Fitness
‘Very distressing’: 24-hour gym policy in spotlight after bodybuilder collapses in shower
The family of a Perth bodybuilder who spent 15 hours unconscious in a gym shower without anyone noticing is calling for greater safety measures at gyms.
Police were forced to break down a door of the gym’s bathroom to rescue Giuliano Pirone, 33, who was found lying in the shower cubicle with the water still running about 10:30pm last Tuesday.
He had been in the shower since 7am without any of the gym’s staff or customers realising he was there.
“My beautiful son was alone on that floor, collapsed, smashed his head for about 15 hours and no-one noticed anything,” his mother Daniela Pirone told Nadia Mitsopoulos on ABC Radio Perth earlier this week.
“The showers are 20 metres away from reception and no-one noticed anything. Don’t the showers get cleaned? I’m just dumbfounded.”
24-hour gyms ‘convenient and affordable’
Barrie Elvish, chief executive of AusActive, the peak body for the exercise and active health sector, said what happened to Mr Pirone was “very distressing”.
“I sincerely hope that this gentleman does make a full recovery,” he said.
He said AusActive did encourage its member gyms to sign up to a voluntary code of practice, which includes measures to try to keep gym-goers safe.
“That includes a proper induction process for new members to any gym, which takes them around how to use equipment safely obviously, but also where duress alarms may be, where a defibrillator may be and so on,” he said.
Mr Elvish said 24-hour, mostly unstaffed gyms were a popular option with gym users because they allowed members to go anytime that suited them, without the cost that applied if a gym was staffed full-time.
“Eight million Australians have gym memberships, and 24-7 gyms are a very convenient facility for the majority of those people that go to a gym,” he said.
“It means they can go at their time of choosing and when it suits them to do that. But they aren’t staffed by definition and it’s not possible to staff a gym fully 24 hours a day, 7 days a week.
“The cost of doing that would put the cost of gym membership beyond many Australians’ ability to pay.”
He said checking bathrooms was also a fraught question, as CCTV would not be appropriate and a staff member going in to check a shower area wouldn’t necessarily know how long a customer had been in there.
“If I was to go into a bathroom to restock supplies and there was someone in the shower, unless I was in that bathroom for 15 minutes or so doing the restocking, I may not think it’s unusual for a person to be in the shower for 15 minutes,” he said.
Giuliano Pirone’s family have also questioned why nobody noticed that he checked into the gym but never left, but Mr Elvish said it was not usual practice for gyms to check patrons out.
“That’s something we could possibly look at, but at the moment, I’m not aware of any gym that actually has a check-out as well as a check-in,” he said.
In a statement, the gym’s management staff offered their “deepest sympathies to Giuliano’s family during this difficult time”.
“As a 24-hour gym facility, we remain committed to maintaining a safe, secure and accessible environment for all our members.”
Waivers and responsibilities
Beth Rolton, a specialist personal injury lawyer, said while gyms were unregulated, they were still subject to state workplace health and safety legislation.
“The Workplace Health and Safety Act of WA 2020 is the act that imposes a primary duty of care on businesses and that primary duty of care is to ensure it’s reasonably practicable that the health and safety of persons are not put at risk when they are attending that business, so there’s a general broad duty that applies, Ms Rolton said.
She said while businesses like gyms often asked customers to sign waivers around responsibility for death and injury, they could only go so far.
“If you’ve got an activity that does involve a significant degree of physical exertion, businesses can apply a waiver when you sign up,” she said.
“I think it’d be very uncommon if you did join a gym if you didn’t sign some kind of waiver to say that you know if you have some kind of injury or death that the gym is not going to be responsible for that.
“Those waivers can really only go so far, if there’s reckless conduct then that waiver is voided or if there’s negligent conduct then the waivers can be voided.”
Ms Rolton said it was up to gym operators to look at what risks their customers may be exposed to, and what could be done to prevent them.
“What gyms have to do is look at what’s foreseeable and what’s a reasonable response to that?” she said.
“There are all sorts of foreseeable things that could happen in a gym and I guess one of those is having a medical episode.
“So then what the gym has to do is go, ‘What are some reasonable responses to those foreseeable risks that we can implement?’”
“There’s no obligation to eliminate all risk from a gym because that’s just not practicable, but there has to be some reasonable response to what is foreseeable, and so that’s going to be a case-by-case situation.”
Fitness
‘I’m a neuroscientist – these are the 3 best workouts for slowing cognitive decline’
‘Exercise is usually viewed through the lens of physical appearance, the number on the scale and the size of your jeans,’ says Dr Ramon Velazquez, neuroscientist and scientific advisor at Mind Lab Pro. ‘But you cannot move your body without moving your brain. Exercise is not primarily a body intervention – it’s a brain intervention, and the changes you see in your waistline or muscles are side effects of what’s actually going on neurologically every time you move your body with intention.’
Indeed, while a huge body of research shows how crucial movement is for physical health – from protecting our hearts to reducing cancer risk – an increasing number of studies are highlighting the significant cognitive benefits of exercise, from boosting memory and reducing dementia risk to restoring neuroplasticity (the brain’s resilience in adapting to new information, behaviours and sensory input).
But what exactly should that look like in practice? And how should you structure your weekly routine to maximise the brain health benefits of exercise? Dr Velazquez has the answers below.
The workouts
Zone 2 cardio
‘Zone 2 cardio is the most underrated form of exercise. People usually dismiss it because they feel like they aren’t doing enough if they’re not drenched in sweat or gasping for air,’ says Dr Velazquez. ‘It’s a type of activity where you move at a pace that elevates your heart rate, but you can still have a conversation with the person next to you.’
Indeed, a recent review of more than 258,000 people found that even low- to moderate-intensity exercise performed for less than 30 minutes twice a week improved general cognition, memory and executive function (the mental processes involved in planning, focus and decision-making) in as little as one to three months. Dr Velazquez recommends light jogging, swimming and cycling. ‘From a neurological perspective, this type of exercise consistently increases blood flow to the brain over a prolonged period of time,’ he explains. ‘This is important because it helps deliver nutrients to the regions that are most vulnerable to ageing.’
Such exercise, adds Dr Velazquez, also supports the glymphatic system – the brain’s waste clearance system that removes proteins and cellular waste linked to neurodegenerative diseases such as Alzheimer’s.
Strength sessions
‘Strength training is also extremely important for longevity. Strong muscles produce and release hormones and signalling molecules that directly influence the brain,’ says Dr Velazquez. ‘Muscle mass starts declining from your mid-thirties via a process called sarcopenia, and as the muscle disappears, so does the neurological signalling it produces.’
Two to three weekly sessions is the minimum needed to make a difference, he adds. ‘The sessions don’t need to be long – 45 minutes of focused, compound movements is enough.’ Think: squats, deadlifts, rows and presses – ‘exercises that recruit large muscle groups and produce the strongest possible neurochemical response’.
VO2 max training
‘VO2 max – the maximum amount of oxygen your body can consume and use during intense exercise – is now one of the most powerful predictors of long-term survival ever identified in the research,’ says Dr Velazquez. ‘Most people assume that blood pressure and cholesterol are the numbers worth paying attention to when it comes to how long they are going to live, but VO2 max is more predictive than either of those – a low VO2 max is not just a fitness problem, it’s a mortality risk.’
To improve this metric, Dr Velazquez advises introducing high-intensity exercise – where you’re working at near-maximum capacity for short bursts – once or twice weekly, adding that ‘a simple and highly effective routine would be 4-6 intervals of one minute at hard effort followed by two minutes of recovery’.
‘It will be uncomfortable, but that’s the feeling you need to chase to make this exercise effective, and the physiological stress of those intervals drives adaptations that are cardiac, vascular and neurological.’
Example weekly workout routine
‘Zone 2 is the base of the pyramid, VO2 max training is the peak. You cannot build a high peak without a wide, solid base, which is why all three pillars work together,’ says Dr Velazquez, who gives an example of an effective weekly routine below.
Monday
30-45 mins strength, eg, squats, deadlifts, rows, presses.
Tuesday
Zone 2 workout, eg, light jog or swim.
‘The key is finding an enjoyable activity that raises your heart rate, but not to the point where you’re gasping for air.’
Wednesday
30-45 mins strength.
Thursday
Zone 2 workout.
Friday
30-45 mins strength + VO2 max training afterwards.
Saturday
Longer zone 2 workout (around 60 mins).
‘I would suggest working out in nature, since a natural environment and exercise are a perfect combination for lowering cortisol.’
Sunday
Rest day.
‘Rest is not the absence of progress, it’s a necessary part of keeping the progress going.’
‘The brain responds to every single session. It’s tracking the pattern, not the performance. And the earlier in life you establish that pattern, the more of your brain you get to keep.’
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Hannah Bradfield is a Senior Health and Fitness Writer for Women’s Health UK. An NCTJ-accredited journalist, Hannah graduated from Loughborough University with a BA in English and Sport Science and an MA in Media and Cultural Analysis. She has been covering sports, health and fitness for the last five years and has created content for outlets including BBC Sport, BBC Sounds, Runner’s World and Stylist. She especially enjoys interviewing those working within the community to improve access to sport, exercise and wellness. Hannah is a 2024 John Schofield Trust Fellow and was also named a 2022 Rising Star in Journalism by The Printing Charity. A keen runner, Hannah was firmly a sprinter growing up (also dabbling in long jump) but has since transitioned to longer-distance running. While 10K is her favoured race distance, she loves running or volunteering at parkrun every Saturday, followed, of course, by pastries. She’s always looking for fun new runs and races to do and brunch spots to try.
Fitness
best ellipticals for a low-impact full body workout
Although it may seem straightforward, there are some key steps you should follow when using an elliptical. Elyse Miller, an iFIT trainer and elliptical class instructor, shared some insight on the key things to keep in mind when hopping on one of these machines.
Stand up straight: You must remain upright while on an elliptical. Miller says you should stand in a tall, upright position with an engaged core by tucking your hips forward. This will also activate your glutes and keep tension away from your lower back. Your upper body should be relaxed as well. “Relax your shoulders and leave elbows soft without locking them,” Miller said.
Additionally, your front leg should feel like a natural stride forward and your heel will slightly lift as you rotate ahead. “Your hands should remain neutral while holding the handles on the elliptical, but don’t squeeze them tight,” she said, adding that once you have the form down you can mix things up. “For example, angling your toes out will work your inner thighs or moving your hands up and down the handlebars will target different muscles in the upper body.”
Hold onto the handles: One of the unique aspects of an elliptical is that it lets you work your full body at once. To get the most out of your workout, you’ll want to make sure you’re holding onto the handles as you pedal. This will allow your upper body to get the blood flowing as well. “Since elliptical arm handles are long, you can easily change the hand placement as needed for different heights or to target different upper body muscles,” Miller said.
Don’t slouch over: If the resistance is too high that it’s causing you to sacrifice your form, change up the intensity. “Reduce the resistance to maintain a strong, confident posture,” Miller said, adding, “don’t get stuck in the circling rut — make sure to try out intervals, resistance changes and level shifts rather than zoning out and going through the motions.”
Keep your feet on the pedals: Naturally, your body is going to move with the forward motion of the elliptical when your arms and legs are involved. Make sure to keep your feet sturdy and flat on the pedals as you go through the motions.
Fitness
Very difficult and extremely cool: how to start doing pull-ups
The pull-up has long been seen as an important fitness metric. From 1966 to 2013, public middle and high school students in the US were required to do pull-ups as part of the presidential fitness test (an evaluation Donald Trump has considered reinstating). US Marine Corps members were long required to perform pull-ups as part of their regular physical fitness test, and prospective UK Royal Marines must complete a minimum of three to four pull-ups before they are eligible to join.
There is no definitive data on how many adults can perform a proper pull-up, but two things are clear: they are very difficult and look extremely cool.
“When a new client comes to see me, the most common exercise they say they’d like to be able to do is the pull-up,” says Emily Schofield, a certified personal trainer at the training company Ultimate Performance. “Achieving that first proper rep is one of the most satisfying milestones you can reach in the gym, because it’s a genuine, hard-earned display of strength, coordination and control.”
Do you want to literally and figuratively flex on others at the gym? Here’s how to start doing pull-ups.
What is a pull-up?
To perform a pull-up, a person starts by hanging from a bar with their arms fully extended and feet off the ground; this is also known as a dead hang. From there, they pull themselves up until their chin is over the bar, and then lower with control.
“Done well, it’s a controlled, deliberate movement,” says Schofield. “There’s no kicking, jerking or relying on momentum.”
What are the benefits of pull-ups?
Pull-ups build upper body strength, particularly in the back, says Mathew Forzaglia, certified personal trainer and founder of Forzag Fitness. “It also helps develop core stability, which prevents the body from swaying during consecutive reps, and improves grip strength,” he says.
The muscles most engaged by the exercise, according to the Cleveland Clinic, are the latissimus dorsi (or “lats”) – the large, broad, fan-shaped muscles which stretch from the bottom of the back to below the shoulder blades – and the trapezius (or “traps”) – the triangle-shaped muscles that run from the neck to the mid-back. They also engage shoulders, forearms, biceps, triceps and abdominal muscles.
When Schofield performs a pull-up, she says she focuses on not just using her arms: “Putting too much emphasis on your biceps to execute the move will make you tire quickly and diminish how effectively you’re targeting the lower back,” she explains, adding that the lats should be doing the heavy lifting.
In addition to looking impressive at the gym, pull-ups also help with functional strength. Because pull-ups force the body to work as a single unit, they improve “strength, coordination and neuromuscular control”, as well as helping with posture, improved performance on other lifts, and a more balanced physique overall, Schofield says.
Can anyone do a pull-up?
For the most part, yes.
Many women in particular seem to doubt this. And can you blame them, when the New York Times once published an article titled, Why Women Can’t Do Pull-Ups? (Granted, the article was controversial at the time, and several outlets and blogs published rebuttals.)
Schofield says many women she works with “instantly dismiss the idea they’ll ever be strong enough to perform a pull-up”. But she emphasizes that neither age nor gender should be considered a barrier to the exercise.
“I train a client who is in her 70s and she can perform a full set of eight pull-ups with greater strength and control than people half her age,” Schofield says.
Some people need to be especially careful when performing pull-ups, Schofield says – specifically those with shoulder injuries, elbow painor any type of upper-body joint issue.
“In those cases, I’d always prioritize rehab and strengthening work before attempting the exercise,” she says.
How do you do a pull-up?
One of the most common mistakes people make when it comes to pull-ups is jumping straight on to the bar, Schofield says. Most people will need to build up a base of strength before they can successfully perform the exercise.
To do this, prioritize exercises that strengthen the muscles you will need to perform a pull up. These include:
Forzaglia also recommends inverted rows using TRX straps or a barbell set up in a squat rack. “This helps build the foundational pulling strength needed to progress,” he says.
Even if you can’t complete a pull-up, it’s worth spending time on the bar, Schofield says: “That might mean attempting partial reps, holding the top position, or controlling the lowering phase.” All of these help the body learn how to coordinate the movement, she explains.
Regardless of gender, building to a full pull-up can be a slow process. Countless programs claim to be able to teach people how to do a pull-up in 30 days. That might be possible for some. But achieving a pull-up depends on a number of factors, including baseline fitness, bodyweight and physical build. Although the above exercises are all relatively safe, it is a good idea to work with a certified personal trainer who can offer the best personalized guidance. And encouragement.
“Because pull-ups are difficult, people tend to avoid them when they struggle. But that’s exactly when they should practice them the most,” Schofield says. “The key is to practice, practice, practice.”
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