The Heart Foundation Blog

The Top 10 Excuses for Not Exercising (and Solutions!)

June 1st, 2018

In spite of the well documented benefits of exercising, only 5% of adults in the U.S. exercise the prescribed 30 minutes a day, according to the Centers for Disease Control and Prevention.

It is easy to come up with many reasons/excuses for not exercising – I’m too tired. I’m too overweight. I don’t have time.  Below are 10 of the most common excuses for NOT exercising and clever solutions to overcome those excuses.

EXCUSE #1: I’m too tired to exercise.   

Exercise is a paradox – it can make your muscles physically tired, but you’ll actually feel more energized from it.  Exercise increases your blood flow which means that your heart is pumping oxygen to your brain, muscles, and tissues faster. It also promotes the release of neurotransmitters like dopamine, serotonin and natural endorphins that will make you feel better and more energized. Even moderate exercise can improve your energy levels!         

  • Solution #1:  When you feel too tired to work out, the solution is to actually exercise. Begin with low to moderate intensity exercise.  Try walking, biking or yoga.  Over time, move into more moderate or high-intensity exercise.   
  • Solution #2: Exercising with a friend can motivate you to keep your commitment to exercise even when you are tired.     
  • Solution #3: Exercise during your most energetic time of the day.  It may help to work out first thing in the morning before your day gets away from you. Can you wake up 30 minutes earlier or go into work 30 minutes later?   Can you extend your lunch break in the middle of the day to allow for a brisk walk?  Exercising after work might sound exhausting, but it will actually calm and invigorate you. 
  • NOTE: Exercise cannot make up for either not enough or poor quality sleep.  Sleep apnea and other sleep disorders can disrupt your sleep cycles, leaving you tired all day. Talk with your doctor if you or your spouse feels your sleep is compromised.  Click here to learn more about sleep apnea.     

EXCUSE #2: I can’t afford a gym. 

The cost of gym memberships can vary widely — from $10 to over $200 a month. In 2015 nearly 55 million Americans were members of a fitness center. However, 67% of those 55 million people never used their memberships.

  • Solution: Instead of spending money on a gym membership, look for more affordable solutions like creating a simple home gym or taking a brisk 30 minute walk in your neighborhood. Also, there are many free or very affordable exercise videos online and on YouTube, Netflix, etc.  Exercising doesn’t need to cost money.

EXCUSE #3: I don’t have time. Or I am a full time parent.     

Between kids, commuting, work and other responsibilities of life, our modern 24/7 lifestyle often leaves us feeling like there is just not enough time in the day to fit in a workout. Exercise becomes a low priority in our already crammed schedules.  

  • Solution #1: Instead of trying to find time to work out, think about how you can make time. Some activity is better than none. The trick is to find a block of time in your daily schedule that’s consistently free of commitments. That might be before or after work, during your lunch hour, or after dropping the kids off at school. The time commitment can be minimal. Start with 10 minutes in your day. The next week, go for 11 minutes and the following week, 12 minutes. Soon that found time will become part of your schedule. Walk every time you are on the phone so that you can knock out some more steps.
  • Solution #2: How much television do you watch? Don’t allow yourself to watch TV unless you are exercising, or have already exercised that day. While watching TV, use resistance bands for strength training, walk in place or pedal away on an exercise bicycle.
  • Solution #3:  If your kids are young, pop them in a stroller and take a few laps around the neighborhood. As they get older, exercise while your child is at their after-school practice. Walk briskly around the ball field, or run up and down the school stairs during music class. For extra motivation, team up with another parent so you have an exercise buddy.
  • Solution #4: Exercise with your kids. Go bike riding, swimming, or walk around the block and explore the neighborhood with your children.

EXCUSE #4: I need to be motivated to exercise.       

If losing weight or your general health isn’t enough of reason to exercise and you need extra incentives, look for ways to find what will work to motivate you to get moving.

  • Solution #1: Make a chart or keep a log (Google “Exercise Chart” for examples) or track your workouts using a tracking app like Strava or  HabitBull.
  • Solution #2: Give yourself a reward for meeting your fitness goals – a reward that you really want. If you love massages, book a massage at the end of every month you complete your target number of work outs.

EXCUSE #5: I don’t like to exercise alone. 

It is sometimes hard to get motivated to exercise on your own. Having an exercise buddy can help. Exercising with a friend can make your workout time fly by and give you an extra incentive to push a little harder. It is also easier to make an excuse to not exercise when no one holds you accountable.

  • Solution #1: Ask a friend to meet you for a weekend walk, or see if some colleagues want to join you for a class after work. Exercising with a partner or a group increases motivation and consistency.
  • Solution #2: If your friends aren’t into exercise, there are several fitness-focused get-togethers on Meetup.com or Zogsports.com. You can also check out the Bvddy app which works like Tinder and helps you find fellow squash players, jog buddies, or tennis partners. 

EXCUSE #6: I get bored easily. Exercise is no fun.   

The key to beating boredom is to find an exercise program that both caters to your fitness level and that you actually look forward to. It is also important to switch things up every few weeks or months so that you don’t fall into a routine.

  • Solution #1: Find fun exercises that you enjoy. Try inline skating, biking, or gardening. Join a mommy walking group. Sign up for Zumba or a cycling class. Join a sports league. Or go dancing. There’s an exercise for everyone!
  • Solution #2: Exercising with a friend can be fun and great entertainment! Join a group (see EXCUSE #5, Solution #2) or round up friends to join you on a hike, take a bike ride, go dancing, or take a class at the gym. Every once in a while, try something totally new. Mix it up so you don’t get bored.
  • Solution #3:  If it makes exercise more enjoyable for you, it’s OK to watch TV, listen to a podcast or read while you’re on the exercise bike or treadmill, as long as your workout is still challenging.
  • Solution #4:  Make a list of exercises you don’t like and then a list of activities you might be willing to try.  Work your way down the list until you find one or several that you enjoy. If you enjoy what you are doing, you will be more apt to continue.

Excuse #7: I’m too old/fat/uncoordinated/embarrassed to exercise.

When something is foreign or uncomfortable, it’s a natural response to avoid it.  Whether you feel too old, too overweight, or ridiculous in workout clothes, there is a simple solution.  Start small, but start with something.

  • Solution #1: If exercise is hard on your joints, try swimming or take a water fitness class. Exercising in water is easier on your joints and the stronger your muscles get, the more they can support your joints and the less you’ll hurt. If your physical limitations are more serious, check with your doctor, or find an athletic trainer who can help you figure out exercises that are still safe and easy to do.
  • Solution #2: Bicycling is great exercise for people of all ages and physical types. Once you learn how to ride a bike, you never forget that skill because it becomes part of your unconscious memory. You can bike with friends or on your own. Check out Bikemunk for the many benefits of bike riding. 
  • Solution #3: If you’re self-conscious about your weight, you could start by walking with friends, working out in the privacy of your home, or exercising with a trainer who’s supportive. Wear clothes that feel comfortable.
  • Solution #4: Are you unfamiliar with the equipment at the gym? No one wants to look like a newbie when trying to figure out a weight training machine.  BUT, remember that everyone was new at one time. Many gyms offer FREE services to members so that they understand how to use equipment and set up a routine to get results and do it safely.   Join a class that can show you how to strength train and how to use different pieces of equipment.  Bring a friend that has a bit more knowledge than you!   Ask the front desk attendant about days and times when there are fewer members around.  

 EXCUSE # 8: I’ve tried before. Or I can’t stick with a program.   

If you set goals that are small and realistic, you will more likely to feel like a success, not a failure.

  • Solution #1: Keep a log and post it in a public space – your refrigerator, or even on Facebook. Your friends and family can offer words of encouragement. A log also helps you see if you’re starting to slack off (see EXCUSE #4, Solution #1).
  • Solution #2: Having an exercise buddy keeps you accountable. You are more likely to show up to exercise if you know someone is expecting you to be there.

EXCUSE #9: I don’t like to work out around the opposite sex.   

Exercising around the opposite sex can often make you feel uncomfortable, or inadequate.

  • Solution: See if your gym offers gender-specific classes or workout areas. Of course, working out in the privacy of your own home also solves this problem.

EXCUSE #10: I don’t like to sweat. Or I don’t want to take another shower and reapply makeup.       

Sweat is your body’s way of cooling and detoxifying itself.  The amount of sweat you produce depends on several factors including your gender, age, fitness level, genetics and how hard you are working. However, exercise doesn’t have to mean you end up dripping in sweat. There are many exercises that burn calories and build muscle while not leaving you sweaty. If you are avoiding exercise because you hate to sweat or don’t have time to freshen up, here are a few ideas…

  • Solution #1:  Work out first thing in the morning, before you shower and get ready for your day.  
  • Solution #2:  Try wearing sweat-wicking workout apparel.  
  • Solution #3:  Break up exercise into shorter chunks during the day.  Take a 15-minute walk during your lunch break and 15-minutes after work.
  • Solution #4: If you don’t like getting sweaty, you can work out indoors where it’s air conditioned. You can swim. Or try a slower-paced workout such as yoga that that focuses less on cardio and more on stretching, balance, flexibility, and strengthening your muscles.

There will always be a “good excuse.”  But a research has consistently shown in over 70 different studies, nearly every group studied – healthy individuals, those with chronic conditions like diabetes and heart disease and even cancer patients – benefited from consistent exercise.  No more excuses!!

 

References: 

Science Daily:

https://www.sciencedaily.com/releases/2006/11/061101151005.htm 

Centers for Disease Control and Prevention:

https://www.cdc.gov/physicalactivity/basics/adults/index.htm

https://www.cdc.gov/physicalactivity/data/facts.htm

 


Is Standing at Work Beneficial?

May 4th, 2018

Americans sit for up to seven hours a day, and even physically active people may spend most of their day in a chair. Too much sitting can lead to more disability as we age, and has been associated with the current obesity epidemic, cardiovascular disease, and diabetes. 

A new study published in thEuropean Journal of Preventive Cardiology by researchers at the Mayo Clinic has concluded that standing instead of sitting for six hours a day is healthier, could prevent weight gain and help people to lose weight.

The study examined whether standing burns more calories than sitting. The researchers analyzed results from a total of 46 prior studies, with 1,184 participants in all. The average participant in those studies was 33 years old, weighed 143.3 pounds and 60% were men. These studies made sure to measure only sitting vs. standing and were careful not to include other potential calorie-burning behaviors.

The researchers found that standing requires 20% more energy than sitting and burns 0.15 calories per minute more than sitting. By substituting standing for sitting for six hours a day, a 143 pound person would expend an extra 54 calories a day. While 54 calories per day doesn’t amount to much – that is about the number of calories in an orange – this small difference could add up to a 5.5 pound loss in one year and 22 pounds over 4 years. The study also found that men tend to burn twice as many calories per minute as women while standing. The number of calories burned is proportional to muscle mass. As men have a greater muscle mass, they burn more calories while standing.

The difference in calories burned between standing and sitting could be even greater than the study found. In the study, participants were standing still, while in reality people make small movements while standing. Research has found that people with standing desks tend to move more throughout the day, they shift their weight from one foot to another, they lean, they twist, and they are more likely to walk to the filing cabinet or trash can. These movements result in more burned calories than just standing still. Senior author Professor Francisco Lopez-Jimenez, Chief of Preventive Cardiology at the Mayo Clinic, said: “Standing not only burns more calories, the additional muscle activity is linked to lower rates of heart attacks, strokes, and diabetes, so the benefits of standing could go beyond weight control.” The authors concluded that replacing standing for sitting could be yet another behavior change to help reduce the risk of long term weight gain.

While more than a dozen studies suggest that our bodies were not designed to sit for 6 or 7 hours every day, standing all day is not an option for everyone.  Standing burns more calories as our hearts work harder to circulate blood upward, but standing also puts more strain on our veins, backs, and joints, especially if we’re overweight. And the performance of many fine motor skills, i.e. computer work, decreases when people stand rather than sit. Dr. James Levine, director of the Mayo Clinic/Arizona State University Obesity Solutions Initiative says “I think it’s correct to say we’re in the middle of a ‘stand up movement,’ but the emphasis needs to be on movement.”

Whether you choose to sit or stand, it is important to incorporate physical activity into your daily routine – stand while talking on the phone, do some stretches while your lunch heats up in the microwave, take a 10 minute walk every hour, take the stairs instead of the elevator, park your car in the farther reaches of the parking lot, or walk or bike to work. Most researchers agree that sitting, standing and walking — all in moderation throughout the day – is the best way to stay healthy.

 

References:

Cornell University Ergonomics Web:  http://ergo.human.cornell.edu/cuesitstand.html
European Society of Cardiology:   https://www.escardio.org/The-ESC/Press-Office/Press-releases/Stand-up-It-could-help-you-lose-weight 
Harvard Health Publishing/Harvard Medical School:    https://www.health.harvard.edu/blog/much-sitting-linked-heart-disease-diabetes-premature-death-201501227618
Science Daily:    https://www.sciencedaily.com/releases/2018/01/180131184748.htm

Aerobic Exercise Can Improve an Aging Heart

April 6th, 2018

As we age, the muscles thicken in the left ventricle of our heart, and our heart stiffens and enlarges slightly. Our arteries become less flexible, and fatty deposits called plaques collect along the artery walls, slowing the blood flow from the heart. This aging progression, along with lifestyle choices, can increase your risk of heart disease. However, a new study has found that you can slow and even reverse this aging process.

Recently, researchers at the University of Texas Southwestern Medical Center conducted a study that investigated the interaction between exercise and aging, and explored the prospect that exercise could restore the heart’s elasticity in previously sedentary, late middle aged individuals.  The good news is the study found that exercising 4 – 5 times a week can actually reverse damage to aging hearts, even after a lifetime of inactivity. 

In the two year study, the UT Southwestern researchers monitored the hearts of 53 adults, ages 45 to 64, who were healthy, but who did not exercise and who spent most of their day sitting down. The participants in the study were divided into two groups: Half of the participants took part in a regime that included regular aerobic exercises. The regime involved one hour a week of high intensity aerobic exercise such as tennis, cycling, running, dancing or brisk walking, plus one 30 minute session consisting of a high intensity workout, two 30 minute sessions of moderate exercise such as swimming, and 1-2 sessions per week of strength training. The remaining participants were a control group and engaged in yoga and balance training three times a week and did no aerobic activity.

At the end of the two-year study, those who had exercised were not only more fit, their heart showed an 18% improvement in their maximum oxygen intake during exercise and their heart muscle was 25% less stiff, meaning that the heart could pump blood far more efficiently, thus reducing their risk for heart failure. The control group saw no change in their heart health.

While previous studies have shown a clear link between exercise and multiple health benefits, what was surprising to Dr. Benjamin Levine, senior author of the study, was how quickly heart health could be revived with the introduction of exercise, even later in life. “If the goal is to preserve youthful arteries and heart function,” Levine said, “then exercise four to five days a week is what it takes.”  Dr. Levine said the results were so ‘extraordinary’ that the regime should be ‘prescribed for life’ and become a daily habit, in the same way as tooth brushing is a daily habit. To reap the most benefit, the exercise regimen should begin by late middle age (before age 65), when the heart still has enough plasticity to repair itself. And the exercise needs to be performed four to five times a week. Two to three times a week was not enough to protect the heart from aging.

Again, the weekly regime includes one hour of high intensity aerobic exercise such as tennis, cycling, running, dancing or brisk walking, one 30 minute session consisting of a high intensity aerobic workout, two 30 minute sessions of moderate exercise such as swimming, and 1-2 sessions per week of strength training. Exercise has been shown to slow the aging process, but it works best in combination with other healthy lifestyle habits. Here are some other tips to keep your heart healthy as you age:

  • Avoid tobacco in all its forms.
  • Eat properly. Your diet should include lots of fruits, vegetables, whole grains, legumes, nuts and nonfat dairy products. Get about 15% of your calories from lean protein, such as fish and poultry. Cut back on salt, sugar and processed foods and reduce your consumption of saturated fat, trans-fats, and cholesterol. Keep your caloric consumption down and stay as lean as possible.
  • If you choose to drink, be responsible. For women, limit yourself to one drink a day, and for men, two drinks a day.
  • Keep your mind active and stimulated. Mental exercise is an important complement to physical exercise.
  • Build strong social networks. People are good medicine at any age.
  • Get regular medical care and monitor your blood pressure and cholesterol.

Exercise is beneficial regardless of the age at which it is started and can help you maintain cardiovascular fitness as well as mental and muscular fitness as you age.

 

 

References: 

Circulation Journal:
http://circ.ahajournals.org/content/early/2018/01/03/CIRCULATIONAHA.117.030617
Harvard Health Publishing:
https://www.health.harvard.edu/heart-health/an-exercise-prescription-for-couch-potatoes   
https://www.health.harvard.edu/staying-healthy/exercise-and-aging-can-you-walk-away-from-father-time
Science Daily:
https://www.sciencedaily.com/releases/2018/01/180108090132.htm

The Health Benefits of Having a Dog

March 9th, 2018

There are emotional and physical benefits to having a dog. A dog is a source of pure, unconditional love. A dog can provide companionship and can connect you to the outside world. A dog can also keep your heart and body healthy. Exercising with your dog can help both you and your dog lose and maintain a healthy weight, and can build a strong digestive system, healthy bones and muscles, and better agility.

And the health advantages of a dog are not limited to people who have a dog at home. In the 1860s, Florence Nightingale found animal companionship was beneficial to her patients. Since then, dogs have been used in many capacities to help people recover from and manage illness, disability, and other conditions. Today, there are many animal-assisted therapy programs in prisons, schools, and hospitals that benefit many people.

  1. A dog can improve your heart health

According to the American Heart Association, a benefit of owning a dog can help lower your risk of heart disease, in large part because a dog needs to be walked. The physical activity of walking and playing with your dog contributes to better overall cardiovascular health and fewer heart attacks.

What’s more, dog owners who have suffered from a heart attack have better survival rates following the event. In a 2009 study conducted at the UCLA Medical Center, heart failure patients who came in contact with therapy dogs for 12 minutes a day demonstrated notably reduced blood pressure, heart rate, and anxiety.

  1. Dogs keep you fit and active

A dog may help put an end to the excuses people have for not exercising. When your dog wakes you up in the morning, you have little choice but to get up and go.

It is recommended that adults get about 2 hours and 30 minutes of moderate exercise per week. Only about 50 percent of Americans get that much exercise. Dog owners are much more likely to hit that goal, as dog owners walk briskly and more often. In a recent study, dog owners on average walked 22 minutes more per day compared to people who didn’t own a dog. Brisk walking can lower the risk of high blood pressure, high cholesterol, Type 2 diabetes and other conditions. Regular dog walks can also improve your muscle tone, bone health, flexibility, and lung capacity.  And the more people walk, the more likely they will remain mobile into their 70s and 80s. Older adults who walk their dogs generally experience a lower body mass index, fewer limitations in daily living activities, and fewer doctor visits. Kids also benefit from a dog. Children can turn exercise into playtime with dog friendly activities such as playing tug-of-war, chase, or throwing a ball.

  1. Your dog can help you lose weight

Feeling like you should lose some weight? A dog could be the answer. Research has repeatedly found that daily dog walks help you lose weight, since they force you to into moderate physical activity for 10, 20, and even 30 minutes at a time.

In a 2010 study discovered public housing residents who walked “loaner” dogs five times a week lost an average of 14.4 pounds over the course of a year. The best part: Participants considered it a responsibility to the dog, rather than exercise. (”They need us to walk them.”)

  1. A dog can prevent kid’s allergies

It used to be thought that dogs contributed to children’s allergies. However, recent research conducted at the University of Wisconsin Department of Pediatrics found the opposite to be true. Exposure to dogs in infancy – especially around the time of birth – can actually influence children’s immune development and reduce the likelihood of certain allergic diseases.

  1. Dogs keep you social

A healthy mind depends on engagement with others, which can enhance both physical and emotional health. Taking a dog for a walk gets you out of the house and can increase your social interactions. A dog provides a connection with other dog owners and with complete strangers. Next time you stop to talk to another person about their dog or your dog, you are improving your mental health.

  1. 6. Dogs are stress reducers

Even brief interactions with a dog can lower anxiety and blood pressure, and increase levels of serotonin and dopamine, two neurochemicals that play big roles in calm and well-being. People performing stressful tasks do better when there’s a dog around. Studies show dogs ease tension both at the office and between married couples.

  1. A dog can help with depression

Animal companionship can be an important, even life-saving component of self-care for people experiencing depression and other mood disorders. A pet can remind you that you’re not alone. A dog gives you unconditional love, which can be extraordinarily soothing when feeling isolated. A dog also requires a regular schedule. Studies show that being needed, having to feed, walk and care for a dog, is a powerful way to anchor a person if they are experiencing the effects of depression, anxiety, or stress.

  1. Dogs add meaning and purpose to life as we age

As we grow older, especially after we retire, it can be difficult to find daily structure and meaning. Dogs take care of that – they have to fed and walked, forcing you to get up and continue to do things. Walking and a feeding schedule are not likely the only factors that explain why pet ownership is linked to longevity. The companionship of a dog can help prevent loneliness and isolation, which is key in staving off cognitive decline and disease.

The down side of dog ownership among the elderly is the possibility of a fall. According to the Centers for Disease Control (CDC), just over 86,000 falls per year are caused by pets and 88% of those falls are caused by tripping over a dog. Falls can be cataclysmic health events for people who are older and can result in serious injury (broken hips, etc.) and long hospital stays. If you’re looking to adopt, consider mobility issues, and make sure to take steps to reduce the dangers of falls.

  1. The importance of service dogs

Trained service dogs can benefit people with disabilities by increasing mobility and promoting independence. Service dogs can also be trained to alert diabetic people to dangerous changes in blood sugar levels, can sniff out certain cancers, and can warn epileptics of an impending seizure. The Foundation for Service Dog Support defines a service dog as a dog that has been rigorously trained to perform tasks to assist an individual with disabilities or an illness. A trained service dog is different than an emotional support dog, therapy dog or other working dogs who under ADA law, do not qualify as service dogs.

A dog can make you happier, calmer, and feel more loved, all of which lead to overall better health. But owning a dog requires a lot of care by a dedicated owner. Owning a pet is a privilege and should result in a mutually beneficial relationship.

 

Sources:

American Heart Association:

http://www.heart.org/HEARTORG/HealthyLiving/Owning-a-Pet-May-Protect-You-from-Heart-Disease_UCM_453586_Article.jsp#.WnuBXa6nF9M

Centers for Disease Control and Prevention:

https://www.cdc.gov/healthypets/health-benefits/index.html

NPR:

https://www.npr.org/sections/health-shots/2017/06/12/532625213/dog-owners-walk-22-minutes-more-per-day-and-yes-it-counts-as-exercise  

The Foundation for Service Dog Support, Inc.:

http://servicedogsupport.org/dogs/

University of Wisconsin:

https://www.pediatrics.wisc.edu/featured-stories/allergies


Heart Disease in Women – A Heart Attack Survivor’s Story

February 22nd, 2018

Cardiovascular disease is the number one killer of women, causing 1 in 3 deaths each year. Emily Holcraft was misdiagnosed while suffering from a heart attack. Read about her experience, and her strength to question and to persevere.

My name is Emily Holcraft and I would like to share my heart attack survivor story.  I am 46 years old, a mother of 4 children and have been married for 23 amazing years.  I have always maintained a healthy diet, am a triathlete and have no family history of heart disease.  As I was training for my first triathlon I began feeling extremely fatigued.  Thinking it was due to my training I decided to rest a day.  I then began to experience pain to my left arm.  I dismissed it as possibly having pulled my bicep muscle.  But, it didn’t go away.  I also began feeling very short of breath but felt it was related to an asthma flare up.  I didn’t feel sick at all, just exhausted and frustrated.  I kept trying to train but scaled my workouts way back. Over the course of 3 days it came to a point where I could barely swim 1 length of the pool. That morning it took everything I had to get myself OUT of the pool.  Somehow I showered and managed to get to work.  My co-worker took one look at me and knew something wasn’t right.  I proceeded to tell her what had transpired over the last 3 days.  She immediately asked me if I had a heart history.  I said no, forgetting that I had a PFO closure in 2008 after having experienced a stroke.  However, I didn’t feel that was relevant.  She checked my blood pressure which measured 128/80.  That was a high reading considering that I usually run 90/50.  She insisted that I go to the ER.  The pain in my arm was relentless and I was beginning to experience jaw pain. I, the stubborn person that I am, decided to drive myself to the hospital.  I was examined at the ER.  My EKG was normal and they dismissed my symptoms with a diagnosis of having a “panic attack.”  My biggest concern at that time was my arm.  The pain was ridiculous. Despite my persistence in asking for an ultrasound of my arm to make sure I didn’t have a blood clot, they sent me home with a prescription for an anti-anxiety medication.  4 hours later I collapsed on my living room floor.  I was ambulanced back to the ER.  Blood cultures were drawn which revealed I had had a heart attack.  I was immediately taken in for a cardiac catheterization which showed 4 blockages 2 of which were greater than 90%.  While the doctor was trying to place the stents the guide wire dissected my left main artery which led to emergency open heart surgery for a quadruple bypass. That was obviously not a normal occurrence.  I woke up 2 days later in Cardiac ICU not even knowing that I had surgery let alone OPEN HEART surgery.  I remember asking my surgeon as he stood at the end of my bed, “does this mean I can’t do my triathlon next month?”  Can you imagine?!  I actually asked him that!  Obviously he kindly remarked, “Not this year honey.”  I was 41 at the time.  After several months of Cardiac Rehab and numerous setbacks I finally regained my pre-heart attack fitness.  And I am happy to say that I crossed that finish line I had intended to cross 2 years prior.  I have since done 11 triathlons and a Century bike ride (100miles!).  I am on several heart medications but am happy to say that I am alive and doing very well!  I keep up with my Cardiology appointments and have learned to listen carefully when my body is trying to tell me something. So far so good!  A takeaway for your readers?  It can happen to anyone!  Again, I was 41 years old, excellent diet, an athlete with no family history of heart disease.  Silent killer?  I would say yes. 

 Emily M. Holcroft RN, BSN

 

Heart attack symptoms in women are often different from those in men.  Following are some of the heart attack symptoms for women:

  • Neck, jaw, shoulder, upper back or abdominal discomfort
  • Shortness of breath
  • Pain in one or both arms
  • Nausea or vomiting
  • Sweating
  • Feeling lightheaded or dizzy
  • Unusual fatigue

To reduce your chances of getting heart disease it’s important to:

  • Quit or don’t start smoking.
  • Exercise regularly.
  • Maintain a healthy weight. Being overweight and obese raises your risk of heart disease.
  • Eat a healthy diet that includes whole grains, a variety of fruits and vegetables, low-fat or fat-free dairy products, and lean meats. Avoid saturated or trans-fat, added sugars, and high amounts of salt.
  • Know your blood pressure. Hypertension, or high blood pressure, can result in heart disease. High blood pressure has no symptoms so it’s important to have your blood pressure checked regularly.
  • Talk to your healthcare provider about whether you should be tested for diabetes. Diabetes raises your chances of heart disease.
  • Have your healthcare provider check your cholesterol and triglycerides.
  • Limit alcohol intake to one drink a day.
  • Lower your stress level and find healthy ways to cope with stress.

 

 

References:

Centers for Disease Control and Prevention:                                                                                                                   https://www.cdc.gov/features/wearred/index.html

Mayo Clinic:                                                                                                                                                                                              https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease/art-20046167


Childhood Obesity

February 9th, 2018

Children who are obese are above the normal weight for their age and height. Today, about one in three American kids and teens are overweight or obese; nearly triple the rate in 1963. Among children today, obesity is causing a broad range of health problems that previously weren’t seen until adulthood. These include high blood pressure, type 2 diabetes, and elevated blood cholesterol levels. The excess weight at young ages has been linked to higher and earlier death rates in adulthood. There are also psychological effects: Obese children are more prone to low self-esteem, negative body image and depression. Many obese children become obese adults, especially if one or both parents are obese.

If you’re worried that your child is putting on too much weight, talk to his or her doctor and start a program that will treat and prevent obesity, and will help your child live a long, healthy life.

Complications from Childhood Obesity:

Physical Problems:
Type 2 diabetes. This chronic condition affects the way your child’s body uses sugar (glucose). Obesity and a sedentary lifestyle increase the risk of type 2 diabetes in children.
High cholesterol and high blood pressure. Lack of exercise and a poor diet can cause your child to develop one or both of these conditions. These factors can contribute to the buildup of plaques in the arteries. These plaques can cause arteries to narrow and harden, which can lead to a heart attack or stroke later in life.
Asthma. Children who are overweight or obese might be more likely to have asthma.
Sleep disorders. Obstructive sleep apnea is a potentially serious disorder in which a child’s breathing repeatedly stops and starts during sleep.
Nonalcoholic fatty liver disease (NAFLD). This disorder causes fatty deposits to build up in the liver. NAFLD can lead to scarring and liver damage.

Social and Emotional Problems:
Low self-esteem and being bullied. Children often tease or bully their overweight peers, who suffer a loss of self-esteem and an increased risk of depression as a result.
Behavior and learning problems. Overweight children tend to have more anxiety and poorer social skills than normal weight children do. These problems might lead children who are overweight to act out and disrupt their classrooms at one extreme, or to withdraw socially at the other.
Depression. In some children who are overweight, low self-esteem can create overwhelming feelings of hopelessness, which can lead to depression.

Causes of Childhood Obesity:

Lifestyle issues – too little activity and too many calories from food and drinks – are the main culprits of childhood obesity in the US.

Diet. Regularly eating high-calorie foods, such as fast foods, candy, desserts and baked goods, and vending machine snacks, can easily cause your child to gain weight. Sugary drinks, including fruit juices, are a huge contributor to childhood obesity.
Lack of exercise. Children who spend too much time in sedentary activities, such as watching television or playing video games, don’t exercise much and are more likely to gain weight because they don’t burn as many calories.
Family factors. Genetics can also contribute to childhood obesity. If your child comes from a family of overweight people, he or she may be more likely to put on weight. This is especially true in an environment where high-calorie foods are always available and physical activity isn’t encouraged.
Psychological factors. Personal, parental and family stress can increase a child’s risk of obesity. Some children overeat to cope with problems, or to deal with emotions, or to fight boredom. Their parents may have similar tendencies.
Socioeconomic factors. People in some communities have limited resources and limited access to supermarkets. As a result, they may opt for fast foods and convenience foods that don’t spoil quickly, such as frozen meals, crackers and cookies. In addition, children who live in lower income neighborhoods might not have access to a safe place for physical activity.

Prevention:

Whether your child is at risk of becoming overweight or is currently at a healthy weight, you can take measures to get or keep things on the right track. Good habits established in childhood help adolescents maintain healthy weights despite the hormonal changes, rapid growth and social influences that often lead to overeating. And active children are more likely to become fit adults.

Make it a family issue. One of the best strategies to reduce childhood obesity is to improve the eating and exercise habits of your entire family. Talking about the health and habits of the entire family together as a team will create a supportive environment and keep individual children from feeling targeted.


Encourage healthy eating habits.
Provide plenty of vegetables, fruits and whole-grain products.
Include low-fat or non-fat milk or dairy products.
Choose lean meats, poultry, fish, lentils and beans for protein.
Serve reasonably sized portions for your child’s age.
Encourage your family to drink lots of water.
Reduce sugar, sodium and saturated fat and sugar-sweetened beverages.
Limit eating out, especially at fast-food restaurants.
Eat meals as a family as often as possible.
Help your kids understand the benefits of being physically active. A critical part of achieving and maintaining a healthy weight, especially for children, is physical activity. It burns calories, strengthens bones and muscles, and helps children sleep well at night and stay alert during the day.
Find activities your child likes, and emphasize activity, not exercise. Children and teens should be moderately to vigorously active for at least an hour a day. Your child’s activity doesn’t have to be a structured exercise program – if your child likes to climb, head for the nearest neighborhood jungle gym or climbing wall. If your child likes to read, then walk or bike to the neighborhood library for a book. The object is to get him or her moving. Free-play activities, such as bike riding, hide-and-seek, tag, dancing, swimming, or jump-rope are fun and are great for burning calories and improving fitness.


Reduce sedentary time. Although quiet time for reading and homework is fine, limit “screen time” (TV, video games, Internet, smartphones) to no more than two hours a day. The American Academy of Pediatrics recommends children younger than 18 months should avoid all screen time, except for video-chatting with family and friends. For older preschoolers, limit screen use to 1 hour per day of high-quality programming.
Schedule yearly doctor visits. Be sure your child sees the doctor for well-child checkups at least once a year. During this visit, your child’s doctor will measure your child’s history of growth and development, your family’s weight-for-height history, where your child lands on the growth charts, and their Body Mass Index (BMI). The BMI provides a guideline of weight in relation to height, and is the accepted measure of overweight and obesity. An increase in your child’s BMI or in his or her percentile rank over one year is a possible sign that your child is at risk of becoming overweight.

Treating and preventing childhood obesity helps protect your child’s health now and in the future.

 

Resources:

The American Heart Association:
http://www.heart.org/HEARTORG/HealthyLiving/HealthyKids/ChildhoodObesity/What-is-childhood-obesity_UCM_304347_Article.jsp#.Wd6RXVtSx9M

Mayo Clinic:
http://www.mayoclinic.org/diseases-conditions/childhood-obesity/symptoms-causes/syc-20354827