Health & Fitness

 Terminology

 Testing

 Body Composition

 
 Testing Methods

 Exercise

 Nutrition
 

Understanding Health Terminology
Weight: The total weight of the body. This includes skin, bones, muscle, fat, water, etc.

Overweight: Having a body weight that exceeds an acceptable body weight based on height and frame size.

Obese: Having an excessive amount of body fat. Obesity increases a persons risks of diabetes, heart disease, high blood pressure, elevated cholesterol, and some forms of cancer.


 

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Body Composition Testing
Body Fat Analysis helps to determine your muscle mass in comparison to your body fat. Maintaining muscle mass is very important to daily wellness and overall health – especially if you are attempting to repair damaged tissue or recover from a serious injury. A bad muscle to fat ratio can actually be detrimental to an injured body.

When it comes to tracking your overall health, most of us rely on the scale to tell us whether we've lost or gained weight. But, this isn't the best way to keep track of your weight. A scale measures everything including muscle, fat, bones, and what you ate or drank that day. It doesn't tell you what you really need to know - how much fat do you have?

Body composition is simply the ratio of lean body mass to fat body mass. Too much fat can not only hinder your body from healing, it can lead to health problems like heart disease, diabetes, high cholesterol and other serious conditions. If you keep your body fat within a reasonable level, you'll be healthier and of course, slimmer.


 

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Understanding Body Composition

Body Fat Percentage: The percentage of the total body weight that is fat.
The measuring tape in addition to other body fat measuring devices are recognized as superior methods for measuring “weight loss”.  When one declares that they want to “lose weight”, what they often mean is that they want to lose fat. So, now that you’ve had your body fat percentage measured, what does the number really mean? 

First, your body fat percentage is simply the percentage of fat your body contains.  If you are 150 pounds and 10% fat, it means that your body consists of 15 pounds fat and 135 pounds lean body mass (bone, muscle, organ tissue, blood and everything else).

Knowing your body fat percentage can also help you determine if your weight loss goals are realistic. A certain amount of fat is essential to bodily functions.  Fat regulates body temperature, and cushions and insulates organs and tissues.  Remember, weight loss doesn't always mean fat loss.

The following table describes body fat ranges and their associated categories. 

 

Description Women Men
Essential fat 10-12% 2-4%
Athletes 14–20% 6–13%
Fitness 21–24% 14–17%
Acceptable 25–31% 18–25%
Obese 32%+ 25%+


Body Mass Index: Body Mass Index (BMI) is a number calculated from a person’s weight and height.
BMI is a reliable indicator of body fatness for people. BMI does not measure body fat directly, but can be considered an alternative for direct measures of body fat. Additionally, BMI is an inexpensive and easy-to-perform method of screening for weight categories that may lead to health problems.


The BMI values for women seem to be falling on the initial spectrum of the normal adult Body Mass Index, which should be somewhere in between 20 – 22. While the desirable body mass is about 21-23, obesity, which is at least 20% above the desirable range, can be assumed to begin at 27.5 and extreme obesity can be marked at 31.5 for women.

For women, their weight to height ratio could play an important role in trying to assess their health characteristics. Dividing one’s waist size by one’s height derives the weight-to-height ratio. If you are wondering what some seemingly perfect weight-to-height ratios might be like, a Barbie doll has a WHR of 25% while some college female swimmers might have a WHR of 42.4%.

Myth: BMI Measures Body Fat

Two people can have the same BMI, but a different percent body fat. A bodybuilder with a large muscle mass and a low percent body fat may have the same BMI as a person who has more body fat because BMI is calculated using weight and height only. This is a good reminder that BMI is only one piece of a person's health profile.
 

BMI Weight Status
Below 18.5 Underweight
18.5 - 24.9 Normal
25.0 – 29.9 Overweight
30.0 and Above Obese



 

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Methods of Measuring Body Composition
Waist to Hip
The ratio of the circumference of the waist to that of the hips.
Acceptable values are <0.9 for men and <0.85 for women.

Bioelectrical Impedance
Bioelectric impedance analysis is based on the principle that the resistance to an applied electric current is inversely related to the amount of fat-free mass within the body.

Simply explained, BIA measures the impedance or resistance to the signal as it travels through the water that is found in muscle and fat. The more muscle a person has, the more water their body can hold. The greater the amount of water in a person's body, the easier it is for the current to pass through it. The more fat present, the more resistance to the current. BIA is safe and it does not hurt. In fact, the signal used in body fat monitors can not be felt at all either by an adult or child.

Calipers (Anthropometry- Skinfold Measurements)
A skinfold test is where a pinch of skin is precisely measured to determine the thickness of the subcutaneous fat layer.

Using hand-held calipers that exert a standard pressure, the skinfold thickness is measured at various body locations (3-7 test sites are common). Then a calculation is used to derive a body fat percentage based on the sum of the measurements. Different prediction equations are needed for children and specific ethnic groups (over 3,500 equations have been validated). This approach usually uses underwater weighing as a reference method. The caliper method is based upon the assumption that the thickness of the subcutaneous fat (found just under the skin) reflects a constant proportion of the total body fat (contained in the body cavities), and that the sites selected for measurement represent the average thickness of the subcutaneous fat.

Skinfold measurements are made by grasping the skin and underlying tissue, shaking it to exclude any muscle and pinching it between the jaws of the caliper. Duplicate readings are often made at each site to improve the accuracy and reproducibility of the measurements.

Generally speaking, skinfold measurements are easy to do, inexpensive, and the method is portable. Overall, results can be very subjective as precision ultimately depends on the skill of the technician and the site measured. The quality of the calipers is also a factor; they should be accurately calibrated and have a constant specified pressure. Inexpensive models sold for home use are usually less accurate than those used by an accredited caliper technician. The more obese the subject, the more difficult to "pinch" the skinfold correctly, requiring even more skill to obtain an accurate measurement.

 

 

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Exercise
The following statements below are known as a PAR-Q or Physical Activity Readiness Questionnaire. According to the American Heart Association, if any of the statements apply to you, then you should consult with your doctor before beginning a vigorous exercise program.
  • You have a heart condition or you've had a stroke, and your doctor recommended only medically supervised physical activity.
  • During or right after you exercise, you often have pains or pressure in the left or mid-chest area, left neck, shoulder or arm.
  • You've developed chest pain or discomfort within the last month.
  • You tend to lose consciousness or fall due to dizziness.
  • You feel extremely breathless after mild exertion.
  • Your doctor recommended you take medicine for your blood pressure, a heart condition or a stroke.
  • Your doctor said you have bone, joint or muscle problems that could be made worse by the proposed physical activity.
  • You have a medical condition or other physical reason not mentioned here that might need special attention in an exercise program (for example, insulin-dependent diabetes).
  • You're middle-aged or older, haven't been physically active, and plan a relatively vigorous exercise program.

Listed below are the most current recommendations for daily physical activity for healthy adults under age 65 from the American College of Sports Medicine and the American Heart Association to maintain health and reduce risk of chronic disease.

  • Do moderately intense cardio 30 minutes a day, five days a week
    or
  • Do vigorously intense cardio 20 minutes a day, 3 days a week
    and
  • Do 8 - 10 strength - training exercises, 8 - 12 repetitions of each exercise twice a week

Here are some additional tips for your exercise to be effective...

  • Three 10 minute bouts of continuous activity throughout the day are just as effective as exercising 30 minutes straight.
  • You should exercise hard enough to have an elevated heart rate, yet still have the ability to carry on a conversation.
  • Exceed the bare minimum! Adding additional time or exercises to your regimen will provide even greater health benefits.
  • Include strength training. Stronger muscles and increased core strength add ease to everyday activities such as squatting/sitting, bending over, lifting, and moving objects.
  • Make stretching a priority! Stretching lengthens muscles, improves range of motion and flexibility, and increases blood and nutrient supply which helps reduce soreness after training.


For more detailed information on the updated physical activity guidelines... visit www.ascm.org or www.americanheart.org
 

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Nutrition
Keys to weight management
  • Breakfast has a literal meaning of “breaking fast”. Always eat breakfast to jumpstart your metabolism and decrease the body’s consumption of its own muscle.
  • Spread your calorie consumption throughout the day. Eat smaller amounts more often. Consume 5-6 meals and/or snacks every 2-3 hours. This will help control appetite and the body will have a constant supply of nutrients to provide more energy. This will increase your body's metabolism and help to maintain lean body mass.
  • Remember, if you consume more calories than your body needs, the excess is stored as fat.

Carbohydrates

  • Sugars, starches, and fiber are all macronutrients of carbohydrates. Sugar and starches in particular, are your body's main source of energy, while fiber aids digestion, promotes health, and protects from some diseases. Fiber cannot be used for energy like other carbohydrates because body cannot digest or absorb it into the bloodstream. As a result it is eliminated from the body.
  • All carbohydrates are not created equal. So what are "good" & "bad" carbohydrates?
    Fruits, vegetables, grain products, and milk all contain carbohydrates naturally. Whole grains are foods made from the entire grain kernel and are an important source of fiber. This is good.
    Processed and prepared foods usually contain added sugar. Some examples of added sugar include - white and brown sugar, corn syrup, honey and molasses. They supply extra calories and few nutrients. This is bad.
    You should c
    onsume unprocessed fruits, vegetables, and whole foods to avoid added sugar. Desserts and sugary snacks contain simple refined sugars which cause spikes in blood sugar.
  • The AI (Adequate Intake) level for daily carbohydrate consumption is 45 - 65% of your total daily calories or approximately 225-325 grams based on a 2,000 calorie diet.
  • Daily fiber recommendations are 38 grams per day for men and 25 grams per day for women.

Protein

  • Lean protein is essential to a balanced diet. It builds, repairs, and maintains all body tissues.
  • All proteins are beneficial, so consume a variety of fish, chicken and other lean meats.
    Beans, peas, nuts, and seeds are also protein options and good dairy sources of protein include cottage cheese, skim milk, and low fat cheeses.
  • The daily recommendation for protein is 10-35% of your total daily calories or 0.5 to 0.75 grams of protein per pound of body weight. The upper end of the range is for athletes involved in strength and speed training. Keep in mind excess protein intake does not build more muscle and is not stored as protein. It is stored as fat.
  • 1 ounce of any type of meat has 7 grams of protein. If you have to eyeball it, a serving size is about the size of a deck of cards.

Fat

  • The human body requires a certain amount of fat to insulate us and protect our bones and vital organs. Fat is also responsible for carrying some fat soluble vitamins (A, D, E, & K) and carotenoids (phytonutrients) into the bloodstream. Therefore it is not necessary to eliminate all fats from your diet. Knowing what healthy fats are and consuming them in moderation are key.
  • Unsaturated vs. Saturated fats.
    Saturated fats – These fats raise LDL (bad) cholesterol levels in the blood and can contribute to heart disease. They are solid at room temperature and include butter, margarine, shortening, lard, tropical vegetable oils, and can be found in heavy marbling in meat.
    1. Trans Fats - Through a process called hydrogenation, hydrogen is added to vegetable oil. This makes fat solid and increases its
        shelf life. It is a common ingredient in commercial baked goods and fried foods.
    2. Cholesterol - Essential for cell building, cholesterol has 2 types. There is blood (serum) cholesterol that the body manufactures and
        dietary cholesterol found in foods of animal origin. Total blood cholesterol is made up of both HDL (good) and LDL (bad)
        cholesterol. HDL carries cholesterol and other blood lipids away from body cells to the liver so they can be broken down and
        excreted. LDL carries cholesterol to body cells where they can form deposits on arteries and other blood vessel walls. Although
        HDL and LDL are not found in food, your food selections can directly affect these levels.
    Unsaturated fats – These fats do not raise LDL levels and are liquid at room temp. This group includes monounsaturated & polyunsaturated fats as well as Omega-3 Fatty Acids.
    1. Monounsaturated - olive oil, peanut oil, canola oil, avocados, and most nuts.
    2. Polyunsaturated - vegetable oils such as safflower, sunflower, corn, and soybean.
    3. Omega-3 Fatty Acids - polyunsaturated fats found mostly in seafood such as salmon, mackerel, herring. Flaxseed, flax oil, and
        walnuts are other sources too.
  • In addition to providing essential fatty acids, they are a major source of vitamin E in the diet.
  • Heart healthy fatty foods include nuts, olives, and avocados.
  • The daily recommendation for fat intake is 20-35% of your total daily calories.

     

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