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HIV patients talk importance of exercise

Hitting the gym may help manage side effects of meds

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When writing this article I turned to people I knew that are living with HIV and to others who work in the HIV field of medicine and are well-respected authorities. What I quickly discovered is that those living with HIV are a wealth of knowledge and insight and that what they could contribute to this column is far more comprehensive than I could.

As with many physical challenges and illnesses, exercise is crucial both mentally and physically. While exercise does not cure HIV, exercise can be an essential code of behavior for living with HIV. And, just as important, exercise may be able to better manage the side effects associated with HIV medications and the level of compromise to the immune system.

Following are excerpts from interviews I conducted with several HIV-positive people.

Victor, 35, HIV positive since 2005:

“For me, testing HIV positive five years ago was an unwelcome surprise. But one good thing I’ve taken from that experience is realizing the importance of taking responsibility for my health: eating right, exercising regularly and generally being more aware of my health.”

“Good diet and exercise are important to anyone, but for people living with a chronic disease, like HIV, they are even more important. Developing and keeping a storehouse of good health may be the difference between experiencing HIV-related complications in five years, or in 20.”

Anonymous friend, HIV positive since 2003:

“In terms of exercise, I think once a person gets the virus under control with medications it is essential to make working out a part of the treatment process. As far as I know, the essential chemicals that go into almost all HIV meds, among other side effects, tend to cause depression and mood swings. Exercise is perfect for mitigating, at the very least, this side effect especially if the traditional weight lifting is combined with yoga and aerobics. It has been working almost like a miracle for me.”

Daniel, 47, HIV positive since 1987:

“I have always exercised. So, after sero-converting, I continued exercising, not necessarily because I knew it was important and would benefit me in managing my HIV, but rather because it brought me some continuity in my routine and respite in the midst of dealing with my mortality. Today, I definitely feel that exercise has benefited me in managing my HIV in different ways — some physical, some mental and some spiritual.”

A friend and doctor of immunology:

“Exercise cannot control the HIV, but it may help you to fight many of the side effects that follow a new lifestyle where medicine is your best friend.”
Jared, 40, HIV positive:

“We all have the knowledge that working out makes one poz/neg feel better by the release of endorphins and such to the blood stream and the brain. That seeing goals achieved gives one a sense of purpose and achievement. These all help in keeping a positive mindset.”

What resonates most from these testimonials and experiences is that exercise should be a major component of treatment for someone living with HIV.

People are living longer and, through exercise, are living healthier and more productive lives with HIV. I am sure that many factors are at play when living with HIV, but in my experience as a personal trainer and in working with many people who are living with HIV, I believe these individuals have benefitted by integrating exercise into their lives.

To those who not only continue to struggle with HIV, but prevail, thank you for your strength, inspiration and hope. Be well and prosper!

Kevin M. Norris is a health and fitness columnist for the Blade and owner of Mind Your Own Body, LLC Personal Training. Reach him at [email protected].

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Fitness

NEW YEAR NEW YOU 2020: Local VIDA master trainer on trends, tips and technology at the gym

Get good technique down first; you can always add weight later

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fitness, gay news, Washington Blade
Fitness experts say the best results from a new program start to appear 12-16 weeks into so tenacity is important. (Photo courtesy Beth Caldwell/VIDA Fitness)

Jesse Johnson makes his living working as a master trainer at VIDA Fitness (U Street location) but he agreed to share some of his tips and advice with us for free.

The U Street location is one of five of the gay-owned chain’s D.C. locations. A sixth is slated to open this spring in Ballston (Arlington, Va.). Johnson is 33, gay and left a career in corporate staffing to join the VIDA team in 2011. He averages between 50-60 clients in mostly 30-minute sessions per week. Find out more at vidafitness.com. Free introductory classes are available this month. The offerings are listed at vidafitness.com/uniqueclasses. 

Johnson’s comments have been slightly edited for length.

WASHINGTON BLADE: How much does the coaching you give your clients vary from year to year as new studies and findings are made available? And how do you know if something is just another fitness fad vs. something we should really heed?

JESSE JOHNSON: There are always going to be fitness trends, that’s a given. However  before we alter what we tell our clients, we look to peer-reviewed literature. One or two studies doesn’t give much evidence — that’s not enough proof. We definitely pay attention to what is trending and we try to stay as current as possible, but we don’t incorporate it until it’s been through a more rigorous review process.

BLADE: What trends have you seen of late?

JOHNSON: In the collective big picture, there’s been a big uptick in group training. The term that’s thrown around is fitness cocktails where somebody may do a couple classes back to back, some cardio, maybe some core body work, different muscle groups — there’s been an uptick in that. And also more of what we call functional training. People want to be pain free and strong. Sure, there’s always the aesthetic benefit of lifting weights, but what people really want is to be functionally strong into their 40s, 50s, 60s and 70s.

BLADE: Anything else?

JOHNSON: I think workouts are becoming more mindful as people use technology — apps and wearable tech to be more aware of what they’re doing. From a metric-tracking standpoint, it’s easy now to tell your heart rate, number of calories burned, number of steps taken in the course of a day with Fitbit, Myzone, the Apple watch, to the apps themselves like the Peloton apps are pretty innovative and help people be more aware of what they’re doing, how frequently. There’s more mindfulness in working out. Also people see going to the gym as more of a club or social space among millennials and Gen Z. They work out with friends, it’s seen as more social, not punishment after a weekend of drinking. 

BLADE: How much does the industry really change? For instance, would you say there’s anything significantly different you’re telling your clients today vs. what you might have said when you started at VIDA nine years ago?

JOHNSON: Well, knowledge has increased dramatically and a lot of it is due to the fact that this industry didn’t even exist 40-50 years ago. People didn’t have the same needs then they do now. But a lot of the basic fundamentals are the same — keep moving, stay active, eat purposeful and do things you enjoy doing. If you enjoy doing it, it’s easier to make it a habit. I’d say we take more the sniper approach today vs. the machine gun approach. We target more instead of just spraying a bunch of bullets hoping something hits.

BLADE: So often with nutrition it seems you’ll hear one thing, then five years later the exact opposite is what experts are saying: don’t eat eggs, no eggs are good. Stuff like that. Does fitness advice change that drastically as well?

JOHNSON: Not as much. A lot of it has to do with whether people are already moving or not. We don’t take them right out of the gate to a high level of intensity. We let them work up to it. But no, I can’t think of any particular exercise we were advising a few years ago we’re saying, “No, don’t do that one anymore” or anything like that.

BLADE: What do you do if you see people working out on their own using improper technique? Can you really hurt yourself with bad form, like lifting with your back and that kind of thing?

JOHNSON: Well we try to be as polite as possible. We’ll only approach someone if we thinkg they’re about to injure themselves. But knock on wood, I haven’t seen very many injuries at VIDA and I like to credit that to the large staff of personal trainers we have on the floor. There is an inherent risk to working out — you can hurt yourself, but it doesn’t happen very often.

BLADE: Is it better to stay at a weight level at which you can maintain excellent form or push yourself out of your comfort zone with heavier weight even if your form suffers a little? 

JOHNSON: Numerous studies have found if you take a lighter weight and do more reps but push yourself to your failure threshold vs. doing fewer reps of a heavier weight to failure, the outcome is the same. And there’s a higher risk of injury with heavier weights. We like to focus on form and technique before we progress, especially if somebody is just joining the gym and they may not know much about resistance training. You can always add weight later. 

BLADE: How many of the New Years resolution folks really stick with it? Do you see many of those same faces by March or April? 

JOHNSON: Almost all my new clients stay with me for months, sometimes years. However statistically within the industry, the number is very low. The honeymoon period on average is about six weeks and it’s a shame because often you see your best results 12-16 weeks into a program. You’ll see more immediate results sooner but that’s when it starts to get really spectacular.

BLADE: How bad are the wait times for machines at VIDA? Is it pretty crazy at peak time? 

JOHNSON: I’m not gonna lie, the gym is very busy and there are peak times. But the U Street location is more residential and we have between 50,000-60,000 square feet of space so there’s not a lot of wait time for many of the machines. And people tend to be pretty aware. They’ll let you work in with them.

BLADE: How gay is it?

JOHNSON: I’d say 50-60 percent of our clientele is gay.

BLADE: Some lesbians and trans folks as well?

JOHNSON: There are lesbians. I don’t personally have any trans clients but we have 30 trainers on staff so there may be some but yeah, it’s mostly gay men. Obviously everybody is welcome. 

BLADE: Has that ebbed or flowed much over your years there?

JOHNSON: No, D.C. is a pretty good city to be a gay person in. I haven’t seen any major change. 

Jesse Johnson (Photo courtesy of VIDA)
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Why a personalized diet can help you achieve better results

One size fits all is not the best approach when it comes to eating and fitness

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Research has found that not all diets and bodies work together the same way. (Photo courtesy Rawpixel/iStock via Getty Images Plus)

From custom-designed sneakers to tailor-made sunglasses, the trend of personalization is going head to toe, and for good reason, making its way to the world of weight loss and wellness.

Specifically, researchers have been studying two converging topics in recent years. One is the importance of body type in determining the combination of fats, carbohydrates and protein that will provide the best results for a given individual. The other is the variability of results associated with a single diet — the idea that if two people start the same diet at the same time, their results could be drastically different.

On top of that, consumer research shows that people overwhelmingly prefer personalized experiences. Sixty percent of consumers agree that personalization is essential to weight loss and overall wellness.

Here’s what to know about why personalized diets are becoming so popular and how to find the right diet for you:

The importance of body type

The places your body stores excess fat may be the single greatest predictor of health outcomes. This is the concept behind Nutrisystem’s assessment of the four most common body types: “Apple,” “Pear,” “Hourglass” and “Rectangle.”

“We’re going a bit old school here, because these categories have stood the test of time for a reason. They provide crucial information on how you respond to food intake and can help you to adjust what you eat based on your goals,” says Courtney McCormick, corporate dietitian at Nutrisystem. 

Body type can also influence how macronutrients like fat, protein and carbs are processed. To fulfill your individual needs, first determine your body type, food preferences and goals, then look for a weight loss plan that takes these important factors into consideration, such as Nutrisystem.

One size does not fit all

The DIETFITS study, a large, randomized research study comparing low-fat versus low-carb dietary patterns found no difference in weight loss between them. But drilling down into the data, one can see great variability. Some dieters gained weight while others lost a lot. But it’s not always about weight outcomes, as recent research has shown that factors such as body shape may play a bigger role in the determinants of health risks than body weight alone.

For instance, a woman who is apple-shaped tends to carry her extra weight in the mid-section. She would see best results on a lower-glycemic nutrition plan that is lower in refined carbs and higher in healthy fats and protein.

“Research shows that one size does not fit all when it comes to weight loss and disease prevention,” McCormick says. “That’s why we’ve created a unique, personalized approach that’s easy to follow and designed to help participants lose weight and get healthy.”

For more insights on how to personalize your diet and maximize results, visit leaf.nutrisystem.com.

While it’s no secret that achieving one’s weight loss goals is challenging, personalizing your plan can help make things easier, ultimately providing you a greater chance of success.

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Al Roker blasts Jillian Michaels for criticizing Keto diet

The fitness trainer says the ‘personal attacks’ were ‘bizarre’

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Jillian Michaels, gay news, Washington Blade
Jillian Michaels, gay news, Washington Blade
Jillian Michaels (Photo by Don Flood; courtesy True PR)

Jillian Michaels revealed she “hates” the increasingly popular Keto diet but “Today” show weatherman Al Roker slammed the fitness trainer for dissing the high-fat, low-carb diet.

Speaking with Prevention, Michaels says she doesn’t like the diet because “There’s no calorie restriction;” “You may miss out on important nutrients;” and “It could shave years off your life.”

In response, Roker, who is a fan of the diet, called out Michaels for her aggressive reputation as a fitness trainer on “The Biggest Loser” on Twitter.

“So @JillianMichaels says #Keto is a bad idea. This from a woman who promoted on camera bullying , deprivation, manipulation and more weekly in the name of weight loss. Now those sound like bad ideas,” Roker tweeted.

Roker further defended the Keto diet, which he says he has been on since Sept. 1, on “The Today Show.”

“My point is, what works for you, works for you,” Roker explains. “There’s science on both sides that says it’s not a great idea and science that says it is a good idea.”

Michaels responded by posting a video on Twitter saying she didn’t appreciate Roker’s “personal attacks”

“It’s bizarre, it’s unnecessary, it’s beneath both of us,” Michaels said. “Read my book, ‘The 6 Keys.’ I’ve extensively researched everything in that, and nutrition is about way more than weight loss.”

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