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 Walking for Health: Your Walking Club

 

Get started by doing 30 minutes of a moderate-level activity on most, and preferably all, days of the week. Brisk walking, bicycling, and gardening are examples. You can even divide the 30 minutes into shorter periods of at least 10 minutes each. For instance:  
Use stairs instead of an elevator
Get off a bus one or two stops early
Park your car at the far end of the lot at work

Most people don't need to see a doctor before they start a moderate-level activity. You should check with your doctor first if you have heart trouble or have had a heart attack, if you are older and are not used to doing a moderate-level activity, if you have a family history of heart disease at an early age, or if you have any other serious health problem.

Source: http://www.nhlbi.nih.gov/hbp/prevent/p_active/p_active.htm

 

 

 


 

 Course Number LWH420                                                                                 4628
 Objectives Course participants will explore 1) walking basics, 2) walking motivation, 3) Aerobic walking, 4) Walking clubs, 5) Exercising, and 6) Walking programs.
 Credit Hours and Fee 3.0 CE Credit Hours with a fee of $24.00
 Instructor Rudolf Klimes, PhD (Indiana University), MPH (Johns Hopkins University)

Welcome to this 3-contact-hour Continuing Education  course with instant online processing and certification 24/7.  Study the course below, take the 12-question multiple-choice test, register and pay online. If you score 75% or above, you may print your CE certificate on your printer as soon as you finish. If you have difficulty printing your certificate, click here.. You may retake the test once.

 

1. Walking Basics

  1. Stand tall.

  2. Look 20 feet ahead.

  3. Hold chin up, parallel to ground.

  4. Have shoulders slightly back.

  5. Such in stomach.

  6. Tighten buttocks.

  7. Bend elbows 90 degrees.

  8. Walking, strike ground with the heel.

  9. Roll from heel to toe.

  10. Push up with toe.

  11. Depending on the stride, about 2,000 steps is a mile.

 

2. Tips to Stay Motivated with a Walking Plan

Ask other people to walk with you. Find two partners or a group. When you know someone else is waiting for you, it keeps you going
Wear comfortable shoes and good socks to help cushion your feet
Wear clothes that are right for the season. Try using layers of clothing in the cold weather to keep you warm, and cotton clothes in the summer to keep you cool
Drink plenty of water. It doesn't have to be that fancy bottled stuff — get your own container and keep it filled with plenty of regular water. Carry it with you if you can
Don't forget to stretch before you walk. Try to start off slowly
Be safe — pay attention to your surroundings
Walk in a safe place that has plenty of lights in the evening. Try walking around a local school's parking lot, or going to the mall
Try to walk at least three times a week. It may seem like a lot at first, but you will gradually build up
Try to think of your walk in three parts. Imagine a warm-up period at the beginning, challenge yourself with a brisk pace in the middle, and finally picture a cool-down. You can feel success when you finish each part.

 

Source: http://www.nhlbi.nih.gov/hbp/prevent/p_active/tips.htm

3. Aerobic activity – what counts?

Aerobic activity or "cardio" gets you breathing harder and your heart beating faster. From pushing a lawn mower, to taking a dance class, to biking to the store – all types of activities count. As long as you're doing them at a moderate or vigorous intensity for at least 10 minutes at a time.

Intensity is how hard your body is working during aerobic activity.

How do you know if you're doing light, moderate, or vigorous intensity aerobic activities?
For most people, light daily activities such as shopping, cooking, or doing the laundry doesn't count toward the guidelines. Why? Your body isn't working hard enough to get your heart rate up.

Moderate-intensity aerobic activity means you're working hard enough to raise your heart rate and break a sweat. One way to tell is that you'll be able to talk, but not sing the words to your favorite song. Here are some examples of activities that require moderate effort:

  • Walking fast

  • Doing water aerobics

  • Riding a bike on level ground or with few hills

  • Pushing a lawn mower

Vigorous-intensity aerobic activity means you're breathing hard and fast, and your heart rate has gone up quite a bit. If you're working at this level, you won't be able to say more than a few words without pausing for a breath. Here are some examples of activities that require vigorous effort:

  • Jogging or running

  • Swimming laps

  • Riding a bike fast or on hills

  • Playing singles tennis

  • Playing basketball

You can do moderate- or vigorous-intensity aerobic activity, or a mix of the two each week. A rule of thumb is that 1 minute of vigorous-intensity activity is about the same as 2 minutes of moderate-intensity activity.

Some people like to do vigorous types of activity because it gives them about the same health benefits in half the time. If you haven't been very active lately, increase your activity level slowly. You need to feel comfortable doing moderate-intensity activities before you move on to more vigorous ones. The guidelines are about doing physical activity that is right for you.

For more examples, see Measuring Physical Activity.

 

Muscle-strengthening activities – what counts?

Besides aerobic activity, you need to do things to strengthen your muscles at least 2 days a week. These activities should work all the major muscle groups of your body (legs, hips, back, chest, abdomen, shoulders, and arms).

To gain health benefits, muscle-strengthening activities need to be done to the point where it's hard for you to do another repetition without help.  A repetition is one complete movement of an activity, like lifting a weight or doing a sit-up.  Try to do 8—12 repetitions per activity that count as 1 set. Try to do at least 1 set of muscle-strengthening activities, but to gain even more benefits, do 2 or 3 sets.

You can do activities that strengthen your muscles on the same or different days that you do aerobic activity, whatever works best. Just keep in mind that muscle-strengthening activities don't count toward your aerobic activity total.

There are many ways you can strengthen your muscles, whether it's at home or the gym. You may want to try the following:

  • Lifting weights

  • Working with resistance bands

  • Doing exercises that use your body weight for resistance (i.e., push ups, sit ups)

  • Heavy gardening (i.e., digging, shoveling)

  • Yoga

What if you have a disability?

If you are an adult with a disability, regular physical activity can provide you with important health benefits, like a stronger heart, lungs, and muscles, improved mental health, and a better ability to do everyday tasks. It's best to talk with your health care provider before you begin a physical activity routine. Try to get advice from a professional with experience in physical activity and disability. They can tell you more about the amounts and types of physical activity that are appropriate for you and your abilities.

Tips on Getting Active

Adding Physical Activity to Your Life
If you're thinking, "How can I meet the guidelines each week?" don't worry. You'll be surprised by the variety of activities you have to choose from.

Be Active Your Way: A Guide for Adults
Based on the 2008 Physical Activity Guidelines for Americans, this brochure can help you decide the number of days, types of activities, and times that fit your schedule.

Source: http://www.cdc.gov/physicalactivity/index.html


 

4. Start a Walking Club

 

Starting an Informal Walking Cub

  1. Ask two or more friends, neighbors or fellow workers to join.

  2. Select a weekly time and place (outdoors) to meet.

  3. After introductions, at the first meeting, each walker states how many miles he/she hopes to walk that week.

  4. On the meeting days, walk together. Subgroups may walk different distances.

  5. On non-meeting days, walkers walk with group members or alone.

  6. On the following meeting days, walkers report their miles walked.

 

Talk to family, friends, neighbors and colleagues. You might be surrounded by people who are ready to walk and hold each other accountable for regular exercise. But you can branch out to others, too. Post a notice in your workplace or store.

Things to Decide

Once you've recruited members for your walking group, hold a meeting. Discuss:

  • How often to walk: The group walks together at least once a week.
  • When and where to meet: A park or street corner may be  a good place.
  • What to do in case of bad weather: Consider walking anyway.
  • The route to take: Once a week the group should walk together
  • The speed to walk: Different sub-groups may choose different speeds.
  • The distance to cover: each person sets his own goal

If you have a large group with various fitness goals, consider breaking into smaller walking groups based on fitness level, fitness goals, availability or other factors.

The camaraderie you experience in a walking group — and the shared fitness success — can help you walk your way to better health.


5. Walking Clubs

One of the simplest ways to stay active as part of overall health management is to go walking.
A steady routine is the most important factor, so you should make sure that you are walking for at least 30 minutes a day, five or more days a week.

To help yourself stay motivated, get two friends to join you in your regular walks or form a walking club to meet other walkers who are looking to stay active just like you. Before you take the leap to organize it yourself, check on existing walking clubs in your area. The International Volkssport Association (IVV) is the largest association of walking clubs in the world. Other places to check are local malls, medical centers, health clubs, or running shoe stores.

 

Top Walking Tips

  • 1. Get in the Habit
  • Make exercise a regular part of your life. Experts agree that all should exercise several days a week.
  • 2. Select Shoes
  • Taking care of your feet and preventing blisters is important. Properly fitted athletic shoes will help prevent blisters and other injuries, such as plantar fasciitis.
  • 3. Wear Socks
  • Socks are also a critical defense against blisters. Toss out your cotton socks; they retain sweat and can cause blisters. Get socks made of today's miracle fabrics that wick away sweat and prevent blisters.
  • 4. Drink
  • Drink up to prevent dehydration, which you may not notice until it is too late. Have a big glass of water an hour before walking, then drink a cup of water every 20 minutes while walking. At the end of your walk, drink another big glass of water.
  • 5. Buddy Up
  • Walking with a partner or walking club has several benefits. First, you can have him/her watch you for signs of problems and nag you to take care of yourself. Second, walking with somebody else keeps you more regular in your exercise.
  • Based on: http://www.face-diabetes.com/Pages/walking_clubs.aspx

6. Moderate Exercise

By Randy Dotinga HealthDay Reporter

 

National guidelines urge all Americans to engage in "moderate physical activity" at least 2.5 hours a week, but what does that mean if you're out for a stroll?

A new study provides the answer: It's equivalent to a brisk walk, or about 1,000 steps every 10 minutes.

"Now we know what moderate is," said the study's lead author, Simon J. Marshall, an assistant professor of exercise and nutritional sciences at San Diego State University. He suggests that people use pedometers to figure out if they're exercising at a high enough intensity.

The U.S. formerly recommended that people get 30 minutes of moderate exercise at least five days a week. But last fall, Marshall said, officials changed the guidelines to simply say that people should exercise 150 minutes a week.

"They dropped the per-day recommendation because there wasn't a compelling argument that people who exercised four days a week were any worse off than those who exercised five days a week," Marshall said.

For walkers, however, it was not quite clear what "moderate" activity meant, although some exercise specialists suggest that people walk 10,000 steps a day.

"Most people are familiar with the recommendation to get 30 minutes of exercise most days," said Dr. David Katz, director of the Prevention Research Center at Yale University School of Medicine. "Fewer people know that needs to be moderate intensity, and fewer still know what that means."

In the new study, researchers enlisted 58 women and 39 men, with an average age of 32, to walk on treadmills while a machine measured their energy expenditure. The idea was to determine what level of activity was in the moderate range.

The findings of the study, which was funded by the federal government, appear in the May issue of the American Journal of Preventive Medicine.

The researchers found that moderate exercise amounted to 92 to 102 steps a minute for men and 91 to 115 steps a minute for women.

"It's a bit like a brisk walk," Marshall said. "If you can imagine you're late for a bus, you're in a hurry. It's not a leisurely stroll, it's a brisk walk."

People may find it easiest to use a pedometer to measure their walking speed because it can be difficult to count steps and walk at the same time, Marshall said. "When you get above 50, you're trying to focus on what you're doing and where you're going."

There's one caveat though: The study found that about half of the pedometers on the market aren't accurate. Marshall said he would still recommend that people use them, however. Japanese-made models appear to be the most reliable when it comes to accuracy, he said.

The researchers said that three 1,000-step walks in a day, five days a week, would meet national exercise guidelines.

"Even walking below that threshold will usually have some benefit to your overall cardiovascular balance sheet," Marshall said. "But for reducing your risk of cardiovascular disease and other complications, the 30 minutes of moderate exercise seems to be important."

Katz said he suspects that some people will discover that they "need to take it up a notch."

"On the other hand, our advice has long been that 'moderate' is a pace that noticeably increases heart and breathing rate while still leaving you capable of speaking in full sentences," he said. "That is still about right. No pedometer required."

More information  http://www.healthfinder.gov/news/newsstory.aspx?docid=625106

The U.S. Department of Health

7. Programs & Interventions

Explore the following sites.

This page provides links to physical activity programs, interventions, and campaigns supported by CDC which may provide examples when planning programs and interventions for various audiences. For information about current physical activity programs taking place within the U.S. visit our State-based Physical Activity Directory.

CDC/WHO Collaborating Center: Promoting Physical Activity across the Globe
In July 1998, the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) formed a Collaborating Center whose mission is to promote physical activity, prevent disease, and enhance health and quality of life throughout the world. The Collaborating Center conducts physical activity research with worldwide partners, provides technical consultations, builds networks, and sponsors annual workshops and public health courses tailored to the public health practitioner's needs.

Kids Walk-to-School
CDC has developed Kids Walk-to-School, a guide that encourages individuals and organizations to work together to identify and create safe walking routes to school.

Growing Stronger: Strength Training for Older Adults
An exercise program for older adults based upon sound scientific research involving strengthening exercises.

PEP: A Personal Empowerment Plan
The Personal Empowerment Plan or PEP is a 12-week self-directed, worksite program to promote healthy eating and moderate physical activity. The program materials include workbooks for healthy eating and physical activity targeting employees based on their readiness to change. A coordinator's kit, promotional brochures, and posters are also included in the program.

Physical Activity. The Arthritis Pain Reliever
A health communications campaign for general use by state health departments, their partners, and other community organizations.

Powerful Bones. Powerful Girls.TM site for Girls
This girl-friendly Web site helps girls understand how weight-bearing physical activity and calcium can be a fun and important part of everyday life.
Also available for Parents.

smallstep.gov
The Small Step program encourages Americans to make small activity and dietary changes to achieve a healthier lifestyle. The Department of Health and Human Services Web site provides, success stories, Small Step tips, and other resources for maintaining and losing weight.

StairWELL to Better Health
CDC study assesses whether making stairwells visually appealing with art and signs motivate employees to use them, shows promising results.

State Physical Activity Directory
Provides information about current physical activity programs taking place in the state health departments. Use this site to research programs, gather ideas, and share information.

STEPS to a HealthierUS Initiative
A bold new initiative from the U.S. Department of Health and Human Services (HHS) that advances President George W. Bush's HealthierUS goal of helping Americans live longer, better, and healthier lives. Physical activity is a key risk factor addressed through the initiative.

VERB - Youth Media Campaign
The VERB campaign encourages young people ages 9-13 (tweens) years to be physically active every day. The campaign combines paid advertising, marketing strategies, and partnership efforts to reach the distinct audiences of tweens and adults/influencers.

Source: http://www.cdc.gov/nccdphp/dnpa/physical/health_professionals/programs/index.htm


8. Features of the neighborhood environment and walking by U.S. adults.

School of Physical Activity and Educational Services, Ohio State University, Columbus, OH 43210, USA. suminski.1@osu.edu

BACKGROUND: Manipulating the physical environment may be an efficacious way to promote physical activity. This study examined the relationships between features of the neighborhood environment and walking in the neighborhood by U.S. adults. METHODS: A random sample of women (n =266) and men (n =208) aged >18 years participated. Door-to-door interviews were conducted in 2003 to collect information about demographics, walking behavior, and features of the neighborhood environment. RESULTS: The analyses conducted in 2004 revealed that women were more likely to walk for exercise (odds ratio [OR]=4.6, 95% confidence interval [CI]=1.01-20.72) or walk a dog (OR=3.3, 95% CI=1.01-11.08) in the neighborhood if neighborhood safety was average as opposed to below average (p <0.05). Women with an average number of neighborhood destinations were more likely to walk for transportation in the neighborhood (OR=5.7, 95% CI=1.63-19.73) than women with a below average number of neighborhood destinations (p <0.01). In men, none of the neighborhood features were significantly associated with walking for exercise or walking a dog. Men were less likely to walk for transportation in the neighborhood if the functional (OR=0.22, 95% CI=0.06-0.89) or aesthetic (OR=0.17, 95% CI=0.03-0.89) features of the neighborhood were average versus below average. CONCLUSIONS: Prospective studies are needed to determine if changes in neighborhood safety and awareness of neighborhood destinations promote increases in walking by women. Evaluations of the relationships between other environmental features and walking behavior in men are warranted.

PMID: 15710269 [PubMed - indexed for MEDLINE

http://www.ncbi.nlm.nih.gov/pubmed/15710269


9. Walk for 30-60 minutes: The practicum for this course.


Resources:

http://www.ava.org/index.htm    http://walking.about.com/od/beginners/Beginners.htm

 

http://publications.nigms.nih.gov/computinglife/walking.htm


 

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