Tag Archive - exercise

Colorectal Cancer Awareness Month

(Guest Post via Thiru V. Lakshman, MD)

As a colorectal surgeon, March is an important and exciting time for me (and not just because of March Madness). This is because March is National Colorectal Cancer Awareness Month, and it is a great opportunity to educate our community and the public in general about the very prevalent but preventable disease known as colorectal cancer.

Each year, approximately 150,000 people are diagnosed with colon or rectal cancer, and over 50,000 of those people will die from the disease. Colorectal cancer is extremely preventable if colon polyps that lead to the cancer are detected and removed (via colonoscopy or surgery), and it is very curable if the cancer is detected in its early stages. Since there are very few symptoms associated with colorectal cancer, regular screening is essential. If colorectal cancers are diagnosed at later stages, the prognosis and survival rates significantly worsen.

In order to decrease your risk of developing colorectal cancer, the American Society of Colon and Rectal Surgeons recommends:

  • Get regular colorectal cancer screenings after age 50. Between 80-90% of colorectal cancer patients are restored to normal health if their cancer is detected and treated in the earliest stages.
  • Eat a low-fat, high-fiber diet.
  • If you use alcohol, drink only in moderation. If you use tobacco, quit. If you don’t use tobacco, don’t start. Alcohol and tobacco in combination are linked to colorectal cancer and other gastrointestinal cancers.
  • Exercise for at least 20 minutes three to four days each week.

To learn more, visit the American Society of Colon and Rectal Surgeons website at www.fascrs.org or speak with your colorectal surgeon or primary healthcare provider.

Together let’s flush colorectal cancer down the toilet!

Resolution #2 – EXERCISE to Reduce Your Risk of BREAST CANCER

via flickr

via flickr

Losing weight and exercising more are very popular New Year`s resolutions. It is commonly known that exercise has cardiovascular benefits, but there is another great reason to hop on that treadmill in 2013. Research has shown that women who exercise regularly and maintain a healthy weight can decrease their risk of breast cancer. Researchers at the University of North Carolina at Chapel Hill found that women who exercised 30 minutes per day (10-19 hours per week) experienced greater health benefits, with a 30% reduced risk of developing breast cancer, than inactive women who gained a significant amount of weight, particularly after menopause.

Regular exercise is crucial to reap these health benefits, but staying on track all year can be daunting. There are many ways you can become more active.

  • Try to incorporate simple changes such as taking the stairs or selecting a parking spot requiring you to walk further.
  • Other exercise options include: team sports, classes, joining a gym, investing in home exercise equipment, or aerobic activities, like walking, running and dancing. Before exercising, always begin with a warm-up that includes adequate stretching.

Follow this with 20-30 minutes of aerobic activity, and end your session with a cool down combined with more stretching. If you have a medical condition, you should speak with your healthcare provider prior to participating in any vigorous activity.

Stay healthy in 2013! Get moving and reduce your risk of developing breast cancer!

-Brenda Baumann, RN

(Resource: Cancer, online edition, June 21, 2012)

Boost Your Workout: Wear a Heart Rate Monitor

FB-Teasers-JAN28Regular aerobic exercise may decrease your risk of death by 15% and add 3 years to your life.   Effectiveness of exercise depends on what you do—1 hour of walking versus P90X requires very different amounts of energy expenditure.  Heart rate monitors help gauge how much you are exerting yourself and potentially how much benefit you are going to get.   They can be purchased as watches that often have a strap that goes around the chest, although some newer ones may not need a strap.  Often they can be added as accessories to modern smartphones.   Most of these are now wireless, making them much less cumbersome.  Costs vary from under $100 to up to $500 depending on the features.  Higher end treadmills and ellipticals often have heart rate monitors imbedded into the handles.

These monitors can be helpful with any type of aerobic exercise such as jogging, biking, elliptical training and even swimming (find one that is waterproof not water resistant).   To use your heart monitor effectively you first need to know your maximum predicted heart rate.   This is estimated by subtracting your age from 220 for men and 226 for women.  You then know your theoretical maximum heart rate in beats per minute.  Now pick your sport and set up training zones.  These can help you achieve your goals and prevent both under and overtraining.

I’ll share how I use this.  I like running.  At 42 years of age, my maximum heart rate calculates to 178 bpm (beats per minute).  My training goal is to prepare for half/full marathons.  This requires endurance training (ability to go long distances with moderate energy expenditures).  So for most of my training I will want to be in the ‘aerobic zone’.  In this zone, the body’s primary energy stores are in the form of glycogen.  When you do aerobic exercise the body does not have to go into ‘back up stores’ to create energy.  Higher intensity training for long periods of time forces your body into the ‘anaerobic zone’ where the body then has to look for alternative sources of fuel which could result in muscle break down.

So if I go out on a training run I will want a target heart rate between 125 to 142 bpm.  Typically I will find a pace at which my heart rate remains around 135 bpm, and I feel comfortable.  Once I find that pace, it is amazing how constant the heart rate remains.  Because my main goal is endurance training, this is where the bulk of my exercise focuses, but say I want to work on speed.  This can help me finish a race or help on hills when the ‘extra push is needed’.  I will mix it up by running ¾ of a mile at a lower heart rate goal of say 120 bpm (67% or 2/3 of maximum) and then finishing the remaining ¼ mile at 160 bpm (90% of maximum), then repeating this for several miles.  This gets my heart rate into the anaerobic zone and allows me to work on speed but not long enough that I start to tear down my own muscle.

If just starting an exercise program, you will want to start with a lower target heart rate like 50-60% of maximum and then build upwards as your body gets in better shape.  For weight loss, you can target 60-70% of maximum heart rate with exercise 4-5 days, per week 45 minutes at a time.  Then as you get hooked on fitness, you will want to increase to the aerobic zone at 70-80% of maximum to gain endurance and strength.  As I previously explained, pushing into the anaerobic zone at 80-90% can be helpful in building speed/finishing power.  But if you see yourself constantly in that zone, you will want to pull back a little to avoid overtraining, injury, or breakdown of muscle.

As you get in shape, you should also notice your resting heart rate decrease as your heart is now more efficient.  It may also take more effort to get in the right training zone which is a sign that your body is ready for more vigorous physical exercise.

All of this heart rate monitoring can lead to some compulsiveness.  I recommend 1-2 times per week that you just go out and exercise with the monitor off.  Exercise at a level where you feel good, and forget about the heart rate.  Enjoy staying healthy!

Jeffrey N. Whitehill, M.D.

 

7 Tips to a Weigh Better 2013

via flickr

A new year…time to start over with your health and fitness goals that got away from you during the holidays! Most New Year’s resolutions have something to do with becoming healthier, losing weight or exercising, and even though excitement and motivation is high now, many resolutions will be abandoned by February!

I believe the main reason for people not being able to keep their resolutions is that they try to make too many dramatic changes all at once. Many people cannot go from sedentary to running 5 miles a day or from eating a high-fat/junk food diet to becoming a vegetarian.

Here are some tips that can make it easier to reach your New Year’s goal – without pain or starvation!

  1. Set a REALISTIC goal. You should have a main goal and several small “mini” goals that support your main goal. Goals should be doable and measurable.
  2. Write it down. When you write down your goals and make plans on how to achieve them, you are more likely to be successful. Also, keeping food and activity records have been shown to shape behaviors to help you reach your goals.
  3. Make small changes. Try substituting water for soda or mustard for mayonnaise or cooking at home 3 nights a week vs. eating out. As you feel comfortable with the changes you have made, then you can implement others.
  4. Reward yourself (not with a hot fudge sundae!). As you reach your “mini” goals, reward your hard work. Take a healthy cooking class; buy a new pair of running shoes; get a massage…something to look forward to and to help keep you motivated.
  5. Make mistakes! You are going to eat birthday cake, go to happy hour, catch a cold and not make it to the gym for a week – that’s life! Each time one of these situations happens is a time for learning and problem solving.
  6. Educate yourself. There is so much information on nutrition and fitness it is difficult to make sense of it all. Whether you do the research yourself or seek the expertise from a qualified professional….know how many calories you need each day, how many calories are in your favorite foods and what exercises are best for you.
  7. Get support! Having support from family, friends and co-workers can give you extra accountability! Find groups and classes so that you can surround yourself with people that share your same goals and passions.

Tarie Beldin, RD,LD
St. David’s Round Rock Medical Center

Top 10 Brain Foods

  1. via flickr

    Blueberries—regular blueberry consumption has been shown to improve memory function plus they are rich in antioxidants, helping to prevent free radical damage.

  2. Salmon—Rich in Omega-3 fatty acids, it develops tissue for increasing your brain power and it plays a key role in fighting Alzheimer’s and other age-related cognitive disorders.
  3. Flax seeds—Full of ALA- a healthy fat that aids the cerebral cortex in functioning better.
  4. Coffee—Regular coffee drinking has been shown to reduce the risk of Alzheimer’s, Dementia, and other mental disorders because caffeine is good for the brain (in moderation), and it contains antioxidants.
  5. Mixed nuts—Help with everything from fighting insomnia to promoting mental clarity and strong memory.
  6. Avocados— It’s a healthy fat that promotes blood flow, keeping your mind functioning at its peak and it has also been shown to reduce blood pressure.
  7. Eggs—Egg yolks are rich in choline, an essential nutrient to improving memory function.
  8. Whole grains—From oatmeal to whole grain bread, whole grains are excellent brain foods as they improve circulation and contain essential fibers, vitamins, and even some Omega-3.
  9. Chocolate—Dark chocolate is antioxidant-rich, and it also improves focus and concentration. Milk chocolate, on the other hand, improves memory and reaction time.
  10. Broccoli—Broccoli has been shown to improve memory function as well as slow the aging process.

Get Moving to Manage Stress

photo via flickr

For decades, the benefit of routine exercise has been touted far and wide:  it will help you to lose weight, keep heart disease, cancer, and diabetes at bay, lower your blood pressure and cholesterol, and protect your bones.  You would think this would be enough to have us leaping from the sofa to lace up and go for that 2 mile walk.  Unfortunately, the vast majority of us have been resistant to becoming, and remaining, physically active.

Now, research by psychologists strongly suggest it’s time to stop using the status of our health, weight loss, and disease prevention as motivation for exercise and focus on the strategy marketers use to sell products:  portray exercise and physical activity as a way to bring about immediate happiness and well-being.

Studies suggest we may be more sold on exercise when is  not offered up as a rigid medical prescription for health or punishment for bad numbers on the scale, but as a highly effective stress reducer that can easilty fit into our hectic lifestyle.  Imagine 30 minutes of daily devotion to stress reduction, mood improvement and enhanced production of feel-good neurotransmitters.  Seeking out activty for the immediate rewards will help sustain our desire and commitment to keep moving.  Health benefits?  That’s just a nice side effect!

The ABC’s of Diabetes

Today we have a special guest blogger to introduce the important topic of Diabetes Prevention, Diabetes Program Coordinator Karen Perkins. Diabetes is our most requested topic and we hope you join us on August 9th for our Diabetes Seminar at the St. David’s Round Rock Health and Wellness Center. Click here for more details and register today.

A is for A1C, a test that measures an individual’s average glucose over the past two to three months. By keeping this number at 7% or less, individuals can significantly reduce their risk of diabetic complications.

B is for Blood Pressure, and for most people with diabetes, blood pressure should be less than 130/80.

C is for Cholesterol. Cholesterol is a form of fat that can build up in your blood, putting you at an increased risk for heart attacks and strokes. It has three parts that can be measured: LDL, HDL, and triglycerides. Levels of LDL “bad” cholesterol, that are too high can led to a buildup of cholesterol in your arteries. HDL, or “good” cholesterol, helps remove cholesterol from your blood. High triglycerides (a form of fat that floats in the blood along with cholesterol) may increase your risks as well. It is important that all parts of your cholesterol are within healthy levels.

For most people with diabetes, cholesterol goals are:

  • LDL – less than 100 mg/dL
  • HDL – greater than 40 mg/dL for men and 50 mg/dL for women
  • Triglycerides – less than 150 mg/dL

So now you know, the ABC’s of diabetes are A1C, blood pressure, and cholesterol!

Karen Perkins
St. David’s Round Rock Medical Center
Diabetes Program Coordinator

New Studies Highlight the Health Problems Related to Prolonged Sitting

A new study published in the Archives of Internal Medicine states that sitting for long periods of time increases your risk of all-cause early death. Those at greatest risk are people who sit more than eleven hours a day, followed by those who sit eight to eleven hours a day. If you sit four hours or less a day, you have the lowest risk.

This study is alarming considering the rise in sedentary jobs across the country. Don’t despair. For those with desk jobs, occupational health experts have developed a sit-stand workstation. These desks make computing comfortable for prolonged periods by allowing the flexibility to switch from sitting to standing with the flick of the wrist. Another option is the treadmill desk where you can slowly walk on the treadmill while working on the computer. If you don’t want to change your desk at work, incorporate standing and walking into your activities at least every hour. Climb the stairs. Bike or walk to work, if possible.

Prolonged sitting at work is not the only culprit. The average American sits for 90% of their leisure time. If an active lifestyle is not part of your leisure time, you are at risk for a number of health-related issues. For women, this includes diabetes and breast cancer. For all of us, it includes colon cancer, back pain and as stated above, risk of early death.

So whatever you do, get out of the chair and start moving. Consult a physical therapist if you need help establishing the right exercise program for you. Now, it’s time for me to walk my dog.

Diane Owens, PT, FACHE
Assistant Administrator
St. David’s Rehabilitation Hospital

The Weight Of The Nation: A Documentary

I recently had the pleasure of attending the screening of an HBO documentary entitled, The Weight Of The Nation.  It’s about the obesity epidemic that our nation is facing today.  It is a realistic representation of a multifaceted problem.

More than two-thirds of U.S. adults age 20 and over are overweight or obese, while nearly one-third of the nation’s children and adolescents age 2 to 19 are overweight or obese.  Obesity contributes to five of the ten leading causes of death in America, including heart disease, diabetes, stroke, cancer, and kidney disease.  We are clearly in crisis.

Made in partnership with the Michael & Susan Dell Foundation and Kaiser Permanente, this series is comprised of 4 films that will debut on HBO on May 14th and May 15th beginning at 7:00 pm Central.  The portion presented at the screening was Children In Crisis.  We are facing, for the first time in our nation’s history, a shorter life expectancy for our next generation of children.  That, by itself, should be enough to motivate us to action.

Obesity is a preventable disease; it’s not a condition that we have to accept like a natural disaster.  We must begin to make the necessary changes in our culture to ensure a healthy life for ourselves and our children.  After all, our lives depend on it.

For more information about weight management and weight loss surgery, please give us a call at St. David’s Bariatric Center, 512-544-LIFE (5433) or visit us online at www.stdavidsweightloss.com.

Be My Valentine: Healthy Ideas for Expressions of Love

Valentine’s day is approaching and the quintessential gift comes to mind:  chocolate.  This can be a treacherous time if you’re trying to stick to a healthier game plan.  But, there are healthy gift options out there.  Whether you have a certain someone or not, try these ideas for a guilt-free expression of love:

  • Flowers and a movie
  • Massage (try a couple’s massage!)
  • Day at a spa
  • Personal trainer for a  month
  • Professional photography session
  • Hiking/camping trip
  • Yoga class membership

Have a happy and healthy Valentine’s day from St. David’s Bariatric Center!

Page 1 of 212»