A Healthy Lifestyle Works

Posts Tagged ‘healthy lifestyle choices’

The past couple of weeks have been particularly challenging for a number of people in the groups. When I asked them to share any success they had despite the difficulties, they each found one they could feel good about.

When you focus on successes, you stop focusing on what you didn’t do, should have done or your perceived failures. Instead you see what did go well, what worked best for you and that you can succeed. This is critical to being able to stay on track.

For many of them in the groups, the one thing they found that really helped them to have some success was their awareness. For example, they stayed aware of when they got full, so even if they were triggered to overeat, they were able to stop before they lost control. They listened when their body started to hurt and took time off without feeling guilty. And they were conscious of their desire to turn to comfort or junk food, and if they did have some, they were able to keep it to a minimum. They shared honestly without beating themselves up and could see that by staying conscious of what was going on and how they were feeling, they didn’t revert to old habits which would have been so easy to do.

There will always be days or weeks when they will struggle with issues in their lives, don’t meet their goals or feel like they’ve gotten off track. It happens to all of us. A month ago I had vertigo for several weeks. Life isn’t predictable or easy to manage. Plans get changed, emotions get stirred up, injuries happen and illnesses will catch you off guard. Or worse, as in the case of one of our contestants, who has been out for weeks from a bad auto accident, you can get derailed for long periods of time.

Instead of judging yourself or getting caught up in the disappointment, what everyone in the groups are discovering is they can learn from these experiences and get right back on track. In fact, these are golden opportunities to create strategies for similar future situations. You can look back and see what might have worked better for you, which would have left you feeling good physically as well as mentally and emotionally. The objective isn’t to look back to see how you could have been better at being good, because that isn’t the issue. It is not about being good or bad. It is about doing what leaves you feeling good and about respecting your body and yourself.

Here are some strategies that resulted from our discussions:

• If you have worked your way up to walking for 25 minutes – or whatever amount you can now do, avoid taking a much longer walk even if a friend invites you to walk the length of our new rail trail or any other great walk in the area. Know your limits and speak up, letting that person know you’d love to walk but that after x number of minutes you’ll have to turn around.
• Remind yourself that 10 minutes, one mile or one loop around the block is enough exercise, if that is all you think you feel up for. It is better than nothing, and who knows, you may find you want to do more once you get started.
• If you begin to notice some aches or pain in your feet or legs, don’t push through it or pretend it isn’t there and continue with your goals for the week. Instead to take it as a warning signal that you may need to back off the exercising, do some icing, add in more stretching, see a practitioner or do an activity that doesn’t put exertion on that area.
• If you are making dessert for company that is visiting, you don’t have to serve big pieces or an 1/8th of a pie. You can make the servings much smaller, so each person doesn’t feel compelled to eat more than they want or need.
• Notice if you are really enjoying the food you are eating and if it is really all that satisfying. If you aren’t satisfied or don’t really want any more of it, to throw it away – even if it is ice cream.
• Buy one meal and split it three-ways with the kids instead of a full meal and two kid meals.
• And last, but not least, sometimes you have to tell yourself to “Just Do It”. We all have times when we come up with excuses and resist doing something we know will feel good once we get started, and it helps to give yourself a strong nudge to just go do it anyway. When I first started exercising, that is exactly what worked for me. I would say to myself, “too bad, no discussion, just go it”, and that would be enough to get me in my sneakers and downstairs.

Read What the Participants Have to Say
Find out what else the group participants learned from talking through ways to create strategies from their challenges.

Have a fit and healthy week,
Alice

Everyone in the groups have been making their own choices as to what type of aerobic activities they are doing to get exercise the past six weeks, and each week they are reaching most if not all of their goals.  I have guided them to set goals they know they can reach, to pay attention to how their bodies’ feel with the level of activity they are doing, and to avoid overdoing it or trying to add too much more too fast.  I’ve told them to stretch the goal no more than 5-10% after reaching the previous week’s goal, and if they feel they want to stay at their current goals to go with that. 

Starting Off Slow with Enjoyable Activities
Several people were so motivated by their initial successes, they got extremely ambitious and exercised for much longer periods of time, exercised every day, or both.  When I saw that, I encouraged each one of them to be careful and to scale back considerably.  While this is not the advice you would expect from a fitness expert (or personal trainer as I am), it is good advice.  Here’s why.  When you overdo it, you set yourself up for an overuse injury, stressing your immune system or feeling overwhelmed at having to keep it up, and any of these can lead to getting derailed and losing your motivation to get going again.  I’ve seen this happen too many times with my clients, and I have learned that it is better to build up slowly and safely to maintain enthusiasm and consistency. 

A number of other people were picking activities they felt they should do, and while they have been motivated by the group accountability to stick with them it isn’t enjoyable for them.  Doing exercise you don’t like won’t keep you motivated for long, so it is important to find activities you do enjoy.  Sometimes it is hard to know what that might be, especially if you are so out of shape you can’t do much.  One gal finds exercise boring and uninspiring, but she loves sports like tennis.  So she is looking into getting Wii Sport to renew her tennis passion and get moving in a way that is safe for her current fitness levels.

Learning How to Pace Progression
At this point the groups need more guidance as they become more active, so that was the theme for this week’s sessions.

I showed them a way to know how much exertion they were doing, so they could safely and effectively increase their fitness levels and progress from moderate paces to the point they can increase their aerobic capacity.  I introduced the chart below, which shows a commonly used scale for determining Rate of Perceived Exertion (RPE).  This is subjective based on a talk test, yet it works really well when you don’t have or don’t feel motivated to get a heart rate monitor. 

As you can see, when you are below an 8 on the RPE scale, which corresponds to 85% of your maximum heart rate (on the blue band), you are in the moderate zone.  And between 60-85% of your max heart rate (or between 3-8 RPE) you are in the fat-burning zone.  At the moderate and moderately easy levels, this is considered heart healthy, and this is where you want to start when first exercising.  It is also the exertion levels where you get some of the greatest improvements in cholesterol, blood pressure and insulin sensitivity.  Whereas, as you move up to difficult and very difficult intensities you get the greatest fat loss benefit.  When you get into the anaerobic zone, above 85% of your maximum heart rate, you begin to overload your heart and increase your aerobic capacity.  This is a good thing, but only when it is done in bursts of very short intervals followed by longer recoveries back in the aerobic zone.  These bursts are called intervals, and they are very effective at increasing fitness levels and accelerating fat-burning. 

But, as I cautioned the groups, the goal isn’t to just do interval training and higher fat-burning.  The goal is to build up to that point and then mix up the cardio with both days of moderate and longer periods of exercise and days of more difficult interval-based exercise.  You benefit from both and it allows for a mix of activities that are both intense and more moderate.  Furthermore, the body will adapt to whatever you do repeatedly, so it is best to mix it up with different intensity levels, types of activities and lengths of time. 

Everyone in the groups will now add their RPE levels each time they are active in their fitness journals, so they can see where they are and pace themselves to do a bit more every couple of weeks until they are able to sustain more difficult levels.  They can even start doing some periodic intervals in their current routines that will move them up a level or two in RPE, by adding short bursts (either by increasing their speed or their incline – like a hill) whenever it feels right to do so.

Balancing Core Elements of Fitness
There are four primary areas of fitness: cardiovascular, strengthening, flexibility and balance.  While there are different schools of thought as to which is most important and which you should start doing first, I explained to the groups that our primary goal is to establish a lifelong cardio foundation as the basis of a healthy lifestyle.  The health benefits of maintaining aerobic exercise are too numerous to list here, yet they aren’t limited to just reducing the risks of diabetes and heart disease.  Moderate levels of aerobic exercise improve arthritis, depression, energy, stamina, sleep, osteoporosis, mental focus, stress, digestion and more. 

It is too easy to take on too much too fast, when you try to do cardio, strengthening, stretching and balance all at once, and very often it gets too overwhelming or too time intensive to maintain.  That doesn’t mean that at some point, they won’t be doing all of this – as I now do in my weekly routine.  But first I want them to develop a consistent aerobic practice they will stick with before adding in much more.  The only exception is stretching, which is important for them to begin adding in now if they haven’t already done so. 

In time, they will also add in core strengthening (which often goes hand in hand with greater balance) and full body strengthening.  Some are doing a bit of this now, which is fine if it doesn’t get in the way of having enough time for being aerobic.  I know many personal trainers would disagree with this approach, suggesting strengthening should come first or along with cardio, but I am a realist and focused on making sure everyone has long-term success at maintaining an active and healthy lifestyle.  I am less focused on having them build muscle now or achieve rapid changes. 

Those changes will come in due time and it won’t hurt them to wait until they can successfully and incrementally add new things into their routine they can sustain.  I know from my own experience this works, even in my 40s.  I started off with cardio my first year until I had it down, and then I added strengthening the second year, and the third year I added Pilates.  Years later, I am doing all of them regularly, have maintained my lean body mass and continue to stay fit.  Sure I could have built up my muscles and gotten leaner faster, but I didn’t lose anything by waiting a year.  Instead I found a way to incorporate strengthening into my routine because I didn’t get too overwhelmed, and I’ve stuck with it into my 50s.  Not many can say that.

Preventing Injury Before it Happens
One other thing I addressed was injury prevention, which becomes a greater concern the older you are and the more out of shape you’ve become.  There is nothing worse than being derailed for months once you feel you are finally on track and making progress.

Again I had to learn this first hand by having an exercise-related injury from strength training, and I’m not alone in getting hurt exercising.  The problem is muscle imbalances, where some of your muscles are very tight and short and others are weak and long, creating imbalances around joints and across the body.  Some of the weakest areas are in the upper back and core.

When you have imbalances, which often occur from poor posture, prior injuries or being sedentary, you are prone to tearing muscles, ligaments and tendons when you become active.  This is most common with weekend warriors, but it also happens doing any new activity that pushes you more than your body is prepared to do. 

I am hoping to find a physical therapist in private practice who can offer preventive full body evaluations, so we know where their imbalances are and what physical therapy exercises can be done in preparation for strength training.  I used to have someone who did this for my clients, but that PT is no longer available.  So if anyone reading this blog knows of a PT who would be interested, please have them contact me. 

Read What the Participants Have to Say
Find out what the group members are doing with their fitness and how they are doing in making other healthy changes in the comments below.  Please feel free to add your own comments as you follow along.

To participate on your own or in a group, check out the contest website for details and tools at www.aHealthyLifestyleWorks.com/contest.

Have a fit and healthy week,
Alice

Obese for most of her life, Rickie Lake is now fit and slim at a healthy weight and for the past three years she has been able to maintain her success. For twenty years as an actor, comedian and TV talk show host, she battled her weight with dieting and at one point starved herself while doing extreme exercising. None of it worked. Instead she yo-yoed in her weight, and did it very publicly, which wasn’t easy.

What finally worked was to stop dieting and extreme fitness. She discovered how to be physically active and eat a healthy diet in a way that was satisfying, easy to maintain and fits her lifestyle. Instead of focusing on quick fixes and rapid results, she focused on having a healthy lifestyle and she looks and feels better than she ever has, and she has been able to maintain it long-term.

What has helped her is getting food delivered by a service, and anyone can do this. There are personal chefs in nearly every community that have reasonable prices that most people can afford – even these days. If you don’t know of one, do a search on line. There are many directories for personal chefs.

Rickie learned that the answer is not dieting, and she is a good example of someone who has tried all the diets out there without long-term success. The answer is eating enough healthy food you enjoy, so you don’t go hungry or feel deprived. It is also to find a way to exercise that gets you energized and motivated to keep it up. Rickie discovered hiking and does it four times a week for nearly two hours. She doesn’t need to go to the gym to keep in shape. She is doing it outdoors which she really enjoys.

Instead of fighting her weight, Rickie is now living a lifestyle in which her weight takes care of itself. By now, after nearly three years of living a healthy and fit lifestyle it is a part of who she is. I doubt she’ll ever have to fight the weight demon that those who diet still struggle with. She would agree. I happened to see her interviewed the other day and she felt confident those days were now behind her.

I know how she feels, I will celebrate 9 years of my new fit lifestyle this January 1st, and I never worry about my weight or going back to my sedentary ways and perpetual dieting routine.

A friend of mine is planning to get bariatric surgery, and I support her in making this decision. That may surprise you, but I do believe for some people this is the right decision.

Her goal isn’t primarily to lose weight, but to regain her health and be able to have an easier time being active. This is not an easy decision for anyone to make, and it’s taken her several years of thought. While some would argue that she should have gotten healthy through eating better and exercise, I know from working with her that she tried this to the best of her ability.

For some people, regaining energy, feeling better and losing weight (even if initially done with an extreme solution) is what it takes to embrace a healthy lifestyle of regular activity and healthier meals. It still isn’t easy to change old habits and beliefs, but when you feel better about yourself you want to do more for yourself, and you are inspired to feel good for the long-term. I am confident that she will succeed at maintaining a healthier relationship with food and increasing her level of fitness, because of the work we’ve done together.

Others aren’t so fortunate. Many who get this surgery see it as the solution and don’t realize that they still have to make changes in the way they feel and think about food and fitness. It is not uncommon to regain the weight and require another surgery. More programs are needed to support people before and after surgery on HOW to change lifestyle behaviors and address the subconscious drives of behavior, so they can more easily adopt new habits and strategies when they are most motivated – just after surgery.