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A new study published in Frontiers in Aging found that a combination of high-dose vitamin D, omega-3s, and a simple home strength exercise program (SHEP) showed a cumulative reduction by 61% in cancer risk in healthy adults aged 70 or older. It is the first study to test the combined benefit of three affordable public health interventions for the prevention of invasive cancers. Following future studies, the results may impact the future of cancer prevention in older adults.

Cancer is considered a major age-related disease in Europe and the US. It is the second leading cause of mortality in older adults and the chances of getting most cancers increases with age.

Apart from preventative recommendations such as not smoking and sun protection, public health efforts that focus on cancer prevention are limited, according to Dr Heike Bischoff-Ferrari of the University Hospital Zurich: Preventive efforts in middle-aged and older adults today are largely limited to screening and vaccination efforts.

Vitamin D, omega-3, and exercise

Mechanistic studies have shown that vitamin D inhibits the growth of cancer cells. Similarly, omega-3 may inhibit the transformation of normal cells into cancer cells, and exercise has been shown to improve immune function and decrease inflammation, which may help in the prevention of cancer.

However, there was a lack of robust clinical studies proving the effectiveness of these three simple interventions, alone or combined.

Bischoff-Ferrari and her colleagues wanted to fill these knowledge gaps by testing the effect of daily high-dose vitamin D3 (one form of vitamin D supplements), daily supplemental omega-3s, and a simple home exercise program, alone and in combination, on the risk of invasive cancer among adults aged 70 or older.

A combination of simple treatments

To do so, the researchers conducted the DO-HEALTH trial: a three-year trial in five European countries (Switzerland, France, Germany, Austria, and Portugal) with 2,157 participants.

In DO-HEALTH, our aim was to test promising combined interventions for cancer prevention taking advantage of potentially small additive benefits from several public health strategies, explained Bischoff-Ferrari. In fact, novel cancer treatments aim to block multiple pathways for cancer development by combining several agents. We translated this concept into cancer prevention.

The participants were randomized into eight different groups to test the individual and combined benefit of the interventions: group one received 2,000 IU per day of Vitamin D3 (equivalent to > 200% the amount of current recommendations for older adults, which is 800 IU per day), 1g per day of omega-3s, and three times per week SHEP; group two vitamin D3 and omega-3s; group three vitamin D3 and SHEP; group four omega-3s and SHEP; group five vitamin D3 alone; group six omega-3s alone; group seven SHEP alone; and the last group received a placebo.

Participants received check-up phone calls every three months and had standardized examinations of health and function in the trial centers at baseline, year 1, year 2, and year 3.

Preventing invasive cancer

The results show that all three treatments (vitamin D3, omega-3s, and SHEP) had cumulative benefits on the risk of invasive cancers.

Each of the treatments had a small individual benefit but when all three treatments were combined, the benefits became statistically significant, and the researchers saw an overall reduction in cancer risk by 61%.

This is the first randomized controlled trial to show that the combination daily vitamin D3, supplemental marine omega-3s, and a simple home exercise program may be effective in the prevention of invasive cancer among generally healthy and active adults aged 70 and older, Bischoff-Ferrari commented.

The results may impact the future of invasive cancer prevention in older adults. Bischoff-Ferrari concluded: Our results, although based on multiple comparisons and requiring replication, may prove to be beneficial for reducing the burden of cancer.

Future studies should verify the benefit of combined treatments in the prevention of cancer, also extending to longer follow-ups beyond the three-year duration assessed in this trial.

Frontiers in Aging

Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.

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A combination of three simple treatments may reduce invasive cancer risk by 61% among adults aged 70+ - EurekAlert

GRAND FORKS Members of the North Dakota Board of Higher Education on Thursday, April 28, approved the creation of several educational programs at institutions across the state.

The creation of the programs, and the termination of one, show action on the part of individual campuses to create needed programs in the state, said North Dakota University System Chancellor Mark Hagerott. The programs range from health and sports-related to advanced technology. The issue of funding those programs, Hagerott said, still needs to be examined.

This is just another example of the campuses adapting, not standing still, said Hagerott. There are programs oriented toward human health, (with) the whole epidemics of obesity, hypertension and drug abuse, but then there are also all these emerging advanced technologies.

Hagerott noted that state funding is backwards looking and that it takes several years for a program to bring in revenue, which can put more strain on smaller regional colleges in the state. Colleges and universities may need to find funding by shutting down some programs, and by examining the more traditional elements of status quo.

Hagerott said campuses want to be adaptive and responsive to student needs, but additional funding may be needed to help get new programs up and running.

It should be helpful to have some type of startup capital to even further accelerate the adaptations of these academic programs, he said.

In total, board members improved the creation of 10 new academic programs. Bismarck State College has the bulk of these new programs with seven having been authorized. The programs include undergraduate certificates in applied design technology, clinical exercise science and an applied associate degree in artificial intelligence and machine learning, among others.

Dickinson State University was given the go ahead to create a bachelors degree in health education. Dakota College at Bottineau and Williston State College can now go ahead with undergraduate certificates in cybersecurity. The latter programs expand cybersecurity education in the state and were created collaboratively with other institutions.

UND had asked, and board members agreed, with eliminating a minor and bachelor of science in graphic design technology. Lisa Johnson, vice chancellor for academic and student affairs, noted there were no students enrolled in the graphic design course.

Board members also appointed four people to the State Board of Agricultural Research and Education. The SBARE is a statutory board that oversees budgeting and policy making for the North Dakota Agricultural Experiment station, and North Dakota State University Extension.

Appointed members are: Pam Gulleson, Julie Zikmund, John Nordgaard and Doug Bichler. They will serve four-year terms beginning on July 1.

Members also thanked NDSU President Dean Bresciani for his service at the school. At a June meeting last year, board members did not give Bresciani a two-year contract. He will leave his position in December, and take on a tenured professor position in health sciences and education. When asked for comment by Casey Ryan, chair of the board, Bresciani was brief:

Thank you for the recognition, he said.

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State higher ed board approves creation of new academic programs, cuts one - Grand Forks Herald

Seattle, WA On Friday, April 29, from 10 A.M. to 4 P.M. all four soccer fields (sports meadow) at Magnuson Park will be closed to allow for a joint agency training exercise.

The closure is due to a joint hyperbaric medical officer and technician course currently underway at the National Oceanic and Atmospheric Administrations complex at Magnuson Park. The two-week course, being taught by the Army Diving Medicine Program of the Army Office of the Surgeon General, brought together service members and civilians from the Army, Navy, Air Force, NOAA, and other agencies to learn dive injury prevention and treatment. Fridays situational training exercise is the final event of the course.

Contact:

Christopher Larsen, U.S. Army Medical Command Public Affairs

253-307-2440, christopher.m.larsen2.civ@mail.mil

Rachel Schulkin, 206-684-8020

rachel.schulkin@seattle.gov

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A portion of Magnuson Park will be closed on Friday, April 29, to allow for a joint Army/Navy/Air Force/NOAA training exercise - Parkways - Parkways...

YPSILANTI, MI -- Teen drivers can try out their newly learned skills at a driving program in Ypsilanti in early May.

BRAKES, which stands for Be Responsible and Keep Everyone Safe, is hosting the free defensive driving course at the American Center For Mobility, 2701 Airport Drive. The event lasts from 8 a.m. to 6 p.m. Saturday, May 14, and 8 a.m. to 3 p.m. Sunday, May 15

Using cars provided by KIA, the program offers behind-the-wheel exercises like distracted driving awareness, panic braking, crash avoidance, off-road recovery and skid recovery, as well as instruction from law enforcement officers and professional racing drivers.

BRAKES is a national defensive driving program founded in 2008 by Doug Herbert, a former multiple NHRA champion, after both his sons died in a car crash. The nonprofit has trained more than 100,000 people, including 50,000 teenagers and 53,000 parents.

The program is open to those age15 to 20 with a valid permit or drivers license and at least 30 hours of driving experience. At least one parent must accompany the student, regardless of age.

While the program is free, participants must provide a $99 registration deposit, to be returned the day of the event. Each course lasts four hours, although times may vary due to COVID-19 safety precautions.

For more information about BRAKES or to register, visit the programs website.

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More:
Dangers of distracted driving, how to correct a skid part of upcoming BRAKES course for teens - MLive.com

In an increasingly connected world, mobile devices have become ubiquitous1. Wearable devices, including fitness trackers (referred to throughout the paper as wearables and fitness trackers interchangeably), provide nearly continuous information on physical activity, heart rate, and sleep. As use increases, data are increasingly integrated into clinical and research settings. There is emerging evidence that fitness trackers can identify changes in heart rate variability, potentially identifying COVID-19 onset prior to a clinical diagnosis2. However, there is a lack of diversity in studies using wearables to study health outcomes3. Despite an increase in broadband and smartphone ownership and use across the United States, access to digital health technologies in lower-income households lags behind middle and upper-income households4. Improved access to digital infrastructure and devices in diverse communities is needed to avoid the risk of digital technologies becoming another social determinant of health5.

One of the core values of the National Institutes of Healths (NIHs) All of Us Research Program is diversity in all aspects of the program, including participants, consortium members, program staff, and researchers6. Diversity of the underlying data from participants is critical for reducing bias in precision medicine research, which aims to discover best clinical practices at the individual, not population, level. The program welcomes participants from all backgrounds and aims to reflect the rich diversity of the United States by enrolling people from communities that are historically underrepresented in biomedical research (UBR), such as racial and ethnic minority groups and those with limited access to medical care7. Recognizing the value of digital health technologies for research and health, the program launched Fitbit Bring-Your-Own-Device (BYOD), enabling participants to donate their Fitbit data to the program8. However, when All of Us Fitbit participant demographics were compared to all program participants, a reduction in diversity in race and socioeconomic status was noted9. This study was designed to reach diverse communities served by Federally Qualified Health Centers (FQHCs) to understand the gaps to participation in Fitbit BYOD.

To bridge this knowledge gap, six FQHCs that are also a part of the All of Us Consortium conducted a survey to collect patients demographic information, interest in having a fitness tracker, and other factors potentially associated with this interest. Descriptive statistics, univariate and multivariate logistic regression, and qualitative assessment of free-text responses were used to analyze the results (see Methods for details; see Supplementary Fig. 1 for a map of participating FQHC sites).

Of the 1007 adults surveyed, 39% identified as Hispanic, 36% as non-Hispanic Black or African American, and 15% as non-Hispanic White (Fig. 1). Almost three-quarters identified as cis-gender women (71%), 14% had less than a 9th-grade education while 45% had completed high school, and participants were evenly divided across age groups. The surveys were administered in English (68%) and Spanish (32%). The primary outcome was whether participants would like a fitness tracker, and overall 58% responded yes, 20% no, and 23% did not answer (Fig. 1).

Tables show the race/ethnicity, education, age, and sex/gender characteristics of the survey respondents. Pie charts compare the education levels and race/ethnicity of the survey respondents to All of Us Research Program participants. Some All of Us participants are FQHC patients and may have taken part in this survey, but not all survey respondents are enrolled in All of Us.

Participants were asked a variety of questions about their exposure to, ownership of, interest in, and familiarity with fitness trackers. Figure 2 displays participants ownership rate and interest in fitness trackers. Participants were asked about barriers to owning a fitness tracker. These Hindering factors include cost, a general awareness of fitness trackers, and specific information about how they can provide health insights, language, and assistance over the phone vs fully digital methods. Respondents were also asked about helpful factors for using fitness trackers, combined under Helping factors as recommendations for potential methods to mitigate disparities in digital health technology use. These include an interest in having a device and learning about how fitness trackers can be used to track health, a willingness to share data for research, owning a smartphone and knowledge of how to download and use apps, and an interest in learning more.

Participants were asked a variety of questions centered around their exposure to, ownership of, interest in, and familiarity with fitness trackers. The top two pie charts illustrate participants ownership and interest in fitness trackers. Participants were also asked what kinds of things get in the way of owning a fitness tracker. Those items were distilled and are listed under Hindering factors. Respondents were also asked about factors that they may consider helpful in reducing barriers to using a fitness tracker, combined under Helping factors as recommendations for potential methods to mitigate disparities in digital health technology use.

A number of factors were associated with would you like a fitness tracker at the 0.05 significance level using two-sided tests (Table 1). Participants who responded they would like a fitness tracker had higher odds in univariate logistic regression models of identifying as a cis woman (odds ratio (OR)=2.13, 95% CI:1.503.04, P<0.001), being a participant from the Cooperative Health FQHC (OR=3.13, 95% CI:1.695.86, P<0.001), having a smartphone (OR=2.02, 95% CI:1.362.97, P<0.001) and knowing what a fitness tracker is before taking the survey (OR=1.79, 95% CI:1.292.49, P<0.001). In the multivariate logistic regression model, participants who would like a fitness tracker were more likely to be among the 4655 and 5665 age groups and identified as non-Hispanic Black or African American. Participants who had a smartphone at the time of the survey and knew what a fitness tracker was before the survey were also more likely to want a fitness tracker. Not having a fitness tracker because they are too expensive and do not understand how it can help participants, but want to learn were also associated with answering yes to, would you like to use a fitness tracker? Not having a fitness tracker because they are not helpful or do not want to commit to using it every day were associated with answering no. These factors, including education and training on the value of these devices, could be considered when designing research studies and programs to improve digital health equity.

Results from a qualitative content analysis were consistent with the quantitative findings. The top three themes were no interest, lack of knowledge, and lost/broken device. Over half of the qualitative responses to why do not you have a fitness tracker were coded as No Interest (52%, e.g.,: Ive never thought of having one, never considered it). This may also be a result of limited awareness or knowledge of potential health impacts. Other common responses fell under the theme of lack of knowledge (18%, e.g.,: didnt know what they were). While cost was not identified as a main theme among the open-ended questions, lost/broken device was prevalent, suggesting that cost may be a barrier to replacing a previously owned device. Our findings suggest that widespread adoption and use of digital health devices are possible across diverse communities, but would require a high-touch approach, including educational materials and public or private financial investment in devices. Limitations of the study include the surveyed patient sample may not be fully representative of the patient population of the six FQHCs, and the lack of a second parallel reviewer in the qualitative analysis.

The majority of patients surveyed are interested in using digital health devices and learning how these devices could improve health. However, cost and understanding how they work are important barriers that could prevent individuals from realizing the benefits of wearable digital health devices such as fitness trackers (Fig. 2). Consideration of cultural nuances are also important, for example with the terminology used to name these devices. In the course of this study, we learned that many Spanish-speaking participants were concerned that these devices could be used to track their movements, because of the word trackers. With the increase in telehealth and telemedicine use due to the COVID pandemic, access to digital health technologies is increasingly important. However, as the use of digital technology expands into health care, careful consideration is required to ensure that existing health equity gaps are not exacerbated and additional health equity gaps are not created.

While studies have been conducted on the use of wearables, very few have specifically sought input from UBR populations. In this study, patients were given the option to complete the survey in English or Spanish; one-third completed in Spanish. A Pew Research study10 found 21% of Americans use smartwatches or wearable fitness trackers. Use was greater for those with a higher annual household income and those identifying as white and/or non-Hispanic. More than 65% of the Pew survey participants identified as white and had an annual household income greater than $30K per year. In contrast, over 70% of participants in our survey do not identify as white (36% identify as Black or African American compared to 10% in the Pew study, and 39% identify as Hispanic compared to 14% in the Pew study). Based on health center data, 90% of the patients at our recruitment centers have an annual income at or below 200% of the Federal Poverty Guideline. Data collected from FQHC All of Us participants indicate that 38.3% have an annual income of less than $10K, 23.9% have incomes between $10 and $25K, and 7.9% between $25 and $35K, with 21.7% preferring not to answer. Our results align with recent findings by Tappen et al11, where significant differences in computer ownership, internet access, and use of digital health information were observed among older racial and ethnic minority individuals when compared to white adults of similar ages. Older age, lower education, lower-income, and minority racial and ethnicity identification predicted limited digital health information use11.

Wearables are evolving to monitor more specific health concerns, including diabetes and heart disease, two conditions that are prevalent in African American and Hispanic communities. Inclusive use of digital health technologies in research and clinical practice will likely require strategic planning for devices, infrastructure, and education about digital health technologies. Most individuals surveyed have smartphones and know how to install apps, but would benefit from additional information on how fitness trackers can be used to improve health. Since the cost of a device was one of the most hindering factors noted in the survey, investment is needed to help overcome this barrier to entry. There is a risk of increasing health disparities through noninclusion in research and clinical care using wearables and other digital health devices; the diverse participants in this study indicated interest in fitness trackers, but barriers such as cost and education exist. Future research to understand potential health disparities and inequity could investigate other evidence-based digital health solutions and real-world data beyond fitness trackers. The All of Us program is committed to engaging with diverse communities and building relationships with community leaders in order to gain trust, but is only one research program. The results of this survey suggest that additional investment in devices and educational materials from other clinical and research programs could contribute toward reducing disparities.

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Wearable fitness tracker use in federally qualified health center patients: strategies to improve the health of all of us using digital health devices...

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If you would like to listen to the column, click on the play button below.

One parable about problem-solving is about how to load rocks into a truck, or a big box. Start with the boulders, then the stones, then the pebbles. Get the order wrong, and the container gets full before the rocks are all in. Get the order right, and the pebbles fill in spaces around the stones, and the stones fill in spaces around the boulders.

Do the big stuff first. The little stuff, last.

What if government worked like that? It happens once in a while, just as a reminder of the power of collective community action the basic idea behind government and of whats possible.

But it doesnt happen often enough in the normal course of government business. It happens when the normal course of business is interrupted, either by events or on purpose.

Texas has a 30-year-old example to consider. Comptroller Bob Bullock, running for lieutenant governor, proposed a performance review of state government, and his successor, John Sharp, actually put it together and made it a full-time operation in his agency. Sharp also made a public appeal for government that works better and costs less, a way to involve voters and raise the stakes for lawmakers who might be reluctant to go along.

The idea was simple: Reconsider everything the state is doing, try to make it more efficient, weed out things that dont work, propose new ideas, save money where possible and remake it all into something better. The first review included recommendations to consolidate state agencies and privatize some state services, among other things. Sharp, who is now the chancellor of the Texas A&M University System, said adopting all of it would free more than $8 billion for savings or other state programs. The Legislature didnt like all of the ideas but went along with a lot of it.

Political work is about vision, about setting goals, about winning public support so you can make laws with those goals in mind. The performance reviews were more about how things work, partly to free up money and other resources that could be used for other government and services, partly just to make things work better.

Its an exercise in separating the operation of government how things work from the direction of government what, in broader terms, government should do. The nuts and bolts on one hand, the vision thing on the other.

Big organizations need a kick in the pants every so often. Spring cleaning. Reconsideration. A good, hard questioning about whats working, whats not, whether the goals now are what they used to be. A shakeup.

I think it is always a good idea to review the efficiency and cost effectiveness of state programs, says Billy Hamilton, the deputy chancellor and chief financial officer of the Texas A&M University System. He was Sharps deputy comptroller in 1991, and managed the first and subsequent reviews.

The performance review made state government better. It introduced new ideas and approaches. It shook things up and became a national model. Over time, programs build up plaque. Theres always a need to remove the buildup or at least ask hard questions.

They saved some money, freeing up billions that were tangled in various programs for use in other parts of the state budget a critical selling point at the time, because state finances were pinched and the Legislature was trying to write a budget that didnt cut programs dear to voters.

There was a lot of squirming in the executive branch of government thats where most of the states programs and services are but it was useful enough that the federal government and other state governments copied it. California even borrowed Hamilton to help run its effort.

It gradually played out, as the offerings became less and less bold. You can make a splash with the first set of recommendations, but each subsequent effort is a little weaker than its predecessor. And deals made to pass various ideas also get in the way: An idea shelved in trade for something else give up this idea and well approve that one cant be brought back two years later. A deal is a deal.

When Sharp moved on, the next comptroller, Carole Keeton Rylander, picked up the performance reviews. But she was considered properly as a political competitor to then-Gov. Rick Perry, and lawmakers had grown weary of the biennial flood of proposals from the comptrollers office.

The Legislature took them away, putting performance reviews in the hands of the Legislative Budget Board, where they have faded into an all-but-forgotten exercise largely ignored by lawmakers.

The states performance reports have been effectively buried, but there are lots of places where state government operations could use a scrubbing. That might free up some money. It might just make things work better, get rid of some underperforming programs and add some things policymakers would like to do.

Its a way to get away from the small rocks the noisy little ideas of most political campaigns and on to the big stuff every Texan knows about and hopes will be addressed by the elected folks in Austin: good schools, good roads, a strong safety net, fair taxes and all the rest. The boulders.

Editors note: Ross Ramsey worked in the office of the Texas comptroller from 1996-98.

Disclosure: The Texas A&M University System and the Texas Comptroller of Public Accounts have been financial supporters of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribunes journalism. Find a complete list of them here.

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Analysis: Every so often, Texas government needs a reboot - The Texas Tribune

Capital increase in TORM due to exercise of Restricted Share Units as part of TORM's incentive program

TORM plc ("TORM") increases its share capital by 34,189 A-shares (corresponding to a nominal value of USD 341.89) as a result of the exercise of a corresponding number of Restricted Share Units.

The capital increase is carried out without any pre-emption rights for existing shareholders or others. 7,090 new shares have been subscribed for in cash at DKK 43.4 per A-share, the remaining 27,099 of the new shares have been subscribed for in cash at DKK 53.5 per A-share. All with a nominal value of USD 0.01 each.

The new shares are ordinary shares without any special rights and are negotiable instruments. The new shares give right to dividends and other rights in relation to TORM as of the date of issuance. The new shares are expected to be admitted to trading and official listing on Nasdaq in Copenhagen on 29 April 2022. Transfer restrictions may apply in certain jurisdictions outside of Denmark, including applicable US securities laws.

After the capital increase, TORM's share capital amounts to USD 815,005.49 divided into 81,500,547 A-shares of USD 0.01 each, one B-share of USD 0.01 and one C-share of USD 0.01. A total of 81,500,547 votes are attached to the A-shares. The B-share and the C-share have specific voting rights.

Contact

Christopher Everard, General Manager

tel.: +44 203 713 4561

About TORM

TORM is one of the world's leading carriers of refined oil products. TORM operates a fleet of approximately 80 modern vessels with a strong commitment to safety, environmental responsibility and customer service. TORM was founded in 1889 and conducts business worldwide. TORM's shares are listed on Nasdaq in Copenhagen and on Nasdaq in New York (ticker: TRMD A and TRMD, ISIN: GB00BZ3CNK81). For further information, please visit http://www.torm.com.

Safe harbor statement as to the future

This announcement may contain forward-looking statements, including 'forward-looking statements' within the meaning of the United States Private Securities Litigation Reform Act of 1995. Words such as "will", "aim", "expects", "anticipates", "intends", "plans", "believes", "estimates", "projects", "forecasts", "may", "should", or the negative of these terms and other similar expressions of future performance or results, and their negatives, are intended to identify such forward-looking statements. These forward-looking statements are based upon current expectations and assumptions regarding anticipated developments and other factors affecting the Company. They are not historical facts, nor are they guarantees of future performance.

Where the Company expresses an expectation or belief as to future events or results, such expectation or belief is expressed in good faith and believed to have a reasonable basis. However, because these forward-looking statements are not guarantees of future performance and involve risks and uncertainties, there are important factors that could cause actual results to differ materially from those expressed, projected or implied by these forward-looking statements. In light of these risks and uncertainties, undue reliance should not be placed on forward-looking statements contained in this release because they are statements about events that are not certain to occur as described or at all.

Except to the extent required by applicable law or regulation, the Company undertakes no obligation to release publicly any revisions or updates to these forward-looking statements to reflect new information future events or circumstances after the date of this release or to reflect the occurrence of unanticipated events. Please see TORM's filings with the U.S. Securities and Exchange Commission for a more complete discussion of certain of these and other risks and uncertainties. The information set forth herein speaks only as of the date hereof, and the Company disclaims any intention or obligation to update any forward-looking statements as a result of developments occurring after the date of this communication.

TORM PLC | BIRCHIN COURT, 20 BIRCHIN LANE

LONDON, EC3V 9DU, UNITED KINGDOM | COMPANY: 09818726

COMPANY ANNOUNCEMENT NO.14

26 APRIL 2022

PAGE 1 / 1

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TORM : Capital increase in TORM due to exercise of Restricted Share Units as part of TORM's incentive program - Form 6-K - Marketscreener.com

Among so many health programs and fads, you may have heard of the 75 Hard challenge, now taking social media by storm. Despite it popping up everywhere from Instagram to Facebook, the program still has an air of mystery to it. So, what exactly is this approach to holistic self-improvement, is it healthyand is it for you?

We spoke with a range of nutrition and fitness professionals to get their expert opinions on the 75 Hard challenge. And heres a spoiler: While most of the pros said they saw some value in pieces of the program, they voiced substantial hesitation, too.

We live in a world filled with new diets, fads, and challenges popping up every single day like a game of whac-a-mole, explains C.P.T. Daniel Saltos, who is behind Train With Danny. While I can find value in this new age of self-improvement, I still approach everything with a healthy amount of skepticism.

Ahead, find everything you need to know about the rigorous program.

Andy Frisella, CEO of the supplement company 1st Phorm International, founded the program in 2019 and its been gaining speed ever since. On the programs website, Frisella bills it as not a fitness program, but rather a transformational mental toughness program.

Following the challenging regime, he says, will result not just in physical transformation but in a complete overhaul of your self-esteem, strength, grit, and more.

Its basic tenants include five critical daily practices that participants must complete for 75 days in a row (and must start over should they miss even one, once). To complete the 75 Hard challenge, you'll need to complete the below criteria:

Saltos says the answer to this question is complicated. While the 75 Hard challenge is noble in its efforts, in his view it misses the mark when it comes to most of the five pillars of health: exercise, stress management, sleep, hydration, and recovery.

For instance, those two daily workouts totaling 90 minutes strike him as problematic. Does anyone here have kids? A job? A relationship? Or better yet, a life? he says. My clients find it hard enough to work out a few times a weekI can't imagine every single day for 90 minutes.

While he thinks the effort to get people moving is healthy at its core, this approach is both unsustainable and not realistic for most individuals, he says.

Dana Ellis Hunnes is a senior dietitian at UCLA Medical Center and the author of Recipe For Survival: What You Can Do to Live a Healthier and More Environmentally Friendly Life. She similarly questions the feasibility of the plans approach to exercise. Ninety minutes of exercise for many people can feel incredibly daunting, and not everyone lives in a safe place, or has access to a safe, clean environment to exercise outside in, she says.

Jackie Kaminski, R.D.N. and nutrition instructor for the National Academy of Sports Medicine, however, thinks this time spent daily on physical activity is generally beneficial. And she notes theres no requirement for high-intensity workouts. So even for a beginner, this could include low-intensity workouts like a leisure bike ride, yoga, or swimming.

Multiple professionals voiced concern that the program associates exercise and consumption with misery while eschewing moderation. And neither of those approaches are helpful over the long term, they say.

Exercise should be fun and enjoyable, not stress-inducing, Saltos says. Plus, the no cheats and no alcohol for 75 days is not sustainable. Life is too short to fixate over a piece of chocolate cake. Eat ityou'll be fine. I prefer to teach my clients sustainable long-term tactics that teach moderation.

For her part, Kaminski supports the total elimination of alcohol as a healthy step. Alcohol is a depressant, disturbs sleep, disrupts metabolism, depresses muscle protein synthesis, and adds unnecessary calories to ones diet, she says.

She does, however, voice concern about the option to choose any diet, which can be unhealthy and harmful if someone doesnt have a healthy relationship with food or is unknowledgeable about basic nutrition principles,'' she says. This could allow someone to cut various foods out of their diet just to lose weight, which could lead to nutrient deficiencies and increase risk of sickness or injury. (Still, she acknowledges that this approach can give some people the healthy freedom to act within parameters that are realistic for their needs.)

The requirement to shoot daily progress pictures represents another concern for the pros. I've worked with enough people to know that accountability is one thing, but becoming obsessed with how you look is entirely different, Saltos says.

Kaminski, too, considers this a potentially dangerous daily task for people who suffer from body image issues or body dysmorphia.

Hunnes posits this piece of the challenge may be good or bad, depending on the person, and could be harmful to people inclined to see only their own flaws.

Multiple experts we consulted expressed concern over the programs lack of specificity surrounding nutrition and fitness.

There are no specific guidelines for someone to follow based on their fitness level or knowledge base, leaving too much room for interpretation, Kaminski says. For a novice with no knowledge base, it can lead them to take very extreme measures that can significantly increase their risk for injuries and potential health issues.

Saltos echoes the concern. The lack of specificity is a major gripe of mine. People come to me for guidance and support. Can you imagine if I just told them to read a book, exercise, drink water, eat healthy foods, oh, and don't drink or have chocolate? he says. It's kind of like giving someone only half a map to where they need to get.

In addition to developing physical strength and losing weight, the 75 Hard program aims to tackle a holistic approach to self-improvement, with target benefits that include developing new skills and tools (through daily reading), building confidence and self-esteem, and practicing long enough to solidify nominally healthy new habits.

Saltos says that the hydration and reading components are great mind-body guidelines. Reading 10 pages a day is a great way to put down your phone, practice mindfulness, and put your brain to work, he says. I see a ton of value in this.

But Kaminski questions whether habits developed for the program will really stick, however, given that no guidelines exist to help someone maintain the results theyve achieved over the course of 75 days, she says. How does one not revert to old habits and end up in a yo-yo pattern that most conventional diets cause?

Saltos agrees. Yes, some might have success with 75 Hard challenge, but most won't. I have seen it time and time again, he says. Anyone can stick to a tough challenge for one month, two months, and maybe three months, but what happens after that? What happens when you haven't learned how to practice moderation. You haven't learned to operate in what I call the gray area.

Overall, Hunnes is also skeptical about the mental benefitsespecially for people who have a history of eating disorders, people who don't live in safe neighborhoods, and people who will feel a sense of failure if they can't make it work one day and then just want to give up.

While the professionals we consulted found potential benefits in the program, most would not recommend it to their clientsat least not without major caveats.

Jordan Dorn, co-founder of Zuma Nutrition, was perhaps the most enthusiastic among the experts we consulted. I think someone interested in making a significant lifestyle change should consider this challenge, especially if they are inspired to perform a lot of physical activity. It would be best if one can do this challenge in a support group or with an accountability partner that can support them.

Hunnes says she would recommend only parts of it to her clients, namely the idea of exercising more, outsidein nature where possibledrinking plenty of water, reading healthy and motivating books, less or no alcohol, she says. But she wouldn't recommend the daily photos, especially to people who have a history of eating disorders or other conditions.

Kaminski says shed warn anyone with body-image issues, body dysmorphia, eating disorders, food phobias, or any other mental health disorders to avoid this program. My fear would be that if this challenge could not be followed or if physical goals could not be completed, it could lead to feelings of failure or continued disordered eating and body-image patterns, she says. Overall, unless a client was working under a certified health or fitness professional to guide them appropriately for this challenge, I would not recommend it.

Dorn would make a similar recommendation. I think challenges like this can fuel inspiration to make positive changes in ones life, however, I would not personally recommend this challenge, he says. I prefer to help my clients make lasting dietary and lifestyle changes that will endure far beyond 75 days. I also feel the intensity of exercise is unnecessary for the average person unless they feel personally motivated to do so.

Saltos suggests a small percentage of the general population will find value in something like this in the long term. These are people who thrive with strict parameters, and people who dont work typical office hours or have kids.

I'm all for trying new things and helping people reach their potential, but in this case, I don't believe this plan offers all the tools necessary to achieve that, Saltos says. If after reading this you still want to give it a go, by all means, go for it! Just remember, Rome wasn't built in 75 days.

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What Is the 75 Hard Challenge? And Should You Try the Program? - Prevention Magazine

Submitted by Kendra Sanders

WACO, Texas In each new year, gym memberships spike and losing weight tops many lists of New Years Resolutions. An article published by the National Institutes of Health, however, shows that the benefits of exercise go far beyond the scale. The study authors explored the impact of the COVID-19 pandemic on physical activities, based on information published between 2019 and 2021. They found that maintaining regular exercise is effective and engaging in alternative modes of physical activity is a key strategy to maintain mental health and well-being.

Its important for women to understand that the social isolation measures implemented to reduce the rapid spread of the COVID-19 may have led to an increase not only in body weight but in stress and anxiety as well, says Krishea Holloway, Curves president and CEO. The good news is that regular exercise can improve the tone of both your body and your mind; and sharing that positive experience with other women in one of our gyms or virtually through our MyCurves On Demand online program is motivating and empowering.

With multiple studies citing the concern that people experienced a general decline in well-being, deterioration in mental health, and an increase in psychological distress such as stress, anxiety, depression, and feelings of isolation due to COVID-19 restrictions, the authors reached their conclusions by investigating three central arguments:

First, physical exercises during COVID-19, especially supervised exercises, are conducive to enhancing happiness and improving mental health.

Second, physical exercise reduces peoples anxiety, sadness, and depression during the COVID-19 pandemic.

Third, the maintenance and improvement of mental health are related to the intensity and frequency of physical exercise.

The authors findings that physical activity is helpful in promoting mental health dont surprise us, said Holloway. At Curves, we have always focused on strengthening women inside and out with a regular exercise program, offering members options that range from woman-centric health, wellness, and nutrition programs to 30-minute specialized workouts that focus on womens health essentials like cardio fitness, boxing, and balance. Our effective 30-minute full-body workout allows women to carve out a time for themselves when they can focus on their physical, mental, and emotional well-being, and share that experience with a community of other women. Its a unique approach that promotes physical, emotional, and social health.

To learn more about Curves full-body 30-minute circuit training approach to fitness in the gym and the MyCurves on Demand at-home workout, please visit http://www.Curves.com

ABOUT CURVES: For 30 years, Curves has been a leader in womens fitness, helping millions of wom en get stronger and healthier. Curves mission is to strengthen women by providing fun, fast, and safe programs to help women reach their health and fitness goals. Curves is one of the largest chains of fitness clubs for women in the world, famous for its 30-minute circuit with a coach that works every major muscle group with strength training, cardio and stretching.

Curves Specialty Classes/Circuits focus on providing strength, balance, and flexibility through categories like Balance, Body Basics, Cardio, and Boxing. The Curves Nutrition & Weight Management Program promotes balanced and sustainable nutrition education designed to help decrease body fat, increase lean muscle mass, and improve metabolism when followed with the Curves workout.

MyCurves On Demand brings the Curves trusted 30-minute workout to your own home. Led by real Curves coaches and developed by Curves program experts, MyCurves On Demand is accessible anytime, anywhere on your favorite smart device. MyCurves On Demand + Group Coaching combines the support and accountability of a Curves Coach with the virtual online community of like-minded women.

The Curves Health & Wellness Education Series provides members with education on important health topics impacting women of all ages, so they can make improvements for their own health and wellbeing. For more information on any of Curves program offerings, please visit http://www.curves.com. For franchising information visit https://www.curves.com/team/buy-curves

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Physical Exercise and Mental Health the Mind-Body Connection Mountaineer Echo - The Mountaineer Echo

"As we celebrate three decades of SilverSneakers, we're particularly eager to recognize our amazing instructors who directly impact the lives of members every day," said Richard Ashworth, president and CEO of Tivity Health. "Throughout the last two years, our instructors have risen to the challenge of the pandemic and adapted to a wide range of teaching formats while continuously showing up for members and inspiring them to live their healthiest lives. Our instructors are true coaches, friends and role models for SilverSneakers members."

The 2022 Instructor of the Year awards recognize the entire family of SilverSneakers instructors including in-person and FLEX Community Fitness instructors. The winner and four finalists will be highlighted on the Instructor of the Year website, and the winner will be featured in our 30th anniversary celebration taking place later this year. The call for nominations willbe open today through April 1, and nominations can be submitted through silversneakers.com/instructorawards. Nominations are open from all peers, class members, fitness location staff and instructors. A SilverSneakers committee will review nominations and the winner and finalists will be announced at the end of May.

Currently, more than 18 million Americans are eligible for SilverSneakers at no additional cost through Medicare Advantage, group retiree, and Medicare Supplement plans. SilverSneakers encourages members to participate in health and fitness programs through a wide variety of offerings that include strength training, aerobic workouts, and flexibility exercises designed specifically for a Medicare eligible population.

SilverSneakers is continuing to expand fitness and well-being opportunities for members in 2022 with thousands of instructor-led classes each month. Eligible members also have access to over 23,000 fitness locations nationwide and can use their membership for access to multiple locations. In addition, eligible members in participating health plans can experience social engagement and mental enrichment offerings through innovative partnerships with GetSetUp, a virtual learning platform, and Stitch, an in-person and online social community for seniors, allowing older adults to connect virtually and in person.

Membership in SilverSneakers and classes led by instructors who are specially trained in older adult fitness can also help older adults get active many for the first time in their lives. According to the 2021 SilverSneakers annual member survey, thirty-four percent of participants report SilverSneakers is their first fitness membership, and 28% are new to regular exercise when joining the program. 88% of members report that SilverSneakers has improved their quality of life, demonstrating that the impact of the program is physical, emotional, and social. To check eligibility, visit silversneakers.com.

About SilverSneakers

SilverSneakers, by Tivity Health, is the nation's leading community fitness program for Medicare eligible Americans. The program was founded in 1992 and is available to about 18 million Americans through many Medicare Advantage plans, Medicare Supplement carriers, and group retiree plans. For more information, to check eligibility or to enroll in the program or sign up for a SilverSneakers newsletter, go to silversneakers.com.

About Tivity Health

Tivity Health Inc. (Nasdaq: TVTY) is a leading provider of healthy life-changing solutions, including SilverSneakers, Prime Fitness and WholeHealth Living. We help adults improve their health and support them on life's journey by providing access to in-person and virtual physical activity, social, and mental enrichment programs, as well as a full suite of physical medicine and integrative health services. We continue to enhance the way we direct members along their journey to better health by delivering an insights-driven, personalized, interactive experience. Our suite of services support health plans nationwide as they seek to reduce costs and improve health outcomes. At Tivity Health, we deliver the resources members need to live healthier, happier, more connected lives. Learn more at http://www.tivityhealth.com.

Contact:Debbie JacobsonTivity Health(480) 444-5204[emailprotected]

SOURCE Tivity Health

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SilverSneakers Opens Nominations for 2022 Instructor of the Year - PR Newswire

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