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March 24, 2010   Juneau Empire

Starting Over

Spring was upon us last weekend and it was fun to see so many people out and about. I dusted off my bike and went for a long bike ride after a six-month hiatus. It was so pleasant I felt like going even farther, but I knew I would probably regret it the next day. If you are just getting back into any strenuous activities, it is a good idea to start off moderately and build up your intensity and duration.

This need to break into activities holds true even if you stayed in good shape during the winter. For instance, if you stayed in good aerobic condition by cross country skiing, your heart and lungs might be ready for a long, hard run. Unfortunately, running puts a different type of stress on your muscles and joints so you still need to start with moderate distances and paces.

Yours in good health, Corey


March 17, 2010   Juneau Empire

Spring
I've been on two hikes with my wife Ellen in the last week. The first time it was raining when we left the house and I had to force myself to go. The second time it was a beautiful day and we went at lunch. I couldn't wait to go that time. Strangely enough though, I had a great time on both outings.

It's funny how we resist doing things that we know will make us feel better. I always feel better when I've gotten outside no matter what the weather is doing, but I certainly resist it when it's cold and rainy. Now that the days are getting longer, it's a good time to take advantage and start making outdoor time a habit.

Yours in good health, Corey


March 10, 2010   Juneau Empire

Joy Threshold
I recently had the pleasure of visiting an old and dear friend of mine. Pat is a nurse midwife at a busy hospital so her job has more than its share of stress and responsibility, not to mention the fact that she is often on call for 60 hours at a time. Despite this, she is always pleasant and upbeat.

When I remarked on this to her, Pat acknowledged a lot of stressors in her life, but said that she also has a low threshold for joy. What a wonderful concept! Big things don't come around very often, but finding joy in little things can help make being joyful a habit.

Yours in good health, Corey


March 5, 2010   Juneau Empire

Organic
A friend and I were recently discussing the virtues of organic fruits and vegetables. There is no question that they're more nutritious and have less pesticide residue than non-organic items. The drawback, of course, is their cost and availability. We are fortunate now that in Juneau we can get many organic fruits and veggies for not a whole lot more cost.

It makes perfect sense to eat organic when we can, but I also keep in mind that the numerous studies showing that those who eat the most fruits and vegetables live the longest and have the least lowest incidence of disease were not done with organic food. Go organic whenever feasible, but don't ever say no to a fruit or vegetable.

Yours in good health, Corey


February 10, 2010   Juneau Empire

Scales
The other day a member started off our conversation by telling me how many miles she had run over the last two weeks. She told me that she even ran to the Weight Watchers office for her weigh-in. All last month she had been feeling ecstatic and several people had told her how great she looked.

You can guess what happened next. She weighed in a couple of pounds heavier than last time and was devastated. Permanent fat loss is a slow process and there is just too much fluctuation in our body weight for the scale to be a useful tool. If you are doing the right things with your diet and exercise and your waist is getting smaller, it's a pretty sure bet you are losing fat. You don't need a smaller number each time you get on a scale to validate your efforts.

Yours in good health, Corey


February 3, 2010 Juneau Empire

New Section
I'm excited about the Juneau Empire's new section on health and fitness debuting this Thursday. I am particularly excited because I have been asked to submit a column for it twice a month. I've enjoyed writing this one for the last nine years and will continue to do so, but it's going to be great to have more space to expand on a lot of ideas I haven't been able to address adequately.

Please feel free to e-mail me with suggestions for topics or any questions or comments you might have. I look forward to hearing from you and to addressing you from this new forum. corey@gopavitt.com

Yours in good health, Corey


Welcome to the New Health and Fitness Section

(From the Juneau Empire) Welcome to the Juneau Empire’s new health and fitness section. It is an honor to speak to you twice a month in this format. My writing will obviously be influenced by both my professional training and personal experience, so it makes sense for you to have a little background information on the person spouting all this advice at you.

As a chiropractic physician, I recognize and advocate the importance of prevention and non-invasive treatments. Having had very successful back surgery myself five years ago, however, I’m also acutely aware of modern medicine’s benefit. Nonetheless, I am still of the mind that proper nutrition and exercise will do more to increase the quality and quantity of our lives than any drugs or surgeries.

Bodybuilding has been a love of mine since my Karate Sensei introduced me to it when I was sixteen. Although I began competitive bodybuilding in 1980 at the age of 20, it wasn’t until 2001 that I won my first title. Obviously then, I’m no stranger to delayed gratification or being an “also ran.” Having been a clumsy, uncoordinated child, I also understand those who are not naturally inclined toward organized sports or even exercise in general.

I was a couple of decades ahead of the curve with weight lifting. When I started in the mid '70s, everyone warned me, “All that muscle will turn to fat when you stop.” Now professional athletes in virtually every field embrace strength training and doctors tell their patients to lift weights to prevent osteoporosis. Strength training is also the most effective way to lose fat, maintain muscle, improve hormone levels, and increase function. In short, it is now recognized as cutting edge anti-aging medicine.

Those who have been reading my Wednesday Empire columns for any length of time know that in addition to eating right and exercise in general, I am a big proponent of stretching. Now, whether you are a chiropractor, a physical therapist, or a Pilates instructor, you really can’t come up with a stretch or core stability exercise that isn’t also a yoga posture. Along with strength training, yoga really is the closest we have to a fountain of youth. I was fortunate to discover yoga twenty-five years ago and have more flexibility now at 50 than I did then.

The last major component of health and well-being is mental, emotional, and spiritual health. Having an optimistic outlook has been proven to improve our health and extend our life expectancies. On the other hand, I vehemently disagree with the notion that we should all be constantly happy. Sometimes we need to be sad or grieve or just be a little overwhelmed. The last thing we need when going through a rough patch is to beat ourselves up over not having a positive enough attitude.

While I am generally optimistic by nature, I also have a bent towards depression. Having been clinically depressed myself, and having lost a dear friend to suicide, I am acutely aware of how we all have our struggles. When you hear me preaching the benefits of exercise, proper nutrition, light boxes and meditation, it’s because I know firsthand of their benefit in improving well-being. I also know firsthand what the alternative is.

How you eat and whether or not you exercise are not moral issues. They do, however, profoundly affect your health. Making changes, especially in these areas, can seem overwhelming. Please keep in mind that you don’t have to make heroic life style changes in order to start reaping benefits. My hope is that this column can serve to help simplify the sometimes paralyzing amount of information on health and fitness and provide you with simple steps you can take. Please join me as we kindly continue on our journey towards a healthier lifestyle. We are never going to reach perfection, but maybe by supporting each other we can make small steps towards living our lives a little more fully.


January 13, 2010 Juneau Empire

Falls
This is a busy time of year for chiropractors. Not so much because of snow shoveling but rather because of slips and falls. Last week's rain on top of ice made for a lot of treacherous driveways and parking lots and if the weather forecasters can be believed, that won't be the last time we're going to deal with this.

Sometimes a slip on the ice is just annoying and a little embarrassing, but other times you can really hurt yourself. I believe the single best way to avoid falls on ice is to wear crampons. They are relatively inexpensive and most types slip easily on and off your shoes or boots. If you don't already have a pair, get one. If you already have them, remembering to wear them can save you a lot trouble later.

Yours in good health, Corey


January 6, 2010 Juneau Empire

2010
I like writing about resolutions a bit into January because by now many of us have broken ours. That's actually a good thing. Now that we accept that we aren't going to be perfect this year, or any year, we can get back to the business of trying to live our lives just a little better.

Last week I was thinking about the habits I would like to form this year. One of them is to meditate daily and another is simply to worry less and be happier. While the first goal is helpful in obtaining the latter, beating myself up over the days I don't meditate will hardly help me to be happier.

Already this year I've been far from perfect in forming my new habits, but I'm going to take this one day at a time and keep plugging away. Happy New Years to all of you and I wish you health and happiness.

Yours in good health, Corey


December 23, 2009 Juneau Empire

Merry Christmas
It has become politically correct to wish Happy Holidays rather than Merry Christmas. Regardless of your religious persuasion, or lack thereof, I think Christmas stands for some things that transcend any one religion. Peace, love, and goodwill are universal qualities that I think we all, deep down, want to embrace and embody.

The hustle and bustle and last minute preparations are about over. Now is a good time to stop and reflect on what Christmas really means to you. I'll be counting my blessings this year, and among them is living in a community of so many wonderful and caring people. Please accept my wishes for a loving and peaceful Christmas and New Year.

Yours in good health, Corey


December 16, 2009 Juneau Empire

Snacking
After our cat Fluffy knocked our ancient TV off its wall mount this summer, we broke down and got a new one. We're watching a few more DVDs now and I've noticed a corresponding increase in my snacking. I tried to keep it relatively healthy by making air popped popcorn with olive oil and nutritional yeast, but still I was taking in more calories than I needed.

When I get the urge to snack now, the first thing I ask myself is am I really hungry or just bored or even thirsty. If I still feel like eating after that, I've found that a large, crunchy salad allows me to enjoy all the mindless chewing that the popcorn did and I feel more satisfied afterward.

Yours in good health, Corey


December 2, 2009 Juneau Empire

December
Does anyone else feel like the year is flying away? I guess I shouldn't be too surprised that it's December. I had all of November to get used to the idea. Still, I can't quite believe that we are just a little over three weeks away from Christmas. My thoughts have suddenly turned to how much I have to do. The holiday season can be wonderful and meaningful, but all too often many of us simply find it stressful.

Ideally, we can make this time of year more enjoyable by keeping in mind why we are celebrating it and not getting caught up in all of the "shoulds" that we may feel compelled to do. Regardless of that, I know personally I do the best in these busy times when I continue to exercise and take care of myself. No matter how you spend the holiday season, don't forget to take care of yourself.

Yours in good health, Corey


November 25, 2009 Juneau Empire

Thanks
Most people I know consider Thanksgiving their favorite holiday. It's a low-stress chance to have some time off and also enjoy a feast. If we can remember the thanks-giving part, it's even more meaningful of a day. Studies have shown that people who regularly list what they are grateful for are healthier than those who don't. So the way I see it, giving thanks all day cancels out any problems with pigging out all day.

I intend to eat a lot on Thanksgiving so I'm going to hedge my bet and start being thankful now. As always, I am grateful for the health that my family and I are enjoying. This year I'm particularly grateful to live in a community that donated nine tons of food to the food bank and for its manager, Darren Adams, who works so selflessly all year round.

Yours in good health, Corey


November 18, 2009 Juneau Empire

Partners
During the 34 years since I first began lifting weights, I've probably spent an equal number of years training alone and with a training partner. Both times have been enjoyable and fit my needs at the time. Training alone allows me to do exactly the routine that works best for me, at the intensity I want. Having a partner, on the other hand, provides accountability, camaraderie, and motivation.

I've had some wonderful training partners over the years and formed strong bonds with them. My current partner is my fourteen year-old son, Jackson. We're both making great progress and he's keeping me on my toes. If your workouts aren't what you'd like, or you're having some trouble getting started, finding a partner in crime might be just what you need.

Yours in good health, Corey


November 11, 2009 Juneau Empire

Day Off
I've been pretty busy lately, so I've been looking forward to having an extra day off this week. My wife Ellen has also been pretty busy between her work at the fitness center, studying calculus at the university, and her daily exercise. The other morning she made a conscious decision to take a day off of her early morning exercise. She thoroughly enjoyed having some extra time in the morning and it energized her to stick with her routine.

It's funny how much you appreciate something, in this case extra free time, when it's in short supply. Being busy can be fine, especially when you enjoy the things you are doing overall. Balance is important too, though, and it's also important to stay in touch with your emotions and know when to back off a little. I'm going to enjoy having a free day today and at some point I am going to make a point of remembering that today is a holiday to honor our veterans.

Yours in good health, Corey


November 4, 2009 Juneau Empire

Changes
Well, I've been aware for a while that my picture was getting a bit dated, but it wasn't until it was brought to my attention that it was ten years old did I decide to do something about it. Part of why I procrastinated so long was because it seemed like so much trouble to update it. When I finally decided to deal with it, however, I simply had Ellen take some pictures with our digital camera before I went to school and I emailed one to the paper.

I've written before how it's easy not to notice changes that happen gradually. I've also written about how we tend to put off making changes unless we are ready to make major reversals. The sooner we correct trends that are sending us in the wrong direction, the easier those corrections are. Often the changes we need to make aren't as hard as we had built them up to be and we wonder why we didn't do them sooner.

Yours in good health, Corey


October 28, 2009 Juneau Empire

Pick-Me-Up
I got behind on my school work and lesson plans last week and violated the cardinal rule of health and fitness. I skipped a couple of workouts to catch up. This, combined with our rainy weather and increasing darkness, had me feeling pretty blah this morning. Fortunately, one of the classes I am student teaching is fitness concepts and I joined in with the students.

Now I know better than most how exercise is not only good for your health, but also your spirit. Nonetheless, I was pleasantly surprised at how great I felt after simply warming up with some light stretches and calisthenics and then less than 20 minutes of cardio. If our increasing darkness is leaving you a little lethargic or worse, feeling better may just be a short workout away.

Yours in good health, Corey


October 21, 2009 Juneau Empire

Steroids
Well, once again Bill, my BFF, gave me a great suggestion for a topic. He recently saw Bigger, Faster, Stronger and was curious about my opinion. I am a lifetime natural bodybuilder which means I have never used steroids or other muscle building drugs. To me it kind of defeats the whole purpose of working so hard to improve your health and fitness if you use substances that have negative side effects.

Bigger, Faster, Stronger is an interesting documentary and is a wake up call to anyone still naive as to the extent of drug use in virtually all competitive sports. In my opinion, however, it treats this use too matter-of-factly and glosses over the health problems associated with it. There are no short cuts to getting really big, strong, or fast. Training hard and consistently over the long haul will take most of us far further than we would have believed and far further than drugs will take us in the short run.

Yours in good health, Corey


October 14, 2009 Juneau Empire

Planks
Last week we discussed how improving your core strength can reduce your low back pain episodes and severity. Performing the plank is perhaps one of the simplest and most effective exercises for your core. The plank looks like the push-up position, although you can do it on your hands or your elbows. If this position is too difficult to hold, you can also do it with your knees on the floor. Make sure to keep your stomach pulled in and your body in a straight line. Don't let your butt sag or stick up.

I like to have my patients set a timer for two minutes when they do this exercise. Hold the position for as long as comfortable and then rest a few moments and repeat until the timer goes off. As you get stronger, you will be able to hold it longer, and rest less, until you are holding it for the entire time.

Yours in good health, Corey