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Jun 23

Lifestyle change: I know what to do, I just need to do itbut how? – Harvard Health (blog)

Home Harvard Health Blog Lifestyle change: I know what to do, I just need to do itbut how? - Harvard Health Blog Posted June 23, 2017, 6:30 am

I hear this nearly every day in my primary care clinic. Many of my patients are overweight or obese, which mirrors the national trend: two out of three adults in the US are overweight or obese. Many of these folks suffer from medical issues such as low back, hip, knee, and foot pain; asthma; obstructive sleep apnea; fatty liver; type 2 diabetes; high blood pressure; high cholesterol; or depression. We know that these conditions often improve with weight loss. So, I often recommend weight loss as a first step in treatment, and the usual approach is through lifestyle change.

Lifestyle change programs for weight loss have been extensively studied, and across the board, those that incorporate diet and exercise are very effective if people can stick to the program.

And that is exactly my patients lament. They know theyre suffering, they know that weight loss can help, and they know all about diet and exercise, but many have trouble sticking to the program. Why is this, and what can I do to help?

A recent study examined what things hinder or help people to stick to a lifestyle change program. The authors scoured the research literature for high-quality studies. Whats really important about the studies included is that they did not look at actual weight loss, only at lifestyle change success or failure.

While lifestyle changes including diet and exercise can work, many people struggle to stick to a program, and its not for lack of willpower. Many factors can get in the way, but with a little work you can figure out what those are. Your doctor can help you figure out ways to overcome the barriers to healthy living. Tell your doctor whats working or not working for you. Ask about resources, possibly including life coaches, therapists, and/or nutritionists, who can help you be successful with your lifestyle change program.

National Institute of Diabetes and Digestive and Kidney Diseases, Overweight and Obesity Statistics.

Global, regional, and national prevalence of overweight and obesity in children and adults during 19802013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet, August 2014.

Lifestyle interventions for weight loss in adults with severe obesity: a systematic review. Clinical Obesity, October 2016.

Management of obesity. The Lancet, February 2016.

Obesity as a Risk Factor for Low Back Pain: A Meta-Analysis. Clinical Spine Surgery, November 2016.

Is body mass index associated with patellofemoral pain and patellofemoral osteoarthritis? A systematic review and meta-regression and analysis. British Journal of Sports Medicine, May 2017.

Obesity and the role of bariatric surgery in the surgical management of osteoarthritis of the hip and knee: a review of the literature. Surgery for Obesity and Related Diseases, January 2017.

Foot pain severity is associated with the ratio of visceral to subcutaneous fat mass, fat-mass index and depression in women. Rheumatology International, May 2017.

Co-morbidities in severe asthma: Clinical impact and management. Respirology, March 2017.

Bariatric Surgery or Non-Surgical Weight Loss for Obstructive Sleep Apnoea? A Systematic Review and Comparison of Meta-analyses. Obesity Surgery, July 2015.

Effect of Weight Loss, Diet, Exercise, and Bariatric Surgery on Nonalcoholic Fatty Liver Disease. Clinics in Liver Disease, May 2016.

Treatment of metabolic syndrome. Expert Review of Cardiovascular Therapy, March 2004.

Overweight and Obesity Associated with Higher Depression Prevalence in Adults: A Systematic Review and Meta-Analysis. Journal of the American College of Nutrition, April 2017.

Determinants of adherence to lifestyle intervention in adults with obesity: a systematic review. Clinical Obesity, March 2017.

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Lifestyle change: I know what to do, I just need to do itbut how? - Harvard Health (blog)


Jun 23

The Brooks Family YMCA is an exercise in community building – C-VILLE Weekly

For the better part of 25 years, Kurt Krueger has harbored a vision.

I remember learning to swim as a kid at a YMCA in St. Louis, says Krueger, a UVA School of Law graduate and downtown attorney, and a long-time supporter of the local Ys satellite youth sports programs. I knew that a full-service Y facility could be much more than just another gym or pool, of which there are plenty in town. A modern YMCA recreation center, he felt, could be a focal point for community engagement and a vibrant hub for the health and wellness of people of all backgrounds across the region. He dreamed of helping to open one in Charlottesville.

A week from now, after two decades, two lawsuits and hundreds of hours volunteered by people with the same vision, Kruegers dream will become a reality.

In 1992, after a storefront YMCA on Park Street dissolved, the national YMCA organization asked a group of interested community members to figure out whether Charlottesville would support a new Y. Convinced that it would, 12 of that groupincluding Krueger, realtor Stephen McLean and businesswoman Suzanne Brooksincorporated the Piedmont Family YMCA in 1994. With no physical presence except a small office, the Piedmont Y ran youth sports programs for the city and county on a modest budget, mostly by renting space from schools.

Successful for a time, the Piedmont Y began to face sharply increasing rental costs and capacity constraints. It was clear we were going to run out of steam, says Krueger. We knew we needed to build a facility. His hope was to partner with the city. Parks and recreation departments always struggle with how much to centralize. Neighborhood recreation centers can be one way to go, but building eight or 10 of those would be phenomenally expensive. Most communities of our size start looking for a way to do something centrally.

Krueger became chair of the YMCA board in 2000, and he and former Y director Bob Vanderspiegel spread out a big map of Charlottesville. The very center of the map was McIntire Park, which was a fairly underutilized public space, says Krueger, and he set to work making the case for a brick-and-mortar Y to be located there. Both the city and the county had done studies that projected the need for another 100,000 square feet of indoor recreation space for the community within 10 years.

Our reasoning was, if the city built a facility, theyd spend $10 million or more taxpayer dollars on it and then have to operate it as well, says Krueger. If, instead, the city helped us secure the land and we raised private donations for the building, and then of course as a Y we dont turn anyone away, then its very close to a public facility at an enormous savings for them.

Over the next five years, Krueger appealed to anyone who might see his logicthe mayor, the city architect, the county executive, the city manager. Though other, more remote sites were available, the board felt that the community as a whole, both city and county, would be better served by a central Y. Slowly, Kruegers plan gained traction, and in 2006 he and the board brought it before the City Council.

Though some on the council expressed support, the plans detractors were not easily persuaded. On the heels of the heated Meadowcreek Parkway debate, some councilors balked at the Ys placement in the park, arguing against any diminishment of green space, while others questioned its potential benefits to city residents. Bob Fenwick, then a candidate for City Council and a member of the Coalition to Preserve McIntire Park, declared that the proposed lease was illegal and that construction of the Y would destroy the parks softball fields and end the annual McIntire fireworks display and the Dogwood Carnival. For its part, the Y group pledged minimum disruption while emphasizing planned community partnerships and outreach.

The Brooks Family YMCA

Square footage: 79,000

Cost: $19 million

Construction start to finish: 19 months

Number of employees: 90-100 part-time staff, 7 full-time employees

Number of fitness/activity rooms:3 group exercise studios, 1 functional training area, 1 community room, 1 Play Zone

Number of lap lanes: 10 in rec pool, 3 in family pool

Number of basketball courts: 3

Number of kids/teen areas: 3

Number of parking spaces: 158

After several rounds of meetings and refinements, the city agreed to the plan in a 3-2 vote in late 2007, and donated five acres of land on the far west side of the park in a 40-year lease for $1 per year. Todd Bullard, a long-time YMCA volunteer coach and owner of local design firm VMDO, and his colleague Jim Richardson were among the architects who prepared the original renderings and site studies.

As a stipulation of the ground lease, the design was a very public process and required input and approval from the citys Board of Architectural Review, the Planning Commission and the City Council, says Richardson.

Public comment was invited and integrated into the plans. Four or five tracts in the park were considered, and the Y was eventually sited on a hilly, and thus architecturally challenging, location that preserved all of the existing athletic fields and flat areas of the park. Nestling the building into the backside of a slope meant the building would have a lower profile, scaled better to its surroundings.

The city and county donated $1.25 million and $2 million, respectively, to the project, which was matched by contributions from Piedmont Y board members and followed by the launch of a capital campaign to raise the remaining $8.5 million. The citys donation was predicated on the Ys promise to construct a diving well and lap pool to accommodate the Charlottesville High School swim team, and to give CHS priority access to the pool after school hours. Loughridge & Co., bidding against more than a dozen firms, won the construction contract, and the board planned a groundbreaking ceremony in 2010.

And thats when the next major obstacle rolled into the path.

In May 2010, a group of private gym clubs led by ACAC founder Phil Wendel sued the city and county over their arrangements with the YMCA. The lawsuit claimed the citys offer of a contract to build a fitness facility in the park was a public procurement, and thus unfairly excluded the private clubs from the bid process. The city countered that the lease and seed funding were a gift, not a procurement, as the city would neither own nor manage the facility. As a gift to a charitable organization whose purposes were in line with the citys purposes, the donation was legal, says Krueger. The language of the statute was clear.

The Charlottesville General District Court agreed, dismissing the suits against both the city and county by 2011. The battle continued, however, as the private club owners appealed the decision to the Virginia Supreme Court. Though ultimately dismissed by the Virginia high court in 2013, the lawsuits drained the project of its momentum and created a new set of hurdles. The legal process took three years to play out, says Krueger, and a lot had changed in the interim.

During the delay, the Y was forced to ask City Council for repeated extensions on the lease agreements required start date. The saddest thing about the lawsuits was that construction prices were going up every year, says Richardson of VMDO. That really stung. It meant wed have to reduce the size of the building, or keep the same space with fewer attributes. Fortunately, Loughridge & Co. graciously agreed to manage costs and honor their original bid as much as they could.

Regaining the lost energy for the project was a top priority for Krueger and the board, as was finding additional donors to bridge the gap created by the increased costs ($4 million more). Suzanne Brooks, an early and significant donor to the project, credits Kruegers unwavering perseverance as the key to getting the facility built. Really and truly, if it hadnt been for Kurts stick-to-itiveness, it wouldnt have happened, she says.

With the retirement of CEO Denny Blank in 2014, the board was faced with the prospect of a long national search for a replacement. Krueger and veteran Y manager Bill Blewitt sat in Kruegers office and talked about the options. With a long-standing and cohesive board of directors in place, there was no need to bring in an old hand from out of state. On the contrary, says Krueger, we needed a person whose heart and soul was in it, who was intelligent and could pick up a lot of things all at once, and who could quickly form bonds with people in the community and in the regional Y system.

We looked at each other, and we were each thinking the same thing, says Blewitt. We already knew the perfect person for the job.

Jessica Maslaney, a dynamic young Y director with a head for organization and a heart for community recreation, was in the right place at the right time for a big undertaking.

Maslaney grew up in Arlington and majored in English literature at UVA, reading novels instead of textbooks, she admits. In her fourth year she interned with the Piedmont Family Y for 10 hours a week, developing sports and camp programs for kids. Attracted to sports programming for its direct connection to health and fitness, she took the program directors position that opened up just as she graduated in 2004.

Overseeing 2,400 children in the basketball program, 400 in lacrosse, 300 in flag football and an army of adult volunteers as coaches and coordinators, Maslaney quickly made connections throughout the Charlottesville/Albemarle region. My philosophy has always been, the more people the better when it comes to recreation, and the Y is about inclusivity, she says, so my goal is always to grow the programs.

In 2010, a group of volunteers in Crozet decided to make Claudius Crozet Park a year-round swim destination, and launched a capital campaign to enclose the park pool during the winter months. The project became a joint venture with the Y, whose job it was to run the operational side of the facility and to add other fitness elements. Maslaney ran the Crozet Park summer camps and became site director in 2012. Along the way, her family fell in love with Crozet and moved there in 2013.

My ultimate goal was to be CEO, says Maslaney. I did have a trajectory planned, though I didnt think it would come about for another 15 years. When Blewitt, serving as interim CEO in 2014, met with each member of the staff, he didnt have an agenda for the meetings, but Maslaney arrived with detailed analyses and projections for the Crozet Y. I dont like to go into any meeting unprepared, so I had all my ducks in a row.

When Blewitt floated Maslaneys name for CEO of the new Brooks Family YMCA, as it was to be called, Krueger knew instantly it would work. The narrow mission of a fitness center is about youto help you become physically fit, but the mission of [the] Y is all about connections between people with similar goals, says Krueger. So Jessica, being a program-oriented person, is perfect for us, because programs are how we get there.

Maslaney had to hit the ground sprinting. I started on my birthday in January of 2015, she recalls. I was 33 years old, and on that very first day I went to City Council with Kurt [Krueger] to ask for another one-year extension on the lease agreement. Their message was, Yes, but do not come back and ask for another. Construction had to begin in 2015 or the agreement would be null and void.

Amid critical updates to the construction contract and the boards efforts to secure the remaining financing, Maslaney and the Ys construction consultant, Jay Kessler, traveled around the state to the newest Y facilities to look at trends and meet other managers. The joke is, if youve seen one Y, youve seen one Y, because theyre all so different, says Maslaney. But she saw several things she liked, did some research and suggested a few modest but impactful changes to the design.

Architect Richardson says that Maslaney always focused on how program areas would best support membership. She suggested that some extra locker room space could be converted to three additional fitness rooms to hold more classes, and so we did that without increasing the square footage of the building. Careful budget management by Kessler allowed Maslaney to go ahead with construction of a large mezzanine, originally slated to be added in the future, that will overlook the double-height fitness room. Its always cheaper and less disruptive to build things while the crews are already out there, says Richardson.

No stranger to job sites, Maslaney loved tagging along as a kid with her father, Jim, who supervised commercial construction. I remember going with my dad to his site and climbing in cranes, standing behind drywall studs, getting in the pool before it was finished. She gets the same thrill now when she dons a hard hat to watch the progress at the Brooks Y site.

Though accustomed to operating independently as director of the Crozet Y, Maslaney recognized that in the CEO position she would benefit from the experience of others. She relied on Blewitts advice to pull back a bit from her habitual micro-analysis of the details and concentrate on hiring talented staff to help with the workload. She also took his counsel and began to meet weekly with Krueger, so that her decisions were transparent and her plans in sync with those of the board.

It was quite a feat to get to groundbreaking, with an almost overwhelming number of details to keep track of, says Maslaney. We made a huge countdown, we called it a moving-parts timeline, where we identified everything that needed to be done by categoryfundraising, political, banking, construction and facilities, operations, marketing, communicationsin long lists, and wed just check things off as we went. She refers to herself, half-jokingly, as a nave optimist, and says, Theres never been a day that Ive doubted this would come to fruition.

Maslaneys immediate family is living the Y life as well. Her husband Chris manages UVAs North Grounds Recreation Center, where they met when Jessica played club basketball in college, and has served as basketball site supervisor for the Piedmont Y. Their children, now 7 and 4, are true Y kids: She brought her son to work with her for seven months after he was born, and her infant daughter was the first (and for several weeks only) resident at the Ys new child care program at the Jefferson School City Center. My son has been holding off on his birthday party this year, she says, hoping to be the first kid to celebrate his birthday at the new Y.

She is most proud of the new buildings kids and teen areas, which she helped design. In the Stay and Play [kids] space, we have a jungle gym and we lined that area with benches because we want parents to come in and interact with their kids and each other, she says. Elements of the teen center were selected by CHS students in the AVID college preparatory program. They met with the architect and picked colors, graphic features and furniture, and they designed the invitations and the inspirational word wall, which contains words such as collaboration, determination, generosity, integrity, caring and original, printed in varying sizes.

Krueger couldnt be more pleased with Maslaney at the helm. Jessica has two phenomenal character traits: loyalty and honesty, he says. Shes got the courage of her own convictions, plus a personality that makes people want to work with her. The pair are like-minded about the real mission. The focus is naturally on this beautiful new building, but for us its a means to an end, says Krueger, and the end is to improve the community by forging relationships between people of all economic classes and races and abilities and experiences and backgrounds.

Toward that end, the Brooks Y staff linked up with the Center for Nonprofit Excellence in December to hold three half-day meetings designed to connect groups with similar missions in the community. According to Maslaney, the youth development aims of the Y connected with similar goals of the Boys & Girls Club, Big Brothers Big Sisters and City Schoolyard Garden at those meetings.

Whats been gratifying about the Y is that as they considered how to use all of their new capacity, they wanted to first find out what was going on in the community, says CNE Executive Director Cristine Nardi. The three packed sessions focused on the Ys core missions: social responsibility, youth development and healthy living, and how the Brooks Y can fill gaps and extend resources.

One suggestion was that the Y could offer its demonstration kitchen to teach healthy cooking for community groups such as elderly populations or for people who have or are at risk for diabetes. Another idea that surfaced in the sessions is that the Ys central and large presence can serve as a clearinghouse for information dissemination, so Maslaney was excited to install a community information wall where people can learn about all of the resources available in town in one place. In addition, the Ys large community spaces can be used as a hub to help other nonprofits with training if they dont have space of their own to hold larger meetings.

Maslaney is also part of an informal leadership circle, along with leaders from the Charlottesville Free Clinic, Big Brothers Big Sisters, CASA and Madison House, to share ideas and inspiration. The opportunity for groups to partner on programs addressing issues such as autism, healthy food or inter-generational interaction is so exciting, says Mary Davis Hamlin, CNE senior consultant. The Y will be a community anchorit will honor health, and all walks of life will use it. Thats remarkable in our segregated world these days.

Suzanne Brooks, whose family name is on the door, says her devotion to the Y project stems from its fundamentals. One of the reasons that Ive stuck with it for so long is because of the principles that the Y teachescaring, honesty, respect and responsibility, she says. Everything they do goes through those. Can you imagine if everybody in the world lived by those four values, what a great place it would be, everywhere?

The first YMCA was launched in London in 1844 as a way to give idle young men something productive and healthful to do with their time, and the organization made its way to the U.S. in 1851. Today there are more than 2,700 Y centers across the country. A few facts about Charlottesvilles YMCA history:

The University of Virginia was home to one of the first campus-based YMCA organizations, established in 1856. A permanent building for the chapter was completed in 1905, and UVA School of Law alum Woodrow Wilson delivered its dedication address. That building is the present-day Madison Hall, situated directly across University Avenue from UVAs Rotunda. The large field behind Madison Hall (Madison Bowl) was also owned by the Y and used for track and field events. By 1933, the building had been converted to a Student Union.

The large brick building on the corner of Second and Market streets in downtown Charlottesville housed a community YMCA from 1909 to 1927. The upper floors were hung for extra spring, the main floor was a basketball court, and there was a pool in the basement. This building now hosts the offices of VMDO, the architectural firm that designed the Brooks Family Y.

Charlottesville benefactor Paul Goodloe McIntire, who donated land and funding for city schools, libraries and parks, as well as several major buildings at UVA, was a strong advocate of the Y. He was quoted at a Y board meeting in 1923 as saying that to not support a YMCA would be a disgrace to Charlottesville, and that a YMCA was a necessity for a city of this size. The Brooks Family Y now sits in a corner of the park bearing his name.

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The Brooks Family YMCA is an exercise in community building - C-VILLE Weekly


Jun 22

New RCBC degree programs offer opportunities in expanding health fields – Burlington County Times

MOUNT LAUREL Three new associate degree programs will be offered at Rowan College at Burlington County in the fall.

The college is introducing exercise science health and wellness promotion, health care informatics and geoscience. It is also reformatting its health sciences major to provide a clearer path to careers after school.

All four programs look to capitalize on growing job fields.

The projected growth of health and exercise science jobs between 2014 and 2024 is 21 percent for athletic trainers and 13 percent for health educators, according to statistics the college provided from the U.S. Department of Labor.

The number of geoscientist jobs is expected to grow by 10 percent from 2014 to 2024, according to national labor statistics.

Interest in the college's nursing and health sciences departments has increased in the last year. In spring 2017, the nursing program increased by 19 students, or 19.1 percent, from last year; programs in health science saw an overall increase of 236 students, or 14.1 percent.

The college is performing about $9.8 million in renovations to a 38,000-square-foot building it bought last year at 1000 Briggs Road and turning it into the home for its health sciences department.

The exercise science program was designed in partnership with Virtua, of Evesham, and aims to set students up with a four-year degree path at Rowan University that will lead to a career in personal fitness.

It is one of the college's Classroom-to-Career programs, designed with help from area employers to shape education around available careers.

As people live longer lives and desire to remain healthy through programs of personal fitness, weve seen a growing demand for athletic trainers and health educators, said Al Campanella, executive vice president at Virtua. Students who complete their associate and bachelors degrees in this field will be well-prepared for a career in state-of-the-art fitness centers, similar to Virtuas three Health and Wellness centers in Southern New Jersey.

Healthcare informatics also follows the Classroom-to-Career model and was created in collaboration with the Deborah Heart and Lung Center in Pemberton Township.

The major aims to prepare students to use technology to improve patient outcomes in a variety of medical settings, according to RCBC President Paul Drayton.

It is a growing field nationally, and there is an immediate need for skilled workers in this field locally," Drayton said, adding that Deborah is looking to fill health care technology positions.

College officials said while there are bachelor's degrees in health informatics, there are no associate degrees that get students ready for careers after two years.

We dont need to wait for students to achieve their bachelors degree before they can be hired. With our input and RCBCs program, we know there will be a great pool of qualified candidates," said Joseph Chirichella, Deborah's president and CEO.

The degree program combines electronic health records, health information management and computer science. Professionals in health care informatics work with information systems, cybersecurity management and computer software, according to college officials.

Geoscience will prepare students for several careers, including geologist, oceanographer, hydrologist, natural resource manager and petroleum engineer, according to college officials.

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New RCBC degree programs offer opportunities in expanding health fields - Burlington County Times


Jun 22

Toledo hosts "Senior Splash" aquatic exercise events – Toledo Blade

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Roosevelt Pool in Smith Park will be one of the hosts for Toledo's "Senior Splash" program.

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The city of Toledo will offer free adult aquatic exercise programs this summer beginning Saturday when city pools open.

The exercise classes, called Senior Splash will run through Aug. 5, the city said. The hourlong sessions are open to adults 55 and up. They will be held from 11 a.m. to noon, Tuesdays and Fridays, at Willys Pool, 1375 Hillcrest Ave., and Tuesdays and Thursdays at Roosevelt Pool, 910 Dorr St.

Certified instructors from the YMCA of Greater Toledo will run the program, city spokesman Janet Schroeder said.

Ms. Schroeder said the program will cost $4,500. She could not produce a copy of a contract between the city and the YMCA regarding the program. That amount will fully cover the costs of four certified instructors, for which the YMCA will bill us, Ms. Schroeder said.

The other public pools opening Saturday are Navarre, 1001 White St.; Pickford, 3000 Medford Dr.; Wilson, 3253 Otto St.; Jamie Farr, 2140 N. Summit St., and the citys splash pad at 645 Vance St.

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Toledo hosts "Senior Splash" aquatic exercise events - Toledo Blade


Jun 22

Doing This After Pregnancy Helps Fight Off Postpartum Depression – Verily


Verily
Doing This After Pregnancy Helps Fight Off Postpartum Depression
Verily
The exercises used in the various studies included stretching and mindful breathing, walking routines, aerobic activity, Pilates and yoga. Most of the intervention programs lasted for three months or longer and recommended three to five exercise ...

and more »

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Doing This After Pregnancy Helps Fight Off Postpartum Depression - Verily


Jun 21

To keep summer fun, exercise prudently, hydrate generously and layer on the SPFs – nwitimes.com

Summer in full swing can mean lots more outdoor activities for seniors: Walking, playing with grandkids, gardening, golfing, and more.

But older adults are not always aware of and ready for challenges hot weather can pose. Fact is, for seniors there are more hazards than just those on the golf course, say Northern Indiana-area health experts.

Meeting those challenges successfully depends in part on starting and keeping an exercise routine, says Kim Terpstra, group exercise supervisor at Fitness Pointe in St. John, who leads the Community Hospitals Functional Living Exercise for Everyone program.

This time of year many seniors are more active outdoors with family and social events. These events will be more enjoyable for seniors with good balance, range of motion and strength, says Terpstra. The programs exercises are designed to strengthen muscles and improve balance, coordination, posture, and agility. The year-round classes attract participants age 40 to 90 and older, says Terpstra. Incorporating strength training also improves bone density.

Regular physical activity can even improve health for some older people with diseases and disabilities, Terpstra says.

If jogging seems daunting, brisk walking gives you almost the same health benefit as jogging, says Dr. Vivek Mishra, a vein specialist at Vein and Laser Institute in Munster, Merrillville, Valparaiso, and at Porter Regional Hospital. Mishra says seniors should be mindful of their legs condition, including swelling from varicose veins as a backup of blood and fluid in the legs occurs, sometimes an indication of congestive heart failure.

At first those varicose veins are a cosmetic issue, But if you can see them, long term they can cause skin thickening, pigmentation around the ankles, and leg ulcers, which need to be treated. A vein specialist can assess the condition and make recommendations, including wearing compression stockings that increase blood flow and keeping feet elevated when seated.

Mishra says remaining hydrated is essential for general health. As you grow older, your reserves (of body fluids) grow lower, so hydration with water and/or sports drinks is especially important for seniors, who generally experience less thirst, according to aplaceformom.com.

Sue Leahy, president of the American Safety and Health Institute, notes on WebMD that Sports drinks with electrolytes are far better (than water for hydration) because they help replace salt and retain fluid."

Leg cramping is the first sign of dehydration, says Leahy. "Cool off and drink fluid until it goes away because if you don't, it can progress to heat exhaustion and then heat stroke."

Skin gets thirsty, too. While skin tends to be less dry during the summer, it's still a good idea to keep the skin hydrated. says Dr. David Soleymani, founder of Dermio Dermatology in Munster and Chicago. A common misconception is that drinking water keeps your skin hydrated. It's best to lock moisture into the skin immediately after bathing with a good lubricant/cream.

Dr. Karen Jordan, partner at Dermatology Associates of Northwest Indiana, recommends applying moisturizer every day. Skin becomes much drier with age. Moisturizer will help trap water in your skin and give skin a more youthful appearance. Look for a moisturizer that contains hyaluronic acid and niacinamide.

But watch out for moisture in the wrong places, like creases and dark damp areas where fungi and yeast tend to flourish, says Soleymani. Heat and sweating can be problematic for those prone to fungal infections. He suggests considering blow drying skin after showering and toweling off to help keep microorganisms in check.

Plenty of outdoor activitiestennis, swimming, picnics, and moremean exposure to sun. While we don't want anyone to avoid the sun completely, it makes sense to be wise about exposure to harmful ultraviolet rays, says Soleymani. He recommends a broad-spectrum sunscreen with sun protection factor (SPF) of 30 to 50. Mishra says SPF 50 is probably the best.

Sun protection minimizes UV damage that leads to signs of aging and can cause skin cancer, says Jordan. Her criteria for sunscreen:

Must contain at least 5% zinc oxide, which blocks the widest range of UV rays. It also stays on the skin instead of being absorbed into the body, considered by many to be safer than some other sunscreens.

At least SPF 30; very high SPF doesnt add much value.

Moisturizing sunscreens, since mature skin tends to be dry.

Try to avoid prolonged exposure to sun, particularly between 10 a.m. to 4 p.m., says Soleymani. Dont lie out to get a tan and seek shade if possible when you're outdoors for a long time.

Jordan recommends protecting all exposed skin, including hands, ears, and lips, with sunscreen, and wearing long sleeves and a hat when possible.

Those age spots? Theyre caused by UV exposure, so use sunscreen 365 days a year, Jordan says, with an antioxidant such as a Vitamin C serum underneath. Antiwrinkle creams containing retinoids or retinol make the skin more sensitive to the sun, so consider cutting back on them if youre outdoors a lot in summer.

Soleymani and Jordan agree seniors should have an annual full-body exam by their dermatologist to check for signs of skin cancer and precancerous spots. Soleymani says any skin lesion that changes in size, shape, or color or rash warrants a checkup.

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To keep summer fun, exercise prudently, hydrate generously and layer on the SPFs - nwitimes.com


Jun 21

Rianda House has great exercise classes for people with Parkinson’s – Napa Valley Register

Throughout different situations in life, I have always found that partnerships make both our personal and professional lives richer and more rewarding. A very strong partnership we share is with the Rianda House of St. Helena, they are a wonderful organization that offers a variety of programs and activities for older adults. In this weeks Recreation Reader column, the Executive Director of Rianda delves in the PWR!Moves class and the amazing benefits it carries for people with Parkinsons Disease.

When Joan Comendant, a local personal fitness trainer, first observed an exercise class for Parkinsons patients at St Helena Fitness Center, she was struck by how effective it was for helping people to increase their mobility and improve their quality of life. For several years, she had been teaching a restorative exercise class at the St Helena Cancer Center and had seen first-hand how deep breathing and restorative exercises have helped people deal with chronic issues. She was certain that the exercise classes for people with Parkinsons classes would be just as powerful.

So she was thrilled when she was given the opportunity to take over the Parkinsons class in 2014. She completed certification in the Parkinsons Wellness Recovery program and partnered up with Joe Burger and Rianda House to expand the program in the community.

Having now taught the Parkinsons Wellness Recovery program at Rianda House since 2015, Comendant has come to believe that exercise may be the most promising way to alleviate Parkinsons symptoms and slow progression of the disease.

While everyone can benefit from exercise, it is especially important for people with a progressive movement disorder like Parkinsons that can result in weakness, stiffness, difficulty walking, poor balance and falls, as well as impaired cognitive processing. Regular exercise bestows increased levels of fitness; a greater sense of well-being; stronger muscles and bones; healthier joints; more efficient breathing; and better digestion and blood circulation. Comendant reports that people who attend her classes can do things better than they used to: for example, all of her students can get out a chair more quickly and more times, which helps them to be more self-sufficient and able to carry on with their lives. Better posture and stronger legs allow people to pick their feet up higher so they dont stumble and fall.

Each week UpValley residents of any age can participate in Comendants weekly exercise classes in Calistoga and St. Helena, PWR!Moves and Tai Chi, which are both hosted by Rianda House. Classes are offered on a drop-in basis and at no-cost to the community, thanks to the support of a grant from the National Parkinsons Foundation and several fabulous local donors.

PWR!Moves is a movement class for those living with Parkinsons Disease, Essential Tremors or balance issues that was created by the National Parkinsons Foundation. It is designed to increase strength, flexibility, coordination, balance and posture with a goal to enhance motor, cognitive and emotional functions and daily quality of life. Comendant begins or ends each class with a seated dance that always gets the class laughing while they work on the postures and stretches needed to improve mobility. PWR!Moves is offered in St. Helena at Rianda House on Wednesdays, 1:15 p.m. to 2:15 p.m. and in Calistoga at the Community Center on Fridays, 1 p.m. to 2 p.m.

The Tai Chi class features a combination of slow meditative movements that aid relaxation, balance, stress reduction and posture, giving an effective total-body workout. Tai Chi is offered on Mondays, 10:40 a.m. to 11:30 a.m. at Rianda House in St. Helena and on Fridays 2 p.m. to 3 p.m. at the Calistoga Community Center.

Rianda also hosts a monthly support group for individuals with Parkisons disease or for anyone who cares for someone with Parkinsons. Bob Winters facilitates the meeting on the second Thursday of each month, 3:30 p.m. to 4:30 p.m. at Rianda House. Each month, the meeting offers a guest speaker, support resources and information, as well as the opportunity to provide support for each other.

If you or someone you care about is experiencing mobility issues, be sure to stop by Rianda House for more information or drop in on a class. You wont regret it! As one participant put it, The classes help me gain stamina and flexibility. It is fun to be with this group of people and I look forward to seeing them. I like the all the variety of things that Joan brings to us.

Rianda House is located at 1475 Main Street in St. Helena. Hours: Monday through Friday from 9 a.m. to 4 p.m. Call 707-963-8555 or visit the website for a monthly activities calendar: http://www.riandahouse.org.

Written by: Julie Spencer, Executive Director and Stephanie Parry, Development and Marketing Consultant.

Original post:
Rianda House has great exercise classes for people with Parkinson's - Napa Valley Register


Jun 21

Columbus Physical Therapy provides ‘Feel Good Experience’ – Columbus Telegram

COLUMBUS Staff members of Columbus Physical Therapy are used to hearing the business recognizable jingle sung to them when theyre out in the community.

Known as the place with The Feel Good Experience, the physical therapy clinic owned by Steve Line and Rusty Kuhl, located at 3211 25th St., has been in Columbus since 1999, and opened clinics in Humphrey five years ago and Norfolk last year.

Though the community may be familiar with Columbus Physical Therapys jingle, some might not understand what The Feel Good Experience and physical therapy in general are all about.

There are always new products and new equipment out there with more bells and whistles. In the end, therapy is still the same. Its strengthening, stretching, pain management and teaching people the right things to do, Line said.

Physical therapy helps people of all ages who have medical conditions, illness, pain and injuries that limit their ability to move and function. A customized physical therapy program can help individuals return to their daily activities, as well as encourage activities and lifestyle changes that can help prevent further injury and improve overall health and well-being.

Some of the benefits of physical therapy are:

Reduce or eliminate pain. Therapeutic exercises, manual therapy techniques and treatments such as ultrasound, electrical stimulation or dry needling can help relieve pain and restore muscle and joint function to reduce pain. These therapies can also prevent pain from returning.

Avoid surgery. If physical therapy helps you eliminate pain or heal from an injury, surgery may not be needed. And even if surgery is required, you may benefit from pre-surgery physical therapy. If you are going into a surgery stronger and in better shape, you will recover faster afterwards in many cases. Also, by avoiding surgery, health care costs are reduced.

Improve mobility. If youre having trouble standing, walking or moving, no matter your age, physical therapy can help. Stretching and strengthening exercises help restore your ability to move. Physical therapists can properly fit individuals with a cane, crutches or any other assistive device, or assess for orthotic prescription. By customizing an individual care plan, whatever activity that is important to an individuals life can be practiced and adapted to ensure maximal performance and safety.

Improve balance and prevent falls. When in physical therapy, you will get screened for fall risk. If youre at high risk for falls, therapists will provide exercises that safely and carefully challenge your balance as a way to mimic real-life situations. Therapists also help you with exercises to improve coordination and assistive devices to help with safer walking. When the balance problem is caused by a problem in ones vestibular system, physical therapists can perform specific maneuvers that can quickly restore proper vestibular functioning and reduce and eliminate symptoms of dizziness or vertigo.

Manage age-related issues. As individuals age, they may develop arthritis or osteoporosis or need a joint replaced. Physical therapists are experts in helping patients recover from joint replacement and manage osteoporotic conditions conservatively.

Recover from or prevent a sports injury. Physical therapists understand how different sports can increase your risk for specific types of injuries, such as stress fractures for distance runners. They can design appropriate recovery or prevention exercise programs for you to ensure a safe return to your sport.

Manage diabetes and vascular conditions. As part of an overall diabetes management plan, exercise can help effectively control blood sugar. Additionally, people with diabetes may have problems with sensation in their feet and legs. Physical therapists can help provide and educate these patients on proper foot care to prevent further problems down the road.

At Columbus Physical Therapy, The Feel Good Experience was developed by Line and Kuhl to bring a customer service-driven atmosphere to a medical setting.

Pain and discomfort are not fun and we are here to help you get back to the activities that you love as quickly as possible, Line said.

That starts with the commitment to same-day appointments.

The sooner we can begin treatment, the better the outcomes. We respect your time and beginning your treatment on time is important to us. We provide clear communication with you and your chosen medical provider to ensure that any changes to your customized plan can take place quickly, Line said.

Editor's note: This sponsored story is part of our "Businesses You Need To Know" special section.

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Columbus Physical Therapy provides 'Feel Good Experience' - Columbus Telegram


Jun 21

Summer wellness programs at Katz JCC – Burlington County Times

The Katz JCC in Cherry Hill has planned a variety of wellness programs this summer open to the entire community.

The JCCs exercise recovery four-week program will cover various ways to rebound from exercise to keep your body performing at its very best. The program begins on July 5.

New for kids is S.U.G.A.R (Start Up Good and Right) for children with Diabetes ages 11 to 14 and 15 to 18. S.U.G.A.R is a four-week session that encourages kids to make healthy choices through food and exercise. Each week they will participate in a different class followed by fun, nutrition-centered activities and games. The program starts on July 10.

Tai chi, an ancient Chinese practice that combines slow, deliberate movements, meditation and breathing exercises has pickup up in popularity. Two small group classes, led by resident expert Morris Siegel, will be offered Mondays at 2 p.m. beginning on July 10, and Tuesdays at 2:30 p.m. beginning July 11.

JCC nutritionist Allyson Mitidieri will hold a one-hour workshop focusing on "Nutrition for Osteoporosis" to focus on the nutritional interventions to both prevent and manage osteoporosis, on July 11, with two sessions, at 11 a.m. and 6:30 p.m.

New to the JCCs yoga offerings is a one-day special event, partner yoga, on July 22 from 9 to 10:30 a.m. Partner yoga will encourage couples to flow, move and breathe alongside one another with this Vinyasa-based yoga practice and explore the connection within and outside of yourself.

Prices vary per class and early registration is encouraged, as space is limited. For more information and to register go tokatzjcc.org or email jmorgan@jfedsnj.org or call 856-424-4444 or the JCC Health & Wellness Control Desk,1301 Springdale Road, Cherry Hill.

The Betty and Milton Katz Jewish Community Center provides social, recreational, education, and health and wellness programming for youth and adults of all ages, abilities, races and religions.

More here:
Summer wellness programs at Katz JCC - Burlington County Times


Jun 21

Adding CPR to Your Workouts – EMSWorld (press release) (blog)

Emergency medical services is a physically demanding profession. We must frequently squat, lift, reach, twist and sometimes contort into unnatural positions. Its no secret that exercise is beneficial in helping us do these things with less chance of injury. While any routine exercise is beneficial, it is important to evaluate what you are preparing yourself for with an exercise program and tailor your program around those desired outcomes.

This principle, known as specificity of training, is routinely used in a sports setting. For example, if a workout is being designed for a football player, that workout isnt likely to include hitting golf balls on the driving range or doing batting drills with the baseball team. More likely to be found are exercises that stress and mimic the motions and movements required on the football field. Dont get me wrong; cross-training can provide good variety and prevent burnout, but most workout programs are designed with the principle of specificity in mind.

Certainly there are many things one can do when designing an EMS exercise program to mimic the physical demands of the job, but one thing I would propose adding to your own workout regimen is CPR. Recently I began adding multiple repetitions of chest compressions to my own workouts. In doing so Ive considered a few likely or potential benefits. These include:

A good workout regimen should involve a variety of exercises, including a blend of both aerobic and strengthening exercises. This variety helps reduce injury risk, improve the overall quality of training and prevent boredom with the workout routine. It is important to keep the concept of specificity in mind when designing your workouts. While there are many ways EMS providers can train for job-specific tasks, if youre not already performing chest compressions as part of your workout, it may be something to consider adding.

References

Brian Potter, MS, ATC, EMT, OTC, completed his BS in athletic training at West Virginia Wesleyan College and his MS in health and physical education at Marshall University. He is currently employed providing sports medicine services with Tygart Valley Orthopedics in Elkins, WV. He remains active in EMS as the squad training officer for Upshur County EMS; is a West Virginia EMS instructor; and served on the American Heart Associations EMS advisory panel in June of 2012. Reach him at bpotter.atc.emt@gmail.com.

Read the original here:
Adding CPR to Your Workouts - EMSWorld (press release) (blog)



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