Fat Removal–Let The Doctor Do The Work?

by on Monday, March 28th, 2005

There is little doubt that in some EXTREME cases, excess fat removal surgery, or liposuction, may have a place in the health improvement arsenal. For example, it may help, in some rare cases, to improve the ability of the ”patient” to ambulate or walk more regularly and with a higher level of intensity so as to ”burn” more calories with regular exercise. These cases are, of course, circumstances that involve what is known as ”morbid” obesity. These surgically produced changes, however major, may help to improve the motivation to begin or continue the dietary and other lifestyle alterations that must accompany a comprehensive weight management program. In other words, these individuals are at high risk of life threatening conditions that require drastic efforts in order to save their lives.

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Walking It Off

by on Monday, March 14th, 2005

I have mentioned many times in this series that there is no better way to begin a cardiovascular improvement program than a regular routine of walking. Whether on a treadmill at controlled speeds and grades or outside on varied terrain or just around the block a few times, walking is one natural activity that human beings were designed and/or evolved to do. Aside from intensity and temperature related fluid needs (see ”Hydration”), walking is also, for the most part, an easy way to get started on a weight management program as well. But there are some details concerning measurement and ”workload” (and yes, walking is a form of mild to moderate ”work”) that need to be understood. And as in any exercise routine, caloric expenditure (the number of calories burned) is dependant upon the level of intensity and the time spent actually doing the exercise.

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Workout Time Vs. "Gym" Time

by on Monday, January 24th, 2005

I am continually amazed at the number of people that tell me about the amount of time that they spend in the ”gym” or fitness center. Quite a few ask me why they are not making the progress that they had anticipated when they started – or, more frequently-restarted their program. They insist that their time is well spent but would like to feel as if they are making more headway in reducing their fat weight, especially after they hit ”the wall” (a time when the initial progress in their program seems to slow down or cease altogether) after a few weeks. In many cases, I tell them, the problem is the fact that they are literally lying to themselves and to those around them concerning the time that they spend ”working out”. And I say this is the nicest way in the sense that most well intentioned individuals spend most of their time doing, well…nothing! That’s right. Aside from the typical ”cardio” workout that, indeed, will help to reduce fat weight ONLY if it is at a sufficient level of intensity (such as a well-implemented and motivational group fitness class), time in a fitness center is spent doing very little. Let me give two examples that may help to clarify the issue.

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Supervision and Partnering

by on Monday, August 25th, 2003

During the last few weeks, I have described the principles of a properly performed strength training exercise. When followed carefully, they will, in the absence of muscular disease, always increase or improve levels of strength. The final principle has little to do with technique but every bit as much to do with a successful strength training program-or, for that matter, any fitness routine. The final principle also deals with safety as well as performance and that principle is supervision and/or ”partnering”.

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