I developed and facilitated a Group Lifestyle Balance Follow-Up Session for active duty personnel, dependents and retirees. I provide education on the importance of maintaining an active lifestyle and ways in which this can be accomplished and modified to meet individual health needs and goals.
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Build a Better You, One Activity at a Time
1. BUILD A BETTER YOU,
ONE ACTIVITY AT A TIME!
Marissa Yovetich MS, HE
2. BENEFITS OF ACTIVITY
Improvements in:
Emotional well – being
Reduce stress, anxiety, depression, anger – increased endorphins!
Physical wellness
Reduce heart disease risk by 30 – 40%
Reduce stroke risk by 20% in moderately active and 27% in very active
Quality of life
Accomplish Activities of Daily Living (ADL)
Decrease the risk of injury
3.
4. BALANCING ACT
A HEALTHY LIFESTYLE REQUIRES ALL THREE
COMPONENTS:
• Nutrition, exercise and sleep are all necessary for weight
loss and maintenance.
• Regulate hormones
• Those who regularly sleep 4 hours or less are more likely
to have glucose and insulin characteristics similar to
diabetics. (University of Chicago, 1999)
• Lack of sleep creates a vicious cycle – unhealthy eating
and lack of exercise due to sleepiness
9. THE COST OF INACTIVITY
On average, inactive adults pay $1500 more per year in healthcare costs
than active adults
Inactive Americans take 1 week of extra sick days per year vs. active
Americans
Physical inactivity is linked to the “top 10 killers” in the 50 highest income
countries
Inactivity accounts for more deaths per year than smoking, 5.3 million and
5.0 million, respectively.
10.
11. A SIGN OF THE TIMES
• Most Americans, roughly 2/3, do not meet activity standards.
• Instant gratification has lead to long – term consequences
• Convenience in the short – term = disease long – term
14. HOW MUCH IS “ENOUGH”?
Engaging in physical activity for about 7 hours per week has been
shown to result in a 40% lower risk of early death, compared to 3.5
hours of activity per week
The surgeon general recommends a minimum of 150 minutes of
moderate intensity activity per week
Lower risk of disease and early death
16. HOW MUCH IS “ENOUGH”?
Weight maintenance = 150 minutes/week or 30 minutes x 5 days
Accumulating at least 1,000 kcal of physical activity per week results in
health benefits
Weight loss = 250 – 300 minutes/week or 50 – 60 minutes x 5 days
Accumulating 2,000 + kcal of physical activity per week results in greater
health benefits AND may be needed for weight loss
18. TIME CRUNCH?!
Weekly activity minutes can be accumulated continuously (i.e. one
session) or intermittently through multiple sessions
To achieve physical activity benefits, sessions should be at least 10
minutes in duration
Total caloric expenditure and daily step count can be used as an
alternate measure of exercise duration
19.
20. LET’S GET PHYSICAL, PHYSICAL…
Exercise and activity can be defined using the following framework:
F.I.T.T. Principle
F = Frequency
I = Intensity
T = Time
T = Type
21. F.I.T.T. PRINCIPLE: FREQUENCY
Frequency = how often activity/exercise is performed
Daily/weekly/monthly
Cardiovascular activity 30 minutes 5 + days/week
Walk/run/hike/swim/bike etc.
Muscular Fitness 2 – 3 days/week
Target major muscle groups
Flexibility/Mobility 10 minutes 2 – 3 days/week
Target major muscle groups
22. F.I.T.T. PRINCIPLE: INTENSITY
Intensity = the amount of effort required to perform an exercise
Measured as a percent of maximum heart rate (220 – age) x 50 – 65%
Moderate intensity is considered 50 – 65% maximum heart rate
Cardiovascular activity
30 – 60 minutes at 50 -65% max heart rate, “talk test” 2 sentences at a time
Muscular strength
2 – 3 sets of 10 – 15 repetitions, 60 seconds rest between sets
Perform each set to the point of fatigue, but not failure
Mobility/Flexibility
Hold each stretch at the point of mild tension, but not pain
Static stretches held for 15 – 60 seconds per major muscle group
23. F.I.T.T. PRINCIPLE: TIME
Time = the duration or length that the activity is performed for
Cardiovascular Activity
30 – 60 minutes/day
150 – 300 minutes/week
Muscular Strength
20 – 60 minutes 2 – 3 times/week
Mobility/Flexibility
10 minutes 2 – 3 times per week
24. F.I.T.T. PRINCIPLE: TYPE
Type = the mode of activity
Cardiovascular Activity
Moderate intensity: 50 – 65% max heart rate, “fat burning activity”
High Intensity Interval Training: 80 – 100% max heart rate, “carb burning activity”
Muscular Strength
Improve strength and endurance: 60 – 80% of 1 rep max for 2 – 3 sets 8 – 12 reps
Muscular endurance: ~ 50% of 1 rep mx for 2 – 3 sets of 10 – 15 reps
Mobility/Flexibility
Dynamic warm – up: prior to exercise, increases blood flow to major muscles
Static stretching: post exercise, increases range of motion, balance and
reduces soarness
27. ABC, EASY AS 1, 2, 3…ACTIVITY!
1. Warm – up
Dynamic warm – up, pre – cardio exercise (5 – 10 minutes)
OR
One set of lighter weights, pre – muscular strength
38. REFERENCES
American College of Sports Medicine. (2010). ACSM's Guidelines for Exercise Testing and Prescription (Eigth ed.). Wolters Kluwer Health.
American Heart Association. (2015, March 2). Physical Activity Improves Quality of Life. Retrieved August 15, 2016, from
http://www.heart.org/HEARTORG/HealthyLiving/PhysicalActivity/ FitnessBasics/Physical-activity-improves-quality-of-
life_UCM_307977_Article.jsp#.V7IjL3nVx7g
Centers for Disease Control and Prevention. (2016, April 27). Leading Causes of Death. Retrieved August 16, 2016, from
http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
Centers for Disease Control and Prevention. (2015, June 4). Physical Activity and Health. Retrieved August 15, 2016, from
http://www.cdc.gov/physicalactivity/basics/pa-health/index.htm
National Sleep Foundation. (n.d.). Diet, Exercise and Sleep. Retrieved August 17, 2016, from https://sleepfoundation.org/sleep-
topics/diet-exercise-and-sleep
PhitAmerica. (n.d.). The Tremendous Impact of the Inactivity Pandemic and Obesity. Retrieved August 16, 2016, from
http://www.phitamerica.org/Page1137.aspx
The Mayo Clinic. (2014, March 4). Stretching: Focus on Flexibility. Retrieved August 16, 2016, from http://www.mayoclinic.org/healthy-
lifestyle/fitness/in-depth/stretching/art-20047931
Notas del editor
Research has shown that individuals who watch more than 4 hours of television per day have a 46% increased risk of death from any cause and an 80% increased risk of death from cardiovascular disease
Maintain healthy weight and reduce the risk of obesity
Improve cholesterol levels
Stretching may improve flexibility, and consequently, ROM in your joints.
Cortisol levels increase when the body is stressed. This causes circulating glucose levels to increase, as the body thinks that it needs to prepare itself for a “fight or flight” response. When the body doesn’t end up utilizing that glucose it is stored and fat accumulation results.
Roughly 18 million Americans have sleep apnea, a sleep – related breathing disorder that leads individuals to repeatedly stop breathing during sleep. This condition increases one’s risk of stroke, heart attack, congestive heart failure and excessive daytime sleepiness.
Sleep apnea is commonly associated with people who are overweight, as weight gain leads to compromised respiratory function when an individual’s trunk and neck area increase from weight gain.
Slippery slope = tired from lack of sleep may result in poor nutrition choices and a failure to exercise
Leading causes of death in the United States:
Heart disease (614,348)
Cancer (591,699)
Chronic Lower Respiratory Disease (147,101)
Accidents (unintentional injuries) (136,053)
Stroke (cerebrovascular disease) (133, 103)
Alzheimer’s disease (93,541)
Diabetes (76,488)
Influenza and pneumonia (55,227)
Nephritis, nephrotic syndrome and nephrosis (48,146)
Intentional self – harm (suicide) (42,773)
To maintain weight, work up to 150 minutes of moderate activity per week or 75 minutes of vigorous activity or a combination of the two
Improve muscular strength and endurance: 60 – 80% 1 RM for 2 – 3 sets of 8 – 12 reps (ex. If an individual is able to lift 100 lbs for 1 rep this would be their 1 rep max or 1 RM. To improve muscular strength and endurance they would perform 2 – 3 sets of 8 – 12 reps with 60 – 80 lbs.
Exercise order matters! A dynamic warm up should be completed first, followed by muscular strength, cardio, and finally, mobility/flexibility. A dynamic warm up increases the blood flow to the major muscle groups, ensuring that they are ready to take on the increased demands of activity. Muscular strength should always be completed before cardiovascular exercise, to ensure that proper form is practiced on each exercise. During exercise, muscle glycogen becomes depleted which results in peripheral fatigue (muscular fatigue). This occurs, because performance is not able to be sustained due to a lack of carbs to produce energy. Performing muscular strength exercises in a fatigued state further depletes the muscle and can lead to improper form and likely injury. That being said, cardiovascular activity should follow muscular strength. Cardiovascular strength should be performed at a moderate intensity, 50 – 65% of max heart rate, or being able to talk in 1 – 2 sentences at a time. Mobility/flexibility training should be completed at the end of a workout. This consists of static stretching, in which the muscle is held at a mild tension for 15 – 60 seconds, and or foam rolling. These forms of stretching should be reserved until after muscular strength and cardiovascular training are complete, because there is an increase in blood flow to the major muscle groups. Increased blood flow allows for the muscles to stretch and increase in range of motion (ROM). It also allows for microscopic damage to tendons/fascia to be broken up, thus, increasing blood flow and healing to a given area.
Multi- joint/compound exercises effect more than one muscle group (i.e. bench press, leg press, dips, abdominal crunch, leg press)
Single – joint exercises still target major muscle groups, however, they do so in an “isolating” manner (i.e. bicep curls, tricep ext, quad ext, leg curls, calf raises
Impact exercise: running/lifting/hiking/step aerobics
No/low impact exercise: swimming/biking/elliptical/rowing
Any muscle group that was exercised should be stretched