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How Exercise Can Make Us Happier – Chasing Life with Dr. Sanjay Gupta – Podcast on CNN Audio

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How Exercise Can Make Us Happier – Chasing Life with Dr. Sanjay Gupta – Podcast on CNN Audio

Dr. Sanjay Gupta

00:00:02

‘I want you to be honest. When you walk into a gym, does the thought of working out excite you? Or does it fill you with dread? Does lifting that last set give you a sense of accomplishment? Or maybe, does it make you feel like you never want to lift weights again? Now, would it make a difference if I told you that working out or just moving your body could actually make you happier? If you talk to just about any medical professional, they’re probably going to tell you that exercising or frankly, doing any physical activity on a regular basis is good for your body. It can help build strength, manage weight, reduce the risk of certain diseases – heart disease, diabetes, even cancer. But the body is not the only beneficiary. Exercise or movement is also good for your brain and your mind. And research shows that it can help people manage symptoms of depression and anxiety. There is data behind all of this. So while there is no question that exercise can make us healthier, my next guest is also going to tell you that moving your muscles can have an impact similar to taking an antidepressant. Think about that. In fact, she has spent years studying how almost any kind of movement can be a source of joy.

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Health Psychologist, Kelly McGonigal

00:01:18

Ready to tap into joy. Let’s do this. Reach up with one arm and release.

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Dr. Sanjay Gupta

00:01:27

‘That’s the beginning of an 8 and a half minute workout. Something designed by Kelly McGonigal. She’s a Stanford University lecturer and a health psychologist. She’s a group fitness instructor, and she’s also author of the book, The Joy of Movement: How Exercise Helps Us Find Happiness, Hope, Connection, and Courage. And she says that any physical activity, from swaying your hips to swimming laps, can improve your mood — and fast.

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Health Psychologist, Kelly McGonigal

00:01:56

I always say that exercise is like an intravenous dose of hope. And it’s any form of movement that you’re willing to do with any part of your body that you can still move.

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Dr. Sanjay Gupta

00:02:07

‘Kelly considers herself a researcher-turned-practitioner. Her Ted Talks on managing stress and harnessing willpower have tens of millions of views. And she frequently highlights the connections between movement and joy on her Instagram. Now, again, she says, any kind of movement will be good for your health and your mental well-being. But exercise – where you really do challenge your body and get your heart rate up – that, she says, can make the biggest impact. For Kelly, exercises like dance and yoga also give her an opportunity to connect with others. They’ve even helped her work through her own bouts of anxiety and depression since she was a child.

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Health Psychologist, Kelly McGonigal

00:02:48

I know that getting my heart rate up actually changes my brain chemistry in a way that helps me deal with anxiety, and doing some kind of cardio workout will actually reset me so that I’m a like a braver version of myself, more enthusiastic about life.

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Dr. Sanjay Gupta

00:03:05

You know, I really like that term. A braver version of herself. A braver version of yourself. That’s really powerful. My connection to exercise runs pretty deep as well. I’ve run marathons. I’ve competed in triathlons. Lately, I’ve been doing push ups and sit ups every morning. They just help me clear my head and make me feel like I’m really starting my day off, right. But there is something that I really wanted to get at with Kelly. Why do some people feel so good when they work out? While others say that exercise actually makes them feel bad? How long can that boost in happiness from exercise really last? And is it possible to derive joy from exercising? When we start to develop chronic pain in life or limited mobility? I’m Dr. Sanjay Gupta, CNN’s Chief Medical Correspondent. And this is Chasing Life.

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Dr. Sanjay Gupta

00:04:06

‘You know, it’s interesting when you think about, movement -That’s the term we’re sort of using, I think with for this podcast with you. But what is actually happening? I mean, we know what’s happening to the body. Are you able to describe what’s happening in the brain? Why we experience happiness during an after exercise?

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Health Psychologist, Kelly McGonigal

00:04:25

‘Yeah. If there’s actually a lot of different kind of brain states you could experience in movement. It’s not one thing. So maybe I can describe a couple. So, one is that classic runner’s high, which happens when you persist at a movement that’s moderately difficult. You’re getting your heart rate up for about 20 minutes or more. One of the things that that researchers think is happening in the brain is this increase in endocannabinoids, which is a brain chemical that really quiets down the inner suffering of the mind. So worrying, rumination, frustrations, self-criticism, stress, all of that quiets down. Also, physical pain and endocannabinoids also enhance baseline well-being and pleasure. And so whether you’re running or cycling or swimming, people who get in that kind of flow state of movement often report this real enhanced mental well-being. Sometimes it feels empowering and sometimes it feels peaceful. But that brain chemistry is really different than what people might be experiencing. In my dance class, where we are setting things off with music that’s going to give you an immediate adrenaline and endorphin rush. And so if you’re doing a workout where you’re listening to music you love, that’s high energy. You’re moving to the beat and you’re doing things that really get your heart rate up. That’s going to have a different biochemical profile. It’s not necessarily that flow state where you just feel so much better. It often is more like euphoria. You feel incredible and you’ve got those endorphins. And that brain chemistry also really helps you feel connected to other people. We know that mindful forms of movement, as well as moving outdoors in nature, tends to put the brain in a state of this, heightened awareness to the present moment that feels like vitality and connection to life that has a lot in common with that runner’s high, where people often feel a relief from inner chatter and stress and worrying, but it’s working on a different biochemical level. It’s almost like meditation. It’s changing which systems of the brain are most active, and putting you in a state that’s like meditation. And we know that if you’ve just if you have been sitting sedentary for a while and you move any part of your body in a way that requires even just a little bit of energy. I could stay seated, I could just put on a song I love, lip sync with my hands in my arms for a couple of minutes, and I’m going to get a boost in dopamine and adrenaline, which is biologically required to go from not moving to moving. And that change in chemistry tends to make people feel more energized and in a better mood. And that’s an effect you can get in as little as a couple of minutes. Like, what’s your favorite form of exercise?

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Dr. Sanjay Gupta

00:07:22

I like I like to run, I like to run and swim. I do triathlons. I, I bike as well, but I’ve been biking indoors more and then I do some resistance training.

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Health Psychologist, Kelly McGonigal

00:07:33

Do you get that flow state that I was describing?

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Dr. Sanjay Gupta

00:07:35

Yeah, mostly on the runs. I will get that. But, you know, it’s interesting and I and I made a note to ask you this because I’m really curious when you run…

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Health Psychologist, Kelly McGonigal

00:07:45

Oh I don’t run.

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Dr. Sanjay Gupta

00:07:45

You don’t run.

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Health Psychologist, Kelly McGonigal

00:07:47

I do not run. It’s just like there’s some, some part of my mind that’s like, why am I running when I could be dancing, you know.

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Dr. Sanjay Gupta

00:07:53

‘And the dancing or the yoga – do you do that by yourself? Or is it always with other people?

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Health Psychologist, Kelly McGonigal

00:07:59

Yoga I do by myself. Mostly I’m doing it like late at night as a transition kind of practice.

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Dr. Sanjay Gupta

00:08:05

What do you what are you thinking about? Like, do you think about something that you’re trying to solve, like a problem? Do you just let your mind wander? What do you where’s your head?

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Health Psychologist, Kelly McGonigal

00:08:16

So both are possible. So the type of of yoga that I’ve trained in the most, you just focus on your breath while you’re doing it. There’s a real concentrated attention to the breath that makes it like meditation. And that has been very helpful for me when I need to actually stop thinking about, like when I need to go to sleep and I need to get the book out of my head, or I need to think, I can’t solve this problem with my family tonight. I have to wait until I can call someone tomorrow morning. I know some people experience that in running too. Moving your body seems to open people up to new perspectives, with an increased sense of optimism and confidence that that something is workable, that a situation is not hopeless.

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Dr. Sanjay Gupta

00:09:03

I think from your books and from listening to your talks, there’s a benefit to exercise and movement. And then there’s obviously a benefit to to being social. You combine them.

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Health Psychologist, Kelly McGonigal

00:09:16

Yes, I mean exercise. So people who exercise, they report being less lonely. They report having better relationships with others. And for reasons that range from the biochemical and how, like the brain chemistry of exercise primes you to be more social to to be able to connect with others better. Like if you are socially anxious and you exercise, by the end of that workout, you’re going to be almost like a more extroverted version of yourself. So it’s like fascinating at that, that micro level. But also we know that people form friendships and communities of support through movement, whether it’s strength training or running. So it’s it’s really it’s almost everything about movement, really allows us to be the, the best social versions of ourselves.

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Dr. Sanjay Gupta

00:10:05

Yeah. Like that. What would you say you put on the, the bravest version of yourself after your workouts? I, I really like that.

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Health Psychologist, Kelly McGonigal

00:10:12

Cardio does that for me during times of, of grief. And then, during the pandemic when we experienced the sudden shutdown and I was very isolated during those times, I found that intense cardio training, it was so necessary. Like otherwise, my slide into depression would be so. It’s so biological. For me, I shut down. It’s like my brain and my body say, I don’t want to get out of bed. I don’t want to do any of this life thing.

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Dr. Sanjay Gupta

00:10:44

If you were to think about movement from a dosing perspective, higher doses for short amounts of time or lower doses for longer amounts of time.

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Health Psychologist, Kelly McGonigal

00:10:54

‘It’s it’s all has to do with who you are, what is actually possible in your life and what kind of outcome you’re looking for. So if someone were to come to me and say, I’m really interested in movement for mental health because I’m struggling with grief or depression or addiction or anxiety. In that case, I could say pretty clearly that clinical trials and research says you should be moving every day or almost every day, but you don’t have to do anything that intense. So it can really be anything. You could be strength training, you could be gardening, you could be walking, you could be swimming. You can do what you want to do. And if you’re moving 20, 30, maybe 40 minutes seems to be like maximum you you would ever want to for this particular type of effect and do it almost every day if you can, at least a couple times a week. That dose seems to lead to to really significant benefits. But if you were just to say I’m overwhelmed by life right now, I would say, can you find the two minutes, find a TikTok edit of a song right, put on something that is upbeat or that makes you feel better and do anything, even if you just stand up or if you lip sync with your hands, or if you’re the kind of person who likes to do squats and push ups, you’re welcome to or stretch. You will feel better and that feel better effect can last. There are studies showing a lasting mood boost, an energy boost from 2 to 3 minutes of movement that could extend for a couple of hours. That is a real dose, and it takes as much time as, you know, grabbing a soda or having a coffee. So I would recommend to people if you just want to feel better, you could find these kind of like exercise snacks that take the same amount of time as grabbing a real snack. And then if you were to ask me, if you were to say, Kelly, I want the type of movement that is going to transform my life, you know, then I’d say, great – set a goal, like find a community. You could you can commit to movement during different periods of your life in ways that give you a sense of of structure that it can, like control the chaos that you feel in your life or that can help you recover from major disruptions in your life. Sometimes people need a big dose. They need to train for something, or they need to find a community that’s going to, like, embrace them and give them a totally different experience of life. And many people who have suffered deeply. Find that that version of movement is exceptionally powerful. A lot of the stories in my book are people who got immersed in a type of movement after dealing with something very painful and difficult. So it’s the whole it’s the whole scale. I know you asked about dose and that was a very non prescriptive answer, but but I feel like it’s good news because it’s like nothing is too small to have a benefit. And also if you’re somebody who really values movement what I’m saying is it does matter. And there’s there’s a reason to commit if if it is giving you what you need in life.

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Dr. Sanjay Gupta

00:14:08

Yeah. So you have endocannabinoids, you have endorphins, you have dopamine. And then there are these hope molecules. What are those?

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Health Psychologist, Kelly McGonigal

00:14:16

Our muscles do more than just move our bones around or stabilize our skeleton. Our muscles are almost like endocrine organs. They manufacture these molecules that they can release into the bloodstream, that then travel around and affect all of our organs. And some of them can cross the blood brain barrier and affect your brain, including your mood and your mental health and your brain health. And your muscles store these molecules and they release them during muscle contraction. Like any form of movement. And I came across this term hot molecules in one of the first papers to describe how exercise can support mental health. And they were talking about some of these particular molecules that muscles release into your bloodstream when you exercise. That makes you more resilient to stress and help people recover from trauma. And I think that this is such an incredible way to understand what exercise is doing, because it it allows you to view your body as an ally, as a resource. I always say that exercise is like an intravenous dose of hope, and it’s any form of movement that you’re willing to do with any part of your body that you can still move. I think this is one of the the coolest bits of the science of, of movement and exercise, particularly because of how it allows us to feel like our body is our friend. It’s our partner, not something we’re trying to fix or control through movement.

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Dr. Sanjay Gupta

00:15:53

‘A quick note here – Kelly’s description of hope molecules – pretty powerful. In medical speak, what she is calling hope molecules are a type of chemical messenger called myokines. M-Y-O-K-I-N-E-S . These are particles released into your bloodstream by your muscle every time you move, and certain myokines travel to your brain where they do have this antidepressant effect. So in a nutshell, these myokines are playing a therapeutic role when we work out or when we simply move around. It’s pretty cool, right? But I also wanted to know this. Is it possible to overdo it? Is it possible to create too much of a good thing?

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Dr. Sanjay Gupta

00:16:39

Can you overdose on these chemicals?

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Health Psychologist, Kelly McGonigal

00:16:41

‘I don’t know if you can-, I don’t think you can overdose on a myo kind. You can become dependent on exercise. And I think that I think exercise dependance is such an interesting psychological case, because in many instances, it’s actually really healthy. And when people get into, like the worst version of overdoing exercise, it’s actually almost always because exercise is being used to try to control the body or appearance. And it’s quite different from how we’ve been talking about movement. You know, that exercise addiction that comes from people who become obsessed with weight loss or feeling like their body needs to look a certain way? And that’s sort of the other side of how you might overdose on exercise. But I think for most people, most people are living in a state of not having enough. I think most people would benefit from moving a little bit more and experiencing more forms of movement that have different effects on how you feel.

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Dr. Sanjay Gupta

00:17:52

People will tune in to this podcast and they’ll say that it’s about movement and exercise, and that’s often framed as a, you know, a way to burn calories, to lose weight, to help with your cardiovascular health. I think that’s sort of a prevalent way that people look at exercise. Should we be framing this differently?

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Health Psychologist, Kelly McGonigal

00:18:12

‘There’s research showing that people who think about movement in that way are less likely to find a form of movement they enjoy and will stick to. There are other ways to think about movement that make it much more likely that you will move more. It’s finding something you enjoy. Thinking of movement as a way to spend time with other people and a meaningful challenge. Those are the three motivations. And enjoyment doesn’t have to be, you know, fun. Enjoyment can be – I feel better while I’m doing it. I feel better because I did it.

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Dr. Sanjay Gupta

00:18:50

After the break, more of my conversation with health psychologist Kelly McGonigal. Exercise pills might be in our future, but she’s going to explain why she probably would not take them herself. And also, we’re going to go deep on the distinctions between happiness and joy.

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I’m curious how you would respond to something that I heard recently, which was that, humans are not necessarily hardwired for happiness. Like, it’s it’s not to say an adaptive trait, like, you know, the idea that you avoid trauma, that you, that you have progeny, you know, all of that, that makes sense. That’s how species survive. But happiness, in some ways is a luxury is how it was sort of just described to me. What do you think?

Health Psychologist, Kelly McGonigal

00:19:43

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‘I think it’s definitely true that if you define happiness as feeling like everything is great, feeling, no worries. You know, some people have a definition of happiness that is really this, this ideal state of well-being. We’re not adapted for that. And that’s not really people’s experience of life. But there’s a type of happiness. And I’m really interested in, joy that I think humans are adapted for. And joy is the capacity to respond to moments in life with, a sense of uplift, to allow the good in life to make you feel like life is worth living. That absolutely, humans have that capacity and it helps us survive. So, I think that if you, if you think that happiness is everything is okay, and I have no worries in life, I don’t I don’t think there’s any –.that’s not hardwired into us. But if you live something heavier than you’ve ever lifted before, and you feel proud of yourself and someone congratulates you, and maybe you feel that like, yes, that we’re hard wired for and to be able to remember it later on and feel really boosted in your confidence. Or you see something in nature that catches your attention and it gives you that little uplift of hope and you’re like, wow, life is interesting. That’s a kind of happiness that humans are hardwired for, because it’s like a little jolt that, that renews literally our enthusiasm about life. And so what I love about movement is it actually creates so many opportunities for that type of joy.

Dr. Sanjay Gupta

00:21:25

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What is your what is your daily movement routine like?

Health Psychologist, Kelly McGonigal

00:21:29

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You know, so I’m just coming off a period of, of like really unusual lifestyle because I was trying to finish a book manuscript. So that was like just coping and I wasn’t moving as much as I needed to. So I’m almost like rehabbing myself now, to try to, to re incorporate movement throughout the day instead of sitting in a chair for, you know, all day long. I’m teaching one or two dance classes a day, and then I’m typically doing something else for myself. Whether that’s a yoga practice or strength training. And I also walk. So I walk to the studio today and I’ll walk back to campus later to teach. So that’s a that’s a lot of activity. And I think of that, that walking time as an opportunity to to think and reflect.

Dr. Sanjay Gupta

00:22:19

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Congratulations on the manuscript. That’s yeah, that’s I know that’s getting that over the finish line. Those are those are challenging. What what can you just give us a little bit of a preview. What’s the book about?

Health Psychologist, Kelly McGonigal

00:22:29

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It’s about joy.

Dr. Sanjay Gupta

00:22:31

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Perfect.

Health Psychologist, Kelly McGonigal

00:22:31

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‘It’s about embracing joy as not something that is frivolous or self-indulgent or out of reach until your life is perfect and free of problems. It’s really about embracing the capacity for joy as something that affirms the value of life and helps us connect with others. And is a way to find meaning even when life is difficult.

Dr. Sanjay Gupta

00:22:55

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The idea of accomplishing something like that, in this case, the book. There’s a from what you’re describing, a certain amount of stress that comes with that. It got in the way of maybe of your regular activities, regular movement schedule, things like that. How do you how do you balance that kind of thriving and striving with happiness? Do you need that striving in order to be happy?

Health Psychologist, Kelly McGonigal

00:23:20

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No. I mean, I personally don’t. The happiness for me of writing comes, you know, in a few years when the book is published and somebody sends me an email and they describe how it helped them, that’s the moment I write for. And I think a lot of things in life that are really meaningful, but often day to day are stressful. A lot of people feel that way about their jobs or certain caregiving demands. There’s a lot of like the day to day stuff where you’re just in it and getting through it. But then there are these moments where you, you realize, well, it might not have been that every moment was blissful, but I feel like that time that I spent was a value.

Dr. Sanjay Gupta

00:24:03

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You know, I’ve been thinking a lot about this sort of concept, you know, for the for the podcast season. And it’s interesting, I think that, when I’ve taken on a hard project, there’s times when I’m like, why did I do this? I’m just feeling really stressed. But I also realize that some of my greatest moments of happiness have been when I have gotten it done. Maybe the right way to phrase it is not that I needed to suffer in order to have the happiness, but the idea that the sense of accomplishment, was such a such a significant thing. Like, I think my peak level of happiness was higher as a result of having taken on something challenging and actually completing it. Is that is that the case for you?

Health Psychologist, Kelly McGonigal

00:24:46

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‘Yes. And I think that that’s kind of a universal human experience that if you don’t appreciate it, it can be sometimes possible to miss it, but that human beings often feel best psychologically when they’ve done something hard, something hard and meaningful. But when people go through discomfort and adversity and failure, but they they believe that it it has there’s a purpose for it or it makes a contribution to others, or it changes the way they think about themselves. When you can find that meaning attached to it, for many people, that’s the peak happiness. It’s a feeling good that’s not like rah rah – I’m so excited happy. It’s this deep sense of of, of meaning really.

Dr. Sanjay Gupta

00:25:31

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And people are probably listening to the podcast and saying, you know, a lot of this intuitively makes sense. I get that I feel better when I’m moving, when I have movement as part of my life. And now Kelly’s been able to give me a real description of what’s happening in the brain. My mom, who’s 80 years old, has always been an exercise her whole life. She will do these these brisk walks. But you’ll also go to the gym and do resistance training. Just a very fit person. And then she had an accident, and she fell, and she actually broke a bone in her back. And it really sidelined her for a long period of time. What do you say to people who are in that phase of life? They now struggle with pain. They may struggle with mobility. They may struggle with something like an injury of something. How do they get to still experience happiness through movement?

Health Psychologist, Kelly McGonigal

00:26:21

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Yeah. So in my book, almost every story that I tell and every community I visit is actually meant for people in a circumstance like that. So I think there are really two ways to think about it. One is to know that. If any part of your body can still move, there is probably a community or a way to experience movement that you can find meaningful or empowering or stress relieving. I will, I will have people come to my dance class who are in chairs dancing with their hands. And it’s still a beautiful experience of expression and music and community. So sometimes it’s it’s possible. And you often have to find the community who understands. Because a lot of people have thought very, very hard about how to make movement possible across the lifespan. Even in hospice care, people are still moving. But the other part is, sometimes it’s not possible. Sometimes the pain is too intense or you’re in a recovery. Maybe you can move your face or your hands, but there’s not anything that we would think of as exercise or sports going on. And I always encourage people to think about the the forms of movement that are most embraced around the world. So things like music, and you can lie in a hospital bed and listen to music you love, and you can feel music in your body that is similar to how you might feel it while dancing, and it’s still a real joy. You can experience being in nature and it might require someone assisting, helping you be outdoors. And maybe it’s about breathing in nature rather than exercising in nature. And sometimes you just you skip to the joy and you allow yourself to think about what movement gave you access to.

Dr. Sanjay Gupta

00:28:25

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‘There’s people who may be listening, thinking look, I can move just fine, but I don’t really enjoy exercise. I don’t enjoy something that’s sort of coordinated like that. Scientists are looking into the idea of an exercise pill. And I hate to be reductionist about this, but, you know, this is how society works sometimes. The idea that could a medicine simulate the benefits of exercise — good idea, bad idea? And is it possible?

Health Psychologist, Kelly McGonigal

00:28:53

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As a psychologist? I don’t want a pill that’s going to replace having people smile when they see me. Like, there are certain aspects of how I experience movement. I don’t want a pill that replaces how good it feels to move to a song that I love. I don’t know if it’ll ever be possible to find that pill. It might be possible to find the pill that does the effect of myokines, which would be great. I mean, if we find medicines that have biochemical effects that enhance our brain health and our physical health. I’m all for that. My direct experience is that movement does more than that, and I deeply value the more of them. And you describe the sense of meaning you have from training for an athletic event. Now, that too, I don’t know that a a pill is going to replace that. So bring on the pill. And also let me keep teaching dance classes.

Dr. Sanjay Gupta

00:29:49

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There you go. I mean, I guess one doesn’t have to obviate the other. Yeah. If you were to imagine a Venn diagram, does happiness and satisfaction overlap heavily for you?

Health Psychologist, Kelly McGonigal

00:30:01

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‘That’s a really interesting question. No. I’m just not competitive. So achievement is is like unrelated to happiness for me. But contribution is very connected to happiness for me. And I would say that happiness for me, it’s being able to experience positive things in life that are just inherently good. Like, I was watching a baby bird call for its parents to feed it on the tree in my backyard this morning. That is an inherent good to me. That’s happiness. Teaching my dance class this morning. That’s happiness. Thinking that maybe this conversation we’re having — I hope somebody heard something that they needed to hear that that’s, like, inherently good. Those are the things that are contributing to my happiness.

Dr. Sanjay Gupta

00:30:48

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This this idea of satisfaction and happiness is something that I’ve really I’ve struggled with it, to be honest, Kelly. I think that, I’m a happy guy and I’m optimistic as well, despite, I think sometimes what’s happening in the world, I can take away some of that optimism. But I think I have what I’ve started to coined as a constructive dissatisfaction. I get some power and some fuel from being dissatisfied. And as long as I don’t let it grow too much, grow to the point where it overpowers the Venn diagram of happiness. And and it’s a tension. It’s a it’s a regular tension for me.

Health Psychologist, Kelly McGonigal

00:31:32

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I think that’s beautiful. The because dissatisfaction often is the the soil in which growth and positive change happens and dissatisfaction doesn’t actually have to be a lack of appreciation or gratitude. You can if you can envision a better future for yourself or others. It requires feeling a gap between how things are and how things could be.

Dr. Sanjay Gupta

00:31:59

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I don’t know about you, but I felt really good after that conversation. When people ask me about my accomplishments and which ones mean the most to me, I often think about my role as a father, a husband, and the work I do as a neurosurgeon and journalist. But talking to Kelly reminds me that my accomplishments during workouts in sports, triathlons, cycling, even the sit ups I do most mornings, they also contribute to my overall sense of happiness and joy. And I do appreciate the distinction that Kelly makes between exercise and movement. And since this conversation, I’ve been evaluating my own fitness goals and what I really want to get out of my routine. Kelly reminds me that it’s okay if I want to run faster, swim longer, or if I simply just want to feel present and enjoy nature. And most of all, she reminded me to be grateful to my body for just existing and allowing me to do everything I do each day. It’s amazing what your body can do, from breathing to thinking to lifting weights. As the saying goes, if you have a body, you’re an athlete. And last but not least, we’ve been asking you all season long to share how you chase life. We’ve gotten some really inspiring responses.

Hi, I’m Casey and I live in San Diego and the way I chase life is by walking. I work from home so this is part of my exercise, dinner planning, work, problem solving, bird and plant identification time, and general time for decompression. Sometimes I stop in the park to do Tai chi. Mostly, mostly I just reflect on all that I’m grateful for. Thanks for having such a great podcast.

Dr. Sanjay Gupta

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00:33:45

And next week on Chasing Life. There’s a lot happening in the world right now. We’re going to explore ways to find hope, especially in times of uncertainty, chaos, even despair. Dr. Gabor Marti is an expert on trauma, and he’s going to share how he helps people weather hard times.

‘I mean, you deal with the question of happiness. Let’s use another word for it – joy. We’re wired for joy. And the question we have to ask is what happens in life to block our joy?

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Dr. Sanjay Gupta

00:34:16

That’s next week. Chasing life is a production of CNN audio. Our podcast is produced by Eryn Mathewson, Jennifer Lai, Grace Walker, and Jesse Remedios. Our senior producer and showrunner is Felicia Patinkin. Andrea Kane is our medical writer, and Dan Dzula is our technical director. And the executive producer of CNN Audio is Steve Lickteig. With support from Jamus Andrest, Jon Dianora and Haley Thomas, Alex Manasseri, Robert Mathers, Leni Steinhardt, Nichole Pesaru, and Lisa Namerow. Special thanks to Ben Tinker, Amanda Sealy, and Nadia Kounang of CNN Health and Katie Hinman.

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Fitness

Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising

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Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising

According to a recent study published in The Lancet Global Health journal, 57% of women in India were found to be insufficiently physically active, compared to men (42%), in line with trends across the South Asian region while almost 50% of adults in India engaged in insufficient levels of physical activity in 2022. Additionally, an international team of researchers, including those from the World Health Organization (WHO), claimed that the South Asian region also ranked the second highest in terms of adults being insufficiently physically active after high-income Asia Pacific region.

Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising (Image by Freepik)

If the current trends continue, the study projected that by 2030, 60% of the adults could be insufficiently engaging in physical activity as in India, a little over 22% of the adults engaged in insufficient physical activity in the year 2000 while in 2010, close to 34% of the adults were insufficiently physically active. This raises an urgent wake-up call for India as a 2023 Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study, published in The Lancet Diabetes and Endocrinology journal, estimated that 101 million people in India were diabetic in 2021 and about 315 million had hypertension the same year.

India’s Fitness Challenge:

Given our deteriorating health graph, it is crucial to start our fitness journey now and adopt actionable steps to get active and begin exercising. In an interview with HT Lifestyle, Dr Manish Pendse, Senior Consultant Physician and Diabetologist at Medicover Hospitals in Navi Mumbai, shared, “Poor lifestyles and unhealthy food choices are some of the main reasons behind the major population being unfit. People tend to choose processed, packaged, or junk food instead of eating healthy food. This significantly hampers their health resulting in several health issues like obesity, diabetes, cardiovascular diseases, digestive problems, high cholesterol, high blood pressure, stroke and skin problems.”

What You Can Do Now:

Dr Manish Pendse asserted, “It becomes essential to indulge in physical activities or exercise, to keep your body fit and away from multiple diseases. Your fitness regime could include low-impact exercises like walking, jogging, meditation and Yoga and intense physical activities like running, cardio, weight lifting, and hitting the gym. Being physically active for at least 30 to 40 minutes daily can stimulate metabolism helping in managing weight.”

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The health expert suggested, “Eat well-balanced food that contains equal amounts of essential nutrients like protein, vitamins, minerals, carbohydrates, and omega-3 fatty acids. Make healthy food choices that are low in calories, cholesterol, and saturated fats, and contain sugar, and salt in moderation. Keep a daily track of your body weight to see if you are gaining weight or losing weight. This can help you create a tailored plan to maintain your physical and psychological health.”

He cautioned, “Avoid unhealthy habits like drinking alcohol, chewing tobacco, smoking, sitting in one place for prolonged hours without taking adequate breaks and eating at unusual hours. Consult your doctor for expert guidance and tips to maintain fitness in this fast-paced life. Stress also leads to weight gain and gastric problems, It is imperative to de-stress by doing activities that calm you down.”

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Fitness

60-second ‘exercise snack’ is great for the health of your heart

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60-second ‘exercise snack’ is great for the health of your heart

An expert has suggested that short bursts of exercise, lasting less than a minute, could be beneficial for those who find it difficult to maintain regular workout routines. These intense bouts, dubbed “exercise snacks”, are particularly recommended for individuals who lead sedentary lifestyles, such as those battling obesity or chronic diseases.

Bruno Gualano, an associate professor at the Centre of Lifestyle Medicine at the University of Sao Paulo, Brazil, suggests activities like stair climbing or brief cycling sessions, separated by hours-long intervals. The NHS advises adults to engage in 150 minutes of moderate-intensity exercise weekly, or 75 minutes of vigorous activity.

The World Health Organisation (WHO) also recommends a minimum of 150 minutes of moderate activity, but encourages adults to increase this to 300 minutes for additional health benefits. However, during his presentation at the International Congress on Obesity in Sao Paulo, Mr Gualano acknowledged that many people struggle to meet these targets and proposed that short bursts could counteract the detrimental effects of a sedentary lifestyle.

“To mitigate the negative impacts of prolonged sitting, ‘exercise snacks’ are proposed as a practical alternative,” he added. “These are brief, intense bursts of activity (one minute or less), which can be more time-efficient than traditional exercise regimes.”

He highlighted that numerous studies have demonstrated benefits for cardiorespiratory fitness and vascular health from these short bursts of activity.

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“For instance, hourly stair-based exercise snacks improved vascular health in a trial with healthy males, while another study demonstrated their feasibility and benefits for people who are overweight or living with obesity,” he added. “However, many people may struggle to implement exercise snacks owing to practical reasons, such as bus drivers or people who have physical disabilities and/or low exercise capacity, such as older individuals.”

Mr Gualano highlighted the potential advantages of incorporating “exercise snacks” into daily routines, noting improvements in metabolic health and reduced sedentary time. “These benefits may be achieved even with unstructured, very light activities, which do not fit exactly in the category of exercise snacks,” he explained.

He pointed out that this approach could be easily adopted in various settings, including at home or in the office, since it doesn’t require any special equipment or devices.

Emphasising the need for more research to fully understand the long-term effects and safety of these short bursts of activity, Mr Gualano concluded: “The take-home message is that these strategies should be personalised.”

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Fitness

I lost a stone in 14 weeks by doing weights, walking and yoga

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I lost a stone in 14 weeks by doing weights, walking and yoga

After 14 weeks, I’d lost a stone and was down to 7st 8lbs, and my tummy had shrunk back down. In addition, my biometric scales were also showing me how much fat I was losing and muscle I was gaining. My skeletal muscle mass has always been low – I’ve been warned about it before by my GP, and I knew that I was in danger of getting osteoporosis. Now my muscle mass is above average, and it makes me so happy to think that I’m future-proofing my body. I don’t want to be that little old lady that falls over and snaps. Pleasingly, the machine at the gym which measures metabolic age (body composition), tells me I’m down to 38 years old.

I’ve just bought the dress I’m going to wear to my daughter’s wedding this summer, and I feel amazing in it. It’s very unforgiving, and I wouldn’t have had the confidence to wear it before, but now I can’t wait to wear it and to thoroughly enjoy her beautiful day.

Exercise

Before, I walked and did a bit of yoga or Pilates, but not regularly. Now I have five resistance sessions per week, either with a personal trainer or using an app called Sweat; I do things like kettlebell swings, squats with weights, and weighted lunges. I do the odd Park Run, which I hadn’t done for 15 years, and have started doing a few 5k runs on the treadmill before a session. I also do lots of walking, which really helps clear my head.

Oona’s top tips

  • Don’t fall into a guilt spiral: If you indulge in a treat, don’t waste time feeling guilty about it – as I used to – and then write the rest of the day off with mad eating. Just think, I ate or drank that, I enjoyed it, now it’s time to start again.
  • A little bit of planning really helps you stay on track. That could be quickly jotting down what you’re planning to eat that day, to help you stick to it, taking a snack in your bag, or batch cooking some meals in advance.
  • Visualise where you want to be, be that an event in the future like a holiday or feeling strong in your later years. It helps you stay on track when your motivation is waning.

 As told to Jessica Salter

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