EXERCISE IDEAS FOR BUSY PEOPLE By Kris Fox, PhD, ATC, CSCS*D Benefits of Regular Exercise Decreases risk of coronary artery disease Decreases risk of cardiovascular disease Decreases risk of stroke Decreases risk of type 2 diabetes Decreases risk of some forms of cancer (e.g., colon and breast cancers) Lowers blood pressure Improves lipoprotein profile, C-reactive protein and other heart disease biomarkers Enhances insulin sensitivity Benefits of Regular Exercise Assists in weight management and body fat management Preserves bone mass Reduces the risk of falling Prevents / improves mild to moderate depressive disorders and anxiety Enhances feelings of "energy", well-being, and quality of life Enhances cognitive function Decreases risk of cognitive decline and dementia Decreases risk of all-cause mortality ACSM Current Recommendations Important Note The update concludes that the guidelines presented are "minimum" requirements for preventing disease and strongly encourages American adults to strive for greater amounts of physical activity to gain advanced protection against "inactivity-related chronic disease." For sedentary individuals, it is recommended to begin at lower levels and gradually work up to the recommendations. Always check with a physician before beginning any exercise program. Cardiovascular Recommendations a.k.a. Aerobic Recommendations Cardiovascular Recommendations Frequency: ≥ 5 d/wk of moderate exercise, or ≥3 d/wk of vigorous exercise, or a combination of moderate and vigorous exercise on ≥3–5 d/wk Intensity: Moderate and/or vigorous intensity Time: 30–60 min/d (150 min/wk) of purposeful moderate exercise, or 20–60 min/d (75 min/wk) of vigorous exercise, or a combination of moderate and vigorous exercise per day Type: Regular, purposeful exercise that involves major muscle groups and is continuous and rhythmic in nature Progression: Gradual (7-10% increase each week MAX!) Determining Intensity Levels Option 1: Go to a lab and complete a GXT Then have your exercise goals calculated Option 2: Calculate exercise goals using: Heart Rate Method Heart Rate Reserve Method Ratings of Perceived Exertion Method METs Method Heart Rate Method Calculate: Max HR = 220 – age in years Low end of target intensity is 55-60% High end of target intensity is 90% Ex: Age = 40 years 220 – 40 years = 180 180 x 60% = 108 bpm 180 x 90% = 162 bpm Heart Rate Reserve Method Calculate target heart rate: = [% exercise intensity x (HRmax – HRrest)] + HRrest Low end of target intensity is 40-50% High end of target intensity is 85% Ex: Age = 40 years, resting HR = 70 bpm [50% x (180 bpm – 70 bpm) + 70 bpm = 125 bpm [85% x (180 bpm – 70 bpm) + 70 bpm = 164 bpm Ratings of Perceived Exertion Method Classification RPE %HHR %HRmax <20 <35 <10 Light 20-39 35-54 10-11 Moderate 40-59 55-69 12-13 Hard 60-84 70-89 14-16 Very Hard ≥85 ≥90 17-19 Maximal 100 100 20 Very Light (6-20 scale) METs MET = Metabolic Equivalent of Task One MET is defined as 1 kcal/kg/hour* Roughly equivalent to sitting quietly * typical metabolism at rest of an "average" individual Light = 2.0-2.9 METs Moderate = 3.0-5.9 METs Vigorous = 6.0-8.7 METs Near max to maximal = ≥8.8 METs Ways to Increase Heart Rate Go up hill Go up steps Carry extra weight Go faster Pick Activities You Enjoy Dancing Ride a bike Jump rope XC skiing Water aerobics Badminton Archery Bowling Canoeing Play with kids Frisbee golf Golfing (walk) Hiking Race walking Racquetball Roller skating Sledding Snow shoeing Table tennis Wallyball Ideas for Incorporation Schedule 10-15 minutes before work, again during lunch, and again after work each day. Start with 1 session each day If you don’t have a lot of time for a moderate intensity activity, perform a higher intensity activity for a shorter period of time. Try interval training Pick up the pace for a short period of time Follow by a slower pace Repeat frequently during workout Ideas for Incorporation Park a distance from store entrances (when safe), and walk briskly to/from car Use bathroom on different floor/different part of building, walk briskly and use stairs Use stairs instead of elevator/escalator Walk errands rather than drive Go into buildings, don’t use drive-thru Walk briskly to destinations Hide the tv remote Ideas for Incorporation Do yard work manually Schedule house cleaning daily Move during tv commercials Have walking meetings at work Carry your own groceries to the car Change pace during activities There are more health benefits from interval type activity than steady state; however, steady state activity is better than no activity Resistance Exercise a.k.a. strength exercise a.k.a. weight lifting Resistance Exercise Recommendations Frequency: 2-3 d/wk for each major muscle group Intensity: Beginners = 40-50% of 1RM (very light to light) Intermediate = 60-70% of 1RM (moderate to hard) Advanced = ≥80% of 1RM (hard to very hard) Type: Variety of movements involving each major muscle group (target big muscles and multi-joint movements) Volume: 8-15 repetitions, 2-4 sets, 2-3 minutes rest between sets; rest 48-72 hours between sessions Progression: Gradual (7-10% increase each week MAX!) Main Muscles of Body Inexpensive Equipment Ideas for Incorporation Break workout into small sessions during week, before work, lunch, or after work Schedule 15 minutes each day Day 1 – Legs, Trunk Flexors Day 2 – Chest, Triceps Day 3 – Back, Biceps, Trunk Extensors Day 4 – Legs, Truck Flexors Day 5 – Chest, Triceps Day 6 – Back, Biceps, Trunk Extensors Day 7 – None Keep equipment next to couch, do exercises during commercial breaks Ideas for Resistance Exercises Squats Split squats Forward lunges Side lunges Step-ups Dead lifts Stiff-legged deadlifts Supermans Push-ups Planks Seated rows Overhead press Dumbbell rows Lateral raises Bent over lateral raises Front raises This is a good book that simply illustrates a variety of resistance exercises. Many can be performed without any special equipment. All illustrations also show the targeted muscles on the body. (Sample pages on next slide) Flexibility Exercise Flexibility Exercise Recommendations Frequency: ≥2-3 d/wk (daily if possible) Intensity: stretch to point of slight discomfort in muscle Time: hold 10-30 seconds, repeat 2-4 times/exercise Type: Variety of stretches involving each major muscle group Volume: total volume of 60 sec/exercise Progression: unknown after goal is reached Note: ALWAYS warm up muscles before stretching them!!! Ideas for Incorporation Daily Good Morning Stretch Set alarm for 5 minutes earlier, and don’t hit the snooze (assuming you have a 9-minute snooze) Take a warm shower Immediately follow with 10 minutes of stretching Could be evening if you prefer to shower at night Daily Break, Lunch, or Post-Work Stretch Walk/Move body for ~5 minutes Follow with 5-10 minutes of stretching Perform a yoga/tai chi session multiple days each week Can be as short as 15 minutes over lunch or before bed Here’s a great book that includes a variety of stretches for a large number of activities. (Sample next slide) 150 Self Stretches 150+ self stretching techniques by Ryan Hoyme, CMT, NCTMB, HST http://mrlonghairs.mywapblog.com/files/selfstretching-by-ryan-h.pdf Includes good illustrations and directions for a wide variety of stretches you can do on your own. Neuromotor Exercise Training a.k.a. Balance & Proprioception Neuromotor Exercise Recommendations Frequency: ≥2-3 d/wk Intensity: unknown Time: ≥20-30 minutes may be needed Type: Variety of exercises involving motor skills (balance, agility, coordination, gait) proprioceptive exercises multifaceted activities (tai ji, yoga) Volume: unknown Progression: unknown Ideas for Incorporation Stand in “balance position” during daily activities Ex: brushing teeth, folding laundry, safe kitchen activities, talking on phone, checking e-mail*, watching tv Keep balance equipment near areas for quick access Walk hallway on a “tight rope”, heel-to-toe Perform daily activities with non-dominant hand/foot (or in a different manner) Ex: brushing teeth, brushing hair, eating, drinking, opening doors, stirring, carrying things Learn a new skill, activity, or hobby Balance Progression Positions: 2 feet together 1 foot (do both) Feet in tandem (switch) Progressions: Shoes on off Eyes open closed Hard surface soft Arms still move Stable surface unstable Balance Equipment Try these… Yoga Tai Chi Pilates How to find? Look for a local class Borrow a DVD from library Record from a fitness channel Download smart phone app Search YouTube Getting Started Today is as good a day as any to get moving Don’t beat yourself up if you miss a day/week/month, tomorrow is always a new day to get back on track Some exercise is better than none Select activities that you enjoy…don’t dread exercise Put exercise into your planner/daily schedule so other activities don’t take away from the time for you Multi-task when possible, but only when one activity doesn’t take away from the other Set timer to remind you get up and move Other Tips Avoid “fat burning” settings on cardio equipment Change up your workout on a regular basis Regularly progress your workouts…continue to challenge yourself, but don’t forget that recovery is also important for exercise performance and health. If you feel “too tired to exercise”, start your exercise session and see how you feel after ~10 minutes; if you are still too tired, you can cut it short. Most of the time you will feel better after getting started. During any down time, get up and move. Possible Weekly Workout Sunday Day of Rest Monday 15 min. aerobic activity & 5 min. stretching before work Repeat after work Tuesday 15 min. aerobic activity and 5 min. stretching before work 20 minutes resistance exercises after work Wednesday Thursday Same as Tuesday Friday Same as Monday Same as Monday Saturday 20 minutes resistance exercises 10 minutes focused balance exercises Possible Weekly Workout Sunday 60 minutes of family aerobic activity Same Monday minutes of stretching before work 20 minutes higher intensity aerobic activity after work Tuesday 30-45 minute yoga class as Tuesday Friday Same as Monday Thursday Same 5 Wednesday as Monday Saturday 60 minutes of movement while house cleaning Possible Weekly Workout Sunday or family time during aerobic activity Personal minutes of resistance exercise before or after work & 5 minutes stretching Same Monday 15 Tuesday 20 minutes higher intensity aerobic activity after work Wednesday Thursday Same as Tuesday Friday Same as Monday as Monday Saturday Accumulate 60 minutes of moderate intensity aerobic activity Any Questions? krfox1@wsc.edu