Driving yourself to the doctor–why spending time in the car is bad for your health, and what to do about it.

Have you ever thought about how much time you spend in your car? On average, Americans face a 50-minute round-trip drive each day just for their jobs, and nearly thee-quarters of commuters drive alone. In suburban and metropolitan areas the commute can be much longer. Even in Aiken the average commute time is about 23 minutes. When you include driving to work, taking the kids to school, and doing errands, sitting in a car can easily account for an hour or more each day.

The impact of spending time in the car on your health is the topic of my Health & Fitness column in the Aiken Standard this week.

You are probably very aware of the time you spend in the car. What you may not know is that sitting in your car can also have negative effects on your health and happiness. This is the conclusion of several studies that examined the relationship between commuting time and indicators of health. One of these studies suggests that vehicle miles traveled is a strong predictor of obesity. In another study, commuting a greater distance was associated with lower levels of physical activity and fitness as well as a higher waist circumference and blood pressure.

This makes sense because spending more time sitting in your car means you have less time to dedicate to being physically active, something we know is good for your health. Add to that the fact that driving is sedentary. There is accumulating evidence that spending more time sitting in the car, at work, or at home is a predictor of poor health, regardless of how active you are the rest of the day.

It gets worse. Many people eat in their cars during long commutes. Much of the time these “meals” consist of fast food and other prepackaged foods—not many people eat salads while they drive! Since these foods are typically of questionable nutritional quality and high in calories, this alone can contribute to obesity and poor health. The combination of inactivity and eating behind the wheel can easily shift the balance toward weight gain. Plus, eating while you drive is dangerous!

Beyond the direct impact on health through eating and activity behaviors, commuting alone in a car is a form of social isolation. Research suggests that this can lead to depression, itself an important factor leading to poor health.

The problems with long commute times are well established and easy to appreciate. Unfortunately, the solutions are not. Most people can’t move in order to have a shorter commute and relying on public transportation isn’t practical or even possible for many people, especially in our area. Replacing driving a car with active modes of transportation simply isn’t practical.

Aside from the time requirement, our environment doesn’t adequately support active travel—imagine how long a 25-minute drive would take on a bike or on foot! Being able to walk or bike requires access to safe bike lanes and sidewalks that connect people’s homes to work, school, and other destinations. Even public transportation increases activity over driving and enhances social connections. Sadly, this infrastructure doesn’t exist in most communities, which were built to support cars, not people.

But we can take steps to undo some of the damage that so much driving can cause. Making activity at other times of the day a priority is a good start. This could include exercise at the gym, going for a walk, or even yard work or housework. When possible, replace car trips with walking or biking. Planning these activities with others can strengthen social connections as well as improve health and fitness. Finally, act as an advocate for changes in the community that will make active transportation more realistic.


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Exercise during allergy season

The arrival of spring in our area has brought warmer weather, blooming flowers, green grass, and, for many, seasonal allergies. If you suffer from seasonal allergies, you may want to know if it is safe to exercise outdoors. The short answer is yes, provided you take the right precautions. This is the topic of my Health & Fitness column in the Aiken Standard this week.

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Ready, set, go! Set a goal to run or walk in a road race this spring.

Most of us could benefit from getting more exercise and, with spring on the way, this is a perfect time to get started. You can meet minimum health recommendations with a 30-minute brisk walk five days per week. You can get even greater fitness benefits by exercising for longer or by doing more vigorous activity, like running. A good goal is to be active every day for at least 30 minutes and include longer or more vigorous exercise sessions when possible.

Many people are motivated by having a goal to begin or add to an exercise program. You may find that training for an event is more rewarding than exercising for the sake of being active. An excellent goal is to prepare to walk or run in a local race. Don’t let the word “race” scare you. Most people who enter these events have the goal of finishing, not winning. That should be your goal, too.

Now is a great time to start training for your first race. The weather is an incentive to be active outdoors because it’s not too hot to be enjoyable. There are several events in our community in the upcoming months that are excellent opportunities for first timers and more seasoned racers. Many events are linked to charities, so they are also good ways to raise money for a good cause.

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One example is our area is the Run United event on April 29, 2023, which consists of a 5K (5 kilometers or 3.1 miles), 10K (10 kilometers or 6.2 miles), a half marathon (13.1 miles), and a kids fun run. Almost everyone can participate in one of these events with some preparation, so it is a perfect event for the whole family.

If you are starting to walk for exercise, completing a 5K walk is a good goal. Start with a target of 20 minutes of walking per day. You can split this up into 10 minute segments, if necessary. After you are comfortable walking 20 minutes at a time, increase to 30 minutes per day. Continue increasing your walking time until you are up to 45-60 minutes per day, about how long it takes most people to walk three miles. If you already do some walking, gradually build up to this goal.

Maybe you already walk and are interested in trying running. Preparing for a 5K or 10K is great motivation. Start by adding some jogging into your walking routine. Try alternating 5 minutes of jogging with 10 minutes of walking. Once you are comfortable with that, try 5 minutes of jogging for every 5 minutes of walking. Increase the duration of the running intervals over time, until you can run for at least 30 minutes for a 5K or 60 minutes for a 10K consecutively. If running three or six miles is too much, you can always complete those races by alternating walking and running. Completing the half marathon will require more dedicated training, building up to running (or a run/walk combination) for over two hours.  To reduce the risk of injury you should progress slowly, whether you are walking or running. This is particularly important if you are building up to a longer event, like a 10K or half marathon.

Even if you don’t plan to participate in one of these events, the opportunity to get outdoors for a walk or run on a nice day is reason enough to be active. Use this as an opportunity to get your friends and family moving with you. Kids can ride their bike while you walk or run and you can push younger children in a stroller. Older children may want to walk or run with you, and don’t forget to bring your dog!


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Start saving in your fitness bank for when you need it most.

Saving money for emergencies is good advice and important for maintaining quality of life in the event of a lost job or other financial crisis. While this may seem like common sense, many people have been caught without enough savings when they needed it and found it difficult to meet basic needs.

This principle can also be applied to fitness. When you are healthy, you can maintain a high level of fitness. This makes your day-to-day activities easier and serves as a reserve or “bank” to draw on when you need it. Your good fitness now can get you through a health crisis just like saving money can help you through a financial crisis. This health crisis could come in the form of an injury or illness that keeps you from being active for several days or a hospitalization that keeps you in bed for a week, a month, or longer. This is the topic of my Health & Fitness column in the Aiken Standard this week.

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The problem with periods of inactivity, like bed rest or hospitalization, is that there are severe physiological effects that occur within days and get worse over time. You may have noticed this as weakness and fatigue after spending a few days in bed with a cold. Muscle strength declines with each day of bed rest, and can be 50% lower following as little as three weeks. That reduction in strength could limit a person who was already deconditioned to a point where he or she would have difficulty completing the most basic activities of daily living.

A person who was fit and strong when they went into the hospital would certainly be better off when released. And older adults fare worse than younger individuals. According to one study, the decline in strength seen in older men in just 10 days was equivalent to the change measured after 28 days in men 30 years younger.

It’s not just the muscles that are affected, the bones get weaker, too. In fact, 12 weeks of bed rest can reduce bone density by as much as 50%, exposing patients to a greater risk of fracture. This is due to the reduced stress on the bone from not standing and walking as well as the lack of muscle activity. Two of the most effective ways to build bone density are putting stress on bones through weight-bearing activity and the action of the muscles pulling on the bones from resistance training. Because bed rest eliminates both of these stresses, bone density declines rapidly.

One unique study from the 1960s had healthy young men complete three weeks of bed rest. They all experienced a rapid decline (over 20%) in their aerobic fitness, but recovered quickly after the experiment ended. These individuals also had their fitness tested again 30 years later. It turns out that the decline in fitness in those young men in three weeks of bed rest was greater than the decline in fitness that occurred over 30 years of aging!

The good news is that most patients are encouraged to move around as much as possible. Some receive in-patient physical therapy or rehab, even after major surgery, to help lessen the effects of prolonged bed rest. It is important to take advantage of these opportunities if you, or a loved one, are hospitalized.

There are many reasons to exercise and be fit, but an important reason may be to develop a fitness “bank” you can draw on if you become injured or hospitalized. Since the effects of bed rest are seen in people of all ages, everyone can benefit from a good fitness foundation. Just like putting money in the bank, doing a little now can have great benefits later when you need it most.

Finally, some smart advice: First, achieve and maintain a high level of fitness now, just as you would save money for a rainy day. You never know when you will need it. Second, if you are hospitalized, take advantage of opportunities to move, whether that is limited to moving from bed to a chair or if it includes short walks or even inpatient exercise–if the medical staff approves, of course. While many well-meaning friends and family members will tell you to rest and not move, true bed rest is almost the worse thing you can do.

For example, inpatient cardiac rehabilitation targets patients who are recovering from heart attacks and even open heart surgery. The goal is to get these patients up and moving as quickly as possible to prevent long-term consequences of bed rest.


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Your heart health action plan

February is Heart Month, an ideal time to assess your risk of heart disease and take steps to improve your health. This is important because heart disease, sometimes called coronary artery disease, is the leading cause of death among adults in the United States. It is responsible for nearly 600,000 deaths each year, mostly from heart attacks. Millions more are at increased risk because of certain biological and behavioral risk factors.

Some of these risk factors cannot be changed, such as age, sex, and family history, while others can be altered to reduce risk. These modifiable risk factors include smoking, high blood pressure, high cholesterol, diabetes, obesity, stress, and physical inactivity. While your doctor can play an important role in treating these conditions, there is much you can do on your own to improve your heart health. This is the topic of my Health & Fitness column in the Aiken Standard this week.

The first step is to get a good assessment of your heart health. If you haven’t done so recently, you should see your doctor to have your risk factors evaluated. This includes tests for blood glucose and blood lipids (including total, LDL, and HDL cholesterol and triglycerides), measurement of your blood pressure and body weight, and an assessment of other health factors such as your family history, whether you smoke, and your level of physical activity.

The next step is to treat the risk factors that you have. Depending on the severity and your own personal health history your doctor may prescribe medications to lower your blood pressure, blood glucose, or blood lipids. These medications are most effective when combined with lifestyle changes including good nutrition, exercise, and weight loss. In some cases, poor diet and lack of activity can counteract the beneficial effects of these drugs. Furthermore, these healthy habits may help you reduce the dosage, and limiting the side effects, or stop taking the medications altogether.

The other risk factors—obesity, inactivity, and smoking—really must be treated through lifestyle management. While there are medications that can help with smoking cessation and weight loss, being successful requires making lasting behavior changes. These habits can be difficult to change, and many people have tried before without success. Keep in mind, though, that everyone who is successful at quitting smoking, losing weight, or sticking to an exercise program has experienced their share of difficulty. The difference is that those people kept trying until they were successful. You can be successful, too.

Even small changes can have a big impact. Take exercise, for example. The benefits of as little as 30 minutes of physical activity per day are well established and impact heart disease risk in a multitude of ways. Physical activity helps with weight control, lowers blood pressure, improves blood lipids, and prevents and treats diabetes. Think of this as a great health “deal.” By modifying one risk factor—inactivity—you can also promote beneficial changes in four others—obesity, hypertension, high cholesterol, and diabetes. There is no other treatment, drugs included, which can have such a broad impact on reducing heart disease risk!

Knowing which risk factors are most concerning can help you and your doctor make effective treatment decisions. Quitting smoking, increasing your physical activity (and reducing sedentary time), and eating a healthier diet can lead to improvements in heart disease risk factors and reduced heart attack risk. The best news is that these same changes can also reduce your risk of other serious health problems including many types of cancer, stroke, and lung disease.

Are those chocolate hearts you got for Valentine’s Day healthy?

Valentine’s Day is this week, so you may be the lucky recipient of a box of chocolates. Hopefully you enjoy it! Of course, eating too many sweets, including chocolate, isn’t a good idea. But eating certain types of chocolate has been linked to some health benefits.

The idea that chocolate may be healthy is no doubt welcome news for chocoholics. But it may leave you wondering if eating chocolate really is healthy. The answer depends on what you mean by chocolate and what you mean by healthy. This is the topic of my Health & Fitness column in the Aiken Standard this week.

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Be active, even when you’re not.

You probably know that exercise is good for your physical health. A lower risk of weight gain, diabetes, heart disease, and some cancers are among a long list of positive health effects of regular physical activity. But the rewards of exercise go beyond strengthening muscles and bones, burning fat, and improving heart health. Lesser known benefits include improved mental health, cognitive function, and greater feelings of wellbeing. This is the topic of my Health & Fitness column in the Aiken Standard this week.

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The importance of functional fitness.

Functional fitness involves exercise to improve balance, coordination, strength, and endurance to enhance the ability to perform activities of daily living. Practically, functional fitness training aims to replicate the movements associated with the wide range of physical activities someone might do in his or her daily routine. For example, athletes have long used functional fitness training to target the movements they utilize in their sport.

 

This concept of “sport specific” training has applications outside of athletics. Firefighters come to mind, lifting and carrying heavy equipment, climbing stairs and ladders, and moving through tight spaces, often for extended periods of time without rest. But the same could be said for construction workers, landscapers, and other occupations that require manual labor. To be sure, the components of functional fitness are as important for workers as they are for athletes.

 

This is important to you even if you don’t participate in sports or have an active job. Functional fitness plays a role in nearly all activities, from simple things like maintaining posture, sitting, and standing, to more complex movements including lifting a heavy box, carrying bags of groceries, or playing with your children (or grandchildren). Even something as routine as bending down to tie your shoes requires strength, flexibility, and balance. These are the very activities that become more difficult as we age, so improving functional fitness can help maintain independence and quality of life.

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It’s not your fault, but it is your responsibility.

Eating well and being physically active are two of the most important things you can do to promote good health. But knowing you should do these things does not always mean it is easy to actually do them.

Despite the simplicity of the message “eat healthy and exercise,” many people struggle with knowing exactly what to do and how to do it. This is largely due to the complicated and ever-changing nature of nutrition and exercise science and the fact that most people receive little education in these areas.

You may even feel like the information you read and hear is designed to confuse you. That may be true, considering that much of the nutrition information we get comes from food companies that are trying to convince us to buy their products. Even scientific research can yield conflicting results, challenging even the most knowledgeable professionals, myself included, to make sense of it. And even if you do decide to make eating or activity changes, the “best” diet or exercise program claims may make you wonder if you made the right choice.

Given this, it’s not your fault if you struggle to understand basic health information and recommendations. But it is your responsibility to learn as much as you can to make the best choices for you and your family.

This is the topic of my Health & Fitness column in the Aiken Standard this week

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This won’t be easy, of course. The popular media, as well as social media, promote confusion and false promises about nutrition by making claims that some foods are “toxic” while others are “super foods.” The old “good carb, bad carb” or “good fat, bad fat” arguments have been given a new life as “eat this, not that” lists. The problem is that many of these claims are not supported by science. The research that is done often yields complicated or conflicting results that aren’t explained in a way that actually helps people make good decisions.

The same is true for exercise. No one doubts that exercise and physical activity are essential for good health, but there are conflicting claims about specific benefits of exercise and what the best form of exercise really is. This can lead to the idea that if you aren’t doing the right exercise, it doesn’t count. Nothing could be further from the truth! While there are reasons why some athletes might want specific types of training, the majority of people can benefit from simply spending less time sitting and participating in some activity each day.

So, what can you do? Given the confusing and changing nutrition recommendations it’s best to focus on what hasn’t changed. That is, to eat real food rather than processed, prepackaged foods and making water your drink of choice. Planning meals and snacks to include fruits, vegetables, whole grains, nuts, legumes, meat, eggs, and dairy should give you plenty of healthy fats, carbohydrates, and proteins.

Instead of worrying about the “perfect” exercise, make it your goal to do something active for at least 30 minutes every day.  Beyond that, dedicating time for aerobic, strength, and flexibility training will bring greater benefits. Remember, the best exercise for you is the one you will do! Seek advice from people you trust and credible professionals, but remember that if what they tell you sounds too good to be true, it probably is.

Your responsibility isn’t to understand all the nutrition, exercise, and health information you encounter. It’s to try to make a few simple, healthy choices despite that confusing information: Sit less, move more, and eat real food.


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Today is the MLK Day of Service. Are you fit to serve?

Today is Martin Luther King, Jr. Day, a time to celebrate the birthday and reflect on the accomplishments and legacy of Mr. King. It is also a  on which people are encouraged to use their day off from work and school to volunteer in their community. Individuals and groups across the country participate in community service, with some making this their first-time volunteer effort and many more continuing a year-round commitment to service.

You can maximize your impact in community service activities by being fit and healthy. To be sure, there are ways that people of physical abilities can contribute, but many service opportunities require a baseline level of fitness to participate. And it is certainly more enjoyable to volunteer if you aren’t being pushed to your limits. In fact, some service activities are similar in exertion to many forms of exercise and some may be consistent with maximal exercise. Unfortunately, the common pattern of inactivity and obesity can limit people’s ability to function optimally at school, work, or in leisure-time activities, including community service.This is the topic of my Health & Fitness column in the Aiken Standard this week.

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