November 2006 Archives

Check mark for the heart:

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Nutrition_1106.jpgWhat to check when
shopping for whole grains


By Sonia M. Quirino

Do you know what to look for when shopping for whole-grain foods?

Identifying products that have a significant amount of whole grain can be confusing, even for dietitians.

A good place to start would be to see if the product carries the American Heart Association's distinctive red and white heart-check mark. This simple logo means the food has at least 51 percent whole grains by weight, meets minimum daily dietary fiber content criteria and is low in saturated fat and dietary cholesterol. 


The American Heart Association has added the new whole grain category to its existing Food Certification Program to help consumers quickly select foods rich in whole grains, which are an important part of a healthy dietary pattern that should also emphasize fruits, vegetables, low-fat dairy products, lean meat, poultry and fish twice a week.

Whole-grain foods are made from the entire seed (kernel) of a plant. Common whole grains include whole wheat, whole oats/oatmeal, brown rice, whole grain barley, wild rice, popcorn and others. According to the American Heart Association, its heart-check mark is the only third-party symbol that identifies products that meet the FDA's criteria for whole-grain and dietary fiber content.

Whole-grain foods are an important part of a healthy diet because they are a rich source of both insoluble and soluble dietary fiber. Soluble fiber has been shown to help lower LDL cholesterol levels (the bad cholesterol), and therefore reduces the risk of coronary heart disease. Insoluble fiber also has been associated with decreased cardiovascular disease risk. In many scientific studies, diets rich in whole grain foods also have been associated with a decreased risk of cardiovascular disease.

On your next visit to the grocery store, remember to look for the heart-check mark along with the statement, "Meets American Heart Association food criteria for saturated fat, cholesterol and whole grains for healthy people over age two." You'll be confident you're buying a whole-grain product that delivers optimal health benefits. Diets rich in whole grain foods and other plant foods, and low in total fat, saturated and trans fats and cholesterol, may help reduce the risk of heart disease. For information on the criteria products must meet for the whole-grain certification and a list of certified products, visit www.heartcheckmark.org.

Sonia M. Quirino writes for the American Heart Association, which, since 1924, has helped protect people of all ages and ethnicities from the ravages of heart disease and stroke. These diseases, our nation's number one and number three killers, claim more than 910,000 American lives a year. The association invested nearly $474 million in fiscal year 2004-05 for research, professional and public education, advocacy and community service programs so that people across America can live healthier, longer lives. To learn more, call 1(800)AHA-USA1 or visit www.americanheart.org.

MILES AHEAD

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Strides_1106.jpgA short history of the mile

By Paul Baltutis

While we have the ancient Greeks to thank for the long distance race known as the marathon, we owe a debt of gratitude to the Romans for coming up with the unit of measurement called the mile. Roman generals needed some way of measuring distances to plan travel time in military maneuvers. So, the Romans based their long marches on mille passus (mille: one thousand, passus: a two step stride). If each step was approximately 2.5 feet, a passus totaled five feet; hence, a Roman mile was approximately 5,000 feet.


The British adopted the term "mile" from the Romans but modified the distance to 5,280 feet or eight furlongs (a furlong is 660 feet) because it was necessary to have a unit of measure that was divisible in another English unit of measure called the "yard." Some of us are familiar with track races that divide up the mile, like the 440 (quarter-mile) and the 880 (half-mile).

Americans have voraciously resisted changing over to the metric system, so we have retained the English system and the beloved unit of measure called "the mile." On an aesthetic level, the mile has a special allure about it. An interesting book was written by Neil Bascomb called The Perfect Mile, describing Roger Bannister's historic breaking of the 4-minute mile in 1954. It is a great book that will give you a better understanding of the psychology of a mid-distance runner. The mile, or the metric equivalent, the 1,500-meters, still has a huge appeal for track fans. Alan Webb's recent breaking of the 4-minute barrier as a high schooler in 2001 rekindled our interest in the mile and shows that we are still drawn to the mystery and the mystique of this distance.

Here's what I propose to you: Between now and the release of the next issue of South Texas Fitness and Health, go out to a track and run an all-out mile. You'll gain an immediate appreciation for the proper pacing that it takes to run a mile. It takes a certain ratio of speed and endurance. Here is a chart of the type of energy system we use in various distances:

Event         Speed      Aerobic        Anaerobic
                                  Endurance    Endurance

1 mile          20%         25%                55%
3 Mile         10%          70%                20%
6 Mile          5%           80%                15%
26.2 Mile    5%           90%                  5%

Running an occasional timed mile, and working periodically on your mid-distance speed, will result in a carry-over effect that can help you run faster 5Ks, 10Ks, half-marathons and marathons. Let's hope the mile will help you, just as it helped the Romans; to measure your progress and help you ultimately to carpe diem--sieze the day!

Paul Baltutis is the manager of Soler's Sports in Alamo Heights. He is a certified marathon coach for team in training. He can reached at sage_run03@yahoo.com
Health_1106.jpgAddressing the problem of
unhealthy habits in the workplace


By Michelle Thomas

Obesity has grown to epidemic levels in the US. Over 30 percent of Americans are considered overweight or obese. San Antonio is no different; we have even been in Men's Fitness "Top Ten Fattest Cities" list several years in a row! In 2005, San Antonio was awarded Men's Fitness "Least Athletic City" award.

So what can we do about it? With the everyday challenges of work, school and family, it's difficult to focus on health. Instead of trying to "find time" for health, we should try to incorporate it into everything we do -- starting with work.

Over the last couple of decades, several work-related factors have affected the health of the workforce, including how employees spend more of their day at the work site, which means they have less free time in their lives. Also, employees eat lunch at restaurants serving large portions, and they are utilizing technology that creates a more sedentary day, adding to the problem of obesity and health concerns.

So what do these unhealthy habits mean for businesses? Some of the most common consequences include:

• Unhealthy employees
• Increased absenteeism
• Lower productivity
• Lower morale
• Higher insurance claims and premiums

Some businesses are becoming more proactive by trying to reduce or change the negative impact of unhealthy employees by implementing wellness programs at work. The benefits are not limited to the employees; There are financial incentives for employers as well. Wellness programs are positive recruitment and retention tools, and research shows a significant return on investment when money is invested in comprehensive health promotion programs. The majority of savings are in the reduced number of health insurance claims.

Employers hold a valuable position in wellness initiatives. In order for the program to work well, it is imperative that upper management supports it fully by demonstrating leadership, implementing policies and incentives to make healthy choices the easy choices and promoting coverage for, and use of, preventive health services. They also should understand that they are the role models for the rest of the employees. They are there to model, support and encourage participation in the program.

One employer that has taken steps to create a healthier workforce is the City of San Antonio (COSA). Spearheaded by Steps to a Healthier San Antonio, a program of the San Antonio Metro Health District, the City is implementing a comprehensive work site wellness program for COSA employees. The Employee Wellness Advisory Committee will guide the programming to ensure that the focus is on relevant issues and that all programs are evidence-based.

City of San Antonio low-cost, high-impact
initiatives already in place


• COSA Walks the Talk - A walking program for groups and individuals.
• Bathroom Banter -
One-page health message sheets in bathroom stalls.
• Break Room Programs -
Educational and motivational signs.
• Stairwell Initiatives -
Posters encouraging stair usage.
• Wellness Wednesday -
Monthly educational meetings.
• Annual Employee Health Fair -
Information on health and insurance benefits.
• Mass Communications -
Health & benefits awareness information via Intranet & employee newsletters.

The City recognizes the positive impact that these and other programs will have on the health of its employees, their families and, ultimately, on the health of the City as a whole. Some of the benefits the City expects to realize are lower health insurance rates, more productive employees, improved morale, less absenteeism and, of course, healthier employees.

Desirable employees want to work for a company who cares about them, and what better way is there to show you care than to do something to improve someone's health? Other companies that have wellness programs are the cities of Austin, Houston and Dallas, USAA, HEB, the U.S. Coast Guard, Wells Fargo, PepsiCo and Corning Incorporated.

"How do I get my company to start a work site wellness program?" you may ask. Whether you are in management or a front-line employee, you can make a difference. It's important to gain support of a wellness program from your co-workers so you can guarantee participation, but it is even more important to gain upper management support to ensure that the program will actually happen.

When upper management has put its seal of approval on the idea, it's a smart move to develop a wellness committee. The size and structure will vary depending on the size and structure of the business, but such a committee will add credibility and give the wellness program a face (or faces). When working as an effective team, the committee will also be able to provide stability and sustainability and lighten the load. According to Moving into Action, a publication of the Centers for Disease Control, survey findings revealed that work sites that had wellness committees or coordinators offered a greater number of employee health and wellness services.

Once your program is established, don't forget to celebrate successes. Even the least expensive incentives, like recognition, keep people motivated and excited. Remember, your goal is to encourage long-term healthy lifestyles for everyone!

Resources for work site wellness programs

• Steps to a Healthier San Antonio, Metro Health: (210) 207-8846
• Wellness Councils of America: www.welcoa.org
• CDC Stairwell Initiative: www.cdc.gov
• Texas Department of State Health Services: www.dshs.state.tx.us/wellness/wwt.shtm

Michelle Thomas is a work site wellness liaison for Steps-SA, a program of the San Antonio Metro Health District. The program is funded by the U.S. Department of Health and Human Services is part of Steps to a Healthier U.S., a national program focusing on the prevention of diabetes, obesity and asthma and addressing related risk factors - poor nutrition, physical inactivity and tobacco use and exposure.

Increasing Lean Muscle Mass

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Fitness_1106.jpgResistance training is the key

By Shannon Sutton, CPT


Resistance training is one of the most effective ways of increasing your lean muscle mass. By doing so, you will burn more calories all of the time. The back is one of the larger muscles of the human body. It quickly and very efficiently responds to resistance training. A strong, healthy back also improves posture, reduces the risk of injury and, quite frankly, is appealing to the eye.

Lat pull
This exercise is great for melting the fat that hangs over your bra strap. Begin seated with your back slightly arched and navel pulled in. Inhale; then, slowly begin to exhale as you pull the bar down just below your chin. Be sure to squeeze your shoulder blades together and to lead with your elbows as you pull toward your glutes.

Seated rows
Inhale with arms extended, and exhale as you begin to pull back while squeezing your shoulder blades together. As always, keep your abs engaged and your chest against the pad. Repeat in a slow, controlled manner. Remember to inhale forward and exhale as you are contracting (pulling back).

High rows
Using a high pulley or a high row mach-ine, sit or stand with feet parallel and hips width. Engage your abs and repeat as you would do for seated rows. Keep in mind that the focus is on the back and abdominal contraction. Again, inhale forward, exhale back.

Consistent resistance training, along with proper nutrition and cardiovascular training will help you look and feel your best. Well developed lat's also give the illusion of a much smaller waist. Strengthening your back and core not only will you help you to prevent injury and burn more calories, but daily tasks will be accomplished with much greater ease.

Shannon Sutton is an independent certified personal trainer. Her certifications include ISSA, NASM, APEX and Reebok. 


She has invested years in helping individuals reach health, fitness and wellness goals. Contact her at (210) 722-3962.

Feature_1106.jpgTeaching aerobic dance for
30 years and counting


By Kelly A. Goff

From the first, Phyllis Patterson was hooked. It all started in 1974 after she graduated from college, when she attended a Jacki Sorensen Aerobic Dancing class with a couple of friends. "The first night we were in the back row," recalls Patterson. "I liked the music and movement so much that I moved to the front row the second night and my friends stayed behind." After taking aerobic dancing classes for two years, Patterson moved to the front of the class ... permanently. She became a certified instructor and hasn't looked back for 30 years.

"There was nothing else like it at the time," says Patterson. "It wasn't like it is now with 24-hour gyms and a big variety of fitness classes from which to choose."

Fitness with a twist
In fact, when Patterson caught the aerobic dancing fever, the program was still in its infancy, having only been developed and introduced in 1969 by Jacki Sorensen. At the time, Sorensen's husband was in the U.S. Air Force, and they were stationed in Puerto Rico. With a broad background in dance and a talent for teaching non-dancers, Sorensen taught all forms of dancing to dependents at Officer's Wives Clubs on various Air Force bases.

At that same moment in time, an Air Force exercise physiologist, Kenneth H. Cooper, M.D., had published the book, Aerobics. The book was a result of his quest to find out why some seemingly fit, muscular people had difficulty running, swimming or biking. His research focused on measuring sustained human performance in terms of the ability to utilize oxygen. In 1970, he published, The New Aerobics that solidified his place in history as the father of aerobics.

Jacki Sorensen knew about Cooper's research and wanted to see if her dancing was keeping her cardiovascular system healthy. She took his bicycle ergometer test, and her high score reinforced her belief that dancing was just as good as running when it came to staying fit. Aerobic dancing was born when she was asked to develop a television fitness program for Air Force wives. She choreographed a set of vigorous dances to upbeat music. After moving to New Jersey, she introduced the concept at a YMCA, and instantly it became popular. Today, Jacki Sorensen fitness programs are offered throughout the U.S. and Puerto Rico, as well as Australia, Japan, Vietnam and Russia.

Then and now
For the past 30 years, Phyllis Patterson has kept aerobic dancing alive and kicking in San Antonio. She's seen the rise and fall of Jane Fonda and Richard Simmons in the 1980s, noted the '90s popularity of Billy Blanks TaeBo (aerobic kickboxing) and has added strength training to her own fitness regimen. But throughout it all, Patterson has remained enthusiastically faithful to aerobic dancing.

"Music motivates me like nothing else," says Patterson, who teaches five, one-hour classes each week at the Jewish Community Center. She quotes the founder, "Aerobic dancing whispers exercise but shouts lots of fun. It's dancing for non-dancers."

Aerobic dancing classes last one hour. The first 30 minutes are dedicated to flexibility and stretching, warming up the body for the next half hour, which is a cardiovascular workout using choreographed dance steps led by an instructor who gives cues throughout the song. Each session lasts 12 weeks and has a theme such as, "An Invitation to Dance." It's a progressive format, with students learning one new dance each week.

"I like that each session brings something new," says Patterson. She and another franchise owner and instructor, Elaine Gardner, who teaches night classes, schedule a week off in between each session so they can learn the new choreography and coordinate around holidays or missed weeks. A serious testament to the popularity of class is the fact that students will schedule their own vacations or surgeries during the down week so they won't miss any classes. Patterson has students who have been taking her class faithfully for 20 years. "When you see someone two or three times a week, you really start to share each other's lives," she says. "We listen to each other and offer all kinds of support and camaraderie."

Safe and effective
Clearly the regimen is safe as Patterson has never been injured during class and to this day has no joint issues. She taught in the morning before she had her first son and did sit-ups the night before she gave birth to her second son, 21 years ago. She only took two weeks off from class with each child, coming back strong each time. One of her students marveled at Phyllis' dedication, commenting that she took vacations that lasted longer than Phyllis' maternity leave.

An even greater comment on the program comes from various doctors. "One of my students had hip surgery, and her doctor said she wouldn't need any physical therapy so long as she kept coming to aerobic dancing class," shares Patterson. "Another student with back problems had a doctor tell her he would only treat her so long as she kept coming to class."

Aerobic dancing, like most exercise, boasts the benefit of not only being good for the heart, but also the soul.

"I've had women who lost a husband or child and they came to class the next day, just looking for a little escape. Others have cancer and continue to come during their treatments, doing the best they can," says Patterson. "But we also share each other's good times and triumphs." A perfect example is the time Patterson sewed a bridal veil for one of her students who was getting remarried. "We made her wear it the entire class!" laughs Patterson.

Family-friendly teaching
Teaching also proved to be extremely flexible and family-friendly. She retired from her career as a speech therapist when she had children but continued to teach aerobic dancing. She switched her teaching schedule from evenings to mornings.

"When my boys were babies, I would just bring them to class with me because the gym offered babysitting. I hated to give up my boy's last morning bottle because I knew exactly how long it would take him to finish it before we had to leave for class in the morning!" she remembers.

She tried to learn her routines while the children were napping, but sometimes they just didn't cooperate. When her first son Clint was a baby, she used to learn the routines while he played in his crib. "I'd jog three steps forward to his crib and jog three steps back. It's so much easier to learn the dances when the kids aren't around," she laughs. "I was fortunate that my husband had his own legal practice because he drove the kids to school in the morning so I could teach. He was such a trooper all those years that when my second son Sam graduated from high school, we did a little presentation to thank 'Driver Dad.'"

During one vacation when the family rented a RV, Patterson remembers going to the back of the vehicle and thinking through the dances so she wouldn't forget the routine by the time she got back. "I'm sure the people driving by thought I was having spasms of some sort. I like to tell people I've danced across the country," she says with a wink.

Fringe benefits
The benefits that have come with teaching aerobic dancing are numerous. Not only was Patterson able to forge a balance between family and career, but also her children witnessed a daily dedication to fitness. As a result, both of her boys are athletic and enjoy sports of all kinds. Fitness has brought the family together with regular golf games and now family golf trips. Her youngest son is so sports-minded that he's currently the men's basketball team manager at Baylor University and is working on becoming a basketball coach.

"My father grew up on a farm and felt strongly that the key to a healthy body was exercise," says Patterson. "That philosophy rubbed off on me. Plus with aerobic dancing, I'm constantly challenged, encouraged and inspired by my students. I've never dreaded going to work; instead I wake up excited to teach. I tell my students, 'I don't know if you were nice before aerobic dancing or if it's the dancing that made you nice. Either way, I'm glad you're all here!'"