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Ailey Extension is spicing up National Physical Fitness Month with an assortment of flavorful dance and fitness classes.

Photo by Whitney Browne/Ailey Extension

This May, the Manhattan-based Ailey Extension is spicing up National Physical Fitness Month with an assortment of flavorful dance and fitness classes to get people of all backgrounds and experience levels moving.

Ailey Extension said on Monday that all are encouraged to add some excitement to their wellness routines by joining in the dance during workshops, which dive into high energy movement styles from around the world at the Joan Weill Center for Dance NYCs largest building dedicated to dance, and a free series of up-tempo outdoor workshops accessible to all in the heart of Times Square.

For the third year in a row, Ailey Extension said its spirited classes are taking over the streets of Broadway for Dance in Times Square a series of free outdoor dance workshops led by elite NYC instructors.

Presented in partnership with Times Square Alliance as part of the TSQ Live series celebrating NYCs creative community, Dance in Times Square welcomes New Yorkers and visitors alike to join in the dance with a variety of energetic styles such as AfroDance, West African, NY Style Mambo, and samba on Thursdays, May 9, 16, 23 and 30 at 5 p.m.

Dance lovers can keep moving at the Ailey studios all month long with energetic workshops designed to help participants sweat it out while exploring various cultures from around the world, Ailey Extension said.

It said choreographer and Chita Rivera Award-nominee Lyrik Cruz kicks off the month by teaching fundamental Latin dance moves during the NY Style Salsa & Mambo Fundamentals Workshop on Wednesday, May 1 at 7pm; followed by a lesson in how to perfect performance quality and fancy footwork during a Latin Fusion Masterclass on Thursday, May 2 at 7pm.

An Afro Flow Yoga Workshop with Leslie Salmon Jones and Jeff W. Jones on Sunday, May 5 at 2:30pm, integrates yoga practices with live healing music and dances from the African Diaspora for a unique physical and mental wellness experience.

Pretty BIG Movements monthly body positive workshop returns on Saturday, May 11 at 5pm focusing on AfroDance the trendy street styles influenced by the new generation of African rhythms.

Ailey Extension said a Haitian Folkloric Workshop on Saturday, May 25 at 3:30pm explores the captivating rhythms and spirited movement of Haiti through dance.

This months recurring workshops give dancers several chances to practice their craft with exercises to fine-tune their physical instruments, Ailey Extension said.

It said a bimonthly Vinyasa Yoga Workshop with Pilin Anice helps participants increase their core strength while practicing stability and gaining functional flexibility on Tuesdays May 14 and 28 at 6pm.

Former Ailey dancer Linda Celeste Sims is helping ballet lovers refine their skills with technical exercises that involve the entire body during an Intermediate/Advanced Morning Ballet Series on Wednesdays May 8, 15, 22, and 29 at 10am.

Ailey Extensions annual World Dance Celebration Student Performance Workshops kick off this week, giving dancers the chance to let out their inner performer as they let loose while learning a fun and fast-paced global technique.

Students can choose from seven fun dance styles African-Brazilian, Afro-Cuban, AfroDance, Bhangra/Bollywood, Dunham, NY Style Mambo, Sabar, Samba, or West African which double as great blood pumping cardio exercises with health benefits such as increased muscular strength and endurance, Ailey Extension said.

During the eight-week workshop, participants will dive into international cultures and receive individual attention in rehearsals while learning original choreography from Ailey instructors, it added. The workshop series will culminate with two full performances where dancers can show off their skills in front of family and friends at the Ailey Citigroup Theater June 22-23.

With more than 60 weekly classes and special workshops available, Ailey Extension said it allows dance lovers and exercise enthusiasts all over the world to find the fun in fitness and discover different styles seven days a week.

For more details about Ailey Extensions variety of in-person and virtual class options which include hip-hop, ballet, Horton, West African, Zumba, jazz, samba, Masala Bhangra, vogue, NY Style Mambo, contemporary, Pilates Fusion, Broadway Jazz and more visit alvinailey.org/extension.

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Ailey Extension shakes up physical fitness month with upbeat world dance workshops Caribbean Life - Caribbean Life

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Pep Guardiola has given a squad update ahead of our Premier League clash with Wolves on Saturday.

City are currently a point behind leaders Arsenal with a game in hand ahead of the match at the Etihad Stadium at 17:30 (UK).

We won all our five Premier League matches in April to keep the pressure on the Gunners, including a 2-0 victory at Nottingham Forest last Sunday.

Ruben Dias and Phil Foden were both missing through illness while goalkeeper Ederson was replaced at half-time following a clash with Forest defender Willy Boly.

Guardiola confirmed that the three will be available for this weeks game.

[Foden and Dias are] okay, he said in his pre-match news conference.

On Ederson, he added: It looked worse than it is. He trained yesterday and feels good.

Erling Haaland was a second half substitute in the victory over Forest, coming off the bench to score the crucial second goal.

The Norwegian striker had missed the FA Cup semi-final victory over Chelsea and the 4-0 win away to Brighton with a muscle injury.

And Guardiola confirmed he is ready to start the game against Wolves on Saturday.

When everyone is fit they have to be ready, he added.

I dont exactly know what they will do tomorrow. We need to see the last games from Wolves.

City had a rare midweek free of games following our victory over Forest on Sunday.

Guardiola believes it will help with the mental and physical freshness of his players for the final games of the season, with four Premier League matches remaining and an FA Cup final against Manchester United to come.

[We had] days off and three really good training sessions, as always, he said.

Fresh the mind and tactics with little details. But at this stage there is not much to talk about tactics.

Fresh minds and get legs ready for the game tomorrow.

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Guardiola gives fitness update on Foden, Dias and Ederson - Manchester City FC

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From a users perspective, its difficult to know exactly how accurate your wearable is. For example, if youre in the market for the best running watch, what are the chances that youll have the opportunity to strap on two different models at once and run the same route to compare that data? And even if you do manage to find a way to do so, how do you determine which of the two is more accurate?

These are the questions that keep me up at night. As TechRadars Fitness and Wearables Editor, its my job to figure out how to reliably test wearables in order to determine how accurate they are. My two gold standards are the Garmin Epix Pro (one of the best Garmin watches) and the Apple Watch Ultra 2 (which weve ranked the best smartwatch, period); but Ive never before pitted them against each other, nor have I had a more reliable third party to test them against. So, I decided to do just that running the TCS London Marathon.

Every London Marathon runner is given a bib that comes with a built-in radio frequency identification chip, or RFID, which gives each runner an official time. Thereafter, that time is considered as a qualifying time for other races, such as the exclusive Boston Marathon, or in some cases, even world records.

As such, that chip has to be accurate, verifiably so, in order to ensure runners have an accurate measurement of their race time. And so that chip is the perfect reliable metric against which to measure two of the best smartwatches money can buy, while also evaluating how the popular run-tracking app Strava treats the information from my Garmin watch.

Of course, at the time I signed up Id totally disregarded the 16 grueling weeks well, 13 actually, with one week ill, and a further two significantly more chilled-out recovery and tapering weeks of training that would be required to get me in shape. However, running the race was a singular experience; theres nothing quite like the wall of noise from the crowd that buffets you as you run over the iconic Tower Bridge. It made all the pain worthwhile. I finished the race with a chip time of 4:00:54 respectable, but slightly shy of my sub-four-hour goal.

So, what do Garmin, Strava and Apple have to say about one of the most famous foot races of all time? Ive taken a look at the GPS files and information provided by all three services, in order to show you the difference between them. I tried to end the workout on both wearables at the point I crossed the finish line, and successfully did so, so there should only be a few seconds difference from a time perspective.

The Garmin Epix Pro is my everyday running watch of choice. I welcome Garmins complex interface, in-depth running statistics, multitude of graphs plus recovery metrics, such as its Training Readiness Score. Its super-long battery life not only enables the collection of a decent amount of sleep and recovery data, but it also allows me to go on multiple long runs with the battery-sucking GPS mode active, without having to worry non-stop about having to recharge the watch.

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My Garmin recorded my total distance as 42.81km. Although the race course was just over 42.2km (or 26.2 miles) in length, Garmin shows the distance I actually travelled, including weaving in and out of other runners and taking wide corners. While this might not sound like it would make up much extra distance, it adds up over four hours.

The Epix Pro recorded my average pace at 5 minutes, 38 seconds per kilometer, or 5:38/km. As well as all the other stats recorded, my average heart rate was 166 BPM during the race, measured from my left wrist, and total calories burned was 3,005 the equivalent to around two large Dominos original cheese & tomato pizzas, give or take a slice.

This is where things get interesting. Garmin and Apple use different GPS files, different heart rate sensors and different algorithms to process information, and as such also end up with slightly different results over the same race. The Apple Watch Ultra 2 uses what Apple calls a precision dual-frequency GPS system, combining L1 and L5 satellite bands to more accurately determine your position when you run through tall buildings Londons more densely packed areas, for example.

Garmin also uses a multiband GPS technology it calls SatIQ Satellite Intelligence that determines the optimal GPS mode based on your environment. If youre close to tall buildings or in a dense forest, for example, it will use multiband GPS. However, when a low-power GPS mode can achieve the same accuracy in more open areas, for example, it will auto-switch to single band.

The end result is a difference of around 400 meters, or 0.4km which doesnt appear to be much on the face of it, but for elite athletes it could be the difference between running a marathon and disqualification.

One thing I noticed is that even though the Apple Watch Ultra is able to see where I am with pinpoint accuracy, when I dive into my splits (the time I spent over each kilometer of the race), Garmin gives me the numbers down to the nearest 10 milliseconds. Apple, in its customer-friendly approach, provides the data only to the second. Maybe this is where my extra 0.4km was registered. The Apple Watch also underestimated my heart rate by 117 calories (less than half a slice of pizza) compared to the Garmin watch.

Honestly, the difference is minor, especially over four hours of effort. Discovering which of the two is more accurate is difficult; but for the average person running 10km on a Saturday, the variances between the two watches are small enough to chalk them up to algorithmic differences.

Strava uses the information from the Garmin Epix Pro including my Garmins raw GPS information to arrive at its measurements, which is the reason the health stats such as heart rate and calories are so similar. However, Strava processes GPS data with its own algorithm, so there are slight differences.

Strava tends to slightly underestimate Garmins data: in a community post, its said the reason this happens is that Garmin (both the device and Garmin Connect) rounds up distances, whereas Strava rounds down. Its only 0.01km slower, but considering both use the same GPS file, you may see differences on your device and on Strava when looking at recorded workouts.

There are a few other changes: distances are always stored in meters on devices and then shown on Strava in the athlete's preferred units. The first number Strava gives you on its summary is Moving Time, not total time, so it discounts any quick stops.

My Moving Time was actually slightly under four hours; to discover the full time, I had to dive into the statistics under the Analysis section. Garmin, as a serious tool for serious people, doesnt bother with protecting my fragile ego with a faster time, and simply provides the total time recorded on the watch.

Both these watches are equipped to handle serious races and distances, representing the cream of Garmin and Apples respective crops. They have long battery lives, tough casings, top-of-the-range sensor arrays and GPS offerings, and come in at similar premium price points. Since Im not an elite runner, an annual marathon is the only way I can test both the watches limits and my own.

For running, I dont believe the differences between the two models will prove statistically significant for anyone other than elite runners. Regular amateur runners, even those running marathons or ultra-marathons, use watches to provide accurate locations and good information for training and in this regard, both the Apple and Garmin watches are more than accurate enough to provide the information such runners will need.

And Strava? Well, if youve ever wondered why there are differences between your watchs measurements and the information on your Strava account, now you know.

Excerpt from:
I ran an entire marathon with a Garmin, an Apple Watch and Strava here are all the differences - TechRadar

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As hybrid fitness becomes the industry standard post-pandemic, iFITs artificial intelligence-powered digital coach can serve as a key tool in gyms quest to engage and retain members

Freemotion is getting a major boost as it looks to make hybrid fitness the standard at gyms worldwide.

The commercial equipment brand has long embraced its relationship with parent company iFIT, whose vast library of fitness and wellness content, including around 18,000 workouts from expert coaches, is available to stream on Freemotions newest cardio machines.

Soon, iFIT will be launching its AI Coach, an artificial intelligence-powered digital coach that interacts with users via text message to provide personalized, 24/7 support.

Now available in Beta mode, iFITs AI Coach, called Tailor, helps users pinpoint their individual fitness goals. Based on those goals, Tailor then creates custom workout plans, schedules workouts, sends reminders, and delivers motivation to keep users on track and engaged.

I personally use Tailor every day to stay on track with my fitness regimen while testing the product, iFIT CEO Kevin Duffy has told Athletech News, adding that while AI Coach will mark a new era for fitness, it wont replace human personal trainers but rather enhance them.

Through our research, consumers have told us that a great personal trainer would help them know what to do next, in all parts of their health journey, hence why iFITs AI Coach wont solely focus on the workout but the whole person, Duffy explains.

To that end, iFIT is creating an expert panel of fitness, wellness, nutrition and mental health experts to ensure Tailors guidance corresponds to the real needs of users worldwide.

iFIT will be one of the first fitness and wellness brands to enhance its real trainers with AI support with the debut of our AI Coach this fall and we cannot wait to help more people live happier and healthier lives with expert coaching on-demand, Duffy adds.

Hybrid Fitness Is the New Normal

The creation of AI Coach comes as hybrid fitness becomes the standard industry-wide fitness enthusiasts, even highly dedicated gym-goers, are increasingly working out at home and on the go in addition to time spent inside the four walls of their favorite facility.

How people exercise has fundamentally changed since the pandemic and we are remaining nimble to match our customers needs, Duffy says. The hybrid approach to fitness is a new reality from the home gym to studios to sports and hobbies people are no longer compartmentalizing where they break a sweat.

Freemotion is embracing this reality rather than running from it; the equipment brand and its executives are encouraging their gym partners to board the hybrid fitness train before its too late.

We tell our customers, You need to have a digital solution because youre going to lose your members if not, Peggy Vo, Freemotions Director of Global Marketing, has told ATN. You want them to use your digital solution and not someone elses.

AI as a Member Engagement Tool

For gyms, the digital solution Vo speaks of can come by carrying Freemotion machines that stream iFIT content. It can also come by giving members access to iFIT at home to complement the in-facility experience.

Fit Athletic Club in San Diego notably signed a content deal with iFIT in 2023 to give its members a complimentary subscription to the fitness platform. Members at many other clubs across the world have experienced iFIT content in-club on Freemotion machines.

As gyms fight to engage and retain their members, a tool like iFITs AI Coach could be a game-changer. Tailor drives motivation and builds healthy habits with personalized text messages, including daily reminders and nudges. Members who are motivated by Tailor to work out at home using iFIT content can then hop on a Freemotion cardio machine at their gym and pick up where they left off with the same content and featuring the same coaches.

The symbiotic relationship between brick-and-mortar fitness and virtual content is one of the guiding principles behind Freemotions current business model and the value proposition it offers its gym partners in 2024.

(Gyms) shouldnt see it as a competitive product; its a complementary product to what (members) are using in the gym, Adam Guier, Freemotions VP/North America Sales says of virtual fitness options like iFIT content. I have everything I need in my home to work out but I still want to go to the gym. I want that gym atmosphere and that energy you find when you walk into a facility.

Learn more about iFIT AI Coach and sign up here.

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iFIT, Freemotion Take Hybrid Fitness to New Heights With AI Coach - Athletech News

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The Girls on the Run program at Crim Elementary School had its practice 5K on April 19. Twenty girls in third through fifth grades participated in the program, coached by Sara Buddemeyer, Michelle Crider, and Rachel Snyder.

Bobby and Betty Bobcat and Bowling Green State Universitys mascots Freddy and Frieda Falcon supported the students during their practice 5K, as it was the first time they had attempted the total distance.

The students smiled and sometimes sang together as they went around the track. They got a stretchy bracelet to wear each time they went around to keep track of their laps. Many of the first runners to finish their 5K kept going to support their teammates.

As each participant finished, the coaches held a streamer across the track so they could break through it. Each of the girls crossed the finish line with a triumphant smile as their coaches and teammates cheered them on.

The official Girls on the Run 5K race is on May 11, at The Shops at Fallen Timbers in Maumee. Heres the website with more details: https://www.girlsontherunnwohio.org/5k

Buddemeyer said this is a program she wished she wouldve had when she was their age. She said it helps girls build their confidence, develop friendships, learn about being positive, setting goals, combating negative self-talk, encouraging others, being a good friend, and what to look for in a friend.

When asked what they liked about participating in Girls on the Run, several students said they liked that it brought them together, where they made new friends, learned about teamwork, and supported each other. It wasnt a competition between them they were competing against themselves to keep improving at each practice and do their best.

With this being the programs first year, they secured a grant to cover the registration cost for all participants. Each student received a T-shirt and water bottle. Additionally, each student received a new pair of running shoes through a partnership with Adidas.

To train for a 5K, the students met with their coaches after school twice a week for 90 minutes. They had a snack and an opening discussion about the days theme, and then they warmed up, stretched, and had their practice.

Girls on the Run Northwest Ohio hopes to inspire participants of all abilities to recognize their inner strength, make meaningful connections with others, increase their level of physical activity, imagine their possibilities, and confidently stand up for themselves and others. Trained coaches use physical activity and dynamic discussions to build social, emotional, and physical skills while encouraging healthy habits for life. For more information about Girls on the Run of Northwest Ohio, go to: https://www.girlsontherunnwohio.org/@BGSU

Originally posted here:
Girls on the Run program at Crim Elementary promotes confidence, friendships and fitness BG Independent News - BG Independent News

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Time-restricted eating, also called intermittent fasting, has become an extremely popular weight loss method over the past several years. About 10% of Americans over 18 have tried intermittent fasting for some period of time, according to the International Food Information Council.

The simplicity of this diet method is part of its appeal. Intermittent fasting involves eating only during a shortened window of time each day, forcing the body into a quasi-fasting state where it burns more fat for fuel. The diet has been found to be effective for weight loss in many studies, while others have pointed to health benefits including lower cholesterol and blood pressure, improved insulin sensitivity and more.

But the news about intermittent fasting is not all good. A recently published long-term analysis of more than 20,000 U.S. adults found that those who fasted for 16 hours or more per day were more likely to die of cardiovascular disease than peers who ate normally over the course of 12-16 hours per day.

Key findings of the analysis, which spanned a period of between eight and 17 years, included:

People who followed a pattern of eating all of their food across less than 8 hours per day had a 91% higher risk of death due to cardiovascular disease.

Among people with existing cardiovascular disease, an eating duration of 8-10 hours per day was also associated with a 66% higher risk of death from heart disease or stroke.

Time-restricted eating did not reduce the overall risk of death.

We were surprised to find that people who followed an 8-hour, time-restricted eating schedule were more likely to die from cardiovascular disease. Even though this type of diet has been popular due to its potential short-term benefits, our research clearly shows that, compared with a typical eating time range of 12-16 hours per day, a shorter eating duration was not associated with living longer, said senior study author Victor Wenze Zhong, Ph.D.

Zhong noted that, although the study noted a long-term relationship between intermittent fasting and cardiovascular death, this doesnt mean that time-restricted eating was the cause. He said its findings should encourage a more cautious, personalized approach to dieting.

Lisa Russell covers health and aging for both West Newsmagazine and Mid Rivers Newsmagazine. She is a West St. Louis County native [Parkway South, class of 1979] and graduate of Mizzous journalism school. She and her husband have three grown children.

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Long-term intermittent fasting could harm the heart - WestNewsMagazine.com

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Full details of the study design and outcomes from the parent study have been described elsewhere26. Here we briefly describe methods relevant to this analysis.

The parent study was a 22 design assessing the effectiveness of a LF versus LC diet among insulin resistant (IR) and insulin sensitive (IS) adults who were overweight or obese26. We suggest the terms insulin resistance and insulin sensitivity here be interpreted cautiously because we used a proxy measure for this, rather than a direct measure (expanded discussion is provided elsewhere26). Briefly, insulin resistance status was assessed by calculating an area under the curve of insulin concentrations from four blood samples taken during an oral glucose tolerance test (OGTT) (time: 0, 30, 60, and 120min)26. Individuals above the median (separately for men and women) were considered more IR and individuals below the median were considered more IS. Participants were then assigned to either their first diet assignment (LF or LC) via a random number generator in Microsoft Excel.

Participants were recruited from the local Palo Alto, CA community primarily through media advertisements. Premenopausal women and men aged 1850years were invited to enroll if their BMI was 2840kg/m2, body weight was stable over the previous 2months, and medications were stable for3months. Potential participants were excluded if they self-reported hypertension (except for those stable on antihypertension medications); type 1 or 2 diabetes mellitus; heart, renal, or liver disease; cancer or active neoplasms; hyperthyroidism unless treated and under control; taking any medications known to affect weight/energy expenditure or blood lipids; smoking; alcohol intake3 drinks/day; pregnancy, lactation, no menstruation for the previous 12months, or plans to become pregnant within the next year. All study participants provided written informed consent. Procedures for this study were followed in accordance with the ethical standards from the Declaration of Helsinki. The study was approved by the Stanford University Human Subjects Committee (Protocol ID: 23438, approved: 2013.12.17).

The intervention consisted of two 6-month phases. Participants ate an assigned diet (healthy LF or LC) for 6months then switched to the opposite diet for an additional 6months. During each phase, participants received 14 1-h nutrition education classes led by a health educator. Classes were delivered in-person once a week for the first 8weeks, every other week for the next 8weeks, and once a month for the last 8weeks.

The curriculum of the nutrition education classes emphasized the Limbo-Titrate-Quality approach for defining a healthy LF and LC diet. There were three components of this approach. The first component was Limbo, or How low can you go? This involved participants in the LF group reducing their total daily fat intake to 20g/day or less and participants in the LC group reducing their total daily carbohydrate intake to 20/g a day or less for the first 8weeks. The second component, Titrate, involved participants incrementally adding back 5g of fat or carbohydrates per day to their assigned diet for 14weeks (e.g., going from 20g of total fat to 25g of total fat for the LF group). An important part of the second component was for participants to identify the lowest level of daily fat or carbohydrates they felt that they could maintain long term. The third component was Quality, which emphasized diet quality. Participants were encouraged to consume nutrient dense foods, fresh vegetables and fruits, and to prepare meals at home while avoiding heavily processed foods, foods with added sugars, refined white flour products, and foods with trans fats. In summary, the Limbo-Titrate-Quality approach was designed to motivate participants to achieve the lowest possible level of fat or carbohydrate intake, that is, an approach that was equally ambitious with maximal overall nutritional quality and a dietary pattern that could be continued for a lifetime.

There were no caloric restriction requirements for this dietary intervention. Nutrition education classes also addressed mindful eating, body acceptance, sugar addiction, getting adequate sleep, and maintaining healthy levels of physical activity. Participants were encouraged to track their dietary intake using daily food journals. Participants were also encouraged to be physically active and were provided with pedometers (Omron HJ-112 Digital Pocket Pedometer) to track their activity.

Self-reported sociodemographic data on age, gender, race/ethnicity, marital status, education, and employment status were collected at baseline.

Participants current body weight was measured to the nearest 0.1kg at each time point (baseline, 3, 6, 9, and 12months) using a calibrated scale (Scaletronix). Participants height was measured at baseline to the nearest millimeter using a standard wall-mounted stadiometer. Average daily energy expenditure was assessed using the Stanford 7-day physical activity recall39.

Dietary intake data was collected via 3 unannounced, 24-h dietary recalls within a 2-week time window at each time point (baseline, 3, 6, 9, and 12months) using the Nutrition Data System for Research (NDS-R) software [Nutrition Coordinating Center (NCC), University of Minnesota, versions 4.05.33 (2011) and 4.06.34 (2012)]. Recalls were conducted on two weekdays and one weekend day, nonconsecutive whenever possible.

Blood samples for analysis of plasma lipids (including high-density lipoprotein (HDL-C), low-density lipoprotein (LDL-C), and triglycerides), and insulin and glucose were collected after participants fasted for10h. Insulin was collected at baseline, 6, and 12months. All other outcomes were collected at baseline, 3, 6, 9 and 12months. HDL-C was measured by liquid selective detergent followed by enzymatic determination of cholesterol40. LDL-C was calculated according to Friedewald et al. equation41. Total plasma insulin in serum was measured by radioimmunoassay42, and blood glucose was measured using a modification of the glucose oxidase/peroxidase method (Diabetes Research Center, Washington University, St Louis, MO)43,44.

Participant demographics and baseline clinical characteristics were summarized overall and by arm (diet order) as mean (standard deviation) or n (percent) for continuous and categorical variables, respectively.

For the primary analysis, we characterized percent weight change (PWC) before and after introducing the second diet in the crossover. The primary outcome is percent weight change at 36months versus the percent weight change at 69months. Absolute weight change is presented for visual observation. As prespecified in the statistical analysis plan, the primary analysis includes all available data. We fit a linear mixed model with fixed effects: categorical time (3, 6, 9, 12months with 6months as the reference since it is the end of the first diet and occurs before starting the new diet), order (e.g., study arm), insulin status (resistance vs sensitive), gender; and with a random effect to account for the correlated observations over time of each participant. We performed visual inspections for the model assumptions: normality of residuals and homogeneity of variance, using Q-Q plots and scatterplots, respectively. We provide model estimates for the difference in percent weight change at each time period (relative to the 6-month timepoint) along with 95% confidence intervals (CIs). These estimates account for the cross-over design and stratification randomization variables: insulin status and gender. Additionally, we also presented crude estimates for each time period, i.e., average percent weight change (95% CI). In a stratified analysis, we fit a similar linear mixed model by diet order (excluding study arm as a fixed effect) and present model estimates with 95% CIs. Additionally, we present mean percent weight change (95% CI) by diet order and insulin status.

For the secondary outcomes of LDL-C, HDL-C, triglycerides, fasting glucose, and fasting insulin, we fit a linear mixed model similar to the primary model and present model and crude estimates with 95% CIs, stratified by diet order. For blood lipids, a log transform was used on the outcome in the model to resolve departures from normality.

In a subgroup analysis, we fit a linear mixed model similar to the primary model, but included only those participants that were weight stable or gaining before the diet change at 6months (i.e., those that can re-start weight loss). We considered participants to be weight stable or gaining if their percent weight change at the end of phase 1 (6month timepoint) was greater than or equal to 2 percent (weight loss) relative to the weight change at the 3-month timepoint. Estimates overall and by diet order are provided. Also, we presented crude estimates with 95% CI using only weight stable or gaining participants for the secondary outcomes.

Last, we characterized the percent weight change observed in this study (i.e., 12-month trial comparing low-fat to low-carbohydrate with a diet crossover at 6months) and the percent weight change data from the DIETFITS dietary clinical trial (i.e., 12-month trial comparing low-fat to low-carbohydrate with the same diet for the entire study duration).

Data were analyzed in RStudio (Version 1.2.5042, RStudio Team, 2020, PBC, Boston, MA, USA).

See more here:
Switching diets after 6-months does not result in renewed weight loss: a secondary analysis of a 12-month crossover ... - Nature.com

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Deep in the basement of Target Center under the court where the Minnesota Timberwolves have staged an impressive playoff run, Life Time is quietly testing the next offshoot of its business.

The part spa, part health clinic called Miora, where members can enjoy IV drips as well as a session in a hyperbaric oxygen chamber, may sound niche, but Life Time has proved its expansion from a gym into a high-end wellness destination with amenities such as co-working and pickleball can bring big business.

Life Time has reached a record level of retention with members who on average visit the company's facilities more than 130 times a year, a metric that continues to improve month to month, the Chanhassen-based company said in its first-quarter earnings report. Membership dues and fees have increased almost 20% from a year ago.

"Our focus is always to deliver the best member experience and a long, long-lasting enduring business," said Life Time founder and CEO Bahram Akradi in a call with analysts. "We reinvented this business over the last four or five years with a clear vision that the business is not going to be going forward the same as it was before."

Just a few years ago, Life Time was in survival mode. The pandemic forced its clubs to shut down and then reopen with COVID-19 restrictions. In fall 2021, Akradi took the former private company public for the second time in its history in an effort to generate funds. After that tumultuous time, Life Time is now focused on growth with Akradi expecting Life Time to generate a cash surplus in the second quarter of this year.

"This year looks great. Retention is great. Top line is great," he said in an interview on Wednesday. "I'm just thrilled."

In addition to recovery equipment and skin treatments, Miora also offers hormone and peptide therapy such as the GLP-1 drugs that are typically used to treat diabetes but have gained popularity as a weight-loss aid, sparking debates about their intended use and possible side effects.

Many who might seek out the services of Miora, which opened late last year and sometimes has a waitlist for popular equipment such as the red light bed and infrared sauna, have tried traditional solutions for health ailments but their results plateaued, said Ali Yanez, senior vice president for LifeSpa and Miora.

At Miora, which is staffed by healthcare professionals like physician assistants, members can get their blood drawn to provide them with a health assessment that breaks down what is called an individual's metabolic code to analyze areas like their hormones, thyroid health and the immune system.

"When you have the tangible data to say my lifestyle behaviors are causing my chemistry to manifest this way, driving me to feel this way, I now can create some ownership," said Cliff Edberg, senior director of Miora.

The goal over the next few years is to roll out Miora into other major markets, Akradi said.

People are visiting Life Time clubs more often as they improve group and personal training opportunities and add programming for older members, the company said.

Another game-changer driving member visits has been Life Time's more than 600 pickleball courts. In April, Life Time opened its first pickleball facility that was built from the ground-up on its Chanhassen campus next to its offices and athletic club. From January of 2022 to last December, Life Time saw an increase of almost 900% in terms of the number of participants at its Life Time pickleball locations.

Life Time Work, Life Time's co-working arm it launched in 2018, has also seen some success like in Edina where the layout changed to accommodate more workers. Another opportunity Akradi sees in the future is for Life Time to manage and operate athletic clubs and possibly co-working offices in vacant office space as building amenities to help landlords reinvigorate their holdings.

"We could help the office owners substantially in certain locations," he said.

Life Time's luxury apartment complexes have worked in certain locations such as in Green Valley, Nev., not far from the Las Vegas strip. The rental rate in those locations is about 50% higher than the market average. There are more projects in the works in other parts of the country including Paradise Valley, Ariz.

However, plans for a Life Time Living complex in Edina near the Southdale Center still haven't been solidified.

At many apartments, the gym is just a workout room, said Parham Javaheri, Life Time's chief property development officer and president of club operations. But with a Life Time center across the parking lot, "it's your way of life."

That doesn't mean that everything Life Time tries is a success. Akradi had dreams of opening Life Time Sports facilities where young people could learn soccer, but it never financially panned out. The Life Time soccer fields at Southdale Center's campus were eventually converted into pickleball courts. He had also thought of creating hotels he dubbed Life Time Stay, but the current model is just a handful of long-term vacation rentals.

Another challenge is that as Life Time continues to upgrade its clubs and offer better services, its costs also increase. In the first quarter of this year, Life Time's profit dipped more than 9% as center operations and rent grew pricier. However, Akradi attributed the drop to the fact the first quarter of 2023 was benefited by a few one-time deals such as the sale of two of Life Time's triathlon events.

"I would be lying if I told you everything's running perfectly," Akradi told analysts this week. "There's always opportunities to improve."

Continued here:
Life Time adds spa that offers weight loss management including Ozempic. - Star Tribune

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Although body mass index (BMI)has been criticized by some experts, it is still the most commonly used measure for determining whether someone has obesity. BMI is calculated by dividing your weight in kilograms by the square of your height in meters, but there are resources online that can help as well, such as the CDC's adult BMI calculator or the National Heart, Lung, and Blood Institute's BMI index chart. BMI does not, however, provide information about the distribution of body fat.

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If you have obesity, you may be at risk for other health problems. It cannot be stressed enough that obesity is a disease, and the disease is associated with a higher risk of certain conditions, compared with people who are considered a healthier weight, says Samantha Cassetty, RD, a registered dietitian based in New York City and the coauthor of Sugar Shock.

Obesity has been shown to increase the risk of other health issues, including:

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See the original post here:
Weight Loss Surgery vs. Medication: What's the Best Treatment Option for Obesity? - Everyday Health

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Wilmington Healths Jayme Stokes recently successfully performed the first SADI-S procedure in the region, according to the practice.

Stokes, a board-certified general and bariatric surgeon, performed a Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S).

SADI-S represents a significant advancement in bariatric surgery, offering patients a comprehensive solution for long-term weight management, Stokes said in a news release.

The procedure requires making one intestinal bypass instead of two as part of the patients weight-loss surgery, reducing surgical time and minimizing the risk of intestinal leakage.

The two-step laparoscopic surgery begins with the removal of a substantial portion of the stomach, transforming it into a slender sleeve structure, the release stated. This sleeve restricts food intake and diminishes the production of the appetite-stimulating hormone ghrelin, aiding in appetite suppression.

SADI-S was introduced in 2007 as a modification of the more traditional duodenal switch operation, officials said, adding that the procedure has shown enhanced outcomes and reduced postoperative complications.

"Unlike the duodenal switch,SADI-S preserves a greater portion of the intestine, enabling improved nutrient absorption and minimizing the need for lifelong supplementation," the release stated. "Additionally, the single intestinal connection in SADI-S reduces the risk of leakage and future bowel obstruction, enhancing patient safety and long-term surgical success."

SADI-S represents a significant advancement in bariatric surgery," Stokes said, "offering patients a comprehensive solution for long-term weight management."

Read the original post:
Surgeon performs newer type of bariatric surgery - Greater Wilmington Business Journal

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