A major component of rehabilitation of children with MD is to prevent or slow functional losses. Aerobic activity is at the heart of improving and maintaining physical functioning. Despite the weakness, fatigue, loss of joint range of motion, and orthopedic changes, maintaining aerobic activity must be part of a comprehensive rehabilitation program. Studies have shown that aerobic capacity can be increased, improving functional abilities (Wright et al., 1996; Taivassalo et al., 1999). Continuous low to moderate resistive and aerobic exercises to promote fitness are suggested (Ansved, 2003). However, few if any studies have evaluated the long-term benefit or risks. Cardiac disease is one of the most common causes of death in patients with DMD. Potentially, cardiomyopathies and conduction abnormalities pose serious risks for patients with MD during aerobic and/or resistance training. The American Academy of Pediatrics (2005) recommended that, after the confirmation of DMD or Becker muscular dystrophy (BMD), a referral for cardiac evaluation with a specialist be made. The cardiac evaluation should include a complete history and physical, ECG, and transthoracic echocardiography (TTE). A complete cardiac evaluation should be completed every other year. In addition, starting at the age of 10 years or after the onset of cardiac signs/symptoms, cardiac evaluations should be completed annually. Specifically, symptoms of dilated cardiomyopathy, heart failure, cardiac arrhythmias, and respiratory abnormalities should be identified and treated.
In July 1996, research from the Cooper Institute showed that participating in moderate to high levels of physical activity reduced the risk of dying from any given cause. This held true regardless of other risk factors. In other words, even if an individual suffers from high blood pressure or obesity, the chances of dying are lessened by maintaining at least a moderate level of fitness. This is remarkably good news, especially for individuals who have hereditary risk factors such as a family history of heart disease.
“Some people walk like this.” Joanna Hall, sports scientist, one-time TV fitness guru and now walking expert springs off to demonstrate a walk. She looks purposeful, compact and speedy, like a person on her way to give someone a piece of her mind. It is a fine walk. But I can tell from her manner that it does not meet the criteria of WalkActive, a walking programme Hall devised from scratch eight years ago. “And some people walk like this,” Hall continues. She embarks on a diffident shuffle, with arms swinging aimlessly from side to side.
But once you could do it instinctively, I can’t imagine why you’d go back to your regular walk. This is not a fitness walk; this is an everyday walk that happens to make you fit. As Hall lists the evidence in its favour, with the zeal of a person who loves to solve problems, WalkActive sounds further and further away from the amble, the mosey, the saunter.
Adding interval training workouts to your routine can boost your calorie burn for an entire day. Check out the HealthStatus program based on HIIT and add this to your routine. In addition, drinking caffeine, consuming capsaicin-rich hot sauce, fidgeting, and climbing the stairs are ways to burn calories without much time or effort. With these strategies, weight loss doesn’t have to be complicated!
“Those who had a faster stepping rate had similar health outcomes—lower BMI and lower waist circumference—as those who took the most steps per day,” says Schuna, one of the study authors. He recommends trying for a minimum of 100 steps per minute (roughly 2.5 to 3 miles per hour) or as brisk a pace as you can (135 steps per minute will get you up to about a 4 mph pace).
Crockett does make one caveat: “One common mistake people make is setting the machine to a pace that requires you to hold on,” he says. “When adjusting the incline or speed, make sure it is set at a pace that you can safely walk or run on without hanging on for dear life. This takes away from the muscle engagement and energy required to actually walk or run at the level you set it to.”
Mental health got me walking in the first instance. I was in my late twenties, and beginning to understand that the love of my life (London) was also my chief tormentor. The stress of the city and the stress of my job as a journalist, got the better of me and I became claustrophobic, which meant I could no longer stand to travel around London’s endless sprawl by Underground. (I’ve since discovered this is incredibly common in Londoners, and God, how transparent we all are! The thing that ferries us to work, aka ground zero on much of our stress; the thing that speeds relentlessly round our city - its logistical arteries - is also the thing we’re likely to fall apart on, and ultimately: resist and refuse.) So I ditched the tube for the bus.
Just get up and walk! You don’t really even need to change your clothes or shoes (unless you’re wearing heels, of course). Note: If you’re looking to go for a power walk, then changing clothes and putting on proper shoes is probably a good idea. Go for a walk periodically throughout your day or head out for a walking meeting at work instead of sitting in a meeting room. And, for those of you who don’t have time to make it to the gym in the morning, you can just head out the door first thing in the morning and walk it out.
Interval training is more intense than simple aerobic training. It's a very effective way to increase your fitness level (remember stroke volume and mitochondria activity!), but it's tough, and so I recommend holding off until you build up to 20-30 minutes of aerobic exercise. The idea to intervals is to set up work to active-rest ratios (work:active-rest), and as you get more fit, decrease the active-rest interval and increase the work interval. The work interval of the ratio is a speed that is faster than what you usually do, and the active-rest interval is your usual speed. To do it, you start at your usual speed for five to eight minutes, then increase the speed to the work interval for one to three minutes, then slow down to your usual speed for a few minutes to catch your breath (this is the active-rest interval), and then you repeat the cycling for the duration of your workout.
The lyrics are from Vanessa Carlton's 2002 Top 40 song, "A Thousand Miles." The mileage, of course, is figurative, but what if someone did decide to walk a tiny fraction of that distance for love, for charity, for errands, or for exercise? Whatever the reason, it would probably delight many health professionals who have been touting physical activity as one way to trim the nation's burgeoning waistline.
There are many reasons why people start running: Busting stress, boosting energy, or snagging that treadmill next to a longtime gym crush are just a few. What's more, running can keep your heart healthy, improve your mood, stave off sickness, and aid in weight loss.Greater weight loss from running than walking during a 6.2-yr prospective follow-up. Williams PT. Medicine and Science in Sports and Exercise, 2013, Nov.;45(4):1530-0315. But depending on your personal goals, going full speed isn't the only route to good health.Walking versus running for hypertension, cholesterol, and diabetes mellitus risk reduction. Williams PT, Thompson PD. Arteriosclerosis, Thrombosis, and Vascular Biology, 2013, Apr.;33(5):1524-4636.
One Stanford University study found that walking increased creative output by an average of 60 percent. Researchers labelled this type of creativity “divergent thinking,” which they define as a thought process used to generate creative ideas by exploring many possible solutions. According to the study, “walking opens up the free flow of ideas, and it is a simple and robust solution to the goals of increasing creativity and increasing physical activity.”
Harvard Medical School notes that walking is an ideal form of exercise because of its simplicity. While other exercises can take a period of adjustment that can occasionally be frustrating, walking is a natural movement that doesn't require you to be a finely tuned athlete. The benefits of aerobic exercise, notes the Cleveland Clinic, include more cardiovascular endurance, better lung capacity and a lower risk of heart-related ailments. Exercises such as walking also help you to manage your stress.
These exercise sessions are done in a swimming pool and are available at some fitness centres or through local community health services. Aquarobics is a low-impact way to improve heart fitness and muscle strength without stressing the joints. It’s particularly suitable for anyone who’s pregnant, has joint problems and is overweight or unused to exercise.
As you get started toward the recommended 30 minutes of moderately intense aerobic exercise five days per week, aim to exercise at a level that just lets you keep up a conversation during the activity. If you can get out three or four sentences in a row without gasping for air, it’s a sign that you’re maintaining an intensity that is truly aerobic, meaning aerobic metabolism is supplying the vast majority of your body’s energy, Jonesco says.
For older people afflicted with arthritis, Hoffmann says fitness walking can actually ease pain instead of cause it. "There is a huge body of research that shows that the symptoms of arthritis are usually relieved by walking, that if people will get up and get moving, they will find that their joints will get better and they will be less stiff and less sore."
Chronic pain has been called a silent epidemic, with an estimated 100 million Americans currently living with it. And if you’re one of those people battling daily pain the last thing you probably want to do is get up and go for a walk. But researchers found that moderate walking improved chronic pain in people, both in the short term and the long run, even if the underlying condition remained uncured. The pain relief benefits of walking may not be able to cure chronic pain, but it can help you deal with it better. Learn the creative way to keep walking when the weather is cold.
Another plan I like is the five-minute out, five-minute back plan. Just like it sounds, you walk for five minutes from your starting point, turn around, and walk back. It's simple and doable for almost everyone. It's a change in your activity behavior even though it's not all that much, and you can increase as you get more used to it. From five minutes you could go to seven and a half out, seven and a half back, a total of 15 minutes just like that. And you can keep your eye on 15 out, 15 back, and there you go meeting the Surgeon General's recommendation of 30 minutes. If you're feeling ambitious, you can add some abdominal crunches and push-ups once you get back. For push-ups, if you can't do a standard one on the floor, modify them by leaning against a wall, leaning against a table, or on your knees on the floor. The lower you go the harder they are. Start with two to three sets of crunches and push-ups, 12-15 repetitions, three to four days a week. As they get easier, you can increase the intensity of crunches by going slower or putting your legs in the air with your knees bent. As push-ups get easier, you can go to the next lower level (for example, from wall to table to on your knees on the floor).
These changes yield major heart health benefits, with research published in the American Journal of Cardiology showing that aerobic training is the most efficient method of exercise for improving cardiovascular health. (2) Aerobic exercise can help lower your cholesterol, reduce your risk of type 2 diabetes, improve your immune function, and lower your blood pressure, Jonesco says.
The second recommendation is from the American College of Sports Medicine. The ACSM recommends 20-60 minutes of continuous aerobic activity (biking, walking, jogging, dancing, swimming, etc.) three to five times a week, at 60%-90% of maximum heart rate, and two to three days of resistance training. This is a more formal, "workout" recommendation, although you can also accumulate the more intense workout in bouts of 10-15 minutes throughout the day if you like. Follow this recommendation and your fitness and your health will improve.
If you currently praise coffee for keeping your digestive system going strong, get ready to start thanking your morning walk instead. That's because a regular walking routine can greatly improve gastric mobility, says Tara Alaichamy, DPT, a physical therapist at Cancer Treatment Centers of America. "One of the very first things an abdominal surgery patient is required to do is to walk because it utilizes core and abdominal muscles, encouraging movement in our GI system," she says. (Check out these 7 things your poop says about your health.)