Joint Health

Don’t let joint pain keep you from springing forward in life.

One great thing about spring is the weather.  Warmer weather can make life a lot easier on arthritic joints.  If you have arthritis (in particular the wear and tear related osteoarthritis) you will undoubtedly feel more like moving once your body and joint tissues have warmed up. 

So lets discuss a spring forward warm up plan that can reduce the twinges from your hinges during a workout. Your spring forward warm up for joint health includes
1) environmental, 2) temporal and 3) physical tips
  
1. Your joints will feel better when working out in warmer environments.  This can be accomplished by staying indoors or keeping the cooling system low, or by wearing workout gear that keeps your body well insulated (i.e. sweats and wraps).  You can also enhance your body temperature pre-activity by taking a hot shower or sitting in a Jacuzzi.

2. In terms of the best time to exercise, your joints will feel best around midday.  This will give your body a chance to naturally loosen up and warm up with your daily routine without feeling overtaxed by a full day of life tasks. 

3. Last but not least are some physical tips that can help prepare sensitive joints for various types of physical exercise. 
 
In terms of your cardio-vascular exercise, be sure to start off slowly with modest range of motion.  Gradually increase your movement range in both your upper body and lower body movements until you are working at near full range capacity.  This could take a good 10 to 15 minutes.  So for example, start your fitness walk with small steps and minimal arm swinging, as you warm up and loosen up try rolling the shoulders up, back and down while you walk.  Also add in some ball and heel walking.  By this I mean, walk on the balls of your fee for about 10 seconds followed by walking on your heels for 10 seconds.  Go back to a normal footfall and gently reach a bit further with each step.  Once you feel your overall body temperature has elevated (usually noted by a desire to take off your outer jacket) you can stop and hold a few hip and leg stretches, if those areas still feel restricted.  Keep those stretches light (8 to 10 seconds in length).  Then continue with your walk, using the best arm swing and leg stride that you can.  

Your muscle-conditioning workout should follow a similar warm up plan of action.  When performing strength training exercises always do the first set of any exercise with limited range and very light resistance.  Then for the second set you can gradually increase the range and/or resistance.  Keep in mind that strength training is important but so is joint sense.  Use resistance loads that you can safely handle for about 15 repetitions even if that means no resistance other than the weight of your body or body part. 

All stretches should start off light, never force or bounce. Once your muscles are warm they have better give therefore you get the best results from your stretches after you have completed more active exercises (i.e. walking or strength exercises).  These stretches should be held to a point of slight or mild discomfort for 10 to 30 seconds.

Progress slowly and always stay in the pain free range of motion.  If your joints are experiencing more pain or discomfort than typical two hours after a workout is over, you have probably worked too hard.  Back off a bit and don’t forget to take your joint healthy glucosamine and chondroitin supplements.     
 

Time for a bit of Arthritis Spring-Stretching.

The warmer weather creates a positive environment for many things, in particular joint mobility.  With that in mind it may be a great time for arthritis sufferers to re-evaluate their training program and get back on track with a few daily joint healthy exercises.  Daily stretching has been recommended in particular for those with compromised joints as a treatment for joint pain.  The Aerobic and Fitness Association of American lists flexibility as one of the first fitness components to be addressed when designing a functional fitness program for those with arthritic conditions  http://www.afaa.com .

The reason why is pretty simple.  If you can’t move with good range of motion it is pretty hard to do any exercise or daily activity with proper form and alignment.  Exercising with pore alignment is a major cause of joint stress and further joint damage, thus it is important to keep joints as mobile as possible, even when limitations exist.  Below are a few stretching guidelines to follow.
 

• Always increase your body core temperature prior to holding stretch position: performing a physical warm up including light cardio-vascular or rhythmic movement can do this.  A physical warm up can be enhanced by taking a hot shower or bath prior to your session, scheduling your session toward the later and/or warmer part of the day, performing your stretches in a warm environment and/or while wearing clothing that keeps the body well insulated.

•  Ease into your stretch positions: start at a point of very mild tension, take two or three deep breaths, then try to move into a deeper stretch position, increasing the stretching sensation to a higher degree of tension (or slight discomfort).

• Never stretch to the point of pain or high discomfort: your muscles will actually reject the stretch and try to protect themselves by tensing up.

• Breath fluidly throughout all your stretches: at least 5 deep breaths per stretch.

• Repeat each stretch 2 to 3 times over.

The following includes an upper and lower body stretch series that should be done at least once every day:

The Upper Body wall Stretch:

Stand facing a wall and gently position your hands a comfortable distance above your head. Work your arms up the wall, keep your abdominals tight and lean your torso towards the wall.  Next, turn around and place your backside to the wall with your arms in a ‘T’ position (elbows bent and upper arm parallel to the floor).  Try to press your head, spine and arms against the wall.  Hold both the front and back position for 3 to 5 deep breaths.

The Lower Body chair stretch: 

Start by standing behind a sturdy chair in a lunge position.  Gently work the back leg further away from the front leg until you feel a stretch down the hip, and then press the heel towards the floor until you feel a stretch in your lower leg/ calf muscle.  Follow this up by straightening the front leg and leaning forward with your torso until you feel a stretch down the back of the front leg (keep your spine straight as you lean forward).  Switch leg positions and repeat the series

In my next article I will give you some great ideas for following up your stretch session with bone and joint health strength routines... until next time keep taking your joint protective supplements with glucosamine and chondroitin and MSM. 

If you want to lose weight and dread going to a group class or buying pre-packaged foods that taste like cardboard, consider changing your habits for long-term weight loss success.  Here are the top tips you’ll need to follow to ensure that you get those pounds off for good:

1. Change your mindset.  “D” is for diet or deprivation.  You don’t need to diet, you just need to start eating a healthier diet.  Think about all of the healthy foods you love and start looking for ways to incorporate them into your diet.

2. Give yourself a little slack. We all slip up from time to time.  Maybe we made a wrong turn on the road and ended up going way out of our way.  Or, maybe we forgot a loved one’s birthday.  Get over it and get over your dietary or exercise mishaps.  A cookie is just a cookie, let it go, move on and forge forward.

3. Eat several small meals a day.  This will ensure you keep your energy levels high, metabolism cranking and you won’t be as likely to binge eat.

4. Plan ahead and bring food with you.

5. Eat at least one fruit or vegetable at every meal.

6. Make small changes versus cutting out certain food groups or foods.

7. Eat good quality protein at every meal and snack.  To prevent a carbo-overload, eat protein with every meal or snack.  Craving crackers or bread?  Make that bread into a grilled cheese sandwich or top those crackers with some cheese or peanut butter.  Protein will keep you full longer and help minimize wild blood sugar surges.

8.  Take calcium and vitamin d supplements.  New studies have shown more weight loss for those who are not deficient in calcium or vitamin D.  Also, vitamin D has been linked to heart health during weight loss.  Both are very important for bone and joint health needed for a continuous exercise program. 
 

Heart Health Month is over, but spring is a good time to start a heart healthy exercise program.

It seems to me that younger people are motivated to exercise so they look good and feel good.  Some older Americans also exercise for the same reasons but there is another set of people that are prescribed exercise.  That’s right, physicians don’t just prescribe medicine.  They also prescribe exercise, meditation and yoga for people who have cardiovascular disease.  Even those who have had heart attacks and bypass surgery start exercising soon after they recover.  And their exercise prescription progresses, as they get stronger.

According to joint guidelines between the American Heart Association and American College of Sports Medicine, all healthy adults 18-65 years of age should be getting at least 30 minutes of moderate intensity physical activity at least 5 days a week or vigorous physical activity for 20 minutes 3 days per week.  Those who are 65 years of age or older or have limitations to physical activity should still engage in physical activity as well.

It's vital to your heart health!
Exercise helps strengthen your heart and it can help prevent chronic diseases such as cardiovascular disease, osteoporosis, sarcopenia and obesity.  In addition to exercising, you can also benefit from increasing your activities of daily living.  You can do this by walking more (strap on a pedometer to keep track), working on your house, cleaning your car, raking your leaves vs. blowing them, taking the stairs instead of the elevator and walking around the airport vs. taking the people movers.

Regardless of what your favorite exercise is - spin class at the gym or walking your dog, just make sure you get out there and do something.  And take comfort in the fact that every step you take will help your heart!

Exercise is also an important step for managing arthritis for overall joint health and for bone health and osteoporosis.  The more you keep moving, the better your body will feel.  Make this spring a jump start to a healthier you!


 

Even if you don’t have seasonal affective disorder, you may be feeling a little cooped up and blah this season.  It’s chilly outside, the sky is gray and there are no festivals, open-air markets and fairs this time of year.  I can empathize.  My skin is dry thanks to the indoor heat and yet my face is also wind burned from the time I spend running from my car to my destination.  Most people countdown to the holidays or their days off of work, I’m counting the days to warmer weather.

Until April rolls around though I know I need to keep my spirits up and my days busy so I don’t spend all of my time day dreaming about living on a beautiful island somewhere.  To beat the winter blahs and for joint health, I exercise in the gym (even if I have a day where I’m not motivated, the people there motivate me), make sure I go out and socialize with others (regardless of how cold it is outside), eat a healthy diet and take my liquid vitamin D3 nutritional supplement.  Until I can feel the sun shining on my skin and lightening my mood I am definitely going to do what I can to enjoy the cold days ahead.

Lose a pound, gain a pound, get in shape for summer, get out of shape during the holiday rush... life seems to be full of ups and downs when it comes to health and fitness, which is why the ‘New Year’ is known for making ‘New You’ resolutions.  Have you ever felt that the best New Years resolution is not to make another resolution?  Well, before you give up on a good idea lets look at what makes a fitness resolution really work and how to stick with it long enough to see lasting results.

Keeping Your New Year’s Resolution

A New Years resolution is nothing more than a calendar-based personal goal, which means you need to approach it with some classic goal setting strategies...  In summary that includes selecting a goal that is meaningful, measurable and manageable (see previous article on setting fitness goals).  Beyond this it comes down to a bit of self-psychology, most importantly the ‘law of self control’.  It is widely accepted by psychologists, that the more in control we are of our thoughts, attitudes and actions the better we feel about ourselves.  

This involves an ‘internal locus of control’, or sense that we are making the right decisions for ourselves based on our personal desires and beliefs.  Verses an ‘external locus of control’, where we feel as though someone else is controlling our lives and directing our life decisions (Rotter, J.B. (1954). Social learning and clinical psychology. New York: Prentice-Hall). 

Choose Realistic Goals

By choosing a fitness resolution that ‘you’ feel good about and ‘in control’ of, you are on the way to making a positive change in not only your body but also your way of thinking. Adherence to your fitness resolution will create and reinforce your feeling of power over your life.  This leads to positive self-esteem and better end results.  These feelings are the glue that can keep you motivated to reach any goal related to of a healthier, happier lifestyle.  Once you can internalize your New Years resolution by linking it to motivations that come from within (e.g. feeling good, being your best and finding pleasure in the process), you will never have to worry about breaking it again!   

Try a few of the following self-control tips when approaching this year's Fitness Resolution:

1. Meditate on it: take time to think about what you want everyday and see yourself having it.
2. Write it down: put your resolution in writing and leave reminder notes in places you will see on a regular basis (e.g. your refrigerator or computer desk).
3. Stay positive: attitude can make or break your plan so keep your thoughts positive and expect some backsliding (e.g. a vacation or food filled party).  See these slips as temporary detours and get right back on your positive path.

While you are at it don’t forget to take in plenty of liquid nutritional supplements such as glucosamine and chondroitin, liquid calcium and vitamin D for joint health and to keep your joints and bones happy while you work!  If you need a quick boost of energy, try the 2 oz energy supplement. 

Happy Holidays to all from myself and my fellow bloggers, Marie Spano and Kathy Stevens.  It is Christmas Eve and very snowy here in Bellingham, WA so it looks like we will be having a white Christmas.  Not something we have here very often, so it is nice except for the bad roads while everyone is trying to travel.

Thank you to all our blog readers!  We have really enjoyed bringing you the latest news and information about health and wellness and will continue in the New Year.

With all the renewed interest in health and nutritional supplements such as Vitamin D, 2009 should be a great year for additional studies and research. 

Also, don't forget to enter or re-enter the View, Vote, and Win contest and vote on your favorite video.  The contest ends January 3rd, 2009 and the winners will be announced then for both the one year supply of energy and the Video Contest.  Stay tuned!

Stay healthy and well this holiday and into 2009.  Make health and fitness a priority for yourself and your family and it will really make a positive difference in your life.  Start with small steps such as walking and taking at least a vitamin D supplement.  Then add on more later such as nutritional foods, adding calcium supplements or glucosamine and chondroitin for joint health and fitness walking.  Each one is an important step to a healthy lifestyle.

Speed Walking

Another great way to add a bit of spice to your walk program is with speed play.  Some times called interval or Fartlek training, it is the best way to rev up your walk and train towards faster race time. 

The difference between this type of training and your continuous walk training is that the intensity and speed of the exercise varies, to train both the aerobic (with oxygen) and anaerobic systems (without oxygen).  Simply put, the aerobic system is the system your body uses to perform continuous activities like walking, swimming and bike riding.  Your respiration and pulse rate increase, but you can handle it and keep going for 20 or more minutes.


The anaerobic system is used for high intensity activities like sprinting and jumping, that cause you to become winded and fatigued, forcing you to stop within a 30 to 90 seconds. 

By training both of these systems you will become more fit and able to walk at faster, harder paces.  The easiest way to implement this into your existing walk routine is to perform timed bouts of fast walking followed by slow, recovery walking.  This can be accomplished using the walking techniques described in the previous walking pace articles. 

Start with a warm up walk lasting between 10 and 15 minutes and then pick up your pace to a 30 to 60 second speed walk, followed by 1 to 3 minutes of leisurely paced, health walking.  Once you feel that you have adequately recovered you can go back to a moderate fitness paced walk.  Every time you do a 30 to 60 second speed pace, follow it up with a 1 to 2 minute recovery pace.   Start with two or three of these bouts equally disbursed within your walk, then add in another every few weeks as desired.

The ratio is the time difference between the fast, work pace and the slow, recovery pace.  Typically you begin with a 1 to 3 ratio.  That means the recovery pace is 3 times the length of the work pace.  For example:

30 seconds fast – 1.5 minutes slow (1 to 3 ratio)
or,  1 minute fast – 3 minutes slow  (1 to 3 ratio)

As you get in better condition for intervals you can reduce the ratio to 1 to 2

30 seconds fast – 1 minute slow (1 to 2 ratio)
Or, 1 minute fast – 2 minutes slow (1 to 2 ratio)

It can be a lot of fun trying different ratios. Soon you’ll be cruising down the road with greater speed and energy.  But don’t overdue it... interval training is quite intense so limit these types of training sessions to no more than a few times per week.

Many of the abilities and improvements you will be working on in this three part series go hand and hand because of the cross over between strength, power and speed... so feel free to use a variety of these suggested programs during your week, month and/or year...

Remember, walking is essential for joint health and for managing arthritis and managing osteoporosis.  Try these walking programs and you might walk in the next race!

Join a Walk it Prevention team!

Building a Better Walk Program

Who wouldn’t like to make the most out of every walking workout? As a continuation on my recent series on walking, in this post I would like to talk about the power walk. 

A simple way to increase your walking power and output is to increase the dynamics of your arm swing.  Create a fist with your thumbs resting on your knuckles and bend your elbows to right angles.  Pump your arms forward and back with your fist moving from sternum to hip in an alternating fashion.  As you pump your arms think about driving your elbows down and back right along side of your torso. Keep your arms moving in a straight line; don’t let them swing side to side or cross the body. To progress further try-adding resistance in the form of hand held weights, body vests, or walking poles.  All of these options will help you burn more calories while using them while also increasing your ability to perform a more powerful walk when you walk without them.  

Start off using the lightest increments of weight.  Restrict the time you spend using the added resistance.  Start with 5 or 10 minutes and then gradually build up to your regular workout time.  If you plan to increase your resistance, do so in small increments every 4 to 8 weeks. The maximum recommendation for hand held weights is 3 pounds and the maximum for weighted vest is 30 pounds.  Note: Controversy exists over the use of hand held weights due to the stress to the shoulder joint.  Please check with your doctor first. 

• Active arm swing output increase
  - Using arm swing = 10% increase (approximately .5 cal. per min.)   (Elbow bent to right angle, fist pumps from sternum to hip)

• Hand weights output increase (with active arm swing)
- 1 pound = 10% (approximately .5 cal. per min.)
- 2 pounds = 20% increase (approximately 1 cal. per min.)
- 3 pounds = 30% increase (approximately 1.5 cal. per min.)

• Weighted vest output increase
- 10 pounds = 10% increase (approximately .5 cal. per min.)
- 20 pounds = 20% increase (approximately 1 cal. per min.)
- 30 pounds = 30% increase (approximately 1.5 cal. per min.)
- Vest should not exceed 20% of ones total body weight (i.e. 130 pound person should go no higher than 25 lbs.)

• Walking poles:
- Using poles = 20+% increase (approximately 1.5 kcal per min.)

As you know, walking is good for increasing energy levels, managing arthritis and joint health.  Increasing or alternating your walking workout is a way to get the most out of your workout.

*Keep in mind that good posture, controlled arm swing and proper overall walking form (see article on walking form) must be maintained during the use of any added resistance device. If the use of added resistance causes, neck, shoulder pain or low back pain discontinue immediately.

• Maintain good posture.
• Flex the elbows to approximately 90 degrees. Let them swing forward and back without crossing the center of the body or swinging higher than the top of the sternum. Keep elbows close to sides.
• Speed up the arm swing to speed up the leg action
• The hips will rotate slightly in a natural motion.
• Land on the heel of the foot with the forefoot raised.
• Roll from the heel to the ball of the foot.
• Forcefully push off the forefoot.
• Lean slightly forward from the ankles, not the waist.

To help keep your joints flexible and strong, make sure to take glucosamine and chondroitin supplements each day.  You will notice the difference as you increase your walking intensity.  Try alternating one day of health walking with one day of fitness walking until you build up your stamina. 

What Vitamin D means to you and your family

A vitamin D deficiency can occur when usual intake is lower than recommended levels over time, exposure to sunlight is limited, the kidneys cannot convert vitamin D to its active form, or absorption of vitamin D from the digestive tract is inadequate. Vitamin D deficient diets are associated with milk allergy, lactose intolerance, and strict vegetarianism.

Studies show that people with low levels of vitamin D have lower bone density or bone mass.  Vitamin D is important for managing osteoporosis and joint health especially for those over 50.

Exclusively breast fed infants
Breast milk does not have enough vitamin D to meet an infant’s needs.  Studies indicate that breast milk only provides approximately 25 IU/L.

Darker skinned individuals
Melanin, the pigment that makes skin dark, also protects darker skin from the sunlight.  In doing this, it decreases the amount of sunlight absorbed by skin and utilized to produce vitamin D.  Studies have also found that rickets is more prevalent in immigrants from Asia, Africa and the Middle East and that African Americans are at risk for low serum levels of vitamin D.   If you have darker skin, you need to spend more time outside in the sunlight in order to produce enough vitamin D in comparison to a lighter-skinned individual’s exposure.  Keep in mind that although darker skin protects skin from the damaging effects of sun exposure, darker-skinned individuals are still at risk for skin cancer.

Older individuals
As people age, the body’s synthesis of vitamin D is decreased as is the kidney’s ability to convert vitamin D to its active hormone form.  Those who are 50 years of age or older are considered at risk for developing vitamin D deficiency.  

People exposed to little sunlight
If you live where the sun rarely shines or diligently wear sunscreen and cover up most of your body in clothing, your skin is not obtaining enough sun exposure to manufacture adequate amounts of vitamin D.

People with fat malabsorption
As a fat-soluble vitamin, vitamin D requires some dietary fat for proper absorption.  Fat malabsorption is associated with pancreatic enzyme deficiency, Crohn’s disease,
cystic fibrosis, celiac disease, surgical removal of part of the stomach or intestines, and some forms of liver disease.

Obese individuals
Obesity/excess body fat increases the risk for vitamin D deficiency.  Vitamin D is stored in fat tissue and the more fat tissue a person has the less available their vitamin D is for circulation.

In addition to the groups mentioned above, individuals with kidney disease , gastrointestinal and liver disease , and primary hyperparathyroidism are at risk for vitamin D deficiency.

Aside from bone pain and muscle weakness, there may be little indication that someone has inadequate circulating levels of vitamin D.  To learn your vitamin D levels, ask your doctor about a rapid vitamin D test that measures your blood levels of the vitamin.

Because it is difficult to get enough vitamin D from diet and sunlight, taking vitamin D supplements is recommended.  A liquid vitamin D supplement is a great way for the whole family to get the vitamin D they need without having to swallow large pills.



References:
Gartner LM, Greer FR, American Academy of Pediatrics Committee on Nutrition. Prevention of rickets and vitamin D deficiency: new guidelines for vitamin D intake. Pediatrics 2003:111:908-10

  Alsafwah S, Laguardia SP, Nelson MD et al.   Hypovitaminosis D in African Americans residing in Memphis, Tennessee with and without heart failure. Am J Med Sci 2008;335(4):292-7.

  Holick MF. Vitamin D: the underappreciated D-lightful hormone that is important for skeletal and cellular health. Curr Opin Endocrinol Diabetes 2002;9:87-98

  Glerup H, Mikkelsen K, Poulsen L, et al. Commonly recommended daily intake of vitamin D is not sufficient if sunlight exposure is limited. J Intern Med 2000;247(2):260-268

  Lo CW, Paris PW, Clemens TL et al. Vitamin D absorption in healthy subjects and in patients with intestinal malabsorption syndromes. Am J Clin Nutr 1985;42:644-49.

  Arunabh S, Pollack S, Yeh J, Aloia JF. Body fat content and 25-hydroxyvitamin D levels in healthy women. J Clin Endocrinol Metab 2003;88(1):157-161

  Gal-Moscovici A, Sprague SM. Role of vitamin D deficiency in chronic kidney disease.  J Bone Miner Res 2007;22 Suppl 2:V91-4.

  Pappa HM, Bern E, Kamin D, Grand RJ.  Vitamin D status in gastrointestinal and liver disease. Curr Opin Gastroenterol 2008;24(2):176-83.

  Silverberg SJ.  Vitamin D deficiency and primary hyperparathyroidism. J Bone Miner Res 2007;22 Suppl 2:V100-4.

3 Part Series

In my previous post, I talked about health walking and I would like to expand on that.  Many older adults are experiencing the joys of walking for fitness and for joint health, including participation in local 10k, half and full marathon races.  It's a great way for managing arthritis.  Over the next three part series, I will lay out a few training options that can help take your walks and races to the next level. 

Strength Walk (part 1)
As you progress your routine don’t forget to include some complementary resistance-training exercises for the muscles you use during your walks.  By strengthening your leg and torso muscles you will reduce joint stress and muscle fatigue, giving you greater stamina no matter how long the race.  It’s best to implement your strength-walk program a few months prior to a given race, but it’s never too late to get started. 

Below is a short series of strength moves that you can add right into your walk or perform on off days.  You should try doing them at least 2 to 3 times per week. 

1. Walking lunges (for the leg and hip muscles): start with your feet together, step forward and bend both knees until you are in a lunge position, then bring the rear foot up to meet the front foot. Repeat leading with the opposite leg.  Continue alternating legs for 10 to 15 steps on each leg.   

2. Scapular Dips (for the upper back and shoulder girdle muscles): Place your arms behind you with your hands resting on the edge of a bench or step.  Walk you feet slightly forward, hips and knees bent.  Fingers are forward and elbows are straight.  Slowly let your shoulder blades slide upward towards your ears and then press them downward in the opposite direction.  Keeping all other joints stable.  Repeat this controlled shoulder shrug and press action 10 to 15 times. 

3. Heel to toe walks (for the lower leg muscles): Stand tall, bending the knees slightly and walk on your heels (toes up) for 30 seconds.  Follow this with 30 seconds of walking on your toes (heels up).  Repeat 30-second toe to heel walk two more times for a total of 3 sets.

4. Scapular Squeeze Circuit (for the mid back, postural muscles): Walk with proper form and arm swing for 5 to 10 minutes then continue walking while performing 20 scapular squeezes.  Tuck both arms in towards your sides and pinch the muscles between your shoulder blades as though you are squeezing a tennis ball between them.  Hold the squeeze for one to two seconds then release for one to two seconds.  Go back to normal walking technique then repeat the squeeze series a total of 3 times over.

Nutritional supplements such as glucosamine and chondroitin along with a sensible walking program may help improve overall joint pain and flexibility.

Have you hit the point where your mind may say ‘go’ yet your body says ‘no’, when it comes to high impact activities like running? 

Don’t let aging joints limit your competitive spirit.  Many people are finding the joys of walking in community 10K's, half marathons and even marathons.  After giving birth to five children, my own program has evolved to a brisk fitness walk... It keeps my blood pumping with less joint impact, along with the fact that it is a whole lot easier on the pelvic floor muscles. 

Walking is awesome exercise and can be a great way to complete any race event you may be interested in, even a marathon!  It's also great for overall bone and joint health and for managing arthritis. 

To pick up your pace without increasing joint impact you need to move from a healthy, leisure walk towards a faster race walk style.  It is all in the technique.  The following easy and progressive walk tips can get you moving faster, burning more calories, toning extra muscle, and crossing the finish line in record time.

There are three primary walking styles, originally introduced into the fitness education market by Reebok over 10 years ago.  First is health walking, which includes a leisurely paced stroll (16 to 30 minutes per mile), done with your focus on good posture and a relaxed arm swing.  It is perfect for increasing health and preventing the diseases that have been linked to inactivity including arthritis, obesity and osteoporosis.  The U.S. surgeon general has recommended that everyone try to accumulate at least 30 minutes of this moderately paced style of walking, most if not all days of the week.

The other two styles, fitness walking and speed walking, I will discuss in my next two posts.

Health Walking
The following technique tips will help you perform health walking with good form and mechanics.

• Head in neutral position (head centered, chin parallel to ground, eyes looking ahead).
• Shoulders down, pulled back and relaxed
• Chest lifted
• Abdominals contracted and buttocks tucked under hips
• Arms relaxed and swinging in opposition to the legs
• Comfortable stride   

It's even better if you can walk with a partner each day.  As the weather worsens during the winter, try walking in your local mall or on a treadmill.

Illustration:  Walk Reebok Training Manual: 1995.

My garden in the spring

Setting the right goal is the most important step in starting a new fitness program... unfortunately it is often underestimated or completely overlooked.  How often do you hear people tell you that they joined a health club last year, but never go? Or they lost 5 pounds only to put back on 10? These unfortunate endings could have been prevented if the right goals were established in the beginning of the process.  

So how do you set the right goals and then actually achieve them?

The first thing to keep in mind is that most fitness related goals need at least 12 weeks for you to see measurable results.  Most people give up just about the time their bodies start changing.

Secondly, you need to focus on one primary goal at a time. Then it is important for you to have a way to monitor and track how you’re doing during the process.  And finally after the 12- weeks are over, you should re-establish a new goal based on your training results.  In doing so you are creating smaller more manageable goal increments. Success of any type often happens in small steps rather than unrealistic leaps.

Use the following steps to select the right fitness goal:

Meaningful: Make sure you’re goal is something that is truly meaningful in the ‘now’...

List 3 things you really want to change or improve about your body (in order of priority)
1.
2.
3.
(For example: 1. Lose weight; 2. Improve Joint Health; 3. Tone up)

Measurable: Now look at the three goals you listed and decide if and how you can measure them.

1. ____________________________
2. ____________________________
3. ____________________________

(For example: Lose weight: measure by scale; Feel better: self evaluation of energy level; less joint pain; Tone up lower body: tape measure)

Manageable: Take another look at your potential goals and decide which might be the most manageable, realistic and achievable over a twelve-week training period.

List the increment you would be trying to achieve per week.
1. __________________per week
2. __________________per week
3. __________________per week

(for example: Lose weight: 1 pound; Feel better:10%;  Tone up: lose ¼ inch off hips and/or thighs)

This process will help you recognize which of your potential goals might be the best to work on first.  Once you have achieved your goal, you can continue on the same path, advance the measurement or start working on one of the remaining two goals.

This systematic approach to goal setting and achievement can make the difference between ‘success’ or ‘depress’ when it comes to your next fitness program... so get goal setting and GO!

A new study just released revealed the five top reasons why physicians recommend dietary supplements to their patients.  The Life Supplemented Healthcare Professionals (HCP) Impact Study found that a majority of physicians - 79% - recommend supplements to their patients for these health reasons:

1. Bone Health 33%
2. Overall health and wellness 32%
3. Joint Health 29%
4. Heart Health 26%
5. Maintain healthy cholesterol 22%

The physicians were not asked to specify which supplements they would recommend for each condition; however, there are certain supplements that are widely recognized for each of these health areas.

1.  Bone Health - Calcium and Vitamin D are widely recognized and recommended for maintaining bone health and managing osteoporosis

2.  Overall health and wellness - This survey found that 72 percent of physicians think its a good ideas for patients to take a multivitamin. 

3.  Joint Health - Glucosamine and chondroitin supplements have been shown in clinical trials to aid in joint discomfort and mobility often caused by osteoarthritis.

4.  Heart Health - Omega-3's, EPA and DHA, found in fatty fish such as salmon are often taken for many health reasons, including a healthy heart.  Other supplements include vitamin E and B vitamins. 

5.  Maintain healthy cholesterol - Soluble fiber is known for its cholesterol-lowering effects and plant sterols are becoming popular also.

Top supplements used by the 72 percent of physicians who say they use a dietary supplement:

1. Multivitamin
2. Vitamin C
3. B vitamins
4. Vitamin D
5. Vitamin E
6. Calcium

Read more about this study here

Part 2 of Series on Exercise Gear

Exercise Wear
One of the first questions I often get when doing senior fitness orientations at my health club is ... what should I wear when exercising?  Well besides the right shoe (see part 1: Does the shoe fit) the next most important thing to have is the right exercise clothing.  Three things to think about when selecting your exercise where are comfort, breath-ability and layering.
 

• When it comes to comfort seniors will want to make sure clothing covers what they need to but doesn’t restrict full range movement or have any tight or irritating elastic banding. 
  
• By breath-ability I mean the ability for the material to release heat energy and possibly even decrease the sweat on your skin, often referred to as wicking sweat away.  This type of material helps with the evaporation of sweat and is quick cooling. Wicking-material clothes are typically found in the running or walking department of sporting good stores.
   
• And last but not least is the layering factor.  As we age our internal body temperature seems to be a bit out of whack.  I find that half my senior exercisers are always too cold and the other half heats up too fast.  It takes a bit longer for senior bodies to catch up with environmental changes... Thus those who are cold have a hard time warming up and those who run hot have a harder time cooling off.  Therefore, having a way of warming up or cooling off by putting on or taking off an extra layer of clothing is important.  For the cool senior it will be important to always bringing along a sweat or fleece jacket.  For those hotties it means making sure that they have short or non sleeved shirts on under their outer-wear and switching to shorter pants or legging.  
  
  In my next post I will talk about choosing the right kind of exercise equipment depending on why kind of exercises you want to do.  Remember exercise is very important for overall bone and joint health as you get older.  It's important to stay active and keep those joints moving!
  

In my last post, I wrote about exercise tips you can easily do while on the go.  In this post are specific exercises that you can do in your hotel room or anywhere without having to go to the gym. 

Body Blasters: The following exercises are very effective and use gravity as your resistance, so you don’t need any extra equipment.  These are also great for overall bone and joint health.  Do 1 to 2 sets of 8 to15 repetitions of each of the following classic exercises for a full body workout.

Push ups: for chest, triceps and shoulders                                                                                           

·        From a hand and knee or hand and toes position, bend the elbows and slowly lower chest towards the floor

·        Keep the abdominals held tight and try to get the chest to within a fists distance of the ground

·        Hold in the down position for a second or two and then exhale as you extend the elbows, pressing back up to starting position.

Single Leg Step Ups: for hip and buttock muscles                                                                                     

·        Stand with one foot on top of a step or solid bench (6 to 12 inches high) and the opposite foot on the floor behind the step or bench. 

·        Shift your weight onto the up leg and exhale as you extend (straighten) the hip and knee

·        Tighten the standing thigh and hip muscles for a second or two and then slowly lower back to the starting position. 

·        Repeat 8 to 15 times and then switch leg positions to work the opposite side.

Traveling Lunges: for the leg muscles

·        Start with feet together in good standing alignment

·        Step forward with one leg and bend both knees lowering into a lunge position

·        Hold for a second or two in the down position and then step the rear leg forward along side the front leg

·        Repeat with the opposite leg moving in a forward direction.

·        Breath fluidly throughout the movements

·        Continue in a forward moving direction, alternating between legs until you have completed 8 to 12 step outs on each leg

Shoulder dips: for mid back muscles

·        Position your arms behind your body with hands on a raised surface (step or bench), fingers forward towards your hips; Knees are bent with feet on the ground

·        Keep your elbows straight as you allow your shoulders to rise up towards your ears

·        Exhale as you press downward through your shoulder girdle, pushing your shoulders away from your ears and hold this position for a few seconds

·        Repeat the movement slowly 8 to 15 times concentrating on the scapular movement while keeping your elbows straight throughout the exercise.  * make sure not to confuse this with the classic triceps dip...where the lowering is done by bending the elbows.

Inversion press ups: for the upper back and shoulders

·        From an inverted position (hands on floor and hips up) similar to the downward dog in Yoga, slowly bend your elbows and lower your head and shoulders towards the floor

·        Hold the down position for a second or two and then exhale as you press back to starting position

·        Feel free to place the hands on a raised surface like a step or bench if it is to hard to do with hands on floor

Crunches: for the abs

·        Lie back on the floor with hands behind your head, knees bent and feet positioned a comfortable distance from your hips

·        Exhale as you lift the torso from the ribcage area moving towards your pelvis

·        Lift to the point where you feel your shoulder blades clear the floor and hold for a second or two, then slowly lower back to starting position

·        Repeat for 8 to 15 repetitions

Supermans (back extension): for the spinal muscles

·        Lie flat on your belly with your arms extended forward and your legs straight on the floor

·        Keep your abs tight and feet on the ground as you exhale and lift your upper body and chest off the floor a few inches. Stay in the pain free range, never lifting higher than comfortable for your lower back.

·        Stay lifted for a few seconds and then return back to the start position.

·        You can modify this exercise if it is too difficult to lift with your arms extended by bending the elbows along side of the head or resting the chin on your hands

·        Be sure to move slowly in and out of each repetition keeping the head and neck in stable alignment with the rest of the spine.

·        Repeat for 8 to 15 repetitions

This short series will pump you up and hold you over till you can get back to the gym.

I’m so excited to tell you about our newest product, a single dose powder packet with glucosamine, chondroitin and MSM.   Ever since our liquid glucosamine and chondroitin became available, customers have been requesting a “travel” size.  Something that can easily be taken on vacation, business trips, to the gym, work or anywhere.  The regular liquid glucosamine works great but does not travel well in a suitcase and definitely cannot go in a carry-on.  Trust me, I’ve tried, and it has ended up in the airport “garbage can” along with other travelers’ shampoos and toothpaste.

The new glucosamine powder packets have the same level of the three key ingredients, glucosamine, chondroitin and MSM for joint health.  They come in two tasty flavors – citrus and berry.  I really enjoy both flavors and it’s nice to have variety.  I keep a few packets in my purse for when I forget to take my daily dose of the regular liquid glucosamine or when I want to sip a flavored drink while out and about.

The packets are convenient and easy to use.  Just tear off the top of the packet and pour into a water bottle after drinking little of the water first to make some room.  Shake it well until the powder is completely dissolved and drink up!  If you prefer, pour the powder into a tall glass, add the powder and stir until dissolved.  It has a refreshing taste great for anytime of the day.   Now you won’t have to miss taking liquid glucosamine while on the go – just bring enough of the new powder packets for each day.  It couldn’t be easier or more convenient and your joints will love you for it!

The new powder packets are now available at Vitacost.com, Drugstore.com and select Rite Aid stores.  We will have free samples available soon!


Arthritis Tip of the Day -  When flying, always bring a lightweight carry-on bag to hold your medications, a change of underwear and socks, toothbrush and other vital items.  (Glucosamine Powder Packets!)  If you are stranded you may not have access to your checked luggage or in case your luggage gets lost.