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Rachel Dyal no longer cared what happened to her, or even if she ended up in the hospital, as long as she didnt have to get taped.

Dyal, a 27-year-old Army first lieutenant, came to that realization in September 2019 after she failed a tape test designed to capture body measurements in order to calculate body fat. She was nearing the end of the Armys Graduate Program in Nutrition through Baylor University that would culminate with a masters degree in nutrition. A tape test was the only thing standing in her way.

It wasnt the first time shed failed the test. In October 2016, before she entered the program, she went to a recruiters office to get more information about the Army. Not knowing much about the service, she showed up to the recruitment office in a business suit and had no concept about height/weight requirements, she said.

The Armys height and weight requirements are laid out in Army Regulation 600-9, the guidance for the Army Body Composition Program, which dictates how much a soldier should weigh depending on their gender, height, and age. If a soldier doesnt meet the standard on that body mass index (BMI) table, they have different parts of their body measured as part of the tape test, to determine their body fat percentage though experts say the scale, created in the 19th century, is outdated and perhaps based on pseudoscience.

That day in the recruiters office, Dyal was told she didnt meet the required weight standard, so the recruiter brought in a female soldier to take measurements of Dyals neck, waist, and hips. She doesnt recall what her body fat percentage was at that point, but she hadnt met the standard.

At the time, she was a full-time student with a full-time job, and she worried there wouldnt be enough time to exercise and drop weight ahead of being taped again.

So she started restricting her diet. She was a nutrition student, Dyal reasoned; while she knew what she was doing wasnt necessarily healthy, she figured she could handle it. And besides, she anticipated strict dieting for only a short period of time to drop weight and get into the program. Yet over the next year, she become hyper conscious of the food she ate, hungry most of the time, and only allowed herself to eat certain foods for every meal.

By January 2018, Dyal had completed the Armys basic officer leader course and was starting the masters program in nutrition. That was when the pressure really began, she said, recalling an overwhelming stigma over Army dietitians needing to be taped.

Dyal exhibited textbook signs of an eating disorder which can lead to muscle weakness, low hormone levels, hair loss, or even kidney failure and it was only getting worse: The food she ate or didnt eatbecame the focus of every thought, every day. She avoided going out with friends on the weekends for drinks or dinner, or shed plan what she was going to order days in advance. She felt guilty constantly even if she ordered what shed planned and would restrict her diet even more afterwards to make up for it. It was a miracle she passed her classes in the program, she said, because all she was thinking about was food, her body size, and her weight.

Once, a friend made dinner plans with her only to later decide she wasnt hungry and call it off. It was a relatively simple change of plans, but Dyal was furious, because she was starving, and couldnt justify eating unless she was there, she said.

Thats how much it was impacting me, Dyal said. We went for a walk and I was like, snippy and mean to her, because I was starving to death and she decided we werent getting dinner, so I wasnt going to eat dinner that day. Which is ridiculous, it sounds ridiculous when you say it out loud, but that is how much an eating disorder had taken over my thoughts.

Then in April 2019, Dyal was in the internship portion of the program observing how a senior Army dietitian counsels a real patient with an eating disorder. She soon realized her colleague could have been speaking to her.

I saw the patients who were being treated for eating disorders, and I was like, Oh my gosh, thats what I do, Dyal said. I think subconsciously I knew at that moment, this is bad.

Still, she didnt reach her breaking point until months later in September, when she was told she needed to pass height and weight again in order to graduate. That was when she decided she didnt care what she needed to do, didnt care if she ended up in the hospital, she was going to pass. Her eating disorder, and her anxiety around food, worsened until she finally asked for help.

Dyal is not alone among U.S. military service members who have leaned on harmful or unhealthy habits in order to maintain body composition standards that trained dietitians and health experts say are antiquated and have no bearing on physical fitness. While experts agree that there should be fitness and health standards for service members, they say the existing standards dont accurately measure those things.

To meet those standards, service members often adopt unhealthy behaviors like starving themselves, working out excessively, taking diet pills or laxatives, or sitting in saunas for prolonged periods of time to drop weight quickly. An Army major who struggled with bulimia for years said taking drastic measures ahead of weigh-ins is so common that nobody looks at it as weird, and while people will fully admit its happening its never discussed as a danger.

At the same time, a lack of data and training for leaders often leaves service members without the care they need and at risk of losing the job theyre desperately trying to keep.

Priscilla Rumph, a registered dietitian at Joint Base Lewis-McChord in Washington, estimated that a fair amount of service members across the military deal with eating disorders, but said the lack of data is one of the hardest obstacles to overcome in addressing it. The Pentagon does not appear to keep that kind of data; when asked for it, a Pentagon spokesperson referred Task & Purpose to the individual services.

While the Army Public Health Center tracks medical diagnoses across the force, eating disorders are grouped into the broader category of mental and behavioral health conditions.

We dont have anything that gives us a really reliable answer, Rumph said. And that does bother all of us because then its hard to figure out how to best care for the situation.

This article is based on interviews with 13 service members across the military men and women, officers and enlisted. While some are being named with their permission, others are not in order to protect their personal health information. The interviews reveal the pervasiveness of a problem that can have lasting health impacts, and illustrate how normalized taking extreme measures has become for troops worried about meeting military requirements.

Dyal eventually sought out help and started recovering in October 2019, and in December was put on a temporary profile while she was receiving treatment, which meant she couldnt deploy but she could still participate in PT and height and weight. Three months later, her therapist determined she was eating enough to be able to deploy if necessary, so she was taken off the profile. She graduated from her program and has continued improving and recovering.

But it hasnt been an easy road, and it wasnt until she was in that recovery process that she realized how common the problems she faced actually were, after hearing stories from other people about their struggles and the methods theyd turned to in order to pass tape.

We are all suffering in silence, she said.

In spite of the Pentagons lack of available data, advocacy groups have tried to fill in the gaps. The Eating Disorders Coalition, a group of organizations that promote awareness of eating disorders and initiatives to address them, said over 3,500 service members were diagnosed with an eating disorder between 2004 and 2013, citing a study from the Armed Forces Health Surveillance Center. The same study found that the rate of anorexia and bulimia were higher among Marines than the other services.

One study estimated almost half of U.S. service members reported at least one experience with weight stigma in the military in 2017, noting that stigma is associated with harmful thoughts and behaviors, including diet pill and laxative use, purging, and overeating.

Those behaviors fall into a category of disordered eating. While not the same as an eating disorder, disordered eating often lays the groundwork for someone developing one. The American Psychiatric Association outlines specific criteria that someone must meet to be diagnosed with an eating disorder like anorexia, bulimia, or binge-eating. Disordered eating, however, means engaging in unhealthy and destructive eating behaviors such as restrictive or compulsive eating, skipping meals, vomiting, or taking laxatives or diet pills, according to the National Eating Disorders Collaboration.

These behaviors can be situational, explained Dr. Jillian Lampert, the chief strategy officer of The Emily Program and Veritas Collaborative, two organizations which focus on eating disorder treatment like when someone severely restricts their diet leading up to having their height and weight measured in the military. While eating disorders are believed to impact an estimated 10% of the population, Lampert said up to 50% of the population could be struggling with disordered eating.

Disordered eating, people do a lot of weird things with their eating. And a lot of them are societally supported, Lampert said. Eating disorders, people are doing a lot of stuff that they are not showing anyone else, and that they really dont want people to know about.

According to Katrina Velasquez, the chief policy officer with the coalition, all of the research thats out there shows eating disorders occur at a higher rate in the military than in the civilian population. And its not just the service members who are at risk; a 2007 study found that the rate of disordered eating among military dependents was significantly higher than the civilian population. The study found that military families should be considered at high risk for disordered eating and eating disorders.

Why? Velasquez says there is a perfect storm in the military, where there are normal risk factors for an eating disorder, but then there are additional triggering elements in the service.

Those other triggers can be post-traumatic stress disorder from combat or military sexual trauma or being weighed in front of your peers and judged by how you look in a uniform. The military on its own does not cause eating disorders, Velasquez said, but for someone who may be genetically predisposed to an eating disorder, the military can be the tipping point.

PTSD, military sexual trauma, and eating disorders go so, unfortunately well together, Lampert said. Thats why we believe we see a higher prevalence, and the diagnoses of eating disorders do seem to be increasing over the last five years or so.

Through conversations with service members, its abundantly clear how pervasive disordered eating habits and eating disorders are in the military, and how early in their careers it can start.

But these habits dont happen only among young service members, or just women. The problem extends to men and women, officers and enlisted, from new lieutenants to senior non-commissioned officers.

Army Capt. Jordan Holmlund was in ROTC when her mentor told her about the height and weight standards. Despite scoring well above the minimum standard during physical fitness tests, she wasnt the weight the height and weight table told her she should be.

I was seriously stressing about it, because ROTC and going into the National Guard at the time was something I really wanted to do, and it felt really stupid that this one thing me being able to lose weight and keep it off was going to be the thing that prevented me from actualizing this goal for myself, Holmlund said. She began adopting some very unhealthy eating and fitness habits, which lasted for several semesters during college.

Then a rumor started in her ROTC battalion that just passing the standard wasnt enough, and that anyone who got taped wouldnt be able to go into the Army. She got harder on herself to avoid being taped altogether.

While getting taped is in Army regulations and not technically considered a punishment, there is an overwhelming negative stigma attached to it. Every service member interviewed by Task & Purpose described a certain amount of shame that went along with the practice, summed up by a first lieutenant at Schofield Barracks, Hawaii, who has heard soldiers say all the fat kids need to go get taped.

To say only fat service members get taped simply isnt true. The test equally punishes muscular men and women and service members whose body types dont fit the required measurements. That problem was highlighted in March by The Army Mom Life, an advocacy group for mothers in the Army, in a slideshow that showed photos of women and their height and weight results. The photos show women who appear muscular and fit, yet surpass their table weight and in some cases barely meet their body fat percentage requirement.

As one soldier noted on her photo, the terror over being taped has made her rethink strength training, opting to reduce the weight she tries to squat since she would fail if she gained 1.5 inches on her gluteus muscles.

I am perplexed by the idea that we are asking women to gain muscle, and then we use a tape that measures that muscle (gluteus) and punishes them for increasing the size of that muscle, she said.

An Army sergeant first class at the Pentagon said that despite excelling on his fitness tests, hes a naturally stocky guy, and the tape test has been the only thing thats ever threatened my career. He had good reason to be worried. If someone fails to meet the height and weight requirements, and fails the tape test, they are put on the Army Body Composition Program. Theyre given a maximum of six months to show satisfactory progress in losing weight, which the Army defines as three to eight pounds a month.

If a soldier fails to be within weight standards by six months and it is not due to a medical condition the soldier will be separated from the service. The Marine Corps has a similar policy, which says Marines who have not made satisfactory progress within those six months will be processed for administrative separation.

Aside from the threat of separation, theres fear that news of a soldier failing height and weight could damage their reputation. The Army major remarked that so much of peoples reputations are on these silly tests.

If word gets around then its going to professionally affect you, he said. Even if its something you can pass, its still just the fear of that possibility.

The sergeant first class added that he experienced harassment while at the Drill Sergeant Academy because even though he passed tape, he looked bigger than some of the other soldiers who all fit a very particular mold and were fairly skinny people.

Other soldiers interviewed by Task & Purpose echoed that sentiment saying the Army is holding onto an antiquated view of what a good soldier looks like, which they say often translates to a thin runners body. Even the Armys own standards lean on a subjective appearance; the services body composition program regulations say that commanders have the authority to direct a body fat assessment on any soldier that they determine does not present a soldierly appearance.

What the hell is a soldierly appearance? Lampert said. Where does the idea of a soldierly appearance come from Is there a soldierly appearance handbook that people get trained in? So they know what to look for? I kind of doubt it.

Matt Leonard, an Army spokesman, didnt provide specifics when asked to define soldierly appearance.

The determination of soldierly appearance is based on the requirement that soldiers are in compliance with body composition standards at all times, he said. The commanders assessment of the soldier takes into consideration the proper and safe fit of uniforms and equipment.

Lampert pointed out that a problem with that regulation is that if a commander is deciding that someones appearance is not soldierly enough, would a passing tape test change my mind about how I judge you?

I dont think so, she said.

The Marine Corps has similar regulations regarding how Marines look. The Military Appearance Program, a commanders program, focuses on personal appearance and can apply to things like personal hygiene, grooming, and uniform inspections as well as body fat percentage and body composition. Marines can be assigned to the program even if they meet height and weight standards.

Such an assignment would normally be oriented towards weight redistribution, vice loss, and a Marine should be given an opportunity to correct deficiencies before being formally assigned to the MAP, the regulation says. Marines have the ability to appeal their assignment to the program.

Theres also an argument that measuring someones health with BMI is not only outdated, but biased towards anyone who is not a white man. BMI was created 200 years ago by a Belgian mathematician who sought to measure the height and weight of the average man based on a sample of White, European men, according to The Washington Post, despite modern research studies showing differences in body shapes along race and ethnic lines.

Lampert, noting the Pentagons renewed efforts to combat racism and increase diversity in the military, said the existing standards are not representative across racial or ethnic identity at all.

So getting a more racially diverse military, you dont have standards that will reflect that in the standards, she said. Youre holding your soldiers against a historically white standard.

Experts also say its not accurate. Velasquez, with the Eating Disorder Coalition, said BMI doesnt take things like muscle mass, cardiac health, or metabolic health into consideration, which she and other experts agree are more important indicators of health. (For context, Dwayne The Rock Johnson was considered obese according to BMI standards, Mens Health reported in 2015.)

When were testing our service members on these standards, its kind of a one-size-fits-all that does not fit who we are as a nation anymore, she said.

The tape test, which is conducted if a service member is over the regulation weight, is not much better. Lampert called it a terrible and notoriously unreliable way to measure body fat. Notably, a Military Times study of the tape test in 2013 found it was inaccurate in measuring body fat for 10 out of 10 active duty service members. Dr. Jordan Moon, the director of the Sports Science Center Research Institute, told Military Times the tape test can vary by as much as 15%.

So, if your results show youre 20% fat, that means theres a 95% chance that youre really somewhere between [five] and 35% fat, Moon said.

One of the most common criticisms of height and weight standards is that they are often enforced differently depending on the unit, your leaders, or the person administering the test.

You have leaders who are like, Oh, you couldnt meet your table weight, so youre automatically a fat-ass, the sergeant first class said, adding that those kinds of comments have been prevalent for as long as hes been in the Army, usually brushed off as a joke by the people making them.

When the Army major was preparing for Airborne School in Fort Benning, Georgia, he said the fear of getting taped was so great that he was training non-stop to avoid being even close to the limit. The thought of letting people down was too much, especially when the tape test can vary depending on whos giving it to you.

You go in there potentially about to end your career or start the downfall, and its all dependent on how this person is going to tape you, the major said. You could have different people tape you how are they actually positioning the [the tape]? How tight are they squeezing the tape, some people say youve got to put your shoulders up, or are they making you stand normal? What are they letting you get away with? And theres so many little tricks Ive seen people hit themselves in the neck thinking it will kind of cause it to swell up, or theyll put their tongue at the top of their mouth If you can get your neck bigger and your waist smaller, then youre giving yourself every possible advantage.

A Marine Corps staff sergeant and Army captain echoed that view, saying that it was not uncommon for men to focus on working out their necks in the days leading up to a weigh-in to help them pass tape.

The Air Force recently became the first military service to get rid of the tape test, though its still unclear what a new body composition measurement would look like; the Army and Marine Corps still swear by it. And in the Armys case, soldiers say the existing standards and tape test arent accounting for the services new fitness test, which emphasizes building muscle for test events like the deadlift, standing power throw, and sprint-drag-carry.

Fundamentally, the Army system for height and weight is broken, said the captain, who is assigned to the 25th Infantry Division. And the Army has a very toxic understanding of health, weight, and fitness.

Ironically, the methods many are using to meet the militarys height and weight standards are hurting the physical fitness theyre supposed to support, and in the Armys case, they know it.

Army regulations factor in the possibility that soldiers may be doing things to rapidly lose weight, and even details various unsafe tactics soldiers may be using to do so. In AR 600-9, the guidance for the Army Body Composition Program, the service urges commanders to allow a seven day period between taking the fitness test and taking soldiers height and weight because some may attempt to lose weight quickly in the days leading up to a weigh-in.

This practice may result in the soldier being unable to perform his or her best on the [fitness test], if the two events are scheduled close together, the regulations say.

Navy regulations also recognize extreme body fat reducing methods, saying [d]ehydration methods are dangerous and sailors put themselves at risk during the [physical fitness assessment] if they have not reduced body fat through a proper diet and exercise program.

Thats because disordered eating habits can have a negative effect on someones ability to exercise. Malnutrition and dehydration, for example, lead to poor energy stores and muscle weakness, according to a study from the National Eating Disorder Collaboration. Extreme dietary restriction inevitably produces a deterioration in sport performance by reducing muscle strength and aerobic performance, a 2013 study published in the National Library of Medicine said. Purging can have the same effect, while also increasing the risk of dehydration, which can lead to fatigue and muscle cramps.

The study concluded that all indications are that eating disorders have a detrimental effect on both physical fitness and sport performance.

Leonard said that despite the Armys regulation, the service discourages unhealthy behaviors such as attempting to lose weight quickly before height and weight screening.

Capt. Holmlund knows how doing so can impact someone from experience. While she was restricting her diet, she said there was a significant difference in her ability to lift weights and do things like push-ups. Her overall score got worse because she felt very, very lethargic.

The same was true for the sergeant first class at the Drill Sergeant Academy, who began strictly limiting his diet to just a few specific things a day in an effort to drop weight, leaving him fatigued and unable to concentrate.

The first lieutenant at Schofield Barracks detailed a long struggle with eating disorders that began in college, but was exacerbated after she arrived at her first Army unit in 2018. Soon after she arrived, she failed the height and weight test, then the tape test. She began starving herself to help her pass.

In college I never admitted to myself that it was an eating disorder, she said. I was like, Im just doing what I have to do to make it in the Army.

After passing the tape test on her second attempt, she went to the Army Wellness Center on post to use the Bod Pod, a device that helps measure body composition. While talking with a civilian employee at the center, she broke down in tears, sobbing. The employee recommended therapists who specialize in eating disorders.

He reached out to me and I sat on it for a little while, she said. I kept telling myself I could just do this for four years, starve myself before weigh-ins, and still even when Im not starving myself Im still only ever thinking about how much I weigh and how much Im eating and what everyone must think of me they probably think Im too fat its all my mind could think about.

She finally decided to call a therapist in November 2018.

Taking that first step to getting help is no small feat; theres a fear among service members dealing with eating disorders that if they seek help, theyll lose the career theyre working so hard to keep. Its also difficult when leaders dont seem to grasp how best to care for an eating disorder.

Chandler Rand was in her first few months as a Marine in 2016 when an eating disorder she thought shed kicked as a teenager reappeared in a different form. She didnt tell the Marines about her history with an eating disorder when she enlisted after college, reasoning that it was under control.

Rand said she scored excellent on her physical fitness test. She wanted to be a leader, and a good one at that, so she did the required PT, and then additional work-outs at night.

Not disgracing the uniform is really what I was all about, she said. From the time I got up in the morning to the time I went to bed at night, I was just trying to put out 100%.

Two months into her time being stationed in Twentynine Palms, California, Rand learned her father had a stroke. Then, just days later, she was weighed for the first time since boot camp, and shed gained weight.

That was what brought her eating disorder back, in a different form than she experienced it as a teenager. She began not only limiting her eating but purging anything she did eat. It manifested itself further into panic attacks, she said, before her roommate convinced her to go talk to the chaplain. The chaplain pointed her to a psychiatrist who she credited as a lifesaver. Rand ultimately spent eight weeks of inpatient care in an eating disorder unit in a civilian facility before she was discharged from the Marine Corps.

Yet while she was seeking care, she said her Marine Corps leaders didnt understand how to help her. They saw her behaviors as suicidal, but she wasnt suicidal she just needed help getting her eating disorder under control. What she needed, Rand said, was a meal plan that keeps me accountable and some therapy. Instead, she was screened to be admitted to a psychiatric hospital for suicidal ideation.

After I was screened, they said I dont need to be admitted to a psych ward, I just have an eating disorder, Rand recalled. Which is like, thank you, Ive been telling you that.

When asked what kind of training leaders receive on eating disorders, Maj. Jim Stenger, a Marine Corps spokesman, said leaders at all levels are encouraged to constantly look out for each others health and safety, and are constantly reminded of the resources available to Marines who may be experiencing distress.

Caring for ones fellow Marines could mean recognizing a problem, seeking out resources on their behalf, and then referring that person to a medical authority who can provide the appropriate care, for example, Stenger said.

When Rand started inpatient care with the civilian facility, she said she felt like she could breathe again. She was being cared for by people who knew what her disorder was, and how it needed to be treated. Two other Marines were also being treated for eating disorders while she was there.

I was like well this is silly, theres 10 seats at the table for eating disorder treatment and so far three of us have been active duty Marines. Not to mention veterans who are also at the table, she said. Thats when I started realizing, this is a problem.

The Army and Marine Corps are currently studying their body composition programs. The Marine Corps is asking for volunteers until early 2022 in Quantico, Virginia to undergo three different body composition assessments, according to a press release, to help ensure that Marine Corps policies and standards strike the right balance between health, performance, fitness, and military appearance.

All body fat estimation methods, including the Department of Defense mandated circumference measurement technique (tape), have inherent margins of error, Maj. Stenger said on Wednesday, adding that Marine Corps performance standards are in a constant state of analysis, assessment, and modification if necessary to ensure that they best support the overall readiness of the force.

The Army will study the body compositions of over 2,000 soldiers at Fort Bragg, North Carolina, starting in October, according to an Army Times report. The intent is to gather information regarding the taping of soldiers, body fat, and body changes, and considerations of the relationship between body fat and fitness levels.

Leonard, the Army spokesman, said the study will help the Army make informed decisions on future updates which could include changes to regulatory guidance, training and instructional programs, and to the mechanics of the Army Body Composition Program. The findings will be presented to senior leaders by March 2022.

The [Army Body Composition Program] study is part of the Armys focus on holistic health and fitness to increase readiness and prevent injuries, he said.

Continued here:
Inside the US military's pervasive culture of eating disorders - Task & Purpose

August 2, 2021

The Wyoming Injury and Violence Prevention Program, which is part of the Wyoming Department of Health (WDH), is kicking off a new program to help prevent falls among state residents.

Falls and fall-related injuries are the leading cause of unintentional injury-related hospitalizations and the third leading cause of unintentional deaths in our state, said Jeff Grant, injury prevention coordinator with WDH.

Grant said nationally one in three older adults fall each year and every 14 seconds an older adult is seen in an emergency department for a fall-related injury according to National Council on Aging information.

The good news is the number of falls may be reduced through practical life-style adjustments, and by participating in evidence-based fall prevention programs. Thats why were offering this new program called Bingocize across the state, Grant said.

Bingocize is an evidence-based 10-week program that combines a bingo-like game with exercise and health education. The unique approach that includes bingo in a group setting helps make the game fun, familiar and social.

WDH is currently providing the program to 12 senior centers across Wyoming on a pilot basis: Golden Hour Senior Center in Green River, Thayne Senior Center, Carbon County Senior Center, Rendezvous Pointe in Pinedale, Niobrara Senior Center, Ten Sleep Senior Center, Kemmerer Senior Center, Casper Senior Center, Star Valley Senior Center, Cody Senior Center and Cokeville Senior Center.

Grant noted expansion of the program into other communities is a potential future goal.

Falls are preventable and are not a normal part of aging, Grant said. Older adults who are concerned about falling and want to have fun as they learn how to prevent future falls should consider participating.

For more information, contact a local senior center or Grant at 307-777-2424 or jeff.grant@wyo.gov.

See more here:
Department Offering New Program to Help Prevent Falls - Wyoming Department - Wyoming Department of Health

Photo Submitted

Jessica Danley, clinical education coordinator, U of A Speech and Hearing Clinic

The U of A Speech and Hearing Clinic will offer new therapy services for adults starting Aug.23, including specialized programs for swallowing difficulties, vocal rehabilitation and accent modification.

Student clinicians will be assisted and supervised by speech-language pathologists who are licensed and certified by the American Speech-Language-Hearing Association.

Swallowing Concerns

The national organization reports that 1 in 25 adults experience swallowing difficulty every year.

Signs of swallowing problems may include complaints of pain, a sensation of food "sticking" in the throat, excessive coughing while eating or even unintentional weight loss. These issues can affect an individual's quality of life and overall health, said Jessica Danley, clinical education coordinator and clinical educator at the U of A Speech and Hearing Clinic.

"Our academic coursework and clinical training prepares student clinicians to enter hospitals and other healthcare positions with a firm understanding of current best practices and the ability to think critically through medically complex conditions that affect swallowing skills," she said.

Students gain hands-on experience with specialized diagnostic equipment and develop structured exercise-based treatment plans to help adults eat safely and comfortably. Individuals who may benefit from swallowing therapy services include those with a history of neurologic conditions like stroke, Parkinson's disease or a traumatic brain injury, Danley said.

Therapy for the Aging Voice

Student clinicians will also assist in providing uniquely designed vocal rehabilitation techniques to older adults experiencing presbyphonia, otherwise known as "the aging voice."

It's common for people to experience a natural decline in vocal abilities as they age, but it can negatively affect the daily communication of active older adults. It's important to sustain vocal endurance when delivering a presentation, projecting one's voice across a theater stage or speaking to family members over the phone.

The U of A clinic offers adult voice therapy patients to participate in a structured and intensive rehabilitation program designed to improve vocal longevity.

What is Accent Modification?

Accents are a natural part of spoken language and are not a speech or language disorder. Since accents are marked by our regional variations in speech production, we all have one, Danley said. However, speakers with strong accents may seek help from a licensed speech-language pathologist for assistance with building clearer communication skills. The process of changing or adjusting an accent is known as accent modification.

The goal of this collaborative service is to improve intelligibility and communicative effectiveness for oral English pronunciation, Danley said. "We tailor our program to meet the unique needs of business executives, university professors, graduate teaching assistants, medical professionals and others seeking help in this area," she said.

Larry Aslin, M.A. CCC-SLP, will be leading the accent modification program this fall at the U of A Speech and Hearing Clinic. He earned a Bachelor of Arts degree in Speech and Dramatic Arts from the University of Missouri-Columbia in 1970, and a master's degree in Speech Pathology-Audiology from the University of Missouri-Columbia in 1973.

Jessica Danley, M.S. CCC-SLP, CBIS, will be leading the swallowing and voice therapy programs at the clinic. She earned her Bachelor of Arts in Communication Sciences and Disorders from the University of North Texas in 2006, and a master's degree in Speech & Hearing Sciences from Tennessee State University in 2009.

To learn more about these services or to schedule an appointment, callthe clinicat 479-575-4509 or email Courtney Vaughn atspclinic@uark.edu.

Read more:
New Clinical Services Available to Adults at U of A Speech and Hearing Clinic - University of Arkansas Newswire

Heres what you need to know:A Covid-19 testing site in Palmetto, Fla., on Monday. President Biden singled out Florida and Texas, where cases have risen sharply.Credit...Octavio Jones/Reuters

President Biden, seeking to reiterate that the rise of the highly contagious variant in the United States is a pandemic of the unvaccinated, voiced his frustration with leaders who have been slow to provide coronavirus relief or get shots in arms.

Mr. Biden singled out Florida and Texas, where cases have risen sharply, criticizing the pandemic response by the governors in those states.

We need leadership from everyone, he said. Some governors arent willing to do the right things to make this happen. I say to these governors, please, if you arent going to help, at least get out of the way for people who are doing the right thing.

transcript

transcript

I want to be crystal clear about whats happening in the country today. We have a pandemic of the unvaccinated. Now I know theres a lot of misinformation out there, so here are the facts. If youre vaccinated, you are highly unlikely to get Covid-19. And even if you do, the chances are you wont show any symptoms. And if you do, theyll most likely be very mild. As of now, seven states not only ban mask mandates, but also ban them in their school districts, even for young children who cannot get vaccinated. Some states have even banned businesses and universities from requiring workers and students to be masked or vaccinated. And the most extreme of those measures is like the one in Texas that say state universities or community colleges could be fined if it allows a teacher to ask her unvaccinated students to wear a mask. What are we doing? The escalation of cases is particularly concentrated in states with low vaccination rates. Just two states, Florida and Texas, account for one-third of all new Covid-19 cases in the entire country, just two states. Look, we need leadership from everyone. If some governors arent willing to do the right thing to beat this pandemic then they should allow businesses and universities who want to do the right thing to be able to do it. I say to these governors, Please help. But you arent going to help at least get out of the way, of the people who are trying to do the right thing. Use your power to save lives.

Mr. Biden has been under pressure to redirect the American publics focus after days of policy whiplash, shifting directives on mask usage, and roiling debates about requiring workers to receive the vaccine.

Mr. Bidens speech reflected in blunt terms what his top advisers have been saying, with varying degrees of success, for days: that the people who get sickest from the Delta variant are unvaccinated, and that his administration is working to make vaccines available to every person who needs one. Fully vaccinated people are protected against the worst outcomes of Covid-19 caused by the Delta variant.

On Tuesday, Mr. Biden was plainspoken and direct in his remarks, calling the rise of the Delta variant a largely preventable tragedy that will get worse before it gets better. He also tackled a criticism directed at his White House in recent days: that his administration had not done enough to synthesize information in a way that Americans could understand.

I know theres a lot of misinformation out there, so here are the facts, Mr. Biden said. If you are vaccinated, you are highly unlikely to get Covid-19. and even if you do, the chances are you wont show any symptoms. And if you do, theyll most likely be very mild. Vaccinated people are almost never hospitalized.

Mr. Biden reiterated his earlier mandate that all federal workers must be vaccinated or subject to strict requirements.

If you want to do business with the federal government, he said, get your workers vaccinated.

He added that the private sector, including companies like Wal-Mart, Google and Tyson Foods, were taking similar steps. Even Fox has vaccination requirements, he quipped.

Mr. Biden had said earlier this year that he wanted to see 70 percent of eligible Americans at least partly vaccinated by July 4. The country hit that goal on Monday, about a month late and only after the Delta variant began disrupting the progress touted by the president and public health officials.

There was no celebration of reaching the delayed milestone. Instead, the Biden administration has been in a race to encourage vaccine-reluctant and vaccine-refusing Americans to receive shots as caseloads rise in states with high unvaccinated populations.

The vaccines are doing exactly what they are supposed to do when it comes to keeping you out of the hospital, out of serious disease, and certainly, preventing your death, Dr. Anthony Fauci, the nations top disease expert, told reporters.

The White House has also struggled to put into context the threat of the Delta variant to those who are vaccinated. Experts say that infections in vaccinated people so called breakthrough infections are still relatively uncommon, and that even in those cases, the vaccines appear to protect against severe illness and death.

Nationally, new cases have reached an average of about 86,000 a day as of Monday, a dramatic jump from about 13,000 daily cases a month ago but still far fewer than in January. Hospitalizations have risen as well, but hospitalizations and deaths remain a fraction of their devastating winter peaks.

Mr. Bidens pledge to donate 500 million Pfizer-BioNTech doses is by far the largest yet by a single country, but it would fully inoculate only about 3 percent of the worlds population. The United States will pay $3.5 billion for the Pfizer-BioNTech shots, about $7 apiece, which Pfizer described as a not for profit price much less than the $20 it has paid for domestic use.

In a fact sheet released on Tuesday, the administration said that it would work with programs focused on the equitable distribution of vaccines, including Covax, to ensure that the doses arrive in the countries that are in the most need. But health officials in countries that have received some of the doses have already warned that additional funding is needed to train people to administer the shots and fuel vehicles that transport the vaccines to clinics in remote areas.

Mr. Biden also announced during a speech at the White House on Tuesday that the United States has donated more than 110 million vaccine doses globally, a down payment on a pledge he made to send half a billion doses of vaccine to poorer countries over the next year.

Mr. Biden, who for months was under pressure to share doses of the vaccine, is now seeking to position his administration as a global leader in inoculating the rest of the world amid the spread of highly contagious variants of the virus.

The virus knows no boundaries, Mr. Biden said. Theres no wall high enough or ocean wide enough to keep us safe from the virus in other countries.

Azi Paybarah contributed reporting.

Although most children with Covid-19 recover within a week, a small percentage experience long-term symptoms, according to a new study of more than 1,700 British children. The researchers found that 4.4 percent of children have symptoms that last four weeks or longer, while 1.8 percent have symptoms that last for eight weeks or longer.

The findings suggest that what has sometimes been called long Covid may be less common in children than adults. In a previous study, some of the same researchers found that 13.3 percent of adults with Covid-19 had symptoms that lasted at least four weeks and 4.5 percent had symptoms that lasted at least eight weeks.

It is reassuring that the number of children experiencing long-lasting symptoms of Covid-19, is low, Dr. Emma Duncan, an endocrinologist at Kings College London and lead author of the study, said in a statement. Nevertheless, a small number of children do experience long illness with Covid-19, and our study validates the experiences of these children and their families.

The study, published on Tuesday in the journal The Lancet Child & Adolescent Health, is based on an analysis of data collected by the Covid Symptom Study smartphone app. The paper focuses on 1,734 children between the ages of 5 and 17 who tested positive for the virus and developed symptoms between Sept. 1 and Jan. 24. Parents or caregivers reported the childrens symptoms in the app.

In most cases, the illness was mild and short. Children were sick for six days, on average, and experienced an average of three symptoms. The most common symptoms were headache and fatigue.

But a small subset of children experienced lingering symptoms, including fatigue, headache and a loss of smell. Children between 12 and 17 were sicker for longer than younger children and more likely to experience symptoms that lasted at least four weeks.

We hope our results will be useful and timely for doctors, parents and schools caring for these children and of course the affected children themselves, Dr. Duncan said.

The researchers also compared children who tested positive for the coronavirus with those who reported symptoms in the app but tested negative for the virus. Children who tested negative and may have had other illnesses, such as colds or the flu recovered more quickly and were less likely to have lingering symptoms than those with Covid. They were ill for three days, on average, and just 0.9 percent of children had symptoms that lasted at least four weeks.

Recently, a 28-year-old patient died of Covid-19 at CoxHealth Medical Center in Springfield, Mo. Last week, a 21-year-old college student was admitted to intensive care.

Many of the patients with Covid-19 now arriving at the hospital are not just unvaccinated they are much younger than 50, a stark departure from the frail, older patients seen when the pandemic first surged last year.

In Baton Rouge, La., young adults with none of the usual risk factors for severe forms of the disease such as obesity or diabetes are also arriving in E.R.s, desperately ill. It isnt clear why they are so sick.

Physicians working in Covid hot spots across the nation say that the patients in their hospitals are not like the patients they saw last year. Almost always unvaccinated, the new arrivals tend to be younger, many in their 20s or 30s. And they seem sicker than younger patients were last year, deteriorating more rapidly.

Doctors have coined a new phrase to describe them: younger, sicker, quicker. Many physicians treating them suspect that the Delta variant of the coronavirus, which now accounts for more than 80 percent of new infections nationwide, is playing a role.

Studies done in a handful of other countries suggest that the variant may cause more severe disease, but there is no definitive data showing that the new variant is somehow worse for young adults.

Some experts believe the shift in patient demographics is strictly a result of lower vaccination rates in this group.

As of Sunday, more than 80 percent of Americans ages 65 to 74 were fully vaccinated, compared with fewer than half of those ages 18 to 39, according to figures from the Centers for Disease Control and Prevention.

The vaccines are powerfully effective against severe illness and death after infection with any variant of the virus, including Delta. A vast majority of hospitalized patients nationwide roughly 97 percent are unvaccinated.

I dont think theres good evidence yet about whether it causes more severe disease, Dr. Adam Ratner, associate professor of pediatrics and microbiology at the New York University Grossman School of Medicine, said of the Delta variant.

With a new surge of Covid-19 infections ripping through much of the United States, the Food and Drug Administration has accelerated its timetable to fully approve Pfizer-BioNTechs coronavirus vaccine, aiming to complete the process by the start of next month, people familiar with the effort said.

President Biden said last week that he expected a fully approved vaccine in early fall. But the F.D.A.s unofficial deadline is Labor Day or sooner, according to multiple people familiar with the plan. The agency said in a statement that its leaders recognized that approval might inspire more public confidence and had taken an all-hands-on-deck approach to the work.

Giving final approval to the Pfizer vaccine rather than relying on the emergency authorization granted late last year by the F.D.A. could help increase inoculation rates at a moment when the highly transmissible Delta variant of the virus is sharply driving up the number of new cases.

A number of universities and hospitals, the Defense Department and at least one major city, San Francisco, are expected to mandate inoculation once a vaccine is fully approved. Final approval could also help mute misinformation about the safety of vaccines and clarify legal issues about mandates.

Federal regulators have been under growing public pressure to fully approve Pfizers vaccine ever since the company filed its application on May 7. I just have not sensed a sense of urgency from the F.D.A. on full approval, Dr. Ashish K. Jha, the dean of the Brown University School of Public Health, said in an interview on Tuesday. And I find it baffling, given where we are as a country in terms of infections, hospitalizations and deaths.

Although 192 million Americans 58 percent of the total population and 70 percent of the nations adults have received at least one vaccine shot, many remain vulnerable to the ultracontagious, dominant Delta variant. The country is averaging nearly 86,000 new infections a day, an increase of 142 percent in just two weeks, according to a New York Times database.

Recent polls by the Kaiser Family Foundation, which has been tracking public attitudes during the pandemic, have found that three of every 10 unvaccinated people said that they would be more likely to get a shot with a fully approved vaccine. But the pollsters warned that many respondents did not understand the regulatory process and might have been looking for a proxy justification not to get a shot.

The upcoming school year in Idaho may not be conducted entirely in-person, as planned, unless more people in the state get vaccinated, Gov. Brad Little said on Tuesday.

Simply put, we need more Idahoans to choose to receive the vaccine, Mr. Little said, adding that the vaccinations are needed if schoolchildren are going to have a chance at a normal school year, one that is entirely in person without outbreaks and quarantine.

Speaking on a call with reporters, he added, If you are among the folks waiting to see about the vaccine, please consider talking to a doctor about it. Not only for your sake, but to ensure our kids are safe and back in school.

A telephone message left at the governors office on Tuesday night was not immediately returned.

In March 2020, as the pandemic was raging across the country, schools in Idaho closed their doors to in-person learning. According to Mr. Littles comments, the plan to conduct the upcoming school year in person could be in jeopardy.

In Idaho, 37 percent of all people are fully vaccinated, far below the national average of nearly 50 percent, according to data collected by The New York Times. As of Tuesday, the seven-day average of new cases in Idaho is 290, the highest it has been since April, according to The Timess data.

The effort to vaccinate more people has grown increasingly polarized in recent months. On Tuesday, President Biden, a Democrat, singled out governors in Texas and Florida, where cases are rising. If you arent going to help, at least get out of the way of the people who are trying to do the right thing, he said.

Unlike those governors, Mr. Little, a conservative Republican in his first term, has taken a relatively moderate approach to the pandemic.

He resisted enacting a mask mandate for the state, but in May he repealed an executive order issued by his lieutenant governor while he was out of state on business, barring localities from issuing them, KTVB 7 reported.

Earlier this year, he signed an executive order preventing state agencies, but not private companies, from requiring vaccines, Idaho News 6 reported.

In Arkansas, Gov. Asa Hutchinson, a Republican, let a statewide mask mandate expire in March. Now, coronavirus cases fueled by the highly contagious Delta variant have skyrocketed in Arkansas, and Mr. Hutchinson is trying to partly reverse course. He is urging state lawmakers to allow schools to require students to wear masks.

Richard Fausset contributed reporting.

transcript

transcript

So today, I announce a new approach, which were calling the Key to N.Y.C. Pass, the key to New York City. When you hear those words, I want you to imagine the notion that because someones vaccinated, they can do all the amazing things that are available in this city. This is a miraculous place, literally full of wonders. And if youre vaccinated, all thats going to open up to you. Youll have the key. You can open the door. But if youre unvaccinated, unfortunately, you will not be able to participate in many things. Thats the point were trying to get across. The Key to N.Y.C. Pass will be a first-in-the-nation approach. It will require vaccination for workers and customers in indoor dining and indoor fitness facilities, indoor entertainment facilities. This is going to be a requirement. The only way to patronize these establishments indoors will be if youre vaccinated at least one dose. The same for folks in terms of work, theyll need at least one dose. This new policy will be phased in over the coming weeks. So weve been working with the business community, getting input. Were going to do more over the next few weeks. The final details of the policy will be announced and implemented in the week of Aug. 16.

New York City will become the first U.S. city to require proof of at least one dose of a coronavirus vaccine for a variety of activities for workers and customers indoor dining, gyms and performances to put pressure on people to get vaccinated, Mayor Bill de Blasio announced Tuesday morning.

The program, similar to mandates issued in France and Italy last month, will start on Aug. 16, and after a transition period, enforcement will begin on Sept. 13, when schools are expected to reopen and more workers could return to offices in Manhattan. Mr. de Blasio has been moving aggressively to get more New Yorkers vaccinated to curtail a third wave of coronavirus cases amid concern about the spread of the Delta variant. He is also requiring city workers to get vaccinated or to face weekly testing, and he has offered a $100 incentive for the public.

If you want to participate in our society fully, youve got to get vaccinated, he said at a news conference. Its time.

This is going to be a requirement, he added. The only way to patronize these establishments is if you are vaccinated, at least one dose. The same for folks in terms of work, they will need at least one dose, he said, holding up a single finger.

On Monday Mr. de Blasio stopped short of reinstating an indoor mask mandate even as large urban areas, including Los Angeles County, San Francisco and Washington, and at least one state did so. He said he wanted to focus on increasing vaccination rates, and was concerned that requiring everyone to wear masks would remove an incentive for those who are considering getting vaccinated now.

Nationally, new cases have reached an average of about 86,000 a day as of Monday, a dramatic jump from about 13,000 daily cases a month ago but still far fewer than in January. Hospitalizations have risen as well, but hospitalizations and deaths remain a fraction of their devastating winter peaks.

About 66 percent of adults in the city are fully vaccinated, according to city data, although pockets of the city have lower rates. The federal government has authorized three vaccines for emergency use in the United States: The Pfizer-BioNTech and Moderna vaccines both take two doses while Johnson & Johnson uses a single dose. Individuals are not considered to be fully vaccinated until two weeks after their final dose.

Fully vaccinated people are protected against the worst outcomes of Covid-19 caused by the Delta variant, but theres a sharp drop in the efficacy if an individual has only had one dose of a two-dose vaccine.

The new program, dubbed Key to NYC Pass, is not a particular document, but rather the strategy of requiring proof of vaccination for workers and customers at indoor dining, gyms, entertainment and performances, including Broadway, the mayor said.

Indoor movies and concerts will also require people to show proof of vaccination to enter. People will be able to continue to dine outdoors without showing proof of vaccination.

To enter indoor venues, patrons must use the citys new app, the states Excelsior app or a paper card to show proof of vaccination. The mayor did not say how the city will handle vaccinations like AstraZeneca or Sinovac that may be common among international tourists.

Children younger than age 12 will not be excluded from venues because they are not eligible to be vaccinated, he said. But the details of those plans remain to be worked out. We have to figure out how to do things in a safe manner, the mayor said.

The city will issue a health commissioners order and a mayoral executive order to put the vaccine mandate in place. The six weeks before enforcement begins on Sept. 13 will be spent educating businesses and doing outreach, he said.

The mayor said the city consulted with the U.S. Department of Justice and got a very clear message that it was legal to move forward with these mandates, even without full F.D.A. approval.

Only people fully vaccinated in the state of New York can get an Excelsior pass, which confirms vaccination against city and state records. Everyone, however, can use the citys new app, NYC Covid Safe, because it is simply a digital photo album that stores a picture that a person takes of their own vaccination card and does not double check it against any registry. A paper card from the Centers for Disease Control and Prevention must always be accepted, too.

Reactions were largely supportive of vaccine restrictions imposed Tuesday by Mayor Bill de Blasio of New York City, the most stringent steps announced recently in any major U.S. city, though some health experts suggested they might not go far enough. Workers and customers in New York will soon have to provide proof that they have received at least one vaccine dose before engaging in activities like indoor dining, exercising in gyms and seeing performances, Mr. de Blasio said on Tuesday.

The new requirements could have been rolled out sooner, some health experts said, and vaccination and mask requirements could be further expanded.

Still, the new restrictions got a positive response from one important trade group, the N.Y.C. Hospitality Alliance, which represents restaurants and bars, a sector still recovering from months of limited capacity and other restrictions.

Andrew Rigie, the trade groups executive director, said that the new restrictions could avert another broad lockdown. The rules may prove an essential move to protecting public health and ensuring that New York City does not revert to restrictions and shut down orders, he said in a statement.

At the White House, the press secretary Jen Psaki said the Biden administration supported local efforts to control the virus.

Different communities and states are going to take steps to protect the people living in their states, and also incentivize, whether its through carrots and sticks, more people getting vaccinated, Ms. Psaki said at a news conference. The federal government, she said, has no plans to issue similar guidance on a national level.

Later in the afternoon, President Biden reiterated the point, saying he thought that more cities and states should announce rules like New York Citys.

Mr. de Blasio said the program will start on Aug. 16, and that enforcement will begin on Sept. 13, when schools are expected to open and more workers could return to the office.

Dr. Wafaa El-Sadr, an epidemiology professor at Columbia University, said that she wished the mayor had imposed the restrictions earlier and that she did not see the point in further delaying them.

Once vaccination was widely available to people, which was weeks ago, I think requiring vaccination for access to such venues would have been appropriate, Dr. El-Sadr said.

The citys vaccination program has slowed in recent months, despite efforts like a $100 payment to people who get vaccinated and inoculating people at home.

Fully vaccinated people are protected against the worst outcomes of Covid-19 caused by the Delta variant, but theres a sharp drop in the efficacy if an individual has only had one dose of a two-dose vaccine.

Dr. Celine Gounder, an epidemiologist at New York Universitys Grossman School of Medicine and an adviser to city officials, also recommended that city officials expand their message about the importance of masking and testing, even for vaccinated people, noting that we can walk and chew gum at the same time.

About a week ago, the federal government updated its health guidance, recommending that people wear masks indoors in virus hot spots even if they are vaccinated.

Mr. de Blasio said on Monday that he strongly recommended that people wear masks indoors, but that he would not immediately impose a requirement in the city, as many municipalities have.

Wuhan, the city in central China where the pandemic first emerged, is planning to test all of its 11 million residents for the coronavirus, officials said on Tuesday, as they announced the first local transmission there since last spring.

The city, the first to show the world the damage the virus could wreak, had not recorded any local cases since May of last year, after a harsh two-and-a-half month lockdown helped eradicate the virus there. But city officials said they had detected three symptomatic local cases in the previous 24 hours, as well as five asymptomatic ones.

Wuhan had some of Chinas strictest measures to stop the spread of the virus, and many residents continued to wear masks even as people elsewhere relaxed as the country brought the outbreak under control. But China is battling several new flare-ups as the Delta variant makes inroads, including in the cities of Nanjing and Zhangjiajie, and several more in the countrys south. The authorities in Zhangjiajie also barred residents and tourists from leaving the city, imposing a de facto lockdown.

Wuhan had previously tested all its residents in two weeks last spring, mobilizing the Chinese Communist Partys vast network of local officials in a feat unprecedented at the time. Since then, the country has carried out several mass testing campaigns.

Officials said that Wuhan was a major transportation hub and that it was crucial to cut off any further transmission there. Liu Dongru, a provincial health official, said at a news conference on Tuesday that the authorities would firmly protect the hard-won results against the epidemic.

Original post:
Biden calls Delta Variant a Largely Preventable Tragedy That Will Get Worse Before It Gets Better. - The New York Times

The local hands-on childrens museum in Binghamton has a new leader.

Doctor Brenda Myers has been named Executive Director of the Discovery Center of the Southern Tier.

The childrens museum says Dr. Myers is a researcher and practitioner of social cognitive theory and instructional design with over 36 years of experience in education, leadership and instruction. Most recently, Dr. Myers was the superintendent of schools for districts in New York and Connecticut.

Interim Executive Director Cheryl Dutko will continue with the Discovery Center as Assistant Executive Director according to board president, Erik Jones.

Dr. Myers officially begins her new role August 4.

Residents have a chance to meet the new director during an event for adults at the Discovery Center. The annual Evening of Wine and Roses fundraiser is being held Thursday, August 5 from 6 to 8 p.m. at the Discovery Centers Story Garden. Tickets are still available at http://www.thediscoverycenter.org.

The Discovery Center is located next to Ross Park Zoo on Morgan Road on the South Side of the City of Binghamton.

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Discovery Center of Southern Tier Gets New Executive Director - wnbf.com

With the return to the office at hand, more companies are making the wellness of their people a priority and that includes physical fitness.

Now, some employees have a high-profile workout buddy to help keep them on course. Wayfair, Samsung, SAP, Accenture Interactive and Sky are among the companies joining Pelotons new Corporate Wellness program, which provides employees access to the Peloton app and exclusive benefits onits connected fitnessproducts to support team building and healthy habits.

We heard from partners that they need flexible employee wellness solutions that can meet the evolving demands of a modern workforce, said Cassidy Rouse, global general manager of Peloton Corporate Wellness. Whether youre at home, on the road, or in the office, you should be able to access the physical or mental exercise that fits your schedule, and even team up with a coworker to motivate each other.

Some companies have gone as far as to create dedicated studios equipped with the sleek bikes and technology the brand is known for, but perhaps the timeliest feature of the new program is its portability, considering employers embrace of hybrid work arrangements. We spent a lot of time asking, What does the future of work look like? said Rouse. Everyone agrees that its more flexible and more dynamic. Organizations need wellness benefits that meet the needs of employees where they are.

The benefits are not limited to physical fitness. In a survey of members in theU.S.,U.K.,Canada, andGermany, 83% of Peloton members said their Peloton routine made them feel more accomplished at work while 64% said it made them more productive.

Firms that partner with Peloton, which boasts 5.4 million members globally, can offer their employees subsidized access to Peloton memberships and connected fitnessproducts. Peloton is promoting the program not only as a means to boost employee health and wellness, but also as a tool for employers to encourage employee engagement and workforce retention.

Dan Healey, head of HR for SAP North America, said the last year showed that strategic investments in programs that foster strong employee engagement, teamwork and inspiration can drive positive results that support hybrid working models. Our decision to build on early momentum seen from Peloton exercise campaigns we held last year and join Pelotons Corporate Wellness program reflects this experience, he added.

Peloton has also partnered with healthcare and insurance company UnitedHealthcare to provide members of the health plan with access to thousands of live and on-demand classes via the Peleton app. These will be available starting in September and will be available for up to a year, or members can receive a four-month waiver toward an all-access membership at no additional charge.

Fitbit is another fitness brand looking to build connections with companies and their people. Its enterprise health platform, Fitbit Care, was designed to motivate employees to manage their health and fitness via the personal trackers the company is famous for, as well as in-person coaching support.

Emory University, a corporate partner of Fitbit, reported that 92% of its employees said the service motivated them to be more active, while Robert S. Montgomery-Rice, president and CEO of Bangor Savings Bank, another corporate client, said: Anything we can do to help employees stay healthy is a win for everyone. It means they are more productive employees more engaged with their teammates and our clients.

Of course, company gyms have been a mainstay of big tech firms like Google and Apple forever, while elsewhere, subsidized health club memberships have become a familiar employee benefit. But the reconfiguration of office spaces amid The Great Reopening has inspired more companies (and not just the Googles of the world) to build fitness facilities right in their own headquarters, including workout rooms, yoga studios and walking tracks.

Robin Skidmore, CEO of U.K.-based performance marketing agency Journey Further, said that since COVID-19 the company has made significant investments at all three of its offices based on employee input, including real estate devoted to fitness. Our offices are an integral part of our culture, so it was an important signal to the business that we needed to continue to invest in it, preparing for when we could return, added Skidmore, whose shop has done work for clients like Clos19 and Airtasker. The company now sports space for deep work, HIIT, yoga classes and weight training.

Grace Roberts, global communications officer at the creative agency B-Reel, said that in planning for employees return to the office, it was essential to create a space where they could focus on their physical and mental wellbeing. Its new fitness facility includes yoga mats, Chirp wheels and access to the breathing app State, which was developed by the agency.

Its just the latest fitness initiative at B-Reel, which counts Nike and H&M among its accounts. Wellness Wednesdays are already an established weekly feature of the company, which also offers employees a monthly stipend toward health and wellness activities that serve to help them recharge and refocus.

With employee wellness top of mind, more companies push fitness programs as the hybrid return to the office begins

Excerpt from:
With employee wellness top of mind, more companies push fitness programs as the hybrid return to the office begins - Digiday

Intense physical activity may not be as helpful in losing weight as you may hope. Catherine Falls/Getty Images hide caption

Intense physical activity may not be as helpful in losing weight as you may hope.

It's an eternal question: What diet is best for weight loss? Or, what should we eat (or avoid) to stay healthy?

Devotees of paleo or keto will talk your ear off about why their diet is the most sensible. People choosing vegan diets (no animal products, including dairy) make a compelling case for both personal and global health.

Herman Pontzer, an evolutionary anthropologist at Duke University, argues that human metabolism has evolved to the point where how we eat and expend our calories is more important than all of our collective obsession with what to eat.

In his new book, Burn: New Research Blows the Lid Off How We Really Burn Calories, Stay Healthy and Lose Weight, Pontzer breaks down the science of metabolism and shares tales from his work studying caloric expenditure among hunter-gatherer societies.

One of the most startling findings is the notion of constrained daily energy expenditure. This is the idea that the human metabolism adapts to our activity levels to keep our daily calorie burn in a surprisingly narrow range no matter how hard you work out. But don't let that depressing fact hold you back from the gym it's crucial that you still get daily exercise for weight maintenance and overall health.

This interview with Pontzer is adapted from an interview for Public Radio Tulsa's Medical Monday program and has been edited for length and clarity.

In your book you debunk the common metaphor we use for caloric expenditure an engine or a machine. You say it would be more accurate to compare it to running a business. Why is that?

The engine view gets a few things right. We put fuel into our bodies in the form of food. And we do burn it off in all the tasks that our body does, the way that an engine burns fuel.

But an engine, like the engine in your car, doesn't get to decide how it burns the fuel. A car's energy burn is all about how hard you step on the gas pedal. Your body isn't like that. Your body is more like a business, as it has an overall goal like any business does. The overall goal of your body is to survive and reproduce, because that's what every organism has evolved to do. But there are many parts and pieces and departments that are in the service of that overall goal.

In a business you have finance, sales, human resources and security and everything else. It's the same with your body. You've got all these different organ systems that all work together. And like a business, when income is low, you can juggle things around. So you spend less on this or that task. And when things are good, you can ramp up the energy that you spend on different tasks. And so that kind of juggling or prioritization that businesses do is the same that your body can do with how it spends calories.

One fallacy with the engine model of calorie burning is we think, OK, I've got to burn more calories than I take in, either by eating less or exercising more or both. But as you point out, the metabolism adjusts, and it becomes harder to lose weight. So even though exercise isn't really a great weight-loss strategy, it's still very important for your overall health, right?

That's exactly right. If you're more physically active, eventually you don't burn more calories a day, but you change the way your calories are spent. If you spend your calories on exercise, what that means is you're spending fewer calories on other tasks.

And for most of us, that's a really good thing, because if we spend less energy, for example, on inflammation, we reduce our inflammation levels. If we spend less energy on stress reactivity, for example, our cortisol levels don't go up as high and our adrenaline levels don't go up as high, we achieve lower levels of stress response. And it seems that that exercise might also help keep testosterone for men or estrogen levels for women at a slightly healthier level. So that adjustment, that metabolic adjustment that we make is one of the reasons exercise is so good for us.

You've done extensive research with modern-day hunter-gatherers, like the Hadza people of Tanzania to better understand how human metabolism works. What did you learn?

The Hadza, to this day, don't have any domesticated crops or animals or machines or guns or electricity or anything like that. They live in grass houses in the open savanna in northern Tanzania. And every morning they wake up and women are off to get plant foods, such as berries and tubers. The men go off to hunt for a wild game using bow and arrow.

For somebody like me who studies how humans evolved, a community like that is just an invaluable way to ask what hunting and gathering does to our bodies. Because we humans evolved over millennia as a hunting and gathering species. And yes in a population like that, food can be scarce sometimes. And you're always spending lots of energy on physical activity. So your body really has to be good at prioritizing how it spends its calories.

The Hadza walk everywhere they go, and compared to us, are seldom sedentary. I'd assume they burn significantly more calories than we do in a day. Yet surprisingly, your work shows that their metabolism isn't all that different from the average American.

About 10 years ago, we went and measured how many calories men and women in the Hadza community burn every day. The Hadza are so physically active, we'd expect that their total calories burned every day would be much higher than we see in the U.S. and Europe and other industrialized populations. And instead, what we found was that actually, even though men are getting 19,000 steps today, women are getting 13,000 steps a day on top of all the other work they do, they aren't burning more total calories every day than we are in the West.

Physical activity ends up being another one of those things that the body can juggle and adjust. And so in the same way that your body can adjust to changes in your food environment, your body can adjust to changes in your physical activity. So for the Hadza, their "metabolic business" has adjusted so that they spend less on other body systems to make room for that big physical activity workload that they have.

What does this mean for someone who is trying to lose weight today?

If you or I started an exercise program tomorrow, we will burn extra calories from that exercise for a while. But after a couple of months, our bodies will adjust so that we're spending about the same energy every day as we were before we started the exercise. Your body adjusts how it spends its energy to keep the total calories burned every day within a relatively narrow range. It just speaks to how adaptable and flexible our bodies are and how we're not really in charge of our metabolisms the way we think.

You include a section in the book about the TV show The Biggest Loser in which contestants competed to see who could lose the most weight. What was the problem with that?

Contestants went on this show and were put under a brutal routine of intense exercise, coupled with near starvation. You can lose a lot of weight that way. But it's not sustainable. Your body pushes back hard by slashing its metabolic rate. Some of those contestants have been followed for years afterward. The folks that have been able to keep the weight off still have lowered metabolic rates from what they went through. A lot of the contestants gained the weight back.

It goes to show you the way to fix the obesity crisis societally or [to lose and keep weight off] individually is not some big, drastic crash approach. You've got to go more sustainably than that because the body will just push back if you push too hard.

So if your goal is to lose weight, nutrition will offer the bigger impact than exercise. But for maintenance of healthy weight, that's where exercise is essential?

That's right. Let's rethink what exercise is doing. I call it the rhythm section of your body. Exercise keeps everything on the same page, on the same beat, and it helps regulate how your body works. And so once you get to a healthier weight, once you are able to lose weight and get to a set point where you want to be, exercise is really key in keeping yourself there. Exercise changes the way that your body regulates how hungry you feel or how full you feel.

The paleo diet is based on the idea that when we were all hunter-gatherers, we ate a certain way, and we didn't have problems with obesity or Type 2 diabetes or high blood pressure. But based on your study of the Hadza, what is it that the paleo folks get wrong?

If you go out and have a chance to live with a group like the Hadza, you realize that a lot of the stories we tell ourselves about the past, including things like the paleo diet, just kind of fall apart. So there's this idea in the paleo diet world that there's one sort of single natural human diet, and that diet was very meat heavy, hardly any carbs at all and certainly no sugars.

[In reality] the Hadza have a mix of plants and animals in their diets. It changes day to day and year to year, but about half of the calories are coming from plants. And not only that but actually something like 10[%] to 20% of their calories every day comes from wild honey, which is just sugar and water, you know, which it would not be on any paleo diet person's menu. Another big part of their diet is the starchy tubers and these root vegetables, which you often aren't allowed to eat on some version of the paleo diet.

One last thing that stunned me from your book: You write about the metabolic cost of pregnancy comparing pregnant women to Tour de France riders.

You can push the body as in the Tour de France, where riders burn 7,000 or 8,000 calories a day for three weeks. But it also makes sense that pregnancy is pushing the same metabolic limits as something like the Tour de France. They both run your body's metabolic machinery at full blast for as long as it can keep it up. It just speaks to how taxing pregnancy is, for one thing, but it also speaks to how these things are all connected. Our energetic machinery gets co-opted into these different tasks and makes connections that unite all of these different experiences.

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How Humans Really Burn Calories And What That Means For Losing Weight : Shots - Health News - NPR

This article was originally published here

J Med Internet Res. 2021 Jul 14. doi: 10.2196/30709. Online ahead of print.

ABSTRACT

BACKGROUND: In response to the COVID-19 pandemic, experts in mental health science emphasized the importance of developing and evaluating approaches to support and maintain the mental health of older adults.

OBJECTIVE: To assess whether a group-based exercise program relative to a personal exercise program (both delivered online) and wait-list control (WLC) can improve the psychological health of previously low active older adults during the early stages of the COVID-19 pandemic.

METHODS: The Seniors COvid-19 Pandemic and Exercise (SCOPE) Trial was a 3-arm, parallel randomized controlled trial conducted between May and September 2020 in which low active older adults (aged 65 years) were recruited via media outlets and social media. After baseline assessments, consented participants were randomized to one of two 12-week exercise programs (delivered online by older adult instructors) or a waitlist control condition. 241 older adults (n= 187 women) provided baseline measures (via online questionnaires), were randomized (Ngroup = 80, Npersonal = 82 Ncontrol = 79), and completed measures every two weeks for the duration of the trial. The trials primary outcome was psychological flourishing. Secondary outcomes included global measures of mental and physical health, life satisfaction and depression symptoms.

RESULTS: The results of latent growth modeling revealed no intervention effects for flourishing, life satisfaction, or depression symptoms (Ps> .05). Participants in the group condition displayed improved mental health relative to WLC participants over the first 10 weeks (ES = .288 to .601), and although the week 12 effect (ES = .375) was in the same direction the difference was not statistically significant (P >. 05). Participants in the personal condition displayed improved mental health, when compared to WLC participants, in the same medium effect size range (ES = .293 to .565) over the first 8 weeks, and while the effects were of a similar magnitude at weeks 10 (ES = .455) and 12 (ES = .258) they were not statistically significant (P >.05). In addition, participants in the group condition displayed improvements in physical health when compared to the WLC (ES = .079 to .496) across all 12 weeks of the study following baseline. No differences were observed between the personal exercise condition and WLC for physical health (P>.05).

CONCLUSIONS: There were no intervention effects for the trials primary outcome, psychological flourishing. It is possible that the high levels of psychological flourishing at baseline may have limited the extent to which those indicators could continue to improve further through intervention (i.e., potential ceiling effects). However, the intervention effects for mental and physical health point to the potential capacity of low-cost and scalable at-home programs to support the mental and physical health of previously inactive adults in the COVID-19 pandemic.

CLINICALTRIAL: ClinicalTrials.gov Identifier: NCT04412343, https://clinicaltrials.gov/ct2/show/NCT04412343.

PMID:34280121 | DOI:10.2196/30709

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Online-Delivered Group and Personal Exercise Programs to Support Low Active Older Adults' Mental Health During the COVID-19 Pandemic: A Randomized...

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You probably have access to some dumbbells, yoga mats, and resistance bands to exercise at homebut if you want your fitness routine to be a bit more involved, try following a training style like Pilates. You don't have to have access to a studio to do Pilatesyou just need the right gear.

Most guys assume Pilates is a workout for womenbut if you're skipping out on it, you're missing out on major benefits. If you don't know much about Pilates, here's a quick history: It was created by a German physical trainer named Joseph Pilates who was stuck in an internment camp on the English Isle of Man after World War I. To stay fit while in the camp, he created his exercise practice, originally called Controlology, which focused on improving spinal mobility, core strength and posture.

There is a misconception that Pilates is only stretching. It actually focuses on both eccentric and concentric contractions of muscles to achieve balanced stretch and strength, Lynda Salermo Gehrman, founder of Physio Logic Pilates and faculty for BASI Pilates, previously told MensHealth.com.

Including Pilates in your workout routine can also help you avoid injury by working on mobility, since a reduction in mobility at the joints can play a role in the development of common conditions such as low back pain, tendinopathies, muscle strains/tears, and plantar fasciitis, Dr. Heather Mims, PT, DPT, OCS, PMA-CPT and Pilates Method Alliance Certified Pilates Teacher at Shift Wellness previously told MensHealth.com.

Many men need to include a better balance of work on flexibility and strength in their exercise programs, said Dr. Mims. "One of the many benefits of Pilates is that it includes a better balance of stretching and strengthening and often works the muscles in an elongated position, offering a long lever arm for the core muscles to work against."

A Pilates Reformer is the machine found in most Pilates studios, but you can also snag one to bring the experience home. Here are our picks for great Pilates reformers.

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Merrithew At Home SPX Reformer Bundle

$2,899.99

This Merrithew reformer includes 4 full-tension reformer springsand 1 half-tension reformer spring for tons of resistance options. It also hasextra-thick foam cushioning throughout with3 headrest positions, a padded platform extender and adjustable 4-position foot bar.

Stamina AeroPilates Pro XP 556 Home Pilates Reformer

$829.00 (31% off)

The StaminaAeroPilates Pro XP 556 reformerhasadjustable, 4-cord resistance for customized resistance during your Pilates workout. It also has aunique and patented cardio rebounder to get an added cardio workout between toning with the padded foot bar.It also has built-in wheels for easy transport or storage.

Gratz Pilates Universal Classic Reformer

$4,545.00

You can get this professional gradeGratzUniversal Reformer in an aluminum or wood frame in varying lengths from80", 86", and 89". The straps are made of natural leather with optional 27" extension straps, plus 20" foot straps.

Pilates Power Gym 'Pro' 3-Elevation Mini Reformer

$499.00

This reformer requires no assembly, so all you need to do is unpack it and get practicing. Even though it's a 'mini' reformer, it can hold up to 300 pounds and will fit guys up to 6'4".It has3 incline levels and 4 power cords that willgive you 48 resistance settings.

Lagree Fitness Microformer Fully Loaded Bundle

$2,495.00

This at-home reformer is specifically for theLagree Fitness Method, a Pilates-esque strength studio. This Microformer is a smalleralternative to the Megaformer used in Lagree studios that can be used with aLagree At Homesubscription.

This content is created and maintained by a third party, and imported onto this page to help users provide their email addresses. You may be able to find more information about this and similar content at piano.io

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The 5 Best Pilates Reformer Machines for Men to Use in Home Gyms - menshealth.com

Conflict statement: The following opinions are those of the author. He does not receive payment or in-kind gifts to represent any medical equipment, products, or manufacturer.

Newswise Declining health and fitness are commonly known to accompany spinal cord injuries and disorders (SCI/D). Physical deconditioning and weakening of the upper limbs make essential daily activities such as wheelchair propulsion and body transfers more difficult to perform, thus challenging the activity and independence that persons with physical disabilities require throughout their lives. During the past few decades, attention has also focused on so-called cardiometabolic risk factors, including five critical health hazards: overweight/obesity, insulin resistance, hypertension, and lipid abnormalities. Evidence now suggests that these health risks appear soon after discharge from initial rehabilitation, tend to cluster, and in doing so represent more severe health hazards. They are also more challenging for stakeholders with SCI/D, their caregivers, and health care professionals to manage within the first year of living with a SCI/D and after that throughout their lifespans.

Current health guidelines designed for persons with SCI/D all recommend incorporating physical activity to a level permitted by their ability. Outdoor exercise is an option to fulfill this need. However, it may expose the individual to temperature extremes and uneven rolling surfaces that risk a fall from the wheelchair and ensuing injury. Thus, recent evidence suggests that home-based exercise is preferred for those with SCI. Home-based exercise also circumvents exercise barriers involving transportation, lack of physical access, and exercising in facilities that serve, have staff trained for, and use equipment designed for persons without a disability.

Equipment that satisfies the broad health needs of persons with SCI/D is challenging to find. Selected specialized exercise systems have used surface electrical stimulation to initiate the contraction of paralyzed muscles located below the injury level. These muscle contractions can be sequenced under microprocessor control to create purposeful movement such as cycling, although generally with poor motor efficiency and coordination. These electrically stimulated devices often exclude persons with injuries below the T10 spinal level and require special medical clearance and ongoing supplies such as electrodes and wire leads. Those with injuries and disorders that spare their sensation often find the electrical current uncomfortable, if not painful. While generally considered safe for home use, there is a need for electrode placement before each session. Risks of use include lower extremity fracture or bouts of autonomic dysreflexia. Importantly, there is limited transfer of lower extremity electrically stimulated exercise to benefit upper limb conditioning. It has long been clear that voluntary contractions of muscles above the injury level result in higher physical conditioning levels, and better risk reduction for cardiometabolic disease.

The arm crank ergometer has been a longstanding staple of upper extremity exercise for those with SCI/D. Essentially a table or platform mounted arm cycle, the device typically uses a rudimentary forward propulsion motion against resistance, with the upper limbs propelling the device while 180 degrees out of phase with one another. Few arm crank devices allow adjustment of the axis of rotation, meaning there is one set length for motion. Even fewer devices allow reverse propulsion against resistance. The continuous forward cranking imposes imbalanced forces that condition and tightens the anterior shoulder and chest while not similarly benefitting the posterior shoulder. The imbalance of the anterior and posterior shoulder actions may represent a cause of shoulder pain for persons with SCI/D. As the upper limbs of persons with SCI/D are essential for maintaining daily activities, the pain caused by cycle ergometry may exceed the benefit of physical conditioning.

To meet the complex needs of upper extremity conditioning without the hazards imposed by standard arm ergometry, the newly upgraded and technologically advanced Vitaglide better serves as an exercise mode after SCI/D. The device is a reciprocating ergometer with the arms moving near horizontally instead of in a cyclical pattern. The movement of the limbs are balanced between a forward pushing motion on one side of the body and a pulling action on the other side. In this way, the device maintains the anterior and posterior muscle balance for conditioning of the chest, shoulders, and back. Its features also permit synchronous rowing where both limbs move together in the same forward and backward direction. Unlike a cycling ergometer, the resistance for each arm can be set independently and spans work intensities that will develop both endurance and strength. The side arms allow the user to determine their preferred range of exercise motion instead of the device.

The Miami Project to Cure Paralysis at the University of Miami Health System has used the Vitaglide for several years as part of our comprehensive SCI/D lifestyle program and has been preferred by our program participants, so much so that they seldom use our cycle ergometers. The individualized resistance adjustment permits us to select optimum exercise intensities when the strength and endurance of the arms may be unequal. We have also found it easier to customize exercise programs and maintain records of performance incorporating time and work performed. Our ultimate goal is to encourage health-sustaining physical activity after SCI/D without injury.

By:Mark S. Nash, Ph.D., FACSM, FASIA Associate Scientific Director for Research, Miami Project to Cure Paralysis, University of Miami Miller School of Medicine

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Voluntary Exercise after Spinal Cord Injuries: Equipment and Process that Develops and Sustains Fitness and Health - Newswise

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