Climbing the Hill

Climbing a hill is a useful metaphor for activities involved in accomplishing a major goal, overcoming longstanding obstacles, or achieving a noteworthy milestone. But you must be prepared to engage in such a climb. Striking out without a metaphorical map, compass, bottle of water, or raingear will consistently result in limited success or actual failure. From a health and fitness perspective, climbing a hill may represent a real, concrete process. When you're out on your daily walk or run, unless you live and train entirely at sea level you're going to encounter changes in elevation. If you live in mountainous regions such as Southern California or along the Appalachian Trail, such variations in terrain require greater levels of aerobic capacity. Unless you want to spend your exercise time huffing and puffing, climbing a hill in the literal sense necessitates a high level of cardiovascular fitness.

Cardiovascular fitness may also be termed cardiorespiratory fitness.1 Such fitness refers to heart and lung capacity. With increased cardiorespiratory fitness, your heart's stroke volume increases. In other words, your heart pumps more blood with each beat than it did prior to attaining such fitness. More blood pumped per beat means your heart works less to achieve the same result. Your heart becomes more efficient, your blood pressure goes down, and your cells and tissues receive more nutrition more quickly.2,3 Similarly, with increased cardiorespiratory fitness your lungs take in more air with each breath. Such increased lung capacity means more oxygen is available to cells and tissues more quickly. Your entire cardiorespiratory system becomes more efficient. You're expending less metabolic energy and obtaining greater metabolic returns. Cardiorespiratory fitness substantially improves your overall health.

Attaining the goal of cardiovascular (cardiorespiratory) fitness involves the same type of thoroughness as that involved in achieving family and business-related goals. You plan your work and then work your plan. Interval training is a proven method of enhancing cardiovascular fitness, a method that is both mentally and physically challenging. Accomplishing your interval training goals also provides a great deal of fun and personal satisfaction.

Interval training involves alternating intense and slow periods of activity. Let's say you run three days a week, you average approximately 12 minutes per mile, and you run 3 miles per day. Now you'll substitute one interval training day per week for one of your regular running days. On your interval training day, you'll begin by lightly jogging 1 mile. Then you'll run 1/4 mile at 2:45, that is, slightly faster than your regular 3-minute per 1/4 mile pace. You'll continue with 1/4 mile at a very light recovery pace. Next, you'll repeat the sequence of fast (2:45) 1/4 mile followed by the slow recovery 1/4 mile. Repeat the sequence once more, add 1/2 mile of lightly jogging cool-down, and you've run your daily 3-mile quotient. Going forward, you may infinitely vary your interval training sequences, running 1/2 mile, 3/4 mile, and 1 mile interval distances at slightly faster than your race pace. You'll get faster gradually as your cardiovascular fitness and aerobic capacity increase. Within 6 months of engaging in consistent interval training, climbing hills may seem no more difficult than running on flat ground. Not only will you have become much more fit, you will have made tremendous gains in overall health and well being.

1Lavie CJ, et al: Exercise and the Cardiovascular System: Clinical Science and Cardiovascular Outcomes. Circ Res 117(2):207-219, 2015

2Myers J, et al: Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: their independent and interwoven importance to health status. Prog Cardiovasc Dis 57(4):306-314, 2015

3Nayor M, Vasan RS: Preventing heart failure: the role of physical activity. Curr Opin Cardiol 2015 Jul 3. [Epub ahead of print]

Office Hours

Monday:

7:00 am-3:00 pm

Tuesday:

7:00 am-3:00 pm

Wednesday:

7:00 am-3:00 pm

Thursday:

Closed

Friday:

7:00 am-12:00 pm

Saturday:

7:00 am-9:00 am

Sunday:

Closed

Testimonials

  • "Regular visits with Dr. Roeder have significantly reduced the frequency of migraines I have suffered and the amount of neck and shoulder pain I have lived with for years. Because of Dr. Roeder I am able to focus on my busy life again"
    S.L., San Diego
  • "This was my first encounter with a chiropractor and found the experience to be delightful, gratifying and well worth it! Instead of being given a bunch of pills and told to come back next week, the manipulation for my back and side injuries including carpal tunnel syndrome, responded very well to the treatments. Thank you, Dr. Roeder for a job well done"
    W.B., San Diego
  • "I came in originally for neck pain, but getting adjusted helped lower my blood pressure & my insulin levels too.Dr. Roeder is so thorough in her care-I never knew how much better I could feel.I no longer have to take blood pressure medicine now."
    A.W., San Diego
  • "Since meeting Dr. Roeder at a health seminar, she has changed my life, drastically-improving my health 100%. I had a wide range of symptoms, including chronic fatigue, constant and severe headaches, body aches, nausea, difficulty concentrating and I felt extremely tired and weak. She diagnosed me with having Fibromyalgia and Candida. She put me on an anti-inflammatory diet and started me on chiropractic treatment and instructed me on strength exercises. I have lost 40 lbs and feel fantastic! Whenever I eat something that sets off a symptom, I can identify the food source now. I know how to eat well and stay away from foods that cause inflammation. Had it not been for Dr. Roeder's expert care, I believe I would still be suffering from all those symptoms-- instead I feel fantastic!"
    M.O., Spring Valley
  • "My son was diagnosed at a very young age with Hyperkyphosis. The doctor told us that surgery would be his only option but we needed to wait until he got older.My husband and I were heartbroken to think about such a major surgery for our little boy.We wanted to help him anyway we could without doing surgery. We are so thrilled to say that after seeing Dr. Roeder my son's back has made a major improvement.That there is a stronger chance that he may not need surgery after all.My son is three now and he is a very active little boy and you can't even tell that he had ever had a bad back.He is able to do what all little boys do:run, jump and climb!Taking my son to Dr. Roeder was the best decision that me and my husband have made as parents.I am so happy that Dr. Roeder is part of our lives.In fact all of my extended family members are patients of her too!Thank you so much Dr. Roeder for all of your help.You have been such a positive part of our lives.You are part of our family."
    G.C., San Diego
  • "My daughter has been diagnosed with Von Willabrand's and Precocious Puberty at age 7. She had her first period at age 8, and it was for three days. The doctors said that her hormone levels were off and there wasn't any truly safe treatment. After talking to Dr. Roeder, she started chiropractic care to help her body cope better with this disorder and hopefully change her hormones. Now my daughter and I have been told by doctors at Children's Hospital that it looks like she won't be starting her period until two years from now-this will be the normal time when she should start! They told us to keep up the good work of whatever we have been doing because it seems to be working."
    J.H., San Diego
  • "I got treated for a neck and back injury that appeared to be chronic following a major car accident. I had been to chiropractors before but without much success.After seeing Dr. Roeder now though, my mobility and general feeling of well-being has greatly improved."
    C.H., San Diego
  • "Dr. Roeder was recommended by a friend and I am completely satisfied. I was having low back pain also some neck pain. My back feels better than it has in years. I feel Dr. Roeder is complete in recommending exercising and treatment!"
    M.L., San Diego
  • "I just wanted to say thank you for making me 'new' again. Also, for helping us through our tough times. You always have been nice to us and helpful when we were in your office-it was just like a second home! Every time I walked through the door I felt calm and relaxed. You always asked us how we were doing and how we have been. I thought that was very thoughtful and caring of you-especially considering that awful car accident we had been in. None of my doctors before had been as courteous as you. You have really made a bad experience into a great experience in a blink of an eye. I always loved that EVERYONE was always smiling! I wish that when I grow up I can be like you, always making people happy and feel better! Well, I think that you just made another patient happy because of your wonderful 'magic.' Oh and I know I already said this but I think I am speaking for everyone when I say: Thank you Dr. Roeder!"
    J.F., San Diego (pediatric patient)