Tuesday, November 22, 2011

Interviews with doctors

Interviews with Randall Vagelos (Cardiologist) and Julie Wissink (Internist)







Summary/notes/insights:

Avg of a minutes per day of exercise per year
People aren't always good judges of how active they are
Using a pedometer is a good way to increase awareness/activity (10,000 steps a day idea)
Some patients definitely count on "in between" time exercise
Discussion over whether exercise in small bits is better - overall can obviously burn more calories over 18 hours than 1 hour - provided you are incredibly active. questionable the effects of a completely sedentary day with 1 hour of very rigorous exercise
Can really increase burn rate if generally active - but then if you keep eating
#1 excuse (says Julie) - is time
- but if they could become more efficient over all, or make their exercise time itself more effective
Randy - because they are lazy (his opinion not theirs)

They need to learn how to prioritize it better - they currently dont/and or dont want to
Make excuses during the day if continue to leave it till later

if you do it first thing in the morning - it becomes routine, there isn't time to talk yourself out of it, it doesn't hang over your head the entire day

Fat people - water aerobics is good, personal training

idea of PRIDE
-there is definitely an internal confidence. exercise helps to balance the ups and downs of peoples professional lives. They start to radiate confidence and control
-from an outside perspective, viewing the person as a professional, if they can't even take care of themselves physically it doesn't inspire great confidence

if not otherwise motivated - walking holds a big pull

Standing vs sitting
-with standing you have to me much more conscious of posture, there are a lot of negatives, joints

people who are already exercising some amount are generally all interested in keeping more active

Bicycle powered computer? FORCED activity

hard to put exercise machines straight into offices - because of ambience - but doing this would be GREAT - foldable ones? sleeker? nicer looking?

a lot of large companies have sports facilities on site - things at large companies now healthier and available - often due to overall view of company or founder etc

people raising cost of parking spaces - encourages walking - or parking farther

$ really effective way to motivate

logging of exercise tends to be helpful (like steps)

incentives: reduction of insurance or something??

Email/app reminders helpful

Look at smokers - in terms of reminders, positive vs negative feedback etc

Negative reinforcement (they joked about this) - like putting in a fat caliper, or fatbooth photos

There are these bicycle rental things in cities now - kind of like zip car - dont have to always have a bike, more convenient, dont have to worry about storage etc

People traveling a lot (!!!) - could be a very interesting group
-some get more exercise - don't have other priorities before meetings etc, hotels have nice gyms
-but during travel - airports don't have exercise facilities
-what about outfits? rental? washing? would people know about it? once they did could become prepared

Exercise boosts productivity

Highly effective people - are highly effective in many/all aspects of their lives - about organizing themselves

for people laid off - claim that now they will exercise - still dont, because still cant prioritize

Planning going on in doctors' offices
-they are trying to get people to make people walk less and therefore make it more efficient

ten minutes every hour - shut the office down - but people work less effectively when interrupted too often

exercising at work has a lot to do with leaders

phone that only works when you are walking (once again the idea of requirement vs encouragement)

BIKES ON A PLANE - bringing exercise rooms etc to the plane

Feedback throughout the day - on how much movement or exercise or eating

negative feedback loop - dont exercise, dont feel good, not inclined to get activity

gradient of cost for food - subsidize healthier stuff

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