by kelsey | Apr 5, 2016 | Exercise, Weight Management, Wellness/Health

Watertown Recreational Trail Challenge
Have you ever wonder how many miles you have biked, run or walked on the Watertown Recreational Trail? This summer we want you to join the second annual Watertown Recreational Trail Challenge. Starting May 1 Keep track of how many miles you bike, run or walk, then at the end of summer by September 30 just turn your tracking sheets back in and we will tabulate who the three people are who have biked, walked or run the most miles and those three will receive awards and be recognized later in the month of October as the ones who put on the most miles on our beautiful trail system. You can pick up your tracking sheets at the Park and Rec Offices at the Fieldhouse or at the City Aud. now! Thank you to sponsors: Watertown DASH, Tim Toomey, Dr.Dan and Dr.Sarah Reiffenberger, and Brown Clinic STRIVE for making this challenge a success!
Dates: May 1-September 30
Fee: Free
Location: All miles must be on the Watertown Recreational Trail
For more information contact Jeremy at the Park and Rec: 882-6260.
by Dan | Apr 3, 2016 | Exercise, Goals, Motivation, Wellness/Health

Exercise requires great energy, strength, concentration…but how hard should you work? How hard is hard enough? When is too much, too much? Here is my family, showing off our sports, and the intensity in our face…we may be serious, but we have fun, and we support each other! We have our game face on: Bring it on!
We are all individuals, and that intensity can be perceived differently by all of us. In general, intensity can be split into 3 categories: High, medium, and low intensity. You can help judge is by your heart rate as well. Your maximum heart rate should be 220-age. Then take 75-85% of that for high intensity, 60-70% for medium intensity, and 50-55% for low intensity. If is always safer to start out slow, and work your way up, but eventually, you need to make it more challenging for yourself. You need to sweat, feel tired, and feel like you actually did something as well. Much of this is not so much about how far your body/legs can take you, but how far your mind can take you. We have to listen to our bodies, but at the same time, we cannot rely solely on our minds. If we do, we may never get out of our “comfort zone”. We have to push our limits, but we have to listen to our bodies, and mind, and find that balance. Finding that balance can be very tough!

Here are a bunch of us from run club getting ready to go for a run…putting our game face on! Ready to take on the day, take on the run. We are ready for a challenge. If life we face those same challenges, and the intensity of those things in life also vary, again, ranging from high to low intensity as well. How well conditioned we are can determine a lot of how we are going to handle those challenges in life. Are we going to get tired easily, and throw in the towel? Or are we going to use that towel and wipe off our foreheads, put our head down, and face those challenges in life head on? Again, intensity requires great energy, strength, and concentration.

Here I am doing a plank. To hold that position requires concentration, strength, and focus. When I do this in a workout I try to do continuously for a minute, take a break, then repeat back and forth. I could not even come close to a minute when I first started, and I would not have yet had I not become more “intense” with working at it.

Intensity requires a lot of strength, “reinforcements”, and concentration…more so to convince your mind than your body. When things with exercise get tough, do we quit or back down? When things in life get tough, do we quit or back down? The choice is ours…and yes it requires work and effort. But that does not mean you can’t have fun with it, and also help push yourselves in the process.

Here I am pushing my daughter Megan with her workout…or more so, cheering her on, with both of us laughing in the process. Bottom line, we were having fun, and spent more time laughing, but also, encouraging each other to keep working. I do this in my Fun Fit workouts during the week at Anytime Fitness, with all of us cheering each other on to keep going. We also do this with our weekly run club gatherings.

We can still be intense, but also, and more importantly, have fun! If you don’t also make it fun, it becomes a chore, a nuisance, or just plain work. You need to make it fun, and then you will keep doing it, and as a result, gain all the benefits of this as well!

As this states: The law of the land is intensity. Without it, you’re doomed to failure. With it, you’re destined for glory. Use that intensity to your advantage, and see how many other benefits this will give you every single day, with every single thing you do, to help solve and get through every obstacle and problem that you may encounter during the day! Your intensity can help you have “success in life”.
Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3110
by Dan | Mar 27, 2016 | Exercise, Goals, Motivation, Weather, Wellness/Health

Do you have Fortitude, that firmness of spirit, a steadiness of will in doing good in spite of difficulties faced in the performance of one’s duty? In achieving one’s goals? We all face challenges when it comes to exercise, and the biggest factor is the continuation of an exercise plan. We all get busy, we all face challenges, and we are have those days when exercise is not really what we want to do. These are the times when we need fortitude more than any other time. That strength of mind to keep going, especially when we know the benefit can be very high.

We need to push ourselves, especially when our mind tells us otherwise. If we can convince our minds, we can make it. Our bodies can take a lot more than we think. Here Sarah is pushing it towards the finish line of one of the 5k races we did. It does not mean that she did not have to work for it though.

When we push it, we know it! We will recover, but in the end we know that we gave it our all. That goes for all of it. As stated many other times, unless we are able to push past our comfort zones, we will never know how far we can actually go, or how much we can actually achieve! You would be surprised as to how much you can amaze yourselves as well.
But, in South Dakota, we also get to face the weather conditions as well. This in and of itself can be a huge challenge! A challenge that tests us physically, but even more so, mentally! Our bodies can take it if our minds are willing to take it on.

Here Sarah and I are coming across the finish line of the Turkey Day Race on Thanksgiving. At this time of year, the temperature can be very cold, and can be tough to convince yourselves to get out and just do it! When it is a race like this, it is always helpful when there are more people involved. It helps motivate you to keep going, and to go out and exercise, whether running or walking. Otherwise, when it is cold, or snowing, it is very easy to say “forget it, not today!”. Been there, done that. It makes you stronger overall when you still exercise in conditions like this. Life is always throwing curve balls, and the saying “adversity makes you stronger” comes even more into play. You feel like you can handle anything that life throws at you when you can go exercise in conditions that are far from ideal.

Regardless of the conditions, you can do it. If you wait for conditions to be perfect, you will never get anywhere. It is very rarely perfect. But boy when they are, it makes it even more worthwhile!

Have the courage to face that adversity, and potentially poor conditions, and see what you are capable of doing…just like life in general. The daily grind of everyday life can take its toll as well, and it is easy to feel frustrated by it. Stick to that strength of mind, that firmness of spirit…that Fortitude!

Here Steve, one of our run club members, and friend, sums it up well with his shirt…run forever! That can translate to exercise forever, walk forever…keep moving forever! Use it or lose it. You need to have the fortitude to continue at those times of adversity in order to make us stronger in general.

Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3103
by kelsey | Mar 22, 2016 | Diabetes, Diet, Food, Weight Management, Wellness/Health

One of the most frequent questions I get from patients is what the real truth is about artificial sugars. You hear all kinds of good and bad things about them, so how do you know what to believe?! Well….here’s the facts:
Artificial sweeteners or sugar substitutes refer to substances that have little to no calories or other nutrients and are added to foods and beverages to provide a taste that is similar to table sugar (sucrose). Because artificial sweeteners are many times sweeter than table sugar, smaller amounts are needed to create the same level of sweetness.
There are five artificial sweeteners that have been tested and approved by the U.S. Food and Drug Administration (FDA):
Acesulfame-K is 200 times sweeter than sugar and it is heat stable, making it great for cooking or baking. The FDA approved acesulfame-K in 1998. Brand names include Sunett and Sweet One.
Aspartame is 200 times sweeter than table sugar and is one of the most commonly used sweeteners today. Aspartame was approved by the FDA in 1981 and is used in a variety of foods. Brand names include NutraSweet and Equal.
Saccharin is about 300 times sweeter than sugar and is used as tabletop sweetener, in baked goods, jams, chewing gum, canned fruit, candy, dessert toppings and salad dressings. The FDA approved saccharin in 1981, along with a warning label stating it was ‘reasonably anticipated to be a human carcinogen’. This warning label was lifted in 2000, after numerous studies cited there is no evidence that saccharin is associated with an incidence of cancer. Brand names include Sweet ‘N Low, Sweet Twin and Sugar Twin.
Sucralose is about 600 times sweeter than table sugar and approved by the FDA in 1999. Sucralose is not absorbed by the body and is eliminated through the urine and feces resulting in zero calories. Sucralose is also heat stable so it can be used for cooking or baking. The brand name for sucralose is Splenda.
Neotame is 7,000-13,000 times sweeter than sugar. Neotame is approved for use in beverages, dairy products, frozen desserts, baked goods and gums. Neotame is not available for consumer purchase at this time.
Stevia has become a popular sweetener in recent years and is extracted from the leaves of the Stevia Rebaudiana Bertoni bush. Two forms can be extracted: Reb A and stevioside. Both are 200-300 times sweeter than table sugar and are calorie free. In 2008, Reb A was generally recognized as safe by the FDA for use as a tabletop sweetener and in prepared foods. Brand names include A Sweet Leaf, Sun Crystals, Stevia, Truvia, and PureVia.
There is a lot of confusion about artificial sugars due to the mixed messages consumers hear about their risks, but when you really look at the studies and evidence, there are are in fact little concerns. According the the FDA, National Cancer Institute, and several other health agencies, there is no sound evidence that these artificial sugars approved cause cancer or serious health problems. Acceptable Daily Intake levels have been set by the FDA to help you determine how much you can consume and still be safe. The ADIs are set at 100x less than the smallest amount that may be harmful. So in order to actually come close to being at risk for side effects it would mean the average person would have to consume around 20 cans of diet pop/day to experience adverse effects. Please see the charts below:
Acceptable Daily Intake for Various Levels: Note the ADI is based on kg of body weight. Take your weight in pounds divided by 2.2 to get your weight in kg.
|
ADI (mg/kg body weight)
|
Average (mg) amount in 12oz can soda
|
Amount (mg) in a packet of sweetener
|
| Acesulfame-K |
15
|
40**
|
50
|
| Aspartame |
50
|
200
|
35
|
| Saccharin |
5
|
140
|
40
|
| Sucralose |
5
|
70
|
5
|
| Sweetener |
Number of 12oz cans diet soda to reach the ADI |
Number of artificial sweetener packets to reach the ADI |
| Acesulfame-K |
25.6
|
20.4
|
| Aspartame |
17
|
97.4
|
| Saccharin |
2.4
|
8.6
|
| Sucralose |
4.8
|
68.2
|
| Stevia/Reb A |
Product info not available. Sodas containing stevia are not widely available |
30
|
There are also newer studies suggesting that the use of artificial sweeteners tricks our body as it’s not real sugar and in turn we eat more. These studies are inconclusive and not reliable.
The Bottom Line:
Adults may be able to better manage weight when sugary foods and beverages are replaced with artificial sweeteners as these artificial sweeteners are sugar free, calorie free. Studies have also shown that artificial sweeteners do not increase appetite or food intake in adults, adolescents or children. The American Academy of Nutrition & Dietetics states that, “based on studies reviewed, artificial sweeteners are safe for use in the general population.” Special populations, such as pregnant women, should limit the use of sugar substitutes and avoid saccharin, since the fetus may not be able to clear the substance quickly enough. Individuals with PKU should avoid aspartame since phenylalanine is found in aspartame. However, individuals with this genetic predisposition can use neotame. So all in all, I recommend them for those wanting to manage their weight and control their blood sugars, however moderation and portion control are key!!
Source:ADA Evidence Analysis Library (2011).The Truth about Artificial Sweeteners or Sugar Substitutes: How Much Is Too Much?.Retrieved May 1, 2012 from the American Dietetic Association. Website: http://www.adaevidencelibrary.com/files/Docs/NNSResourceDraft3.pdf
-Kelsey
by Dan | Mar 20, 2016 | Exercise, Goals, Motivation, weight lifting, Wellness/Health

Are you willing to step out of your comfort zone in order to achieve other benefits? Here I am lifting weights, working on this now for the last 15 months. I consider myself a runner, but knew the importance of weight/resistance training on my health as well. I just did not really like it. Also, I was afraid that I could hurt myself, and then may not be able to run. I also know that if I wanted to improve my running, I needed to work on my overall strength. I needed to get “out of my comfort zone”.

With everything in life, there are risk and rewards for everything we do. Sometimes, we may have to sit down and write down the potential risks in things we do, or should do, versus the potential rewards that can come about as well. Weigh your options, but at the same time, be willing to step out on a limb. You never know what other life experiences that may be available for you to experience.

Here is Rich, one of my training partners for the weight lifting. He is looking at the board for what is scheduled for us to do that day. Sometimes, we may look at things and feel overwhelmed. We may even wonder “how am I going to do that?” Even though that work out that morning seemed a little daunting, we did it…we made it…and at the same time, proved to ourselves we could do it, which leads to even more confidence in everything we do, not only when it comes to exercise, but life in general!

Evaluate those risks against the cost, whether financial or otherwise, and also the effort it is going to take. Anything worth taking a risk on is also going to take some effort. Welcome to life! There are risks involved when trying to exercise, or to stay healthy, but there are even more risks involved if you don’t exercise! Everything has a price…money, time, effort, determination, courage, risk!

Sometimes we need to flex our muscles and prove to ourselves who is the boss. Nobody said working out or trying to exercise was easy…if it was, everybody would be doing it, and there would be no challenge. Push yourselves…our minds are much tougher to push things past than our bodies are!

Here I am getting ready to do a back squat. The amount of benefit this exercise has provided me for increasing strength for running has been enormous. Yes, I got hurt doing this maneuver at one point last year, but that was more carelessness on my part than doing the actual exercise. I have to realize now I am over 50 and I can’t do what somebody younger can do, and my body let me know! But, that does not mean I cannot make an effort! I may need to make some modifications on how I do this, but that should be the way it is. I have to listen to my body, just as each of you have to listen to yours. We are all individuals, and the same time things are not equal across the board for everybody. That is what makes us unique!

Realize that we will all face risks with exercise, our health, and life in general. Plan for it, adjust to them, and even though many of those risks may be seen, there are many that are unforeseen. Adapt to them, take them on, challenge yourself. It may surprise you as to what you are really capable of doing. If you are not willing to risk going further than you have had before, you will never know how far you can go!
Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3096
by Dan | Mar 13, 2016 | Exercise, Family, Goals, Motivation, Wellness/Health

Happiness…something everybody wants, but we may not know how to achieve this. Look around at what you have and who you are…are you happy? If not, then why? Maybe an even more important question if you are not happy is “what are you going to do about it?” Are you going to sit back and wait for things to improve, or are you going to make an active effort to change it? Focus on those things in life that are important to you, and then start to figure out what you can do to make it even better. My family is my source of happiness, and I keep turning my attention back towards them.’\

Surround yourselves with family and friends that are going to make you happy! Sometimes it may be easier to sit back and complain, or be angry about the things that don’t make you happy. Take action into your own hands and decide what it is that is going to make you happy…what is going to help you be a success in life!

I have the best training partner ever in Sarah! It is a great way to spend time together by working out together, and hopefully help us be around longer to be able to spend even more time together, and be happy! We just went out on a 10 mile run this AM, and spent a lot of it talking…planning for future, solving problems, venting in general! That does not mean everybody has to go out and run 10 miles! But it does mean you need to get out and move, and there are many ways to exercise and be happy. But, it can be as individual as the individual themselves!

Bottom line…we are responsible for our own Happiness! Nobody is going to do it for us. We may rely on family and friends to help with this, but we are ultimately responsible. What is it going to take to make you happy?

Happiness is in your hands! Use them to your advantage. Over time, you never know what else your hands will help you with! They are great for hugging!

Wrap your hands and arms around those you care about. Many times those answers to life’s questions come much easier then. Figure out how your happiness will help make your life a success!

How better than this quote to sum it all up! Smile! Be happy! You are in the driver seat!
Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3089