The following program presents principles 00:00:01.98\00:00:02.95 designed to promote good health and is not 00:00:02.96\00:00:04.69 intended to take the place of personalized 00:00:04.72\00:00:06.85 professional care. The opinions and ideas 00:00:06.88\00:00:09.61 expressed are those of the speaker. Viewers 00:00:09.64\00:00:12.36 are encouraged to draw their own conclusions 00:00:12.39\00:00:14.42 about the information presented. 00:00:14.45\00:00:16.15 Welcome, welcome to Wonderfully Made. 00:00:36.46\00:00:38.80 I'm glad you are with us. My name is Claudio Japas, 00:00:39.48\00:00:42.22 I'm your host for today. I'm a Preventive Care 00:00:42.30\00:00:44.99 Student at Loma Linda University. And today 00:00:45.02\00:00:47.82 joining me is Dr. Dos Santos. He is a professor at 00:00:47.85\00:00:51.41 Loma Linda University in the 00:00:51.44\00:00:52.69 Preventive Care Program also and 00:00:52.72\00:00:54.96 we will be talking about a subject that, I hope 00:00:54.99\00:00:57.44 you will be interested, exercise. 00:00:57.47\00:00:59.43 Welcome Dr. Dos Santos, I'm glad you're with us. 00:01:00.27\00:01:02.56 Thank you for having me here. It's a pleasure 00:01:04.63\00:01:07.28 to be in this program and I'm excited to talk 00:01:07.31\00:01:10.55 about the exercise. As I consider one of the best 00:01:10.58\00:01:14.96 things, one of the best treatment, one of the 00:01:14.99\00:01:17.32 best health factors to prevent and to treat diseases. 00:01:17.35\00:01:21.25 Now, tell us a little bit about your past before 00:01:21.98\00:01:23.83 we get started. You have been doing 00:01:23.86\00:01:25.36 exercise programs in different places, correct? 00:01:25.39\00:01:28.41 Yes, currently I belong to the Lopers. You know, 00:01:28.69\00:01:31.58 what's the Lopers is? Yeah. It's a Marathon running 00:01:31.61\00:01:34.56 club in Loma Linda. Perfect. And, we used to have 00:01:34.59\00:01:38.23 a Marathon running club in, in Hong Kong, 00:01:38.26\00:01:41.03 when I worked. And, in Brazil I mean 00:01:41.06\00:01:43.48 we as you see we play soccer. 00:01:43.51\00:01:45.85 Good, exercise is all around us and it's an 00:01:47.39\00:01:49.85 very important specially in our society, which is 00:01:49.88\00:01:52.75 as we become very sedentary not only here in America, 00:01:52.78\00:01:55.52 but around the world. Exercise is important to 00:01:55.55\00:01:59.61 what aspect from health basically. Can you expand 00:01:59.64\00:02:02.31 on that, why is, why should it be such 00:02:02.34\00:02:05.91 a big part of our life? Well, when God created us. 00:02:05.94\00:02:09.61 God created body that should be dynamic. 00:02:09.99\00:02:13.35 So, we've muscles, we've joints, we've 00:02:13.88\00:02:17.83 tendons to be in movement. And, so we 00:02:17.86\00:02:21.10 were created to it, to do exercise. Once we stop 00:02:21.13\00:02:25.20 it and then we've, we've diseases. 00:02:25.23\00:02:28.55 Because the circulation is gonna stop. 00:02:28.94\00:02:31.40 The organs are gonna work less or slowly and 00:02:31.60\00:02:35.19 then we've series of chronic disease that 00:02:35.22\00:02:37.56 are common now. Very interesting. 00:02:37.59\00:02:39.81 So, every component of the body was made to 00:02:39.84\00:02:42.05 have activity to have movement and to make sure 00:02:42.08\00:02:45.40 that movement happened. I've all the exercises 00:02:45.43\00:02:48.57 that we have today maybe hundreds. 00:02:48.60\00:02:50.83 Which one do you consider the most 00:02:51.47\00:02:53.20 practical, one of the most beneficial exercises? 00:02:53.23\00:02:55.76 Yeah! My blood says soccer, but I've to be fit 00:02:57.18\00:03:02.24 not everyone can play soccer and sometimes 00:03:03.21\00:03:06.57 it is too intense and according to the age. 00:03:06.60\00:03:09.31 So, considering those things I would say 00:03:09.34\00:03:12.45 walking is the best exercise and most of 00:03:13.18\00:03:16.07 people might agree with me, the thing is that 00:03:16.10\00:03:19.29 when you do one exercise that is more intense, 00:03:19.32\00:03:23.59 you've higher risk of accidents and high risk 00:03:23.62\00:03:27.96 of circulatory problems and that's why walking 00:03:27.99\00:03:33.59 is the best. And, the second exercise that 00:03:33.62\00:03:36.42 I would say is good is that you use your legs. 00:03:36.45\00:03:41.18 Umm! Umm! So, any exercise that 00:03:41.21\00:03:43.45 you use the legs will pump the circulation 00:03:43.48\00:03:46.78 will be the second heart to pump the circulation. 00:03:46.81\00:03:49.44 The heart pumps the blood down, the heart 00:03:49.47\00:03:52.71 pumps the blood according to gravity and have muscles, 00:03:52.74\00:03:57.29 the arteries have muscles. Right. But, you don't have 00:03:57.32\00:04:00.22 a heart in the tip of your feet. And, so you need 00:04:00.25\00:04:03.37 to have something to pump the blood back 00:04:03.40\00:04:05.88 and then the veins that pump the blood back 00:04:06.32\00:04:09.58 they don't have muscles. Muscles. Yeah! 00:04:09.61\00:04:11.89 So, you need to have something to contract 00:04:11.92\00:04:14.57 and squeeze those veins and put above the blood 00:04:14.81\00:04:18.20 up and this is exercise. Okay, besides the pressure 00:04:18.23\00:04:22.32 of the blood flowing back to the muscles 00:04:22.35\00:04:24.16 contracting will help that. Workout ultimately you're 00:04:24.19\00:04:28.26 perfectly the way God wanted to correct? 00:04:28.29\00:04:30.26 Exactly. What are some. Because people that don't 00:04:30.29\00:04:34.48 exercise or aren't exercising as much as 00:04:34.51\00:04:36.86 we should maybe having some chronic diseases. 00:04:36.89\00:04:41.13 What are some of those diseases or some of the 00:04:41.16\00:04:42.98 benefits may put in the positive way that 00:04:43.01\00:04:45.09 exercise maybe able to counteract. 00:04:45.43\00:04:47.13 Well, as exercise stimulates circulation. 00:04:47.86\00:04:51.32 You've more circulation to all the organs in the body 00:04:51.35\00:04:57.23 starting with the brain you've a better mental 00:04:57.76\00:05:00.55 performance because you've more oxygen and 00:05:00.58\00:05:02.69 more nutrients going to the brain cells. 00:05:02.72\00:05:04.69 Then you've a better circulatory system. 00:05:05.28\00:05:09.07 You've better function of the lungs, you've 00:05:09.10\00:05:11.77 better function of the digestive system, 00:05:11.80\00:05:14.20 the kidneys whatever. So, circulation will 00:05:14.23\00:05:17.99 activate the whole body and then we will have a better 00:05:18.02\00:05:21.67 function and you've a better outcome and less 00:05:21.70\00:05:26.50 disease. I would say that among the diseases 00:05:26.53\00:05:29.59 related to exercise, we've diabetes, 00:05:29.62\00:05:32.28 high cholesterol, obesity, 00:05:32.31\00:05:34.41 heart disease, strokes, and the one 00:05:34.44\00:05:36.91 that I mostly talk about is the mental problems, 00:05:36.94\00:05:42.89 mental disease like depression, anxiety, stress. 00:05:42.92\00:05:46.20 So, exercise will help to decrease the risk 00:05:46.23\00:05:49.40 of those diseases. So, you're saying by 00:05:49.43\00:05:52.38 being physically active that I can even help my 00:05:52.41\00:05:55.20 mind and the depression states that I maybe falling 00:05:55.23\00:05:58.29 into or weaker currently into. 00:05:58.32\00:05:59.82 How does that work? Well, when you exercise, 00:06:00.44\00:06:04.04 you release substances in the brain that is 00:06:04.07\00:06:07.62 called serotonin or other substance that are 00:06:07.65\00:06:14.97 used to treat depression by the way 00:06:15.00\00:06:19.43 in dolphins other substances and then 00:06:20.49\00:06:23.86 those substances are release them when you've 00:06:24.64\00:06:28.47 high level of serotonin. So, you don't have your 00:06:28.50\00:06:32.65 level of depression is gonna go down. 00:06:33.45\00:06:35.32 Many drugs that are used today to treat 00:06:35.95\00:06:38.57 depression like Prozac acts as a serotonin release 00:06:38.60\00:06:46.21 agent and then when you do exercise. 00:06:47.90\00:06:50.99 Umm! Umm! You release the same 00:06:51.02\00:06:52.54 thing as the medication. The natural way. 00:06:52.57\00:06:55.60 The natural way and then we've a prescription for 00:06:55.63\00:06:58.43 depression of that. So, we consider that if 00:06:58.46\00:07:00.96 you've depression and you're under 00:07:00.99\00:07:02.67 medication. Exercise is one important and basic 00:07:02.70\00:07:06.87 function in the treatment of depression. 00:07:06.90\00:07:09.74 Amazing, how God could create the bodies, 00:07:10.58\00:07:13.51 so that if we treat at the way, it was meant to be 00:07:13.54\00:07:15.35 treated then every organ, every part including 00:07:15.38\00:07:18.87 our mind would think there would be able to 00:07:18.90\00:07:21.87 act normally and fight the negative dark 00:07:22.69\00:07:26.06 thoughts like the depression that can attack 00:07:26.09\00:07:28.94 anyone basically from almost young age to 00:07:28.97\00:07:31.30 older age. I'm excited about exercise, I love 00:07:31.33\00:07:34.70 doing exercise myself. I try to fit it into my 00:07:34.73\00:07:38.08 schedule as much as I can, but perhaps some 00:07:38.11\00:07:40.51 of viewers are wondering what, what 00:07:40.54\00:07:42.12 is ideal amount of time. How much should you 00:07:42.15\00:07:44.89 be exercising? So, I'll make you the question, 00:07:44.92\00:07:47.27 what's a ideal time Dr. Dos Santos. 00:07:47.30\00:07:49.19 Well, I always advise my clients to, to walk or 00:07:49.87\00:07:54.05 to do exercise at least 30 minutes per day. 00:07:54.08\00:07:56.70 And many say, Oh! I don't have the time, 00:07:57.27\00:07:59.29 I don't have the time. And then we, we negotiate this. 00:07:59.32\00:08:02.83 I tell them 30 minutes per day, six times per week, 00:08:02.86\00:08:07.15 this will be 180 minutes divided by 3 it's gonna 00:08:07.36\00:08:12.74 be, divided by 6 it's gonna be 3 hours. 00:08:12.77\00:08:16.02 Then during the week what I want from you is 00:08:16.50\00:08:19.78 3 hours of exercise. So, you do a little bit, if you 00:08:19.81\00:08:23.47 don't have time during the week, but then you 00:08:23.50\00:08:26.06 compensate in the weekend, please, give me 3 00:08:26.09\00:08:28.82 hours of exercise per week. So, you can negotiate the 00:08:28.85\00:08:32.45 time as best fits in our schedules and if it's 00:08:32.48\00:08:36.65 maybe on Monday that we can all do it then 00:08:36.68\00:08:38.39 do as much as we can a day. 00:08:38.42\00:08:40.04 Ideally it should be daily. Correct. Okay. Correct. 00:08:40.07\00:08:43.24 So, ideally everyday a balance amount of time, 00:08:43.27\00:08:46.26 so that were constantly active. And that 00:08:46.29\00:08:48.07 depends a lot on what the current state of job 00:08:48.10\00:08:51.20 or school or whatever where I would that 00:08:51.23\00:08:53.14 we were already doing, it depends on every 00:08:53.17\00:08:55.45 person. Which leads me to think that some 00:08:55.48\00:08:59.41 jobs are more active than others. And others 00:08:59.44\00:09:01.54 are very sedentary. Can physical activity or 00:09:01.57\00:09:05.81 exercise being cooperated into that daily routine 00:09:05.84\00:09:08.68 that daily life on how we, wherever we maybe. 00:09:08.71\00:09:12.25 Perfect, this is what we called NEAT. 00:09:13.62\00:09:16.09 NEAT is a Non-Exercise Activity Thermogenesis 00:09:16.44\00:09:20.30 is researched by one doctor from the Mayo Clinic, 00:09:20.75\00:09:24.82 Dr. James Levine. Okay. So, acronym right. 00:09:24.85\00:09:28.16 Is an acronym, right, NEAT exactly yeah. 00:09:28.19\00:09:30.02 Okay. But, these are NEAT 00:09:30.05\00:09:31.45 exercises. So, what they're studying is 00:09:31.48\00:09:35.36 the fact that you can increase your activities 00:09:35.39\00:09:39.45 during the day. Okay. Like for instance, 00:09:39.48\00:09:41.83 if you've a desk you should have something 00:09:41.86\00:09:44.54 like that and you should do some exercise in your 00:09:44.57\00:09:48.75 desk and during your day you constantly 00:09:48.78\00:09:51.88 should do more of this simple activities, 00:09:51.91\00:09:55.36 walk more and not staying more than one 00:09:55.39\00:09:58.15 hour sitting. And climb stairs or go down the 00:09:58.18\00:10:01.89 stairs. James Levine estimated that you can 00:10:01.92\00:10:06.14 bring down between 300 and 400 calories 00:10:06.78\00:10:10.22 doing this kind of exercise. And this means 10 to 30 00:10:10.25\00:10:15.82 pounds of weight loss in one year. 00:10:15.85\00:10:18.73 Simply doing more activity during your, 00:10:18.86\00:10:21.92 your job, during your daily activities. 00:10:22.36\00:10:25.09 During that normal routine. Exactly, exactly. 00:10:25.12\00:10:27.37 And, I know you've an interesting story that we 00:10:27.40\00:10:29.74 want to share with each of our viewers and hopefully 00:10:29.77\00:10:32.32 will be save to the end. So, we will hold on to the 00:10:32.35\00:10:34.54 story just for now. But, so daily activities, now 00:10:34.57\00:10:40.06 that's speaking mostly about adults. And adults 00:10:40.09\00:10:42.91 have this job routine, but kids, young adults, 00:10:42.94\00:10:46.35 high school age that younger ages something 00:10:46.38\00:10:51.11 is becoming very popular as Exergaming. 00:10:51.14\00:10:53.83 Now, something that you maybe wondering 00:10:54.44\00:10:56.13 what is Exergaming. Is that even in the 00:10:56.16\00:10:57.94 dictionary? And, I said fair the new word that 00:10:57.97\00:11:00.83 we want to share with you. Because it's becoming 00:11:00.86\00:11:04.54 catching on. What is Exergaming Dr. Dos Santos? 00:11:04.57\00:11:07.03 Exergaming is doing exercise with videogames. 00:11:07.06\00:11:11.97 It's becoming very popular with the 'V', that is a 00:11:12.00\00:11:15.71 game that many kids are buying now. 00:11:15.74\00:11:18.05 In Loma Linda, we've the Exertainment zone. 00:11:18.56\00:11:22.37 It's kind of gymnasium for Exergaming. 00:11:22.40\00:11:26.47 The one that I like the most is the bike 00:11:26.50\00:11:29.82 Exergaming, it's a bike that they connect to a 00:11:29.85\00:11:34.15 videogame and then we've a car race then 00:11:34.18\00:11:37.31 you hold the handle bars and then you paddle 00:11:37.34\00:11:40.00 then you've to skip the obstacles and then if 00:11:40.25\00:11:44.71 you stop paddling then your car will stop, 00:11:44.74\00:11:49.14 so you've to paddle to be faster and faster and 00:11:49.17\00:11:51.68 faster that kids like it. And, also it's a very 00:11:51.71\00:11:56.12 good exercise for, for burning calories and to 00:11:56.15\00:12:00.59 improve circulation. Right. So, many kids that come 00:12:00.62\00:12:03.76 from school after work and they're playing 00:12:03.79\00:12:06.11 videogames that may not be the best because 00:12:06.14\00:12:08.21 they are sitting down just moving fingers or 00:12:08.24\00:12:10.85 whatever, perhaps they could be do something 00:12:11.53\00:12:13.74 more with their bodies active, correct? 00:12:13.77\00:12:16.09 What are some other benefits that, is this is 00:12:16.12\00:12:18.55 good exercise or other benefits in it or not? 00:12:18.58\00:12:21.25 We're doing some research with that I have 00:12:21.98\00:12:24.07 two students working with Exergaming 00:12:24.10\00:12:27.21 to see if the exercise goes to the same level 00:12:27.58\00:12:31.16 of, of other exercises and then have the VO2 00:12:31.19\00:12:35.51 calculated I mean the amount of oxygen that 00:12:35.54\00:12:38.30 they spend during the activity, if it's at the 00:12:38.33\00:12:41.96 same level of other exercises and also, 00:12:41.99\00:12:44.55 if they will be motivated to do other activities or 00:12:44.83\00:12:48.19 the real activities because this is a virtual exercise. 00:12:48.22\00:12:52.16 Right. When you're playing tennis and that we, 00:12:52.19\00:12:55.18 so you're, you don't have a racket and a ball 00:12:55.21\00:12:58.71 kind of racket. Right. But, then some might be 00:12:58.74\00:13:02.75 motivated to do the real exercise. 00:13:02.78\00:13:04.93 Perfect, so this is a very good alternative way to 00:13:04.96\00:13:08.33 be active and any age people can do it. 00:13:08.36\00:13:11.96 I know, lot of the senior citizens places now they 00:13:11.99\00:13:15.09 were using the bowling, where they can sought of 00:13:15.12\00:13:16.94 going to a bowling place they can do virtual bowling, 00:13:16.97\00:13:19.59 right where are. Now, for, for that I mean 00:13:19.62\00:13:23.37 I have another student working with the, 00:13:23.40\00:13:25.39 with old guys. And, I believe the Exergaming 00:13:25.42\00:13:28.95 is even better for old guys. I'll say kids get 00:13:28.98\00:13:33.89 bored, I mean with ever, with whatever you 00:13:33.92\00:13:37.39 give to them, but old folks they're bored 00:13:37.42\00:13:40.85 anyway because they don't have anything to 00:13:40.88\00:13:42.70 do and then if you provide a way for them 00:13:42.73\00:13:45.38 to do an exercise that they like, but they 00:13:45.41\00:13:47.23 cannot do the real one. And, then I believe 00:13:47.26\00:13:50.57 we're studying that, but I believe they would be 00:13:50.60\00:13:53.12 that more to get the benefits from, from this 00:13:53.60\00:13:55.96 kind of videogame exercise. Perfect, perfect. So, a good 00:13:55.99\00:13:59.79 alternative for when can't go outside and 00:13:59.82\00:14:03.22 there is because it's too cold or too hot, just to 00:14:03.25\00:14:07.81 mention that also now we know that being 00:14:07.84\00:14:10.51 outside under the sunshine and the fresh air is ideal. 00:14:10.54\00:14:13.91 Let's play, the best place to do exercise. We also 00:14:13.94\00:14:16.32 know that being outside can got some injuries. 00:14:16.35\00:14:19.93 Is that correct? Like maybe twisting an ankle 00:14:19.96\00:14:23.03 or not having enough water, were some 00:14:23.06\00:14:27.40 practical tips just to prevent those. 00:14:27.43\00:14:29.35 Yeah, I like that you mention that because 00:14:30.06\00:14:33.20 we've to go back to walking. 00:14:34.24\00:14:37.21 When I mention walking one of the reason 00:14:38.20\00:14:40.19 is that you've walking as the least exercise 00:14:40.22\00:14:44.70 with the least risks for, for injuries. And, but 00:14:44.73\00:14:48.53 we have to pay attention I mean any exercise that 00:14:48.56\00:14:51.22 we do you should use the precautions. 00:14:51.25\00:14:54.17 So, like if you go biking you should have 00:14:54.49\00:14:57.85 a helmet for that and, and, and I've seen many 00:14:58.78\00:15:02.08 people with serious accidents just because 00:15:02.11\00:15:04.56 they didn't have the, the helmet to protect their 00:15:04.59\00:15:07.80 head when they've a fall. So, if you play soccer, 00:15:07.83\00:15:11.38 if you play whatever you use the braces, 00:15:11.41\00:15:13.73 you use the protection gear that every sports have. 00:15:13.76\00:15:17.78 The second thing that I think is important is water, 00:15:18.67\00:15:21.92 we should have at least when we do exercise 00:15:22.22\00:15:26.74 we should carry a bottle and drink. 00:15:26.77\00:15:29.08 This is a 500 ml bottle and/or 16 ounces. So, we, 00:15:29.11\00:15:34.49 we advise that you drink at least half of this 00:15:34.52\00:15:37.48 before you start the exercising 00:15:37.51\00:15:39.65 and if it's too hot and the exercise is too intense. 00:15:39.68\00:15:42.90 You should drink one cup or half of this bottle 00:15:42.93\00:15:47.30 every 10 to 15 minutes. The third thing that I, 00:15:47.33\00:15:51.99 I think is important is that people when they 00:15:52.02\00:15:55.12 exercise they always feel, Oh! I feel pain in the knee, 00:15:55.15\00:15:58.76 I feel a pain in the feet and so 00:15:58.79\00:16:00.84 what should I do? And then the first thing is 00:16:00.87\00:16:04.33 to have the right shoes. So, no shoes that are 00:16:04.36\00:16:09.01 dress shoes or casual shoes or once that are 00:16:09.04\00:16:11.49 covered with leather or a little stiff is that correct? 00:16:11.52\00:16:14.35 Yes, you've to have as I mention running shoes. 00:16:14.99\00:16:19.62 If you walk with, with other shoes that are hard 00:16:20.21\00:16:25.06 and then you're gonna feel the soreness 00:16:25.09\00:16:28.51 and it real hurt to your feet. 00:16:28.54\00:16:31.30 So, it should be air or gel and then when you 00:16:31.33\00:16:36.47 press here in the, in the bottom of, 00:16:36.50\00:16:38.69 it should be soft. The heel protection here 00:16:39.27\00:16:43.48 should be firm and it should be flexible 00:16:43.51\00:16:46.67 and the one important thing is that it should 00:16:47.25\00:16:50.88 not be cover with leather all around. 00:16:50.91\00:16:53.98 It should be with a fabric that is, 00:16:54.01\00:16:56.14 that transpires. For ventilation. 00:16:56.17\00:16:58.62 Exactly, because you can get, if it too hot 00:16:58.65\00:17:01.93 and this will affect your performance. 00:17:01.96\00:17:04.57 So, or will make you to get tired. 00:17:04.60\00:17:07.41 Umm! Umm! So, God has 00:17:07.44\00:17:08.68 created our bodies to be wonderful 00:17:08.71\00:17:10.30 to be moving and action and physical activity, 00:17:10.33\00:17:14.62 but we also have to use wisdom to treat it right. 00:17:14.65\00:17:17.14 To use the best ways to protect it, to handle it 00:17:17.17\00:17:20.49 and ways that won't injure it more. 00:17:20.52\00:17:22.56 And, I know I wanted to add a line that perhaps 00:17:22.59\00:17:25.49 those are diabetic or know that they're diabetic 00:17:25.52\00:17:28.12 to check their feets and if they, use seashores 00:17:28.15\00:17:30.43 or anything because of their walking to go see 00:17:30.46\00:17:32.79 their doctor. Is that something that should 00:17:32.82\00:17:35.16 be encouraged to. Yeah! For diabetics, 00:17:35.19\00:17:38.15 for diabetics you've to be careful on that 00:17:38.18\00:17:41.40 and by the way diabetes. The best treatment for 00:17:41.43\00:17:44.78 diabetes in my perspective is exercise. Umm! Umm! 00:17:44.81\00:17:48.33 And, I remember one study that they follow the 00:17:48.36\00:17:53.43 one group of diabetics for one whole year 00:17:53.46\00:17:56.37 and then after one year the blood sugar 00:17:56.40\00:18:00.79 went to normal. Umm! Umm! 00:18:00.82\00:18:02.20 And I love that study you know, why? 00:18:02.23\00:18:04.67 Because sometimes you tell a patient 00:18:04.70\00:18:07.12 you've to exercise daily and then they exercise everyday 00:18:07.15\00:18:11.93 for one week and then they go and measure the blood glucose 00:18:11.96\00:18:15.05 and it's normal, is this. Much better, yeah. 00:18:15.08\00:18:17.46 No, no, no, this is still not good. Oh! 00:18:17.49\00:18:20.05 And, then they come back and they said hey doctor 00:18:20.70\00:18:23.39 my blood, my blood sugar is till high 00:18:23.42\00:18:26.35 and I'm exercising and then I mention the study 00:18:26.38\00:18:29.64 it's not one week, it's not one month, it's one year, 00:18:29.67\00:18:32.82 is a long term. Okay, so, we've to re-consistent 00:18:32.85\00:18:36.11 and keep going. Yeah, exactly. 00:18:36.14\00:18:38.37 Not give up in other words. And for diabetics to me, 00:18:38.40\00:18:41.47 this is more important they have to wear the right shoes 00:18:41.50\00:18:45.05 and they have to check their feet because many diabetic, 00:18:45.92\00:18:50.39 who don't have the sensitivity because of neural damage 00:18:50.42\00:18:54.65 and then they don't know if they're hurting their feet. 00:18:54.68\00:18:57.09 And, so they have constantly to check their feet to see, 00:18:57.12\00:19:00.21 if there is any wound and then have the proper treatment 00:19:00.24\00:19:03.27 for that. Excellent. Now, remember, you're remember 00:19:03.30\00:19:06.30 two point was making sure we drink enough water 00:19:06.33\00:19:09.22 that were hydrated sometimes it's difficult 00:19:09.25\00:19:12.48 of carry water with us, but it's very important. 00:19:12.51\00:19:14.64 Now, I remember that and so I'm thirsty now. 00:19:14.67\00:19:16.80 You're thirsty there factor showing us the good factors 00:19:16.83\00:19:19.70 of health. What are some of the things that 00:19:19.73\00:19:22.79 we should worry about perhaps if don't drink 00:19:22.82\00:19:25.05 enough water during our exercise periods, 00:19:25.08\00:19:27.95 is what should be fear, what should we look out for. 00:19:27.98\00:19:31.19 Well, I believe the first the concern is when you 00:19:31.22\00:19:35.36 don't drink water, your temperature goes up 00:19:35.39\00:19:38.88 and then your performance, you're gonna get 00:19:39.39\00:19:41.75 to exhaustion and then you will not run 00:19:41.78\00:19:45.17 or do the exercise appropriately, 00:19:45.20\00:19:48.19 but the problem is not only that, 00:19:48.22\00:19:50.69 the problem is that this could cause heat 00:19:50.72\00:19:53.64 the exhaustion or even a heat stroke. 00:19:53.67\00:19:56.30 So, your temperature goes up and then you 00:19:56.97\00:19:59.99 entering dehydration, so you might feel thirsty, 00:20:00.02\00:20:04.91 you might feel, you might look pale and then 00:20:04.94\00:20:08.79 you may feel dizzy. I've one of my runners, 00:20:08.82\00:20:13.20 when they did, he went to a half marathon 00:20:13.23\00:20:15.82 and he didn't drink any water. Oh, no. 00:20:15.85\00:20:17.93 And, so when he was seven miles, he just fainted there, 00:20:17.96\00:20:21.92 so then, then was, he was not a constant runner, 00:20:21.95\00:20:27.55 he entered in the program even though he didn't get 00:20:27.58\00:20:29.60 and he said, I can run anytime and anywhere. 00:20:29.63\00:20:32.80 And, so it's important for intense exercise that, 00:20:32.83\00:20:36.15 I mean mostly for intense exercise that you've 00:20:36.18\00:20:39.82 a proper hydration of your body. 00:20:39.85\00:20:43.92 Right, right it's also one of those components 00:20:43.95\00:20:46.00 that God has created for us that we make sure 00:20:46.03\00:20:48.16 that not only the exercise, but the water is there 00:20:48.19\00:20:51.38 present with exercise to help us function properly 00:20:51.41\00:20:54.94 and adequately. Now, what about food? 00:20:54.97\00:20:57.23 Should we eat food before we exercise, 00:20:57.26\00:21:00.42 during the exercise or after the exercise or none at all 00:21:00.45\00:21:04.57 or all three is there recommendation for food. 00:21:04.60\00:21:07.66 Now, the bull of thumb is that you should use 00:21:07.69\00:21:11.30 foods two hours before you do exercise and 00:21:11.33\00:21:16.79 30 minutes after the exercise, 00:21:16.82\00:21:18.18 but if you're going to do an exercise 00:21:18.21\00:21:21.19 that is a intense or long duration then you 00:21:24.23\00:21:25.40 should use or eat something like a light snack, 00:21:25.43\00:21:30.52 like a fruit, or fruit juice or dates 00:21:30.55\00:21:34.20 that will give you energy. And then after one hour of 00:21:34.23\00:21:37.75 exercise, intense exercise like running a marathon 00:21:37.78\00:21:42.40 or a race then after one hour you need something 00:21:42.43\00:21:45.31 sweet, they create the gels that they give, 00:21:45.34\00:21:47.71 but any, any fruits would make it, it's or any sweet 00:21:47.74\00:21:52.87 that you can after one hour because this is 00:21:52.90\00:21:55.66 when you run out of, of the energy that comes from, 00:21:55.69\00:21:59.22 from, from their fruit and then you're using the energy 00:21:59.25\00:22:02.61 from the liver and from the muscles 00:22:02.64\00:22:06.15 and then what happen is that your performance 00:22:06.18\00:22:07.15 might go down and. Nice, so make sure 00:22:08.25\00:22:10.92 you're depending on their exercise, how long 00:22:10.95\00:22:13.01 it is to I would say we need to make sure that, 00:22:13.04\00:22:15.96 we've the adequate energy for that 00:22:15.99\00:22:18.11 and the right kind of fruits too and you mention fruits 00:22:18.14\00:22:21.37 and the fruits are sometimes are little clumsy 00:22:21.40\00:22:23.41 to take on the jogger or a walk, 00:22:23.44\00:22:25.72 but if we're doing the long hike or jog perhaps 00:22:25.75\00:22:30.01 some of the other jogs that you spoke about or the fruits. 00:22:30.04\00:22:33.48 I think a banana is a good one has a minerals, 00:22:33.51\00:22:35.92 has a sugar and yeah it might be a little more stuffy, 00:22:35.95\00:22:38.49 if we take in running, but may be leave it in the car 00:22:38.52\00:22:40.97 when we get back or. Or sometime they've these on 00:22:41.00\00:22:44.71 the stations or if you are organizing, 00:22:44.74\00:22:46.83 if you are organizing the race you can have the stations 00:22:46.86\00:22:49.77 with the proper, proper foods there. 00:22:49.80\00:22:52.05 Umm! Umm! I remember that thing 00:22:52.08\00:22:53.32 in Hong Kong an old guy, he used to tell me about 00:22:53.35\00:22:57.18 we've a run a marathon with our stomach empty 00:22:57.21\00:22:59.85 and we didn't have anything during that four hours 00:22:59.88\00:23:03.20 and say well that's really crazy you, 00:23:03.23\00:23:05.55 if you did in the past please don't do now. 00:23:05.58\00:23:08.33 Alright. We wanna make sure, 00:23:08.36\00:23:10.27 we're training the body fairly right 00:23:11.37\00:23:13.45 and in good way. Now, many people, 00:23:13.48\00:23:15.93 who started exercise especially after new years 00:23:15.96\00:23:18.19 and you might be thinking today, 00:23:18.67\00:23:20.33 well I know all about exercise, 00:23:20.36\00:23:22.34 I've heard about it many times. 00:23:22.37\00:23:23.65 I can discourage you got to do with a warming up, 00:23:23.68\00:23:26.04 you got a drink adequate water and stretching 00:23:26.07\00:23:29.27 and all these things. So many people give up, 00:23:29.30\00:23:32.41 what, what you do with your clients, 00:23:32.44\00:23:34.24 with your patients when they come and say you know, 00:23:34.27\00:23:36.57 how can, how can I keep doing this? 00:23:36.60\00:23:39.00 I think the secret is to do something 00:23:40.03\00:23:42.51 or to find something that you like. Like if 00:23:42.54\00:23:45.51 you like soccer, I mean this is gonna work for you. 00:23:45.54\00:23:48.77 If you, if you learn to like Exergaming, 00:23:48.80\00:23:52.72 if you learn to like walking I mean, 00:23:52.75\00:23:54.88 you've to do something that is enjoyable. 00:23:54.91\00:23:57.63 There is also a very interesting study 00:23:58.28\00:24:00.65 that was done with cholesterol, 00:24:00.68\00:24:03.12 high cholesterol patients they dividing two groups, 00:24:03.15\00:24:05.97 one group with exercise prescribed by the doctor 00:24:06.00\00:24:09.27 and other group with exercise that they shows 00:24:09.30\00:24:11.34 what to do. And, then the cholesterol dropped 00:24:11.37\00:24:13.93 in the group that put reminder on that. 00:24:13.96\00:24:16.75 So, when they are fully made is a holistic approach, 00:24:16.78\00:24:20.36 is mind and body and physical. 00:24:20.39\00:24:22.37 So, the mind on the exercise and the exercise itself 00:24:22.92\00:24:27.22 and then you have the diet and this will provide 00:24:27.25\00:24:30.40 better outcomes for, for health. 00:24:30.43\00:24:34.15 So, combining all three what God has made us. 00:24:34.18\00:24:37.26 Yes. Well, making sure all the 00:24:37.29\00:24:38.26 component are there also making sure something 00:24:38.27\00:24:40.66 we enjoy doing like you said, right has fun. 00:24:40.69\00:24:43.30 Also if I could add it's maybe a progressive step. 00:24:43.33\00:24:46.11 Sometimes, we've these big goals, Oh, I'm gonna 00:24:46.14\00:24:48.22 run five miles a day and forever. 00:24:48.25\00:24:50.89 And, we run those first five miles 00:24:50.92\00:24:53.13 and our bodies are hurting then I've now tried it 00:24:53.16\00:24:55.89 before and it's not expected. The body is not expecting, 00:24:55.92\00:24:59.24 that needs to get accustomed and trained 00:24:59.27\00:25:01.00 and take baby steps if you can call 00:25:01.03\00:25:03.04 like that, get up to that. 00:25:03.07\00:25:04.72 Yeah, mostly when you stop for exercise 00:25:04.75\00:25:08.01 for a longtime then when you are started, 00:25:08.04\00:25:11.38 do you think well I'm gonna make up 00:25:11.41\00:25:13.85 for whatever I miss and then you, 00:25:13.88\00:25:16.08 you, you exaggerate you do that thing. 00:25:16.11\00:25:18.63 One day or in a one week then you I gonna 00:25:18.66\00:25:20.83 got hurt and then you get in trouble. Right. 00:25:20.86\00:25:24.36 Like if I have to, to run seven miles now. 00:25:24.39\00:25:28.33 In my group, we're in the seven mile level. 00:25:29.34\00:25:32.30 I don't feel anything after I run seven miles, 00:25:32.33\00:25:35.15 but if I've to stuck today and I haven't done that. 00:25:35.18\00:25:38.84 I will be tomorrow, I could not even go to work 00:25:38.87\00:25:41.52 you know, that. Right, right, right, right. 00:25:41.55\00:25:43.75 So, exercise needs to be that component 00:25:43.78\00:25:46.61 that God has created that physical activity to keep 00:25:46.64\00:25:49.17 our minds and bodies and our hope and healthy 00:25:49.20\00:25:52.50 and in the great way and I want to tell our viewers, 00:25:52.53\00:25:56.16 who are watching that, if you're in an exercise 00:25:56.19\00:25:59.02 program great continue and in fact encourage 00:25:59.05\00:26:01.74 those around you to join you. And, if you're not 00:26:01.77\00:26:04.29 perhaps today is the beginning of your 00:26:04.32\00:26:07.11 exercise routine. And it could start with just 00:26:07.14\00:26:09.90 brainstorming and thinking of creative ways 00:26:09.93\00:26:11.98 that you would like to incorporate 00:26:12.01\00:26:14.02 physical activity into your work, 00:26:14.05\00:26:15.65 into your life, into your daily routine. 00:26:15.68\00:26:18.08 And just take those baby steps that it is possible 00:26:18.11\00:26:22.80 that incidentally reminds me of a story 00:26:22.83\00:26:25.05 that Dr. Dos Santos wanted to share with 00:26:25.08\00:26:27.15 each one of you and perhaps now 00:26:27.18\00:26:28.46 it's a great time to do it. Yes, thank you. 00:26:28.49\00:26:31.59 It is a story about the patient of mine 00:26:31.62\00:26:35.45 in our weight control program, 00:26:35.48\00:26:37.15 she could not walk I ask her to walk, 00:26:37.18\00:26:41.32 but she could not walk because of pain in her knees. 00:26:41.35\00:26:44.10 So, I told her well let's see what we can advise you 00:26:44.13\00:26:49.03 and with the nurse we, we advise her to buy a paddle 00:26:49.06\00:26:53.04 and put it on the floor and then she like to crusade 00:26:53.07\00:26:58.07 and then we told her every time you go crusading 00:26:58.10\00:27:01.19 you paddle this paddle machine and then let's see 00:27:01.22\00:27:05.66 what's gonna happen. So, after she went on this 00:27:05.69\00:27:09.21 for three months, she lost 20 pounds 00:27:09.24\00:27:12.30 and no more pain in the, in the knees. 00:27:12.33\00:27:15.46 Perfect, so there is a hope of each one of us 00:27:16.51\00:27:18.71 to be creative to incorporated in 00:27:18.74\00:27:21.16 which ever way we possibly can. 00:27:21.19\00:27:23.65 Also, I want to finish with a thought by Jesus Christ. 00:27:24.64\00:27:27.00 Jesus Christ was our perfect example 00:27:27.03\00:27:29.03 and always in spiritual matters 00:27:29.06\00:27:31.12 and health matters too. And, in fact I've a verse 00:27:31.15\00:27:34.53 found in Luke 13:33, where Jesus says, 00:27:34.56\00:27:37.04 I must walk today and tomorrow 00:27:37.07\00:27:40.23 and the day following and Jesus walked 00:27:40.26\00:27:42.87 all over the place and used that walking, 00:27:42.90\00:27:45.13 he could have stayed in one place or sent 00:27:45.16\00:27:46.90 others to other places, but he used to walking 00:27:46.93\00:27:49.21 not only to spread the Gospel, 00:27:49.24\00:27:51.01 but a way to keep himself healthy. 00:27:51.04\00:27:52.78 And we can do that in our daily lives today. 00:27:52.81\00:27:55.46 Dr. Dos Santos, I want to thank you for 00:27:55.49\00:27:57.31 coming here today. Thank you, very much. 00:27:57.34\00:27:59.34 Okay. Join us next time 00:27:59.37\00:28:01.25 for Wonderfully Made, 00:28:01.28\00:28:03.13 I hope you make it a part of your 00:28:03.16\00:28:05.82 schedule to join us. Thank you. 00:28:05.85\00:28:07.66