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By Cara Murez
HealthDay Reporter
FRIDAY, Oct. 21, 2022 (HealthDay News) — Just about anyone who’s ever dealt with a toxic work environment can tell you about the toll it takes on your physical and mental health.
Now, the U.S. government is backing that perception up with some evidence.
U.S. Surgeon General Vivek Murthy released a report on Thursday that links low wages, discrimination, harassment, overwork and long commutes to physical health conditions, including cancer and heart disease. Depression and anxiety can also result from these toxic workplaces.
“The COVID-19 pandemic has changed the nature of work, and the relationship many workers have with their jobs. The link between our work and our health has become even more evident,” Murthy said in the report.
He cited five components of a healthy workplaces, which are protection from harm, connection and community, work-life harmony, mattering at work and opportunity for growth.
Growing a work culture to emphasize these principles can help promote inclusion, fair wages and opportunities for employees to advance, the Surgeon General’s office said.
Instilling those values “will require organizations to rethink how they protect workers from harm, foster a sense of connection among workers, show them that they matter, make space for their lives outside work, and support their long-term professional growth,” Murthy said. “This may not be easy. But it will be worth it, because the benefits will accrue to both workers and organizations. A healthy workforce is the foundation for thriving organizations and a healthy community.”
The report comes at a time when the pandemic and shifts to working at home helped workers find a work-life balance.
“These [work and home] role conflicts can magnify psychological stress, increase the risk for health behaviors such as smoking, unhealthy dietary habits, alcohol and substance use, and medication overuse, and cause disruptions to relationships both at work and at home,” the report found.
“When people feel anxious or depressed, the quality, pace and performance of their work tends to decline,” the report said.
Gabriella Kellerman, chief product officer at corporate coaching platform BetterUp, agreed with the theory that employee well-being equals good business, CBS News reported.
“In this day and age, given the nature of work, there is a tremendous amount of uncertainty from companies and the external environment that is inherently challenging to our mental well-being and role, and companies have a role to play in supporting their employees for moral reasons, but also because it’s good for the bottom line of their businesses,” Kellerman said.
“The fact that this is actually recommended by the Surgeon General is extremely important as a statement,” she added. “They are giving employers concrete recommendations on what matters most to support employees’ well-being. Getting this granular and prescriptive is a new level of involvement, and of guidance, that is novel.”
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By Sarah Keitt, as told to Hallie Levine
I’ve lived with inflammatory bowel disease since 1990, when I was diagnosed with ulcerative colitis. Thankfully, my symptoms resolved with surgery, but about 6 years ago I began to experience a recurrence of frequent abdominal pain and diarrhea. I suffered for years, until this past December, when I was finally diagnosed with Crohn’s.
While I’ve started to get my life back, it hasn’t been easy, especially when it comes to my relationships.
My Crohn’s symptoms started right around the time my kids were about to enter middle school. I had spent years being involved in everything from their classrooms to their sports games. But all that ended when I got sick.
I couldn’t go to my kids’ soccer matches, or meet other moms for coffee, because I couldn’t be away from a bathroom for that long. I developed severe anemia due to bleeding in my GI tract. I became so weak I could barely walk. All of a sudden, I found myself homebound, barely able to walk up and down stairs.
Still, I didn’t feel comfortable confiding in anyone except Geordie, my husband. Bloody diarrhea isn’t exactly cocktail-hour conversation. My family and close friends knew I was anemic, but I always tried to put my best face forward when I talked to them.
I have other chronic health conditions, including ulcerative colitis and multiple sclerosis, but I’d never thought of myself as disabled before. Now I did, and it was so depressing. It took so much energy and strength just to get through the day, while other mothers around me lived normal lives. I felt so lonely.
I wasn’t the only one who put on a brave face. It was agonizingly hard on my two kids, Lucy, now 17, and Theo, now 15.
My children had a lot of worries that they didn’t always vocalize. Over the next several years, I was in and out of the hospital for blood transfusions and surgeries, and it was very scary for them. They never asked a lot of questions. It was always just, “Mom’s not feeling well,” or “Mom’s tired.” They knew to run upstairs when I needed something, because it was hard for me to navigate stairs.
It really impacted our ability to do things as a family. We took them to an amusement park once and I couldn’t walk because I was so weak. We got a wheelchair, and I could tell from their faces how hard it was for them to see me in it. They were older by then, too — in middle school and high school. I don’t know what I would have done if they were younger.
In my case, it’s my husband, Geordie. When we met, he knew I had both multiple sclerosis and ulcerative colitis, even though I appeared perfectly healthy on the outside. But he realized there was always a chance both of these diseases could flare up, and he was prepared for that.
Neither of us expected the Crohn’s disease. But he has been a rock. He spends every day trying to make sure I have everything I need and that I get the right care. I know it’s been a drain on him, but he’s never once complained.
This past December, I had a surgery known as an ileostomy, where they removed my colon and replaced it with an ostomy bag, a pouch worn on the outside of my body to collect waste. It’s hard not to be self-conscious, but Geordie has been incredibly supportive. He always reassures me that he still finds me attractive and that he’s so grateful for it, because it’s allowed me to get my life back. I wouldn’t trade my husband for the world.
I also have a small but strong network of support beyond Geordie. I found a couple of online support groups specific to ileostomy and Crohn’s disease, and I have a good group of local friends whom I can turn to for help.
It was hard to cope with people during the COVID-19 pandemic. The medications I take to treat all my conditions suppress my immune system, which means I didn’t mount a response to the COVID-19 vaccine. I’ve been made fun of for wearing a mask, and had to deal with people who just don’t seem to understand that COVID could kill me if I got sick. It’s terrifying and sad when you are told to your face that you don’t matter.
My ileostomy has allowed me to begin to return to normality. I feel a lot stronger, and have a lot more energy. I ran for local office, something I could not have done 6 years ago. I look forward to going to my kids’ soccer games and rock climbing meets, something I couldn’t do just a couple years ago.
But I’ll be honest. Walking around with an ostomy bag does a number on your self-confidence. I cover it under clothing, but it still is a small bulge under a sweater or dress. When I talk to people sometimes, I wonder if they look at it and are confused about what it is.
The hardest part of an ostomy bag is when I have to change it in public. When you open it, it smells, and there’s no way to spray that odor away. Occasionally, it’s leaked onto my clothing when I’m out, and I’ve had to stop whatever I’m doing to make an emergency trip to Walmart for a new shirt.
But whenever I feel embarrassed, I remind myself that the bag gives me back my freedom. I can eat what I want now, and be present for my husband and kids, because of it. Sure, no one wants to talk about bathroom habits, but if I let people know that I have to wear an ostomy bag because I have Crohn’s disease, I help give the condition more visibility. That doesn’t just help me — it helps everyone who lives with this condition.
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By Michelle Pickens, as told to Danny Bonvissuto
As early as I can remember, I’ve had issues with my health. When I was little, I had severe constipation, nausea, vomiting, and food sensitivities.
As I got older, those symptoms transitioned into diarrhea, irregular bowel movements, and pain. I was always very fatigued and my immune system was weak: The second someone in my class had the cold or flu, I’d get it, too. Looking back, it was a sign.
From a mental perspective, my anxiety was high. What if I need to find a bathroom? What if I’m nauseous? Doctors would say, “Oh, you’ll grow out of it. It’s just your anxiety.”
After years of misdiagnosis, I was finally diagnosed with Crohn’s disease in 2015. I was 23 and had just finished up college while working full time. My symptoms were getting worse. I had a lot of vomiting and pain. The fatigue was at the point where it was difficult for me to work or even get out of bed some days.
It was so bad it pushed me to seek additional care. I took a couple months off, looked for another job, and went through all the doctor appointments it took to get the diagnosis.
There’s no blood test for Crohn’s. No way to prove what you’re feeling. Eventually I saw the right doctor, who did a test with a pill camera called a small bowel capsule. (This is a pill-sized camera that you swallow, allowing doctors to see inside your digestive system.) It tracked my intestines and was able to get into a blind spot where neither a colonoscopy nor endoscopy can see inflammation.
It was such a relief to get the diagnosis because it made me feel like I wasn’t crazy. For so many years I knew something was wrong and couldn’t name it. I also felt hopeful. Once I knew what I was dealing with, I knew I could work to get to a better place.
In 2016, I started a blog called Crohnically Blonde as an outlet to connect with people as I go through the stages of dealing with Crohn’s. When I first started to share, there weren’t as many people talking about it.
I’ve been able to form relationships in an online community through shared experiences. I hope someone can see my story and feel that, if they’re at the beginning of their journey, there’s a way to get through.
At first, I was on a lot of medication that wasn’t working well and was a huge imposition on my schedule. Now I get infusions of an immunosuppressive drug every 7 weeks.
It means being away from my family and job for 4-5 hours, and managing child-care coverage during the treatment and the weekend after, because I feel almost flu-like. The extra help allows me to rest and fuel back up after the treatment.
I have the option to be on more medications to control my symptoms. But I try to shy away from those and manage it on my own because I don’t want to be on medicine for every single thing.
Before I had my son, I was more willing to try different medications. But while I was pregnant, I could barely be on any of the Crohn’s medicines. After I had him, it didn’t make sense to be reliant on them.
Crohn’s affected me throughout my pregnancy. I got very sick in my third trimester because I went off my immunosuppressive drug to avoid passing any on to the baby. I ended up having to be induced early so I could get back on the medication as soon as possible.
My son, Maddox, is 1 now. Crohn’s changed my expectation of what I thought motherhood would be.
I’ve learned that I’d rather be present and able to enjoy him in the good moments than push it when I’m sick. It’s been difficult. But if I’m not well, I can’t be there for my child. I try to be with him as much as I can, but there are times when I need to step back and take an hourlong nap.
I have a great support system: My husband, mom, or mother-in-law can step in and help out for a little while, and when I feel better, I can be a better mom. There are also days when I don’t have accessible help. In those situations, I’ll do lower-key activities that I can enjoy with him but that aren’t physically demanding on me.
Right now I’m in a pretty good spot. I work from home now, as a recruiter for a tech company, and that makes a huge difference. A lot of my anxiety in the past was around being in an office and being sick. Now that I can work remotely, it’s such a game changer.
But Crohn’s still affects my day-to-day. I have days where I’m feeling sick, and need to rest and change my plans so I’m home and not out somewhere.
No matter how planned-out I have my day or week, if I’m not feeling well that takes precedence. I like to be a very scheduled person. But I have to roll with the punches and have a plan B.
The biggest challenge is managing my sleep and stress. They’re both very influential in symptom flare-ups. I have to get at least 8 hours of sleep, no matter what. And I try to incorporate time to de-stress, like reading a book or relaxing at the end of the day.
Going to therapy helps offset stress as well, and is now part of my ingrained self-care schedule.
My co-workers, family, and friends are very understanding. But that wasn’t the case at first. The more open I’ve been about Crohn’s, the more people understand that I’m not flaking out if I have to change plans; there’s an underlying reason.
I only have a certain amount of energy, so now I pick and choose. I know I need to work and be with my family, which means I have less energy to put into social situations.
I plan out what I’m comfortable doing, but have also become comfortable with changing plans. Even if I’m excited to go out to dinner with a friend, I don’t push it if I feel terrible that day.
I’ve followed a gluten-free diet for years. I started with an elimination diet and realized that gluten was bothering me.
Other foods aren’t as black and white. I can eat a salad one day and it’s fine, and eat the same salad the next day and it makes me sick. I repeat the safe foods that don’t make me sick and stick to a general schedule of three meals a day that are pretty much all gluten free.
Sometimes the timing matters: I’ll wake up and feel nauseated and need a starchy food like dry cereal. If I’m going on a road trip, or have a big event, like a wedding, I plan it out and try to be careful about what I eat leading up to it because I don’t want to be sick. But it’s hard because you never really know. It’s kind of a gamble.
I’ve learned to be as flexible as possible. I never know what each day is going to bring, I just have to trust that my body is telling what it needs for that specific day. That’s my priority, and everything else can wait.
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So you’ve been diagnosed with Crohn’s disease. You have some questions. We have some experts with some answers.
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Oct. 21, 2022 – John Fetterman, Democratic candidate for Senate in Pennsylvania, is recovering well from a stroke he had in late spring, according to a medical report from his primary care doctor.
In his evaluation of Fetterman, Clifford Chen, MD, concluded that “he has no work restrictions and can work full duty in public office.” Fetterman is currently lieutenant governor.
But Chen also noted that the Senate candidate has exhibited symptoms of an auditory processing disorder that can cause hearing difficulties. While this means that Fetterman doesn’t always properly process words spoken aloud, his communication skills have reportedly improved significantly since his first speech therapy appointment.
Fetterman had what’s known as an ischemic stroke, the most common type. Nearly 87% of all strokes are ischemic, meaning there is an artery blockage that prevents blood flow to the brain.
Though we don’t have many more details about his stroke, Lee Schwamm, MD, a vascular neurologist at Massachusetts General Hospital in Boston says that, given his symptoms, it’s likely that Fetterman experienced a blockage in his middle cerebral artery. And if Fetterman is right-handed, Schwamm says, his language systems live in the left side of his brain, so the stroke would have been in the left-middle cerebral artery in particular.
For recent interviews, Fetterman has relied on visual aids like a teleprompter and closed captioning, and plans to do the same for an upcoming debate against his opponent, Republican Mehmet Oz, who is a board-certified heart surgeon. Oz has been particularly vocal about Fetterman’s health in the wake of his stroke, going so far as to suggest that the candidate’s wife might have to serve as Senator in his place.
But experts see that as a likely exaggeration.
“In general, patients who have a mild receptive language difficulty don’t have any change in IQ – their cognitive abilities are not altered,” says Gregory Albers, MD, neurologist and director of Stanford University’s Stroke Center. He added that, after a stroke, patients can have a recovery that lasts over a long period of time.
“Although the most rapid recovery happens in the first few months, continued recovery is expected over many months,” Albers says.
Schwamm says that a political debate – or any forum that requires more on-the-fly thinking and communication – will be the best measure of his abilities. But he doesn’t expect that Fetterman will function at his highest level of performance during a debate setting, which can be stressful for anyone, stroke or not.
Also, Schwamm, says, we have many senators and representatives who need assistive devices like canes or wheelchairs, are on medication for heart disease, or have some degree of dementia – but we don’t block them from political life or remove them for office for their health conditions.
“Accommodation is not weakness, accommodation is a mechanism for leveling the playing field so that people can perform at their highest levels,” says Schwamm. “We have to embrace the fact that people process information differently, even if you’ve never had a stroke. What matters is the product of their work, not the method of their work.”
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Picking up two dumbbells and walking around might not appear to be anything special. It looks too easy. No challenge at all, maybe some cardio and working your grip a little bit. But once you start taking the farmer’s walk seriously, you’ll realize there’s so much more to carrying weights than meets the eye.


Your shoulders, grip, forearms, and lungs soon burn with every step, and any deviations in your walking pattern will be felt twofold while lugging around dumbbells. Besides strengthening your grip to open all the pickle jars, carries can boost your mental toughness, which has a huge carryover to your lifts and daily activities.
As great as the classic farmer’s walk is, there are plenty of effective variations to diversify your game plan. Here are some of the best loaded carry variations, the muscles particularly trained by carrying heavy weights, and the things to watch out for to get the best out of your carries.
Offset carries train your body with mismatched weights, requiring your core to work overtime to stabilize your core as you move. Because the load is distributed asymmetrically, your body will want to tilt sideways. The challenge is in not allowing that to happen.
With the offset carry, there is a more significant demand on your core to maintain stability and a neutral spine. The greater difference in the offset, the greater the need for core stability and strength to maintain good posture, even if using the same total load. Holding 60 pounds in one hand and 40 pounds in the other is less challenging than holding 80 pounds in one hand and 20 pounds in the other.
You can program the offset carry at the start of your training session, as part of your warm-up or core work before hitting your main workout. Use can also perform it as a superset and pair it with a press, squat, or any exercise that doesn’t demand too much grip strength. For example performing a landmine press for six to 12 reps, then immediately performing the offset carry for 40 yards per side.
Although you can use dumbbells, kettlebells allow several specific offset carry variations. Hold a heavier load on one side of the body, with your arm hanging straight and your palm facing your leg. Hold a weight roughly 50% lighter in your opposite arm. This can either be locked out overhead or in the “rack position” with your arm bent and your thumb near your shoulder.
With a kettlebell, you can also use a “bottoms-up” position, with your arm bent, elbow pointed forward, and the bottom of the kettlebell aimed at the ceiling. This will require you to squeeze the handle extremely hard to maintain the bell’s vertical position.
One drawback of any loaded carry is that it requires a lot of space to move and some gyms don’t have 20 or 40 yards of clear space to walk. This is the perfect opportunity to take the trap bar figure-8 carry for a literal spin.
Walking in a figure-8 pattern allows you to get more yards out of a limited space. The trap bar makes turns easier as it places less rotational torque on your lower back than dumbbells do.
The movement brings the opportunity go heavy, as the trap bar allows you to carry more load than dumbbells. Use this carry when training space is limited. Program it at the start of your training when your grip is fresh.
Stand in the center of the trap bar, hinge at your hips and slightly bend your legs to grab the handles. Keep a neutral spine and brace your core as you deadlift weight to a standing position. Walk in a figure-8 pattern — go forward for several steps, turn slowly to one side, continue forward, turn slowly to the other side, and repeat.
Resist the urge to hurry. Walking at a controlled, deliberate pace will make your turns easier and safer, and it extends your time under tension. Keep your shoulders down and your chest up. When you’re finished walking for distance or total time, stabilize the weight before lowering it with control.
The overhead carry can be great for shoulder health and upper body strength, but not everyone can carry a barbell locked out overhead due to wrist or elbow issues. Enter the trap bar with the neutral handles to put your joints in a more user-friendly position.
Setting the trap bar in a squat rack at shoulder-height works best. With the weight overhead, watch every step you take due to total-body demand and instability.
Use the trap bar overhead carry if you have any wrist or elbow pain when supporting a barbell in the overhead position. Overhead carries are especially demanding of your upper back and shoulder stabilizers, so the movement is best trained early in your workout before those support muscles are fatigued from other exercises.
Set up the trap bar in a squat rack at shoulder-height with the handles pointed down. Step inside the trap bar, facing the direction you are walking. Perform an overhead press and hold the locked out position. Walk slowly straight ahead for a set distance or time. Stand still and carefully turn around before walking back into the squat rack. Lower the weight to the pins and rest.
The suitcase carry is single-arm farmer’s walk, performed with the load in one arm hanging at your side. The offset load is an way to strengthen your lateral core (abdominals and obliques) while building your grip.
The trap bar suitcase carry takes this movement up a notch as the weight is more off-center, forcing your obliques to work harder. You can also potentially use more weight on a trap bar than any dumbbell variation to further your strength gains.
The trap bar suitcase carry works well to emphasize your oblique muscles and stabilizers on the sides of your core. This is another variation to plug in when you want to challenge yourself with heavier loads, or when your available dumbbells only go so high. Perform the exercise as part of your warm-up or early on in your training before grip strength and core stability are exhausted from other movements.
Stand the trap bar on its side and load plates on both ends. Grab the center of the bar, and with your shoulder down, chest up, and shoulders level, and walk slowly with good posture. Once you have gone your programmed distance, put the trap bar down and rest it on the side of your leg. Then hold it with one hand as you turn around. Swap sides and repeat.
Adding a band around the handle of kettlebell or through the center of a weight plate creates tremendous instability because of the oscillations or “micro-bounces” created with each step. This will light up your core, grip, and shoulder stabilizers.
Gripping the band places unique demands on your grip strength because it’s tough to hold on to. The single-sided load will also increase the challenge to your oblique muscles.
If you have access to resistance bands, this is an excellent variation to incorporate. It’s ideal for focusing on shoulder stabilizer strength and rotator cuff health. You can do this as part of your warm-up or pair it with an exercise during your workout that doesn’t require too much grip strength, like a squat or a press variation.
Wrap a heavy looped band around the kettlebell handle (sometimes called the “horn”) or slide it through the center hole of a weight plate. Holding the band closer to the load makes this exercise easier because there will be less room to bounce. Sliding your hand farther from the weight will increase the difficulty. Keep your shoulder down away from your ear and your chest up. Don’t let your shoulders tilt to compensate for the weight. Walk for distance or time, place the weight down, and then repeat with the opposite hand.
The barbell overhead carry puts your whole body under tension. Every step will test your single-leg balance, strength, concentration, and mental toughness. It also might be one of the most eye-catching movements you can do.
Because the weight is so far from your center of gravity, a little goes a long way. Start on the lighter side, somewhere around 60% of your barbell overhead press one-repetition maximum. This also makes it less difficult to get the weight into position, so you can focus on holding the lockout as you walk.
This is one of the most challenging loaded carry variations because it works every muscle from head to toe and requires laser-like focus. Perform this early in your training before fatiguing any muscles, after your general warm-up and before your main workout.
Set up the barbell in a squat rack near head-height. A wider-than-shoulder-width grip works well for most people, but adjust to your individual arm length and mobility. Press the barbell overhead and ensure your wrists are neutral, elbows are locked out, and your biceps are even or behind your ears. Walk slowly and with total control. Pause and carefully rotate to return the barbell to the squat rack.
The instability of holding a kettlebell “bottoms-up” forces you to squeeze the squeeze the daylights out of the kettlebell’s handle to maintain its inverted position. This does wonders for your grip strength and carries over to increased recruitment of your shoulder stabilizers. (1)
The bottoms-up kettlebell waiter’s carry helps to build your rotator cuff, shoulder stability, and lateral core strength. Your forearm and grip muscles are also called into action non-stop, so don’t be surprised if your grip burns out before your abs or shoulders.
If you’re coming back from a shoulder injury or if you lack the shoulder mobility needed to maintain an overhead carry, this is a great exercise to strengthen your shoulders, rotator cuff, and upper back. If you dislike side planks, this is a good alternative to work your obliques without laying still for 60 boring seconds.
Grip one kettlebell and bring it to shoulder-height with your thumb toward your face and the bell pointed to the ceiling. Bend your elbow and create a roughly 90-degree angle from your forearm through your elbow to your shoulder. Make sure your wrist is neutral and the kettlebell’s handle sits centered in the meat of your hand. With good upright posture, walk straight ahead, swap hands, and repeat.
This is a more challenging progression of the bottoms-up waiter’s carry. You’ll get increased intensity with a reduced load because of the extra muscular tension needed to hold the bottoms-up KB overhead.
Because the load is farther from your center of gravity, it’s much harder to balance the weight with each step. Your core, shoulder, and arm will be highly activated for the entire set.
When you feel comfortable with the bottoms-up waiter’s carry, use the same load and progress to this alternative. It’s an efficient way to train your upper back, shoulders, and core, with an emphasis on the obliques and shoulder stabilizers.
Grip a kettlebell firmly with the bottom of the bell facing the ceiling. Use a neutral-grip with your thumb toward your face, and press the weight overhead while maintaining the bottoms-up position. Keep your wrist neutral and your pinky facing forward. Walk with the weight locked out overhead. After a set distance or time, lower the weight, switch hands, and repeat.
The front-loaded position of the Zercher carry challenges your upper back, core, arms, and legs while dealing with holding the weight in the crooks of your elbows. This helps build some mental toughness, total-body conditioning, and rock-solid anterior core (abdominal and hip) strength.
If you want to improve your ability to deal with physical and mental discomfort, this exercise is for you. However, if supporting a barbell in the crook of your arms is too much, the movement can be performed with an EZ-bar or even a sandbag or duffel bag filled with random objects for heft.
The Zercher carry is tough, no doubt about it. It works well as part of a conditioning circuit to improve fat loss or as a standalone session for mental toughness.
Set up a loaded barbell around hip-height in the squat rack. Squat down and cradle the barbell in the crooks of your elbows with your palms facing you. Clasp your hands together for added strength and stability, pull your shoulders back, and stand up without rounding your back. Avoiding shrugging your shoulders up as you walk. Pause after a set distance or time, turn around, and return to the squat rack. Try not to collapse when the set is done.
When most people think of loaded carries, they think of fairly traditional exercises using balanced and symmetrical implements that give you convenient handles to hold. But how often does that perfect scenario happen outside of the gym? Not often, and that’s why it pays to get a bit awkward with asymmetrical loads like the sandbag carry. (2)
By manipulating unevenly distributed weight, like a floppy sandbag, your body is challenged to recruit a variety of stabilizers in most joints including your ankles, hips, and shoulders.
Whenever you have access to a sandbag, this exercise is great to include as part of a conditioning or fat-loss circuit. It can also be performed as a finisher, for either time or distance, at the end of your training.
Place the sandbag on a flat bench, or leave it on the floor for even more lower body work. Squat down and slide your hands under the bag to set your grip. Pull the bag close to your body as you stand upright. Hug the bag to your torso and stabilize your upper body. Walk upright, maintaining total body tension for safety and effectiveness. Keep the bag close to your body as you walk. Don’t allow the weight to pull your upper body out of alignment as your arms and shoulders fatigue.
The plate pinch tests your “pinch grip” strength, which is different from “support grip” (trained in movements like the suitcase carry) or “crushing grip” (trained with bottoms-up movements). The pinch grip specifically strengthens your fingers and thumbs, as well as your forearms.
This is an excellent exercise for football players, rugby players, and combat sports athletes to improve sport-specific grip strength. Stronger hands and fingers will also carry over to boost any pulling exercises, making your grip less of a weak link.
This movement is best trained at the end of your workout because you don’t want to exhaust your finger strength before other exercise, which will interfere with your strength work. Pairing it with a biceps exercise will give your forearms a nice pump.
In each hand, grab a weight plate by the outer ring using just your fingertips and thumb, not “sinking” your entire hand onto the weight. Pull your chest up and set your shoulders down to maintain good posture. Walk straight ahead, paying careful attention to your finger fatigue as you walk. Be careful not to unexpectedly drop the weight on your feet.
Most carry variations work similar muscles, but certain variations can emphasize your upper back, or core strength, shoulder stability, or more. Generally, loaded carries and their variations train the muscles of your back, core, and arms.
Any time you pick up a weight, your forearm flexors (on the bottom of your forearm) and extensors (on the top side) co-contract to grip and to keep your wrists in a neutral position.


Your forearm muscles will be more heavily recruited in movements that keep your arms down by your side and relatively less recruited in overhead movements.
Keeping your shoulders down and your chest up while walking with a load will put your upper back to work overtime. The upper back is composed of several muscles including the trapezius, rhomboids, and rear deltoids (shoulders). These muscles work together to control your shoulder blades, which are held in a static contraction during any walking exercise.
Your small rotator cuff muscles are engaged when you grip anything in your hands. Its primary role is, essentially, to keep your upper arm in its socket. Loaded carries will attempt to push or pull your arm out of position, and the rotator cuff is required to constantly fight to maintain a strong, stable position.
You shoulder muscles (deltoids), along with your rotator cuff, work isometrically to give your shoulders the stability it needs to carry heavy things. Supporting a locked out position overhead or holding your arms in front of your body (as in the sandbag bear hug or Zercher carry) will increase recruitment of the shoulders, specifically the anterior (front) head.
The lateral and posterior heads (side and rear) are more significantly recruited during overhead or “arms-at-your-side” carries.
Your core muscle — the abdominals, obliques, and lower back — work isometrically to keep your spine neutral and to maintain good posture while carrying things. A stronger core can help to reduce your overall risk of injury.(3) Any exercise emphasizing a single-side of the body (like the offset carry) will drastically increase the challenge to your core muscles.
When you’re carrying a load, every single step you take will engage your glutes to keep you balanced and to propel you forward through a little thing called hip extension. Hip extension is what drives your leg back behind your body (and, at the same time, pulls your body forward in motion), and it’s a key function of the glutes.
Interestingly, the glutes have been shown to be more heavily recruited in single-arm carries, like the suitcase carry, compared to front-loaded carries like the Zercher carry. (4)
Although you “can” carry some things with less than optimal posture — the sandbag bear hug can be tricky here— it’s more efficient and safer if you don’t let your posture slip. To get all the benefits of carries, it’s best to walk under load with good posture. Keep your shoulders punched back and pulled down away from your ears, keep your chest up, and aim to keep your shoulders and hips level without being pulled sideways.


When you’re new to performing loaded carries, start with the by-your-side variety like the suitcase carry or even the plate pinch carry. The further away the load is from your body’s center, like any overhead carry, the more stability and balance demands increase. If you lack the shoulder mobility to press overhead, stick to carries with a lower arm position while working on your shoulder mobility.
Although increasing the load you carry is often the name of the game, it pays to vary your load and distance depending on your specific goals. If you’re after fat loss or improved conditioning, reduce the weight, shorten the rest period between sets, and increase the total distance. If your goal is strength, increase the load and decrease the distance to shift focus.
Loaded carries are some of the biggest bang for your buck exercises. They can have a huge carryover to your lifts inside the gym and the activities of daily living because they strengthen key muscle groups in your legs, hips, abs, and shoulders. They can improve your strength, mental toughness, posture, and balance. All you have to do is pick up a weight and walk. Work your way though these variations and you’ll soon find out they sound simple, but they’re far from easy.
Gontijo, L. B., Pereira, P. D., Neves, C. D., Santos, A. P., Machado, D., & Bastos, V. H. (2012). Evaluation of strength and irradiated movement pattern resulting from trunk motions of the proprioceptive neuromuscular facilitation. Rehabilitation research and practice, 2012, 281937. https://doi.org/10.1155/2012/281937
Huxel Bliven, K. C., & Anderson, B. E. (2013). Core stability training for injury prevention. Sports health, 5(6), 514–522. https://doi.org/10.1177/1941738113481200
Neumann, D. A., & Cook, T. M. (1985). Effect of load and carrying position on the electromyographic activity of the gluteus medius muscle during walking. Physical therapy, 65(3), 305–311. https://doi.org/10.1093/ptj/65.3.305
Featured Image: lunamarina / Shutterstock
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Oct. 21, 2022 – Including how long a person sleeps in a heart health score was able to predict heart disease risk among older adults, results of a new study show.
The study supports the American Heart Association’s recent decision to make sleep duration “an essential component for ideal heart and brain health.”
“Sleep seems to be the first thing that people squeeze out of their schedules when they are busy, but making sleep a priority is vital for health and well-being,” says lead author Nour Makarem, PhD, of the Mailman School of Public Health at Columbia University in New York City.
The study is the first to show that sleep metrics matter in predicting heart health, she says.
Makarem and her colleagues studied 1,920 people participating in a large sleep study. The average age was 69, and a bit more than half were women. The researchers used the data to test scores of heart health that included sleep as a measure versus the American Heart Association’s guidelines known as Life’s Simple 7, which does not include sleep as a data point. (The AHA recently added sleep to the guidelines and unveiled the new Life’s Simple 8.)
Over more than 4 years of follow-up, both the heart health score that included the LS7 plus sleep duration alone and the score that included the LS7 and various aspects of sleep health, such as sleep duration, sleep regularity, daytime sleeping, and sleep disorders, were able to predict future heart disease events such as heart attack, bypass surgery, or chest pain.
Study participants who scored highest on the LS7 and various versions of the sleep health scores had up to 80% lower odds of getting heart disease, according to the study, which was published in the Journal of the American Heart Association.
Of note, participants with a short sleep duration had higher chances of having low sleep efficiency; that is, less than 85% of the time sleeping in bed after lights off, irregular sleep patterns, excessive daytime sleepiness, and sleep apnea. They also had a higher prevalence of overweight/obesity, type 2 diabetes, and high blood pressure.
Consistent Patterns
Good sleep hygiene is key for getting enough restful sleep, as well as for heart health, Makarem says. Good sleep hygiene includes setting a sleep schedule, your bedtime routine, and sleep environment for consistent sleeping patterns.
Her tips include:
Stick to a stable sleep schedule: Try to go to bed and wake up at the same time every day, including weekends, to avoid disrupting your body clock’s sleep-wake rhythm.
“Sleep isn’t your enemy; it’s your friend,” says American Heart Association volunteer expert Michael A. Grandner, PhD, of the University of Arizona College of Medicine. “People often sacrifice sleep to work more, but the data show that the people who are getting more sleep actually get more done at the end of the day because they’re more efficient and they get sick less and get injured less.”
Also, he says, if you think have a sleep disorder, talk to your doctor, and get it diagnosed and treated. “No sleep tips in the world are going to fix an untreated sleep disorder.”
“And if you’re in bed and you’re not asleep, get up,” he says. “Laying there awake actually creates the bed as an awake place and programs you to be awake in bed. If you’re in bed and you can’t sleep, don’t make things worse by staying in there.”
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The biggest obstacle most lifters face has nothing to do with heavy weights, exercise technique, or anything in the gym. Plenty of people tackle their workouts with plenty of focus, discipline, and enthusiasm. The trouble is most don’t run into trouble in the squat rack as often as they do in the fridge.
Let’s be honest: Nutrition is often less glamorous than training. Straining and grinding in the gym is more appealing than deciding whether you should have the double-chicken burrito bowl with half rice and half beans or the double-steak burrito with no rice and extra guac.


Plenty of well-designed training plans have been steered off-track because they weren’t supported by an equally well-designed nutrition plan.
Getting enough calories, carbs, protein, and fats can mean the difference between packing on size and hitting PRs or spinning your wheels and burning out. Here’s how to set up a “diet plan” that will help you build muscle and move heavier weights.
Your total calorie intake is the be-all, end-all of gaining muscular body weight. No matter how finely tuned your workout program is, no matter how many grams of protein you’re eating every day, if your total calories are lacking, your body simply won’t have the raw materials to create new muscle tissue. (1)
Fortunately, nudging your body into growth-mode doesn’t have to involve 10-egg omelets, straight olive oil shooters, or gut-busting blender bombs loaded with peanut butter, oats, and whole milk. You can flip the muscle-building switch by adding roughly 300 to 500 calories per day. (2)


It could be as simple as eating your standard menu and adding one big glass of milk with an extra scoop of protein powder or having an after-lunch snack of a tuna salad sandwich and an apple. While that might not sound like some people’s idea of a traditional “bulking diet,” it’s a ballpark number that reinforces your ability to tackle the hardest training sessions, lift heavier, recover more completely, and build lean body mass (muscle). (3)
Perhaps more importantly, this surplus intake can also help to avoid potential drawbacks from training with insufficient calories. Too much training on too few calories can affect everything from workout recovery and performance to hormone levels and cardiovascular health. (4)
Just be sure not to tip the scales, literally, too far in your pursuit of size. Research has shown that a caloric surplus can be beneficial for size and strength, but there’s a point of diminishing returns where you gain more body fat than muscle, and strength gains won’t keep pace with your increasing body weight, which reduces your overall power and relative strength. (1)
To stay in the “enough, but not too much” zone, you’ll want to do a little math. Your body weight (in pounds) x 25 is a rough guideline to find your maximum intake. Anything beyond that point is likely going to push you into the red zone of low-quality gains.
Start with a more reasonable and sustainable addition of just a few hundred calories on top of your current daily diet and monitor your progress to adjust weekly or biweekly as needed.
If calories were a sports car, macronutrients would be the tires, steering wheel, and engine — protein, carbohydrates, and fats are three essential components that determine whether or not you’ll actually get you where you want to go.
Every gram of protein and carbohydrate each contain four calories, while every gram of fat contains nine calories. While you might instinctively think “more fats equals more calories equals more size,” it’s not that simple.
Specific attention to your macronutrient breakdown will determine if your increased body weight comes from gaining lean muscle mass or simply gaining body fat. (5)
Protein is fundamentally “the muscle macro.” It’s composed of amino acids which are required for creating new muscle tissue. In fact, muscle protein synthesis and muscle protein breakdown are the two primary processes triggered by weight training which will determine whether or not you build muscle. (6)
Because protein plays such a significant role in muscle-building, it’s critical that you take in enough each day. One gram of protein per pound of bodyweight is a long-touted guideline for daily intake. Although an abundance of research suggests a more accurate .74 grams per pound of bodyweight to be the upper limit, beyond which, higher protein intake doesn’t trigger any additional growth.(7)
Sorry carnivores, but triple-bodyweight protein intake won’t lead to triple the gains. However, interestingly, when a calorie surplus includes a very high protein intake, the protein was shown to have what researchers called “a protective effect against fat gain during times of energy surplus.” (5) Translation: high calories with high protein leads to muscle growth and relatively less fat gain.
While animal-based products (meat, poultry, fish, eggs, and dairy) are the most common and most efficiently absorbed sources of protein, vegan and vegetarian foods have shown to be equally effective for supporting performance and recovery, but slightly less efficient for supporting muscle growth. (8)
Some nutrition plans manipulate carbohydrates because it can be an efficient way to trigger fat loss, but when it comes to building muscle and fueling weight training workouts, carbs are sometimes not given particular attention.
Having ample carbs throughout the day can support muscle growth by decreasing muscle protein breakdown. Carbs also provide energy and endurance during relatively high volume training (plenty of exercises, sets, and/or reps). (9)


Ideally, aim for a total carb intake of two to three grams per pound of bodyweight per day to support performance, growth, and recovery. (10) If you’re weight training five or more days per week, lean towards a higher intake. If you’re training less often or following a low-volume training plan, your needs will be relatively lower.
While the majority of your carbs should come from whole-food sources like grains, legumes, tubers, and fruit, you should monitor the intake of simple carbs (sugar). Particularly when combined with excess calories, relatively high sugar intake is associated with fat gain. Keeping your simple sugar intake to roughly 10% of your daily calories will work towards minimizing this unwanted gain. (11)
Because they’re the most calorie-dense macronutrient, dietary fats require a keen approach when you’re increasing calories. It’s dangerously easy to overflow your calorie intake from excessively high fats.
Certain types of fats, specifically Omega-3s found in fish, have been shown to support muscle protein synthesis which can lead to more muscle growth. (12) Adequate fat intake is also important for supporting hormone levels, cardiovascular health, and your immune system. (13)
As part of a muscle-building, strength-boosting plan, aim to keep your fat intake 30% to 40% of your total daily calories. For example, if you’re eating 3,000 calories per day, that’s 900 to 1200 calories from fat. Because one gram of fat contains nine calories, it ends up at roughly 100 to 130 grams per day.
For optimal results, stick with natural animal fats (those found in animal-based protein sources), as well as nuts, olives, avocados, and coconuts. Overly processed liquid fats, like many bottled vegetable oils, can be counterproductive for long-term health and performance.
Three big, hearty meals per day has been a time-tested approach for old school bodybuilders, strongmen, and strength athletes. Eating smaller meals more frequently — as often as every two or three hours — is a relatively new approach modern lifters have had some success with.
A higher meal frequency is typically associated with fat loss plans, though it’s debatably effective. (14) The concept can also be applied to lifters wanting to gain muscular body weight.


One significant factor is the individual’s habits, mindset, and overall digestion. Some lifters find it more practical to eat three relatively large meals per day, while others may have trouble regaining their appetite for lunch several hours after a big breakfast.
In the latter case, eating fewer calories more often is a way to reach the daily calorie target with minimal discomfort. The compromise with high-frequency meals is the necessity of interrupting your daily routine on a consistent basis to unpack and inhale a small meal.
Both methods can be effective as long as they deliver the target daily nutrition. However, extremely low-frequency eating — one or two meals per day — can make it more challenging to reach the daily calorie and macro goal. This reduced meal approach is also less efficient for stimulating protein synthesis, which makes it less effective for building muscle. (15)
Most experienced lifters have heard about “the anabolic window” — the crucial time period immediately after weight training where your body has been stimulated to such a degree that it will transmogrify any and all calories into heaps of new muscle tissue.
Bodybuilders in the 1950s would drink whole milk during their workouts, hardcore powerlifters have eaten peanut butter and jelly sandwiches between sets, and modern day lifters would sip on half-gallon concoctions of the latest scientific formulas. All in the hopes of catching the crucial window.
While it’s true that your body is in a highly responsive state during and immediately after a training session, it isn’t nearly as narrow as the “90 minutes or less” mantra that echoes through the gym.


Having protein during a workout was shown to decrease muscle protein breakdown (a good thing for growth). (16) However, rather than a slim 60 or 90-minute “window,” a large amount of research supports a more broad approach that’s highly effective. Having a meal (or drink) containing protein and carbs within a six-hour window of your workout can efficiently maximize muscle protein synthesis and support optimal recovery. (17)
In fact, your body remains ready to efficiently put nutrients to use for recovery and growth for up to 24 hours after hard training. You could, in theory, neglect the “anabolic window” entirely, eat your standard meals at your standard times, and use those protein and carb-laden calories for muscle-building.
Many lifters find their appetite stimulated by intense training, and they tend to drink water during their workouts. Both are quick and simple opportunities to add quality calories to your day with minimal effort and maximum benefit.
If want maximum results, you can’t just hit it hard in the gym and slack off when you head to your car. At best, you’ll end up spinning your wheels and struggling unnecessarily for every drop of progress. At worst, you’ll end up going backwards because poor recovery will your workouts harder and harder. If your goals include adding lean muscle and hitting big lifts, you won’t get there until you treat the spice rack as seriously as the squat rack.
Still trying to skip the “boring nutrition stuff” and just want some quick takeaway points? No problem. Here are some ‘just do these’ ideas to kickstart new growth and bigger gains.


Featured Image: Jacob Lund / Shutterstock
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