Sunday, March 15, 2009

Exercising for Energy

Keep on Movin': Exercise After 50

According to the American College of Sports Medicine, by the year 2030 more than 70 million Americans will be 65 years of age or older, and those 85 years of age and older will be the fastest-growing age group. Unfortunately, as more and more Americans live longer, less and less participate in the one activity that can help keep them healthy, active and productive – regular exercise.

While regular physical activity is important for people of all ages, it has been shown that the benefits of regular exercise are the most important to the people who tend to exercise the least, people over 50, and even more so, people over 60. In fact, it's estimated that more than 90% of retirees in the United States get virtually no meaningful exercise, and that more than 50% are totally sedentary.

There are several benefits of exercise, including:

  • Increased stamina and energy
  • Strong bones (and lower risk of osteoporosis)
  • Improved muscle tone and strength
  • Increased heart and lung efficiency
  • Flexible joints, tendons and ligaments, which improve agility
  • Improved digestive system
  • Better balance (thus helping to prevent injuries, such as falls)
  • Lower blood pressure
  • Improved self-esteem
  • Less tension and stress
  • Improved memory and alertness
In addition, regular exercise may prevent the onset of certain diseases and inhibit the effects of many chronic diseases of aging, including high blood pressure, diabetes, arthritis, and osteoporosis.

Given these compelling reasons to exercise regularly, why don't more people over 50 do it? The excuses range from feeling too old, to having a specific medical condition, to not having enough time, to feeling out of place.

But the truth is that almost anyone of any age can participate in some type of physical activity, even including people with certain medical conditions.

Fortunately, beneficial results can be attained from as little as 30 minutes of exercise three to four times per week or 15-20 minutes of light physical activity (like housecleaning, gardening, slow walking) each day.

Also encouraging for the 50+ crowd is that many gyms, health clubs, swim clubs, walking clubs, YMCAs and senior centers are offering more exercise programs geared toward their age group.

Get a Checkup First
"Before starting any exercise program, anyone, regardless of age, should have a thorough physical and get the go-ahead from his physician," says Dr. Jacques Carter, MD, MPH, of Boston's Beth Israel/Deaconess Medical Center. He also notes that if you have a specific medical condition or conditions, your physician will want to make recommendations about what exercise program will be most suitable for you, set any necessary limitations on that program, and monitor your progress.

Do a Variety of Activities
Once you get the medical go-ahead, trainers and exercise physiologists suggest that you follow a three-pronged exercise program, including the following:
Aerobic Exercise
Probably the most important part of a regular exercise program, aerobic exercise is anything that causes an increase in the overall activity of your cardiovascular system (heart and lungs) for a sustained period. Over time, aerobic activity conditions your body in general, and your heart and lungs in particular, to be able to perform a greater amount of work with less effort.

Although even minimal increases in aerobic activity can be beneficial, your goal should be at least 20 (and preferably 30 or more) minutes of sustained aerobic activity three to five times per week.

Factor in the following two elements: First, find an aerobic activity you enjoy, because if you don't like it, you won't stick with it. Second, try and find an aerobic activity that is low impact (that is, it won't take a toll on your joints), such as brisk walking, biking, swimming, and low-impact aerobics classes.

Strengthening Exercises
In addition to toning your body and making all movement less strenuous and energy consuming, muscle strengthening and conditioning will help support your joints, thus preventing arthritic problems and reducing the chance of injuries caused by falls.

Muscle strengthening can be accomplished by using either weight machines or free weights. You don't need to use much weight to see results, because studies show that excellent health benefits can be achieved (even for people in their 70s and 80s) through regular regimens of even very light weight-lifting (3-10 pounds).

Muscle strengthening also has one "hidden" beneficial effect:

While aerobic exercise burns calories while you exercise, weight training causes the body to burn calories 24 hours a day, even when you're at rest, because the body expends more energy to maintain muscle mass than to maintain fat mass, as much as 40 calories more per day per pound of muscle. And, while 40 calories per day may not seem like much, it does make a difference. Suppose you do serious weight lifting and add five pounds of muscle to your body. At that point, your body would automatically burn up to an additional 200 calories per day. Over a year, this is the equivalent of 72,800 calories, which equals a weight loss of 20 pounds per year!

Flexibility (Stretching) Exercises

Stretching exercises serve a number of purposes, including maintaining full motion in your joints, keeping muscles from shortening and tightening, preventing or lessening the effects of arthritis, and preventing injuries by increasing agility and mobility.

A physical trainer or exercise physiologist can help you design a good 10- to 15-minute stretching/flexibility regimen that you can do every day, as well as before and after your aerobic and/or strengthening exercises.
Other Tips
Experts recommend other tips to improve your exercise experience:
  • Always wear loose, comfortable fitting clothing, and comfortable athletic shoes, when exercising. In cold weather, wear layers of clothing, and protect all parts of your body. In hot and humid weather, wear clothes that breathe (cotton is best) and drink plenty of liquids before and during exercise.
  • Warm up before you exercise (stretching exercises are excellent for this).
  • Allow your body to cool down (for 5-10 minutes) after aerobic exercise by either walking (or, if in the pool, swimming) very slowly, followed by 5-10 minutes of stretching exercises.
  • Don't exercise in extremely cold, hot or humid weather.
  • Don't exercise with a full stomach (wait at least 90-120 minutes after eating before exercising).
  • Don't exercise if you have an illness or injury.
Finally, if you experience any of the following symptoms during exercise, stop immediately and rest for 10-15 minutes, and if the symptoms don't subside, contact a doctor:
  • Severe shortness of breath
  • Coughing, wheezing or difficulty breathing
  • Pain, pressure, discomfort or tightness in the chest, especially if it is extending into the neck, jaw, or left arm
  • Dizziness, light-headedness or fainting
  • Extreme perspiration
  • Severe pain, cramps or muscle aches
  • Nausea
  • Extreme, prolonged exhaustion or fatigue after exercising

RESOURCES:

AARP
http://www.aarp.org/health/fitness

The American College of Sports Medicine
www.acsm.org

CANADIAN RESOURCES:

Canadian Society of Exercise Physiology
www.csep.ca

Healthy Canadians
http://www.healthycanadians.gc.ca

REFERENCES:

Fitness facts for older Americans. AgeNET, US Administration on Aging, Department of Health and Human Services website. Available at: http://www.agenet.com/fit_facts_elder_action.html.

Frankel JE, Bean JF, Frontera WR. Exercise in the elderly: research and clinical practice. Clin Geriatr Med. 01-MAY-2006; 22(2): 239-56; vii.


This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Wednesday, January 28, 2009

Supplements and Health care costs

Selected supplements could save $24 billion in health care costs

At a Glance

A study commissioned by the Dietary Supplement Education Alliance (DSEA) shows that over the next five years, appropriate use of select dietary supplements would improve the health of key populations and save the nation more than $24 billion in health care costs.

Read more about this study below.

A new updated research study conducted by the Lewin Group examined four supplement/disease combinations and their estimates of cost effects were updated. The four supplements selected due to the thoroughness of the available scientific literature were:

  • Calcium with Vitamin D
  • Folic Acid
  • Omega-3 Fatty Acids
  • Lutein with Zeaxanthin

Key study findings include:

Calcium with vitamin D: Appropriate use of calcium with vitamin D for the mature population shows potential reductions of approximately 776,000 hospitalizations for hip fractures over five years. The five-year estimated net cost associated with avoidable hospitalization for hip fracture is approximately $16.1 billion.

USANA.com

Folic Acid: If just 25% of American women who are of childbearing age and not taking folic acid, began taking 400 mcg. of folic acid daily, neural tube defects could be prevented in as many as 600 babies. This could result in savings of nearly 350,000,000 the first year. Over five years $1.4 billion could potentially be saved with daily folic acid supplementation.

Omega-3 Fatty acids: Due to its actions in reducing the occurrence of coronary heart disease (CHD), daily intake of approximately 1,800 mg of omega-3 could save $3.2 billion through avoidance of about 375,000 hospitalizations in the 65 and over age group.

Lutein with zeaxanthin: Loss of central vision caused by age-related macular degeneration results in numerous elderly becoming dependent on the community or a nursing facility. The researchers used over 15 years of research on lutein and zeaxanthin to estimate a potential net savings of $3.6 billion dollars over the next five years. Approximately 190,927 individuals could avoid the transition to dependence during this time through daily intake of 6-10 mg of lutein and zeaxanthin

DaVanzo JE, Dobson A, et al. (2007) Effect of Selected Dietary Supplements on Health Care Reduction – Study Update. Falls Church, VA: The Lewin Group

Monday, January 19, 2009

Why You Should Eat More Fruits & Vegetables

Eating a Diet Rich in Fruits and Vegetables

Here's Why:
Produce has certainly earned its healthful reputation. It's rich in vitamins, minerals, antioxidants, phytochemicals and fiber, while being low in calories and fat. All of these factors contribute to many health benefits, such as:

  • Lower blood cholesterol levels
  • Decreased risk of atherosclerosis and heart disease
  • Decreased risk of certain types of cancer
  • Lower blood pressure
  • Lower risk of overweight and obesity.
Here's How:
A total of five fruits and vegetables each day may sound like a lot, but a serving is probably smaller than you think.

One serving of fruit equals:
  • 1 medium piece of fruit, such as an apple, banana, orange, pear or peach
  • 1/2 grapefruit
  • 1/2 cup chopped, cooked, or canned fruit, including berries and grapes
  • 1/4 cup dried fruit
  • 3/4 cup 100% fruit juice
One serving of vegetable equals:
  • 1 cup raw, leafy vegetables, such as spinach, romaine lettuce and broccoli
  • 1/2 cup of other vegetables, cooked or chopped raw
  • 3/4 cup 100% vegetable juice
Within your five daily servings, try for one rich in Vitamin A or beta-carotene and one rich in Vitamin C.

Produce rich in Vitamin A and beta-carotene (which is converted to Vitamin A in the body) include:
  • Pumpkin
  • Sweet potatoes
  • Carrots
  • Mangoes
  • Spinach
  • Cantaloupe
  • Kale
  • Apricots
  • Tomato juice
  • Nectarines
  • Papayas
  • Peaches.
Produce rich in Vitamin C include:
  • Bell pepper
  • Papayas
  • Oranges and orange juice
  • Broccoli
  • Strawberries
  • Grapefruit
  • Cantaloupe
  • Tomatoes and tomato juice
  • Potatoes
  • Cabbage
  • Spinach
  • Collard greens.
To reach five a day, eat some of the following foods at each meal,

For breakfast:
  • Fresh or dried fruit mixed with cereal or oatmeal
  • Bagel or English muffin topped with onion and tomato or cucumber and cream cheese
  • Glass of tomato juice with a spear of celery.
For lunch and snacks:
  • Bake a sweet potato (microwave on high for 5-8 minutes) and top with black beans
  • Stir fresh fruit into yogurt
  • Pop open a can of mandarin oranges
  • Dip carrot, celery, red pepper, and zucchini sticks into hummus, yogurt, or low-fat dip.
For dinner:
  • Roast vegetables, onion, squash, peppers and eggplant and spread on a pizza crust with tomato sauce and cheese
  • Top baked potatoes with steamed broccoli, beans and salsa
  • Add dried fruit to rice and stuffing
  • Grate carrots and zucchini into pasta sauce.
For dessert:
  • Top frozen yogurt with sautéed apples, fresh peaches or canned pineapple
  • Choose a fruity dessert, such as a cobbler, over a heavier treat, such as cheesecake.

RESOURCES:

American Dietetic Association
http://www.eatright.org

CANADIAN RESOURCES:

Canadian Council on Food and Nutrition
www.ccfn.ca

Dietitians of Canada
http://www.dietitians.ca/

REFERENCES:

American Heart Association website. Available at: http://www.americanheart.org .

US Department of Agriculture website. Available at: http://www.usda.gov/wps/portal/usdahome .

Jiang R, Jacobs DR Jr, Mayer-Davis E, et al. Nut and seed consumption and inflammatory markers in the multi-ethnic study of atherosclerosis. Am J Epidemiol. Feb 1, 2006;163(3):222-31.

Kuriyama S, Shimazu T, Ohmori K, et al. Green tea consumption and mortality due to cardiovascular disease, cancer, and all causes in Japan: the Ohsaki study. JAMA . Sep 13, 2006;296(10):1255-65.

Vlachopoulos C, Aznaouridis K, Alexopoulos N, Economou E, Andreadou I, Stefanadis C. Effect of dark chocolate on arterial function in healthy individuals. Am J Hypertens . Jun 2005;18(6):785-91.


This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Copyright © 2009 EBSCO Publishing All rights reserved.

Sunday, January 11, 2009

Your New Year's Resolutions for Weight Loss

This is the perfect time of year for an encouraging article on keeping your weight loss goals. Why? Because nearly half of all people in North America make New Year’s resolutions – and the most common resolution is to lose weight.

Within a few weeks the number of people sticking to their resolve declines dramatically. Given the importance of improving our behavior, an encouraging word from an ally may be just the thing we all need to keep our resolve!

Mechanics of weight loss
Let’s review the best advice for weight loss that we have gathered from expert sources over the last several years.
How
  • Reduce your caloric intake to match your basal metabolic rate (BMR). BMR represents the number of calories your body needs at rest; in other words, your body burns these calories through basic functions. So, BMR represents the ideal number of calories you should eat in a day.
  • Increase your activity to burn one to two pounds of fat per week.
When
  • Never eat within two hours of bedtime.
  • Morning exercise is a bit better than evening exercise.
  • Never consume more than 400 calories in an hour.
What
  • Eat according to an organized plan. Here at Balanced Vitality we can provide customized dieting tools.
  • Do both aerobic and resistance exercises most days of the week.
Why
  • Your sense of purpose will help drive your success.
Speed bumps
Somewhere along the way you are going to experience discouragement, disappointment or despondency. It may be when:
  • You hit a weight loss plateau.
  • You see others doing what you used to do and the old habits pull at your heart.
  • Your inner voices – I call them my “council of critics” – start to tell you lies about failure and success.
What do you do when you hit a speed bump?

The answer to this question does not lie in the “how, when, what” of weight loss. The answer lies in the “why.” Your personal “why” gives you energy. It inspires you, motivates you, and drives you to complete your goal.

Remember to let your desire fuel your action; let your actions harmonize with your sense of purpose. Simply be resolved to live a life of purpose and you will have the energy to get beyond the speed bumps.

Common setbacks
Unsupportive family: Losing weight with an uncooperative family is very difficult. In fact, diet failure is far more common among people with kids at home than among empty-nesters. A great solution is to turn those sources of distraction into cheerleaders. Recruit your family into your support group. Ask them for help and you may be surprised how helpful a supportive family can be.

Parties and gatherings: Parties and family gatherings are another trigger for setbacks. Food and a festive environment are catalysts for overeating and skipping exercise. Careful planning in advance can really help with food selection and an exercise schedule. And if you do overindulge, remember the “calories in, calories out” rule and increase your exercise for a week or two to burn off the extra calories.

Emotional speed bumps: Depression, discouragement and despondency are also common triggers for diet failure. We need to give and receive love for excellent health. Love moves us to commit ourselves to a life of purpose. Purpose is the reason for action. Therefore, love can help us avoid fear, shame and doubt.

Conclusion
When we commit ourselves to such noble pursuits, do they not deserve our very best attention? We need to define our purpose as the foundation for success. Purpose is an important motivation to help us reshape our thinking. Purpose is the antidote to self-sabotage.

You will soon see that each of these gems reflect the light you need to see beliefs that no longer serve your best interests. You can confront self-sabotage and slay the dragons that keep you from reaching your goals.


Take Control of Your Health

  • Plan a balance of calories and activity for lifetime weight control
  • Eat the optimal amount of fruits and vegetables daily
    • Men: 9 servings
    • Women: 7 servings
    • Children: 5 servings
  • Plan 30 minutes of aerobic activity most days of the week
  • Do resistance training 2-5 times per week
















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