Thursday, October 17, 2024

Building the Habit of Movement

I just celebrated the 10-year anniversary of the Brain Trust Book Club (BTBC), which has brought together myself and some of my oldest friends! BTBC was founded at the wedding of our dear friend to bring old friends back together in the name of good books. We have had many iterations of the BTBC – phone chats, FaceTime, and destinations (like my wedding in Curacao!). We’ve enjoyed a sliding scale of participants who read the books to varying degrees (shout out to Joey TLDR) – and one constant is that we inevitably pick some not-so-great books.

After reviewing the list of a decade of BTBC busts, I was delighted to come across a book that has surreptitiously shaped every facet of my life: The Power of Habit by Charles Duhigg.

In The Power of Habit, Duhigg speaks on how subconscious routines shape our individual, organizational, and societal lives. As the text develops, Duhigg highlights the ever-present role of habits in our daily lives, referencing that roughly 40% of our daily actions are habits [1]. 

Reflecting on my list pulled an insight into stark focus: I am trying to help you create movement as a habit.

Because movement is a habit. Every day I engage in discussions about:

  • How to use movement for pain relief (with my patients)
  • How to use movement to increase activity levels for weight loss or muscle gain (with my health coaching clients)
  • How to use movement to release pent up energy (with my children)

I personally rely on movement in the following ways:

  • Bookend the day – walk my daughter to school, walk to pick up the kids from daycare/after school
  • Fidget – time between patients provides an opportunity to walk around the block
  • Exercise preparation – 5-10 minutes before workout to practice the positions of interest in the day’s workout
  • Exercise – my lifeblood!
  • Monkey see, Monkey do – playtime with my children trying to emulate their myriad movement outlets
  • Get the digestive juices flowing – family walks after dinner

 

Movement is versatile, and with the right intentionality, we can even use movement to replace bad habits, like obsessive phone checking (one of my compulsions).

So who is this post for? While many people can benefit from more intentional habits, in this post I’ll focus on examples of:

  • People who have pain/want to reduce pain
  • People looking to improve overall health
  • People who want to improve their movement performance
  • People looking to improve their learning potential

First, though, let’s look at what habits are.

 

What Are Habits?

At a basic level, habits are the choices that each of us deliberately make at some point and then stop thinking but continue doing (often daily) [2]. We form habits so our brains can go on autopilot and conserve energy. The brain has a lot to do each day, what with controlling every process involved with our moment-by-moment survival, that it does not have time to perseverate on the act of brushing teeth, putting on underwear, and making kids lunch – and that only takes us to 7 am.

The brain looks for specific cues to trigger the autopilot mode and commences the habit feedback loop:

A cue is a trigger and it can be anything – visual, person, location, or emotional trigger (among many others) – and the first step to rewriting your habit loop is to identify your specific cues. For example, boredom is my cue to pick up my phone.

A routine is the reflexive response to the cue, and it can also be anything – my pitch is to make movement the keystone routine/habit. More on keystone habits below.

A reward reinforces the efficiency of the entire loop – my phone checking reward is the anticipatory excitement that something amazing will pop up in my inbox to distract me from the task at hand!

A key point to remember: Don’t try to eliminate old habits – instead, work to replace them.

Armed with knowledge of how this feedback loop works, we can start inquiring as to how our habits impact our lives, and make changes to them with awareness.

 

Unlocking Movement Through Keystone Habits

Another concept Duhigg discusses is the importance of keystone habits:

Small changes or habits that people introduce into their routines that unintentionally carry over into other aspects of their lives.

Duhigg also references exercise as an effective keystone habit - Preach!

My call to action is that we can all make frequent, brief, purposeful movement the keystone habit to unlock the mother of all keystone habits, exercise!

 

A Habit to Reduce Pain

Irritated tissues respond well to frequent and gentle motion, and this can often be a valuable tool to alleviate pain. If you are in pain, try the 20/20 rule – every 20 minutes, take a 20 second break to get up and move. Pick a movement that targets the irritated tissues in your body and move gently for 20 seconds, focusing on a relaxed breathing pattern throughout the movement. By focusing on your breathing, you override the tendency to tense up/hold your breath when you are in pain.

https://www.youtube.com/watch?v=OUlMJ0T2DDo&list=PLtbxeURCQnLIQLrjXI8cW7SVsgJPYuWWb&index=3 

 

A Habit to Improve Overall Health

In his book Exercised: Why Something We Never Evolved to Do Is Healthy and Rewarding, Daniel Lieberman discusses the impact of physical activity on health and wellness, including the fact that a reduction in physical activity is an independent risk factor for morbidity and compression of health span5. Lieberman highlights the fact that Americans spend less than 1 minute daily engaging in vigorous activity, while modern day hunter gatherer tribes spend 20 minutes daily, by comparison (vigorous activity defined as 70-85% maximal heart rate) 5. Why not use my boredom cue to trigger 30-40 seconds of mountain climbers in the name of health?

https://www.youtube.com/watch?v=xRYEcueW-XY&list=PLtbxeURCQnLIQLrjXI8cW7SVsgJPYuWWb&index=3

 

If the mountain climber is a bridge too far at this stage in your movement journey, can we compromise with some seated heel raises? According to an experimental physiological study6, engaging in a fidget routine of seated heel raises throughout the day can lead to an improvement in several biomarkers, including markers of metabolic health such as post prandial (meal) glucose tolerance and insulin secretion. In layman’s terms, average sedentary individuals (without any training required) were able to complete 270 minutes of heel raises during an otherwise sedentary day and created noticeable changes in biomarkers compared to themselves on a day in which they completed no seated heel raises. Why not use sitting as a cue to trigger a heel raise movement habit?

https://www.youtube.com/watch?v=KBibSg9Wh7I&list=PLtbxeURCQnLIQLrjXI8cW7SVsgJPYuWWb&index=4

 

A Habit to Improve Movement or Skill Performance

Anders Ericsson was a psychologist and researcher who studied the psychological nature of expertise and human performance. He described the value of purposeful practice in building new skills and abilities:

Purposeful Practice3 has well defined goals, is focused, involves feedback, and nudges you out of your comfort zone.

While this type of practice is intended to be intense – high level of focus and demand in a 60-minute block of time – why not set the foundation for purposeful practice with a couple of minutes of movement practice every 30-60 minutes?

Let Amelie and Anders be your gymnastics guides!

https://www.youtube.com/watch?v=7Rzb-aNV5W8&list=PLtbxeURCQnLIQLrjXI8cW7SVsgJPYuWWb



Or follow the path to improving athletic performance in my previous blog post https://movement-x.com/sports/mobility-and-stability/

 

A Habit to Improve Learning and Productivity

Brain coach, Jim Kwik, has dedicated his personal and professional life to helping people learn better.  In his book, Limitless, Kwik laments the oft used and less-than-stellar approach of burning the midnight oil the night before the exam, trying to “learn” as much as you can in one block of time. Kwik teaches about the value of learning in chunks and espouses the approach of breaking up your learning time into 25 minutes of work followed by a 5-minute brain break. This approach builds on the Serial Position Effect to enhance learning4.

Serial Position Effect: The tendency to most frequently remember the first and last chunk of information we are presented with.

Using the chunking approach, the learner can take advantage of multiple “first and last” chunks of information to enhance the learning experience.

The 5-minute brain break can be the learner’s cue to insert a movement habit, such as a walk around the block/office/etc. Or 5 minutes of mountain climbers?!

 

Movement Routine: Keys to Long-Term Sustainability

Establishing a new habit loop may seem simple, but it is not easy. Duhigg paves the way by highlighting some keys to successful habit change [2]:

  • Start by identifying a habit loop you are trying to replace.
  • Use the same cue, insert a new habit, and provide the same reward
  • Build belief that you can accomplish your habits—belief is what makes habits stick in the face of stress
  • Build your community—it’s easier to make a habit stick in the face of stress when you have a movement support system. Two can be a community, so recruit a movement buddy to embark on the journey with you.

 

Here’s what my habit loop looks like:



  • Identify the habit loop: Checking my phone due to boredom anticipating the reward of something exciting on my phone.
  • Using boredom as my cue, I insert a new habit: a calisthenic movement chosen by my daughter.
  • Provide the same reward: Anticipatory excitement that I can tumble with my gymnastics-loving daughter.
  • Belief—There is a movement ninja inside every one of us. Set your ninja free!
  • Community—The MovementX community, my family and friends.

 

Final Pitch

Movement can be the mother of all keystone habits. Whether you are attempting to reduce pain, improve your health, or alleviate your boredom, choose movement (until it becomes a subconscious habit)! Just identify the cue -> habit -> reward loop that you can replace with movement, mix in some belief, with a dash of community, and a world of opportunities awaits!

 

References

1. Neal DT, Wood W, and Quinn JM. Habits – A Repeat Performance. Current Directions in Psychological Science 15, no 4 (2006): 198-202.

2. Duhigg C. The Power of Habit: Why We Do What We Do in Life and Business (2012)

3. Ericsson A and Pool R. Peak: Secrets from the New Science of Expertise (2016)

4. Kwik J. Limitless: Upgrade Your Brain, Learn Anything Faster, and Unlock Your Exceptional Life (2020)

5. Lieberman DE. Exercised: Why Something We Never Evolved to Do Is Healthy and Rewarding (2021)

6. Hamilton, Marc T. et al. A potent physiological method to magnify and sustain soleus oxidative metabolism improves glucose and lipid regulation. iScience, Volume 25, Issue 9, 104869 (2022).

Monday, April 22, 2024

Blood Flow Restriction Training – The New Americana?

Strength and big muscles are as “Americana” as football (sadly, knocking baseball off of this list) and rock ‘n roll. If I had a nickel for every time I heard my daughter argue with her friends that “my mommy is stronger than your daddy,” I could have funded my Blood Flow Restriction unit purchase..

Perfect segue…



What is Blood Flow Restriction?

Blood Flow Restriction (BFR) is a type of strength and hypertrophy (muscle growth) training that uses a cuff around the upper arm(s) or upper leg(s) to reduce blood flow going into the limbs and reduce blood flow return from the limbs.

***Good news – this is not a tourniquet, so blood flow is not completely occluded.

Blood Flow Restriction (both in and out) allows for significant gains in muscle strength and size1 while training with lighter loads than traditional strength and hypertrophy weight training programs. 

***When BFR is used in conjunction with an endurance program it has also been shown to improve aerobic capacity as measured by maximal oxygen uptake VO2 max (the specifics of VO2 max are beyond the scope of this article)4.



How Does BFR work?

Short answer – While the exact mechanism(s) is yet to be determined, proposed theories abound!

A bit of context on muscle growth, in general: Brad Schoenfeld (world renowned muscle hypertrophy expert) describes three overlapping mechanisms to muscle growth (hypertrophy) – mechanical tension is most important in traditional hypertrophy programs (size and duration of loading stimulus), metabolic stress (accumulation of metabolite byproducts in response to exercise), and muscle damage (short term muscle break down induced by exercise)1.

Put in simpler terms: hypertrophy is maximized with heavy weights and lots of reps.

While a typical high load/intensity weight training program relies heavily on the mechanical tension mechanism of muscle growth, BFR training seems to rely more on the metabolic stress pathway for muscle growth.

The current theories described in BFR literature involve some combination of the following2:

  • Increased swelling in the muscle cells lead to metabolite accumulation and increased muscle fiber recruitment (especially the fast twitch, type II fibers, that are targeted with high load/intensity weight training) *** really important for aging populations as this fiber type is quickest to degrade with age1

  • Increased swelling in the muscle cells leads to metabolite accumulation and upregulation of localized and systemic anabolic hormones, such as Growth Hormone and Insulin-like Growth Factor-1 (processes associated with muscle hypertrophy) *** really important for aging and injured populations



Is Blood Flow Restriction Training Safe?

Yes (referencing 24 studies on safety of BFR2) – BFR is a safe training tool that does not increase risk for blood clots in the general population, nor does it increase (transiently) blood pressure as high as traditional high load/intensity weight training. Having said this, the following people should not use BFR training:

  • Blood clotting disorder

  • Lymphedema (in affected limb)

  • Impaired circulation

  • Pregnancy

*** Medical disclaimer - Consult your physician and physical therapist prior to starting BFR



Who should use BFR? 


Anyone that is looking to improve muscle strength and size but cannot handle the high mechanical tension of resistance training3.

Put in simpler terms: cannot handle heavy weights/lots of reps

Three target populations come to mind:

  • Older adults need to retard the age-related loss of muscle mass that leads to sarcopenia. According to research1 normal adults over 60 years old have lost 10% of their muscle mass from their 20s (15% loss of muscle mass is associated with sarcopenia). While regular resistance exercise can help abate age-related muscle loss, older adults require a greater weekly minimum training dose to maintain (hopefully gain) muscle mass1 and this can be hard to achieve in conjunction with the high loads associated with typical hypertrophy training programs.

  • Injured population (ie MovementX patient) that wants to stay active while recovering from the current injury that leaves their tissues unable to handle high load/intensity weight training. A key goal of any rehabilitation program is to improve tissue strength. This is a simple, but not easy goal, as it is difficult to appropriately load a tissue for strength (or hypertrophy) stimulus when a person is in pain. BFR makes this goal easier to achieve because you do not have to expose the person to heavy loads (more on this below).

  • Anyone trying to maximize hypertrophy (in conjunction with high load/intensity training) without overtraining. There is a fine line between overreaching (positive response to training that leads to improved performance) and overtraining (negative response that leads to exhaustion or injury) 1. While mechanical tension (size and duration of the loading stimulus) is the most important mechanism for muscle hypertrophy1, a common driver of overtraining is a sharp increase in workload that exceeds a person’s training history. BFR provides the duration stimulus (more on this below) and its heavier reliance on metabolic stress with minimal muscle tension/damage stress can be an effective adjunct to a hypertrophy protocol. 



Who should use BFR in simpler terms:

People who cannot tolerate this:


***Photo credit to my 6 year old daughter

 

People who want to look like this:

***Photo credit to Arnold: The Education of a Bodybuilder



What is the Best Dosage for Improving Strength & Hypertrophy With BFR2

***Keys for driving a metabolic response = lots of sets/reps and light loads.

Load: 15-30% of a 1 repetition maximum for working sets. This is the beauty of BFR that makes it applicable to older/injured populations that might not tolerate high loading resistance protocols.

Set Volume: 4 sets of 30/15/15/15 repetitions

Rest periods: 30 seconds between sets

Frequency: 2-3 days a week. Due to the low loads associated with BFR, there is little/no exercise induced muscle damage and, in theory, it can be done as frequently as 1-2 x daily.

Training duration: Longer durations up to 10 weeks have the greatest positive impact on strength/hypertrophy.

Number of exercises performed with BFR: start small (1-2 per session) to assess tolerance and then build, per your personal goals.


Is BFR here to stay? Where can I go for BFR?

Research on BFR began to be published in the late 1990s after being invented by Dr. Yoshiaki Sato in 1966. As of 2018, the American Physical Therapy Association officially stated that BFR training is part of the professional scope of practice for physical therapists.

Interested in BFR to stave off sarcopenia, rehabilitate an injury, or supplement your hypertrophy protocol? Look no further than your favorite BFR MovementX provider!

***The author of this article provides BFR services (and according to his daughter, should implement the protocol more frequently in his fitness routine).

Disclaimer – the information provided is for educational purposes only and does not substitute for professional medical advice. Users should consult their medical provider for specific advice and/or treatment. The author and company are not liable for risks or issues associated with using or acting upon the information in this article.



References

1.  Schoenfeld B. Science and Development of Muscle Hypertrophy (2nd Edition). Champaign, IL: Human Kinetics, [2021]. Chapter 2 – Mechanisms of Hypertrophy

2.  Blood Flow Restriction by Owens Recovery Science (2018)

3.      The Drive (Podcast) #179 – Jeremy Loenneke, Ph.D.: The science of blood flow restriction—benefits, uses, and what it teaches us about the relationship between muscle size and strength (October 11, 2021).

4.  Foundations of Blood Flow Restriction Training. Ed Le Cara (2024)


Friday, February 23, 2024

DEXA – The Body Mass Report Card

Report card time! That time of year when students of all ages sweat the results of 6 weeks of hard work (hopefully) and the implications that it has on their admission to [insert Ivy league school here]!

On a similar front, we go to our primary care physician each year for our general health report card. This report card includes a battery of health metrics (such as body weight, blood pressure, and a blood panel), to provide insight into our potential to live long enough to see our grandchildren graduating from that same Ivy league school.

Can we use a more discerning test as part of our health report card than body weight alone? Yes!

 

What is DEXA?

Dual Energy X-Ray Absorptiometry is a low radiation scan that uses two x-rays to scan your entire body. The two rays are absorbed differently by bones and soft tissues in the body, and it further differentiates soft tissue mass into lean mass and fat mass.

How is DEXA different from Standard X-Ray?

Major differences [1]:

  1. Standard x-ray is used to produce a high-quality picture of the bone and targets a focal area of the body (IE: the hip). DEXA is used to measure bone density of bone and scans the entire body.
  2. DEXA provides information on soft tissue mass.

Is it Safe?

The amount of radiation in a DEXA is very low, about 10 percent of the radiation one would be exposed to from a normal chest X-ray [6].

Why DEXA?

DEXA is traditionally used by physicians to aid in the diagnosis of osteopenia (low bone density) and osteoporosis (disease state of decreased bone density) through assessing the bone density of the hips and the lumbar spine and comparing these numbers to healthy adults aged 20-29 [2].

The implications of osteopenia and osteoporosis are beyond the scope of this article.

DEXA can also be used as a “body composition report card” in the absence of disease and it is more informative than body weight, alone. When you weigh yourself, the number on the scale tells you nothing about the breakdown of body weight into its components or their percentage of total body weight. DEXA is able to break down body weight into the following:

1. Bone Mineral Density (BMD)

While the medical utility is to provide a disease referenced score for the hips and lumbar spine, DEXA can also provide insight into the bone mineral density of the entire body. It can give you information about the weight and density of different bony regions of your body (head, right and left arm, right and left leg, right and left sides of trunk), which informs your risk for incidents we want to avoid, like a hip fracture.

2. Lean Mass

A distinct benefit of DEXA is its ability to estimate lean mass for the arms, trunk, and legs [3]. The scan can further break down these segments to provide side-to-side comparison within the body. Research is shedding more light on the importance of lean muscle mass as we age, and its connection to longevity [8].

3. Adipose Tissue (Fat) Mass

Another benefit of DEXA is its ability to estimate fat mass in the body. It provides a breakdown of fat mass (and body fat percentage) of the arms, legs, trunk, waist, and hips. If you are trying to lose weight, a loss of fat mass without compromising lean mass, is the ultimate goal!

4. Visceral Adipose Tissue (VAT)

This is a subset of adipose tissue that is specific to the trunk. This region is of particular importance because excess VAT is associated with medical disorders such as metabolic syndrome, cardiovascular disease and several cancers [4].

When to Get a DEXA?

The National Osteoporosis Foundation recommends DEXA scans every two years for women over the age of 65 and men over 70 to screen for osteopenia and osteoporosis [5].

Knowing that we see age-related changes in muscle mass starting in our thirties [7], it may be advisable to start getting annual DEXA as part of your body composition report card in your thirties.

At MovementX, we have established a partnership with our friends over at Bodymass in Arlington, VA, to help ensure our patients have easy and inexpensive access to DEXA scans whenever they desire. Patients and clients of MovementX have access to exclusive discounts and can work directly with their provider to coordinate the scan and further discuss their results.

 

Real World Case

A 30-year-old male who lost two years of his ideal training program (long distance running and obstacle races) due to hip and back pain, ultimately pursued surgical intervention on his hips. After successful completion of his surgical [2] rehabilitation, he wanted to start a balanced strength/endurance program that would focus on improving movement quality (first) and building towards participation in obstacle races.

He got a DEXA upon initiating his program to establish baseline measurements for weight, bone density, lean mass, and fat mass.

  • Weight: 172.5 lb
  • Bone Density (Overall): 99th percentile
  • Lean Mass: 134.8 lb
  • Fat Mass:  32.9 lb
  • Visceral Adipose Tissue: .43 lb

After receiving his results, he set body composition goals (increase lean mass, reduce fat mass) to support his movement goals. Body composition goals are best achieved by addressing any limitations in sleep, nutrition, activity, and psychological well-being (S.N.A.P.) and it was decided that nutrition and activity would be the areas of focus in this case.

Nutritional Intervention: Using the fat mass numbers from the DEXA and blood panel numbers from a recent annual physical we decided on a short-term plan of food tracking (using an app) to better understand eating habits and focused on increasing his protein intake (to support his body composition goals and training routine).

Specifics of nutritional interventions are beyond the scope of this article.

Activity: To address movement quality goals, we focused on movement breaks during the workday to “practice” squatting, lunging, hinging. This was coupled with a 3 x weekly strength routine (total body) and 2 x weekly high intensity interval training to address body composition and obstacle racing goals.

Specifics of activity interventions are beyond the scope of this article.

He decided to re-scan after 6 months of intervention:

  • Weight: 172.6 lb
  • Bone Density (overall): 99th percentile
  • Lean Mass: 137.7 lb
  • Fat Mass: 27.3 lb
  • Visceral Adipose Tissue: .34 lb

Meaning, he had a net change of:

  • Weight: -2.6 lb
  • Bone Density (overall): No change
  • Lean Mass: +2.9 lb
  • Fat Mass: -5.6 lb
  • Visceral Adipose Tissue: -0.9 lb

The DEXA served as a report card for 6 months of nutrition and activity-specific interventions and provided detailed feedback on the impact of his routine. Onwards!

 

Conclusion

Put simply: DEXA = report card of your body mass health.

Thinking bigger picture: DEXA + annual physical = total body wellness report card.

Disclaimer – the information provided is for educational purposes only and does not substitute for professional medical advice. Users should consult their medical provider for specific advice and/or treatment. The author and company are not liable for risks or issues associated with using or acting upon the information in this article.

 

References

  1. https://www.dexalytics.com/news/standard-x-ray-vs-dual-x-ray-absorptiometry-dxa/
  2. https://www.osteoporosis.foundation/
  3. Schoenfeld B. Science and development of muscle hypertrophy 2nd edition. Champaign, IL: Human Kinetics (2021).
  4. Schuster A, et al. The clinical importance of visceral adiposity: a critical review of methods for visceral adipose tissue analysis. Br J Radiol. 2012 Jan; 85(1009): 1–10
  5. https://www.bonehealthandosteoporosis.org/news/what-to-expect-when-getting-a-dexa-scan/
  6. https://radiology.ucsf.edu/patient-care/services/bone-density-scan-dxa-dexa
  7. https://my.clevelandclinic.org/health/diseases/23167-sarcopenia
  8. Cheung CL, et al. Systematic review and meta-analysis of lean mass and mortality: Rationale and study description. Osteoporos Sarcopenia. 2021 Mar; 7(Suppl 1): S3–S12.

Thursday, January 4, 2024

What I Learned in 2023 - S.N.A.P. Edition

 What I Learned in 2023 - S.N.A.P. Edition

2023 has been a year of learning for me personally and professionally. I am learning that parenting two children is not as easy as “divide and conquer.”  

Transitioning to my role as a physical therapist and health coach has taught me the impact that lifestyle choices have on our health. Typically, the impact of the lifestyle pillars of sleep, nutrition, activity, and psychological wellness (S.N.A.P.) have a greater impact on our health than our genetics1. I have learned this lesson, firsthand, through my interactions with Julie.

Julie and I have been working together over the last 6 months of 2023 and her journey has been a motivation, inspiration, [insert numerous superlatives here] to me from Day 1! She embodies the principle of “Start with Why” and has aligned the S.N.A.P. pillars with this First Principle.


Julie (and her Why?)

In recent years, Julie decided it was time to take ownership of her health. The combination of personal and family health obstacles jumpstarted Julie’s motivation to take a proactive approach to health, rather than waiting for something more/else to happen. She notices her mother’s health faltering as she ages, especially with regards to physical ability. Julie finds this to be a common thread among other family members of her mother’s generation. As a mother herself, Julie wants to be healthy and live well throughout her life.

The “health scare, close to home,” story resonates with many of us and Julie’s response to this story should be a How-To response manual.

Julie’s Response

Julie has become a voracious learner in the health and wellness space and can quote the latest teachings and research pearls of industry leaders such Peter Attia, Andrew Huberman, and the Wild Health Precision Medicine crew (***which warms my health coaching, podcast loving heart!). More importantly, Julie puts these podcast pearls to work! And here’s how:

Sleep

Julie is data driven.  She uses the Oura ring2 and appreciates the immediate feedback she receives each morning. What impact does her daily routine have on her sleep? She can find it in real time. Julie has found the following sleep habits to positively impact her sleep quality (and score!):

1.  Consistency of sleep window (go to bed and wake up around the same time each day)

2.  Close the kitchen after 7 pm (stops eating right before bed)

3.  Calm down 1 hour before bed (removes screens/stressful activities)

Nutrition

This has been an evolving process for Julie. She started her journey with assistance from MyFitnessPal3 to help her better understand what she ate (and how much of it) daily. Julie focused on the following nutritional principles:

1.      Increasing her protein intake (targeting a specific number of grams daily)

2.      Eating more omega-3 rich foods (ie sardines, mackerel, anchovies, salmon, herring)

3.      Increasing her fiber intake (targeting a specific number of grams daily

Over time, Julie gained a better understanding of food intake, especially with regards to protein/omega- 3/fiber consumption and decided to wean down from nutritional apps. This has allowed her to take a balanced approach that is sustainable to her in the long run.

Activity

Julie has been an active person throughout her life. She started dancing at a young age and supplemented this routine with various forms of longer duration, endurance exercise. More recently, she has shifted her focus to intensity driven activities (interval training) and progressive overload weightlifting (lifting heavy stuff!). 



She finds that her recent approach is more focused/specific, and she can directly connect her physical activity with her wellness goals. She continues with the data driven approach to physical activity, getting serial DEXA* scans to track her progress on various metrics such as bone mineral density and lean body mass.

*(DEXA scans - dual-energy X-ray absorptiometry are low radiation scans that allow for visualization of bone mineral density, fat mass, and lean mass).4

In addition to well-rounded exercise, Julie is intentional in moving throughout the day. Some of her go-to movement practices include:

  • Walking for morning sunlight exposure

  • Mini work breaks for movement (walk around block, farmers carry, stairs)

  • Targeted mobility work for joints that are stiff

Psychological

What’s the point of all this physical health stuff if you are stressed out of your mind?! I harken back to an old blog post of mine on chronic stress to provide some context.

Julie recognizes the importance of minimizing the impact of chronic stress on her life. She takes a proactive approach to de-stressing through a variety of activities, including regular meditation practice. Additionally, many of her activity practices double as psychological wellness practices – morning walks outside, evening walks with her husband, exercise snacks at work (which double as brain breaks), to name a few.

Julie has found that creating a wellness community plays a tremendous role in her enjoyment on this journey. She frequently travels for work and has arranged for team bonding activities that double as physical activities – yoga and surfing and tries to find a workout buddy for her weight training routine. Her greatest wellness community comes from her home – she has a supportive team with her husband and son in her wellness journey. Her son even indulges Julie by listening to her podcasts with her! 

The icing on this proverbial cake? Julie enjoys the process – she has found a new passion in life and gets excited to learn/implement new S.N.A.P. habits.

Julie’s Advice?

Get it scheduled! Prioritize the activities that are meaningful to you and then have a plan to implement them into your life.

Thank you, Julie, for the advice and for the example you have set.

If you would like guidance to jump start your health journey, let me be your sherpa!

Dan’s “Go-To Resources for S.N.A.P.”

*** I have no affiliation with these companies – just a fan of their work

Sleep books:

The health book to end all health books:

DEXA scan location:

Meditation:

  • HeadSpace - https://www.headspace.com/ - meditation in all shapes and sizes from the soothing voice of Andy Puddicombe (worth a listen for his voice, alone).

Journaling/Mindfulness/Gratitude:


References

1. 2022 - Wild Health Precision Medicine Health Coaching Fellowship. https://www.wildhealth.com/education

2. https://ouraring.com/

3. https://www.myfitnesspal.com/

4. https://my.clevelandclinic.org/health/diagnostics/10683-dexa-dxa-scan-bone-density-test