Corporate Fitness and Active Aging

Ten years ago I decided to run my first half marathon. I have never been much of a runner, so I wanted to challenge myself. I went straight to my local department store and bought a new pair of shoes and hit the pavement. After a few weeks, I started to notice some knee pain. It got worse as I went into longer runs and eventually my back started getting the aches as well. When the pain became too much, I went to see my physician. His first reaction was for me to buy new shoes and a pair of inserts. Could this really be the only reason for my excruciating pain?

YES.

I went to a running store and had my foot analyzed, ran on a treadmill, and tried on a new pair of kicks. I found the right fit according to the employees along with inserts for extra support. Then I went back to my training. The pain magically went away and I was able to complete my half marathon with ease.

Turns out, since I am a woman with hips, my knees were curving inwards as I ran. Without the extra support for my arch to straighten me out, it was causing the pain.

Moral of the story? Get the right shoes for you. Every activity requires a different type of footwear. Make sure that you are coordinating properly for your exercise whether it's in your corporate wellness center, or out in your neighborhood.

A few tips as you shop:

• Try on shoes at the end of the day when your feet are more swollen
• Lace them properly to make sure the fit is not too loose or tight
• Stand on your toes to make sure your heel doesn’t pop out
• Wear socks you plan on exercising in to have the right thickness

What is your foot type? Normal, flat, or high-arched? What kind of stride do you have? Do you over pronate and roll your foot inward, or do you under pronate and not roll your foot in enough? Or is your stride normal? An employee at a fitness store near you will be able to help you get these answers and find the best fit. Make sure you run around the store to make sure it’s comfortable. Wiggle your toes and make sure you have enough room.

Try to avoid an all-purpose shoe. This won’t give you the right backing for each activity. Running, walking, hiking, and other sports all have different criteria and need different support. Having a proper shoe for each activity will help with comfort and prevent injuries and pain.

It is also important to replace your shoes every 300-500 miles. Pay attention to how the shoe feels as you go. If you aren’t getting the same support, it might be time to get a new pair. It never hurts to have your foot analyzed each store visit and to try different shoe brands. They are constantly evolving with new options.

Lace up and be pain free!

Aziza joined the Wellness Center when she started her employment in September.  In three months she referred four new members to our Corporate Wellness Center and she says she is working on more. I am thrilled to have her as ambassador member of the Wellness Center and also admire her ability to motivate herself and her associates to get more active.  Here is her story and hopefully she’ll get you motivated to get moving too.

“I come to the Wellness Center two times per day and right now my motivation is weight loss. When joined Weight Watchers® I realized how important activity was for my goal. Plus the gym is free, so there are NO EXCUSES.” My friends and associates who frequently join me in the Wellness Center are doing Weight Watchers® too. To help motivate them I try to let my actions be an example of my dedication to be fit and healthy.  As I tell my friends, “we work in a company that is about wellness, and we have so many resources that we didn’t have before coming to WellPoint so why not take advantage of them?” I also tell them, something is better than nothing.

My motivation to get active started when I joined a kickball team in the fall. I loved playing but I hated the feeling of being out of breath. I knew something had to give. While the team was on a break during the winter I wanted to improve my endurance but I knew it wouldn’t happen overnight.  I have a goal I want to accomplish by March (kickball time) and nothing and no one is going to stop me.  My plan is to stay active, stick to Weight Watchers®, and drink more water while also cutting back on sweets, junk, and “the white stuff”.

Aziza also admits to having bad days like the rest of us and I think she has a wonderful attitude about these days.  Here is what she says about her off days, “I am human, and I know that I will have my “off days” but you just forgive yourself and pick back up. When I get weighed in each week with Weight Watchers®, my number on the scale that day either makes me work harder or lets me know I am on the right track. I have come too far and refuse to let the scale go backwards. I am too determined and have worked too hard.”

It sounds like Aziza has put a lot of thought into what she wants to accomplish and uses this to maintain her motivation.  Need motivation like Aziza?  Ask yourself exactly why you want to accomplish and determine exactly what actions must be taken to get there.  Start with the smallest action to get going. 

*Weight loss claims or individual results vary and are not guaranteed.

Did you enjoy yourself a bit too much while watching the big game on Sunday night?  Did you vow to stop at three chicken wings and one beer?  Did the wings and beer turn into a dozen chicken wings, plus two pieces of pizza, and more artichoke spinach dip then you’d like to recall?  Despite our intentions to practice some self-control, we all over-do-it with food and alcohol sometimes. Don’t let one night or even several days of poor eating habits discourage you from chasing after the goals you set for yourself this year. 

Here is your guide to getting back on track after a night of over-indulging:

1. Forgive yourself. No one is perfect including you.  You may feel disappointed that you ate too much, but demanding perfection of yourself isn’t going to make you feel better and it’s certainly not going to help you reach your goals. Acknowledge your feelings and move on.  You can’t change the past but you can determine how you’re going to move forward.  
2. Don’t get on the scale.  You’ll be tempted to see what the “the damage” is by weighing yourself but if the number is up, it may only serve as more ammunition to make you feel bad.  This is not helpful if you are trying to practice step #1.   Most importantly, it’s unlikely that you actually ate enough calories to gain significant amount of body fat. So, that inflated number you may see is not a reflection of true weight-gain.  The truth is, most of the food we eat when we’re watching football is very SALTY.  Any additional pounds you might see on the scale or feel when you put on your pants likely reflects water your body is retaining because of the higher sodium foods you ate.
3. Get back to normal.  Starting today begin eating your typically healthy diet and exercising again. “Punishing” yourself with near starvation and putting in more time at the gym for the next 24 hours is not reasonable or helpful. 

Skipping meals leads to blood sugar crashes which can send down the road of over-eating once again.  Eat a normal healthy breakfast to begin the day.  Wanting to eat a bit lighter is a good idea and may make you feel better.  Aim for fruits and vegetables and don’t be scared to include sources of protein to help maintain even blood sugar levels throughout the day.  And finally get rid any left-overs that may be in the house and calling your name.  I suggest storing them in the trash can!

When it comes to getting back to your exercise routine you may not feel like completing that two mile jog if you’re feeling bloated and full.  Start with something simple if you don’t feel well like a low intensity walk.

1. Drink up. Drink, Drink, Drink that water to help flush the body of water it’s retaining.  Staying well hydrated is also helpful for combating cravings that can occur post-binge.
2. Review your goals and learn from your mistakes.  As in step # 1 don’t demand perfection from yourself.  You didn’t exactly stick to your plan so ask yourself what you can learn.  Did spend too much time in the kitchen grazing the buffet all night?  What will you do differently the next time you face a similar situation? Don’t forget to commend yourself for the things you did well.  Creating a positive mindset starts with a positive thinking.

If you’re a recovery junk food junkie trying to develop healthy eating habits realize it is a skill that must be practiced.  Don’t forget to review the goals you set for yourself this year. If you didn’t write them down, do that now. Keep your goals in site, review them frequently, and determine what must be done in order to reach them.  If you find yourself modifying and adjusting as you go along, don’t get discouraged, this is only a sign of determination.

I attended a webinar a few years ago that suggested that the holiday season now extends from Halloween until the first Sunday in February when we gather ‘round a screen and raise a beer to the football God’s to watch the “Big Game”.  During this 13 week stretch, which is a quarter of year, we encounter candy dishes, cookie trays, cheese platters, and punch bowls overflowing with seasonal treats and goodies.  The number of temptations we face should make us wizards of refusal for those of us trying to control our weight, but saying no to creamy dips or bacon wrapped anything can be very difficult.

On Sunday, February 2^nd many of us will once again find ourselves in the end zone of a bountiful buffet of wings, chili, pizza, and seven layer taco dip. If you resolved to lose some weight this year or just want to practice better self-control it’s time to step up to the line of scrimmage and play some defense.  Below are tips that can serve as a game plan for keeping you on track at home, at a party, or anytime you’re facing an event where food is the MVP. Additionally, these tips are realistic, meaning you won’t see me recommending a scoop of fro-yo with some fresh berries at half-time (which I have actually seen as a suggestion). That is an excellent dessert option, if that’s want you really want, but the last time fro-yo was offered at a football watch party was never!

      Here we go!

Don’t try to “save” calories for the party. This means, and I’m speaking from experience, that you eat almost nothing for the first part of the day so you can indulge come game time and not ruin your diet. This is a really bad idea.  Frequently this approach leads to over-indulging and eating several hundred if not thousands of calories over what you would have consumed if you had just eaten as you normally would during the first half of the day.   Wanting to eat a little lighter at the beginning of the day, think vegetables and protein, isn’t a bad idea but going into game time with and empty stomach can really backfire.

Create boundaries.  Creating boundaries means limiting your availability to tempting foods.  For me these foods are sweet, offer a satisfying crunch, and are small enough to pop one, two, or twelve in your mouth in no time.  To prevent over-eating these foods that light up all the pleasure centers in my brain I stay out of the kitchen or away from the buffet table. Once my plate is full I don’t go back for a second pass.  My plate, not the entire chip bowl, is my boundary.  For an extra precaution I may only eat dessert as I’m heading out the door.

Keep your hands occupied. This tip relates back to tip number 2.  I’m less tempted to go back to the buffet table if I’ve got my hands and head occupied. For this reason I keep a cup full of water in my hands all the time. In addition to being calorie free the water helps keep me satisfied during the party and the cup keeps my hands from finding its way back to the nachos.

Make and vocalize your plan to someone else. You probably set some goals on or just before January 1^st, but did you ever right them down? Did you take the time to specifically make a plan for reaching you goals? If not, it’s not too late. Write down your goals and make them specific.  What do you have to do to reach your goals?  If you have to lock yourself in your house and never attend a party again that is probably not realistic.  Tell a friend, partner, or spouse about your goals and don’t forget to discuss how they affect what you eat and drink at the parties. Ask your confidant to encourage your or even join you in making the best choices when it comes to food and drink.  If you declare you only be drinking water for the evening, ask him or her to hold you accountable.

Let these tips remind you that eating healthier doesn’t mean you never get to go to parties. Instead you now have some new, realistic, behaviors to take with you and practice. Let these behaviors help keep you on track rather than distract you from your goals.  Also remember that like any athletic skill practice is important for success.  Sometimes we have a bad game but that doesn’t mean we should hang up the cleats and give up, instead we learn and we continue to practice and sharpen our skills.

Check out our blog on Monday morning for post game diet damage control tips!

I’ll be honest – I’m a little bit in shock from an article I read the other day on Medscape (you may be required to create a log in to view the article) that summarized a report from the January 13, 2014 issue of Circulation.  The article called into question one of those foundational truths in our industry that has been integral to how NIFS does business. 

Authors of this report, from the Centers for Disease Control (CDC), are questioning the effectiveness of (and therefore the need for) a prescreening tool – a medical clearance form – for individuals before they begin an exercise program.  Their position is based on two concerns:

1. Prescreening tools are sending 90% of individuals to see their physician before they being an exercise regimen.  And,
2. The demand on the health care system seems to be an undue burden for a relatively safe undertaking such as exercise. 

I take issue with both of these so-named concerns. 

Prescreening tools “catch” too many people. 

From the angle that the extra step of needing to get physician clearance limits an individual’s likelihood of engaging in exercise at all, I see their point.  Additional barriers are not needed.  We don’t have enough people meeting minimum exercise requirements as it is.  Why would we establish an additional barrier?  But I’m unconvinced that eliminating this tool is the answer.

Honestly, our staff run into this all the time.  Anyone who has ever managed a fitness program with a policy in place that requires a medical release for individuals with specific health risks before they can participate knows how many would-be exercisers get disgusted with that policy and thus never return to join your program.  I get it, it’s frustrating. 

But that screening tool is there for a reason.

If you need the clearance before you can participate, as identified by American College of Sports Medicine’s (ACSM) risk stratification criteria, there’s a good chance you have multiple risk factors that indicate your treating physician should know about your plans to engage in exercise before you start a program.  Exercise is a powerful tool to improve an individual’s health and embarking on a training regimen should be taken no less seriously than changing your medication.  Medication carries health risks, and so does exercise. 

The ACSM risk stratification criteria aren’t just pulled from some random list of health circumstances that the ACSM didn’t like.  The criteria are grounded in science that tells us if an individual presents with risk X and risk Y, they are in a precarious enough position health-wise, that it’s best if they get clearance from their physician before they start an exercise program. 

I would argue that in most instances, if the individual is really at risk, they should be in regular communication with a physician anyway, and getting the clearance from that doctor should not be a barrier.  Unfortunately, there are a lot of adults living under gigantic rocks assuming that just because they don’t feel bad, they must not have health risks. 

Perhaps the health care system could help us address this with a more preventive and less reactive approach to patient care.

There’s a crystal clear line here that is not to be crossed in my opinion.  If an individual wants to start exercising, there is a really strong chance that a basic walking and stretching regimen will be safe, and, if adhered to, potentially effective at improving the individual’s health.  No medical clearance needed.  But, if the individual wants advice from an exercise specialist about a customized exercise program that’s tailored around his needs and goals, that specialist has every right and in fact, a professional responsibility, to require medical clearance if certain health risks are present. 

Some of that is about managing risk and establishing quality practices that adhere to industry standards.  But it’s also about making sure that the exercise specialist has all the information she can get about the member before she crafts an individual exercise program for that person.  The program is more tailored and likely to be more successful when all of the information is available.

The authors in the report are ready to throw out that layer of information and protection for an exercise specialist so that the health care system can be unburdened. Interesting.

Prescreening tools place an undue burden on the health care system.

At the practitioner level, we’ve heard this loud and clear for years. 

Countless times we’ve sent willing individuals in pursuit of medical clearance only to be told they must make an appointment with the office before the doctor will fill out the form.  One co-pay and eight weeks later, we might get the individual back with a medical release that states nothing specific and that fully releases the individual to exercise with no restrictions.  Seems like a wasted eight weeks and $25.00.

On the high risk end of the spectrum, I’ve had individuals with complicated heart conditions including multiple medications, recent surgeries, and other health concerns return to me with a “no restrictions” signature from their treating physician.  Either the form was forged or the doctor didn’t pause to thoughtfully engage the patient in a brief discussion about forging ahead with an exercise program.  Can you say missed opportunity?

I can think of some ways to ‘unburden’ the system:

• How about in the truly uncomplicated cases, the chart gets reviewed without the office visit and the form gets signed without the office visit.  If the MD isn’t going to put thought into the recommendations anyway, then why require the office visit?
• What if the MD sat down beside her patient with a complicated medical history who wanted to exercise, and had a good discussion with him, about risks, rewards, limits related to exercise?  She could thoughtfully (although briefly…I do want to be sensitive to the substantial case load of patients who need to be treated reactively) fill out the medical clearance form, and if the conversation with the patient was meaningful, and the form was well completed, there’s a strong chance that the exercise specialist working with that patient will play an important role in un-complicating that individual’s health.  Thus, fewer office visits, less medication, less complicated care to manage, and poof! Healthcare system unburdened.

This isn’t an easy issue to unpack – there are complicating factors and nuances that dictate specific circumstances.  But a recommendation to take away a tool that is central to an exercise specialist’s work with an individual is short-sighted and incomplete. 

Our staff is kicking off our annual Maintain Not Gain program at our client sites.  This program is structured to help individuals maintain their weight through those months filled with tasty food and delicious treats that surround the holidays.  As you gear up for the holiday parties and events stay on track by following our Free Workout Friday blog postings to keep your workouts on track.  We aren’t saying you can’t enjoy the food, we just suggest proper portion sizes and that you don’t skip out on your workouts! 

If you aren’t a member at one of our client sites and would like help staying on track, “like” NIFS Fitness Management on Facebook and join our Facebook edition of Maintain Not Gain.  Watch for the links to submit your initial weight November 16 – 22.  Watch your newsfeed for tips to stay on track and submit your final weight in January.  If you maintain and not gain through the holidays you will be eligible for a prize drawing! 

Now let’s get started with a great, easy workout to keep you on track! 

WARM UP with a 5 minute walk or anything to get your muscles warm!

10 squats

15 pushups

20 alternating lunges

25 bicep curls

30 jumping jacks

35 bicycles

STRETCH, you never want to stretch a cold muscle, so always do so once the muscles are warm!

Beginner: Repeat 3-5 times, with short or minimal breaks.

Intermediate-Advanced: Complete as many times as possible in 25 minutes. 

Thanksgiving is almost here! That means it’s time to sign up for your local Turkey Trot, Drumstick Dash or your own personal Thanksgiving Day 5K! Studies have proven that your metabolism increases for several hours post-workout, so make a priority to squeeze in some exercise and boost your body’s calorie burning abilities before the big feast. If you do happen to be training for a 5K on Thanksgiving Day, see below for a sample training program that starts on Monday, 11/11.  So today, we want you to go for a brisk walk because you need to pick up the pace on Monday!

Note: This an aggressive running plan, as Thanksgiving is quickly approaching. It is highly recommended that you have done some running prior to starting this program, and that you are comfortable running 1+ miles. If you are a beginner runner, make a goal of finishing the 5K through a combination of walking and running.  You can easily just walk through this schedule to help prepare for your event of choice.

11/11: Run 1 mile

11/13: Run 1.25 miles

11/15: Run 1.5 miles

11/18: Run 1.75 miles

11/20: Run 2 miles

11/22: Run 2.25 miles

11/25: Run 2.5 miles

11/27: Run 0.5-1 mile

11/28: Race day! Run 3.1 miles!

On days in between runs, focus on cross-training, for example weight-lifting or non-impact cardio (elliptical, biking, swimming, etc.) Allow for 1-2 days of rest each week.  Check out past Free Workout Friday videos for cross training options.

Happy turkey trotting and drumstick dashing!

Did you know that you can exercise your abs every single day of the week? Normally with strength training, you should wait 48 hours before lifting with those same muscles again—however, since the abdominal muscles are made for endurance by performing jobs like supporting posture and breathing, they can be worked all 7 days of the week! If you are particularly sore after an ab workout, still use your best judgment, and delay working them until the soreness is gone.

Even though it only takes a few minutes to squeeze in a great ab workout, it’s easy to skip that portion of your workout when you are already tired. Below is a 10-minute workout to really target the ab muscles for toning and strength in your corporate fitness center. If you are at a beginner level, shorten the workout by performing 30 seconds of each exercise, for 5 minutes total.

 Perform 1 minute of each exercise:

1. Warm-up crunches
2. Reverse crunches
3. Leg raises
4. Elbow to knee crunch
5. Side plank (30 seconds each side)
6. Bicycle crunch
7. Russian twist (feet off ground, if able)
8. Plank w/ alternating knee in to chest
9. Toe touch crunch
10. V-sit

What is a tabata workout and why should you try it?

Tabata workouts are usually designed with short high intensity cardio exercises along with short rest periods in between. You can also incorporate strength exercises in these workouts. Tabata workouts can help to improve your aerobic and cardiovascular systems. Typically the sessions last 4 minutes and have 8 intervals, but don’t get so caught up on the traditional method because you can mix it up a little and it is just as effective.

Two other very good reasons to try tabata workouts is because it doesn’t take near as much time as traditional cardio sessions and since you are quickly increasing your heart rate you will increase your metabolism and burn more fat. Also, you can design the workout to require
minimal equipment.

Perform each of these intervals below for 20 seconds each and in the order I have them numbered. Since it is only a few seconds be sure to push yourself and give it your all. Ok, now it’s time to give it a try! Good luck!!

High knees in place (1,3)

Pushups (2,4)

Squat hops in place (5,7)

Center plank (6,8)

The only thing this workout requires is a mat for the planks and possibly your knees for the pushups and a stopwatch/timer. You can get more creative with the exercises if you have access to equipment, but if you are traveling or just want to keep it basic at home, this workout is perfect! Last but not least, you need to build your way up to repeating the workout 2-3 times with a short rest period (1 min) in between.

We have all heard the phrase “quality over quantity,” and most of us have even directed this adage at someone else. But do we really believe it? And if we do, why is every gym and fitness center in the country filled with people sacrificing form for a few additional reps and pounds?

Before you pick up a weight, start a treadmill, or begin whatever mode of training you have planned for the day, think about your technique. “Where should my feet be?” “Should my hips be under my torso or behind it?” and “How am I going to breathe?” should be some of the questions you ask yourself before getting started.

Common problems associated with poor exercise technique include injuries such as sprains, strains, and fractures. Decreased activation of the desired muscle is also common when performing an exercise incorrectly. I see this most often when people are doing exercises too fast and momentum begins to reduce the work the targeted muscle has to do. All of these technique-associated problems have one thing in common: time.

“Time is more valuable than money. You can get more money, but you cannot get more time,” said Jim Rohn. So stop wasting your time recovering from injuries you got only because you were doing exercises incorrectly or because you had to do extra repetitions since poor form caused the targeted muscle not to fatigue as quickly as it should have.

Here are some workout technique tips for making sure you take the time needed to do the exercises properly and safely.

Use Your Resources

There are countless fitness resources around us, some clearly better than others, that you can consult with to ensure that you are doing exercises properly. The first thing I would recommend you do is research the exercise technique on your own so that you have a general idea of what to expect. Then you should consult with the fitness professional in your active aging community, who can then provide you with cues and possibly hands-on instruction.

Proper Breathing During Exercise

Proper breathing can make the most difficult exercise seem easy. Or it can have the exact opposite effect, making a routine move seem like the end of the world. The most common method of breathing while performing resistance training is to inhale during the eccentric contraction (lowering weight) and to exhale during the concentric contractions (lifting weight). This method of breathing is not the only option an exerciser has, so do your research and find out what is the best method for you, but keep in mind that some variations carry risks. The Valsalva maneuver, for example, can be used when resistance training, but this method of breathing, exhaling against a closed airway, can cause dizziness as the blood levels returning to the heart drop.

Correct Body Position

Once you learn the appropriate body position for your desired exercise, pay attention to it as you execute the reps. The best way to do this is by watching yourself in a mirror. If you notice that your form is beginning to deteriorate and you are not able to correct it, stop the exercise and rest or reduce the weight you are working with. As I mentioned earlier, a few extra reps now are not worth the time you could miss as you recover from an injury.

This year’s tragic bombing of the Boston Marathon has sparked a new saying: “If you see something, say something,” reminding us all that we are the first line of defense when it comes to our own as well as our neighbors’ safety. This motto could also be used in the gym when you see someone demonstrating poor form; say something, but you better make sure you know what you are talking about first.