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49.707 - The number of Americans that died from Hypertension (High Blood Pressure) on 2002.
1 - The number in millions of Americans that do not have health care coverage, although the US spends more on health care than other industrialized nations, and those countries provide health insurance to all their citizens.
65 - The number in millions of Americans age 6 and older who have high blood pressure.
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40+ - The percentage of Black Americans who have high blood pressure.
30% - The number of Americans in who have high blood pressure and don't know it.
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My question is this, I am about to embark on a weight loss plan in which I hope to lose 50 or more pounds. Are there certain things I can do along the way to help my skin go back, and not wait till I have lost the weight to address the problem? I am 50, and weight 235, I am 5'7" Any help would be greatly appreciated. - Mary T. Parker.
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- Compiled by Liza Hall, Group Fitness
Director, Plus One, California
(Source: American Heart Association) |
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Better Letter Trends
| Buff |
Fluff |
Enough |
| A free blood pressure and cholesterol screening at Walmart and Sam's club for the month of Feb. (American Heart Month) |
Not knowing that Cardiovascular Disease is the number one killer of women. |
Ignoring the sometimes sneaky warning signs that could signal a heart issue. Women are more likely than men to experience some of the other common symptoms (besides chest pain), particularly shortness of breath, nausea/vomiting, and back or jaw pain. |
I'll get checked today and take my sister, she needs an appointment as well.
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I'll make an appointment later, I'm too busy, now. |
"I should" make my heart screening appointment |
| Making the right choices today, right now. |
I know smoking is bad for me, but I'll quit tomorrow |
Engaging in smoking and other risky behaviors |
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The Better Buzz
How early on Sunday do you get the Monday blues? Do you feel drained and "used up" with little desire to return to work the next day?
Job Burnout. It consumes your enthusiasm until your motivation runs dry. Skills and knowledge remain intact, but the will to perform, your spirit, is gone.
If this is you, you're not alone.
Results from a 2003 Yale University study on workplace job stress showed that 80% of the participants described their job as very or extremely stressful, with nearly half having fallen into diagnostic depression or thoughts of suicide. The New England Journal of Medicine says that if you are burned out and continue working in the same job at the same pace for the same long hours, "the feeling will only increase, with possibly damaging effects".
"What happens in the mind of man is always reflected in the disease of his body", said biologist/educator Rene Dubos. Today, in the mind of man, is stress. All kinds of stress. Family, money, health. And job.
And, according to The Encyclopedia of Occupational Safety and Health, the most dangerous kind of job stress is job burnout. It's "more strongly associated with health complaints than financial or family problems put together".
Burnout results when individuals experience increasing amounts of negative stress. Stress itself is a neutral event, and it is up to you to interpret the stress as either being helpful (positive) or unhelpful (negative). For example, say you have a particularly difficult job assignment with a tight deadline. If you see the associated stress as positive, you may feel energized and excited. You may be motivated to put in the extra effort and hours to do your best work, feeling a strong sense of accomplishment when done. However, if you see the stress as negative, you may feel instantly overwhelmed, irritable, worrisome. You will most likely put the same amount of work into the project, but it will probably be done out of fear and obligation - not purpose and meaning. At
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the end of the project, you may feel drained, not energized to move on to the next one. Put enough of these negative stressors together and you're headed for burnout. The key factor to recovering from burnout is Personal Power - the belief that you can influence the world around you in the ways you desire. You've got to believe you're potent, that you have the power to influence your life.
While you have little control over other people, you do have control over yourself - something you tend to forget when you're feeling helpless. As you develop your capabilities, you will gain a sense of mastery and control.
All day you do for others at work, home, etc., but you don't take the time to recharge - to do for yourself.
Acknowledge yourself. Know your body and understand how your mind works. Realize you're worth it.
Build a Strong Support System. Of family, friends, co-workers. Whoever can help you buffer stress. People with strong social support systems tend to be healthier and live longer.
Exercise! Take the time to sweat it all out. During lunch or after work. At least 3 times a week. Jump on a cardio machine; take a class. Run, run, run! Dance, dance, dance!
Stretch! Nothing feels better than working out that stress through long, healthy stretching.
Modify or Change Jobs. Sometimes the best solution is to get out. Personal power comes in knowing what you need in a job and how to go out and get it. Take breaks. Vacations. Laugh! Do things you enjoy. Go to the movies more often, out with friends. Don't take it all so seriously.
So if time drags and you constantly watch the clock. If the lights around your desk or workspace are blinking and burn out frequently. If, when you hear rumors of layoffs, you pray 'Please, take me!' It may be job burnout.
Recognize it. Acknowledge it. Act on it. Life should be fun.
Jeffrey Fox - Group Fitness Instructor, New York
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What were They Thinking?
Oftentimes my Plus One Active Expert asks me to give him an "overall" rating of RPE for a particular workout session. I understand that RPE means Rating of Perceived Exertion and it allows me and my Expert to communicate clearly about the intensity ("how hard") of any individual exercise. But I do not understand how rating the entire session can help my Expert build me a better workout plan. What is my Expert thinking when he asks for my overall session RPE?
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The RPE or "Rating of Perceived Exertion" is an accurate and valuable measure of exercise intensity. Traditionally this measurement has been used for aerobic and endurance activities like walking, running, and cycling and frequently as a substitute for heart rate. Now with the ever-increasing use of resistance training, RPE is being used as a way for you to evaluate the intensity of an exercise set of reps using weights too.
Your Expert at Plus One Active is taking this concept one step further by asking for an overall Rating of Perceived Exertion for your total workout. This feedback from you will help him monitor the training load of your workouts, adjust the volume of your sessions to stimulate improvements and prevent monotony, and graph the RPE-based volume to minimize strain on your body.
So in this case, the Plus One Active Expert is asking for overall session RPE to design a complete training program that works just right for you.
Note: Plus One Active recognizes the work of Michael MgGuigan, Ph.D. from the Edith Cowan University in Australia and Carl Foster, Ph.D from the University of Wisconsin-LaCrosse, and the National Strength & Conditioning Association for publishing this very practical research. I rate their work a 10!
- Mike Motta is President of www.PlusOneActive.com
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Your Gold Standard Cookbook
Chicken Breasts Stuffed with Goat Cheese and Sun-Dried Tomatoes
Skinless, boneless chicken breast is a good source of LEAN PROTEIN. Eating small portions of lean protein throughout the day helps you balance your blood sugar level, curb cravings and manage your weight.
1 cup boiling water
1/3 cup sun-dried tomatoes, packed without oil
2 teaspoons olive oil, divided
1/2 cup chopped shallots, divided
3 garlic cloves, minced
2 1/2 tablespoons balsamic vinegar, divided
1/2 cup (2 ounces) crumbled goat cheese
2 tablespoons chopped fresh basil
3/4 teaspoon salt, divided
4 (6-ounce) skinless, boneless chicken breast halves
1/8 teaspoon freshly ground black pepper
3/4 cup fat-free, low-sodium chicken broth
1/4 teaspoon dried thyme
2 teaspoons cornstarch
2 teaspoons water
Combine boiling water and tomatoes in a bowl; cover and let stand 30 minutes or until soft. Drain and finely chop.
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Heat 1 teaspoon oil in a large nonstick skillet over medium heat. Add 1/3 cup shallots, and garlic; cook 4 minutes or until lightly browned, stirring frequently. Spoon into a bowl; stir in 1 1/2 teaspoons vinegar.
Combine chopped tomatoes, shallot mixture, cheese, basil, and 1/4 teaspoon salt, stirring well.
Cut a horizontal slit through thickest portion of each chicken breast half to form a pocket. Stuff about 2 tablespoons cheese mixture into each pocket. Sprinkle chicken evenly with 1/2 teaspoon salt and black pepper.
Heat 1 teaspoon oil in pan over medium-high heat. Add chicken; cook 6 minutes on each side or until done. Remove chicken from pan; cover and keep warm. Add broth, remaining shallots, 2 tablespoons vinegar, and thyme; bring to a boil. Combine cornstarch and water, stirring with a whisk. Add cornstarch mixture to pan; bring to a boil. Cook 1 minute or until sauce is slightly thick, stirring constantly. Serve sauce over chicken.
Yield: 4 servings (serving size: 1 chicken breast half and 2 tablespoons sauce)
NUTRITION PER SERVING
CALORIES 296(23% from fat); FAT 7.6g (sat 3g,mono 2.9g,poly 0.8g); PROTEIN 43.8g; CHOLESTEROL 105mg; CALCIUM 62mg; SODIUM 787mg; FIBER 0.9g; IRON 2.4mg; CARBOHYDRATE 11.3g
(Source: www.cookinglight.com)
- Compiled by Meredith Hill, Marketing Manager/ Plus One Health Management
- Forward by deNelle O'Connor, Registered Dietician/Plus One Fitness
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In The News
Plus One Health Management, Inc. announced the roster of its newly appointed Wellness Advisory Board on Workplace Health & Productivity today. The Wellness Advisory Board is comprised of experts in medical health, exercise science, wellness and workplace productivity. This independent group will help guide Plus One on the design and implementation of employer initiatives to reduce health care costs, improve employee health, and increase workplace productivity.
Mike Motta, President and Founder of Plus One, recently announced his company's introduction of several valuable programs that improve the efficiency of workplace health management. Thanks to these beneficial new procedures, Plus One's clients will find it easier to analyze employee health, reduce the risk factors that contribute to disease, and help companies take a more proactive role in creating healthier and more productive workforces. Plus One is helping employers large and small to see that they can make a difference in the health of their valued employees.
"We are honored to have the counsel of such an esteemed group of professionals. This is just another step in Plus One's evolution to achieve one focused goal; improve the health, wellbeing, and productivity of all the clients we serve". states Motta.
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Brain Food
Congratulations, Mary, on your choice to better your life and your health, and for remembering that we all have the power to better ourselves, each and every day.
A 50-pound weight loss will not necessarily guarantee the phenomena of "loose skin" if you lose the weight slowly. The experts recommend a realistic goal is no more than two pounds a week. For one thing, losing that amount of weight and keeping it off is truly a life changing experience. For most of us, unlearning behaviors that have been part of our every day lives takes commitment and focus, and we need to take the time to make the good changes stick.
Your concern about loose skin is a valid one. The skin is our largest organ. It protects the wearer against the elements, it fights bacterial and viral pathogens and antigens, prevents excessive fluid and electrolyte loss, and is an important part of the body's immune system. Since it is living and breathing it will adjust and "refit" to the body when weight is lost or gained, but it may happen slowly, which is another concern when planning the rate at which you plan to lose weight. Another is age, the younger you are, the more elasticity your skin has. Exercise is also of the utmost importance in any weight loss plan. Besides your cardio routine, find disciplines that will train your core, such as Pilates, so that when the weight comes off, you will be toned and strong.
Excess skin becomes a problem during the massive weight loss (several hundred pounds) that is experienced after laparoscopic adjustable gastric band (Lap Band) or a gastric bypass. Patients sometimes lose as much as 30 or 40 pounds in a month. Many people heavy enough to meet the requirements for weight loss surgery have stretched out their skin beyond the point where it is able to snap back, leaving the patients with large flaps and folds. Experts appear to agree that the only way to deal with this amount of skin is surgery.
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A few things to remember in your weight loss goals: Don't "diet". Common sense and exercise will help you get there, not food combinations, carb phobias, or fear of fat. Try not to consider certain food items "forbidden", or you will never stop thinking about it. Allow yourself a treat here and there, remember palm sized portions. (Your palm size, not King Kong's palm size).
Don't be frustrated if you experience a few "slips" here and there. Stay the slow and steady course. You want this to last for the rest of your life, so be patient. It took a while to get here in the first place.
See if you can untangle your self-worth from your body size. If you cannot (and you are not alone in this) then find someone who can help; a therapist, counselor, your best friend and/or partner.
Be kind and patient with yourself. Try "stepping outside" and pretend that you are your own best friend. Wouldn't you feel proud of your friend for deciding to make a healthy and monumental change in his/her life? Would you forgive them for being a human being and making mistakes here and there? Of course you would! So do it for yourself. Be nice. Give yourself a pat on the back!
Move! Use the stairs, park far away from work or from your shopping (but not if you will be returning to your car after dark), go dancing, don't watch TV during the week, clean out the closets, the basement.
Give yourself the time to let the process complete. A fifty or sixty pound weight loss will take a while. You may feel a little "lumpy" for a time, but the exercise will help. Try not to get frustrated. Those of us who are the products of a Western civilization want what we want, and we want it yesterday, but that doesn't mean that everything is actually going to happen according to our timetable. Utilizing an expert on www.plusoneactive.com will help you reach your goals and stay there.
Good for you, Mary! Be well, and good luck!
- Liza Hall, Group Fitness Director, Thousand Oaks, California.
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