5 Practical Ideas to Improve Health and Fitness by Michael Wood, CSCS

“Mens sana in corpore sano” (Latin)  – a healthy mind in a healthy body.

There were almost 82 million Americans who were completely inactive in 2015. We know that exercise on a regular basis can be a very difficult task since most people do not even like to exercise. More than 30% of the population will not workout at all this year and only 5% will exercise at a level that is considered vigorous. Compounding the problem, the average American sits more than 9 hours a day; sitting is now considered the new smoking. We have become a society where inactivity is fast becoming the new norm. If this resonates at all with you then you may want to try to incorporate the following practical tips into your lifestyle.

There have been many things that I have learned and continue to learn during my three decades in the fitness industry and I can honestly tell you, in addition to some nutritional advice, these five particular items should be on your radar. It would be prudent for you to make sure these five components (5M’s) find their way and get ingrained into your lifestyle.

  • Measurement

Athletes at the collegiate and professional level continue to improve because they work with the best strength and conditioning coaches and nutritionist. They have a well thought out plan and get tested periodically. This is the one component that offers the most bang for the buck yet most individuals find reason to neglect it. Find the time to take some type of measurement(s) and periodically test yourself in order to (1) hold yourself more accountable, (2) determine if your exercise plan is actually working and (3) to help keep you motivated. This applies to not just exercise and your workouts but also on the nutritional side of things. Are you eating, for example, too much added sugar? Checking your body weight is OK but go beyond just checking your weight. What percentage of muscle and body fat make up that overall weight of yours? What is your waist measurement? Can you run a mile? Can you run up a flight of stairs without feeling winded? These types of measurements offer more value than jumping on a bathroom scale.

Credit: http://www.azquotes.com

A few (measurement) ideas for you:

  • Determine your Waist-to-hip ratio
  • Monitor your % body fat and/or lean muscle mass
  • Record your daily grams of added sugar (<35 grams/day/men and <25 grams/day/women). Use the MyFitnessPal app.
  • Determine your best 500 or 2000 meter row time
  • Vertical jump measurement
  • Plank challenge (can you hold position for 2:00 or 3:00?)
  • Are you getting 8,500-10,000 steps/day

Finally, remember another great quote from Peter Drucker, “what’s measured improves.”

Suggested Reading

Koning L et al., Waist circumference and waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies. European Heart Journal (2008). 28, 850–856 doi:10.1093/eurheartj/ehm026

  • Mindfulness

Once your measurements are taken and documented you’ll then have a baseline and you’re ready to begin. A good first step, is to work towards becoming more mindful, this will help you not only with exercise and diet but in all aspects of your life. The net result will be a significant improvement in the “quality” of your exercise and the way  you fuel your body. As we become more in tune with mindfulness, we become more aware of the relationship between a stimulus and response. You can think of mindfulness as a tool that can help you develop that gap between the stimulus and the response to that stimulus.

Mindfulness is “the ability to stay focused, while being aware of your thoughts and surroundings and being able to recognize and move past distractions as they arise.” Harvard Business Review

Researchers looked at subjects who had the opportunity to choose from 22 general activities, such as walking, eating, shopping, and watching television. Their study showed that respondents, on average, reported their minds were wandering 47% of time, and no less than 30% of the time during every activity except making love. Becoming more mindful in regard to exercise and diet is extremely important. Learn to become truly present when you’re involved in these activities otherwise your mind and body are not taking in 100% of the benefit.

One way to help you get moving down this road of mindfulness is with daily meditation. A typical session involving meditation could range from two minutes up to sixty minutes. I have used the popular Headspace app to help me get started which is excellent and I highly recommend you start with this free, simple to use, app. More than 4 million people have used the app to date. According to a Tim Ferris, podcast, author of the 4-Hour Work Week, more than 80% of the world-class performers who he interviews use some form of daily meditation and he’s a big proponent of the free Headspace Take 10 program.

There is a great deal of research that demonstrates mediation creates positive changes in our brains. Harvard University neuroscientist Sara Lazar told the Washington Post, “long-term meditators have an increased amount of grey matter in the insula and sensory regions, the auditory and sensory cortex.”

In a 2014 study in the Journal of Economic Behavior and Organization, Australian researchers looked at the relationship between various personality traits and exercise and other health-related habits. The researchers found that people who thought they had control over their lives were more likely to exercise and adopt other healthy steps than those who felt that luck or fate largely dictated their lives. Daily meditation offers that sense of control.

With everything we have going on in our daily lives like raising children, marriage issues, social media, political upheaval, and all the demands at work, we need to find more time to focus on ourselves. The goal should be to work on eliminating all the distractions and “noise” that surrounds us. Becoming more mindful will enable us to have better control in all aspects of our lives especially with what we’re focusing on here, improving your lifestyle especially with regard to diet and exercise.

You can take this assessment to see where you currently rate when it comes to mindfulness. Try taking the assessment before and then after completing ten sessions using the Headspace app.

  • Mobility

Mobility, or joint mobility, in general, is one of the most misunderstood terms. The first thing you need to understand about mobility is that it does not start this week and then end in a day or two. If you want to improve mobility then it needs to be part of your every day life and one of the components of each workout you do. You will receive the most benefit when regular mobility work becomes part of your lifestyle.

Let’s first look at a good definition of mobility. According to physical therapist Joe Vega, M.S.P.T., CSCS,. “a person with great mobility is able to perform functional movement patterns with no restrictions in the range of motion of those movements.”

A more in-depth look at what happens when you perform specific mobility exercises is given here by fitness expert, Steven Maxwell. “Joint mobility exercise stimulates and circulates the synovial fluid in the bursa, which ‘washes’ the joint. The joints have no direct blood supply and are nourished by this synovial fluid, which simultaneously removes waste products. Joint salts, or calcium deposits, are dissolved and dispersed with the same gentle, high-repetition movement patterns. Properly learned, joint mobility can restore complete freedom of motion to the ankles, knees, hips, spine, shoulders, neck and hands.”

Remember, you should take a proactive approach when it comes to mobility, not a reactive one. In other words, don’t wait for problems to arise before you address them.

There are many specific exercises that can be done to improve joint mobility for areas like the ankle, hip, back and shoulder. Here is one such example that targets the back, specifically, the mid back (thoracic spine). What I particularly like about this mobility exercise is how it isolates the mid back while stabilizing the low back (lumbar spine). For mobility exercise ideas please visit Michael Wood Fitness on Instagram.

Prior to performing these movements try “rolling out” the area. A great tool to help you get started is a foam roller (see below) which can be used for self-myofascial release. It has been shown to help increase joint range of motion and with delayed-onset muscle soreness, commonly known as DOMS. For more information check out MWOD.

Suggested Reading

Supple Leopard, Dr. Kelly Starrett, Victory Belt Publishing, 2013.

Foam rolling and self-myofascial release, Strength & Conditioning Research.

Mobility Training May Be the Most Important Factor in Musculoskeletal Health, Steve Maxwell.

Training Principles for Fascial Connective Tissue, Schleip R., Muller DG., J. Bodywork & Movement Therapies, 2012.

  • Movement

Hippocrates once said, “walking is a man’s best medicine.” To find out if his 2,400 year-old remark was actually valid, two scientists from University College London performed a meta-analysis of research published between 1970 and 2007 in peer-reviewed journals. After studying more than 4,000 research papers, they identified 18 studies that met their high standards for quality. The studies evaluated 459,833 test-subjects who were absent of cardiovascular disease at the start of the investigation. The subjects were followed for an average of 11.3 years, during which cardiovascular events (i.e. heart attacks and deaths) were recorded. Their meta-analysis makes a strong case for the benefits of good old walking. The group of studies showed that walking reduced the risk of cardiovascular events by 31 percent, and decreased the risk of dying during the time of the study by 32 percent.

More movement of any kind is obviously a good thing. One tool you can use to monitor your exercise and especially walking is a pedometer. It can be valuable because it (1) can hold you more accountable, (2) it can help to build up to a desired step total for a daily/weekly/monthly total and (3) it can be a useful motivational tool along the way. Research out of Stanford University has shown that individuals who use a pedometer take an additional 2,000 steps each day, compared to nonusers, and their overall physical activity level increases by 27%. Another study showed participants who increased their steps to average more than 9,500 a day for 32 weeks lost 5 pounds, 1.9% body fat and 1.9 centimeters from their hips. They also increased their HDL cholesterol by 3 mg/dl and lowered their BMI by nearly 2 points. The participants in the study increased their steps by an average of 4,000 steps a day from the start of the study.

The goal with trying to add in more daily movement is consistency. If you have a crazy week at work and can’t get to the gym as much during the week then be sure you check it off during the weekend. The key is to do something. Research by Krogh-Madsen and colleagues showed the dramatic changes that can take place after just two weeks of decreasing your activity. The subjects were young, lean, healthy men who decreased their daily steps from 10,000 steps a day to 1,300 steps a day. They experienced an increase in body weight, 7% decline in VO2 max, a 2.8% loss of lean muscle in their legs, and a 17% drop in insulin sensitivity after just two weeks of decreasing their activity by 8,700 steps a day.

A few thoughts to keep in mind when it comes to movement. More movement, like walking, and other forms of exercise (like strength training), translates into an elevated metabolism. There are many external as well as internal forces that can have an effect on your metabolism and exercise is the most variable. Sedentary individuals may add only 10-30% to their total daily energy expenditure (TDEE) while very active individuals can increase that number above 50-75%. TDEE is the total amount of calories the human body burns (or expends) in one day. When you’re more active throughout the day you get the added bonus of what scientist refer to as NEAT or non-exercise activity thermogenesis. NEAT is the energy expenditure of all physical activities other than exercise. NEAT can vary by up to 2000 kcal per day between people of similar size in part because of the substantial variation in the amount of activity that they perform. Obesity is associated with low NEAT; obese individuals “appear to exhibit an innate tendency to be seated for 2.5 hours per day more than sedentary lean counterparts.” When you exercise at higher intensity levels you increase your body’s ability to burn calories post exercise, known as exercise post oxygen consumption (EPOC). EPOC is one of the by-products of high-intensity interval training.

TDEE = BMR + TEF + NEAT + EPOC + Exercise

Finally, according to research published in the journal Medicine & Science in Sports & Exercise, subjects who were least active during this particular study were five times more likely to die than the most active people and three times more likely than those in the middle range in terms of daily activity. The data was taken from approximately 3,000 people aged 50 to 79 that were part of the University of Pennsylvania Population Study. When in doubt, always remember the old saying “use it or lose it.”

Suggested Reading

Movement: Functional Movement Systems, Gray Cook, Lotus, 2011.

The One-Minute Exercise, Martin Gibala, PhD, Avery, 2017.

The Inner Runner, Jason Karp, PhD, Skyhorse Publishing, 2016.

How to Think About Exercise, Damon Young, The School of Life, 2015.

Better Movement, Todd Hargrove, Amazon Digital, 2014.

Born to Walk, James Earle, Lotus Publishing, 2014.

  • Muscle

The ability to maintain muscle mass as you age is considered by many as the closest thing to the fountain of youth. There is still hope for you even if you’ve been inconsistent or unable to exercise at all. That hope comes in the form of regular strength training. Research has shown that approximately three decades of age-related strength loss and two decades of age-related muscle mass loss can be recovered or reversed within the first couple of months of starting a strength training program. Research from a 2016 meta-analysis published in Medicine & Science in Sports & Exercise reviewed 49 studies of men ages 50 to 83 who did regular strength training and found that subjects averaged a 2.4-pound increase in lean muscle mass.

There are a few additional items you need to focus on consistently beyond your strength training. When it comes to maintaining or building muscle, sleep and recovery are critical and good nutrition is a must. When I say nutrition I’m talking about eating a surplus of good calories especially in the form of high quality protein. If your body is not continually in an anabolic state you will not be building new muscle any time soon. The goal is to eat a “clean” diet that consistently includes the three major macronutrients. Eating a plant-based, high fiber diet that includes plenty of vegetables, fruits and healthy fats is always a good thing. Avoid the processed foods, watch the extra calories from soda and other sport drinks, and limit alcohol. Put yourself on an added sugar budget, see #nosugar40 for more information.

A recent study in the journal Nutrients suggests a daily intake of 1 to 1.3 grams of protein per kilogram of body weight is needed for older adults who do resistance training. For example, a 175-pound man would need about 79 to 103 grams a day. If possible, divide your protein equally among your daily meals to maximize muscle protein synthesis.

There is a strong association between strength training and muscle mass but as you continue to age the key is working smarter. You can do that by making sure you include these primary lifts or movements as part of your strength program: squat, dead lift, pulling and pushing movements, and some type of loaded carry.

In a recent comprehensive research review, Donnelly and colleagues note that the majority of peer-reviewed resistance training studies (lasting 8–52 weeks) show increases of 2.2–4.5 pounds of muscle mass. These researchers suggest that an increase of 4.5 pounds of muscle mass would probably increase resting metabolic rate by about 50 kcal per day. Although this small change is not nearly as much as some advertisers may suggest, it does help close the gap between energy intake and energy expenditure.

There you have it – my five practical tips that will help take your health and fitness to the next level. The choice is now yours.

Suggested Reading

Biochemical Adaptations in Muscle. J. Biol. Chemistry 424(9): 2278-2282, 1967.

Dynamic exercise performance in Masters athletes: insight into the effects of primary human aging on physiological functional capacity. J Applied Physiol 95: 2152-2162, 2003.

Core Performance, Mark Verstegen, Rodale Books, 2005

Athletic Body in Balance, Gray Cook, Human Kinetics, 2003

Functional Training for Sport, M. Boyle, Human Kinetics, 2003

Never Let Go, Dan John, On Target, 2011

References

Schneider PL, Bassett DR, Thompson DL, Pronl NP, and Bielak KM (2006). Effects of a 10,000 Steps per Day Goal in Overweight Adults. Am J Health Promotion 21(2): 85-89.

Donnelly, J.E., et al. Is resistance training effective for weight management? Evidence-Based Preventive Medicine, 1(1): 21–29, 2003.

Krogh-Madsen R, Thyfault JP, Broholm C, Mortensen OH, Olsen RH, Mounier R, Plomgaard P, van Hall G, Booth FW, and Pedersen, BK (2010). A 2-wk reduction of ambulatory activity attenuates peripheral insulin sensitivity. J. Applied Physiology, 108(5):1034-1040.

Wu BH, Lin J, (2006). Effects of exercise intensity on excess post-exercise oxygen consumption and substrate use after resistance exercise. J Exerc Sci Fit, 4(2).

Abboud GJ, Greer BK, Campbell SC, Panton LB, (2012). Effects of Load-Volume on EPOC after Acute Bouts of Resistance Training in Resistance Trained Males. October.

Levine JA, et al. (2006). Non-Exercise Activity Thermogenesis. Arteriosclerosis, Thrombosis, and Vascular Biology. 26: 729-736.

Ivey, FM et al., (2000). The Effects of Age, Gender and Myostatin Genotype on the Hypertrophic Response to Heavy Resistance Strength Training. J. Gerontol: Med Sci 55A: M641-M848.

Ezra I. Fishman, Jeremy A. Steeves, Vadim Zipunnikov, Annemarie Koster, David Berrigan, Tamara A. Harris, Rachel Murphy. Association between Objectively Measured Physical Activity and Mortality in NHANES. Medicine & Science in Sports & Exercise, 2016; 1 DOI: 10.1249/MSS.0000000000000885

How One Small Change this Year Could Have a Significant Impact on Your Overall Health

If you’re looking to make one change this year that in turn will have the biggest impact on your overall health, then start looking at the amount of added sugar you’re consuming. All the exercise that you’re doing is great but simply cutting back on your daily added sugar consumption, in conjunction with moving more, is the key to effectively changing your body composition and improving your overall health.

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Source: http://www.heart.org

To help keep you motivated, take a waist and hip circumference measurement and look at what is known as the waist-to-hip ratio (WHR). Check this every 8-12 weeks and monitor changes. Research has demonstrated that there is a direct correlation with added sugar consumption, overall health and WHR.

“The WHO defines the ratios of >9.0 in men and >8.5 in women as one of the decisive benchmarks for metabolic syndrome. Welborn and Dahlia (2007) and Srikanthan, Seeman, and Karlamangla (2009) confirm, and cite several other investigations that show waist-to-hip ratio being the superior clinical measurement for predicting all cause and cardiovascular disease mortality.”  (Kravitz)

Look to put yourself (and family) on a sugar budget at the start of the new year. Its difficult to totally remove it from your diet but if you begin to monitor it on a daily basis, you’ll be amazed first, how prevalent it is and secondly, as you slowly begin to take it away you won’t crave it as much after a week or two.

Start by reading all food labels and cut back on the processed foods. You need to first get educated on where sugar “hides” and then start to cut back. Keep in mind there are more than 50 different names for sugar, avoid anything that ends in “ose” or contains high-fructose corn syrup etc. Choose better food options for you and your family and begin to replace the high sugar foods today. This is from a recent tweet of mine:

A simple concept that I follow for myself and my (male) clients is to consume no more than 150 calories a day from added sugar which equates to 38 grams (which is what you can start to keep track of or “budget” on a daily basis). Keep in mind that carbohydrates contain 4 calories/gram of energy (4/150 = 38 grams). Women on that same line should consume no more than 100 calories a day from added sugar which figures out to 25 grams a day (4/100 = 25 grams).

There are two types of sugars, natural sugar and added sugar. The conversation today is not about natural sugars (like fruit, milk, cheese, etc.) it’s about added sugar, which is everything you may have been eating that comes out of a package, box, carton or can.

If you need a little more convincing on the topic, take time to read Gary Taubes latest book, The Case Against Sugar, which I highly recommend.

Follow this one health tip and you will not only see noticeable changes – you’ll also avoid having a negative impact on your metabolism, the way all fad diets invariably do.

References

Welborn, T.A. and Dhaliwal, S.S. (2007). Preferred clinical measures of central obesity for predicting mortality. European Journal of Clinical Nutrition, 61, 1373-1379.

Srikanthan, P., Seeman, T.E., and Karlamangla, A.S. (2009). Waist-hip-ratio as a predictor of all-cause mortality in high-functioning older adults. Annals of Epidemiology, 19, 724-731.

Taubes, G., (2017) The Case Against Sugar, Random House.

Take The 10,000 Step Wellness Challenge

Are you looking to lose body weight or decrease your percent body fat over the next month? Maybe you’re looking to lose an inch from your hips or waist? Or maybe you’re looking to reduce the amount of daily added sugar that you’re currently consuming? If so, then you definitely need to take part in this upcoming month-long 10,000 Step Wellness Challenge. The challenge will start on Wednesday October 1, 2014.

fit10000steps_article
photo credit: http://tescoliving.com

The challenge is easy to follow and requires only 3 steps to “fully” participate.

Step 1: Determine your current waist-to-hip ratio (WHR) and body weight. You will need to first find out what your waist and hip measurements are. The WHR is obtained by dividing your waist into your hip. To get the most accurate measurement results use a Gulick tape measure or digital Health o meter. If you don’t have access to these devices, you can use a typical cloth tape measure. In terms of a WHR goal, women should be <0.70 and men <0.90, for example, a women with a 27 inch waist and 37 inch hips would have a ratio of 0.73

Step 2: Determine a baseline for daily steps. Increase that number by 500 steps a week. Build up to 10,000 steps. If you’re already walking over 10,000 steps/day (or 70,000+ steps over the course of a week) then maintain it or try to increase that number over the course of the month. You will need a pedometer to do this.

Step 3: Monitor your added sugar. Women need to consume <100 calories/day (25 grams/day) of added sugar while men should consume <150 calories/day (38 grams/day). This does not include natural sugars like fruit, vegetables and grains…it’s basically everything else out of a box, package, container or can! Start reading all food labels as well.

Your goals over the course of the month are to (1) accumulate a minimum of 10,000 steps each day (or 70,000+ steps/week) (2) decrease your added daily sugar and (3) lower your WHR.

Check back periodically for additional information on each of three components that you will be tracking, 10k steps, added sugar and WHR. I would also recommend downloading a free app called Nudge to help you stay focused over your 30-days.

Measuring Your Health and Fitness Outcomes

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photo credit: http://concept2.com

You have been working out consistently at the gym. You feel like the exercise program you’re currently on is challenging enough. But how do you really know how well you’re doing and if you’re progressing? Looking at various health and fitness outcomes will help determine if your training is either challenging enough or on the other end of the spectrum, maybe pushing you too much? Setting up your own periodic testing schedule is an ideal way to answer these questions and more. Try implementing some of the following testing over the course of your yearly training cycle.

Blood Profile. Health and fitness level can be measured from the inside out. Work with your physician and start to look deeper into what your blood profile is telling you. A good start is to do some research and look into a Cambridge, MA based company called InsideTracker which can help keep track of your blood work from any yearly check-up with your physician. Also look at Lab Test Online as well as an additional resource.

Anthropometric Measurements. Try using a Gulick tape measure and measure your waist and hip circumference. Record these measurements every 12-weeks and look at your Waist to Hip Ratio as well. This is a key health metric that you need to be aware of and continue to follow. See W/H Ratio chart here. As a sub-group of this you could also periodically look at body composition as well – %body fat and lean muscle.

Strength and Fitness Markers. There are many variables that you could look at here like 1-RM testing. But think out of the box a bit here. Can you do a pull-up? Can you do a dip? Can you run a mile? Try using a rowing machine and perform one of the following test at baseline and then again at another point in time to track overall improvements in performance.

-500 meter row for time

-4:00 O’Neill test

-2000 meter row

*Recommended Reading*

Special Forces Extreme Fitness, Chris McNab, Metro Books: New York, 2014

Eat Move Sleep, Tom Rath, Missionday, 2013

2000m Ergometer Test – by High Performance Rowing

 

Why BMI (Body Mass Index) is Not the Best Option

human_compositionMany of us have heard about body mass index (BMI) and know that it uses height and weight in a formula (that was developed more than 150 years ago) and gives you an idea of where you are regarding your current body weight (i.e. ideal, overweight, obese etc.). BMI is a calculation that takes into account your height and overall weight but does not factor in body fat or more importantly lean muscle tissue. It seems this formula may work for some but if you’re small in stature, older or athletic, the calculation will be inaccurate. This is why most athletes like football players are considered overweight or even obese when their stats are entered into the following BMI calculation:

BMI = Body weight (lbs.) / Height(2) (inches) x 703

If lean muscle and body fat are not calculated into the equation then there is NO WAY it can be accurate, especially for individuals who carry more muscle.

According to many government agencies like the CDC a healthy weight for someone in terms of BMI is about 18.5 to 24.9 – this means if you’re over 25 your over weight. If your BMI happens to be >30 your considered obese. We need to start factoring in height, weight and lean muscle level into this profile and in turn get a more accurate reading.

Maybe we should just use the bathroom scale? The issue with this is that it does not give an accurate picture either it just gives you a number. It’s the ratio of that number (muscle:fat) that you need to determine and track over time and your scale will not differentiate the ratio of muscle and fat. Maybe you can start to use a waist-to-hip ratio (waist/hip measurement) and a %body fat score as part of your own personal health index.  The bottom line is you need to start paying more attention to ratio of muscle to fat that your carrying on that body of yours. There are many ways to determine %body fat (Skinfolds, BIA, TOBEC, DEXA, Hydrostatic weighing, etc.) If you’re unable to use any of these methods then take a simple measurement around your waist. This does not determine overall body fat but it can tell you a great deal. Men should not exceed 40 inches and women 35 inches in regard to a waist measurement.

At the Koko FitClubs around the country we have our members take a FitCheck reading that takes a snap shot of their body composition. It takes into consideration their height, weight, sex and age and offers two important metrics – their current lean muscle level and eBMI (“enhanced” body mass index).

It all comes down to the simple fact that it’s not about one single number – a number like BMI alone or what your bathroom scale tells you should not define who you are. Start paying more attention to the amount of muscle tissue your body is carrying, your strength level or maybe the size of your waist or hips…you’ll be much better off as you age!