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From sleep to exercise, gut health to immunity, caffeine to sunscreen, red wine to family time . . . in The Healthy Hundred, you'll learn how everyday choices impact your wellbeing.
Growing older is inevitable. But you might be surprised to learn just how much control you have over your own future health! Today we have a better understanding of just how much we can do to slow down the negative impacts of time - and to prepare for a healthier, happier and longer life.
Dr Peter Larkins is one of Australia's most trusted physicians. In The Healthy Hundred, he draws on his many years of experience to share 100 tips and lifestyle decisions that can influence your rate of biological aging. With this book, you'll learn how you can feel better and get more out of every day.
When it comes your future health, the truth is that surprisingly little is determined by your genetics. The rest is all about how you choose to live! Packed full of practical advice, The Healthy Hundred will show you how to look after your mind and body, starting from today - for a lifetime of happy years ahead.
Dr Peter Larkins embodies a lifelong commitment to health and fitness, honed through a remarkable journey as an international athlete, Olympian, media commentator and renowned medical specialist. With unparalleled insight into peak performance, he now dedicates his expertise to guiding individuals of all ages toward their healthiest selves.
Foreword by Eddie McGuire xiii
About the author xix
Acknowledgements xxi
Introduction xxiii
Part I: Taking a Pulse Check on Aging and Good Health 1
1 Moving from aging to healthspan 3
2 Your health: Whose responsibility is it? 13
Part II: Monitoring Your Health 21
3 Key medical conditions to understand - and avoid 23
4 Health issues for men and women 49
5 Checking your health - the why, how and when 67
Part III: 100 Ways to Improve Your Healthspan 77
6 Exercise 79
Exercise - the most important medicine you can take 79
#1 Learn how exercise works to improve health 81
#2 Use exercise as the ultimate health supplement 83
#3 Work out if you need medical screening 84
#4 Seek advice on planning your best exercise program 87
#5 Know how to start an exercise program 88
#6 Understand what motivates you to improve your fitness 92
#7 Know your limits and keep exercise safe 94
#8 Find time for exercise 95
#9 Don't let excuses get in your way 97
#10 Start with small changes for big gains 99
#11 Take some time for recovery 100
#12 Prepare your workout clothes the night before 101
#13 Increase your walking speed 103
#14 Get those steps in 104
#15 Boost your mitochondria 105
#16 Increase your NAD 108
#17 Increase your lifespan - and healthspan - with exercise 109
7 Nutrition 113
Food - a critical component of healthy living 114
#18 Focus on your gut health 114
#19 Know the fuel your body needs 117
#20 Balance your food intake for body and brain 118
#21 Choose foods that are best for your brain and body 120
#22 Avoid processed foods 125
#23 Focus on good carbohydrates 126
#24 Build and repair with protein 127
#25 Know your good fats and bad fats 128
#26 Cut your sugar 130
#27 Eat some chocolate! 133
#28 Use salt sparingly 135
Good fluid intake and hydration 137
#29 Appreciate water - understand why you need it and how much 137
#30 Enhance performance with milk 140
#31 Boost your heart health with moderate coffee consumption 143
#32 Enjoy a cup of tea 148
#33 Watch your alcohol consumption 150
Your diet and you 151
#34 Aim for a healthy, sustainable weight 152
#35 Take some tips from the Mediterranean diet 153
#36 Pursue your (nutrition) rainbow 157
#37 Benefit from fasting and timed eating 161
#38 Snack well 163
#39 Reduce your inflammation 164
#40 Consider supplements - maybe 166
#41 Understand food labelling 171
#42 Masticate more - and slowly 172
8 Habits 175
Look after yourself with everyday simple actions 175
#43 Make sure you get enough sleep 176
#44 Focus on your sleep hygiene 180
#45 Watch out for sleep deficit and sleep deprivation 181
#46 Monitor your sleep 182
#47 Avoid sleep disorders 182
#48 Dream sweetly 187
#49 Get your daily DOSE of happy hormones 190
#50 Breathe easy 196
#51 Quit smoking - right now! 198
#52 Protect your skin - health is more than skin deep 201
Use it, train it, nourish it - or lose it 203
#53 Get moving every day - incidental activity 204
#54 Stand up for yourself 205
#55 Take the stairs 207
#56 Adjust your parking habits 208
#57 Own a dog! 209
#58 Look after your joints - they keep you moving 212
#59 Get treated for osteoarthritis pain 216
#60 Set an exercise challenge 220
#61 Find your preferred cardio option 222
#62 Chill out with cold immersion 223
Working out where you are in life 225
#63 Understand why postcodes matter 226
#64 Live near a defibrillator 227
#65 Minimise jet lag 228
#66 Get a dose of sunshine - but stay sun smart 230
#67 Be beside the seaside - or any good view 232
#68 Keep up to date with your vaccinations 233
#69 Know your family history 235
9 Mindset 239
Focus on yourself - and nurture others 239
#70 Manage your stress 240
#71 Recognise and avoid burnout 247
#72 Build your willpower (and avoid the 'won't power') 249
#73 Don't be too hard on yourself 251
#74 Think like a child 252
#75 Practise gratefulness 254
#76 Be selfish - it's not always a bad choice! 255
#77 Never stop learning 257
#78 Set your goals 258
#79 Pay attention to the detail 260
#80 Avoid procrastination 262
#81 Learn the value of solitude 264
#82 Practise compassion 265
#83 Seek out mentors 266
#84 Scrutinise expert opinion 271
#85 Get a good financial planner 274
#86 Pick your battles 276
#87 Learn to adapt 278
#88 Know it's never too early to start - or too late 280
#89 Keep everything in moderation 283
10 Connection 285
The importance of family, friendship and community 285
#90 Get married! 286
#91 Enjoy a healthy sex life 288
#92 Instil healthy habits in your children 291
#93 Keep in mind that laughter really is medicinal 295
#94 Take advantage of the benefits of drinking wine 297
#95 Have a hobby 302
#96 Listen to whatever is music to your ears 304
#97 Plan a holiday 305
#98 Enjoy the perfect holiday with the seven Ss 307
#99 Have a workout buddy 314
#100 Never judge a book by its cover 315
Conclusion: What now? 319
Index 325
Why did I decide to write this book? To be perfectly honest, I have been asking myself the same question repeatedly ever since the idea for this project came to mind back in 2018.
Since then, I have been motivated by comments from my closest friends and some of my patients with whom I shared the idea for writing a book. When I told them the title, I received nothing short of encouragement from each and every one of the select few I told. Subsequently, when I mentioned I had started writing my book, and gave some details of the stages I had achieved, the encouragement was even more forthcoming. The finished product has taken some time, but I needed to make sure it covered all the messages and lifestyle strategies I wanted to discuss before it was published.
So, what do I know about health, healthy living, aging (or, more correctly, 'anti-aging') and longevity? I guess the real answer to that question starts with my early development years and my longstanding interest in physical activity and performance.
My sporting career began with my participation as a very young athlete in Little Athletics (LA) in Geelong. (Geelong was my hometown and where LA began in 1962.) My athletics involvement not only allowed me to appreciate fitness but also motivated me to study which types of exercise and fitness activities gave me the greatest performance return. It also sparked my interest in topics such as nutrition, sleep, training and recovery - all from the ripe old age of six years! LA was my first love as a sport, and I have the distinction of being the first male athlete to compete and graduate through the LA system and subsequently be selected in an Australian Olympic track and field team, in 1976 for the Montreal Olympic Games. (Debbie Wells from NSW, a talented teenage sprinter and teammate, was the first female).
My interest in the field of fitness and performance continued to flourish throughout my athletics career, medical training, and many years in private medical practice in the field of sports and exercise medicine. I have continued to learn and develop my expertise, and have remained curious about how to achieve high performance in life rather than purely in the athletic arena. In this book, I've included some of my personal experiences as an athlete, junior doctor and now a more senior specialist sports and exercise physician. Hopefully the anecdotes and life experiences add to the information provided and help you apply it to your own situation.
While I have had a longstanding involvement in the world of elite sport and sports performance, my current interest in optimal life performance was sparked back in 2005, when I was approached by the Melbourne City Council to provide a presentation on the topic of 'work-life balance'. Ironically, this was not a term I was familiar with. After doing some background research, I was surprised to find quite a lot of interest and research in this field, albeit rudimentary and in its infancy at that stage. Within this theme of work-life balance, the focus for my presentation to Melbourne City Council employees and administration was how physical activity could be integrated into each work week. I spoke to the audience about the health benefits of exercise, which were well researched, particularly in relation to cardiovascular disease prevention, and how to create some personal 'self-time'. Even then, I was encouraging my audience to take responsibility for their life health journey and to increase physical activity as a lifelong health-promoting habit.
Over subsequent years, I have presented this seminar in dozens of different formats, and the content has evolved dramatically. I've also developed gender-specific content, looking at the issues faced by men and women, particularly as they age, and their related health needs. However, my core messages have been consistent throughout that time - that is, my conviction about the beneficial role of physical activity and exercise in personal health protection, and the need for all people, regardless of age, to take control of their lifestyle habits and assume responsibility for looking after themselves.
Far too often over my many years of experience, I've seen people, including those in my profession, blindly accept declines in physical performance, enjoyment and overall lifestyle as a supposedly 'inevitable' consequence of the clock progressing. I've seen way too many individuals take a passive approach to health maintenance and then expect the medical profession to 'fix' the problems after they arise. This is not a sustainable attitude, and I've written this book to challenge some of those myths and concepts. Good habits need to be developed, ideally at an early age, but really at any age to minimise the oft-labelled 'inevitable' effects of aging.
Ultimately, I've written this book to help you work on your healthy lifestyle choices so you can be the best you can be, for as long as you can be.
Throughout my many years working in the medical, health and fitness industry, my goal has always been to help my patients and clients to achieve their optimal performance in life - whether they are involved in competitive sport or recreational exercise, or simply trying to be the best they can be in their overall life journey and career. I have also worked to apply the knowledge I have gained working in high-performance sport and translate this into achieving high performance in everyday life. In my time, I have achieved great satisfaction from assisting individuals to improve their lifestyle, fitness and health, and to achieve a higher level of functioning than they previously had.
I'm hoping that by reading this book, you will also embark on the same journey and ultimate achievement.
In the following chapters, I've provided lifestyle tips and habits designed to improve your wellbeing and health, and enhance your prospects of living a long and productive life. My focus is not simply about improving your longevity; I also want to help you improve your quality of life, now and in the future, and be your most productive self - in your personal life and in your career.
I've included scientific facts and the latest medical research, mixed in with my personal experience and some humour. Most importantly, the information included here is intended to offset the all too frequent acceptance of what many see as 'aging changes'. I have always known there is no magic 'fountain of youth' and my research for this book confirms that. However, the messages contained here give you the ingredients to optimise your youthfulness, physically and mentally, as you gracefully age towards 100 years and beyond.
Some sections of this book are more straightforward and factual; in other sections I become more philosophical, as I reflect on things I would like to have done better. My life has not been smooth and is far from perfect. I have faced many setbacks, the majority of them personal and, in some cases, brought about through my own misguided or naïve decisions, at least in some part. I believe I am my greatest critic and the person I have disappointed most in life is myself. As with everyone, my journey continues.
In this book, I pass on the wisdom and tips I have gained, not because I want to be an evangelist or preacher, but simply to let you know that life is a continuing journey of lessons learned. I'm continuing to try to improve myself and be the best version of myself. I attempt to do the best job I can, albeit far from a perfect performance, for me, my children, my closest friends and all those whom I deal with in life. I hope this book helps you do the same.
The Healthy Hundred is all about giving you choices. After a quick outline of the current state of health in Australia in part I, I then cover in part II common chronic health issues - and how you can avoid them or reduce their impacts. Then, in part III, I outline many (specifically, 100!) actions you can take to improve your optimal performance and healthspan, and live a healthier, happier and longer life.
I've organised the 100 actions in part III under five key themes that, based on my research and personal life experience, I believe help you achieve the goal of living to a healthy 100 years and beyond. These themes are:
You don't need to adopt every action immediately, and you don't have to read the book cover to cover before getting started. Perhaps after reading parts I and II, you'll scan through the 100 ways outlined in part III and choose a mixture of options to commence your health journey. You can always choose more as you progress.
Also keep in mind that this book is not meant to be a substitute for professional medical care. This is not a medical textbook; the medical advice is general in nature and is intended to help you...
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