GETTING IN SHAPE FOR WINTER SPORTS
November 29, 2009 by Medical Dude
Filed under Nutrition & Diet
You should not begin the first phase of exercise without obtaining medical advice if you have one or more of the following symptoms or conditions:
Pain or discomfort in the chest, neck, jaw, arms or other areas
Shortness of breath at rest or with mild exertion
Dizziness
Sleep problems
Swelling of the ankles
Known heart irregularities or problems such as heart murmur
Unusual fatigue or shortness of breath during usual activities
If you know of no health problems and have none of the symptoms listed above, you can begin to get in shape for winter sports.
Phase 1. Start gradually by building up your endurance. If you cannot walk continuously for 30 minutes without pain or discomfort, start walking or some other form of exercise such as cycling or swimming and continue for as long as you can do so without fatigue. Then gradually increase your time until you can exercise continuously for 30 minutes without problems. Also, try doing some simple stretching for flexibility. After you have been doing these activities for a few weeks, you can move on to Phase 2. However, if you are a man age 45 and above or a woman 55 or older, you should get medical approval before beginning Phase 2.
Phase 2. Continue the Phase 1 activities, adding resistance training (1 set of 10-15 reps for the major muscle groups on 2-3 days per week) and vigorous aerobic activities such as running, walking, cycling, or swimming (3-4 days per week for a period of from 20-60 minutes). Start with the distance you can cover without undue fatigue, then gradually increase until you can do one of the following: run 3 miles, walk 6 miles, cycle 12 miles, or swim ¾ mile (usually 20-60 minutes). The work-out should also include a 10-20 minute initial warm-up and a 5-10 minute cool-down following the aerobic activity.
Phase 3. Continue aerobic, flexibility and resistance training, and consider additional conditioning related to the sport you have selected. Everyone should receive medical clearance before beginning Phase 3 activities, which include the winter sports featured on our web site (downhill and cross country skiing, ice skating, ice hockey, snow boarding, snowshoeing).
WHAT IS FITNESS?
There are several components to overall physical fitness. The primary building blocks are cardiorespiratory endurance, muscular strength and endurance, and flexibility. Other factors include your muscle-to-fat ratio (body composition), agility, sense of balance, and reaction time (especially important for sports).
The most beneficial program for overall fitness is one that addresses each of the primary fitness components:
aerobics for cardiorespiratory function
strength training and conditioning for muscular strength and endurance
stretching for improved flexibility
If that sounds like too much to handle, don´t despair. You don´t have to do it all every day, and every bit you do, helps. Just start slowly, and build gradually. Commitment is a must, but if you think fitness requires lots of time and grueling workout sessions, you haven´t heard the good news…

FITNESS GAME PLAN
1. USE CAUTION
Physical activity should not be hazardous to your health; consequently, its sometimes advisable to consult a physician first. Refer to the “Preparticipation Checklist” to see if you should.
Answer the following questions before beginning an exercise program:

2. DETERMINE YOUR CURRENT LEVEL OF FITNESS
Knowing where you stand will help you design a program that isn’t so difficult that it causes injury or frustration, or so easy that it fails to meet your needs. Completing the “Activity Assessment” will give you a good sense of where you are now and how to begin.

3. DEFINE YOUR GOALS
Decide what you want out of a fitness program and set goals. Doing so will keep you on track and help you motivate yourself to achieve the goals you set.
4. DESIGN A PROGRAM
Build a fitness program based on your needs and abilities (as defined by your fitness assessment), and on your desires (as defined by your personal goals). Take into consideration the time you have available and the activities you enjoy.
5. TRACK YOUR PROGRESS
Keeping track of your progress will not only keep you focused on your goal, but can help keep you motivated, as you witness how far you´ve come. Then you can reward yourself for a job well done!
FITNESS BASICS
Remember, “fitness” can be defined in many ways, depending on your goals, your current level of activity, and how much time you have available. A program that includes aerobics, resistance training and stretching will give you the greatest overall health benefits. But, if you can´t do it all, don´t sweat it! Remember the latest health advice: accumulating 30 minutes of moderate-intensity physical activity over the course of a day can add up to significant health benefits. The important thing is to do something, as opposed to nothing.
If you can do more, terrific! The formula above is the minimum. The following sections will help you select activities to build a well-rounded, efficient and safe routine. Before you jump into any fitness activity, though, check out “The Basics” for some crucial points that will help you get the gain without the pain.
THE BASICS: PRINCIPLES FOR PAINFREE FITNESS
Perhaps the two most important things to remember are: WARM UP FIRST, COOL DOWN LAST. These two crucial steps, with stretching as an integral element in both, will help you improve your health through fitness without suffering unnecessary pain or injury.


AEROBICS
Aerobic activity should be the cornerstone of any fitness program, with other activities added to this core. The key function of aerobic exercise is to make the heart muscle stronger and more efficient, helping you achieve the first component of the fitness formula: cardiorespiratory endurance.
Exercise scientists have devised specific formulas for realizing the full potential of aerobic exercise, specifying how much, at what intensity, for how long, and at what heart rate activity should be performed. Though these criteria are important, many people may view them as asking too much, and they can overwhelm or frustrate the beginner.
TAKE THE FIRST STEP TOWARD FITNESS
Most of us need to take a simpler approach: do something. The first step is just being more active – even if its only a little. Start by walking; it can always be worked into your day. Anyone can do it any time, in almost any place, without any special equipment. The opportunities are plentiful: go for a walk after dinner instead of watching television; walk to work; walk to the store rather than driving; or take the dog or the kids for a long walk. A moderately brisk pace is preferable, but build up to it gradually.
Of course, there are lots of other activities besides walking that will give you the benefits of an aerobic workout, and you should pursue as many as you can and want to. Choose the ones you enjoy most, and have a great time while you get in shape. Here are some other suggestions:


WEIGHT TRAINING
If you think lifting weights is just for pumped-up hardbodies who flex their “pecs” in public, think again. Building muscle benefits everyone – man or woman, at any age. In fact, older people may have the most to gain from weight or resistance training, because strength is so crucial to functioning independently.
Weight training will give you the strength and endurance to perform daily tasks more efficiently and safely – during work, errands and recreation. It can also:
If you’re just beginning, talk with a professional who can help you test your strength and recommend the best exercises for your ability and objectives. Improper lifting or lifting too much at one time can cause injury. (See “Strengthening Strategies” for key considerations to keep in mind.)
SAMPLE WEIGHT-TRAINING PROGRAM FOR BEGINNERS
(adapted from Dr. James M. Rippe’s “Fit for Success”)
Beginners should start under the guidance of a professional, and should attempt one set of each exercise using a weight appropriate to their abilities. Those at an intermediate or expert level should increase the number of sets to two and three, respectively.

STRETCHING
Stretching, though often overlooked, plays a vital role in keeping muscles and joints strong and pliable so they are less susceptible to injury. That’s why its such an important part of warming up before physical activity and cooling down after.
Spending a few minutes a day doing slow, deliberate stretches can also help you manage stress more effectively – giving you a chance to momentarily shut off outside stressors, and focus, physically and mentally, on your activity.
Books and articles describing specific stretches abound. A good routine should work each of the major muscle groups, and needn’t take long. Five to 10 minutes is all you need. Be sure to scan the “Rules to Stretch By” before you begin.
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SPORTS INJURIES
Nothing is more frustrating than finally getting involved in an activity you enjoy, only to hurt yourself and be forced into a prolonged rehabilitation period. Although some injuries may be unavoidable, proper conditioning and attention to the details of warm-ups, cool-downs, and stretching will help keep you off the disabled list.
AN OUNCE OF PREVENTION…
Preventing injuries requires both common sense and careful preparation. By following a few basic principles, you can help ensure that your activity won’t put you out of commission.
INJURY IDENTIFICATION
Being physically active shouldn’t be painful, but occasionally, injuries do occur. The most common ones are often what sports physicians call “overuse” injuries – usually a result of trying to do too much, too soon.
General muscle aches and pains are normal when you start a new activity or increase the intensity or duration of exercise, although proper stretching during the cool-down phase can help prevent much of the “day-after” muscle soreness. Pain in joints or ligaments, on the other hand, is typically cause for concern. (Refer to When to See a Doctor below.)
The most common types of injuries are:
SELF-TREATMENT GUIDELINES
Fortunately, many of the most common injuries can be treated at home, after you’ve assessed the severity of the injury and have determined that medical advice is not required. (Refer to When to See a Doctor below.) For strains and sprains, the most commonly recommended guidelines are easily remembered by the acronym R–I–C–E, for Rest, Ice, Compression, Elevation:

JUST DO IT!
Now that you know just how easy being more physically active can be, the only thing left is to DO IT. Just think about all the great things being physically fit will do for you and your health and well-being, and ACTIVATE YOURSELF. Involve your spouse, your family, your friends – anyone and everyone that you can. Start incorporating more active pursuits into your lifestyle, and before you know it, activity will be the most natural and enjoyable part of your day. Every single day you do something physically active – even if its just walking home from work – is one day closer to realizing the mental and physical benefits of fitness.And that can make you feel like you hit a grand slam in the World Series! Good Luck.
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