Tag Archives: physical activity

Calories count, but don’t count calories!

When it comes to losing, maintaining, or gaining weight, calories count. Thanks to a host of wearable devices and mobile apps, counting calories has never been easier. This matters because changing your weight requires altering the balance between calories in and calories out. If you are trying to lose weight, this almost always means cutting the calories that you eat and increasing the calories that you burn. Despite claims to the contrary, this concept of “eat less, move more” is the foundation of nearly every effective weight loss program.

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

fitbit


Modern smart devices and mobile apps allow you to track your weight, what you eat, and your activity fairly accurately. Many apps can measure the intensity of exercise by using the GPS and accelerometer features of your phone itself or by syncing with a wearable device, like a smart watch or activity tracker. Some include heart rate to make the estimates even more precise. Using this technology, you can count steps, measure how many miles you walk or run, and estimate how many calories you burn.

Other apps can help you track what you eat. Whether you are counting calories or concerned about the amount specific nutrients you are eating, diet analysis apps can show you what you are really eating. Most require you to enter the foods you eat and the app calculates calories, nutrients, sugar, salt, and water intake based on standard databases. In order to get accurate results, it is important to estimate portion sizes accurately, something that is challenging even for experts. That said, these apps can be useful for tracking what you eat to help you learn about your eating patterns to develop healthier habits or meet specific goals, such as eliminating added sugar from your diet.

Activity trackers and exercise apps are especially popular for improving fitness and promoting weight loss. Both the physical activity that you do throughout the day and dedicated exercise are important for good health, physical fitness, and weight control. This technology can help you know what to do, when to do it, and how much you did at the end of the day.

Even if you aren’t concerned about exactly how many calories you burned in an exercise class or how many steps you took during the day, these devices can help you develop healthier habits. Many people are simply unaware of how sedentary they are during the day or are unrealistic about how intense their workouts really are. For many people, an accurate report of how many steps they took or how many calories they burned is helpful for gauging their success and identifying things they can improve.

While these tools can be helpful, it is important to emphasize the importance of developing healthy habits in order to improve fitness, lose weight, or keep it off. A focus on “micromanaging” steps or calories may cause you to lose sight of the “big picture” changes you want to make. For example, you should strive to be as active as you can throughout the day, even if you have already met your step or calorie goal.

Keep in mind that there are very few people who failed to meet their fitness or weight loss goal because they didn’t have the latest activity tracker or fitness app. Real success comes from making lifestyle changes to incorporate healthy eating and activity habits that you can maintain without constant reminders. While technology can help you make those changes, it does not replace the dedication needed to develop lasting eating and activity habits to promote good health.


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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.

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

Man shopping in supermarket

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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Healthy for the Holidays

Now that Thanksgiving has past, the holiday season is in full swing. At the same time, this is also cold and flu season and COVID-19 is still very much a concern, as are other viruses including respiratory syncytial virus (RSV). In addition, the holiday season itself, with hectic schedules, stress, and lack of sleep, can weaken your immune system making you more susceptible to getting sick. The good news is that there is much you can do to keep yourself and the people close to you healthy for the holidays.

For starters, getting vaccinated (or boosted) against the flu and COVID-19 is the best way to protect yourself. Another basic step in preventing sickness is to wash your hands regularly. Soap and water is best, and there is no additional benefit in using an antibacterial soap. If you can’t wash your hands, an alcohol-based hand sanitizer is an acceptable alternative. Keep in mind that hand sanitizers don’t actually clean your hands and aren’t as effective if your hands are dirty.

We may be out of practice on this, but physical distancing when possible and wearing a mask when you are around others, especially indoors, is also effective. Masks and physical distancing are important because COVID, influenza, and common cold viruses are spread through the air when an infected person coughs, sneezes, talks loudly, or sings, so avoiding close contact with people who are sick—or who may be sick—is important. If you are sick, it is essential that you stay away from others as much as you can. Cover your mouth and nose with a tissue or cough or sneeze onto your sleeve to help keep the germs from spreading through the air or on your hands.

People who participate in moderate exercise on a daily basis have fewer and less severe illnesses than people who aren’t regularly active. This is because exercise has the effect of stimulating the immune system, making it better able to respond when you are exposed to cold or flu viruses. Being active every day is essential for the health of your immune system…and the rest of you!

Good nutrition is also necessary for optimal immune system function. Deficiencies in certain nutrients can have a negative effect on immune function, so eating a balanced diet is essential. That said, there is no support for “boosting” the immune system by taking high doses of vitamins, minerals, or other supplements, despite the claims made by supplement companies. The best advice is to eat a variety of fruits and vegetables every day, drink plenty of water, and avoid highly processed foods, especially those that contain added sugar.

You can get benefits from two more common-sense recommendations: getting adequate sleep and reducing stress. Poor sleep habits are associated with suppressed immunity and more frequent illness. High levels of stress increase susceptibility to viruses and can lead to more sick days from work or school. Stress and poor sleep habits tend to occur together, creating a double negative effect on the immune system.

By taking these steps, you can improve your chances of celebrating the holidays in good health. As a bonus, eating a healthy diet, exercising every day, managing your stress, and getting enough sleep will give you a head start on what are likely to be New Year’s resolutions.

Failing Grades for Physical Activity (Again)

It’s probably no surprise that the majority of Americans are not active enough. Only about half of adults meet even the minimum recommendation for physical activity of 30 minutes per day, five days per week. Compounding this problem is the fact that many people spend much of their time at work and home being sedentary—some spend over 12 hours per day sitting!

A low level of physical activity is associated with an increased risk of heart disease, stroke, some cancers, and, of course, obesity in adults. Becoming more active is probably the most important change a sedentary person can make to improve their health. The impact is similar to a smoker who quits.

What may be surprising is that this is a problem for children, too. Less than half of children ages 6–11 are active for 60 minutes per day. Among teenagers, it is less than 20%! The health effects of too little activity in kids is similar to that in adults.

The impact of low physical activity on children’s health now and in the future as well as new statistics on activity in kids is the topic of my Health & Fitness column in the Aiken Standard this week.

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Ever feel like the world is working against you. It’s our toxic activity environment

Last week I introduced the idea that we live in a “toxic environment,” which provides easy access to high-calorie, unhealthy, inexpensive food and promotes physical inactivity.  The focus was on the toxic food environment, so now it is time to explore our toxic activity environment which makes easy to be inactive and can discourage activity. This is the topic of my Health & Fitness column in the Aiken Standard this week.

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How to stay healthy at work.

Many people are trying to create a healthier lifestyle by eating healthier, making time for exercise or other activity, and reducing stress. Frequently, the focus is on what they can do at home, from prepping meals to joining a gym or going to yoga class. But many people spend a major part of their day at work, where healthy options are often limited. From the box of donuts at a morning meeting to a quick fast food lunch, eating well at work can be difficult. And for people who have office jobs, it also likely means lots of time sitting at a desk.

Fortunately, there are things you can do to make your time at work a little less damaging to your health. Even better, these steps can also make you more productive and feel better throughout the day. This is the topic of my Health & Fitness column in the Aiken Standard this week.

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Second chance New Year’s resolutions

 

It’s hard to believe, but summer is winding down and a new school year has begun. As teachers, students, and parents know, this is the real beginning of the new year. For those of us involved in education, the start of a new school year is a perfect time to make goals for the upcoming year, whether they are related to school or not.

This is a lot like making New Year’s resolutions on January first. Hopefully, you are still on track with the resolutions you made. Sadly, research suggests that only 8% of people actually achieve their goal (more data here).

There are a host of reasons for this. Some of the most common resolutions—quitting smoking, losing weight, and getting in shape—are also some of the most difficult behaviors to change because they require making significant lifestyle modifications. To make things worse, many people set unrealistic goals or try to take on too much at once.

Many people who fail to keep their New Year’s resolutions this year will recycle them next year and try again. In fact, most people who manage to successfully quit smoking or lose weight have tried many times in the past. Sometimes experience, even a bad experience, is the best way to learn what does and doesn’t work for you.

But there is no need to wait until 2023 to restart your stalled New Year’s resolutions or finally get around to doing what you planned months ago. Setting a date to begin a behavior change is an important step in the process so, why not make the end of summer and the start of a new school year the time to revisit your resolutions and try again?

Here is some advice to help make this second chance to start or restart your New Year’s resolutions successful.

Be realistic. Many people fail to keep their resolutions simply because they don’t set realistic goals or aren’t realistic about what it will take to meet those goals. For example, running a marathon is an ambitious goal for almost anyone, especially someone who doesn’t exercise at all. A resolution to work up to walking or jogging five days per week, with a goal of completing a 5k run/walk is more achievable.

Focus on learning. Making most health behavior changes involves learning as much as doing. Something as simple as eating healthier meals requires learning about the nutrients that make some foods healthier than others, learning to read food labels to select healthy foods, and learning how to cook and prepare healthy meals. If your resolution is to learn about healthy meals, you will be able to achieve that goal and be well on your way to eating a healthier diet.

Manage your time. Most health improvement projects require taking time to learn about, implement, and maintain those healthy behaviors. If you resolve to manage your time to include exercise or meal preparation in your daily schedule you will be much more likely to meet your goals. Trying to add these new activities as “extras” to your already busy day will inevitably lead to them getting squeezed out.

Plan ahead. Most people already know that changing health behaviors can be challenging, even under the best circumstances. It’s no wonder that holidays, travel, and other life events can complicate or even derail an otherwise successful diet or exercise program. Make it your resolution to think about what you can do before, during, and after these (and other) disruptions occur to keep yourself on track.

Hopefully these steps will help you keep your resolutions, achieve your goals, and make this a happy, healthy year. As a bonus, you can take January 1, 2023 off!


 

Healthy for the Holidays

Now that Thanksgiving has past, the holiday season is in full swing. At the same time, we are in the midst of the COVID-19 pandemic that has changed virtually every aspect of our lives. If that’s not enough, this is also cold and flu season. In addition, the holiday season itself, with hectic schedules, stress, and lack of sleep, can weaken your immune system making you more susceptible to getting sick. The good news is that there is much you can do to keep yourself and the people close to you healthy for the holidays.

For starters, following the familiar recommendations to prevent the spread of COVID-19 will help prevent colds and the flu, too. This includes physical distancing and wearing a mask anytime you are close to others, especially indoors. Another basic step in preventing sickness is to wash your hands regularly. Soap and water is best, and there is no additional benefit in using an antibacterial soap. If you can’t wash your hands, an alcohol-based hand sanitizer is an acceptable alternative. Keep in mind that hand sanitizers don’t actually clean your hands and aren’t as effective if your hands are dirty.

Masks and physical distancing are important because SARS-CoV-2, influenza, and common cold viruses are spread through the air when an infected person coughs, sneezes, talks loudly, or sings, so avoiding close contact with people who are sick—or who may be sick—is important. If you are sick, it is essential that you stay away from others as much as you can. Cover your mouth and nose with a tissue or cough or sneeze onto your sleeve to help keep the germs from spreading through the air or on your hands.

People who participate in moderate exercise on a daily basis have fewer and less severe illnesses than people who aren’t regularly active. This is because exercise has the effect of stimulating the immune system, making it better able to respond when you are exposed to cold or flu viruses. Presumably, the same is true for the virus that causes COVID-19, so being active every day is essential for the health of your immune system…and the rest of you!

Good nutrition is also necessary for optimal immune system function. Deficiencies in certain nutrients can have a negative effect on immune function, so eating a balanced diet is essential. That said, there is no support for “boosting” the immune system by taking high doses of vitamins, minerals, or other supplements, despite the claims made by supplement companies. The best advice is to eat a variety of fruits and vegetables every day, drink plenty of water, and avoid highly processed foods, especially those that contain added sugar.

You can get benefits from two more common-sense recommendations: getting adequate sleep and reducing stress. Poor sleep habits are associated with suppressed immunity and more frequent illness. High levels of stress increase susceptibility to viruses and can lead to more sick days from work or school. Stress and poor sleep habits tend to occur together, creating a double negative effect on the immune system.

By taking these steps, you can improve your chances of celebrating the holidays in good health. As a bonus, eating a healthy diet, exercising every day, managing your stress, and getting enough sleep will give you a head start on what are likely to be New Year’s resolutions.

Immediate benefits of exercise

Regular physical activity is essential for achieving and maintaining good health and preventing and treating conditions like diabetes, heart disease, and some types of cancer. In addition to being physically active, participating in exercise is the best way to improve strength, endurance, and flexibility as well as promoting health and well-being to an even greater extent. These health and fitness benefits of exercise often take weeks or months to achieve, and requires a commitment to being active most, preferably, all days of the week.

While most of the biggest health benefits come from chronic adaptations to years of regular activity or exercise, there are some acute physiological changes that occur after a single bout. These changes tend to be short-lived, lasting only a few hours, and depend on the intensity and duration of the exercise. But, when exercise is repeated every day, these changes can have important positive effects on your health. Here are a few of the immediate benefits of exercise that can improve your health right now.

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

Photo by Cliff Booth from Pexels


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