July, 2011 | The 50 Zone Magazine : Mens Information On Wellness, Health, Weight Loss, Nutrition, Women, Style And Fashion


Monthly Archives: July 2011

Physical Activity and Health – Part I

by Bob Gurney

In the previous article presented in ‘the 50 zone’, health providers in sports sciences and medicine were identified and described. In this article, we review challenges and solutions for health care professionals addressing strategies of physical activity in the management of patients.

The increasing burden of chronic disease places greater demands on Health Care Providers to develop and implement strategies to manage lifestyle risk factors presented by their patients. Physical activity has been identified as a prescription for managing health risk factors, however effective prescriptions and exercise management strategies are absent in rural health care. The literature has been extensive over the past few decades, claiming that prescribed physical activity has been effective in managing patients with risk factors of poor health and chronic disease. The literature and practices of exercise strategies are supportive in managing patients at risk, yet neglect the patients who would benefit from exercise/physical activity prescriptions as preventative measures prior to symptoms prompting such intervention.

Primary care may benefit from further counselling, support systems and collaboration with exercise specialists. General Practitioners, (Eley and Eley, 2009) report that there are limited resources available in rural Queensland (Australia), to support family physicians in developing exercise/physical activity prescriptions and counselling for patients. These same physicians recommend formalization of referral pathways and follow-up could be of valuable assistance to rural medical doctors in providing their patients with effective exercise/physical activity prescriptions and counselling.

Buffart and colleagues (2009) describe the literature reporting the importance of exercise and physical activity. Health benefits include a lower risk of hypertension, diabetes, cardiovascular disease, obesity, overweight, some forms of cancer, depression and many other factors that improve quality of life. Physical inactivity and a lack of exercise are recognized as a leading contributor to disease. Medical practices should be an important setting for promoting physical activity, for several reasons. First, health professionals can reach a large population because the majority of people visit a health professional at least once a year. Second, patients have identified health professionals as a credible source of information and their abilities to provide patients with referrals to address their health concerns, issues and interests. Third, health care professionals usually have a long lasting relationship with their patients, which enable them to offer long-term health management and follow-up. Fourth, a range of intervention studies and numerous literature reviews have reported that health care provider’s recommendations of patient referrals to exercise/physical activity specialists can increase the adoption of exercise by patients. The American College of Preventative Medicine takes the position that primary care health should include physical activity counseling into routine patient visits.

Aittasalo (2008) describes the attitudes of health care professionals towards exercise/physical activity counseling as being positive, and the importance of exercise/physical activity for long-term health is well acknowledged in the literature. However, the practice of providing exercise/physical activity counseling is generally low among physicians. Physicians that provide exercise/physical activity counseling neglect the use of formalized instruments, written materials, and referrals are seldom practiced. Physician counseling also lacks patient-centeredness, which is an important factor from the effectiveness point of view. The most frequently indicated barrier for not promoting exercise/physical activity to patients has been reported by physicians, indicating the lack of time. Other barriers have included the physician’s lack of skills, confidence and knowledge in the field of exercise/physical activity prescriptions and counseling. The literature acknowledges that to effectively promote and implement exercise/physical activity through the medical professions, support through pathways of patient referrals to exercise specialists is critical to the success.


Aittasalo, M. (2008). Physical activity counseling in primary health care.

Scand J Med Sci Sports: 18: 261-262.

Buffart, L.M, et al (2009). General practitioners’ perceptions and practices of physical activity

Counseling: changes over the past 10 years. Br J Sports Med: 43: 1149-1153.

Eley, D. and Eley, R. (2009). How do rural GPs manage their inactive and overweight patients? A pilot study of rural GPs in Queensland. Australian Family Physician. Vol. 38, No. 9, September.

Author: Bob Gurney

Does Her “To-Do List” Make You Nuts?

A Q & A with Delaine Moore


Hi Delaine,

I’ve been divorced a couple of times. A recent acquaintance told me if we were to get serious, she expected me to complete her “To-Do List” every evening after work. I am tired after work and just want to relax. Also, I’m 60 years old and don’t have as much energy as I did before. What should I do?


Ah yes…the woman’s never-ending To-Do List. If it’s any consolation, it happens to be one the most common sources of contention between men and women regardless of age. I’m strongly suspecting that it was such an issue in your lady’s past relationship that she’s making it a dealmaker/breaker for her next one.

Is friction around this issue avoidable between men and women? Yes. But it requires that both genders understand, appreciate, and respect how each is neurologically wired and how they cope differently with stress.

Let me explain the above a bit more (this is tip of the iceberg stuff):

One thing about men that most women don’t know – or understand – is men’s need for ‘cave time’ after they’ve been at work all day. By the time a man gets home, his testosterone levels are very low. To replenish this hormone – which is his ‘feel-good’ chemical – he is neurologically programed to shut down the left side of his brain (the problem-solving side). A man’s ‘cave time’, which equates to him watching TV, playing video games, reading a book, sometimes even just for half an hour, is his body’s way of replenishing testosterone.

You say you’re lacking energy these days – and it may well be that at age 58, you need a bit more cave time. This makes sense because as men get older, testosterone levels decline. In fact, younger men’s testosterone levels are lower now than they’ve ever been – studies have shown that a 40-year-old man in Western culture has the same testosterone levels as a 70-year-old man in a primitive aboriginal culture.

Anyway, back to the after-work scene at home: You’ve decided to sit down, relax, and watch TV. And in through the door walks your lady. She’s been working all day too. Her feel-good hormone – oxytocin – is as depleted as your testosterone. But unlike you, she doesn’t have the luxury of a brain that is programmed to shut down and ‘have a rest’ when she’s tired and stressed; for a woman’s brain actually has BILLIONS more neuro-connectors between the left and right hemispheres. When she’s stressed and fatigued, blood flow actually INCREASES in her brain – she’s thinking, remembering, analyzing, planning, feeling, preparing to speak, and listening all at once and to the n’th degree!!! Today’s women are actually two times more stressed WHEN THEY COME HOME. It’s a huge health concern to women and causes severe friction in relationships. Cause while she’s prepping dinner and doing chores and checking off items on her to-do list – which is actually getting longer as her brain continues to super fire – and she glances over at you who is sitting there relaxing, doing nothing, idle on the couch, she gets angrier and angrier and thinks “Why the hell doesn’t he get up off his lazy ass?”

Meanwhile, he has assumed she’s doing all that ‘stuff’ cause she wants to, otherwise why would she do it? Her to-do ‘stuff’ is simply non-important, non-emergency, and he knows he needs to ‘rest’; so he does. Women, on the other hand, have severe difficulty listening to and answering their own needs first; their super fired brains don’t give them permission to simply relax and take care of ‘stuff’ later.

So how do you deal with a woman’s to-do list then, especially since it’s never-never-never-ending? It starts with both genders getting educated around their differences. Without such knowledge, men are at risk of being judged by women as lazy and child-like and women come across as demanding and impossible to please. My sense is that this is what happened in your lady’s former relationship and she, like so many other women today, has decided she’s not going to have ‘another child (man) to look after’. To protect herself she’s drawing strong lines in the dirt like “You must do 50% of my to-do list every night’, which in theory would work if both sexes ‘measured’ the checklist by the same yardstick – BUT THEY DON’T.

On that note I will recommend you and your lady read the book Why Mars and Venus Collide, by Dr. John Gray. Not only does he explain how differently men and women are wired, he provides strategies on how to effectively take action, resolve miscommunication (like the infamous to-do list) and meet the needs of your partner.

When it comes right down to it, men and women ARE perfectly designed to build and sustain happy and healthy relationships at work and in the home. But add stress, lack of knowledge and emotional baggage from past marriages to the mix and the result is a deal making/breaking demands like “You HAVE to do/be this or I’m done.”

I hope the information I’ve provided points you down a path a fulfillment and happiness in this blossoming relationship.



Author: Delaine Moore

Founder: I am Divorced not Dead.com




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