Tag Archives: fitbit

Healthier Together Series: Cycle 2D. Putting it all together — What it looks like now…

Today’s post is an example of putting it all together.

No matter the time of year, we should nourish our bodies. This 2nd cycle included much of the basics of nourishing ourselves. After a brutal winter, I am definitely needing to make sure my body & mind has what it needs to continue to function at its best. Spring is here & I get the feeling of fresh beginnings and new blossoms.

At this time of year, in addition to looking for a new haircut, outfit or makeup, I reassess my nourishing health behaviors and make sure to keep moving forward. In one of my favorite books, Joe X, the author, Avery Hunnicut, notes that we are never just maintaining. We are either moving forward or moving backwards. If you don’t move forward, you will move backwards by default. So, of course, I choose to move forwards every day.

At this time, I make sure I am continuing to stay hydrated ideally with water. During the winter, sometimes I get into habits of drinking other fluids too, so often in the Spring, I switch back to more water. I have a couple of water bottles that I LOVE — they are bright and colorful & girly and cheer me up when I see them, so I take a swig of my water. Sometimes, I will add lime or lemon or some mint leaves to the water – my favorite is a squirt of lime in my ice water.

So, I drink an entire large water bottle of iced lemon/lime water with my workout in the morning on waking. I’m wearing my heart rate monitor while I work out and I am logging my “data.” I keep track of my daily activity with a FitBit.

Although I feel active at work, I notice on the day I don’t do any planned work out, on Monday, I am lucky if I walk 4,000 steps at work! Yikes! I guess I am NOT so active at work. Now that I know, on Monday evenings, I will incorporate an evening walk with one of my boys, my dog or my husband. I also have great music I can listen to if I want to walk alone. My goal: to make sure I bump up that number closer to 10,000 steps!

On my workout days, I definitely hit the 10,000 steps. If I seem to be going way over, then I don’t feel so bad if on Monday (my day off from working out), I log fewer steps.

In addition, I note that my baseline (resting) heart rate is low (which is good when due to regular exercise). I also monitor how long it takes my heart rate to come back to baseline (my recovery time- remember shorter time to recovery means better fitness) & am very pleased it is still improving. I’m also excited because I am able to do so much more with the same effort. I’m continuing to move forward!

Finally, I have to check my sleep. I use the Sleep Cycle app on my iphone. I notice a pattern: 2 nights a week, I get only 5 hours of sleep. The rest of the week, I am getting enough sleep. I feel extra good about this because one of the reasons I continued working out regularly was so that I could function just as well on less sleep (which leaves me an extra hour a day to do what I want). I had learned that when people are fit, their sleep-time needs decrease. I needed to function on less hours of sleep in medical school, so I knew I had to maintain my fitness.

In addition, to make up my 5 hours of sleep debt in the week, I found I can make it up on most Friday nights if I am not on call & don’t have Saturday clinic. Also, I can add 30 minutes over several other days in the week depending on the week- I just have to schedule it. And, I realized that I will need to make a conscious effort to get in bed on time so I get adequate sleep. The boys, my sexy husband, the iphone, emails, internet, books & journals are easy to get lost in…Time flies & next thing I know, I am cutting into my sleep time! Note to self: set a pleasant alarm to remind me to put all that away & get in bed! If I can’t sleep, I will meditate quietly.

Summary of Cycle 2:
1. Assess daily water intake and find ways to increase water intake. Attractive water bottles help.
2. Assess baseline activity level (count your steps every day) & aim to increase it 10% every 2 weeks (NOT TOO FAST) until your average number of steps is at least 10,000 steps or more.
3. Learn your baseline heart rate by checking first thing in the morning & then learn how much time it takes your heart rate to return to that baseline after you have been active or exercising. As you get more fit, the baseline gets lower and your body return to the baseline faster after strenuous activity or exercise. That is fitness!
4. Figure out your average number of hours of sleep over 5 days & make sure you get at least 7.5 hours of sleep per night on average. If you are sleeping less than 7.5 hours on average, then you need to make it up over several days and find a way to get adequate sleep in the future. Determine which nights you can make up your sleep on a regular basis…your “make up sleep debt” nights. These are often the days when you can sleep in as late as you need.

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Healthier Together Series: Cycle 2B. Physical Activity — Look at the numbers…

andres-urena-qSw5XKtUyus-unsplashToday’s Physical Activity notes:

Numbers are real and give us a way to compare and evaluate things. They can help us keep track and improve our behaviors and processes in business and manufacturing and industry and science. Numbers are also helpful in our health. We look at heart rate, blood pressure, temperature, respiratory rate. We have people rate their pain level. We use numbers in assessing our risks for various diseases – ie. cholesterol, fasting insulin, blood sugar, hemoglobin A1c (representing an average of our blood sugars over 3 months), etc.

One way to assess your physical activity level and your fitness is to look at numbers also. In an earlier post, I discussed perceived exertion and monitoring heart rate. I recommend using numbers to keep track of what you are doing and where you want to go. Numbers are easy to monitor and helpful in setting goals and assessing your progress. Today, I recommend getting an idea of your general daily activity level & assessing your current fitness level.

1. General daily activity level. Wear a pedometer or accelerometer or use an equivalent app on your smartphone or get the popular FitBit or Apple watch to get 5-7 days of numbers. Find out how active you are at baseline. If you workout regularly, wear it also when you are working out. If you do not workout regularly, then you will see how active you are at this time when you are not regularly working out.

It helps to get many days of numbers and average them out. (You can get the average steps in a day by adding up all the numbers and dividing that big number by the number of days you collected numbers.) If you are walking on average closer to 3,000 steps total in a day, that’s more like a couch potato. If you are walking 10,000 or more steps a day, you can say you are active and your body will have the healthy benefits of increased circulation.

The goal is to figure out where you are starting & see if you can increase that number by 10% every 2 weeks. (10% would be taking off the last number in your daily average. For example: If you walk 3,000 steps, you would need to increase it by 300 steps in a day at 2 weeks, so that you are walking 3,300 steps total in a day).

2. Assess your fitness. First, figure out your baseline heart rate. Ideally, you will check this when you have been sitting or even better, first thing on waking up. Use a heart rate monitor if you have one. OR You can figure it out on your own by doing this: Find a clock that shows seconds. Find your pulse on your wrist: palm up, on the thumb side, under your wrist crease and to the outside of that middle tendons on the wrist, you can feel your pulse. Some people gently feel their pulse in their neck. Count the number of beats in 15 seconds and multiply by 4. If you check it every day for a week, you will have a good idea of your baseline heart rate range.

As your fitness improves, this baseline heart rate actually will get lower. This is because regular movement & activity (often called exercise), strengthens your muscles including your heart, so it can pump more with fewer beats. It becomes very efficient with each pump. That’s why highly trained athletes often have VERY low heart rates.

Now that you know your baseline heart rate, you will find out how much time it takes for your heart rate to return to the baseline range after exercise or strenuous physical activity (when your heart rate was higher than your baseline). From the time you have finished your activity or exercise, time how long it takes your heart rate to return to your baseline. As your fitness improves, the time for your heart rate to return to baseline will become shorter. In other words, your heart can adjust that much faster and more efficiently to the demands of your body. This is fitness.

It is nice to assess these numbers every 4-6 weeks & write it down! It is SO motivating!

 

Photo by Andres Urena on Unsplash