No time like a present: heart disease, metabolic syndrome and weight
Want to give yourself the gift of a lifetime? Aim for a healthy weight before you hit menopause.
We’ve discussed it time and again on Flashfree; weight gain and menopause go hand in hand like a horse and carriage. And with that weight gains comes an increased risk for developing heart disease, diabetes and the dreaded metabolic syndrome. However, researchers from the University of Ottawa are reporting that entering full menopause with a healthy body mass index (BMI) actually confers protection.
In the study (which appeared online a few weeks ago in the journal Menopause), researchers evaluated and observed 102 premenopausal women for body composition and changes in their cardiovascular health profiles. The women, all of whom were between 47 and 55 years of age, did not smoke, had a BMI between 20 and 29 and had had a stable weight for at least 6 months before the study started, were followed for five years. Each year, the researchers gauged if they had entered menopause, measured body composition (i.e. total fat mass, trunk fat mass and total fat free mass), waist size, the degree of abdominal fat and took blood to examine glucose, insulin and blood fat levels.
The study’s lead researcher, Dr. Denis Prud-homme explains that by simply observing the women and not imposing any structured interventions (e.g. diet or exercise) they were able to assess changes within a more naturalistic environment. At the study’s end, they discovered that despite significant increases in fat mass, visceral abdominal fat, blood glucose and cholesterol levels, most of which were the natural result of hormone fluctuations and aging, the women did not appear to have any declines in their heart or metabolic profiles that would indicate an increased risk for disease. Dr. Prud-homme says that a possible explanation might be that “even if the area of visceral fat is increased, it is still under the critical threshold associated with cardio-metabolic deterioration.” In other words, by maintaing a healthy lifestyle and BMI premenopausally, these women were able to change their risk equations once they fully entered menopause.
The bottom line is that the present you give yourself now will last long into your later years. Exercise. Eat right. And pay attention to your health.
No time like the present. For a present. Give yourself one.
Read MoreWednesday Bubble: Coregasm?
I ran across an article earlier in the week referencing a new study demonstrating a link between exercise and orgasm. And thought: “hold on.” Yet, a deeper dive into the topic demonstrates that it might very well be true, at least for some women. And while I admit that I am not a fan of the term “coregasm,” I could very easily become a fan of sexual arousal or pleasure during exercise; the premise intrigues me as I start to wonder if there is a way to combat aging issues of sexual desire/dysfunction through certain workouts.
Anyone for an “Exercise-O?” But I digress…
Researchers from the famous Kinsey Sex Institute at the University of Indiana in Bloomington write that “orgasms that occur outside of explicitly “sexual” contexts have received much less attention in sexuality research,” and are considered “anomalies, even pathological.” One such non-sexual behavior is apparently physical exercise, noting that “in recent years, popular magazines and Internet blogs have described exercise-induced orgasms, frequently identifying them as ‘coregasms’ due to the association between the type of exercise, i.e. those that work on the core, and orgasm.” However, they also say, gratefully, that this terminology might be incorrect due to a lack of evidence linking orgasm to core muscle activity.
So, why is this important anyhow (besides the obvious)?
Orgasm is incompletely understood and for women in particular, it’s often linked to a variety of factors, including sexual arousal, environment, life stressors, partner intimacy and caring and of course, lubrication. And, in my research I’ve discovered that for some women who experience exercise-related orgasm, they may start very early before they participate in sexual activity with a partner, necessitating counseling and assistance in transferring the ability from sports to a human, if you will. Moreover, as the researchers say, given the attempts to enhance sexual arousal, perhaps this research can start to shed some light.
Consequently, they surveyed 530 women between the ages of 18 and 56 who reported experiencing exercise-induced orgasm or exercise-induced sexual pleasure (i.e. coming close to orgasm during exercise) via email messages. The results, which were published last November in Sexual and Relationship Therapy are intriguing:
- 40% or more of women reported having had experienced exercise induced orgasm or sexual pleasure during exercise 11 or more times in their lifetime
- Almost 44% said that the first time it happened, it was during abdominal exercises, and over 50% reported having an orgasm during situps or crunches within the past three months. Other types of exercise that appeared to spur on recent orgasm included weight lifting (26.5%), yoga (20%), biking or spinning (15.9%), swimming or water aerobics (17.9%), running (13.2%) and walking or hiking (9.6%)
- Many of these same exercises were reported by women who experienced sexual pleasure, including biking/spinning, sit ups/crunches, lifting weights and yoga.
So, how do women feel about these experiences? Apparently, most say that while they are happy about these experiences, those who actually experience orgasm while exercising also express feeling embarassed or self conscious, fearing discovery by others if they vocalize their pleasure. Two women* I spoke to told me that if they are alone, they rarely do anything to stop it although they do control any overt visible displays. In public, they let it go on for as long as they can without losing ‘control’ and then deliberately redirect attention to the exercise. In fact, in the study, at least a third of women in the survey in either group reported that they could control their experience.
Women who orgasm during physical activity also say that it occurs without sexual fantasies, which suggests that perhaps there is a component of orgasm that is totally unrelated to sex. Yet, there are some women who associated sexual thoughts first, noting that they are very aware how many reps or time spent exercising will bring on an orgasm.This begs the chicken/egg question: does pleasure while exercise beget adjustment of thinking beget orgasm? Moreover, some women reported being motivated to exercise to reach orgasm or experience sexual pleasure, which takes away the spontaneous aspect of any hypothesis.
Regardless, the two women I spoke with in my side research shared some advice for those of who are fortunate enough to have experienced this. If you’re new to the exercise-O, game, Natalie offers this: “it takes a bit of self-control so in the beginning, you have to figure out what’s happening (“is this what I think it is?!”), acknowledge it and then purposefully redirect your attention to your surroundings.” For the more experienced, Ashley said that women should enjoy it. “You are lucky. Once you recognize what’s happening, enjoy it until you reach that point where you NEED to vocalize or publicly display your experience.” At that point, she adds, “I highly advise a quick “oh, I’ll save it for later…” and similar to Natalie’s advice, she says to redirect your thoughts.
Ironically, both women caution that if you are exercise-O prone, to stay away from moving objects, such as biking on the street or skiing, noting that the obvious: the moment it might take to calm your parts can mean an serious accident!
The researchers caution that more study is needed, especially since women were recruited online and that there was no quality measurement tool with which to gauge questions and answers. They also say that future research might want to focus on men’s experiences with exercise induced orgasm and sexual pleasure. Moreover, the triggers of either are still unknown. Still, the fact that I was able to quickly find two women who have experienced this phenomenon tells me that there are likely a lot more out there.
I’m intrigued. This could open up an entire new world. And I would love to see more of these types of studies done in women 50 and older. Until then? I prefer the term exercise-O over coregasm. But that’s just me. And this bubble ain’t burst. How refreshing!
*Names changed to protect identities.
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Motivating Women…Part 3: New Attitude
If you haven’t caught this week’s posts, I’ve been talking to three powerhouse women: Shonali Burke, Kami Watson Huyse and Julie Pippert about the changes that they are making in their lives to improve their health. From the reaction these posts have garnered, I am convinced that my instincts were correct: their stories are nothing but motivating, not only to other women but also amongst themselves.
The sum of our parts
One overriding theme that arisen as this series has unfolded is that as women, we are often as strong as the sum of our parts. Research has shown repeatedly that women thrive when they are supported by others. As I wrote several years ago ‘tending and befriending,’ nurturing our personal relationships, communicating to one another when we need help, finding a shoulder to cry on or simply offering a hug not only reaffirms who we are but can also provide an essential foundation to see us through. The same goes for starting and maintaining a healthier routine: if you have a strong foundation, there’s no limit to what you can achieve.
To a certain extent, aging has given these women strength to take on new challenges and has acted a personal motivator to take back their health. “I am actually really enjoying my 40s,” says Shonali. “I feel much more ‘together’ than I did in my 30s and definitely in than in my 20s. I suppose as you age, you realize that life isn’t really worth anything unless you are satisfied that you gave it your all each day.” And as Julie notes, it’s not as easy as it once was to “coast in good health.” Rather, she expresses that, like many of her peers, the challenges have piled on and “it’s harder and harder to keep up good health and good feeling, as well as a trim and fit body.” Moreover? The old adage ‘there’s no time like the present’ has certainly put its tendrils in these women’s psyches; Kami says that she knows that if she doesn’t “start now, I only get older from here.” This perspective is quite interesting because it does speak to the inside out; if you feel good about yourself, your outward glow certainly radiates a younger, healthier you.
A game plan
Your strategy for achieving personal wellness goals is just that: yours’. As noted, having a fitness ‘buddy’ or a personal trainer to lend support and push you to go the extra mile is optimal. So is journaling, says Julie. “I think it’s crucial to journal, at least during your initial phase of getting healthy, especially when it comes to eating right and being active. It’s a pain and not something I can maintain long-term, but each time I hit a plateau or start gaining [weight], I go back to journaling and see, oh yes, I am eating too much or too much of the wrong things and I’m not exercising enough. Or I’ve hit an exercise rut and it’s time to shake it up. Some people need a lot of shifting and I am one. You have to listen to your body. If you aren’t achieving your goal, it’s probably time to start journaling again and figuring out what you need to change.”
Give to yourself and they shall receive
As women, we don’t always adapt well to being on the receiving end. Mindful living, as I wrote about a year ago, is essential to our ability to care for others:
How do we acknowledge that be cared for does not equate to losing power or control but actually improves outlook, wellbeing, and ability to deal with any challenges that we might be facing, that allowing others to “do” empowers and does not ‘de-power?’ Is it fear of refusal? Or fear of letting go?
Importantly, being cared for also refers to being cared for by ourselves. That means incorporating healthier habits that will add that extra armor we need as we age. As Kami says, “it is so easy for us to put everything and everyone else first and forget that by taking care of ourselves we actually are doing everyone a favor,” adding that “as a mother and a spouse, when I am less stressed out and taking care of my health and wellbeing it is a much better environment in my home.”
When was the last time you stepped back and really stopped to take stock? “Women spend so much time looking after/worrying about others that they don’t take enough care of themselves,” says Shonali. “We need to nurture ourselves first; only then will we be strong and capable enough to do this for others.” She adds an interesting point of view about taking time, that it’s not selfish. “We need to take a second look at the word ‘selfish'” explains Shonali. “It’s not selfish to be well. It’s not selfish to give yourself personal time and space. It’s not selfish to make your own health a priority. In fact, it’s the best kind of selflessness, because only then can we truly and wholly care for others.”
If you are still on fence about diving into a new routine, just try. Be present, engage in the moment. Start slowly and build up. You don’t need to run a marathon the first time you step out in your new sneakers. And you don’t have anything to prove. However, also? Don’t lose sight of the joy and fun as you move through your goals: the humorist Josh Billings said it best:
“There’s lots of people who spend so much time watching their health, they haven’t got time to enjoy it.”
Motivating women. There are three in my immediate horizon and thousands more around me. And you? Take some time and look around. I bet you’ll be glad that you did!
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Motivating Women…Part 2: Be Yourself
We’re taking a break from our regular Wednesday Bubble and talking with three amazing women, Shonali Burke, Kami Watson Huyse and Julie Pippert. These women are graciously sharing their stories about the turn that their lives have taken with regard to health and fitness. Change is never easy, but neither is aging. That’s why I have been so intrigued by the upsurge I’m witnessing in the number of women in their 40s who seem to be committed to changing bad habits before those bad habits change them.
Last Thursday, the Centers for Disease Control and Prevention released a report outlining a trend among the medical community to increase its efforts to recommend that adults participate in exercise and other forms of physical activity. Since 2000, there has been a 40% increase in the number of adults who have been advised to incorporate exercise into their routines. Importantly, however, at each time point measured in the National Health Interview Survey, women were much more likely than men to have been advised to exercise. While this aspect of the Survey doesn’t elaborate on these data, studies have shown that gender does influence obesity rates and that worldwide, more women than men are obese. Not only are women challenged to run household and care for children, but many also work outside the home. This doesn’t leave a lot of time for meal planning and even less, for exercise. Nevertheless, both are essential for good health and wellbeing.
A few years ago, my friend, cookbook author Mollie Katzen suggested to me during our interview that even if women do nothing differently, as they age their bodies become less efficient metabolic machines, adding that one of the most consistent things she’s observed amongst her friends is the “oh my god, what happened to my body” moment. The ‘I’m minding my business, doing the same things I’ve always done and all of a sudden, I’ve got this spare tire, I’ve got the fat” epiphany. The answer?
Trial and Error
Health is trial and error. What works for one woman might not be exactly what works for another. We all need to forge our dietary paths and strategies that work for both our individual metabolism and our bodies. And if it isn’t working? Change it up and aim higher. Or differently.
Shonali explains that her trainer introduced her to two dietary strategies: The Primal Blueprint (aka, the Paleo diet, which focuses on balancing insulin levels in your body) and Gary Taubes’ Why We Get Fat‘ (again, focusing on insulin regulation). She says that while “there have been lapses,” I typically eat no grains, legumes or processed foods/foods high in sugar.” What strikes me as the most important thing in Shonali’s incorporation of a new way of eating into her life is that she tries to cook a meal every day consisting of a healthy salad and an entree that is protein-rich but also, she is “careful not to let myself feel hungry; if I am hungry, I eat…I just eat the foods I know are good for me.”
Kami says that while she may eventually go on a specific plan, like Body for Life , she prefers easing “into any dietary restrictions slowly. So far, I am just trying to back off on portions,” she explains, adding that “I have always eaten lots of vegetables and fruits but I am upping that.” Julie is also relying on portion control and is “eating very little meat, mostly fish,” and “as much fresh food as I can instead of processed food.” As a working mom of two and with a husband who has a long commute, Julie says that it can be hard to do regular family dinners but that she worked with a nutritionist who helped her “identify ‘eat this/not that’ convenience type [healthy] foods, such as flash frozen veggies and fruit but not packaged meals.” She adds that she ‘also attends free cooking classes at Williams-Sonoma to get easy and quick recipe ideas.
Set Goals
In Part 1 of this series, we discussed accountability and how answering to another person, e.g. a trainer, can help you get into a groove. However, it’s important that that groove is yours’ and your’s alone. Moreover, setting goals is part of that accountability but rigidity is not the aim; instead, goals need to be fluid and evolutionary.
Julie says that her “initial goal was to lose weight and get out of the overweight category. I wanted to eat right and get active. Once I achieved that, I wanted to work out a long-term health maintenance plan.” She adds that that entails tweaking portions and working on body toning. Kami’s goal is more specific: she wants to lose 10 to 15 pounds (minimum) to improve the pressure on her bad knee. After that, however, she says that “it would be great to reduce my waistline by 2 to 3 inches to get off some of the belly fat, which is, by far, worst for your health.” Shonali also says that her goals had to do with “losing a certain amount of weight and fitting into a particular dress size,” but now, she’s considering aiming even higher and is considering running and possibly training for a 5K.
To thine own self, be true
Guess what? It’s all about you. I’m serious. Don’t believe me?
All three of these women say that the primary outcome of the changes that they’ve made in their lives is that not only do they feel better, but they also feel better about themselves. Wow! Since Shonali has started last August, she has lost almost 20 pounds and 15″, reduced her BMI from 25.3 to 22.4 and lowered her body fat percentage from 31.6% to 24.3%. She’s also come down one dress size. However, here’s the rub: she says that “the numbers are great but what I really love is that I have more energy and stamina. I am much stronger than I used to be; I sleep better, I’m more focused with my work and my confidence has increased greatly.”
Kami’s journey has just begun (or as she describes it “just restarted”) and yet, her primary outcome echoes Shonali’s. “I feel better about myself and that is priceless.”
Julie, too, expresses a similar experience. “I lost 50 lbs initally,” she says, although this is at the low end of the weight range for her size and she’s not been able [rightly so] to maintain that. Still, She is at a healthy weight and at an average BMI. And most importantly, she explains “I have a lot more energy, huge improvements on stress and mood and I look better. That’s led me to dress better, feel better and achieve more.”
The lessons inherent in these outcomes are essential: aging can be bumpy and sometimes, our bodies don’t behave quite as we expect them to. Dress size, body fat, weight loss are simply keys that help to unlock the door to the most important outcome we can achieve: self-love. And when you feel good, that radiates out in unbelievably beautiful, gorgeous ways. I know it sounds cheesy but it’s true. Honestly? Be kind to yourself and to thine own self, be true. Like Kami says, the gift is priceless.
I hope that you’ll stay the course and tune in again on Friday for Part 3.
Read MoreMotivating Women…Part 1: Push
It’s no secret that an important trend on Flashfree has been physical activity and healthy habits. Some of that is personal: I am an exercise junkie and I believe (and studies continue to demonstrate) that it physical activity is an important key to emotional and overall wellbeing. It has also been shown to improve your sex life and help preserve bone density as you grow older, especially if you are a woman. Moreover, it takes two — diet AND exercise — to insure that your metabolism keeps pace with the rest of your life. Sure, you’ve heard it all before. And I can hear you telling yourself that you really try to get to the gym or out for a walk but somehow [fill in the blank] keeps getting in the way.
Psssst. Hey you! I want to share a gift with you:
Motivating women
All three of these women are in their 40s, which I love because it helps me practice what I preach — that the future, your future — is now. It’s going to creep up on you before you know it and suddenly, those 40s turn into 50s and the bones are getting brittler and the metabolism is slowing, fat is redistributing into areas that you never knew existed and somehow, maintaining what you have is a lot more difficult. Throw in hormonal havoc and wow! Trust me on this one; I’m living it. And if you are in your 30s and happen upon this post (and this series), please read it. Yes, you – 30 something year-old – because if you need some motivation, if you waiting for that push, I’ve got it for you.
I’ve known Shonali Burke for several years now. She’s a powerhouse in business and a gorgeous woman inside and out. I started seeing posts on Facebook that she was bootcamping (my word, not hers’) and I took note because this beautiful woman was shining in ways that I had not observed previously. An anomaly? Apparently not, because several other gorgeous, talented powerhouse women were likewise, taking on the world (and their bodies) one day at a time, including my friends Kami Watson Huyse and Julie Pippert.
So I approached them, wondering why this trend appeared to be taking hold, especially among women of a certain age group. And I believe that what they shared with me may help you to step back and try. Or try again.
Push
Kami says that while she used to be in great shape, having three kids and starting a business meant putting her own needs aside, “after a particularly hectic and stressful 2011,” She explains, “I decided it was time to make the time. Plus, I was starting to notice other signs of decline, a knee that hurts most of the time, a back that went out twice last year, and general levels of stress that topped my normal manic pace.” Never one to go down without a fight, Shonali shares that “as I grew older, the pounds crept on and I fell into the mindset of ‘well, this is just part of growing older,’ and accepted it, though I didn’t really like the way I looked or felt inside.” She adds that she noticed a friend’s Facebook post about starting a new regimen and figured “why not me too?” “Why not,” she says, adding that she’s “spent the last several years focusing on the health and wellbeing of various family members and not [her] own; it’s time to make my health a priority.”
Stress and babies and weight are fantastic motivators. So is life. Julie also explains that she “lost her health in a big way” as the result of a complicated pregnancy and an illness, started having thyroid issues, lost her home base and her ability to work and her health. Coupled with the loss of a friend to cancer, she says that “my mortality hit me like a ton of bricks” and that “I wanted my health, my energy, my figure and my self-respect back. I wanted to live and have a good quality of life.”
Giving that body the boot
Can accountability help? It appears that it can. And so can convenience. Shonali works out twice a week with Maryland-based trainer Grant Hill who practices “bootcamp inspired personal training” and says that her husband recently joined her.” She explains “what I particularly love about Grant’s approach is that he comes to my neighborhood and we work out at a local nearby park. I just LOVE this,” she exclaims, “it’s great to exercise outdoors, even in the cold, rain and snow.” Each session lasts 45 to 50 minutes and entails total body conditioning circuits. And when she doesn’t work out with Grant, she says that she either goes for an hour-long walk in her neighborhood, incorporating lunges into her walks, or uses an elliptical at home for at least 25 to 30 minutes. Kami says that she’s also enrolled in a Boot Camp program, and will be participating it in everyday. “I knew [that] I needed accountability, and since I have been in the habit of exercise before (she ran marathons in her 20s and 30s), I know it takes getting into that groove.”
However, if boot camp isn’t your thing, perhaps an individualized program (with a little help from an at-home trainer) resonates better. Julie says that she started with walking, especially when she moved from New England (where she says she just naturally moved more) to Texas (where, for landscape and weather changes) meant that she had to be more deliberate in her efforts. Eventually, she added jogging, hand weights and other ‘switch ups,’ and when she felt she had hit the wall, got busier and found herself bored with her routine, she “started doing Denise Austin Wake Up and Go workouts.” Compared to walking and jogging, she’s “noticing much better results, adding that “overall, my energy is up so I’m likely to jump up to do something than feel too tired to move.”
Get into the groove
For each of these women, self realization and routines are rote and part and parcel of their lives. But they are also the motivators that have helped them push themselves to make a commitment towards healthier lifestyles. It’s strange how life sometimes delivers a message over and over again. But nothing changes until we are willing to listen and get into our grooves to create new patterns that work for us.
Change is never ‘one size fits all.’ The overriding theme in these changes however, is that it’s never too late to get back on the horse.
On Wednesday, I’ll share how physical activity coupled with dietary changes has led to some incredible personal outcomes.
Meanwhile, tell me what pushes you? Have you recently made similar changes in your life?
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