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How to safely return to exercise after having a baby

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How to safely return to exercise after having a baby

When Fan* gave birth to her first child almost two years ago, she was given little direction about how to return to exercise.

After a 20-minute session with a physio, they remember being given an A4 sheet of exercises to follow at home.

“It was all a bit of a blur, because I was sleep-deprived, and over-excited,” they said.

“For the first six weeks, those exercises were enough. But after that, I didn’t know what to do. 

“I had heard about people going back to sport after a few months, and others who didn’t do certain exercises for years, or ever.

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“It was pretty confusing.”

(*Fan uses she/they pronouns, and asks us to mix them up throughout the article).

Fan wasn’t sure where to turn when she wanted to exercise, so ended up consulting Google.

  (ABC Sport: Kate O’Halloran)

As is common among women who have given birth, Fan also experienced urinary incontinence.

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She was referred to a pelvic floor physiotherapist while in hospital, who gave her some exercises to strengthen her pelvic floor muscles.

But after being discharged from the hospital, there was no follow up:

“I wasn’t really sure what I was meant to do … so I turned to Google.”

Australian postpartum exercise guidelines ‘fall short’

Dr Melanie Hayman, an expert on exercise and pregnancy, says experiences like Fan’s are not unusual.

As she explains it, the regular six-week postpartum check-up typically focuses on the health of the newborn baby.

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“There are usually a couple of questions about mum’s health, but it can be quite superficial,” Dr Hayman said.

“[Topics like] returning to exercise, or the physiological changes that occur throughout pregnancy, or as a result of birthing, are not assessed.”

A woman sits on an exercise ball. She is wearing shorts and a crop top.

Many women experience core muscle separation and some form of incontinence after birth.

  (Getty Images: Gabriel Mello)

That’s despite the fact approximately one in two people who give birth experience symptoms like urinary incontinence (47 per cent), and pelvic organ prolapse (50 per cent), which can increase fear of exercising. An additional 17 per cent experience faecal incontinence.

Current Australian guidelines, however, do not provide specific advice for returning to exercise after pregnancy.

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Instead, those who are “healthy” are encouraged to meet the existing Australian adult exercise guidelines (for non-pregnant people).

“That’s where our current guidelines fall short,” Dr Hayman said.

“Someone who is five or six weeks postpartum is not your general population … [but] the issue is that we only have a certain body of literature at the moment.

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“So while the current recommendations are still accurate, there are some absences in them, and it would be great to able to provide more guidance, especially in the early phases of the postpartum period.”

She said one reason it was difficult to provide ‘one-size-fits-all’ guidelines is that individual experiences vary:

“Every birthing and postpartum experience is different, so one of the most important things is that return to exercise has to be individualised.”

Any form of activity, however, is better than none, with Dr Hayman advising starting with some gentle walking, even if this is just five minutes a day.

“Traditionally, pregnancy was considered a ‘delicate’ period in a woman’s life where they were advised to take it easy, because of fear that any sort of exertion might harm the mother and/or fetus,” she said.

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A little girl of Middle Eastern decent gives her mum a high-five as she works out in a small studio.

Individual experiences vary so much, exercise can’t be a one-size-fits-all approach. (Getty Images: Halfpoint)

“The issue is that being inactive actually increases the risk of adverse health outcomes. 

“The more women can be active in accordance with our guidelines, the better.”

Gyms with childcare and flexible times are hard to find

Finding a place to exercise is another reason many struggle to get active postpartum.

When Fan reached three months postpartum, they were determined to find a gym where they could return to greater levels of fitness.

But it was a task that proved more difficult than anticipated.

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Most commercial gyms wouldn’t allow Fan to bring her child, or if they did have a crèche, they had long registration waitlists, or were full at the times that suited her.

Eventually, Fan turned to local Preston gym 23W, a women-only strength and conditioning community with a specific focus on postpartum mums.

23W employs a full-time nanny, while the on-site creche is situated in the same room as other gym equipment, allowing parents to keep an eye on their child while exercising.

A nanny is watching kids in a gym creche.

23W employs a nanny to look after kids while their parent exercises in the gym.

  (ABC Sport: Kate O’Halloran)

“It just means our members can come in knowing they’ve got that support, whether it’s emotional support, [or just] knowing someone’s looking after their baby. It makes a big difference,” owner Ange Drake said.

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Drake also runs classes at different times throughout the day, to provide greater flexibility for her clients.

“In that first 12 months [postpartum], you’re probably not going to be training first thing in the morning, because you’re going to be pretty tired, or last thing at night.

“There’s some great postpartum programs out there, but where a lot of women come unstuck is that they’re only offered on one day, at one time in the week, and if you miss it, it’s gone.

“So having flexibility with timing is really important.”

Important to ‘normalise’ common postpartum symptoms

Drake, who has two children of her own, says one of the biggest barriers women face when returning to exercise is the “disconnect a lot of them feel with their body”:

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A woman stands in between two punching bags that hang from the ceiling.

Ange Drake sees a lot of women come into her gym with a somewhat disconnect to their body.

  (ABC Sport: Kate O’Halloran)

“After giving birth, things have stretched out, or moved and don’t feel the way they used to. A lot of women feel like whole muscle groups have gone offline.

“They have lost the trust in their body; knowing what it can do, and trying to navigate the new body they’re in.

“This includes how they can rebuild it, and make it stronger while looking after the needs of a little one.”

For many, this includes pelvic floor complaints, lower back pain and issues to do with abdominal separation.

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“When you’re in the moment, it’s really scary to think, ‘am I going to be able to run again?’ Or, ‘I’m leaking when I’m going grocery shopping,’” Drake said.

“These experiences can be really alienating … and a lot of women think ‘it’s just me’.

“So we try and help them understand that what they’re experiencing is not uncommon, and that women have been able to rehab whatever it is they’re going through.”

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How Tactical Fitness Compares to the GPP/SPP Exercise Models

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How Tactical Fitness Compares to the GPP/SPP Exercise Models

General Physical Preparation (GPP) and Specific Physical Preparation (SPP) are rooted in Soviet-era sports science and popularized by Romanian sports scientist Tudor Bompa, Westside Barbell, and CrossFit. These programming models can apply to any type of long-term, progressive athletic goal, fitness event, competition or tactical challenge. They are simply terms that trainers and coaches should use to organize training programs for any type of goal. 

Built on the Same Foundation

Together, GPP and SPP create an athlete capable of handling any physical situation one might encounter. Tactical fitness does the same, just on a different level of ability with different goals.

Phase 1/GPP

Like the first phase of tactical fitness, GPP focuses on building a foundation across multiple fitness components, including strength, power, speed, agility, endurance, stamina, coordination, flexibility and mobility. GPP’s primary goal is to “build the engine” by developing a wide range of physical attributes rather than sport-specific skills. Tactical fitness’s first-phase goal is to prepare the recruit/candidate to ace a fitness test (get to the training). 

Phase 2/SPP

The second phase of tactical fitness most closely resembles SPP, as it focuses on preparing athletes for the specific future challenges of military training and the job itself. SPP is also the “transformation” phase, during which general fitness is channeled into sport-specific qualities. Maintaining these fitness elements is part of the SPP programming for both competing athletes and active-duty operators, whether competing or performing their job. 

Phase 3/Divergence

The third phase of tactical fitness includes maintaining all components of fitness, with a focus on stress mitigation, recovery and just being good at all of them; rather than being elite in just a few, like a competitive athlete. 

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While the training phases are similar in structure, the biggest difference between the competitive and tactical athletes is that the sport demands higher levels of capability to compete. Being competitive in tactical communities requires an above-average fitness level (not elite) across many components of fitness, but, depending on the job, an above-average/elite proficiency in tactical knowledge to perform under stress, and the ability to recover quickly.

How They Match Up

If you compare the GPP/SPP of athletics to tactical fitness, many of the same types of programming can be used, but eventually, the tactical specifics will require a new layer of training. You can see why in this side-by-side comparison: 

Features GPP/SPP Tactical Fitness
Primary goal Athleticism Mission completion/survival
Equipment Weights, calisthenics, cardio Rucks, body armor, equipment (but also weights, calisthenics, cardio)
Recovery/nutrition Prioritized daily Often skipped, ignored, poor sleep
Success metric Win/personal best Mission success/20+ year career

GPP/SPP in Tactical Fitness Training

Drawing from my experience as a tactical fitness coach for over 25 years, here is how the Seasonal Tactical Fitness Periodization model compares for GPP/SPP training:

Athletes are trained from a broad base (GPP) of fitness to specific and more challenging levels of performance (SPP) through the “To and Through” Philosophy.

GPP is the “getting to” phase. It focuses on the baseline required to get accepted and pass entry-level fitness exams, such as the Navy PST. This involves building a foundation through high-repetition calisthenics (pushups, situps, pullups) and cardio training (running and swimming) to build muscle endurance and aerobic capacity. However, more challenging events exist in actual military training compared to many of the entrance fitness exams.

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You do need to build strength, power and mass in many candidates, so an “off-season” lift cycle phase addresses these weaknesses to build overall durability in various load-bearing activities specific to special ops selection (logs, boats, rucks, personnel carry). This is where SPP joins the preparation as the “getting through” phase, because movement and energy system specificity are essential. Also, longer swims with fins and longer runs are required in this “getting through” phase. In the end, a runner who can lift and swim or a lifter who can swim and run is created.

Seasonal Tactical Fitness Periodization is a yearlong training cycle using the spring/summer to build and peak (GPP/SPP), including high volume calisthenics and maximal but progressive endurance in running, rucking and swimming. The fall season is a transition period that adds weight training, reduces running miles and introduces speed and swimming miles. The winter lift cycle is to build durability, mass and strength, and to reduce the impact of running so joints can recover (GPP).

While GPP/SPP and tactical fitness and strength aim to build a capable athlete, they differ largely in their “why” and “how.” Both are about building a broad physical foundation, but tactical fitness also requires professionals to survive and succeed in high-stakes, unpredictable environments, often in life-or-death situations. This requires significant tactical skills in addition to the fitness foundation provided. However, it is fair to call the preparation to transition from athlete to tactical athlete part of the GPP/SPP process.

Want to Learn More About Military Life?

Whether you’re thinking of joining the military, looking for fitness and basic training tips, or keeping up with military life and benefits, Military.com has you covered. Subscribe to Military.com to have military news, updates and resources delivered directly to your inbox. 

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Japanese walking and how it may boost fitness in just 30 minutes

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Japanese walking and how it may boost fitness in just 30 minutes

Research from Shinshu University shows the free interval walking technique may help improve fitness by up to 20% and support bone health in older adults

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For those aiming to enhance their health and fitness in the coming year, starting a new regime can often feel like a daunting task. However, as most medical professionals will say, even minor steps towards increased activity can significantly impact your overall health and well-being.

As reported by the MEN over the weekend, one simple and cost-free method to boost your fitness is through the Japanese walking technique, which involves alternating between fast and slow walking at set intervals.

In recent years, much has been said about striving to reach a step goal as a means of utilising walking for fitness, with many aiming to achieve a daily target of 10,000 steps to maintain health and fitness.

However, with Japanese walking, there’s no step goal – instead, you’re encouraged to walk for 30 minutes, at least four times a week, alternating between three minutes of “fast” walking and three minutes of “slow,” reports the Manchester Evening News.

You determine your own pace while employing this technique, so whatever you deem to be “fast” – experts describe it as enough to leave you feeling “out of breath” at the end of each set.

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The technique, known as Japanese walking, was first developed and researched for its health benefits by experts at Shinshu University in Japan. Their medical research team found that participants who completed interval training over a five-month period improved their fitness by up to 20%.

Professor Masuki Shizue from Shinshu University Graduate School of Medicine served as one of the co-researchers on the study. She highlighted that interval walking proved especially beneficial for elderly people, being a gentle exercise method that could potentially alleviate pre-existing health conditions.

According to the latest research published on the official website: “Walking is one of the easiest form of exercise for older adults. Professor Masuki and her team demonstrated that “interval walking,” which involves alternating between brisk and slow walking, can help mitigate the risk of lifestyle-related diseases.

“A large-scale survey of 234 participants who engaged in interval walking was conducted to determine whether interval walking improves bone mineral density and whether this improvement is greater among individuals with low bone mineral density. The findings of the present study revealed that interval walking is an excellent form of exercise, especially for individuals with low bone mineral density.”

The research further emphasised that because it requires no specialist kit and can be adapted to match each person’s fitness level, interval walking represents a maintainable exercise option for the majority of physically capable people. The beauty of interval walking lies in its simplicity — all you require is a decent pair of walking shoes and a way to track three minute intervals, whether that’s a watch or your mobile.

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With each session lasting just half an hour, it slots neatly into hectic routines and suits those who aren’t particularly fond of lengthy workout sessions or aren’t fixated on hitting daily step targets.

Researchers at the university are currently investigating how interval walking might impact conditions including diabetes and cardiovascular disease. They’ve suggested it “could help prevent the incidence of lifestyle-related diseases and exert therapeutic effects if it can reduce the dosage of prescription medications or eliminate their requirement”.

How does interval walking work?

According to Shinshu University, the method centres on alternating between brisk walking for three minutes — at a pace that leaves you slightly breathless, roughly 70% of your maximum aerobic capacity — followed by three minutes of gentle walking, repeating this pattern throughout.

For optimal results in boosting fitness levels, they suggest completing five sets of these intervals (totalling 30 minutes) at least four days weekly.

Their research indicates that maintaining this routine four times weekly over five months “can improve physical fitness by up to 20%.”

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They also believe it could play a role in warding off “lifestyle-related illnesses.”

Who can benefit from interval walking?

Beyond helping those looking to boost their general fitness, research from Shinshu University discovered that this type of interval walking could prove especially valuable for individuals with “low bone mineral density”. Since bone density naturally decreases with age, this encompasses certain elderly individuals and women experiencing the menopause.

The research stated: “Osteoporosis [weakening bones] is particularly prevalent among postmenopausal women owing to the rapid decline in the secretion of female hormones resulting in a reduction in bone mineral density.

“A total of 234 postmenopausal women completed five sets of interval walking per day on at least 4 days per week for 5 months in this study.

“Measurement of the bone mineral density of the participants revealed an increase in the bone mineral density of individuals with low bone mineral density at baseline. No changes were observed in the bone density of individuals with high bone mineral density at baseline.”

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You’re not burning as many calories as you think you are with exercise — here’s why

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You’re not burning as many calories as you think you are with exercise — here’s why

Burn more, weigh less. Sounds simple, right? Not exactly.

A new study is challenging conventional wisdom about exercise and weight loss, suggesting your workout may not burn as many calories as you think.

The findings could help explain why so many people don’t see the scale budge, even when they’re regularly hitting the gym and watching what they eat.

New research hints that what you eat could have a bigger impact on calorie burn than exercise. highwaystarz – stock.adobe.com

It all comes down to math.

Over the course of a day, your body’s natural calorie burn without any formal exercise can range from about 1,300 to more than 2,000, depending on age, sex and other factors, according to the Cleveland Clinic.

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For years, scientists assumed any extra calories you burned — like from running a mile or swimming laps — would simply add to that total and lead to weight loss.

But recently, some researchers have been questioning that “additive model,” suggesting the body may follow a “constrained” approach instead.

That theory says your body has a built-in energy cap. So when you burn more calories during exercise, your body makes up for it by saving calories elsewhere — like cutting back on cellular repairs and other internal tasks.

Intrigued, two Duke University researchers decided to put the models head-to-head.

The study found the body often makes up for calories burned during cardio by quietly shutting down other processes. Svitlana – stock.adobe.com

They reviewed 14 exercise studies involving 450 people, along with several animal trials, and compared the calories subjects were expected to burn with the calories they actually burned.

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On average, the researchers found that only 72% of the calories burned during exercise actually showed up in total daily burn — the other 28% was quietly offset elsewhere in the body.

From an evolutionary standpoint, it makes sense. Our ancestors had to trek for miles without exhausting their energy reserves, according to Herman Pontzer, lead author of the study and an evolutionary anthropologist.

He witnessed this firsthand in Tanzania, where he lived among the Hadza, one of the last hunter-gatherer communities on Earth. Every day they trek miles across the dry savannah, hunting game and foraging for food.

Pontzer expected them to burn far more calories than notoriously sedentary Americans, but he found they actually burned about the same amount.

Our flexible metabolism — which lets us adapt to different diets and store fat for hard times — helped humans survive and thrive, and even shaped the way we age, Pontzer explained in an interview with Duke’s Magnify Magazine.

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Strength training didn’t trigger the same compensation effect as cardio did. FranciscoJavier – stock.adobe.com

Notably, however, this compensation effect wasn’t universal across all workouts.

The researchers found the body only seemed to compensate during aerobic exercise like running. When it came to lifting weights or resistance training, the three strength studies they reviewed showed people burned more calories than expected based on how much they exercised.

The team isn’t exactly sure why — but they have a few theories.

For one, it’s tough to measure calories burned while lifting. The methods used in the studies are likely better suited for steady cardio, so the numbers might be off.

It’s also possible that heavy lifting doesn’t trigger the same compensation response as long, sweaty aerobic sessions. And the act of repairing muscle damage after strength training may require extra energy as well.

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Diet also seemed to play a key role in how the body compensates.

The researchers found that if people cut calories while ramping up their workouts, their total burn often didn’t budge at all.

“The real killer here is that if you pair exercise with diet, your body goes, ‘Fine, well, then I’m going to compensate more,’” Pontzer told the New Scientist. “It’s still good for you, just not for weight loss.”

But that doesn’t mean you should cancel your gym membership.

Regular movement is still essential for our health — lowering chronic inflammation, stabilizing hormones and reducing the risk of chronic illnesses.

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“You have to think about diet and exercise as two different tools for two different jobs,” Pontzer said.

“Diet is the tool for managing your weight. Exercise is the tool for everything else related to health — from mental health to cardiometabolic disease.”

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