Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Wednesday, September 22, 2010

A sure way to get my heart rate up

My heart beats per minute (BPM)
The media published yet another story in its quest for mass-appeal with the potential for huge public disservice…  Is it me, or is media defeating the essential reasons for its very existence?

The other day, I received an email message from my son. In his usual succinct style, the subject line said: ”Well, so much for that plan” and it included a link to story published in “The Observer” (/the guardian/UK) entitled “Why exercise won’t make you thin.”  He is a bright young man (as illustrated by his reading on a variety of subjects including in the foreign press), who has been likely looking, like many others, for an “intelligent ,“ seemingly science-backed, excuse to skip on exercise. The effect of this story hit close enough to shock me out of my writing hiatus. No worries, I waited till I had pondered on the article while rowing and my heart beat came back close to its regular rhythm (as demonstrated by the picture - talk about exercise not having positive effects...) before starting to write.

The article contains the following executive summary: “A result for couch potatoes, yes, but also one that could have serious implications for the government's long-term health strategy.” By the number of tweets and Facebook shares it seems this was quite a popular story; I am sure the couch potatoes “ate” it up (no apologies, the pun is intended!) The coup de grace is questioning the government strategy on regular exercise.  Surely the British, as well as other, governments that came up with recommendations are not interested in how their citizens “look” but in their health status.  There is a massive amount of scientific data showing how regular exercise improves people’s health. By publicly questioning the benefits of exercise in such misleadingly written articles, the mass media is doing a huge disservice to people looking for “evidence” to avoid the effort that may be needed to make healthy choices.

I will not repeat what the article says, so you could have the pleasure of reading it yourself, but it contains a lot of statements like these: “More and more research in both the UK and the US is emerging to show that exercise has a negligible impact on weight loss. Almost worthless, as far as fitting into your bikini is concerned.” And supposedly backs up the perception of “worthless” with studies from reputable sources such as The Mayo Clinic. The problem is that one has to read carefully to fully understand the implication of their quoted conclusion: "an exercise regimen… is unlikely to result in short-term weight loss beyond what is achieved with dietary change." But of course! There are no magic bullets for losing weight. As someone who spent more than 20 yrs trying to understand how our body functions, I can tell that it is too complex and resilient (thankfully!) to undergo lasting changes due to any crash-style regimen, either diet of exercise. 

If your ultimate goal is "looks,” then the question is: do you just want to ”look good” for some specific upcoming event or do you want to look the best you possibly could for the rest of your life? More importantly, one should plan to lose pounds to reach their healthy weight not just to fit in a specific dress on one special occasion or even in their favorite “skinny” jeans. We should all aim for our healthy weight – we have a pretty good idea of what that is. For faster but fleeting changes, you could go ahead starve or poison yourself with some crazy diet, but for a sustained effect, you will have to be diligent and determined, and possibly even call upon some of your math abilities! The article suggests people who exercise do not lose weigh because they (over)compensate, i.e. feel entitled to eat more because they exercise. Well, there is a simple equation each of us has to solve out every day: “Did I eat more than I burned?” No worries, there are many free websites that will help you approximate calories for food and exercise, and now many fast food and restaurants have to show calories to you as soon as you are ready to decide what to order. And there is plenty of help teaching you what and how to cook healthy (I wrote another time on that strategy for weight loss “Winning the race against gravity and inertia”). It’s a lifestyle change!

I made that healthy lifestyle choice myself and have been working at it for a while. However it is nothing like the discouraging statement made by the article that says: “From a practical perspective, then, exercise is never going to be an effective way of slimming, unless you have the training schedule – and the willpower – of an Olympic athlete.” Not true! The biggest challenge is to make a little time each day (no Olympic athlete works out less than an hour!) and to use a combination of exercises. What worked for me was identifying  and adding some “body weight lifting” type exercises that I enjoy (I do not like working with machines). One quote I liked from the article was: “We know that dietary behavior is quite a negative behavior – we're having to deny ourselves something. There aren't any diets out there that people enjoy. But people do enjoy being physically active." So why is the Observer article discouraging people from exercising??? And yes, I am also paying attention to what I eat, but I can’t diet: I love food too much! Luckily not donuts, but I love and occasionally eat French fries and two portions of desert (especially if the option of trying different ones is presented to me). I just know that I will have to burn these off in the next couple of days and I don’t give up every time after, as if I had already blown it and there is 'no hope anyway.' Oh yes, I also eat chocolate every day (but I do limit the amount). Some of my friends attending food-themed events have complained saying that “it’s not fair” that I can eat this much. My frequent reply: “so, see you tomorrow for an early morning row?” The secret is that muscle needs more energy, but is also better at burning it (IF you use your muscles!)

Let me tell you how the last couple of years have been for me, and I promise I am not an exception (I recommend reading Mayo Clinic's  7 benefits of regular physical activity” and the American Heart Association scientific position on physical activity). Every day I do exercises that I enjoy (I picked them based on that!) and I resist at all costs the temptation to skip exercise because of a time crunch (there are other things that could be cut, sometimes sleep time for me!). Nevertheless, overall I have more energy than ever; I even have more time to think (away from other distractions). My physician was astounded (again) after my yearly physical: “What have you been doing???” he asked, “You have the vitals of a 30 yr old hard core athlete!”  Only that… I’m not. Also, I’m not so light, but I’m tight! Muscle weighs more than an equal volume of fat. Imagine my surprise the first time I could not find my size for some clothing item I liked because I was… too small?!?! It happened to me more than once since, and instead of getting upset, I am still (pleasantly) surprised every time. So although the effort/compliments ratio is not exactly one to one (I exercise every day!), people who know me and people I had not met before compliment me all the time about how healthy and good I look. Every week someone asks for specific advice on how they could obtain the same results. Here is my advice if you want to enjoy and benefit from exercise: 1) pick physical activities you like best so that you will want to do them regularly, and 2) make a commitment to find time for it every day… for the foreseeable future. It's that simple! If other circumstances require some exercises that you normally do not enjoy - try my strategy to get those done ("Start with the end in sight"). But the most important advice I have in response to the Observer's story is, regardless of your weight: if you are considering giving up on exercising or on starting to exercise regularly, DON’T!

I went back to check for other reactions to this article: I was hoping people would speak up. I would have been surprised to see publicly expressed cheers from self-acknowledged couch potatoes (especially if that might have involved getting up from the couch ;-) My favorite comment summarizing this article? “Dreadful Sunday fodder article, shame on you. However, wonderful picture of a lean gonzesse doing sit-ups on a doughnut, well done, keep it up.” Certainly a better use for the large doughnut if you plan to look like the girl in that picture!

 p.s. wondering if anybody already did a study examining the effects on weight and overall health status of a group giving up their daily exercise routine for extra time to read the newspaper?!?

Thursday, February 4, 2010

Get inspired

Being inspired by others is one of the most helpful things in achieving our hard to reach goals.

I have already shared my struggle to keep up my daily exercise routine during this time when I can’t go out on the water… It is difficult to block-off the time and in addition I find erg-ing (using a rowing machine indoors) just plain hard to do! I needed to work diligently on finding ways ("Start with the end in sight") to continue to use the rowing machine, but overall it did not seem to get any more enjoyable or any easier, especially with the long-drawn-out winter this year. No wonder I don’t seem to get any better at it! Thus, it may come across as odd that when I learned of an Indoor Rowing Championship “regatta” in my city, I decided to participate.

I have been previously to a grand total of two similar events. At the first one that happened ten or so years ago, I was able to buy my rowing machine at a discount (after being used during the competition). The second indoor rowing competition took place 6 yrs ago almost to the day. I let myself being talked into a “walk-in,” meaning I just showed up and rowed (no, I did not do great there); however, I have a pleasant memory of their atmosphere, seemingly positively charged from all the energy of those serious about competing. So, I decided to go get energized about erg-ing! Little did I know that I would not only immerse myself in an energizing crowd, but I would also meet two truly inspiring people.

Paul Randall will turn 93 this year and competed to defend his world champion title in the 90-95 yo category. I can say that he is the most energetic 90+ person I personally ever met. I watched in awe as he rowed the physically taxing 2K course and took a couple of pictures of him (stretching before the start and an "action" picture).

After his race I also took the opportunity to meet and congratulate him. He indicated it was not a ‘big deal’ that he beat the time required to qualify for the finals, as he explained it, he had been specifically training for this event since August. I caught myself before asking him “of which year”? But I did ask about his potential association with Indiana University, as he was wearing an academic athletic tank top. His explanation indicated that he was not only physically fit but also very witty. He said ‘Yes, I am an Alumn’ and then immediately followed ‘and I make sure I take good advantage of it! I called them up and asked if they were going to keep their promise to give me 1% for each year since I graduated. I pointed out to them that might mean 50% off"... He paused and said with a smile: “They checked their files and came back to say, ‘In fact, Mr. Randall, you are entitled to 59%. We will honor our pledge. We are not too worried, you are the only one in your age group who is still buying athletic gear!” Paul is on his way to Boston to defend his world title at the World Indoor Rowing Championships (also known as C.R.A.S.H.-b). A much younger heavy set guy sitting in the audience commented in response to my expressed admiration, “Well, sure he can be the champion, he probably does not have much competition in his age group.” To which I said, “Yes, you are likely right, but isn’t that exactly what a champion is, someone who greatly outdoes the competition?” I also thought: Will you start training to see what it really takes? Btw, while many rowers compete in the indoors events, it is not necessary to be one to do very well on an erg which eliminates the need to be able to balance the boat on the water while simultaneously pulling hard.

The other inspiring person I met is at the other end of the age spectrum. Mika Baugh is 19. I was so lucky to crash after my own race (about lessons learned from that adventure in a future post!) on a bench next to her proud grandfather. He seemed so overjoyed that he turned toward me and said: “My granddaughter is competing today and she is my hero!” Sounded as a rather surprising statement until he told me that Mika is an A student (was Valedictorian) and a star athlete at Indiana University. He added that Mika is also the President of the National Federation of the Blind of Indiana Student Division. And yes, Mika is blind. I decided that I needed to stay longer so that I could cheer for her. She not only competed, but also coached another young woman who seemed to be the only African American competitor. I received the permission of her mother and grandfather to publicly share my own admiration for Mika. They also introduced me to Mika after her race. Exactly as her family had warned me, she too acted as it was not a big deal that she had competed and qualified for the Adaptive rowing world finals in Boston. She however shared the fact that, sadly, she will not make the trip due to a shortage of funds.

Witnessing the strength of the human spirit in overcoming such great odds filled me with awe and brought me to tears – of joy! So, back to my erg-ing… let’s hear again, what was your excuse, Z?

Monday, January 18, 2010

Winning the race against gravity and inertia

It’s the beginning of a new year, a time when many set goals to lose weight and exercise, hopefully as part of becoming healthier. If you are a steady exerciser, you probably had noticed (and might be annoyed by it!) that it is hard to get on your favorite equipment which is being used (likely inadequately) by novices who overcrowd the gyms at this time of the year. While we might not be excited by the competition for resources, I still think it is sad that many of these people will not be seen around for much longer….

What makes us stick with our best intention goals? The idea behind this post actually crystallized in my mind due to... my e-mail science alerts inclusion of a recent research paper summary published by the journal Appetite (not one of the regular cooking-type magazines – I love those as well!), but “an international research journal specializing in behavioral nutrition and the cultural, sensory, and physiological influences on choices and intakes of foods and drinks.” The recent study reports that the perception of a lower complexity for rules used to diet increases the length of participants adherence to their chosen weight management program/diet. You do not have to read the whole thing, although if you want to, I was able to find the pdf file of the in press research article here

Here is my quick take on this recent study and the issue in general. Women on two weight management programs were included in the study. The Weight Watchers program is heavier on computation, teaching participants to keep track of total daily number of points assigned by the program to each food. The other program is a recipe-based weight management ("mean plan") provided by Brigitte, one of Germany’s most popular magazines. The “cognitive complexity” of the program was defined as the difficulty perceived by its participants in figuring out what they should eat to stick with their chosen program. The study’s authors concluded that the cognitive complexity of the weight program is a very strong predictor of the length of adherence, i.e., women who had found it easier to figure out what to eat were more likely to stay in the program. I am sure this is a very valid observation; in general anything easier to figure out is easier to do and stick with! However, there are many other variables that likely were important, some of them acknowledged by the authors. One difference that stood out to me (but not to the authors) most likely due to my personal experiences, was related to what participants considered to be their main goal. The participants in the “winning” program (Brigitte) were reported to be more likely to have a weight goal rather than a time goal, in contrast to the Weight Watchers participants.

This personal observation made me consider more closely the potential importance of motivation when setting the goal for its long term success. I will make assumptions as I lack access to the actual facts… I.e., in this particular case, I am going to hypothesize based on personal experience that an average participant in the study who had decided she needed to lose weight by a specific date, was likely acting on her desire to look slimmer for a specific “event,” e.g., getting ready for a beach vacation, wedding, or reunion - haven’t we all gone through this at least once? It would then not surprise me that the dieter would lose determination in continuing to work on “looking good” after that specific date (came and gone), especially if she perceived the program as demanding in cognitive terms. We all have a lot of things competing for our brain power! And this is not even considering what sacrifices some of us are willing to make to rapidly lose weight, an approach that by its very nature is not sustainable. On the other hand, an average participant whose main purpose is the weight goal would seem to be more likely to be dedicated to not only getting there (in a hurry!) but also staying at that weight, thus more likely to stick to her program!

Time for personal disclosures: I have never tried any of these two specific programs. However, a couple of years back I did set a reasonable goal for my desired weight. This was based on widely available tables indicating the “ideal weight” (which I used to have… at a different age!) for my height, thought to ensure the lowest level of risk for heart disease, diabetes and hypertension. I also gave myself about a year to come back to my more youthful weight. I came very close but did not make it by my hoped-for date, but this was a personal (my birthday!) and not a public “drop-dead” event. My goal was to have the healthiest weight anyway, my desired date being only the beginning of (not the reason for!) what I hope to last well beyond, so I stuck with my program, self-designed to fit my life style. This combined regular exercise and eating healthy, this blog being itself an offshoot of my commitment to physical and mental fitness. If you are interested in seeing also some of what I eat, see Earth2You.org. After achieving my goal a few months later, I decided I needed to officially “mark” the event - that was reaching my goal - by signing up for a… “lightweight” category in a rowing race! Competitors need to weigh in on race day to prove they are under a certain weight, which happens to be the weight I had chosen to reach. Incidentally the race was just days after the second (!) birthday since deciding to reach my healthiest weight. As extra-motivation to stick to my lower weight I said to myself it would be very embarrassing if I had signed up and then don’t qualify for the lightweight category, at this point throwing in somewhat of a public dimension to my previously private goal.

I competed in my very first lightweight race to the not so concealed amazement of some of my fellow rowers, who have known me for years, but post my ideal weight. OK, I did not win a medal in this one... However, having qualified for it for first time and considering that all my competitors were younger (!), made me feel like a real winner: I had won my personal race not only with gravity but also with inertia. Who says we should "forget about fitting again into our skinny jeans"??? Yes, I can still remember some of the stuff I wish I had had more confidence to keep in my closet, but on the other hand I had no second thoughts about giving away my larger size clothing! My resolution is to try to stick around this weight and continue to race for as long as I can. Maybe I’ll even try again the lightweight category this year, even if they wouldn’t give me any points… for my age!

What are your get and stay healthy goals?