The following program presents principles 00:00:01.98\00:00:02.95 designed to promote good health and is 00:00:02.96\00:00:04.44 not intended to take the place of 00:00:04.47\00:00:05.95 personalized professional care. 00:00:05.98\00:00:07.72 The opinions and ideas expressed are those 00:00:08.50\00:00:10.62 of the speaker. Viewers are encouraged to draw 00:00:10.65\00:00:13.18 their own conclusions about 00:00:13.21\00:00:14.63 the information presented. 00:00:14.66\00:00:15.95 Whether you are youngster, a young adult 00:00:36.23\00:00:38.46 or in your golden years, physical activity is 00:00:38.85\00:00:41.99 vital to your health and well-being. 00:00:42.02\00:00:44.17 Hello and welcome to Wonderfully Made. 00:00:45.50\00:00:47.99 My name is Don Morgan and I'm an exercise 00:00:48.73\00:00:51.69 physiologist, who teaches in the Department of 00:00:51.72\00:00:53.92 Health and Human Performance at Middle 00:00:53.95\00:00:56.64 Tennessee State University. This is the final 00:00:56.67\00:01:00.41 presentation in a series of 11 programs that have 00:01:00.44\00:01:04.06 highlighted the importance of physical 00:01:04.09\00:01:06.68 activity as a corner stone of good health. 00:01:06.71\00:01:09.57 Today, I want to review some of the major points 00:01:10.62\00:01:14.52 that have been discussed in this health series. 00:01:14.55\00:01:16.77 So, that you can feel encouraged, energized, 00:01:17.45\00:01:20.98 and empowered to live a physically active life. 00:01:21.27\00:01:24.26 Towards the end of the program, I'll also share a 00:01:25.92\00:01:28.71 personal testimony about the positive changes that 00:01:28.74\00:01:32.37 have occurred in my own life as a result of 00:01:32.40\00:01:35.83 engaging in a regular routine of physical 00:01:35.86\00:01:38.51 activity and exercise. Early on in this series 00:01:38.54\00:01:44.48 I emphasized the spiritual dimensions of leading a 00:01:45.16\00:01:48.36 physically active life. If one considers examples 00:01:48.39\00:01:52.78 in the natural world, the heavenly bodies, which 00:01:52.81\00:01:55.90 surround us the oceans, the rivers, the roaring 00:01:55.93\00:01:59.78 surf, and the wind. The common feature of all 00:01:59.81\00:02:04.13 of these phenomena is motion and if one piers 00:02:04.16\00:02:10.64 inside the human body, physiological process is 00:02:10.67\00:02:14.42 like breathing, the circulation of the blood 00:02:14.45\00:02:17.75 and muscle contraction, all of these signify the life 00:02:18.65\00:02:22.81 giving properties associated with movement. 00:02:22.84\00:02:25.86 We worship a God, who has created a universe 00:02:27.48\00:02:31.16 that operates on the foundational principles of 00:02:31.86\00:02:34.99 action and motion. So, when we seek out 00:02:35.02\00:02:40.40 opportunities to be physically active, we fit 00:02:40.43\00:02:44.19 seamlessly into God's creation plan. 00:02:44.62\00:02:47.56 A plan in which movement and activity 00:02:48.65\00:02:50.90 are the norm and not the exception, in this health 00:02:51.26\00:02:57.20 series I have tried to impart factual 00:02:57.23\00:03:00.04 information about the many health benefits 00:03:00.07\00:03:02.53 of regular physical activity. However, knowledge 00:03:02.96\00:03:08.29 about the benefits of physical activity really 00:03:08.32\00:03:11.25 isn't much help, unless they are tied to the 00:03:11.28\00:03:14.54 practice of physical activity. For those of you, 00:03:14.57\00:03:19.53 who lead active lives there is almost an 00:03:19.95\00:03:23.36 instinctive understanding of how essential physical 00:03:23.39\00:03:27.19 activity is in the maintenance of good health. 00:03:27.22\00:03:30.71 If it's your desire to start down the road to better 00:03:32.77\00:03:35.98 health and fitness, it is vital to find a reason that 00:03:36.01\00:03:41.53 you can identify with for becoming physically active. 00:03:41.56\00:03:45.19 As I have mentioned before there is no single 00:03:46.88\00:03:50.61 overwriting rationale that will work for everyone, 00:03:50.64\00:03:53.53 but there is a reason to be active that will make 00:03:54.71\00:03:57.33 sense to each person watching this program today. 00:03:57.36\00:04:01.13 For example, perhaps you've come to appreciate 00:04:02.59\00:04:06.42 the sheer enormity of the health blessings that 00:04:06.45\00:04:10.03 come from adopting an active lifestyle. 00:04:10.06\00:04:13.29 If you've been watching this series of programs, 00:04:14.85\00:04:17.38 you've learned that health producing physical activity 00:04:18.50\00:04:21.17 can lower the risk of dying from heart disease, 00:04:21.20\00:04:24.34 reduce high blood pressure, prevent weight 00:04:24.97\00:04:28.41 gain, promote weight loss and decrease high fat 00:04:28.44\00:04:33.22 levels in the blood. Regular amounts of 00:04:33.25\00:04:37.67 physical activity and exercise can also lower 00:04:37.70\00:04:40.50 the risk of developing type II diabetes, reduce 00:04:40.53\00:04:44.95 the chance of developing some site-specific 00:04:44.98\00:04:47.33 cancers, increase muscular strength and 00:04:47.36\00:04:50.92 bone density and improve various aspects 00:04:50.95\00:04:54.93 of mental health. Maybe you are not functioning as 00:04:55.31\00:05:00.34 well as you used to and you want to become 00:05:00.37\00:05:03.45 stronger and more fit. So, that you can perform 00:05:03.48\00:05:06.95 daily living tasks more effectively. 00:05:06.98\00:05:09.79 It's possible that a recent medical crisis has gotten 00:05:11.66\00:05:14.57 your attention or you've decided that you want to 00:05:14.60\00:05:18.68 look and feel better or you've come to realize 00:05:18.71\00:05:23.60 that your health and well-being matters not just 00:05:23.63\00:05:27.27 to you but to others, who love you, care for you 00:05:27.30\00:05:32.50 and depend on you. Whatever it is that 00:05:33.15\00:05:36.91 motivates you to become more active, the key is to 00:05:36.94\00:05:41.03 find a reason that has personal meaning for you, 00:05:41.06\00:05:44.42 because it will be this reason that will serve as 00:05:45.72\00:05:49.16 an internal compass and guide to keep you 00:05:49.19\00:05:53.11 motivated to daily energize your 00:05:53.14\00:05:55.37 body with physical activity. 00:05:55.40\00:05:57.60 As you leave your sedentary existence 00:05:59.58\00:06:01.80 behind and begin to live an active life, 00:06:01.83\00:06:05.30 you will start to reap the physical, the mental, and 00:06:06.20\00:06:10.43 the spiritual blessings that God so wants to 00:06:10.46\00:06:13.75 bestow upon you. How much physical activity 00:06:13.78\00:06:19.06 is needed to improve ones health? 00:06:19.39\00:06:21.36 According to the 1996 Surgeon General's Report 00:06:23.15\00:06:26.58 on physical activity and health, people of all ages 00:06:26.61\00:06:30.59 should engage in a minimum of 30 minutes 00:06:31.13\00:06:33.58 of moderate physical activity on most, 00:06:34.31\00:06:37.12 if not all days of the week. This activity can 00:06:37.86\00:06:43.27 either be performed in one session or it can be 00:06:43.30\00:06:46.72 broken up into smaller chunks of time, 00:06:46.75\00:06:49.06 either approach can yield good health and 00:06:50.22\00:06:53.07 fitness benefits. One way to know that you are 00:06:53.10\00:06:57.49 exercising at a moderate intensity is if you can 00:06:57.52\00:07:01.24 easily carry on a conversation with a 00:07:01.27\00:07:04.20 fellow exerciser. Examples of health 00:07:04.23\00:07:08.24 producing physical activity can include 00:07:08.27\00:07:10.61 structured exercise like walking 30 minutes a day 00:07:10.96\00:07:14.94 or playing volleyball in a community league 00:07:15.85\00:07:17.98 two nights a week. Health benefits can also be 00:07:18.01\00:07:21.99 gained through more unstructured physical 00:07:22.02\00:07:24.32 activities like pushing a baby stroller, gardening 00:07:24.35\00:07:28.40 or playing pick up basketball on the weekend. 00:07:29.09\00:07:31.32 If you lead a busy life like I'm sure many of you do, 00:07:32.82\00:07:36.85 there are variety of simple, yet effective ways to 00:07:38.23\00:07:42.73 accumulate physical activity during the course 00:07:42.76\00:07:45.73 of a normal day. These include parking your 00:07:45.76\00:07:50.40 car farther away from where you work or shop 00:07:50.43\00:07:52.87 or getting off the bus or train several blocks from 00:07:53.95\00:07:56.90 your destination. If you are trying to get from point 00:07:56.93\00:08:01.14 A to point B meander or wander just a bit, 00:08:01.17\00:08:07.43 before you arrive at where you are going, 00:08:08.48\00:08:10.25 doing lunch or breaks in the work day, take a short 00:08:12.32\00:08:15.30 walk around your office building or when 00:08:15.33\00:08:18.50 transacting business at the local bank 00:08:18.53\00:08:21.24 avoid using the driven teller. You can play with 00:08:22.02\00:08:26.39 your kids or grand kids at home or at the park 00:08:26.42\00:08:29.50 or if you are watching TV avoid using the remote 00:08:30.48\00:08:34.28 control device and actually get up to change the 00:08:34.31\00:08:38.63 channels. Now, that is novel idea, even fidgeting 00:08:38.66\00:08:44.53 may help to limit unwanted weight gain, 00:08:46.12\00:08:49.05 there are numerous opportunities for each of 00:08:51.23\00:08:53.92 us to engage in health producing physical 00:08:53.95\00:08:56.44 activity, all we have to do is to take advantage of 00:08:56.47\00:09:01.56 them, by accumulating small bits of physical 00:09:01.59\00:09:05.51 activities throughout the day you will eventually 00:09:05.54\00:09:09.07 notice definite improvements in your 00:09:09.10\00:09:11.75 overall health status. You know we make time 00:09:11.78\00:09:17.81 to do the things that hold a lot of importance for us, 00:09:17.84\00:09:20.76 whether it's shopping at the mall, spending time 00:09:22.19\00:09:25.86 with loved ones or watching the Super Bowl 00:09:25.89\00:09:29.43 with friends, we make time to do the things that 00:09:29.46\00:09:32.14 have meaning for us. When you are attempted 00:09:32.17\00:09:35.41 to think that you just don't have enough time to 00:09:35.44\00:09:38.06 exercise, I want you to remember something 00:09:38.09\00:09:40.97 and that is this, there are 1440 minutes in everyday. 00:09:41.83\00:09:48.20 Your goal is to simply try and spend at least 30 of 00:09:49.26\00:09:53.89 them being physical active. 00:09:53.92\00:09:56.56 In the fourth program in this series, we examine the 00:09:58.84\00:10:02.56 physical activity levels of a Canadian Amish 00:10:02.59\00:10:05.68 Farming Community. The Amish continue to live 00:10:05.71\00:10:10.25 as they have for centuries, avoiding electricity, 00:10:10.28\00:10:13.67 gas power transportation as well as other 00:10:14.21\00:10:17.19 conveniences of modern society that we have 00:10:17.22\00:10:19.95 come to take for granted. In a study of nearly 100 00:10:19.98\00:10:25.22 Amish men and women, who lived in rural setting, 00:10:25.25\00:10:27.73 pedometers were used to quantify their physical 00:10:29.00\00:10:32.31 activity levels. Findings from this investigation 00:10:32.34\00:10:36.55 reveled that the Amish men averaged more than 00:10:36.58\00:10:39.41 18000 steps per day, while the Amish women 00:10:39.94\00:10:44.28 took more than 14000 steps per day. 00:10:44.71\00:10:47.54 Using a threshold of 10,000 steps per day as 00:10:49.09\00:10:52.24 being indicative of an active person, it's clear 00:10:52.27\00:10:56.57 that the normal physical labor and work tasks 00:10:56.60\00:10:59.67 performed by the Amish study participants were 00:10:59.86\00:11:03.81 reflective of a very active lifestyle. 00:11:03.84\00:11:06.38 From a health perspective, the levels of obesity and 00:11:08.07\00:11:11.75 excessive weight seen in this group were much 00:11:11.78\00:11:15.28 lower than values reported for age-matched 00:11:15.31\00:11:18.50 non-Amish adults and given the typical Amish 00:11:18.82\00:11:24.71 Diet, which is high in fat and refined sugar 00:11:24.74\00:11:28.47 and includes staples such as meat, potatoes, gravy, 00:11:29.47\00:11:32.40 eggs and desserts. It seems reasonable to 00:11:32.63\00:11:36.35 suggest that the elevated level of lifestyle physical 00:11:36.38\00:11:40.70 activity displayed by the Amish was a key factor in 00:11:40.73\00:11:46.77 explaining their lower incidence of obesity and 00:11:46.80\00:11:49.54 overweightness compared to the general population. 00:11:49.57\00:11:53.24 Those who have listened to me in earlier programs 00:11:56.01\00:11:58.66 know that I am a strong proponent of using 00:11:59.13\00:12:02.19 pedometers like these, to estimate the volume of 00:12:02.27\00:12:06.49 physical activity performed in activities like walking 00:12:06.52\00:12:09.89 or running. The first step in using a pedometer is 00:12:09.92\00:12:16.18 to determine your average daily step count, 00:12:16.21\00:12:18.81 to do this simply record how many steps you take 00:12:19.95\00:12:24.47 each day with your pedometer over a five to 00:12:24.50\00:12:27.82 seven day period and then average these daily values 00:12:27.85\00:12:32.20 to derive your normal daily step count. 00:12:32.23\00:12:35.41 Once you've calculated this figure increase the 00:12:36.61\00:12:39.91 number of steps taken by approximately 10% 00:12:39.94\00:12:43.26 and attempt to increase your lifestyle physical 00:12:44.20\00:12:46.81 activity over the next one to two weeks using 00:12:46.84\00:12:50.83 some of the examples I talked about before to 00:12:50.86\00:12:53.96 reach this new goal. If you are able to attain 00:12:53.99\00:12:58.59 this goal, continue to establish new stepping 00:12:58.92\00:13:02.77 levels in the coming weeks until you arrive at 00:13:02.80\00:13:06.85 a daily step count that you are comfortable with 00:13:06.88\00:13:10.12 and that you feel you can reasonably sustain. 00:13:10.85\00:13:13.43 On the other hand if you don't reach your step 00:13:14.98\00:13:17.92 goal, continue to work towards it or reduce it 00:13:17.95\00:13:22.27 slightly until you're successful. 00:13:22.30\00:13:24.86 For many people pedometers serve as an 00:13:26.53\00:13:29.40 excellent motivational tool and can provide a 00:13:29.43\00:13:33.08 good sense of whether you are on track in 00:13:33.11\00:13:36.52 accumulating physical activity or whether you are 00:13:36.55\00:13:39.72 behind and need to step up your daily activity level. 00:13:39.75\00:13:44.96 One important take home message from this series 00:13:47.51\00:13:50.44 of programs has been that you don't have to engage 00:13:50.47\00:13:53.85 in hard vigorous physical activity to secure 00:13:53.88\00:13:57.34 important health benefits. Data from the Cooper 00:13:57.37\00:14:01.98 Institute for aerobics research has shown that 00:14:02.01\00:14:04.48 men and women exhibiting high levels of 00:14:04.51\00:14:07.73 fitness, displayed the lowest mortality rates 00:14:07.76\00:14:11.24 from both heart disease as well as cancer, 00:14:11.27\00:14:14.19 when compared to persons of poor or 00:14:15.04\00:14:17.47 average fitness. However individuals who exhibited 00:14:17.50\00:14:22.47 just average levels of fitness displayed much 00:14:22.50\00:14:26.14 lower heart disease and cancer death rates than 00:14:26.17\00:14:29.49 those with poor fitness levels. 00:14:29.52\00:14:31.66 To me these findings provide a message of 00:14:33.40\00:14:36.82 hope and encouragement because they show that 00:14:36.85\00:14:40.31 you don't need to exhibit athletic levels of fitness 00:14:40.34\00:14:43.41 to markedly lower your risk of dying from 00:14:44.32\00:14:47.11 common lifestyle diseases like heart 00:14:47.14\00:14:49.83 disease and cancer. By consistently 00:14:49.86\00:14:54.25 accumulating at least 30 minutes of moderate 00:14:54.28\00:14:57.16 intensity physical activity on a daily basis, 00:14:57.19\00:15:01.08 you too can begin to improve your fitness level 00:15:02.17\00:15:05.81 and in the process substantially 00:15:06.53\00:15:10.10 reduce your likelihood of death. 00:15:10.13\00:15:12.67 At the beginning of this program I touched on 00:15:15.11\00:15:18.34 the importance of being physically active 00:15:18.37\00:15:20.47 throughout all phases of ones life. 00:15:21.06\00:15:23.69 In this series I devoted one program exclusively 00:15:25.15\00:15:29.34 to the impact of physical activity in combating 00:15:30.19\00:15:33.43 childhood obesity. Over the past 30 years the 00:15:33.46\00:15:38.71 prevalence of childhood obesity has risen from 00:15:38.74\00:15:42.49 5 to 14% in pre-school children from 4 to 19% 00:15:42.52\00:15:48.90 in children aged six to 11 and from 6 to over 17% 00:15:49.39\00:15:55.39 in children 12 to 19 years of age. 00:15:56.09\00:15:59.51 Moreover the likelihood that an obese child will 00:16:01.02\00:16:04.94 become an obese adult increases as children 00:16:04.97\00:16:09.07 grow older. These sobering statistics 00:16:09.26\00:16:13.34 emphasize the need for parents and schools 00:16:13.69\00:16:16.79 to promote physical activity early in a child's 00:16:17.23\00:16:20.95 life to prevent or to moderate excessive weight gain. 00:16:20.98\00:16:25.80 There is much that can be done to raise levels of 00:16:28.15\00:16:31.32 childhood physical activity both in the home 00:16:31.35\00:16:34.19 as well as at school. At home, physical activity 00:16:34.84\00:16:39.91 should be a family affair with time for all to 00:16:39.94\00:16:43.89 participate in activities that everyone can enjoy. 00:16:43.92\00:16:47.28 Whenever possible the goal should be to 00:16:48.41\00:16:51.40 maximize outside time and to minimize inside 00:16:51.43\00:16:56.30 time. As parents it's important to make time 00:16:56.33\00:17:01.65 to take your children to places where they can be 00:17:01.68\00:17:03.76 active like parks and playgrounds. 00:17:03.79\00:17:06.66 In addition, you can join together with other 00:17:08.10\00:17:11.16 families to play basketball, touch football, soccer 00:17:11.19\00:17:15.47 or even hide and seek, children along with other 00:17:16.07\00:17:21.65 family members can be assigned active household 00:17:21.68\00:17:24.99 duties like vacuuming, washing the car 00:17:25.02\00:17:28.25 or mowing the lawn. If your child spends too 00:17:28.84\00:17:33.10 many hours of the day in front of a television 00:17:33.13\00:17:35.47 set or a computer screen, you can begin to 00:17:35.50\00:17:39.86 gradually reduce the amount of time spent 00:17:39.89\00:17:43.14 watching TV, playing computer games, 00:17:43.17\00:17:46.14 or surfing the internet by substituting more 00:17:46.72\00:17:50.01 active pass times. Perhaps the strongest 00:17:50.04\00:17:54.65 statement that parents can make to their children 00:17:54.68\00:17:56.96 is to model a physically active lifestyle, 00:17:57.95\00:18:01.31 my wife and I try to model MIDI behaviors 00:18:03.10\00:18:06.79 to our children like honesty, the value of hard 00:18:06.82\00:18:10.77 work, kindness, responsibility, respect for 00:18:10.80\00:18:15.13 others; behaviors that we want our children to 00:18:15.16\00:18:18.85 emulate. When your children see you been 00:18:18.88\00:18:23.34 physically active on a consistent basis, you are 00:18:23.37\00:18:26.72 not only role modeling a good health habit, but 00:18:26.75\00:18:30.84 you are also speaking volumes to your children 00:18:30.87\00:18:33.51 about how important physical activity is to you. 00:18:34.49\00:18:38.74 When the entire family engages in physical 00:18:41.02\00:18:43.83 activity together everyone receives a good workout, 00:18:43.86\00:18:48.30 everyone expend some energy and everyone in 00:18:48.96\00:18:52.51 the family connects emotionally. 00:18:52.54\00:18:54.66 This last point is very important because what 00:18:56.25\00:19:00.52 most children really want is to simply spend 00:19:00.55\00:19:04.86 more time with their parents. 00:19:05.55\00:19:07.51 Since children spend most of their waking hours at 00:19:09.91\00:19:12.35 school, it's vital to support and lobby for 00:19:12.38\00:19:15.66 quality physical education programs. 00:19:15.69\00:19:17.98 Physical education is a vital component of the 00:19:18.88\00:19:21.44 overall educational curriculum, because it is 00:19:21.47\00:19:24.96 in these classes the children learn how to 00:19:24.99\00:19:27.96 perform the fundamental motor skills that are 00:19:27.99\00:19:30.97 needed to successfully participate in lifetime 00:19:31.00\00:19:33.87 physical activities. Moreover recent findings 00:19:33.90\00:19:38.42 have shown a strong relationship between 00:19:38.45\00:19:41.04 physical fitness levels and academic performance 00:19:41.07\00:19:44.65 as measured by standardized test scores, 00:19:44.68\00:19:47.19 which implies a positive link between a healthy 00:19:47.95\00:19:51.26 body and good school performance. 00:19:51.29\00:19:54.27 Daily time for an structured physical 00:19:56.15\00:19:57.97 activity like recess must also be protected. 00:19:58.00\00:20:01.87 Recent guideline suggest that school age children 00:20:03.59\00:20:06.24 should accumulate at least 60 minutes and up 00:20:06.27\00:20:09.45 to several hours of age appropriate physical 00:20:09.48\00:20:12.71 activity on all or most days of the week. 00:20:12.74\00:20:16.61 It's also recommended that children avoid 00:20:18.08\00:20:20.25 prolong periods of inactivity, especially 00:20:20.28\00:20:23.37 during day light hours. As a final point, it's 00:20:23.40\00:20:27.82 essential that infants, toddlers and preschoolers 00:20:27.85\00:20:30.89 be given ample opportunity to participate in structured 00:20:31.18\00:20:34.63 as well as unstructured physical activity 00:20:35.14\00:20:37.01 experiences in safe and encouraging 00:20:37.04\00:20:39.76 environments. As very young children learn 00:20:39.79\00:20:43.22 how to walk, run, jump, throw, catch and kick 00:20:43.25\00:20:46.87 they begin developing the foundational motor 00:20:47.95\00:20:50.29 skills that are necessary for more complex 00:20:50.32\00:20:53.44 fitness and sport activities. 00:20:53.47\00:20:55.82 At the other end of the lifespan continuum, 00:20:57.73\00:21:00.30 we have either reached our golden years or we 00:21:00.92\00:21:03.93 are on route to reaching them. Consequently it is 00:21:03.96\00:21:08.87 so important for older adults to remain 00:21:08.90\00:21:11.14 physically active, in fact regular doses of 00:21:11.17\00:21:15.08 physical activity can prevent or reduce 00:21:15.11\00:21:17.57 declines in physical function, improve aerobic 00:21:17.60\00:21:20.75 endurance and muscle strength and lower insulin 00:21:20.78\00:21:24.38 resistance in the senior population. 00:21:24.41\00:21:26.47 Other benefits include better bone health, 00:21:27.92\00:21:30.37 less risk for falls and related injuries or 00:21:30.89\00:21:33.42 fractures, increased flexibility and joint range 00:21:33.45\00:21:37.30 of motion and the preservation of cognitive function. 00:21:37.33\00:21:41.38 Overall a regular program of physical activity can 00:21:42.95\00:21:47.05 contribute to a healthy and independent lifestyle 00:21:47.08\00:21:49.75 for the older individual and can lead to better 00:21:50.06\00:21:53.10 functional capacity and a higher quality of life. 00:21:53.13\00:21:56.61 If you have followed the series of programs 00:21:59.23\00:22:01.83 you know that I am an avid runner. 00:22:02.95\00:22:05.17 Well, my pace might charitably be described 00:22:06.98\00:22:09.45 as pedestrian; I really enjoy being able to run 00:22:09.48\00:22:13.62 along the country roads and rolling hills 00:22:13.65\00:22:16.05 of Middle Tennessee. To me there is a wonderful 00:22:16.65\00:22:21.67 sense of freedom that comes from feeling the 00:22:21.70\00:22:23.77 sun and wind against my face, as I run along the 00:22:23.80\00:22:27.85 back roads and survey the rural scenes that dot my 00:22:27.88\00:22:32.05 running path. As a child going up in Hawaii 00:22:32.08\00:22:36.56 I enjoyed many land and water sports and as a 00:22:37.40\00:22:41.06 young adult I played competitive volleyball, 00:22:41.09\00:22:44.14 however with the passage of time I gradually 00:22:45.74\00:22:49.63 became less consistent in my own exercise and 00:22:49.66\00:22:53.44 activity habits, this reduction in physical 00:22:53.47\00:22:57.88 activity became more noticeable about 15 years ago, 00:22:57.91\00:23:01.92 by then I was still physically active but on a 00:23:02.93\00:23:06.73 much more irregular basis. I was busy starting 00:23:06.76\00:23:10.88 a career in my academic field and that took a lot of 00:23:10.91\00:23:13.91 energy, which left less time to devote to 00:23:13.94\00:23:17.25 exercise. In addition, I'd just become a new father 00:23:17.28\00:23:22.16 and I was busy learning how to do that job 00:23:22.85\00:23:25.31 in addition to trying to be a good husband. 00:23:26.04\00:23:28.22 So, I simply rationalize that I didn't have enough 00:23:29.64\00:23:32.41 time to be physically active the way I used to be. 00:23:32.44\00:23:35.70 The first sign that something might be 00:23:37.87\00:23:39.72 wrong with this picture was when I was running 00:23:39.75\00:23:42.53 with a friend and noticed that my heart 00:23:42.56\00:23:45.10 was beating irregularly, because I didn't feel any 00:23:45.13\00:23:48.97 pain or chest pressure I just choked this up as 00:23:49.00\00:23:52.97 an anomaly. However after this happened 00:23:53.00\00:23:56.97 again I was curious so I hooked myself up to an 00:23:57.00\00:24:01.42 EKG machine in my exercise laboratory and 00:24:01.45\00:24:05.34 I monitored my heart activity as I ran on a 00:24:05.37\00:24:07.90 treadmill, as I increased the exercise intensity 00:24:07.93\00:24:12.35 I started noticing that my heart was beating 00:24:12.82\00:24:14.86 more and more irregularly, I stopped the treadmill 00:24:14.89\00:24:18.65 and wondered what's going on here. 00:24:18.91\00:24:21.00 I went to a physician, who ran a complete 00:24:22.10\00:24:25.13 physical on me and he found nothing wrong, 00:24:25.16\00:24:27.48 but he said, why don't you complete a graded 00:24:27.51\00:24:30.15 exercise in the cardiologist office just to be sure. 00:24:30.18\00:24:34.53 I knew of a heart doctor who came with high 00:24:35.88\00:24:38.03 recommendations and I scheduled a 00:24:38.06\00:24:40.19 visit to his office. However, the next day 00:24:40.22\00:24:43.84 just before Sabbath began so it was Friday evening 00:24:43.87\00:24:46.83 I started experiencing continuous heart 00:24:47.77\00:24:50.09 palpitations and I knew enough to realize that 00:24:50.12\00:24:53.06 this wasn't normal that had never occurred before 00:24:53.09\00:24:57.21 and I was as you might imagine very 00:24:58.12\00:25:00.67 apprehensive, so all of us myself, my wife, 00:25:00.70\00:25:04.32 and my one-year-old daughter we all raised to 00:25:04.35\00:25:07.39 the local emergency room, where I spent hours 00:25:07.42\00:25:09.74 hooked up to an EKG machine, as I laid in bed 00:25:09.77\00:25:13.41 trying to remain calm I looked up at my EKG 00:25:13.74\00:25:17.43 reading and I, a number of questions raised 00:25:17.46\00:25:19.94 through my mind, questions that a new 00:25:19.97\00:25:22.19 father shouldn't ever have to ponder. 00:25:22.22\00:25:24.02 Questions like am I going to have heart attack tonight 00:25:25.49\00:25:28.45 and maybe die or will I be able to see my daughter 00:25:28.64\00:25:32.63 grow up or how can I leave my wife with the 00:25:32.66\00:25:36.28 task of raising my daughter. Eventually after four 00:25:36.31\00:25:41.11 hours had passed the palpitations finally 00:25:41.14\00:25:43.40 stopped and we were able to go home, thankful that 00:25:44.49\00:25:47.08 at least for the moment all seemed to be okay. 00:25:47.11\00:25:50.40 I was however shaken to the core and I felt very 00:25:51.52\00:25:55.43 uneasy about what it happened. A few days 00:25:55.46\00:25:58.62 later I underwent a treadmill exercise test 00:25:58.65\00:26:01.34 and consoled myself with a thought that if 00:26:01.78\00:26:03.61 I collapse or passed out at least it would happen in 00:26:03.64\00:26:06.23 a cardiologist office, the result of the test indicated 00:26:06.26\00:26:10.48 that well I did not have any underlying cardiac 00:26:10.51\00:26:13.00 disease, my aerobic fitness was much lower 00:26:13.03\00:26:16.10 than I expected and my blood pressure was in 00:26:16.13\00:26:18.81 elevated range, while the doctor was telling me 00:26:18.84\00:26:22.48 what I needed to do, I thought to myself 00:26:22.51\00:26:25.53 I know exactly what I need to do, I am an 00:26:26.08\00:26:28.62 exercise physiologist. So, from that day forward 00:26:28.65\00:26:32.61 I began walking in the morning and afternoon 00:26:32.97\00:26:35.12 with my wife and soon I was walking dozens of 00:26:35.15\00:26:38.25 miles per week and after a couple of months 00:26:38.28\00:26:41.51 realizing that my heart was still working fine 00:26:41.75\00:26:44.58 I began to run and I've been running fairly 00:26:45.13\00:26:48.15 consistently ever since. I now know that the 00:26:48.18\00:26:51.95 palpitations I experienced were benign and unrelated 00:26:51.98\00:26:55.21 to heart disease however this entire experience was 00:26:55.24\00:26:59.92 a wakeup call to drastically change my approach to 00:26:59.95\00:27:03.53 been physically active. I have no doubt that 00:27:03.56\00:27:07.63 I would have had a major health set back, had I not 00:27:07.66\00:27:10.42 started and maintained a regular program of 00:27:10.45\00:27:12.98 physical activity. My quality of life and 00:27:13.01\00:27:16.55 my ability to perform daily living activities is 00:27:16.58\00:27:19.93 immeasurably better because of the strength 00:27:19.96\00:27:22.63 and fitness that I have gained by finding a place 00:27:22.66\00:27:25.55 for regular physical activity in my life. 00:27:25.58\00:27:28.09 The reason that I've shared this story with you 00:27:29.54\00:27:31.73 is because it illustrates what my reason is for 00:27:31.76\00:27:34.32 adopting a healthy lifestyle. Earlier in this 00:27:34.35\00:27:37.93 program I talked about the need to find a 00:27:37.96\00:27:40.08 personal reason to be physically active, 00:27:40.11\00:27:42.87 for those of you who have listened to this series of 00:27:43.61\00:27:46.08 programs and have been motivated to start and to 00:27:46.11\00:27:48.66 maintain a program of physical activity, you too 00:27:48.69\00:27:52.38 will eventually have a story to tell that will be 00:27:52.94\00:27:55.56 equally meaningful and may lead 00:27:55.59\00:27:57.78 others to adopt an active lifestyle. 00:27:57.81\00:28:00.14 I wish the best for each of you and just 00:28:01.10\00:28:03.90 remember keep walking step by 00:28:03.93\00:28:06.49 step towards better health and fitness. 00:28:06.52\00:28:09.41