Climbing the Hill

Climbing a hill is a useful metaphor for activities involved in accomplishing a major goal, overcoming longstanding obstacles, or achieving a noteworthy milestone. But you must be prepared to engage in such a climb. Striking out without a metaphorical map, compass, bottle of water, or raingear will consistently result in limited success or actual failure. From a health and fitness perspective, climbing a hill may represent a real, concrete process. When you're out on your daily walk or run, unless you live and train entirely at sea level you're going to encounter changes in elevation. If you live in mountainous regions such as Southern California or along the Appalachian Trail, such variations in terrain require greater levels of aerobic capacity. Unless you want to spend your exercise time huffing and puffing, climbing a hill in the literal sense necessitates a high level of cardiovascular fitness.

Cardiovascular fitness may also be termed cardiorespiratory fitness.1 Such fitness refers to heart and lung capacity. With increased cardiorespiratory fitness, your heart's stroke volume increases. In other words, your heart pumps more blood with each beat than it did prior to attaining such fitness. More blood pumped per beat means your heart works less to achieve the same result. Your heart becomes more efficient, your blood pressure goes down, and your cells and tissues receive more nutrition more quickly.2,3 Similarly, with increased cardiorespiratory fitness your lungs take in more air with each breath. Such increased lung capacity means more oxygen is available to cells and tissues more quickly. Your entire cardiorespiratory system becomes more efficient. You're expending less metabolic energy and obtaining greater metabolic returns. Cardiorespiratory fitness substantially improves your overall health.

Attaining the goal of cardiovascular (cardiorespiratory) fitness involves the same type of thoroughness as that involved in achieving family and business-related goals. You plan your work and then work your plan. Interval training is a proven method of enhancing cardiovascular fitness, a method that is both mentally and physically challenging. Accomplishing your interval training goals also provides a great deal of fun and personal satisfaction.

Interval training involves alternating intense and slow periods of activity. Let's say you run three days a week, you average approximately 12 minutes per mile, and you run 3 miles per day. Now you'll substitute one interval training day per week for one of your regular running days. On your interval training day, you'll begin by lightly jogging 1 mile. Then you'll run 1/4 mile at 2:45, that is, slightly faster than your regular 3-minute per 1/4 mile pace. You'll continue with 1/4 mile at a very light recovery pace. Next, you'll repeat the sequence of fast (2:45) 1/4 mile followed by the slow recovery 1/4 mile. Repeat the sequence once more, add 1/2 mile of lightly jogging cool-down, and you've run your daily 3-mile quotient. Going forward, you may infinitely vary your interval training sequences, running 1/2 mile, 3/4 mile, and 1 mile interval distances at slightly faster than your race pace. You'll get faster gradually as your cardiovascular fitness and aerobic capacity increase. Within 6 months of engaging in consistent interval training, climbing hills may seem no more difficult than running on flat ground. Not only will you have become much more fit, you will have made tremendous gains in overall health and well being.

1Lavie CJ, et al: Exercise and the Cardiovascular System: Clinical Science and Cardiovascular Outcomes. Circ Res 117(2):207-219, 2015

2Myers J, et al: Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: their independent and interwoven importance to health status. Prog Cardiovasc Dis 57(4):306-314, 2015

3Nayor M, Vasan RS: Preventing heart failure: the role of physical activity. Curr Opin Cardiol 2015 Jul 3. [Epub ahead of print]

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Lunch will be taken from 12:30pm - 1pm

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Testimonials

Reviews By Our Satisfied Patients

  • "I am writing this as a personal thank you to IHMS and their staff, partially Lisa Magdaleno. Since I have been involved with Lisa, IHMS and their staff of doctors. They have been nothing but professional and extremely response to anything needed for my mother. The doctors have incredible knowledge of geriatric patents and there special needs. I have found that Lisa has been very responsive at all times of the day or night. On getting back to me on any issues with my mother. The doctors that have had interaction with my mother have been excellent. I would always recommend IHMS and Lisa to anyone who wants and needs a highly professional medical team taking care of their love one when they need it most.
    Regards,"
    JW
  • "" Brooke was very warm and caring. Her examination was very thorough. Best of all it was all done in the comfort of my own home. Thank you.""
    Vivian P.
  • "I moved my 91 year old mother from an assisted living facility in Colorado to one in Arizona this spring. Moving can be hard for anyone, but especially for an older person. Brooke Eisenhart and her staff at Integrated Health Mobile Service have made the transistion so much easier. My mother found Brooke to be very considerate and respectful. I appreciate how thorough Brooke is. I have dealt with Lisa, the office manager, and she is very effecient and kind. Lisa answers my questions and returns phone calls in a timely manner and is very helpful. It is a blessing to find caring people like this group for mother and for me!
    Sincerely,"
    Marti Dozier
  • "I am so very pleased to write this testimonial for Integrated Healthcare MOBILE Solutions. My husband Ted had a major stroke three years ago. Needless to say, arranging transportation, medical appointments , blood and urine samples for the first two years has been a nightmare. About a year ago I contacted Lisa at IHMS. With in days every service including physical therapy and dental was coming to our home! What a relief, I cannot tell you how much we both appreciated the prompt service with prescriptions, letters to various medical equipment people as well as deferment letters for jury duty. Thank goodness that the entire staff as well as all the doctors are such caring and loving people. Homebound folks and seniors could not have better care today. IHMS is never too busy to help."
    Sincerely, Ted and Sandy Kyle