J. (2014). The Psychobiotic Revolution. Psychology Today March/April, 40-41.

(3) Sanders, M.E. (2008). Probiotics: Definition, Sources, Selection, and Uses. Clinical Infectious Diseases, 46:S58-61.

Woman Doing Stretching Exercises In Gym With Trainer

Physical Activity and Menopause

Menopause is bad.

Exercise is good. 

More exercise is the solution!

Is that it?

It’s not quite that simple, although most things you will read will tell you that any form of physical activity is helpful. There is a lot of truth to it. Physical activity at any age is beneficial and for women during mid-life exercising carries additional substantial health benefits. The menopausal transition is associated with many health risk factors such as increased risk for cardiovascular disease, osteoporosis, decreased bone mineral density, metabolic syndrome, and musculoskeletal symptoms. Exercise prescriptions for those health risks are the same as for non-menopausal women.

However, according to my research, not all forms of physical activity are of equal benefit in helping with menopause symptoms. In fact, some forms of exercise can exacerbate certain types of symptoms such as hot flashes and insomnia.

I believe that it is important to pick the type of exercise depending on your symptoms rather than just exercise to exercise.

So how do you know which exercise is best for you? You start by reading this article! 🙂 To help you find your way through the labyrinth of research that is out there, I’ve consolidated the findings of the last 20 years of research on this topic so you don’t have to.

First I want to highlight the overall benefits of exercising regardless of symptoms…

Exercise Increases:

  • Benefits brain function and functional capacity
  • Increases beta endorphins
  • Quality of Life
  • Strength and balance
  • Increased Bone Mineral Density
  • Increase in quality and length of sleep
  • Maintenance of healthy BMI
  • Self-perceived physical condition
  • Sport competence
  • Body image & physical self-worth

Exercise Decreases:

  • Vasomotor Symptoms
  • Somatic & psychological symptoms
  • Depression (1 exercise session/week = 22% reduction)
  • Osteoporosis
  • Body Mass Index
  • Musculoskeletal symptoms
  • Cardiovascular Disease (50% reduction)
  • Overall mortality (20% reduction)

Exercise has many benefits but can also be stressful on the body.

Too much exercise and/or intensity can:

  • Decrease sleep quality and length, which in turn is correlated with adverse physiological and psychological outcomes
  • Increase circulating cortisol levels, which can lead to increased abdominal fat (read last week’s post for more info on this)
  • Have negative effects on thermoregulation as it causes substantial increases in metabolic heat production and core temperature (during exercise, metabolic heat production can increase by ten to twenty-fold and recent studies suggest that hot flashes are triggered by small elevations in core body temperature)

Moderate intensity appears to have the most benefits…

  • Highest menopause-specific quality of life
  • Lowest number of symptoms
  • Increased sleep, energy, confidence, mood

The following exercise guidelines are specific to helping you with menopause symptoms as well as increased quality of life throughout the menopausal transition. These recommendations do not apply to overall physical health.

Type of Exercise 

  • Endurance/aerobic training best for increased sleep
  • Strength training for body image, strength, body aches
  • Yoga for vasomotor (VMS) symptoms and overall menopause-specific quality of life (Hatha yoga for cognitive function (memory, concentration)
  • Walking at ~3-3.5 mph for anxiety and depression

Duration & Intensity

  • Moderate Intensity (60-70% Target HR)
  • Min. 3 x week (more days = decreased severity of symptoms)
  • Programs lasting at least 12 weeks

Special Considerations

  • Keep body core temperature at comfort level to avoid increases in VMS
  • Focus on activities that are enjoyable to you. Forcing yourself through workout regimens that you dislike can have negative effects on quality of life. I hear too many people say: “I think I should run more” and my question to them is “Why? Do you like running?”. “No, but it’s good for you”. Really? Is it? I don’t believe in doing things just because someone said they’re good, especially in regards to exercise. If you don’t like it, you won’t stick to it. It’s as simple as that. And when it comes to working out, consistency is the key. So find activities that you truly enjoy. Not only will you continue doing them and reap the physical and mental benefits but doing things you love will help you reduce stress and keep off that unwanted meno-pod (if you don’t know what a meno-pod is, you have to read last week’s post).

All information is based on peer-reviewed research. I usually add a reference list of all the articles I read to put together an article but this one would be way too long. If you’re interested in finding out more about specific research articles used for this blog, contact me.

Article reprinted with permission from Dr. Maria Luque.

 


Dr. Maria Luque is a health educator and fitness expert that specializes in helping women take charge of their own wellness. A native of Germany, she pursued a career driven by a passion for health and fitness. Dr. Luque currently teaches at the College of Health Sciences at Trident University International, in addition to conducting workshops, group/personal training, and writing. She’s an IDEA Fitness Expert and has been published in the IDEA Fitness Journal as well as appeared as a guest at local news channel to talk about quality of life and menopause. Visit her website, doctorluque.com

High intensity interval training workout

How Much High Intensity Exercise is Too Much?

Are you doing too much high intensity exercise? High Intensity Interval Training (HIIT) has been the holy grail of fitness trends for the past several years. Is it the Holy Grail for YOU? Here’s what a recent study says and how to interpret that if you’re a woman flipping (or wanting to) her second half with flare.

Exercise is stress. High intensity exercise is greater stress. Stress causes cortisol.

Cortisol plays two roles in our lives. It’s both the stress hormone and the energy hormone. The perfect amount of stress makes you feel alive and thrive. Too little or too much cortisol each causes problems.

When you’re exercising with the right amount of “overload” or stress you create a positive, not negative, stress response. That’s not to say (because I hear you saying that’s how you negate stress) that exercise doesn’t relieve stress. It can. But we sometimes don’t give ourselves the right dose, frequency or intensity to optimally relieve stress without having it come back to bite us you-know-where.

Better Stress

The key is to find your personal optimal exercise. I’m an advocate for the right exercise for you right now. Women in midlife are more susceptible to the negative effects of stress as they go through other major hormone changes. What worked once – even as recently as months ago or last week – may not be your ideal exercise this week.

That doesn’t mean you’re going to suffer, gain weight, get moody or any of the above. If you adjust your exercise according to what’s going on, respond to it even if you can’t predict what changes will be, you’ll sail through those years from peri-menopause to beyond menopause better. That sets you up for a full Flipping 50 (49-99) feeling as young as your habits will allow you. It’s habits that determine how your genetics express or suppress (epigenetics).

What’s the best exercise?  The answer is not the same for you and for every other woman over 50. We’ve got common denominators but your details are unique to you. If you’re deconditioned, conditioned, or an athlete it changes your exercise prescription. If you’re in adrenal fatigue, you’re estrogen dominant, or have low testosterone will change what I suggest you do. If you have osteoporosis, are trying to prevent it, or you have 20 or more pounds to lose, each of these (and more) will change the exercise plan that’s best for you.

A recent study of weight training performed as high intensity interval training (HIIT) was created to determine if HIIT weight training was better than traditional weight training. Researchers asked, is heavy weight training better than the moderate-to-light weight training recommended for decades?

A side note here: the fear of “bulk” from strength training is legit. The three sets of 10-to-12 repetitions taught for decades, as some kind of gold standard actually IS a bulk-building protocol. Ten or fewer repetitions is the optimal strength, bone building, and fat reducing/lean increasing protocol while higher repetition ranges are best for performance enhancement and influencing smaller muscle activation.

Your personal exercise protocol is also influenced by whether you’re a mesomorph, endomorph, or ectomorph. Each body type can respond differently to a protocol.

ACE Research

According to the study performed by the American Council on Exercise, a leading authority in fitness, moderate or average exercise should occur between 70 to 80 percent heart rate intensity, HIIT training requires at least 85 percent heart rate intensity, the study says. Les Mills’ researchers (creators of Body Pump) wanted to determine how to best achieve a healthy balance between one’s HIIT volume (minutes of HIIT per week) and one’s positive stress response. Their hypothesis was that more than 30 or 40 minutes of weekly HIIT volume would prompt a reduced positive stress response.

“A positive stress response to exercise is a critical part of creating the bio-chemical changes in the body that help build new muscle and improve fitness,” the study says. “The stress response can be measured effectively by examining cortisol and testosterone concentrations in saliva.”

Not to repeat myself but as mentioned earlier, this is really what we refer to as the principle of overload in fitness. The stimulus of exercise must be adequate to provide overload such that the body responds after (when between sessions fitness occurs IF you have adequate rest, food, and sleep).

Remember Your Hormones

It’s key for YOU to remember, Flipping 50 friend, that you have another thing to consider. The status of your hormones, not just of your mind’s desire to lose fat, or get in shape needs to be considered when designing your exercise program. Pushing through … following lame social media memes suggesting that “sweat is fat crying” can backfire on you and increase fat storage when stress goes the wrong way. When you read “move more” interpret it as walking down the hall to deliver a message as opposed to going to boot camp 6 days a week or doing two-a-days.

Let me take a step back here and describe what it feels like to lift at a level defined as HIIT. There’s a lot of confusion about HIIT. Anything that gets you breathing slightly harder is NOT HIIT. Lifting with a weight that causes fatigue at 10 repetitions correlates with 80% intensity. So in order to lift and a HIIT level of 90% as per the study, you’d be lifting a weight closer to 5 repetitions.

Don’t panic. You definitely progress to this point. You also can reduce the weight slightly and use power, increasing speed on the lift but always controlling the lowering (eccentric) phase of exercise to achieve this overload without a heavy weight. You do this in daily life… the wind grabs the car door, the door to a store is heavy, or you heft the garbage bag out to the curb… so if you’re worried about injury (valid) do consider whether your daily activity warrants the work so you’re prepared.

Fatigue vs Tired

Moving fast to get breathless is not necessarily overloading the muscles in a way that muscle changes and creates lean muscle tissue that assists in fat burning.

THIS is a key distinction most program creators and attendees fail to make. Going to a boot camp where you’re moving fast from a strength exercise to a cardio exercise to a core exercise will likely tire you. Tired is not muscle fatigue. Muscle fatigue must be reached so your body changes.

Will it burn calories right now? Yes. Will it change your body, your body composition, and set you up for years of a stronger leaner body? No.

The study used strength training as the mode of high intensity exercise. Researchers compared one set of 5 repetitions for each of 10 exercises to 1 or 2 sets of 10 repetitions for 10-12 exercises. The subjects were both male and female and ages up to 59.

The results showed body fat decreased significantly for both groups. Blood pressure and LDL (bad) cholesterol decreased only for the HIIT group.

“When it comes to HIIT, adding volume doesn’t deliver better results,” the report says.

“It actually hinders. To get the full benefits of HIIT and prevent overreaching, our recommendation is to…

Do a maximum weekly HIIT sessions that are above 90 percent maximum heart rate for 30-40 minutes…

…and balance them with other less demanding workouts.”

“It’s also imperative that you let your body recover properly after a HIIT session. This way, you’re likely to perform better when you do your HIIT workouts and benefit from the positive results,” researchers added.

The key exercise flips:

  1. More is not better when it comes to High Intensity exercise
  2. An understanding of what constitutes high intensity interval training is key if you’re to reap benefits
  3. The more health markers (blood pressure and cholesterol) you’re trying to target with your exercise, the more HIIT could benefit you done with adequate progression
  4. low volume of HIIT (no more than 40 minutes a week) is far better for results (and reduction of injury) than more volume (frequency, or duration)
  5. If you’re doing high intensity exercise that is also high impact cardio or high intensity strength training every day you may be inhibiting your recovery and results.

This distinction of when to work hard and when to recovery is so important. It’s not intuitive for a generation that witnessed the work harder, get better results discipline of our parents.

Article reprinted with permission from Debra Atkinson. Originally printed on flippingfifty.com.


Debra Atkinson is the #youstillgotitgirl who is flipping 50 and changing the way thousands of women think about their second half. She’s the host of the Flipping 50 TV Show and the Flipping 50 podcast. As a master personal trainer, strength and wellness coach with over 30 years fitness industry experience, she works with women who are pro-aging with vitality and energy. She is an international fitness presenter, author of hundreds of articles and multiple books. Visit her website, flippingfifty.com

woman heating pad

Why Suffer in Silence?

In America today, 40% of females, including women, children and teens, suffer in silence with either primary or secondary dysmenorrhea every month. Primary dysmenorrhea accompanies the monthly menstrual cycle without any underlying medical conditions. Secondary dysmenorrhea means that there is another medical issue present, such as endometriosis. This condition makes it hard to function, with most women being bedridden for three to five days or longer. Dysmenorrhea is not a weakness, but a real medical issue.

Generally, the female client will have severe throbbing pain from the waist down. They can feel it in their stomach, low back, legs and feet, making it hard to move. Other symptoms include nausea, vomiting, diarrhea, anxiety, stress, depression, lightheadedness, fatigue, headache, fever, and depression, weakness and fainting. Risk factors are smoking, obesity, being underweight, strong family history, high levels of stress, anxiety and/or depression. Women can still have painful stomach cramping well after menopause if they have Endometriosis.

This is a silent stressor for many women because they rarely choose to speak about it. Some have been living with the pain for twenty years or more and think there is nothing they can do. If a client comes to you and mentions that they have a lot of pain, urge them to see their doctor. This conversation is more likely to happen with a female personal trainer. The good news is that fitness professionals can help their clients to feel better during this painful time of the month.

It is important to acknowledge this painful condition because of the physical and mental implications that come along with it. As the trainer you, may be working with a therapist as well as an OB/GYN. You are trying to help your client feel better overall. We recommend scheduling an assessment first to understand the client’s medical history. As a fitness professional, you may want to refer your clients to other professionals as well. Acupuncture, for example, is well known for helping women to ease and reduce anxiety. When you network with other professionals, you form a referral system to obtain more clients for yourself, too.

After completing your assessment, you will develop a wellness program for your client. The program will include: exercise, meditation (specific to this condition), and aromatherapy, as well as other components. Try to have your client establish a regular daily wellness routine. Journaling is also important as it helps to connect your thoughts, feelings and behaviors. Support groups can also help as women share their experiences with others.

If you’re interested in learning more about this topic, The Stress Management Institute will be launching a new program called “Living Well” in January 2019. Fitness professionals can learn how to enhance the lives of women who live with this condition.


Robyn Caruso is the Founder of The Stress Management Institute for Health and Fitness Professionals. She has 18 years of experience in medical based fitness.

References: