Step Ahead Wellness Center Blog

Dr. Neiman Gets Recognized as a Top Doc by Castle Connolly Again!

Posted by Sari Greaves on Thu, Sep 25, 2014 @ 02:47 PM

Dr. Neiman's extensive history of top-quality care has earned her the distinction of being considered a Top Doc by Castle Connolly for six straight issues of their Top Docs list.Since its founding in 1992, Castle Connolly Medical Ltd has been helping consumers find the very best medical care facilities and doctors throughout America. Their lists of top doctors for the country and for different regions within it have been a trusted resource for patients looking for top-quality care for decades.

Recently, Step Ahead’s own Dr. Deborah Neiman was featured in the pages of the 17th edition of the Castle Connolly Top Doctors: New York Metro Area.

Making the Cut

To make the top doctor list, a doctor has to be among the top 10 percent of caregivers in his or her specialty. Not only do doctors have to be held in high regard by their peers to be recommended for the list, but their credentials must be impeccable, and their history of patient care must remain pristine.

Only the very best doctors are listed in the pages of this publication, and the honor must be re-earned with each new edition of the book. Doctors cannot buy their way into this publication.

Once a doctor is recommended to the list by enough of his or her peers, the doctor’s records, including but not limited to his or her:

  • Educational Background.
  • Training.
  • Hospital Appointments.
  • Professional Achievements.
  • Disciplinary/Malpractice History.

All of these criteria (and more) are evaluated by a physician-led research team and reviewed by Castle Connolly’s editors and Chief Medical and Research Officer. These industry experts use their best judgment, and all of the documentation available on each medical professional, to come up with their Top Doctor choices.

Physicians who make the list may be removed later for numerous reasons, including retirement, a shift to working a desk as a full time administrator, or simply being unavailable to patients. In short, a doctor has to actively work with patients to make the list and stay there.

Top Doc for Six Editions (and Counting)

The Top Docs list made by Castle Connolly is an excellent indication of a doctor's skill, experience, and dedication to patient care.The Castle Connolly team is constantly working to revise their list, making major updates to it at least once each year. Making the list for one edition is a major achievement. Making the cut for six editions is proof positive of excellence in the field of medicine. Currently, Dr. Neiman has been in the 12th, 13th, 14th, 15th, 16th, and 17th editions of the Castle Connolly Top Docs listings for the New York Metro Area!

This means that six times in a row, Dr. Neiman’s work with patients and contributions to the medical profession have been so significant that she has been recognized as being amongst the top ten percent of doctors by the Castle Connolly team.

The Step Ahead family is proud to say that we’re headed by one of the Top Docs for the New York Metro area. We are glad that Dr. Neiman’s dedication to providing the very best care to her patients has consistently earned her distinction as a professional, and look forward to helping her help people just like you meet health and fitness goals.

Learn more about how you can get a Top Doc to help you meet your weight loss goals today!

Do You Need a Personalized Weight Loss Program?

Tags: Dr. Neiman, best weight loss, Step Ahead Wellness Center

EXERCISE OUTDOORS THIS SUMMER... WITH STEP AHEAD!

Posted by deborah neiman on Tue, Jun 10, 2014 @ 06:53 AM

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Our fitness director/certified fitness trainer, Noelle Lusardi, has created a 12 week summer program to get you outside!  Join our Power Walk/Yoga Stretch In The Park classes every Wednesday night from 7 to 8pm, now through August 27th.  Email Noelle directly at Noelle@stepaheadwellnesscenter.com for more information.

 

Enjoy the benefits of outdoor exercise as discussed in the New York Times article below.

 

From The New York Time: The
Benefits of Exercising Outdoors

By GRETCHEN REYNOLDS

February 21,
2013 12:01 am

While the
allure of the gym — climate-controlled, convenient and predictable — is
obvious, especially in winter, emerging science suggests there are benefits to
exercising outdoors that can’t be replicated on a treadmill, a recumbent
bicycle or a track.

You stride
differently when running outdoors, for one thing. Generally, studies find,
people flex their ankles more when they run outside. They also, at least
occasionally, run downhill, a movement that isn’t easily done on a treadmill
and that stresses muscles differently than running on flat or uphill terrain.
Outdoor exercise tends, too, to be more strenuous than the indoor version. In
studies comparing the exertion of running on a treadmill and the exertion of
running outside, treadmill
runners expended less energy
to cover the same distance as those striding
across the ground outside, primarily because indoor exercisers face no wind
resistance or changes in terrain, no matter how subtle.

The same dynamic has been shown
to apply to cycling
, where wind drag can result in much greater energy
demands during 25 miles of outdoor cycling than the same distance on a
stationary bike. That means if you have limited time and want to burn as many
calories as possible, you should hit the road instead of the gym.

But
there seem to be other, more ineffable advantages to getting outside to work
out. In a number of
recent studies,
volunteers have been asked to go for two walks for the same
time or distance — one inside, usually on a treadmill or around a track, the
other outdoors. In virtually all of the studies, the volunteers reported
enjoying the outside activity more and, on subsequent psychological tests,
scored significantly higher on measures of vitality, enthusiasm, pleasure and
self-esteem and lower on tension, depression and fatigue after they walked
outside.

Of course,
those studies were small-scale, short-term — only two walks — and squishy in
their scientific parameters, relying heavily on subjective responses. But a study last year of older
adults
found, objectively, that those who exercised outside exercised
longer and more often than those working out indoors. Specifically, the
researchers asked men and women 66 or older about their exercise habits and
then fitted them all with electronic gadgets that measured their activity
levels for a week. The gadgets and the survey showed that the volunteers who
exercised outside, usually by walking, were significantly more physically
active than those who exercised indoors, completing, on average, about 30
minutes more exercise each week than those who walked or otheStudies haven’t
yet established why, physiologically, exercising outside might improve
dispositions or inspire greater commitment to an exercise program. A few small studies have found
that people have lower blood levels of cortisol, a hormone related to stress,
after exerting themselves outside as compared with inside. There’s speculation,
too, that exposure to direct sunlight, known to affect mood, plays a role.

But the
take-away seems to be that moving their routines outside could help reluctant
or inconsistent exercisers. “If outdoor activity encourages more activity, then
it is a good thing,” says Jacqueline Kerr, a professor at the University of
California, San Diego, who led the study of older adults. After all, “despite
the fitness industry boom,” she continues, “we are not seeing changes in
national physical activity levels, so gyms are not the answer.”

Tags: Exercise, losing weight tips, losing weight fast, medical weight loss solutions, fat burning classes, Dr. Neiman, Doctor Supervised Weight Loss, Personal Trainers, Noelle Lusardi, doctor supervised weight loss center, best weight loss, Weight Loss Center, lose weight fast, Step Ahead Wellness Center

ALL CALORIES ARE NOT CREATED EQUAL! Quality Counts!

Posted by deborah neiman on Wed, May 14, 2014 @ 03:31 PM

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ALL CALORIES ARE NOT CREATED EQUAL!

One of the most dangerous lies of mainstream weight-loss advice
is the notion that a calorie is a calorie is a calorie, and if the number of
calories you consume is fewer than the number you burn, you will lose weight.

Many struggle with their weight, even as they follow this
advice. They count calories and exercise, yet the numbers on the scale never
budge. Or even worse: the numbers grow higher.

The laws of physics correctly say that if you burn more calories
than you consume you will eventually lose weight. This is a scientific fact,
but hidden in this fact is your metabolic rate is not a static number and the
food you eat as well as other factors can cause your metabolism to fluctuate
throughout the day and over longer periods of time.

These and other factors make accurately determining your
calories burned very difficult.

When combined with overly optimistic and often incorrect
calories consumed as well as thyroid and hormone issues, it easy to see why so
many people calculate calories needed to lose weight wrongly.

 Fat Storage is a Complex Metabolic Process

The idea that you will successfully lose weight if you eat less
and exercise more is continually disproved, but is still often repeated as
truth.

Fat storage–how much is stored, where it is stored, and how much
is used as fuel for the body–is determined by the actions of a variety of
enzymes and hormones. How your body processes the nutrients that become fat is
based on genetics and the foods you choose.

You can see evidence of this fact in the people around you: A
pregnant woman’s hips and thighs increase in size, even if she’s usually slender.
One person is thin and struggles to gain weight, while another person is
overweight in spite of hours in the gym and skipped meals.

The foods you eat, especially those that elevate blood sugar
levels, have a tremendous impact on how much fat is burned and how much is
stored. This is why low-carb diets are so effective. These diets eliminate the
foods that spike your blood sugar and promote the release of fat-storing
insulin.

The Source of Calories Matters

Does it make a difference if you take in 100 calories from a
cupcake or the same amount of calories from chicken breast? Research shows that
the answer is a resounding “yes”.

All carbohydrates convert to glucose (sugar), but some are more
easily digested. This means that, compared to other carbohydrates, they elevate
blood sugar levels higher and for longer periods of time.

Foods like wheat and other grains, sugar, starches, and
dehydrated fruits are the easiest to digest and boost your blood sugar levels
sky-high. Insulin comes in to bring down those levels by storing the sugars as
fatty acids in your fat cells.

Fructose, the sugar contained in table sugar, high fructose corn
syrup, and agave nectar, travels straight to the fat cells. It is much better
at adding to body fat than either glucose or starchy foods.

In spite of its repetition by nutritionists and doctors
everywhere, a low-calorie diet and physical activity do not guarantee weight
loss. All calories are not created equal. Certain foods, like wheat and
starches, stimulate insulin production that leads to fat storage. Sugars not
only stimulate insulin, but also go straight into your fat cells. Remove these
foods from your diet and replace them with high-quality nutrients found in
animal proteins, vegetables, and fruits for the most effective way to lose
excess pounds. To get started, the next time you go grocery shopping purchase
as many whole foods as possible and start reducing your purchase of processed
foods.

 

For more fitness information contact our fitness director/certified fitness trainer, Noelle Lusardi, at Noelle@stepaheadwellnesscenter.com.

 

 

Resources:

Taubes, Gary. Good Calories, Bad Calories: Challenging the
Conventional Wisdom on Diet, Weight Control, and Disease. New York: Knopf,
2007. Print.

Corbett Dooren, Jennifer. “Not All Calories Equal, Study Shows.”
WSJ Health and Wellness. Wall Street Journal, 26 June 2012. Web. 3 July 2012.

Hallfrisch, J. “Metabolic Effects of Dietary Fructose.” The
FASEB Journal 4.9 (1990): 2652-660. Print.

 

 

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POWER WALK/YOGA STRETCH CLASSES IN THE PARK START JUNE 4... call today to reserve your spot!

Posted by deborah neiman on Fri, May 09, 2014 @ 02:37 PM

Join us every Wednesday evening this summer for an hour of movement that will restore, rejuvenate, strengthen and energize you... after a long day at work or home with the kids/family.

Email our fitness director Noelle Lusardi at Noelle@stepaheadwellnesscenter.com for more info or to sign up!

We look forward to walking and stretching with you!

 

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POWER WALK/YOGA STRETCH CLASS IN THE PARK CLASSES BEGIN JUNE 4... Call today to sign up!

Posted by deborah neiman on Tue, May 06, 2014 @ 06:24 AM

Join us every Wednesday night this summer for our Power Walk/Yoga Stretch Classes In The Park! 

Registration is OPEN!  And we look forward to walking with you!!!

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Tags: Diet and Nutrition, Dr. Neiman, summer weight loss, Doctor Supervised Weight Loss, Personal Trainers, Noelle Lusardi, Nutrition, Doctor, diet to lose weight, Weight Loss Center, Step Ahead Wellness Center

Why Strong Is The New Skinny....

Posted by deborah neiman on Fri, May 02, 2014 @ 04:26 PM

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No doubt you’ve heard the slogan, “strong is the new skinny.” For
years women have focused on losing weight, sometimes using unhealthy techniques
like extreme calorie restriction, excessive aerobic exercise and weight loss
supplements. The tide seems to be turning as more women discover the power
weight training has to transform their body – and their mind. Rather than
depriving themselves, they’re fueling their bodies with whole foods that build
strong, defined muscles. Why is this a good thing? Here are five reasons why
strong is better than skinny.

Strong is about Functional Strength

Strength isn’t just about building defined biceps and thighs,
it’s about developing the strength you need to do everyday things like moving
furniture, carrying heavy loads and shoveling snow safely and more efficiently.
This makes everything you do easier. How do you achieve this? With an
integrated approach to strength-training – compound exercises that work
multiple muscle groups simultaneously, bodyweight exercises and exercises that
mimic movements you do in your everyday life. It also involves strengthening
your core, the part of your where most of your power originates.

“Strong” enhances your life and makes you more functionally fit
and capable. “Skinny,” if it comes from calorie restriction, under-nutrition
and too much aerobic exercise, makes you weaker and less able to do your daily
activities without feeling fatigued. Of course, there are people who are
naturally thin but even naturally thin people can benefit from strength
training.

Skinny Doesn’t Mean
Firm

You’ve probably familiar with the term “skinny-fat.” It’s used
to describe people of normal or low body weight with a high ratio of fat to
muscle. If you fall into this category, you’re still at higher risk for type 2
diabetes despite not being overweight. Here’s where it gets interesting. A
study published in the Journal of the American Medical Association found people
with type 2 diabetes that are under or at their ideal body weight have a
greater risk of dying from diabetes.

In contrast, research shows resistance training not only builds
strength – it increases insulin sensitivity and improves blood sugar control.
One study showed men that weight trained at least 150 minutes per week lowered
their risk for type 2 diabetes by between 35% and 50%. Skinny won’t necessarily
improve your blood sugar but strength training will.

Skinny is No Guarantee of Health

A study recently showed people who are underweight are at as
high risk of dying as people who are obese. This conclusion was based on a
meta-analysis of 51 different studies. People with a BMI of under 18.5 were at
1.8 times greater risk of dying relative to people of normal weight. This
finding held up even after the researchers controlled for factors like smoking
and chronic disease. Using extreme calorie restriction and excessive aerobic
exercise to get skinny carries risks too. Women who fall into this category may
experience a drop in estrogen that leads to osteoporosis and infertility. The
scale can be deceptive. It’s not a measure of health.

Strong Helps You Age Better

As you age, if you don’t strength train, skinny turns to frail.
You begin losing muscle mass by the age of 30 and the loss greatly accelerates
after 50. From then on you continue to lose strength and muscle mass. Along
with loss of strength and muscle mass, you lose functional strength. This means
you can’t do the things you once could do with ease. Muscle isn’t the only
thing you lose. You lose bone density too. Your risk for falls and fractures
goes up – including the most serious type of fracture – hip fractures.

“Strong” that comes through strength training slows down muscle
loss and helps preserve bone density. Even if you’re still in your 20s,
strength training helps you maximize your bone density so you’re better
protected against osteoporosis later.

Self-Esteem

Resistance training builds self-esteem. When you’re strong you
feel more comfortable with your body and have a more positive self-image. This
transfers over to all aspects of your life. You’re more confident at work and
in relationships. Strength-training and the confidence that comes from it
improves all aspects of your life.

One study carried out at McMaster University found twelve weeks
of strength training significantly improved how participants (men and women)
viewed their bodies. Along with gains in strength and lean body mass came
improvements in self-esteem and body image. In this study, women felt the most
satisfaction from knowing they could lift heavier and do more reps as a result
of their training. “Strong” changes how you look – and how you think.

The Bottom Line?

Strong has lots of benefits that skinny doesn’t – even if you’re
naturally thin. Age brings changes that make “skinny” hard to maintain. Even if
you manage to maintain it, body fat increases and muscle mass declines with
age. This leads to a more extreme form of skinny-fat – sarcopenia. Sarcopenia,
or the age-related loss of muscle mass, is one of the most serious problems
older people face because it increases the risk for mortality. “Strong” can
help you avoid it.

 

References:

Science Daily. “Underweight people at as high risk of dying as
obese people, new study finds”

JAMA. 2012 Aug 8;308(6):581-90.

Diabetes Care August 2006 vol. 29 no. 8 1933-1941.

“Psychological aspects of resistance training” Michael H. Stone,
Meg Stone, and William A. Sands

Body Image, December 2005: vol 2: pp 363-372.

 

 

Tags: Personal Weight Loss, Diet and Nutrition, Dr. Neiman, Doctor Supervised Weight Loss, Personal Trainers, Fitness, Noelle Lusardi, group excercise classes, muscle conditioning classes, diet to lose weight, exercise classes, Step Ahead Wellness Center

Give The Gift of Fitness This Mother's Day!

Posted by deborah neiman on Fri, May 02, 2014 @ 01:44 PM

 

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This Mother's Day, skip the flowers and give your mom something she really needs—the
gift of good health.

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No, you don't have to buy her a treadmill. There are many other things you can
do to give your mom a boost in terms of her physical (or mental) well-being.
Most moms will truly appreciate that your Mother's Day gift is aimed at keeping
her happy, healthy, and in your life for a long time. In case you are drawing a
blank, Step Ahead came up with a great gift for every mom.

Step Ahead
Gift card towards any program.  

*Offer includes a
body composition analysis on our Tanita scale.

* 30 minute personal
training session.

  *Step by Step guide on how to
reach your health goals

 

E-mail
us to receive an e-gift card sent directly to your e-mail or pick up your
custom gift card in our office!

Phone:
908-470-2235

E-mail:
drneiman@stepaheadwellnesscenter.com

 

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TODAY IS "GIVE-AWAY" WEDNESDAY AT STEP AHEAD!

Posted by deborah neiman on Wed, Apr 30, 2014 @ 12:17 PM

Wednesday is “GIVE-AWAY” DAY at Step Ahead!

 

 

popcorn resized 600

 

Come in for a weigh-in, personal training session, or check
in with the Doctor and Registered Dietitian and leave with these

Step Ahead Customized 100 calorie packs.
Enjoy only 65 calories of veggie sticks and 35 calories of popcorn for a delicious 100 calorie snack!


Call Erica at 908-440-2235 to schedule your appointment. 

 Don’t delay… offer is good for today only and while supplies last.

We hope to see you today!!

 

For more information on all the weight loss programs we
offer, visit us at www.stepaheadwellnesscenter.com

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POWER WALK/YOGA STRETCH CLASSES IN THE PARK... STARTING JUNE 4... RESERVE YOUR SPOT NOW!

Posted by deborah neiman on Tue, Apr 29, 2014 @ 10:03 AM

We are so excited to offer this new weekly POWER WALK/YOGA STRETCH IN THE PARK CLASS all  Summer long.  It's been a long winter so now let's take it outdoors and enjoy the fresh air.  Contact Step Ahead Wellness Center's fitness director, Noelle Lusardi, at Noelle@stepaheadwellnesscenter.com for more information and/or to sign up!   

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Rainy Day Workout!

Posted by deborah neiman on Tue, Apr 29, 2014 @ 09:59 AM

Don't let this rainy weather curtail your fitness routine.  Bring it indoors with this intense 25/50 workout that sure to help you tone up, and burn fat!

For more fit tips, contact Step Ahead Wellness Center's fitness director, Noelle Lusardi, at Noelle@stepaheadwellnesscenter.com.  And check out our weight loss programs and special offers at www.stepaheadwellnesscenter.com.

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