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Exercise & Brain Health
Our Motivated Mondays mini resolutions are all about fighting cognitive decline. Exercise has been extensively studied as a critical component of any brain health program. 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" excessive blood sugar and makes cells more sensitive to insulin, improves sleep which combats oxidative neurological stress, and improves our physiological resilience to stress and anxiety. As mentioned above, even if one exercises with intensity for one hour a day, those brain benefits are offset if the rest of the day is spent sitting. Thus, we want to exercise AND engage in physical activity throughout the day. Here is an interesting look at five things that happen when we stop exercising. For 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. ...For both tracks - KEEP GOING Resisting a Sedentary Lifestyle for the Long Haul Over these past few weeks, we’ve been talking about exercise—planned and intentional physical exertion—as a critical part of a comprehensive lifestyle program to improve cognitive function and prevent cognitive decline. Equally important, but in different ways, is physical activity—as in the type that simply occurs through living your life (Activities of Daily Living or ADLs). Moving often throughout the day to avoid sedentary behavior is another critical component for your comprehensive lifestyle program for brain health. We addressed sedentary behavior in Week 1. Being sedentary (sitting for 5-6 or more uninterrupted hours a day) reduces cognitive function and increases one’s risk of cognitive decline. Prolonged sitting impairs health by undermining the same physiological functions promoted by exercise. In epidemiology, 9 criteria exist for labeling an observed effect as causation– sedentary behavior meets 5 of those criteria. Meaning researchers are close to stating a sedentary lifestyle causes cognitive decline. Whoa! That’s significant! But guess what? Depending upon the time and intensity of your planned, intentional exercise, if you sit with minimal interruptions of 5 -6 or more hours a day, all that sitting may may override the benefits of exercise. Thus, one can be physically fit- but still be at risk for diseases of a sedentary lifestyle-including cognitive decline. People who are fit but sit are defined as “active couch potatoes.” Thus, it is important to exercise and interrupt prolonged periods of sitting by standing, walking about or even with “exercise snacks That brings us to the idea behind walking 10,000 steps a day. This recommendation is NOT about going for a 5-mile walk or jogging. Instead, it is about avoiding sedentary behavior. It is a metric for activity, not exercise. The objective is to fight gravity by standing up frequently and moving the body often. The act of simply standing produces positive physiological changes in the body. Do your ADLs keep your body in motion, or do you sit for most of the day? Even if you exercise with intention one hour a day, you are still considered sedentary if your steps are limited on average to about 2,700 steps a day (note: if you jog 5 miles a day (10,000 steps) but your step count outside that intentional activity is in the 2,700-step range, then you are still considered sedentary). Do more steps equal better health? Research has demonstrated more steps (i.e., movement/fighting gravity) equals better cognitive function, reduced BMI, and lower rates of diabetes and hypertension. A recent study found that magic number to be 9,800- steps per day, practically 10,000! So, now that we know a little bit more about counting our steps, how do you move even more? Defy gravity more? Step up your step count? Even if you are not necessarily logging your daily steps, it still counts towards your health! Below are some ideas, feel free to incorporate those that will work best for you: In general:
Getting around:
At work (if you are working in an office setting):
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MICHELE MCCAMBRIDGE, MPH, MSMichele is the Senior VP of Membership Development at Concierge Choice Physicians. She is also a professional in the areas of nutrition, fitness and wellness. Archives
November 2025
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