Isobel Kleinman

A healthy heart requires more than 45 minutes of aerobic exercise every other day. It requires the support of a good circulatory system along with a host of other attributes that help assure its proper functioning.

On the list is low cholesterol and low blood pressure, the absence of diabetes, the absence of smoking, the absence of obesity, having a normal range of female hormones - which explains why pre-menopausal women run less risk of heart disease then men (scientists say that the hormones keep the blood cells "flexible") - and now, we are told, having good blood viscosity.

According to Dr. Robert Rowen, one's blood viscosity is the single most important factor for heart health. (Dr. Robert Rowen, M.D., Second Opinion Newsletter). As of yet, there is no action I know of that we physical educators can take to improve blood viscosity. But, down the line there might be. And that brings me to the main point of my editorial: staying abreast of the facts, being willing to impart them to our kids even when it means changing something we previously taught them, and working to make everyone physical so their activity can benefit their health and their lifestyle.

While we teach students that the effort to have good eating habits, maintain a well balanced diet, and be physically active has a great cardiovascular pay-off (among other things), we must acknowledge that in the ever illuminating world of modern medicine and science we often learn something new. Sometimes the things that are learned seem contrary to that which we taught and have been doing for years.

New information is not meant to confuse, or call to question the people who espoused what was known before. It is new information, information that we should be ready to learn, absorb, and grow from.

I was once told by an administrator that sharing with students that what we know today might change tomorrow, and using historical reference to show how it happened before, that was being "pejorative." I didn’t agree then, nor do I agree now. Many years have passed since that remark. To this day, I cannot imagine an educator not being willing to face the facts that what we teach about our bodies today might be changed by more scientific study later.

We don't teach gospel. Science is always learning, rechecking, redefining, and re-exploring. In the process it learns more, and so must we.

Fitness guidelines have changed. When fitness began dominating the conversation, experts told us 15 minutes of aerobic exercise every other day at 65% of one's maximum heart rate was sufficient to assure good cardiovascular fitness. Now we believe that 15 minutes is not enough, nor is a mere 65% effort. We used to believe that a good cardiovascular workout must be done in one cycle and at one tempo. Now, we are told that it can be intermittent, that heart rates can fluctuate, and that a long pause between intermittent activities is still helpful.

We were told that the maximum heart rate is 220 beats per minute. We have used that number for years when figuring out what heart rate working zones people of different ages should be working in. Now we've learned that the scientists who mentioned 220 beats per minute were just stating a guesstimate, and that they have been totally amazed at how the community latched onto their number as if it were an factual maximum.

The process of coming up with guidelines is not irrelevant. Guidelines reflect the best information available. Students should know that. They should also know that later they might learn something a little different, and that the difference might require adjustment. Teaching students to think and discriminate can't be bad. Students should learn that when they learn something new it is not because their teachers were bad, or lied, or were misinformed. Working for fitness and cardiovascular functioning will always be important to their life, health and happiness. Guidelines for how fast the heart should beat, the duration of exercise, whether to use weights, and maybe some other stuff might change, but an educated person must be prepared to change when new facts are learned.

In teaching students how to workout, we need to teach them how to learn, how to appreciate that there is still much to learn, how to understand that though they may have learned a lot and have a great command of what has been taught, there is still a need to listen. Teachers have to understand that too. Teachers must stay abreast of the facts and share them in a way that they are understood and useful. True, they may even have to return to their classes and say, "Guess what? We just learned something new so what we told you last year is no longer true." But teachers must not be afraid to do that.

Concepts and how they come about are as important to teach as the activity itself, especially when they are fluid. Our mission is tough. We must teach our kids to be disciplined enough to use what we know to make themselves healthier. But we must also teach them to respect the process of learning. To do both, we must get them to "feel" what we are saying, realize the impact of their efforts, and get motivated to make change for themselves and the loved ones around them. How do we do that? Well, let me give you an example.

When at my junior-senior high school we sent half the kids to the gym for basketball, and the other half (my classes) to the dance room to start a four week dance-aerobic/fitness unit, I anticipated some resistance. I knew that my kids (particularly the guys) would rather play basketball then do dance aerobics, or any aerobics for that matter, but I needed to win them over. So, I shared a bone chilling personal story that made them think and take seriously the issues at hand.

I shared how my healthy father, the father whom I loved and who had never been sick day in his life, like so many men during the 60's, was here and healthy one day and then suddenly gone . . . a victim of a massive coronary. I was quiet for a moment after telling that story, letting their minds wander, letting them think of how such a tragedy would impact them. I told them they should work towards avoiding such a thing happening to them and their loved ones. I gave them permission to work hard for themselves, and then to go home to badger their folks to do what it takes to have healthy hearts, too.

Perhaps you have a story of your own, or know of one. Perhaps you can dramatize the need for kids to take their health seriously, and take what they learn at school back home to their parents. It worked for me. I assure you, it will work for you.


The President's Challenge:
Regular physical activity substantially reduces the risk of poor health. Physical activity need not be strenuous or very time-consuming to be beneficial, and all ages can benefit from modest physical activity. Every little bit of effort counts:

Adults, get at least 30 minutes of physical activity each day. If it is too hard to set aside 30 minutes at one time, break it up into 10 or 15 minute segments. Developed by a panel of scientists under the leadership of Department of Agriculture (USDA) and the Department of Health and Human Services (HHS) as a part of the 2000 Dietary Guidelines for Americans, these recommendations for daily activity are based on the results of studies that examined the relationship between physical activity and health. If only 10 percent of American adults began regularly walking, $5.6 billion in health care costs associated with heart disease could be saved.
Children and teenagers, get at least 60 minutes of physical activity each day. For children, setting aside time for physical activity should be easy. Unfortunately, even children have busy schedules today. According the Dietary Guidelines for Americans, they can break activity up into segments. Regular activity for children is important. Normal childhood play or outdoor activity helps control blood pressure and manages weight while building and maintaining healthy bones, muscles, and joints.
Parents, commit to family activities that involve physical activity. It can be easier to work physical activity into your daily routine if you combine it with family time.

President's Challenge web site: http://www.presidentschallenge.org/

 

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