Whether at work or home, sitting all day is never a good idea.

Additional Info

  • Segment Number 3
  • Audio File train_your_body/1508tb2c.mp3
  • Featured Speaker Michele Stanten
  • Guest Bio stantencMichele Stanten, a walking coach and ACE-certified fitness instructor, has been motivating people to be more active for over 20 years. Michele launched mywalkingcoach.com to help people lead healthier, happier lives. She believes that walking can be the first step (pun intended) to making exercise a habit, which can have positive effects on all areas of your life. Michele also wants to dispel beliefs that walking is only for the very unfit or very overweight. Walking can be a vigorous–yet joint-friendly–workout. She’s on a mission to show the world the many different ways to walk and the powerful benefits it can have.
  • Transcription RadioMD Presents: Train Your Body | Original Air Date: February 17, 2015
    Host: Melanie Cole, MS
    Guest: Michele Stanten

    Melanie: Well, what are some of the dangers of really sitting? You know, we’ve even had Dr. Jordon Metzl on here before saying that “sitting is the new smoking”. So really? Is that true? What are some of the dangers of sitting and what can you do if you’re stuck at a desk all day? Stuck at a computer if you have to work? Is exercise before and after work enough to combat that sitting?

    My guest today is Michele Stanten. She’s a walking coach, and an ACE-Certified Fitness Instructor. Welcome to the show, Michele.

    So, sitting. Is it really the new smoking?

    Michele: It really is. Too much sitting is associated with 34 chronic diseases and conditions such as heart disease, diabetes, back pain and depression. So, it’s really damaging our bodies and our minds.

    Melanie: Okay. So, it’s associated with all these diseases, but people have to sit. Now, I’ve seen that some offices—I even saw a really cool one on Google Play newsstand or something that showed all these desks that were in various positions and angles so that you had to lean or stand or had your feet up on the thing. You know?

    Michele: Right.

    Melanie: Is that the answer or what do you do if you have to sit all day?

    Michele: Well, it depends on your situation. We’re seeing a lot more products coming out so that people can be more mobile during the day. We’re seeing standing desks. Even standing is better than sitting. You know, moving is the best, if you can move around. We’re seeing treadmill desks so you can be on your treadmill while you’re on the computer and you don’t have to be walking at a fast clip, but just that you’re moving. Again, you don’t have to do it all day long. What we see is that these long stretches of sitting and if this is something that you’re doing every day, day after day, it starts to have a detrimental effect on our bodies all the way down at the cellular level. It starts to turn off things like how our bodies metabolize fats and things like that. In one study, they showed that people that sat for more than 10 hours a day were 31% more likely to die in the next five years compared to their peers who sat for less than 6 hours a day. So, what you really want to do is, you want to break up your sitting if you have to sit for long bouts. If you have the opportunity, those products can be helpful, but even taking little breaks. Getting up and standing up and walking around. Or, when you have to go to the bathroom, make it a little bit of a longer trip and go to the bathroom on the floor above you or below you and then you’re climbing the stairs. You’re up for a little bit. But, try to get up maybe for 5 minutes every hour, even if it’s every hour and a half or two hours, that’s better than sitting for those long stretches of time.

    Melanie: If you’re someone that exercises before you go to work and then maybe even hit the gym or the treadmill when you get home at night, does that combat that sitting that you do all the rest of the day?

    Michele: Well, it definitely helps and there are lots of benefits to that, so you don’t want to stop that, but even people who are working out and exercising on a regular basis, research is finding that that’s still not enough to combat those long stretches of sitting. So, you need to add some more movement. And, as I said, even standing up is better than sitting. So, for example, use things throughout your day as a cue. So, when the phone rings, stand up. I’m doing this interview standing. I had a conference call where I didn’t have to talk too much. I was mostly listening just before this one, so I hopped on my treadmill and I was just walking at 2 miles per hour instead of sitting at my computer while I did that call.

    You know, when you’re out in the car, ban drive-throughs. Instead of driving through Starbucks and getting your cup of coffee or doing the bank drive-through, park your car. Get out of your car. Sometimes it’ll be quicker because the line at the drive-throughs can be much longer and you’re in and out quicker and you’re getting those extra steps. All those steps add up throughout the day. You know, for a lot of us, depending on where you live, it may be near a shopping center. A lot of people will park by one store, go into that store and then drive their car to the other end of the shopping center. I live out in the suburbs and I see that a lot. Instead of doing that, park your car kind of in the middle and walk to all the stores and don’t move your car. If you’re in the city and you use public transportation, get off of the bus or the train a stop early and walk part of the rest of the way to your destination.

    So, add those little bouts of walking. Walking meetings are getting more popular. In the office, grab a colleague or two if you need to have a meeting, if you don’t have to take too many notes. You’re maybe just discussing or brainstorming something and go out and take a walk while you’re doing that.

    One of the things I do with my kids, too, I see so many people—parents—who take their kids to sports practices or lessons and they sit there and they wait for them. Well, that’s a perfect opportunity. Head outside. Take a walk around the block. Even if you don’t walk the whole time, it’s an opportunity to get moving.

    Melanie:I agree completely with that and when my kids do something like, you know, play soccer or whatever, I’ll watch for a little while because they want you to watch, but then I get up and go run around the field or go try and do some chin ups on the monkey bars or, you know, anything that you can really do to get yourself up and around.

    Michele: Absolutely. Yes.

    Melanie: And, what if you’ve got a boss that’s staring you down and you get up every hour and you say, “Well, I’ve been told I should get up every hour and do my stretches and walk around the office a little bit,” and your boss is like, “Yeah? Well, I’m expecting you to stay at that desk.”

    Michele: Right.

    Melanie: You know? Do you have some advice for those people to say, what?

    Michele: Well, first of all, if you want to try and make a case, there’s tons of research out there on the dangers of sitting and there are organizations that are helping to promote this and, you know, the medical community is calling on companies and things like that and employers to encourage their employees to be more active because they’re going to be more productive employees. It can lower healthcare costs for the company, so there’s a lot of research out there if you want to make a case for your company to make some of these changes. I’ve seen them. I know people who’ve done this—who’ve gone to their companies--and now they’re getting standing desks and they’re seeing the benefits. So, there’s that option. There are also some devices such as steppers or little pedals that you can put under your desk. So, if you really have to be at that desk, you can step on the little stepper or the little bike wheel.

    Melanie: Great idea.

    Michele: It’s not a wheel but just the pedals. So, you can use those. Even doing things like sitting there and going up on your toe and alternating, moving. You know, so those muscles are moving when you can stand up at your place. But, you know, just getting some of that movement. Even moving around and changing positions in your chair. Research has shown that people who fidget burn more calories throughout a day, so you know, even kind of doing that—changing positions. Just trying to get some movement in there.

    Melanie: Absolutely. That’s great information and great advice besides. Getting a little stepper; getting those little spinning things that you can spin or a little bicycle thing that you can put under your desk and kind of keep your feet moving and, if you have to be tied to your desk, it’s just really a great way.

    Now, how much? We’re going to talk later on about upping your walking plan. But, if you were to recommend to people that are sitting most of the day, how much walking would you recommend or exercising do you want them to do for the rest of the time?

    Michele: Well, the general recommendation to get health benefits from exercise is 30 minutes, 5 times a week, or 150 minutes of moderate intensity. So, that’s a good recommendation to start working toward. If you aren’t able to do that at the beginning, you know, I will encourage people, if it’s 10 minutes, get out there 10 minutes a day. And, I encourage people to do it every day because it helps to build a habit, but work up to, first of all, that 150 minutes a week and then you can take it up from there. But, if you’re getting that minimum, you’re getting those benefits that we’ve heard about in exercise and you’ll feel a lot better.

    Melanie: So, we have about a minute or so left, Michele. So, wrap it up for us about why sitting is truly so dangerous and what you want people to really know about getting up, moving around and making their day more active than just sitting at a computer all day.

    Michele: Absolutely. First and foremost, our bodies were not meant to sit. As we’re seeing, changes happen in our body that put us at more risk for things like heart disease and diabetes and a lot of the musculoskeletal diseases or problems and conditions. Back pain is one of the biggest issues and causes people to miss work and increase medical bills. Sitting is devastating to that and it can contribute to that back pain. So, you really want to get up. Find those little pockets within your day. Even if you can just get a 10 minute break in the morning and a 10 minute break in the afternoon, it’s better than nothing. Get up and move. When you’ve got your lunch hour, spend at least 10 minutes of it moving around. One of the things that can really help to motivate you are activity monitors—whether it’s a simple pedometer or more high tech ones like the Fitbit and the UP devices.

    Melanie: And, they certainly can be so helpful. So, there’s your advice. Get up. Move around if you have to sit in front of a microphone all day like I do. I’m doing plie’ squats right now.

    You’re listening to Train Your Body – Motivate and Perform, the American College of Sports Medicine on RadioMD. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
What is this fitness trend called The Barre method? Is it dance? A workout? Maybe both.

Additional Info

  • Segment Number 2
  • Audio File train_your_body/1508tb2b.mp3
  • Featured Speaker Michele Olson, PhD
  • Guest Bio OLSON-HeadShot 13 resizedMichele Olson is a Professor of Exercise Physiology in the Department of Physical Education and Exercise Science at Auburn University Montgomery (AUM). Known internationally as THE Exercise Doctor, since coming to AUM Dr. Olson has directed numerous research studies resulting in over 90 publications in peer-reviewed professional journals. Areas of research expertise include:

    -Abdominal Exercise and Pilates;
    -Energetics and metabolic responses to Spinning, Pilates, Kettlebells and Tabata exercise;
    -Body image and Eating Disorders in active women, dancers and athletes;
    -Injury mechanisms with popular fitness activities (Running and Step Aerobics, etc.)

    Dr. Olson is a Fellow of the American College of Sports Medicine for outstanding service to research and is also an NSCA Certified Strength and Conditioning Specialist. She heads the NSCA-ERP Exercise Science Program at AUM and well as being the director of the Scharff-Olson Kinesiology Laboratory.
  • Transcription RadioMD Presents: Train Your Body | Original Air Date: February 17, 2015
    Host: Melanie Cole, MS
    Guest: Michele Olson, PhD

    Melanie: What is this toning trend, the Barre Method? Pure Barre, the Barre way. It’s got a lot of different names. Is it Pilates? Is it a ballet class? Is it a dance class like Zumba? Is it just a workout? Really, what is it? My guest is Dr. Michele Olson. She’s a fan favorite here on Train Your Body and a Professor of Exercise Physiology.

    So, Dr. Olson, what is the Barre Method and who do you think would benefit most from it?

    Dr. Olson: Wow. You know, isn’t this Barre Method really popular right now? You are right and there are different brands, there are different companies and exercise trainers who have developed their own style. You know, you can find a studio just about anywhere and it is a good question. You know, a ballet dancer, they do a lot of their exercises when they are practicing at a typical ballet barre. So, a ballet dancer would probably understand what a barre class is. But, I think your description in the intro is quite accurate. Typically, a barre participant will do pilates-style abdominal exercises, such as the hundred and the teaser and the roll up. The barre—the ballet aspect for it comes from, once again, from the fact that you do tend to use some kind of a prop—an actual ballet barre system, maybe in the studio or using body barres, holding them vertically to help you balance. So, there are these standing leg exercises that are based on what ballerinas do like standing and kicking your legs forward; then standing and kicking it out to the side; standing and kicking it backward. There are floor exercises that one can do.

    A question that I get a lot is, okay, cardio is so important. You know, cardio exercise. “Does this count as cardio exercise? Because you know, I sweat and I feel like I’m breathing more.” It’s kind of a long continuum whereas jogging and brisk walking and spinning are archetypal cardio activities that do burn a lot of calories and really get your heart rate soaring, maybe traditional Hatha Yoga that’s done on the floor with a lot of breathing would not be cardio. Barre classes kind of fall into the middle. You certainly have to have your heart rate up in order to stand and do kicks. But, when you go to the floor and you’re lying on the floor, you’re working those abdominal muscles hard. You are just not bearing a lot of body weight, so you just don’t really stimulate the heart to have to send lot of blood around to keep a bunch of muscles going. So, it’s moderate. It’s modest in the amount of cardio it requires of you. It’s more like you were saying on this muscular toning kind of end of the spectrum.

    So, what do you get out of that? Do you burn a lot of fat? Do you burn a lot of calories? You’re not going to burn a tremendous amount of calories. What you are going to do is to get the muscles that you are training to be able to contract more repeatedly for longer periods of time before they fatigue. You know, it would help you maybe with your walking, your posture during your walking, squatting and lifting moderate objects. Not real heavy objects. It could help you with some things in your daily life, strengthen your abs. So, it is in that muscular toning, muscular endurance part of the spectrum—not pure cardio, not pure strength--kind of along there in the middle.

    Melanie: So now, what about like the ballet stuff you were talking about that ballerinas use in taking their legs out and such. Is barre done to music that’s similar to ballet music? So, are you following along to something like that? Are you taking that leg extension and making it go? Are we doing pliés? Is it really like that?

    Dr. Olson: Right. We’re doing a lot of pliés. There are props that are used, some small physio balls that you can squeeze between your knees. The emphasis in these classes is very much from the belly down. There is some exercise that occurs, but it’s very lightweight and not as extensive as the volume of work that you are doing with your legs and with your abs, but, yes, think ballet type movement. Pliés, demi pliés, modified lunges, modified kicks.

    But, let me tell you something, Melanie. Ballet dancers—and if you’ve ever been to a ballet with a nice company performing—we know that those individuals are athletes, the men and the women. They have extremely low body fat percentage and highly developed muscles that are not bulky because, again, they’re doing more muscular endurance training and not strength training with heavy weights.

    But, how are they in the shape they’re in? They are in the shape they’re in from doing some of those exercises, certainly, and some of the stretches, but they are also performing leaps and jumps and flips and leaping across stages and sprinting across stages for hours and hours and hours every day, almost like gymnasts. They are burning tons and tons of calories. They are thin, a lot of times, just due to the amount of training they have to do.

    Melanie: Oh, they’re some of the best athletes in the world, really, Dr. Olson.

    Dr. Olson: Right.

    Melanie: You see them and every muscle ripples.

    Dr. Olson: They’re athletes.

    Melanie: Absolutely, they are. Like a gymnast, they’re athletes. And they have to lift. People don’t realize a plié, which looks like maybe an easy thing, when you’re holding it down there or doing a grand plié--which people don’t like to do unless their knees are in really good shape--

    Dr. Olson: Right.

    Melanie: But, in second position or in fourth position, doing these things really works your quads, your hamstrings, your tush. I mean, you know, you can get a great workout in.

    So, is there music? What keeps you motivated doing this?

    Dr. Olson: Right. A lot of the classes, you have an instructor—again, similar to traditional ballet class where you have a director who’s not necessarily doing the exercises with you, but there can be music going. You know, sometimes in Pilates, there is some music going. The purists don’t use music. Usually in ballet workouts because the piano is used, there would be some music. But, you have an independent instructor who’s not necessarily leading the classes doing the moves, but walking around monitoring everybody, cuing them, helping them. So, it is very much like a lot of the barre work --part of a ballerina’s practice--that ballet dancers actually do. You can feel your quads working and your calves and your hamstrings and your glutes because, again, it’s very, very, very targeted.

    You know, what if you really want to look like a ballerina? Well, you know…

    Melanie: You better work out for 8 hours a day, man.

    Dr. Olson: Right. They do a lot more than just one hour at the barre and doing some abdominals and that’s all good and fine and it can strengthen your core, but to really look like a ballerina, if we take in everything that they are doing, yes, they are athletes. They are high-end athletes working out doing all kinds of other things for 3, 4, 5 hours a day. So, I just want the public to be informed about why they might have low body fat. It’s not simply because of the barre part of the exercises that they do within the scope of their total training and practice.

    Melanie: Okay. So, we only just have a minute left. Summarize it for us. Wrap up the Barre Method and, you know, can someone obese do this kind of class? Is it too intense? Is it not intense enough for those people that really like their classes? So, in just a minute, Dr. Olson, kind of wrap it up for us.

    Dr. Olson: I think for people who are very fit, it is supplemental. It’s a way to target some muscles and increase the endurance of those specific muscles. If you’re more of a beginner, if you could be overweight, pretty much anybody could start out with a beginning barre-style class. A concern would be the knees and the pelvis. Some of these methods use traditional methods of tucking the pelvis really hard and we know that’s not good for your spine. So, you want to find a class that uses what the call “neutral spine”. Bad knees? Ask for modifications. Use it as a way to maybe get into fitness, as a supplement, and, you know, if you’re already walking and doing a lot of those kinds of things, keep that going. If you lift weights twice a week, keep that going.

    Melanie: Absolutely great advice.

    You’re listening to Train Your Body – Motivate and Perform, right here on RadioMD and with the American College of Sports Medicine.

    This is Melanie Cole. Thanks for listening and stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
Crunches, planks and sit-ups: you've tried them all, but do they actually work on that belly fat?

Additional Info

  • Segment Number 1
  • Audio File train_your_body/1508tb2a.mp3
  • Featured Speaker Michele Olson, PhD
  • Guest Bio OLSON-HeadShot 13 resizedMichele Olson is a Professor of Exercise Physiology in the Department of Physical Education and Exercise Science at Auburn University Montgomery (AUM). Known internationally as THE Exercise Doctor, since coming to AUM Dr. Olson has directed numerous research studies resulting in over 90 publications in peer-reviewed professional journals. Areas of research expertise include:

    -Abdominal Exercise and Pilates; 
    -Energetics and metabolic responses to Spinning, Pilates, Kettlebells and Tabata exercise; 
    -Body image and Eating Disorders in active women, dancers and athletes; 
    -Injury mechanisms with popular fitness activities (Running and Step Aerobics, etc.)

    Dr. Olson is a Fellow of the American College of Sports Medicine for outstanding service to research and is also an NSCA Certified Strength and Conditioning Specialist. She heads the NSCA-ERP Exercise Science Program at AUM and well as being the director of the Scharff-Olson Kinesiology Laboratory.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
When it comes to etiquette at the gym, which personality fits you? Are you The Slob, The Hoarder, The Cardio Junkie, The Talker/Time Burglar?

Additional Info

  • Segment Number 2
  • Audio File train_your_body/1507tb2b.mp3
  • Featured Speaker Neal Pire & Grace DeSimone
  • Guest Bio Neal Pier better resized-horzNeal Pire is a nationally noted expert on fitness and personal training. He is a Fellow of the American College of Sports Medicine and has served on the Executive Council of ACSM's credentialing arm, the Committee on Certification and Registry Boards. Neal served as vice president of a leading national health management company and now serves as an Exercise Physiologist at HNH Fitness, a medical fitness center in Oradell, NJ. He is widely sought after as a consultant for athlete training programs, performance enhancement centers and fitness industry management. As a 35-year veteran with deep understanding of the subject matter, he is often asked for background, commentary or analysis by media covering wellness, fitness, and personal training.

    Grace DeSimone has been in the fitness industry for over 30 years and brings a variety of experiences in commercial, corporate and community settings. She is the editor of ACSMs Resources for Group Exercise Instructors (LWW, 2011) and is an ACSM certified personal trainer and group exercise instructor. Grace is the National Director of Group Fitness for Plus One Health Management, an Optum Company.

  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
Personal trainer or group classes? How do you choose which workout is best for you?

Additional Info

  • Segment Number 1
  • Audio File train_your_body/1507tb2a.mp3
  • Featured Speaker Neal Pire & Grace DeSimone
  • Guest Bio Neal Pier better resized-horzNeal Pire is a nationally noted expert on fitness and personal training. He is a Fellow of the American College of Sports Medicine and has served on the Executive Council of ACSM's credentialing arm, the Committee on Certification and Registry Boards. Neal served as vice president of a leading national health management company and now serves as an Exercise Physiologist at HNH Fitness, a medical fitness center in Oradell, NJ. He is widely sought after as a consultant for athlete training programs, performance enhancement centers and fitness industry management. As a 35-year veteran with deep understanding of the subject matter, he is often asked for background, commentary or analysis by media covering wellness, fitness, and personal training.

    Grace DeSimone has been in the fitness industry for over 30 years and brings a variety of experiences in commercial, corporate and community settings. She is the editor of ACSMs Resources for Group Exercise Instructors (LWW, 2011) and is an ACSM certified personal trainer and group exercise instructor. Grace is the National Director of Group Fitness for Plus One Health Management, an Optum Company.
  • Transcription RadioMD Presents: Train Your Body | Original Air Date: Monday, February 9, 2015
    Host: Melanie Cole, MS
    Guest: Neal Pire & Grace DeSimone

    Melanie: Today we are starting ‘He said, She said.’ My guests are Neal Pire, Nationally noted fitness expert and personal training expert. He’s an exercise physiologist at HNH fitness, a medical fitness center in Oradell, NJ. And Grace DeSimone. She’s the group fitness director for Plus One Health Management. She’s also the editor for ACSM’s resources for group fitness instructors. She is the expert in class exercise. Classes of all kinds, spinning or aerobics or step or calisthenics, I don’t even know if they do that anymore. Neal is the consummate personal trainer, boot camp, all sorts of things. Do you want to do classes? Do you want to do personal training? Both are good. Grace I’m going to start with you. Tell us about the benefits of classes.

    Grace: When you don’t want all of the attention on you, classes are for you. Many of the folks that come to my classes come because they can hide in a crowd. That’s one of the criteria. When you want to exercise, you love the music, you love being around other people, you enjoy sweating with others, then group fitness is a great choice for you.

    Melanie: Neal?

    Neal: If you can’t hide in a crowd, which you can’t do when you’re working with a trainer, personal training might be perfect for you. In a word, what personal training offers you is customization. If you select the correct trainer, one who is accredited, experienced working with people like you, people that have similar goals and needs, personal training is ideal because it’s completely focused on you. There are no distractions. He is uniquely targeting your needs. The other thing that is unique about personal training versus group exercise, which I’ve heard from many of my clients over the last 35 years, is accountability. There’s an appointment. It’s a one-on-one relationship and you are there to make the appointment. They feel accountable; they have no choice. They have to show up and then they have to do.

    Melanie: It is the perfect definition for both of them, from both of you. Now I want to take the case of somebody who is pretty over-weight. A lady who is very over-weight and self conscious about her body, but she like the thought of the music and such but she’s pretty nervous about the other ladies, the stares in class. Where would that woman fit in? Grace, I’m starting with you.

    Grace: It really depends on the style of the gym, the classes they have. There is a place for everyone. There is no one size fits all, but for an individual like that I would recommend to find the right gym, the right environment. Maybe it’s not a gym. Maybe it’s just a place that offers classes; where you’re starting out in a smaller environment. You need to find the place where you’re comfortable first and then get in the class room. Let the instructor know that you’re early on and you should feel comfortable. You should feel comfortable. If you are not comfortable then maybe you’d be better starting off by getting some confidence build with somebody on the training side.

    Melanie: Grace, what if she came into your club and the clubs that you work in: Loud and big and lights and people in thongs? What would you tell her about the classes that you represent, that you know about?

    Grace: People in thongs? There are no people in thongs. Maybe the thongs are underneath the excise attire but those days, I assure you, are long gone.

    Melanie: It’s been a while. You know, she looks at the women in the class, even I’m intimidated and I’m a trainer. What would you say to her about classes at your club, for example?

    Grace: Let me tell you, I have classes especially for people with orthopedic issues or people who are just starting out. They’re sort of like a dialed-down Zumba where you’re doing cardio, dancing, marching in place. They are specifically designed. I will welcome you with open arms into my classes. I’ve had many over-weight people feel like everyone else. I treat them like everyone and I talk to everyone s a group. That should be criteria for how one feels. You shouldn’t feel like you are the only one doing it. You should see other people like that. Everybody thinks that everybody that goes to a gym is fit. Take a look second look. I look at Zumba classes, look at the instructor, and 50 feet and a couple of drinks later you see the rest of the class. They’re really not doing what the instructor is doing, exactly. They’re moving around, having fun. That would be a great place for someone to start.

    Melanie: Okay Neal, what would you do with a woman like that? How would you get her going with personal raining? Especially with some of the trainers out there, that you and I both know, that make you feel intimidated, that are big bulky guys that look you up and down. What would you do with her? You’re a kindly sort.

    Neal: First off, if I have a personal training client that want to wear a thong they are required to wear legwarmers and terrycloth headbands as well; if they can find legwarmers, I haven’t seen then in 30 years. Seriously, this is one of those situations where personal training might be the ideal starter to break someone in who is a little intimidated, who doesn’t feel all with it, into the gym environment. Bring them in, give them a little TLC, take them by the hand, and give them a little guidance. Build their confidence. What I typically do is actually recommend that they do the other side of the gym, do the group exercise along with whatever I prescribe on the personal training side. I want them, ultimately, to develop the habit of physical activity, exercise. Feeling like they’re empowered, like they’re able to do what they’re supposed to do. I can build that confidence on a one-on-one level and promote them, endorse, to go over and try some group exercise. I can go a step further and actually select specific classes that are a compliment to what I’m doing on the personal training side.


    Melanie: That’s a good point, the trainer can help. We have a minute for each of you. Grace, describe some tips for group exercise buyers. Things you really want them to know if they’re considering group exercise class.

    Grace: Try before you buy. Either be a voyeur and stand outside and watch the class, or all gyms, all studios allow you to buy one before you sign your name on the dotted line or you get a free one. Try it before you buy it. I would definitely speak to the instructor beforehand and you need to feel comfortable there. You should have a level of comfort. It’s new, so you might not feel completely comfortable, but there’s a part of you that’s kind of like roller coaster: “I was a little scare, but I had fun too.” That’s the feeling you should have. You’re exhilarated and you enjoyed it. It shouldn’t be all bad.

    Melanie: Neal, your turn, one minute. What are the goals for someone with a personal trainer.

    Neal: Find a properly credentialed NCSA accredited certified trainer who has experience working with people like you, people that have similar goals, and similar needs. Be honest with that trainer, as far as how you feel during your workouts and about your goals and what it is that going to motivate you to take that next step forward. Understand that it’s a quid pro quo. You’re accountable, you’re responsible, and at the same time you are empowered to say no if you don’t feel like doing a particular exercise. If the cost of raining is something that you’re afraid of, if it’s too expensive, instead of doing 3 training sessions a week, do a session every couple of weeks, do one a month. Do small group training, which lowers that barrier of entry, but at the same time, give you the benefit of working out with a professional trainer. Certainly, without a doubt, cross over to group exercise and try different combinations of activity that will make you feel good, motivate you, and get you to whatever your fitness and health goals are.

    Melanie: That’s the word. He said, She said: group exercise classes versus personal training. Goal oriented, where you feel comfortable, try one out before you buy it, and talk to a professional. That’s the word. This is Melanie Cole, right here on RadioMD. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
Eating whole grain foods lowers your risk of death, especially death from cardiovascular disease.

Additional Info

  • Segment Number 4
  • Audio File train_your_body/1504tb2d.mp3
  • Featured Speaker John P. Higgins, MD
  • Guest Bio John HigginsJohn P. Higgins MD, MBA (Hons), MPHIL, FACC, FACP, FAHA, FACSM, FASNC, FSGC, is a sports cardiologist for the University of Texas Health Science Center at Houston, Memorial Hermann-Texas Medical Center and the Harris Health System. His research interests include the effects of energy beverages on the body, and screening for underlying cardiovascular abnormalities in 12-year-olds (sixth graders), and steroid effects on the cardiovascular system.
  • Transcription RadioMD Presents: Train Your Body | Original Air Date: January 20, 2015
    Host: Melanie Cole, MS
    Guest: John P. Higgins, MD

    MELANIE: Can eating more whole grains help you reduce cardiovascular disease? Really? Is there that close of a connection between whole grains, which some people say don’t eat because they’re carbohydrates and all, and cardiovascular disease? Well, quite possibly says my guest, Dr. John Higgins, Sports Cardiologist at the U.T. Science Center in Houston.

    Dr. Higgins, tell us about this latest study about whole grains and reducing total mortality risk. That’s huge.

    DR. HIGGINS: Yes. Oh, this is a big deal, Melanie. This was a very large study as well. It was published in The Journal of the American Medical Association Internal Medicine. They actually had a very large group of individuals--about 74,000 women and 43,000 men--who they followed since the mid-1980s through to the 2000s. They found that those individuals--and, you know, they had surveys on them every couple of years and they checked exactly what they were eating—that every one ounce serving, or about 28 grams, of whole grains was associated with a 9% reduction in cardiovascular deaths and a 5% reduction in all-cause mortality as well as in some of the groups—in the men, in particular—reduction in colorectal cancer. So, this is a big deal, Melanie.

    MELANIE: Well, it certainly is. Now, let’s talk about what are whole grains because people don’t even really realize what it is and they see “whole wheat” on the bread or they see “whole wheat” pasta or multi-grain, so talk about what this even means when people are thinking about what they’re going to buy at the store today.

    DR. HIGGINS: Sure, Melanie.

    Well, there are three types of grains that are out there. They are the whole grains—and these are really kind of more of the old school type of grain that are not really processed much at all. So, they are almost like directly how they are grown. They’re basically just harvested. So, these are the things like brown rice, oatmeal, rolled oats, whole grain barley, cornmeal, whole wheat bread, for example, whole wheat pasta and wild rice. So, they seem to be the best.

    The second group are what we call the refined grains and these are things like cornbread, corn tortillas, pita bread, white bread. So, what they’ve done is, they’ve taken the whole grains and they’ve processed them a little bit and changed them—taken some of the things out of them—to make them a little bit more tasty for some people that don’t like the whole grains.

    Then, finally, there are the fortified refined grains where they actually take out some of the stuff that people don’t find palatable, but then, they add back in certain vitamins and things. What are some of the things that are being removed? So, a great example of this is rice. So, brown rice, we know, is a great whole grain and the husk of the rice contains some really, really important things—not only fiber, but also B vitamins. Now, if you take that husk off, you get white rice and some people just prefer it. It’s a little bit softer and easier to chew for some people. But, you’re missing out on some of those important fiber components as well as some of the vitamins. So now, there is a type of white rice which is fortified with extra B vitamins fiber, etc., etc.

    But, you know, the best one, if you can do it, Melanie, is, of course, the whole grains like the wheat flour, the whole wheat flour, the oatmeal and the brown rice. We’re talking about 1 ounce or 28 grams per day as being a positive effect and, in fact, if you look at the recommended guidelines for most adults, they recommend that you probably shoot for about, you know, 5 or 6 ounces per day. So, an example of that would be maybe 2 or 3 slices of whole grain bread, 1-2 cups of unprocessed cereal and then maybe a cup of brown rice per day.

    MELANIE: Okay. Now, you’re talking in ounces. Now, that doesn’t seem like a lot to me, Dr. Higgins, but then there are these people who say, “You know, eating three slices of bread is way too much carbohydrates for the day.” Or, “Pastas are bad for you at this point.” Or, you know, some of the newer whole grains on the market, the quinoas and, you know, the wheat berries and all these different things. People don’t even know what to do with those.

    So, what do you say to those people that say, “You know, that’s too much carbohydrates altogether. That’s too much of that stuff that you should be eating at all anyway.”

    DR. HIGGINS: Yeah. No, that is a good point, Melanie, and I think I was just listening to your session earlier on in this hour and I think that the important part about diet is to do things in moderation and have balance in the diet. So, the important part of the study was that it was 1 ounce or 28 grams per day of the whole grains that was sufficient to get a benefit and it did appear that taking a little bit more of this would give you a little bit more benefit. But, the most benefit seemed to come out of only having 1 ounce or 28 grams per day.

    So, my take on this, Melanie, is for people to make sure that their servings of food have some sort of grain in them at least once or twice per day. And I think the three quarter rule where they talk about three quarters of your plate should have some sort of grain, vegetable and/or fruit and then maybe one quarter of your plate having some protein—whether it be soy or lean, fish, etc. I think that’s a reasonable thing to do for people.

    And the amazing thing with the grains are a lot of people say, “Well what is in them? How do they do this?” Well, the whole grains—we know they have high fiber levels and we know fiber has been associated with improved cardiovascular health. They lower the LDL cholesterol. They lower your blood pressure. People fill up and feel full faster with whole grains, Melanie. So, they actually tend to be associated with lower weight and weight loss. They help to regulate the blood sugar levels and also whole grains often will contain calcium, Vitamin B, C and other essential minerals and nutrients like selenium, potassium, magnesium.

    There’s also been an association with a reduction in inflammatory markers and we know that inflammation is really, really important for producing cardiovascular disease in the long run. So, I think there are a lot of things that are in them, but I do agree that in balance and as a part of a diet any time you do things to an extreme, I think it can be detrimental to your body. So, going to an all protein diet or an all grain diet, I don’t think that’s the way to do it. I think it’s having this as a part of your daily diet looks like it’s going to be good in the long run for you.

    MELANIE: And not only that, the study talks about the cardiovascular disease, but you’re also talking about colorectal cancer and the fiber that’s in whole grains and multi-grains.

    So, if you would, in the last minute or so, Dr. Higgins, wrap it up and kind of recap for us what those words mean that they see on the package of bread or pasta: whole grain, multi-grain, whole wheat. Kind of give a little re-wrap on that.

    DR. HIGGINS: Well, I think the important thing when you are shopping for your sources of carbohydrates, just be aware of the fact that if it does mention whole grain or whole wheat, in general, in front of the product—whether it be bread, cornmeal, or rice, you are probably on a winner for getting your fix of your whole wheat and grain for the day which will not only improve the overall function of your body, but it will also reduce the bad things that you’re taking in. It will reduce your LDL cholesterol. It will improve your overall health and your cardiovascular health. And, importantly, if you do have a choice between whether it be a whole grain substance versus something next to it on the shelf which is a refined or fortified, you’re probably better off with the whole grain. We also know that if you’re eating more grain, you’re going to be eating less saturated fat and other things in the diet that are bad for you and you’re going to probably be exercising.

    MELANIE: And be healthier. That’s right. So, that’s the way to have the healthy lifestyle and it might just reduce your mortality risk.

    This is Melanie Cole. You’re listening to Train Your Body. Stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
For any individual who is physically active, there is a possibility of sustaining an injury.

Additional Info

  • Segment Number 3
  • Audio File train_your_body/1504tb2c.mp3
  • Featured Speaker John P. Higgins, MD
  • Guest Bio John HigginsJohn P. Higgins MD, MBA (Hons), MPHIL, FACC, FACP, FAHA, FACSM, FASNC, FSGC, is a sports cardiologist for the University of Texas Health Science Center at Houston, Memorial Hermann-Texas Medical Center and the Harris Health System. His research interests include the effects of energy beverages on the body, and screening for underlying cardiovascular abnormalities in 12-year-olds (sixth graders), and steroid effects on the cardiovascular system.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
Fad diets come and go. Have you tried one, only to fail?

Additional Info

  • Segment Number 2
  • Audio File train_your_body/1504tb2b.mp3
  • Featured Speaker Felicia Stoler, MD
  • Guest Bio felicia stoler close upDr. Felicia Stoler is a registered dietitian, exercise physiologist and expert consultant in disease prevention, wellness and healthful living. She has a bachelors from Tulane University, a masters in applied physiology and nutrition from Columbia University and her doctorate in clinical nutrition from UMDNJ. Felicia serves on many local, state and national committees related to health and wellness. Felicia is a member of the American College of Sports Medicine and is a Fellow of the ACSM. Felicia is a member of the Academy of Nutrition and Dietetics and is on the House of Delegates.

    Dr. Stoler hosted the second season of TLC's groundbreaking series, Honey, We're Killing the Kids!, which took aim at the unhealthy lifestyles of families, across the country, in an effort to motivate them to make positive changes. She is the author of Living Skinny in Fat Genes™: The Healthy Way to Lose Weight and Feel Great (Pegasus) which was featured in USA Weekend among the top “must have” books in 2011. She has been a contributor for FoxNews.com and written several book chapters. Stoler authored the ACSM’s Current Comment on Childhood Obesity.

    Felicia has been on many national and local television and radio programs across the U.S. She is one of the most sought-after nutrition/fitness experts for TV, radio, newspapers and magazines. Felicia is passionate about helping people live healthier lives – and practices what she preaches. She maintains a private practice and provides consulting and public speaking. Felicia is the mother of two children and step mom of one – living in NJ.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
While there is no way to cure the common cold or the flu, healthy eating during cold and flu season can help you avoid getting sick.

Additional Info

  • Segment Number 1
  • Audio File train_your_body/1504tb2a.mp3
  • Featured Speaker Felicia Stoler, MD
  • Guest Bio felicia stoler close upDr. Felicia Stoler is a registered dietitian, exercise physiologist and expert consultant in disease prevention, wellness and healthful living. She has a bachelors from Tulane University, a masters in applied physiology and nutrition from Columbia University and her doctorate in clinical nutrition from UMDNJ. Felicia serves on many local, state and national committees related to health and wellness. Felicia is a member of the American College of Sports Medicine and is a Fellow of the ACSM. Felicia is a member of the Academy of Nutrition and Dietetics and is on the House of Delegates.

    Dr. Stoler hosted the second season of TLC's groundbreaking series, Honey, We're Killing the Kids!, which took aim at the unhealthy lifestyles of families, across the country, in an effort to motivate them to make positive changes. She is the author of Living Skinny in Fat Genes™: The Healthy Way to Lose Weight and Feel Great (Pegasus) which was featured in USA Weekend among the top “must have” books in 2011. She has been a contributor for FoxNews.com and written several book chapters. Stoler authored the ACSM’s Current Comment on Childhood Obesity.

    Felicia has been on many national and local television and radio programs across the U.S. She is one of the most sought-after nutrition/fitness experts for TV, radio, newspapers and magazines. Felicia is passionate about helping people live healthier lives – and practices what she preaches. She maintains a private practice and provides consulting and public speaking. Felicia is the mother of two children and step mom of one – living in NJ.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
You're not feeling well. Should you work out or take the day off?

Additional Info

  • Segment Number 4
  • Audio File train_your_body/1503tb2d.mp3
  • Featured Speaker Jordon Metzl, MD
  • Guest Bio Dr Metzl back coverJordan D. Metzl, MD (www.DrJordanMetzl.com) is a sports medicine physician at Hospital for Special Surgery, America’s premier orthopedic hospital located in New York City. Regularly voted among New York’s top sports medicine doctors by New York magazine, Dr Metzl takes care of athletic patients of all ages and lectures and teaches extensively both nationally and internationally.

    With a practice of more than 20,000 patients, Dr. Metzl is widely known for his passion for sports medicine and fitness. His focus is to safely return athletes to the playing field of their choice and to keep them there. In addition to his busy medical practices in New York City and Old Greenwich, Connecticut, Dr. Metzl is the author of the bestselling titles The Exercise Cure (Rodale 2014) and The Athlete's Book of Home Remedies (Rodale 2013) and has also authored three other books including The Young Athlete (Little Brown). Dr. Metzl is also the medical columnist for Triathlete Magazine. His upcoming book entitled Run Your Best Life is expected in 2015 (Rodale).

    His research interests include the treatment and prevention of running related injury, the effectiveness of preventive wellness programs, and the prevention of youth sport injury.

    Dr. Metzl appears regularly on media programs including the Today Show, on radio including National Public Radio (NPR) and in print media including the New York Times, discussing the issues of fitness and health. In addition to his busy medical practice and academic interests, he practices what he preaches.

    Dr. Metzl created the Ironstrength Workout, a functional fitness program for improved performance and injury prevention that he teaches in fitness venues throughout the country. The workout is featured on www.RunnersWorld.com where it has been performed by more than 9 million athletes around the world.

    A former collegiate soccer player, 31-time marathon runner and 12-time Ironman finisher, he lives, works, and works out in New York City.
  • Transcription RadioMD Presents: Train Your Body  |  Original Air Date: Tuesday, January 13, 2015
    Host: Melanie Cole, MS
    Guest: Dr. Jordon Metzl, MD

    Melanie: When is not the right time to work out?  If you’ve got a cold and the sniffles should you be going to the gym and working out?  If you have an old sports injury or your plantar fasciitis is kicking up or your shin splints hurt or your old knee is hurting you? How about if you didn’t sleep the night before?  Should you take a nap, or should you go to the gym and work out?  Which is going to be the best for you? My guest today is Dr. Jordan Metzl.  You can read more about Dr. Metzl at www.DrJordanMetzl.com. He’s a sports medicine physician at Hospital for Special Surgery.  He is also regularly voted among the top sports medicine doctors by New York magazine. Welcome to the show.  Dr. Metzl, let’s talk about when not to exercise.  So you didn’t get a good night’s sleep last night, let’s start with that one. When you’re really tired, do you go to the gym and try to work it out or do you take a nap?

    Dr. Metzl: How did you know I didn’t get a good night’s sleep last night, Melanie?  Here’s the story on this.  First of all, I’m coming at it like this; I’m a sports medicine doctor, but I’m also quite active.  Every year I do one Iron Man and at least one marathon. This year will be my 32nd marathon and 13th Iron Man and I figure that I’ll keep going as long as I can.  I love activity every single day.  I love activity every single month, every single year, and I love setting goals to help me do that.  These are things I deal with, not only as a doctor, but very much as an athlete myself. So, the first thing is sleep.  Most of us don’t get enough sleep: Life, commitments, whatever.  Ideally you need somewhere between 6 and 8 hours, everyone is different.  To me the sleep question becomes the following. Generally speaking, for all this stuff, I’m a big believer in listening to your body.  Forcing yourself to do something because you feel like you have to is never good.  Not listening to your body’s cues can cause a lot of problems. So with sleep, if you feel like you want to go out there and do a slow slog, even if you’re super tired, I have no problem with that at all.  It tends to be, if you’re sleep deficient, trying to do high intensity work outs is a much bigger problem than just doing a low, steady, slog.  What I would say is: If you’re sleep deprived and you want to get out there and move I totally recommend doing it, but I don’t recommend doing a high-intensity kind of work out.  I recommend more of a slow slog.

    Melanie: Okay.  What about if your back hurts?  My back goes out sometimes. I get these low back pains from a disk I bulged working at a health club 25 years ago.  Do you work out when you feel that back pain?  Does that help it, or do you give it a rest?

    Dr. Metzl: Let me give you the rule on injuries that I have in my Athletes Book of Home Remedies, which is the book I did about how to put up with all of your injuries.  In that book I tell what I do in my practice, and here is my rule on this:  If pain changes your mechanic of movement, don’t do that movement.  Meaning, if your back is changing the way you serve your tennis ball, if it’s changing the way you swim, if it’s changing the way you run, if the pain is changing your mechanic of motion, don’t do it. If it’s achy, but you can keep doing it in the normal way, I generally think that’s okay.  That’s my rule. With back pain, there are all sorts of things that make people’s backs hurt.  You can have back pain from muscle spasms.  You can have back pain from a herniated disk.  You can have back pain from arthritis.  There are a bunch of categories of things that can make your back hurt.  I don’t expect people, necessarily, to diagnose their own injuries, but in my home remedies book I have a lot about how to diagnose injuries on your own.  You don’t have to diagnose yourself, but I think you have to be receptive to the kind of pain you’re having.  So it depends on the kind of back pain you’re having and also what activity you are trying to do.  If you’re trying to hit a golf ball, that’s a lot more loading force on your back than if you want to go swimming.  You have to have some common sense, too.

    Melanie: Okay, what about your old sports injury?  It’s bothering you, and your knees are starting to hurt.  Maybe it doesn’t change your gait but as you go on the treadmill or the bike you’re starting to feel that old pain again and you say: “Geeze, I thought I fixed that.”

    Dr. Metzl: I’m a big believer in helping people learn how to manage their kinetic chain, first of all. Everything from functional strength training, which I’m a huge fan of not only doing but teaching, in addition to getting on their roller and loosening up their muscles. This maximizes the muscular strength and flexibility around their joints which reduces things like aching knees.  Sometime that alone is all we have to do.  If that alone is not helping, then you have to talk to your doctor and see what some of the other things you can do are.  Maybe you have some arthritis in your knees and doing things like lubricant shots may help reduce your symptoms, so you can be active. It’s never quite as simple as: “It hurts, don’t do it.” We try to figure out what we can do to make it hurt less, or not at all, so you can keep doing it.  As far as I’m concerned, achy knees become a health issue in a broader sense.  You’re not active if your knees hurt.  If you’re not active, you get depressed, your blood pressure goes up, your cholesterol goes up, and you have a higher risk for a heart attack or a stroke, for all kinds of stuff.  It becomes a major health issue.  I want you to get off your couch and move every single day.  That’s how I think about those things.

    Melanie: It’s flu season, colds and flu. If your nose is really stuffed up and you can’t taste anything, which in my opinion is like torture, when you work out does that stuff you up more if you’ve got a cold?  Sometimes you like to picture it as flushing it out, shooting it out.  Does that work, or is that a myth?

    Dr. Metzl: It works for me; I’ve got to tell you.  I tell my patients, if it’s above the neck, if it’s neck and up and you can do it, get out there and do it.  I think getting out there and getting moving and going, being outside, it definitely cleans everything out for a while.  I think it’s terrific.  I would recommend doing it.  Plus, it gets your immune system going.  I think it’s only helpful.  If it’s down below the neck, if it’s in your chest, if it’s in your lungs, if you’re coughing up nasty stuff, or if you have a fever over 101 then it’s time to kind of back off.  In general, I think listening to your body is the best advice I can give you on that.  

    Melanie: This is a good one because I have a lot of people ask me about this.  The last time someone worked out, they felt a sharp pain.  Maybe it was in their chest, maybe it was in their back, maybe in their calf. They get worried that it’s a blood clot or that it’s a heart condition.  When you feel that sharp pain, even if it goes away right away, do you stop exercising and rush off to doctor?  What do you do when you feel that sharp pain?

    Dr. Metzl: It’s tough as a health care practitioner, I’ve got to say.  I used to play soccer all the time.  Then I’m in my office and I see people with injured knees from playing soccer, tearing their ACLs from playing soccer.  “Crud, I’m not going to keep playing soccer.”  Fortunately the people that come see me are a skewed population.  They come to see me because they hurt their knee, not because they had no problem playing soccer. It definitely affects me.  I’m very sensitive to these issues because I’ve had people come in that have had heart attacks pushing through pain or they’ve had other problems pushing through pain.  I generally think that if it’s a pain that comes and it goes away and it’s not causing any symptoms, generally, it’s probably okay.  If it’s something that comes up repeatedly: “Every time I run, my chest starts to hurt.” I start to lean to getting it checked out.  Blood clots, not as much, but it certainly can be. Definitely heart conditions, for sure. Everything from dizziness to chest pains, those things can be worrisome, obviously, if you do have that or have a history of that.  Most people with athletic related heart conditions are fully asymptomatic until they have a big event, so unfortunately there are no warning signs.  If you are lucky enough to get a warning sign and the things I look for are dizziness, chest pains, that kind of stuff, you definitely want to get it checked out.  

    Melanie: Really great information and great advice. You can read more about Dr. Jordan Metzl at www.DrJordanMetzl.com.  He’s got a lot of great information and great books out there, so check him out.  You can kind of help diagnose some of these things yourself.  Of course, if you have any issues see your doctor.  If you get any kinds of pains from exercise, that’s our disclaimer, you know we always have it here on RadioMD.  Thank you so much for listening.

    You’re listening to Train Your Body.  Motivate and perform with the American College of Sports Medicine, right here on RadioMD.  You can share these shows with your friends on Facebook, you can follow us on Twitter @RadioMD, and you can even listen to these shows on IHeartRadio and iTunes.  There are lots of ways to go.  You can listen anytime, on demand or on the go, on your tablets or on your phones.  Share these shows, because this is great information.  This is Melanie Cole.  Thanks so much for listening and stay well.
  • Length (mins) 10
  • Waiver Received No
  • Host Melanie Cole, MS
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