Older & Wiser with Sue Grant

Don’t Fall for It – Household Horrors!

As you can imagine, I am a little wacky about anything that could cause a fall, so you’ll understand why I am horrified when I see trip hazards in people’s homes!

Here are some things you can do to make your home less scary:

Bathroom

• Install grab bars around the shower or tub and toilet. Many people fall in the shower as they close their eyes when they shampoo their hair and tilt their head back to rinse.
• Put top quality non-skid mats in the tub or shower – slippery bathroom floors are terrifying!
• Use a padded tub or shower seat if you’re unsteady standing.

Floors

• Remove all clutter from the floor. Pet toys, papers, clothing – not on the floor!
• Get rid of throw rugs – they are evil!
• Secure carpet edges down so you don’t catch a toe on the edge.

Stairs and Steps

• Install handrails on both sides of stairs.
• Put reflecting tape on the top and bottom stair so you will automatically know where the beginning and end of the stairs are.

Clothing

• Hem pants so they don’t touch the floor in bare feet.
• Wear sturdy shoes with thin, non-slip soles.
• Consider wearing a medical alert device – they are worth their weight in gold if you fall and are all by yourself.

Lighting

• Install good lighting by doors and walkways.
• Install night lights or motion sensor lights in the bathroom, kitchen and bedroom. Walking from the bedroom to the bathroom in the pitch dark = petrifying! 

Away from Home

• Even if you have your own home fixed up to be as fall proof as possible, you still need to be vigilant about trip hazards and fall risks wherever you go.
• Keep a nightlight in your suitcase and install it immediately on the path between the bed and the bathroom when you check into a hotel.
• If you find yourself somewhere with stairs or steps without a bannister, ask someone for their elbow. They will be happy to help, and it’s SO much better than falling!
• If you visit your grandchildren, watch out for menacing toys on the floor that are just waiting to trip you up.

In short, you need to be your own advocate to prevent a fall – no one else is going to do it for you!   I encourage  you to be constantly on the lookout for horrifying trip hazards both in, and outside of your home.

Sue Grant holds numerous certifications within the health and wellness industry.

• Certified as a personal trainer by the ACE
• Certified as a Master Instructor for the FallProof Program
• Certified by the Arthritis Foundation
• Certified in Older Adult Fitness by the American Institute of Fitness Educators

Sue has also studied personal training and group fitness through U.C. San Diego’s Fitness Professional Certificate program. Click here to find her collection of DVDs.

Don’t Fall for It – “Sit to Stands” are Grand!

I met with a new home client yesterday who told me that he falls all the time but assumed that this was a normal consequence of his clumsiness.  Goodness NO!  As you probably know, one of the most frequent causes of death for older adults is “complications from a fall.”  At the risk of sounding overly dramatic, I told my new client that fall prevention is truly a matter of life and death.

There are many ways to minimize the chances of a dangerous fall, but I’m just going to write about one thing you can do in this article today.  Keep an eye out for my upcoming blogs to learn about additional things you can do to reduce your risk of falling.

Regular exercise:

This is (in my opinion as a Master Certified FallProof Instructor) THE most important thing you can do to reduce your risk for falls.  Exercise helps you to maintain lower body strength, which is crucial.  Let’s face it – everyone stumbles and trips a little during the day, but if your legs are strong enough, they can help you catch yourself.  If your legs are weak, then you will be much more likely to fall.

One of the easiest and most practical ways to improve your lower body strength is to do “Sit to Stands.”  You simply sit down and stand up from a chair.  Try to do a few Sit to Stands before every meal, and gradually increase the number of repetitions.

When you sit down, try to descend as s-l-o-w-l-y as possible – this will really help to strengthen your fall prevention muscles.

If you need to use your hands on the chair to stand up, then do so, but work towards using your hands as little as possible. The most advanced hand position is to cross your arms across your chest so that you are only using your lower body muscles to propel yourself. 

To measure your progress, see how many Sit to Stands you can do in 30 seconds.  Take note of which chair you use, and record the number of times you stood up.

It will be rewarding to see how much you’ve improved when you time yourself again in a month or so.  Just be sure to use the same chair so you’re comparing apples to apples.  As I’m sure you know, it’s a lot easier to stand up from a tall rigid chair seat than a low squishy couch.

These super-fast Sit to Stands are also a great way to add power to your workout, which is especially important as we get older.  Adding speed and power help to keep your fast twitch muscles tuned up, which help you to react quickly (which is essential when you stumble.)

Boring? You bet!  But anything’s better than falling and ending up in the emergency room!  Stay tuned for more fall prevention tips in my next blog.

"Ask Sue" - (2-Part) Exercising with Injury & Daily Meal Breakdown

Question: Good morning Sue.  I have 2 questions for you:

1). How would you suggest I continue exercising when I am suffering from hip bursitis and tendinitis in one arm/shoulder? I am 70 years old and have always exercised (your videos now but Leslie Sansone, Joyce Vedral, yoga, plus some balance ball, Jari Love, and HIIT). Right now I am doing some gentle walking videos plus MELT and other foam rolling.  I am basically healthy- most of my "issues" are structural so this is very discouraging.

2). You are so slim. Would you break down the type of meals you have over the course of a day. I am a healthy eater but can't lose that "last 10 pounds."

Thank You.

Answer:  Hi!  Thanks so much for your questions!   

OH!  I feel your pain and frustration with your bursitis and tendinitis!  Your joints might be happy exercising in warm water, but I’m not sure that’s a possibility for you where you live.  Have you been to a physical therapist? They might be able to help your “itis” issues heal faster.  If you do continue exercising on your own, you obviously need to have pain be your guide - don’t do ANYthing that hurts!  You can also try “tweaking” the plane of motion that you are moving - for example, if it hurts your hip to do a forward lunge, you could try tweaking that forward lunge to a diagonal lunge or a “rotational lunge” to see if  that helps.  Feel free to shoot me a private email if that does not make sense!

As for my meals - I’m so boring!  I eat lots of fruits and veggies, whole grains, clean proteins, and stay clear of processed foods and added sugar.   Sodas are an obvious no-no, and I’m sure I bug people when I always say “no thank you” to dessert.   I fill up on delicious healthy food, but always stop eating when I’m full.   This is probably not news to you because it sounds like you are already a healthy eater.  It’s actually more important, health wise, to be active and fit rather than to stress too much about those pesky last 10 pounds.  Keep moving as much as your hip and shoulder will allow, and enjoy your healthy food and active life!

Sue Grant holds numerous certifications within the health and wellness industry.

• Certified as a personal trainer by the ACE
• Certified as a Master Instructor for the FallProof Program
• Certified by the Arthritis Foundation
• Certified in Older Adult Fitness by the American Institute of Fitness Educators

Sue has also studied personal training and group fitness through U.C. San Diego’s Fitness Professional Certificate program. Click here to find her collection of DVDs.

Change Your Cell’s DNA with This Type of Exercise!

High Intensity Interval Training, or HIIT, is a very popular exercise regime, but many people have assumed that it is only for elite, highly trained athletes.  Not so!  Researchers at the Mayo Clinic have found that HIIT has even bigger benefits for older adults!

The idea of HIIT is very simple.  You exercise hard for a short while, rest for a bit, and then do it again.  You alternate between a short bout of intense exertion and a nice easy recovery.

The astonishing results of the Mayo research study were that some age-related deterioration of muscle cells had actually been reversed on people over 65 that did HIIT.  This is huge!  HIIT seemed to change a cell’s DNA in a way that boosted the muscle’s ability to produce energy.  It also triggered the growth of new muscle, helping to counteract the inevitable muscle loss that is part of the normal aging process.

These changes were more dramatic in the over-65 exercisers compared with a group of people under 30.  We rule!  

If you are considering giving HIIT a try, you should definitely check with your physician first. However, many studies have shown that intervals can be safe and beneficial for people with diabetes, heart disease, and more. 

If your physician gives you the green light, start off easy!  Begin your workout with a nice easy warm up (as always). If you enjoy walking, try walking briskly for a couple of minutes, followed by a slow stroll until you recover.  You can do the same sort of interval on a stationary bike or any piece of cardio equipment.  Gradually increase the number of intervals you do, but again, don’t overdo it at first!

I recommend that you do just one or two HIIT workouts a week, combined with light or moderate exercise on the other days.  You need to give your body time to rebuild bones and muscles to increase strength.

HIIT is not for everyone, but you may want to give it a try, now that we know how beneficial it is for us Older Wiser folks! 

Sue Grant holds numerous certifications within the health and wellness industry.

• Certified as a personal trainer by the ACE
• Certified as a Master Instructor for the FallProof Program
• Certified by the Arthritis Foundation
• Certified in Older Adult Fitness by the American Institute of Fitness Educators

Sue has also studied personal training and group fitness through U.C. San Diego’s Fitness Professional Certificate program. Click here to find her collection of DVDs.

"Ask Sue" - Recommendations for a Stretch Strap

Question:  I want a stretch strap make of textile possibly with loops and routines to go with it. Can you recommend anything?

Answer:  Glad you asked!  Be sure to be warmed up before you stretch.  Think of your muscles as being like salt water taffy - easy to stretch when nice and warm, but if you put the taffy in the fridge overnight and tried to stretch it in the morning…. Ouch!  Check out the OTPT original stretch out strap on Amazon - it comes with an instruction poster.

Adopt a "NEAT" Lifestyle for Better Health!

If you are one of the millions of people that don’t enjoy traditional exercise, take heart!  You’ll be happy to hear about the NEAT term, which stands for
Non-Exercise Activity Thermogenesis. (Big word!)  Thermogenesis is a metabolic process during which your body burns calories to produce heat.

NEAT is the energy you burn when you are not sleeping, eating, resting or deliberately exercising.  It’s a great alternative for those who either don’t have the time, or simply loathe exercising. 

Now that we have such accurate wearable fitness devices, researchers have been able to measure energy expenditure, rather than just count steps, and they have discovered that dozens of non-exercise activities can be slipped into our daily routine to help keep us healthy and fit.

Mayo Clinic endocrinologist James Levine coined the term when he was the director of the Obesity Solutions Initiative.  “Anybody can have a NEAT lifestyle,” he said.  “Our research showed that you can take two adults of the same weight and one can burn an extra 350 kilocalories (per day) simply by getting rid of labor saving devices and moving more throughout the day.”

If you are retired, home maintenance can be an excellent form of NEAT.  For example, making your bed uses as much energy as walking!  Scrub the counters, sweep the floor, walk the dog, carry the groceries, gardening, going up and down stairs – it all adds up. 

If you do need to sit a lot, emulate that wiggly kid in 3^rd grade that drove your teacher crazy – move your legs in various directions, stand up and sit down, tap your toes and lift your heels.  The more you move, the better.

How NEAT!

Sue Grant holds numerous certifications within the health and wellness industry.

• Certified as a personal trainer by the ACE
• Certified as a Master Instructor for the FallProof Program
• Certified by the Arthritis Foundation
• Certified in Older Adult Fitness by the American Institute of Fitness Educators

Sue has also studied personal training and group fitness through U.C. San Diego’s Fitness Professional Certificate program. Click here to find her collection of DVDs.

Dance For Increased Brain Health

In addition to providing physical, psychological, and social benefits, did you know that dancing is also really good for your brain? 

In a new study from Germany in Frontiers in Human Neuroscience, researchers divided healthy people 63 and older into two training  groups.  Half of the group did repetitive exercises that did not require new learning, and the other half enrolled in a dance program that required them to continually learn challenging new routines.  Classes were held twice a week for six months, and then once a week for the next 12 months.

As seen in MRIs, both groups had increases in gray matter in the hippocampus.  The hippocampus is involved in learning, long term memory, and spatial navigation.  However, the dancers had increases in more parts of this brain structure, and also had significant improvements in balance.

Atrophy in the hippocampus is part of the normal aging process, especially after age 70, but the great news is that this is one of the brain areas that can actually generate new neurons in response to physical and mental challenges – like dancing!  The key to the process, known as neuroplasticity, is to be moving while solving a cognitive task.

As we get older, many of us are worried about “losing our marbles.”  The authors of this study concluded that, “the additional challenges involved in our dance program, namely cognitive and sensorimotor stimulation, induced extra hippocampus volume changes in addition to those attributable to physical fitness alone.”

Even if you think you have “two left feet,” dancing, or doing some kind of activity that challenges you to learn new things while you are moving, will help you to keep those marbles!

Sue Grant holds numerous certifications within the health and wellness industry.

• Certified as a personal trainer by the ACE
• Certified as a Master Instructor for the FallProof Program
• Certified by the Arthritis Foundation
• Certified in Older Adult Fitness by the American Institute of Fitness Educators

Sue has also studied personal training and group fitness through U.C. San Diego’s Fitness Professional Certificate program. Click here to find her collection of DVDs.

The Surprising Benefits of Colorful Produce!

I just read a fascinating article about the benefits of colorful produce in one of my favorite health publications –  Berkeley Wellness.  I don’t pretend to be a registered dietitian, but I thought you might enjoy reading about the unique benefits we get from different colors of fruits and vegetables.  For the details, I encourage you to check out Berkeleywellness.com.

We all assume that colorful fruits and vegetables are “good for us,” but it’s fun to learn about each individual color’s specific benefits.  Here goes!

RED

Tomatoes, pink grapefruit, watermelon and guava contain something called lycopene, a red pigment.  Lycopene may inhibit the growth of cancer cells in various ways.  Who knew?

RED, PURPLE AND BLUE

Blueberries, strawberries, beets, eggplant, red and blue grapes, red cabbage, plums, red apples and cherries contain potent antioxidants that provide a reddish blue color.  These antioxidants may help protect against heart disease.  What a delicious way to keep your heart healthy!

ORANGE

Acorn and butternut squash, pumpkins, sweet potatoes, apricots, carrots, mangoes and cantaloupe contain alpha and beta carotene, which provide an orange color.  As an antioxidant, beta carotene helps mop up free radicals that may promote cancer.  Alpha carotene intake has been linked with a reduced risk of various cancers, including lung and cervical cancer.  Go, carotenes!

ORANGE-YELLOW

Peaches, oranges, tangerines, nectarines and papayas are rich in beta cryptoxanthin.  (I have no idea how to pronounce that……).  But it must be great, because in addition to acting as an antioxidant, this pigment may help suppress the growth of tumor cells, as in cervical cancer. What’s not to love?

YELLOW-GREEN

Corn, cucumbers (with skin) green beans, green peas, yellow and green peppers, honeydew melon, kiwifruit, romaine lettuce and spinach contain lutein and zeaxanthin,  two carotenoids that seem to protect eye  health.  They may reduce the risk of cataracts and macular degeneration, which can cause loss of vision.  So much for our outdated assumption that only carrots that are good for our eyes!

So, think COLOR when you shop for and eat produce!  The darker and richer the colors, the better.   Pale plant foods such as bananas, pears, and cauliflower also have their share of phytochemicals, and well and vitamins and minerals, so don’t feel like you have to eliminate them from your diet.  But after learning about the impressive benefits of each color, you’ll want to include highly colored produce in every meal and snack.  Enjoy the colorful spectrum!

Sue Grant holds numerous certifications within the health and wellness industry.

• Certified as a personal trainer by the ACE
• Certified as a Master Instructor for the FallProof Program
• Certified by the Arthritis Foundation
• Certified in Older Adult Fitness by the American Institute of Fitness Educators

Sue has also studied personal training and group fitness through U.C. San Diego’s Fitness Professional Certificate program. Click here to find her collection of DVDs.

How Many Steps a Day: Is 10,000 Necessary?

10,000 steps…….. or not!

You have probably heard of the recommendation to walk at least 10,000 steps each day.  This is a commendable goal, but if we don’t reach that target, it’s tempting to simply give up and throw in the towel.

New research has concluded that the 10,000 step target might actually be a little on the high side, in a report from Atlantic.com. 

Researchers from Harvard gave fitness trackers to 16,000 women ages 62 to 101 and counted their steps.  They then monitored their health for a four-year period.  In a comparable study, scientists from the renowned Karolinska Institute in Stockholm gave a similar device to 851 subjects, including almost 400 men, and tracked them for 14.2 years.  In other words, one trial observed an impressively large number of subjects, and the other monitored its subjects for an impressive number of follow up years.

Surprise!  After adjusting for diet, lifestyle, and other factors, the Harvard researchers found that the women who walked about 4,400 steps a day had a 41% lower risk of premature death than the least active gals, who averaged 2,700 steps.  The Swedish study also found that the most active subjects had a 50 to 70 percent decline in mortality during a defined follow up period compared to the least active, most sedentary participants.

Walking more than 4,400 steps further on decreased the risk level moderately, and the benefits plateaued  at around 7,500.

Harvard lead author i-Min Lee says the 10,000-step goal should be lowered to encourage more people to get walking.  “If you’re sedentary,” she says, “even a very modest increase brings you significant health benefits.”

Fun fact to ponder:  The 10,000 step target isn't actually based on scientific research – it stems from a 1960s marketing campaign for a Japanese pedometer that played on the fact that the Japanese character for 10,000 resembles a man walking!  

Take away message:  Don’t give up if you aren’t walking 10,000 steps a day.  Shoot for at least 4,400 – a much more manageable target.

Sue Grant holds numerous certifications within the health and wellness industry.

• Certified as a personal trainer by the ACE
• Certified as a Master Instructor for the FallProof Program
• Certified by the Arthritis Foundation
• Certified in Older Adult Fitness by the American Institute of Fitness Educators

Sue has also studied personal training and group fitness through U.C. San Diego’s Fitness Professional Certificate program. Click here to find her collection of DVDs.

Have a HEART! Helpful Tips for a Healthy Heart

Do you know the signs of a heart attack?  Do those dramatic scenes in a movie come to mind where the man clutches his chest and falls to the ground?

Both men and women can indeed experience intense chest pressure, but WOMEN CAN EXPERIENCE A HEART ATTACK WITHOUT CHEST PRESSURE!  Instead, women may feel dizziness, extreme fatigue, lightheadedness or fainting, shortness breath, pressure or pain in the lower chest or upper abdomen, or extreme fatigue. 

Even though heart disease is the Number 1 killer of women in the United States, women often attribute the symptoms to the flu, acid reflux, or normal aging.  Check out the American Heart Association website www.heart.org for more information.

The good news is that 80% of cardiovascular diseases may be preventable with education and action.  The American Heart Association recommends five 30 minute moderate exercise sessions each week.  While this may seem daunting, it is important to note that these sessions can be broken up into two or three 10 or 15 minute segments throughout the day.   As I always say, “A little bit of something is better than a whole lot of nothing!” 

Keep moving for a healthy heart!

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