Category Archives: Health and Wellbeing

Why it matters, part 2

 

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Last week we clarified the difference between exercise and physical activity and why it matters.   Another important reason why we need to be clear about the difference is because the two are mixed up often in the media.  Here is an example I came across on the internet:

Don’t overthink your exercise: just 2.5 hours per week of any kind could help you live longer

The article is a wonderful write up reviewing a one of largest global studies ever published on the heart health benefits of physical activity.  “The researchers found that 150 minutes spent exercising per week could cut a person’s risk of cardiovascular disease and death. And, most importantly, the Lancet paper demonstrated that all kinds of physical activity were equally good for the heart.”

The great news from this article is that this huge study showed that the “people who reported at least 150 minutes of physical activity per week were much healthier than their sedentary counterparts: They were less likely to have heart attacks, strokes and cardiovascular disease, and less likely to die from any cause. Getting only two and a half hours of weekly exercise was associated with a 28 percent reduction in premature death, and a 20 percent reduction in heart disease.”

Wow! That is awesome!  On one hand it is a message to relax a bit, don’t worry if you are not super fit, you are getting a nice protection just by making efforts to be sure you move in some way for 150 minutes a week.

On the other hand though, what about all we do to fit in exercise time?  If we can get that nice protection from vacuuming and yard work, why waste time lifting weights and walking?

Articles like these miss the chance to promote both exercise and physical activity.  We need to talk about two different goals here:

Reducing sedentary time by increasing physical activity in bouts during the day. This offers great health protection because begin still for more than 30 min at a time strains health, even if you are a regular exerciser!   Studies indicate that going to the gym in the morning does not protect from the risks of being sedentary the rest of the day.  Even regular exercisers get added health protection from avoiding prolonged stillness all day long .

Exercise as practice to make physical activities easier.  What exercise does for daily function is a bit more difficult to measure in studies like these.  It is individual, often only you see the difference.  When you can climb the stairs without stopping or get up off the floor without grunting or do housework for longer without resting, you know you are benefiting from exercise.  Remember, exercise is time set aside to practice making what you want and need to do everyday easier! In this way, exercise helps you be more physically active.

If you are not doing either right now, the great news is you can start right away by just moving every thirty minutes in some way.  Know that you are getting health protection from this simple act.  If you are doing one but not the other, what can you do today to give yourself the best of both physical activity and exercise?
Keep Moving, Be Well,
Janet

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

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by | October 10, 2017 · 4:19 pm

Whats the difference and why does it matter???

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We hear the words physical activity and exercise used interchangeably.  Yet, there is a distinct difference between the two that is a key to getting the benefits and staying motivated for doing both.

Physical activity. Any bodily movement produced by the contraction of skeletal muscle that increases energy expenditure above a basal level.   – Centers for Disease Control

Physical activity is an umbrella term for any movement; activities related to your job, housework, yard work, play, recreation, exercise, etc.  Any level and duration and type counts. As long as you are moving your body in some way it counts as physical activity.

Exercise. A subcategory of physical activity that is planned, structured, repetitive, and purposeful  in the sense that the improvement or maintenance of one or more components of physical fitness is the objective. – Centers for Disease Control

Exercise is when we do a physical activity in a structured way in order to improve stamina, strengthen or mobility (physical fitness).  Exercise is done with the focus on our body, not on another activity.  It is the same process for learning any other new skill, like a new language or a musical instrument. Your brain and body need to be working together with your full focus in order to improve that skill.

Physical activity is for the purpose of doing something else–  cleaning the house or doing your job.

Exercise is when our focus is on the physical activity itself in order to improve it in some way.

So exercise practice –  for the purpose of making physical activities you want and need to do every day easier, less tiring, less straining for your body.  Just like learning any other new skill, it is something you set aside time to practice.  Even a little bit of practice done consistently and with your full focus will make that skill easier.

The great news is, both regular physical activity and exercise improve health, burn calories, and boost longevity.  Both are powerful health habit.

  • Get physical activity every day in small bouts during the day. Every 30 minutes of inactivity get up and move in some way.
  • Spend 2.5 hours a week (30 minutes five days a week) dedicated just to exercise (practice) time.  Split that time between stamina building cardio and strength building strength training.  This will make the physical activities you want and need to do easier.

Create these two powerful health habits and enjoy the MANY benefits of both physical activity AND exercise.

Keep Moving, Be Well

Janet

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

 

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by | October 2, 2017 · 2:08 pm

Lower the risks, raise the benefits!

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We hear stories of people getting injured or having a heart attack during exercise. You might have even experienced this yourself.    At the same time, we are flooded with all the reasons we “should” exercise.  How do we make sure we are getting the benefits and keeping the risks low.

The risk of having a heart attack or dying as a result of exercise is relatively low.  Only 4% to 17% of heart attacks in men are linked to physical exertion, with much lower rates observed for women.  The risk is greater for people who are unaccustomed to exercise and for those at the lower fitness levels.   Compare that to the fact that regular physical activity cuts the risk of getting heart disease by about 40%.  In fact, regular physical activity has been shown to reduce the risk of dying from any cause by 40%.

Does anything jump out at you with that last set of facts?  The risk goes up if your fitness level is low and you get protection as your fitness level goes up.  Regular physical activity offers amazing protection, and irregular physical activity increases risk.

One of the best ways to protect yourself is be consistent with some physical activity because it provides protection from doing nothing.   Notice also the statistics from the Exercise is Medicine Fact Sheet   are for physical activity – which is a broad term that includes regular movement, not necessarily a rigid exercise program.  Bottom line, move and move often and regularly!

The second big factor that has been shown to increase risk is the intensity.  Vigorous exercise tends to increase risk.  Doing a moderate intensity lowers the risk while keeping benefits.  But what does vigorous or moderate mean?  Often you will hear it described as an absolute level; vigorous is jogging 6mph and moderate is walking 3mph.  But in reality, it all depends on your fitness level!   For some 6mph jog will be moderate and for others a 3mph walk will be vigorous.

Exercise at the level that is a moderate to comfortable challenge for your breathing – above what you would feel when you are resting but not so uncomfortable that you can’t wait to stop.   Avoid vigorous intensity where your breathing is heavy or uncomfortable.

The risks also go up with a sudden burst of intense (vigorous) exercise followed by a sudden stop in activity.  When you do feel like your breathing is uncomfortable (like when climbing stairs or a hill), keep moving slowly until breathing level comes back down to moderate to light before stopping completely.

Finally, if you have concerns with your heart, diabetes or high blood pressure and are not exercising regularly, discuss your plans to start with your doctor. Your best bet is to start with a light intensity activity that you can do on a very regular basis.  As you improve your fitness level, your risks will reduce and the benefits go up.

If you have symptoms such as pain anywhere above your waist that comes on with exertion and goes away with rest, or have more shortness of breath with usual activities, tell your doctor.  If you have pain in joints with activity, adjust what you are doing so it does not cause pain.  (either by doing that activity for less time or lower intensity or do something different until your body is stronger).  Pushing through pain only requires your body to “speak” louder to get your attention to let you know something is not right.

The bottom line is listen to and be kind to your body!  When you move it regularly at the just right challenge level, you can relax about the risks and enjoy the benefits of exercise.

Keep Moving, Be Well,

Janet

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

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by | September 20, 2017 · 6:48 pm

Attitude for Sustainability

sustainalbeLet’s take a look at one more critical difference between training for athletics/military and training for well-being.

Athletes and military professionals need to train right at the edge of a very fine line between improving skills and risking injury. Athletes and their coaches find that line and push the body as close as possible to that line, in order to stay in the competition. Step over that line and injury risk is greater than the training benefit.

This type of training does not consider what the body will be able to do ten or twenty years from now. It is focused on the next level, improving by pushing that limit as much as possible. There is only so long the body can sustain that type of training. At some point, an athlete needs to retire from competition, or at least semi-retire and take a few steps back from that line if they want to keep moving.

In training for well-being, choosing the level to train at considers what is needed to be well right now, as well as for the rest of our lives. This type of training does not require pushing to that risk/benefit ratio line. To the contrary, part of training for well-being is listening to the body to know when we are stepping too close to that line because we know an injury keeps us on the sidelines of life rather than out enjoying life. Training to be well considers how we feel, now as well as decades from now, by preventing injury, illness, and disease as much as possible. “Retire” from this plan too early, and that risk along with the rate of aging ramps up…fast!!!

Training for well-being means we find the types of movement that give us energy rather than drain it. You might be one who needs more adventurous types of physical activity, such as skiing or rock climbing. Remembering it is more important to be well than excel at that activity keeps it energizing and the risk/benefit ratio in check.

Over the past few years, I’ve noticed the attitude of no, pain no gain, look better, be better, push harder, ignore the body, trick the body, is so enmeshed in the world of fitness we often don’t even see it! The confusion over these two very different ways of training the body has made exercise stressful (which is ironic because when we are stressed, the body preparing to move!). Even the word exercise overwhelms many people, which drains motivation in the long run, causing them to miss out on the great benefits of fitness for well-being.

Bottom Line:  It is not necessarily the activity, but the attitude that makes training for well-being so sustainable. The ultimate goal is feeling better on the inside (rather than getting better at some external goal). Let’s stay aware of activities that are more about proving ourselves instead of being ourselves, because when it is more about well-doing, it can take us away from well-being.

Keep Moving, Be Well,

Janet

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

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by | November 14, 2016 · 4:18 pm

How Much is Enough?

enough-2Let’s continue to look at the difference between training for sports/military performance and training for well-being.

When it comes to fitness, how much is enough?   

  • How hard should I push my body?
  • How much weight should I lift? 
  • How many miles should I walk or run?
  • How many steps should I take? 

If what you are doing never quite seems enough, always feels like you should be doing more, you may have strayed from training for well-being.

In athletic training, there is always a next level to strive towards. That ‘never enough’ provides the motivation to push harder. For this type of training, then, we need to rely on external guides to inform about our progress. Numbers such as miles and minutes provide accurate feedback. Coaches help assess our performance, giving valuable information about how to keep pushing the limits to excel at the sport.

In training for health and well-being, enough is the level that allows you to achieve the definition of fitness for well being – “do activities of daily life with ease, having enough energy left over for recreation and to meet emergencies.”

For this type of training, you have a guide more accurate than the most advanced technology or experienced professional available. The best part is this guide is free and with you all the time! It’s your body! What your body tells you in the present moment is the most accurate and reliable information available for training for well-being.

What makes it not so reliable is when our mind starts dictating what the body “should” do.  I should not have pain with this exercise, it was fine yesterday. I should be able to lift that much weight, run faster, walk further. I should push my body harder to lose more weight. 

Our judgment about what the body is telling us right now squelches this most accurate guide. When we use the body as a guide, we realize we can have the ultimate “personalized fitness program” available. When we listen we might hear the body saying:

  • That pain you feel when you exercise is a warning signal… possible injury ahead!
  • Those tight muscles cannot tolerate what you are doing right now. The nervous  system has taken over and tightened the muscle to protect it.
  • That pain and stiffness you feel when I am still for a while means I need movement to help get rid of some of this inflammation.
  • When you feel exhausted after a busy, stressful, yet sedentary day, it is because I have been working hard all day, ready to move to respond to your stressor.  Please give me what I have been preparing for and move so I can really relax.  

It is really easy to get caught in the should’s when fitness marketing and the culture tend to mesh together sports training and well-being training. Using mindfulness is very helpful here for developing the skills for listening to our body without judgment, uncovering the most accurate and reliable guidance available when it comes to training for our own well-being.

Keep Moving, Be Well

Janet

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

 

Leave a comment

by | November 9, 2016 · 6:32 pm

Success Breeds Success!

Success breeds success
Mia Hamm

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Who doesn’t like a little pat on the back once in a while. Heck, who would not like one every day!  It is nice to be recognized for an achievement. It gives us a little energy boost, a bit of extra motivation to keep going, to try harder, to overcome obstacles.

Successful leaders know recognition is an important part of keeping a team going.  In fact, according to the book How Full is Your Bucket,  the number-one reason most Americans leave their jobs is that they don’t feel appreciated.

So, who is the CEO of your well-being?  Who is the leader of your weight loss journey?  YOU!  As a smart leader, who knows you do not want to quit your weight loss goal,  how often to do you recognize your achievements?

It can feel self-serving to recognize our own achievements.  However, research consistently shows that self-criticism lowers the chance of reaching a goal. Since finding our faults can be a knee-jerk reaction, we need to make it easier to recognize what is going well or we might automatically end up focus only on what is NOT going well.

Here are tips for making this most effective:

  1. Make it easy.  Keep a daily accomplishments list on something easy to access, such as on your phone or in your daily calendar.  Every day jot down at least one accomplishment.  Whether it is exercising that day, or eating a vegetable, give yourself credit for the achievement.
  2. In the moment.  As soon as you notice an achievement, no matter how small, jot it down so you don’t forget.  (enjoy that pat on the back!)
  3. Be specific.  Instead of just saying “good job”, note exactly what you did.  You might even make a special note if you overcame a challenge in that achievement.  For example, “I did my strength training routine, even though I was tired after work. I felt so much better after!”.
  4. Connect it with the bigger goal.  The more you connect what you are doing with why you are doing it, the more you harness the energy of this goal for you.  For example “I exercised after work giving me more energy for playing with my kids, and that is why I want to lose weight, to have energy to play with my kids”.

When looking back on this list, you will find you have a record of what works well for you.  This is like finding gold in times when you are struggling, looking for ways to get back on track.

I challenge you to try it for a few days, see how it goes for you. (Give yourself credit for at least trying it). Let me know how it goes!

Keep Moving, Be Well

Janet

Happiness lies in the joy of achievement and the thrill of creative effort
Franklin D. Roosevelt

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

 

 

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by | October 18, 2016 · 3:36 pm

You Get What You Train For

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Let’s take a closer look at training for well-being versus training for athletics.

There is a principle in exercise science of specificity that basically says “you get what you train for.” The body will adapt to what you give it. If you want to be able to run faster, then practice running faster. If you want to be able to get up off the floor more easily, then practice strengthening the movements you need for that skill. If you want to be able to sightsee with friends all day, then gradually practice walking longer distances.

In sports training, the focus is on the physical skills needed for the sport.  In well-being training, skills for being able to enjoy life are the focus.

In sports training, the goal is to excel in the time spent in competition, for several seconds to a few hours. Well-being training is for functioning the best you can 24/7.

It is pretty obvious that one would not do the training program for a body builder to excel in competitive dance. Why then, do we use these and other sports training programs as the basis for fitness programs to improve health and well-being??? 

You get what you train for.  What do you want to train for? Sports training is fine, of course, as long as you know the results of training are very specific and don’t cross over well.

Be savvy. Ask anyone giving you fitness advice: What is this program based on?  Why am I doing this exercise? What specifically am I training for?  (And please don’t take “you are confusing the body” for an answer, unless you want a confused body.)

If your goal is to be healthy and well for as many of your 24/7s as possible, then check out what you are doing during as much of the 24/7 as possible. You see, when training to live better, it all matters – sit, stand, work, play, exercise, rest.  The specificity of training does not apply only when exercising.  It is a principle. It applies all the time.

Sitting with rounded shoulders. Guess what? The body gets used to what you give it. Standing in alignment, the body adapts to that too. We are always training for something (mentally AND physically).

For the  “all or nothing-ers” out there, this does not mean you move perfectly all the time. Simply pay attention to your body, check in often.

Bottom line: Training for well-being is an all-day awareness of how to give this body (and mind) what it needs to be well.

The body gets used to what you give it. What do you want it to get used to?

Keep Moving, Be Well,

Janet

Please share these posts with anyone you know interested in losing weight with or without weight loss surgery.  Click here to learn more about the UMass Memorial Weight Center

These weekly blogs are general guidelines. These guidelines apply to patients who are cleared by a physician for the type of exercise described. Please contact your physician with any concerns or questions. Always report any symptoms associated with exercise, such as pain, irregular heartbeats, and dizziness or fainting, to your physician.

 

 

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by | October 4, 2016 · 5:56 pm