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.

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!

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. 

But I’m too tired to exercise

Have you said that you’re too tired to exercise recently? No surprise there. In this “post-pandemic” time we have more going on than ever. We’re racing here, there, and everywhere. Errands taking us in different directions trying to find things like contact lens solution (yes, it happened to me) or traveling an extra mile for cheaper gas (yes, that too). And worry about the world, the weather, and the economy is depriving us of sleep. It’s no wonder we’re too tired to move. Even though we know that exercise is important to our healthy aging – our brains, muscles, heart, bones, and general well-being. It’s tough to get up the energy to get off the couch.

Exercise gives us energy

Too tired to exercise? If you expend a little energy, you'll get even more.
Too tired to exercise? If you expend a little energy, you’ll get even more.

The thing is, though, if we expend a little energy on exercise, we’ll get even more back. I know – it seems counter-intuitive, but it’s true. When we exercise, we breathe more, and take in more oxygen. That oxygen helps the mitochondria in your cells create fuel for you to use and that means energy that you can expend. The experts at Harvard Medical School also say that exercising helps your body use energy more efficiently! Another benefit of exercise, according to Harvard Medical School, is that it helps us sleep better.

Motivation to exercise

But knowing that exercise will give me energy is not enough to get me off the couch. All I want to do right now is fall asleep on that couch. How to get that motivation to exercise? Guilt is one factor. When you know that you’ll feel better and have more energy after you work out, and then you don’t … you’ll feel guilty for not having exercised. And you’ll feel guilty about those extra calories at dinner. And about falling asleep (again) on the couch.

Promise yourself a little (teeny, tiny) reward for getting off the couch and changing into your workout clothes. 5 almonds! Or a half square of dark chocolate. Or half an apple with a teaspoon of peanut butter. Your little reward could also be listening to your favorite song. Or reading a chapter after you exercise. 

So take a deep breath and stand up. Change your mindset and your clothes. You can do this. Then push “Play.” Or whatever your device does. After your workout and shower, you’ll probably feel amazing!

Don’t use visualization to achieve your dreams

You may have seen “experts” talk about using visualization to achieve your dreams. Just picture yourself living your best life on that tropical island and it will happen. Nope. Not even close. Or visualize yourself running a marathon. Not going to work. Don’t use visualization to achieve your dreams. It doesn’t work that way. Wishing it doesn’t make it come true. 

Visualization is all-or-nothing

Dr. Irena O’Brien, a cognitive neuroscientist, explains why: “Visualizing a successful outcome encourages us to think in all-or-nothing terms. This is exactly the opposite of what we should be doing. Thinking about goals in their entirety can inspire fear and overwhelm that can halt our progress.”

Visualizing success is as real as actually achieving that success to your brain, and it reduces your energy to continue working toward your goal. That’s because your brain believes that you’ve already achieved your goal. Studies have measured this drop in energy using systolic blood pressure. So, when you’re visualizing completing the marathon, your brain believes that you’ve actually accomplished it.

No easy way

Fran on treadmill. Visualizing the steps to get to the big goal.
Visualizing the steps to reach the big goal.

Visualizing standing on the podium at the finish line of that marathon makes us believe that there’s an easy way to get where we want to go. That we don’t have to do the hard work that will ensure that conclusion.

And we know that’s not true. We have to do the work. How am I going to run 26 miles if I get out of breath by the end of my block?

So how do we get there?

Dr. O’Brien agrees with the strategy I outlined: If you have a big goal in mind, break it up and figure a way to get those smaller chunks done. Using our marathon example, we can establish a plan to be sure we’re ready for that race. If the big race is six months away, we can schedule our training week-by week and day-by-day to give us plenty of time. Of course if you’re serious about your marathon running, you’ll want to check with a trainer specializing in long-distances for that plan. 

For our marathon example, we can schedule a one mile run twice the first week, and strength training a couple of other days during the week, and build up from there. If you use a treadmill for most of your training, be sure to include real road work for some. The conditions are different, and you’ll want to get used to running with wind and weather.

Visualize the steps

Instead of visualizing your successful outcome, visualize the steps. Visualize yourself running, and passing the one-mile mark and still feeling strong. This will work because you’ve outlined those smaller steps that are manageable and perfectly achievable.

And, finally – just start. Don’t spend too much time crafting the steps you need to take to achieve your ultimate goal. Dr. O’Brien says that “mindset is built through action.” Once you get going, you’ll see that your first step is achievable, and so will the next and the next. Use this technique to achieve all your goals – fitness, as well as others.

Remember – don’t use visualization to achieve your dreams. Your dreams will come with those smaller steps.

Don’t compare yourself to others

If you follow fitness “gurus” on social media, you’ll likely see the phrases, “Go for the burn,” or “Give it your all,” or “Don’t save anything.” And you’ll probably see people on videos doing running so much faster than you can, or doing insane things with their bodies. Don’t compare yourself to others. Everyone is at a different point in their fitness journey. No one else’s body is like yours. You have different experiences than everyone else. 

It’s normal to compare ourselves to our peers. Psychologists call it “social comparison theory.” It’s an attempt to understand ourselves and our place in society. Juliana Breines Ph.D. says that social comparisons can be helpful when “we remember that even the most successful people struggle in some ways and are just as human and fallible as we are—and that, for all our foibles and shortcomings, we are just as capable of greatness.”

But it’s easy to fall into the trap of coming down hard on ourselves when we compare ourselves to others. “I’m not as good.” Or, “I’ll never be able to do that.”

Be reasonable

On the treadmill, I run for me and do not compare myself to others.
On the treadmill

I used to see videos of people running, sweating buckets, going faster than I thought any human had a right to go just to exercise. I thought, “They’re crazy. Running is for the birds.” Years ago I could never see myself running for exercise. And then I took up agility with my dogs. In order to succeed, most handlers need to be fit and able to run. Now, no person can run as fast as most dogs can run, but an agility handler has to be in the proper position to give their dog direction. In class, I was out of breath in no time. So I thought that I should put the treadmill in the basement to use and work on my stamina. I began to use the treadmill for 20 minutes twice a week. At first I couldn’t run for longer than 15 seconds at a time at a very low speed, walking between running intervals. I had to motivate myself to run because it was hard at first and I had no really good reason to do it otherwise.

But I persisted and built up the time and speed. I still can’t run for more than a minute at a time, but that’s OK. An agility run is usually less than a minute. And now my speed is over 7 miles an hour at my fastest. I’m not where I need to be yet, but that’s OK. I know that running on an agility course is much different than on a treadmill, but it’s a start.

It doesn’t matter how fast the other person is going

It doesn’t matter how fast that instructor is running. You’re you. You may be older than that person. And you may need to work on your endurance. Your body should get used to the movements before you intensify them. If you’re just starting, it would be a very bad idea to go all out at first. You’d end up injuring yourself and unable to do it again in a couple of days. If you’re serious about that goal, like I am about running, consistency is key. You don’t want to start over again next week.

The point is, be kind to yourself. Start at a reasonable level for you. And challenge yourself. In your quest for healthy aging, have a goal. Push yourself – not crazily, but enough that you’re able to see consistent improvements. Your goal should not be easy to achieve, but it should be achievable.

I do different things with my exercise routines. I try different yoga poses. Sometimes I fall on my face (but I practice on a nice thick mat). I try to achieve that Side Plank Star periodically, just to see if I still can. All part of my quest for healthy aging. You may think that’s weird. And that’s OK.

Your goal is yours

Your goal should not be mine. Running fast shouldn’t be your goal. (Unless, of course, you really want to run fast.) But it’s mine. Don’t compare yourself to others. If you want to be able to do five push-ups and you feel embarrassed that you can’t even do one, don’t be. You’re you. Your arms and shoulders are put on differently than the person whose video you saw online who could crank out fifteen and not break a sweat. Your core may not be as strong. But you can work at it and, if you’re persistent, and that’s what you really want, you’ll do it. You’ll modify moves at first and persist. Don’t compare yourself to others. Because everyone is different.