Tag Archives: heart attack

Fat Chick Rages: Don’t Teach Exercisers to Ignore Body Signals!

My dear friend Ragen Chastain mentioned on Facebook that she had gone to an enjoyable Zumba class the night before, but was dismayed the next day when she checked out the Zumba studio’s facebook page.  Apparently they posted an image stating: “Are You Feeling Dizzy, Sweating, Tired, Breathless? …  Good, Great Workout!!!”  I’ve posted my modified version below:

Not even going to take a chance this will get reposted without a little alteration on my part...

Not even going to take a chance this will get reposted without a little alteration on my part…

Okay, so let’s get started on how wrong this is.  Not a little bit wrong.  Not even a medium amount of wrong.  A Carl Sagan, galaxy-filled COSMOS of wrong.  This is not inspiring.  This is not cool.  This is irresponsible and dangerous.

This sign to me represents a culture where we learn to ignore the signals our bodies send as we work out.  This is about a culture of masochism, where the more pain and agony you endure during a workout, the closer you bring your body to the edge of absolute destruction during a workout, the better.  And as an exercise teacher this makes me absolutely crazy.  Because, the messages you receive from your body are the most important line of defense, the most important tool you could possibly use to keep yourself safe as you work out.

I don’t want to scare you.  Most people work out safely most of the time.  But there ARE risks associated with exercise.  If you have an underlying heart condition,  you are more likely to face a heart attack while working out than you are in your bed.  If you have issues with low blood sugar, they are more likely to surface when you are strenuously exercising.  If you are at risk for stroke, this is more likely to be an issue when you are taking an exercise class than when you are reading a book.  Again, the vast majority of the time, the vast majority of people exercise safely.  But when things do go wrong, they are often preceded by warning signs like excess sweating and severe exhaustion and shortness of breath and dizziness.  These are not indicators of a great workout.  These are indicators of a problem.  Exercisers ignore these symptoms at their own peril.

fatchickchirps.002-002As a fitness instructor, I remind my students over and over and over again that they must learn to listen to their own bodies.  I do everything I can to watch for visible warning signs and symptoms among my students.  But the first and most important line of defense is for them to recognize warning signs in themselves.  They will probably feel dizzy long before I sense that they look dizzy.  Therefore, it’s my job to create an environment where they feel safe caring for themselves.  Every time a new person comes to my class we have a ritual.  I ask my long standing students to help me.  I shout out, “What happens if you get the choreography wrong?”  My students reply, “Nothing!  It doesn’t matter!”  I shout out, “What if it hurts when I do this?”  They answer, “Stop doing it!”  I ask, “Who’s class is this?”  My students answer, “MY Class!”

I then remind the students that it is okay for them to modify any move that isn’t working for them and to ask for help if they need it.  I give them a “safety move” like gently marching in place they should feel free to do when they get stuck.  And I remind them that they can feel free to use any of the sturdy chairs located throughout the room to do a movement or even just rest in a chair whenever they feel they need to.  I work VERY hard to create an exercise space where my students feel emotionally safe doing whatever they need to do to take care of themselves.

fatchickchirps.004-002Although creating this emotionally safe space helps my students feel good about themselves, I don’t do it for that reason alone.  I do it to keep them physically safe as well.  A class culture based on “no pain no gain”, where students are discouraged to tough it out and not take care of themselves is risky and can be downright dangerous.  Teaching students to ignore the messages their bodies are sending is the absolute LAST thing we should do.

fatchickchirps.003-002I want students in my class to look different from one another.  A class where students are modifying moves and resting from time to time and approaching the movement in different ways is good and healthy.  It means the class is challenging enough for the more advanced students to get something out of it while being a safe place for less advanced students to increase strength, stamina and agility–gently and gradually.  It means everybody is working at their own pace and having a good time.  Which is as it should be.  When students come to me and tell me that they are in pain, that is a signal for me to make some changes to my class.  How can I teach that move differently?  How can I make sure everybody is working at their own pace?  How can I remind the students about body alignment and positioning to make them less likely to get hurt?  How can I make my class better?

As I have stated before, this is why it is often best to just watch the first time you encounter a new class.  Don’t wait until after you are in the middle of a testosterone-fueled judgement festival to determine that a class might not be for you.  Don’t put yourself in a situation where you might let embarrassment push you into hurting yourself–perhaps permanently.  Watch and learn.  If your gut tells you that this is a judgement zone that is not emotionally safe–then walk away.  If the class isn’t emotionally safe for you, it’s not safe.  Period.

We tell people that exercise should hurt and feel awful.  We tell them that listening to their own bodies is wrong and that they should push it until they puke.  We tell them that getting injured is a sign of their own weakness and that real exercisers don’t let sprains or stress fractures stop them.  THEN we wonder why half the world doesn’t exercise.

Fugeddabout it!

Find a way that your body loves to move and do that.  When it stops feeling good, and it starts to hurt, then stop.  Forever and ever, Amen.

Love,

Jeanette DePatie (AKA The Fat Chick)

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Biggest Loser: Part Two Corrective Guide Based on Exercise Science

screamer

If you are doing as the advertising suggests and watching the latest season of The Biggest Loser with your family, you may have seen some stuff that is pretty disturbing.  In the first episode, we’ve got folks falling off treadmills, needing emergency medical attention and the usual Biggest Loser Barf Fest.  We’ve also got trainers yelling, screaming, insulting and bullying contestants in the hopes of helping them get in shape.  But as I suggested yesterday, this is “reality” television.  And a lot of the techniques you see on this show are the exact opposite of what we are taught as fitness professionals.   A lot of that stuff is just plain wrong.  And some of it is downright dangerous.

As I mentioned in yesterday’s post, there is just so much misinformation about health and fitness on this season of The Biggest Loser, I just can’t fit it all into one blog post.  So here on Thursday Theater day, I bring you part two.  (Click on the photo above to see a short YouTube clip for this week’s Thursday Theater).  Let’s talk just a little bit more about what you and your kids might have “learned” on the show and why it’s a really bad idea to make it part of your fitness practice.

4.  The best way to motivate somebody to get fit is to yell, scream, curse at them, and bully them.

There’s an awful lot of evidence out there that bullying, yelling, screaming, shaming, cursing at and frightening people is a terrible long term strategy for motivating them to get and stay in shape.   People tend to be drawn to things that give them pleasure and shy away from things that cause them pain.  Being publicly shamed is extremely painful for most people.  In addition, there is ample evidence that people stick to exercise longer if they are intrinsically (internally) motivated rather than those who are extrinsically (outwardly) motivated.  So a person who identifies herself as an exerciser and works out because of the benefits she sees for herself (and also happens to enjoy the workout) is far more likely stick to exercise than someone who is motivated by shame and fear, especially if that shame and fear is applied by someone outside of themselves.  After all, what are you going to do when there isn’t a crazy mean lady who gets paid millions of dollars to scream at you every day.  Eventually you have to do it by yourself.  And you’ll have a much better chance of doing it yourself if you’ve built up the inner strength and self-esteem to be your own cheerleader.

And lest you be tempted to bully your kids into losing weight, let me tell you right now that this is likely to backfire.  Recent evidence indicates that kids being bullied from any source, be it school playgrounds, teachers, coaches and parents is likely to make kids engage in healthy behaviors and may make them gain more weight in the long run.  Not to mention the fact that kids who are bullied tend to have lower grades and poorer school attendance.  Being bullied frankly messes kids up, sometimes permanently.  If your kid is being bullied at school because he is fat, the last thing you should do is be another bully in his life.

5.  It is normal, feasible and desirable for a person to lose 10, 15 or over 20 pounds in one week.

When I was studying to be a personal trainer, I learned that there are two ways to lose 20 pounds in one week–dehydration and decapitation.  The weight loss levels on the Biggest Loser are not reasonable or sustainable by most people.  Furthermore there have been some suggestions that the length of a “week” (as long as 15 days) as well as hydration levels (including dehydrating contestants to the point of urinating blood) are manipulated to make it look like contestants are losing more weight.  The U.S. Department of Health and Human Services and the National Institutes of Health, suggests losing no more than 1/2 to 2 pounds per week. They suggest you may lose a few more pounds in the first 3 weeks of a program, but should not try to sustain weight losses at that level for more than two or three weeks without serious medical supervision.

Rapid weight loss can lead to a variety of health problems including gallstones, dehydration, dizziness, depression, and loss of lean muscle including heart muscle.  If you goal is health, the last thing in the world you want to do is lose lean muscle mass.  And losing muscle mass in your heart can be seriously dangerous.

Long story short, it’s not really safe or sustainable to lose more than two pounds per week at home.

To sum up, The Biggest Loser is a commercial television show on a for-profit network.  Press releases, promotional video and pompous rhetoric aside, their main goal is to make money.  Television shows make money by having better ratings.  Losing 1/2 pound per week in a rational sustainable way may be the healthiest option, but it makes for lousy TV.  Please take these facts into consideration as you watch the show, and decide whether or not to use anything on that show as a guide for your own health practice.  Because what makes for good TV may not make for a healthy body.  Please let common sense be your guide.

Love,

The Fat Chick

P.S.  If you are upset that The Biggest Loser has chosen to take on “childhood obesity” this season, consider signing our petition here.

If you’re looking for sensible and rational assistance for your exercise efforts, consider joining The Fat Chick’s Personal Training Programs.  If you sign up before January 14, you can try any of my training programs for just $25.  We’re also offering special training groups on the Fit Fatties Forum starting at just $10 per month!

There is a lot of very detailed and specific information about how to build a safe and pleasurable exercise regime found in my book The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of all Ages, Shapes, Sizes and Abilities).  You can pick up an autographed copy for just $16.95 (plus S+H) on my website.

Also remember that a little exercise adds up to a lot over time.  And exercise is more fun when you do it together.  So you might want to consider adding your exercise totals to our Fit Fatties Across America program.  We’re pooling all of our exercise minutes and miles as we make our way across the country.  We went 167 miles in the first few days of the program, and we’re hoping to reach St. Louis this week!  Make sure to enter your exercise data by noon on Friday to count towards this week’s totals!

Biggest Loser: A Corrective Guide Based on Exercise Science Part 1

screaming

If you were unfortunate enough to have watched the season opener for The Biggest Loser this year, you saw some very frightening and confusing things.  You saw people vomiting.  You saw people falling off treadmills.  You saw kids on the show with accompanying tinkly happy music being told that they should stand up to people who bully them.  You saw not one but three “fitness coaches” screaming at, hollering at, spitting at, disparaging and yes, bullying the adult contestants.  You saw a contestant being home for losing a “measly 15 pounds” in one week.   You saw paramedics coming to pick one of the contestants up.  All in one episode.

When it comes to the modern Roman Coliseum, this season opener takes the cake!  One was thrown to the lions.  One was carried off on a stretcher.  And several fell during battle.  And while this makes absolutely delicious material for snark, I want to take a moment out and do a little damage control here.  Because this year, the producers claim to be taking on the “challenge of childhood obesity”.  This year, they want you and your kids to watch the show together to learn about a healthy lifestyle.  And that, my dear friends, is a big, BIG problem.  Because a lot of what they depict on that show, is the exact opposite of what we are taught as fitness professionals.  A lot of the stuff on that show is just plain wrong.  And some of it is seriously dangerous.  So let’s talk a little bit about what you and your family may have “learned” on that show and why it’s not a good idea to apply those ideas to your own fitness practice.

1.  It’s a good idea for folks who are completely sedentary to start with exercise sessions that are several hours long, provided there are fitness trainers there to scream at them.

Exercise science seems pretty clear on the fact that accelerating rapidly from no physical activity to a lot of physical activity is a bad idea.  Starting out with sessions of several hours puts a person at greater risk for injury, burnout and sudden death.  So where should sedentary adults begin?  Here’s what the U.S. Department of Health and Human Services has to say:

Therefore, for a person who has been sedentary for some time for whatever reason, the initial dose of activity should be at a relatively low intensity, of limited duration, with the sessions (also called bouts) spread throughout the week. An example of this approach would be a walking program with sessions of 5 minutes of slow walking, 5 to 6 days per week, with the bouts performed at various times throughout the day (e.g., 3 times per day). As the person adapts to this amount of activity, the bout duration could be slowly increased to 10 minutes, and as exercise capacity begins to increase, the walking speed could be increased…

The US Department of Health and Human Services also cites various studies that indicate “when individuals increase their usual amount of physical activity the risk of injury is related to the size of the increase. ”  So starting out with several hours of exercise at a time, can increase chances for musculoskeletal injury.  Furthermore moving exercisers from a completely sedentary life to long bouts of vigorous exercise can be very hard on the heart.  Moderate, gradually increasing exercise programs are generally quite safe.  Yet each year about 75,000 Americans suffer heart attacks during or immediately after exercise.  Studies show that these victims are most often sedentary men over age 35 who were either at risk for heart disease or had heart disease and then exercised too hard and too fast for their fitness levels. (American College of Sports Medicine 2006).  So if you are sedentary and haven’t exercised in a while, be safe.  Start of slowly and don’t ramp your fitness levels more than 10% per week.

2.  In order to get a really good workout, you should ignore pain, dizziness and other symptoms that are normally associated with distress in your body.

On the show, contestants are told to “push through” physical symptoms like pain, dizziness, and weakness.  However, sports science indicates that these symptoms are important messages that can warn of a serious problem before it occurs.  According to the Mayo Clinic, shortness of breath, coughing and wheezing are possible signs of an asthma attack, and light-headedness, irritability, dizziness and confusion are possible symptoms of heatstroke, a potentially fatal condition.  Other causes for irritability, dizziness and confusion could be dehydration, a dangerous dip in blood sugar or even the onset of a coronary event.  For those of us exercising alone or at home, exercise danger signs are an important early warning system that should not be ignored.  Here are some of the generally accepted exercise warning signs:

1.  Feelings of dizziness or light-headedness

2.  Feeling tightness in chest, trunk, back or jaw

3.  Extreme breathlessness

4.  Unusual fatigue

5.  Nausea

6.  Loss of muscle control

7.  Allergic reactions–hives or rash

8.  Blurred vision or changes in consciousness

If you are exercising and experience any of these symptoms, it means you should stop exercising.  If these symptoms persist, it is important to seek medical attention.

3.  Vomiting is a normal part of any vigorous exercise routine.

Actually exercise induced nausea is a fairly common complaint, but there’s no reason to see it as a badge of honor.  In the past when questioned about this issue, Biggest Loser trainers suggested that the extremely high percentage of episodes of vomiting on the show are because the exercisers have a lot of toxins in their bodies.  I can find no research to back this assertion.  It appears the most common cause of exercise induced nausea (and vomiting) is again related to doing too much exercise at too high an intensity level too soon in an exercise program.  There are other potential causes for exercise-induced nausea.  A 4% drop in body weight from dehydration is enough to cause nausea and vomiting (a possible cause of the Biggest Loser Barf Fests).  While eating large fatty meals close to exercise sessions can trigger this nausea, the severely restricted diets of Biggest Loser contestants make this an unlikely cause.  In any case, exercisers should not see nausea and vomiting during workouts as a sign they are working hard enough, but rather as an opportunity to “fix” something in their training program that isn’t quite right.  Try an even more gradual increase in exercise intensity and levels from week to week.  Be sure to maintain a proper level of hydration.  Try not to eat large meals before workouts.  And consider changing your exercise mode (runners tend to have this problem more often than walkers or cyclists).

Frankly there’s too much misinformation and bad ideas in the Biggest Loser to detail them all in one post.  So, I’ll take up this topic again in another blog post.  In the mean time, please remember to let common sense into your exercise regime.  And also keep in mind that exercise does not have to make you miserable. You can reap physical, emotional and spiritual benefits while engaging in exercise that’s fun, pleasurable and reasonable.

Love,

The Fat Chick

P.S.  If you are upset that The Biggest Loser has chosen to take on “childhood obesity” this season, consider signing our petition here.

If you’re looking for sensible and rational assistance for your exercise efforts, consider joining The Fat Chick’s Personal Training Programs.  If you sign up before January 14, you can try any of my training programs for just $25.  We’re also offering special training groups on the Fit Fatties Forum starting at just $10 per month!

There is a lot of very detailed and specific information about how to build a safe and pleasurable exercise regime found in my book The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of all Ages, Shapes, Sizes and Abilities).  You can pick up an autographed copy for just $16.95 (plus S+H) on my website.

Also remember that a little exercise adds up to a lot over time.  And exercise is more fun when you do it together.  So you might want to consider adding your exercise totals to our Fit Fatties Across America program.  We’re pooling all of our exercise minutes and miles as we make our way across the country.  We went 167 miles in the first few days of the program, and we’re hoping to reach St. Louis this week!  Make sure to enter your exercise data by noon on Friday to count towards this week’s totals!

Plan Ahead to Deal With Holiday Stress

Thanksgiving is coming up next week, and the holiday onslaught will be here in just minutes.  We’ve all heard of holiday stress.  But few of us are aware of how dangerous holiday stress can really be.  Studies have indicated that cardiac mortality increases by as much as a third between Thanksgiving and New Years Day–even in mild climates.  And scientists have surmised that this increase may be due to holiday stress.

One of the things you can do to help minimize holiday stress is to plan in advance.  Learn how to set spending limits.   Manage expectations and understand that no holiday is perfect.  Prioritize, divest and delegate tasks so you don’t feel completely overwhelmed.  Plan ahead for how you will deal with critical or unkind family members and friends who feel a need to try to “fix” you.  And maintain healthy habits during the holidays–especially exercise.

Lucky for you, the HAES Happy Holidays Workshop, arranged by the amazing Ragen Chastain, begins tonight.  The program is “name your own price” so you can stay within your holiday budget.  And a variety of awesome speakers like Ragen, Marilyn Wann, Golda Poretsky and I will be talking about managing family relationships, looking fabulous, and dealing  with holiday stress.  I’ll be speaking tonight at 4PM PST–7PM EST about maintaining an exercise program during the holidays and setting up a rational New Years Resolution exercise program that is safe and super fun!

Procrastination also increases holiday stress, so don’t wait another minute.  Go sign up for the program and dial on in.  And help make this the best holiday season EVAR!

Love,

The Fat Chick