NAVIGATING THROUGH YOUR 40’S TO 60’S: A WOMEN’S WORKSHOP

NAVIGATING THROUGH YOUR 40’S TO 60’S: A WOMEN’S WORKSHOP

April 24-May 15th
Four Tuesdays from 5:30-7pm
Fee: $135 * 3 FREE Club passes and 10% off a massage with Joyce Hutchings, RN, LMT
Come join us! Each visit includes a brief educational session to help you understand
the science behind aging and physical change, as well as new ways to improve your health and quality of life.

Your Presenters……
Carol Penfield, M.S.,NPc, Nurse Practitioner
Carol has been a Nurse Practitioner since 1994 and has additional training and expertise in the Lifestyle
Medicine fields of arthritis, weight management, nutrition, diabetes and rehabilitation medicine.

Nancy Samotis, LICSW, RYT
Nancy is a psychotherapist and yoga instructor who integrates yoga therapeutics and mind body
principles to help her clients navigate transition and expand their lives in creative and fulfilling ways.
www.nancysamotis.com

Call or come in to reserve your spot: 508-945-3555

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Want to know the “key” to successful weight loss?

Step by step approach to permanent weight loss.

What is the secret to successful weight loss and what does it take to keep from re-gaining? The answer is at Chatham Health and Swim Club, where participants have literally lost a ton of weight. Carol Penfield, owner of the Chatham Health & Swim Club, has applied her specialized medical expertise to help both members and non-members successfully lose weight. Her unique “Weigh to Better Health” team weight loss program not only works; it has also led to a healthier community. Since 2010, during three 6-week programs, 293 participants have lost 1,956 pounds while simultaneously raising over $38,000 to support primary care at Fontaine Medical Center. The enrollment fees for all the participants have been donated to the Cape Cod Healthcare Foundation in order to benefit the health of others in the community.

Carol Penfield, who is an independent nurse practitioner, applies the fundamental principles of a new medical specialty called “Lifestyle Medicine”. Lifestyle medicine offers proven strategies for converting knowledge “I know I need to lose weight” to action “here is my plan”. Solutions to changing exercise and eating habits must be very individualized. For example, a person who enjoys crunchy foods will not be satisfied with a low fat yogurt, or someone who grew up eating comfort foods will not adhere to eating celery!

Three [out of many] principles of the Lifestyle Medicine approach specific to treating obesity are as follows:
First, you must set appropriate goals by asking yourself the following questions:

• Why do I want to lose weight? Choose health-related goals that are achievable and measurable; rather than “because I want to look good” since only 1% of our population is ever truly satisfied with their appearance.

• How important is it, and how motivated am I? You should objectify your answer by using a scale of 1 – 10 (1 = not confident and 10 = very confident). If your confidence level is below 5, then the goals should stay small and be made weekly.

Second, routine exercise MUST be practiced. 95% of people who lose weight and keep it off exercise at least 5 times weekly for an accumulated amount of 60 minutes. Addressing specific barriers to exercise such as pain, time, or finances is critical in order to attain exercise adherence.

Third is accountability. Most individuals underestimate their daily dietary intake and overestimate their activity level, leading to gradual weight gain over the years.
Diet logs and the use of pedometers are excellent examples of objective recording. Reporting in to a group, coach, or medical professional such as Carol Penfield has been documented to improve outcomes.

Most New Year resolutions start to dwindle by the end of February. Successful gains in health will not be sustained by just a resolution once a year. There is another answer…Lifestyle Medicine. Lifestyle Medicine practices have been proven to be extremely successful nationwide by achieving measurable gains in health [including weight loss] over time. Common and critical conditions are treated, such as heart disease, diabetes, hypertension, arthritis, and back pain, as well as obesity. Carol Penfield’s Lifestyle Medicine practice, located on the campus of the Chatham Health and Swim Club, is the first such program on Cape Cod. She helps her patients find that delicate balance when creating attainable goals, in order to minimize discouragement and build confidence. The practice offers on-going individual and group support as well as weekly on-site or electronic check-in options, and is covered by most medical insurances.

Postural Excercises for Gardening

The above series is an example of one of Carol’s favorite postural excercises that will help gardeners.

Excercise #1: Stand tall, abs in, chin in, shoulders relaxed.

Excercise #2: Extend arms out in front, pull elbows back (lifted at shoulder height) and squeeze shoulder blades together.

Excercise #3: Rotate the arms up and reach back. (like you are being held up at the bank).

Excercise #4: Slowly lower elbows down and back (toward your “back pockets”).
Repeat 10 times slowly.

As we all know, gardeners also tend to stoop and kneel for prolonged periods of time, which can lead to back and knee pain. Postural excercises coupled with joint saving techniques can be practiced to help you enjoy gardening for longer periods of time.

A 30 minute consultation with Carol Penfield is recommended for further instruction. She can guide you with correct technique and modifications for your specific needs to help you continue to enjoy gardening comfortably!

Interested in more information?

View a great article and video on August 7th at Cape Cod Times article

Feel free to contact the club directly at: 508-945-3555 or email us at:to book your 30 minute consultation appointment with Carol.

HOW TO “LOSE IT” DURING THE HOLIDAYS

By Carol Penfield M.S. Nurse Practitioner, Certified Personal Trainer, Nutritionist
Owner of Chatham Health & Swim Club

The average American gains 10 pounds during the holiday season from Halloween to New Years. Fifty percent of an individual’s yearly weight gain occurs during this festive time. WHY? Social gatherings often include more food choices, larger portions and alcohol that weaken “willpower”. Healthy eating patterns become difficult to maintain. The people who gain the most weight during the holidays are those who abandon their exercise routines.

HOW TO GET THE WEIGHT OFF.
It is important to first focus your mind on trying to only lose the new weight gained. Dieters often get overwhelmed with an unrealistic long-term goal and therefore prematurely give up on a weight loss regime. Staying consistent and working on a 500-calorie deficit per day will lead to reducing your body fat by one pound per week. This can be achieved through eating 250 calories less and burning 250 calories through exercise daily.

Take the pressure off yourself. Fat does not disappear overnight. Making small changes such as eating one less donut per week can lead to a loss of 3 pounds in a year. Consider walking 8 minutes extra each day and in one year you will lose 4 pounds.

I KNOW WHAT TO DO BUT I JUST DON’T DO IT!
Trying to get your motivation back during the holiday season is another challenge. The following are a few tricks to try.

1) Minimize your choices.
Freeze or give away your leftovers. Consider periodically trying meal replacements such as a Slim Fast shake, nutrition bar, or Weight Watchers meal. With meal replacements, your portions are defined for you and temptation is minimized.

2) Tricks for overeaters used to “volume”.
People who are used to eating large portions can try increasing their vegetable intake. Fill yourself with low calorie vegetables, rather than other calorie dense foods. It has been shown in studies that successful dieters consume greater that 20 vegetable servings per week. Drinking a large glass of water before your meal can also trick your stomach into feeling full.

3) Train your body to be satisfied with smaller portions.
One technique is to try small frequent snacking. Snacking during the day may keep you from getting too hungry and eating more than necessary at the next meal. Fueling your body with small meals will help boost your metabolism. Eating a large volume of food at once, such as more that 1000 calories, will lead to storing the excess as fat. It is important to stay within your total daily calorie allowance when planning snacks. Most individuals will lose weight on an intake of 1500 calories per day.

4) Don’t stop exercising or you will not lose the weight!
Schedule time during your busy day to exercise above your usual activity. Walking is the most common form of exercise chosen. Walking will improve your health and fitness level but many are not exercising at the level it takes to lose weight. Consider trying interval exercises. Interval exercise groups have shown to lose fat at a higher rate than endurance exercise groups. Walking and other endurance exercises do effectively burn calories, but interval exercises have shown to not only burn calories but also boost your metabolism after the exercise regime.
Interval exercising involves alternating between high and low intensity exercises for a specific short length of time. For example, changing the speed of your activity, doing exercise stations or light weight lifting. The exercise to recovery ratio should be 2:1. For instance, if you walk up stairs for 30 seconds your rest portion would be twice as long or 60 seconds before repeating the activity. When doing interval exercises it is important to exercise at an intensity level that you feel is “somewhat hard” or 60-80% of your maximum heart rate.

5) Be accountable.
It is hard to lose weight on your own. Over 100 studies have indicated that people
who join groups or seek periodic professional consults for diet and exercise show the greatest weight loss success. Checking your weight only once a week is recommended.

6) Recognizing stress and depression.
Family and social issues often arise during the holidays. Many individuals overeat or binge-eat to relieve stress. Depression can potentially interfere with motivation to lose weight and it can be treated. Consider seeking professional help to assist in recognizing and possibly treating depression.

Losing weight during the holiday season becomes a “growing” challenge every year. Developing healthy eating patterns, routine exercise and making modest behavioral changes will lead to success. It is difficult to stay motivated and lose weight on your own. Do not give up on trying, your health depends on it!

If you are interested in learning more about losing weight, controlling overeating and fat burning circuit exercises, come to a free workshop on Saturday, January 2th, 10 –11 am, at the Chatham Health & Swim Club, 251 Crowell Rd., Chatham.
Call 508-945-3555 to reserve a seat.
If you are unable to attend, and are interested in a 6-week weight loss challenge starting Jan. 4th with Carol Penfield, Nurse Practitioner and Program Director, call her office at 508-945-7761.

HOW TO “LOSE IT” DURING THE HOLIDAYS

By Carol Penfield M.S. Nurse Practitioner, Certified Personal Trainer, Nutritionist
Owner of Chatham Health & Swim Club
The average American gains 10 pounds during the holiday season from Halloween to New Years. Fifty percent of an individual’s yearly weight gain occurs during this festive time. WHY? Social gatherings often include more food choices, larger portions and alcohol that weaken “willpower”. Healthy eating patterns become difficult to maintain. The people who gain the most weight during the holidays are those who abandon their exercise routines.

HOW TO GET THE WEIGHT OFF.
It is important to first focus your mind on trying to only lose the new weight gained. Dieters often get overwhelmed with an unrealistic long-term goal and therefore prematurely give up on a weight loss regime. Staying consistent and working on a 500-calorie deficit per day will lead to reducing your body fat by one pound per week. This can be achieved through eating 250 calories less and burning 250 calories through exercise daily.
Take the pressure off yourself. Fat does not disappear overnight. Making small changes such as eating one less donut per week can lead to a loss of 3 pounds in a year. Consider walking 8 minutes extra each day and in one year you will lose 4 pounds.

I KNOW WHAT TO DO BUT I JUST DON’T DO IT!
Trying to get your motivation back during the holiday season is another challenge. The following are a few tricks to try.

1) Minimize your choices.
Freeze or give away your leftovers. Consider periodically trying meal replacements such as a Slim Fast shake, nutrition bar, or Weight Watchers meal. With meal replacements, your portions are defined for you and temptation is minimized.

2) Tricks for overeaters used to “volume”.
People who are used to eating large portions can try increasing their vegetable intake. Fill yourself with low calorie vegetables, rather than other calorie dense foods. It has been shown in studies that successful dieters consume greater that 20 vegetable servings per week. Drinking a large glass of water before your meal can also trick your stomach into feeling full.

3) Train your body to be satisfied with smaller portions.
One technique is to try small frequent snacking. Snacking during the day may keep you from getting too hungry and eating more than necessary at the next meal. Fueling your body with small meals will help boost your metabolism. Eating a large volume of food at once, such as more that 1000 calories, will lead to storing the excess as fat. It is important to stay within your total daily calorie allowance when planning snacks. Most individuals will lose weight on an intake of 1500 calories per day.

4) Don’t stop exercising or you will not lose the weight!
Schedule time during your busy day to exercise above your usual activity. Walking is the most common form of exercise chosen. Walking will improve your health and fitness level but many are not exercising at the level it takes to lose weight. Consider trying interval exercises. Interval exercise groups have shown to lose fat at a higher rate than endurance exercise groups. Walking and other endurance exercises do effectively burn calories, but interval exercises have shown to not only burn calories but also boost your metabolism after the exercise regime.
Interval exercising involves alternating between high and low intensity exercises for a specific short length of time. For example, changing the speed of your activity, doing exercise stations or light weight lifting. The exercise to recovery ratio should be 2:1. For instance, if you walk up stairs for 30 seconds your rest portion would be twice as long or 60 seconds before repeating the activity. When doing interval exercises it is important to exercise at an intensity level that you feel is “somewhat hard” or 60-80% of your maximum heart rate.

5) Be accountable.
It is hard to lose weight on your own. Over 100 studies have indicated that people
who join groups or seek periodic professional consults for diet and exercise show the greatest weight loss success. Checking your weight only once a week is recommended.

6) Recognizing stress and depression.
Family and social issues often arise during the holidays. Many individuals overeat or binge-eat to relieve stress. Depression can potentially interfere with motivation to lose weight and it can be treated. Consider seeking professional help to assist in recognizing and possibly treating depression.

Losing weight during the holiday season becomes a “growing” challenge every year. Developing healthy eating patterns, routine exercise and making modest behavioral changes will lead to success. It is difficult to stay motivated and lose weight on your own. Do not give up on trying, your health depends on it!

If you are interested in learning more about losing weight, controlling overeating and fat burning circuit exercises, come to a free workshop on Saturday, January 2th, 10 –11 am, at the Chatham Health & Swim Club, 251 Crowell Rd., Chatham.
Call 508-945-3555 to reserve a seat.
If you are unable to attend, and are interested in a 6-week weight loss challenge starting Jan. 4th with Carol Penfield, Nurse Practitioner and Program Director, call her office at 508-945-7761.

WAYS TO DECREASE FATIGUE

Fatigue can be a very frustrating and elusive condition. Fatigue is often confused with “tiredness”. Tiredness is commonly experienced after certain activities or at the end of a long day. Fatigue is defined as generalized lack of energy not relieved by sleep. It can be “acute” and last one month or “chronic” and last greater than six months. Despite the high prevalence of fatigue, little is known about the etiology. It can arise from both physical and psychological stresses. Possible causes should be explored with a health care provider. Some examples of physical causes include hypothyroidism, heart disease, rheumatoid arthritis, asthma, diabetes, emphysema, cancer, congestive heart failure, severe anemia, hepatitis, lyme disease, mononucleosis and other infections. Possible psychological causes are depression, anxiety, sleep disorders or boredom. Medications that treat high blood pressure, allergies, anxiety or depression may have the side effect of fatigue.

It is important to recognize that the term “fatigue” is often used to describe actual muscle weakness, lack of endurance or sleepiness. Regardless of the cause, there are actions that can be taken to help manage fatigue.

1) Keep a Log
Evaluating a daily log will help identify triggers that affect your level of energy. Understanding patterns of fatigue can assist in developing energy conversation techniques.

2) Energy Conservation Techniques
Pace yourself or rest to save energy for participating in activities you enjoy. Taking periodic naps may help but should be limited to one hour. Longer naps may interfere with the ability to sleep at night.

3) Avoid Heat and Humidity
Hot weather and dehydration can contribute to fatigue. An outdoor walk in cool weather has shown to decrease fatigue in a study of nursing home patients. Drinking 64 oz. of water daily is recommended.

4) Proper Nutrition
Balancing your intake of carbohydrates, protein and fat will provide a source of energy for your body. A daily multi-vitamin and minimizing alcohol to 1-2 drinks per day may also be helpful.

5) Weight Loss
Over-eating can exacerbate fatigue. Moving an over weight body can also be very tiring. A ten-pound weight loss can make a difference.

6) Managing Disease
Controlling conditions such as diabetes, pain, asthma, and heart disease can help combat the associated fatigue caused by systemic diseases.

7) Sleep Hygiene
Poor sleep patterns can lead to daytime fatigue. Avoiding caffeine, going to bed at a specific hour daily, and minimizing your restless time in bed are some examples that may improve sleep quality.

8) Stress Management
Meditation or relaxation techniques can help alleviate muscle tension that can lead to fatigue or poor sleep.

9) Exercise
Although exercise is often the most difficult to do when tired, it may help the most. Endurance exercise such as walking, swimming or bicycling can improve air exchange and the efficiency of the heart. Strengthening exercises can improve posture and weak muscles that contribute to generalized fatigue after prolonged standing or physical activity.

10) Managing Depression
Depression plays a role in 80% of people complaining of fatigue, according to a large study at Lahey Clinic. Seeking professional help may assist in recognizing and treating this common condition.

Fatigue can be very powerful and interfere with a person’s quality of life. Practicing healthy lifestyle activities can make a difference and help return energy to your life.

Do you want to learn more about causes of fatigue and ways to improve your energy level? Come to a FREE public lecture at Chatham Health & Swim Club,
Saturday, Sept. 26, 10 – 11am. Call 508-945-3555 to reserve.

Carol Penfield M.S. is the owner of Chatham Health & Swim Club, a nurse practitioner, certified personal trainer and nutritionist. She instructs private and small group fitness programs to members and non-members. Her office phone is 509-945-7761.

Great News!! There are still good investments, especially your health.

The opportunity to hear good news likely caught your attention, why?
Presently everything you read or watch on T.V. is stress producing. With the troubled economy, the stress level for Americans has increased. Now is the time to evaluate your strategies for managing your concerns and fears in an effective way. It is good news to know that there are options that can help. Although the physical reaction to stress may not go away, you can offset the effects with exercise and healthy living!
Exercise is a natural remedy that helps the body reach homeostasis in a hectic world that is continuously trying to throw us out of balance. Stress related issues are often translated into being “all in the mind”, but prolonged emotional stress can have an adverse physical effect.
When threatened or stressed our bodies produce a chemical response that not only affects our outlook but also has physiological effects. Long-term stress plays a role in damaging the immune system, accelerating aging and chronic disease. Adrenaline (a stress hormone) is produced in the body during stressful times. If it remains in the body, it can produce harmful side affects such as elevated blood pressure, pain and other conditions. When exercising, the body utilizes the excess adrenaline that is produced thereby minimizing damage to the body. In addition, during fitness activities the body also releases helpful natural “feel-good” chemicals called endorphins that give the individual a sense of well-being. Mood elevation is very helpful in offsetting the depression produced by challenging times.
You don’t have to take on the stress alone. During difficult times, people stay closer to home and many individuals become isolated and depressed. Exercising in a health club setting has shown to improve socialization and allow people to feel more like a part of a community. Adhering to an exercise routine gives a sense of accomplishment and sharing this empowers other people to be successful.
More good news……..Exercise gives your mind a break!
Fitness programs provide a “time out” to focus on the activity that you are presently performing and away from daily issues. As you concentrate on proper form or breathing techniques, the mind is unable to wander onto undesirable thoughts. The body becomes energized and creative problem solving may be stimulated. If anger is a concern, the physical release of energy dissipates feelings of frustration in a positive way.
According to CIGNA research (a global health service company) one-third of Americans find that the economy is affecting their health and other studies have shown that as many as 92% of corporate employees are losing sleep. Good news again! Exercised muscles relax better at night and physical fatigue from movement helps improve the sleep cycle. It is evident that individuals hold stress in their bodies in different ways. Wherever the body is weakest, pain, tension or possible injury can occur. Strengthening exercises allow the body to manage physical as well as psychological challenges.
There is even more good news, this time for your finances. Investing in an exercise regime can pay off! Health promoting exercise can help offset the need for expensive medications and/or medical care. It can replace poor coping habits that are costly such as excessive drinking or over-eating.
What kind of exercise is best? For those who are seated all day, consider swimming, walking or a structured fitness class. For individuals on their feet all day, the Nu-step (seated elliptical), cycling or mat Pilates classes are suggestions.
Ready to get started? Most people consult their physician prior to starting to exercise for a stress test. It may be more appropriate to consult your doctor before settling into your lounge chair for a day of “bad news” on the T.V.
Fitness is a necessity not a luxury. You cannot live without your health!

Carol Penfield RN, MS, Nurse Practitioner and owner of Chatham Health & Swim Club.