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YOUR 2025 BRAIN BRAWN MINI RESOLUTION: EXERCISE OUR FINAL WEEK

5/27/2025

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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:
  • Restrict TV time to the amount of time you exercise each day, IE if you exercise for one hour, allow yourself only one hour of TV viewing time
  • Stand/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. (Studies show dog owners live longer and have lower BP, cholesterol and triglycerides!)
  • Take your coffee break outside with a friend for a stroll, weather permitting.
  • Get off the couch at each commercial break. Even better? Lose the clicker and instead, get up to change the channel or volume (if your TV still has physical buttons).
  • Walk the golf course, skip the cart.
  • Go shopping.
Plan some fun that involves walking such as a museum, art gallery, flea market, street fair, etc.
 
Getting around:
  • Get off the bus or subway one stop earlier 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!).

 
 

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    MICHELE MCCAMBRIDGE, MPH, MS

    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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