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How to keep fit over 40 | 7 ways to defy ageing and boost your cycling

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How to keep fit over 40 | 7 ways to defy ageing and boost your cycling

Are you older than 40 and worrying that your cycling performance will recede quicker than your hairline? You don’t need to.

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With a few training, nutritional and gear tweaks, you’ll discover age is no impediment to perfect pedalling.

In this guide, we run through the seven things you can do to keep fit and boost your cycling performance.

1. Raise the intensity

Ageing athletes should raise intensity rather than duration, according to coach Joe Friel.
Robert Smith / Our Media
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Top cycling coach Joe Friel, who is 80 and still riding strong, says: “Workout duration, intensity and frequency are three elements of training that can be manipulated to produce fitness.

“As we age, there’s a tendency to increase duration at the expense of intensity. Workouts become longer and slower as weekly volume becomes the focus of training.

“But the ageing athlete needs to do the opposite. Workouts over 80 per cent of your max heart rate should be the basis of your training, around two to three times per week. This change results in shorter training sessions but a higher weekly average intensity.”

The reason for this is down to maintaining a solid aerobic capacity. Many of us know that maximum heart rate declines with age. Hence, the parochial method of calculating your maximum heart rate – 220 minus your age.

A lower heart rate reduces cardiac output, which is the amount of blood pumped by the heart each minute. Throw in a less efficient lung function and your VO2 max could go into freefall. But research shows that, as Friel says, raising the intensity of sessions slows the decline.

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2. Change your nutrition

Two boiled eggs in egg cups with a runny yolk and three toasted cheesbread soldiers on a blue-rimmed white plate on a wooden table top.

Try protein-rich foods, such as eggs.
David Burden Photography

Another component of recovery and training is nutrition. Small tweaks are needed as you age, because older adults may need higher quantities of some micronutrients.

“Although differences in metabolism and physiological function occur with ageing, the nutrition associated with exercise and sport remains similar between younger and older adults,” says James Carter, senior director at the Gatorade Sports Science Institute.

“Older adults may have greater demands for some micronutrients, which can easily be met with a varied diet, and protein requirements may also increase to prevent loss of muscle mass. While younger adults require 20-25g protein per meal and after exercise, for older adults this should rise to 30-40g.”

Protein-rich foods include eggs, almonds, chicken breast, milk and yoghurt.

Though the evidence isn’t yet conclusive, hugely experienced triathlon coach Jo Lewis recommends taking glucosamine supplements.

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“If I haven’t taken them, I creak more than I do normally!” she says.

Lewis also highlights how nutrition should change during the menopause, with good fats and calcium (from milk) key. Good fats combat heart disease, which post-menopausal women may be at risk of due to lower oestrogen levels.

3. Boost testosterone

Young man doing lunges with dumbbells in gym.

Weight training is anabolic, resulting in increases in testosterone levels.
Jackyenjoyphotography / Getty Images

It’s widely publicised that strength plummets as you age and, without recognising this, it will happen. You see, muscles comprise thousands of fibres and each one is innervated by a single nerve.

The passage of time results in nerve loss and the death of the associated muscle fibre. Research has shown that the vastus medialis muscle in your thigh contains around 800,000 fibres at 20; by 60, it’ll be 250,000.

That’s why you need to take control of your hormones. When Lance Armstrong confessed to doping, the exhaustive list included testosterone.

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Now, we’re not condoning administering synthetic testosterone in the name of cycling performance – it’s illegal and the side effects will leave you with shrunken testicles – but the reason Armstrong et al took testosterone is because of the positive effect it has on cycling performance.

“Testosterone preserves and increases lean muscle mass, improves cognitive function, increases bone density preventing conditions like osteoporosis, and raises your ability to recover from a workout,” says Dr Will Mangar.

Jack Evans, digital writer at BikeRadar, climbing a hill in Wales.

Testosterone levels drop from the age of 30.
Felix Smith / Our Media

The problem is, testosterone levels drop from the age of 30. Cycling, though providing physical and psychological benefits, accentuates the problem.

Studies have shown 90 minutes of submaximal exercise results in a slight decrease in testosterone levels, while exercise of moderate to hard intensity for more than two hours results in a significant decrease.

It’s suggested that increased cortisol levels, a loss of body mass and changes in luteinising hormone, which helps to create testosterone, could be responsible.

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“That’s where weight training comes in,” says Mangar. “While cycling is often a catabolic activity, weight training is anabolic, resulting in increases in testosterone levels. I see athletes in their 40s doing nothing but cycling, and their performance is plateauing.

“For those who are doing weights, bodyweights or plyometrics, their power output, recovery and stamina go up, all because they’re increasing testosterone levels, which are then maximising gains from endurance rides. I’d recommend riders over 35 split their week between 80 per cent riding and 20 per cent weights.”

Mangar also says that employing the major muscle groups is key to boosting testosterone levels, so he recommends squats that work quads and glutes.

Testosterone levels are highest in the morning, so there’s an argument that ‘am’ rides see bigger gains than ‘pm’ alternatives.

4. Bodyweight exercises to work the major muscle groups

Woman exercising in custom made gym, in a small converted garage at home, specifically set up for gym exercises.

Try bodyweight exercises to work major muscle groups.
Justin Lambert / Getty Images

To work the major muscle groups, you should do three sets of each exercise listed below, ideally to exhaustion. Failing that, as many as you can do in a minute before moving on to the next exercise.

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Squat thrust

Place your hands shoulder-width apart on the floor. Stretch your legs out behind you as if you were about to do a press-up. In one movement, bring both legs into a tuck position, bending your knees into your chest. Repeat. You can also do alternate-leg squat thrusts.

Pull-up

You’ll need a bar to pull yourself up on for this one. Many parks now feature these, or you could improvise with a strong, conveniently placed branch.

With palms facing forwards, clamp the bar that’s within reach above your head, keeping your hands shoulder-width apart. Raise your chin to the bar and lower. Repeat. Having your palms facing towards you makes the exercise easier; arms far apart makes it harder.

Burpee

From standing, drop into a squat position with your hands on the ground in front of you. Kick your feet back so you’re in a high plank position. Immediately jump your feet in towards your hands, then jump straight up. Repeat.

Press-up

Lie face-down on the floor, with your feet close together and hands palms-down on the floor, under your shoulders. Push up using your arms, keeping your core engaged, back straight and elbows in. Lower back down to the starting position.

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5. Tweak your cleats

Age concern - tweak your cleats when you age

Subtle tweaks to your cleat position can have major comfort rewards.
Andy Saunders (AS Design)

“Problems can arise from the sport the cyclist came from,” says experienced bike fitter John Dennis.

“You might get middle-aged individuals coming from golf or football, who tend to be the ones who are asymmetrical on the bike because they’re coming from sports involving lots of turning.”

The muscles around the hips are a bit twisted, so you over-compensate. Cue an imbalanced pelvis, which results in you over-extending when pedalling, leading to knee issues.

Age concern - tweak your cleats when you age

Adjusting cleat position is one way to minimise the risk of knee pain.
Andy Saunders (AS Design)

“You have various options of what you can do at the foot to offer more control of the knee,” Dennis says, “but a primary one involves cleat position. We usually set the cleat back slightly so the pressure is split across the head of the metatarsals, rather than beneath the big toe joint. It’s useful for people who might have weaker calf muscles or ankles, or if their foot’s unstable.”

Alongside adjusting your cleat position, there’s also the option of wedges beneath the cleat, again to counter the imbalance.

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“Placing an extra footbed in the shoe will support your foot in the neutral position. In-shoe wedges can have a different effect, because when you put a wedge beneath a cleat, you’re affecting the whole shoe; under the arch, it’s just the foot.”

6. Speed up recovery

Mid adult man with digital tablet sleeping on sofa at home.

As you start to age, recovery takes longer.
Morsa Images / Getty Images

What you do between training is just as important. “As you start to age, recovery takes longer,” explains exercise physiologist and professor David James of the University of Gloucestershire.

“It’s also well established that high-intensity rides, which older riders should do more of, may result in impaired immune function for up to three days post-ride. This period post-exercise has also been associated with a higher incidence of upper-respiratory infections.”

So, what can you do? Ideas for improved recovery include compression socks, ideally a bespoke pair to elicit the necessary pressure to stimulate greater blood flow and accelerated breakdown of toxins; and a protein-carb drink after high-intensity sessions to begin muscle repair and boost immunity. But the greatest impact comes from sleep.

“You produce less human growth hormone as you age, so sleep’s essential to maximise what you do produce,” says Friel. “The standard I use to determine if an athlete is getting enough sleep is this: if you have to use an alarm clock to wake up in the morning, you didn’t get enough sleep. Go to bed earlier.”

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If you’re struggling with shut-eye, sleep expert Nick Littlehales recommends a room temperature of 17-18°C, no smartphone use in bed and buying a less expensive mattress but replacing it more often. “I’d also recommend a dawn-light simulator to ease you into the day,” he adds.

7. Train your brain

Canyon Ultimate CF SLX 8 Di2 road bike

Sprint intervals have been shown to further improve BDNF.
Russell Burton / Our Media

When you exercise, the brain creates its very own fertiliser through a protein known as brain-derived neurotrophic factor (BDNF).

Larissa True refers to it as “Miracle-Gro for the brain” and it’s an area that the professor of kinesiology at New Mexico State University researched for her Harvard dissertation.

“Brain-derived neurotrophic factor is secreted in the brain and is known to regenerate neurons throughout the neural system. That potentially means we can cycle longer and faster without getting injured,” says True.

“It’s also important in motor learning and long- and short-term memory, both of which can be affected as you age. The interesting thing is its secreted levels are activity-dependent; in other words, the more active you are, the more BDNF is secreted.”

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A German study has also shown the brain-derived neurotrophic factor benefits of daily aerobic exercise were improved further with sprint intervals, the researchers noting that the sprinting group learnt vocabulary words 20 per cent quicker than the non-sprinters.

The BDNF is thought to bind receptors in the synapses to increase voltage and improve voltage strength.

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Follow these steps and you could keep cycling through your 50s, 60s, 70s and beyond.

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Fitness

The Very Best Gym Shorts for Men

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The Very Best Gym Shorts for Men

Finding the right pair of men’s gym shorts sounds simple enough. Most guys just want a pair that they can sweat in and forget about. But with gym clothing growing more innovative and activity-specific, there are a lot of variables to consider when buying a new pair, like liners, inseam lengths, and moisture-wicking technology. There’s no one universal pair for everyone, of course, but after testing dozens over the past few years, it became clear to me that a few key features set the standard for the very best gym shorts. I also spoke to personal trainers, athletes, and active folks to find out their favorite pairs for each activity.

A gym short’s material is the most important thing to look for when choosing a new pair. Gym shorts are made to move and sweat in, so we’re looking for fabrics that can stretch well and wick moisture efficiently, thus keeping you comfortable and dry. A blend of polyester, nylon, and spandex is the most common combo. We also paid attention to the exterior fabric, and how their durability stood up to our experts’ most intense workouts.

Our picks and my personal favorites come with built-in liners, which generally provide more support and help with wicking sweat off the skin. Some pairs offer a snug, compression-short feel, while others have a liner that feels more like a pair of active underwear. We understand that some guys might prefer the comfort and freedom of an unlined pair, and we noted where those options are available below.

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A short’s inseam can affect your workout experience. A shorter short has more potential to bunch and rise up in the thigh, while the fabric on a longer inseam can restrict movement. While it ultimately comes down to preference and your height, our experts recommended their favorite inseams for specific activities below.

Ten Thousand 7-Inch Lined Interval Shorts

Material: Polyester and spandex | Lining options: Lined or unlined | Inseam length: 5 inches, 7 inches or 9 inches

These seven-inch-inseam Ten Thousand Interval shorts come as close as you can get to quiver-of-one gym shorts. In the four years that I’ve been testing the Intervals, I’ve worn them not only for workouts and runs, but also for summer hikes and beach trips, and they show no signs of wear. For those reasons — and the wide size range, from XS to XXL — I think the Intervals is among the best investments you can make when it comes to gym apparel.

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Shorts with a seven-inch inseam are the most popular among the guys we spoke to, with eight telling us they exercise in this style, but the Intervals also come in two other inseam lengths: five- and nine-inch. (Five-inch shorts are the second-most-popular length with the guys we spoke to.) They come recommended by personal trainer Ariel Brill and multisport athlete Nik Karbelnikoff. Brill loves the lightweight stretch fabric of the Interval short, which he says would be great for any sort of heavy lifting at the gym. Karbelnikoff likes that these shorts are tough enough for CrossFit and gym workouts but also have the mobility and comfort needed for a six-mile run. “They are my go-to shorts, no matter what I’m training for. The liners never ride up, and I love having pockets for everyday use,” he says. But if you prefer to skip the built-in liner, they’re also available without it.

Target Men’s All in Motion Lined Run Shorts 5

Material: Polyester and spandex | Lining options: Lined or unlined | Inseam length: 3 inches, 5 inches, 7 inches, or 9 inches

This pair of five-inch gym shorts has all the features of a premium pair of gym shorts (a stretchy fabric, supportive liner, and a small zippered back pocket) at a more affordable price. It comes recommended by personal trainer Andrew Flores, who says the shorts have been his “go-to for the last six months when I practice Muay Thai or boxing.” Describing the feel, Flores says they have a “great stretch to them, meaning you can perform exercises in all planes of motion without obstruction.” And from a fashion perspective, he says they also “go well with a long-sleeved tee for that post-workout run to the store.” Target also offers these in an unlined version with a seven-inch inseam.

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Lululemon Pace Breaker Short 5-Inch Linerless

Material: Polyester and elastane | Lining options: Lined or unlined | Inseam length: 5 inches, 7 inches, or 9 inches

The Pace Breaker short is a Strategist staff favorite, as well as a favorite among stylish men we’ve spoken with over the years. “These shorts have been my go-to for a long time,” says Ralph Lauren creative producer Yale Breslin. Like other Lululemon acolytes, he says the Vancouver-based brand has “mastered fit, simplicity, and technology” in creating this unlined pair, which he calls the ultimate gym shorts. Their five-inch inseam, according to him, is not too long and not too short, making these ideal for his at-home HIIT, yoga, and boot-camp workouts. A smaller detail he appreciates is that the shorts have minimal branding. Lululemon also offers the short in lined seven- or nine-inch lengths. Chris Keyloun, a senior CrossFit coach at CrossFit Union Square, likes the seven-inch version, noting how its zippered pocket comes in handy during workouts. “It will hold your phone securely in place whether you’re rowing a 6K or sprinting a 2K,” he says. Matt Jared, co-founder of the yoga-and-meditation nonprofit United We Om, is yet another Lululemon Pace Breaker fan, but he prefers the slightly longer nine-inch version. “I wear these shorts when I teach yoga because the fit is loose and relaxed, but they stay in place and don’t pinch no matter what shape I find myself in during class,” he says.

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Uniqlo Ultra Stretch DRY-EX Shorts (5-inch)

Material: Polyester | Lining options: Unlined | Inseam length: 5 inches

I throw on these simple Uniqlo shorts for pretty much every workout I do (except running), and they’ve been my most-used gym shorts in recent months.

What I like most is their material, which features Uniqlo’s Ultra Stretch fabric. They look more like a pair of cotton shorts, and you couldn’t tell they stretch just by looking at them. They hold their shape and don’t look loose or drape weirdly over my legs like other shorts made of a stretchy material. They felt supremely light and airy on a recent humid 80-degree day in North Carolina spent playing tennis and walking around town. Plus, they have two mesh pockets and a back zip-up pocket, and they’re simple enough to wear with other casual non-workout outfits. I like that they don’t have any glaring logos or branding.

For 30 bucks, they’re a steal. The only reason they’re not my pick for best less expensive overall gym short is because they’re only available in a five-inch inseam and unlined, whereas the Target and Lululemon pairs offer more options.

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I use the Ultra Stretch shorts for weight lifting, yoga, and tennis — they’re super versatile.
Photo-Illustration: Jeremy Rellosa

Umbro Men’s Checkered Shorts

Material: Nylon | Lining options: Unlined | Inseam length: 8 inches

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I’d been looking for gym shorts that didn’t scream “athleisure,” a pair that I could also wear with more casual outfits outside of the gym. I landed on these Umbro shorts after I spotted three of my softball teammates wearing them. The nylon construction barely stretches, except for the waistband, so I don’t use them for anything that requires dynamic movement (although Umbro is a classic soccer brand). But they have a subtly shiny checkered pattern that elevates them from just being a plain black pair of gym shorts.

Tracksmith Session Shorts

Material: Nylon, elastane, polyester, and spandex | Lining options: Lined | Inseam length: 5 inches or 7 inches

Boston-based running brand Tracksmith makes some of the most stylish and unfussy active apparel available today, and its Session shorts are no exception. The Session shorts feel most at home during runs, of course, but they work just as well for sweaty, aerobic gym sessions. I’ve been running in both the five- and seven-inch versions of the Session since 2019 for daily training. While these shorts have held up for countless miles, I also reach for them on rest days. The Session shorts have a buttery-soft texture and feel equally as good on the run as they do while relaxing. Drew Westphal, who works in digital marketing, says he has also worn these lined shorts to do yoga, Pilates, and “a lot of stretching at home to help my golf game.” While they’ve been comfortable for all of his workouts, Westphal says the real appeal of the shorts may be their lesser-known branding and interesting colors, which range from “espresso” (dark brown) to “forest” (dark green) to “wine” (dark red). They’re also available in a five-inch inseam.

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Nike Flex Stride 5

Photo: retailer

Material: Polyester, nylon, and spandex | Lining options: Lined or unlined | Inseam length: 5 inches or 7 inches

This unlined Nike pair with a five-inch inseam can be used not only for running but for all types of sweat sessions. Given that the Flex Strides come in 14 different sizes (XS to 4XL Tall), a seven-inch inseam, and a lined version as well, we think they’re a worthy contender for your next go-to pair of workout shorts, especially for the price.

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They came recommended to us by personal trainer Chris Legitime of LegitFitNYC and Jackson Howard, an editor at publishing house Farrar, Straus and Giroux. Even without a lining, Legitime says the shorts still feel secure around the hip, but the lack of a liner means they’re “not tight on the groin or quads, making them super-breathable and flexible for hip movements,” he explains. While Legitime says he’s not so interested in how shorts look, Howard adds that these lightweight shorts do have some aesthetic benefits too. “They make my butt look really good,” he says. He wears his pair — which he has had for more than two years — for running, yoga, or just hanging around the house. The shorts also have four pockets: one zippered back pocket, two on the side, and a liner drop-in pocket.

Bandit Running Litewave 5

Material: Nylon, lycra | Lining options: Lined | Inseam length: 5 inches or 4 inches

I previously had written about the Ciele DLY as my favorite pair of running shorts with a long liner, but these five-inch-inseam shorts from Bandit are my new favorite after testing them for eight months. What sets them apart from other shorts is their fabric. I’m guilty of describing lots of tech fabrics as having a “silky” feel, and the Litewave certainly fits that description, but they’re much more breathable than other shorts that are similarly smooth.

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Unlike most lined running shorts, which have a brief liner, the Litewave shorts have a longer, boxer-brief-style liner that doesn’t bunch up or give me a wedgie. These shorts have a zippered back pocket plus a hidden phone pocket on the thigh. The Litewave’s liner fits me a bit looser than a pair of running half-tights would, so keep that in mind if you like a more compressed feel — or want a more secure pocket for your phone (my phone still jostles around in the thigh pocket). They’re also available in a shorter, four-inch inseam.

Tracksmith Men’s Bislett Shorts

Material: Nylon, elastane, and polyester | Lining options: Unlined | Inseam length: 6 inches

A pair of unlined running shorts might sound like an oxymoron, but if you like to run with a pair of compression briefs or tights, lined shorts on top of that layer will likely be too bulky and uncomfortable. I’ve long been a fan of Tracksmith’s Bislett pants, which have a stretchy, water-resistant fabric, and these shorts feature the same fabric and side-seam pocket for a phone or keys. I’ve been testing them for the past three months, and I like how tough they are, especially in inclement weather. Wearing them on top of running tights feels like wearing a soft shell jacket — it’s a light, protective layer for rain and sleet, which bead on the fabric.

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Saxx 2N1 Gainmaker Short

Material: Nylon, elastane, polyester, and spandex | Lining options: Lined | Inseam length: 7 inches or 9 inches

Almost all of the gym shorts on this list are available lined, but I think Saxx offers the most supportive liner. (That support comes from the same technology used in the brand’s underwear and boxer briefs, both of which I’ve written about.) “These are my go-to training shorts whether I’m working out at the gym or at home,” says Sean Sewell, a personal trainer who runs the gear-review site Engearment and the online fitness program Mountain Fitness School. Sewell owns “three or four pairs” of the Kinetic Train shorts from Saxx, which have since been discontinued — but these newer Gainmakers offer the same compression and fit as their predecessors. “They’re more expensive, but you’re getting a semi-compression short and a high-quality Lululemon-type gym short,” he explains. Sewell’s favorite part of Saxx shorts is the signature “Ballpark Pouch” liner, which he says “keeps everything in place and provides support.” Saxx also makes a seven-inch version, which some may prefer, but he thinks the nine-inch length “is really comfortable for most men, especially taller men.” If a comfortable, supportive liner is your first priority in gym shorts, then you should consider this pair.

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Outdoor Voices High Stride 5-Inch Short

Material: Polyester | Lining options: Lined | Inseam length: 5 inches or 7 inches

I’ve frequently worn the five-inch High Stride for short runs and gym sessions since 2021, and I like that the liner doesn’t feel too tight or restrictive yet still provides support. Outdoor Voices has added pockets to its latest version of the High Stride.

Copywriter Jon Roth is also a fan of Outdoor Voices’ five-inch gym shorts. “Since I mostly hate exercise, finding cool workout clothes has been a good motivator,” he told us. “These are cut high enough to show some thigh but also lined so nothing else shows.” Outdoor Voices has made slight tweaks to the shorts since Roth purchased them (like the addition of pockets), but the brand told us that the newest style — which comes in several colors — is very similar to Roth’s pair and, of course, has the same inseam length.

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Vuori Lined Kore Short

Material: Polyester and elastane | Lining options: Lined | Inseam length: 7.5 inches

I like the Kore shorts’ impressive stretch, which makes them ideal for activities like yoga and climbing. “Vuori makes some of the most comfortable and durable gym shorts,” according to Brill, who likes the versatility of this pair (which is lined) and says it would be great for any “sport or outdoor activity.” Tim Senesi of the popular YouTube channel Yoga With Tim is also a fan of Vuori and told us its shorts are among his favorites for yoga. “I love anything that fits comfortably and is not too loud of flashy,” says Senesi. The Kore’s liner is less compressive than those of other pairs on this list, so we recommend it for more relaxed workouts.

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Patagonia Baggies Short

Material: Nylon | Lining options: Lined | Inseam length: 5 inches or 7 inches

Baggies are a perennial favorite at the Strategist. Besides all the other scenarios that we’ve described them as being perfect for — lounging, swimming, or everyday wear — these shorts feel right at home at the climbing gym. I’ve been climbing in Baggies since 2015, and they’ve been one of my most-used pairs of outdoor bottoms since. When wearing a harness, I prefer climbing in my seven-inch-inseam pair; I’ve found that the five-inch-inseam version is prone to bunching up near the groin. They’re made from a durable nylon that stands up to the random bursts of movement one does while climbing: scrapes against the wall, weird stretches in awkward positions, and falls on the mat. That burly construction makes it easy to brush off chalk, too, unlike a knit fabric or a fabric with a looser weave.

• Yale Breslin, Ralph Lauren creative producer
• Ariel Brill, personal trainer
• Liza Corsillo, Strategist senior writer
• Andrew Flores, personal trainer
• Jackson Howard, editor at Farrar, Straus and Giroux
• Matt Jared, United We Om co-founder
• Chris Keyloun, senior CrossFit coach
• Nik Karbelnikoff, multisport athlete
• Chris Legitime, personal trainer at LegitFitNYC
• Jon Roth, copywriter
• Tim Senesi, yoga teacher, Yoga With Tim
• Sean Sewell, personal trainer, owner of Engearment and Mountain Fitness School
• Drew Westphal, digital marketer and yoga practitioner

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Additional reporting by Liza Corsillo, Maura Kutner Walters, and David Notis.

The Strategist is designed to surface the most useful, expert recommendations for things to buy across the vast e-commerce landscape. Some of our latest conquests include the best women’s jeansrolling luggagepillows for side sleepersultra-flattering pants, and bath towels. We update links when possible, but note that deals can expire and all prices are subject to change.

Every editorial product is independently selected. If you buy something through our links, New York may earn an affiliate commission.

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Importance of Personalized Treatment and Exercise Strategies for Metastatic Breast Cancer – News18

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Importance of Personalized Treatment and Exercise Strategies for Metastatic Breast Cancer – News18

For those diagnosed with cancer, advancements in medical technology and treatment modalities offer hope and healing.

As the landscape of metastatic breast cancer management continues to evolve, the integration of exercise into comprehensive care strategies hold immense promise

In the dimly lit gym, amidst the clinks of weights and the rhythm of treadmills, Anisha finds solace. Diagnosed with metastatic breast cancer three years ago, her journey has been a rollercoaster of emotions and physical challenges. In the quiet moments between conversations with her doctor, discussing treatment options and strategies to enhance her quality of life, Anisha discovered a haven in the act of exercise. For Anisha, sweating it out at the gym is not just about physical fitness; it’s her sanctuary, a place where she finds mental fortitude and resilience to combat the daunting reality of living with metastatic breast cancer.

Anisha’s story echoes the growing body of research highlighting the profound impact of exercise may have on the quality of life for individuals being treated for metastatic breast cancer. Staying active complements metastatic breast cancer treatments by bolstering physical strength, reducing fatigue, and improving mood. Along with the traditional realms of treatment, exercise is emerging as an ally, offering a holistic approach to managing the physical and psychological toll of the disease. However, it’s important to curate your exercise regime in consultation with your oncologist.

Importance of Embracing Holistic Care

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In the multifaceted journey of metastatic breast cancer, embracing a holistic approach is paramount. Dr. Raja T, Director, Medical Oncology, Apollo Hospitals, Chennai says, “A crucial aspect of providing comprehensive care to metastatic breast cancer patients is to encourage open communication between the patients and their healthcare providers. Such conversations help in establishing trust, promote partnership, and facilitate informed decision-making. Besides, the focus of treatment should shift towards advanced therapies that cater to the individual patient’s needs and enhance their quality of life. This approach marks the beginning of a new era in personalized care for metastatic breast cancer patients. In addition to clinical treatment, lifestyle factors such as exercise, diet, nutrition, and physical activity play an essential role in improving treatment outcomes and the overall well-being of the patient. By integrating these elements into the treatment plan, patients can navigate their journey with resilience, feel empowered, and commit to a holistic approach to care.”

How Staying Active Can Complement your Metastatic Breast Cancer Treatment

Incorporating regular physical activity into metastatic breast cancer treatment plans can provide a myriad of benefits. Some recent studies have shown that regular exercise can help common symptoms such as fatigue, pain, and anxiety associated with metastatic breast cancer. Additionally evidential support has shown that regular exercise also helps patients in improving sleep quality and overall functional status while going through treatment. The preferable-effect study, a randomized, prospective trial conducted in five European countries plus Australia, showed that participating in a supervised, moderate- and high-intensity exercise program for 9 months had a positive effect on cancer-related fatigue and quality of life in patients with metastatic breast cancer.

Moreover, exercise helps with the psychological distress often associated with a cancer diagnosis. By releasing endorphins and reducing stress hormones, physical activity fosters a sense of empowerment and resilience. This positive mindset and enhanced emotional well-being can empower individuals to take a more engaged approach to their overall care plan.

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Furthermore, the findings underscored the significance of a symbiotic relationship between personalized treatment plans and tailored exercise regimens, in consultation with your oncologist. From aerobic exercises to strength training and mind-body practices such as yoga and meditation, the key lies in finding activities that resonate with each individual, fostering a sustainable and enjoyable approach to fitness.

As the landscape of metastatic breast cancer management continues to evolve, the integration of exercise into comprehensive care strategies hold immense promise.

Anisha’s journey exemplifies the transformative power of exercise, illuminating a path towards resilience, strength, and inner peace. By embracing a holistic approach that includes innovative treatment options and personalized fitness regimens, women diagnosed with metastatic breast cancer can maintain active and fulfilling lives.

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Your body needs three forms of movement every week | CNN

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Your body needs three forms of movement every week | CNN

Sign up for CNN’s Fitness, But Better newsletter series. Our seven-part guide will help you ease into a healthy routine, backed by experts.



CNN
 — 

Walking has earned a reputation as a great form of exercise that’s easy and accessible for many people, and scores of studies show the popular activity has numerous health benefits, too.

Getting at least 2,300 steps per day reduces your risk of dying from cardiovascular disease, according to one study published in a 2023 edition of the European Journal of Preventive Cardiology.

In addition, weight-bearing exercises such as walking help prevent osteoporosis, according to another study published in the journal Nature Scientific Reports.

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Yet some experts in the health and fitness fields assert that while walking is certainly good for your health and fitness, it’s not really high-quality exercise. One such expert is Melissa Boyd, a certified personal trainer and coach with Tempo, an online personal training platform. Boyd is based in San Francisco.

“Our lives have gotten so busy — we commute, sit all day, then are exhausted at night — that getting a short walk in makes you feel like you’ve done this big, exponential thing,” Boyd said. “But walking is really a baseline movement your body requires to function well, to help with things like circulation and digestion, and to decompress.”

To help her clients better understand why a daily walk won’t result in a beach body — something many of them believe, thanks to various social media influencers — she discusses with them the three types of movement that are beneficial for overall health and fitness.

First is the movement your body is owed or requires every day, such as walking, stretching and bending. Second is athletic movement, which you can do a few times a week to improve your fitness or to train for a sport. Third is social movement that you do for fun or to connect with others, such as dancing or playing volleyball.

“It’s important to think of movement in these different categories because not moving throughout the day has become normalized,” Boyd said. “Our lives are so sedentary, many of us are trying to dig ourselves out of a movement deficit. But exercise is different from physical movement.”

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Walking is great, but it’s just one, unidirectional form of movement, and our bodies need more to be functionally fit, said Dr. Carl Cirino, a sports medicine surgeon at HSS Orthopedics with Stamford Health in Connecticut.

People use the muscles and tendons in their bodies to assist with all the bending, twisting and rotating they do in their daily lives, Cirino said, so they need to work and stretch them in many different directions. Yoga and Pilates are two activities that are very effective and healthy in this regard, he said.

“Stretching is also incredibly easy, and something you can do when you wake up and before you go to bed,” Cirino said.

Having loose, pliable muscles also means you will have more balance and stability, which helps prevent falls and injuries in all physical activities, he said. It’s also good to get your heart rate up several times a week for cardiovascular health.

Ideally, you should create a plan that incorporates daily “owed” movements, such as walking and stretching, with some cardiovascular work, strength training and social activity sprinkled throughout the week, the two said. That can seem overwhelming for many, however.

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Breaking down all these different movements into exercise snacks is one way to sneak in the movement your body needs, Boyd said.

“Maybe get a walking pad and do some of your meetings while walking slowly on the pad,” she said. “Maybe every time you go to the bathroom, you do 20 squats, or every time you get water, you do 10 push-ups against a wall. If you attach these exercise snacks to something else you’re already doing, you can make it more of a habit. I’ve seen huge success with this.”

Boyd also encourages her clients to find some form of movement they enjoy that doesn’t seem like a workout, such as playing kickball or pickleball. That way, you’re having fun and being social while getting fitter.

Cirino agrees. “We see kids here in sports medicine whose parents want them to play baseball, but they don’t want to do it,” he said. “It’s the same with exercise. You need to find something that’s interesting and easy — maybe an activity your friends are doing — and use that as the basis to build good habits.”

Start slowly and build from there

Rethinking exercise as regular movements your body needs for functionality, fitness and social connection also can be a means of giving yourself permission to carve out time for working out, Boyd said.

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It’s also helpful to keep in mind that creating an exercise plan doesn’t require an immediate, massive change in your lifestyle. In fact, it’s better to start slowly with new, little chunks of movement.

“What I usually see is that people love the way this starts to make them feel,” Boyd said. “Then the stronger they become, the more they want to move even more. Movement inspires movement.”

Melanie Radzicki McManus is a freelance writer who specializes in hiking, travel and fitness.

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