Events Calendar

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Neurology Certification Review 2019
2019-08-29 - 2019-09-03    
All Day
Neurology Certification Review is organized by The Osler Institute and will be held from Aug 29 - Sep 03, 2019 at Holiday Inn Chicago Oakbrook, [...]
Ophthalmology Lecture Review Course 2019
2019-08-31 - 2019-09-05    
All Day
Ophthalmology Lecture Review Course is organized by The Osler Institute and will be held from Aug 31 - Sep 05, 2019 at Holiday Inn Chicago [...]
Emergency Medicine, Sex and Gender Based Medicine, Risk Management/Legal Medicine, and Physician Wellness
2019-09-01 - 2019-09-08    
All Day
Emergency Medicine, Sex and Gender Based Medicine, Risk Management/Legal Medicine, and Physician Wellness is organized by Continuing Education, Inc and will be held from Sep [...]
Medical Philippines 2019
2019-09-03 - 2019-09-05    
All Day
The 4th Edition of Medical Philippines Expo 2019 is organized by Fireworks Trade Exhibitions & Conferences Philippines, Inc. and will be held from Sep 03 [...]
Grand Opening Celebration for Encompass Health Katy
2019-09-04    
4:00 pm - 7:00 pm
Grand Opening Celebration for Encompass Health Katy 23331 Grand Reserve Drive | Katy, Texas Sep 4, 2019 4:00 p.m. CDT Encompass Health will host a grand opening [...]
Galapagos & Amazon 2019 Medical Conference
2019-09-05 - 2019-09-17    
All Day
Galapagos & Amazon 2019 Medical Conference is organized by Unconventional Conventions and will be held from Sep 05 - 17, 2019 at Santa Cruz II, [...]
Mesotherapy Training (Sep 06, 2019)
2019-09-06    
All Day
Mesotherapy Training is organized by Empire Medical Training (EMT), Inc and will be held on Sep 06, 2019 at The Westin New York at Times [...]
Aesthetic Next 2019 Conference
2019-09-06 - 2019-09-08    
All Day
Aesthetic Next 2019 Conference Venue: SEPTEMBER 6-8, 2019 RENAISSANCE DALLAS HOTEL, DALLAS, TX www.AestheticNext.com On behalf Aesthetic Record EMR, we would like to invite you [...]
Anti-Aging - Modules 1 & 2 (Sep, 2019)
2019-09-07    
All Day
Anti-Aging - Modules 1 & 2 is organized by Empire Medical Training (EMT), Inc and will be held on Sep 07, 2019 at The Westin [...]
Allergy Test and Treatment (Sep, 2019)
2019-09-15    
All Day
Allergy Test and Treatment is organized by Empire Medical Training (EMT), Inc and will be held on Sep 15, 2019 at Aloft Chicago O'Hare, Chicago, [...]
Biosimilars & Biologics Summit 2019
2019-09-16 - 2019-09-17    
All Day
TBD
Biosimilars & Biologics Summit 2019 is organized by Lexis Conferences Ltd and will be held from Sep 16 - 17, 2019 at London, England, United [...]
X Anniversary International Exhibition of equipment and technologies for the pharmaceutical industry PHARMATechExpo
2019-09-17 - 2019-09-19    
All Day
X Anniversary International Exhibition of equipment and technologies for the pharmaceutical industry PHARMATechExpo is organized by Laboratory Marketing Technology (LMT) Company, Shupyk National Medical Academy [...]
2019 Physician and CIO Forum
2019-09-18 - 2019-09-19    
All Day
Event Location MEDITECH Conference Center 1 Constitution Way Foxborough, MA Date : September 18th - 19th Conference: Wednesday, September 18  8:00 AM - 5:00 PM [...]
Stress, Depression, Anxiety and Resilience Summit 2019
2019-09-20 - 2019-09-21    
All Day
Stress, Depression, Anxiety and Resilience Summit is organized by Lexis Conferences Ltd and will be held from Sep 20 - 21, 2019 at Vancouver Convention [...]
Sclerotherapy for Physicians & Nurses Course - Orlando (Sep 20, 2019)
2019-09-20    
All Day
Sclerotherapy for Physicians & Nurses Course is organized by Empire Medical Training (EMT), Inc and will be held on Sep 20, 2019 at Sheraton Orlando [...]
Complete, Hands-on Dermal Filler (Sep 22, 2019)
2019-09-22    
All Day
Complete, Hands-on Dermal Filler is organized by Empire Medical Training (EMT), Inc and will be held on Sep 22, 2019 at Sheraton Orlando Lake Buena [...]
The MedTech Conference 2019
2019-09-23 - 2019-09-25    
All Day
The MedTech Conference 2019 is organized by Advanced Medical Technology Association (AdvaMed) and will be held from Sep 23 - 25, 2019 at Boston Convention [...]
23 Sep
2019-09-23 - 2019-09-24    
All Day
ABOUT 2ND WORLD CONGRESS ON RHEUMATOLOGY & ORTHOPEDICS Scientific Federation will be hosting 2nd World Congress on Rheumatology and Orthopedics this year. This exciting event [...]
25 Sep
2019-09-25 - 2019-09-26    
All Day
ABOUT 18TH WORLD CONGRESS ON NUTRITION AND FOOD CHEMISTRY Nutrition Conferences Committee extends its welcome to 18th World Congress on Nutrition and Food Chemistry (Nutri-Food [...]
ACP & Stem Cell Therapies for Pain Management (Sep 27, 2019)
2019-09-27    
All Day
ACP & Stem Cell Therapies for Pain Management is organized by Empire Medical Training (EMT), Inc and will be held on Sep 27, 2019 at [...]
01 Oct
2019-10-01 - 2019-10-02    
All Day
The UK’s leading health technology and smart health event, bringing together a specialist audience of over 4,000 health and care professionals covering IT and clinical [...]
Events on 2019-08-29
Events on 2019-08-31
Events on 2019-09-03
Medical Philippines 2019
3 Sep 19
Pasay City
Events on 2019-09-04
Events on 2019-09-05
Galapagos & Amazon 2019 Medical Conference
5 Sep 19
Galapagos Islands
Events on 2019-09-06
Events on 2019-09-07
Events on 2019-09-15
Events on 2019-09-16
Events on 2019-09-18
2019 Physician and CIO Forum
18 Sep 19
Foxborough
Events on 2019-09-22
Events on 2019-09-23
The MedTech Conference 2019
23 Sep 19
Boston
23 Sep
Events on 2019-09-25
Events on 2019-09-27
Events on 2019-10-01
01 Oct
Articles

HOW TO START WORKING OUT & STAY CONSISTENT

HOW TO PLAN YOUR GOALS
Frequently, clients will come to my practice with a specific weight loss goal in mind after the holidays. A common goal may be to lose 50 pounds by the end of the year, to exercise regularly, to get more sleep, or to eat healthy.

While these goals are well intended (focused on improving health), they are not good goals because they are not specific, measurable, attainable, relevant, timely, or process oriented. For instance, a goal of wanting to exercise, sleep more, or eat healthy are extremely vague.

It is important to ask yourself how you are going to use goal setting behavior to achieve a desired outcome (Epton et al., 2017). Likewise, a goal of losing 50 pounds by the end of the year is only outcome oriented- what process are you going to follow to achieve the desired outcome?

GOAL SETTING 101

Let us outline the process of setting S.M.A.R.T goals using an example.

“My New Years Resolution is to exercise more.”

Is my goal specific?
This statement is vague. Instead, let us modify this statement to outline the process. A more specific goal may be to exercise five times per week.

Is my goal measurable?
Exercising five times per week is great, except, what does that mean? How many minutes of exercise are you planning to do each time? Do you have to commit to two hours of hard exercise in the gym or does a five-minute walk meet your goal? Instead, this goal can become more measurable by changing it a bit to say, “I will exercise for 60 minutes five times per week.”

Is my goal attainable?
Committing to 300 minutes of exercise five times per week may be right at the top of American College of Sports Medicine guidelines recommended for adults, however it may be a bit ambitious for someone just beginning an exercise program or a more sporadic exerciser with a hectic work or family schedule.

Evaluate the goal and ask yourself if this goal is attainable and sustainable. A more attainable goal may be to engage in moderate exercise for 60 minutes three times per week.

Is my goal relevant?
Exercise can be hard work and must become a consistent habit for you to truly reap the benefits of it. Are you a person that likes the outdoors or do you prefer exercising at a gym? Do you want exercise to incorporate socialization? How much exercise do you truly want or need? A more relevant goal could be committing to attend three 60-minute group fitness classes per week with friends.

Is my goal time bound?
Behavior change is not an instant process. In fact, behaviors must be repeated for long periods of time to truly become sustained habits- and it may take longer than you may think- as much as 46 to 488 days (Stoeckel, 2021).

Remember that healthy behaviors require consistency to achieve the desired outcomes. Adding a time-bound component to this goal may be committing to attend three 60-minute group fitness classes per week with friends for six months. Once you reach the six-month mark, you may find that this goal is no longer difficult to maintain.

In summary, instead of simply setting a goal to exercise more, a smarter (S.M.A.R.T) version of this goal may be “My New Years Resolution is to attend three 60-minute group fitness classes per week with my friends for a period of six months.”

TOP EXCUSES
I don’t have enough time!
This is the excuse coaches hear the most. Many people have demanding work and family schedules which make fitting in dedicated exercise time a tremendous feat of scheduling magic. However, the main issue is the way fitness is viewed. It is very easy to get caught up with Instagram or TikTok feeds from fitness enthusiasts who spend hours in the gym each day.

This is not necessary for general health. Setting an appropriate exercise routine that is manageable with a busy schedule is not as hard as your think. Small but sustainable changes which add more physical activity to daily life, or a more modest dedicated exercise routine are far more effective than elaborate time-consuming workouts. In fact, increasing daily activity to expend just an additional 100- 200 kcal per day was shown to be highly effective at preventing weight gain and even induced weight loss (Hills et al., 2013).

This can be accomplished by adding in an after-dinner or lunchtime walk each day or allowing a little bit of extra time to commute to work on a bicycle, by foot, or parking your car far enough away from your office to get a 10–15-minute walk in before work.

Current resistance training guidelines for basic health include working each major muscle group twice per week (Yang, 2019). This can be accomplished in as little as twice per week for 30–40-minute bouts. Overall, an effective exercise routine could include a daily walk and two days of resistance training before or after work.

I am too out of shape!
The paradox about this exercise avoidance excuse is that this is the cohort that needs exercise the most. For those of us who are out of shape, beginning an exercise program is the most cost effective and attainable means of reducing the risk of premature death (from all causes) and physiologic malfunction. Even small improvements in physical fitness can translate to significant improvements in longevity and quality of life.

Interestingly, this impact is most significant in people who were previously sedentary (Warburton et al., 2006). Blair et al. (1995) examined a group of 9,777 men who began an exercise regimen five years prior. The group that began relatively unfit that maintained their exercise regimen five years later had the greatest reduction in all cause mortality which amounted to 44 percent lower than their continuously sedentary peers (Blair et al., 1995).

I am too old!
A person is never too old to begin an exercise program. In fact, this group needs exercise to not only improve longevity, but independence. Conditions such as sarcopenia (muscle wasting), frailty, osteoporosis, cognitive decline, loss of executive functioning, and balance/coordination problems can impair an older adult’s ability to complete activities of daily living.

Exercise, especially resistance training, is associated with improvement in all these conditions as well as markers of power, strength, muscle size, balance, and mobility in older adults leading to more years of independence (Lavin et al., 2019).

I have chronic musculoskeletal pain

Oftentimes, people with chronic musculoskeletal pain are apprehensive about beginning an exercise program for fear of worsening symptoms. The opposite is true. Inactivity creates muscle imbalances, dysfunctional movement patterns, impairments in hormonal functioning, and increases in inflammation leading to chronic pain or conditions that cause chronic pain.

Holth et al. (2008) conducted a large-scale prospective study examining the association between inactivity and chronic musculoskeletal pain after 11 years in 39,520 adults. The researchers found that there was a 28 percent reduction in musculoskeletal pain or conditions in the group that reported exercising 3 or more times per week.

Appropriate resistance training, corrective exercise, flexibility training, and increased movement throughout the day can be highly effective for reducing chronic musculoskeletal pain.

I can’t seem to stay motivated
This excuse is likely the result of how we advertise fitness programs. We hear messages trying to motivate us to sign up for a gym or subscribe to a fitness program or platform only to find that motivation fails to keep us consistent. Motivation is a fleeting emotion.

Rather than focus on staying motivated, consider focusing on building discipline. Setting up appropriate goals and sticking to them regardless of what emotions or obstacles is the key to succeeding with building a habit.

HOW TO HOLD YOURSELF ACCOUNTABLE: TIPS AND TRICKS
1. Set a S.M.A.R.T goal that you can realistically achieve and periodically update it as you build new habits. Ensure that these habits are easy to maintain before advancing your goals.

2. Invest in a fitness tracker to help measure and keep a log of your data and progress. Looking back on where you started can help you stay consistent, especially at times when you feel progress has stagnated. These trackers can also assist in measuring extra activity throughout the day that may not necessarily be dedicated exercise sessions (i.e., chores, gardening, increased overall step counts, etc.).

3. Set a schedule and stick to it regardless of how you feel. Many of us do not always feel like brushing our teeth or going to work, but we do them anyways because they keep us healthy

4. Rely on discipline rather than motivation to keep you going. Motivation is not reliable, but building discipline helps you to maintain consistent habits.

5. Find fitness friends who have similar goals or consider hiring a qualified coach to support you.