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American Heart Month

You hear so much about workouts, body image, etc. but getting back to the basics –> Heart disease is the leading cause of death for both men and women. About 610,000 people die of heart disease in the United States every year–that’s 1 in every 4 deaths. Heart disease is the leading cause of death for both men and women. More than half of the deaths due to heart disease in 2009 were in men.1

Keep it simple! You can make healthy changes to lower your risk of developing heart disease. Controlling and preventing risk factors is also important for people who already have heart disease. To lower your risk:

Watch your weight.

Quit smoking and stay away from secondhand smoke.

Control your cholesterol and blood pressure.

If you drink alcohol, drink only in moderation.

Get active and eat healthy.

For more information, visit https://www.heart.org

  1. “Heart Disease Facts & Statistics.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 2019, http://www.cdc.gov/heartdisease/facts.htm.
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Bad Shoulders? Can’t Bench Press Anymore? The Importance of the Rotator Cuff Muscles

As a Certified Athletic Trainer and a Certified Physician Assistant in Orthopedics, I get asked a lot of questions about the shoulders. It is common for me to hear someone say, “I can’t do a bench press anymore because I have bad shoulders.” Is this you?

Rotator cuff impingement syndrome (RCIS) is a multifactorial disease that can lead to functional limitations and an inability to participate in work, leisure, and sporting activities. This syndrome can be caused by many factors, such as weakness of the rotator cuff and periscapular muscles, decreased pectoral and rotator cuff muscle flexibility, abnormal motion patterns, extrinsic factors (eg, vibration exposure, use of hand tools, workstation height), and trauma. 

Well, guess what?? If you want those lovely shoulder muscles to have muscle definition then you have to have a strong rotator cuff!

What is the Rotator Cuff Muscle Group?

The rotator cuff is a group of four muscles that come together as tendons to form a covering around the head of the humerus. The rotator cuff attaches the humerus to the shoulder blade and helps to lift and rotate your arm.1 Basically, the rotator cuff helps to keep your arm in the shoulder joint properly.

How Do You Properly Strengthen the Rotator Cuff?

With Resistance Bands at Home: Attach light to medium resistance tubing (lighter than you would think to be honest) to a door hinge, then stand with your left side to it, grasping the handle of the tubing with your right hand. Bend right arm at a 45-degree angle to your side (your elbow is at your hip and your forearm is at a 90-degree angle in a handshake position), then rotate your arm at the elbow, pulling the tubing out towards the right side without pulling your upper arm away from your body—like a door opening on a hinge. Next, stand with your right side towards the door hinge. With your right arm bent at a 45-degree angle next to your side, grasp the handle of the tubing with your right hand and rotate your arm at the elbow, pulling the handle in towards the center of your body. Repeat 10 to 12 times on each side, alternating sides for each set. Figure Below 1

With Dumbbells at Home/Gym:  Internal Rotation: Hold a dumbbell in one hand (again lighter weight, 2-5 lbs is sufficient to start). Lie on a bench close to edge on side with dumbbell in hand. Position elbow on edge of bench against side of body with elbow bent approximately 90°. Position legs on bench for support. While maintaining 90° bend in elbow, lower dumbbell away from body until slight stretch is felt in shoulder. Lift dumbbell toward body by internally rotating shoulder until forearm is across belly. Continue with opposite arm. External Rotation: Next, stand or sit with dumbbell positioned out to side of head; bend elbow, shoulder height with dumbbell above elbow. Then lower dumbbell forward by rotating shoulder. Return and repeat. Continue with opposite arm. Remember, throughout the movement, keep bent elbow (approximately 90°) out to side, shoulder height. Figure Below 2

References:

  1. Armstrong, A. D., & Athwal, G. (n.d.). Our knowledge of orthopaedics. Your best health. Retrieved from https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/
  2. Summit Medical Group Web Site. (n.d.). Retrieved December 1, 2018, from https://www.summitmedicalgroup.com/library/adult_health/sma_rotator_cuff_injury_exercises/#&gid=1&pid=1
  3. Rotator Cuff Exercises. (n.d.). Retrieved December 1, 2018, from https://www.google.com/search?biw=1280&bih=561&tbm=isch&sa=1&ei=TR4DXMb0KoSIgge_m6hI&q=dumbbell external rotation and internal rotation &oq=dumbbell external rotation and internal rotation &gs_l=img.3…36101.39985..40413…0.0..0.79.1133.20……1….1..gws-wiz-img…….0i30j0i5i30j0i8i30j35i39.l11W_1CkHnk#imgrc=4CCnZjzNxI2-BM:

 

 Figure 1

 Figure 2

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Meal Prepping – It’s OKAY if You Don’t Meal Prep

This is not a brief article about HOW to meal prep…I have said that I am not giving “meal prepping” tips if I am not an “expert” on the topic, which I am not at all. With that said, I am simply going to provide you with your options and that it is OKAY if you DON’T meal prep weekly. So let us start with my meal prepping experience…

My Experience with Meal Prepping

I did the research, bought some meal prepping books at the bookstore, bought the food, came home on a Sunday afternoon to start my meal prepping for a committed six weeks. I enjoyed having my meals ready for the week, both my lunch and dinner, along with my snacks, but with my BUSY schedule, in and out of the operating room, seeing patients, etc. I had no time to eat what I had prepped in the first place ☹ I found most of the time I wasted the food, stuck it in the freezer, and/or only had the dinner I had prepped for the week. Secondly, the AMOUNT OF TIME I had to take on that Sunday was not worth my only two days to relax from work and my usual schedule. After I had prepped all the food, I had to clean ALL THE MESS…omg…I hated taking the hour to clean the kitchen. By the end of the meal prep process, at least for me, it took 4 hours out of my day. Time is precious. In my case, it was not worth the hassle. In the end, I had maintained my same weight and fitness, but wasted time, money, and food. HOWEVER, I have decent self-control when it comes to food. I still did not put processed foods in my system, ate the meals when I could, and if I didn’t eat, then I didn’t overindulge. I stuck to the food I had in front of me only. For a lot of people (and I know because I was one of those people for a long time) it is hard to have self-control when you are hungry!

What You Can Do

Your options are vast and honestly the best option is to try it all until you find the one that works best for you! I have done this in order to even write this article. Start with what is your goal and which option would give you the best outcome. I wanted to make sure that on busy days I am not stuffing my pie hole with empty calories. Listed below are options for you to try:

  1. Meal Prep Service that makes it and delivers it to you (google for your options where you live)
  2. Do It Yourself Meal Prep ( look for books, Pintrest, google, etc for ideas)
    1. Pick Two Days to Meal Prep (Sunday/Wednesday)
    2. Buy Meal Prep Containers for the food you make
    3. Search for Ideas (there are a ton and I am not married to one website, book, etc over another)
  3. Ingredient-and-recipe meal kit service ( ie: Blue Apron, HelloFresh, etc)
    1. Many offer special dietary options now
  4. Wellness Systems to Stay Balanced
    1. Isagenix, Shakeology, etc
    2. Choose one that you like best and maybe do one to two meal replacements along with 1-2 “portion controlled” meals from one of the above-mentioned methods
  5. Mix and Match the Above-Mentioned Options

Conclusion

Want to hear what I do??? I have can say without a doubt I have tried it all…meal prepping, macro counting, meal prep service, no carb after a certain time, low carbs, carb cycling, keto, etc. I will tell you but it doesn’t mean it works for EVERYONE! My schedule can be crazy, with 4:30/5am workouts and 7am OR starts, or late nights in operating room or clinic, and no lunch breaks, my eating can get out of hand quickly. In order to keep myself in check and not have to meal prep, I like to combine two options mentioned above, Isagenix and Blue Apron, along with wholesome snacks 2-3 times a day. My day would look like this:

Breakfast: Isagenix shake (sometimes I throw cereal in it for crunch)

Snack: 2 hardboiled eggs

Lunch: Isagenix shake

Snack: Yogurt

Snack: Cottage Cheese/Nuts

Dinner: Blue Apron Meal of choice ( I like to create out of their 6 options, 3 meals that meet my needs, such as a fish meal, a vegetarian meal, and a low carb meal)

Late night snack if hungry again: Protein shake/Isagenix Chocolate

As I said, try everything and see what works best for you and your goals. Please don’t listen to articles that claim “this is the only way to lose weight and be fit.” The reality is that as long as you are watching your intake in general and eating wholesome meals then you will see yourself feel and look better. I don’t think I need to state the obvious that eating habits that are high in processed foods and sugars are not ideal. We have been hearing this for a long time. In order to get on a healthy eating lifestyle pick an option that works for your schedule! Last but not least….don’t feel pressured into thinking you have to stick to only one thing to make it work. Many times people have asked me why I don’t like meal prepping and for me, that 1 hour of cooking or more and 2 hour clean up on a day off or late night after work is not worth it to me…WORK SMARTER, NOT HARDER 😊

Exercise, Uncategorized

What Is the Best Running Form?

After my last post I had several people want to write about running form. I have been asked as a running coach time and time again, “how do you run?” It might seem odd to some to think there is a “ideal running form” but having proper biomechanics helps! Running starts with practicing your form so that you are more efficient by using muscles groups appropriately, while resting others. So here is the quick and dirty on running form from head to toe! Below is referenced from Runner’s World Author in 2005, JANE UNGER HAHN with a little added tip or two from myself.

Head – How you hold your head is key to overall posture, which determines how efficiently you run. Let your gaze guide you. Look ahead naturally, not down at your feet, and scan the horizon. I like to focus on powerlines out in front of me or tree lines/streetlamps. This will straighten your neck and back and bring them into alignment. Don’t allow your chin to jut out.

Shoulders – Shoulders play an important role in keeping your upper body relaxed while you run, which is critical to maintaining efficient running posture. For optimum performance, your shoulders should be low and loose, not high and tight. As you tire on a run, don’t let them creep up toward your ears. If they do, shake them out to release the tension. I will literally drop my arms and shake them out! Your shoulders also need to remain level and shouldn’t dip from side to side with each stride.

Arms – Even though running is primarily a lower-body activity, your arms aren’t just along for the ride. Your hands control the tension in your upper body, while your arm swing works in conjunction with your leg stride to drive you forward. Keep your hands in an unclenched fist, with your fingers lightly touching your palms. Imagine yourself trying to carry a potato chip in each hand without crushing it (I use to make some of my runners carry potato chips and not crush them). Your arms should swing mostly forward and back, not across your body, between waist and lower-chest level. Your elbows should be bent at about a 90-degree angle. When you feel your fists clenching or your forearms tensing, drop your arms to your sides and shake them out for a few seconds to release the tension.  Basically, like putting something in your pockets!

Torso – The position of your torso while running is affected by the position of your head and shoulders. With your head up and looking ahead and your shoulders low and loose, your torso and back naturally straighten to allow you to run in an efficient, upright position that promotes optimal lung capacity and stride length. Many track coaches describe this ideal torso position as “running tall” and it means you need to stretch yourself up to your full height with your back comfortably straight. If you start to slouch during a run, take a deep breath and feel yourself naturally straighten. As you exhale simply maintain that upright position.

Hips – Your hips are your center of gravity, so they’re key to good running posture. The proper position of your torso while running helps to ensure your hips will also be in the ideal position. With your torso and back comfortably upright and straight, your hips naturally fall into proper alignment–pointing you straight ahead. If you allow your torso to hunch over or lean too far forward during a run, your pelvis will tilt forward as well, which can put pressure on your lower back and throw the rest of your lower body out of alignment. When trying to gauge the position of your hips, think of your pelvis as a bowl filled with marbles, then try not to spill the marbles by tilting the bowl.

Legs/Stride – While sprinters need to lift their knees high to achieve maximum leg power, distance runners don’t need such an exaggerated knee lift–it’s simply too hard to sustain for any length of time. Instead, efficient endurance running requires just a slight knee lift, a quick leg turnover, and a short stride. Together, these will facilitate fluid forward movement instead of diverting (and wasting) energy. When running with the proper stride length, your feet should land directly underneath your body. As your foot strikes the ground, your knee should be slightly flexed so that it can bend naturally on impact. REMEMBER, running midfoot to toe is better for longer distance than trying to run on your toes constantly. If your lower leg (below the knee) extends out in front of your body, your stride is too long.

Ankles/Feet To run well, you need to push off the ground with maximum force. With each step, your foot should hit the ground lightly–landing between your heel and midfoot–then quickly roll forward. Keep your ankle flexed as your foot rolls forward to create more force for push-off. As you roll onto your toes, try to spring off the ground. You should feel your calf muscles propelling you forward on each step. Your feet should not slap loudly as they hit the ground. Good running is springy and quiet.

Breathing – The most difficult part is something I say to each class — Make a beat with your feet and breathe to the rhythm. Don’t be too loud on your feet and still follow the proper form above but try to over-exaggerate at first until you find that rhythm with breathing. I have people try multiple ways to see how the breathing works best. For instance, try for every step, one breath in and one out, or two in and two out, or two in and one long breath out.

 

Let me know how it goes!

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How Do I Eat to Change My Metabolism?

I have brought on someone that can answer this question with experience and expertise beyond myself, so lets turn it over to Jessen Houston, MS, RDN, ATC, CSCS

“There are a number of ways you can experiment with changing your metabolism.  Let’s start by defining metabolism. Metabolism can be described as the total amount of physical and chemical processes that take place in the body. It can be measured in kilo calories(kcal/calories). Basal Metabolic Rate (BMR) is what you burn at rest and the amount of calories you burn throughout the day with normal chemical processes.  Estimated Energy Expenditure (EEE) is amount of energy you burn with physical activity and exercise.  For your total metabolic rate, simply add the two together. This number is a quantitative way to assess and measure your metabolism.  However simple addition is, identifying EEE can be difficult and it’s the most controllable and variable aspect of changing your metabolism. Metabolic carts and other calculations can be used to estimate your BMR(Krause).

Quite obviously, the simple answer to changing how you eat is to eat in ways that enhance your ability to exercise more and be more physically active, since this is the most variable aspect of metabolism. Finding a balanced, healthy fitness or performance program you can do consistently, enhances your metabolism. For example, both carbohydrates and fats are primarily used for long distance running (Achten and Jeukendrup). To optimize your run, ensure your pre-activity meal consists of the appropriate amount of both nutrient dense carbohydrates, such as sweet potatoes, and healthier fats like almonds. The other macronutrient protein, along with carbohydrates, is required to optimize benefits of resistance training and enhance muscle synthesis. This type of training is a great avenue to increase both BMR and EEE. The required amount varies based on individual dynamics and the type of training. In general, we advocate for a carb to protein ratio of meals after workouts to be at 4:1 ratio (Williams).  Men typically have higher BMR due to the ratio of fat tissue compared to adipose tissue. Resistance training is one of the best methods to enhance this ratio to your benefit.  Finding reasons to increase activity like parking further away during grocery shopping all add to enhance EEE and metabolism.

Another healthy eating habit to increase your metabolism is to increase the number of meals you consume. Ideally, eating 4-6 snacks, or smaller meals each day, will force your digestive system to become more efficient at metabolizing your food. Our digestive systems prefers this methodology over eating 3 large meals a day. Smaller, more frequent meals, help regulate your blood glucose which can allow you to be more productive at work and in the gym.  To the notion of gut health, probiotics enhance the ecosystem of the digestive tract, which can allow nutrients to be absorbed more efficiently. The more efficiently you can absorb and utilize macro and more specifically micronutrients the better you can exercise and metabolize foods. Among other things, enzymes are key to metabolism and enzymes are derived from efficiency of nutrient absorption. (Williams)”

  1. Mahan, Kathleen et al. Krause’s Food & the Nutrition Care Process 13ed. 2015
  2. Phd Juul Acten and PhD Asker E. Jeunekdrup. Optimizing fat oxidation through exercise and diet. 2004, Nutrition Volume 20 #7/8
  3. William, Melvin. Nutrition for Health, Fitness and Sport. 11ed. 2017

 

Meet Jessen Houston

Jessen Houston is a Registered Dietitian Nutrition, Certified Athletic Trainer and Certified Strength and Conditioning Specialist who serves as a Director of Nutrition and Performance at a K-12 Independent school in Charlotte, North Carolina. He is also the owner of Comprehensive Nutrition Performance & Wellness Consulting LLC, where he works with professional athletes, student athletes and general population designing healthy eating plans around their exercise and performance training. He specializes in providing holistic performance, wellness and nutrition programs. Some of the services he provides are, virtual nutrition counseling, exercise performance program design and instruction, body composition assessment, resting metabolic testing, sports nutrition presentation, chronic disease education, disordered eating counseling, biochemical analysis, customized meal planning, meal planning education, nutrient analysis, medical nutrition therapy, fueling station design, injury assessment and functional movement analysis. Contact Email: jessen