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Exercise

You have taken the important first step on the path to physical fitness by seeking information. The next step is to decide that you are going to be physically fit. This pamphlet is designed to help you reach that decision and your goal.

The decision to carry out a physical fitness program cannot be taken lightly. It requires a lifelong commitment of time and effort. Exercise must become one of those things that you do without question, like bathing and brushing your teeth. Unless you are convinced of the benefits of fitness and the risks of unfitness, you will not succeed.

Patience is essential. Don't try to do too much too soon and don't quit before you have a chance to experience the rewards of improved fitness. You can't regain in a few days or weeks what you have lost in years of sedentary living, but you can get it back if you persevere. And the prize is worth the price.
In the following pages you will find the basic information you need to begin and maintain a personal physical fitness program. These guidelines are intended for the average healthy adult. It tells you what your goals should be and how often, how long and how hard you must exercise to achieve them. It also includes information that will make your workouts easier, safer and more satisfying. The rest is up to you.

CHECKING YOUR HEALTH
If you're under 35 and in good health, you don't need to see a doctor before beginning an exercise program. But if you are over 35 and have been inactive for several years, you should consult your physician, who may or may not recommend a graded exercise test. Other conditions that indicate a need for medical clearance are: .High blood pressure .Heart trouble .Family history of early stroke or heart attack deaths .Frequent dizzy spells .Extreme breathlessness after mild exertion .Arthritis or other bone problems .Severe muscular, ligament or tendon problems .Other known or suspected disease
Vigorous exercise involves minimal health risks for persons in good health or those following a doctor's advice. Far greater risks are present by habitual inactivity and obesity.

DEFINING FITNESS
Physical fitness is to the human body what fine tuning is to an engine. It enables us to perform up to our potential. Fitness can be described as a condition that helps us look, feel and do our best. More specifically, it is: "The ability to perform daily tasks vigorously and alertly, with energy left over for enjoying leisure-time activities and meeting emergency demands. It is the ability to endure, to bear up, to withstand stress, to carry on in circumstances where an unfit person could not continue, and is a major basis for good health and well-being." Physical fitness involves the performance of the heart and lungs, and the muscles of the body. And, since what we do with our bodies also affects what we can do with our minds, fitness influences to some degree qualities such as mental alertness and emotional stability. As you undertake your fitness program, it's important to remember that fitness is an individual quality that varies from person to person. It is influenced by age, sex, heredity, personal habits, exercise and eating practices. You can't do anything about the first three factors. However, it is within your power to change and improve the others where needed.


KNOWING THE BASICS

Physical fitness is most easily understood by examining its components, or "parts." There is widespread agreement that these four components are basic:

Cardio Respiratory Endurance is the ability to deliver oxygen and nutrients to tissues and to remove wastes, over sustained periods of time. Long runs and swims are among the methods employed in measuring this component.

Muscular strength is the ability of a muscle to exert force for a brief period of time.

Upper-body strength, for example, can be measured by various weight-lifting exercises.

Muscular Endurance is the ability of a muscle, or a group of muscles, to sustain repeated contractions or to continue applying force against a fixed object. Pushups are often used to test endurance of arm and shoulder muscles.

Flexibility is the ability to move joints and use muscles through their full range of motion. The sit-and-reach test is a good measure of flexibility of the lower back and backs of the upper legs.

Body Composition is often considered a component of fitness. It refers to the makeup of the body in terms of lean mass (muscle, bone, vital tissue and organs) and fat mass. An optimal ratio of fat to lean mass is an indication of fitness, and the right types of exercise will help you decrease body fat and increase or maintain muscle mass.

A WORKOUT SCHEDULE
How often, how long and how hard you exercise, and what kinds of exercises you do should be determined by what you are trying to accomplish. Your goals, your present fitness level, age, health, skills, interest and convenience are among the factors you should consider. For example, an athlete training for high-level competition would follow a different program than a person whose goals are good health and the ability to meet work and recreational needs. Your exercise program should include something from each of the four basic fitness components described previously. Each workout should begin with a warm-up and end with a cool down. As a general rule, space your workouts throughout the week and avoid consecutive days of hard exercise. Here are the amounts of activity necessary for the average, healthy person to maintain a minimum level of overall fitness. Included are some of the popular exercises for each category.

WARMUP - 5-10 minutes of exercises such as walking, slow jogging, knee lifts, arm circles or trunk rotations. Low intensity movements that stimulate movements to be used in the activity can also be included in the warm-up.

MUSCULAR STRENGTH - a minimum of two 20-minute sessions per week that include exercises for all the major muscle groups. Lifting weights is the most effective way to increase strength.

MUSCULAR ENDURANCE - at least three 30-minute sessions each week that include exercises such as calisthenics, pushups, sit-ups, pull-ups, and weight training for all the major muscle groups.

CARDIORESPIRATORY ENDURANCE - at least three 20-minute bouts of continuous aerobic (activity requiring oxygen) rhythmic exercise each week. Popular aerobic conditioning activities include brisk walking, jogging, swimming, cycling, rope-jumping, rowing, cross-country skiing, and some continuous action games like racquetball and handball.

FLEXIBILITY - 10-12 minutes of daily stretching exercises performed slowly without a bouncing motion. This can be included after a warm up or during a cool down.

COOL DOWN - a minimum of 5-10 minutes of slow walking, low-level exercise, combined with stretching

Bunions Doctor Manhattan, NYC

Dr. George N. Pace
Dr. George N. Pace

Manhattan Footcare, PC
52 Duane Street
New York, NY 10001
Call (888) 567-6446

Bothered by bunions? Get them treated by Board Certified Dr. George Pace in Manhattan. He has wide experience and training in sports medicine and related injuries. His practice at Manhattan Footcare offers state-of-the-art foot surgery facilities.

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Find an Obesity Surgeon Westchester, New York

 The Columbia University Center for Obesity Surgery at Lawrence Hospital
The Columbia University Center for Obesity Surgery at Lawrence Hospital

Lawrence Hospital Center | Center for Advanced Surgery
55 Palmer Avenue, First Floor
Bronxville, NY 10708
Call (888) 855-1548

You can find an obesity surgeon at Lawrence Hospital Center for Advanced Surgery in Westchester, New York that can help you take the step towards targeting your specific weight goals.

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Cosmetic Fillers White Plains, Westchester, NY

Dr. J. Shah, MD
Dr. J. Shah, MD

Amari Medical Spa
455 Central Park Avenue Suite 206
Scarsdale, NY 10583
Call 888-405-8340

Do have wrinkles and lines on your face, making you look and feel older? Want a safe way to bring that radiant glow back to your face? At Amari Medical Spa near White Plains, Westchester, Dr. J. Shah, MD uses Juvederm treatment to get rid of those wrinkles and lines.

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Gastric Bypass Surgery Barrie, Ontario

Dr. Elliot Goodman
Dr. Elliot Goodman

Beth Israel Medical Center
Beth Israel Medical Center 6th Floor 1st Ave & 16th St
New York City, New York 10003
Call (888) 834-9775

Four to five years. That's how long many Canadians in places like Barrie, Ontario have been waiting for gastric bypass surgery. But Elliot R. Goodman, MD at Beth Israel Medical Center in New York City can help you in as few as three to four months.

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Spinal Decompression in Austin TX

 Austin Chiropractic Center
Austin Chiropractic Center

Austin Chiropractic Center
6800 West Gate Blvd, Ste 117
Austin, Texas 78745
Call 512-371-6936

If chronic back pain or any other conditions alike is the cause for your decrease of satisfaction in life, contact the Austin Chiropractic Center in Austin, Texas and ask if their spinal decompression treatment is a suitable option to help your pain go away

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Cardiac Surgery Bronx, NY

Dr. Allan S. Stewart, M.D.
Dr. Allan S. Stewart, M.D.

CUMC Aortic Surgery Program
Milstein Hospital Building, 7-435, 177 Fort Washington Avenue
New York City, NY 10032
Call 888-337-9398

Has a sudden aortic aneurism afflicted the lives of you and the ones you love? There's nothing easy or simple about heart surgery. Much of the time finding the best treatment can be just as hard to deal with as the condition because many of the treatment options carry restrictions on life after surgery. For the past ten years, Dr. Allan Stewart MD researched and solved a wide range of aortic conditions using the latest minimally-invasive techniques. The Cardiac Division of the Columbia University Medical Center performs over 1600 open-heart procedures, and extends their world-class care to the Bronx, NY community.

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Obesity Surgeon Virginia/Maryland

Dr. Hazem Elariny
Dr. Hazem Elariny

ALAGSA
2235 Cedar Lane 3 FL.
Vienna, 22182
Call

Is a Roux-en-y gastric bypass or lap band surgery in your future? Maryland-based board certified Dr. Elariny is an accomplished obesity surgeon. He was the first to perform laparoscopic gastric bypass for morbid obesity in the area. He has performed the largest single-surgeon series of laparoscopic duodenal switch procedures in the world. At ALAGSA (Advanced Laparoscopic and General Surgery Associates) patients can avail of a wide range of the most technically advanced laparoscopic procedures.

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Fibromyalgia Fairfield, Connecticut

Dr. Adrian Marcus
Dr. Adrian Marcus

Back & Neck Pain Center of Greenwich, P.C.
100 Melrose Ave # 101
Greenwich, CT 06830
Call (888) 847-1821

Do you wake up in the morning feeling an intense and throbbing neck pain? Have you been feeling unusually fatigued on a regular basis? Well, these are all symptoms of Fibromyalgia, and if left untreated, there's a huge likelihood that your condition can get worse. That is why you need to receive quality treatment from Dr. Adrian Marcus at the Back & Neck Pain Center of Greenwich, P.C. in Fairfield, Connecticut, where qualified professionals are there to offer you a wide range of services that are just right for you.

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Weight Loss Surgery San Jose, California

Dr. Robert McKeen, MD
Dr. Robert McKeen, MD

South Bay Bariatrics
2505 Samaritan Drive, Suite 600
San Jose, CA 95124
Call (888) 566-9369

Do you need weight loss surgery? If so, call Dr. Robert McKeen at South Bay Bariatrics in San Jose, California today to get the help you deserve. Dr. McKeen offers a variety of weight loss surgeries including the LAP-BAND(R), and the Roux-en-Y treatments.

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Herniated Disc Elizabeth, NJ

Dr. Ronald Spiaggia
Dr. Ronald Spiaggia

Performance Rehabilitation & Sports Injury Center
459 Watchung Avenue
Watchung, NJ 07069
Call (888) 282-1203

Dr. Spiaggia and his team at Performance Rehabilitation want nothing more than to leave their clients feeling satisfied and fully capable of performing activities that once seemed beyond their ability due to their condition. In order to achieve this desired effect, Dr. Spiaggia has combined his expertise with that of a massage therapist and physical therapist, to make certain that their clients receive effective integrative care that encompasses every end of treatment. Patients can receive a multitude of treatments according to what would best treat their individual set of symptoms. Regardless of the degree of complexity of their case, Dr. Spiaggia make it their main objective to develop a treatment plan that would best suit the specific needs of each client.

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Stomach Bypass Surgery Brooklyn, NYC

Dr. John L Holup, DO
Dr. John L Holup, DO

Beth Israel Medical Center - PACC
10 E Union Square Ste., 2N
New York, NY 10003
Call (888) 762-2167

Are you living with morbid obesity? Are you 100lbs. over your ideal body weight or have a Body Mass Index of 40 or greater? Do you feel that life and true happiness is becoming hopeless very quickly? Don't despair because Dr. John L. Holup, DO at Beth Israel Medical Center in Brooklyn, NYC can give you better health and increased life expectancy through stomach bypass surgery. He will also encourage and support a full post-surgical rehabilitation program that teaches the patient how to keep their health up and follow through on checkups. Dr. Holup wants to create a lasting and bonding relationship with his patients for the best results after their stomach bypass surgery.

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Adjustable Gastric Band Houston, Texas

 Lap Band Center of Houston
Lap Band Center of Houston

Lap Band Center of Houston
2525 W Bellfort St. #120
Houston, TX 77054
Call 888-697-4627

Your weight can have a great impact upon your health, especially if your are overweight enough to be qualified as obese. Obesity can lead to several health problems, some of which are life threatening, all of which drastically reduce quality of life. High cholesterol, heart disease, type 2 diabetes, and high blood pressure represent only a few of the complications that regularly affects the those with weight problems. At Lap Band Center of Houston in Texas, Adjustable Gastric Banding is a powerful tool that bariatric surgeons can use to fight back against obesity.

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Leg Pain Beaverton, Oregon

Dr. Leif Choi, Chiropractor
Dr. Leif Choi, Chiropractor

Health Source Chiropractic and Progressive Rehab
6163 SW Murray Blvd.
Beaverton, Oregon 97008
Call (888) 836-8057

If aggravating leg pain is a persistent problem in your life, you're probably finding it difficult to carry on normal tasks such as simply walking to your nearest convenience store. Leaving your condition untreated is only going to make it worse. That is why you need to receive the proper care that is just right for your specific needs. At Health Source of Beaverton Chiropractic and Progressive Rehab in Beaverton, Oregon, Dr. Leif Choi, DC is a licensed chiropractor who uses today's advances in technology and medical science to ensure that you permanently end your suffering and begin a better quality of life.

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Neck Lift Bergen County, New Jersey

 LiteTouch Plastic Surgery, P.C.
LiteTouch Plastic Surgery, P.C.

LiteTouch Plastic Surgery, P.C.
9 East 45th St 9th floor ( Btw 5th and Madison)
New York City, NY 10017
Call

Go in for a neck lift and get the look you want with LiteTouch Plastic Surgery in Bergen County, NJ. Dr. Andrew Klapper and Dr. William Rosenblatt of NYC are two of LiteTouch Plastic Surgery plastic surgeons dedicated to satisfying the highest expectations of patients.

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Gastric Banding San Antonio, Texas

Dr. Nilesh A. Patel, M.D.
Dr. Nilesh A. Patel, M.D.

Texas Bariatric Specialists
525 Oak Centre Dr. Suite 100
San Antonio, TX 78258
Call 888-841-8507

You've tried diets, and although you've been able to lose weight, you always gain it back. For you, and many other Americans who are obese, gastric banding is a possible solution. Dr. Nilesh Patel of the Texas Bariatric Specialists in San Antonio, Texas is an expert in weight loss surgery, and has helped many patients reclaim their health.

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Fitness Trainer Alpharetta, Georgia

 Progressive Medical Centers of America
Progressive Medical Centers of America

Spherios Medical Center
5755 North Point Parkway, Suite 74
Alpharetta, GA 30033
Call (888) 329-9640

What could be better than a fitness trainer housed in a medical facility? Too often we decide that it's time for us to get in shape, but we put it off due to concerns about our physical well being. Will I do my body more harm than good if I over exert myself after all this time? Well, now you don't have to worry. At the Spherios Medical Center, you can find a personal trainer that will have you physically fit in no time. You can relax your concerns and feel confident that you are not only being trained by an expert, you are being overseen by an entire medical staff.

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Weight Loss Clinic Carson City, Nevada

Dr. Frank Shallenberger
Dr. Frank Shallenberger

Nevada Center for Alternative and Anti-Aging Medicine
1231 Country Club Drive
Carson City, NV 89703
Call 888-729-1761

Losing weight is a good thing. However, most people lose the weight only to regain it in a short amount of time. Dr. Frank Shallenberger and the Weight Loss Clinic at the Nevada Center for Alternative and Anti-Aging Medicine in Carson City, Nevada can provide you with a program for healthy weight loss that will enable you to reach your weight loss goals and stay there.

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Dolor Crónico de Espalda Midtown Manhattan

Dr. Howard Goodman, DC
Dr. Howard Goodman, DC

NYREHAB Pain Management & Medical Services P.C.
4 Park Avenue (Btw 33-34th St)
New York City, NY 10016
Call (888) 292-7798

Para el dolor crónico de espalda, su respuesta es Spine Force. El Dr. Howard Goodman en New York City le proporciona alivio a su dolor crónico con un cuidado quiropráctico especializado. El Dr. Goodman ofrece en su práctica una estabilización central exclusiva y altos protocolos de revitalización para asegurar que los pacientes permanezcan saludables después del tratamiento.

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Bariatric Surgeon

Dr. John L Holup, DO
Dr. John L Holup, DO

Beth Israel Medical Center - PACC
10 E Union Square Ste., 2N
New York, NY 10003
Call (888) 762-2167

There are no simple solutions to treating obesity. Will power plays a part, but more than that it takes support of an experienced Bariatric Surgeon who can offer you the support you need to succeed. At Beth Israel Medical Center in NY, Dr. John L. Holup, DO is an experienced surgeon who can help put you on the path to better heath.

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Non Surgical Back Pain Relief NYC

Dr. Steven Shoshany
Dr. Steven Shoshany

New York Integrative Medical and Rehab
632 Broadway, Ste 303 (btw. Bleecker & Houston)
NYC, NY 10012
Call (888) 435-7155

Chronic back pain is a terrible burden to bear. Not being able to stand, sit, or move without feeling pain means that every facet of a life is affected, and the fear of surgery or a dependency on pain killers just to live "normally" is frightening. However, there are non surgical alternatives to surgery or medications that provide lasting back pain relief. At New York Integrative Medical and Rehab in NYC near the B, D, F, V, N, R, W, and 6 train, Dr. Steven Shoshany, D.C. uses chiropractic adjustment, spinal decompression and other alternative back pain treatments.

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