Viewpoint |
Heart rate zones aren’t a perfect measure of exercise intensity

Illinois marathon runners in Urbana
Runners make their way along the 2023 Illinois Marathon course through Urbana. Jogging and running are rudimentary forms of exercise important in maintaining excellent heart and cardiovascular health. The human body is remarkable in its abilty to adapt quickly to moderate- and high-intensity exercise.

Photo: Sentinel/Clark Brooks

by Jason Sawyer, Bryant University



Aerobic exercise like jogging, biking, swimming or hiking is a fundamental way to maintain cardiovascular and overall health. The intensity of aerobic exercise is important to determine how much time you should spend training in order to reap its benefits.

As an exercise science researcher, I support the American College of Sports Medicine’s recommendation of a minimum of 150 minutes per week of moderate aerobic exercise, or 75 minutes per week of high-intensity exercise. But what does exercise intensity mean?

There is a linear relationship between heart rate and exercise intensity, meaning as the exercise intensity increases, so does heart rate. Heart rate zone training, which uses heart rate as a measure of exercise intensity, has increased in popularity in recent years, partially due to the ubiquity of wearable heart rate technology.

The way exercise intensity is usually described is problematic because one person’s “vigorous” may be another’s “moderate.” Heart rate zone training tries to provide an objective measure of intensity by breaking it down into various zones. But heart rate can also be influenced by temperature, medications and stress levels, which may affect readings during exercise.


Heart rate and exercise intensity

The gold standard for determining aerobic exercise intensity is to measure the amount of oxygen consumed and carbon dioxide exhaled. However, this method is cumbersome because it requires people to wear a breathing mask to capture respiratory gases.

An easier way is to predict the person’s maximum heart rate. This can be done with an equation that subtracts the person’s age from 220. Although there is controversy surrounding the best way to calculate maximum heart rate, researchers suggest this method is still valid.


What happens when you reach your maximum heart rate?

The American College of Sports Medicine outlines five heart rate zones based on a person’s predicted heart rate maximum. Zone 1, or very light intensity, equals less than 57% of maximum heart rate; zone 2, or light intensity, is 57% to 63%; zone 3, or moderate intensity, is 64% to 76%; zone 4, or vigorous intensity, is 77% to 95%; and zone 5, or near-maximal intensity, is 96% to 100%.

However, other organizations have their own measures of exercise intensity, with varying ranges and descriptions. For example, Orange Theory describes their zone 2 training as 61% to 70% of maximum heart rate. Complicating matters even further, companies that produce heart rate monitors also have higher thresholds for each zone. For example, Polar’s zone 2 is up to 70% of maximum heart rate, while the American College of Sports Medicine recommends a zone 2 of up to 63%.


Adapting heart rate zones

Zone training is based on the idea that how the body responds to exercise is at least in part determined by exercise intensity. These adaptations include increased oxygen consumption, important cellular adaptations and improved exercise performance.

Zone 2 has received a lot of attention from the fitness community because of its possible benefits. Performance coaches describe zone 2 as “light cardio,” where the intensity is low and the body relies mainly on fat to meet energy demands. Fats provide more energy compared to carbohydrates, but deliver it to cells more slowly.

Because fat is more abundant than carbohydrates in the body, the body responds to the cellular stress that exercise causes in muscle cells by increasing the number of mitochondria, or the energy-producing component of cells. By increasing the number of mitochondria, the body may become better at burning fat.


While you don't have to be a competitive level cyclist, even at a low level of 30-60 minutes along with a healthy protein-rich diet has been proven to lower many health risks and help in the weight-loss process.

Photo: PhotoNews Media/Clark Brooks

On the other end of the spectrum of exercise intensity is high-intensity interval training, or HIIT. These workouts involve exercising at a high intensity for short durations, like an all-out sprint or cycle for 30 seconds to a minute, followed by a period of low intensity activity. This is repeated six to 10 times.

During this sort of high-intensity activity, the body primarily uses carbohydrates as a fuel source. During high-intensity exercise, the body preferentially uses carbohydrates because the energy demand is high and carbohydrates provide energy twice as fast as fats.

Some people who turn to exercise to lose fat may eschew high-intensity training for zone 2, as it’s considered the “the fat burning zone.” This may be a misnomer.

Researchers have found that high-intensity interval training produces a similar increase in markers for mitochondria production when compared to longer, moderate aerobic training. Studies have also shown that high-intensity exercisers build muscle and improve insulin resistance and cardiovascular health similar to moderate-intensity exercisers, and they made these gains faster. The main trade-off was discomfort during bouts of high-intensity exercise.


Moderate- or high-intensity exercise?

With varying guidelines around heart rate zones and conflicting evidence on the potential benefits of training in each zone, exercisers may be left wondering what to do.

In order to yield the health benefits of exercise, the most important variable to consider is adhering to an exercise routine, regardless of intensity. Because the body adapts in similar ways to moderate- and high-intensity exercise, people can choose which intensity they like best or dislike the least.


Swimming is a good activity to maintain heart and cardiovascular health.

Photo: PhotoNews Media/Clark Brooks

Notice that the American College of Sports Medicine’s recommendation for exercise falls under moderate intensity. This is equivalent to zone 3, or 64% to 76% of maximum heart rate, a range you can only meet in the upper levels of most zone 2 workouts. If you’re not seeing desired results with your zone 2 workouts, try increasing your intensity to reach the moderate level.

A commonly reported reason for not exercising is a lack of time. For people short on time, high-intensity training is a good alternative to steady-state cardiovascular exercise. For people who find exercising at such a high intensity uncomfortable, they can get the same benefit by doing moderate-intensity exercise for a longer period.


About the author:
Jason Sawyer is an Associate Professor of Exercise and Movement Science at Bryant University. This article is republished from The Conversation under a Creative Commons license. Read the original article.

The Conversation

Free exercise program for adults as part of a new study at U of I

Has the pandemic got you or your parents a little out of shape?

Dr. Neha Gothe, a Doctor in Kinesiology and Community Health at the University of Illinois Department of Kinesiology, is conducting a research based study on the benefits of Yoga, Stretching-Toning, and Aerobic exercises on brain health. Gothe is the Director of the Exercise Psychology Lab where she explores the bio-psycho-social health benefits of physical activity across the lifespan.

Darice Brooks, who is coordinating the project, is looking for adults between the ages of 55 and 79 who would like to participate in the free 6-month exercise program.

"Each participant will be a part of one of the three groups and earn up to $240," Brooks said. "Along with the $240, participants will get a physical activity tracker and exercise equipment that they will get to keep at the end of the study."

Brooks said the COVID precautions will be observed with all exercise sessions. Participants and staff are required to wear face masks and all exercise spaces will be cleaned and disinfected following University protocol. Group size is limited to just 10 people at a time and everyone will have "adequate space (6ft or more) between them during the in-person exercise sessions". All research staff members are tested 2x a week via the UIUC Shield program.

The project is seeking participants 55–79 years old, right-handed, desire a more active lifestyle, and exercise less than a couple hours a week. Interested adults also must have no past or current diagnosis of cognitive impairment, have no health conditions that may be exacerbated by exercise, will be in the community for the duration of the study as well as have no MRI contraindications.

The project is funded by a grant from the National Institute on Aging and is called "S.A.Y. Exercise". There are three PhD students and two students working towards their masters also working on the project.

For more information click on the flyer below or visit the study's website at http://www.epl.illinois.edu/say-exercise.

7 reasons to get started with your fitness program

Man exercising at the gym
Movement is medicine. Active movement is the best way to prevent and improve chronic disease says Dr. Jaynie Bjornaraa.
Photo: Kampus Production/PEXELS

NAPSI - Because physical activity and healthy aging go hand in hand, getting started with a fitness program included in your health plan can do more than help you maintain your health as you age.

"Movement truly is medicine," says Dr. Jaynie Bjornaraa, physical therapist, fitness professional, adjunct professor, and senior vice president of rehabilitation services and digital fitness solutions at American Specialty Health (ASH).

Dr. Bjornaraa oversees the Silver&Fit® Healthy Aging and Exercise program for ASH, ensuring that its members get evidence-based recommendations when starting their fitness routines. She helped develop the program's onboarding feature, which sets members on individual fitness journeys based on their needs. Fitness levels, exercise goals, and personal preferences all factor into a tailored 14-day workout plan.

"Research has shown that active movement is the best way to prevent and improve chronic disease. And the great thing about exercise is that it benefits your cognitive health 'memory and mood' as much as it affects your physical well-being," according to Dr. Bjornaraa.

She offers this short list of other benefits a thoughtful fitness program can provide:

1. Improved Health Being physically active can reduce your risk of disease, strengthen your bones and muscles, help you manage weight, and boost your mental well-being.

2. Preventive Care Physical fitness can help prevent certain high-risk scenarios such as serious injury from falls, which is the leading cause of accidental death in older adults.

3. Social Interaction Some programs offer links to connect with clubs and free group fitness classes online for various types and levels of workouts.

4. Health Rewards Incentives for tracking your activity though a fitness program can earn various awards as well help you work with your medical provider to better manage any chronic disease.

5. Personal Coaching Connecting with a health coach during regularly scheduled sessions through a fitness-focused plan can help you achieve a variety of wellness goals.

6. Cost Savings Fitness-focused plans often include low-cost access to fitness centers and exercise videos for a wider variety of workout choices.

7. Quality of Life A thoughtfully designed program will help members develop a workout plan, which can help you stay mobile and maintain their independence.


The benefits of a regular exercise program shows up almost immediately, especially if you stay committed to the lifestyle change.
Photo: Mikhail Nilov/PEXELS

Even for individuals who don't currently engage in fitness activities, Dr. Bjornaraa says it's never too late to start.

"You can be 80 years old," she said. "Whenever you decide to start an exercise routine, you'll notice the health improvements quickly add up. However, starting slow and staying consistent is the key to building fitness levels and a good program can help you steadily reach your goals."

It's important that your health plan supports your long-term health and fitness. If you're considering adding fitness to your routine, be sure to work with doctors before starting any new exercise regimen.

Finally, once you've started a fitness plan, make the most of it. Stay committed to a lifestyle of fitness. Regular attendance in exercise classes and engaging in your wellness will go a long way to help you maintain and improve your health.


ViewPoint | Opposing truths in Illinois public health

Guest Commentary by Jim Davis


Does your behavior match your goal? If the primary goal of public health is to keep people alive and well, then the COVID-19 pandemic should be taken seriously. As of 11/23/20, more than 657,000 Illinois residents have been infected and 12,064 have passed away. Those numbers will undoubtedly increase over the winter months, as people begin to congregate indoors.

This is a serious issue. For those who might compare it to the flu, consider that flu/pneumonia accounts for approximately 2,402 annual deaths across the state. Mortality rates from COVID-19 are already six times higher than the common flu. Those rates are stacking up in the presence of increased guidelines and restrictions. Without those increased guidelines, surely more lives would have been lost.

So if the goal is to keep the people of Illinois alive and well, we should shut down the state to protect them, right? Not so fast.

Remember that the primary goal of Public Health is to keep people alive. More than 31.8% of Illinois residents are obese; obesity is associated with more than 13 types of cancer – cancer is the second leading cause of death in Illinois, claiming more than 24,150 lives each year. The number one cause of death is heart disease. Nearly 25,394 residents die each year from heart disease and we lose about 2,927 more to diabetes – all of these are directly associated with our obesity rates. This is a significant concern.

To keep those numbers down, the CDC recommends exercise. Knowing this, how can we willingly shut down gyms and athletics programs?

How can we tell people they cannot exercise, when it is an essential component to saving lives?

The link between exercise and physical health is obvious. There is also a direct correlation between physical activity and mental health. Exercise helps battle anxiety and depression through a variety of methods, including a significant modulation of the neurochemical serotonin, which has a stabilizing effect on mood and well-being. Perhaps most notably, a number of studies have demonstrated the connection between routine exercise and decreased risk of suicide.

Suicide claims the lives of approximately 1,490 of our people each year. And that was before the isolation, fear, and financial despair felt by many during the pandemic.

Gyms offer not only the mood-boosting benefits of exercise, but the opportunity for people to improve and become empowered. Perhaps most importantly, especially in the conversation of mental health, is that gyms offer a sense of community. In this moment of global isolation, that seems more important than ever.

So we should not shut down opportunities for people to exercise and enhance their health. But we should be careful.

A shut-down is one thing; a set of regulations is another. When those regulations are implemented, they should be followed. 460 Fitness, a popular gym in Virginia, recently had a coach test positive for the virus. That coach had exposed at least 50 gym members… but none of them have since tested positive. Why? Because they were creative and thorough in their prevention protocol.

We should prioritize our health and wellness, which will give us the best shot at fending off the virus, and we should do our best to adhere to public health recommendations, which will give us the best shot at limiting the spread of the virus.

We have to frame COVID as an important public health concern, but not the only public health concern. This is a moment to maintain thoughtful perspective, not entrench ourselves in one side of the discussion or other.

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Jim Davis is the Staff and Student Wellness Coordinator at New Trier High School. Davis earned his B.A. at Knox College in Galesburg, then completed the Masters' program at Northwestern University and finished his education with a Masters in Education from Harvard University. He also a member of the National Strength & Conditioning Association, USA Weightlifting and Natural Athlete Strength Association.

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This article is the sole opinions of the author and does not necessarily reflect the views of The Sentinel. We welcome comments and views from our readers.


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Strength training can help women live longer, healthier lives

by Paul Arco
OSF Healthcare

ROCKFORD - It’s no great surprise to read that men and women both benefit from working out.

But women may receive greater benefits from regular exercise than men, according to a study published in the Journal of the American College of Cardiology.

Mary O’Meara
Photo provided

Mary O’Meara
OSF Cardiovascular Institute

The study centered on the importance of exercise as a way to avoid dying prematurely. The researchers studied data from 400,000 people and found that women who exercised were 24% less likely to die early from any cause. Men who exercised, however, were 15% less likely to die early.

The study also revealed that the women who exercise had a 36% lower risk of dying from a cardiovascular event, compared to men at 14%. That’s important because women have twice the risk of dying from a heart attack than a man.

Mary O’Meara is a nurse practitioner with OSF HealthCare. She says society still views heart attacks more as a man’s disease. That’s simply not true.

“Usually, a male is feeling this really bad chest pressure, chest pain going in the left arm into the jaw, very pale. Women, very often, will just complain of fatigue, nausea or heartburn. ‘I feel wiped out. I just can't walk across the room. I need to sit down,’” explains O’Meara. “Unfortunately, that can be a sign of a heart attack in a female, and it gets missed quite often.”

While any movement is good, O’Meara stresses the importance of women incorporating strength and/or resistance training, such as lifting weights. Frequency and the amount of weight depend on the person and their situation.

Kettle Ball training
Photo: MovePrivateFitness/Pixabay
“For a long time, women were encouraged to do more aerobics-calisthenics. We were always thought of as the weaker sex, I guess you can say, and we weren't really encouraged to do any weight bearing exercise,” says O’Meara. “A lot of research has come back that states that women should be focusing on weight bearing exercises for several different reasons.”

Strength training can also help women as menopause becomes an issue. According to O’Meara, hormones start changing between the ages of 40 and 50 – a time when women start losing muscle and see an increase in body fat. Strength training can help with that change, along with other health issues.

“We found that weight bearing exercise can reduce our risk of dementia and Alzheimer's, and also reduce our risk of osteoporosis, which is a big one,” says O’Meara.

O’Meara also has a nutrition tip for her patients. Protein, she says, is important for women to prevent muscle loss, especially during menopause. O’Meara recommends 30 milligrams of protein before and 15 milligrams after a workout, to help rebuild muscle that has been naturally broken-down during exercise.

Additionally, O'Meara is a proponent of healthy fats. She encourages patients to incorporate grape seed oils, olive oils, fish oils, flax seed oils, nuts and avocados into their diets. Her philosophy is that good fats battle bad fats, and good fats protect our heart.

O’Meara stresses that it's never too late for women to start exercising. Even a short walk or work around the home, for instance, can go a long way to a healthier future.

“You read many testimonials from people who were couch potatoes and never exercised,” she says. “And then, they go into these exercises and do wonderful things that have really made a difference.”



Exercising in your golden years, the right way to go about it

Photo: Ketut Subiyanto/PEXELS

Exercising as you age is helps reduce the risk of many ailments like heart disease, Alzheimer's, high blood pressure and obesity. In general, doctors agree, people who maintain muscle mass as they age experience fewer health issues.

by Tim Ditman
OSF Healthcare

PONTIAC - With age comes physical limitations. But it’s important to stay active, says John Rinker, MD, an internal medicine physician who specializes in geriatrics at OSF HealthCare. When you keep moving, it helps reduce the risk of things like diabetes, high blood pressure, heart disease, obesity, cancer and neurocognitive diseases like Alzheimer's.

In other words, Dr. Rinker says, it’s not fun to live long if you’re not well. Your lifespan versus your health span, as he puts it.

“It really, really pays to maintain exercise and be in good physical shape as you age. It reaps huge dividends on how long you live,” Dr. Rinker stresses.

Guidelines
Each person should have a tailored plan as advised by a health care provider. But regardless of your age, the American Heart Association (AHA) generally recommends 150 minutes of moderate physical activity or 70 minutes of vigorous physical activity each week, spread out over several days. A brisk walk would qualify as moderate intensity (also called zone two training), while running, swimming or riding a bike would be vigorous. Vigorous exercise is associated with a term called VO2 max, referring to maximum use of oxygen. In layman’s terms, you’re breathing hard and conditioning the heart.

“Most of that type of [vigorous] training is at a higher interval. You’re going to get breathing really hard for three to five minutes while you sustain a pace that’s rather difficult. Then you’re going to rest and let that heart rate come back down. Then go back to the hard exercise,” Dr. Rinker explains. “That back and forth with the heart rate really helps to train how well your heart can pump blood to muscles. That’s a really good marker of how well conditioned you are.”

The AHA also recommends two days of strength training per week. That could be lifting weights, using resistance bands or calisthenics, where you use your body weight for resistance rather than equipment.

“I really like the strength training piece,” Dr. Rinker says.

“It doesn’t take a lot as you age to tension a muscle enough to maintain muscle mass. We really find that people who are able to maintain muscle more muscle mass as they age are going to do much better with those health span and lifespan issues,” he adds. “So, the goal isn’t to make everyone a huge bodybuilder. The goal is to decrease the rate of decline as we age.”

On the days you do strength training, aim for 30 minutes per day. Dr. Rinker says if you really want to lean into this area of fitness, consider getting a personal trainer.

Limitations
It’s important to work around your ability and not push through pain, Dr. Rinker says. If aging has brought back or leg pain, skip the treadmill and try swimming or a weightlifting session while seated.

“You want to make sure you’re not going to injure something further. That will create a bigger setback or other deficit that are not going to help you in the long run,” Dr. Rinker says.

The bottom line
From VO2 max to zone two to calisthenics, there are a lot of terms to keep straight. If you don’t want to overthink it, just remember to keep moving. Push yourself with some vigorous workouts if you can, but commit to some form of exercise regularly.

“Most of your day-to-day exercise [as an older adult] should be just basic activity,” Dr. Rinker says. “Think of a brisk walk. Walking at a pace for about 30 minutes where you could still hold a conversation with somebody, but it would be difficult to sing a song.

“If I can just get someone to walk every day, I think they’re going to be in good shape,” he adds.


Read our latest health and medical news

Shoveling heavy snow may increase risk of a heart attack or sudden cardiac episode

Photo: Todd Trapani/Unsplash

DALLAS — Clearing sidewalks and driveways of snow may be essential to keep from being shut in, however, the American Heart Association urges caution when picking up that shovel or even starting the snowblower. Research shows that many people may face an increased risk of a heart attack or sudden cardiac arrest after shoveling heavy snow.

The American Heart Association’s 2020 scientific statement, Exercise-Related Acute Cardiovascular Events and Potential Deleterious Adaptations Following Long-Term Exercise Training: Placing the Risks Into Perspective–An Update, notes snow shoveling among the physical activities that may place extra stress on the heart, especially among people who aren’t used to regular exercise. Numerous scientific research studies over the years have identified the dangers of shoveling snow for people with and without previously known heart disease.

The lead author of that scientific statement and long-time American Heart Association volunteer Barry Franklin, Ph.D., FAHA, is one of the leading experts on the science behind the cardiovascular risks of snow shoveling. He has authored a number of studies on the topic, estimating that hundreds of people die during or just after snow removal in the U.S. each year.

"Shoveling a little snow off your sidewalk may not seem like hard work. However, the strain of heavy snow shoveling may be as or even more demanding on the heart than taking a treadmill stress test, according to research we’ve conducted." said Franklin, a professor of internal medicine at Oakland University William Beaumont School of Medicine in Royal Oak, Michigan. "For example, after only two minutes of snow shoveling, study participants’ heart rates exceeded 85% of maximal heart rate, which is a level more commonly expected during intense aerobic exercise testing. The impact is hardest on those people who are least fit."

A study conducted in Canada a few years ago found that the chance of heart attack after a snowfall increased among men but not among women. The study found that, compared to no snowfall, a heavy snow – about 7-8 inches – was associated with 16% higher odds of men being admitted to the hospital with a heart attack, and a 34% increase in the chance of men dying from a heart attack.

Photo provided by AHA

Franklin said winter weather in general can contribute to the increased risk. Cold temperatures may increase blood pressure while simultaneously constricting the coronary arteries. Those factors, combined with the higher heart rate from the extra physical effort, may increase the risk for acute cardiac events. There are even studies that show an increased risk for heart attacks among people using automatic snow blowers. Similar to the extra exertion of pushing shovel, pushing a snow blower can raise heart rate and blood pressure quickly.

"The impact of snow removal is especially concerning for people who already have cardiovascular risks like a sedentary lifestyle or obesity, being a current or former smoker, having diabetes, high cholesterol or high blood pressure, as well as people who have had a heart attack or stroke," he said. "People with these characteristics and those who have had bypass surgery or coronary angioplasty simply should not be shoveling snow."

Franklin said the most important thing is to be aware of the dangers, be prepared and take it easy, including taking short breaks. Even people who are relatively healthy should note that pushing the snow with a shovel is better physically than lifting and throwing it.

The American Heart Association urges everyone to learn the common signs of heart trouble and if you experience chest pain or pressure, lightheadedness or heart palpitations or irregular heart rhythms, stop the activity immediately. Call 9-1-1 if symptoms don’t subside shortly after you stop shoveling or snow blowing. If you see someone collapse while shoveling snow, call for help and start Hands-Only CPR if they are unresponsive with no pulse.

Learn more about cold weather and cardiovascular disease here.

Health tip: Exercise boosts immunity during winter months

Photo: Nathanael Mosqueda/Pexels

DALLAS -— Many people think January is a great time to get a fresh start on a new fitness routine, while many of us in Illinois use the cold weather as an excuse to huddle under the covers on the couch. No matter how you approach the new year, the American Heart Association has some important information about how to get healthy – and stay healthy – when the temperatures start to dip.

"There’s actually some advantages to working out in cold weather – with no heat and humidity to deal with you may be able to work out longer in cold weather which means you can burn even more calories. It’s also a great way to get much needed vitamin D from the sunlight, which can help elevate your mood," said John A. Osborne, M.D., Ph.D., FACC, FNLA, Founder and Director State of the Heart Cardiology, Metroplex Cardiology.

It doesn't matter if you are in downstate Illinois or the northern part of the state, getting out and exercising is good for you.

"Research shows that exercise also boosts your immunity during the cold and flu season, which can be especially important in dealing with possible COVID infection."

Osborne said if you can’t exercise outdoors, there are many online resources available to assist in developing a workout at home, or athletes can still visit a gym or even walk the mall if they use the appropriate precautions to protect against COVID.

If you are heading outdoors for exercise, winter sports like skiing or skating or if you have to shovel your car out of a snow drift, Osborne has some warnings. Aside from some of the well-known cold weather dangers such as frostbite or unsafe driving conditions, there are cardiovascular risks to consider. The cold causes blood vessels to contract and coronary arteries to constrict, which can raise blood pressure, increasing the risk of heart attack and stroke.

Photo: Noelle Otto/Pexels

"Strenuous activities such as walking through heavy snow or snow shoveling can add stressors to the heart that people aren’t normally used to," said Osborne "Our hearts also have to work extra hard in cold weather to keep a healthy body temperature."

Here are some tips to keep your heart in check during coat season:

  • Stay active safely: Make sure you wear layers to keep warm while exercising outdoors to avoid cold weather hazards like hypothermia and frostbite and take breaks. It’s important to stay active year-round but make sure you’re not overexerting yourself in winter months. When in doubt, ask your doctor. Here are some tips on how to stay active in cold weather.
  • Stay hydrated: Just because it’s cold and you may not feel thirsty, it’s just as important to drink water like you would during a warm weather workout. Thirst isn’t the best indicator that you need to drink, even if you aren't sweating as much you still need to hydrate.
  • Watch out for the added calories in cold weather drinks: Comforting drinks like pumpkin spiced lattes and hot chocolate can be loaded with unwanted sugar and fat.
  • Get vaccinated: COVID-19 and the flu are especially dangerous for people with cardiovascular disease.
  • Learn CPR: EMS response times can be slower with inclement weather. More than 350,000 cardiac arrests happen outside of a hospital each ear. If administered immediately after cardiac arrest, CPR can double or triple a person’s chance of survival.
  • Gardening benefits more than your taste buds, it's good exercise, too

    Gardening is healthy
    Photo: Zen Chung/Pexels

    by Tim Ditman
    OSF Healthcare

    PONTIAC - Clare Spires never thought she’d be a frequent gardener.

    But now, the exercise physiologist at OSF HealthCare delights in overseeing a community garden at OSF in Pontiac, Illinois. And she’s letting anyone who will listen know that the benefits of gardening go beyond nutritious food.

    “It’s really going to help with flexibility, endurance and balance,” Spires says. “There’s a lot of up and down, being on your knees and bending over. If you’re somebody who struggles in those areas, this is going to be a good spot to start.”

    Think of it as doing a lot of squats in an hour as you plant seeds and pull weeds. Your flexibility can also be challenged (for the good) if you need to get to an “odd spot” to reach that plant. All this adds up to a decreased risk for things like heart disease and high blood pressure.

    The mental benefits of gardening match the physical benefits. It’s motivation to get up in the morning. You’re soaking up the sun, interacting with others and have a sense of accomplishment.

    Like any other exercise, there are safety tips to keep in mind when gardening.

    • Beat the heat by wearing sunscreen, drinking plenty of water, dressing appropriately (lightweight, light-colored and loose-fitting clothing) and taking breaks.
    • Know how to use your tools and have a plan if you’re injured. Have a first aid kit and phone nearby. Try to garden with a friend. Or if not, let someone know your plans.
    • Exercise through gardening can be fun, but don’t push through pain, overexert yourself or stay in one position for too long.

    “Know your limits. What works for you and what doesn’t,” Spires says. “You can use the rate of perceived exertion [a scale that allows you to measure how much effort an activity takes]. A one level may not be too hard, or you may be totally maxed out at a 10. Try to stay in that four to six range. For example, this is an appropriate weight for me to carry.”

    Bend at your knees, not your back. Use your legs to support yourself as you move up and down. And don’t twist your body into unnatural positions. Remember, you won’t reap a full crop in one day. Take your time and enjoy things.

    Read more about how to keep your body in top shape on the OSF HealthCare website. OSF also has recipes that can make use of your harvested fruits and vegetables.


    Graduation Day: The photo gallery

    Last month on May 19, 118 seniors became SJO alums. While we wanted to publish this page and memorable photos sooner, we haven't quite acquired all the resource we need yet. Without further adieu, here are l2 photos from that milestone day.


    Jack Ward and Jack Cook
    John Ward and Jack Cook enter the main runway during the processional at the St. Joseph-Ogden 2019 Commencement Exercise on Sunday. Photo by Clark Brooks


    Principal Gary Page III
    Principal Gary Page III makes his opening remarks at the beginning of St. Joseph-Ogden's 2019 Commencement Exercise. Photo by Clark Brooks




    Friends and Family
    Parents, siblings, family and friends packed the St. Joseph-Ogden gymnasium to watch the Class of 2019 commencement exercise. The audience listens as Principal Gary Page III extols on the academic achievement displayed by this year's senior class. Photo by Clark Brooks


    Dwight Colvin
    Dwight Colvin, a three-sport athlete who while continue both his education and athletic career at McKendree College, receives his diploma and warm handshake from St. Joseph-Ogden Board of Education president James Rein. Photo by Clark Brooks


    Keely McCorkle walks at graduation
    All smiles with diploma in hand as walks across the stage, Keely McCorkle prepares to shake hands with superintendent Brian Brooks. Photo by Clark Brooks


    Mortar board message
    One of many messages displayed on mortar boards at the 2019 St. Joseph-Ogden Commencement Exercise. Photo by Clark Brooks


    Joel Orcutt smiles with his diploma in hand
    Freshly minted SJO grad and two-sport athlete Joel Orcutt grins for a photo after receiving his diploma at graduation. Photo by Clark Brooks


    Parents taking pictures
    A couple of parents eagerly photographs as students walk down the steps to the stage at graduation. Photo by Clark Brooks


    Sully Alwes, Gage Atwood and Cassidy Bagby
    Seniors Sully Alwes, Gage Atwood and Cassidy Bagby mug for the camera during their commencement ceremony at St. Joseph-Ogden High School. In the final quarter of their high careeer, Atwood and Bagby earned a 3.75 GPA to be named to the High Honor Roll list. Alwes also earned honor roll recognition with a GPA greater than 3.25. (Photo: PhotoNews Media/Clark Brooks)


    SJO alumni celebrate
    In a storm of confetti, St. Joseph-Ogden students celebrate the end of their high school career. Photo by Clark Brooks


    Kassandra Kelso poses for a quick smartphoto photo
    Flanked by her cousins Lindsey and Sydney Kelso, Kassandra Kelso poses for a quick smartphoto photo after returning her robe. Photo by Clark Brooks


    Sally Manalo and parents
    Sally Manalo poses for a photo with her parents, Nelson and Jamie, in the auxiliary gym after Sunday's graduation ceremony. Photo by Clark Brooks


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    Reach your 2022 goals with an ‘anti’ resolution list

    Photo: Brodie Vissers/Burst
    (NAPSI) —- As the world celebrates the new year, many will make an annual list of resolutions and goals, which often include improving overall health and fitness.

    As we continue to weather the COVID-19 pandemic, improving overall health is front and center, more so than usual. However, according to the U.S. New Year’s Resolutions 2020 study conducted by YouGov, over half of those who set New Year’s resolutions can’t follow through. 

    Luckily, exercise physiologist and Bowflex fitness advisor Tom Holland has a new approach to setting and reaching your health and fitness goals this year.

    Focus on Anti-Resolutions 

    Holland recommends turning the typical New Year’s resolutions list on its head by creating “anti-resolutions” to focus on what you’re not going to do. For example, instead of saying “I’m going to work out every day” or “eat only healthy foods,” resolve to not make excuses. This can take the focus off the broader goal and onto in-the-moment actions. The next time you plan to go the gym or cook a healthy meal, and you start to come up with reasons today’s not the day, you can remember your resolution to not make excuses. If you set unrealistic resolutions to transform your entire lifestyle all at once, it’s more difficult to take the necessary steps to get there. 

    Most people have made excuses for not making a workout or sticking to a routine. This anti-resolution approach changes the focus from overly ambitious goals to a more subtle mindset shift.

    To help you continue or take those first steps on your fitness journey, Holland also recommends connected fitness services and apps, such as the JRNY digital fitness platform. With the JRNY app, you can easily fit exercise into your schedule with a wide range of personalized, trainer-led workouts. JRNY is integrated with Bowflex cardio equipment, including stationary bikes and treadmills, and features off-product workouts such as HIIT, strength, yoga, stretch and Pilates, which can be accessed from a mobile device or tablet via the JRNY app. So many options means no more excuses. No matter your fitness level, goals or lifestyle, JRNY has exercise programs to help you stay motivated and active so you can make exercise a habit in your life. 

    Determine What Works Best for You

    Often people struggle to get started working out because they think they need to go to the gym all the time or sacrifice privacy, comfort and entertainment to see results. Holland notes that it’s important to not let trends, other people’s opinions or even your own preconceived notions get in the way. 

    It’s easier than ever before to find a workout routine that aligns with your lifestyle. If going to the gym isn’t your speed, you could pick up a versatile fitness product such as a set of Bowflex SelectTech 552 dumbbells or download the JRNY mobile app for access to hundreds of video workouts that can be done from the comfort of your own home—no expensive gym membership or commute required. 

    If you find your motivation is dwindling, the Bowflex Max Total 16 is a great option that lets you do high-intensity, interval workouts at home while streaming your entertainment subscriptions including Netflix, Hulu, Amazon Prime Video, HBO Max, and Disney+. 

    This new year, try a different approach to health and fitness resolutions by kicking the overly ambitious goals of the past to the side in favor of setting anti-resolutions instead. At the same time, take advantage of what today’s fitness technology has to offer to improve your odds of success and make this your year. 

    Good for the heart, golfers have a significantly lower death rate

    by American Heart Association


    DALLAS -— While golfing was once known as the game of kings, the American Heart Association, the world’s leading nonprofit organization focused on heart and brain health for all, says you don’t have to be royalty or a professional player to reap health benefits from hitting the links at your local golf course. Research presented at the Association’s International Stroke Conference in 2020 found that regularly golfing – at least once per month – lowered the risk of death, especially among older adults.

    Golfing can provide benefits such as stress reduction and regular exercise. Due to its social nature and typically slower, controlled pace, people of most all ages and physical fitness levels can play the sport.

    Paul Dalbey lines up his put on the 6th green at the 2005 University of Illinois Open golf tournament. Time spent outside enjoying nature, social interaction and even the friendly competition of a round of golf is beneficial to one's health.
    Photo: PhotoNews Media/Clark Brooks
    "The regular exercise, time spent outside enjoying nature, social interaction and even the friendly competition of a round of golf are all elements that can foster mental and physical wellbeing," said Donald M. Lloyd-Jones, M.D., Sc.M., FAHA, president of the American Heart Association and chair of the department of preventive medicine, the Eileen M. Foell Professor of Heart Research and professor of preventive medicine, medicine and pediatrics at Northwestern University’s Feinberg School of Medicine in Chicago. "The past couple of years have been hard and many of us have picked up some unhealthy lifestyle behaviors such as more eating and less physical activity, and we’ve missed the company of friends and family. I think golfing can offer a great opportunity to start venturing back out into an enjoyable activity that can feed our hearts and our souls."

    For the study on golfing, researchers from the University of Missouri in Columbia, analyzed data from the Cardiovascular Health Study, a population-based observational study of risk factors for heart disease and stroke in adults 65 and older. Out of nearly, 5,900 participants, average age 72, researchers identified nearly 400 regular golfers. During the 10-year follow-up period, death rates for golfers were significantly lower than for non-golfers.[1]

    A comprehensive review of research published in the British Journal of Sports Medicine analyzed more than 300 scientific studies, leading a panel of 25 public health experts to issue an international consensus statement, from several sporting and golf organizations, noting the health and social benefits of golf.

    "The American Heart Association recommends most people get at least 150 minutes of moderate-intensity exercise a week. Golfing qualifies as a moderate-intensity exercise, specifically if you are walking an 18-hole course, carrying your golf clubs," said Lloyd-Jones. "While golfing, you’re increasing your heart rate and blood flow, enhancing brain stimulation, improving your balance and socializing. Even if you are riding in a cart and playing a short course of only 9 holes, you’re still being physically active, and we know any movement is better than none."

    There are a few safety measures to take into consideration before hitting the greens. Before you start, warm up with a few stretching exercises and be sure to wear sunscreen even on cloudy days. Also, stay hydrated by drinking plenty of water and don’t get overheated. Be aware of the signs of a heat stroke and if you or your fellow golfers show any of these symptoms, call 9-1-1 and seek emergency medical help right away:

    • Fever (temperature above 104 °F)
    • Irrational behavior
    • Extreme confusion
    • Dry, hot, and red skin
    • Rapid, shallow breathing
    • Rapid, weak pulse
    • Seizures
    • Unconsciousness

    Health issues like depression, heart disease & anxiety are linked to toxic workplaces

    by Paul Arco
    OSF Healthcare

    The five components of a healthy workplace include: protection from harm, connection and community, work-life harmony, mattering at work and opportunity for growth.

    A new year brings about many possible changes – promises to eat better, exercise more, stop smoking, save money, and so on. Another priority for some is to improve their work situation.

    If that’s you, there may be no better time than the present, especially after the U.S. Surgeon General Vivek Murthy released a report that links a toxic workplace culture to health issues such as heart disease, depression and anxiety.

    "A toxic workplace is basically any work setting where you're dealing with any sort of psychological stress, where you're feeling nervous, you have some fear, anxiety, sadness, depression – things like that," says Victor Mendoza, a behavioral health provider with OSF HealthCare. "If you start noticing those things in your own workplace, that can be something we would call a toxic environment."

    According to the U.S. Surgeon General, the five components of a healthy workplace include: protection from harm, connection and community, work-life harmony, mattering at work and opportunity for growth.

    Mendoza says now is the time for organizations to assess their relationship with employees – to create a sense of connection among workers, show them they are important, and support their professional needs.

    "First of all, if they haven't added these five components, they should probably try to because I think that's a good foundation to what a healthy work environment should be like," says Mendoza. "You want to have a workplace where you feel comfortable, you feel heard, you feel like there is upward mobility, and that that people care for you. That you're not just a number to them but that you actually are a human, and they understand and are willing to be empathic to your situation. And if there is a concern, they're open to listen to you."

    There are many ways feeling stressed or miserable can manifest in an unhealthy work environment such as increasing the risk for cardiovascular disease, increasing the chance of high blood pressure, weakening immune systems, causing headaches and increasing anxiety and stress. Mendoza says physical symptoms can include stomach aches, nausea, vomiting, diarrhea and racing heartbeat.

    The report comes during an uncertain time in workplace culture due to the COVID pandemic, when employees are seeking more flexible opportunities including working remotely or a hybrid schedule. Mendoza adds that the pandemic also affected our routines, and when routines are changed it can impact our mental health.

    "It's been really tough for a lot of people," says Mendoza. "When all this started with the pandemic, a lot of people were having anxiety about what was going to happen. People feared losing their jobs, and a lot of people did lose their jobs, sadly, and that was very hard for them. They had to switch careers. A lot of them were lucky they were able to keep their jobs, but they had to work from home and that that created some stress as well even though we do have good technology."

    There are things, however, you can do to cope with your workplace stress. Mendoza suggests keeping track of the stressors in your job, developing healthy responses such as exercise, getting enough sleep and learning how to relax and take time to recharge by unplugging from work, and making sure to use your vacation days.

    Mendoza says it’s easy for some people to feel guilty about work-related issues. The most important take home message is to first take care of yourself, and not let a stressful environment affect your health. 

    "Sometimes you can only do so much and you have to advocate for yourself, and you have be aware when this happens," he adds. "So set up good boundaries with your workplace, make sure that you're taking some time off work for self-care, whatever that looks like for you, and do something you enjoy. Make sure you do some basic things like exercise, you’re eating well and you're sleeping well. That's a really good foundation to deal with a toxic work environment."


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