Latest / ADHD with Confidence | Overcome Anxiety & Self-Doubt, Christian ADHD Coach, ADHD in Women / 174 // The Effect of Exercise on ADHD & Perimenopause, with Debra Atkinson
Transcript
- 0:00Hey friends, welcome to the ADHD with Confidence podcast. I'm your host,
- 0:04Kelsey Spronk, and today I am joined by Debra Atkinson.
- 0:08She's a trainer, a speaker, a coach, and an exercise physiologist.
- 0:12She's also the founder of Flipping 50, and she's going to tell us all about
- 0:16what she does. So Debra, welcome to the show.
- 0:19Well, thank you so much for having me.
- 0:21I'm excited to hear all about how exercise affects the brain and how that's
- 0:27connected to things like menopause, perimenopause, ADHD,
- 0:32everything that we as women go through. It can be so much.
- 0:37But first, can you start us off by telling us a bit more about you and about what you do?
- 0:44Yes. Well, and I will let you know, too, it was a lot of fun to dig into preparation for this.
- 0:51So this is my 43rd year full time as a strength and conditioning coach,
- 0:58personal trainer back in the day before personal training was a thing.
- 1:02And I've taught at a university. I've internationally trained other trainers.
- 1:09And yet there's so much that you don't deep dive into a topic very often.
- 1:14So the opportunity to go back was huge for me, too.
- 1:18So I am also very excited about what we can bring to the table for all women,
- 1:23who are in any stage of menopause or beyond, and especially those who have ADHD
- 1:28maybe and know it, and those who don't.
- 1:30Because sometimes the signs and symptoms are very revealing,
- 1:35and we may leave a woman wondering if she has it, because there are some common denominators there.
- 1:41But I have been, as I said, in fitness for about 43 years.
- 1:45And I, you know, served everyone.
- 1:49So men, women, you know, young volleyball players that wanted to get off the
- 1:53bench and a 96-year-old who just wanted to be able to stand up with pain-free
- 1:57knees six times so that she could, I was at six, that was her line,
- 2:02didn't really want to exercise.
- 2:03But so I've served a lot of people.
- 2:06But when I was teaching at the university, I realized there was such a need
- 2:10in trainers to keep the good ones.
- 2:14We were finding our students would go out. I'd supervise interns.
- 2:18It was the last thing they did before they actually hit graduation.
- 2:22And so many of them were shocked to find in the real world they had to sell
- 2:26and market. And we didn't prepare them for that in a four-year degree.
- 2:30They don't get it in a certification.
- 2:33And so they'd say, I've got to get a real job. I don't want to do this. I don't want to sell.
- 2:38That's not why I started this. And I thought, what a crime. We're losing the really good students.
- 2:44They're leaving the industry. And so what we're left with is people who have.
- 2:48Sell and market, but may not have as much to offer. And I said, we can't have that.
- 2:53So I actually quit everything. I quit training, supervising trainers,
- 2:58working at a gym and the Department of Kinesiology and said,
- 3:02somebody's got to do this.
- 3:03So I can either sit here and complain and point what's wrong,
- 3:06or I can do something. So I chose the latter at 49.
- 3:10And it was a bumpy start. Let me tell you, in 2013, there wasn't as much help
- 3:15for building an online presence and business that there is now.
- 3:19But sometimes going through that really tight tube and squeezing through,
- 3:24once you get to the other side, there's a lot of growth opportunity you would
- 3:27not have had. So I'm grateful for that.
- 3:29But I learned that really quickly, I've got to be serving some client in order
- 3:35to be saying, here's what's working.
- 3:37So I said, okay, I'm going to teach trainers and coaches how to do this and
- 3:41build their business. And I will choose a niche.
- 3:45And I chose menopause because all the baby boomers had gone through and they're
- 3:49like, my doctor just says, well, welcome to menopause. That's what you get.
- 3:53That happens in menopause. And they were getting no solutions, no help.
- 3:58And thankful for our baby boomers. They're like, I'm not having that.
- 4:03Nope, that's not okay. So they have changed a lot of things for the better for many of us.
- 4:09I think it's why we now talk about menopause on public TV and Drew Barrymore
- 4:13will have a hot flash on TV.
- 4:15But, you know, thank you that we have that.
- 4:18I started working with them and that business, and that one just took off because
- 4:23no one else was serving them.
- 4:25And we are all very well aware that now everybody's marketing to menopause.
- 4:31It was a lonely place for me at first.
- 4:34Nobody was doing it. In fact, it made me wonder, is there a demand for this?
- 4:38And then suddenly, of course, there was.
- 4:41But what I've realized is, you know, if you're here and you're a woman,
- 4:47There's no more powerful health influencer in the world. So you may be here
- 4:51to solve your own problem, but it's the ripple effect that you taking care of
- 4:55you has on so many other people that keeps me getting up in the morning when
- 5:00there are headaches running a business.
- 5:02And that's really why I'm here here as well.
- 5:07Thank you for sharing all that. I think to what you said about,
- 5:10you know, before it was just welcome to menopause, almost treated as a bit of a joke.
- 5:16And then you look at I've had a few conversations with people lately who have
- 5:19ADHD, they're reaching menopause, and things are just falling apart.
- 5:25The strategies, the systems, the life that they had before is no longer working for them.
- 5:30And so to have someone like you step into that and say hey you know what I'm
- 5:34going to partner with you we're going to figure out ways that that we can work
- 5:39with this and through this I think that's beautiful it's something that even with ADHD
- 5:44I feel like a lot of what was said
- 5:46before even is still said now you know things where
- 5:49people don't really understand what it's like they don't understand
- 5:53the nuances or they say really ignorant things like well you can't possibly
- 5:57have ADHD because you did well in school or you're too successful or you're
- 6:02smart and these things and I think a part of it when you talk about,
- 6:06we need to educate others and that's not an easy role to play but it is a really
- 6:13important one and like you said that change from 2013 to now and how much people
- 6:17are talking about menopause,
- 6:19ADHD as well. There's still a lot of stigma, but I believe that we can,
- 6:25with time, with conversations, with podcasts like this, with speaking events
- 6:30and things like this, we can start to work on that.
- 6:33And I think there's so much hope in that for women. So how does exercise affect
- 6:40the brain? Before we get into specific types of exercises or different stages,
- 6:44how does exercise affect our breathe.
- 6:47You know, so positively. And there is, you know, it doesn't matter what kind
- 6:51of exercise you do or you don't like, every kind of exercise has positive benefits.
- 6:55So we can get in later to what's on the continuum, what I say was quote unquote best.
- 7:00But right now, it's in a way gives you an opportunity and a window.
- 7:07If we said acute, like what are you doing today?
- 7:10Going for a walk or doing some cardio on an elliptical or whatever it might
- 7:14be, it gives you a window where if you exercise today, me sitting here,
- 7:20you sitting there, we're sharper.
- 7:23We can focus. Our brains can organize a little bit.
- 7:26There's a difference between somebody who does and doesn't have ADHD,
- 7:31and that is that some of us, before we take action, we need to make a list.
- 7:37We need to organize it? Like, what am I going to do first?
- 7:41And there is something to those that kind of don't have that ability to focus
- 7:47enough to make the list that if you have ADHD, you may actually do better.
- 7:52Go for the walk first. The activation then helps you to frame and come back
- 8:00here and pull all those loose ends and stay on a narrow path so that you can make the list.
- 8:05And now you can actually do a task
- 8:08much more better. I think so many of us actually do better doing this.
- 8:13But there is a certain subgroup that definitely need it. And you probably,
- 8:18if it's you, you've identified yourself that this is so true.
- 8:22You may be, you know, think about our Western world and what we value.
- 8:26And we make people sit from 9 to 5 and focus. And you get praised for coming
- 8:32in early and staying late.
- 8:34Well, the truth is, our brains never worked that way very well.
- 8:38Well, we have these 90-minute cycles and our attention span will wane,
- 8:44you know, and somebody is going to reach that point sooner. Maybe somebody can
- 8:47stretch it a little bit longer, but it's about 90 minutes.
- 8:50You'll start, go, bing, bing, bing, you know, in a squirrel.
- 8:55And, you know, we move around like that. And so if we could plan it and take
- 9:02a break, the activity is sending circulation. If we send circulation, we're sending oxygen.
- 9:08So we all know that oxygenated blood to muscle does huge benefits for exercise,
- 9:16benefit performance, and it does the same thing for our brain.
- 9:20So it helps us to really focus on the task or the performance that we want.
- 9:26So whether that's learning, it's focus and organization, it's memory to some
- 9:33extent, all of those benefit dramatically.
- 9:37I think the other thing is motivation that really comes to mind.
- 9:42And there, I think, with any one of us, we're motivated if we're interested. It's far easier, right?
- 9:50But there are things that you and I have to do that I'm not motivated to do
- 9:54my taxes, to track the books and the numbers. That's not my jam.
- 9:57I'm sure somebody else is saying, I love to, I love to.
- 10:00I'm like, I want your number, by the way. But, you know, we are simply motivated
- 10:05much more by interest. And then I think some of us way more so.
- 10:10But it will help you if you can get the exercise to initiate the thing that
- 10:18needs to be done, regardless of your motivation. Motivation is so fickle.
- 10:23Yeah. And I know we said we were not going to swear, but she's the B word.
- 10:27So in case that works for you.
- 10:30It does. It does. Yes. So we don't want to rely on motivation.
- 10:35And I don't think we want to rely on willpower either.
- 10:38That's not it. It's doing everything we can to help ourselves naturally come
- 10:43to it and be interested in wanting to do it. Because most of us,
- 10:47we want a task to be done, even if we're not exactly excited about the task itself.
- 10:53Yeah, so those are some of the biggest ways. Yeah, go ahead.
- 10:57No, sorry, I was just going to say that piece about motivation really resonates, especially with ADHD.
- 11:03But like you said, for everybody, of course, we want to do things that are more
- 11:06interesting, that we feel passionate about, or we have some sort of interest
- 11:11in, and especially with ADHD, interest, novelty, urgency, creativity.
- 11:17And I think something else that often gets in the way, especially with exercise and that, you know.
- 11:25That word consistency that can be a little bit triggering for those of us with
- 11:29ADHD is it's hard to when we have a perfectionistic perspective on it needs to be four days a week.
- 11:39And then on the off days, I'm going to do 10,000 steps and then I'm going to
- 11:43eat and we can go all or nothing so often and feel like we haven't achieved
- 11:48this perfect goal that we've set out to do.
- 11:51Then what's the point? And I find that can be a big hurdle for a lot of us is getting past that idea.
- 11:59It has to be perfect or even the word consistency. I've, you know,
- 12:02I've recently tried a different method of consistent exercise and it's looked,
- 12:09like trying to do less, but over a longer period of time.
- 12:12Let's just do three workouts a week, but let's try to do it for the next eight
- 12:16weeks and have it be something that's a little bit more sustainable and achievable
- 12:21has been, has been really helpful.
- 12:24Yeah. Go ahead.
- 12:27I think, too, it's important to say that there's acute benefits for the brain.
- 12:32And then, you know, we all love acute or instant gratification.
- 12:36We're too used to Amazon being at the door today.
- 12:40Right. But yeah, there's also a cumulative effect.
- 12:44And so to anyone listening, no matter who, you know, if you're thinking,
- 12:49I don't think I can keep this up.
- 12:51So there's no use doing it. But I think that actually I'd love for you to reframe
- 12:56that because just going for a walk is, number one, you know,
- 13:01very low in terms of resistance.
- 13:04You don't have to prepare. You don't have to change your shoes.
- 13:07You wear what you've got unless you're wearing heels.
- 13:11But it's, you know, something that doesn't require skill coordination.
- 13:17Simply walking, any self-selected pace,
- 13:22can change and give you a window of opportunity where if you need some focus
- 13:27time, you need time to learn something, you've got a little window of opportunity.
- 13:34So if you do go for a walk, you want to think, how can I use this really well?
- 13:39It will give you that window. So if you're giving a speech, you're doing a presentation
- 13:44at work, and you need to be game on.
- 13:47Ideally, you'd be active within a couple of hours of doing that.
- 13:53So speakers will often get up in the morning before they do a keynote at nine
- 13:59and go for a walk or a run or whatever their thing is.
- 14:03But they're getting that kind of decrease, that overabundance of adrenaline and,
- 14:10hyperactivity, helping themselves come back in and yet keep just a little bit
- 14:15of that edge and focus on what needs to be done.
- 14:19And then the cumulative effect is just compounding what you've done so that
- 14:26each time you go for the walk, you do the consistent piece of movement,
- 14:31you get a little bit better result when you do it. Hmm.
- 14:35So can you talk a little bit more about that, the cumulative results as opposed
- 14:40to acute? So working out once has benefits, working out consistently,
- 14:44however many times that is, will build on those results.
- 14:48Is that affecting our body's ability to absorb oxygen, dopamine?
- 14:56How is that different? What's happening in that?
- 14:59Yeah, so the best way probably is to say it's like strengthening a muscle, only we're not.
- 15:05In this case, talking about the muscle. So when you first pick up a weight,
- 15:09what's going to happen is you're going to gain a little strength.
- 15:12You're probably actually, in the meanwhile, you're tearing the muscle down first
- 15:16before it gains strength.
- 15:18When you do that repeatedly you've gained a cumulative effect of strength and
- 15:24now you're repeatedly coming back to do the same thing,
- 15:28and you're gonna have better results because the brain and the connection between
- 15:33the muscle are better when you go for a one single walk you've given yourself,
- 15:40i've got a break i've got circulation i'm able to focus i can be on task for a period of time.
- 15:49When you do that, repeating it regularly, you are teaching yourself kind of a cue.
- 15:56Here's the outcome. So you're giving yourself that repeated cue.
- 16:00I know this works. I need a break.
- 16:03I need to go for a walk or put on music and you're dancing. The one thing I do find with.
- 16:10The studies on ADHD and exercise is that the fewer decisions you have to make
- 16:16when it comes to the exercise you're going to do, the better.
- 16:20So you want to get into a habit, and we often will say we want diversity.
- 16:25I want you to change it up.
- 16:27For somebody with ADHD, we may want you to have fewer decisions to make and just know already.
- 16:33So you've got to plan and you're not having to choose, okay,
- 16:37I've got this 10 minutes or 30 minutes, if it might be, am I going to go for
- 16:42a walk or should I use the elliptical or, you know,
- 16:47we want, maybe you're changing it up and it's always the walk that you do before
- 16:52you do an activity, but you're changing it up by the music you're listening to.
- 16:57And so that'll change your pace generally because we tend to go with the beat
- 17:00of the music, might change your mood a little bit depending on what you pick.
- 17:05But the basics, the foundational pieces always being there will make it always easy.
- 17:11So you're not thinking, you know, there is an example where this,
- 17:15because of the components of fitness, I want you to do strength training.
- 17:19I also want you to do that cardio, the going for the walk and getting the movement in.
- 17:25So your activity block of time ideally doesn't change. It's always going to be there.
- 17:31We might need to walk every day, every morning, and have that be like,
- 17:36this is your coffee. Just like that, you're probably going to do a habit.
- 17:40Right. And then strength training gets an add some other time.
- 17:44But I think the more you switch your block of time from some days it's strength
- 17:50and some days it's yoga and some days it's walking.
- 17:54We've thrown a little mix in that might be too much for ADHD.
- 18:00It's, there's too many things, too many variables. It gets thrown off and then
- 18:04you have to think about, oh, I didn't do yesterday. So what do I do today?
- 18:08It's just easy. If it's straight up, I walk every day at this time.
- 18:13If you have a dog, you're set, right? Your dog, thank your dog,
- 18:17right? Because you got to do that consistently, you know, nothing changes.
- 18:22I think that's a really good reminder to of taking away some of the barriers
- 18:29of initiating a task and like you said that reminder and and there's no shame
- 18:33in this and there's nothing wrong with this it's just understanding,
- 18:37how our brains work and removing that resistance because I agree sometimes all
- 18:42you know I used to go on to a fitness app I was using but then I would want
- 18:45to switch to YouTube and then I would spend 20 minutes searching for the right
- 18:50workout and by then you know my kids were,
- 18:52awake or whatever it was and that I'd missed my my opportunity and so I found
- 18:56even with what you're talking about I have a printed,
- 19:00eight-week calendar I have my rest days my mobility days my strength training
- 19:05I have it all in there and I even chose in advance,
- 19:08which workout videos I'm doing on those days and if I you know in the moment
- 19:13see a different one and I change fine but I know I'm not going to spend all
- 19:17that time searching for it and yes the idea of you know going for a walk
- 19:22every day and having that consistency, if that's something that people are able
- 19:26to do and making it part of your routine.
- 19:29Yeah, absolutely.
- 19:32So can you talk a little bit about the different types of exercise and what
- 19:38you recommend, whether somebody's starting off or they're further along in their fitness journey?
- 19:44What can you tell us about the different types of exercise.
- 19:47Yeah, absolutely. Well, notoriously, you know, the blankets are cardiovascular
- 19:53exercise, and we can qualify under that umbrella anything that gets your heart pumping,
- 19:59beyond, you know, sitting here, sitting on the couch. So that,
- 20:03Walking still would qualify as cardiovascular. It's a lower level,
- 20:08depending, you know, if you decide of going power walking and I'm going to do
- 20:12it up a hill and I'm going to wear a weighted vest, it suddenly turned into
- 20:17a greater cardiovascular intensity, but it still serves you.
- 20:22So we're talking swimming, running, biking, any of those, lots of those things are rhythmic.
- 20:29So you're kind of, you get started and you're doing them on repeat.
- 20:34But there are also many people familiar with boot camps.
- 20:38So on the far end of that, that would be higher intensity interval training.
- 20:43So you're getting breathless and then you're completely taking a break.
- 20:47You're getting breathless you're completely taking a break so that you can breathe
- 20:52through your nose again and those little bursts are only up to about 30 seconds
- 20:57you don't need to do long intervals and a lot of people who really,
- 21:01have not bonded yet with exercise so we say that softly as opposed to hating it.
- 21:08Actually find i can do anything for 30 seconds i would much rather do that,
- 21:13get it over with, and be done in 20 minutes, then prolong it,
- 21:17you know, for a longer period of time.
- 21:19So you've got to test which of those appeals to you most.
- 21:23But there is some studies that will talk about high-intensity interval training,
- 21:29really has a great payback for BDNF.
- 21:32So promoting a neurotransmitter that helps us with learning plasticity.
- 21:39And I think of that like.
- 21:41Imagine you've got in your brain all these walls where we've got outlets and
- 21:48we have these cords, the plug-ins, not plugged in. They're laying on the floor.
- 21:53And when we exercise and we get more plasticity, it's like some of those get
- 21:57plugged in. Like, okay, we're rebooting.
- 22:01We're focusing a little bit better on all cylinders.
- 22:04There's a greater feeling of that. Like, I am sharper.
- 22:10After high-intensity interval training than after moderate exercise or even
- 22:15lower exercise like walking.
- 22:17On the other hand, if you need to reduce your cortisol level, it's been stressful.
- 22:23You know, I just, I'm at an 11 on a 1 through 10 scale.
- 22:28Going for a walk actually reduces our cortisol level. So the circulating cortisol
- 22:34in our body will come down.
- 22:36Your body is not going to make a signal to create more cortisol for the exercise
- 22:41because the intensity is lower.
- 22:43So that's the benefit of kind of the highs and the lows are the most beneficial
- 22:48things for a woman over 40 to be doing.
- 22:52And for those who've grown up kind of in a moderate zone or were taught to do
- 22:56that, it's got the least amount of benefits.
- 22:59However, if that is your jam, you love a good cardio class or you love doing
- 23:05cardio, it's not don't ever do it. It's just pay attention to putting the highs and the lows in there.
- 23:12See how you feel with those because you may start bonding with those other activities
- 23:17as well and get a little bit more benefit for your brain.
- 23:21So if you needed to come back and focus, high-intensity interval training might
- 23:26be great for you to get a couple really solid blocks of time where you can focus on a task done.
- 23:34Strength training is the next. Sorry. Yeah.
- 23:37I just wanted to ask you a question about that. So you were talking about high
- 23:40intensity versus low intensity, something like walking. If you're struggling
- 23:44with high cortisol levels, walking or a low intensity activity might actually be better in that time.
- 23:50And you were saying that the least effective is moderate intensity. Was that correct?
- 23:57Yeah. For all purpose reasons. So we were looking at it as for body composition,
- 24:04for increasing muscle or decreasing fat, which is what we're talking about with body composition.
- 24:10For cardiovascular benefit, we're actually getting more by either doing a great
- 24:16base and foundation of walking at low level most of the time,
- 24:20and then doing high-intensity interval training has been shown to enhance our
- 24:25cardiovascular fitness in about five or six weeks.
- 24:28So it's very rapid to get results.
- 24:31And it takes, we're talking five minutes a week of total hard time.
- 24:38The rest is your warm up, your cool down and the time recovering in between.
- 24:42So it's, yeah, very short.
- 24:45So can I just ask with that then, so as far as high intensity,
- 24:49that's what you were talking about earlier when you're saying you're going really
- 24:52hard for 30 seconds and then taking a break and then repeating that several times.
- 24:59Exactly. Yes. Okay. So whether that's you're on a treadmill and putting it on
- 25:05incline, maybe walking with a weighted vest to help you get breathless, or you're...
- 25:10Maybe at home, no equipment, and you're doing jump training from a squat, repeatedly jumping up.
- 25:17And try 20 in a row, and you'll find very quickly it doesn't take 30 seconds to get breathless.
- 25:23So no equipment does work, too. And all you're after is breathless.
- 25:28And someone may be thinking, what should my heart rate be?
- 25:32It really doesn't matter. What I would suggest you do is breathless never lies.
- 25:38If you have a heart rate monitor on, you can associate it, but look at it after
- 25:43and say, what was my heart rate? What did it get to? As opposed to reaching
- 25:47for it. If you're breathless, you're breathless.
- 25:51You're right on.
- 25:53Can I, I just have more questions about this. This is fascinating.
- 25:55So as far as high intensity, those 30 seconds going breathless.
- 26:00What makes that more beneficial? Is it because you're breathing heavier,
- 26:05therefore you're taking in more oxygen, you are increasing your capacity for
- 26:10oxygen? Does it have to do with that? What makes it more beneficial?
- 26:14Yeah, great. So you almost nailed it right there on the head.
- 26:18So a test that we use to test your cardiovascular fitness, if I was going to
- 26:22bring you into the lab, we call it VO2 max.
- 26:25And so in the last few years, we've heard a lot more about longevity than we
- 26:29ever had before and tying our components of fitness to that.
- 26:33So your volume of oxygen consumed per kilogram per milliliter.
- 26:40So it's milliliters of oxygen consumed per kilogram of body weight.
- 26:44I tested that semester after semester with class after class for 15 years and
- 26:50taught students how to do this.
- 26:52We don't, you and I, really want to go do that because it's uncomfortable.
- 26:57You're hooked up with a mask. You're breathing in pure oxygen.
- 27:01And you have to measure the expiration.
- 27:04And so by the end, you're drooling, your nose pinned together.
- 27:07It's not attractive, just let me say.
- 27:11I did actually get to try that for the first time the other day at a health
- 27:15clinic that I go to. They offered me a few free sessions to try out.
- 27:19And the mask, though, it was very uncomfortable. I was not hooked up properly,
- 27:23so I could hardly breathe as it was.
- 27:25By the end, they fixed it. And now I thought, you know, I need to try again.
- 27:29I need to empty that tank of oxygen.
- 27:32Yes, yes. So we have what we call field tests.
- 27:37So much easier for you if you're at home, you don't have a metabolic cart and
- 27:42potentially a doctor standing close by or a treadmill that will do what we need it to do.
- 27:49But you can do these, and we do simple ones like go to a track,
- 27:54walk a mile, and there are tables that will tell you based on your interpretation,
- 27:59your age, your gender, where do you fall and why you would want to increase it.
- 28:03But those little things, or getting breathless, and then at breathlessness,
- 28:08where's your heart rate?
- 28:10And then standing still, recover, and a minute later, what's your heart rate again?
- 28:14And we look for how quickly or how much did your heart rate drop?
- 28:19And if you are at 20 beats or more, dropping from high to that one minute later, you're in great shape.
- 28:27But if you're not there yet, that's great pre-testing. Now let's put you to
- 28:33work. Let's do some training and help you get in better shape.
- 28:38So as we can consume more oxygen, every tissue in our body, including the brain,
- 28:45is getting basically more nourishment.
- 28:48That's the fuel being delivered to it. So we are going to essentially...
- 28:55Keep ourselves from getting cobwebs anywhere.
- 28:58We're going to, you know, reverse aging in somewhat, you know,
- 29:02be able to look at our biological age versus our chronicological age is going
- 29:08to be so much better at the muscle tissue, connective tissue,
- 29:11the brain tissue as well.
- 29:13So we need circulation. It's why the exercise is beneficial.
- 29:17But if you're in better shape as you go for that walk, you're getting even better circulation.
- 29:23The arteries and the capillaries are in better shape to deliver it.
- 29:30That's such great news, right? As we work on it, it will even increase our results
- 29:35as we continue to do that.
- 29:37I think that's really great news. And I'm also very curious.
- 29:39So if I'm being honest, I much prefer strength training, weight training. That is my go-to.
- 29:47That makes My heart's saying so that's wonderful. Okay. And yet if you want
- 29:52to put me on a treadmill, I'm like, I'm out of here.
- 29:56But as far as that high intensity and going breathless piece,
- 30:00how does that relate to strength training and weight training?
- 30:06When you say, how does it relate to it? Like in terms of results,
- 30:09if we were going to compare and contrast the results for the outcome?
- 30:13More so when you're talking about, you were talking about cardiovascular and
- 30:17you were saying that high intensity is the best unless you have high levels
- 30:20of cortisol, then you might want to go for a walk, bring that down.
- 30:24And moderate was the least effective. Yeah.
- 30:28What about with strength training? I've been hearing a lot.
- 30:31I've followed, you know, Stacey Sims. I've been listening to all these different
- 30:34things and I'm trying to understand.
- 30:36There's been so much information out there about, you know, between four and
- 30:39six reps, you want to be maxing out at the end, progressive overload.
- 30:44There's just been so many things. So can you break it down for us as far as
- 30:47understanding what is best?
- 30:49Yes. And let's be sure that my answer here is inclusive to anybody listening.
- 30:55So if you're not yet lifting weights, I'm going to speak to you.
- 31:00So don't go away. Don't stay with us.
- 31:02And if you're lifting weights, I'm also talking to you because I think it's
- 31:07also really important that we don't feel like we have to continue to escalate
- 31:11and escalate. At some point, we are all going to reach a point of maintenance.
- 31:15Your joints won't allow you to lift any heavier. A condition may not allow you to lift any heavier.
- 31:21You may have arthritis. You may have been in a car accident.
- 31:25And so one joint is not going to tolerate it. So.
- 31:29Let's start here. In March of 2026, the American College of Sports Medicine, ACSM,
- 31:37who writes position statements for exercise that are followed by academics,
- 31:43by coaches, by personal trainers, by individuals like myself who teach kinesiology.
- 31:48That's what we teach based on those guidelines for resistance training for kind
- 31:55of healthy adult people between, say, 18 and 65.
- 32:01After that, we would qualify it as older adults.
- 32:04So just to give you an age range, they hadn't been changed since 2009. So 17 years.
- 32:10It was time. And the very wise cabinet of people that came together,
- 32:16know that in 40 years, and I give you that time because that's when I was sitting
- 32:22in a classroom as an undergrad, the statistics of people actively supporting
- 32:27their metabolic health with exercise has not changed.
- 32:31There are more trainers than ever there's a gym on every corner and yet.
- 32:38We're not more active more than 80% of women will admit they're not doing the
- 32:42minimum of twice weekly resistance training to affect their metabolic health
- 32:47and when I say metabolic health I don't mean looking good I don't mean going
- 32:51sleeveless I mean not dying because of disease
- 32:55we're not helping ourselves do that so So.
- 32:59The fact that if you're not exercising, you are not alone, but let's get you
- 33:04on the other side, okay? Let's be the 20 and make it 21 to 22 percent.
- 33:09Little by little, we will get there.
- 33:11But I think it was so intimidating. The list used to be this guideline and that and this.
- 33:18And it was, like you said, got to be progression. And it's got to be this many
- 33:22sets, this many repetitions.
- 33:25And then every trainer has their own opinion. And so right now,
- 33:30the good and the bad of social media is you have all those opinions coming at
- 33:34you at once all day, every day.
- 33:36And so a lot of us will, when faced with too many choices, sit in the middle
- 33:42of the room and spin, not doing any of it.
- 33:45So here's really what the facts say.
- 33:49And the guidelines came back to twice weekly is enough.
- 33:54So it's not just the minimum. And what I want to emphasize from the research
- 33:58that I've done on combining physiology of exercise with physiology of menopause
- 34:03is twice weekly for a lot of women is optimal.
- 34:07It's not just minimum, it's optimum because we struggle to recover when we're
- 34:14going through hormonal changes.
- 34:16And we seem to, life throws us all the middle of life things too.
- 34:21So there are stressors, there are, you know, young kids, older kids,
- 34:26aging parents, all of it is just right there at one time.
- 34:30So if you're not recovering, but you are doing more exercise,
- 34:33you could be finding you have more fatigue and you're doing more harm, not more good.
- 34:40So the key is, for anybody here listening...
- 34:44There's no right or wrong. Measure yourself. Watch yourself.
- 34:48Am I sleeping better? Is my body weight going the direction I need it or want
- 34:52it to go based on the effort I'm giving?
- 34:55Is my body composition going the right direction? Is my appetite good? Is my focus better?
- 35:01Because all those things should be true. If you're in your sweet spot and it
- 35:05will change for you, what you could do and got great results doing at 30 or
- 35:1135 may not work at all at 55.
- 35:14So be willing to pivot because midlife asks you to a lot.
- 35:20So be ready to respond with that.
- 35:23So twice weekly minimum. Can you do more? Yes. Do you need to?
- 35:28Not for muscle, not for bone, but you may like to, and you may feel like maybe
- 35:35it gives me just a little more edge of fitness if I do it.
- 35:39Some of us love to exercise and we've got to pull you back a little bit.
- 35:43And others are, no, I'd rather do something else, like go to the dentist.
- 35:48But we want you to do that. We want you to do that minimum. We really need you
- 35:54to because it's going to make a huge difference in the way that you age.
- 35:57It's so So important.
- 36:00What that guideline change meeting also said is progression is important,
- 36:05but for a beginner, it really doesn't matter.
- 36:08We just want you doing it. So if you start a certain workout and you're still
- 36:12doing that workout three months from now, that is really no progression, right?
- 36:17But it's better than not doing anything.
- 36:21So they really were making it easy and trying to clarify, get started.
- 36:29And so for a beginner. So if you've been lifting for a while and you have history.
- 36:34I will argue that we do want some progression.
- 36:37We want to begin to say, how does the workout I did on Monday,
- 36:42how does that impact what I choose to do on Thursday or what I'm ready to do?
- 36:46And how does this week impact what I'm ready to do next week?
- 36:50We want some relationship there, but when you start, we just want to create the habit.
- 36:56We just want you to be codependent because we want you to say,
- 37:00why would I ever stop this? Because it feels so good.
- 37:03Everything's getting better. When it's within reach, when it's something that
- 37:07feels possible, you feel like you can succeed and then you want to keep going.
- 37:12When something feels so unattainable, like you said, with social media and all
- 37:16the trainers and all the comparison and all the things you see about tracking
- 37:21and progressive overload and all these different things all at once,
- 37:24it can feel so overwhelming.
- 37:25So just that understanding of it doesn't have to be,
- 37:29perfect prescription of what you
- 37:31do moving your body like you said it it compounds those benefits as you go,
- 37:37i wanted to clarify when you talk about resistance training that strength training
- 37:41and you said two times a week is enough and specifically for menopause that
- 37:46that's actually optimal,
- 37:48does that mean that if you're not in menopause is two times a week still optimal,
- 37:56or what would you recommend for that and how how can someone tell like when you're talking about,
- 38:01you know recovery and stress and you know are the metrics showing what they
- 38:05need to do you have more energy and mental clarity and is your appetite good and all of that
- 38:11what should we look out for because I find for myself like I have I have young
- 38:15kids they're three five and seven,
- 38:18and you know my three-year-old will be up in the middle of the night and I'm
- 38:20tired and and I actually found about a year ago,
- 38:24So I did the opposite of what I've always done.
- 38:26I've always been like, yeah, like I need to work up five, six times a week.
- 38:29You know, let's go, let's go, let's go.
- 38:31And I let myself rest. I let myself prioritize sleep for a period of time.
- 38:36And it was crazy because that did, had more positive effects than all of that training did.
- 38:44And I think it's difficult because how we've grown up is, you know,
- 38:49restrict, restrict, restrict cardio all the time.
- 38:52You got to be, you got to be doing something all the time. And,
- 38:55and that understanding of how important rest is, how do we know and how long,
- 39:00like when you're saying,
- 39:02you know, finding your sweet spot, how long does it take to figure out whether
- 39:06what you're doing is optimal or not?
- 39:09Yeah. Great. So we just talked about,
- 39:12two parts. One, the acute. So first of all, you know it was too much.
- 39:18If you feel like a nap after exercise, you're in the wrong place,
- 39:23right? So that was too much for the moment you're in right now.
- 39:27And we have to be clear on that.
- 39:29So maybe with a three-year-old who was up all night, you know,
- 39:33that wouldn't have happened on another day.
- 39:36So just realize it could be the moment literally, or it could be the moment
- 39:40of perimenopause is really having her way with me.
- 39:45And this is, you know, something that's lasting weeks or months.
- 39:49It is kind of as unique as your thumbprint.
- 39:53Every woman's journey through menopause. But acutely,
- 39:57after exercise, you should have a mood boost because you've released neurotransmitters,
- 40:03not only BDNF that's giving you some focus and concentration for a task, but also,
- 40:10dopamine and serotonin,
- 40:12and potentially oxytocin. So those are the feel-good hormones,
- 40:17and they are because we're exercising.
- 40:20Maybe if we also combine it with going outside, we're with a friend,
- 40:23or we're with a pet, we're getting all of those pieces.
- 40:27And if those are up, cortisol is down a little bit. So you also feel a little
- 40:31bit more resilient, like you put your cape back on, ready to jump off the couch again.
- 40:37So all those things should be true.
- 40:39If you have any sleep issues, they may be supported and resolving.
- 40:45You can get to sleep better, stay asleep a little longer, you're not waking
- 40:49up too early, pending there's no three-year-old waking up, right? So all of that.
- 40:54But if you have no sleep issues, even people who don't will say,
- 41:01I am sleeping so much more soundly.
- 41:05And so it's a little aha that you may not have expected. to the appetite and the cravings.
- 41:10A lot of women will have kind of an appetite issue that maybe they're not hungry
- 41:17at meals when they should be, but they are craving when ideally they wouldn't be.
- 41:21Salt or sugar, why is it that we never crave kale and salmon, right?
- 41:27But those things start to regulate as well because you're in your sweet spot.
- 41:31When we are using muscle, it's like a blood sugar regulator. It's like a muscle sink.
- 41:38And so blood sugar from food that we eat goes there to get stored right away.
- 41:44And the more you move that muscle, taking it for a walk, as well as doing the
- 41:49resistance training to build it in the first place, all of those benefit you.
- 41:53Stable energy through the day also means you're going to sleep better at night.
- 41:58So you don't really want to go to bed exhausted. You want to go to bed tired,
- 42:02ready to sleep. But there's a difference there between the two.
- 42:06And cravings generally will dissipate because often they are a kind of an indicator.
- 42:12Either you are missing a micronutrient at a meal, maybe not enough protein or
- 42:17not enough fat, something to help keep you sated, not enough fiber.
- 42:21But also the blood sugar regulation will help in between meals as well for you.
- 42:27And then you're looking at I'm gaining strength, right?
- 42:31I mean, if you've been doing it for two to three weeks, even as a beginner,
- 42:36you know what it's like being the first time if you're a virgin within three
- 42:39weeks, you're seeing a difference.
- 42:42You're picking up a heavier weight, most likely than you did the first week,
- 42:46even just doing two workouts a week.
- 42:48So that's a sign. And if it's not getting a little bit easier or you're picking
- 42:54up a slightly heavier weight, then I would do a check on that.
- 42:58And maybe you've done a little too much, or also might be telling you.
- 43:03I think I could do more. It's not a bad thing to finish feeling like,
- 43:08I feel like I could have done more.
- 43:10Error on the conservative side when you start. There is no need for injury.
- 43:14So one of the things that does happen for a beginner, for anybody here,
- 43:19between about six and eight weeks, and I would say, let's do two months, eight weeks,
- 43:26There is no rushing the neural connection between your brain and muscle recruitment.
- 43:32So if you haven't lifted before, your body is learning that new pattern,
- 43:37that movement pattern that's foreign to you. You haven't done it before.
- 43:41And so an experienced lifter who's learning a new exercise or doing it in a
- 43:46different way, I'm standing now, not sitting now.
- 43:49I'm doing dumbbells now, not a machine now.
- 43:52Still, there's a connection there. We can't rush. So going light,
- 43:56keeping it light is smart, but also going heavy does not get you better results.
- 44:02And down the road may actually have led to something that may cause an injury
- 44:08because you have a faulty foundation. We didn't build it strongly enough yet.
- 44:12Connective tissue is going to be a challenge for us as we go through menopause
- 44:16because this estrogen declines.
- 44:19It doesn't have the insurance policy that it used to. So that's an important
- 44:23distinction too. Back to your question.
- 44:27On Stacey Sims and she's known for the statement, lift heavy,
- 44:33you know, and here's the thing.
- 44:35I think even she has backed off of that a little bit and she wants that to be
- 44:40true because there probably is some more neural component even to it that supports
- 44:47stronger muscle, stronger activation.
- 44:50And yet for you and for me, we each have our own get to the healthy that we safely can,
- 44:57and then we'll know because we start to have more aches and pains or we get
- 45:00that little niggle, that hint that we're just really close to an injury so we can back down.
- 45:06So learning to progress at the right pace, you can pull back before we actually do have an injury.
- 45:13But we all start light and light is determined by repetition range.
- 45:18So anybody who's hoping I'll give you, how many pounds is that? I can't.
- 45:22Unfortunately, you've got to play just a little bit.
- 45:25So if I say for a beginner, you can go up to 30 reps is where we as strength
- 45:32and conditioning coach say between 5 and 30 reps, you can get benefits.
- 45:37I don't like to go that high because I think we look then at wear and tear on joints.
- 45:43So why do that? And particularly if you have arthritis, we don't want that.
- 45:49So we want a sweet spot. 15 to 20 repetitions is kind of a good starting place.
- 45:54And when you're a beginner, if you have about five left in the tank, you can stop there.
- 46:01We call it reps in reserve, or RIR.
- 46:05And if you're more advanced, you need to get closer, like only one or two left in the tank.
- 46:11And if you like to go to complete muscle fatigue, you can, but don't have to.
- 46:17So if you are now, I've been lifting maybe for three months,
- 46:21I like at least that as a foundation.
- 46:24It gets safer. You kind of know, how much weight do I need?
- 46:28But now you can decrease your repetitions, maybe to 10 to 12.
- 46:33So in order to reach fatigue there versus 20, it's got to be heavier, right?
- 46:37So you're going to stay there for several weeks, maybe a few months.
- 46:42And you might find that even up to 48 weeks, we find you can gain bone density,
- 46:47lifting at moderate levels of about 15 repetitions.
- 46:51So there used to be a message, and I used to say it, but we've seen so much
- 46:57more science that you've got to go heavy in order to impact bone density.
- 47:02We've seen that's not true.
- 47:05It is safe for women to go heavy, even who are postmenopausal with osteoporosis.
- 47:11That's what the research recently has shown.
- 47:14But it doesn't mean only going heavy or doing high impact impacts bone.
- 47:19It means that's now in our playground.
- 47:22But we all start light and progress and maybe that will be a part of what you can do.
- 47:28And maybe it won't because of something else.
- 47:31And so it's nice to know that.
- 47:33It's not exclusive. Just because one study showed this works doesn't mean the
- 47:38other things don't work. So it's an important question to ask when you're getting information.
- 47:44So heavy is nice. Heavy gives more power. And heavy can take less time.
- 47:51So it's an interesting conundrum for somebody who doesn't like to exercise.
- 47:55When you really find that you're going heavy and you're doing more powerful
- 48:00work, you don't have to do as many repetitions.
- 48:04And you get many more benefits. And the idea is spend that little bit of time
- 48:09in the gym and now take that and go outside and play. Do the things you love.
- 48:15Yeah, that time to do the things you love. Well, that boost of energy and those exercise benefits.
- 48:21I was curious, a couple of things. You kind of touched on the bone density.
- 48:24You had said earlier that two times a week of resistance training was enough
- 48:31for muscle and bone density.
- 48:34Was that correct? That if you do more, it's not really affecting those results directly?
- 48:40Yeah, great question. So between two and three times a week,
- 48:45there is not significant statistical difference in the benefit.
- 48:51That's really where the research is.
- 48:54Will you get a little bit more if you're doing three times a week versus four
- 49:00in terms of, say, bone density?
- 49:02Maybe. But it's similar to the difference between, say, walking 7,000 steps a day versus 10,000.
- 49:1210K a day was a.
- 49:17There's no science behind it. 7,000 steps a day is where the threshold kind
- 49:24of levels off. You get the most or the majority of all the benefits there.
- 49:28And you get more, but they come a lot slower.
- 49:33And so I like to tell people, work your steps up to 7,000.
- 49:37But beyond that, if you're not lifting, let's take this energy and put it toward lifting.
- 49:43Because now you have a better overall program for muscle and for bone density,
- 49:48as well as you're doing things differently for joints, and that's all good and beneficial.
- 49:54Does that answer your question? Yes, it does. And then one last question was,
- 49:59what is the connection with everything we've been talking about today as far
- 50:03as exercise and oxygen and all of these different things with menopause?
- 50:08Is it those same benefits that you talked about, but they're going to help within
- 50:12menopause? Or what is the connection and the correlation there?
- 50:16Yeah, the big question, I think, for women in menopause or the persuasive argument
- 50:23is you need every one of those things when you're in your 20s and you need them in your 30s.
- 50:28And then when you hit perimenopause, for most of us is some state in our 40s to 50s and over.
- 50:37Because we lose estrogen, we need those things amplified to mitigate the changes
- 50:43that otherwise will happen.
- 50:45So we can dramatically lose muscle, we can dramatically lose bone,
- 50:50especially during the transition from early to late stage of perimenopause,
- 50:57and then the latest stage in.
- 50:59Perimenopause to the early stage in postmenopause.
- 51:04And we don't always know exactly where that late stage perimenopause is.
- 51:08But if you're starting to miss periods and you're starting to look at,
- 51:12oh, I missed that and that and that.
- 51:13Okay, you know, I'm getting four months and five months. You know you're getting close.
- 51:18And sometimes a woman will miss several months and then start all over again
- 51:21and say, okay, still on this roller coaster.
- 51:24But you know that endpoint, your biggest risk for loss of muscle and bone is
- 51:30right then because of the estrogen has kind of been on a roller coaster,
- 51:35but coming down or trending down.
- 51:37Now it is really ready to take a nosedive.
- 51:41And so you're in this place where you have to say, it's like you're on a three-legged
- 51:46stool. One of those is coming out.
- 51:49Your resistance training has to be really spot on. And your.
- 51:55Increasing protein needs to be there as well.
- 51:59You're struggling with sleep and potentially with stress because of the hormonal changes.
- 52:06So we need to do what we can exercise-wise to help you sleep better.
- 52:11And that goes both ways. The sleep will decrease your coordination,
- 52:15your motivation to want to exercise.
- 52:18So we want to look at which comes first. So back to you when you said,
- 52:23you know, I wasn't sleeping well, and I found I gave myself the hall pass not
- 52:28to exercise and found I got better results.
- 52:31I think every woman needs to hear that place in the podcast and play it again,
- 52:37because that is so very important.
- 52:39If you're doing all the exercise, even if you're really monitoring your diet,
- 52:44if you're not sleeping, they won't work, and they may make it worse.
- 52:52Yeah, I mean, I know there's a lot of different reasons for exercise and I've
- 52:56been looking a lot at longevity, bone density and stuff like that in my life.
- 53:01And I mean, I think everyone has their different motivations for it,
- 53:05but I watched somebody in my life, my dad in the spring, he was quite sick and
- 53:09he just, at the end of his life, he kind of shriveled away to nothing and looking at that and being,
- 53:14you know, a part of it is fear, I guess, but also just that understanding of
- 53:19we've been sold this lie for so long of.
- 53:22Be smaller, weigh less, take up less space.
- 53:26And it's so toxic and to see it coming out again is so devastating as I'm raising a daughter.
- 53:32But then also, I mean, just the way that I have always been built naturally,
- 53:36I'm almost six feet tall. And I, you know, I find that when I exercise,
- 53:41I do naturally seem to build muscle quite quickly.
- 53:45And it's sad to see the way our society is moving for women and how detrimental that is to our health.
- 53:55And then looking at, I mean, the people I've talked to about perimenopause and
- 53:59menopause and how challenging that is for them.
- 54:02And then now they've been told this, this lie all these years of,
- 54:07you know, resistance training or sorry, not resistance training, but cardio and eat less.
- 54:11And, you know, even people in my life, I won't say who, but who have told me,
- 54:15you know, I'm fine at 1200 calories a day. I don't need any more.
- 54:19Right. I know. And you're going wide eyed and I was too, you know,
- 54:23and it can be so difficult when we've had that toxic messaging for so long.
- 54:30And I, so, I mean, I'm looking at you and I'm like, your shoulders,
- 54:34your arms, I'm like, whoa, she's so strong.
- 54:37You know, she's, she's walking the walk. Right. And I think it's so important
- 54:40for people to hear about how this can help, especially loss of muscle,
- 54:45loss of bone to be able to prepare before that. And then during that time as well.
- 54:51Yeah. And I love it. And thank you for the compliment, But I also, if you're watching...
- 54:58Are we video live? Not at this point, but we can tell them.
- 55:02Okay. I think it's self-check for everybody.
- 55:07When you see another woman, you know, I think just I would be aware.
- 55:12What are your thoughts immediately? Because a lot of times someone will see
- 55:17me or say something and say, you look so masculine.
- 55:21And I think, again, it's your conditioning. It's our conditioning to not value strength.
- 55:29And, you know, we do value skinny.
- 55:32And like you said, it's like going overboard again with celebrities.
- 55:37And it's so challenging to have to deal with that. But I think the bigger problem
- 55:43right now is we're also right now comparing ourselves to women who are not even real. They're AI.
- 55:52Yeah. Yeah. A tough world. Yeah.
- 55:56So I think, and that's not to go anywhere with that, but I think if you can
- 56:02catch yourself and the thoughts you have and just get curious about, why do I think that?
- 56:09That I think is just a great starting point for any one of us.
- 56:13And it's something that I often say here on the podcast too,
- 56:16when, when I am struggling, I encourage people listening when they're struggling
- 56:20with, you know, am I, am I pretty enough?
- 56:22Am I, you know, fit enough? Am I whatever enough? I ask them for who,
- 56:27who are you trying to do that for?
- 56:29Who are you trying to be? Whatever it is, smart enough, accomplished enough, pretty enough.
- 56:34Who, who is that for? And I find that whenever I do that for myself,
- 56:37it stops me in my tracks and I say, I don't, I don't want to shrink myself.
- 56:41I don't want to become some smaller number, smaller size for this elusive person.
- 56:50Approval of the world. Right. And so I look at that and I think that can help
- 56:54to just step back and understand.
- 56:56And I'm so sorry that people have said that to you. I think that's awful and so such a misjudgment.
- 57:03And I think that could be a whole nother conversation that we have.
- 57:06So before we go, where can we go to find out more about you and about the work
- 57:14you're doing and the programs that you offer.
- 57:16Yeah, thank you so much. Flipping50.com. So easy. And I'm at.
- 57:25Flipping50TV, Flipping50TV on social at Instagram, Facebook, and YouTube.
- 57:30And those are probably the best places to catch up with me. If you really want
- 57:34to get directly to me, I answer all the DMs in Instagram. So happy to answer anything.
- 57:41Wonderful. Okay, well, thank you so much. There was so much to cover here.
- 57:45I'm excited to listen to it after and write down even more. I have a full page
- 57:50of notes, but write down even more. So thank you so much for sharing your expertise in this area.
- 57:55Thank you so much for having me.