Nutrition & Physical Activity

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Track versus treadmill

Dear Reader,

First off, it's not clear if you are running on an indoor or outdoor track. For the sake of this answer, let's assume you run outdoors when you do your track runs. There may be some slight physical differences between how your body expends energy running on a track versus a treadmill.

  • The treadmill belt offers some help by pulling your feet back underneath your body, so you are potentially exerting less energy to move your feet and legs than if you were not on a treadmill. However, running stride may change depending on jogging geography. Studies have shown that many runners shift their stride when running on a treadmill. There is a chance that these changes may contribute to your slumping stamina. Subconscious attempts to correct balance on the revolving surface of the treadmill may also cause a runner to increase the amount of time his or her support leg is in contact with the belt, which, in turn, may decrease his or her forward lean. This may result in a runner spending more energy on moving up and down rather than forward, potentially leading to a quicker sap on energy.
  • When you run indoors on a treadmill, you do not have to overcome wind resistance. The lack of wind means you'll spend less energy running four miles on a treadmill than you will when you run four miles outdoors. However, it may depend on how fast you are running. For the average person, running five to nine miles per hour (mph) will result in little difference. Some studies say outdoor running expends up to five percent more calories; if you run faster than nine mph, running outdoors could utilize up to ten percent more calories because you are working harder against wind resistance. Other studies say there's no difference. One study demonstrated the way to balance energy use between indoor and outdoor running is to set the treadmill at an incline (or grade) of one percent.
  • Running indoors maintains or offers stable elements. Runners not only avoid wind, but also other potential natural elements, such as cold air, rain, or sand (if you run on a beach), which demand extra energy. The stability offered by a treadmill, however, does not necessarily mimic reality. On a treadmill you consistently run at the same pace. When outside, you may subconsciously slow down as your body tires, allowing you to run farther since you're exerting less energy. If you haven't already done so, use a stopwatch to measure your outdoor running speed to see if this is the case.
  • Running on a treadmill versus pavement (the composition of the track surface you run on is unclear) provides a softer surface, making it a little easier for your joints. People with knee pain or soreness might opt for a treadmill versus the road outside for this reason.
  • Though running on a treadmill may offer these benefits plus others, the psychological benefits of running au naturel may be contributing to your feelings of fatigue. Psychological cues from running outdoors, such as feeling wind against your face or gaining motivation from running with or around other people may make runners feel like they're making progress. On a treadmill, there is also the option to track the distance, speed, and other characteristics of your workout which may subconsciously cause you to feel tired ("wow, I'm running really fast/far!").

Your boredom theory may certainly be contributing to feeling like you're running on empty. Without the need to worry about navigating different paths, terrains, or natural elements, treadmill runners may have more of an opportunity to think about how tired they are. Some people find that being distracted may help them fight this and run for a longer duration. Sports and exercise psychologists often refer to the "distraction hypothesis" as an explanation for the stress/anxiety reducing effects of exercise. Running, in this case, gives someone a time-out from daily stressors or worries by diverting attention. Some people enjoy running on a treadmill because they can watch television, listen to music, or just zone out and run. Others prefer running outdoors because they are distracted by the scenery, other people, the weather, varying terrain, and/or avoiding traffic.

The next time you run on a treadmill, if possible, position yourself in front of a television or listen to your favorite music to test this "distraction hypothesis." See if you can run for a longer period of time. Other factors that contribute to how a person feels when s/he runs include the food(s) s/he has eaten, how well s/he has slept, and/or whether or not s/he is properly hydrated. Every day is a different day for our bodies, but if someone is a consistent runner and has fairly consistent lifestyle behaviors, it may be that their enjoyment of the outdoors is what fuels their running. Though track and treadmill running both offer many of the same benefits, finding out what works best in your workout routine will lead to a more satisfying experience.

Alice

Dizzy after exercise

Dear Reader,

And thanks to you and everyone else for asking the questions.

Feeling lightheaded and/or dizzy, as if you are about to pass out, are not normal reactions to exercise. After an aerobic exercise session, you should feel invigorated, not totally wiped out. Your description sounds as though you are working extraordinarily hard. Do you eat anything before your physical activity? Are you drinking during your run or bike ride? How is your overall fluid intake? Although an exact diagnosis based on your description can't be given here, these few suggestions may help avoid these feelings:

  • Eat a snack prior to exercise. If you have less than one hour before your session, fewer than 200 calories is recommended. A piece of fruit and a couple of crackers work well for many people. Your snack can be a bit larger if you have two hours or so until your workout begins: one small plain bagel with jam, a piece of fruit and a yogurt, or handful of nuts and some crackers are a few suggestions.
  • Drink 16 oz. of fluid two hours before an event. This promotes hydration and allows enough time to excrete any excess liquid.
  • Drink fluids during exercise. Weighing yourself before and after exercise can help determine your sweat rate, and how much you'll need to drink.
    • If you lose 1 lb. per hour: drink 4 oz. every 15 min
    • If you lose 2 lbs. per hour: drink 8 oz. every 15 min
    • If you lose 3 lbs. per hour: drink 8 oz. every 10 min.
    • If you lose 4 lbs. per hour: drink 10 oz. every 10 min.
  • If you are exercising for longer than 60 minutes, add some fuel to your water with a sports drink. These fluid replacement drinks include glucose and electrolytes (sodium and potassium) to help with fluid intake and absorption.

Talking with your health care provider is a good idea if these strategies don't help. Being properly fed and hydrated, as well as getting enough rest and watching your breathing as your exercise, should help make your workouts more productive.

Alice

Vegan eating

Dear Reader,

Veganism: easy as 123 and ABC? Let's discuss. Before we start though, it will be helpful to determine what kind of "vegan lifestyle" you want to lead. The Vegan Outreach group and The American Vegan Society define vegan practice as not eating, buying, or using animal products (including honey and silk) or products tested on animals. Vegan groups give some attention to the health benefits of vegan style eating, but their main focus is on maintaining a lifestyle that minimizes the mistreatment of animals. By exploring your feelings about ethical issues related to consuming animal products and food, you will find your niche in the wide range of interpretations of what a vegan lifestyle entails.

Though some people may be able to completely overhaul their lifestyle all at once, it may be easier to make the change to veganism by breaking it down into three steps:

  1. Start with a small objective, such as cutting one thing out of your eating plan, like red meat, for example. Explore the nearest health food store and start sampling alternative non-meat protein sources. A registered dietitian may be able to offer extra guidance. Columbia students considering a vegan lifestyle may want to make an appointment by contacting  Medical Services (Morningside) or the Student Health Service (CUMC).   
  2. When you are comfortable with this small change, try cutting more if not all animal products from your diet. Sample vegan egg replacements, soy cheeses, and soy, rice, or almond milks. Also consider phasing out other products you use that contain animal byproducts (i.e., gelatin, leather, or soaps made with animal fat). Now would also be a great time to start researching and experimenting with one new vegan dish each week and checking out recipe sources such as Vegetarian Times or the vegan cookbook section at your local library. One low-carb breakfast recipe you may want to consider is a veggie omelet. Use vegan egg substitute, red or green peppers, soy cheese, salt and pepper to taste, and one slice of whole-wheat toast on the side.  Throw in an 8 oz low-fat soy latte and you have yourself a high-protein, relatively low-carb breakfast! 
  3. Once you've experimented with some recipes and are more familiar with new ingredients and household items, take the final step of cutting out all animal products from your diet and everyday usage. By doing your research and taking time to reach the ultimate goal of a vegan lifestyle, you will have eased into new approaches to shopping not only for food but other products as well.

Whether you have a strict or liberal definition of a vegan lifestyle, it is a given that you will cut animal products from your eating plan, but it is crucial to keep up on the ABCs of nutrition as well. Most of your replacement protein sources and vegan staples such as grains, fruits, and vegetables will contain carbohydrates, so a low carbohydrate/vegan meal will be hard to achieve — though not impossible. Without paying careful attention to the nutrients you are consuming, you may be at risk for not meeting your nutrient needs. If you're just looking to minimize carbs on the whole, cutting down on junk food (i.e., chips, crackers, sugary cereals, breakfast bars, and cookies) is the ideal way to do this.

As for maintaining appropriate protein levels in your vegan diet, experts at the Institute of Medicine recommend that 15 to 20 percent of daily calories come from protein. This amounts to about 65 grams of protein per day for men and approximately 55 grams for women. Although you will be cutting out commonly recognized protein sources — meat, fish, poultry, and dairy — from your eating plan, have no worries. Plant foods such as soy, legumes, nuts, and seeds also contain a good amount of protein. Check out the Vegetarianism section in the Alice! archives for more information on specific foods that will help you meatlessly "beef up" your pantry and fridge.

By cutting animal products out of your eating plan, you will also cut out the most common sources of a number of high priority nutrients like vitamin B12, vitamin D, calcium, and omega-3 fatty acids. For tips to help you make sure you're consuming enough of them in your vegan diet, check out the Related Q&As below. Being conscious to include fortified soy products, cereals, and non-dairy milk, plus a variety of dark green veggies, legumes, seed, nuts, and beans in your diet is imperative in ensuring you're getting the nutrients your body needs. Many of these foods will also provide good sources of iron, riboflavin, and zinc which are also harder to come by in a vegan diet.

When making changes to your lifestyle and eating habits such as those dictated by veganism, it is best to have a clear understanding of the challenges that lie ahead. The concern you show for doing so in a healthy way is great. Keep it up and remember, although it may not be as easy as 1-2-3, by staying on top of your nutrition ABCs you can successfully convert to a vegan lifestyle healthfully!

Alice

Milk allergy or lactose intolerance?

Dear Kathy,

Your question does not seem dumb. Many people confuse allergies with intolerances, or mistakenly use the terms interchangeably. So, what's the difference?

 

Intolerance is a physical reaction to a substance that usually does not involve the immune system. For example, lactose intolerance occurs when a person has a deficiency in lactase — the enzyme that breaks down lactose, the carbohydrate found in cow's milk. So, this milk sugar is not digested adequately, producing abdominal discomfort, gas, and diarrhea. Lactase enzyme supplements and reduced lactose dairy products can help people tolerate foods containing lactose.

 

An allergy is an immune response — when the body senses that a harmful substance has entered it, and releases specific chemicals to combat the perceived threat. For example, when you are having an allergic reaction, your body releases chemicals called histamines. These cause allergic symptoms that may affect your gastrointestinal tract, skin, respiratory system, and/or cardiovascular system. The effects on one's respiratory system could include a runny nose, cough, swelling of the larynx, and asthma. In the case of foods, studies show that food allergies rarely cause nasal symptoms or wheezing without also causing skin or gastrointestinal symptoms.

 

Since you are experiencing this set of symptoms, it seems possible that you have a milk allergy. It's important to get the diagnosis from an allergist, so that the appropriate treatment can be identified. If you are a Columbia Student, you can call x4-2284 or log into Open Communicator to schedule an appointment with Medical Services.

 

Other substances found in milk also can trigger allergic reactions in some people, including antibiotics given to cows, or the proteins of ragweed, linseed, peanut, or wheat that make their way into milk. People with a milk allergy may need to cut milk out of their diet entirely.

 

Diagnosing food allergies is complex. And having symptoms that seem like a milk allergy doesn’t necessarily rule out the possibility of also having an intolerance to lactose. You have found that cutting milk products out of your diet works well for you, which is a great step. It may make sense to see an allergist to learn more about your own specific situation.

 

Good luck!

Alice

Nutrition facts label

Dear Mom trying to offer healthy choices, but having some technical difficulties,

To think, while some children beg for the latest neon-colored sugar cereal to hit the shelves, your two children are tallying fiber grams. They have fostered their interest in nutrition. Educating about and encouraging healthy behaviors are keys to lowering risks of chronic diseases, such as heart disease and cancer, later in life.

As you are aware, the "Nutrition Facts" label is a helpful tool for understanding what each food contributes to daily nutrient intake. These labels provide the amount of carbohydrates, fat, protein, as well as percent daily values for a number of nutrients. Percent Daily Values (DV) are based on a 2000-calorie eating plan, which can be confusing, because that's more calories than most of us need. For an in-depth explanation about this or other food label content issues, check the U.S. Food and Drug Administration (FDA), or the Kidshealth.org Figuring Out Food Labels page for kid friendly explanations.

Unfortunately, curious consumers will not find "Nutrition Fact" labels on all foods, even if foods have packaging. Some specific exceptions to food labeling requirements include:

  • Ready-to-eat food that is not for immediate consumption but is prepared primarily on site — for example, bakery, deli, and candy store items
  • Food shipped in bulk, as long as it is not for sale in that form to consumers
  • Medical foods, such as those used to address the nutritional needs of people with certain diseases
  • Plain coffee and tea, some spices, and other foods that contain insignificant amounts of nutrients

Though you might not see nutrient labels on fresh foods, the information needs to be nearby. The FDA created a voluntary program to promote retailer labeling of the top 20 most commonly sold fruits, vegetables, and fish, as well as the 45 best-selling cuts of raw meat and poultry. The nutrient information needs to be available as a brochure, leaflet, notebook, or stickers in the appropriate grocery department. Labels for fruits, veggies, and raw fish include the following:

  • Name of the fruit, vegetable, or fish
  • Serving size
  • Calories per serving
  • Amount of protein, carbohydrates, fat, and sodium per serving
  • Percent of the Recommended Daily Allowances (RDA) for iron, calcium, and vitamins A and C per serving

For nutrient information for 5,900 foods from alfalfa sprouts to zucchini at the click of a button, look to the U.S. Department of Agriculture's (USDA) Nutrient Database. A simple keyword search and portion size specification will yield the complete nutrient profile of your food.

One of the most comprehensive print versions of nutrient composition tables is Bowes & Church's Food Values of Portions Commonly Used, by Jean A. T. Pennington, Ph.D. Some 8,500 foods are listed according to food group with analysis results for 30 nutrients, but they are not in "Nutrition Facts" label format.

Hopefully these resources will help make your technical difficulties with nutrition labels a thing of the past!

Alice

Men and body image issues

Dear M,

You’re not alone — almost everyone struggles with self or body image at some point, and occasionally worrying about how you look is completely normal. However, if you find yourself constantly thinking about food, your body shape and size, or your appearance, and these thoughts get in the way of work or school, your emotional well-being, or your social life, you may have a more complex body image and/or eating issue.

It may be tricky to distinguish between a healthy diet and exercise routine and habits and behaviors that could be detrimental to your health. For example, restricting calorie intake and engaging in exercise are common elements of a weight loss diet, which is healthy and normal for individuals who have too much body fat. However, if you’re exercising or restricting calories so much so that your emotional and/or physical health suffers, you might be experiencing a more serious issue that requires more attention. If any of this rings true, a good place to start would be to meet with your healthcare provider or a counselor for proper assessment.

A common misconception is that body image issues and disordered eating only affects women. That’s simply not true. Men also experience varying degrees of body image disturbances, eating disorders, and other related issues just as women do. Many men keep these concerns secret, but estimates from the National Association of Anorexia Nervosa and Associated Disorders suggest that as many as 10 percent of those with eating disorders identify as male. Because men are less likely than women to disclose their disordered eating or exercise routines to their friends, loved ones, and doctors, diagnosis and treatment are often delayed. All this to say, reaching out was a brave thing to do!

Eating a healthy, well-balanced diet is essential in making sure you’re getting all of the nutrients you need, including an appropriate number of calories. A balanced diet includes foods from all of the different food groups, and eating at least three meals a day. A balanced diet should not include too much sugar or fat, although some fat is necessary in any diet. For more information about the food groups and to help figure out how much you should be eating, check out the United States Department of Agriculture’s guidelines as well as the Get Balanced Guide for Healthier Eating.

Since you’re already wondering if your eating and exercise habits may be an issue, it's a good idea to talk to someone about food and body image to be sure you're on track for a healthy relationship with food and exercise. If you are a Columbia student, you can make an appointment with a member of the Eating Disorders Team, a multidisciplinary team of health care providers specializing in eating and body image concerns, by contacting Medical Services (Morningside) or the Student Health Service (CUMC) for an appointment. If you're not at Columbia, you can start by discussing your concerns with a healthcare provider or a counselor.

You took a big step in inquiring about these issues, and that isn't easy. You deserve to start feeling better about your weight and body image — hopefully some of this information will get you moving in that direction!

Alice

Eating healthy at the campus dining hall?

Dear Hungry,

Going off to college opens many opportunities for learning — in this case, how to make healthy food choices on your own. Relatively balanced meals, possibly planned by parents who were watching out for their childrens' health, are replaced by a smorgasbord of dining hall offerings. And while the "First-Year 15" are largely a myth (most college students don't gain 15 pounds, or any weight, during their first year), having unlimited access to a variety of foods the first year of college is a new challenge for many students.

The foods that you mention — pizza, Chinese food, and tacos — are not inherently unhealthy. Each contains foods from important food groups and provides energy that will fuel your brain during long study sessions. Sometimes these foods are prepared in such a way that they are high in fat, which is a nutrient that helps us to feel full, but also provides extra calories. These foods can be part of a filling and balanced meal, but only if they share the plate with side dishes that are low in fat, high in fiber, and nutrient dense.

One easy tip for healthy "all you care to eat" dining: When you place food on your lunch or dinner plate, make sure half the plate is filled with different colored steamed, grilled, broiled, or raw vegetables. One fourth of the plate should contain lean proteins, such as beans, grilled skinless chicken, or baked skinless fish. The remaining fourth of the plate can hold whole grains, such as 100 percent whole wheat bread or brown rice. For example, in order to balance a plate that includes pizza, choose one slice with chicken and veggies on whole wheat crust (if available) and fill the rest of your plate with a salad. Or on taco night, grab one taco with the meaty, cheesy, or beany filling of your choice and fill up the rest of your plate with steamed or grilled veggies and brown rice. For flavor fiends, look around for condiments like hot sauce, mustard, fresh salsa, and other seasonings. More information on dividing up your plate can be found on the United States Department of Agriculture's (USDA) MyPlate website.

If you find yourself stuffed after a dining hall meal, here's another tip: Fill only one plate and don't go back for seconds. You could even skip using a tray, to avoid filling too many plates and grabbing too many calorie-rich beverages. If you're still hungry after letting your food settle, grab some fruit; high in fiber and deliciously sweet, fruit can be a filling and satisfying second course. Making regular meals of a plate full of fruit, veggies, lean protein, and whole grains can fill and satisfy, and leave plenty of wiggle room for the occasional treat, such as french fries or ice cream.

Depending on the layout of your dining hall, you may need to poke around to find the healthiest options, but it's likely there are plenty of grilled, steamed, baked, or broiled veggies and proteins and whole grain carbs to fill your plate. Healthy dining options to look out for include:

  • A salad bar
  • Whole grain bread and/or bagels near the toaster
  • Entree options without any breading
  • Cooked veggies without any batter or heavy sauces
  • Broth-based soups (rather than cream-based)
  • Low-fat milk or yogurt for cereal or granola
  • Whole pieces of fruit or fresh fruit salad
  • Seltzer water or diet soda from the soda machines
  • A choice in plate, bowl, and cup size

For recommendations tailored to individual dietary needs, food experiences, and taste preferences, you can meet with a registered dietitian. Columbia students can make an appointment by contacting Medical Services (Morningside) or the Student Health Service (CUMC). The staff at the dining hall are also a great resource, as they are familiar with the menus. They may be able to answer your questions regarding foods that are  prepared in a healthier manner, and the concerns of other students trying to eat a balanced diet.

Bon appétit!

Alice

How do I know when I'm no longer hungry?

Dear Not Fully Aware,

Your question is one many people deal with. Some people were taught from an early age to finish everything on their plate, no matter how they felt. This was often rationalized by well-intentioned parents referencing the millions of starving children around the world. Unfortunately, this type of encouragement does little to teach children about listening to their bodies or learning to identify or conceptualize the feelings that come when one is satisfied with the amount or type of food they are eating. This conditioning experienced by many growing up, can carry on into adulthood.

Others are out of touch with their body signals for other reasons. How often have you felt ravenously hungry and then couldn't believe how much you'd eaten? How much food does it seem to take to satisfy your hunger? Letting yourself get really, really hungry distorts awareness of body signals. If you're out of touch or ignore subtle hunger cues, it's extremely difficult to detect subtle fullness. As a result, you're only able to feel extremes. It's difficult to describe what comfortable fullness feels like inside your body, but some people express it as being satisfied and content after eating. Others say it's a subtle feeling of fullness, of not being hungry anymore (even if there's still food on their plate).

You can begin by thinking about how you are feeling while you are eating — a kind of checking in with yourself. This takes a conscious effort. Once you've eaten some of your food, consider asking yourself some of these questions: does the food (still) taste good? Is my hunger beginning to subside? After a few more bites, am I beginning to feel satisfied? Try stopping about halfway through to determine if you've had enough. Try rating your fullness from 1 - 10:

  1. Ready to collapse from hunger
  2. Ravenous
  3. Hungry
  4. I could eat something, but not very hungry
  5. Neutral
  6. Not hungry at all
  7. Comfortably satisfied
  8. Full to very full
  9. Stuffed
  10. Disgustingly sick

If you go from a 2 to a 9 easily, perhaps you are going for too long without food, or your last meal was too small (a problem for dieters). Maybe your last meal was lacking important satiety nutrients, such as protein, fat or fiber, which usually help to keep you satisfied over a few hours. Sometimes when we eat very quickly, a large quantity of food is consumed and before we realize it, we're stuffed. If this is your problem, try slowing down, taking your time chewing, swallowing, and resting between bites.

The most important part about eating to a pleasant fullness is to eat consciously — to increase your awareness. This takes practice for many people. Too often, we distract ourselves with other activities — such as studying, watching TV, or surfing the Internet, without realizing that we're full, until the entire bowl of popcorn, liter of soda, or pizza is gone. Give yourself time to enjoy and appreciate your food, and you can notice and identify its effects on your body.

For more information and insight, check out Evelyn Tribole and Elyse Resch's book, Intuitive Eating. If you are a Columbia student, you may want to make an appointment to speak with a nutritionist. Morningside campus students can contact Medical Services; CUMC students can reach out to the Student Health Service.

Best of luck!

Alice

What exactly does moderate intensity mean?

Dear Confused,

The American College of Sports Medicine (ACSM) defines exercise intensity by percentage of maximum heart rate, rate of perceived exertion, and METS (metabolic equivalents) in their Position Stand, Recommended Quantity and Quality of Exercise for Development and Maintenance of Cardiorespiratory and Muscular Fitness and Flexibility in Healthy Adults. Moderate activity has been defined as 55 - 69 percent of maximum heart rate (MHR). ACSM defines "hard" exercise at 70 - 89 percent MHR, and "very hard" at 90 percent and above, with 100 percent being maximal exertion.  Check out Minimum and maximum heart rate for aerobic exercise in the Go Ask Alice! archive to learn the calculations and more.

You can also use the "Rate of Perceived Exertion" (RPE), a subjective rating that a person can use to rate his or her exercise intensity. If someone doesn't have any other way to rate workout intensity (i.e., has no watch to use to count heartbeats, or doesn't know how fast s/he is walking or running), RPE is a low-tech method of determining this calculation. For example, a person can consider walking at a leisurely pace a 6, and perhaps a mad dash to catch a bus or a flyaway $100 bill a 19; so, rating activity in-between is a way to rate one's exercise intensity. The ACSM Position Stand uses the original scale from 6 - 19 to identify the perceived level of difficulty of physical activity, as follows:

6 - 8: Very, very light
9 - 10: Very light
11 - 12:  Fairly light
13 - 14: Somewhat hard
15 - 16: Hard
17 - 18: Very hard
19: Very, very hard

Moderate intensity, using this scale of a person's self- perception of his or her own exercise difficulty, is 12 - 13, hard exercise is 14 - 16, and very hard activity is at 17-19.

The last measure — METS — has nothing to do with baseball players from New York; instead, it refers to metabolic equivalents. One MET is equivalent to your resting metabolic rate; 2 METS is any activity that requires two times your metabolic rate, etc. This measure is determined by the amount of oxygen consumed, which indicates the level of intensity a person is working. At 1 MET, an average man would be consuming 250 milliliters (ml) of oxygen per minute; an average woman would be consuming 200 ml of oxygen per minute. For those of you who wish to be even more exact, one MET is equal to 3.5 ml of oxygen per kilogram (kg) of body weight per minute (1 kg = 2.2 pounds). Since we are not going around measuring how much oxygen a person's body is consuming, assigning a MET equivalent can give us an idea as to how intense an activity is. At 1 MET (resting metabolic rate), a 55 kg female would use about 60 calories per hour, and a 65 kg male would use about 70 calories per hour. Two METS would be double that intensity, or consuming twice the amount of oxygen than at 1 MET. In other words, 2 METS means that one is working at twice his or her resting metabolic rate (which is relatively easy or achievable), 3 METS is 3 times someone's resting metabolic rate, and so on.

The ACSM rates moderate intensity using METS as decreasing with age. For men, moderate intensity by age is:

AGE (years) # METS (moderate) #METS (hard) # METS (very hard)
20-39 4.8 - 7.1 7.2 - 10.1 >10.2
40-64 4.0 - 5.9 6.0 - 8.4 >8.5
65-70 3.2 - 4.7 4.8 - 6.7 >6.8
80 and over 2.0 - 2.9 3.0 - 4.25 >4.25

For women, mean values are 1 - 2 METS lower than for men.

Some examples of how METS are associated with activity are as follows:

 

METS    Activity
1 resting quietly, watching TV, reading
1.5 eating, writing, desk work, driving, showering
2 light moving, strolling, light housework
3 level walking (2.5 mph), cycling (5.5 mph), bowling, golfing using a cart, heavy housework
4 walking (3 mph), cycling (8 mph), raking leaves, doubles tennis
5 walking (4 mph), cycling (10 mph), ice or roller skating, digging in the garden
6 walking (5 mph), cycling (11 mph), singles tennis, splitting wood, shoveling snow
7 jogging (5 mph), cycling (12 mph), basketball
8 running (5.5 mph), cycling (13 mph), vigorous basketball
9 competitive handball or racquetball
10 running (6 mph)

The Centers for Disease Control and Prevention (CDC) standards for moderate activity are more succinct, defining moderate intensity as an activity allowing for sustained, rhythmic movements that are carried out at:

  • an RPE of 11 - 14, or
  • 3 - 6 METS, or
  • 3.5 - 7.0 calories expended per minute (The number of calories per minute depends on a person's estimated body weight, fitness level, and intensity. Many charts are on the Internet that calculate energy expenditure for various activities, including the Fitness Partner calculator. An abundance of software, as well as exercise books, are also available for people who want to track this measure.)

Examples of such activity as defined by the CDC include mowing the lawn, dancing, swimming, or biking on a level surface.

Hope these explanations motivate you into moderate activity, so you can reap all its benefits.

Alice

No time for working out

Dear Aziz,

The job, school, family, dog, and/or bills — the responsibilities of life seem to multiply with each year that we age. As a result, responsibilities to ourselves — health maintenance activities, such as exercise and balanced eating — get pushed off the schedule. From what you've said, it sounds as though unhealthy changes in lifestyle are taking a toll on your self-esteem, body image, and energy level. Your mind and body are calling out for a change in the program! So the question is, how can healthy eating and exercise be incorporated into your day without interfering with your busy schedule?

Fortunately, adopting a healthier eating style — one that emphasizes veggies, fruit, low-fat dairy, lean proteins, and whole grains — does not require hours of preparation in the kitchen. A fast fix for your eating plan can be found in the freezer section of your local grocery store. You can pick up a variety of healthy foods and meals that require little to no preparation. Microwave meals of today are much tastier and healthier than the stereotypical T.V. dinners of the past, and they offer the added benefit of portion control. Paying more attention to what is on your plate and ultimately cutting back on portion sizes is one specific doable step that may help you to get back to your runner's physique.

Take a quick look at food labels to single out healthier choices. Choose convenience meals that contain approximately one fourth to one third of your daily caloric needs and 30 percent of calories from fat, with less than 10 percent of calories from saturated fat. Look for meals that contain less than 800 mg of sodium and at least 4 grams of fiber. Add frozen or pre-cut/washed veggies to these meals and a piece of fruit for dessert. The high fiber content of fruits and vegetables will leave you feeling fuller after you have eaten, without adding many calories.

Errands, such as trips to the grocery, are multitasking opportunities for exercise. You can jog or even ride your bike to work, the grocery, and/or the cleaners, and avoid wasting time in traffic or finding a parking spot. Physical activity will not only help you to get closer to your ideal body shape, but has the potential to relieve stress, increase work productivity, boost after work energy level, and improve sleep quality. The following tips may be useful:

  • Set the alarm 10 minutes earlier and wake up with stretching.
  • Climb at least some of the stairs instead of waiting for the elevator.
  • Take a walk around the office whenever you leave your desk for a bathroom or beverage break.
  • Take a walk to a co-worker's desk instead of calling or sending an e-mail.
  • Multitask by reading or doing research while walking on a treadmill or riding a stationary bike.
  • Use a little extra effort and motion in the chores you do around the house in order to use more calories.
  • Get off the train or bus one stop early or park your car a little further away from home/stores, to get in some walking.
  • Work activity into your social life by meeting friends to go dancing or playing Frisbee in the park.

In addition to the tips listed above, a great source for nutrition and physical activity information is the USDA's MyPlate initiative. This site allows users to tailor much of their information to meet individual nutrition and activity needs. Columbia-affilaited students, faculty, staff, and alumni can participate in the University's physical activity initiative, CU Move. CU Move encourages members of the Columbia community to engage in active lives that include regular physical activity. The program provides participants with motivation, incentives to be active throughout the year, and event calendars with access to plenty of free and low-cost physical activity options on campus and around NYC

After you start making even small changes in your eating plan and include informal exercise in your day, you are likely to begin feeling better. At this point, you may get the urge to do more. In addition, cut back on sedentary activities so that additional time and attention can be given to optimizing your health. With a slow and steady approach you should be able to find the minutes you desire for being more active. Go for it!

Alice

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