New York Times 02-12-07 Uh-oh. Aerobics may have been damaging to health By David Sheff, NEW YORK TIMES OLIVIA Siemens, in a shiny blue Speedo swimsuit and with goggles pinching her forehead, climbed out of the pool and draped a towel over her shoulders. Before she walked (stiffly) toward the women's locker room at the Koret Center at the University of San Francisco, she complained: "Swimming is just about the only exercise I can do these days. I'm a fashion victim — the fashion of aerobics." Siemens, 54, a jewelry designer in Berkeley, said she often took as many as six aerobics classes a week in the 1980s when, she said, "aerobics was new and everywhere, and my friends and I all did it with a vengeance." Sipping a drink from Jamba Juice, she added: "I was jogging in place with Jane Fonda. I did my jumping jacks and high knee lifts with Richard Simmons. I twirled my arms and punched the sky while hopping on one foot to the music of Olivia Newton-John. It was supposedly all about staying in shape, but look at me: I can hardly walk." Siemens isn't the only casualty of the early aerobics craze that took millions of Americans to group exercise classes for the first time. The hordes came, believing that nonstop jumping, kicking and running in place to (bad) throbbing music was the ideal way to raise one's pulse. "I was on the concrete floors in bad tennis shoes jumping with everyone else," said Jay Blahnik, a spokesman for the IDEA Health & Fitness Association, a trade group. Blahnik, 38, now teaches rowing, running and cycling in Orange County, but he Advertisement Click here... spent a dozen years leading aerobics classes. "A lot of people doing aerobics back then can no longer do any jumping whatsoever," he said. "They have problems with their backs, feet and hips." Some of the damage is severe. "It's not uncommon for us to see acute and overuse injuries from high-impact aerobics," said Dr. Jordan Metzl, a sports medicine specialist at the Hospital for Special Surgery in New York. "It's part of the reason that aerobics classes are on the wane." Indeed, if current trends continue, aerobics will be as rare as, for example, those vibrating belts that were supposed to jiggle away fatty hips and gravity boots that were supposed to — what was it they were supposed to do? For now, the popularity of aerobics is sharply down from when it was "the mainstay of fitness in America," said Mike May, a spokesman for the Sporting Goods Manufacturers Association. It's why you may have noticed — if you have shown up at your gym attired in your best leg warmers with a sweatshirt off one shoulder — the lack of aerobics classes on the menu. Fewer than half of the 300 gyms and health clubs recently surveyed by IDEA offered aerobics classes, a number that is "continuing to decline," according to the summation of the report. At its peak in the mid-1980s, an estimated 17 million to 20 million did aerobics, May said. But only 5 million did in 2005, according to a report by the sporting goods association. "We expect the 2006 numbers to be significantly lower," May said. "Aerobics are increasingly out of favor." The legacy of injuries is one reason. Many instructors like Blahnik will not teach aerobics — because they cannot. "Those hardest hit by all those aerobics were often the teachers, because they were pushing harder than anyone else and doing the classes a dozen times a week," Metzl said. "Our bodies just weren't meant to withstand all that pounding." Another reason for the decline of aerobics is that fitness has become more sophisticated, so some classes are hybrids that work the body and the mind; others offer calorie burn while minimizing wear and tear; still others alternate hard bursts with easy intervals. "Much of the decline in aerobics has come as a result of new and innovative classes and techniques," said Kathie Davis, the executive director of IDEA. Dr. Kenneth Cooper, a former Air Force flight surgeon, first coined the term in the title of his 1968 book. But by "aerobics," Cooper meant cardiovascular exercise. The name was later appropriated by the aerobics movement popularized by Jane Fonda in the late 1970s and early 1980s. Until Fonda opened her first workout studio in 1978, gyms had almost exclusively been the province of male bodybuilders and boxers. Her 1981 "Workout Book" was a best seller, and in the ensuing few years she, along with Richard Simmons and Judi Missett, the creator of Jazzercise, an aerobics spinoff, taught aerobics on TV and in exercise videos. The proliferation of other studios and gyms eventually ushered in the phenomenon of group exercise and, along with it, aerobics music and fashion. "When we started, people looked at us as if we were crazy," said Molly Fox, who was one of the original Fonda-trained instructors. "'Lift your legs up and down? Why?"' Fox, who now teaches yoga, dance and Pilates at Equinox Fitness gyms in the Bay Area, said: "For the first time, millions of people started exercising together and many of them were women. Women were liberated in a new way. Suddenly it was all right to leave the house in tights and leotards, wear thongs and sweat in public." Aerobics classes led to the current gym culture. "Now that women in sexy clothes were going to the gyms, men followed," said Maggie Linderman, 44, a San Francisco pastry chef who attended a decade of aerobics classes. "For my friends and I, gyms replaced discos as the spot we'd go to meet guys." But she shudders when she thinks of the neon spandex or ghastly music. "I hear Donna Summer or the Bee Gees," she said, "and my legs start to quake." Some former aerobics enthusiasts are almost wistful. "We had a great time," said Frederick Schjang, 48, who taught the classes for more than a decade. "And we got our hearts in shape." He admitted, however, that he has paid a price. "The persistent stress on the joints finally got to us," he said. He blames aerobics for a torn meniscus, which required surgery, and for the osteoarthritis he has in both knees. "I gave my knees to the aerobics movement," he said. As a result, Schjang, who still teaches 15 group classes a week, but mostly Pilates and Feldenkrais Method, a movement class popular with dancers, said he no longer exercises with his students. "Instead I instruct," said Schjang, who teaches at Equinox Fitness clubs and a Reebok Sports Club. "What a novel idea! I instruct the way a baseball manager does: A manager sat in the dugout and signaled to Maury Wills to steal second base. No one ever thought the manager had to steal second base along with him." High-impact aerobics shouldn't shoulder all — or even most — of the blame for ruining people's joints. "There's the potential for problems from anything with persistent impact on the joints," said Lynn Millar, a professor of physical therapy at Andrews University in Berrien Springs, Mich. "Running five days a week, especially without good shoes, can be a problem, too. Kickboxing can be just as harmful if you're doing too much of it." She added, "Aerobics can be extremely helpful, just not every day." Taking a diverse roster of classes can help gym-goers avoid injury. "It used to be one size fits all," Metzl said. Now there are "pre- and postnatal classes to classes that emphasize low or high resistance or low or high impact." He added, "There's cycling, dance, step, almost limitless choices." "We moved on from aerobics," said Rick Sharp, a professor of exercise physiology at Iowa State University in Ames. "Some of it's that trends changed, but also we have gotten smarter about fitness. We have better flooring in gyms and better shoes. We have learned moderation, variety and common sense. My activity of choice may be swimming, but when I swim too much I have shoulder problems. The solution? I don't swim too much."