Exercise Safety with Multiple Sclerosis

Exercise Safety with Multiple Sclerosis

 

 

 

 

 

 

 

 

 

 

 

 

What is Multiple Sclerosis?

Multiple Sclerosis (MS) is a disease of the central nervous system. This system is comprised of the brain and spinal cord and, when it is compromised, it can be disabling. Essentially what happens is that the immune system attacks the protective covering on nerve fibers which disrupts the communication between the brain and the rest of the body. The affected nerves will vary from person to person, so not all people with MS will exhibit all of the same symptoms.1  

What Do Symptoms Look Like?

The most impacted function with Multiple Sclerosis is movement. Numbness or weakness in the limbs, tremors, and an unsteady gait are among the most recognizable symptoms. Vision, speech, sexual, bowel, and bladder problems are also known to occur.1

Exercise with MS

Muscle weakness, balance and coordination problems, dizziness, and difficulty breathing can make exercise a significant chore for people with Multiple Sclerosis. However, activity is still very important. Common MS treatments and inactivity can render people with this disease more susceptible to developing osteoporosis, which can make balance and coordination issues an even greater concern. This can be prevented or slowed, however, through physical activity and proper nutrition.2  

A 2004 study found that, even though cases of MS vary across patients, exercise programs designed to increase cardiorespiratory fitness, muscle strength, and mobility can enhance a patient’s quality of life while also reducing the risk of secondary disorders.3 However, it’s important to adhere to exercises that are safe.  

 

A publication by BMC Neurology identifies a number of practical and beneficial exercises for patients with MS. An important preface to their findings is that each exercise program should be designed to address a patient’s specific goal and should take into account a person’s baseline impairments and capabilities. Only a healthcare professional can provide the appropriate fitness routine for your needs, but generally, these aspects of training are known to hold benefits for patients with MS: 
  

  1. Aerobic Training: Low to moderate intensity aerobic training is effective on cardiovascular fitness, mood, reduction of fatigue, and overall quality of life. Examples include bicycling, aquatic exercise, and treadmill walking. Rowing and running are also potential options but only for patients with proper functioning.4
     
  2. Strength Exercises: For MS patients, supervised resistance training is safer than unsupervised training, and the use of weight-machines is safer than the use of free-weights. It is also important to prioritize the lower body because that is where the strength deficit is usually greater. Examples of strength exercises include the seated leg press, seated hamstring curls, knee extensions, shoulder press, chest press, and lat pull-downs. As a note, seated exercises are the safer option when compared to standing exercises.4
     
  3. Flexibility Exercises: These types of exercises are important to enhance mobility and improve balance and posture. Slow, gentle, and prolonged stretching is recommended before and after exercise with a particular focus on spastic muscles (tight or stiff muscles). Yoga and tai chi classes may be options for patients with higher functioning.4
     
  4. Balance and Coordination Exercises: Exercises that challenge balance can be very helpful. It is important that a stable support is available or that patients exercise in water. Water exercises provide support that help protect participants from dangerous falls.4  

Common Concerns

As with all new exercise routines, it’s important to know when to stop. You can help protect yourself from injury if you are attentive to how your body is feeling with each movement. When it comes to Multiple Sclerosis, there are a few more things to keep in mind. 

  1. Heat Intolerance: Heat stress caused by exercise can exacerbate the symptoms of MS. For this reason, heat-sensitive patients are encouraged to exercise in air-conditioned rooms, to perform water-based exercises, and to avoid exercising during the hottest part of the day.4
     
  2. Fatigue: Exercise can make symptoms of fatigue worse in MS patients.4 This is part of why it’s important that you don’t push yourself to exhaustion. It can be dangerous to do so, especially if you are using free-weights. In the grand scheme of things, exercise can actually help improve symptoms of fatigue,4 but it is important be aware of your limits during exercise.
     
     
  3. Risk of Falling: It is advised that patients who are at risk of falling be monitored during exercise.4 A fall is a risk not worth taking, so it is important to have non-slip surfaces in areas of aquatic activities and to take precautions during any form of exercise. 

What is your approach to exercise with MS? Share your thoughts in the comments below! For more articles like this one, and to stay in-the-know on important health and nutrition topics, subscribe to our newsletter to receive monthly highlights from the Living Healthy Blog. 

SOURCES 

  1. “Multiple Sclerosis.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 19 Apr. 2019, https://www.mayoclinic.org/diseases-conditions/multiple-sclerosis/symptoms-causes/syc-20350269. 
  2. Pietrangelo, Ann, and Kristeen Cherney. “The Effects of Multiple Sclerosis on Your Body.” Healthline, 2018, https://www.healthline.com/health/multiple-sclerosis/effects-on-the-body#7. 
  3. White, L.J. & Dressendorfer, R.H. Sports Med (2004) 34: 1077. https://doi.org/10.2165/00007256-200434150-00005  
  4. Halabchi, F., Alizadeh, Z., Sahraian, M. A., & Abolhasani, M. (2017). Exercise prescription for patients with multiple sclerosis; potential benefits and practical recommendations. BMC Neurology, 17(1), 185. https://doi.org/10.1186/s12883-017-0960-9  

Intermittent Fasting: How to Hit Your Protein Goals | QA

Intermittent Fasting: How to Hit Your Protein Goals | QA

Question:

I’m wanting to start intermittent fasting for the numerous benefits it has… yes, including a little fat loss as well! The only issue is that I’m also trying to add muscle at the same time. Subscribing to the 1-2 grams of protein per body pound theory, is that enough time in the IF window to ingest that much protein? (I weigh 230 now, that’s a lot in a short window of time! ? What are the recommendations in order to achieve this with IF and low-carb/high protein? Is it even possible? Thanks!

– Chris T. 

Answer:

First, I’d modify your protein goal to the lower end of the range you proposed: 1 gram per pound goal body weight. That’s still over the 1.7 gm protein/kg recommended by the American College of Sports Medicine to increase muscle mass. Since there is no physical storage of amino acids in the body, consuming large quantities of protein at once doesn’t mean you’ll use all of what you eat.  

For intermittent fasting, I’d advise breaking down your total so that you’re consuming 30-40 grams of protein* every 2-3 hours for the span of time you do eat. Remember to support your workouts with protein before, during and after to provide your muscles with amino acids when it needs them most and to promote muscle protein synthesis. 

* Amount of protein generally supported in the literature as that which can be utilized at one sitting. 

Schoenfeld, B.J., Aragon, A.A. How Much Protein Can the Body Use in a Single Meal for Muscle-Building? Implications for Daily Protein Distribution. Journal of the International Society of Sports Nutrition; 15,10 (2018). https://doi.org/10.1186/s12970-018-0215-1 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

Ask our Dietitian

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LA Fitness Holiday Hours 2021

LA Fitness Holiday Hours 2021

LA Fitness will be open for parts of the Holiday Season! Modified clubs hours are below!Holiday Hours (U.S.) Friday, December 24th: 8AM - Noon Saturday, December 25th: Closed Friday, December 31st: 8AM - 6PM Saturday, January 1st: 8AM - 6PM   Holiday Hours...

The Basics of Bulking – Podcast Ep. 40

The Basics of Bulking – Podcast Ep. 40


Welcome to the 40th episode of the Living Healthy Podcast, presented by LA Fitness.  

Master Trainer, Jordan Jones, sits down with us today to share his expert knowledge on bulking. Bulking is a phase of your nutrition and workout regimen where the goal is to build as much muscle as possible while gaining as little fat as possible. Our next episode on cutting will address how you can get rid of excess fat you put on during this phase.  

If you’re ready to put on muscle and all you need is that extra bit of guidance, tune in now to hear what Jordan has to say about the right way to make gains. 

How Are We Doing? 


This podcast should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Timecard Markers – The Basics of Bulking – Podcast Ep. 40 

Intro  

 0:01  

Introduction of Today’s Guest: Master Trainer Jordan Jones 

1:18  

What Got You into Weightlifting? 

1:30 

How Many Meals Do You Eat a Day While Bulking? 

3:44 

What are You Eating During Those Meals? 

6:03 

Do You Take Any Supplements While Bulking? 

7:15 

How Do You Know if You’re Behind on Your Protein? 

8:00 

Is There a Risk of Overdoing Your Protein Intake? 

9:14 

What Would Your Weekly Workout Consist Of? 

10:13 

Is Bulking for the Average Person? Why Bulk? 

11:45 

What Do You Do to Keep Hydrated? Are Electrolytes Important? 

12:51 

Is There Anything You Do to Prepare for Competitions? 

15:03 

How Do You Know if You’re Making Progress? When Do You Stop? 

18:13 

Is There an Ideal Ratio in Terms of Weight Gained and How Much is Fat? 

19:06 

What is the Biggest Obstacle While Bulking? 

20:33 

What Do You Really Need to Be Doing in the Gym to Bulk? 

22:54 

Actionable Advice 

25:58 

Outro  

27:22


Recommended Podcast Episodes 

LA Fitness Holiday Hours 2021

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LA Fitness will be open for parts of the Holiday Season! Modified clubs hours are below!Holiday Hours (U.S.) Friday, December 24th: 8AM - Noon Saturday, December 25th: Closed Friday, December 31st: 8AM - 6PM Saturday, January 1st: 8AM - 6PM   Holiday Hours...

What You Should Know About Women’s Depression

What You Should Know About Women’s Depression

International Women’s Day

This Sunday is International Women’s Day. The day is dedicated to women’s rights, to recognizing key achievements, and to acknowledging all that still needs to be done. We’d like to contribute to the day’s spotlight on women by discussing an important piece of women’s health: mental health. 

Depression affects both men and women, and it’s not just a bad case of sadness. It doesn’t always have a reason and isn’t gender, age, or lifestyle exclusive; it happens to everyone.  

Our focus is on depression today because of its prevalence. We hope that all readers can benefit from today’s article but would also like to note that this issue is more present among women than it is among men. This is likely due to certain biological, hormonal, and social factors that are unique to women.1 It’s an appropriate time to bring the discussion to the table and to offer up some helpful information. 

Is Depression Normal?

No. Depression is not just a part of life or something you have to live with. It’s a medical condition with many models of treatment. Yes, depression is common, but it’s also serious. It’s important to remember that sadness and grief are normal and healthy parts of the human experience. Only your healthcare provider can help you determine whether your symptoms indicate depression, but if you would like to reference a description of potential symptoms, you can find one here 

Will it Go Away on Its Own?

Depression typically requires treatment, either in the form of therapy (which isn’t scary or something to be ashamed of by the way), medication, or sometimes a combination of both. A statement from an article by the National Institute of Mental Health deserves to be reiterated here:You can’t just ‘snap out’ of depression. Well-meaning friends or family members may try to tell someone with depression to “snap out of it,” [or to] “just be positive,” but depression is not a sign of a person’s weakness or a character flaw.” Often, the reason a person is depressed stems from something that’s out of their control (like a biological, psychological, or environmental factor)1. 

Why Do Women Experience Depression More Than Men?

The Mayo Clinic offers a nice breakdown of the various elements that make depression more commonplace among women. It demonstrates exactly what it means to have biological, psychological, and environmental factors in play. We will briefly describe them here, but if you would like to read about them in greater detail, you can read the Mayo Clinic’s article on Depression in Women.

Puberty

Certain factors that emerge during puberty, like sexuality and identity issues, conflicts with parents, and increasing pressure to achieve in various areas of life, contribute to the emergence of depression. These factors apply to boys as well, but because girls typically reach puberty earlier, they are likely to develop depression earlier; this depression gender gap may continue throughout life.2 

Premenstrual Problems

Most of the time, premenstrual syndrome (PMS) symptoms are minor and short-lived. Some women, however, experience severe symptoms that are significantly disruptive to their lives. This increased severity turns PMS into a type of depression that generally requires treatment.2 

Pregnancy

Dramatic hormonal changes during pregnancy or during attempts to become pregnant can contribute to depression. There are also many other lifestyle, relationship, work, and social factors associated with pregnancy that play a role.2

Post-Partum Depression

Many new moms experience sadness, anger, and irritability after giving birth, but serious and long-lasting depressive symptoms may point to post-partum depression. This occurs in about 10-15% of women.2 

Peri-Menopause and Menopause

The erratic fluctuation of hormone levels can increase the risk of developing depression. Other factors like poor sleep and weight gain also play a part.2

Life Circumstances and Cultural Stressors

Unequal power and status, work overload, and sexual or physical abuse, also contribute to depression in women. These factors occur in men too, but usually at a lower rate.2 

What to Do if You or Someone You Know is Exhibiting Signs of Depression

For the person experiencing depression, the most difficult part of treatment is recognizing the need for it and seeking help. A good first step is to talk to your doctor. They can help assess your symptoms and point you in the right direction. 

If you would like to help someone who is struggling with depression, the best thing you can do is to be present. Show your support by listening and asking how you can help. Sometimes the preferred help is simply that you sit with them for a while. Avoid giving unsolicited advice, minimizing the problem, or trying to “fix” how the person is feeling.  

Depression is not to be taken lightly, and the risk of suicide is very real. If you believe your loved one is at risk for suicide, do not leave them alone. In the U.S., call 911 or the National Suicide Hotline at 1 (800) 273 – 8255. The new 3-digit national crisis hotline (988) is not yet active. In Canada, call the Canada Suicide Prevention Service at 1 (833) 456 – 4566. For anywhere else in the world, visit the International Association for Suicide Prevention to find resources and helplines for wherever you are. 

For more articles like this one, read our article on the Elimination of Violence Against Women. To stay in-the-know on important health and nutrition topics, subscribe to our newsletter to receive monthly highlights from the Living Healthy Blog! 

Sources  

  1. “Depression in Women: 5 Things You Should Know.” National Institute of Mental Health, U.S. Department of Health and Human Services, https://www.nimh.nih.gov/health/publications/depression-in-women/index.shtml  
  2. “Women’s Increased Risk of Depression.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 29 Jan. 2019, https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression/art-20047725  

Eggs and Cholesterol: How Much is Too Much? | QA

Eggs and Cholesterol: How Much is Too Much? | QA

Question:

How many egg yolks are allowed per week when trying to lower my LDL cholesterol?

– Theresa D. 

Based on my friend’s advice, I’m eating one boiled egg at each meal, that’s three times a day for me. But now I fear about the effects on cholesterol. So far, I’m good. But what is your advice about eating three eggs each day, every day. I do work out on the treadmill for 30 minutes and weight lift for 30 minutes every day. Regards,

– Abdu K. 

Answer:

Egg consumption in relation to high cholesterol levels was a much debated topic 30 years ago, but confusion still remains. On the whole, eggs are healthy – they contain many nutrients and are good sources of vitamins A and D. One egg yolk contains 5 grams of fat, including 1.5 grams of saturated fat, and approximately 186 mg of cholesterol. Though eggs are high in cholesterol, it’s the saturated fat that has greater impact on your blood cholesterol.  

Eating foods that contain saturated fats raises the level of cholesterol in your blood.” – American Heart Association 

Prominent dietary sources of saturated fat are bacon, sausage, meat, eggs, butter, cheese and processed foods containing palm, palm kernel and coconut oils. It’s often how eggs are prepared (in butter) or served (with bacon, sausage, cheese, muffins, or scones) that’s the culprit in affecting dietary cholesterol. 

Most people can eat an egg daily without increasing their risk for heart disease. If you have diabetes, are at high risk for heart disease, or already have heart disease then it’s wise to limit egg consumption to no more than three per week. Remember that only the yolk contains the egg’s saturated fat, so these guidelines refer to whole eggs, not egg whites or egg substitute. 

Sources: 

  1. American Heart Association (n.d.) “Saturated Fat” https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/saturated-fats  Accessed 2.7.2020 
  2. Komaroff, Anthony, MD. (2019, June 24) “Are Eggs Risky for Heart Health?” Harvard Health Letter.  https://www.health.harvard.edu/heart-health/are-eggs-risky-for-heart-health  Accessed 2.7.2020 
  3. Lopez-Jimenez, Francisco, MD. (2020, Jan. 9) “Eggs: Are They Good or Bad for My Cholesterol?” Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/expert-answers/cholesterol/faq-20058468  Accessed 2.7.2020 
  4. Vannice, G and Rasmussen, H. (2014, Jan.) Position of the Academy of Nutrition and Dietetics: Dietary Fatty Acids for Healthy Adults. Journal of the Academy of Nutrition and Dietetics, 114(1): 136-153. Doi: https://doi.org/10.1016/j.jand.2013.11.001 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

Ask our Dietitian

Have a nutrition question? Our registered dietitian is ready to help!

Email nutrition@lafitness.com or submit your question below and it may be featured in an upcoming article!

15 + 1 =


Recommended Reading - Q+A

LA Fitness Holiday Hours 2021

LA Fitness Holiday Hours 2021

LA Fitness will be open for parts of the Holiday Season! Modified clubs hours are below!Holiday Hours (U.S.) Friday, December 24th: 8AM - Noon Saturday, December 25th: Closed Friday, December 31st: 8AM - 6PM Saturday, January 1st: 8AM - 6PM   Holiday Hours...

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