From Fat to...Less Fat

[skeskali]

Hi all,

A few years ago, I lost a whopping amount of weight - 150 pounds. Since then, I tore my medial meniscus, had knee surgery, discovered I had osteoarthritis (my surgeon says I have the knees of a 55 year old woman), and was diagnosed with Rheumatoid Arthritis. I've gained back a lot of the weight I lost, but managed to keep off 60 of what I lost by sheer cussedness.

My doctors all want me to try to take off at least 10% of my present weight, and I'm game to give it another go, but all of the exercises I used to enjoy - running, boot camps, high impact plyometrics, even some forms of weight training - are off the table. They're recommending I start swimming, but I'm terrified of water.

Can any of you recommend a good training regimen that I can start out with that isn't super tough, but that will challenge me and help me shed some weight? I don't need to do it quickly, just consistently. And it needs to be fun. Thanks in advance!

[Pedal Wench]

Just ride! Really, it's fun, and as long as you watch your calories, the exercise will start turning up the metabolism.

[Tri Girl]

What about BodyRock?
It can be very high impact, or it can be no impact- but it will kick your butt. She always shows modifications for all levels. The workouts are intense, but only last 12 minutes a day. Doable by anyone's standards. I get my arse kicked every time I do it (although I wish I could motivate myself to do it every day).

Is your fear of the water something that you think you could gradually get past? If you hired a swim coach and got a little instruction, could you possibly consider getting in the water?? When I've been injured and couldn't run, I would water run for an hour in the pool (boring as heck, but it mimicks running and is a good workout). Or you could use a kickboard and kick (fabulous leg workout). Both of those wouldn't involve putting your head underwater and would give you control. Just a thought.

And riding, of course! There's always riding.

[skeskali]

What about BodyRock?
Is your fear of the water something that you think you could gradually get past? If you hired a swim coach and got a little instruction, could you possibly consider getting in the water?? When I've been injured and couldn't run, I would water run for an hour in the pool (boring as heck, but it mimicks running and is a good workout). Or you could use a kickboard and kick (fabulous leg workout). Both of those wouldn't involve putting your head underwater and would give you control. Just a thought.

I can do aquafit/hydrobics, but actual swimming is outside my comfort level. I took swimming lessons a few years ago, and I'm a sinker, not a floater. It makes swimming even harder, and I nearly drowned (or so I thought) when I panicked in the pool.

I've never heard of BodyRock - thanks for the suggestion!

[nscrbug]

I didn't see the OP mention any restrictions on cycling, so that sounds like a perfect option to me.

[marni]

in addition to the exercise, modify your food intake by cutting out the fat intake and limiting the caloric intake, Lots of fresh fruit, veggies, water, green tea, fish, lean poultry, a whole foods approach. Cook oil free, avoid pre processed foods, etc. you probably know the drill. After the initial weight loss itsall about not slipping back into bad habits and maintaining maintaining maintaining. Unfortunately, the older you get the more exercise and work it takes to stay in the same place- seems unfair somehow says she who is struggling to maintain her 125 pound weight loss with diet, biking, body weight and free weights, swimming and whatever else I can think of that won't wrack out my ruined ( without cartilege and missing AC ligament knees)

[skeskali]

I didn't see the OP mention any restrictions on cycling, so that sounds like a perfect option to me.

Nope, no restrictions there!

I tried fast road cycling for a bit but realized it wasn't for me. I want to put in miles/KMs, but I'd prefer not to do it on a sleek racing frame.

[skeskali]

Pilates?

I've thought about it, but haven't seriously investigated it, mostly because of the expense.

[LunaB]

If you are afraid of swimming, one good idea is to get a wetsuit - one made for triathletes. This will give you a feeling of safety as it keeps you afloat, it will also keep your legs high in the water which gives you a good position. And it keeps you warm! (Not such a good idea in really warm water but then you can use a shorter suit.) Wear good fitting goggles!

Other than that I too think cycling is the ultimate for weight loss without too much strain on your body. Long steady rides. Good luck!!!

[Sky King]

As a 56 year old with a challenge knee I can relate. Walking isn't a bad alternative, doing some hiking with trekking poles. I agree on the water, I love deep water exercise. You do wear a flotation device so wonder if that would help with your fear. Really helped me after a bad couple years with achille's issues and a broken foot. I am trying a boot camp for the first time ever - so far so good, I major modify and the trainer has been great about giving me alternatives to what the rest of the group is doing. Keep up the good work. Being healthy and feeling good means way more to me than what ever the scale might announce

[Bike Writer]

Hi all,

A few years ago, I lost a whopping amount of weight - 150 pounds. Since then, I tore my medial meniscus, had knee surgery, discovered I had osteoarthritis (my surgeon says I have the knees of a 55 year old woman), and was diagnosed with Rheumatoid Arthritis. I've gained back a lot of the weight I lost, but managed to keep off 60 of what I lost by sheer cussedness.

My doctors all want me to try to take off at least 10% of my present weight, and I'm game to give it another go, but all of the exercises I used to enjoy - running, boot camps, high impact plyometrics, even some forms of weight training - are off the table. They're recommending I start swimming, but I'm terrified of water.

Can any of you recommend a good training regimen that I can start out with that isn't super tough, but that will challenge me and help me shed some weight? I don't need to do it quickly, just consistently. And it needs to be fun. Thanks in advance!

I have osteo and rheumatoid arthritis also and about two years ago turned to biking to give myself the exercise I needed without the impact that comes with other forms of exercise. I cycled since I was a kid but someplace in my mid to late 30s it went by the wayside with a busy life. I can't begin to explain how much happier, healthier and fitter I have become in the last two years. My flexibility and strength have increased and my weight has decreased. The best part of all of this is that it's fun!

The best training regime I can suggest is to just keep riding, it might be slow going at first but stamina and endurance come quickly. Try to ride daily even for a few minutes. A few blocks will turn into a couple of miles and before you know it those 2-3 mile rides will turn into 5-10. Once you ride longer you'll need a day or two off per week but for now just try to ride as much as you are able to.

I've had replacement surgery on my left knee and find walking difficult due to my right knee problems. That will all be fixed soon as I have scheduled surgery for my right knee in a few weeks. However I am able to bike even though I don't walk well. It can be done!

[Crankin]

The "knees of a 55 year old woman?" .
Geez, no wonder I hate the assumptions physicians make about anyone over 40. This really pisses me off.

[goldfinch]

The "knees of a 55 year old woman?" .
Geez, no wonder I hate the assumptions physicians make about anyone over 40. This really pisses me off.

I assume the doc was speaking metaphorically, but yeah, I had the same reaction. As a 57 year old woman.

[Crankin]

It shouldn't be spoken even metaphorically.
Especially by the ones who are not so fit themselves. I find this happens less with younger doctors, once I start talking to them about the activities I do.
I've had older ones tell me "just ride 5 miles."
And when the wife of my former pcp joined the practice, sorry, I couldn't listen to anything she said to me, as she was quite overweight and let's just say there were some grooming issues that were making me a little nauseous. I know this is off topic, but maybe there should be a medical specialty that is sports medicine for fit people over 45. This is the only time I have experienced ageism, and it's usually after they see my date of birth, since I don't look as old as I am.
I hope the OP finds that cycling is the perfect way to shed the weight she wants to lose.

[nkfrench]

Funny, I'm 56 and my doc said my bad knee is like that of a 70-year-old.
I had a very bad knee injury in 1990 - total knee dislocation (not just the kneecap). I was in rehab for 5 months and a full leg brace 24x7 for a year. The joint still has limited range of motion and is full of scar tissue and bone spurs. My good leg is 50% stronger on a 1-legged leg press.
That said, I lost ~100 pounds starting swim workouts with a local Masters swim team. Competition was a great motivator for me.
I realize OP will not find this a good solution; but I really would like to encourage private or semi-private swim lessons. Another thought: swim fins really help sinkers and they are fun. Snorkels are favored by some. Even elite competitive swimmers use these during training in certain conditions.
I also did weight lifting and calisthenics to improve overall strength.
Then I lapsed, regained all those pounds and more ...
I did get back to regular swimming and was more careful with my diet and lost ~100 pounds. I still have many more to go.
But after a brain surgery and a week in ICU, I was ordered to walk 1-2 miles a day for exercise and my knee could not tolerate it. No other forms of exercise were allowed, nor was I permitted to ride in a car for a while.
I decided that swimming wasn't enough to stabilize my knee and as soon as the doc allowed it, I took up cycling.
It was a long haul. My first rides were measured in blocks, not miles. 10mph on flats would about kill me. The smallest incline redlined me.
Four years later, my bad knee is the strongest it has been in 22 years. My weight is still a problem but my power-to-weight has improved so the hills are easier and I go faster on the flatter terrain and into headwinds.
I still avoid walking for exercise and cannot do anything with jerky or unpredictable motions. No dancing, bowling, stair climbers. Nothing where I kneel or put weight on the front of my knees.
But swimming and cycling are both great for bad knees and for overweight people.
My next sport might be some form of rowing. I'm intrigued and think it would be forgiving of my situation and might play to my strengths. But now I'm just having too much fun on the bike.
If riding fast isn't your thing, you may enjoy riding on bike trails with a hardpack (unpaved) surface on wider tires.