N.E.A.T

I’ve come to realize over the last two decades that fitness, real fitness, is not about how much you

can bench press or how many squats you can do; it’s about longev-

ity and survival. The type of fitness associated with longevity and

survival is real, functional fitness. It’s broad, inclusive, and diverse.

It isn’t measured by your mile pace or calories burned. It’s mea-

sured in how long you live and your quality of life. Of course, the

fitness we gain in the gym or on the bike or following our favorite

app are important and support longevity and survival, but there is

so much more.

My good friend and client Ethan Zohn, winner of CBS’s

Survivor, taught me this lesson the hard way. I helped Ethan

prepare for many of his extreme adventures, including the 2019

Survivor: Winners at War, the 40th season, which featured 20 past

winners. It took almost a year to get Ethan, who is also a two-time

cancer survivor, to a place where he was happy with his fitness

level. We spent time online together and we ran training camps in

Minneapolis, on his farm in New Hampshire and at his summer

house, which was outside of Atlanta at the time. As we approached

the filming and competition date, I put together a five-day, winner-

takes-all training camp as close to a real “survivor” experience

as I could come up with. I was stronger, faster, leaner, and more

athletic than Ethan; after all, I spent my days in the gym, and my

life revolved around health and fitness. Ethan was coming off of

two major battles with cancer and his job was traveling the world

as a public speaker sharing his story. I thought I could beat him.

The five-day camp was full of fitness challenges, solving

puzzles, throwing knives at targets, and living in the woods,

making fire, swimming through lakes, all on limited calories. It

didn’t take long for me to realize that fitness wasn’t just about how

far I could run or how much weight I could lift; it was about how

I applied my skills in real-life situations. Well, I didn’t win a single

point, and if it had been a real Survivor season, I definitely would

have been voted off after the first day. I specifically remember one

challenge: we had to hold a heavy med ball over our head as we

made our way through a series of balance beams we made out of

2 x 4 boards that rested on uneven tree stumps in the forest. I had

no problem holding something heavy over my head and I could do

anything in the gym while I balanced on one foot (one-leg squats,

planks, and even one-leg box jumps), but I had never had to hold

something heavy overhead while balancing above muddy ground

in the middle of the forest, wet and freezing cold from swimming

across the lake to get to the balance beam course. Ethan was able

to express strength and balance while dealing with the elements

and the different environment. Ethan showed me that fitness is

only a part of the puzzle to longevity. It’s an important part, to be

sure, but not the whole of it. If we equate fitness with work we do

inside the gym, we limit what fitness is and who can participate in

it. The more broad and inclusive we can make fitness, the more fit

we will all truly be.

Perhaps you have heard of Blue Zones. It’s a term coined by

Dan Buettner, a National Geographic Explorer who, building on

the work of Gianni Pes and Michel Poulain, identified the five

places around the world where people not only lived the longest

but enjoyed a “high quality of life in their old age.”The five Blue

Zones are Sardinia, Italy; Ikaria, Greece; Okinawa, Japan; Loma

Linda, California (the Seventh Day Adventist community); and the

Nicoya Peninsula, Costa Rica. The health data that comes out of

these communities is impressive: less disease, lower health care

costs, more happiness, greater life expectancy, and more robust-

ness later in life. In other words, the old people are still active,

healthy, and disease-free. They are cooking, gardening, socializ-

ing, walking, and enjoying life beyond their 80s and into their 90s

and, for some, into their 100s.

The more I read about these places, the more I see why life is

longer and more fulfilling. They live closer to one another, often

with generations of family and friends, and they eat foods that are

simple whole foods, seasonally prepared in delicious traditional

ways. “Centenarians in all five Blue Zone areas enjoy much lower

rates of chronic disease like obesity, heart disease, type 2 diabetes,

and dementia. They eat a plant-slant diet of whole foods; fruits and

vegetables are present at every meal, lowering inflammation and

increasing immunity.”

I do realize I talk about the

importance of true strength training, HIIT and

the importance of intensity. And I stand by that science. But it’s only part

of the picture, and we don’t need gyms to live long, healthy lives.

After all, there are no Core Powers in Sardinia. No CrossFits on

the Nicoya Peninsula. And I doubt that Planet Fitness will arrive

anytime soon in Ikaria.

One of the commonalities of the populations in Blue Zones is

that they move naturally because they “live in environments that

constantly nudge them into moving without thinking about it.

They grow gardens and don’t have mechanical conveniences for

house and yard work.” This is called N.E.A.T (non-exercise activ-

ity thermogenesis).

Even the hardest workout you will ever do in a group fitness

class (think: crushing intervals, burpees, squats, push-ups, and

lunges that leave you exhausted and torched) will only burn 13

percent of your daily calories. Now think about being active

throughout the day: walking more than 10K steps, standing most

of the time instead of sitting at your desk, working with your

hands, or getting out for a hike after dinner instead of watching

TV. This—N.E.A.T.—burns up to 30 percent of daily calories, and

is a way of life. But before you think about replacing your interval

or strength training with N.E.A.T., remember that you still need

strength training to elicit a hormonal response. It’s about balance.

And there are some simple ways to make impactful changes to

your N.E.A.T. Try and shoot for 10K steps a day or more. Take

walking meetings on the phone or in person. Go for a walk after

dinner, first thing in the morning, or over lunch.

Let me know how it goes!

See you in the gym,

Aaron Leventhal CSCS, PN1, ACSM Cancer Specialist

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