Life Coach - Counselor, Personal Trainer, Weight Management

Rachel Shasha, MA, NSCA

8500 Wilshire Blvd. Beverly Hills, CA 90211 phone: (310) 920-6225
Tuesday, November 03, 2009
Cramps On The Run

When I get a cramp while running, I always run through it. It hurts but I hate to stop — can that be harmful in any way? Should I slow to a walk until it goes away?

At some point almost all runners experience two different types of cramps, cramps in their side referred to as side stitches and muscle cramps.  Generally speaking, neither is harmful and preventative measures can be taken for both.  Side stitches are caused by a muscle spasm of the diaphragm when air or gas is caught underneath it.  The best way to get rid of it is to slow down and begin to breath deeply while pressing down on the area just below the ribcage.  There is nothing wrong with continuing to run at the same pace as you follow these instructions; however, it may take longer to get rid of the stitch.  The other type of cramp commonly experienced by runners is a muscle cramp, which is when your muscle involuntary and forcibly contracts and does not relax.  The most typical muscles affected are the calves, hamstrings, and quadriceps.  For these cramps it is important that you stop and both massage and stretch the area in order to prevent major damage to your muscle fibers.  The best way to prevent both types of cramps is to stretch your muscles well before and after running and to stay hydrated by drinking lots of water.  For longer more intense runs you may want to consider sports drinks that contain sodium and potassium.  Finally, cramps could be a sign that you are over exerting your body and you may want to acknowledge the message your body is trying to send you and slow down.

Water, Not A Fan

I do not like to drink water and I am a huge fan of soda.  I have recently switched over to caffine-free diet coke but would like to try to be a little healthier.  Do flavored waters like Propel have the same nutritional value as plain bottled water?

Flavored waters that naturally add a touch of fruit are a great way to drink in a healthier way.  The important thing to watch out for in flavored waters is whether they contain sugar or artificial sweeteners, as is the case with Propel water.  The sugar in these drinks has no nutritional value and adds unnecessary calories.  Artificial sweeteners, on the other hand, are still a topic of debate among health professionals in terms of long-term effects.  Furthermore, artificial sweeteners often don’t sit well with certain people and can lead to stomach problems.  Your best bet is to buy naturally flavored water or to make your own by squeezing fruit such as lemons and oranges into your water.  Any flavored water, however, is better than soda.

Carrying A Pouch

My upper abs are flat and toned, but I can't seem to get rid of the little pouch on my lower abs. I exercise, eat right and am happy with everything else on my body. Should I just learn to live with it?

Don’t give up on those lower abs just yet.  I’m sure you’ve heard the mantra “there is no such thing as spot reducing” more than you care to think about, but once again this statement is relevant.  Reducing overall body fat is usually the number one way to get a flatter tummy; however, if you already eat healthy and exercise regularly you probably are in the correct body fat percentage range.  Your dilemma sounds more like an issue of bloating or indigestion.  Sugar alcohols, which are found in many diet and sugar-free foods, including sugar free chewing gum, are the primary cause of bloating that can produce the lower abdominal pouch.  Carbonated beverages and food allergies also cause bloating, with the most common allergens being milk, nuts, eggs, fish, and soy protein.  Other things that will help reduce your pouch are abdominal exercises that work your upper, side, and lower abdominals.  And finally, don’t slouch.  By slouching, your lower abdominals lean forward and your pelvis tips back.  Good posture makes you look taller and slimmer, so when all else fails, stand up straight.

Sluggish Mornings

The only time I really have to work out is in the mornings, but I always feel sluggish and tired and like I'm not getting an effective workout. What can I do?

There are a few steps that you can take to try and alleviate your sluggish and tired workouts.  First of all, are you getting a good night’s sleep?  Everyone’s body has different needs, but generally 6 to 9 hours is sufficient.  Too little or too much sleep can affect your energy level throughout the day.  Secondly, are you eating breakfast?  After a prolonged fast (from dinner to wake up time) your blood glucose levels dip very low, which can influence how much and how well you exercise.  It’s not necessary to eat a large breakfast, but a light balanced snack could mean the difference between a mediocre workout and an excellent one.  Oatmeal made with milk or combined with some egg whites, smoothies, toast with peanut butter, and yogurt are some examples of breakfasts that can get your body going.  Third, are you overtraining?  It’'s important to give your body rest.  Taking days off or allowing for low intensity workouts will allow your body and muscles time to recover and get prepared for more intense workouts.  Make sure you give your body enough time to fully wake up before throwing on your running shoes; otherwise, you could be taking off still half asleep.  And finally, it’s tempting to stay in bed and snooze rather than get up and follow the same exercise routine you did the day before and the day before that, so mix up your workouts.
Tuesday, November 04, 2008

On Personal Trainers

All my friends are getting personal trainers and they look great. I already pay for a gym membership, and the cost of a personal trainer is too expensive. I would like to see more results from my workout, but honestly, does having a personal trainer make that much of a difference, or can you get that same workout without spending all the extra money?

 

Technically speaking, of course you can get the same workout without spending the money on a trainer, but that seriously depends on how much work you’re willing to put into achieve the same kind of results. As I list the main benefits of a trainer, I’ll give you tips on how you can go at it without a trainer, but you’ll ultimately have to ask yourself if you can commit to the work.  One of the greatest benefits of having a trainer is that they provide you with excellent motivation to stick to a regular exercise program and to stay committed to your goals. To by pass the trainer, ask a friend to be your gym partner and you two can motivate each other.  A trainer can provide workouts that are individualized to your body, your strengths, and your weaknesses.  This one will be hard to match, but you can get close by doing your homework and reading some books on how to train your body, especially if you have an injury that needs special attention.  A trainer provides efficient workouts so you don’t wander around the gym aimlessly wondering what to do next.  You can plan your own workouts before you get there to avoid wasting your time in the gym.  Trainers can show you the correct form and make sure you’re working out safely. Again, you can read about how to correctly execute moves as well as pay close attention to how your body feels when you’re working out.  Trainers provide you with new exercises, which keep you from getting bored and prevent you from hitting a plateau.  If you’re going at it alone, try not to fall into the same routine; not only will your mind be bored, but because your body will be too, it will stop responding.

 

As you can see, it isn’t impossible to get similar results without having a trainer; however, it makes things a lot easier with one.  My suggestion to you would be to buy a few personal training sessions and see for yourself.  Perhaps if you love it, but can’t afford it, you can treat yourself to it every once in a while just to spice things up; plus I’m willing to bet you will learn a thing or two!

Slimming down quick

 

I want to see the best results in the least amount of time from my workouts. What is better for you and will make you slim   fastest: cardio or strength training?

 

This is a very tricky question because the answer is both, but if “slim-down the fastest” actually means you have a short time limit (say a few weeks for an event) then cardio will probably be your best bet. If, however, when you are saying “slim-down the fastest” out of impatience, then the answer is, take a few deep breaths, realize that to healthfully slim down with a greater likelihood of staying slim, you’ll need both cardio and strength training.

 

If you need to shed a few pounds pronto to fit in something skin tight, then make sure you eat a very healthy diet mainly composed of lean protein and vegetables and take it to the cardio machines.  Stay hydrated by drinking lots of water in order to drop some water weight and sweat out those calories.  On the other hand, if you want to slim-down for good and have some more time on your hands (despite your own impatience), then balance your workouts and don’t kill yourself because, I promise, if you do, you’ll burn out before you reach your goal.  Cardio is great to burn off calories in the now, but in order to permanently increase your metabolism you need to build some muscle.  If you want to be most efficient, do about 45 minutes to an hour of cardio 4 to 6 times a week and circuit train 3 times a week, keeping your heart rate up so that you’re burning as many calories as you can as you weight train.  I understand that the hot weather brings urgency to slimming down, but try to accept that patience is key.  If you start now at a pace that makes sense, you’ll be more motivated to keep it up and by next summer there won’t be a need for urgency.

Lost in the Gym

I just joined a gym, but I’ve never really worked out using equipment before. What machines are the best for losing weight and adding a bit of muscle definition to my body?

 

Since you’re a beginner to exercise, it’s best to start slow and to gauge how your body reacts. A program with 20 to 30 minutes of cardio 3 times a week and weight training 2 times a week would be an appropriate goal for you to begin with.  With respect to cardio, try walking on the treadmill, riding a stationary bike, or using the elliptical.   Keep your workouts light in order to build up some endurance and not burn out too quickly.  Most gyms now carry cardio machines that allow you to grip handles that will read your heart rate.  There should also be a chart that gives you an approximation of where your target heart rate should be. 

 

In terms of weight training, you want to keep in mind that it’s important to work all major muscle groups.  Most of the equipment will have pictures and a description of how to use them and what muscles they target.  The major muscles you want to focus on are chest and back, quadriceps and hamstrings, glutes, shoulders, biceps and triceps, and of course, abdominals and lower back. Because it might be difficult for you to figure out how each machine works, how to correctly execute an exercise, and what weight is best for you, I suggest that, if you can, buy a few training sessions to help get you started.  A less personal, but also very viable option, would be to take some full body sculpting classes.  You won’t be using machines, but you’ll get a great introduction to using free weights as well as the opportunity to learn how to correctly execute exercises and how to balance your workouts.

 

Who's Measure of Health

Body mass index, height-weight ratios, I see them everywhere, but every one is different. How can you really measure if you are at a healthy weight?

 

BMI or body mass index is currently the most widely used measurement to assess what weight category (under, normal, over, or obese) people reside in and thus their potential health risks.  Recently, BMI has come under much scrutiny because of the limited information (height and weight) used to categorize people, which leads to mis-categorization of some individuals.  In most people, BMI is a fair indicator of whether someone is overweight, but certain populations may need to look to other sources for more accurate information. 

 

BMI doesn’t take frame size or body fat and lean muscle mass into account, which is why stockier, or more lean individuals (like athletes) could be considered overweight according to BMI numbers, when in fact they have a very healthy body fat percentage. Furthermore, someone who may be thin, but have a high body fat percentage may be categorized as normal according to BMI, when in fact they may have certain health risks due to their percentage of fat.  Children and teenagers, pregnant or nursing women, and individuals over the age of 65 also have a high risk of being mis-categorized and should not rely on BMI for classification.

 

A better, but less convenient, way to asses your health risks due to your size would be to measure your body fat percentage.  Many local gyms can do this using calipers; however, they’re tricky to use and even trainers aren’t always properly trained to use them, so ask for the personal trainer manager to ensure a better reading.  Many nutritionists also have equipment to measure body fat, and even if they don’t, they can often tell if you’re at your normal weight just based on your eating and activity levels.  The most commonly known accurate way to test your body fat is through hydrostatic weighing (done by a professional under water).  However, a recent development that’s starting to make an appearance is the iDXA machine, originally and primarily used to evaluate bone mineral density and diagnose osteoporosis in post-menopausal women.  According to Dr. Mary K. Oates, M.D., the machine can measure total body composition, including bone, fat, and lean tissue (which is primarily muscle) more accurately than any other method and all in one easy scan.

Exercising my Elliptical  

I just bought an elliptical machine for my home gym. How long and at what intensity should I be using it to see results?

 

Elliptical machines have become one of the most popular cardiovascular machines because they provide a low impact alternative to walking and running.  There’s no impact to the joints, decreasing the risk of injury and allowing individuals with joint problems to engage in cardiovascular exercise. If you’re a beginner exerciser, you should try using it at a low intensity for about 20 minutes 2 to 3 times a week.  If your elliptical comes with handles and arms for upper body movement, wait to use this feature until you feel comfortable with the lower body movement.  Just like any exercise program, monitor how your body feels and increase your intensity and time in small increments.  A good goal would be to work your way up to an intensity that keeps you in your target heart rate zone (there are many free target heart rate calculators on the internet that’ll give you an approximate number) for about 30 minutes to an hour 4 or 5 times a week (assuming this is your only source of cardio exercise).  Keep in mind, in order to get the best results in the shortest time, you should combine this with weight training 2 to 3 times a week as well as a balanced diet.

 

Sizing up Exercise Programs

There are so many different exercise programs out there it is overwhelming, and I have recently decided to start a work out routine for health reasons. I have always really disliked exercise, so how can I choose an exercise program that is right for me and will show results? With all of this exotic beauty craze, curvy women are becoming more appreciated. One problem: I have no butt. What exercises can I do to perk up the area to make my figure sexier?

 

The key to not disliking exercise is to forget about all the different exercise programs you’ve heard about and find one that you like!  In terms of cardiovascular training, do you like to swim, hike, jump rope, dance? Surely one of those might interest you. Mixing it up is a great way to keep from getting bored.  Another option is to pick a gym where you can watch TV while using cardio equipment, then try to go when your favorite show is on. If all else fails, recruit a friend and go walking.  Maybe you’d rather be having coffee with your friend, but I can’t imagine you’d actually dislike the exercise experience; after all, you’re supposedly with a friend.  Pick and do one of those options 3 times a week for 30 minutes to an hour and you’re home free.

 

In terms of weight training, again, recruiting a friend always makes things more fun.  Take classes and meet people there so that you don’t back out.  Try getting a personal trainer that focuses more on functional training. They usually have newer and more innovative exercises that are actually fun to do.  One thing to keep in mind is that, although you want to challenge yourself, you don’t want to kill yourself.  In my experience, many people who dislike exercise have the mentality that, if they’re not nauseated and ready for a nap after their workout, that they aren’t getting a good workout.  On the contrary, you should feel revived, more energetic, and in a better mood after working out. 

 

And, finally, in order to make that rear end shapelier, incorporate squats, lunges, and dead lifts into your workout.  Make sure you are using enough weight to feel a burn. Add some hiking and the Stairmaster to that and in no time your jeans will be filled to the max!

Originally written by me for Women's Health and Fitness Magazine 


 

Friday, October 31, 2008

Bulking up for Baby

 

I am trying to get pregnant and I really love physical activity. Are there certain exercises I shouldn’t do because they would make it harder for me to become pregnant? On the other hand, are there certain workouts that will make it easier for me to conceive?

 

No and no.  If you’re a regular exerciser, just stick to it.  Exercise won’t lower your chances of getting pregnant, nor will it increase your risks for miscarriage.  And unfortunately, there are no proven exercises that will increase your chances of becoming pregnant.  However, because it helps to not be overly stressed, you may want to consider adding something relaxing and therapeutic such as yoga to your regimen.  And as I’m sure you’re aware, being in good shape prior to and during your pregnancy can be very beneficial.  It’ll lead to a smoother pregnancy, easier labor, and best of all, it’ll help you return to your normal body weight much sooner after pregnancy.  So for those of you who aren’t ready to get pregnant just yet, but want to do so in the future, getting fit now will lead to tremendous benefits later.

 

Every Other Daily Grind

 

Someone told me it is more effective to work out two times in one day and then not work out at all the next, than it is to work out every day. Is this true?

 

No, this isn’t true. Not to say that it’s not effective to work out two times a day and take a day off, but it's neither better nor worse than working out every day.  I'm not sure what this person meant by working out two times a day, but some people split their cardio and their weight training within a day, but this is typically done by men who are interested in bulking up.  Thus, I’m thinking whoever told you this just meant combining cardio and some strength training twice a day or just doing cardio twice a day. If you decide to try this split workout and you’re using weights, make sure that you work different muscle groups each time you work out that day. If, however, you’d rather work out every day, then go for it; it won't be less efficient than going twice a day and skipping one.  Keep in mind, however, that 4 to 5 times a week of cardio is a sufficient amount of exercise even if you just work out once a day.

 

Tummy troubles

 

I want an amazing stomach. I know, who doesn’t? But, my largest problem is the sides of my belly down back to those love handles that just stick out when I wear anything tight. How do I get rid of them?

 

I wish I could give you the magic exercise to slim your waist and leave you with only love for your body instead of love-handles.  Unfortunately, your waist is the product of diet, exercise, and genetics (what’s new!).  The way to achieve an amazing stomach is to first lose any extra fat you’re carrying.  That means you need to eat healthy foods that are portioned correctly, such as whole grains, lean meats, vegetables, and fruit.  To supplement your healthy diet, you need to incorporate 4-6 days of cardiovascular training as well as 2-3 days of weight training.  Through this type of diet and exercise you’ll definitely shed fat and flatten your stomach.  If you incorporate abdominal exercises a few days a week, then as you shed fat you’ll notice the abdominal muscles that you’re building.  The rest is up to genetics.  Some people are wider than others, and if you’re searching for the hourglass figure but are shaped more like a pear, then it’s never going to happen.  But either way, a flat stomach is pretty sexy regardless of your waist!

 

Interval power

 

Recently, I have heard a lot about interval training. What is it, what are the benefits of working out this way, and is it for everyone?

 

Interval training is short, high-intensity exercise periods alternated with lower intensity exercise and rest.  The higher and lower intensity periods are alternated several times to complete the workout. Usually, people perform continuous training exercises by staying at the same basic intensity level throughout their workout.  Although this is very effective, interval training also has some great benefits you may not want to overlook. 

 

Interval training can help you improve your cardiovascular fitness level by forcing you to perform an aerobically (without oxygen) during the high intensity periods, which trains your body to utilize oxygen intake more efficiently when you’re at lower aerobic (with oxygen) intensities.  It also helps you to burn more calories during the high intensity periods as well as to break through plateaus by shocking your system with constant change. 

Interval training, although developed for athletic training, is good for everyone, but novices should start slow.  A good way to get started is to set the duration of your higher intensity levels from about 30 seconds to 3 minutes, and your lower intensity periods to approximately double that length (e.g., 1 minute to 6minutes).  For example, for every two minutes of jogging, you could run for one minute. 

 

Remember that there are no real rules to interval training.  You could walk for 5minutes and jog for 30 seconds. And this can be done with any exercise, not just running.  Be cognizant and take it to a level where you’ll feel challenged, but not to a point where you’re struggling to keep up.  Keep in mind that what you’re basically doing is exerting a lot of energy in a short period and then actively recovering (as opposed to just stopping and resting) while you prepare for the next short spurt of intense activity. 

 

Pilates Pains

 

Since I have recently started Pilates, I feel as if my neck and back have more tension during the day. They are sorer than before I even started this workout routine. Am I doing the Pilates wrong, or do I just have to bear through the pain until my neck and back muscles get strong enough?

 

Whether you’re performing Pilates wrong or not, I can’t answer without seeing you.  However, I can say that you shouldn’t have to work through pain, maybe a bit of tension, but never pain. Many people don’t realize that on a regular basis they carry their neck and shoulders wrong due to bad posture.  If this is the case for you and your posture is beginning to be corrected through Pilates, then it’s normal to feel some tension in your neck and back as your body adjusts to a new way of holding itself upright. Furthermore, if you aren’t accustomed to using the muscles in your neck and back, then what you might be feeling is soreness.  Try not to be discouraged just yet.  During the moves that involve your neck, try keeping your head resting on the floor for now. Also, during your workout, gently work your neck by doing slight neck rolls from side to side and down to your chest in order to release tension.  During the day, try to avoid jerking head movements.  These suggestions will help elongate and take pressure off your neck.  I’d also highly recommend that you ask your Pilates instructor for tips on how to minimize pain in your neck and back and make sure that you’re executing the moves with correct form.

 

Time vs. Distance

 

I go running three times a week for one hour. My best friend goes running three times a week for four miles, and she thinks that is better, even if it takes her less than an hour to get through her run. So, my question to you is, what is more important forgetting fit, the amount of time you work out or the distance you go?

 

Neither is better, both are good, and the best scenario is to mix it up.  Your body responds best to variety so doing the same run every time is less effective than mixing it up.  By working at a higher intensity for a shorter amount of time you’re training your body to utilize oxygen more efficiently.  On the other hand, longer runs at a slower pace, is an excellent way to build your endurance.  While improving both oxygen utilization and endurance is important, changing things up is the best way to keep your body from hitting a plateau.  Now maybe you and your best friend can compromise, run together, and reap the same excellent benefits. 

 

Originally written by me for Women's Health and Fitness Magazine 


 

© 2008 altMD, LLC. All rights reserved. Use of this site constitutes acceptance of altMD's terms of service and privacy policy. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.