CRNA Fitness: Calories Count

If you’re really serious about taking off those last ten pounds or just improving the way you eat, use a calorie log.   Daily calorie logs provide a source of personal accountability and  act as a learning tool.  Balancing calories IN and calories OUT will guide you to your goal.

A calorie log should include what you consume, as well as how much you consume, and how often you consume it.  And a really good log starts with what you planned to eat and then what actually passed your lips and took the dive.  There are numerous online logs to choose from, but building a calorie-log of your own personalizes it and makes it work just for you.

You can develop a short excel food log that takes no more than 15 minutes per day to fill out.  Provide spaces to note the date, the time of day that you ate, and, of course, your daily totals.  Develop your columns to allow space for food measurements and food descriptions, like poached pears, frozen edamame and fresh tuna.  Your excel program has the capacity to total your calorie intake automatically which removes the responsibility from a mind and body on operation overload.

Include a column or block for logging calorie output which applies to cardio, strength-training and power walks. Estimate a calorie per minute for all cardio and adjust upward or downward for maximum or minimum level of exertion.  Estimate half that for strength-training.  Even though your heart rate and metabolism are elevated after cardio, strength-training immediately afterward doesn’t burn calories at the same rate as non-stop, heart-challenging cardio exercise.  When you spend eight to 14 hours a day standing or leaning against your anesthesia chair and turning your head to follow a monitor, your eyes burn and your brain fries, but calories do not. You don’t get to subtract 1 calorie per minute for sitting.

Tweak your excel program to include issues unique to you.  Do you want to know what percent of your calories were wasted?  Relegate all non-fructose sugars, added fats, junk foods, non-nutrient beverages and excessive or unnecessary foods to the “wasted” column.  Then divide wasted calories by gross calories to get the % of should-have-had-something else calories.  Do you have GI issues?  You may want to have a block on your log that represents how often you fully empty.  There will be a relationship between what you eat, how much you eat and how well your GI system functions. How many meals did you eat at a restaurant or inhale on the fly?  How many desserts did you consume? Do you drink enough water?  Throw in a log block for number of glasses of unenhanced water you drink daily.  Do you walk the stairs instead of taking elevators and do you do a lunchtime walk? I have clients who wear pedometers at work in order to track how active they are, a great way to remind yourself to use stairs, to go for 15-minute walks, and to lunge down hallways between patients…unless you’re working on kids, which will keep you running all day!  Add a log block for calories burned during your normal daily activity, but don’t subtract it from your gross total.  After all, most of our bodies were designed to get a leg up.

It is generally accepted that 3500 calories equals a pound, lost or gained, so to lose a pound, you need to consume fewer calories than your body needs for function.  Since you do not actually know how many calories you require, simply take in a few hundred less per day than you usually do.   If you want to ditch 10 pounds, reduce your normal daily intake by a couple hundred.  If you are morbidly obese – isn’t that a lovely admission of sin? – you will need to drop several hundred unnecessary calories per day, maybe a 1000.  But, if you are seriously overweight, the bonus is the rapid, safe weight loss you will enjoy right up front.  Thinner people will lose much more slowly, but they get to adjust their intake less dramatically, too.  Beware of the RDA recommendations when planning your food day.  It does not take 2000 calories to run a 5’4”-female body for 24 hours.  In fact, it doesn’t take 2000 calories to maintain a 6’-male body that isn’t active.  In further fact, if you eat a nutrient-dense, mostly plant-based diet, it is nearly impossible to consume 2000 calories per day without bloating into a state of flatulent, comatose exhaustion.

At the end of each day, total your column of gross calories(food intake).  Add your blocks of expended calories(cardio, strength training, strenuous sport activity).  If you’re figuring percent of wasted calories, now’s the time.  Then subtract output from intake for the total net calories.  Your net should be noticeably less than your intake used to be, and your weekly reduction should be around 3500 to lose one pound. Eight to nine-hundred well-balanced calories is safe for most women and nine to eleven-hundred net works well for average men. Don’t forget:  Fried chicken is not the same as grilled chicken breast; broccoli with cheese is not called fresh broccoli; ¼ cup of granola is not ¼ cup plus several-bites-while-measuring; and trail mix with fruit is not an apple.  Be honest.

Using a food log gives you control over your daily nutrition plan and your weight loss.  By writing down each and every item, you take charge of what you’ve planned and responsibility for what actually went down.  The log will reveal to you what works and what doesn’t, when you’re really hungry and when you simply indulge.  And it will also give you a sense of power over an issue that used to leave you feeling powerless.  To get your power back AND lose ten pounds, count your calories because calories do count.

 

You can visit Liz online at www.bdyfrm.com where “…a fit body is a friend for life.”

CRNA Fitness: Make the Most of Your Meeting

Boston, Seattle, San Francisco, Honolulu, Jackson Hole, San Antonio…there are some amazing destinations for anesthesia meetings right here in the USA.  Most of the venues are places where there is a long list of thing s to see and do.  And all of the destinations  provide plenty of opportunities for you to stay active.

 

Run For Fun

AANA’s annual meeting has been offering a 5-K fun run for just under a decade.  It’s an easy 3.1 mile course along the city’s most scenic route with shuttle service provided start and finish.  Runners, walkers, strollers (those are the people who stayed up late the night before) are all welcome and you’re the celebrity.  Beautiful surroundings, beautiful celebs, and a free t-shirt as beautiful as t-shirts get, make all that exercise a beautiful bonus.  Sometimes the local ANA offers early morning fitness classes at the host hotel with leadership provided by CRNA’s who apparently enjoy waking people up as much as putting them to sleep.   Click here for the AANA wellness run in San Francisco

Take Your Bands

Exercise bands are almost as easy to use as they are to pack.  You can do a complete work-out in your hotel room, in the hotel gym, in a park, at the beach or looking out over the harbor in Seattle or Boston.  All you need is two or three bands, a doorjamb, railing or a pole to anchor them, a little backpack to carry them, or a waist small enough to tie them around your middle.  With access to cool water and a hotel-sized washcloth, aka sweat rag, you’re good to go.  Bands weigh less than an I-pad and they pack flatter than a ten-dollar bill.

Rent A Bike

One of the best ways to see your city and get some great exercise at the same time is to rent a bike.  Google “bicycle tours in Vancouver” or “rent a bicycle in Austin” and refine the search from there.  Be sure to use the word bicycle because otherwise you’ll end up with Harley Suzuki as your travel companion, which might be a blast, but you won’t get much exercise unless you fall off and have to walk back.  You may be able to get a private, guided bicycle tour – more money, of course, but if you like to be at the head of the class asking questions, money talks and the expense will pay off.  Click here to learn about bike rental in San Francisco.

Many cities have initiated bike-share programs. This service goes by a variety of names – like Q-bikes in Portland, B-cycle in San Antonio, or simply Bike-share in Boston – and features a fleet of bicycles that anyone can use. Just swipe your credit card at the vertical terminal, release one of many bikes from its locked stall, then ride it on marked cycling routes throughout the city, or directly to a destination.  Parking stalls and routes are indicated on maps at each bike installation so you won’t get lost.  Each time you stop to sight-see near a bike-share stall, just slide the bike into a rack, it locks automatically, and very shortly it will become someone else’s exercise partner.  The beauty of the service is that it generally doesn’t require a helmet.  One of the drawbacks of the service is that it generally doesn’t require a helmet… AND if you have to wait for a bike to become available when you’re in Brooklyn, you could be late for cocktails in the Bronx.  Click here to learn about community bike share in San Francisco.

Walk

If you didn’t download a city map and a printable walking tour before leaving town for your meeting, you can ask your hotel concierge to highlight the best walking destinations on a brochure and outline some routes for you.  Check things off on your brochure as you go so you don’t miss the major attractions, and don’t be afraid to get off the beaten path.  Make note of noteworthy and eccentric establishments as your cabbie whisks you through the city from the airport, then go back and find them on your feet. You’ll run into the best coffee art cafes, the most interesting old houses, and charming little corner stores that you won’t find on Tourist Avenue. You may burn enough calories to almost justify the mouth-watering apple fritter you found at Dave’s Sugar Shack not to mention the energy you’ll have the rest of the day just from staying on your toes. If Rick Steves or Lonely Planet has published a travel guide for the city you’re visiting, it’ll be a quality purchase, and when it rains, you can walk the halls, climb stairs between 2nd and 12th, or go to the hotel fitness club.  Remember to pack your Nike’s and your fitness duds so you can avoid blisters and excuses.   Click here to learn about walking tours in San Francisco.

Go to The Fitness Club

One of the criteria for selecting a hotel is the quality of the fitness club.  Every large hotel in a large city has a fitness center and some of them have glitz galore. The Omni in San Diego, the Sheraton in Seattle, the Sheraton in Boston, even the Holiday Inn in Columbia, MO all have exceptional facilities for working out.  Check online or talk to the actual hotel desk staff before you reserve your room and ask about these items:  Cardio equipment(treadmills, elliptical trainers, lifecycles, walking tracks); strength-training equipment(training circuit, free weights, vertical bands stations);  abs room or abs corner (mats, fitballs, body bars, medicine balls); and towel service as well as a decent-sized pool.  Gym-rats are going to get to the facility early, so go really early or go a bit late, but get going.

Your anesthesia meeting is a place to learn more about your ever-changing industry but it’s also a place to have fun with old friends and to make news ones, a place to experience a new city in a new way.  Hike Aspen Mountain, jog the stairs next to the San Diego Convention Center, power walk the promenade while cruising between glaciers in Alaska, cycle from Fenway Park to The Old South Church.  You won’t be putting anyone to sleep or trying to stay awake for one whole week.  Go make the most of it!

You can visit Liz at www.bdyfrm.com and learn more about her Traveling Bands comprehensive work-out indoors or out, and how to gain access to the Bands In the Park  mobile browser.  Read motivational, entertaining Lizlines every weekday including the weekly original Lizlimerick.

 

CRNA Fitness: Nutrition

The Gas Range
By Liz Sanner Davis

Think of the food on your plate as Fuel.  Think of the container it comes in as the Gas-can.  And label the inside of your body as The Tank.  At every meal you must carry the fuel in a gas can and deliver it unpolluted to the tank if you want to have enough gas to live life and to give life in the OR.  When the patient is short on gas, he crumps.  When you are short on gas, you crump.  And when low-grade gas is delivered to the tank ( think  paper bags with famous logos, cardboard boxes with grease-covered bottoms, and paper cups with sippy devices), you and your patient may both wind up driving on empty.  During the month of January, try making this change in your nutrition habits at work.  Bring fresh lunch foods to work prepared in your own kitchen – last night’s leftover salmon is a worthy protein, light yogurt and low-sugar granola, a crisp apple, a ripe avocado big enough to share are all perfect pick-me-ups. Or stack your own turkey sandwich made with whole grain bread, lettuce and tomato.  Avoid saltyfoods from the cafeteria and resist the urge to send out Smiling Samantha for pepperoni pizza with stuffed cheese crust, “double-the-olives.”  Fill your tank with superior grade fuel delivered in a pollutant-free gas-can.  You’ll sustain two lives – yours and the patient’s.

Liz Sanner Davis is owner and trainer at Body Firm Integrated Fitness Solutions, Temple, TX.  Visit Liz online at www.bdyfrm.com and read her humorous and motivational Lizlines or Lizlimericks published daily.