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Exercise again--- being overweight versus exercising.

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  • bryan
    replied
    Re: Exercise again--- being overweight versus exercising.

    About a year ago I was reading through this little book my my fiance picked up at the grocery store. It said:

    the daily recommended allowence for women was 2000 calories, 70 grams of fat, with only 20 grams of saturated fat

    the daily recommended allowence for men was 2500 calories, 87 grams of fat, with only 26 grams of saturated fat.

    I thought to myself this cant work, but wanting to lose some weight to see if it helped with my symptoms I tried it out. I went from 220 to 192 in 2.5 months.The weight loss was noticeable, Dr Maron said he could even tell. Since then I put about 10 pounds back on, but it worked. The suckiest thing about it to me was having to read and remember everything I ate. It probably would have been better if I could have exercised also, but alot of us HCM'ers cant.

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  • mtlieb
    replied
    Re: Exercise again--- being overweight versus exercising.

    Originally posted by morgan
    I have always been under the impression that as long as you burn more calories than you eat, you should be able to lose weight no matter what your heart rate is.
    Good point Morgan...

    It seems like burning those calories though is next to impossible if you're saddled with a very low exercise heart rate, which is why a lot of us get discouraged. I think that's what Sandy was addressing in her original post. Are we left primarily with dieting as our main strategy for weight loss, or do we push the guidelines a bit and take our chances with more intensive exercise? It's hard to know what to do.

    The first link below is to a study published in the British Journal of Sports Medicine, where they studied the negative effects of beta blockers on exercise metabolism in healthy individuals. One group was given celiprolol, one group was given atenolol, and the rest were given a placebo. After four days on the meds they were all put on a treadmill for two hours and worked out at equal intensity levels. The results showed that fat oxidation was significantly lower for those on beta blockers... 36.6% lower for the atenolol group alone... while performing exactly the same exercise and intensity as the control group. And that's on a 50mg dose of atenolol. Many folks here take much higher doses than that, so it's easy to see how the weight loss issue is tough.

    Reference articles:

    http://bjsm.bmjjournals.com/cgi/cont...tract/31/2/120

    http://hyper.ahajournals.org/cgi/content/full/37/2/250

    Jim
    Last edited by mtlieb; 07-28-2006, 01:07 AM.

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  • morgan
    replied
    Re: Exercise again--- being overweight versus exercising.

    I have always been under the impression that as long as you burn more calories than you eat, you should be able to lose weight no matter what your heart rate is. A "target" is just that, a target even if you you don't hit it, you are burning calories if you are moving.

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  • Spalding
    replied
    Re: Exercise again--- being overweight versus exercising.

    The only thing I can think of for those of you stuck at 100 bpm is to ask your doctor about switching off beta blockers to maybe a calcium channel blocker.

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  • prettymom
    replied
    Re: Exercise again--- being overweight versus exercising.

    I used to weigh 110 lbs. After having been diagnosed to have HCM with obstruction, I was advised to take it easy. I limited my activities and stopped exercising (aerobics and ballroom dancing). I now tip the scale at 130 lbs. My fat deposited mainly at my midsection. I am barely 5 feet tall. I hated seeing myself while I was in the bathroom. My friends who had seen me now usually blurt, jokingly (I hope), “What has happened to you? I thought you were sick or something! How come you’re fat?” Well I could only smile, but my pride is deeply hurt. I refused to go out socially. I was so depressed. I have asked God, what good is being alive when I am not happy with myself? I believe God answered me through my husband. When my husband knew what was causing my depression, he told me that I should focus more on improving myself and my condition instead of self-pitying. My husband, my children, my nephews and nieces, my sister and my brother, even my three-year old grandson poured out their love and support. They encouraged me and prayed for my re-entry to the mainstream of life. It was not easy but I have learned to love my new self.

    I am now on cardiac rehab. I am slowly exercising to be able to resume my normal activities. Some days, I feel fine, some days, I feel low. I am gradually learning to read myself. When I feel fine, I push myself a little bit more… I mean, with activities that I enjoy, including belly dancing (ha ha ha!). When I feel low, I get some rest and take it easy.

    Alma
    ________________________________
    From the Philippines; diagnosed in June, 2006, with obstruction; implanted with a dual chamber pacemaker on August 15, 2006
    Last edited by prettymom; 07-26-2006, 01:31 PM.

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  • Reenie
    replied
    Re: Exercise again--- being overweight versus exercising.

    I'm sorry, I wish I did have some ideas.

    Reenie

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  • mtlieb
    replied
    Re: Exercise again--- being overweight versus exercising.

    Interesting discussion,

    I would love to get my heartrate up to where I can get a good hard workout and see some real progress. According to the Karvonen formula, my target zone should be 136 - 158 bpm with a max heartrate of around 180 bpm. But therein lies my predicament, because it's physically impossible for me to get my heartrate over 100 bpm. So technically, I am never reaching my target zone during my workouts which is where all the real cardiovascular and fat-burning benefits are seen. I believe this is what many of us are talking about. How do we achieve the same results while at the same time keeping our heartrates low?

    Jim
    Last edited by mtlieb; 07-26-2006, 06:28 PM.

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  • Reenie
    replied
    Re: Exercise again--- being overweight versus exercising.

    When my husband was first diagnosed they recomended he stay below 110 also. Since then they've revised it to say he can do what he wants until he feels fatigued or can't hold a conversation. I don't know how high his heart will go now, but I know he stays around 55 bpm at rest.

    Reenie

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  • Cynaburst
    replied
    Re: Exercise again--- being overweight versus exercising.

    I am like Jim. I am on 100 mg. of atenolol and 600 mg. of Norpace daily. I also cannot get my heartrate over 100 bpm no matter how hard I try.

    I had a stress echo done in May where I was going as hard as I possibly could for 11 minutes, and I got up to 98 bpm or something. My doctor commented that I was well beta blocked.

    Leave a comment:


  • Abbygirl2
    replied
    Re: Exercise again--- being overweight versus exercising.

    I have never been given a target heart rate either. Just walking around the house my heart rate jumps to over 100bpm. On my previous event monitor my heart rate had reached 140bpm-and thats with 75mg Atenolol.

    Pam

    Leave a comment:


  • BlueDevil
    replied
    Re: Exercise again--- being overweight versus exercising.

    I never asked my doctors for a target heart rate, but my ICD is programmed to fire at around 152bpm.

    The only thing I've been told is to work on aerobic endurance.

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  • HuskerJeff
    replied
    Re: Exercise again--- being overweight versus exercising.

    I pushed both my local cardiologist and Dr. Ommen at Mayo for a target heartrate, but neither would commit to a number. Both said "excercise as much as you can while still being able to maintain a normal conversation with someone". But I've not heard the 100-110 max number that some speak of. Not very useful in my book, but I suppose that the "everyone's different" mantra pops up here again.

    As for BB's and heartrate, again everyone is different. At my 8 week followup at Mayo, I had an "excercise test" in which my HR maxed out at 154, and I was on 75mg Toprol at the time.

    Leave a comment:


  • Spalding
    replied
    Re: Exercise again--- being overweight versus exercising.

    Thanks, mtlieb. Wow, I am amazed that you can't reach 100 bpm. My heart rate seems to just float right up there very easily - going up any hill will do it. 100 for me is an easy walk with no sweating at all.

    Oh, I forgot that beta blockers are usually blamed for this 100 bpm "wall" higher up in this thread. I am on a calcium channel blocker, Cardizem, and it doesn't appear to have that effect.
    Last edited by Spalding; 07-25-2006, 07:31 PM.

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  • mtlieb
    replied
    Re: Exercise again--- being overweight versus exercising.

    Spalding,

    I won't speak for Sandy, but I can tell you that at my three-month myectomy follow-up with Dr. Lever in Cleveland, I was instructed as well to keep my heartrate under 110 bpm. As I said previously in the thread however, this is a moot point for me as my meds will never allow my heartrate to get over 100 bpm. And it is not for lack of trying. LoL. On a treadmill at rehab, walking fast as I could on an incline, my instructor cracking the whip at my side, sweat pouring off my face, the highest I ever got was 98 bpm.

    Dr. Lever speaks annually at the HCMA conference, so it may well be him who Sandy was referring to. If not, it would have been one of our other HCM experts so the information can be considered accurate. Perhaps we might ask Lisa or Kelly for the notes from that meeting which will help to clear up the issue, provide the reasons for the heartrate restriction, and for whom specifically the restriction applies.

    Jim
    Last edited by mtlieb; 07-23-2006, 07:59 PM.

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  • Spalding
    replied
    Re: Exercise again--- being overweight versus exercising.

    Today was a beautiful day, so I took advantage to take two dog walks and a short bike ride, usually staying below 130 bpm, ranging 90-120 for the most part. I am very rested from the last few days so it felt fine, and now the test will be to see how I feel tonight. It's almost like in addition to a heart rate monitor during riding I need a heart "forcefulness" monitor for after the riding, since it seems that when I feel bad my heart really pounds.

    Sandylevitt, if you have any more information on that 110 limitation, I would like to know. My cardiologist was very general, he just said to see how I feel while trying to slowly return to normal activities (after fainting during exertion and subsequent ICD implantation).

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