Topic: Exercise

Cardiac Patients Help Out Lucky Shelter Dogs

Thursday, July 1st, 2010

Cardiac Friends is an outstanding program under way in Waukesha, Wisconsin, that enlists heart patients as volunteers to take dogs, who are housed at a local shelter, on regular walks healthful for both the human and canine participants. As reported by HealthDay News, the program is a partnership between the county’s Humane Animal Welfare Society and ProHealth Care (PHC), involving medically approved cardiac patients of PHC’s Waukesha Memorial Hospital.

These dog walkers have undergone procedures such as angioplasty, stent implantation and open heart surgery. Regular exercise with their canine companions lowers their risk for another cardiac event, helps control cholesterol levels, reduces blood pressure, helps counter depression and provides an opportunity to be needed and to make a difference.

From a shelter dog’s point of view, getting out of the kennel often to enjoy some physical recreation with a friendly, attentive visitor helps the animal stay mentally and physically fit while waiting for his or her new "forever home."

At this time, all of the patient-volunteers in the Cardiac Friends program (now approximately one year old) are men in their seventies. They visit the shelter three times per week, for an hour or longer, to get outdoors with their canine buddies, play fetch and walk along an enticing foot-path through an adjacent meadow.

Shelter coordinator Sara Falk told HealthDay News that the Cardiac Friends volunteers are among her favorites thanks to their reliability and since "… they are taking longer walks than a lot of the other walkers because they have fitness in mind."

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Knowledge for Group Fitness Instructors

Tuesday, June 15th, 2010

A sample older adult workout designed by Janie Clark, president of the American Senior Fitness Association (SFA), appears in the new edition of the textbook Fitness: Theory & Practice, which is published by the Aerobics and Fitness Association of America (AFAA).

This fifth edition of the book (2010) comes in hardcover and contains 519 pages. Not intended for senior fitness professionals only, it provides a comprehensive resource for group instructors of clients in all age ranges. It features an excellent chapter on older adult fitness written by Laura Gladwin, M.S., which includes Clark’s sub-chapter: a basic workout routine illustrated with photographs of an older adult exercise participant.

Clark’s work has appeared in every edition of the textbook. For more information about Fitness: Theory & Practice, click on http://www.afaa.com/604.afa.

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Walking and Stroke Risk

Tuesday, June 15th, 2010

A nearly 12-year follow-up study of 39,315 women (average age 54) has found that women who walked two or more hours per week had a significantly lower risk for stroke than non-walkers. Those who usually walked at a brisk pace also had a significantly lower risk than women who didn’t walk. The study’s results were recently published in Stroke: Journal of the American Heart Association (AHA).

Compared to women who did not walk:

  • Women who walked two or more hours per week had a 30 percent lower risk for any type of stroke.
  • Women who walked two or more hours per week had a 57 percent lower risk for hemorrhagic (bleeding) stroke.
  • Women who usually walked more than two hours per week had a 21 percent lower risk for ischemic (clot-related) stroke.
  • Compared to women who did not walk, those who usually walked at a brisk pace had a:

  • 37 percent lower risk for any type of stroke.
  • 68 percent lower risk for hemorrhagic stroke.
  • 25 percent lower risk for ischemic stroke.
  • In the study, walking pace was categorized as:

  • Casual — about 2 mph,
  • Normal — 2 to 2.9 mph,
  • Brisk — 3 to 3.9 mph, and
  • Very brisk — 4 mph.
  • Lead researcher Jacob Sattelmair of the Harvard School of Public Health in Boston offered this practical advice for pacing oneself: "If you cannot talk, slow down a bit. If you can sing, walk a bit faster."

    Forms of physical activity other than walking were also addressed by the study. The women who were most active in their leisure time activities were 17 percent less likely to have any type of stroke compared to the least active women. Sattelmair said, "Though the exact relationship among different types of physical activity and different stroke subtypes remains unclear, the results of this specific study indicate that walking, in particular, is associated with lower risk of stroke."

    It is still unclear how walking, specifically, affects stroke risk in men. For substantial health benefits, the AHA recommends that all adults perform at least 150 minutes per week of moderate-intensity or 75 minutes per week of vigorous-intensity aerobic physical activity, or a combination.

    To see the AHA news release on this study, click here.

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    Fibromyalgia and Exercise

    Monday, May 17th, 2010

    As reported by HealthDay, a recent Norwegian study found that physical exercise and weight control may help ward off fibromyalgia. Researchers at the Norwegian University of Science and Technology followed 16,000 Norwegian women for 11 years, during which time 380 developed fibromyalgia. Below are several important findings from the study:

  • Women who exercised at least four times a week had a 29 percent lower risk for fibromyalgia, compared to inactive women.
  • Women who exercised two to three times a week were approximately 11 percent less likely to develop the condition.
  • Women who were overweight (with a Body Mass Index of 25 or more) had a 60 to 70 percent higher risk for developing fibromyalgia, compared to women with a healthy body weight.
  • However, overweight women who exercised at least one hour per week were less likely to develop fibromyalgia than were inactive overweight women.
  • Since this investigation did not prove a direct cause and effect between exercise or body weight and fibromyalgia, more research is being called for. Patrick Wood, MD, of the National Fibromyalgia Association told HealthDay that exercising regularly and maintaining a healthy weight may be helpful in avoiding the condition, and that doing both are especially prudent for people with a family history of fibromyalgia.

    This research was published in the American College of Rheumatology’s journal Arthritis Care & Research (62:12). To read the abstract, click on http://www3.interscience.wiley.com/journal/123268508/abstract.

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    Let’s Get Outdoors!

    Monday, May 17th, 2010

    At the Colchester Campus of the UK’s University of Essex, research conducted by Dr. Jo Barton and Professor Jules Pretty has shown that a small amount of daily "green exercise" — for example, taking a stroll through a pleasant park or garden — will improve people’s mood, self-esteem and mental health. In fact, they found that just five minutes of such nature-based physical activity produced the greatest positive effect.

    Prior work by the two researchers had already reinforced connections among nature, exercise in green environments and health benefits. In the new study, all natural environments were seen to be beneficial, including urban green spaces. Natural settings that included the presence of water generated especially desirable results.

    To read the University of Essex news release about this study, click on http://www.essex.ac.uk/news/event.aspx?e_id=1588.

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    Phone a Friend for Fitness

    Monday, May 3rd, 2010

    Here’s a tip for incorporating more physical activity into your daily schedule. American Senior Fitness Association (SFA) president Janie Clark suggests that, instead of sitting down for a long "gab-fest" with absent friends and family, you make a "walk and talk" phone date. You can coordinate with your sister in Seattle, your old roommate in Cleveland or your mother in Boca Raton to "meet" for a walk at a pre-set time.

    Describing your surroundings as you walk may even help to create new conversation topics and shared experiences of nature and the great outdoors. Plus, differing fitness levels won’t be a factor.

    Janie recommends utilizing a phone with a headset to allow for freedom of arm movement and selecting a safe walking environment where neither traffic nor the occasional distraction might put you at risk of injury. Health-fitness professionals, you may wish to pass this idea along to the clients you’ve been encouraging to do some walking on their own between scheduled fitness sessions under your direction.

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    Exercise and Knee Replacement

    Monday, May 3rd, 2010

    It may make common sense that the pain relief gained through knee replacement surgery would instigate more physical exercise and, thereby, better weight control. But that is not what researchers found when they tracked 106 patients for two years following their knee replacements. Instead, 66 percent of the subjects had gained an average of 14 pounds.

    The good news is that the other one-third had lost, on average, approximately four pounds. In those who lost weight, no decline in quadriceps strength was seen, whereas the quadriceps had weakened in those who gained weight.

    Researchers explained that, after surgery, single knee replacement patients have a tendency to place more weight on the knee that wasn’t replaced. The added load of weight gain can compromise both knees and, in particular, may hasten the progression of osteoarthritis in the non-operated joint.

    In summary, knee replacement patients should take care to maintain a healthy body weight. If knee pain persists following the surgery, such patients may wish to consider swimming, pool aerobics or other joint-sparing workouts designed to control weight and promote heart health.

    This research was conducted at the University of Delaware. Click here to read the university’s report on the study.

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    Weightlifting and High Blood Pressure

    Monday, May 3rd, 2010

    The Mayo Clinic has some sound advice for persons with high blood pressure who are interested in taking up weightlifting, as follows:

  • Consult with your physician before beginning any exercise program in order to adopt a plan that is individualized to your needs and medical status.
  • Note that weightlifting can cause a temporary rise in blood pressure; how much is mainly dependent upon the amount of weight lifted. However, regular physical exercise (including moderate weightlifting) leads to health benefits outweighing the risk for most people and can lower blood pressure in the long-run.
  • If you have high blood pressure, lift lighter weights. Heavy weight causes more strain and, in turn, a higher spike in blood pressure. To challenge your muscles using lighter weight, increase the number of repetitions you perform.
  • Never hold your breath while weight training. Breath-holding can raise blood pressure dangerously. Do breathe naturally and continuously throughout every lift.
  • Use proper form to minimize the risk for accidental injury.
  • Stop activity if you experience severe shortness of breath, dizziness, chest pain or chest pressure.
  • SFA guidelines call for notifying one’s physician at once in the case of chest pain or pressure, and in the event of recurring breathlessness or dizziness.

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    Walking Away Menopause’s Downside

    Monday, April 19th, 2010

    Canadian researchers placed sedentary, moderately obese women who were recently post-menopausal or soon approaching menopause on a 16-week walking program. Their results, published in the journal Menopause and reported by Reuters Health, suggest that walking at a comfortable pace for 45 minutes per day, three days per week, can ameliorate some of the cares associated with menopause. Researchers noted that the 45-minute total can be accumulated by taking shorter walks during the course of a day.

    Both groups of women (pre- and post-menopausal) lost weight after 16 weeks. The pre-menopausal group lost more pounds and more fat mass, while the post-menopausal group enjoyed a greater reduction in waist size and benefited from an increase in lean mass.

    Both groups also improved in ratings of well-being. The pre-menopausal group made greater strides in vitality, social functioning, and overall physical activity. The post-menopausal group excelled in terms of general health, emotional/mental health, everyday physical functioning, and the reduction of bodily pain.

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    More on Walking

    Monday, April 19th, 2010

    With the weather growing more moderate, it’s an especially good time to start a regular program of walking. The Arthritis Foundation points out several physical benefits one can gain from walking, for example:

  • Weight control;
  • Lowered risk of stroke;
  • Reduced blood pressure; and
  • Decreased pressure on one’s joints.
  • But that’s not all. Below are a number of mental benefits that the Arthritis Foundation wants us to know we stand to gain from walking:

  • Slowed mental decline — In a large study of women ages 65-plus, those walking 2.5 miles per day had a 17 percent decline in memory over time, compared to a 25 percent decline in those walking less than 0.5 mile per week.
  • Lowered risk of Alzheimer’s disease — In a study of men ages 71 to 93, those walking more than one-fourth mile per day had half the incidence of dementia, including Alzheimer’s disease, compared to those walking less.
  • Better sleep — In a study of women ages 50 to 75, those taking one-hour daily walks were more likely to relieve insomnia than those not walking.
  • Improved mood state — In a study of depressed patients, walking for 30 minutes per day was found to be more effective than antidepressant medications.
  • An opportunity for soothing meditation — Arthritis Today magazine cites race-walking medalist Carolyn Kortge’s testimonial to the value of daily outdoor walking in managing her arthritis. It helps change her focus from the pain to a meditative frame of mind.
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