Monday, 27 June 2011

Food, Exercise, and Your Metabolism

Written by: Krista Reader

That’s right, another article on the importance of exercise. As your medical partners, we want to consistently remind you how important regular, purposeful movement can be. One of the most frequent questions we get from clients is, “Why can I no longer lose weight like I used to?” or “Why am I slowly gaining weight as I get older?” While the answer is not always simple, most of the time we will start with a discussion about what you are eating, how you are exercising, and what happens to our metabolism as we get older.

Let’s start with a quick refresher on what your metabolism actually is. Most of us think of metabolism as the rate at which we burn calories. That is true, but it is also the body’s ability to breakdown the foods we eat. It’s the body’s ability to burn the various nutrients from the food we eat to help us maintain a healthy body. The healthier the food, the more nutrients our body can burn, and conversely, if we eat unhealthy foods, less fuel opportunity for our body to burn.

Understanding the importance of what we eat (our fuel content), we also need to understand what is happening to our metabolism as we age. The aging process starts at a cellular level and with normal aging comes a slowing in the ability for our cells to repair themselves, mostly due to damage from free radicals. This may slow the weight loss process down. More importantly, once over the age of 30 we begin to slowly lose muscle mass. As muscle burns more calories (energy) and increases your overall basal metabolic rate (the number of calories your body burns just to function), this means that your energy burn is decreasing, and it will take you longer to burn off what you eat. Ultimately, you will burn fat less efficiently.

Yes, this is a frustrating and inevitable result of aging for most of us. But there is a way to change this cycle. We know that we are what we eat. Diet can account for up to 80% of weight gain and body composition. Eat real food, eat often, drink lots of water.

Next in line is exercise. When we exercise, we burn fat, we increase our metabolic burn rate AND we have the ability to increase muscle mass. Muscles burn more calories than fat.

When we coach our clients on not only the benefits of exercise, we also know that integral to changing your fitness is to address the type of exercise you need to do. Starting with a brisk walk, or a swim is a great start, but if you truly want to change your metabolism, burn more calories, you have to also focus on the type of exercise you are doing.

The best exercise program is one that is a combination (and changing rotation) of aerobic exercise, interval training, and strength training. We do believe that any exercise is important, but let us tell you a bit more about why each of these options are so important.

Aerobic exercise

When you participate consistently in a form of aerobic exercise (running, biking, swimming, spinning, elliptical, fitness classes, etc) your heart gets stronger and pumps more blood with each beat. Elite athletes, for example, can have significantly larger left ventricles than average individuals. Conditioned hearts have greater diameter and mass (the heart’s a muscle too and gets bigger when you train it). When your heart holds a greater volume that means it doesn’t have to pump as fast to meet the demands of exercise or daily life (lower resting heart rate). Fewer beats and more volume mean greater efficiency. Athletes can have a resting heart rate as low as 40 beats per minute; the average is 60-80. Which heart do you think will get tired earlier in life?

Downstream from the heart are your muscles, which get more efficient at utilizing oxygen when you do regular aerobic exercise. This happens because of an increase in the activity and number of enzymes that transport oxygen out of the bloodstream and into the muscle. This process is what builds your endurance. You will have more endurance because your muscles are not going to run out of oxygen as quickly. Measuring your V02Max is an excellent way to understand your current oxygen utilization capacity.

Interval training

Interval training has been used by athletes for years to build fitness. Interval training combines short, high intensity bursts of speed, with slow, recovery phases, repeated during one exercise session. Interval training works both the aerobic and the anaerobic system. During the high intensity part of your workout your anaerobic system uses the energy stored in your muscles (glycogen) to support the short bursts of activity. Your anaerobic metabolism works without oxygen and produces a by-product of lactic acid. As lactic acid builds, you will have a shortage of oxygen to the muscle, and it is during the slower, recovery phase that the heart and lungs work together to put this oxygen back and break down the lactic acid. It is in this phase that the aerobic system is using oxygen to convert stored carbohydrates into energy, i.e. burning calories!

According to the American College of Sports Medicine, more calories are burned in short, high intensity exercise. If you are counting calories burned, high intensity exercise such as intervals are better than long, slow endurance exercise, but be careful. There are risks inherent to high intensity training. This type of training can put a maximum load on your cardiovascular system (your heart and lungs), so it is imperative that you ensure you are physically ready for this type of activity. Talk to your primary care physician, educate yourself on interval training program, warm up, and listen to your body as you progress. We highly recommend investing in a heart rate monitor to help you create and maximize an interval training program’s results. Also, it is very important to allow your body appropriate recovery from interval training to avoid injury.

Strength training

As muscle mass diminishes with age, the only way to preserve or build it is to commit to a strength training program. In addition to helping you lose weight, strength training will help you develop strong bones, reduce risk of injury, build stamina, manage chronic conditions, sleep better and maintain focus.

Strength training is all about creating resistance for your muscles. Resistance training works by causing microscopic damage or tears to the muscle cells, which in turn are quickly repaired by the body to help the muscles regenerate and grow stronger. The breakdown of the muscle fiber is called “catabolism,” and the repair and re-growth of the muscle tissue is called “anabolism.” Anabolic means to grow, and that’s exactly what happens after you break down the muscle fibers with resistance exercise. To help your muscles re-grow, testosterone, insulin-like growth factor, growth hormone, protein, and other nutrients rush to the muscle after a resistance-exercise session to help repair the muscles to make them stronger. Your muscles will even heal and grow when you aren’t working out, and that is why it is so necessary to leave time between workouts for recovery.

There are several options to consider as part of your strength training program including:

  • Body weight. You can do many exercises with little or no equipment. Try push-ups, pull-ups, abdominal crunches and leg squats.
  • Resistance tubing. Inexpensive, lightweight tubing that provides resistance when stretched. You can choose from many types of resistance tubes in nearly any sporting goods store.
  • Free weights. Barbells and dumbbells are classic strength training tools.
  • Weight machines. Most fitness centers offer various resistance machines. You can also invest in weight machines for use at home.

Once again, be sure to check with your doctor before you start lifting weights if you have any medical conditions, injuries or illnesses. If you don’t know much about weighttraining, consider hiring a personal trainer, to help you set up your program. You should work all of your muscle groups each week so that you avoid muscle imbalances, which could lead to injury. Functional movement testing with a trained professional can help to prevent injury during resistance training and help you achieve your goals faster and more efficiently. If you would like more information on how to start, please contact our Healthfit 4 Life Fitness Team here.

Sounds like a lot of work?

There is no doubt that committing to an exercise program that encompasses aerobic, interval, and strength training can seem overwhelming and impossible to fit into your already busy life. The key to success here is to find a balanced program that you enjoy and fits into your lifestyle. After all, shouldn’t your health be a priority over everything else?

Aerobic and interval training sessions can be combined and / or alternated. Maybe you do 30 minutes on the elliptical 1-2 days a week at a steady heart rate and then another 1-2 of 20-30 minutes of interval. Balance that with 1-2 days of 40 minutes of strength training spending one day on your upper body, the other day on your core and legs. There are many, many options to ensure that you are aerobically and anaerobically conditioning your body. Educate yourself, create a plan, put it on the schedule and if you need some support, give us a call.

We often tell our clients that exercise should be scheduled into your day just like any other appointment. You wouldn’t miss that important meeting with a new client right? Make your workout session your new, most important meeting of the day. Commit to it, practice it, and then you will never want to give it up!

Friday, 24 June 2011

Sports and Energy Drinks for Kids – Healthy?

Written by: Dr. Marcia Whalen

Recently, the Academy of American Pediatrics published a clinical study on the risks of sports and energy drinks for children and adolescents.  Marketing for these types of products largely targets our youth and emphasizes inappropriate uses for both. As both of these products can actually be very bad for our kids, we wanted to share with you some of the important information from this report.

First, it is important to understand that sports and energy drinks are two different types of beverages.  Sports drinks such as Gatorade, All Sport, and Powerade, are flavored beverages that often contain carbohydrates, minerals, electrolytes, and sometimes vitamins or other nutrients.  Energy drinks such as Monster, Rockstar, and Full Throttle, typically contain stimulants such as caffeine and guarana with varying amounts of carbohydrates, protein, vitamins, sodium and other minerals.

Young athletes can benefit from using sports drinks to replace water and electrolytes that are lost through sweating during exercise.  They are best used for any competitive endurance or repeated bout type of sport (such as a tournament) and should not be consumed as part of a daily diet.  Excessive, regular consumption of carbohydrate containing beverages increases overall daily caloric intake without significant additional nutritional value.  Frequent consumption adversely affects the appropriate balance of carbohydrate, fat, and protein intakes needed for optimal growth, development, body composition, and health.  Routine ingestion of sports drinks should be avoided or restricted as they can lead to excessive calorie consumption, increased risk of being overweight, as well as dental erosion.

Drinking energy drinks or any beverage with substantial caffeine can also be very detrimental to physical development of youth and adolescents, including potential development issues for neurologic and cardiovascular systems, in addition to the risk of physical dependence and addiction.  Because of the stimulant content for most of these drinks we find that they are never appropriate for youth and should be replaced with water as often as possible.

Ensure as part of each yearly checkup that your pediatrician or family doctor routinely talks to you and your kids about the use of sports and energy drinks.  We often find that parents may be unaware of their use.

Friday, 24 June 2011

Worried About Heart Disease?

Written by: Dr. Jeffrey Barke

As part of the yearly, comprehensive physical that we deliver for each of our clients, we always run an extensive blood panel review.  But, for clients that have an increased risk for heart disease we also have the ability to conduct an advanced lipid profile test from either Berkeley Heartlab or the VAP (vertical auto profile, offered by several labs).  These types of tests provide an in-depth analysis of your cardiovascular risk and it gives us far more information than is available from a traditional cholesterol test. Think of it as a high definition view of your cardiovascular risk. We use this information to help direct risk reduction in order to prevent cardiovascular disease.  As heart disease is the leading cause of death in the United States and coronary artery disease (CAD) is the most common form of heart disease, we believe it is critical that you are educated and able to ensure your physician is giving you the best available care options.

Traditionally, risk of developing CAD has been assessed with a standard calculation of LDL (low-density lipoprotein) and measurement of HDL (high-density lipoprotein) quantity. However, only 50% of coronary artery disease is associated with high cholesterol or any of six additional classic risk factors: advanced age, male gender, and positive family history of premature heart disease, high blood pressure, diabetes, and smoking. Obviously, today’s routine cholesterol tests are failing to identify the vast majority of people at risk for heart attacks. In fact, a recently published study showed a surprising number of people with low LDL cholesterol levels still developed heart disease. Looking at good and bad cholesterol calculations simply is not enough.

Wondering why this is important?  Your coronary arteries carry life-sustaining oxygen to your heart muscle. If you have plaque build-up, you are at risk for a rupture, or a clot that could block the coronary arteries.  From this your heart muscle does not get enough oxygen and is unable to function correctly. Robbing the heart muscle of oxygen for even a brief period of time will result in the death of some of the heart muscle tissue (otherwise known as a heart attack) or potentially cause an arrhythmia which can lead to sudden death.

Utilizing an advanced lipid profile test, we can create a comprehensive and personalized plan for each individual, assessing a variety of risk markers as well as environmental, genetic, and lifestyle factors that may contribute to heart disease progression.

If think you are at risk for heart disease please talk to your primary care physician about these types of tests to determine if it might be beneficial to your long term health strategy.

 

Friday, 24 June 2011

Thermos Ready Smoothie

Written by: Dr. Marcia Whalen

from EatingWell.com

INGREDIENTS

1 cup frozen mixed berries

1/2 banana

1/2 cup apple juice

1/4 cup silken tofu

PREPARATION

Combine berries, banana, apple juice and tofu in a blender; blend until smooth.

NUTRITION

Per serving: 288 calories; 3 g fat ( 0 g sat , 0 g mono ); 0 mg cholesterol; 62 g carbohydrates; 0 g added sugars; 6 g protein; 7 g fiber; 33 mg sodium; 539 mg potassium.

 

Friday, 24 June 2011

Shrimp & Plum Kebabs

Written by: Dr. Marcia Whalen

from EatingWell.com

INGREDIENTS

  • 3 tablespoons canola oil, or toasted sesame oil
  • 2 tablespoons chopped fresh cilantro
  • 1 teaspoon freshly grated lime zest
  • 3 tablespoons lime juice
  • 1/2 teaspoon salt
  • 12 raw shrimp, (8-12 per pound), peeled and deveined
  • 3 jalapeño peppers, stemmed, seeded and quartered lengthwise
  • 2 plums, pitted and cut into sixths

PREPARATION

  1. Whisk oil, cilantro, lime zest, lime juice and salt in a large bowl. Set aside 3 tablespoons of the mixture in a small bowl to use as dressing. Add shrimp, jalapeños and plums to the remaining marinade; toss to coat.
  2. Preheat grill to medium-high.
  3. Make 4 kebabs, alternating shrimp, jalapeños and plums evenly among four 10-inch skewers. (Discard the marinade.) Grill the kebabs, turning once, until the shrimp are cooked through, about 8 minutes total. Drizzle with the reserved dressing.

TIPS & NOTES

  • Make Ahead Tip: Equipment: Four 10-inch skewers

NUTRITION

Per serving: 194 calories; 8 g fat ( 1 g sat , 4 g mono ); 221 mg cholesterol; 5 g carbohydrates; 0 g added sugars; 24 g protein; 1 g fiber; 446 mg sodium; 292 mg potassium.

Friday, 24 June 2011

Raspberry-Chocolate Chip Frozen Yogurt

Written by: Dr. Marcia Whalen

from EatingWell.com

INGREDIENTS

  • 1 cup frozen mixed berries
  • 1/2 banana
  • 1/2 cup apple juice
  • 1/4 cup silken tof

PREPARATION

    1. Place raspberries, yogurt, sugar and vanilla in a food processor and process until smooth.
    2. Transfer the mixture to an ice cream maker (or see “No Ice Cream Maker?” below). Freeze according to manufacturer’s directions, or until desired consistency. Add chocolate chips during the last 5 minutes of freezing. Transfer to an airtight container and freeze until ready to serve. No Ice Cream Maker? Pour the mixture into a 9-by-13-inch pan and place in the freezer. Stir every few hours, until the mixture is firm along the edges and semi-firm in the center, 2 to 6 hours (using frozen berries will shorten the freezing time). Transfer to a food processor and process until smooth. Transfer to an airtight container, stir in chocolate chips, cover and freeze until ready to serve.

TIPS & NOTES

  • Make Ahead Tip: Store in an airtight container in the freezer for up to 1 week. Let stand at room temperature for about 30 minutes before serving.

NUTRITION

Per serving: 147 calories; 4 g fat ( 2 g sat , 1 g mono ); 4 mg cholesterol; 25 g carbohydrates; 4 g protein; 4 g fiber; 45 mg sodium; 253 mg potassium.