Tag Archive for: gym

Mental Health Update: Fall 2020

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As I write this, I just got back from working out. I went to my gym for the first time since it opened last Wednesday after closing in March. Everyone wore masks. Everyone cleaned up their equipment, but that’s the standard anyway so that wasn’t surprising. Nobody fainted from lack of oxygen. Everybody just worked out, cleaned up after themselves, and went on their way. No big deal.

But it’s a big deal to many people who have been anxious over the closures in their states, including their gym. That can lead to depressive symptoms. If you follow social media, that can hurt considerably: comments suggesting the virus is one big scam or people are too concerned. In fact neither is true; spending less time on social media might be the single best thing you could do for your mental health. I go back to what I wrote several months ago: don’t let yourself be immobilized by fear of this virus, but show it the proper respect.

On top of that, the political climate is a mess. There are no longer any discussions, just arguments that can be vicious. The anger is palpable. When you lose contact with family and friends you care about because of political differences, that also leads to anxiety and depression. Throw in unemployment, concern about finances, keeping a roof over your head, and more, and it seems our mental health is taking a beating.

But is it? I’ll take a look at the research this week.

Reminder for all Insiders: our monthly Conference Call is tomorrow night at 9 p.m. ET. One topic I’ll be discussing is a remarkable study done on COVID-19 and genetics by a supercomputer. You don’t want to miss it. If you’re not yet an Insider, you have until 8 p.m. to join and still participate live.

What are you prepared to do today?

        Dr. Chet

Drop and Give Me 41

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The study on firefighters, push-ups, and CVD was interesting—not only for the relationship between push-ups and CVD, but also for the other relationships between the number of push-ups and other variables. Here’s a summary:

As the number of push-ups increased:

  • Body mass index decreased
  • Systolic and diastolic blood pressure decreased
  • Blood sugar decreased
  • Total cholesterol, LDL-cholesterol, and triglycerides decreased
  • HDL-cholesterol increased

One more thing: age decreased as well. In other words, the men in the study who could do more push-ups were younger. Was that the real reason—they were younger so naturally they could do more push-ups? They accounted for age in the statistical analysis, so it doesn’t appear to be so.

Does this study show cause and effect? No, because it’s observational. What it shows is that the lifestyle of the subject is important in the development of CVD. The subjects who had the greatest reduced risk had the highest aerobic and strength fitness, which may be reflective of an overall healthy lifestyle. Because push-ups require no equipment, progress can be easily tracked in a physician’s office. That was the actual point of the study: a simple test that could be predictive of CVD among other factors.

Here’s my challenge to you. After you see how many you do as a baseline, work at doing push-ups every day until you can hit 41. If you can’t do one, start with knee push-ups, push-ups from an exercise ball or chair, or wall push-ups (stand more than an arm’s length from the wall). As you can get to 41 one way, move to the next more difficult type.

When you get to 41, send me an email saying you did it and I’ll send you a coupon code good for 30% off the Optimal Performance Program; Member and Insider discounts apply. I’ll take you at your word, no selfies and no videos. After all, the only person you would be cheating is yourself and your risk of heart disease. I know age doesn’t matter; one of my readers in his 80s can already do this challenge. All it takes is a little sweat equity. Check with your doctor and get started.

What are you prepared to do today?

        Dr. Chet

Reference: doi:10.1001/jamanetworkopen.2018.8341.

Push-Ups and CVD

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On Tuesday, I asked you to see how many push-ups you can do before you can’t do any more (if you’re fit enough with no real orthopedic issues). How did you do? I have torn biceps in both arms, but I managed to eke out 21. But you may be wondering why I asked you to do push-ups.

A study published in JAMA Online periodically tested a group of 1,500 firefighters between 21 and 66 in 2000 to 2007. They were given several tests including maximal exercise capacity, height, weight, blood pressure, blood glucose, and the number of push-ups they could do. They were tracked for 10 years.

Researchers divided the results into quintiles based on the number of push-ups. They found that as the number of push-ups increased, the rate of CVD decreased. While not all comparisons were statistically different, there was a definite pattern of benefit.

That wasn’t the only data that proved to be interesting in the study. I’ll finish it on Saturday, along with a challenge.

What are you prepared to do today?

        Dr. Chet

Reference: doi:10.1001/jamanetworkopen.2018.8341.

Once a Year, No Matter What!

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I was in the gym locker room recently when I heard a guy ask a question: “Can I use any locker or are they assigned?” I turned to see if he was talking to me, but another guy told him there were no assigned lockers and to use whatever is open. That’s when the locker seeker said, “I couldn’t remember because I’m here only once a year.”

I thought maybe he uses this gym only when he visits this area. Then I realized he meant he gets to the gym only once a year, probably making light of his infrequent visits. The problem is that seems to be what most Americans do: buy gym memberships and never use them.

That’s why a study just published this past week is important. Researchers examined a number of physical variables in a group of firefighters and tracked them for ten years; the goal was to look at factors related to cardiovascular disease. I’ll talk about that study this week.

In the meantime, if you’re fit enough with no real orthopedic issues, see how many push-ups you can do before you can’t do any more.

What are you prepared to do today?

        Dr. Chet

Excuses for Avoiding the Gym

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The New Year is upon us and with that, a commitment by many to exercise regularly. No matter where you live, that may involve joining a gym, but all gyms are not created equal. What you need, besides a convenient location and reasonable price, is a facility that provides you with the equipment you need to accomplish your goals and short-circuits your excuses.

“I don’t know what to do.”
I’m going to challenge conventional thinking in how you solve that problem: once you have clearance from your physician to exercise, ask for a referral to a physical therapist. He or she will work with you to determine the best exercises for your body and your history, especially the more years you have in your body. Broken bones, sprains, strains, injuries, gaining weight, losing weight—we all have a physical history. If you have a problem with the mechanics of your body or reinjure yourself, that will impact your ability to exercise, so begin with a physical therapist if possible.

Paula and I both have done that. Once we worked with our physical therapist to find what exercises to do on which machines or weights or tubes, we selected a gym which had the resistance and aerobic equipment most suited to our needs. I still do the exercises I was shown and I’ve been running for close to a year with no time off for injuries. That’s the longest I haven’t been forced to take time off.

You may even find out you don’t need a gym; walking or running plus exercises you can do at home may be all you need. Your physical therapist will get you headed in the right direction. The downside: if you’re exercising at home you can do it anytime, and that may lead to eternal procrastination. If you’re letting exercise slide day after day, maybe you need a more formal workout setting.

“I just don’t feel comfortable there.”
Think about how your social needs may affect your adherence to your workout plan as well. Paula reads while she bikes and I listen to podcasts on the treadmill so a big gym works for us, but you may need a more social environment with friends to keep you honest and engaged.

“It’s too far.”
Another factor is location. When Paula worked out on the way home from her job, she found that the farther the gym was from work, the less likely she was to get there; it was too easy to run errands on the way and never quite make it to the gym.

“I got hurt and I’m too sore, so I can’t exercise.”
Besides getting input from your physical therapist, here’s the most important advice I can give you: start slow. If you begin by doing too much, you’ll be sore or injured and you’ll be out. Your objective is to keep going—it’s a marathon, not a sprint—so an easy start is your best plan.

It turned out that Planet Fitness works for Paula and me: plenty of resistance equipment and all the aerobic machines we could want at a very reasonable price. I also must add that there are more really overweight people working out at the Planet than anywhere I’ve ever been, which I love to see.

For you, it may be someplace different; maybe you’ll do better with swimming and workout classes at the Y. The important point is to select your gym by what you need and you might find it becomes a lifetime habit.

What are you prepared to do today?

Dr. Chet