Words on Wellness SPRING 2015 The Core is the Key to Spine Health We have all heard the phrase “work your core” in the exercise world, but do we really know what the buzz is all about? The core is best described as the group of muscles that support and stabilize your spine, pelvis, hips and ribs. Wellness Center Hours Cape Coral 5 a.m.-9 p.m., Monday-Friday 7 a.m.-5 p.m., Saturday and Sunday Fort Myers 5:15 a.m.-7 p.m., Monday-Friday 7 a.m.-1 p.m., Saturday Wellness Centers 609 SE 13th Court Cape Coral, FL 33990 239-424-3220 3114 Cleveland Avenue Fort Myers, FL 33901 239-343-4980 *An outpatient department of Lee Memorial Hospital When all the muscles are strong and work together, they keep the spine upright and in a well-balanced position to function. Imagine a cup of water filled to the rim while balancing on a rock. If there is an imbalance of the cup in any direction, the water will spill out. Our core is the cup that keeps us balanced. Weakness and/or tightness of any of these muscles cause misalignment and an imbalance, eventually leading to: Pain Poor posture Poor balance Lack of flexibility • • • • A weak core almost always translates into some form of body mechanic issue. If you have ever pulled a muscle in your back or abdomen you know that it is difficult to do almost anything with your arms or legs. Everything, including coughing, can be difficult. 1 Our core is not only important to keeping us balanced, but is a key component to upright posture and strength. As we age, we tend to take on a rounded-shoulders posture and slumped lower-back stance. Strengthening our core is directly related to the mechanics of keeping proper posture. Most back and neck aches and pains can be attributed to weak postural muscles. The core muscles need endurance rather than power because their job is to stabilize the spine as we move our arms and legs. These muscles need to be able to hold up our body for long periods of time as we move and stand upright. To strengthen them we need to focus on stabilizing exercises. A good example of a stabilizing exercise is a plank. Keeping your entire body still in a horizontal position, while bearing weight on your elbows and feet, requires good trunk control and abdominal stabilization. A plank is a great way to strengthen muscle endurance in multiple muscles at one time. Try adding core exercises to your workouts and get your body to endure a life of mobility and upright control. A little core goes a long way. Ask The Doc Salvatore Lacagnina, D.O., is the Lee Memorial Health System vice president of health & wellness. He is board certified in internal medicine and has been in practice since 1993. As a regular part of Words on Wellness, Dr. Lacagnina answers your health-related questions. Send your questions to [email protected]. Question What books would you recommend I read to educate myself on healthy living? Answer There are so many great books, videos and websites about general health and wellness. Starting from the head and working down the body I would recommend: Books: • “Power Foods to the Brain” by Dr. Neal Barnard • “Disease Proof” by Dr. David Katz • “Super Immunity Foods” by Frances Goulart • “Prevent and Reverse Heart Disease” by Dr. Caldwell Esselstyn • “The China Study” by T. Colin Campbell • “The Whole Heart Solution” by Dr. Joel Kahn • “Foods that Fight Cancer” by Richard Beliveau • “The New Optimum Nutrition Bible” by Patrick Holford • “Rethink Food” by Amy Goodman • “Disease Delusion” by Dr. Jeffrey Bland • “Salt, Sugar, Fat” by Michael Moss • “Eat to Live” by Dr. Joel Fuhrman Videos: • “Food, Inc.” • “Forks Over Knives” Websites: • www.nutritionfacts.org ; daily videos by Dr. Michael Greger • www.lung.org; stop-smoking • www.cdc.gov/tobacco/quit_smoking/how_to_quit/index.htm • www.cdc.gov/physicalactivity/index.html • www.Eatright.org • www.Choosemyplate.gov • www.Chiphealth.com Stay well! Exercises and Classes Focus on the Core •Yogalates – This class blends multi-level yoga and Pilates and provides all over body toning. •Yoga – There are a variety of classes to balance your mind, body and spirit through various poses. •Barre Fitness – This class blends strength training and stretching, and offers total body conditioning. •Fit Core – Geared toward active seniors and newer members, this class offers exercises that are less intense but still train the core. John Croce, wellness and fitness supervisor at the Wellness Center – Cape Coral, also says focusing on stabilizing exercises is great for the core. He adds that the abdominal muscles are no different from the other muscles in the body, so consistency is key. “If you are going to intensely work your core, then incorporate those exercises every other day,” John says. “But, if you are doing a maintenance set on your abs, then you can work them more often. A plank is a great exercise because it requires good trunk control and abdominal stabilization and you can do them anywhere.” If you prefer working out with others in the group exercise classes, there are options at both locations that focus on core work, including: Wellness Center – Fort Myers •Stronger Core & More – Stretching and strengthening exercises isolate your core muscles. •FIT Pilates – Pilates exercise class designed with our super seniors in mind. •FIT Core – Core training and flexibility class designed for our super seniors. Wellness Center – Cape Coral •CX Worx – This Les Mills class uses resistance tubes and weight plates, as well as body weight exercises to strengthen the core. •Pilates – A unique set of exercises designed to stretch, strengthen and balance the body. •Total Core – In this class you will target your torso, sculpt your abs and strengthen your back. Visit the front desk for more information and class schedules. 2 Pickleball is an Exciting Game for All Ages Combining elements of tennis, badminton and racquetball, Pickleball is quickly becoming a popular sport at the Wellness Center – Cape Coral. “Pickleball is easy for beginners to learn, but it can also develop into a quick, fastpaced, competitive game for experienced players of all ages,” says John Croce, wellness and fitness supervisor. Played as both singles and doubles, players use wood or composite paddles and a perforated plastic baseball—like a whiffleball. The court has the same dimensions as a doubles badminton court. Mike and Diane Welter started playing pickleball seven years ago after reading about the sport in the newspaper and attending an exhibition. Mike, who is the current Florida state pickleball champion in his age group, says the sport is growing by leaps and bounds—especially in the senior age group. “Pickleball is great for seniors because it is easier than tennis and can be played in an airconditioned gym,” Mike says. “It’s a great cardio activity—you breathe hard and sweat, but you don’t have to be a great athlete to do it. There are people of all levels playing, so you play against people at your same skill level who you feel comfortable with.” Mike adds that he and Diane love the social aspect of the sport. “We have met so many nice people—new friends— through pickleball,” he says. “It’s friendly competition—everyone gets along and has fun.” It was actually Mike who brought the idea of pickleball to the Wellness Center – Cape Coral. “I noticed the gym was underutilized,” he says. “The staff did some research, procured the correct equipment and I offered to hold a clinic.” Pickleball is played on the basketball court at the Wellness Center – Cape Coral. John says the interest has increased to the point that he had to create a schedule and start a sign-up sheet to balance the opportunities for pickleball and basketball. The pickleball schedule offers morning and afternoon options, seven days a week. Check out the sign-up sheet at the front desk. If you are interested in learning more about the game, stop by and watch the action. Mike says he has seen many people try the game a couple of times and quickly get addicted. Sweet Potato-Peanut Bisque This satisfying vegetarian, sweet potato soup is inspired by the flavors of West African peanut soup. We like the added zip of hot green chiles, but they can sometimes be very spicy. It’s best to take a small bite first and add them to taste. Try chopped peanuts and scallions for a different garnish. Serve with a mixed green salad with vinaigrette. 5 servings, about 1 1/2 cups each | Active Time: 30 minutes | Total Time: 30 minutes Ingredients 2 large sweet potatoes (10-12 ounces each) Preparation 1. Prick sweet potatoes in several places with a fork. Microwave on high until just cooked through, 7 to 10 minutes. Set 1 tablespoon canola oil aside to cool. 1 small yellow onion, chopped 2. Meanwhile, heat oil in a large saucepan 1 large clove garlic, minced or Dutch oven over medium-high heat. Add onion and cook, stirring, until it 3 cups reduced-sodium tomato-vegetable juice blend or tomato juice just begins to brown, 2 to 4 minutes. Add garlic and cook, stirring, for 1 1 4-ounce can diced green chiles, minute more. Stir in juice, green chiles, preferably hot, drained ginger and allspice. Adjust the heat so 2 teaspoons minced fresh ginger the mixture boils gently; cook for 10 1 teaspoon ground allspice minutes. 1 15-ounce can vegetable broth 3. Meanwhile, peel the sweet potatoes and chop into bite-size pieces. Add half 1/2 cup smooth natural peanut butter to the pot. Place the other half in a food Freshly ground pepper to taste processor or blender along with broth Chopped fresh cilantro leaves for garnish and peanut butter. Puree until 3 4. completely smooth. Add the puree to the pot and stir well to combine. 5. Thin the bisque with water, if desired. Season with pepper. Heat until hot. Garnish with cilantro, if desired. Nutrition Per serving: 291 calories; 16 g fat; 3 g sat. fat; 8 g mono; 0 mg cholesterol; 30 g carbohydrates; 10 g protein; 6 g fiber; 474 mg sodium; 1011 mg potassium 1 1/2 carbohydrate per serving Exchanges: 1 starch, 1 vegetable, 1 1/2 high fat meat, 1/2 fat Tips & Notes Make Ahead Tip: Cover and refrigerate for up to 3 days. Thin with water before serving if necessary. From EatingWell: September/October2009 Words on Wellness © Copyright 2015 P.O. Box 2218, Fort Myers, Florida 33902 Words on Wellness is a Lee Memorial Health System publication for the community. Kali Lynch, Communications Writer JL Watson, Communications Writer Diana Rippl, Director, Health and Wellness Integration, Wellness Centers Website: www.LeeMemorial.org/wellness Please call the Wellness Centers to inquire about our seasonal membership opportunities. Cape Coral...........................239-424-3220 Fort Myers...........................239-343-4980 6300.02 3-15 Spring into Action Our personal trainers are here to help you make leaps and bounds toward your personal fitness goals. 424-3220 – Cape Coral Happening This Spring: 343-4980 – Fort Myers Blood Pressure & Cholesterol: Risk Factors for Chronic Disease 12-1 p.m., April 13 Gulf Coast Medical Center Community Room Me? Diabetes? 10-11 a.m., April 20 Wellness Center – Cape Coral Salt, Sugar & Fat: Food Additives Contributing to Major Chronic Illnesses 12-1 p.m., May 13 Wellness Center – Cape Coral Healthy Communities Start with Me! 12:30-1:30 p.m., May 18 Lee Memorial Hospital Auditorium Cancer: How to Avoid this Growing Epidemic 12-1 p.m., June 29 Cape Coral Hospital Room A Beginning this spring at the Wellness Center – Fort Myers, Better Back, Better Balance and BrainFIT classes. Call for dates and details. Refer a friend or family member to the Wellness Centers The Wellness Center – Fort Myers has a If they join us for a year, we will give you $25 in Club Cash, which can be used on new location. An open house will be announced at a later date. other great services in our centers.* In addition to weekday hours, the café at the Wellness Center – Cape Coral is open 8 a.m.-12 p.m. Saturdays. We also offer “Free Friend Fridays” and the Free Week Pass on our website: www.LeeMemorial.org/wellness Call or stop by the front desk for more information. *Lee Memorial Health System employees are not eligible and some restrictions apply. 4
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