Strengthen Your Hips to Maintain Your Gait
As we age, maintaining mobility and independence becomes increasingly important. One key factor in sustaining a strong and…
Here are some definitions that you should be aware of:
Cardiovascular Exercise: This refers to exercise that conditions your heart and respiratory systems. It typically includes Aerobic and Anaerobic exercise.
Aerobic exercise is exercise that demands a level of oxygen intake that your body is able to supply (for extended periods). It involves activities such as going out for a walk, jog, cycle, swim, or taking a fitness class. It is exercise that is within your comfort zone and at an intensity that you could hold for 20 minutes plus. This type of exercise will condition your heart and achieve the benefits listed above.
Anaerobic exercise is exercise that demands a level of oxygen intake that your body is unable to adequately supply (for extended periods). It is a more challenging form of exercise. It involves the same activities as above but at a much harder intensity. For example, it would involve going for a jog and then for 30 seconds picking up the pace and sprinting. Then you would return back to an easier intensity at the end of the 30 second sprint. You could do this at regular intervals during a running, cycling, swimming, or walking workout. This kind of workout will help you get fit fast. It raises what is called your “anaerobic threshold”. This threshold point is the feeling you’ll experience during an activity session when you’re pushing hard, perhaps a bit too hard, and you start to breathe really heavy and your heart is pounding fast and if you maintain this intensity for too long, you might start to feel nauseous and dizzy. This is one of the side effects when your body is not accustomed to high intensity exercise. When you perform anaerobic intervals as listed above, you only hold this pace for 30 seconds to two minutes, and just before you’re about to start experiencing some of those nasty side effects of high intensity exercise, you drop the pace again and allow your body to recover. By doing these brief, high-intensity intervals your body starts to get used to the intensity and is better able to handle the changes in your blood PH, flush the toxins out of your tissues and use the byproducts like lactic acid for energy. So, by doing these anaerobic intervals, you will get fit fast and you’ll start to notice that intensities that used to get you huffing and puffing aren’t that challenging anymore. This form of interval conditioning will also expend more calories per minute and help you achieve any fat loss goals you may have.
Just a note – Wait a few months before graduating to high-intensity exercise if you are a beginner. Of course, the faster you walk, step, dance, cycle, or run, the more calories you use per minute. However, if you have been sedentary, high-intensity exercise compromises the ability to sustain exercise for a long time. For that reason, lower-intensity exercise is more effective in the initial stages of training and is a prerequisite to higher calorie burning, higher intensity exercise. In fact, you will experience great results by just getting started on a program. You do not want to start your program by dreading each exercise session because you know it is going to hurt — that will make it difficult to stay motivated.
Three long, easy walks a week on an ongoing basis is far better than one hard run every once in a while. Remember, consistency is the key to getting results. You are going to eventually want to intensify your program, but you want to progress to this level slowly. In the beginning, start by just incorporating two months of easy training with a slow, gradual progression of volume. Do not worry about intensity – just work on increasing the amount of time you spend exercising.
Variable impact refers to exposing your body to a bit of impact here and there. It is important because in order to maintain muscle mass and bone density, you need to add a little bit of stress onto the bone. You may have heard many people complain that high-impact exercise really bothers their joints, specifically back, knees, or feet. For a lot of people, high-impact activity may not be the activity of choice; however, in your program you will want to ensure that you do expose your muscles and bones to a bit of impact. For example, if you’re a swimmer, your body weight is supported by the water, so you’ll want to complement this with an activity like walking. Swimming is a great activity, but recent studies have shown that it is not as beneficial for bone density as medium-impact (walking) or high-impact activities (volleyball). Even though swimming is better than no exercise, it should be augmented with strength training or a type of activity that will provide a bit more load on the body i.e. walking, fitness classes, etc. Or if you’d like to try jogging, stick to a walk/run program where you may start with walking for four minutes and running for only one minute at a time. This will be sufficient to provide the positive results we’re looking for.
Cardiovascular Prescription:
The most important type of exercise you can do to increase your longevity is cardiovascular exercise. Heart disease is the #1 killer of both men and women so whatever you can do to reduce your blood pressure, improve your cholesterol levels and improve the health of your heart is critically important.
The Surgeon General’s Report released suggests that 30 minutes of light activity every day (equivalent to household chores, walking, gardening, cycling) will be sufficient to improve someone’s health. This is a nonstructured way of attempting to improve your health. All you have to do is commit to being more active in your life. Just try to get in 30 minutes of activity every day.
If your goals are more aggressive and you really desire to improve your overall fitness, your prescription will require a higher level of volume and intensity. Here are some guidelines:
The American College of Sports Medicine (ACSM) recommends moderate intensity aerobic exercise for a minimum of 30 minutes on 5 days/week (150 minutes per week), or vigorous intensity aerobic activity for a minimum of 20 minutes on three days per week.
If your goal is fat loss, it is suggested that each aerobic session should expend at least 300 calories minimum (of course, anything is better than nothing). Your own wearable tracking devise like an Apple watch or FitBit smart watch will help you measure calories burned during each workout, but to give you an idea, 300 calories would be equivalent to approximately 30 minutes of a high intensity fitness class, three miles of running, or approx 4-5 miles of walking.
There’s value to doing something active every single day. That doesn’t mean that you need to push yourself or head to the gym every day and that you shouldn’t have recovery days, but you should have intentional movement planned into every single day. Why?
If you are just committing to your health and fitness, start small. Develop the habit of doing something physical every day. You could start with a morning or after dinner walk every day and build from there. Once you are consistent enough to start experiencing the incredible benefits of the magic pill of daily exercise, that will be enough motivation to keep you going. You deserve to look and feel your best!
The actual type of aerobic activity must be continuous in nature and involve your large muscle groups. Some of the best choices are as follows:
The most important consideration when deciding which activity will be your primary activity of choice is deciding which of the above activities interest you the most and that you truly believe you could do on an ongoing basis. The best activity in the world is the one you actually do regularly. If we told you that running was the best way to get in shape, but you hated running, you probably would not stick to the program very well and would probably experience very limited results. So, you really need to examine your interests. For example, if you prefer to exercise outside, trail running or hiking may be your answer. If you prefer indoors, you might enjoy the energy of fitness classes or working out on an elliptical, treadmill or climbing machine. If you like to exercise in groups, a fitness class or a walking/running clinic may help you stick to your program. If you are a solo exerciser, your own individualized program may offer the solitude you are looking for. It is important to determine the perfect-fit, custom-designed program that will facilitate your efforts. Here are some questions to help you design a program that is going to work for you.
Consideration: When determining when you will exercise, consider that working out first thing in the morning definitely has advantages. One theory is that an early morning workout will jump-start your metabolism and get you revving at a higher level all day long. In addition (and probably more importantly), many people find if they workout first thing and get it out of the way, there are fewer chances for life responsibilities to distract them away from their exercise ambitions. Finally, an early morning workout sets the tone for the entire day. You already have one success under your belt and thus, may find it easier to make healthier choices at lunch or pass on the donuts mid-afternoon. However, keep in mind that exercise at any time of the day is best. For example, many parents prefer to exercise on their lunch break so they can get home after work and be with their kids. So, if you have tried early morning exercise and it did not work for you, don’t worry. You will accomplish your goals regardless of the time of day you exercise.
When deciding whether an activity is the right one for you ask yourself some of the following questions:
If you answered yes to all these questions, you’ve made a good choice. If you’ve answered no to these questions and you find the activity unpleasant, boring, frustrating, and you hate every second of it, you should reconsider your choice and search for an activity that will provide you with more enjoyment.
Remember that consistency is the primary key to achieving your exercise goals. Find an activity you enjoy and you will be more motivated to participate, stick with it more consistently and reap the benefits more quickly! Find which activity sparks your interest and soon you will also enjoy a fit and healthier body!
Before we move on, let’s examine the following considerations. We know that in order to maximize caloric expenditure, we need to maximize the amount of oxygen we are consuming. We utilize more oxygen when we involve more muscle mass. So, any activities that involve more muscle mass will make burning calories and body fat easier. So, if your goal is to maximize fat loss, consider these points:
A Personal Trainer can help customize your cardiovascular training program. Here are the principles and rationale we use when designing your weekly structure.
Low intensity versus high intensity:
A number of years ago, you may remember many fitness professionals prescribing lower intensity activity to maximize fat loss. Many fit people lowered the intensity of their workouts fearful that they were not burning fat. Unfortunately, they were misled, and many people still believe that low intensity activity is the best way to maximize fat loss. The reality is that the activity that expends the most calories will lead to the most amount of fat burned.
Yes, during lower intensity activity you will burn a higher percentage of fat and during higher intensity activity you will burn a higher percentage of carbohydrates or sugars. But the important point to note is that during low intensity activity you are burning fat at a higher percentage of a lower number of calories. When you exercise at a lower intensity you are expending less calories. The selective use of fat as a fuel, specifically at lower intensities, does not translate into greater fat loss, regardless of how tempting it is to draw this conclusion. The more important focus with regard to calories expended, is not the percentage of energy coming from fat, but rather the total volume of fat used, and the total number of calories expended. Let’s look at the math.
At 60% max heart rate (easier intensity)
At 80% max heart rate (more vigorous intensity)
From these figures you can see how fitness leaders could have been misled. If you were to examine only the first line, the percentage of fat being burned as fuel, you would definitely prescribe lower intensity activity. However, if you examine the whole picture, it is clear that higher intensity activity definitely expends more calories and also more fat. Here is some more statistics to convince you.
It takes approximately 3,500 calories to burn one pound of fat. Compare the following exercise programs.
Program A – Easier intensity (approximately 5kcal/min) – For example, easy walking
Program B – Same intensity as above but for a longer duration
Program C – More vigorous intensity (approximately 10 kcal/min) – For example, jogging or power walking up and down hills
If you followed Program A, it would take you eight weeks to burn one pound of fat! Most people would give up by then. If you could easily handle the higher intensity of Program C, wouldn’t you prefer to just wait 2 weeks to burn off that pound of fat? Remember though, if you can’t handle the higher intensity of Program C, follow Program B which means you can maintain the easier intensity, but you just have to go longer.
Time is definitely an issue for a lot of exercisers, and most don’t want to spend hours in the gym if they can get the same results in a shorter period of time. Consider this. At 60% of your max heart rate, it would take you approximately 40 minutes to burn off 300 kcal. If you could handle a higher intensity and were able to exercise at 80% of your max heart rate, it would only take you approximately 27 minutes to burn the same 300 kcal. If time is a factor and you do not have a lot of time to waste, would you rather exercise for 40 or 27 minutes and still burn the same number of calories?
If we have not convinced you yet, consider this. Did you know that the highest percentage of fat that you burn during any activity is during rest! At rest, you are using approximately 50% fat as your fuel – that is the highest % of fat you can burn – you are never burning 100% fat. That’s right, just sitting here reading this manual, you are burning the highest percentage of fat you could possibly burn. That is because your body can only store a limited supply of carbohydrates (sugars) and so during rest, the demand on your body is low and your body wants to spare your precious sugar stores. Since you have an unlimited supply of fat stores, your body would rather burn fat during rest.
Remember though, that although you are burning a higher percentage of fat at rest, you are expending very few calories (approximately 1 kcal/min) so overall you are not burning a lot of fat. If type of fuel utilized was the critical factor for fat loss, then we would be prescribing more rest because this is when we burn the highest percentage of fat as fuel. But it is a higher percentage of a lower number of calories. So, of course, we know it is ridiculous to even consider rest or sleep as a high fat burning activity.
One last note. Examine elite level athletes like sprinters. Most of their training sessions involve high intensity, sugar-burning activity. But have you ever seen a fat sprinter? Of course not. Although, they are burning a lot of carbohydrates (sugars) during their training sessions, they are also expending a lot of calories and a lot of fat. In fact, some sprinters eat over 5000-6000kcal/day without gaining any fat!
The benefits of higher intensity exercise are as follows:
So, the bottom line is that everyone can benefit from incorporating high intensity training into their program once they have completed the initial level of base conditioning. As we have mentioned, the recommended fitness prescription is one that includes all intensity training zones. That is, sometimes you go easy and long and other times you go hard and fast. This will ensure you train all of your energy systems and minimize over-training. As a reminder, don’t start with high intensity exercise. Complete a couple months of easier, base conditioning first. Important – not all of your workouts should be at a high intensity. Mixing it up is the best prescription.
Based on all your answers and your understanding of the material in the above section, you can develop a weekly exercise program. Keep in mind, a personal trainer can help you customize this plan and ensure it’s effective and efficient.
Design your own personalized exercise program.
Mon | Tues | Wed | Thurs | Fri | Sat | Sun | |
Activity |
Do not worry about “making mistakes” in your program. Just getting you to exercise regularly is all we need to do at this point. We can fine-tune your program as you go along and as we introduce you to some important concepts. But for now, just remember that the best program in the world is the one you do regularly. So just get moving and commit to it for life!
Review your cardio program. Does it look realistic? Most people who start an exercise program are initially very excited, motivated and ready to commit to anything! Unfortunately, this may not last long if the goals they have set are unrealistic. So, if you believe you can follow this plan, then you can!
Many exercisers question whether they are working too hard or should be breaking more of a sweat. How do you know if you are exercising in the right intensity zones? That is where monitoring your heart rate comes in. Traditionally an intensity of 70 percent of your maximum heart rate was thought to be the ideal. But this one-size-fits-all approach might not provide the best results for everyone. We are finding that a more custom designed approach is more effective. Here is how to go about it:
First, you have to determine which of the following zones fits your goals: general health, weight management, aerobic conditioning, advanced conditioning or a combination of all four.
Zone 1: General Health – A great deal of research indicates that being active at 50 to 60 percent of your maximum heart rate [RPE 4-5], consistently and for a total of 30 minutes on most days, reduces the risk of developing many chronic diseases. Low intensity activities like walking, gardening, household chores or easy cycling will achieve this. If someone does not need to lose body fat and they are not training for a sporting event, this may be all they need to do to stay healthy.
Zone 2: Weight management – If your goal is to reduce body fat and you have been relatively inactive, you will need to train at a level of 60 to 70 percent of your maximum heart rate [RPE 6]. This is still within your comfort zone and allows you to exercise at a steady pace for a long enough time to burn off a substantial number of calories.
Zone 3: Aerobic Conditioning/Weight Management – If your goal is to improve your cardio-vascular conditioning for better stamina and endurance, you should train within a zone of 70-80 percent of your maximum heart rate [RPE 7]. This is also a good zone for fat burning if you are already fairly fit. This zone represents a more vigorous level of activity.
Zone 4/5: Advanced Conditioning – If you are in top shape, training for a sporting event and/or ready to incorporate high intensity exercise, you should be ready to include some workouts that are 80 percent and above your maximum heart rate [RPE 8-9]. This level of training is both physically and mentally demanding so it is not something you would do on a daily basis and remember, it’s not suggested if you’re just getting started. This zone is also a fat burning zone if you are extremely fit and can sustain this intensity.
Remember that ideally, your exercise program will include workouts in each of these ranges – short and hard to long and easy.
Here is a formula to help you figure it all out.
Step One: Estimate Maximum Heart Rate: This is the maximum number of times your heart can beat in a minute. You can determine your true maximum heart rate in a science lab, or you can estimate this figure using this formula.
Male: 220 – age =
Female: 226 – age =
Step Two: Determine Resting Heart Rate: This is your heart rate in beats per minute when you are resting. It is typically your lowest average heart rate. If you take the time to determine your true resting heart rate, your training will be more on target. To determine your true resting heart rate, before you get up in the morning, measure your heart rate for one minute. Be sure to wait a few minutes after the alarm has gone off, so your heart will recover from being startled. Do this 3 days in a row and take the average. This is your resting heart rate.
Determine your true resting heart rate.
Day one:____________ beats per minute
Day two:____________ beats per minute
Day three:___________ beats per minute
Average resting heart rate = ____________ beats per minutes
Step Three: Calculate your Heart Rate Reserve. This is the difference between your maximum heart rate and your resting heart rate – it is the number of beats per minute between your highest and lowest heart rate (MHR—RHR = HRR)
Complete this chart and then use the figures to calculate your Heart Rate Training Zones.
Estimated Maximum Heart Rate (MHR) | True Maximum Heart Rate (MHR)* | Resting Heart Rate (RHR) | Heart Rate Reserve (HRR) MHR – RHR |
Male: 220 – age = Female: 226 – age = |
*This would be calculated in a lab. If you do not have this figure, use the estimated MHR to the left.
Zone 1 – General Health: 50-60% percent of your MHR
Lower Target Heart Rate Zone = [HRR X 50%] + RHR =
Upper Target Heart Rate Zone = [HRR X 60 %] + RHR =
Zone 2 – Weight Management: 60-70% of your MHR.
Lower Target Heart Rate Zone = [HRR X 60%] + RHR =
Upper Target Heart Rate Zone = [HRR X 70 %] + RHR =
Zone 3 – Aerobic Conditioning/Weight Management: 70-80% of your MHR.
Lower Target Heart Rate Zone = [HRR X 70%] + RHR =
Upper Target Heart Rate Zone = [HRR X 80 %] + RHR =
Zone 4 – Advanced Conditioning: 80-90% of your MHR.
Lower Target Heart Rate Zone = [HRR X 80%] + RHR =
Upper Target Heart Rate Zone = [HRR X 90 %] + RHR =
Zone 5 – Elite Level Training: 90-100% of your MHR
Lower Target Heart Rate Zone = [HRR X 90%] + RHR =
Upper Target Heart Rate Zone = [HRR X 100 %] + RHR =
Note the above age-adjusted maximum heart rate formula is perfect for our purposes. A more accurate method is to actually determine your maximum heart rate in a laboratory setting using a stress test facilitated by a physician or sports physiologist. The tests are generally administered on a treadmill or exercise bicycle and cost anywhere between $100-$300. Assuming you don’t want to spend the money on a maximal heart rate test, just use the estimated values above.
Here’s a sample. Let’s say you are a 40-year-old inactive woman who wants to lose body fat. Let’s say we’ve determined that your resting heart rate in the morning is 70 beats per minute. Let’s say you will be working predominantly in Zone 2.
Estimated maximum heart rate = 226 – age (40) = 186bpm
Heart Rate Reserve: 186 – 70 = 116bpm
Low end of training zone = (HRR x 60%) + 70bpm = 140 beats per minute
High end of training zone = (HRR x 70%) + 70bpm = 151 beats per minutes
The training zone for this type of workout would be 140-151 BPM.
Helpful tip: If you’re not a math lover, we’ve made it easy for you! Go to our website and use our Heart Rate Training zone calculator to make this a lot easier!
Purchasing a Smart Watch:
Once you have determined your optimal training zones for each workout, the best way to ensure that you are in the correct zone is to invest in a Smart Watch. This will allow for a more accurate, quick analysis of your heart rate and the ability to easily intensify or reduce the intensity of your workout if you are not in the right zone. Unfortunately, manual heart rate monitoring (on your wrist or neck) has been found to be inaccurate with errors as high as 27 beats per minute. In addition, when testing on your neck or wrist, you have to stop and interrupt your workout to do the reading.
We encourage all clients to make the investment in a Smart watch like Apple or FitBit. A Smart watch will allow you to monitor intensity and will also calculate your caloric expenditure and daily steps so if you have set a goal, you’ll know when to stop. Basically, it’s like having your trainer with you for all your workouts.
Rating of Perceived Exertion (RPE) Your heart rate can be affected by numerous variables such as food, medication, temperature, and stress so it is necessary to monitor the intensity of your workouts with an additional indicator – Rating of Perceived Exertion (RPE) scale. It is a scale that calls on your own perception of the intensity of a workout to indicate whether you are training in the appropriate zone. RPE is gaining popularity because of its effectiveness, simplicity, and safety. The RPE scale was developed by Dr. Gunnar Borg from Sweden. Borg noticed a close relationship between exercising heart rate (which is directly related to the intensity of the exercise) and how the athlete actually perceives his or her effort. The original BORG method used a scale from 6-20 however, has since been modified to the RPE scale using a more user-friendly scale from 0-10. Zero on the scale represents a resting level with no elevation in breathing. At the other extreme, a rating of 10 would indicate all-out severe exhaustion. Here is how to match up the numbers with your workouts.
0 – Represents a resting level with no elevation in your breathing.
1 – Represents a more active rest, like working at your desk with no elevation in your breathing.
2 – Represents an active resting level like getting dressed or walking around in your house with no elevation in your breathing.
3 – Represents a low level of activity like gardening or the warm-up stages in a workout. You may be aware of your breathing, but it is slow and natural.
4 – Represents a low level of activity like a stroll or an easy bike ride with a slight elevation in breathing. You are still well within your comfort zone. This would be your predominant training zone if you fall within the General Health Training zone.
5 – Represents a moderate level of activity like walking briskly. Your breathing is elevated higher than in level 4 but you are still well within your comfort zone. This would be your predominate training zone if you fall within the Weight Management Training zone or if you were scheduled for a long, easy workout.
6 – Represents a moderate level of activity like walking briskly to a very late appointment. Your breathing is faster and deeper, but you are still at a level that is within your comfort zone. You feel that you can comfortably hold a conversation. This will still be your Weight Management Training zone or your moderate intensity workout zone.
7 – Represents a vigorous level of activity like jogging. Your breathing is more rapid and deep and you feel like you can hold a conversation but would probably prefer not to. This intensity is beginning to feel more challenging and outside of your comfort zone. This would be your predominate training zone if you fall within the Aerobic Conditioning/Weight Management zone.
8 – Represents a vigorous level of activity like faster running. You can hold a conversation, but it would be short. You think you can continue for the remainder of your session, but you are not 100% confident that you can make it. You feel that you are outside of your comfort zone and being heavily challenged. This will still be your Aerobic Conditioning/Weight Management Training zone.
9 – Represents a very, very vigorous level of activity like sprinting intervals in a run. Your breathing is very labored and you could not hold a conversation. You would definitely feel fatigued and outside of your comfort zone. This would be your predominate training zone if you fall within the Advanced Conditioning zone or were performing a short, hard workout.
10 – Represents an all-out effort with severe exhaustion. It is not recommended that you train at this level.
One of the simplest and most effective ways to improve your health is to increase your daily steps. The Centers for Disease Control and Prevention (CDC) recommends 10,000 steps per day but is that too much or too low for you?
If you’re currently far below 10,000 steps per day, it’s not a good idea to ramp up to that amount quickly as it can cause overuse injuries. If you’re very fit and athletic, 10,000 steps may be too low for you. The best way to personalize your goal is to use a smart watch or a pedometer to track your current walking habits. Wherever you currently are, add 1000 steps to that number and allow your body to adjust. If your body tolerates the increase, add another 1000 steps per day in two weeks. Gradually increase to 10,000 steps or the goal you have set for yourself.
Also consider that there will be a point of diminishing return. You will want to ensure you are not neglecting other fitness components like strength training and/or mobility to get more steps in. Make sure your program is balanced. Walking is a great activity to start with and once you are consistently hitting your walking goal of 10,000 daily steps (or whatever value is appropriate for you), instead of increasing beyond that value, add in other fitness activities instead.
Getting to 10,000 steps, equivalent to about 5 miles of walking, can be a challenge for many so here are some tips to easily get to that number:
Being intentional with your daily movements will make getting to 10,000 steps a walk in the park, literally.
It’s important to realize that you do not need to implement all of our suggestions into your cardio program today. You may start by just committing to exercising three times per week. Then once you have made that a habit then you could perhaps, start mixing up the intensity zones by incorporating one easy, moderate and hard workout in each week. Then a few months later, you could try and incorporate a different type of activity. This is a work in progress. Enjoy the journey.
As we age, maintaining mobility and independence becomes increasingly important. One key factor in sustaining a strong and…
Eating out can be an enjoyable experience, but it can also present challenges when trying to maintain a…
The power of the vagus nerve is often overlooked. The vagus nerve is one of the most critical…