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Extra walking can improve quality of life for patients with heart failure

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Extra walking can improve quality of life for patients with heart failure

Heart disease is the leading cause of death in Texas, according to the state health services department.

Congestive heart failure means your heart can’t pump enough blood to meet your body’s needs. There’s no cure, but a recent study of 425 patients using fitness trackers found that between a thousand and 5,000 extra steps a day can improve a patient’s quality of life.

KERA’s Sam Baker talked about this with Dr. Sreenivas Gudimetla, a cardiologist with Texas Health Harris Methodist Hospital Fort Worth and Texas Health Physicians Group.

The exact benefit for heart failure patients of walking is what?

It doesn’t reverse or minimize the disease, but it improves symptoms in people with heart failure. Their shortness of breath improves. Their functional capacity improves, and their ability to perform their activities of daily living improves.

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The 1,000 to 5,000 steps. Has that been determined to be sort of the sweet spot for results from exercise? 

It varies from person to person. Those numbers come from this study in particular, and from this study that range of steps has been shown to have a benefit.

So the benefit of this study is what then?

In people who actually take extra steps during the day, they have clinically significant health improvements in terms of how they feel, in terms of what they’re able to do during their lives. And it actually encourages them to live a much more active lifestyle and eating healthy, taking better care of yourself overall will indirectly improve survival.

Considering that it doesn’t change the mortality outcome, is it hard to get people with heart failure to embrace exercise?

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I think it is crucially important that we try to encourage our heart failure patients to exercise because with how they feel, especially if they’ve been recently decompensated, they’re not going to feel like they want to exercise.

You know, we in a broad sense in the medical field, know that this is extremely important and therefore we have programs in place to try and encourage our patients to be on an exercise regimen and also counseling on other ways of taking care of themselves, such as a heart-healthy diet with limitation of salt intake, so that their risk of volume overload goes way down.

Do some patients have to be convinced of that? 

Some patients do, especially if they’ve had, you know, really bad heart failure exacerbations. It takes a lot of time, it takes a lot of effort and it takes a lot of work to enroll and make the trip to cardiac rehabilitation on a day on a regular basis so that they can build up their strength.

The American Heart Association and American College of Cardiology guidelines have steps in place where it is standard of care to begin counseling our patients early on, especially before their hospital discharge or after their initial diagnosis as an outpatient.

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Are there any steps people can take to minimize or even avoid heart failure?

There was a study published in late 2000 that broke down the factors that determine one’s survival. Genetics is number one. Number two is lifestyle.

It’s important to educate the population at large when they’re younger because if they eat healthy, exercise, and maintain an ideal weight, all of those things are going to reduce the risk of diabetes and hypertension, which are definite precursors for cardiovascular disease going forward.

So what you do in your teens, twenties, and thirties determines how you do in your forties, fifties, and sixties and beyond.

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People With Heart Failure Can Step Their Way to Better Health

Just 1,000 Extra Steps a Day Can Improve Health for People With Heart Failure

NIH: Heart Failure

What Is Congestive Heart Failure?

Heart Failure

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A Few Hours Of Walking Every Week Could Slash Your Risk Of An Early Death, New Study Suggests

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A Few Hours Of Walking Every Week Could Slash Your Risk Of An Early Death, New Study Suggests

A good workout can help you build muscle, get a better night’s sleep, and feel really good. But it might even help you live longer, a new study found.

You don’t even need to do anything drastic to reap the benefits. Here’s what researchers found, plus how to ramp up your own exercise routine to get the perks.

Meet the experts: Ryan Glatt, CPT, is a senior brain health coach and director of the FitBrain Program at Pacific Neuroscience Institute in Santa Monica, California. Albert Matheny, RD, CSCS, is a personal trainer and co-founder of SoHo Strength Lab.

What did the study find?

The study, which was published in the journal Circulation, analyzed data from two U.S. cohorts of more than 116,000 adults on their exercise routines and overall health. (Data was collected from the participants 15 times over 30 years.)

Scientists found that people who did 300 to 599 minutes of moderate-intensity exercise per week had a 26 to 31 percent lower all-cause mortality and a 28 to 38 percent lower risk of cardiovascular disease mortality. They also had an up to 27 percent lower risk of dying from something outside of cardiovascular disease. (Moderate physical activity is defined as walking, weightlifting, and other types of lower-intensity exercise, according to the American Medical Association.)

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That, of course, goes far beyond the recommended 150 minutes of moderate-intensity exercise advised by the Physical Activity Guidelines for Americans. But it appears as if working out more can raise your odds of living longer.

Can exercise make me live longer?

There are a lot of factors that go into how long you live, but plenty of research suggests that an exercise habit is linked with a larger life span.

For example, a recent study published in the British Journal of Sports Medicine found that people over the age of 40 could live an extra 5.3 years if they were as active as the top 25 percent of the population. And an older scientific analysis concluded that people who are physically active are up to 35 percent less likely to die from any cause compared to their inactive counterparts.

“Physical activity is an essential, but underutilized, strategy for aging well,” says Ryan Glatt, CPT, a senior brain health coach and director of the FitBrain Program at Pacific Neuroscience Institute in Santa Monica, California. “Even minimal activity levels can provide substantial health benefits, including disease prevention and improved quality of life.”

What type of exercise will make me live longer?

In general, any kind of activity seems to help people live longer. However, research suggests that strength training can make you biologically younger, while kettlebell training can help you to age more smoothly.

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If I’m not active, how can I get into exercise?

It’s important to start slowly, says Albert Matheny, RD, CSCS, a personal trainer and co-founder of SoHo Strength Lab. “At different points in your fitness, different exercises are appropriate,” he says. Meaning, you shouldn’t expect to be able to run a marathon if you’re not even doing a walking routine right now.

You can start out small by doing things like going for regular walks at a higher intensity, then ramping up to going for jogs and runs. You can eventually add in things like HIIT classes and strength training.

When you do strength training, Matheny says it’s important to focus on big muscle groups, like your legs. “Body weight exercises—lunges, squats, planks—are great for most people,” he says.

If you want a more defined introduction to exercise, Women’s Health has a four-week beginner workout plan to guide you through.

Ultimately, Matheny says it’s important to come up with a routine you can follow consistently. “Just do the best you can,” he says.

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Korin Miller is a freelance writer specializing in general wellness, sexual health and relationships, and lifestyle trends, with work appearing in Men’s Health, Women’s Health, Self, Glamour, and more. She has a master’s degree from American University, lives by the beach, and hopes to own a teacup pig and taco truck one day.

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Say Goodbye To Belly Fat With These Celebrity Fitness Instructor-Recommended Abs Workout

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Say Goodbye To Belly Fat With These Celebrity Fitness Instructor-Recommended Abs Workout

Reducing belly fat around the abdomen is a common weight-loss goal shared among people worldwide. Even after working very hard on your fitness, losing belly fat in particular can feel impossible at times. In her recent Instagram video, fitness instructor Yasmin Karachiwala showed a few efficient ab workouts for beginners as well as advanced fitness enthusiasts. Sharing the video, she wrote, “Let’s burn that belly fat. Abs workout for all levels—3 sets x 15 reps. Ready? Let’s do this!” In the shared video, Yasmin suggested 3 abs workouts for beginners including curl up legs down, reverse curls and crisscross. Next up, she demonstrated a bunch of exercises for people with intermediate-level fitness and lastly shared a workout routine for advanced level. Check out the full video here: 

In her previous post, Yasmin Karachiwala shared a video of her using Theraband for doing on-the-go exercises. She said, “Today I want to share with you that one thing that I don’t travel without – the theraband. I love travelling with this because A. It is so light. B. It becomes so tiny that it can fit anywhere in your travel bag and C. It enhances resistance, which increases your strength, builds flexibility and also tones your body. Let me show you some exercises that you can do when you are on the go or at home.” 

Yasmin followed it by showcasing clips of her performing different exercises with a theraband which includes workout routines for shoulder, chest, bicep, abs, leg and more. 

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In the caption, she wrote, “Introducing you to my favourite travel buddy—Theraband. Follow my full body workout and practice 15 reps and 3 sets for each exercise. Try them out and let me know your progress.”

Without further ado, follow Yasmin Karachiwala’s workout recommendations and get going on your fitness journey.

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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Is the 12-3-30 workout better than walking 10,000 steps? I tried both to find out

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Is the 12-3-30 workout better than walking 10,000 steps? I tried both to find out

“Walking is the best form of exercise you can do,” says Dr Elroy Aguiar, an assistant professor of exercise science at The University of Alabama.

“It’s easily accessible, with a low barrier to entry in terms of cost, equipment and skill requirements. The vast majority of the population can easily get outside and go for a walk; that’s why we say walking is the best recommendation for exercise.”

But, as with anything simple and successful, the internet has found a way to complicate it. Enter the 12-3-30 method – walking on a treadmill with its incline set to 12, at 3mph, for 30 minutes.

Could this viral treadmill routine replace my go-to walking workout?

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Could this viral treadmill routine replace my go-to walking workout? (The Independent / iStock)

Influencer Lauren Giraldo brought the method into the mainstream, claiming it helped her lose 30lb (just over 13.5kg). Now this “cardio hack” has racked up millions of views on Tiktok, with top videos promising rapid weight loss and a “toned” physique.

As a fitness writer who’s ever-sceptical of anything that sounds too good to be true, I decided to give it a go for myself, and see how it compared to simply walking 10,000 steps a day sans-treadmill – which is something I’ve enjoyed doing for years with no complaints.

How to do the 12-3-30 workout

If you want to try the 12-3-30 trend, all you need is a treadmill and a spare 30 minutes. Set the treadmill’s incline to 12, bump the speed up to 3mph (or 4.8kph if, like me, your treadmill of choice only operates in the metric system) then walk for 30 minutes. You can do this in the gym, or using your treadmill at home.

My thoughts on the 12-3-30 workout

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There’s logic behind the 12-3-30 workout. The treadmill offers a more controlled environment than a regular walk, so you can dictate variables like the gradient and pace.

“What you’re doing by increasing the incline is increasing the intensity of the activity,” Dr Aguiar explains. “Incline walking is much more difficult, so it’s going to increase oxygen cost, heart rate and energy expenditure.”

This can improve your cardiovascular fitness. Paired with an appropriate diet, it can also aid weight loss, increasing energy expenditure to create a calorie deficit. But there’s no magic formula to it, you’re just moving more, and some Tiktok videos may overstate its effectiveness on the fat loss front – consistency and time are the real secret ingredients if this is your goal.

Trying the 12-3-30 workout for myself, I wound up far sweatier than I expected; I was essentially walking up a fairly steep hill for 30 minutes. The time went fairly quickly, and compared to a run it didn’t take nearly as much preparation or motivation to get started. These are all plus-points, supporting its reputation as a “cardio hack”. However, I still took umbrage with some elements.

Firstly, I found it a bit boring. I was facing a blank gym wall for the full half hour and, although I roped a friend in to join me for a chat, I’d still rather head to an actual hill for a more stimulating walk.

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It also doesn’t include any sort of progression. The workout will keep burning calories, sure, but if you want to see continued improvements in your fitness then you need to gradually make your training more challenging over time by upping various variables – in the case of a treadmill, the main ones are speed, gradient and time.

My other main qualm is that this workout keeps you cooped up inside. As someone who works from home most days, I’d rather use this time to head outdoors and reap the many benefits of doing so.

“Ideally, it’s good to get outside because there are other benefits – interacting with your environment, sun exposure, those sorts of things,” Dr Aguiar tells me.

Read more: I walked 10,000 steps with a weighted backpack every day for a week – here are five reasons I’m not stopping

My thoughts on walking 10,000 steps a day

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Walking 10,000 steps per day has become a popular fitness goal thanks to fitness trackers making it their default target. But the figure really stems from a 1960s Japanese pedometer called the Manpo-Kei or “10,000 steps metre”. In other words, it’s rooted in marketing, not science.

The actual amount you need to walk each day to see most health benefits is more like 8,000 steps, studies have shown. However, I’ve found walking 10,000 steps a day works for me, and I’ve been doing it for years.

I’ve been walking 10,000 steps for years and it’s always worked well for me

I’ve been walking 10,000 steps for years and it’s always worked well for me (The Independent / Harry Bullmore)

Getting on my feet and out of the house boosts my mood and helps my body feel looser after a day at my desk. I can squeeze extra steps in throughout the day with a lunchtime wander or stroll to the shops, and I enjoy it, often exploring new places or meeting friends for an on-the-go catch-up. For me, an ever-changing natural environment is far more engaging than a blank gym wall too.

Research supports my feel-good theory, with a study published in the Scientific Reports journal finding that spending at least 120 minutes per week in nature is “associated with good health and wellbeing”.

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But there are some drawbacks to this practice too. Without a treadmill belt forcing you to walk fairly fast, it’s easy to let your pace drop while out for a walk. And Dr Aguiar’s research suggests that walking speed could be linked to the health benefits on offer from getting your steps in.

“The recommendation from our studies has shown that, if you walk at a cadence of about 100 steps per minute, that’s equivalent to what’s called ‘moderate intensity’,” he explains. “All of the research in this area suggests that most of the benefits accumulate at a moderate or higher intensity.”

Read more: You only need three moves and one dumbbell for the best abs workout at home, according to a top trainer

The verdict: 12-3-30 workout vs 10,000 steps a day

Both the 12-3-30 workout and walking 10,000 steps a day have pros and cons. However, the mental and physical benefits of both far outweigh any drawbacks.

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Personally, I found walking 10,000 steps a day was the better option by far, leaving me feeling far better than spending 30 minutes staring at a treadmill screen. However, there will be people out there who prefer the structure and tangibility of the 12-3-30 method.

Which brings us to the deciding factors: enjoyment and accessibility. Which one are you able to do regularly, and which one is fun enough to keep you coming back for more?

“I’m not going to dissuade anyone from doing any sort of exercise,” Dr Aguiar says. “Whether people choose to exercise inside on a treadmill or outside by walking around a park, there are benefits to both. And if people are enjoying doing the 12-3-30 trend, good on them.”

In short, adding some extra movement into your routine is rarely a bad thing. If you find something that works for you then it’s well worth sticking with it, rather than flitting between the ever-flowing stream of fitness fads that dominates social media.

As Giraldo says in her initial video on the topic: “I used to be so intimidated by the gym and it wasn’t motivating. But now I go and do this one thing and I can feel good about myself… I look forward to it, it’s my me-time.”

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Read more: Adam Peaty reveals the training and mindset shift that got him to Paris 2024 – and what he plans to do next

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