Lynbrook | New Hyde Park | NY

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Holiday Safety & Fall Prevention

Here’s a scenario: We’re in the moments leading up to the big holiday, and you’ve been running around like a mad person coordinating travel plans, shuttling people around, cooking, cleaning and preparing for the event. You step outside and exclaim, “Oh man! I haven’t put up any decorations yet!” Time to crack open the shed, bust out the ladder, and begin the tedious process that is testing to see which lights work even though you stored them all nicely while they all worked last year! Anyway, no matter how big of a rush you’re in, take the time to review some wintertime safety to avoid any potential falls or injured reindeer.

You don’t need to be OSHA certified, but having some intuition and checking through the equipment manual goes a long way. Check to see if everything works correctly first. Then, make sure the surface you’re working on is not wet or slippery, and have at least one spotter or partner available to help keep things going smoothly. If you need to get into the air, have a stable platform to work from (a rolling chair may seem like a good idea at the time). As always, take your time setting up any fixtures, lights, and any other extravaganza you may have.

You know the winters in New York will be cold, probably snow, definitely freeze, and that makes for even trickier traffic conditions. These winter road conditions make travel difficult by reducing traction between you and the ground. Keep up to date on the wear of your car’s tires, the condition of the battery, lights, and fluid levels. Leave extra time for traveling to the gym, work, the in-laws, and the liquor store before the in-laws. Ice isn’t just an issue for cars so keep a supply of insulated clothing, footwear with better traction, hats and gloves.

Fall prevention is important when travelling to and from various stores, holiday parties, Amazon warehouses and the North Pole. Not just for the older population, but fall prevention is extremely important for everyone and the number one thing safety measure is to stay active and in shape. In order to be prepared for the perils of snow and freezing conditions, improve your overall body strength, endurance, and balance skills in a controlled environment such as Peak Performance, with 4 convenient locations in Lynbrook, New Hyde Park, Wantagh and Island Park!

 

By Matthew Rhodes

Keeping Up Physical Activity through the Holidays

With the holiday season approaching, it is more important than ever to stay physically active. Not only will physical activity/exercising help to burn off the calories from all the delicious food, but it has also been proven to improve our long term health. The Centers for Disease Control and Prevention and the National Institutes of Health, along with other health offices and organizations, have established a set of physical activity guidelines for all age groups to explain the benefits of physical activity and set a baseline for exercise.

Studies carried out by these organizations have proven that exercise creates healthy individuals, and healthy individuals living longer lives with less risk of chronic disease. Here is a list of the major outcomes of their combined research:

  • Regular physical activity reduces the risk of many adverse health outcomes.
  • Some physical activity is better than none.
  • For most health outcomes, additional benefits occur as the amount of physical activity increases through higher intensity, greater frequency, and/or longer duration.
  • Most health benefits occur with at least 150 minutes a week of moderate-intensity physical activity, such as brisk walking. Additional benefits occur with more physical activity.
  • Both aerobic (endurance) and muscle-strengthening (resistance) physical activity are beneficial.
  • Health benefits occur for children and adolescents, young and middle-aged adults, older adults, and those in every studied racial and ethnic group.
  • The health benefits of physical activity occur for people with disabilities.
  • The benefits of physical activity far outweigh the possibility of adverse outcomes.

Children (ages 6 – 17)

The Guidelines recommend that children and adolescents ages 6 to 17 do 60 minutes (1 hour) or more of physical activity each day. They suggest that children should participate in aerobic, muscle strengthening, and bone strengthening activities on at least three days of the week.

  • Aerobic activity- moderate to intense running, biking, or playing a sport
  • Muscle- climbing trees, using playground equipment, and or resistance training depending on age and level of experience.
  • Bone Strengthening- jumping, playing a sport, lifting weight if appropriate

Adults (ages 18 – 64)

The Guidelines for most men and women ages 18 – 64 are as follows:

  • 150 minutes (2 hours and 30 minutes) each week of moderate-intensity aerobic physical activity (such as brisk walking or tennis)
  • 75 minutes (1 hour and 15 minutes) each week of vigorous-intensity aerobic physical activity (such as jogging or swimming laps)
  • Or some combination of the two.

Moderate intensity aerobic exercise being described as an activity that increases both heart and breathing rate to some extent, and has an RPE (Rate of Perceived Exertion) of about 5 to 6 on a scale of 0 – 10.

Vigorous intensity aerobic exercise being described as an activity that increases ones heart and breathing rate, and has an RPE of about 7 to 8 on a scale of 0 – 10.

In addition, it is recommended that adults include muscle strengthening/ resistance training exercise that involves all the major muscles groups at least twice a week.

Older adults (aged 65+)

This age group has the same requirements as the younger adult group with only a few stipulations based on the capabilities of each older individual; if they have any chronic conditions or age related disabilities.

  • When older adults cannot do 150 minutes of moderate-intensity aerobic activity a week because of chronic conditions, they should be as physically active as their abilities and conditions allow
  • Older adults should do exercises that maintain or improve balance if they are at risk of falling
  • Older adults should determine their level of effort for physical activity relative to their level of fitness
  • Older adults with chronic conditions should understand whether and how their conditions affect their ability to do regular physical activity safely

So during this holiday season, while you are enjoying the dinner spreads and desserts, don’t forget to stay as active as possible for your current and long term health!

 

By David McCalla

 

2008 Physical Activity Guidelines for Americans. Washington (DC): U.S. Department of Health and Human Services; 2008. http://www.health.gov/paguidelines

 

Dressing For Cold Weather Exercise

Fall is here and so is Turkey Trot season! November means the cooler weather is coming and it’s important to make sure you are dressed appropriately for outdoor exercise. Whether you are running, walking, biking, or hiking, staying warm is important to keep yourself healthy. The temperature may only feel cool now, but there is potential for it to be cold for that Turkey Trot race. Now is the time to make sure you have appropriate attire for when those chilly days arrive. Use these tips to help yourself stay warm and dry this winter!

  1. Warm-up before you start your walk/run. Perform a dynamic warm-up before starting exercise. Not only will this increase your body temperature This will help keep your body comfortable before starting your workout.
  2. Dress like it is a little warmer than it actually is. You may be cold before you get started, but once you start moving, your body’s temperature will rise. This will help you stay comfortable during exercise.
  3. Layers. You can always take something off if you get too warm. Start at the bottom- make sure your base layer is moisture wicking material. Add a long sleeve, hoodie, or vest to keep your core warm.
  4. Moisture-wicking clothes, often called “Dri Fit,” these are your best bet. They pull the sweat away from your skin to help you stay comfortable. This is important as you stop exercise, too, because that soaked cotton t-shirt will quickly become a cold, wet shirt.
  5. Don’t forget your extremities! A hat to keep in the heat. Gloves for your fingers. Sunglasses to block the wind. If you become too warm, take them off. But is better to have warm hands than frozen fingers.

 

By Louise Mills-Strasser

 

Halloween Tricks for Treats

Happy Halloween!!!

It’s a spooky time of year to try and eat healthy. It is so easy to be a goblin or a ghoul and steal a piece of candy or two. If you’re only eating one or two pieces of candy then you won’t have any issues; it’s finding the will power to only have a piece or two of candy which is very important for this time of year. Focus on these three simple tips to set yourself up for success as we head into the holiday season!

1) Nutrition tips:

Starting your morning off healthy is the way to go. Make sure you set yourself up for success by having a healthy breakfast, lunch, and dinner. Something very simple you can do is drink lots of water all day long. (If not a great day to start is today!) Drinking more water will fill you up a little more to curb your apatite and it will help flush out any sugar you do intake. We tend to eat unhealthy if we wait till we are hungry. If you plan to eat healthy and don’t wait till your starving to eat you make healthier choices.

2) Exercise tips:

Halloween isn’t bad- it’s a great time to make sure you get your 10,000 steps in or more. Take this time to walk around your neighborhood and see the decorations and costumes. Use trick-or-treating as an opportunity to squeeze in a training walk for that Turkey Trot!

3) Set Boundaries:

If there is candy in the house sort it out in small portions to help limit yourself and avoid the sugar rush. If you know you can’t just have one or two pieces then you should probably get the candy out of your house. Here at Peak Performance we have Operation Gratitude, where we donate your left over candy to the troops. All you have to do is bring the candy into us and we will deliver it!

If you can focus on your goals and taking care of yourself during the next two months, then that New Year’s Resolution will be much easier. Why wait until the New Year to focus on your health? Trick- don’t treat- your way through Halloween, sign up for a 5k Turkey Trot for Thanksgiving and you’ll be set up for success through the December holidays!

 

By Corynne Duprey

The Benefits of the Squat

A squat is a compound movement which involves strengthening the lower body. The squat has often been geared towards athletes to better improve their athletic performance due to the amount of muscle recruitment involved.  The squat has many neuromuscular benefits making this a good addition to a sport specific exercise prescription. Athletes can benefit from front squats and back squats, but that is not the only benefit of this exercise.
According to Brad J, Schoenfeld, “it is estimated that over 200 muscles are activated during squat performance.”  Over time, the squat has developed a reputation of superiority for not only athletes, but any individual who wants to improve their functional movements such as lifting packages or picking up a baby.  Functional movements like this are required for daily activity and in order to be done correctly without strain, several muscle groups must be recruited together. The squat has now become an exercise of functionality that does not always have to be done with heavy weights.  This translates well into clinical settings where individuals who suffer from chronic knee pain, chondromalacia, patellofemoral dysfunctions, total joint replacements and ankle instability can benefit from strength training.
In a paper by A. Braidot on the “Biomechanics of Front and Back Squat Exercises,” Braidot discusses the closed kinetic chain where the distal end remains fixed compared to an open kinetic chain where the distal end of the segment that moves is free. When using a machine such as the leg extension, muscle recruitment is isolated to the quadriceps group, whereas in a squat, there are over 200 muscles being recruited. This exercise engages more muscles as a result of the instability during the execution of the squat. This makes your abdominal and postural muscles work together to help your balance, too.  So the next time you are working with your Exercise Physiologist, ask if the squat is right for you!
By Brandon Ayala

Exercise and the Aging Population

The best and most important time to exercise is in our later years.  Although you may not have the same amount of energy as you did when you were 25, beginning a regular exercise program can have you feeling younger, healthier, and happier.

Unfortunately, we undergo many physiological changes as a result of aging.  These changes include increases in fat mass, decreases in muscle mass, weaker cardiac output (reduced blood flow, stiffening of blood vessels, slower heart rate), lower bone density, and slower reflexes.  Although these occurrences are inevitable, a combination of cardiovascular, balance, flexibility and resistance training can slow down these adverse processes.

The first and most important type of training that can improve many of these aspects, as well as, lower our overall chances of mortality is cardiovascular (endurance) training.  Cardio training can be performed on various modalities, which include bike riding, rowing, walking, jogging, elliptical, arm ergometer, and other activities such as recreational sports and dancing.  Endurance training on a regular basis has been found to improve our overall cardiac output, lower our LDL cholesterol and blood-glucose levels, reduce fat mass, and improve lung function among many other aspects of our health.

Evidence backing improved cardiac output can be observed in a research study performed at the gerontological research institute.  This study was conducted to find the effects of a 4-month endurance training program on older adults.  The results of this experiment illustrate the significant benefits of exercise training on the overall cardiac output of a group of older adults. Exercisers trained three times weekly for 40 minutes on a cycle ergometer (5-minute warm up, 30 minutes at training heart rate (THR), 5-minute cool down). Target heart rate was set at 70% of peak heart rate attained on a maximal exercise test.  At the end of the experiment, the exercise group improved their aerobic capacity by 8.5% compared to the control group (no exercise) whose aerobic performance decreased (Posner).

Resistance training, otherwise known as strength training, has been found to improve bone density at any age and increase muscle mass.  Combining a strength training program with a balance training program has been found to prevent falls in the elderly.  According to a study done in New Zealand, a six month strength and balance program showed a significant change in the number of falls among two groups of senior citizens.  This is an important finding, because in many cases falls lead to long-term inactivity, which in turn increases the rate of mortality (Campbell).

By Anthony Locast

 

Sources

Campbell, A. John, et al. “Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women.” Bmj 315.7115 (1997): 1065-1069.

Posner, Joel D., et al. “Low to moderate intensity endurance training in healthy older adults: physiological responses after four months.” Journal of the American Geriatrics Society 40.1 (1992): 1-7.

Fall Prevention in Autumn

As the leaves begin to change, Team Peak dedicates its time and resources to Fall Prevention Awareness month. There are a number of Fall Prevention Programs available, including the ones here at Peak Fitness and Physical Therapy! Before you ask about or programs, here are some helpful tips to get you started.

  • Research shows that fall risk is increased by things such as age, weakness, confusion and unsteady movement. Luckily, that same research also shows that if we pay particular attention to these risk factors, our fall risk decreases. A consistent exercise program will not only help keep you on your feet, it will help keep you healthy and strong (Rubenstein, 2006).
  • Wear the appropriate footwear. Consider the changing weather as a cue to ditch the unstable sandals and opt for some better fitting sneakers. This is especially important if you are going to be doing activities like raking leaves, picking pumpkins, etc.
  • Get a balance assessment. Ideally, we can start an intervention before a fall incident Get your eyes, ears, strength, mobility and gait assessed by a qualified professional to help set you up for success (Moylan, Binder, 2007).

 

By Matt Rhodes

 

References:
Moylan and Binder, 2007. Falls in older adults: risk assessment, management and prevention. American Journal of Medicine 120(6).

Rubenstein, EF, 2006. Falls in older people: epidemiology, risk factors and strategies for prevention. Journal of Aging 35.

 

 

 

Cholesterol: The Good & The Bad

Increased exercise and a healthy diet can create positive changes within your body other than just losing weight. Cholesterol levels are just one of many indicators for cardiovascular disease. While those who are overweight have a higher risk for developing cardiovascular disease, those people are not the only ones at risk. Nutrition and exercise play a large part in one’s cholesterol levels. High cholesterol means that there is an imbalance of fats circulating in the blood stream. Cholesterol is a fatty substance that your body uses to make hormones and metabolize food. Low-density lipoprotein (LDL) is referred to as the “bad cholesterol.” A high LDL level may put you at risk for cardiovascular disease. This type of cholesterol is linked to a buildup of plaque within the arteries, which can eventually obstruct proper blood flow to the heart and other organs. High-density lipoprotein (HDL) is the “good cholesterol” which carries cholesterol from other parts of your body back to your liver and it will remove the bad cholesterol from your body. Higher HDL levels have proven to protect against heart disease. Triglycerides refer to fat content in the blood. This is the kind of fat that people eat, which found mostly in vegetable oil and animal fats.

High cholesterol, however, is not always associated with your weight. Several factors play a role in your cholesterol levels including exercise, nutrition, and genetics. These factors combine to form a baseline for one’s risk of developing high cholesterol. Consuming a diet that is high in fat, such as high-fat meats, fried foods and high-fat cheeses, will increase your risk of developing both high cholesterol and obesity.

Making small changes to your nutritional habits and exercise routine may help to reduce your cholesterol. Instead of focusing on changing your caloric intake, be mindful about the types of foods you eat which will help contribute to healthier cholesterol levels. Regular exercise may also contribute to increasing your good cholesterol levels. However, if weight loss is also a concern, research studies suggest that weight loss may help reduce your LDL and triglyceride levels, while increasing HDL.

 

By Louise Mills-Strasser