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Four Healthy Exercises To Lower Blood Pressure

First of all, let’s look at some high blood pressure facts from the American College of Sports Medicine (ACSM):

  • High blood pressure (also referred to as Hypertension) is defined as a chronically elevated blood pressure greater than 140/90 mmHg. Also stated as “one forty over ninety”.
  • Elevation in blood pressure increases chances of a heart attack or stroke
  • More than 75 million Americans have high blood pressure
  • Three out of every four people over age 60 has high blood pressure
  • Many men and women don’t even know they have high blood pressure
  • High blood pressure can be controlled
  • Death rates from heart attacks and strokes in the United States have decreased by 40-60 percent over the last 30 years

That’s good news. And those who are physically active tend to live longer, healthier lives. But let’s explore how you can lower your blood pressure with some simple exercise.

In 2011, the ACSM recommended for healthy adults at least 30 minutes of moderate-intensity physical activity (working hard enough to break a sweat, but still able to carry on a conversation) five days per week. Or 20 minutes of more vigorous activity three days per week. Combinations of moderate and vigorous intensity activity can be performed to meet this recommendation.

The ACSM also states that a well-rounded physical activity program includes Aerobic Exercise and strength training exercise, but not necessarily in the same session. Let’s focus on Aerobic Exercise:

According to the American Heart Association (AMA), with an average weight of either 150lbs or 200lbs, adults can expect to burn the following calories with the following exercises:

Walking at 3mph: 320 – 416 calories/hour

Running at 5.5mph: 660 – 962 calories/hour

Cycling at 12mph: 410 – 534 calories/hour

Swimming at 25yds/min: 275 – 358 calories/hour

Most of us find it difficult to add exercise to our already busy day — even if it will improve our health. However, the physical activity required to lower blood pressure can be added without making major lifestyle changes. The ACSM suggests these simple measures to increase activity as a part of your existing daily activity:

  • Park your car further away so you can add some walk time to and from work
  • Take the stairs, instead of the elevator
  • Take a 10-15 minute walk during your lunch break
  • Choose a restaurant with low-fat, low-cholesterol options and walk to it for lunch
  • Take your children or grandchildren to the park
  • Take a 30-minute window-shopping walk around the mall when weather is bad
  • Wake up 30 minutes earlier in the morning to start your day with exercise (Most people find they look forward to their exercise time!)

You can vary all of these activities to make exercise interesting!

Before You Exercise

The ACSM recommends that, prior to beginning any exercise program, you should see your doctor and ask for an medical evaluation. It’s important for your doctor to clear you for strenuous activity. This keeps them in the loop as to your daily life and goals, but also allows them to provide critical, personal advice on how to go about your activities.

The ACSM warns, “Not all exercise programs are suitable for everyone, and some programs may result in injury. Activities should be carried out at a pace that is comfortable for the user. Users should discontinue participation in any exercise activity that causes pain or discomfort. In such event, medical consultation should be immediately obtained.”

Blog article courtesy of: American College of Sports Medicine

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Changing the Face of Breast Cancer – One Patient at a Time

By: Andrea Leonard, Founder and President
Cancer Exercise Training Institute

Most of us know that every October symbolizes Breast Cancer Awareness Month around the globe. I witnessed my mother battling breast cancer three times since 1981. She is currently fighting the battle with widespread-metastatic breast cancer. Today she is winning!

According to Breastcancer.org:

Face of Breast Cancer

  • About 1 in 8 U.S. women (about 12%) will develop invasive breast cancer over the course of her lifetime.
  • In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of non-invasive (in situ) breast cancer.
  • About 2,670 new cases of invasive breast cancer are expected to be diagnosed in men in 2019. A man’s lifetime risk of breast cancer is about 1 in 883.
  • Breast cancer incidence rates in the U.S. began decreasing in the year 2000, after increasing for the previous two decades. They dropped by 7% from 2002 to 2003 alone. One theory is that this decrease was partially due to the reduced use of hormone replacement therapy (HRT) by women after the results of a large study called the Women’s Health Initiative were published in 2002. These results suggested a connection between HRT and increased breast cancer risk.
  • About 41,760 women in the U.S. are expected to die in 2019 from breast cancer, though death rates have been decreasing since 1989. Women under 50 have experienced larger decreases. These decreases are thought to be the result of treatment advances, earlier detection through screening, and increased awareness.
  • For women in the U.S., breast cancer death rates are higher than those for any other cancer, besides lung cancer.
  • Besides skin cancer, breast cancer is the most commonly diagnosed cancer among American women. In 2019, it’s estimated that about 30% of newly diagnosed cancers in women will be breast cancers.
  • In women under 45, breast cancer is more common in African-American women than white women. Overall, African-American women are more likely to die of breast cancer. For Asian, Hispanic, and Native-American women, the risk of developing and dying from breast cancer is lower.
  • As of January 2019, there are more than 3.1 million women with a history of breast cancer in the U.S. This includes women currently being treated and women who have finished treatment.
  • A woman’s risk of breast cancer nearly doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer. Less than 15% of women who get breast cancer have a family member diagnosed with it.
  • About 5-10% of breast cancers can be linked to gene mutations inherited from one’s mother or father. Mutations in the BRCA1 and BRCA2 genes are the most common. On average, women with a BRCA1 mutation have up to a 72% lifetime risk of developing breast cancer. For women with a BRCA2 mutation, the risk is 69%. Breast cancer that is positive for the BRCA1 or BRCA2 mutations tends to develop more often in younger women. An increased ovarian cancer risk is also associated with these genetic mutations. In men, BRCA2 mutations are associated with a lifetime breast cancer risk of about 6.8%; BRCA1 mutations are a less frequent cause of breast cancer in men.
  • About 85% of breast cancers occur in women who have no family history of breast cancer. These occur due to genetic mutations that happen as a result of the aging process and life in general, rather than inherited mutations.
  • The most significant risk factors for breast cancer are gender (being a woman) and age (growing older).
In 1995 my mother’s breast surgeon, Katherine Alley, was a personal training client of mine. After my mom’s second diagnosis she begged me to help her in her recovery to avoid all of the pain and debilitation she encountered the first time. I remember the day that I asked Dr. Alley what she thought of writing  a book on exercises for breast cancer patients to help them in their recovery. Without hesitation she said “YES!” We solicited the help of the Chiefs of breast surgery at Georgetown George Washington, and Johns’ Hopkins University Hospitals, along with PT’s, OT’s, Patient Navigators, and exercise physiologists. In 2000, “Essential Exercises for Breast Cancer Survivors” was published by Harvard Common Press.

So began my journey into changing the lives of cancer patients worldwide. Since that time I have trained roughly 10,000 health and fitness professionals in 27 countries to become Cancer Exercise Specialists. It’s the most incredible feeling to know that each of these professionals is probably helping many cancer patients and survivors to fend off the debilitating side-effects of treatment as well as regain their pre-cancer level of strength and fitness, or better!

With a physician’s clearance, during cancer treatment, a Cancer Exercise Specialist can help patients determine the proper frequency, intensity, and duration or exercise to help minimize fatigue, increase stamina, improve sleep, decrease pain, prevent lymphedema, and manage stress and potentially counter-depression. During recovery a Cancer Exercise Specialist is trained to identify muscle imbalances and range of motion limitations and how they can be corrected through the proper combination of stretching and strengthening. This is of critical importance following mastectomy, radiation, and reconstruction which may all result in painful and functionally limiting scar tissue and adhesions. They also assess one’s core and balance and can help to manage the difficulties that arise with neuropathy while helping to prevent osteoporosis. Long-term side-effects of treatment may include damage to the heart and lungs, future cancers, diabetes, lymphedema, and osteoporosis; all of which can be minimized or prevented with the proper exercise “prescription.’
“So many people are needlessly suffering in the aftermath of cancer surgery and treatment. I want them to know that there is help! They do not have to accept this as their fate.” – Andrea Leonard
To find a Cancer Exercise Specialist near you, please visit the Cancer Exercise Specialist International Directory.
If you are a health or fitness professional that wants to make a difference in the lives of cancer survivors and are ready to begin your training as a Cancer Exercise Specialist, or Breast Cancer Recovery BOSU(R) Specialist, we want to help you. Throughout October you can save 30% off of either of the aforementioned courses and be on your way to helping those in need!
Register at: ceti.teachable.com
Consider getting started with the course Introduction to Cancer Exercise: Essentials of Cancer Exercise.
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Special Pops: Exercise and Autism Spectrum Disorder (ASD)

April is National Autism Awareness Month

The incidence of autism in American children has risen dramatically over the past two decades, increasing from one child out of 150 in the year 2000, to one in 59 in 2018, according to the Centers for Disease Control and Prevention (CDC). Those statistics exceed the global average of about one in 161, although the incidence in Western countries worldwide is also on the rise.

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Benefits of Exercise for Breast Cancer Recovery

One of the most important, if not THE most important part of recovery from the debilitating side-effects of breast cancer surgery and treatment is correcting postural deviations that are the result of muscle imbalances. We must re-educate the body to restore its’ normal balance. Most of us think of balance as one’s ability to stand without falling, but it actually represents the ability to stabilize and maintain a specific body position. Postural control is defined as the act of maintaining, achieving, or restoring a state of balance during any posture or activity. Therefore, it only makes sense that performing exercises to correct range of motion and postural deviations, while incorporating the aspect of balance, would yield the greatest results! (more…)

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Benefits of Exercise for Cancer Recovery

One of the most important, if not THE most important part of recovery from the debilitating side-effects of cancer surgery and treatment is correcting postural deviations that are the result of muscle imbalances. We must re-educate the body to restore its’ normal balance. Most of us think of balance as one’s ability to stand without falling, but it actually represents the ability to stabilize and maintain a specific body position. Postural control is defined as the act of maintaining, achieving, or restoring a state of balance during any posture or activity. Therefore, it only makes sense that performing exercises to correct range of motion and postural deviations, while incorporating the aspect of balance, would yield the greatest results! (more…)

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Chronic Pain Management

Compiled by June Chewning, MA

Hey!  Did you know that all pain is all in your head?  It doesn’t mean you don’t have real pain when something to cause pain happens, or that chronic pain is not real.  Feelings of pain are very real and are initiated by the brain for a very important basic reason…to keep you safe. (more…)

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Interpreting Health History: How Drugs Affect Your Clients’ Training and Performance

As a responsible fitness professional, you understand the importance of conducting a thorough health screening before taking on a new client or participant. That being said, most of us have no formal training in medicine or pharmacology, so interpreting the information provided on a Health History Questionnaire can pose a challenge.

One area in particular that tends to be overlooked is the medications section of the questionnaire. It is easy to assume that since the drugs our clients take have been prescribed by a physician, they are safe and will not affect our programming. However, many common and popular medications have serious side effects that can undermine performance and pose safety risks. In some cases, they may cause weight gain, or make it difficult for your client to lose weight.

Common Drugs that Affect Training

Following is only a partial list of the most popular medications prescribed for metabolic disorders, birth control, depression and other common conditions.

  • Paroxetine (Paxil): Used to treat depression and anxiety disorders, this medication can cause weight gain, or can interfere with your client’s ability to lose weight. 
  • Metoprolol and other beta blockers: Commonly prescribed for high blood pressure and heart disease, beta blockers suppress adrenaline receptors, slowing heart rate and reducing exercise tolerance. Beta blockers can cause weight gain.
  • Clenbuterol and Corticosteroid inhalants: Clenbuterol is a bronchodilator that has properties similar to adrenaline, It revs up basal metabolic rate and increases aerobic capacity, but it can also cause anxiety and insomnia, and may initiate a heart attack. Inhaled corticosteroids for asthma are known to cause weight gain. 
  • Anti-allergens like Zyrtec and Allegra: Used to treat seasonal allergies, they tend to stimulate appetite, and can therefore cause weight gain. Your client may not list these meds because they can be bought without a prescription. If your client can’t lose weight, ask if they are taking allergy meds. 
  • The Depo shot (medroxyprogesterone acetate): A convenient form of birth control, substantial weight gain is a common side effect. 
  • Statins like Lipitor: Statins are often prescribed for high cholesterol. They are known to increase muscle soreness and reduce performance. Recent research reveals that statins can increase the risk of Type 2 diabetes, promote premature aging, and increase muscle pain. Statins have been linked to rhabdomyolysis during intense exercise, a condition where muscle cells break down and release myoglobin into your system, which in turn can cause kidney failure and death. 
  • NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): These over-the-counter analgesics, including ibuprofen and naproxen, are probably the most common meds taken by gym goers. They should not be taken longer that three days in a row, but many people take them daily for months or even years. They can be harmful to the liver, kidneys, and GI tract, and can increase the risk of heart attack. 

The Trainer’s Responsibility

When reviewing your client’s health history, take special note of listed meds. Go online and research their side effects, and take them into consideration when programming. Educate your clients about the risks, and encourage lifestyle changes that address their condition. Never tell your client to stop taking prescription meds; it can make you legally liable for any negative consequences. However, you can encourage your client to discuss concerns about side effects with their health care provider. 

Resources

To build a successful fitness career, increasing your knowledge about health issues is a must. You cannot help your clients if you do not understand their medical conditions, and how drugs affect their performance. As always, W.I.T.S. has valuable resources to help you grow. Consider a certification in Older Adult Fitness, or get continuing education credits with Essentials of Diabetes and Prediabetes, Introduction to Cardiovascular Disease and Exercise, or any of our other MFEF courses.

We are sponsoring the CI track again this year too.

SPECIAL FOR BLOG READERS!  Join us at the Club Industry Business Conference this October 23-25th. Get CEC’s for W.I.T.S. too. As a blog reader and follower, you can use this PROMO CODE: “SAVE25” for $125 OFF the registration! Here is the link so see you in Chicago! . http://www.clubindustryshow.com/National2013/Public/Content.aspx?ID=1044377

 

 

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3 Things To Know When Working With Diabetic Clients

3 Things to Know When Working with Diabetic Clients

By: Fitness Learning Systems

 

  1. Symptoms of Hypoglycemia

Prevention of hypoglycemia is important for a safe exercise program for someone who has diabetes. Anyone taking insulin or an oral medication that may cause hypoglycemia should be aware of symptoms and how to manage this situation especially during exercise. Hypoglycemia occurs when glucose levels are < 70mg/dl.  This condition may become worse if not treated. Prevention is the best intervention.

Symptoms may include: (more…)

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Identifying Special Populations: Carve Out Your Niche to Grow Your Business!

As more Personal Trainers are certified every day and gym owners conspire to keep wages low, you may find yourself wondering whether you can survive with a fitness career. But like any other business, when the competition gets tough and the market gets crowded, it is time to think like a Marine:

Improvise, adapt and overcome!

(more…)

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Lose Weight and Improve Your Health with hCG

Being overweight at any stage in life poses physical and emotional health challenges for both men and women. Besides the social stigma of obesity that leads to body shaming and self loathing, there are practical matters that lead to embarrassment, like sitting on an airplane or taking public transportation, finding flattering and comfortable clothing, going through turnstiles or sitting at a school desk. (more…)