One Size Fits All

In exercise and fitness training, a “one-size fits all” approach does not work.

This is one of my favorite aspects of being a personal trainer and health coach.

Every single day, I encounter something new. Whether it’s a client’s specific goal, preference, injury, or condition, everyone has different wants and needs. This requires alterations, to say nothing of completely different programming.

My oldest client is 91. My youngest is 13. I have middle-aged clients trying to lose weight. I have young men playing soccer at division 1 colleges. I have new mothers that want to return to their favorite sports. I have seniors reversing rheumatoid arthritis and regaining balance and energy. Some of my clients want to get off a long list of medications. Others just want a fun and challenging workout a few days a week.

These differences between individuals contribute to my hesitation to recommend routines based entirely around weight machines.

Machines allow you to adjust the height of the seat, and sometimes make an adjustment for leg length, but beyond that, you’re pushing or pulling in a pre-determined range of motion. Different people will need to move differently based on their build and body mechanics. And, just as importantly, these types of actions won’t transfer as effectively to real life.

When you pick something up, push a heavy object, or take a very high step up, there is nothing guiding your body through space. Your muscles and joints will be working on their own, free of outside influence.

Machines are useful to isolate a muscle group, and help an individual develop a mind-body connection with that muscle, but they should not be where you spend the majority of your time.

I start most my clients with a series of assessments, performing different movements that are common in everyday life. Their ability to execute these actions, along with the goals they have stated, will specify exactly what we must do together.

These assessments usually consist of a gait analysis, squatting down into a chair and back up, bringing the arms overhead, and holding a plank or pushup position. But, as previously mentioned, I may omit some of these, use alternatives, or do something completely different based on the client.

The same mistake of using a “one-size fits all” approach is apparent in our nations nutritional recommendations. The USDA recommends that everyone consume 45-65% of their calories from carbs, 10 to 30% from protein, and 25 to 35% from fat.

This is akin to recommending that 15% of all calories come from dairy…or that 5% of calories come from peanuts. What if an individual is lactose intolerant or allergic to peanuts?

As evidenced by our current diabetes and obesity rates, most Americans cannot tolerate upwards of 50% of their calories coming from carbs. Through years of trial and error, I’ve learned that if I average more than 40% carbs, more than 4 days a week, I start to gain fat, even in a calorie deficit.

Remember, carbs are fuel for high intensity activity, while dietary fat is truly essential for optimal health. After a lifetime of consuming more carbs than the body can safely store and burn, it loses its “insulin sensitivity”. This means that the sugars last too long in the blood (causing inflammation and cardiovascular disease) and are eventually forced into fat storage.

I work with my clients to find the most sustainable and healthy nutritional path for them. I base my nutritional recommendations not only on their dietary restrictions, activity level, and current conditions, but also their preferences and lifestyle.

I personally cook a few big meals on weekends so I have leftovers available on weekdays. However, I may have to suggest a different approach for clients that don’t have the time to, or interest in, trying this. Some of my clients are vegans or vegetarians that require more vitamin supplementation and creative protein options. If a client has sugar or chocolate cravings, we’ll work to find the healthiest options and optimal timing for indulgences.

Some foods are healthier than others, but I’ve never insisted that a client consume a certain food or avoid another. I merely work within their parameters, to find out what will guarantee them success in the long term.

These examples show the importance of individual personalization. Personal trainers, and health professionals of all kinds, must be able to tailor the theories learned through education, to best serve each client.

No two people are the same, so why should their exercise and diet be the same?

diverse

5 Health Quotes

Hello again everybody! Those of you that have spoken with me about health topics know that I am a big fan of using quotes from other professionals to make a point.

I have always had a rather good memory when it comes to quoting shows or songs, and this seems to apply to quotes from trainers, nutritionists, coaches, etc.

So, rather than exploring a single topic in-depth this week, I thought I’d just list a few of the quotes that I find most relevant to almost every health-oriented individual.

“Train to run, don’t run to train.” – Timothy Gould, Doctor of Physical Therapy. Tim was referring to the fact that many individuals think that jumping into an endurance running program will improve their health. The fact is, running long distances can be tough on the body and therefore should be a goal, or a piece, of a balanced program. Tim is the most skilled PT I have worked closely with and I would highly recommend those with rehab needs to contact him at timothygould@deept.com .

“Cardio doesn’t burn fat. Muscle burns fat.” – John Meadows, CSCS, CISSN. This refers, in part, to the concept above. The calories burnt during an aerobic workout are insignificant compared to the increased metabolic rate and improved hormone signaling resulting from sensible strength training.

“You can’t out train a bad diet.” – I’m not sure who first said this but it’s used by every knowledgeable trainer. Sure, you can spend an hour every day on an elliptical and burn a couple hundred calories. But, simply removing wheat from your diet, as an example, will reduce your daily calorie consumption by over 400 calories (to say nothing of other health benefits such as better digestion and less inflammation).

“Eat leaves, not seeds.” – Michael Pollan, author of numerous works exploring nutrition and environmental sustainability. His quote refers to the fact that Western diets are now based around grains (seeds that haven’t sprouted yet) as opposed to whole foods such as vegetables.

“[Eating] fat doesn’t make you fat.” – I’m not actually sure who first said this, but Khush Mark, PhD authored a book in 2008 with a similar name and Mark Hyman, MD uses this phrase frequently. Looking at any newspaper article or magazine over the last year will make it clear that our nation was wrong to vilify fats. We now know that overconsumption of processed foods, and meals that are high in carbs but low in nutrients, are to blame for the current health epidemic.

Please feel free to add your own quotes in the comments or send them directly to me at paul.romasco@hotmail.com . I love collecting these and will probably turn this into an ongoing series, posting 5 or so quotes every few months.

Hope you can find some simple words of wisdom or motivation in these brief lines.

See you next week!

Unilateral Training

Unilateral training refers to using one limb at a time, as opposed to bilateral training which involves both limbs.

A leg press and seated row are bilateral movements while a single leg press and single-arm dumbbell row are unilateral movements.

Many actions in everyday life require us to use only one limb at a time. Regardless of what specific activity you are training for, unilateral moves help show weaknesses or imbalances within the body. It’s the discovery of these weaknesses, and corrections, that allow us to further improve our health and performance.

I personally love doing full body compound movements, training multiple muscle groups at a time. These are extremely efficient and result in a bigger central nervous system response, thus a better hormonal response, leading to better strength and body composition.

However, I always keep at least one isolation exercise or unilateral movement in my clients (and my own) daily routines. This way, we never allow one dominant muscle group to compensate for a weaker one, thereby exacerbating the imbalance.

If you are just starting to incorporate unilateral training, try a simple dumbbell row – one knee and hand on a bench, back straight, other arm hanging straight holding a dumbbell. “Row” the weight up to about the armpit, trying to pull the arm up and over with the shoulder blade (but don’t twist the torso).

Another simple move to start with would be standing on one leg. This can be done while doing other movements, such a bicep curl or internal shoulder rotation, or it can be treated as its own movement. Standing on one leg will reveal weaknesses at the joints, in the leg or core muscles, or even neurological proprioception issues.

My favorite unilateral movements, as exemplified above, are for the legs and the shoulder blades.
Unilateral training for the legs will reveal weaknesses or incoordination in the lower body, but also instability throughout the core, and may even provide an opportunity for postural analysis. Movements like lunges or single leg dead lifts (SLDLs) are my go to movements for clients trying to increase strength, stability, and function.

Unilateral training for the upper back is useful because it will teach an individual to move the arms in concert with the shoulder blades. If an individual is only using their shoulder muscles, when reaching, lifting, or moving loads, they risk rotator cuff injuries. However, if they can incorporate all the muscles of the upper back, they will have a safer strength potential.

Some advanced movements to work towards would be things like a one-legged squat (pistol squat) or a one-arm pull-up. To achieve either of these, the muscles, stabilizers, joints, and bones throughout the entire body have to be strengthened perfectly.

So, if your workout has stagnated and you’re having trouble adding repetitions or weight to your movements, try incorporating a few unilateral movements to reveal imbalances and weaknesses.

And remember: a personal trainer can help guide you through this process of exercise selection, providing motivation, and finding areas to improve upon safely, guaranteeing long-term improvement!

Enjoy Your Exercise!

In previous posts, I’ve talked about the importance of picking exercise that is enjoyable and not boring.

A new study showed that individuals ended up feeling unhappy and over consuming calories after activity that was defined as “exercise”. Study participants that were told they were walking for “pleasure” ended up feeling more positive about their time spent active, and made healthier nutritional choices for the remainder of the day.

For the complete article that discusses this study, please visit this link to The New York Times.

One interesting aspect that the study did not discuss was the role of cortisol, or stress levels, in the body. Sure, telling someone to “go out and exercise” may make their experience less enjoyable than telling them to “listen to music, stroll around, and sight-see”, but ultimately, we need to examine the mechanisms behind the difference.

As one of the last paragraphs of the article states:

“Just how, physiologically, our feelings about physical activity influence our food intake is not yet known, she said, and likely to be bogglingly complex, involving hormones, genetics, and the neurological circuitry of appetite and reward processing. But in the simplest terms, Dr. Werle said, this new data shows that most of us require recompense of some kind for working out. That reward can take the form of subjective enjoyment. If exercise is fun, no additional gratification is needed. If not, there’s chocolate pudding.”

I don’t know if it’s necessarily a compensation that’s required, but rather, more about finding the activity that is right for you.

I have clients that perform bodyweight exercises for 15 minutes a day in their office. I have clients that walk leisurely outdoors then perform a few movements with elastic bands. I have clients that prefer loading up a barbell and pushing their strength limits. I have clients that go through a one-hour session, spending the first 3rd on an aerobic machine, the second 3rd on exercises to improve strength and balance, and the last 3rd on flexibility and recovery work.

All these people experience incremental progress on a daily basis, and major improvements month-to-month. But, more importantly, they leave each session feeling like they accomplished something important that day, and not that they were simply “forced to exercise”.

To go back to my point about cortisol – if an activity is not enjoyable, it’s going to feel like a chore or a stressor. When our stress levels increase, our body does a few things.

First, it will hold onto body fat because the body wants to prepare itself for enduring “hard times” and sustaining life. Second, the body’s hunger-signaling will be altered to allow for additional calories to come in, to once again be stored as fat to ensure our survival through the stressful period.

Cortisol has many other functions but is better saved for a later post.

One last thing I can’t keep myself from drawing attention to, are the studies parameters for healthy and unhealthy food. They list a “chocolate bar and pudding” as unhealthy and a “cereal bar and applesauce” as healthy.

Certainly a cereal bar and applesauce can be healthier than a chocolate bar and pudding, but this is like saying that driving 75 MPH on a small side-road is safer than driving 100 MPH on the same road. Sure, one is marginally safer, but they both have very high likelihoods of a tragic outcome.

These are all refined, processed, and packaged foods that are not found in nature. Also, they are all sources of carbohydrates with next to no essential proteins or fats. All carbohydrates have 4 calories per gram and will turn to sugar in the blood. It doesn’t matter if we’re looking at applesauce or pudding…we’re still focusing on non-essential, man-made products.

If the two groups had truly healthy options, such as a large salad with salmon and avocado, topped with olive oil and red wine vinegar, it would be almost impossible for either group to overeat. The body needs proteins and fats, and while carbs are useful to boost athletic performance, they result in insulin spikes that interfere with leptin, causing abnormal hunger-signaling.

Ok, sorry, got a little side-tracked there!

The final takeaway from this post is: find an enjoyable and sustainable activity to improve your health!

Weak Glutes!

Have you ever noticed how we start shuffling along as we age? Our steps shorten, we don’t raise our feet up, and we lose balance and stability. At the same time, we develop lower back and knee pain or injuries.

Well, all this is completely reversible and avoidable!

The imbalance and limited range of motion is almost always attributed to weakness in the trunk, legs, and hips – and particularly the glutes!

The glutes contain three muscles, the gluteus maximus, medius, and minimus. The glutes are one of the largest and potentially most powerful muscles in the body.

glutes

Imagine trying to lift a heavy object off the floor using just the lower back, the bottom part of the spine and the limited amount of muscles around it.

Imagine spending most of your day on your feet, with just the knee joint and the few muscles around it, supporting all your weight.

Now imagine using all the muscles from the thighs to the back of the hips assisting with these activities.

Our daily lives, consisting frequently of sitting at a desk, sitting in a car, and sitting once more when we get home, have rendered our glutes unnaturally weak. Worse than that, we have lost our mind-body connection with the glutes!

In addition to reduced activity, we do very little lateral movement – stepping side-to-side.
This type of movement, as the legs move out from the midline of the body, is referred to as abduction. The glutes are the major muscle group responsible for leg abduction.

So, now that we know the problem, the symptoms, the most common cause, and the important terms, all that’s left is the resolution.

My first recommendation would be to find any and every excuse to stand and walk. Luckily, as a trainer, I am on my feet for a good part of the day, but some common tactics for others would be:

• When you get home at the end of the day, walk outside for 15 minutes before going into your house.

• Drink more water, resulting in more walking to and from the bathroom. (This is a win-win because most of us don’t drink enough water either!)

• If you happen to be going somewhere less than a mile away, walk rather than drive.

• Get a FitBit or other step-tracking program. Some contain a social element that may also be motivating and fun.

My second recommendation involves doing direct work for the glutes and hips during training.

• The easiest movement to start with is commonly known as “clamshells”. Lay on one side, with your hips back and your knees bent. Place one foot on top of another and, while keeping the inside of the feet touching, separate the knees as far as is comfortable and slowly return. Imagine a clam opening its shell – this should be similar to the motion of your knees.

• Another easy exercise to do is “side-steps”. Assume a similar position, knees bent, hips back, feet close together, but this time, standing. Step the right leg a foot or two to the right, and slowly follow with the left leg. Count each step by both feet as one repetition, and do the same number to return to where you started.

• Finally, there are more complicated movements such as squatting with a wide stance and an elastic band around the knees, or attaching cables from pulley machines to straps around the ankles.

• I would recommend avoiding the “abduction machine” however. It puts undue stress on the joint, in an unnatural position for the abductors to engage, and allows too much weight to be used, too quickly, leading to faulty technique.

If you are a visual or auditory learner like me, you can also go on YouTube or Google and search the name of these various movements. Just remember, keep the hips back and the knees bent so they don’t pass beyond the toes.

These exercises will also have excellent transference to any sport that requires sideways motion, such as skiing and skating.

And, with that, you now know what you can do to improve your posture, gait, balance, and the health of your lower back and knees. Give it a try and see how you feel after a month or so!

Improve Your Hormone Levels

As I promised a few weeks ago, I’ll provide some simple steps you can take to improve your hormone levels.

Just to reiterate, your hormone levels dictate a large part of your health, performance, and body composition.

For the actual details about healthy hormone levels and effects, please refer to my post about testosterone.

Without further ado, here are the safest and most effective tactics to manage healthy hormone levels:

• Make sure you are consuming a nutrient rich diet.
Any nutrient deficiency has the potential to negatively impact hormones, but the biggest culprits will be zinc, vitamin A, vitamin D, and magnesium. I’ll do a post explaining which foods have the most nutrient value later on but, for now, I’ll just recommend oysters, liver (if you can stand the flavor and have a high-quality source), avocados, eggs (particularly the yolk), and plenty of naturally-raised, well-treated meats, full of the fats and proteins your body needs to manufacture testosterone.

• Consume dietary cholesterol on a regular basis.
The best sources are eggs, shrimp, and fattier cuts of beef (grass-fed of course!). Cholesterol is a precursor to testosterone production. Keep in mind, the cholesterol you eat will only raise your HDL a little and have hardly any effect on triglycerides (the “bad” cholesterol in the blood).

• Avoid over-consuming carbohydrates.
Starches and sugars will cause insulin spikes in the blood. Your muscles can only store so many carbs before the insulin forces carbs to be stored in fat cells. This insulin will also disrupt normal hormone signaling.

• Get 8-9 hours of sleep a night.
During the first few hours of sleep, your body will release the largest amount of human growth hormone, allowing your body to recover from the day. I know everyone says they can get by with 6 hours…but your body composition, mental performance, and energy levels will always be better with a proper 8 hours of sleep.

• Lift something heavy a few times a week.
This will stimulate the body to produce testosterone to recover from the stimulus. Again, keep in mind that heavy lifting isn’t what produces bulky muscles…that would be higher repetitions (8-15) for multiple sets (3-4) with very little rest (30-90 seconds).

• Do some high intensity interval training.
Refer to my post from a few weeks ago. This has the potential of benefiting hormones more than any other exercise.

• Avoid alcohol.
Or at least try to moderate your intake. Alcohol will convert testosterone to estrogen within the body.

• Avoid stress.
This might be the most difficult but cortisol, released when you’re stressed, will lower testosterone levels. Some of the easiest things you can do are to limit your caffeine intake and take time during the day to stare off into nature or distract yourself from the stresses of our modern lives.

One final method for increasing testosterone levels is to supplement directly with hormones (a.k.a. steroids). However, this is a much more controversial and potentially unsafe method that I’ll save for another post.

Give all these things a try and see if you notice an improvement in body composition, strength, recovery, or just general mood and energy on a daily basis!