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Showing posts with label heart. Show all posts
Showing posts with label heart. Show all posts

Tuesday, September 24, 2013

WLC INFORMATION for September 30th

  BIG CONGRATULATIONS TO ALL OF OUR SUCCESS THIS LAST WEEK!  OUR BIGGEST LOSERS ON MONDAY NIGHT LOST 7 LBS AND 4.8 LBS RESPECTIVELY AND OUR ENTIRE CLASS LOST 25....IN 1 WEEK!  Keep up the incredible work!  What great to hear is how consistency with the basics and applying the new learning, incredible results can happen!

CONGRATULATIONS to our WLC team for running another great class!  Our review game was certainly a HIT!  Kudos to Team #2 for totally smashing Team #1..you guys really know your stuff :)  And, to everyone that won extra tickets for bringing in your water log...keep that habit up!

INFORMATION FOR NEXT WEEK:  Exercise and Raising Your Metabolism! 

HERE ARE THE VIDEOS PLAYED IN CLASS!  REWATCH AND LEARN MORE ABOUT HEART HEALTH FROM OUR VERY OWN DR. LOU IGNARRO (NOBEL PRIZE LAUREATE) and OMEGA 3'S FROM OUR DR. LUIGI!

Dr. Lou Ignarro Heart Health Video 
Dr. Luigi Omega 3 Video 


 

FAQs about Exercise
My hands and/or feet swell during exercise. Is this normal?
Probably. It is normal for your feet to swell a little bit during exercise—enough to make a difference of about one shoe size, but some people may experience even more swelling than that. Others also experience noticeable hand swelling while running or walking. When this swelling is "normal" (not the result of a medical condition), it will usually disappear fairly soon after the exercise stops, and won’t involve other symptoms. If you experience swelling in your extremities, along with symptoms like pain, redness, and shortness of breath, and/or the swelling doesn't go away within a couple of hours after you stop exercising, you should check with your doctor to see if something else is going on. There are many possible explanations for this exercise-induced swelling, and in most cases, several factors probably contribute to it. Here are a few tips for minimizing the problem:

Shop for your exercise shoes late in the afternoon or soon after a bout of exercise, when you’re feet will be closer to the size they swell to. If that’s not feasible, get them about half a size larger than your normal shoes.
• Take off tight jewelry like rings, watches, and bracelets during exercise.
• When walking or running, keep your elbows bent and your forearms parallel to the ground; don’t keep hands clenched in fists, and stretch your fingers every few minutes.
• During exercise, rest your hands on top of your head every now and then (when feasible) to elevate them above the level of your heart.
• If your exercise session is going to be longer than an hour, and you’ll be sweating pretty heavily, make sure your daily intake of water and salt is balanced. Consider using a sports drink that provides electrolytes for hydration during your long exercise sessions.
I have chronic fatigue syndrome, which makes exercise difficult. Any suggestions?
It's important for people with chronic fatigue syndrome (CFS) to work in conjunction with their health care providers to start a healthy, reasonable exercise program. Physical activity should be gentle and should be increased slowly over time (in terms of frequency, intensity and duration). Some good examples include yoga, Tai Chi, Pilates, walking, stretching, light strength training, and water exercise. Let your doctor or physiotherapist be your guide when starting a fitness program. Here are some general suggestions:
Gradually work up to three workouts per week.
Pace yourself and listen to your body. Your tolerance to exercise will change often and day-to-day. Stop exercising before you feel exhausted.
Aerobic (cardio) exercise may or may not be for you. For some people with CFS, it worsens symptoms.
Exercise will be trial and error. Try to learn from your experiences. For example, if walking for 15 minutes worsens your symptoms, try walking for five minutes and see how that goes. It may be helpful to record your exercises and how you feel in a journal. Remember to only start an exercise program after your doctor says it's okay. Hopefully he or she can also help monitor your symptoms and offer suggestions.
Class 4 Week 9
I have asthma. Can I still exercise?
Yes, exercise in general is beneficial to asthma. Asthmatics can safely exercise, especially when their asthma is well-controlled, but you should work closely with your doctor to develop a fitness plan that works for you, and time your treatments (using the inhaler, etc.) in the best way to reduce attacks during and/or after exercise. Regular exercise is important for your weight loss and fitness level, but staying consistent with it will also reduce the number and severity of your asthma attacks, as well as boosting your immune system. Work with you physician of course, but try to keep your exercise intensity low initially, especially if you have a cold. When asthma symptoms occur, you should reduce your intensity level, but that doesn't necessarily mean you have to stop completely. Using your inhaler before your workout will help reduce the possibility of attacks during exercise. Take extra time to both warm up and cool down. Depending on where you work out, consider wearing a face mask (will work great at home, but might make you self-conscious in the gym). This keeps your inhaled air warm and moist, helping to reduce asthmatic responses during exercise. Because warm and moist air is beneficial to asthmatics, try to avoid exercising in cold, dry environments.
I just started exercising to lose weight, but I've gained weight. Why did this happen?
It's true that many people either gain a little weight or don't see any change on the scale for as long as 4-6 weeks after making a significant change in their level of exercise. This is often explained as "gaining muscle while losing fat" but that isn't quite accurate. This extra weight is usually water. When you start doing more exercise, your body begins storing more fuel in your muscle cells, where it can be used easily and quickly to fuel your workouts. The process of converting glucose (carbohydrates) into fuel that your muscles actually store and use (glycogen) requires three molecules of water for every molecule of glucose. As your muscles are building up glycogen stores, your body has to retain extra water for this purpose. That's what causes most of the initial weight gain or lack of weight loss. This is a good thing—not something to worry about. However, despite what the scale says, you are actually losing fat during this time. The extra water retention will stop once your body has adjusted to its new activity level. At that point, the scale should start moving down. You'll end up with less fat, and muscles that can handle a larger amount of work.
Class 4 Week 9
Does exercising on an empty stomach (such as first thing in the morning) burn more fat?
Although everyone is different, I would not advise anyone to exercise on an empty stomach, whether in the morning or anytime of the day. In the morning, your body has gone 8+ hours since eating or drinking anything. Your blood sugar levels are lower at this point, and your body doesn't have adequate fuel to workout optimally. Usually, experts recommend eating something—even if it's just a small snack—within 2 hours before working out. When your body doesn’t have proper fuel in it, many problems can result, the lesser being that your workout performance suffers, and the greater being something like passing out during exercise. However, like I said—every body is different. Some people can workout on an empty stomach with no problems, while others would end up very sick and feel the negative effects of it. When I workout in the morning, I always eat (and drink) something first thing after I wake up. Usually by the time I start my workout it doesn't hurt my stomach to exercise with a bit of food on it. Also, I think there might have been a bit of confusion here about metabolic rates in the morning. Eating breakfast in the morning has a positive effect on your metabolism, but exercising on an empty stomach does not. Some people say that it will burn fat stores, but overall, the number of calories your burn during a workout (regardless of where they come from) is much more important. Plus, fat burns in the carbohydrate flame. This means that exercising without eating (such as after "fasting" during sleep) your body does not burn fat efficiently, or sometimes at all.
How do I know how many calories I burn doing Pilates? Does it count as cardio or strength training?
Your Pilates workout is a great way to improve general fitness, and will definitely burn some extra calories—but not as many as traditional aerobic exercise. And it won't provide the same cardiovascular conditioning benefits as aerobics, even if it does elevate your heart rate quite a bit. Aerobic exercise has heart-healthy effects because of the unique way it forces the cardiovascular system to provide extra oxygen and blood flow to the muscles. So, we encourage people NOT to replace traditional aerobic exercise (running, walking, biking, etc.) with other things that serve different purposes. Better to do both, if possible. The cardio tracker can't accurately estimate calories burned for things like Pilates and weight training because it's almost impossible to estimate how many calories a given person would be burning due to the many individual variables involved. Since any stock formula is bound to be significantly off for the majority of people who use it, and since overestimating calories burned is just as unhelpful as underestimating calories eaten, we recommend that people just consider the calories burned by these kinds of activity as "extra" calories they are banking for those days when things don't quite go as planned.
Class 4 Week 9
Is it okay to exercise when you have a cold?
Great question! When you are sick, you need to pay careful attention to what your body is telling you. If the cold is primarily in your head, it's okay to exercise, just at a lower intensity (provided you feel okay and have enough energy). Once you are feeling 100% again, then you can slowly increase your activity back to your pre-illness level. If your feeling sluggish or the workout isn't going well, don't push it. When you push too much, the sickness can end up hanging around longer. If your cold is below the neck (in your chest), try to refrain from activity until it clears up. The best thing you can do for your body when it's trying to fight a bug is to give it rest.
What exercises can I do at home? My budget is really tight and I cannot afford to join a gym.
Here are some resistance training exercises that you can do using just your own body weight: 1. Pushups- standard, on knees, feet propped up on a chair, leaning on a wall, upper body propped up on a couch, etc. There are even more variations by changing body placement and hand-width. 2. Crunches- feet on floor, lets bent in air, legs straight in air, bicycle crunch, full sit-ups, oblique crunches, plank. 3. Lunges- walking lunges, stationary lunges, side lunges, reverse or front lunges. 4. Squats- feet together, feet shoulder-width, feet wide, back on wall (holding wall sit), holding extra weight (dumbbells, water jugs, etc), one-legged squats (advanced!) 5. Bridges- lie on your back, legs bent, feet on floor. Lift hips toward ceiling, squeezing glutes the whole time. Challenge yourself by keeping one leg up in the air. 6. Cardio- climbing your stairs, running/walking/jogging outside, hiking, jumping rope (or just jumping period), kickboxing routines, fitness videos, biking, etc. As you can see, there are SO many options you can choose from, even with the smallest amount of resources. All of the exercise demos in the Fitness Resource Center are exercises you can do at home. Investing a little money in a good resistance band, Swiss ball, and/or pair of hand weights will allow you to do a wide variety of exercises from home.
Class 4 Week 9
How do I figure out my target heart rate? How long do I need to work out after reaching it?
There is a basic formula that applies to the average population (and is actually pretty accurate). Let's use a 20-year-old as an easy-to-calculate example: The formula: 220-age= MAX heart rate (220-20=200 MHR) 60%-80% of this max: 200 x .6 = 120 beats per min, 200 x .8 = 160 beats per min. Therefore the TARGET HEART RATE range for a 20-year old, working at 60-80% (up to 85% for very fit people) of his/her max heart rate is 120-160 beats/min. To calculate your heart rate: Find your pulse (on the neck or wrist) and count the number of beats for 6 seconds. Multiply that number by 10 and compare to your recommended range. Using this method will prevent you from stopping exercise for more than a few seconds. You can take your pulse after you've been exercising for at least 5 minutes. For example, suppose you take your pulse and count 13 in 6 seconds. Multiply by 10 to get 130 beats/min. Now you know you’re in the right range. If you notice you are lower than the minimum, increase your speed/incline/intensity and try to count again. If you notice you are very high, decrease your intensity in some way. * If you have high blood pressure, you should not be working out in this THR range. As far as time goes, try to sustain this intensity (not including your 5 minute warm-up or cool down) for AT LEAST 20 minutes (minimum recommendations for health and weight loss), and up to 45 or even 60 minutes. Of course, you will not start an exercise program with that much endurance, but you'll slowly build up. Aim for reaching this time/intensity 3-5 days a week, and you're all set!
How often should I walk? Should I focus on miles or minutes?
The "FITT" Principles will help you design a safe and effective cardio (aerobic) exercise program, whether you walk for exercise or do something else. Frequency: Number of Days Per Week Aim for a minimum of 3 days a week, and gradually work your way up to 5 or 6 days a week. The more the better--especially when it comes to weight loss. But don't forget the importance of rest and recovery. Give yourself at least 1-2 days off each week. Intensity: How Hard To Exercise You can use your target heart rate range or the "Talk Test" to make sure you're working out in a
Class 4 Week 9
good range (not too easy, not too hard). If you can comfortably answer a question during exercise, while still feeling like you’re exerting yourself, you’re in a good calorie-burning range. This range is ideal for the general health benefits that come with exercise, and for weight loss. Time: How Long For Each Cardio Session The recommended time for most people ranges from a minimum of 20 minutes (for simple general health), all the way up to about 60 minutes. Of course, it’s smart to work your way up gradually. The further you go over 20 minutes, the more fat you are burning, so that can be a good motivator. Type: Activities That Count Any activity can count as cardio/aerobic exercise as long as it meets the 3 requirements above--you can sustain a target heart rate intensity for at least 20-60 minutes, and do it several times a week. Walking, of course, meets those requirements. Things to keep in mind: 1. Time can be cumulative: You don't have to do 60 minutes all at once. You can do several 5-10 minute mini-workouts each day and add them up. 2. If you can't reach your target heart rate with walking, then add intensity by increasing speed or incline.

 LOOKING FOR A HOME WORKOUT SYSTEM THAT ACTUALLY WORKS?  LOOK NO FURTHER!  ASK YOUR COACH ABOUT HOW TO GET ONE!  THIS SET IS CREATED BY THE LEADING STRENGTH COACH IN THE USA AND THE FITNESS INSTRUCTOR IS AN OLYMPIC ATHLETE!  FROM PERSONAL EXPERIENCE, IT TOTALLY ROCKS!  The best part is anyone can do this.  Start from Phase 1 and work your way up!  THIS IS TOTALLY DIFFERENT FROM P90X OR THAT INSANITY PROGRAM!


RAISING METABOLISM

Kick Your Metabolism Into High Gear!
The Do's and Don'ts of Efficient Fat-Burning
-- By Dean Anderson, Fitness & Behavior Expert
If you’re reading this, chances are pretty good that you don’t have a metabolism that lets you eat as much as you want without ever gaining an ounce. Maybe (like me) you’re even at the other extreme, where it seems like all you have to do is smell the foods you love to start packing on the pounds. Does this mean you’re doomed to a lifetime of munching on carrot sticks with fat-free dressing, while watching your hollow-legged friends enjoy their pasta Alfredo and chocolate cheesecake? Not at all. There are lots of things you can do to turn your body into an efficient fat-burning machine, and they don't include depriving yourself of foods you love, resorting to unhealthy gimmicks, or taking expensive “fat-melting” supplements that fail to deliver what they promise. All you have to do is avoid a few common mistakes, and include some simple ways to boost your daily calorie burn. Metabolism DON'TS

Don’t reduce your calorie intake too low. The fact that you gain weight easily is proof that your body likes to shift into fat-storage mode at the drop of a hat, and going too low on calories is one of the easiest ways to trigger that reaction (often referred to as starvation mode). Don’t fall for the mistaken idea that the less you eat, the more you’ll lose—that’s just not how your body works. Staying within your recommended calorie range will keep your internal furnace stoked so that you have more capacity to burn stored fat.
• Don’t skip meals. Going too long between meals affects your body chemistry in ways that can make weight loss more difficult. Most people can manage their hunger and avoid cravings and overeating by spreading out their calories into four to five small, well-balanced meals or snacks during the day. Try not to go more than four to five hours without eating something.

Don’t short yourself on shut eye. More research is showing that chronic sleep deprivation plays a significant role in weight gain. Your body needs plenty of “downtime” for the internal housekeeping that keeps your metabolism in good working order. The occasional late night won’t hurt you, but consistently sleeping just one hour less than you need may slow down your weight loss considerably.
Metabolism DO'S

Build muscle! This is the most important action you can take to maintain a high metabolic rate while trying to lose weight. Strength training prevents you from losing a lot of muscle along with the fat you lose when dieting. If you don’t strength train regularly, up to 30% of the weight you lose could be muscle tissue. Considering that a pound of muscle burns about 3 times more calories per day than a pound of fat even when you’re sitting still (and up to 15-20 times more calories per minute when you're physically active), you can see the problems this can cause. If you lose 20 pounds of weight (and 30% of that weight loss is muscle—seven pounds), you’ll be slowing your metabolism and your fat burning capacity down by a significant amount. A simple strength training program twice a week can limit your muscle loss to almost zero, and keep your metabolism running high.
• Stay as active as possible. The more you use your muscles, the more calories you will burn. Moderate exercise like walking can burn three to six times more calories per minute than sitting still, and high intensity exercise like interval training can burn more than 12 times as much. Likewise, the more you vary your daily activity and exercise, the more you keep your body on its fat-burning toes.
• Don’t just sit there. If you’re watching TV or sitting at your desk, get up frequently to do a few exercises. Keep those resistance bands and dumbbells nearby at all times—you can fit a complete strength training workout into the commercial breaks of a one-hour TV show. Ditch your chair and sit on a stability ball (or a stationary bike) instead—even fidgeting can help! Class 4 Week 3

Exercise in the morning or in frequent bouts. Both strength and cardio exercises boost metabolism by increasing your calorie burn even AFTER your session is done. You can get the most out of this perk by starting your day with a workout or by incorporating multiple exercise sessions into your day. Longer or intense workouts have a greater "after burn” but even a 15-minute walk will make a difference.

Try interval training. The harder you work, the more calories you will burn both during and after exercise—plus your fitness level will really improve. Studies show that exercising as intensely as you can, for at least 10 minutes per day, produces the best results. Interval training is an effective way to increase the intensity and duration of your workouts without running yourself into the ground or risking injury.

Include mental exercises. One of the most important (but least recognized) factors in keeping your metabolic fires well stoked is managing stress effectively. Chronic stress disrupts the hormones that regulate everything from appetite to fat storage, and can defeat even the best exercise and eating plans. The more effort you put into recognizing and handling stress, the better off you’ll be. Include some time in your schedule every day for relaxation exercises, yoga, journaling, and other stress management activities.
And Most Importantly… Make exercise and healthy eating FUN! Experiment frequently with new exercises and recipes, or anything that keeps you interested and adds some spice to your program. Well, don’t stop there. The more variety you can put in your diet and your exercise routine, the more stimulating it will be. That makes it easy to put your best efforts forward, and get a major metabolic return on your investment.
6 Weight Loss Mistakes to Avoid
Small Changes for Big Results
-- By Jen Mueller, Certified Personal Trainer
Many dieters tend to make similar mistakes when trying to lose weight. But being aware of these mistakes—and making small physical and mental changes—will help you lose the weight and keep it off for good. Here’s how: Slower is Better The first mistake dieters make is having unrealistic weight loss expectations. The WLC program is set up to help you safely lose between half a pound and two pounds per week. Studies show that individuals who rapidly lose weight are more likely to gain it back. So if you’ve lost a few pounds this month—excellent! Don’t discount that because you see someone on T.V. losing 15 pounds in two weeks. Everyone is Different While some people lose a lot of weight in the first few weeks, others might not lose any weight for a few weeks. Although this can be frustrating when you’re doing everything right, it’s not a reason to give up. Sometimes it just takes a little while longer to see the results of your hard work reflected on the scale. Remember, eating right and exercising regularly have positive impacts on your health in many other ways, such as more energy, less stress, better sleep, and reduced risk of many diseases. You’ll receive those benefits—regardless of the number on the scale.
Weight Loss is Rarely Constant from Week to Week Many people lose a lot in the first few weeks, and then their weight loss slows down considerably. It’s totally normal to have weeks when you lose more than expected, and weeks when your weight remains the same despite your consistent efforts. Our bodies are very complicated and don’t always cooperate with the estimates of how much we should expect to lose. People rarely lose a consistent amount of weight each week. Measuring your weight loss on a monthly basis can be a more accurate gauge of how well you are doing.
Class 4 Week 3
Weight Loss is Not Immediate Cutting calories today (through diet and exercise) will not necessarily show up on the scale at the end of the day or even by tomorrow. Your weight can fluctuate from day-to-day for reasons that have nothing to do with your diet and
Class 4 Week 3

Friday, August 16, 2013

Final Information for THIS WLC 8-19-13

WEIGHT LOSS CHALLENGERS!  It is hard to believe this our last official class.  As we are gearing up for the celebration night on the 26th, we have 1 more week to learn!  This week is all heart!  You are going to learn about exercise and the effects on the heart and great heart saving tips!  Coach Heidi and Coach Wendy are set to bring you some excellent information!

Here is the recap from last class:
Awesome night!
We recognized Rachel as biggest loser with 4.4 lbs 
for the week.... Talked SUGAR - how much in what - both 
Jeannie & Kelly shared info & visual bags of sugar 
representing how much in what, disgusting! 
 We talked about no high fructose 
corn syrup and to sweeten use stevia, 
agave nectar, sugar in the raw etc.
 
We then ( Tim) split the group into two 
teams - each received an Applebee's menu 
and were tasked with dining out!  Pick the best
 app, entree and desert.  We compared 
from the nutrition guide and team 1 won the event
 by a small margin coming down 
to the app!
 
Fun night and lots of team participation!
 
READ ON GANG...........
  Walking beginner? Try this 10-week walking schedule

Are you looking to ease into getting in shape?
 This 10-week walking schedule can start you on the path to
 better fitness and health.*
Week
Walking schedule** (time, days a week)
Weekly total
1
15 minutes, 2 days
30 minutes
2
15 minutes, 3 days
45 minutes
3
20 minutes, 3 days
60 minutes
4
25 minutes, 3 days
75 minutes
5 & 6
30 minutes, 3 days
90 minutes
7 & 8
30 minutes, 4 days
120 minutes
9 & 10
30 minutes, 5 days
150 minutes
*Before starting this walking plan, you may need 
to talk with your doctor.
**Doesn't include warm-up and cool-down time.
Walking for fitness: How to trim your waistline, 
improve your health
Walking is a low-impact exercise with numerous 
health benefits. 
Here's how to get started.
Walking is a gentle, low-impact exercise that 
can ease you into
 a higher level of fitness and health. It's one
of your body's most natural forms of exercise. It's 
safe, simple, doesn't require practice, and the 
health benefits are many. Here's more about why walking is ‘
Class 3 Week 9
good for you, and how to get started with a walking program.
Benefits of walking
Walking for fitness can help you achieve a number of 
important health benefits. For example, you can:
􀂃
Reduce your risk of a heart attack. Walking keeps
 your heart healthy by lowering low-density 
lipoprotein (LDL) cholesterol (the "bad" cholesterol) 
and raising high-density lipoprotein (HDL) cholesterol 
(the "good" cholesterol). A regular walking program 
also reduces your risk of developing high blood 
pressure, a factor that also contributes to heart disease.
􀂃
Manage your blood pressure. If you already have high 
blood pressure, walking may reduce it.
􀂃
Reduce your risk of developing type 2 diabetes. 
Regular exercise reduces your risk of developing 
type 2 diabetes. If you're a woman, overweight and 
at a high risk of diabetes, walking can improve 
your body's ability to process sugar (glucose tolerance).
􀂃
Manage your diabetes. If you already have type 2
diabetes, taking part in a regular walking program 
can improve your body's ability to process sugar, 
lower your blood sugar, reduce your risk of heart 
disease and help you live longer.
􀂃
Manage your weight. Walking burns calories, which 
can help you manage your weight. For example, middle-aged 
women who walk more than 10,000 steps a day have 
lower levels of body fat than do women who are less active.
􀂃
Manage stress and boost your spirits. Going for a 
brisk walk is a great way to reduce stress. Regular 
walking also can reduce feelings of depression and anxiety.
􀂃
Stay strong and active. As you get older, walking for 
physical fitness can prevent falls, help you stay 
mobile and maintain your independence.
Prepare yourself before you go walking
Take time to prepare yourself to prevent injuries, such
 as blisters on your feet or muscle pain.
Class 3 Week 9
Wear walking shoes and comfortable, protective clothing 
Before you set out, be sure to select comfortable 
footwear. Also dress in loose fitting, comfortable
 clothing and in layers if you need to adjust to 
changing temperature. If you walk outside, choose 
clothes appropriate for the weather. Avoid rubberized
 materials, as
they don't allow perspiration to evaporate. Wear bright 
colors or reflective tape after dark so that motorists can see you.
Warm up Spend about five minutes walking slowly to warm 
up your muscles. You can walk in place if you want. 
Increase your pace until you feel warm. Warming up your 
muscles reduces your risk of injury.
Stretch After warming up, stretch your muscles for about
 five minutes before walking. Include the calf stretch, 
quadriceps stretch, hamstring stretch, lower back
flexion stretch and chest stretch.
Getting started: Design a program that works for you
To help ensure your success:
Start slow and easy If you're a seasoned walker, keep 
doing what you're doing. If you've been inactive and 
tire easily, it's best to start slow and easy. 
At first, walk only as far as or as fast as you find
 comfortable. If you can walk for only a few minutes, 
let that be your starting point. For example, you might
 try short daily sessions of three to five minutes and 
slowly build up to 15 minutes twice a week. Then, over several weeks' time,
 you can gradually work your way up to 30 minutes of 
walking five days each week.
Use proper technique to avoid injury and setbacks Walking 
is a great exercise because it's so simple to do. But if 
your posture is poor
 or your movements exaggerated, you increase your risk of injury.
Measure the intensity of your workout As you walk, measure 
the intensity. Knowing your level allows you to increase 
the intensity to maximize your workout or slow down to 
avoid overdoing it.
 You have these options:
􀂃
Talk test. If you're so out of breath that you can't 
carry on a conversation with the person you're walking 
with, you're probably walking too fast and should slow down.
􀂃
Borg scale. This method is a self-assessment of your 
perceived exertion. You rate how hard you think you're 
working on a scale that ranges from 6 (no exertion) to 
20 (maximal effort). Aim for at least moderate intensity
 (12 to 14) as you walk.
Class 3 Week 9
􀂃
Monitor your heart rate (pulse). To find out if you're 
exercising within the range of your target heart rate,
 stop exercising to check your pulse manually at
your wrist (radial artery) or neck (carotid artery). 
Another option is to wear an electronic device that 
displays your heart rate.
Keep track of your progress Keeping a record of how 
many steps you take, the distance you walk and how long 
it takes can help you see where you started from and 
serve as a source of 
inspiration. Just think how good you'll feel when you see
 how many miles you've walked each week, month or year.
Record these numbers in a walking journal you create for 
yourself or log them in a spreadsheet on your computer. 
Another option is to use an electronic device to calculate
 time and distance for you. Options include:
􀂃
Pedometers. These devices, which you usually attach to 
your belt or waistband, detect body motion and count your
 footsteps, displaying the number of steps on a small screen.
Although many pedometers have extra features, such as 
displaying calories burned and the distance walked or run, 
you may want to begin by using its primary feature — 
counting steps.
􀂃
High-tech devices. Devices that use GPS satellite 
technology cost more than pedometers do, but they can 
track the total and current distance you walk, and even
 calculate your 
speed or pace. You may have to program these devices. 
Some allow you to download stored data to your computer 
as a way of keeping track of your progress. You wear 
these high-tech devices on your wrist or attached to
 your waistband, shoe or arm.
Cool down after each walking session To reduce stress 
on your heart and muscles, end each walking session by 
walking slowly for about five minutes. Then, repeat your stretches.
Stay motivated: Set goals, have fun and stay in the game
Starting a walking program takes initiative. Sticking
 with it takes commitment. But when you think of the 
potential health benefits, it's well worth your effort. 
Over time you'll likely feel more invigorated. To stay motivated:
􀂃
Set performance goals. People who stick with a new
 behavior for six months usually make it a habit.
􀂃
Make it fun. If you don't like walking alone, invite 
your spouse, partner, friend or neighbor to join you. 
You might also join a health club and use a treadmill.
Class 3 Week 9
􀂃
Vary your routine. Plan several different walking routes 
for variety. But if you're walking alone, be sure to tell
 someone which route you're taking.
Sometimes things happen to keep you from sticking to a 
regular walking program. Don't be too hard on yourself 
when this happens.
You don't have to let a few days off sabotage your plan 
to reach a higher level of fitness and improved health. 
Follow these tips to get back in the game:
􀂃
Think positively. Don't let negative self-talk, such as 
"I'm a failure," get in the way of starting again. Shrug 
it off as a temporary break in your walking program.
􀂃
Re-evaluate your goals. If your goal is to walk two hours 
a day 365 days a year, you might be setting yourself up to 
fail. Set realistic goals for yourself, such as 30 minutes 
five days
 a week.
􀂃
Get going. Build walking into your schedule today. Just do it.
 Walk for 10 minutes on your lunch break.
􀂃
Continually plan. If you're taking a trip or working 
overtime, think of strategies for incorporating short 
walks into your day to keep your plan on track.
You'll be glad you started
Even though the first steps of any journey can be the most
 difficult, it helps to keep your goals foremost in your mind. 
So remember, once you take that first step, you're on the way 
to an important destination — better health.
Quiz: Fitness fact or fitness fiction?
Fitness myths abound. Problem is, even the most fitness-savvy can be duped by fitness fiction. And following outdated or unproven advice may keep you from getting the maximum benefit from your fitness routine.
Can you separate fitness fact from fitness fiction? Take this quiz to find out.
1. When you exercise, go for the intense burn in your muscles. True False
2. Aerobic exercise is all that really matters. True False
3. Women who strength train are bound to bulk up. True False
4. Exercise helps you sleep better. True False
5. Exercise has to be strenuous to be beneficial. True False
6. You can eat whatever you want if you exercise enough.
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True False
7. Abdominal exercises will flatten your stomach. True False
8. Aerobic exercise permanently speeds up your metabolism. True False
9. Exercise can put the spark back into your sex life. True False
10. The more you sweat, the more fat you'll lose.

Heart The Basics of Heart Disease
Heart disease is the number 1 killer of women. Whatever
 your age, you need to take action to protect your heart.
People can have different kinds of heart disease. The most
common kind of heart disease is coronary artery disease (CAD).
 You can get this disease when your heart doesn't get enough
blood. If your heart doesn't get enough blood, you can have a
heart attack.
Disease Statistics for Women
Cardiovascular disease (CVD) ranks as America's
No. 1 killer.
79.4 million people in the United States have some
 form of cardiovascular disease (CVD).
Cardiovascular disease includes stroke, high blood
pressure, congestive heart failure, birth heart defects,
hardening of the blood vessels, and other diseases
of the circulatory system.
One in three female adults have some form of cardiovascular
disease.
Females represent 52.8 percent of deaths from cardiovascular
 disease.
In the United States in 2004, all cardiovascular diseases
combined claimed the lives of 459,096 females while all
forms of cancer combined killed 267,058 females. Breast
cancer killed 40,954 females; lung cancer killed 68,461 females.
49 percent of black/African-American women have cardiovascular
disease.
35 percent of non-Hispanic white women have cardiovascular
disease.
34.4 percent of Mexican-American women have cardiovascular
disease.
Sources: 2004 Centers for Disease Control and Prevention (CDC),
National Center for Health Statistics (NCHS), and the National
Heart, Lung, and Blood Institute NHLBI).
The Basics of Stroke
Stroke is the number 3 killer of women. Stroke is also a major cause of serious, long-term disability for women. A stroke occurs when the blood supply to the brain is cut off. When that happens, the brain doesn't get the oxygen and nutrients it needs. Then certain brain cells are injured or die
A stroke happens fast. The most common signs of a stroke are sudden:
numbness or weakness of the face, arm, or leg, especially on one side of your body
trouble seeing in one or both eyes
trouble walking, dizziness, or loss of balance or coordination
confusion or trouble speaking or understanding speech
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If you have any of these symptoms or see anyone with these symptoms, call 911 right away. Every minute counts!
If you’re having a stroke, you may not be able to call 911. In fact, you may not even be able to move or talk! In most stroke cases, it’s a family member, coworker, or other bystander who calls 911. That’s why everyone should become familiar with the signs of a stroke
Risk factors and causes of heart attacks
The American Heart Association (AHA) estimates that in 2007, approximately 700,000 people in the United States will have a heart attack for the first time. According to the AHA, episodes of angina based on age, gender and race are as follows:
Age
Gender/Race
Annual Rates of New Heart Attacks* per 1,000
65-74
Male, non black
28.3
Male, black
22.4
Female, non black
14.1
Female, black
15.3
75–84
Male, non black
36.3
Male, black
33.8
Female, non black
20.0
Female, black
23.6
85+
Male, non black
33.0
Male, black
39.5
Female, non black
22.9
Female, black
35.9
*Source: AHA’s 2007 Heart and Stroke Statistical Update
Beyond genetics, a number of other risk factors may serve to either
 promote atherosclerosis or interrupt the disease process. Risk
 factors can be either controllable (e.g., diet, exercise and smoking)
or uncontrollable (e.g., age, gender). To date, researchers have found that:
Patients with unstable plaque deposits are at greater risk for a heart
attack than those with compact, calcified plaque deposits. Some
researchers have tried to develop methods to determine the degree
of calcification, which may help predict the risk of heart attack.
The risk of plaque rupture appears to increase in the morning hours,
which may explain why more heart attacks occur between 6 a.m. and noon.
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People with chronic kidney disease tend to have high blood pressure,
which places added stress on waste-removing filters in the kidney (nephrons).
Uncontrolled high blood pressure also contributes to heart disease
through a process known as remodeling, where there is enlargement and
 weakening of the heart’s left ventricle (left ventricular hypertrophy)
and increased risk of heart attack. Research has found that heart attack
survival decreases even with mild to moderate kidney disease.
People with high levels of a certain type of lipoprotein called Lp(a)
 in the blood may be at increased risk of heart attack. Research has
found that high Lp(a) levels may increase a person’s risk of heart
attack over a 10-year period by as much as 70 percent.
People with metabolic syndrome have been found to have double the
risk for heart attack and stroke when compared to people without
the syndrome. The characteristics of metabolic syndrome are elevated
fasting blood glucose levels, abdominal obesity, high LDL (“bad”)
cholesterol levels, high triglyceride levels and high blood pressure.
Researchers have found a connection between infection and increased
risk of heart attack. Infectious diseases, such as influenza, destabilize
 plaque and increase risk of plaque rupture. In some studies, influenza
 vaccines have been shown to reduce the risk of plaque rupture among the
elderly, thus reducing the risk of heart attack and stroke.
Effects of stress on heart health
The “fight or flight” response involves a complex series of reactions
 between mind and body. This is a normal and essential process, to a
 point. For our ancestors, the stressors were largely physical, such
 as the daily challenge to survive. The relatively brief surges in the
body’s metabolism were necessary to hunt, fight, evade a predator or seek shelter.
In contrast, modern stressors are typically emotional, be they positive
(preparing for big event) or negative (e.g., bereavement, divorce,
financial insecurities). As such, they tend to be chronic, causing a
continued stress response that can impact on cardiovascular health
either directly or indirectly.
The stress response includes a number of physical changes that can affect
 cardiovascular health, including:
A faster heartbeat can make the person vulnerable to certain
types of chest pain (angina) and abnormal heart rhythms (arrhythmias).
Stickier or thicker blood due to greater clotting ability can
raise the risk of blood clots.
Cardiac ischemia (a condition in which the heart does not get
enough blood) is sometimes seen in response to stress, because
stress causes the blood vessels to constrict abruptly. This
decreases the blood flow to the heart, which over time can
significantly increase the risk of death from a cardiovascular event.
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Glucose and fatty acids are converted to cholesterol if not
used as energy during the stress response. This can promote
 hardening of the arteries (atherosclerosis). The process of
 atherosclerosis may also be hastened by
frequent increases in blood pressure, which can thicken the
walls of the blood vessels. As a result, stress has been linked
with an increased risk of heart attack and stroke.
The sustained presence of stress hormones keeps the body in a
state of tension, which can weaken the cardiovascular system
over time and increase the likelihood of developing high blood
pressure (hypertension).
In addition, chronic stress has been linked to a condition called
insulin resistance syndrome. This syndrome is characterized by an
inability to convert food into usable energy and, consequently,
seems to interfere with the body’s ability to dissolve blood clots.
 As a result, the body is more at risk for heart disease and other
cardiovascular conditions.
People with driven or overcommitted personalities may have chronic
stress and, therefore, may be at greater risk. Over time, this chronic
 stress may come to feel “normal” to some people, but the body is under
 stress all the same.
Researchers have recently discovered that some people can experience
stress without realizing it. Participants in a study took a mental
test designed to increase their stress level. Some of the participants
did not report feeling stressed, and their pulse level remained the same.
 However, their blood pressure increased significantly, and researchers
found they had a six-fold increase in the risk of heart attack or other
severe coronary event.
Managing stress
Managing stress begins with identifying the stressor(s). A stressor is
the cause of our stress, and it can be both good and bad. For example,
starting a new job is usually a positive experience – and one that often
causes stress while settling into new responsibilities.
In this example, the stressor is obvious. At other times, individuals may
 feel stressed without knowing why. The better people understand the
stressors that affect them, the more effective they will be in controlling
them.
It may be helpful to keep a daily log of activities and jot down the
events that trigger stress reactions. After a week, examine the log for
any patterns. If no pattern to stress is apparent, counseling may help
identify the hidden stressors in one's life.
A person can use the following questions as a guide to finding a pattern
 to stress:
What major changes have occurred in my life recently? These include
illness, moving, changing jobs, unemployment, beginning or ending a
relationship
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and life cycle transitions (marriage, pregnancy and raising children,
loss of a loved one).
Are there time pressures? Poor time management, in professional and
personal lives, is a major cause of stress. Often, people sacrifice
personal time to fulfill obligations to family and work. Sooner or later,
the imbalance in our lives will catch up and cause feelings of pressure and stress.
How intense is the stress? The frequency, intensity and duration of our
stress may indicate its severity and cause. If stress levels skyrocket
during work and drops when going home, the cause is obvious. If there
is a nagging anxiety all the time, the stress may have a more subtle cause.
Is lifestyle affecting the ability to handle stress? Many people use
alcohol or drugs to relieve stress, but they may in fact be a cause
of stress. Lack of sleep is another cause of stress. Sleep helps our
 bodies to recover from the day’s events and challenges. Staying up
late or frequent interruptions interferes with the ability to cope
with stress. Lack of exercise may contribute to stress as well. Exercise
has been shown to decrease the amount of stress hormones that are
released in response to stress.
Are eating habits a factor in stress? A balanced diet high in vitamin C
 and low in caffeine and sugar can help reduce stress. Conversely,
a poor diet and erratic eating schedule can put the body under
 physical stress, making it harder for someone to deal with stressful
situations.
Is physical health a factor in stress? Pain and discomfort are both
stressors. Illness and injury put the body under physical stress,
which is a cause for emotional stress. Emotional stress, incidentally,
is often perceived as a physical discomfort, such as stomach cramps.
How is stress being dealt with? The wrong coping mechanism may be
ineffective or even contribute to stress. Negative coping methods to
avoid include:
o
Criticizing one's self or blaming others
o
Yelling
o
Eating too much or too little
o
Smoking cigarettes
o
Abusing alcohol or drugs
o
Being isolated from friends and family
o
Acting aggressively or violently
o
Focusing on other people’s problems
o
Avoiding one's own problems
Stress Impact Quiz
1)  Question: All types of stress are uncomfortable and harmful.
2)  True False
3)  Question: Which physical conditions have been associated with
4)   chronic stress? Ulcers, colitis attacks and diarrhea Angina
5)  attacks and heart attacks Tension headaches and muscle spasms
6)  All of the above
3) Question: Without realizing it, someone experiencing severe stress
tends to: Take shorter, shallower breaths Take longer, deeper breaths
Get the hiccups at least once a day Relax his or her muscles
4) Question: Acute stress is more likely to occur following what?
Financial problems A sudden, loud noise Unsatisfactory work environment
Caring for a sick relative
5) Question: People experiencing what should seek medical assistance
for their stress? Pounding heartbeat Sweaty palms Dry mouth Increased energy
7)  Question: What anxiety disorder may occur due to the stress caused
8)  by a crime or natural disaster? Obsessive–compulsive disorder
9)  Post–traumatic stress disorder Social anxiety disorder Panic disorder
7) Question: People who are tough or emotionally distant adapt to stress
better than other people. True False
8) Question: Which is a healthy way to cope with stress?
Drinking alcohol Smoking Eating junk food Exercising None of the above
10) Question: "Hidden stress" may be characterized how?
11)  Elevated pulse, normal blood pressure, without feeling stressed
12) Elevated blood pressure, normal pulse, without feeling stressed
Elevated blood pressure and pulse, without feeling stressed
Normal blood pressure and pulse, but feeling stressed