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TODAY’S SPECIAL EDITION MICRO RESOLUTION   ULTRA-PROCESSED FOODS (UPFs)

6/1/2026

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Hello and happy Monday! Before kicking off our next mini resolution to eat more fruits and vegetables, let’s dive into today’s Special Edition of Motivated Mondays: Ultra-processed foods and their relationship with cognitive decline!

In today’s fast-paced world, grocery shopping has transformed into a complex experience filled with a large array of choices. Among these options, processed and ultra-processed foods (UPFs) have become staples for many, offering convenience and instant gratification. But as our carts fill with brightly packaged snacks and ready-to-eat meals, it’s crucial to pause and consider what we’re really putting into our bodies. And recent media coverage has shone the spotlight on just how harmful these UPFs can be.
 
In order to better understand health outcomes and inform food policy, researchers have created four food categories based on their degree of processing:
 
1. Unprocessed or minimally processed foods
2. Oils, fats, salt, and sugar
3. Processed foods
4. Ultra-processed foods (UPFs)



CCP helps you stay on track!

Download the log for this week.

 
For questions or assistance, email your Motivated Mondays Coach Michele McCambridge:  
[email protected]


What is the definition of “ultra-processed foods”?

In general, UPFs are industrial formulations primarily composed of chemically modified substances extracted from foods, along with additives to enhance taste, texture, appearance, and durability, with minimal to no inclusion of whole foods.
 
As American molecular biologist and nutritionist Dr. Marion Nestle points out, UPFs are foods you could not make at home due to a lack of the necessary equipment and ingredients. UPFs are typically inexpensive, high in salt, sugar and fat, but low in fiber, protein and the nutrients found in the original foods.
 
Do you recall the old ad, “No one can eat just one?” UPFs have been chemically engineered to be hyper-palatable—in other words, they are lab-created foods designed to encourage individuals to eat beyond the point of satiety.

EXAMPLES OF UPFs

Snacks: Chips, biscuits, cakes, pastries, sweets, chocolate, and ice cream.
 
Processed meats: Sausages, hot dogs, deli meats, and chicken nuggets.
 
Drinks: Sugar-sweetened beverages, energy drinks, and fruit drinks.
 
Ready meals: Frozen pizzas, pre-prepared pasta dishes, and packaged pies.
 
Breakfast cereals: Especially those with added sugars, artificial colors, and flavors.
 
Bread: Mass-produced packaged bread often contains additives.
 
Condiments: Bottled sauces and dressings.

Health Risks

As Americans, 58% of our daily caloric intake comes from UPFs, displacing minimally processed, nutritious food in the diet, especially fruit and vegetables. Alarmingly, more than 1,500 observational studies on UPFs indicate a strong, linear association between UPF consumption and mortality, cancer, cardiovascular disease and metabolic disorders including diabetes, and mental health disorders such as depression and anxiety. All of these are known risk factors for cognitive decline and neurodegenerative diseases.
 
So, can’t the lab just add the nutrients back into UPFs to restore health benefits? No, and here’s why.
 
Processing food alters its chemical and physical properties, leading to a dietary reconstitution that affects not only the nutrients in the food item itself but also how or if those nutrients can be absorbed. Furthermore, industrial processing can produce harmful substances such as advanced glycation end-products (AGEs), trans fats, furans, and polycyclic aromatic hydrocarbons (PAHs).
 
The additives—emulsifiers, coloring agents, artificial sweeteners, and nitrates/nitrites—must also be considered, as they can disrupt the gut microbiome. These additives have been studied for safety as individual ingredients, yet they are often consumed together as a “cocktail,” which may amplify negative effects on human health.
 
Additionally, contaminants in packaging such as bisphenols, microplastics, mineral oils and phthalates pose further health risks. The body perceives these chemicals as foreign, triggering a cascading inflammatory response often referred to as “fast food fever.” Collectively, these factors result in elevated circulating biomarkers indicating oxidative stress and cellular damage.

A Closer Look at the Research

The research on UPFs is fairly new, dating back only to 2010, but the findings so far are troubling and show there is likely a direct, yet to be established, mechanism of action where UPFs negatively impact neurological health. Presently we understand the relationship to be inflammatory in nature, directly related to comorbidities such as cardiometabolic diseases and mental health disorders and likely linked to changes in the microbiome (a future mini-resolution) affecting the gut-brain axis.
 
A rare clinical trial (PMID 31105044) supports further observational findings on ultra-processed foods (UPFs). In a 4-week controlled study, participants alternated between UPF-based diets and minimally processed diets, matched for calories and nutrients. On the UPF diet, they consumed roughly 500 more calories daily and gained 2 pounds on average. By contrast, on the minimally processed diet, participants lost 2 pounds and showed improved hunger hormone profiles and metabolic markers.
 
Moreover, studies regarding UPFs, cognitive decline and neurodegeneration have found a direct, dose-response association between consumption of UPFs and the development of dementia, meaning more UPFs consumed could mean a greater risk of cognitive decline and/or dementia. Conversely, replacing just 10% of UPFs in the diet with a proportional equivalent of minimally processed foods has been estimated to reduce the risk of dementia by 19%, a finding that gives credence to the value of minimally processed diets, such as the Mediterranean and Nordic Diets.
 
Just last month, a groundbreaking study identified a strong association between long-term consumption of UPFs and the development of non-motor prodromal Parkinson’s disease (PD) features, including partial loss of the ability to smell, daytime sleepiness, body pain, impaired color vision and depressive symptoms.

What does all of this mean for you?

It’s all a matter of making better choices, namely, eating real food!

WHAT IS REAL FOOD?

Simply ask yourself, “Did my grandmother eat this food,” or “Can I make this at home?” or “Are the listed ingredients sold on grocery shelves?” If the answer is “no,” don’t put it in your grocery cart.
 
Consuming UPFs has become second nature to many and being mindful of what you’re eating is half the battle. This week, use our log to create awareness of your UPF consumption, tracking each processed food item you eat throughout each day. You may be surprised by your findings!
 
Next month, our mini resolution will be to eat more fruit and vegetables (FnVs), and we hope that in creating awareness of your UPF consumption, you will start to become more inclined to reach for FnVs instead of UPFs.
 
If you need additional guidance on how to make better choices, you can try the Yuka app. Just scan your item’s barcode and the app will provide a grade for that item out of 100, as well as better food alternatives. Sometimes the alternatives include items with artificial sweeteners—we recommend avoiding those!

We’ll see you next week for a NEW mini resolution!
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TODAY’S MINI RESOLUTIONHYDRATE • WEEK 3

5/26/2026

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Welcome to the 3rd and final week of our mini resolution to stay hydrated! We hope you have been finding new ways to quench your thirst. As you know, we are suggesting 8 cups of water a day and we’re encouraging folks to check their urine for hydration status! Here is that chart again in case you need it!


CCP helps you stay on track!
 
Use our log to to track your progress toward our mini resolution.
 
For questions or assistance, email your Motivated Mondays Coach Michele McCambridge:
 
[email protected]



Signs of Dehydration

Know the signs of dehydration—beyond urine color—and grab some water and/or seek medical attention if you think you may be dehydrated:
  • Unexplained sluggishness – if nothing else has changed in your daily routine (sleep, exercise, etc.) then maybe you need some water.
 
  • Palpitations – blood volume decreases in dehydration (it has less water in it) which causes an increase in heart rate to compensate.
 
  • Headaches – typical dehydration headaches feel like a dull ache or tightening all over the head (like a tension headache), but dehydration can also trigger migraines.
 
  • Inability to concentrate – suffering from brain fog? It might be your hydration levels. Not only does dehydration result in reduced memory and executive function, but it can also increase anxiety and foul moods.
 
  • Bad breath – dehydration results in reduced body fluid production, including saliva-which serves the very important function of bathing the teeth and       oral mucosa in enzyme rich oral fluids.
 
  • Dry skin – think of the cells in your body as a sponge. When a sponge is dry it shrivels up, hard and dry. When it is wet, it is pliable, soft and voluminous. This is most evident in your skin cells. In fact, a test of serious dehydration is called a skin turgor test. This is when the skin is pinched to see if it holds a tented shape. If it does, serious dehydration has set in.
 
  • Chills – if dehydrated, the body conserves blood flow to vital organs, redirecting flow from the skin causing you to feel more cold than typical.
 
  • Muscle cramps – water has electrolytes (sodium and potassium), which are necessary for muscle contractions, an absence of electrolytes can force the muscle to spasm involuntarily.
 
  • Sweet tooth cravings/hunger – if the liver doesn’t have enough hydration, it sends signals to the brain for food (it confuses dehydration with starvation), usually something glycogen rich like sweets.

 
DEHYDRATION DEVICES
 
Wearable devices that detect hydration levels are rapidly entering the market. Google “dehydration detection devices” to see what’s new in wearables to keep you alert to your hydration status.

 
This concludes our hydration mini resolution, but we encourage you to keep up with your progress from all your mini resolutions thus far. As always, feel free to reach us with any questions and we’ll see you next week for a new resolution.
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TODAY’S MINI RESOLUTION HYDRATE • WEEK 2

5/18/2026

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Welcome to Week 2 of our hydration resolution! This week, we’re exploring why dehydration becomes more common as we age and sharing simple strategies to help you stay well-hydrated.

CCP helps you stay on track!
 
Use our log to to track your progress toward our mini resolution.
 
For questions or assistance, email your Motivated Mondays Coach Michele McCambridge:
 
[email protected]


Aging and Dehydration

From an evolutionary perspective, our bodies were built to be their own portable water source. Like a canteen, about 80% of our total body water is stored in our muscles. Age-related reductions in muscle mass mean a smaller water reservoir from which the body can rely on when consumption is inadequate. This loss of muscle mass is exacerbated by inactivity and low protein consumption. (You may wish to revisit last month’s mini resolution Track 2 for insights on strength training.)
 
Within the brain are cells known as astrocytes, which regulate our water intake mechanisms. As we age, astrocytes in our brains atrophy, impairing the circulating signals which trigger thirst.
 
The combination of reduced muscle mass (your portable canteen for water) and atrophied astrocytes mean there is less fluid from which the body can draw upon in times of necessity, and the brain is less likely to sense the need for fluid intake.
 
The icing on the cake? Certain medications can increase fluid loss, either intentionally or as a side effect. It is also common for older adults to take multiple medications to treat various conditions, known as polypharmacy, potentiating dehydration even further.
 
This is why understanding your own urine is so important! Your urine will let you know if you need fluids before your brain will.

Pinkies Up! Creative Ways to Drink More Water
 
How can you drink more water? Here are some tips:

Consciously make it part of your day:
  • Start the Day. It has been estimated that the average person loses 6 oz of water during sleep, mostly through sweating and breathing. Starting the day with an 8 oz cup of water can replenish that deficit.
  • Set a timer. Some people forget to drink throughout the day. Setting timers or alarms on your smart phone can help you remember to grab some fluids.
 
  • Log it in your diary. Keeping track of your daily water consumption (as we are here) can help you connect your symptoms with the amount of water you have consumed so you may determine your ideal daily allotment range.
 
  • Take it with you. Invest in a fun, BPA-free bottle to stay with you when you are on the go. Google “Smart Water Bottles” to find one that can even remind you to take a sip.

If you find water boring, spruce it up:
  • Infuse it with fresh fruit like lemons, raspberries, cucumbers, or herbs, like mint or basil.
 
  • Put it on ice but make it fancy. Make ice cubes out of blended fruit and add the cubes to your water.
 
  • Add water enhancers like flavored powders and capsules like Cure. But be sure to read labels for weird ingredients, additives or high sugar content. There’s no sense in making a good thing bad!
 
  • Make it bubbly. Carbonated water works too! Just read the labels for sweeteners and additives if you are buying the flavored variety.
 
  • Add antioxidants. When made fresh, unsweetened green or black iced tea not only tastes refreshing when it hydrates but also adds antioxidants. Bottled, canned and powdered teas lose their antioxidant potency.
 
  • Chill out. Herbal teas (e.g., chamomile, “Sleepy Time”) can be served hot or cold and function to relax you.
 
  • Get hot. While relaxing in the air conditioning or in the winter, a steaming hot cup of broth does the trick quite nicely.

Eat your water!
 
Roughly 16% of our daily water intake comes from food. Choosing foods higher in water content can be a better option when trying to stay hydrated. Some options include:
  • Celery
  • Watermelon
  • Cucumber
  • Melon
  • Berries
  • Iceberg lettuce
  • Citrus fruits
  • Tomatoes

In Week 1, we had mentioned that dehydration may accelerate the progression of Alzheimer’s disease and can exacerbate symptoms, such as confusion and agitation. And, unfortunately, those with dementia are more prone to dehydration because they are less likely to be able to monitor their fluid intake and/or communicate their needs to caregivers. A new product on the market, Jelly Drops, is designed with the elderly and those with dementia in mind so they can “eat” their hydration and intake can be monitored. Please consult your concierge physician before trying this product.
 
If the safety of your water is a concern, you can visit the Environmental Working Group’s webpage, input your zip code and utility company, and they will advise you of common contaminants in your water supply and make recommendations for the type of water filter to purchase.

Are you feeling thirsty yet? We’ll see you next week to discuss signs of dehydration. Until then, drink up!


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TODAY’S MINI RESOLUTION STAY HYDRATED--WEEK 1

5/11/2026

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We hope you had a nice weekend and are feeling thirsty for a NEW mini resolution!

CCP helps you stay on track!
 
Use our log to to track your progress toward our mini resolution.
 
For questions or assistance, email your Motivated Mondays Coach Michele McCambridge: 
[email protected]


INTRODUCING YOUR NEXT MINI RESOLUTION: STAY HYDRATED!

Our goal for the next three weeks is to stay well-hydrated by drinking 8 cups of water per day and keeping an eye on our urine color & odor as a simple indicator of hydration.



HOW TO LOG IT:
 
Each day, use our tracking log ABOVE to record every cup of water (8 oz.) you drink, along with the color and odor of your urine.
 
Well-hydrated urine should be the color of lemonade or light beer, with only a mild odor. If it’s noticeably darker, has a strong smell or if you’re urinating infrequently, dehydration may be setting in.
 
Optional: For those who want a more scientific approach, you can use urine-specific gravity test strips to assess hydration (you can search Google or Amazon for a kit if you are so inclined!).

WHY LOG IT?
 
You might be wondering what staying well-hydrated has to do with cognitive decline. As it turns out, the answer is… quite a lot!

ACUTE DEHYDRATION AND BRAIN HEALTH

The brain is about 80% water, and even a modest short-term reduction in total body water—just 1–2%—has been shown to temporarily impair executive function and memory.
 
This effect is even more pronounced in older adults. In fact, dehydration-related delirium is often considered in the differential diagnosis when an older adult presents symptoms resembling Mild Cognitive Impairment (MCI) or dementia.
 
This is especially significant for older adults. Annually, up to 1.5% of all U.S. hospitalizations of older adults are due to dehydration, estimated to cost over 1 billion healthcare dollars per year. (Next week, we’ll explore why older adults are particularly prone to dehydration.)

CHRONIC DEHYDRATION
 
What about those who are chronically dehydrated? This may include people who are physically active, take multiple medications, spend time outdoors, live in warm climates or simply don’t enjoy drinking water and thus do not drink enough of it.
 
Whatever the cause, chronic dehydration increases the risk of long-term cognitive decline that may not be reversible even after rehydration.
 
Research using PET scans has shown that dehydration can contribute to the buildup of misfolded proteins (such as amyloid) in the brain, which disrupts communication between brain cells affecting cognitive function.
 
Dehydration may even accelerate the progression of Alzheimer’s disease and can exacerbate symptoms such as confusion and agitation.

SO, HOW MUCH WATER SHOULD I BE DRINKING TO MAINTAIN DAILY HYDRATION?

The National Association for Medicine’s (NAM) recommends maintaining hydration from both fluid and food sources. The daily recommended intake for male adults is 15.5 cups and 11.5 cups for adult females. However, individual needs vary significantly. Variables impacting how much water an individual needs (more or less) to consume each day vary according to:
  • Age
  • Gender
  • Weight
  • Activity level
  • Medical conditions
  • Medications
  • Altitude
  • Climate

WHEN TO SEEK MEDICAL ADVICE
 
 
It’s also important to remember that overhydration (AKA hyponatremia) can impact cognitive function, just like dehydration. That’s why becoming familiar with your urine—its color, frequency, and odor—is such a helpful tool in gauging your hydration status. For any personal medical concerns, we encourage you to reach out to your concierge physician.
 
Now that we’re paying closer attention to our urine, here are some signs that may warrant medical attention:
  • Persistent changes in color
  • Strong or unusual odor
  • Pain, burning, or discomfort during urination
  • Foam or bubbles
  • Presence of blood
  • A noticeable increase or decrease in urination frequency
 
If your urine is consistently darker than expected, there may be a range of contributing factors. Keep in mind that urine can also appear red, brown, purple, or green due to foods, supplements, medications, or infections, not just hydration status.

See you next week when we explore aging and dehydration!


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​TODAY’S SPECIAL EDITION MICRO RESOLUTION MEASURE AND MANAGE WITH A TRACKER!

5/4/2026

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Happy Monday! After focusing so much on sleep and exercise these past few months, you may be considering investing in some type of tracker. You may recall Austrian-American consultant and educator Peter Drucker’s quote: “What gets measured, gets managed.” Today we’re sharing considerations for trackers.


CCP helps you stay on track!  Download this month's tracker!
 
 
For questions or assistance, email your Motivated Mondays Coach Michele McCambridge:
 
[email protected]

Measure & Manage: Considerations for Trackers

How do you know which tracker is best for you? Simply stated, the best device for you is one that is within your budget and has features that are useful to you. We have put together a list of features available for you to consider to help you narrow down your search when you shop.

TRACKER FEATURES TO CONSIDER

 
24/7 Heartrate Tracking—this provides valuable information about your heartrate not only during exercise (i.e., how hard are you working?) but also at rest, which can then be reviewed with your physician. For example, an elevated RHR at rest can indicate dehydration, inadequate sleep, changes in certain medications, too much caffeine intake, and excessive stress.
 
HRV—Some of the newer techie versions even provide Heart Rate Variability (HRV) data, which is a metric with growing interest because it’s a measure of how quickly your body recovers from stress.
 
Sleep Tracking—many devices have the added feature of tracking your sleep. They can measure the information we addressed in our mini resolution to Sleep Better, such as time to fall asleep (sleep latency), time spend in bed vs time spent asleep (sleep efficiency) and can even measure time spent in the different stages of sleep (the architecture of sleep) as a measure of sleep quality. A bonus feature is when you don’t have to tell it you are heading to bed, it just “knows” when you have hit the hay.
 
Steps—daily steps are considered an important metric for evaluating a sedentary lifestyle. We covered this in our mini resolution around exercise. Some trackers have a feature that reminds you to stand up and move around if you have been sedentary for too long. Note that some devices aren’t sensitive enough to weed out activities like knitting or typing from actual steps, so do your due diligence with your research and read the reviews.
 
Calories—a word of caution, if you are trying to lose or gain weight, then do not rely solely on fitness trackers! They can over or underestimate your daily expenditure by as much as 1,000 calories. Trust us, we were crazy enough to try wearing four devices at once for the purpose of comparison. So, again, do your due diligence with your research and read the reviews.
 
GPS—if your activity/activities lead you outdoors, then the GPS feature may be good to have, not just for directionality but also for speed and elevation. Typically, you can download your workout to an app or website to see the 3D map of your activity (pretty cool stuff!). 
 
Time-Recording—something to consider, for example, if you swim, you may wish to record laps or if you run, you may wish to record splits. Or if you do HIIT (high-intensity interval training), you may wish to have an interval counter.
 
Waterproof—this is a good feature if you’re into water sports, plus it’s nice to not have to remember to remove your tracker when it comes time to shower.
 
Battery Life—it’s a bummer when you realize your tracker is out of juice and your data wasn’t captured. Longer battery life usually comes at a higher price, though. Some devices have a neat feature where you don’t have to move your device to a docking station for charging. Instead, the docking station fits over the device so no data is ever missing!
 
Body Placement—in addition to the wristwatch fitness trackers, there are also alternative versions such as bicep bands, clothing clips and rings available on the market. The original fitness trackers were a chest strap connected to a watch (and later versions to an app on your phone). These are still available and provide the most accurate exercise feedback but may not be practical for 24/7 use.
 
Smartwatch—do you want to leave the phone at home and have just one device for fitness, calls, texts, wireless payments and emails? Then a smartwatch may be a good option for you!
 
EKG--devices outfitted with this feature use electrical sensors to detect heart rhythms and are promoted for AFib detection, but they are not intended to replace medical grade equipment.
 
Fall Detection—certain devices exist solely for the purpose of fall detection, and then there are some devices that have an added feature of identifying a fall and sending EMS to your GPS-identified location.
 
VO2 Max--this metric has traditionally been used by elite athletes to measure their fitness and training but has recently become part of the conversation in longevity medicine.
 
AI Coach--want in-the-moment feedback on your workout, sleep or step count, or customized tips for improvement? Many higher-end devices now come with an interactive AI coach. (Coach Michele absolutely loves this feature on her device!)
 
Hydration Monitoring—as of this writing, none of the fitness trackers have a mechanism to monitor physiological hydration levels, but we expect this to change soon! Many do, however, come with alerts to remind you to drink water. Alternatively, there are devices that solely monitor physiological hydration levels. We will discuss these in our future mini resolution to maintain hydration.
 
Cost—more features and longer battery life come at a price. An entry-level tracker can cost about $50, whereas a fancier version can run as high as $800. In some cases, the device is free, but you pay a monthly subscription for access to the software and data. This is an interesting option if you just want to try something out for a while.

We’ll see you next week for a NEW mini resolution!
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TODAY’S MINI RESOLUTION EXERCISE • WEEK 5

4/29/2026

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Welcome to Week 5!
 
It may be the final week of our exercise mini resolution, but we hope it’s not your final week of using exercise as a tool to stave off cognitive decline!
 
Today, we’re taking a look at the importance of staying active through our daily activities.


For questions or assistance, email your Motivated Mondays Coach Michele McCambridge: [email protected]

KEEP GOING!

This year, through Motivated Mondays, CCP is committed to helping you combat cognitive decline, and exercise has been extensively studied as a critical component of any brain health program. This month’s exercise mini resolution presented separate tracks for different exercise routine baselines. For our Track 1 participants, we focused on getting started, overcoming obstacles and staying motivated. For those in Track 2, we focused on intensity and explored three modalities- cardio-respiratory exercise, strength training and mind-body exercises.
 
Importantly, exercise…
  • increases brain volume (bigger brains!).
  • causes the secretion of myokines from muscles.
  • improves blood flow to the brain, bringing with it critical oxygen and nutrients.
  • "uses up" excess blood sugar and makes cells more sensitive to insulin.
  • improves sleep which combats oxidative neurological stress.
  • improves our physiological resilience to stress and anxiety.
 
Here is an interesting look at five things that happen when we stop exercising.

So no matter which track you followed this month, we urge you to keep going! And be sure to check in regularly with your concierge physician to ensure your exercise plan is suitable for you.

RESISTING A SEDENTARY LIFESTYLE

As we’ve discussed over these past few weeks, planned and intentional physical exercise is a critical component of a comprehensive lifestyle program to improve cognitive function and prevent cognitive decline.
 
But today, in our final week of our Exercise Mini Resolution, we’re looking at the other side of the physical activity spectrum, through our Activities of Daily Living—which is just as crucial in our pursuit of building brawny brains and staving off cognitive decline.
 
Physical activity through your Activities of Daily Living (ADLs) is achieved by moving often throughout the day, not just during planned physical activity. Developing an active lifestyle helps to avoid sedentary behavior (defined as sitting for 5-6 or more hours uninterrupted, each day) which comes with its own slew of health problems.
 
Prolonged sitting impairs health by undermining the same physiological functions promoted by exercise. It is important to exercise and interrupt prolonged periods of sitting by standing, walking about or even with “exercise snacks.”
 
STEP COUNTS
 
Exercise scientists have studied step-counts as a practical measure of sedentary behavior (and associated health outcomes) outside of intentional exercise. In other words, step counts help to determine whether our ADLs keep our body in motion or whether we sit for most of the day.
 
Interestingly, even if you intentionally exercise for one hour a day, you are still considered sedentary if your steps are limited on average to about 2,700 steps a day. For example, if you jog five miles a day, i.e., 10,000 steps, but your step count outside that intentional activity is in the 2,700-step range, then you are still considered sedentary.
 
Thus, one can be physically  fit but still be at risk for diseases of a sedentary lifestyle, including but  not limited to cognitive decline. These people, who are “fit but sit,” are  defined as “active couch potatoes.”

DID YOU KNOW?
 
It is frequently cited that a daily dose of 10,000 steps is ideal for health promotion and disease prevention. Walking 10,000 steps is roughly equal to 5 miles and about 500 calories.
 
But you may be surprised to learn that metric was developed for a marketing strategy in 1965 to sell a pedometer called Manpo-Kei—translated to the “10,000 steps meter.”
 
For our purposes here, the minimal step count for reducing dementia risk was assessed in a 2022 prospective study to be 3,826 steps per day and the optimal dose was 9,826 steps per day.

Now that we know a little bit more about counting our steps, how can we make sure to move even more? Below are some ideas for stepping up your step count and create opportunities for “exercise snacks”:
 
In general:
  • Restrict TV time to the amount of time you exercise each day. For example, if you exercise for one hour, allow yourself only one hour of TV at a time.
  • Stand or walk around when speaking on the phone.
  • Do your own housecleaning or gardening. (And save money as a bonus!)
  • Walk the dog the long way home. (Fun fact: Studies show dog owners live longer and have lower BP, cholesterol and triglycerides!)
  • Take your coffee break outside and go for a quick stroll, weather permitting.
  • Get off the couch at each commercial break.
  • Golfing? Skip the cart and walk the course.
  • Go shopping in-person rather than online.
  • Plan a day that involves walking such as visiting a museum, an art gallery, a flea market or a street fair, etc.
 
Getting around:
  • Get off the bus or subway one stop early and walk the rest of the way to your destination.
  • Walk errands.
  • Take the stairs down, elevator up.
  • Don’t use the drive-through window. Instead, park and walk inside.
  • Park as far away from the store door as possible.
 
At work (if you are working in an office setting):
  • Use the printer/copier farthest from your desk.
  • Walk to your coworkers’ desks, rather than call or email them.
  • Set a timer to go off every 20 minutes to stand up and walk around.
  • Get out of the office for at least 20 minutes each day to walk outside (this is a great mental health break, too!).
 
If you are interested in monitoring your daily step count, here are some top-rated pedometers to consider.

That concludes our mini resolution! We’ll see you next week for a brand new mini resolution that is sure to help you stave of cognitive decline and build a brawnier brain!
 
We’d love to hear from you! Email Coach Michele ([email protected]) with your feedback.

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TODAY’S SPECIAL EDITION MICRO RESOLUTION SPEND MORE TIME IN NATURE

4/20/2026

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Happy Monday! With two resolutions under your belt, we hope you’re sleeping better and continuing to exercise. Before we dive into our next big mini resolution, we’re taking this opportunity to recognize Earth Day with a micro resolution to spend more time in nature!

CCP helps you stay on track!
 
For questions or assistance, email your Motivated Mondays Coach Michele McCambridge:
 
[email protected]

Exposure to Nature

It’s been nearly 170 years since Thoreau’s exploration of living simply surrounded by nature, Walden, was published. In it, he famously says, “We need the tonic of wildness… we can never have enough of nature.”
 
This thought still holds true and is especially salient when we’re talking about cognition.

Immersion in Nature and Cognition
 
A growing body of evidence has shown that exposure to nature improves performance on cognitive tasks, whereas urban exposure may be detrimental to cognitive tasks. For example, a recent study found that those who walked for 35 minutes outdoors scored significantly better on the Stroop cognitive task than those who walked indoors on a treadmill. And a follow-up study found that those who walked outside in a forest scored better on a cognitive task than those who walked in an urban environment.
 
This phenomenon is supported by the ART theory, or attentive restorative theory, wherein the limited number of alerting stimuli in nature vs. urban environments allows the brain’s directed-attention mechanisms to replenish because it is using bottom-up involuntary attention.

Exposure to Green Spaces and Cognitive Decline

The health benefits of exposure to nature are so profound that some doctors have taken to prescribing time outdoors. Similarly, the Japanese practice of Forest Bathing has really taken off.
 
Those who reside in areas with high green space have a reduced risk of developing dementia. In those with dementia, time outdoors has been shown to improve mood and reduce agitation.
 
The proposed mechanisms by which exposure to green spaces may prevent neurodegeneration include:

Improved Circadian Rhythm (CR) function by exposure to daylight’s blue light. You may recall from our resolution to sleep better how critical CR function is to sleep quality and duration. Virtually every cell in the body has its own circadian rhythm. A 2026 study found that exposure to daylight vs. an office environment improved glucose control. Metabolic diseases have previously been identified as independent risk-factors for dementia

Reduced perceived stress and reduced stress biomarkers. The body’s “fight or flight” response is activated under stress, and being in nature applies the brakes by initiating the “rest and digest” system. Chronically existing in “fight or flight” mode exposes the body to a cascade of biochemicals that promote inflammation, oxidative stress and increase blood pressure. Hypertension is an independent risk factor for dementia. We will have a future mini resolution on reducing the physiological response to stress.

Providing olfactory enrichment. There is an interesting association between loss of smell and dementia. Based on evidence in both cognitive function tests and neurological imaging, smell training has been suggested as a low-cost, accessible tool for protecting against cognitive decline. Being outdoors exposes us to the terpenes of plants and trees and the aromatic compounds given off by them. An added bonus is the positive effect on mood from exposure to these terpenes

Interestingly, the benefits of being in nature can be achieved in as little as 15 minutes and seem to top out at 90 minutes.
 
Even if you’re feeling a bit skeptical, what do you have to lose? This week, synergize your walk with nature each day by lacing up those sneakers, grabbing a friend or the dog and heading out to the green spaces in your neighborhood. Bonus points if you take your walk after lunch! Importantly, be sure take a moment to see if your exposure to nature affects your mental outlook and ability to concentrate later in the day.
 
Then track those thoughts on the log or email us ([email protected]).
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TODAY’S MINI RESOLUTION EXERCISE • WEEK 4

4/16/2026

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Rise and shine! Ready for Week 4?
 
Choose your track: Beginner or Intermediate!
 
And be sure to keep reading below for important info about rest and recovery.

For questions or assistance, email your Motivated Mondays Coach Michele McCambridge: [email protected]



AN IMPORTANT NOTE ABOUT REST & RECOVERY

By now, you may be feeling the effects of your new exercise program, like new or different aches and pains. Let’s talk about rest and recovery!

It is advisable to schedule rest days into your routine, as proper rest is crucial to the body’s replenishment of vital nutrients to your muscles. Just how often you need those rest days depends on how hard you are working. Harder workouts = more rest needed. If you don’t schedule it, your body will schedule it for you!
 
So, what exactly is the value in a rest day and what are the means for facilitating active recovery?

A rest day doesn’t necessarily mean a day on the couch with a pint of Ben & Jerry's.
 
Active recovery facilitates healing by delivering nutrients to the muscles via increased blood flow and is typically a better option for healing than a Netflix binge.
 
A few active recovery options include:
 
  • Massage: this can be a pricey option. Here are some tips for keeping costs down.
 
  • Foam rolling: this is a form of myofascial release, essentially self-massage, but not exactly as enjoyable. Foam rollers are fairly inexpensive on Amazon. Here are a few highly rated options, and here is a guide on how to foam roll.
 
  • Stretching: an essential recovery tool, stretching is an important aspect of any comprehensive fitness program. Here is a link to a simple full-body sequence of stretches you can do at home.
 
  • Bath time: have you outgrown baths as an adult? Maybe it’s time to revisit the benefits of this relaxing recovery technique with Epsom Salt Baths!


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TODAY’S MINI RESOLUTION EXERCISE • WEEK 3

4/7/2026

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Good morning! We hope you're enjoying your exercise mini resolution! Let's get started on Week 3!
 
Choose your track: Beginner or Intermediate!
 
You  may find that your workout clothes stink, even after washing and drying!  Workout clothes may need a different approach to cleaning than your regular  laundry. Here are a few tips to try. There are also laundry detergents specifically made for gym clothes.

For questions or assistance, email your Motivated Mondays Coach Michele McCambridge: [email protected]


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TODAY’S MINI RESOLUTIONEXERCISE • WEEK 2

3/31/2026

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Good morning! We hope you had a nice weekend and are ready to dig into exercise!
 
Choose your track below: Beginner or Intermediate!
 
If your exercise mini resolution has you considering a gym membership, keep in mind that certain insurances may provide coverage or financial assistance with gym membership dues. It's certainly worth calling your insurance carrier to see what is available to you!


For questions or assistance, email your Motivated Mondays Coach Michele McCambridge: [email protected]

CHOOSE YOUR TRACK:

Select your tailored track below! Which one best suits you?

STARTING A NEW ROUTINE:


OPTIMIZING MY EXISTING ROUTINE:




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    Author

    Michele is the Senior VP of Membership Development at Concierge Choice Physicians. She is also a professional in the areas of nutrition, fitness and wellness.

    ​With a Master’s in Public Health from Columbia University and more than 10 years of experience working with the public as a wellness advocate, personal trainer and chef, Michele is passionate about teaching patients the “how to” of health advice.

    She’s taught at NYU, placed in natural body building competitions, is certified in multiple styles of Yoga, and even completed the Natural Gourmet Institute Chef Training program. In addition, Michele recently completed a joint degree Master of Science in Human Nutrition and Functional Medicine.
     As Michele says “my passion is demonstrating how simple lifestyle choices can help people feel and live better.”

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CCP is a privately held company based in Rockville Centre, New York. We have consulted with and supported hundreds of practices nationally since 2005. For our current list of locations and physicians, please select “Find a Doctor” at the top of the page.​

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