Fighting Back Against Cancer with Fitness: Koko FitClub Member Spotlight

Terry and the team at Koko FitClub Coral Springs

We are getting closer to May 4th and the kickoff to the Koko 5 Million Point Challenge to benefit Relay For Life®.  If you have ever “Relayed” you know that the whole inspiring experience is about honoring and celebrating those who have fought, and continue to fight  cancer. So, this week’s blog post is one great big celebration of a Florida KokoNut named Terry Best who, in the face of a tough cancer diagnosis, is empowered to fight back with Koko FitClub Coral Springs as his battleground.

Research has shown that for people fighting cancer, exercise can mean a longer life free from cancer. Besides enhancing overall health, mood and outlook, evidence suggests that exercise actually improves your immune system’s “cancer surveillance,” protecting you against future cancer recurrence. Terry’s story is bound to get you moving, and inspire you to sign up for The Koko 5 Milllion Point Challenge on May 4th benefiting Relay For Life®. (Which just happens to be the day after Terry’s birthday…) Read on!

By Special Guest Blogger, Terry Best

May 3rd, the day before the Koko 5 Million Point Challenge, will be my 65th birthday.  My wife and I have signed up for 12 and 10 cardio sessions, respectively, for this Relay For Life® event.  Before I retired, I always encouraged my employees to participate in the various Relay For Life® activities that were being held in the area.  I never thought it would mean as much to me as it does now.  I never thought I’d be the one fighting cancer.

Sixteen weeks ago I went to my primary doctor to see why I was so tired all of the time.  I joked with my wife that I probably needed my oil changed maybe had to have some of my fluids topped off.  After all, I am someone who takes good care of himself. (I’m 64 years old; 5’9”; 165 lbs; athletic; never smoked or experimented with drugs; having a drink means a glass of wine; and did I mention handsome? OK, OK, maybe I’m getting a little carried away.)  How could there be anything really wrong with me?  My blood tests were always fine, including my cholesterol that, for years, has been “in range” due to the pill that I take each night.  No cancer (EVER) on either side of my family, so that wasn’t even a consideration.  However, I was tired most of the time – unusually tired.  Well, that was sixteen weeks ago.

One look at my doctor’s face after he performed the always popular DRE exam to check my prostate said it all. I was in a state of shock.  There was no cancer in my family and absolutely no (none, nada, zilch) symptoms. During the next few weeks, it seems that all I did was schedule tests, spend endless hours in waiting rooms, take tests, wait for test results, schedule appointments to discuss test results with the appropriate doctors and then, start all over again. Life certainly had changed.

So, after ultrasounds,MRIs, PET Scans, bone scans and, my favorite, a prostate gland biopsy, the verdict was in:  I have a very aggressive case of prostate cancer.  It has spread from my prostate and is also now in my bones. That is labeled as “Stage 4” cancer. Lucky me – my cancer had no patience for Stage 2 or Stage 3 – it decided that Stage 4 is a much better place to be.  After all, with Stage 4 prostate cancer, it’s too late to operate. So, those smart, insidious cancer cells knew that they would be safe from the surgeon’s knife.

The protocol for my situation is hormone therapy, which deprives the cancer cells of testosterone. Without that fuel source, they die.  Unfortunately, at some time in the future, they will figure another way to thrive and we’ll have to go to Plan B.  Fortunately, with prostate cancer, (words that I never thought I’d use together) there are many other arrows in the quiver to use against it. The key for me, and all other prostate cancer patients, is to stay ahead of the curve and be in the right place at the right time when these new medications are available.

So, what does all of this have to do with Koko FitClub?  As it turns out, more than you’d expect.  When my oncologist told me that the depletion of testosterone will deprive the cancer cells of fuel, he also told me that it will cause me to lose muscle tone, gain weight and make me lethargic.  None of these side effects appealed to me, so I decided to do something about it.  While I’ve always been in decent shape, I’ve never liked the gym scene.  My wife and I used to belong to a health club, but I would head directly to the treadmills and spend all my time sweating and staring at a TV that was tuned to some channel that I would have never, ever chosen myself. (The treadmill must have worked at least a little, as I can proudly say that I was able to complete the Disney Marathon a few years ago.) I had no idea how to use any of the strength equipment and, even if I did, I had no idea what the correct weights, repetitions, sequences, etc. made sense for me.  But, as unappealing as going back into this situation was, when you find out that you have cancer, you tend to put things in perspective. I was going to work out.

As many of us do, I went to the internet to find a solution.  The amount of gyms and health clubs in my area is overwhelming, but they are all basically the same.  Pay your dues and figure out the rest.  They had pools and saunas and juice bars and basketball courts and racquet ball courts and spinning and twirling and preening and flirting and . . . well, you get the idea.  What they didn’t have was something for me.  They didn’t have something for a guy who didn’t need to lose weight, didn’t want to have bulging muscles and didn’t have a clue how to use the machines.  I needed a place that would provide both the roadmap to achieve my goals as well as the equipment/atmosphere that would make me feel comfortable doing so.  Then, I found Koko FitClub.

I met with the owner, Rob, and explained my situation to him.  Having cancer was still new to me and he was one of very few people who I had told about it.  I guess I wasn’t expecting his heartfelt compassion and, more importantly, his sincere desire to help me.  Rob showed me how Koko had various customized programs for a wide range of people with different goals, including (amazingly) mine.  Being able to do my entire strength workout  on one machine with a computer screen actually showing me how to do the exercises and adjust to my range of motion and strength variations was a revelation.  Could it be that there actually was a place that met every one of my needs?  And, to top it off, the owner, his staff and the other members of the club had the same mind set as me?  Sign me up!

So, what’s happened in the last sixteen weeks since that “you have a cancer” conversation in the doctor’s office?  Well, my testosterone level is now 0.00.  My PSA level went from more than 22 (2.5 to 4.0 is the target range) to 0.2.  And, my doctors are now using the word “remission.” As I’ve been told my cancer is “treatable but not curable,” “remission” is a wonderful word to hear.

What about the loss of muscle tone and “turning into a dumpling?” When my doctor asked me if I was experiencing any of the side effects that he warned me about – loss of muscle, lethargy, weight gain, etc. – rather than tell him about it, I handed him results I printed from my Koko webpage.  While I had to explain “Q Score” to him, the numbers and graphs of the other results spoke for themselves.

My first Koko workout was on February 4th.  My lean muscle was measured at 137 lbs. (I weighed approximately 167 lbs.) and my eBMI was approximately 17.  My “Q Score” was 58, which was very good for my age group. My lean muscle has INCREASED (remember, I had hoped to just maintain what I had) to 144 lbs. My eBMI remains in the ideal target range at 18.  My strength has INCREASED by 48 percent.  My Q Score is now 88, which is better than the average of any male age group, including those cool young guys in their 20’s and 30’s.  I’ve walked almost 100 miles and have lifted 500,000 lbs. I’ve accomplished all of this without any testosterone and, remarkably, actually enjoyed myself.

My doctor’s reaction was priceless.  Sixteen weeks ago, in this same room, he told me that I had aggressive prostate cancer and, obviously, it was a very serious conversation.  Now, he used the word “remission” and he was smiling from ear to ear (me too!) Having the ability to print out my progress and hand it to my doctor(s) is something that I never thought about when I joined Koko FitClub.  It has turned out to be a terrific way to show them how I’m fighting back.  

Fighting back. My treatment - receiving monthly shots in my hip and stomach and taking some pills each day – is relatively passive on my part. It’s up to my body chemistry to react to them.  However, by working out, I feel that I am actually attacking the cancer cells.  Each step, each completed rep, each scoreboard result on the Koko Smartrainer screen is evidence that I’m fighting back.  Koko uses the phrase “Stay Strong.”  That was the perfect reason for me to join.  I would have settled for “Stay Strong.” However, to my surprise, “Get Stronger” is much more applicable to what I’ve been able to achieve.

Terry Best

Sign up today for The Koko 5 Milllion Point Challenge on May 4th benefiting Relay For Life®.

www.KokoFitClub.com

Returning to Your Workout Routine After Illness or Injury

You’re finally on a roll with regular exercise, thanks to Koko. You feel great and your workout has become part of your daily routine. Then it happens: you get sick, you sustain an injury or you need a medical procedure. You are told by your doctor (who is always telling you to get active) to stop exercising for awhile. Sometimes a long while. Don’t worry. I know firsthand you can come back from it better than ever. You just need to have the right expectations.

Last month, for the second time in three years, I had emergency eye surgery and could not exercise. After one week I was told I could start back with cardio. Great! But, I was still not able to do any strength training. It was two weeks before I was told I could slowly ease back into my strength training sessions.

What happens if you cannot get in your weekly Koko Smartraining workout, or worse, you become sick or have to go on bed rest for a few weeks or more? When your body receives no exercise stimulus, detraining will occur.

detraining | dē-ˈtrān- iŋ: the partial or complete loss of training-induced adaptations in response to cessation of training or a substantial decrease in training load. 

This loss in both strength and aerobic capacity is followed by a decrease in your lean muscle level (LML) and can occur in as quickly as two weeks!

Don’t worry. Life happens. You body is amazingly adaptable and you can get it back to where it was – and then some!

If you’re faced with returning to your Smartraining workouts after a period of two weeks or more of inactivity, just plan to slowly progress back to the level you left off.

Koko Cardio – To start, try and complete a full 15 minute workout, but at a lower intensity than what you could do before your break. Slowly increase the intensity of your exercise over subsequent weeks. If you find that next higher intensity program is too much, back off on my audio suggestions for the incline, speed or resistance (for the elliptical.) You know how to do it!  Also, it may be that 15 minutes is too much to handle at first. It’s ok. Be patient with yourself and your body. It will come back.

Koko Strength – Rarely do I suggest it, but do not try to lift the weight that the Smartrainer initially suggests. It remembers the “you” from before your time off. Instead, you can help it calibrate to your current strength level even if a strength test isn’t scheduled. What I did was to cut my weight in half (or less) for the all my exercises through the first few sessions. The Smartrainer remembers your adjustments for the next time it gives you those exercises. After a week or so, I started to increase my volume of work by doing three extra reps on the sets that felt easy. The Smartrainer understood this to mean, “Michael needs more weight on this exercise” and it automatically adjusted the next time.

It may be frustrating to feel like you’re starting over and difficult to convince yourself to “take it easy.” (You just want to get back to where you were, already!)  Be patient. By slowly letting your body adjust to the specific demands placed on it by both strength training and cardio sessions, you will avoid injury and be back in peak form before you know it and stronger than ever!

Michael Wood, CSCS
Chief Fitness Officer
Koko FitClub

Koko FitClub Franchising

A Strength Training Workout to Obsess Over

Love getting fit at Koko FitClub.

Dearest Koko Pace Bar,

This is a little bit embarrassing for me to admit…I find myself completely mesmerized by you! I literally can’t take my eyes off you. What’s more, I find your opinion of me has changed the way I do things. (That’s a first!) All I want is for you to be green and cheering my performance. Some might call this relationship unhealthy, but I say it’s the opposite! This might just be one of the healthiest relationships in my life. I know you are pacing my repetitions so my muscles get the optimal Time Under Tension. You prevent me from undermining my own success. You set the bar high for my own good and I want nothing more than to measure up to your high expectations!

Forever Yours,

Koko Nut

Do you have a healthy obsession with your Koko Pace Bar?  If you don’t yet, you might once you understand how incredibly effective it is for improving your strength. The captivating Pace Bar is how the Koko Smartrainer controls the amount of time your muscles are resisting weight during a repetition. In the world of exercise science, this is referred to as Time Under Tension. When multiplied by weight lifted and the amount of sets and reps, the resulting total measures the volume of your workout.

So, pace control is an absolutely critical piece of the effective workout equation, but for the independent (non-Koko) exerciser it is, at best, hard to optimize and at worst, totally ignored. One of the challenges to personal pace control includes our natural tendency to undermine our own workouts by doing each rep too fast, allowing momentum to do some or most of the work our muscles should. Thankfully for Koko Nation, the Smartrainer measures your personal range of motion, then customizes and optimizes pace control every rep. All you have to think about is keeping up with the Pace Bar!

If ever there was a relationship to obsess over, it’s the one with your Koko Pace Bar. You’ll be a stronger, healthier person because of it. ♥

Koko FitClub

Koko FitClub Franchising

Does your workout take advantage of the best learning about exercise?

Best learning about exercise built into Koko FitClub workoutsI’m an exercise physiologist by training with a keen interest in keeping up with the very best research. I use it to design your Smartraining workouts! There’s solid science behind the Koko FitClub workouts planned for you each and every visit – so you don’t have to think about it. That’s why you’re here, right?

So, while I generally keep this stuff “behind the curtain,” I spotted a couple studies recently that not only reinforce the Koko Smartraining methodology BUT they have awesome motivational value. (You know my ultimate goal – successfully convince you to keep up with your workout prescription of 3 strength and 4 cardio a week!)

The first study, from the Journal of Obesity1 looked at the effect of high intensity cardiovascular exercise on male body composition. These men did interval training workouts that looked like this: 8 seconds of hard work followed by 12 seconds of light work. This workout was done for 20 minutes, three times a week for 12 weeks. The men in the study showed excellent improvements in aerobic capacity (15% increase,) a reduction in visceral fat (17% decrease) and significant increases in lean muscle level.

Once again, proof that it’s not the quantity of  exercise you do when you’re at Koko FitClub, but the quality of exercise that matters.  And, there’s no reason you won’t see the same type of results by just sticking to your Koko Smartraining exercise prescription.

The second study appeared Archives of Internal Medicine2 using research from the renowned Cooper Clinic and the University of Texas’ Southwestern Medical Center in Dallas, Texas. The research involved men and women who were tested for fitness at age 50 and then again surveyed about general health a decade later.

What did they learn? “Physical fitness at midlife made healthy aging — long considered a contradiction in terms –a distinct possibility.” The fittest 1/5th in their 50′s had far fewer chronic conditions in their 60′s, ( by more than half,) than the folks in the lowest fitness category.

What does that mean for you? When your Q-score and lean muscle level goes up, or your eBMI goes down, the immediate payout is that you look and feel better right now. Turns out, you are also banking that fitness so you look and feel great for years to come. It’s an investment in healthy aging so you can enjoy your entire life!

All this by meeting your Smartraining exercise prescription of 3 strength and 4 cardio a week. Could it be any easier to take advantage of the best learning about exercise? No way. Now go hit the club!

Michael Wood, CSCS
Chief Fitness Officer
Koko FitClub

Koko FitClub Franchising

1Journal of Obesity link – http://www.hindawi.com/journals/jobes/2012/480467/

2 Archives of Internal Medicine link – http://archinte.jamanetwork.com/article.aspx?articleid=1352789

New Koko Cardio Workouts for the Fall Coming Soon!

Your favorite NFL teams are on the field. Kids are heading back to school. You know what that means at Koko FitClub? It’s time for new Fall Cardio Programs!

This Fall’s theme is “Take the Koko Challenge.”

Whether you are exercising on the elliptical or treadmill, there are plenty of new interval training cardio challenges this season  including hiking adventures, speed walking, Boot Camp, Tabata and Stadium Stairs workouts inspired by my days of running private clients up and down the stairs at Harvard Stadium in Cambridge, MA.

The hiking adventures are a blast this time around. Inspired by your suggestions, some were even recorded on location, including  Bear Creek Trail, a hike I took while visiting Koko FitClubs near Keller, Texas. A Koko owner from Arizona recently hiked the famous Bright Angel Trail in the Grand Canyon so we’ve included that, too. These are fun and challenging across both moderate and high intensity.

There are some great workouts to try, but I believe the true cardio challenge for Koko FitClub members this season will be the Traditional Tabata (moderate-intensity) and the Double Tabata. (Do I even have to mention that its high-intensity?) If you can handle that fitness challenge, then I want you to try Boot Camp and Wind Sprint sessions on the elliptical. That’ll get your heart rate up!

The new Fall Cardio programs will be available in clubs next Wednesday, August 29th. Enjoy and I look forward to hearing your thoughts on taking the Koko Challenge!

Michael Wood, CSCS
Chief Fitness Officer
Koko FitClub

Koko FitClub Franchising