Exercise Step by Step<\/p>\n
From too many superhero movies, the ubiquity of the fashionable \u2018six pack\u2019 or the success of \u2018The Paleo Diet\u2019 and \u2018Train Like a Caveman,\u2019 we seem to think health consists in being able to run miles, bench press our car and to have the capacity to rip a lion\u2019s heart out with our teeth.<\/p>\n
Whether such a person is healthy is an interesting question but not relevant for most of our attempts to be healthy.<\/p>\n
In this note I will outline the steps necessary to reap the health rewards of exercise. I mean almost all such rewards without dedicating every waking moment to peak fitness.<\/p>\n
From baseline couch potato, do the following:<\/p>\n
1.Step One.<\/p>\n
Do something. Anything. Just move. Don\u2019t ask the kids for the remote; find it yourself. Stand up. Sit down. Get half a glass of water and then go back for another half; again and again. Walk to the post office; don\u2019t wait for the mailman to mail something. Write letters rather than emails \u2013 I\u2019m only partially kidding – and \u2018walk to the post office.\u2019 Your correspondents will be flattered by a real letter too. Add to this list with hundreds of your own opportunities to move, just move. Every day, all day.<\/p>\n
2.Step Two<\/p>\n
Big leap here. One of my favorites: take the stairs. Always, every time, don\u2019t miss an opportunity. In medical school, I decided to always take the stairs up to 8 floors. I picked 8 as it covered most occasions of need and was not so many as to consume too much time. Look for stairs, climb stairs. Lift your knees, mimic a sprinter: head up, arms and legs driving; even if you need to go slow. No stairs; find a hill. Go up. Even if you take an elevator down; go up. The \u2018up\u2019 part is the health part. No hills, no stairs? Move! I hear even west Texas has some canyons you can hike.\u00a0 OK, not for you, then jump rope.<\/p>\n
Play a sport. I know golf is a good game and you can always carry your bag and walk the course, but it doesn\u2019t count for this step. Volleyball, basketball, badminton, horseshoes, Frisbee, Bocce. The idea here is bending, throwing, jumping, pushing, pulling, twisting. Don\u2019t start this step until you have routinely pursued the first two steps. Step Three is the beginning of you the athlete, of you the predator, the hunter. You don\u2019t need to join the NBA to play a sport. One that is available to even the lonely, shut-in is boxing. Get a speed bag and hit it; lightly at first as you build the tendon\/ligament\/bone\/muscle infrastructure but dance around it as you let out your frustrations. Rollerblade. Dance; here is another one that almost anyone can begin and do well enough to build the inner athlete.<\/p>\n
Now we are getting serious. This step is where you act to truly transform. Crisply, here is what you are trying to do: increase heart rate variability, increase range of motion and stability of all joints, and finally you are trying to increase your most fundamental source of all biological power; you are trying to stress and train your mitochondria. Rowing intervals, hill sprints, shuttle runs, play tag in groups. All share one important element: you should be bent over waiting for recovery, gasping for breath, ready to go again. Interval work one to two times a week is enough and is plenty to maximize heart rate variability and mitochondrial demand and training. Next \u2018get under the bar.\u2019 Very fundamental, muscle, power work: back squats, front squats, deadlifts. Be consistent, build weight and range of motion. Once a week for these is enough.<\/p>\n
You the octogenarian, septuagenarian, 20 year old – whatever \u2013 Primal Animal. Flip tires, tug-o-war, grapple with a trainer or your wife (N.B. I\u2019m kidding about grappling with the wife), switch from the speedbag to the heavy bag. Dig a ditch: dig one hole here and move the dirt there and fill the hole up. Repeat. Chop wood. No wood? Get a sledge hammer and hit a tire; over and over. Oh, and be careful; the sledgehammer might rebound. Pull weighted sleds, push them too.<\/p>\n
Conclusion<\/p>\n
You will have noted, I could list dozens of examples for each step but the progression should be understood and respected. The general outline holds whether you are starting for the first time as a 65-year-old retiree or are a detraining hyper-athlete. This sequence will build bone, improve balance, coordination, foot speed, increase insulin sensitivity, build muscle, absorb and decrease inflammation; it will make you healthier than any possible pill or combination of pills. It is that simple. I\u2019ll meet you at the Post Office!<\/p>\n
And read my book, \u201cQuantitative Medicine.\u201d It is available on Amazon and on one of my blog sites: quantitativemedicine.net<\/p>\n","protected":false},"excerpt":{"rendered":"
Exercise Step by Step From too many superhero movies, the ubiquity of the fashionable \u2018six pack\u2019 or the success of \u2018The Paleo Diet\u2019 and \u2018Train Like a Caveman,\u2019 we seem to think health consists in being able to run miles, … Continue reading