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Oct 23

Nursing Professor Seeks to Boost Brain Function in People With Type 2 Diabetes – University of Arkansas Newswire

University Relations

Assistant professor Tingting Liu was awarded a $446,268 grant from the National Institutes of Health.

Tingting Liu, an assistant professor at the Eleanor Mann School of Nursing, was recently awarded a three-year, $446,268 grant from the National Institutes of Health to help improve brain function among people with Type 2 diabetes through targeted exercise.

"Type 2 diabetes impairs the brain, leading to diminished learning and thinking," Liu said. "Our long-term goal is to develop a personalized exercise program for high-risk individuals susceptible to cognitive dysfunction based on their genomic profiles."

Liu explained that regular exercise improves brain function among healthy people through the release of certain brain chemicals like brain-derived neurotrophic factor (BDNF). BDNF supports normal thinking processes.

She and other University of Arkansas College of Education and Health Professions colleagues, including Wen-Juo Lo and Michelle Gray, will test an aerobic exercise program to see if it will improve learning and thinking abilities as well as BDNF levels.They will also examine certain genetic variants that influence the release of BDNF. This research may show an important impact oncognitive outcomes and plasma BDNF levels in response to exercise intervention.

Changwei Li from Tulane University will collaborate with Liu and her colleagues on the genetics portion of the research.

"Dr. Liu is a remarkable scientist who is deeply deserving of this award," said Dean Brian Primack, who reviewed and edited the materials Liu submitted to the NIH. "We are delighted that she is part of our community, and we look forward to the tremendous impact her research will make on the lives of older adults."

Liu hopes the study's findings will help explainsignificant variability in individual response to exercise programs in cognitive outcomes. Although awareness of Type 2 diabetes-related cognitive dysfunction is increasing, Liu only found one recent clinical trial using insulin administered through the nose to improve memory performance among patients. That demonstrates a significant gap and highlights the importance of this new study, she said, which will provide further evidence on the use of exercise as a non-pharmaceutical, low-cost intervention to improve cognition in this population.

The Eleanor Mann School of Nursing has been awarded multiple grants over the past 14 years and this funding will continue to strengthen the research environment, Liu said.

I am proud of our faculty and their contributions as community-minded leaders, as educators, and as researchers and experts in promoting health," said Susan Patton, chair of the nursing school. "Dr. Liu's research will make a significant contribution to the science of 'exercise as medicine.'"

About the College of Education and Health Professions:The College of Education and Health Professions offers advanced academic degrees as well as professional development opportunities and learning communities in service to the education and health systems of Arkansas and beyond. The college provides the education and experiences for a variety of professional roles, ranging from community mental health counselors to school teachers and leaders. Programs in adult and higher education, along with educational technology and sport management, offer a broad range of options. In addition to education-related opportunities, the college prepares nurses, speech-language pathologists, health educators and administrators, recreation professionals, rehabilitation counselors and human performance researchers.

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Nursing Professor Seeks to Boost Brain Function in People With Type 2 Diabetes - University of Arkansas Newswire


Oct 23

Full-body workout vs. split workout: Only one is worth your time – CNET

Unless you have six or more hours per week to work out, bicep curls really aren't in your best interest.

Hate to break it to you, but you should probably stop doing bicep curls if you only have a couple of hours per week to work out. They're kind of useless if you're time-limited and want to improve your fitness. Quadricep extensions, calf raises, tricep push-downs and other isolation exercises also won't do much for you if you don't have time to dedicate to functional movements like squats, deadlifts, push-ups and shoulder presses.

There's no skirting the fact that functional, full-body movements provide the most value for time and effort. Exercises like lunges and push-ups will always be more effective than exercises that isolate a single muscle -- and for those of us with limited time, we owe it to ourselves to get the most out of each and every workout.

Read more: Should you do cardio before or after weightlifting? | Is it better to lift light weights or heavy weights?

Full-body workouts are a time saver.

A full-body workout engages all of your muscle groups during one session, and takes many forms --HIIT, high-intensity resistance training (HIRT), bodyweight workouts or conventional weightlifting.

Split workout plans, on the other hand, are designed to separate muscle groups from one another. People partake in split workout programs to maximize muscle growth and reduce the number of rest days they need to take. By dedicating an entire day to one muscle group, such as your chest, you can fully fatigue the muscles and target them from a variety of angles, ensuring you develop a muscle to its full extent.

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The problem is, split plans lose effectiveness if you don't have five or six days to work out each week. Take the common bodybuilding "push-pull-legs" plan as an example.

On this split plan, you rotate pushing movements, pulling movements and leg movements with a rest day after completing all three. Pushing movements isolate your chest and triceps, while pulling movements isolate your back and biceps. And leg movements, well, you know.

You could also simply rotate upper- and lower-body days or dedicate entire days to smaller muscle groups. For example, I once knew someone who followed this split plan:

So this person dedicated an entire day to shoulders and an entire day to abs, which worked for him but is excessive for most people. This simply doesn't work for people who can't exercise six days a week. If you miss one workout on this plan, you neglect an entire muscle group that week. Split workouts plans also work best if you can dedicate at least 45 minutes each day to your workout -- working your arms for 20 minutes won't benefit you nearly as much as working your whole body for 20 minutes.

Compound movements like deadlifts give you the most bang for your buck (buck = time).

There are a few reasons for this, but the main reason most people should do full-body workouts over split workouts is time. Most people don't have enough time to dedicate an hour a day to exercising in the first place, let alone spend that much time on a single muscle group.

Full-body workouts maximize your time, and instead of spending your one hour (or less) pumping up your biceps, you could be chasing real gains like whole-body strength, core stabilization, functional mobility and endurance.

Other reasons for choosing full-body workouts instead of split workouts include:

Isolation movements have their place if you have lots of time to work out.

I usually advise personal training clients to add muscle isolation into their workouts if and when any of the following three scenarios occur:

If none of the above apply to you, you're likely better off sticking to full-body workouts focused on functional movement, longevity and overall health.

Some movements, like Bulgarian split squats, seem to isolate one muscle but actually recruit most muscle groups.

All this isn't to say you have to choose one over the other all the time. You can definitely include full-body workouts and muscle isolation movements into your workout routine if you want to -- you can even do both in the same workout if you plan smartly or have good programming from a trainer.

If you already work out several days each week, you can dedicate some of those days to muscle isolation. Try this example for a good balance of full-body, functional exercise and isolation workouts:

In the above example, you get a nice combination of intense full-body exercise, steady-state cardio and muscle isolation work across five workouts.

Good programming allows you to incorporate full-body movements and muscle isolation movements into your workouts.

To include full-body and muscle isolation work in the same workout, throw in a few supersets like below.

Full-body day with legs and glutes focus:

Part 1: Complete three sets

Part 2: Complete three sets

Part 3: Complete three rounds

The above workout includes full-body movements (squat to press, deadlifts and broad jumps) along with isolation movements (quad extensions, hip thrusts and barbell rows).

All six movements primarily work your legs, glutes and back while requiring engagement of your core and upper body, making this a great full-body but also targeted workout.

If you do something similar with an upper-body focus and another with a core focus, you have a fantastic weekly workout routine with just three sessions each week.

The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.

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Full-body workout vs. split workout: Only one is worth your time - CNET


Oct 23

Living the Life You Love After a Cardiac Event – The Examiner News

After treatment for a cardiac event such as a heart attack, a patients personal recovery goals are usually simple yet extremely meaningful: Id like to be able to walk up the stairs without having to rest. I want to walk with my grandchildren in the park and not slow them down. Id love to ride my bike around my neighborhood again.

These are the things that make life special, and the Cardiac Rehabilitation program at Northern Westchester Hospital makes them achievable. How does that happen?

Learn how Northern Westchester Hospitals state-of-the-art program helps to build strength, capacity and a heart-healthy lifestyle so you can reconnect with the things you love.

What is cardiac rehabilitation?

The goal is to restore your heart and help you gain the strength to recover faster from heart disease while being safelymonitored. Take part in supervised exercise programs, including weight training and aerobic (cardio) exercise.Youll also learn how to build a healthy lifestyle that dramatically improves your chance of preventing future heart conditions. Get educated about heart-healthy nutrition, stress management, meditation and basic heart disease prevention.

Am I a candidate for the Cardiac Rehabilitation Program at Northern Westchester Hospital?

With the opening of the hospitals Cardiac Catheterization Lab at the Seema Boesky Heart Center, comprehensive cardiac care in Westchester is now seamless and more convenient than ever. If you suffer a cardiac emergency, youll be treated at our cath lab, after which youll receive a direct referral to get the crucial follow-up care needed at our cardiac rehabilitation program.

Candidates for that program have suffered a cardiovascular event, such as a heart attack, bypass surgery, angina, heart valve repair or replacement, heart transplantation, coronary stenting or heart failure.

What are the benefits of cardiac rehab?

Perhaps surprisingly, a key benefit is restored confidence. After a cardiac emergency, any pain in your chest area may cause anxiety that another cardiac event is happening. This is completely understandable and very common. However, these fears typically go away during or after cardiac rehabilitation as patients see undeniable evidence of their gains in strength and stamina.

Activities such as walking uphill on the treadmill, riding the bike or using the rowing machine provide great confidence. Other benefits include:

What happens when you join the Cardiac Rehabilitation Program at Northern Westchester Hospital?

Our experts design a personalized exercise regimen based on health history and physical condition. You can have up to 36 training sessions, depending upon your insurance, during which you receive continuous EKG monitoring and close supervision by our physician and exercise physiologists.

Were always watching your heart rate and cardiac rhythm. Blood pressure is taken before, during and after exercise. Starting off at 30 minutes, work up to between 42 minutes and an hour of training, with weight training added when appropriate.

How do I choose a cardiac rehabilitation program?

Look for accreditation. For example, Northern Westchester Hospitals program is recognized by the American Association of Cardiovascular and Pulmonary Rehabilitation for providing a high standard of care and significantly improving patients quality of life. Also consider the expertise and experience of staff, convenient scheduling and insurance coverage.

How are patients being kept safe during the COVID-19 pandemic?

Everyone wears a mask. On your first visit, youll be asked to have a COVID-19 test. After the initial test, youll fill out a COVID-19 screening questionnaire with each visit to the center.

Inside the gym, machines are placed at least six feet apart and gloves and a mask must be worn while using the equipment. All equipment is disinfected after each use. We provide single-use bottled water at each visit, and send all educational materials via e-mail, avoiding paper contact.

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Living the Life You Love After a Cardiac Event - The Examiner News


Oct 23

Reinventing fitness in the COVID-19 era | News, Sports, Jobs – Nashua Telegraph

COVID-19 is a terrifying wake-up call for out-of-shape Americans.

More than four in 10 U.S. adults are obese, and 60 percent have at least one chronic disease, putting them at high risk of serious COVID-19 complications or worse. Individuals with chronic illnesses are 12 times more likely to die from the virus.

In light of President Trumps recent COVID-19 diagnosis, the dangers of having any of those conditions have been thrust into the national spotlight. Trump is in a high-risk age group, clinically obese, and has elevated blood pressure all of which put him at risk for more severe complications.

For decades, healthcare professionals have cautioned people about the dangers of obesity. But those warnings have largely gone unheeded. Until recently, too many Americans viewed exercise as the ticket to a beach body not the first line of defense against deadly diseases.

COVID-19 is changing that mistaken belief. Now, its incumbent upon health professionals to help Americans get in shape.

Everyone knows that exercise promotes good health. But many dont understand how.

Exercise increases blood flow throughout the body, meaning that more immune cells can circulate at a higher rate. Over time, that immune response builds up. A study published in the British Journal of Sports Medicine found that among people who engaged in aerobic exercise five or more times per week, upper respiratory tract infection decreased by 40 percent over 12 weeks.

Staying active also reduces body fat and inflammation, which helps to fend off infections and prevent chronic conditions.

Americans are starting to finally realize that staying fit isnt just about looking good its about strengthening the immune system.

Fortunately, the fitness industry is trying to accommodate this mass awakening.

Many gyms moved fitness classes outdoors and online for the first time. Organizations like the American College of Sports Medicine have actively campaigned for outdoor fitness resources in disadvantaged communities.

Further transforming Americans relationship with exercise and making it a critical component of their health and wellness plans will also require the help of exercise science professionals. These individuals are trained to develop individualized wellness programs that consider peoples age, health, culture, and other factors that influence their ability to maintain a healthy routine.

Someone at risk of developing high blood pressure may know they need more exercise, but have no idea where to start. An exercise science professional can help set realistic and achievable goals something as simple as a short morning walk. That person can then develop longer-term habits that incorporate more vigorous exercise into their routine.

Or, exercise science experts can educate chronic disease patients about the ways physical activity can help manage their conditions from reducing the pain associated with rheumatoid arthritis to increasing insulin sensitivity for diabetics.

These professionals can also adjust their methods based on clients individual comfort levels. Many Americans still dont feel safe entering brick-and-mortar gyms. In response, exercise science professionals can build other innovative tools and training models, such as remote platforms and outdoor workout settings.

COVID-19 has disrupted our society. But it has also created an opportunity to improve our countrys health by transforming exercise into the primary weapon in our fight against disease.

Alex Rothstein is an instructor and program coordinator for the exercise science degree program at New York Institute of Technology. This piece originally ran in Fortune.

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Reinventing fitness in the COVID-19 era | News, Sports, Jobs - Nashua Telegraph


Oct 23

HEALTH WAVES: Listen to your legs for signs of peripheral vascular disease – The Florida Times-Union

Jared Feyko, DO| For Shorelines

If your legs feel heavy or you experience cramping or pain when walking, you may be suffering from peripheral vascular disease (PVD), also known as peripheral artery disease (PAD).

PVD is caused by a blockage in the arteries of the extremities, most commonly the legs. Just like blockages in the hearts vessels, PVD is caused by a buildup of plaque and fatty material on the inner walls of the arteries in the extremities.

Those most affected by PVD are people who smoke, have high blood pressure or elevated cholesterol, or a family history of arteriosclerosis (hardening in the walls of the arteries).

If you have symptoms, make an appointment with your primary care doctor for an evaluation, which will include an ultrasound and leg blood pressure exam. If PVD is the problem, you should see a vascular surgeon trained in endovascular (minimally invasive) techniques.

If diagnosed with PVD, it is extremely important to take steps to keep your symptoms from getting worse. If you are a smoker, quit smoking immediately. Additionally, its crucial to have your blood sugar, blood pressure and cholesterol numbers in the healthy range.

Early treatment options are generally conservative and dont require surgery. Many patients see improvement with anti-platelet therapy, such as taking a baby aspirin every day, supervised exercise programs and medication that opens up arteries in the legs, promoting better blood flow.

If treatment is delayed, PVD may progress to having leg pain at rest and a pins-and-needles sensation. In more severe cases, patients can develop gangrenous dark spots, where the tissue has died from a lack of blood flow. Without intervention, these patients have a 50 percent chance of losing a limb within a year.

Whether PVD is in the beginning or later stages, vascular surgeons who are trained in minimally invasive techniques offer patients the most effective treatment with the least amount of down time. The majority of patients, even those with advanced PVD, can be treated with endovascular (minimally invasive) intervention.

For most patients with PVD, a minimally invasive procedure through the femoral artery (located in the groin), is the approach. Patients are typically up and walking within a short time after the procedure and are able to go home the same day. Unrestricted activities may be resumed within a day or two.

Patients who already have stents in this area or whose anatomy is not ideal for this approach may require a traditional procedure. This involves removing or bypassing the arterial disease with either a vein from the patient or a synthetic graft. Alternatively, the surgeon may open the artery and scrape out the plaque, preserving the artery.

Along with screening the legs for PVD, it is also important to get an ultrasound screening for an abdominal aortic aneurysm (enlargement of the major blood vessel that passes through the belly) if you are at risk. Youre considered at risk if you have a family history of abdominal aortic aneurysms, or youre a man over 65 and have ever smoked. Medicare Part B covers a one-time screening for those at risk.

Additionally, those who have had a stroke, mini-stroke, or symptoms of PVD should get an ultrasound screening for carotid stenosis, which is a narrowing or blockage of arteries in the neck.

If an abdominal aortic aneurysm or carotid stenosis is diagnosed, patients should promptly seek a consultation with a vascular surgeon. Do not take a wait-and-see approach and allow the condition to progress -- immediate intervention may be necessary.

Vascular surgeons address a variety of other issues, including venous stasis ulcers (open sores in the skin that occur where the valves in the veins don't work properly), varicose veins, hemodialysis access and more.

Taking care of your vascular health is vital for your overall well-being. For more information, visit BaptistJax.com/pvd or you may schedule an appointment by calling (904) 398-3888.

Jared Feyko, DO, is a vascular surgeon trained in endovascular (minimally invasive) techniques. He practices at Baptist Medical Center Beaches.

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HEALTH WAVES: Listen to your legs for signs of peripheral vascular disease - The Florida Times-Union


Oct 23

What is diastasis recti and how is it treated? – The Week Magazine

When I learned I was having twins, I knew I was in for a physically difficult pregnancy.

In some ways, I got off easy: I had morning sickness, but it was mild enough that I only vomited once. My legs and feet swelled, but never enough to keep me from wearing my usual shoes.

However, I am a short person with a short torso which did not really have room for two babies plus their respective intrauterine accessories. By 20 weeks, I was pregnant and pathetic enough to persuade an airline clerk to bend company policy and offer me a free hotel room when my plane was delayed. Where some mothers delight in their babies' kicks, I groaned. It hurt! From around 32 weeks onward, my lungs were so crowded I'd sometimes run out of breath before the end of a sentence.

The delivery, after all that, came as something of a relief. I knew there would be a few months of recovery to follow, but I expected to go back to normal after that. Aside from the second baby, my pregnancy had been nearly free of complications. I was pronounced healthy at my six-week postpartum check-up and cleared to resume exercise. So I was surprised and dismayed to find, seven months after my twins were born, that my stomach was as big as it was at five months pregnant, exactly a year prior, when I won the pity of the airline clerk.

In retrospect, the real tip-off that something was wrong with my recovery was function, not form. Half a year after giving birth, I couldn't sit up from lying down. Sometimes I forgot this. I'd anticipate sitting up, and then ... nothing would happen. It was as if my brain sent a letter to my abdomen, and it got lost in the post. I could get upright by rolling to my side and pushing myself up with my arms, but this method was risky, too: About one time in 10 I'd have sudden, intense pain deep in the muscles around my hips that would only pass once I was finally upright.

My problem, as I suspected and a physical therapist who specializes in postpartum treatment confirmed, is a condition called diastasis recti.

During pregnancy, the uterus grows to about six times its size, approximating a watermelon by full term. This transformation happens inside the core cavity, bounded by four sets of muscles. Diastasis recti is the injury to the muscles and connective tissues at the front of the core cavity. This doesn't primarily mean the rectus abdominis, the "six-pack muscles." Those run (and thus stretch) vertically. But below them is a layer called the transverse abdominals, sheets of muscles that span more horizontally. And down the middle, connecting both muscle layers and running from the sternum to the pubic bone, is the linea alba, a white, fibrous connective tissue.

Normally, the linea alba is around an inch wide (or about two finger widths, as it's commonly measured by therapists). If you have diastasis recti, however, the tissue is pulled apart, and the gap can be as much as 10 finger widths (about five inches) while feeling deep and unsettlingly squishy and vulnerable. Typically combined with weak, overlax abdominal muscles, the visual result is what some call "mommy pooch" or "mum tum." Weight loss won't help, because the bulge isn't fat (though that may be there, too). It's your vital organs.

Were the pooch its only symptom, diastasis recti might be fairly grouped with stretch marks as an unwanted but harmless consequence of pregnancy. But the pooch is not the only symptom.

People with diastasis recti describe experiences of chronic back pain and difficulty "lift[ing] objects or do[ing] other routine daily activities," explains the Mayo Clinic. It can be implicated in more serious problems including "pelvic organ prolapse (when organs drop into the vagina), urinary and fecal incontinence, loss of stability, breathing and digestive problems, pelvic girdle pain," and sexual dysfunction. Many of these issues also involve damage to the pelvic floor, the bottom "hammock" of the core cavity. This type of injury is less visible than diastasis recti, but these muscles are crucial for maintaining continence, bowel function, and normal physical movement.

This dysfunction is extremely common in the United States. About one in three American mothers has diastasis recti that persists more than year after birth. The same proportion has at least one pelvic floor disorder like incontinence or prolapse, and two-thirds of those in the first group are in the second group, too. There are about 123 million adult women in America, of whom around 106 million (86 percent) have given birth.

That means tens of millions of American women are constantly, quietly living with these injuries.

Many physical therapists and trainers who work with people suffering from these symptoms insist on distinguishing between "common" and "normal." It is common to have a mommy pooch, to pee yourself when you laugh or run or wait 10 seconds too long to go to the bathroom. It is common, postpartum, for your organs to hang through overextended muscles. It is common to be in frequent pain, unable to comfortably lift your kid or hop up off your bed. Browse a mommy forum or mom influencer's comments section on Instagram and you'll find these symptoms are seen as an inevitable price of motherhood, like a mundane version of fairytale bargains where an evil witch makes suffering the price of fertility.

This is all very common. But it is absolutely not normal. This is not how our bodies are supposed to be.

"The truth of the matter is function is possible," Ashley Nowe, a pregnancy and postpartum corrective exercise specialist, told me. "You don't have to pee your pants when you jump or sneeze. You don't have to deal with painful sex. You don't have to settle for a dysfunctional core and back pain."

Nowe, like me, is a mother of twins. She too was cleared for exercise at six weeks, but by five months postpartum was wondering why it looked like there was a "football popping out of [her] stomach" during sit-ups. The answer was diastasis recti the "football" was her linea alba under strain of inappropriate ab exercise and her doctor told her she'd simply have to live with it because "there is nothing that can be done."

A pelvic floor therapist said otherwise. "I had to start with the very basics. Here I was, an athlete all my life, and I was having to learn to breathe properly," Nowe said of her therapy, which lasted a full year. It would be two more years after that before her diastasis recti, originally a deep gap of four finger widths, had improved enough for her to feel and function normally.

About a year post-therapy, Nowe realized how common her experience was and began taking classes and earning certifications to help other women similarly improve their quality of life. That primarily means teaching reparative exercises, but Nowe also educates her large following about available therapies and even discusses surgery as an avenue some women ultimately pursue.

Between fatigue, bronchitis, and sheer unwieldiness, I exercised relatively little while pregnant. But, in a moment of unjustified first-trimester ambition, I started following a few fitness trainers on Instagram who specialized in safe workouts for pregnant and postpartum women. Nowe was among them, so when I finally admitted to myself that I was not recovering normally, I had the vocabulary to understand what was happening to me and what I needed to do to address it.

Many women aren't so lucky, lulled into thinking what's common is normal and permanent. Their postpartum injuries are too often ignored, normalized, or labeled a superficial "cosmetic" issue by the very providers they turn to for help.

Anecdotally, I've seen a marked rise in awareness of therapy options and exercise guidance like Nowe provides since I started reading parenting and pregnancy sites in 2017. These days, for every five "haha I pee myself all the time!" comments, there's usually at least one suggesting a pelvic floor therapist. But prenatal classes tend to focus on infant care, breastfeeding, and the early postpartum period, perhaps not wishing to scare new moms with tales of potential long-term struggles. I don't think any of the classes I took (at a super crunchy birth center!) mentioned diastasis recti or pelvic floor damage. Some doctors, like Nowe's, never check for postpartum core injuries or tell patients they're fixable.

The problem may be attributable in part to medical workers' knowledge gaps. "Education in gynecology and obstetrics is woefully inadequate in addressing musculoskeletal dysfunction, even of the pelvic floor in relation to pregnancy and postpartum," Dr. Amy Benjamin, a gynecologist who directs the University of Rochester's Center for Chronic Pelvic Pain and Vulvar Disorders, told The New York Times this year. But some of it may have to do with insurance coverage and what's considered "standard" care.

In several nations in Europe, postpartum physical therapy for core health is standard. In Germany, it's rckbildungsgymnastik, or "recovery gymnastics." In France, it's la rducation prinale, which is pelvic floor therapy but translates directly to the rather more evocative "perineal re-education." The U.K. doesn't have a comparable program but does advise teaching pelvic floor exercises to new moms suffering incontinence.

Here the States, postpartum therapy isn't standard not even close. Depending on the policy and diagnosis, major insurers may cover some portion of this care if you have a doctor who diagnoses you or agrees to your request for therapy referral. My insurer got me a discount when I saw a therapist, but I still paid around $1,000 for six visits. That was steep for me, and it would be utterly inaccessible for many women. Exercise programs like Nowe's are more affordable, and trainers like her post free content on Instagram as well. But for someone with severe dysfunction, DIYing it isn't always enough.

The last-ditch option is surgery, but whether it's covered varies by condition. Surgery required to correct pelvic organ prolapse, for example, likely will be covered. By contrast, the minority of women with diastasis recti who can't get back to normal without surgery will get no help from their insurer. They'll pay out of pocket to the tune of $4,000 to $12,000, because insurance companies consider surgical diastasis recti repair "a cosmetic procedure," in the words of United Healthcare, which instead recommends "reassurance of the patient and family about the innocuous nature of this condition" as the "[a]ppropriate treatment."

I reached out to several large insurers whose coverage guidelines are publicly available online to inquire about the rationale for their coverage choices here. HealthPartners and Cigna declined to comment. United noted their coverage aligns with recommendations from American College of Obstetricians and Gynecologists, and Blue Cross Blue Shield of Minnesota said their policy is "consistent with that of Medicare and most other payers of health care."

That's true. The companies I contacted aren't outside the industry standard. They're not giving their customers worse service than their competitors provide. But that standard itself is wrong.

Consider that when breast cancer patients need reconstruction after a lumpectomy or mastectomy, that's typically covered by these four companies and industry-wide (this coverage has been mandated by federal law since 1998). But if you have a baby, and muscles essential to the function of the core part of your body get pulled apart and won't go back together with other care, a reparative abdominoplasty (commonly called a "tummy tuck") is "cosmetic." What?

I'm not saying breast reconstruction shouldn't be covered. But having one's organs sagging through damaged connective tissue and experiencing the chronic pain, incontinence, or other symptoms likely involved in a case severe enough to warrant surgery seems at least as significant a medical concern as changes to breast appearance. And if surgical correction for the worst cases of diastasis recti is deemed an unnecessary vanity, what does that say about medical providers' responsibility to notice, treat, and educate patients with milder cases?

My own case probably isn't serious enough for surgery, though I have browsed before and after photos on local plastic surgeons' sites, debating whether I could save up and whether the pain and risk would be worth it if I did. The physical therapy helped a lot I can sit up almost normally now, and I don't get those sharp pains anymore. But my abdominal muscles are weak and always a bit sore, even if I haven't exercised them recently. It doesn't feel right when my twins sit on my stomach, and the bulge, though improved, isn't gone. I'd probably be further along were I as consistent in my daily exercises as I am about staring in the full-length mirror before bed and whining to my husband about lost youth.

As much as I complain, however, I'm also grateful my core injuries weren't worse. I can laugh and go for a run without worrying about incontinence, and I was able to get the therapeutic care I needed. But I'm disturbed by how this aspect of pregnancy and childbirth is handled in our country. There are millions of American women who have accepted needless, correctable dysfunction, weakness, and pain as a fact of life.

If these injuries are so common, why don't we talk about them more? Why isn't every new mother given the information she needs to prepare for this possibility and make a plan to protect and restore core health?

We need a better standard of care. Safe core training before and during pregnancy can help keep these injuries from happening in the first place, and proactive evaluation for diastasis recti and pelvic floor damage should be a routine part of postpartum care, along with referrals to exercise, therapy, or surgery as needed.

"The common narrative with motherhood is martyrdom, especially in today's day and age where women are supposed to do it all take care of the kids, work full time, be on the PTA," Nowe said in our interview. But "with a little help and education, so many women can live with a better quality of life. You can feel like yourself again."

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What is diastasis recti and how is it treated? - The Week Magazine


Oct 23

College of Education and Health Professions Welcomes 14 New Faculty Members – University of Arkansas Newswire

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The College of Education and Health Professions welcomed more than a dozennew faculty members to the University of Arkansas this fall.

"We're delighted to welcome these talented new faculty members to COEHP," said Dean Brian Primack. "Their professional accomplishments demonstratea remarkable commitment to excellence in scholarship, research, and teaching. We are thrilled to welcome them to our community."

Each faculty member brings unique research interests and expertise to help prepare students for a variety of careers, including nursing, sport management, exercise science, counselor education, teaching and educational statistics.

They represent five different units within the college.

Curriculum and Instruction

Renee Speight is a new teaching assistant professor of special education and a Board Certified Behavior Analyst at the doctoral level. She earned a bachelor's degree in political science in 2009, a master's in special education in 2013 and a doctorate in curriculum and instruction in 2018, all from the U of A.

Speight's research focuses on exploring strategies within multi-tiered systems of behavior and academic support to improve outcomes for middle childhood and adolescent learners. She also has interest in supporting teachers in sustained implementation of evidence-based practices. Speight teaches courses on classroom management, high-incidence disabilities, applied behavior analysis for teachers, and supervises undergraduate and graduate students in their field experiences.

Before joining the U of A, Speight worked as a middle school teacher. Speight serves as a board member for the Arkansas Association of Middle Level Education and Arkansas Chapter of the Council for Exceptional Children. She has presented at state and national conferences and her work has been published in the Journal of Positive Behavior Interventions.

Alissa Blair is a new assistant professor whose research focuses on the education of K-12 multilingual learners. She earned her bachelor's degree with specializations philosophy and Spanish from Saint Mary's College in 2002 and completed her master's degree in secondary foreign language education at the University of Notre Dame in 2004. Putting her degrees to the test, Blair taught high school Spanish in Birmingham, Alabama, and then English as a foreign language in Santiago, Chile. Later, Blair earned a doctorate in language and literacies and bilingual education from the University of Wisconsin-Madison in 2014.

Blair's research interests include academic uses of language, bilingual education, family engagement and teacher education. Her work has appeared in multiple peer-reviewed journals including TESOL Quarterly, Review of Research in Education, Bilingual Research Journal, Linguistics and Education, and Theory Into Practice, among others. Blair joins the U of A from the University of Miami where she worked for two years on a U.S. Department of Education grant project to increase the number of middle and high school teachers qualified to work with culturally and linguistically diverse students in Miami-Dade County Public Schools.

Blair is passionate about working with educators and families to make schooling more just and equitable for linguistically and culturally diverse children and youth.

Health, Human Performance and Recreation

Abigail Carpenter Schmitt is a new assistant professor of exercise science. She completed her doctorate in applied physiology and kinesiology at the Applied Neuromechanics Laboratory at the University of Florida. Schmitt earned bachelor's and master's degrees in sport and exercise science from the University of Northern Colorado. After graduating, she worked for the leading developer of motion capture technologies, Vicon Motion Systems.

Schmitt also spent several years as a biomechanics researcher at Duke University in the Michael W. Krzyzewski Human Performance Lab. She's currently pursuing an interdisciplinary research program exploring the challenges associated with neuromuscular dysfunction. By combining techniques from biomechanics, medicine, neurophysiology and exercise science, Schmitt is improving assessments of human movement with the goal of improving neuromechanical control. Specifically, she is assessing measurement techniques to identify underlying gait instability in people with orthopedic diseases and neuromuscular dysfunction. Through her teaching, mentoring, and research, Schmitt pushes her students and colleagues to consider new ideas that change how they think about the ways people move.

Page Dobbs is a new assistant professor of public health. She received a bachelor's degree from the U of A in food science in 2009. After working for the Northwest Arkansas Tobacco-Free Coalition, she returned to the U of A where she earned a master's degree and then a doctorate in community health promotion. After graduation, Dobbs worked for two years as an assistant professor at the State University of New York at Cortland and, most recently, two years as an assistant professor in the Health and Exercise Science Department at the University of Oklahoma.

Dobbs is currently studying factors that may influence young adults to use novel tobacco products. Some of her recent work used mixed methodology to examine their perceptions about one of the most popular electronic cigarette products, JUUL. Dobbs also has a particular interest in health policy. One of her recent publications in Tobacco Control examined the policy language of state-level Tobacco 21 policies passed in the United States prior to July 1, 2019. She's working with a team now to examine discussions about tobacco control policies on social media platforms.

Craig Schmitt is a new teaching assistant professor in the Recreation & Sport Management program. He earned a doctorate in sport administration from the University of Northern Colorado in 2014, a master's degree in sport business management and an MBA from the University of Central Florida in 2005, and a bachelor's degree in business economics from the University of Florida in 2003.

Schmitt was previously the director of engaged learning and outreach at the University of Florida and an assistant professor of sport and event management at Elon University. He also served as an instructor for the Business of Sport Certificate program at the University of Colorado. Prior to his academic career, Schmitt was a director of YMCA programs in central Florida and Charleston, South Carolina, from 2005 to 2010.

Schmitt's teaching interests focus on the business of recreation and sport management, with a particular interest in sport marketing. He's an advocate of creating opportunities outside the classroom, or through industry engagement in the classroom, for students to be better prepared for their career paths of interest.

Alex Russell is a new assistant professor of public health. He recently graduated with a doctorate in health education from Texas A&M University. Russell earned a master's degree in sport and fitness administration and a bachelor's in media production, both from the University of Houston.

With a broad background in health, Russell has training and mentorship in alcohol-related research. His research has focused on alcohol use and misuse among adolescents and young adults in the following areas: peer influences on college students' alcohol use; alcohol marketing to youth via online and social media; and the protective effects of youth religiosity/spirituality on early onset of alcohol use. Currently, Russell works on leveraging social media data to explore themes of co-use of alcohol and tobacco among youth.

Josh Lens has been a teaching assistant professor in HHPR since 2018 and transitioned over to a new role as a tenure-track assistant professor in the Recreation & Sport Management program this fall.

He earned a bachelor's degree in economics from the University of Northern Iowa in 2002 and his law degree from the University of Iowa College of Law in 2005.

Lens is a former attorney and college athletics administrator who researches and writes about legal issues in sports.He's written numerous law review articles and has been quoted in USA Today, New York Times, and CBSSports.com, among others. His research interests includesport law, college athletics, NCAA legislation, athlete-agent authorities and professional sports collective bargaining processes and outcomes.

Eleanor Mann School of Nursing

Megan Owen, a native of Northwest Arkansas, is a new clinical nursing instructor. She earned a bachelor's degree from the U of A nursing school in 2013. She obtained a Master of Science in Nursing degree from the University of South Alabama in 2016.

Owen's nursing background is in neonatal intensive care, adult intensive care and mother-baby postpartum care. She worked in pediatric primary care and as a pediatric hospitalist Advanced Practice Registered Nurse. She has taught clinical rotations and worked in the simulation lab for the Eleanor Mann School of Nursing since 2017. She is passionate about pediatrics and critical care and seeks to instill a passion for learning in her students, as the nursing profession requires a lifetime of education. Owen's research interests include pediatric health disparities in Northwest Arkansas and multidisciplinary simulation at the nursing school for better student and patient outcomes.

Lindsey Sabatini has transitioned from an instructor at the nursing school to the interim assistant director. She earned her bachelors, masters and doctoral degrees all from the U of A. Sabatini began teaching as a clinical instructor in 2008 and has been a faculty member since 2012.

Sabatinis background is in critical care nursing, informatics, pathophysiology and geriatrics. She currently works as an Advanced Practice nurse with a local geriatrician and returned to bedside care recently as an ICU nurse in response to the COVID-19 pandemic. Her research interests include student engagement and nurse retention. She has a passion for nursing education and the various job opportunities in the profession.

David Hall is a new nursing instructor. He earned both a bachelor's and a master's degree from the Eleanor Mann School of Nursing. He was awarded the Future of Nursing Education award from EMSON in 2019. Hall was a graduate assistant in the nursing school before taking the new position this fall.

Hall has been involved in nursing education since 2013. During his bedside practice, he worked in psychiatric medicine, home health and acute care. Hall's research interests include studying cognitive load theory and its application to curriculum and instructional design.

Heather Hunter began teaching at the Eleanor Mann School of Nursing in 2014 as an adjunct clinical instructor in various courses and labs. Shes now teaching in the online Bachelor of Science in Nursing (B.S.N.) program and serving as the online B.S.N. practicum coordinator. Hunter provides support to students as they identify clinical opportunities across the country.

She earned B.S.N. and Master of Science in Nursing degrees from the U of A. Hunter has worked in palliative care programs and hospice organizations as a case manager and inpatient nurse. Shes certified as a hospice and palliative care nurse and has served in various chapters of the Hospice and Palliative Care Nurses Association (HPNA).

Hunters research has focused on mentorship within nursing programs for students and new adjunct faculty as they transition from clinicians to educators.

Occupational Therapy

Maria Ball is the new academic fieldwork coordinator and clinical assistant professor in the college's Occupational Therapy Doctorate Program. She earned a bachelor's degree in biology from Arkansas Tech University in 2005.She graduated from the University of Oklahoma in 2008 with her master's degree in occupational therapy. Ball graduated from the University of Kansas in 2019 with a doctorate degree in occupational therapy.

Ball previously workedas a school-based occupational therapist at the Boston Mountain Education Cooperative for 12 years. During this time, she collaborated with many stakeholders to improve student participation and engagement with activities encountered throughout the school day. She's passionate about promoting student inclusion and engagement in the natural environment.

Rehabilitation, Human Resource and Communication Disorders

Tameeka Hunter joined the U of A as a tenure-track assistant professor in the counselor education program. Hunter is a licensed professional counselor, a nationally certified rehabilitation counselor, and a board-certified counselor. Hunterhas a bachelor's degree in business administration, a master's degree in rehabilitation counseling and a doctorate in counselor education and practice from Georgia State University. She had a 17-year career in disability services before beginning her doctoral studies. Most recently, she was the director of the Disability Resource Center at Clayton State University.

Hunter's research focuses on the resilience of marginalized, and multiple marginalized populations, including people of color, sexual and gender-expansive individuals, women, and people living with disabilities and chronic illnesses. Her work examines the impact of resilience and strength-based approaches on the psychosocial, educational and vocational functioning of marginalized populations.

Hunter was named the American Rehabilitation Counseling Association Doctoral Student of the Year, an Association for Counselor Education and Supervision Emerging Leader and a Southern Association for Counselor Education and Supervision Emerging Leader. Hunter was awarded the National Board of Certified Counselors Minority Fellowship. Her teaching interests include rehabilitation foundations, counseling research, medical and psychosocial aspects of disability, and intersectional research.

Lorien Jordan is a new assistant professor of educational statistics and research methods. She earned a doctorate in human development and family science as well as a graduate certificate in interdisciplinary qualitative research from the University of Georgia. Jordan has a master's degree in family therapy from Mercer University, a master's degree in studio art from New York University, and she received her bachelor's in studio art from Arizona State University. Before joining the U of A, Jordan was an assistant professor at Mercer University's School of Medicine in Macon, Georgia.

Jordan's research focuses on two intersecting strands: the production, analysis, and critique of qualitative research methodologies, and research that advances social justice in complex systems. Currently, she investigates institutional discourse in education and healthcare to increase culturally-responsive equity, participation, and access.

Jordan's work has appeared in 16 peer-reviewed publications, and she has an international and national presentation record. Her research has been recognized with such awards as the U.S. Graduate Student Fulbright Award, the American Association for Marriage and Family Therapy's Dissertation Award and the Cutting-Edge Research Award. Jordan serves on the editorial board of The Qualitative Report, is a licensed marriage and family therapist, and governor appointee to Georgia's behavioral health licensing board.

About the College of Education and Health Professions:The College of Education and Health Professions offers advanced academic degrees as well as professional development opportunities and learning communities in service to the education and health systems of Arkansas and beyond. The college provides the education and experiences for a variety of professional roles, ranging from community mental health counselors to school teachers and leaders. Programs in adult and higher education, along with educational technology and sport management, offer a broad range of options. In addition to education-related opportunities, the college prepares nurses, speech-language pathologists, health educators and administrators, recreation professionals, rehabilitation counselors and human performance researchers.

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College of Education and Health Professions Welcomes 14 New Faculty Members - University of Arkansas Newswire


Oct 23

St. Paul boxing class helps in the fight against Parkinsons – TwinCities.com-Pioneer Press

Its Tuesday morning at the Element Gym in St. Pauls Hamline-Midway neighborhood, regulars trickle in for the 10 a.m. boxing class. Men and women are ready to duke it out for an hour and get in their early-morning workout. But this gym crowd is a little different from what you might expect, they are all over 60 years old and have Parkinsons disease.

The boxing class, Rock Steady Boxing, is an Indianapolis-based nonprofit gym started in 2006 to help those with Parkinsons and is one of the programs, as well as Element Gym, that make up CoMotion Center for Movement. CoMotion is focused on providing fitness programs for underserved, low-income neighborhoods in St. Paul.

But despite CoMotion and Rock Steadys innovative programming, Kim Heikkila, a co-director and coach at Rock Steady Boxing St. Paul, says people with Parkinsons are still underserved; particularly those of color.

Building a Parkinsons workout program that targets communities of color has been as challenging as it is important, Heikkila said.

Boxing classes for those with Parkinsons arent much different from regular boxing classes. Katie Grove, another coach and co-director at Rock Steady Boxing and retired athletic trainer, says their boxing classes target balance and strength, both important for those with Parkinsons. Grove and other coaches work in unique ways to stimulate the mind as well as the body.

Jim Benson, a class member of Rock Steady Boxing, admits he doesnt really understand how boxing helps his Parkinsons. But the 85-year-old, known by those at CoMotion as the Walloping Swede, believes the positive reinforcement of the Rock Steady staff does everybody good.

Heikkila shouts 1, 2, 2, 3, and then switches to words during her warm-up step left, hook right. This is a subtle way, Grove explains, to train the brain as well as the body. When class members arent throwing punches, sometimes they will practice buttoning shirts to work on fine motor skills.

The stigma of Parkinsons is a setback for treatment. Parkinsons is a nervous system disorder that leads to shaking, stiffness and difficulty with walking and balance, according to Parkinson.org. Heikkila said some employers of Rock Steady members dont even know their workers have Parkinsons.

When researching new BIPOC Parkinsons programming for a Parkinsons foundation grant, Heikkila said she discovered not only are communities of color underserved, they are underreporting their symptoms.

Some of this, Heikkila clarified, has to do with cultural differences. In Asian cultures, she says for example, the symptoms of Parkinsons shaking and lack of balance are seen as side effects of aging, not a serious underlying condition.

In addition to the stigma of Parkinsons, there are cultural differences that need to be addressed when working with non-white communities. This means extra care has to be taken to make programs welcoming and appealing, said Heikkila.

This has led to a creative, grassroots approach to finding guidance for the program, said Lori Gleason, executive director of St. Paul Ballet and another coach in the growing Parkinsons programming at CoMotion.

In addition to Gleasons ballet classes, Robyn Mathews-Lingens martial arts program, Dragon Crane, is being adapted to serve guests with Parkinsons. Smiling Drum Studio is also being altered for the program. All of the programs share space inside CoMotions sprawling former warehouse interior.

The grassroots approach Gleason spoke about has involved unconventional research into reaching communities of color, including going out into the community.

Its not anything magical, just getting out there and meeting people, Gleason said. Going to Black churches and talking to pastors has been one of the ways CoMotion has not only built up a community connection but gained insight on how to make classes appealing for non-white communities, she added.

Heikkila says the program has also been reaching out to colleges for BIPOC medical students who want to help.

Heikkila hopes this outreach will help build a program that recognizes the efforts and talents brought in by other cultures. Ultimately, building a community is an important part of creating new engaging programming.

I know I want to feel like part of a community Gleason said about the role community plays in fitness programs. When youre working out, Gleason added, youre showing all the parts of yourself others dont usually see.

I love the exercise and the support, said Rock Steady Boxing class member Benson.

That in-person support is increasingly difficult to find with COVID restrictions. Like many small businesses, CoMotion was hit hard by pandemic shutdowns. After starting a fundraiser and pivoting quickly to Zoom lessons at the start of shutdowns, CoMotion and Rock Steady Boxing are slowly returning to normal. On a recent Tuesday, Heikkila balanced a small class of about 10 and a Zoom class in tandem.

While the BIPOC Parkinsons program is still in the outreach stage, CoMotion will be holding a free community Zoom call to discuss race, ethnicity, and Parkinsons on Oct. 27. By 2021 the project, funded by a community grant from the Parkinsons Foundation, hopes to launch a free class sampler program and evolve into a sustainable program that serves BIPOC people with Parkinsons, according to Heikkila. For more information, email heik0012@umn.edu or go to comotioncenter.org.

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St. Paul boxing class helps in the fight against Parkinsons - TwinCities.com-Pioneer Press


Oct 23

Terra Nova Divests Remaining Interest in the Cooper-Eromanga Basin – GlobeNewswire

TORONTO, Oct. 23, 2020 (GLOBE NEWSWIRE) -- Terra Nova Resources Inc. (TNR or the Company) (CSE: TENO) announces that the Company has received notice from Armour Energy Limited (Armour) that Armour intends to exercise its option right (the Option Right) to acquire the Companys remaining 20.6667% participating interest in Petroleum Exploration Licenses (PELs) 112 and 444 (collectively, the Licenses) in the Cooper-Eromanga Basins in South Australia.

The Option Right, originally granted to Oilex Ltd. and acquired by Armour from Oilex, was granted pursuant to the option and sale agreement entered into among the Company, Oilex and Perseville Investing Inc. on or about August 13, 2019 (the Option and Sale Agreement). Pursuant to the Option and Sale Agreement, the Company initially sold to Oilex a 30.833% interest in the Licenses in consideration for 9,166,333 ordinary shares of Oilex at a deemed price of A$0.003 per share and A$18,750 in cash, issued and paid upon entry in the Option and Sale Agreement, plus an additional A$46,250 in cash to be payable upon completion (the Tranche 2 Installment). In lieu of cash, the Company agreed to accept an additional 13,290,646 ordinary shares of Oilex in payment of the Tranche 2 Installment. The Company was also refunded A$30,833 in reclamation bonds in connection with the sale of the 30.833% interest in the Licenses to Oilex.

To exercise the Option Right, Oilex was required to issue to the Company an additional 20,666,700 ordinary shares of Oilex at a deemed price of A$0.003 per share or A$62,000. In lieu of the Oilex ordinary shares, the Company has agreed to accept payment of A$62,000 in cash in payment of the option exercise price.

The divestiture of our remaining interests in Australia will allow the Company to now strategically focus on the digital health and wellness sector, and our transaction with WellteQ, a leading provider of corporate wellness solutions within Asia-Pacific stated Mark Lawson, TNRs Chief Executive Officer and Director.

About Terra Nova Resources Inc.

Terra Nova Resources Inc. is an oil and gas company that has a 20.6667% working interest in two onshore petroleum exploration licenses ("PELs"), being PEL 112 and PEL 444, including a 1.47% gross overriding royalty interest on the PELs, located on the western flank of the Cooper Eromanga Basin in the State of South Australia, Australia.

For more information please contact:

Mark LawsonCEO & DirectorTerra Nova Resources Inc.T: +1 647 302 0393Email: mark@lawson.net

This news release contains forward-looking information relating to TNR's intentions to conduct the drilling programs and other statements that are not historical facts. Such forward-looking information is subject to important risks and uncertainties that could cause actual results to differ materially from what is currently expected, for example: risks related to oil and gas exploration, development, exploitation, production, marketing and transportation, loss of markets, volatility of commodity prices, currency fluctuations, competition from other producers, inability to retain drilling rigs and other services, reliance on key personnel, and insurance risks.. Findings by other oil and gas issuers does not necessarily indicate that TNR will be successful in making such findings in Australia. In making such forward- looking statements, TNR have relied upon certain assumptions relating to geological settings, commodity prices, the stability of markets and currencies and the availability of capital to TNR in order to continue with the seismic and drilling programs. You should not place undue importance on forward-looking information and should not rely upon this information as of any other date. While TNR may elect to, TNR is under no obligation and does not undertake to update this information at any particular time, except as required by applicable securities law.

THE CSE HAS NEITHER APPROVED NOR DISAPPROVED THE INFORMATION CONTAINED HEREIN AND DOES NOT ACCEPT RESPONSIBILITY FOR THE ADEQUACY OR ACCURACY OF THIS RELEASE

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Terra Nova Divests Remaining Interest in the Cooper-Eromanga Basin - GlobeNewswire


Oct 23

Is former RHOBH star Teddi Mellencamps All In program dangerous? – Monsters and Critics

Teddi Mellencamp under scrutiny for her strict diet and fitness program Pic credit: Bravo

Teddi Mellencamp, former Real Housewives of Beverly Hills star, is facing swift criticism about her weight loss and accountability program, All In.

Participants have anonymously come forward to share their experiences and highlight unethical and potentially dangerous components of the plan.

According to Refinery 29, Instagram influencer Emily Gellis claims that she began receiving messages from participants of the program who claimed that there were abusive aspects to it and that it encouraged disordered eating. Gellis decided to share these stories, allowing those who wanted to stay anonymous to remain that way.

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The former housewifes program is essentially supposed to be centered around diet and fitness with an accountability component. It is a three-part program that boasts an initial jump-start, which is a two-week introduction aimed at resetting to a healthy lifestyle.

Then Teddi Mellencamps All In program transitions users to a monthly program where they take what they have learned and apply it with a little less restrictive of a menu. The third piece of the plan is a maintenance piece.

All parts of the plan include an accountability coach who checks in and requires the participant to show them their meals, discuss what exercise they had done and facilitate weigh-ins all through text message.

The programs and the accountability coach all come with a hefty price tag. The initial jumpstart rings in at a non-refundable $599, the monthly tier racks up at $399 per month and the maintenance plan is $95 monthly. There are also multiple add on prices for specialty programs like fitness and weights, and a postpartum plan.

Those participants who came forward have claimed some downright torturous behavior from their accountability coaches. Claims of only being able to eat soup, consuming only 500 calories per day, being pushed to continue cardio after complaining of pain have all been waged against Teddi Mellencamps business.

I did this program and it was a nightmare, one anonymous person stated, You have to send photos of your weight and each meal and proof of your 60-minute cardio workout every day. You cannot drink alcohol or you are immediately dropped from the program with no refund. I calculated the calories to be 400-500 per day.

Even though these situations certainly sound extreme, are they actually dangerous? Dr. Jessie Hoffman, a physician and Ph.D. who specializes in eating disorders, weighed in on Teddis program.

How about lets NOT take diet advice from Real Housewives. A diet that prescribes <1000 calories, requires you to send updates after every meal, and encourages only broth soup for dinner everyday is probably the biggest red flag Ive ever seen. Recipe for EDs, Dr. Hoffman tweeted.

The Real Housewives of Beverly Hills is currently on hiatus.

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Is former RHOBH star Teddi Mellencamps All In program dangerous? - Monsters and Critics



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