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HIIT is safe for people with heart problems and boosts their fitness

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HIIT is safe for people with heart problems and boosts their fitness

Doing high-intensity interval coaching is protected for individuals having cardiac rehabilitation and will increase their cardiorespiratory health sooner than presently really useful reasonable train, in response to a medical trial

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24 February 2023

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HIIT entails vigorous bursts of train interspersed with brief relaxation intervals

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Excessive-intensity interval coaching (HIIT) is protected for individuals who have had a coronary heart assault or different cardiac occasion and will enhance their health sooner than typical rehabilitation train programmes, in response to a medical trial.

In lots of international locations – together with the UK, US and Australia – people who’ve had a cardiac occasion could be referred to cardiac rehabilitation programmes, that are designed to enhance coronary heart well being by way of train coaching and life-style schooling.

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1 year of heavy resistance training benefits older adults, study finds

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1 year of heavy resistance training benefits older adults, study finds
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A recent study found that heavy resistance training among older adults may help preserve long-term leg muscle function. FG Trade/Getty Images
  • Exercise is an important lifestyle component at any age, particularly for older adults.
  • A recent study found that heavy resistance training may better preserve leg muscle function in older adults than moderate-intensity exercise or not exercising.
  • The findings show the benefits persisted for years after the strength training intervention.
  • Experts recommend older adults interested in heavy resistance training should seek appropriate guidance to build up to higher resistance levels.

Building and maintaining strong muscles helps with function and contributes to well-being.

Muscle function typically declines in older adults, which may lead to reduced mobility and independence and increase the risk of falls.

Researchers are interested in the best ways for older adults to use lifestyle interventions to maintain their health. Resistance training, which involves using weight to help with muscle strength, is one such intervention.

A recent study published in BMJ Open Sport & Exercise Medicine examined the long-term benefits of heavy resistance training for older adults.

The study found that one year of heavy resistance training helped older adults maintain isometric leg strength up to four years. The findings suggest that heavy resistance training may help with long-term muscle function preservation.

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The current study examined at some long-term benefits of heavy resistance training. It was an interim analysis of the LIve Active Successful Ageing (LISA) study, a parallel-group randomized controlled trial.

The trial included 451 older adults who were divided into three groups. The first group underwent one year of heavy resistance training, the second group underwent moderate-intensity training, and the third group was a non-exercising control group.

As noted in the previous outline for the LISA study protocols, the high-resistance training group used exercise machines for activities like leg and chest presses, low rowing, and leg curls.

In contrast, the moderate-intensity training group did exercises like squats, push-ups, and seated low rowing. While the heavy resistance training group used exercise machines, the moderate intensity training group used elastic exercise bands and their body weight for resistance.

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Both groups also did abdominal and lower back exercises to help build core strength. The heavy resistance training group worked at a private fitness center three times a week. In contrast, the moderate resistance group did one weekly training session at a hospital and two weekly exercise sessions at home.

This outline also noted that the control group was expected to continue habitual physical activity levels, less than 1 hour of regular strenuous weekly activity.

This current analysis followed up with participants three years after the end of the one-year intervention.

Researchers conducted tests to examine the visceral fat mass, isometric leg strength of the quadriceps, and maximal isometric quadriceps torque. They also performed brain and thigh MRI scans and tracked daily step counts for participants. These were the same tests that participants had undergone at baseline, post-intervention, and one year after post-intervention.

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Overall, the benefits for the heavy resistance training group were the highest at the 4-year mark.

The heavy resistance group maintained its baseline performance for isometric leg strength, while the other groups experienced a decline. However, researchers note that the decrease in isometric leg strength for the moderate-intensity group was insignificant.

Both resistance training groups did not experience a change in visceral fat content over the four years, while the control group experienced an increase in visceral fat content. All three groups also experienced similar decreases in handgrip strength, lean leg mass, and leg extensor power.

Researchers believe the benefits of resistance training for leg strength could be due to neural adaptations, even when things like leg lean mass decrease.

Overall, the results indicate the potential long-term benefits of heavy resistance training for older adults.

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The authors note, “In well-functioning older adults at retirement age, 1 year of HRT [heavy resistance training] may induce long-lasting beneficial effects by preserving muscle function.”

Despite the implications, this research has some limitations.

First, since this was an interim analysis of a previous intervention, researchers are limited by any limitations in the LISA study. For example, it was conducted in Denmark, meaning the results cannot necessarily be generalized to other population groups.

Further, these findings cannot establish causality, and some data relies on participant reporting. Some differences between how interventions were conducted could have made a difference in the results as well.

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Researchers also note that the participants in the study were likely healthier and more active than the average aging population. Not all participants who started the study were present at follow-up either.

While this study points to the idea that heavy resistance training may benefit older adults most, it doesn’t mean that other forms of resistance training aren’t helpful.

“I am not surprised that it was found that in well-functioning older adults, 1 year of heavy resistance training demonstrated long lasting beneficial effects by preserving muscle function,” Karly Mendez, a human performance specialist with Memorial Hermann, not involved in the study, told MNT.

“It is never too late to begin resistance training as it will only help with functional (everyday tasks) of living. Older adults can experience significant benefits related to overall health when incorporating strength training, like muscle strength and bone density. Strength training can be tailored to age, abilities, and current health status,” Mendez added.

Non-study author Ryan Glatt, CPT, senior brain health coach and director of the FitBrain Program at Pacific Neuroscience Institute in Santa Monica, CA, further noted the following considerations:

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“As people age, muscles decline in size and strength (sarcopenia), with increased fat and connective tissue, reduced neuromuscular efficiency, and lower activity levels exacerbating the loss. The study on heavy resistance training (HRT) suggests it might maintain muscle strength for up to four years in older adults. However, the long-term benefits need more replication. While HRT showed better results than moderate training, the specific population limits generalizability. Claims about neural adaptations over muscle size need further evidence. Recommendations for HRT should be cautious, considering individual health risks.”

People who are interested in beginning strength training can take steps to do so safely and at a pace that works for them.

Doctors can recommend exercise regimens and consider things like chronic conditions or other potential risks that a person may have. Working with a personal trainer or physical therapist can also help you safely integrate resistance training into your routine.

Resistance training can include activities like lifting weights or using resistance bands. People should work to build up strength, starting with lower-weight options rather than heavier ones.

Mendez noted the following:

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“No matter your age or health status, you want to take it slow when beginning strength training. This is important so your body gets used to the workouts and you reduce the risk of injury. A general rule is to start with just the barbell and/or light weights. I would recommend starting with 3-5 pounds or even bodyweight exercises like push-ups, lunges, squats, crunches, etc.”

Glatt offered the following recommendations for people new to strength training:

  • consult a professional
  • begin with simple bodyweight exercises
  • focus on proper form
  • increase intensity gradually
  • allow for recovery
  • maintain consistency
  • monitor progress
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'Constantly trying to fit exercise around other things': Why women have less time to exercise than men

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'Constantly trying to fit exercise around other things': Why women have less time to exercise than men

Finding time to exercise can be hard, and the research shows that’s especially true for mums.  

“When you ask people ‘why don’t you do more physical activity’, the most common reason is they don’t have enough time,” says Lyndall Strazdins from Australian National University.

“Half of the world are insufficiently active, and within that group there is the consistent gender gap which widens over time.”

That gap is particularly profound in heterosexual couples with kids, Professor Strazdins’ research published in 2022 found.

The researchers looked at data from the Household, Income and Labour Dynamics in Australia (HILDA) survey, focusing on the effects of both paid work and unpaid caring and domestic responsibilities on physical activity.

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It shows as family demands increase, women’s physical activity becomes more limited, but the same doesn’t happen for men.

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Forget about the gym! Chicken-sizing will keep you fit. Bonus: Fresh eggs

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Forget about the gym! Chicken-sizing will keep you fit. Bonus: Fresh eggs

Andy Rementer / for NPR

In my 20s, I loved running. I called it “my Prozac.” Every week, I tried to run 25 miles. It kept my mood up and my heart healthy.

But when I reached my 30s, my relationship with running soured. My back started protesting the long runs. Then it protested the short runs. Eventually, one morning, I couldn’t walk. My back said, “Nope, no more running.”

For months, I felt pretty sad about this huge loss in my life. I tried other types of exercising, but my back protested it all — biking, yoga, pilates, zumba, you name it. Everything that our society calls “exercising” hurt my back for many days afterward. “Sorry. But we’re done with all of that,” my 33 vertebrae said in unison.

A different exercise mind-set

At the same time, I was reporting on global health for NPR, and I started to realize that exercising per se was a strange phenomenon. Around the world, people don’t necessarily go out and move their bodies with the intent to burn calories and tone their thighs (mmmm 
 chicken thighs). Instead, they embrace a revolutionary idea: They move — and move quite a bit — with a clear purpose in mind beyond the movement. They move to reach a destination. They move to hunt or forage. They move to take care of animals or tend crops. Or build a structure. Or gather firewood.

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“Every day you’re doing something from dawn to dusk,” says Esther Ngumbi, who grew up in rural Kenya and is now an entomologist at the University of Illinois, Urbana. “In the morning, you have to go to the river to fetch water and come back. Then you go to the farm during the day and go fetch fire wood. Then at dusk, you have to go fetch water again.”

In other words, Ngumbi was weightlifting, not three times a week but at least twice a day. “I had to carry a 25-gallon bucket of water from the river,” she exclaims. “So yeah, I was weightlifting. I was exercising 24-7.”

Tying movement to purpose felt rewarding, Ngumbi says. And yet, here in the U.S. we’ve replaced almost all of this rewarding movement with machines. “The river exists in my home now. The fire stays at my home. And I can turn them both on and off when I need to,” she says laughing. “So now that I don’t have this purpose [to move] and all these things I need to do, I started gaining pounds. I’m just eating more and moving much less.” So Ngumbi started to exercise — at the gym.

But I started to wonder if I could go the opposite direction. If I could take inspiration from people all over the world and add more purpose and meaning to my exercising. “Hmm,” I thought, “maybe this type of movement could be my version of crossfit and barre.”

And so, after a decade of being a couch potato, I launched the most successful exercising program of my life. I bought 15 chicks, two coops and a book about how to raise a backyard flock. And I started chicken-sizing.

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To be honest, chicken-sizing is harder than I thought it would be. Way harder. Taking care of flightless birds does tone your core and thighs. Because it requires bending, squatting and carrying heavy loads around your yard. One weekend, I tracked what chicken-sizing involved, and I counted about 20-30 squats each day, 1,500 extra steps each day (depending on how many chickens I have to chase back into the pen), and lots of lifting poultry water dispensers up, down and around the yard. They’re not 25 pounds but they’re at least 5.

The pluses of chicken-sizing

So I’ve gotten into way better shape than I expected. And I’ve come to realize there are some big advantages to chicken-sizing over regular exercising:

Failure is not an option: You cannot make up an excuse not to work out. You can’t put on your chicken-size clothes, sit around for 30 minutes and decide, “Oh, I’ll just do it tomorrow.” The ladies depend on you and need care every single morning and every single night. And if you don’t do it, they might die. They could be eaten by raccoons or skunks (who eat their heads, drink their blood and discard their bodies). Or they could dehydrate or freeze to death. The stakes are just too high.

And so you do it. Twice a day. Every. Single. Day. And it becomes so routine, so habitual that you don’t even realize you’re exercising. The task is part of your life, similar to going to the bathroom. You don’t put it on your calendar. You just do it. (Yes, some mornings early in this new regimen you curse the fact that you bought 15 chickens, but that sentiment passes after a few months).

You don’t have to change clothes: What a huge time saver! But also, cutting out that simple step makes it so much easier to actually get up and do the task. As all the habit experts say, “Make it easy!”

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You always have a workout partner: In my case, I have 15. Sure, their brains are the size of two peanuts. But they are happy to see me — oh so happy. Every morning and evening, they cheer on my chicken-size routine with gusto! Squawk. Bah-Baaaahk!

And if I need a break, I can pick up a chicken and snuggle her soft feathers. Often it’s a white bird named Marshmallow. Talk about a feel-good, in-the-moment, five-senses experience. Sure, snuggling a hen isn’t quite the same as a dose of Lexapro, but twice a day, it comes pretty close. (

(One of my friends asked me the other day if I do “self-care,” and I said, “No.” And she responded in the funniest way. “Yes, you do. You raise chickens.”}

And there’s an added bonus that no gym workout will provide. Eggs! Holy moly, eggs! The best eggs you’ve ever eaten in your life. Some days I sit at the breakfast table and just marvel at how good these eggs taste. Or I’ll stare at our egg rack on the kitchen counter and appreciate the color of the beautiful shells.

Just this morning, I fried one egg for myself and one for my daughter. As we sliced into the golden-orange yolk, she said, “Whose is this one?”

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“Oh, that’s Marshmallow’s,” I said. “She’s so amazing. Thank you, Marshmallow.” And thank you, chicken-sizing.

Given all these wonderful aspects of chicken-sizing, I wondered if Esther Ngumbi missed raising chickens or fetching water at the river.

“I do miss it,” she says with a sigh. “But some of it, I don’t miss,” she counters. “For example, sometimes I had to wake up early in the morning, and it was so cold.”

So maybe chicken-sizing is so great because it gives me purpose but I don’t actually have to do it. My family would still eat if I forget to close their cage one night and a skunk comes to decapitate them.

In other words, maybe chicken-sizing is a sweet spot between moving all day because your livelihood depends on it and moving only because your body sits down all day.

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Ngumbi agrees. “Yes, maybe there is a sweet spot to exercising,” she says. “I actually really enjoyed going to fetch water at dusk. It was so refreshing with the cool evening breeze. It just all of a sudden relaxed you. So I felt like I was meditating while walking” — meditating, weightlifting and accomplishing a necessary task of life.

Science journalist MIchaeleen Doucleff is the author of Hunt, Gather, Parent: What Ancient Cultures Can Teach Us About the Lost Art of Raising Happy, Helpful Little Humans.

Copyright 2024 NPR

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