The simplest at-risk check for type 2 diabetes
Measuring your waist sounds like a very simple and perhaps innocent activity. But in fact it can tell you much more about your health than standing on the scales. After all, when you think about it, weighing yourself tells you very little. It tells you nothing about your body composition and nothing about what risks you have from, say, fat deposits in high risk areas (where you carry fat on your body is extremely important).
On the other hand, a waist measurement tells you important details about the location of fat and has proven correlations with future health risks. It reflects both health and nutritional status, and when associated with the shape of your body generalised health outcomes can be predicted. The reason is that under the skin of your tummy the intra-abdominal fat builds about around your organs, and this is what leads to the health problems (so-called metabolic fat).
Why It Is More Important Than You Might Think
At the gym I see lots of middle-aged people spending lots of time in the aerobics room, and few of them building strength in the weights area. Those that are in the weights area are more often than not sitting on machines taking a rest. It's not hard to conclude that most people past 45 don't place a high value on all-round body strength. Yet, all round body strength is one of the most fundamental physical assets that will help them improve their quality of life.
And my observation over 20 years at the gym is that, in particular, most mid-life women limit their understanding of "exercise" to cardio like biking or running. The idea that they could actually become strong perhaps seems absurd to the point that it never strikes them as a real possibility. But more than men, women 50+ need strength training to regain essential components of their degenerating musculoskeletal system.
Have you make the choice to live as long as you can, as independently as you can?
How can I help you make that choice, it is yours to create. After you have made it I can give you the options you need to achieve your lifestyle fitness goals.
The new exercise and physical activity guidelines issued by the US federal government’s Office of Disease Prevention and Health Promotion are better tailored for age and ability. Importantly, they also now take into consideration the intensity of activity, and not just a blanket generalisation of "moderate activity". This is the biggest difference which will most change the potential impact of the new guidelines as compared to the old.
This move to recognise intensity is a very useful change. Previously the recommendations focused people on spending a certain amount of time exercising, including the caveat that spending less than 10 minutes at any one time was not worthwhile. The new guidelines base your dose of physical activity on relative intensity: how much effort a given exercise takes compared with your capacity for exercise. They also recognise that short bouts of exercise can be useful - "what really is important is the total amount of physical activity you accumulate during the day and the week".
It's that time of year again where new gym memberships soar, ambitions are high, and lofty fitness goals are set. As we all know, the New Year's fitness see-saw usually ends up with an unhappy ending, unfortunately. Here are my five suggestions to help you create the most sustainable start for your New Year's fitness program.
1. Start small - less is more
Trim your ambition and start with much less than you think you can accomplish.
For a start don’t plan an hours session at the gym every day of the week, and don't plan 5:30am classes if you normally don’t even get up until 6:30am. It's better to add more later than to start and then try to subtract. Most people don't end up subtracting successfully - they stop altogether. You only need start with 3 gym sessions a week, make one focused on cardio e.g. a spin class, one on strength e.g. a Bodypump class, and one on functional exercise e.g. Pilates or Body Balance.
Classes are the easiest way to get a pattern established and you don’t have to think about what to do next.
2. Trim your diet - eat 20% less not 20% more
Most of the population will lose weight by eating less, especially in combination with exercise.
However people who are starting out exercising often find themselves eating more to satisfy their hunger after exercising. After a while it becomes a habit to eat after exercise and eventually become disillusioned with their whole exercise program - for the wrong reasons. If you start to generally eat less - 20% less - then your stomach will shrink and your desire for food will reduce.
Of the books I have read over the last 6 or 7 weeks, these are four that I can recommend for your Xmas reading - one for yourself, one for your health, one for your business and one for society.
When it happened to me it was like a bolt of lightning striking my lower back. In the midst of some intensive exercise I stopped, ironically, to move a small dumbbell away from my feet to avoid the possibly of tripping on it. I leant over, reached down, and almost at the point of giving it a gentle flick to the right with my fingers a shrieking pain immobilised me.
I was both dumbfounded and in agony. Putting weight on my left leg hurt, and even standing up straight hurt. My mind was racing.
Your're only as strong as your back.
One of my instructors was fond of saying "you're only as strong as your back", and my back felt like it was permanently out of action. Was I ever going to be able to exercise again? Was this going to be what life was like for the rest of my life? Had I pinched a nerve, would it always hurt? I was now sweating more from fear than from pain!
Just as Mussorgsky wrote his "Pictures from an Exhibition" suite after attending an art exhibition, I've created a more prosaic piece of content below which are examples of the questions I experienced from my final examination for a Professional Diploma in Sports and Exercise Nutrition. You'll see from the questions how this knowledge fits into my ambition to help people lower their body age and live longer actively and independently.
For those who are curious, the correct selections are: 1 - (a), 2 - 91.6-160.4g / day, 3 - (c), 4 - 2079kcal / day, 5 - False, 6 - True, 7 - False, 8 - (a), 9 - Energy availability, Menstrual function, Bone strength, 10 - (b), 11 - Soy, 12 - All factors, 13 - All factors, 14 - False, 15 (d).
From what I see around me, it seems that the older we get the more we become afraid of strength training - older people start to believe that it will do them more harm than good.
That's not the case, and you can do a lot with just bodyweight exercises to get started. Although you cannot reach the ultimate strength outcomes without heavy weights e.g. deadlifts and cleans - you can still achieve enormous benefits by just doing bodyweight exercises. And of course you can do those yourself at home.
Still, access to good equipment at a gym and a trainer, at least initially, is an advantage. Some basic knowledge also helps, and my four principles below will give you a great head start.
Since I was diagnosed at 50 with Type 2 diabetes I've been learning how to do bone-building body-shaping training for people our age. You can too. It's your choice. Walter