Exercise reduces severe COVID risk

Another reason to exercise

We already have lots of reasons to exercise – improve our strength, our cardio ability, strengthen our bones, decrease depression, improve our moods, help us sleep better … (whew!) So here’s another big one to motivate us: exercise reduces severe COVID risk

I'm reducing my severe COVID risk
I’m reducing my severe COVID risk

Yup – we’ve all been so worried over the last couple of years about severe COVID – the kind that puts us in the hospital or even kills us. But we exercisers have had a secret weapon all along. Since the beginning of the pandemic, doctors have said that exercising reduces the risk of severe COVID outcomes, but there hadn’t been data to support how much exercise is actually needed. 

How much exercise do we need?

Do you have to work out like a maniac for an hour every day? Is a stroll after dinner enough? Or somewhere in between, for exercise to reduce the severe COVID risk? A study released just last week studied almost 200,000 adult patients at Kaiser Permanente in California who were diagnosed with COVID-19 between early 2020 and mid-2021. Participants were asked to evaluate their own level of activity prior to their COVID diagnosis. Increments ranged from always inactive (10 minutes or less exercise per week) to always active (300 minutes of exercise per week). We want to do everything we can for our healthy aging, and the CDC’s recommendation is 150 minutes per week.

Researchers found that the more active a patient was before infection, the less their risk of hospitalization or death within 90 days of their diagnosis. “Always inactive patients were 191 percent more likely to be hospitalized and 391 percent more likely to die than those who were always active.”

The more exercise, the lower the risk

The risk of serious infection was reduced for every increment of activity. People who were “consistently active” – 150 minutes or more per week –  were 125 percent more likely to be hospitalized and 155 percent more likely to die than the “always active” group. That is a huge decrease from the “always inactive” group!

Everyone benefits from exercise

The researchers also found that the results were consistent across all demographics. No matter the age, gender or ethnic group, people who were more active were less likely to be hospitalized or die from COVID. In fact, researchers even supported the notion that exercise should be promoted as a way to avoid severe COVID. 

One thing to note – this research does not make the distinction between people who were vaccinated or not. But, I always want to boost my chances of a good outcome. So I’m going to keep exercising. 

3 Morning rituals to start your day positively

Have a day filled with wonder!

I woke up yesterday and could not remember what day it was… The day before was unremarkable. I didn’t do anything out of the ordinary. And all the days are running together. But then I thought of something special I had planned for later in the day which lit a spark. (I planned to design a cover for my new fitness journal that’s in the works.) And suddenly the day filled with wonder. I did the 3 things to start my day positively, and the rest of the day was bright and happy and full of purpose.

It stands to reason – if your day starts well, it will progress the same way. So, let’s consider the start to the day. Everyone has morning rituals. Are yours positive? Do they inspire you to find light in your day? 

Wake up

Paul Valery, a French poet and essayist, said “The best way to make your dreams come true is to wake up.” He recognized he wouldn’t get anything done by lying around in bed all day. You need to wake up and get moving to make things happen. So, start your day positively by actually getting out of bed when your alarm goes off rather than hitting the snooze button and turning over. I have it easy – if I don’t get up when my alarm goes off my dogs will step on me…

One positive thought

“Just one small positive thought in the morning can change your whole day.” The Dalai Lama knows a great deal about having the right mindset. To create positive energy which will follow you throughout the day, start with a positive thought from the moment you wake up. So even if you don’t have something special planned for the day, think of something positive and that will create positive energy for your day. You’ll grow your resilience with your optimism and create that uplifting mindset. Most days I choose happiness! Whatever else I have going on, happiness makes the day brighter.

Today is my future

“My future starts when I wake up every morning.” Jazz Musician, Miles Davis, realized the value of a fresh and positive start to every day. Embrace this attitude by reminding yourself from the moment you wake up just what you’re striving for and why this is important. Reach forward toward your goals. Davis also was famously frustrated by fellow musicians retreating – going backward rather than forward: “Instead of going forward he was going backwards. I told him not to lose what he brought from Chicago, but some guys just go backwards, man.” (about Darryl Jones, bassist) 

Every day: wake up and stretch. Have a positive thought while brushing your teeth. And remember that today is your future: it’s going to be great!

Do workouts you enjoy

For fitness contributor Elizabeth Enochs, sticking with workouts she actually enjoys is the key to staying motivated to exercise on a regular basis. “I used to work out nearly daily, spending hours in the gym each week. I looked forward to intense cardio and strength training — but for the last couple of years, I’ve only been interested in exercising outdoors and stretching in my house. Hikes, long walks, bike rides, and kayaking trips are my workouts of choice these days. Currently, I’m working out less than I did for most of my 20s and my workouts are easier, but I wouldn’t be exercising at all if I only allowed myself to do HIIT.”

A struggle to stay motivated

Such great advice. It’s a struggle to stay motivated to exercise, day in and day out. I’ve written that it’s not one and done. I wish it were, but you can’t exercise once and say, “I’m good for life. Never have to do that again.” Nope. as one of my workout instructors says, “Fitness is a journey, not a destination.” And especially now, as we get older, exercise is crucial for our healthy aging.

In it for the long haul

I enjoy the books I listen to while running.
I enjoy the books I listen to while running.

We’re in it for the long haul, so you have to stick with workouts you actually enjoy. Because if you don’t enjoy your workout, you’re not going to do it again. As simple as that. I don’t enjoy the act of running, but I do it a couple of times a week. Why do I do it if I don’t enjoy it? Because I enjoy the books I listen to. I see the benefits of running in my improved stamina and endurance, but I wouldn’t keep at it if it weren’t for the audiobooks I listen to on the treadmill.

CDC recommendations

Of course, the CDC recommends 150 minutes of moderate physical activity per week for adults, so I need more than the 40 minutes of running I do a week. On Tuesdays I usually do Pilates to give my knees a rest. Why Pilates? I enjoy the muscle-lengthening feeling I get, plus it’s a terrific core workout. That half hour goes by quickly. 

And a couple of other days every week I do combined aerobics and strength training workouts. I have a library of workout DVDs that I … kind of … enjoy. Combining the aerobics with weights gives me a double bang for my buck.

Do workouts YOU enjoy

But that’s what I do. You have to do the workouts that you enjoy … or sort of enjoy … or don’t mind doing … otherwise you won’t do it at all. So, go for hikes or bike rides. Or dance up a storm and get your heart rate up and the sweat running down your face (and other parts). Do yoga or pilates and get flexible. Because if you don’t exercise, you don’t get the benefits. And you can’t eat that extra half-serving of pasta.

Make it painful to not exercise

Exercise shouldn't hurt, but if the reward for doing it isn't motivating, make it hurt not to.
The exercise shouldn’t hurt, but not exercising should have consequences.

Cue the finger wag! I’ve suggested some ways to help motivate yourself to exercise, including a reward for a good sweat-soaked session. But when you really, really don’t feel like putting down the remote and getting off the nice comfy couch, and changing into your workout gear, something more drastic may be what’s needed. Sometimes you have to make it painful to not exercise.

Reward yourself to exercise

Promise yourself a real, tangible reward for getting in that exercise session today. (I’m a big fan of rewards!) Like a yummy strawberry smoothie with maybe a couple of shavings of dark chocolate, or a quiet place to read a chapter in the book you’re into, or an episode of that series you’re streaming on Netflix. Every day that you exercise, that reward will kick in. It’s OK to do nice things for yourself. Be mindful of that smoothie, though. Be sure that it fits into your eating program for the day. Remember that a smoothie is not a milkshake, although sometimes it can taste like one! 

Over time, with enough rewards, you’ll actually look forward to exercising. Exercising becomes a habit, and one that you would miss if you don’t do it. And exercising is such a great habit for our healthy aging. Your brain actually equates the act of exercising with the ensuing reward – and over time you don’t even need the reward. Things become easy when they’re habits.

When the reward isn’t motivation enough

But some days, not even those tempting treats will prompt you to get up. On days like that, you need the other part of the equation.

If I don’t do X, then I have to Y

Here’s where it becomes painful to not exercise. Not physical pain, of course. How about pain in the pocketbook. Make a contract with yourself. For every day you don’t exercise and there’s no good excuse, you have to pay your favorite charity $20. These days, that’s real pain. Or, if you’ve told your friends and family that you’ve started an exercise program, then you have to tell them that you didn’t exercise. That embarrassment is also real pain.

Make it hurt in your wallet or hurt your pride. Even if you don’t actually tell your friends that you haven’t exercised, you’ll feel the guilt. That hurts too.

Make it painful not to exercise. So go do it.

3 ways to de-stress this holiday season

We’ve passed Thanksgiving. That means the holiday craziness is in full swing now. There seem to be two kinds of personalities prevalent around the holiday season: Cheerful or snarling. It’s easy to get frazzled. To let your nerves and anxiety get the best of us. But it’s important to manage stress especially for our healthy aging. We feel calmer and more able to tackle future problems, plus our immune system can even be stronger when we experience less stress. Here are some easy tips to turn your snarls into grins. Your 3 ways to de-stress this holiday season:

Plan for the tough stuff

Don’t have your shopping done yet? List all the people who you have to buy gifts for. Have an idea of what you’ll get them and plan your shopping trip(s) accordingly. And don’t forget the wrapping paper or gift bags. Now schedule your shopping runs and wrapping parties. If you’re cooking, plan your menus and shopping for that too. Chef Alex Guarnaschelli recently shared her timeline for prepping for Thanksgiving. Take a lesson from Chef Alex! Plan for the tough stuff.

Have a plan to de-stress

Easy ways to de-stress this holiday season.
A short guided meditation can also help you de-stress

Inevitably, some things will get to you. Your annoying student went one step too far. Or your mom poked her nose into your family’s business one time too many. So, have a plan to distract yourself from the stress when you’re feeling the tension. Play a short game of Fishdom on your phone. Take a bath. Go for a walk. Exercise. Dance to your favorite tune. It won’t take long. 5 to 10 minutes should be enough time to feel calmer.

Recognize things you’re grateful for

The Thanksgiving holiday may be in the rear view mirror, but being thankful should be an everyday occurrence. You may be frustrated with some things in your life. And you may feel something akin to desperation about others. But there will always be things you’re grateful for. Remind yourself of them. Yes, some days it’s harder than others to see the bright spots. But they’re there if you open your eyes. Feeling gratitude in your life leads to optimism and hope.

The American Heart Association has identified these and other activities to manage stress. But these easy 3 will get you started.

3 tips to glide through the holiday season. There will still be stress – no getting around it. But you’ll be prepared and ready to meet it head on.

Exercise intensity after menopause

Exercise is for everyone.
Exercise is for everyone

Here’s something we can all agree on: no one is getting younger. It’s also a fact that women go through menopause at some time mid-life. The CDC has emphasized the importance of exercise for everyone, at every age. So, even though women’s bodies are changing, does that mean that our exercise should change? If we’re used to intense exercise, can we continue with that intensity? Or, if we need to start doing something, what’s the right intensity level? What’s the proper exercise intensity after menopause?

The short answer

Everyone is different. You know your own body, so do what feels right.You still should challenge yourself, but you might want to be creative about the challenge. 

Former First Lady Michelle Obama is quite open about her menopause experience. If you recall, when she lived in the White House she famously led “fitness boot camps” for friends and came to be known as the “Drillmaster.” Everyone wanted Michelle Obama’s beautifully toned arms. Mrs. Obama still exercises, but she admits that she’s toned down the intensity. She has found that she cannot push herself as hard as she used to. Obama and her friends turn more to flexibility rather than cardio workouts. Not only that, Obama no longer leads all the workouts, but her group of friends keeps everyone fit and healthy.

The answer for me

As you know, if you’ve been reading my articles, I work out regularly. I’ve challenged myself and as a consequence can run faster now than I ever could before – because I committed to it. I still don’t enjoy it and probably never will, but that’s not why I run. 

The answer for everyone

Listen to your body. If you’re feeling good, perhaps push yourself a little harder. If an exercise is especially tough, ease up. Perhaps focus a little more on lower intensity moves or work in an extra Yoga or Pilates program.

Watch the “slow weight creep”

Mrs. Obama admitted to the “slow weight creep” of menopause. As she wasn’t able to maintain the intensity, she wasn’t burning the calories that she used to. And so had to be mindful of her intake. “I have to be more mindful, not obsessive, but more mindful,” she said.

The Mayo Clinic agrees with Michelle Obama’s assessment: “Women tend to lose muscle mass and gain abdominal fat around menopause. Regular physical activity can help prevent weight gain.”

Now’s the time to improve your balance too

The Mayo Clinic also recommends working on your balance to improve stability and prevent falls. “Try simple exercises, such as standing on one leg while brushing your teeth. Activities such as tai chi also can be helpful.” Please note, though, that while tai chi improves balance over time, the improvement is cumulative. Tai Chi practice over a period of time will help your balance. The simple exercises found in the Week of Core-Centered Balance Moves can start helping you in just a couple of minutes a day.

Never stop

I’ve known many people who view retirement and aging as an excuse to quit their exercise programs. But, now is the time to get fit and strong and live our best lives – actually do the things we worked for, for all those years. Listen to your body. If you’re feeling good and things don’t hurt, your exercise intensity after menopause does not have to decrease. Take the time your body needs to recover, but don’t stop.

Keep your exercise low impact

I’m crazy, and I know it. Don’t be like me on those two days a week that I consciously engage in something that I’m telling you not to do. I run two days a week, but I’m telling you to keep your exercise low impact. Save your knees, your back and your hips. Keep a foot on the floor when you exercise. 

First I’ll tell you why I do it.

Agility is not low impact. But I enjoy it.
Running Agility with Booker.

I run twice a week to increase my speed and my stamina so that I can run my dog in Agility and be where he needs me to be. My dog will always be faster than I am. I know that. But I can be in the right place to give him his cue for the next obstacle he has to do. So I need to be faster than I am now. And, perhaps more importantly, not run out of breath when I get there. This is why I keep getting on that treadmill, even though I don’t enjoy it. I’m building my speed with run / walk intervals, and going easy on my old knees. It’s taking a while, but I’m getting there. Some days are definitely easier than others, but the overall trend is faster.

High impact is not for everyone

Yes, you can burn more calories faster with a high impact workout, but low impact can be just as effective for your fitness and your healthy aging! Even though it’s easier on the joints, low impact exercise is not necessarily less stressful on the body. CITYROW founding instructor Annie Mulgrew says, “We want the body to be able to respond to stress effectively — that’s one reason why we exercise.”

Low impact exercise means that one foot is always on the floor during exercise – at least when you’re upright. Seated exercises and mat-work are different animals altogether, but they’re definitely low impact as well.

Low impact does not mean low intensity

For maximum benefit, we want our exercise to be high intensity – we’re challenging ourselves and raising our heart rate. Low impact, high intensity workouts can include speed walking with arm pumps, weight training, rowing, or cycling. 

So, put a little less stress on your joints but still make it tough for yourself with your workouts.

Challenge yourself to exercise

Has your exercise routine gotten kind of flat? Are you doing the moves but feel like you’re just going through the motions? Try a challenge to give your workouts a spark. That’s right: Challenge yourself to exercise.

You’ve probably seen groups, pages and influencers on Facebook run 5- or 7-day challenges to drink more water, or use your Instant Pot every week. It’s the same idea, but with this, you challenge yourself. You’ll change your mindset and look forward to exercise because you’re getting closer to the prize you will set for yourself. Set your challenge and a time limit – for example, exercise for 30 minutes every day for 30 days. And be sure to set a prize for succeeding in your challenge! Say, download Taylor Swift’s new album.

Kelly Froelich, an NASM- and ACE-certified trainer and cofounder of the digital fitness platform Balanced, finds that self-challenges are a great way to self-motivate. “Intrinsic motivation, such as an internal desire to do something, is great to stick to something in the long run, but sometimes you need a bit of extrinsic motivation, such as a prize, to start you off,” she says. So, make that prize something you really want. And don’t get it before you complete your Challenge! That’s cheating!

Challenge ideas

Try a Plank Challenge!
Try a Plank Challenge!

If you need ideas for your Challenge, or if you need a theme, try a step challenge for walking. Be sure to increase the number of steps you have to take each day, week-by-week. Or if you’re a runner, increase the miles you run! Or try a plank challenge. Increasing the time you’re in plank position. If the plank is old hat, then try a plank variation a day! To increase strength, do a weight challenge – but you might have to buy heavier weights by the end of your challenge time. Or try a Body-Weight Strength Challenge! This article describes some of your options for this.

Be mindful of the exercises you do

Exercise is great, but we must be mindful of the exercises we do every day and the toll they take on our bodies.

Yes, exercise makes us happier. And expending energy gives us more energy, as surprising as that sounds. Exercise is a natural way to fight depression, and it also helps us sleep better. Exercise has a zillion benefits. But we have to remember that our bodies need rest and recovery too. 

Build rest days into your challenge

I’m not advocating exercising at full impact and intensity every day. Especially if you’re doing a weight challenge, build lower intensity or non-lifting days into your challenge. Take a speed-walk a couple days a week and a stroll or a yoga practice on Sundays. Be sure to do the work to meet your challenge goals, but be mindful of what your body needs. Schedule your workouts, including the exercises you plan on so you don’t lose track of your intense days and your rest days.

Challenge yourself to exercise. Don’t forget that you’ll get two prizes at the end: your Challenge prize and the prize of being more fit!

Exercise to improve memory

Now, where did I put my …

Changing how you remember things is one exercise to improve memory.
Changing how you remember things is one exercise to improve memory

We all forget stuff. And most of the time there’s nothing to worry about. We probably didn’t pay attention when storing that information in our brains the first time. But, of course, as we get older, one of the biggest concerns most of us have is not being able to remember things. Here are exercises to improve our memories, as part of our healthy aging regimen.

Change how you remember things

When you want to remember something, really focus on it. Here’s a brain exercise to improve your memory: focus on the environment – sounds, sights, smells surrounding the thing you want to remember. Remember those things as well as the thing itself. Don’t try to do more than remember this new thing while you’re doing the focus exercise.

Dr. Darren Gitelman, senior medical director of the Advocate Memory Center at Lutheran General Hospital, says, “It is thought that, in a way, you don’t remember the same memory over time, but rather, you remember the memory that is reinforced over time. If the context shifts what you recall, and this modified memory gets strengthened over time, then eventually, what you may recall may be a memory that has been shifted by the context, rather than the original memory itself.” So the context may shift and your memory can change. But if you remember everything surrounding the memory, these stronger context clues will help us remember the memory more accurately.

Connect new information to things you already know

Dr. Gitelman says that connecting new information to familiar images and thoughts will help you remember the new stuff. Say, for example, I learned something new about Boston Terriers. If I connect that information with a specific mental image of my Simon, it will help me remember it.

Rehearse new information

When I played piano years ago, I memorized each piece in multiple ways. From the beginning, of course, but also from the end. Phrase by phrase, or however it made sense. When you memorize and rehearse, new information becomes a memory.

Take care of your brain

Eat right, get enough sleep and exercise to improve your memory.
Eat right, get enough sleep and exercise to improve your memory.

Other ways you can improve your memory: Eat right, exercise, get enough sleep. Yes – exercise to improve your memory. Dr. Scott McGinnis, an instructor in neurology at Harvard Medical School, says that studies have suggested that the parts of the brain that control thinking and memory are larger in volume in people who exercise than in people who don’t. “Even more exciting,” McGinnis says, “is the finding that engaging in a program of regular exercise of moderate intensity over six months or a year is associated with an increase in the volume of selected brain regions.” If you exercise, your brain can grow!

Exercise also can boost muscle memory. That complicated piece of choreography in an aerobics routine will get easier, not just because we practice it, but also because the fact that we’re exercising helps our memory.

We want that big brain for our memory! So, I’m going to keep on exercising.

No time to exercise?

Even short workouts can be effective.

You’ve heard the arguments about the benefits of exercise for your healthy aging. And you … sort of … believe them. But – who has the time? If you’re saying, “I have no time to exercise!” you owe it to yourself to squeeze in a short but effective workout.

Everyone has 22 minutes

150 minutes a week. That’s all the CDC recommends for exercise. So if you have 22 minutes to get your heart pumping while you climb some stairs, take the dog for a walk, ride the stationary bike, you’ve met the guidelines!

Short workouts will keep you on track

If I’ve only got a half hour, I can still get in my workout and have time to clean up. Because that clean-up is important. I don’t have to worry about being late to an appointment and I will still feel virtuous that I exercised. But you’re saying, “How can I choose a workout, do it and get cleaned up in a half hour? That’s ridiculous!” Planning. Plan a week’s worth of exercise in advance. If you have a calendar for your appointments and commitment, schedule your workouts on the same calendar. I use Google’s free calendar so that I can color code my different appointments. 

But are short workouts effective?

Now you’re probably saying, “I love the idea of short workouts, but will they work for me?” The short answer is, “Yes!” If those 22 minutes of your workout are intense and heart-pumping, it will get your blood and oxygen moving. You’ll get the memory-boosting benefits of a good workout, and you’ll release some endorphins and feel great after you towel off. So, never say you have no time to exercise. 

In fact, exercise physiologist Jenna Gillen at the University of Toronto, and her team showed in a study that just one minute of very intense exercise in a workout lasting 10 minutes total can improve fitness and health. Notice the words “very intense.” This is beyond maximum level – something I’m not really up for most days.

Plus, shorter, more energetic workouts can help you stay motivated to exercise. They’re done in no time, and you may actually look forward to your next workout. You won’t be bored with the workout, so won’t be tempted to procrastinate and then run out of the short amount of time you have to exercise.

I can’t do an intense, vigorous workout every time

I hear you. At my age, I just can’t face the treadmill and running for every workout. And that’s OK. Dr. Jennette Berry, family medicine physician at Advocate South Suburban Hospital, believes that fitting in movement throughout your day, no matter the length, is important for your health. “Exercise can help control your blood pressure and can help prevent future heart disease.” 

The next time you find yourself thinking, “I have no time to exercise,” remember that no matter how much time you give it, exercise is always good.