Thanks to Will Faulker on Midlands 103 for having me on air today for our monthly show discussing physical activity and health. It is always a pleasure to discuss this topic. Today we focused on (i) the impact of sedentary behaviour on our health, with particular reference to cocooning earlier this year, (ii) how to simply assesses your current level of activity based on step count, (iii) setting a step goal in order to reduce your sedentary time, (iv) completing our step challenge for this month and (v) completing our balance and strength challenge for this month. If you would like to listen to the interview you can find it here https://www.midlands103.com/on-air/listen-back/ (Thursday 22.10.2020 starting at 1 hour 28 minutes 40 seconds). The blog below contains more details and videos to help you get started on this journey.
Impact of sedentary behaviour and cocooning on our health:
The research that is available to date on the effects of cocooning for the early months of 2020 show evidence for decreased muscle size, strength and function, decreased cardiovascular fitness, decreased metabolic and cardiovascular health, decreased mental health and decreased quality of life for our friends and family who were in this very difficult situation. Unfortunately, these consequences were to be expected based on what we already know about the detrimental impact of physical inactivity on our physical and mental health.
The good news is even small amounts of physical activity are very effective in reversing this process. We don’t have control over the restrictions, or the path of this virus in the immediate future, but we absolutely do have control over our own actions in terms of physical activity behaviour and the positive impact this has on our health. I hope this short blog with accompanying video is helpful to you at this time.
Join us in our “step challenge” this month to reduce your sedentary time!
Step 1: Assess how active you currently are by counting your steps every day for one week.
The first thing you need to do is quantify how active you are. The simplest way to do this is by counting your steps. You will need some technology to help you do this and some of the options you might like to use include the following.
Step 2: Determine if you are currently (i) sedentary, (ii) somewhat active, or (iii) active.
You are classified as being “sedentary” if you accumulate <5,000 steps per day.
You are classified as being “somewhat active” if you accumulate 5,000-8,000 steps per day.
You are classified as being “active” if you accumulate 10,000 steps per day.
Please note that all of these devices are designed to count steps. They are not designed to assess activities like, gardening, cycling, lifting weights etc. A simple way to translate this information into “steps” is to convert the time you spend doing the activity into steps. Please see a sample table below:
10-15 minutes of a moderate intensity activity
15-30 minutes of a moderate intensity activity
30-45 minutes of a moderate intensity activity
45-60 minutes of a moderate intensity activity
*Please note this is a very rough estimate based on low (15 minute) to moderate (10 minutes) levels of fitness. People with high levels of fitness complete more steps in a shorter time. Your height, leg length, stride length will significantly influence this, so we are just trying to provide you with a generic method of converting “time spent active” to “steps”.
So, for example, if you complete 30 minutes of any moderate intensity activity (e.g. circuit class, cycling etc.), this equates to 3,000 steps and you can add 3,000 steps to your step count for that day. Similarly, if you complete 30 minutes of moderate intensity gardening, you can add 3,000 steps to your step count for that day.
It doesn’t matter where you are at the moment. The log term goal is to reach 10,000 steps per day. That will be easy for some of you but extremely difficult for others. Because this is a blog to the general public, it is a little challenging to give very specific advice. The best way to approach this is to:
Tips to increase your step count:
You don’t have to go for structured “walks”, look at the opportunities in your day where you can increase your step count. Every step counts when it comes to your health!!!
Join us in our “strength and balance” challenge this month!
There was a lot of interest in balance training after our show in September on Midlands 103, so we have created this home-based workout video below to help you get started. As mentioned on air, it is very important that you train strength and balance in order to avoid frailty and falls as you age. The reality of frailty and falls is injury, disability, hospital admission, loss of independence and poor quality of life and well-being. Small amounts of strength and balance training can significantly reduce your risk of these issues.
This video is created and presented by John Bolton, our strength and conditioning, and injury and rehabilitation specialist. It contains a full 15 minute warm up at the start of the video followed by some strength exercises and finishing with some balance exercises. This video is appropriate for everyone regardless of your age or ability, but if your strength and balance is currently poor, please perform the exercises with the assistance or a wall, solid heavy chair, or indeed a partner to ensure that you are completely safe and at no risk of falls. Work to your own ability and range of motion.
How much should you do?
If you are low risk of falls you should do this type of training / video twice per week.
If you are medium risk of falls (poor balance, poor leg strength or have osteoporosis) you should do this type of training / video 3 times per week.
If you are high risk of falls (have had a fall, have had numerous falls) please start by doing this type of training / video twice per week, but build up to 4 times per week as you get stronger.
Yours in health,
Dr Diane Cooper & The True Fitness Team.