On Easter Sunday, I went for a run and it turned into something much deeper than just movement.

As my feet hit the ground, I found myself reflecting on what Jesus endured on the cross. The torture. The humiliation. The suffering. And yet, He chose it. Not out of obligation, but out of love.

Scripture tells us clearly that His sacrifice was intentional:

“For even the Son of Man came not to be served but to serve, and to give His life as a ransom for many.” – Mark 10:45

Jesus didn’t just die for us. He restored us. He reconciled us back to the Father.

“God was reconciling the world to Himself in Christ, not counting people’s sins against them.” – 2 Corinthians 5:19

And as I ran, one question kept rising in my spirit:

What is my purpose in all of this?

Our Purpose: To Glorify Him in Everything

The answer is simple, but it’s not small:

“So whether you eat or drink or whatever you do, do it all for the glory of God.” – 1 Corinthians 10:31

Everything we do including how we train, how we eat, how we take care of our bodies should reflect Him.

That’s where RR Health + Fitness was truly born.

This isn’t just about aesthetics.
It’s not just about discipline.
It’s not even just about physical health.

It’s about alignment. Body, mind, and spirit.

The Resurrection: Not a Story, But a Reality

At the center of all of this is one defining truth:

Jesus didn’t just die. He rose again.

This is not symbolic.
This is not a metaphor.
This is a historical reality that changed the world.

Jesus was brutally beaten, mocked, and crucified.

“And when they had crucified Him, they divided His garments among them…” – Matthew 27:35

He died a real death.

But three days later, when the women went to the tomb:

“He is not here; He has risen!” – Luke 24:6

The tomb was empty.

Death was defeated.

You Are Not Just Physical – You Are Spiritual

Through faith in Jesus, we are no longer separated from God but we are brought into His family.

“But you are a chosen people, a royal priesthood, a holy nation, God’s special possession…” – 1 Peter 2:9

We are adopted:

“The Spirit you received brought about your adoption to sonship.” – Romans 8:15

We are made clean:

“The blood of Jesus… purifies us from all sin.” – 1 John 1:7

This means something powerful:

Your identity is no longer tied to weakness, sickness, or limitation.

You have been made new.

His Spirit Lives in You

When I was running, I started to picture something different.

Not just a stronger body but a redeemed one.

Not just better endurance but divine strength.

Because Scripture says:

“Do you not know that your bodies are temples of the Holy Spirit…?” – 1 Corinthians 6:19

And:

“The same Spirit that raised Christ from the dead is living in you.” – Romans 8:11

That changes everything.

Faith and Fitness Are Not Separate

Too often, faith and fitness are treated like two different worlds.

But they were never meant to be.

God cares about your body.

“Dear friend, I pray that you may enjoy good health and that all may go well with you, even as your soul is getting along well.” – 3 John 1:2

Your physical health, your mental clarity, and your spiritual strength are all connected.

A Vision of Wholeness

As I ran, I began to envision what God intended:

• A body free from disease
• A strong, healthy heart
• Clear arteries and a sound mind
• Strength, power, and endurance

Not just for performance but for purpose.

We may not see the full manifestation of this until Christ returns:

“Our citizenship is in heaven… He will transform our lowly body to be like His glorious body.” – Philippians 3:20-21

But we are also taught to pray:

“Your kingdom come, Your will be done, on earth as it is in heaven.” – Matthew 6:10

So we don’t just wait but we walk in it now.

We believe for healing.
We believe for strength.
We believe for renewal through the Holy Spirit.

What RR Health + Fitness Stands For

RR Health + Fitness is not just a fitness brand.

It’s a mission.

A mission to help people:

• Strengthen their bodies
• Renew their minds
• Align their spirit with God

Because true health isn’t just physical, it’s spiritual.

“For physical training is of some value, but godliness has value for all things…” – 1 Timothy 4:8

We don’t neglect the body. We steward it.
We don’t idolize fitness. We use it to glorify Him.

Glory to God

Your body is not just something you live in. It’s something God entrusted to you.

Your strength is not just for you. It’s for His purpose.

Your health is not just about longevity. It’s about impact.

So train.
Move.
Fuel your body.
Renew your mind.
Strengthen your spirit.

And in everything,

Glorify Him.

The Person You Become at 80 Is Being Built Today

There’s a version of you in the future.

They’re 80 years old.

They either move with strength, confidence, and independence or they struggle with basic daily tasks.

This isn’t genetics alone.

It’s the result of what you do right now.

Your habits today are shaping your ability to live freely later.

Why Strength and Mobility Matter More as You Age

One of the biggest threats to independence isn’t aging itself. It’s muscle loss, also known as sarcopenia.

After age 30, adults can lose 3-8% of muscle mass per decade, and the rate accelerates after 60.

This matters because muscle is directly tied to:

• Balance and fall prevention
• Bone density and fracture resistance
• Metabolic health and disease prevention
• Daily function and independence

According to research in The Journals of Gerontology, resistance training can significantly slow, or even reverse, this decline.

Key takeaway:
If you don’t actively build and maintain muscle, your body will gradually lose the ability to support you.

The Link Between Muscle Strength and Longevity

Strength isn’t just about fitness, It’s about survival.

A study published in JAMA Network Open found that individuals with higher muscular strength had a lower risk of all-cause mortality.

In simple terms:

Stronger people tend to live longer and live better.

Another major review in the British Journal of Sports Medicine showed that regular strength training reduces the risk of chronic diseases, including:

• Cardiovascular disease
• Type 2 diabetes
• Certain cancers

How to Stay Healthy as You Age: 5 Proven Strategies

If your goal is to stay active and independent into your later years, focus on these fundamentals:

1. Strength Train Consistently

Aim for 2-4 sessions per week.

Focus on:

• Lower body strength (squats, hinges, hip thrusts)
• Upper body pushing and pulling
• Core stability

This is the single most effective way to combat age-related decline.

2. Prioritize Protein Intake

Protein helps preserve and build muscle.

General guideline:

• 0.7-1 gram per pound of body weight (adjust based on activity level)

3. Walk Daily

Walking supports:

• Cardiovascular health
• Joint mobility
• Mental well-being

Even 20-30 minutes per day makes a difference.

4. Train Balance and Stability

Falls are one of the leading causes of injury in older adults.

Incorporate:

• Single-leg exercises
• Controlled, slow movements
• Core engagement work

5. Maintain Mobility

Mobility keeps your joints functioning properly and reduces injury risk.

Focus on:

• Hips
• Ankles
• Thoracic spine

The Cost of Doing Nothing

Without intervention, the body adapts to inactivity.

That leads to:

• Reduced strength
• Decreased mobility
• Increased risk of falls
• Loss of independence

This is how people go from fully capable to needing assistance with basic daily tasks.

Not suddenly but gradually.

The “80 Year Old You” Perspective Shift

This is exactly why the “80 Year Old You” series exists.

It reframes your daily choices through the lens of your future self.

Each post asks a simple question:

Are you making decisions your future self will thank you for?

Because one day, you will live in the body you’re building right now.

You Don’t Need Perfection – You Need Consistency

You don’t need an extreme routine.

You need repeatable habits.

Start small:

• Two strength workouts per week
• Daily movement
• Better nutrition choices

Over time, these compound into a completely different future.

Build a Body That Supports Your Life

The goal isn’t just to live longer.

It’s to live better.

To stay capable.
To stay independent.
To stay in control of your life.

Your 80-year-old self is coming.

The question is:

Will they thank you?

Follow the “80 Year Old You” Series

If this message resonates, follow the “80 Year Old You” series on social media for short, powerful reminders to stay consistent and build a stronger future.

References

1. Cruz-Jentoft AJ, et al. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing.
2. Peterson MD, et al. (2016). Muscular strength and mortality risk. JAMA Network Open.
3. Saeidifard F, et al. (2019). Resistance training and all-cause mortality. British Journal of Sports Medicine.
4. National Institute on Aging. Exercise & Physical Activity Guidelines.
5. Liu CJ, Latham NK. (2009). Progressive resistance training in older adults. Cochrane Database.

You got the volume.

You got the projection.

You followed post-op instructions.

So why does your lower back still ache?

At RR Health + Fitness (RR H+F), this is one of the most common questions we see from women who’ve had a Brazilian Butt Lift.

Here’s the uncomfortable truth:

A BBL changes the appearance of your glutes.
It does not change how they function.

And back pain is a function problem.

What a BBL Actually Changes (And What It Doesn’t)

A Brazilian Butt Lift:

• Removes fat from one area
• Transfers it to the buttocks
• Increases volume

It does not:

• Increase glute muscle strength
• Improve hip extension torque
• Improve core stability
• Reduce lumbar spine shear forces

Your skeletal alignment, muscle imbalances, and movement patterns remain the same unless you train them.

Fat does not contract.

Muscle does.

The Real Role of the Glutes in Back Health

The gluteus maximus is one of the primary stabilizers of the pelvis.

It:

• Controls hip extension
• Resists anterior pelvic tilt
• Assists force transfer from lower body to torso

When glutes are weak or poorly activated:

• The lumbar spine compensates
• Shear forces increase
• Erector spinae overwork
• Low back pain risk rises

Research has shown associations between glute weakness and low back dysfunction (Distefano et al., 2009; Cooper et al., 2016).

Increasing fat volume does not correct muscle weakness.

Why Back Pain Can Actually Feel Worse After a BBL

This part surprises people.

1. Increased Posterior Mass

Adding volume increases mass at the posterior pelvis.

If core strength is insufficient, this can:

• Increase lumbar compression
• Exaggerate anterior pelvic tilt
• Increase extension-based back discomfort

Without muscular control, added mass may amplify mechanical stress.

2. Preexisting Pelvic Instability Remains

If you had:

• Weak deep core muscles
• Poor hip control
• Lumbar hyperextension patterns

Before surgery…

You still have them afterward.

The visual contour changes.
The neuromuscular system does not.

3. Deconditioning During Recovery

Post-op recovery often limits movement and training for weeks.

Temporary inactivity can lead to:

• Reduced muscle activation
• Loss of strength
• Increased stiffness

When movement resumes, the spine may feel less supported than before surgery.

The Spine Doesn’t Care About Aesthetics

The lumbar spine responds to:

• Load
• Stability
• Muscle tension
• Intra-abdominal pressure

Not contour.

Research on spinal biomechanics demonstrates that proper core bracing increases spinal stiffness and reduces shear stress (McGill, 2007).

If bracing and glute engagement aren’t trained, the spine absorbs more force.

The Missing Intervention: Functional Glute Training

At RR H+F, we emphasize that glute size without glute strength is incomplete.

The Jacked Ass Method prioritizes:

1. Controlled Hip Extension

EMG research shows high glute activation during properly executed hip thrust patterns (Contreras et al., 2015).

2. Core Integration

Increased intra-abdominal pressure improves spinal stiffness and load distribution (McGill, 2007).

3. Neutral Pelvic Alignment

Strengthening glutes and deep core musculature reduces excessive anterior pelvic tilt, a contributor to extension-based low back pain.

4. Progressive Overload Without Excess Axial Compression

Mechanical tension drives hypertrophy (Schoenfeld, 2010) while intelligent loading minimizes unnecessary spinal compression.

Why Some Women Finally Feel Relief After Training

When structured glute and core training begins post-recovery:

• Hip extension torque improves
• Pelvic control improves
• Lumbar compensation decreases
• Movement efficiency increases

The improvement doesn’t come from the BBL.

It comes from muscular adaptation.

The Psychological Component

Some women assume persistent pain means something is “wrong” with their surgery.

Often, it’s not surgical failure.

It’s biomechanical neglect.

Aesthetic satisfaction does not guarantee structural resilience.

The Long-Term Outlook

If you’ve had a BBL and are experiencing back discomfort:

It’s not about removing volume.

It’s about restoring function.

Without training:

• Muscle weakness persists
• Pelvic instability persists
• Back strain persists

With training:

• Stability improves
• Force distribution improves
• Pain often decreases

The American College of Sports Medicine recommends resistance training at least twice weekly because of its protective effects on musculoskeletal health.

That recommendation applies whether you’ve had surgery or not.

Final Word from RR Health + Fitness

If your back still hurts after a BBL, the problem likely isn’t your contour.

It’s your mechanics.

Surgery reshapes tissue.

Training reshapes function.

At RR Health + Fitness, we train for:

• Pelvic stability
• Spinal resilience
• Long-term strength
• Aging without fragility

Because muscle protects the spine.

Fat does not.

References

• Contreras, B. et al. (2015). Electromyographic comparison of hip extension exercises. Journal of Applied Biomechanics.
• Cooper, N.A. et al. (2016). Gluteal muscle activation and low back pain. Journal of Orthopaedic & Sports Physical Therapy.
• Distefano, L.J. et al. (2009). Gluteal muscle activation during rehabilitation exercises. Journal of Orthopaedic & Sports Physical Therapy.
• McGill, S. (2007). Low Back Disorders. Human Kinetics.
• Schoenfeld, B.J. (2010). Mechanisms of muscle hypertrophy. Journal of Strength and Conditioning Research.
• American College of Sports Medicine (2009). Position Stand: Resistance Training for Healthy Adults.

Let’s stop pretending these are equal options.

A Brazilian Butt Lift changes how you look.
Glute training changes how you function.

And if you do both?

The health benefits come from the dumbbells, not the operating table.

This isn’t anti-surgery. It’s pro-physiology.

First, Let’s Get Something Straight

A BBL transfers fat.

It does not:

• Increase glute muscle fiber size
• Improve hip extension strength
• Improve pelvic stability
• Reduce back pain
• Improve insulin sensitivity
• Improve longevity markers

It is an aesthetic fat redistribution procedure.

Resistance training, on the other hand, alters muscle tissue, neuromuscular efficiency, connective tissue resilience, bone density, and metabolic health (Schoenfeld, 2010; Westcott, 2012).

These are biologically different interventions.

What Happens If You Get a BBL And Train?

Now here’s the nuance.

If someone heals properly from a BBL and then begins structured glute training (like the Jacked Ass Method), three things happen:

1. Muscle Grows Under the Fat

Glute-focused resistance training increases muscle cross-sectional area via mechanical tension and progressive overload (Schoenfeld, 2010).

EMG studies show high gluteus maximus activation during loaded hip extension movements such as hip thrusts and Romanian deadlifts (Contreras et al., 2015).

That muscle grows beneath the transferred fat.

So yes, visually, the butt may appear larger.

But understand what caused that:

Muscle adaptation. Not the surgery.

2. You Finally Get the Health Benefits Surgery Couldn’t Give You

The gluteus maximus is one of the most powerful muscles in the human body. When it’s weak:

• Pelvic instability increases
• Lumbar spine shear forces rise
• Risk of low back pain increases

Research consistently links glute weakness with lower back and hip dysfunction (Cooper et al., 2016; Distefano et al., 2009).

Resistance training improves:

• Hip extension torque
• Pelvic control
• Functional gait mechanics
• Core stiffness and force transfer

Additionally, strength training is associated with:

• Reduced all-cause mortality
• Improved insulin sensitivity
• Reduced visceral fat
• Improved bone mineral density

(Saeidifard et al., 2019; American College of Sports Medicine Position Stand)

None of these outcomes occur from fat transfer.

3. But You Also Introduce Long-Term Variables

Here’s what most influencers won’t say:

Fat Graft Survival Is Not 100%

Studies show that 30-50% of transferred fat may not survive long term (Del Vecchio & Wall, 2018).

If you aggressively train too soon, lose weight rapidly, or fluctuate body fat:

• Shape changes
• Asymmetry may occur
• Volume may decrease

Surgery is static.
Muscle is dynamic.

They don’t always age the same way.

The Mechanical Reality Nobody Talks About

Adding fat volume increases mass at the posterior pelvis.

If core strength is poor, that increased mass can:

• Increase lumbar compression forces
• Exaggerate anterior pelvic tilt
• Alter force transfer during gait

But here’s the irony:

Glute training corrects those exact problems.

So if someone gets a BBL and then trains properly, training becomes the structural stabilizer for a cosmetic choice.

Again, the health benefit comes from the training.

The Psychological Piece

There’s evidence that cosmetic surgery does not always resolve body dissatisfaction long-term (Sarwer et al., 2005).

Performance-based training, however, shifts focus from appearance to function, strength, and capability which is associated with improved body image and self-efficacy.

One builds appearance.

The other builds agency.

Let’s Be Blunt

If you get a BBL and never train:

• You have larger fat deposits.
• You do not have stronger hips.
• You do not reduce back pain risk.
• You do not improve metabolic markers.
• You do not slow age-related muscle loss.

Sarcopenia (age-related muscle loss) begins in your 30s.

Fat transfer does not protect against it.

Strength training does.

The 10-Year Question

If we fast-forward a decade:

In the era of sculpted aesthetics and social-media-driven beauty standards, two paths dominate the conversation around building a fuller backside:

1. Surgical enhancement through a Brazilian Butt Lift (BBL)
2. Natural muscle development through structured glute training

Many women today are no longer choosing one or the other but they’re doing both.

But here’s the real question:

What are the long-term health consequences of combining a BBL with serious glute training?

Let’s examine the physiology, the biomechanics, and the science.

What Is a Brazilian Butt Lift (BBL)?

A Brazilian Butt Lift is a cosmetic surgery that:

• Removes fat via liposuction from areas such as the abdomen, thighs, or flanks
• Purifies the fat
• Injects it into the buttocks to increase size and reshape contour

Unlike implants, the BBL uses your own fat tissue. The goal is aesthetic enhancement not muscular development.

Important Clarification

A BBL:

• Increases fat volume
• Does not increase glute muscle size
• Does not increase hip strength
• Does not improve metabolic health

It is a cosmetic fat redistribution procedure not a musculoskeletal intervention.

The Risks of a BBL

The BBL has drawn attention within surgical literature because of its complication rate. When fat is inadvertently injected into or below the gluteal muscle, it can enter large veins and cause fat embolism, a rare but potentially fatal complication (Cansancao et al., 2022; Del Vecchio & Wall, 2018).

While surgical techniques have improved safety guidelines, the physiological reality remains:

BBL modifies appearance not function.

What Natural Glute Training Actually Does

Glute-focused resistance training (like hip thrusts, Romanian deadlifts, split squats, and progressive overload protocols) stimulates:

• Muscle fiber hypertrophy
• Increased neuromuscular efficiency
• Connective tissue strengthening
• Improved hip extension torque

Research consistently shows that resistance training increases muscle cross-sectional area and strength through mechanical tension and progressive overload (Schoenfeld, 2010).

Electromyographic (EMG) research demonstrates high activation of the gluteus maximus during loaded hip extension exercises such as hip thrusts (Contreras et al., 2015).

Unlike fat transfer, training builds the actual contractile tissue responsible for:

• Posture
• Pelvic stability
• Gait mechanics
• Force production

Now: What Happens If You Do Both?

1. Muscle Grows Beneath the Transferred Fat

After proper surgical recovery, progressive resistance training will still stimulate hypertrophy.

The muscle grows under the fat graft.

Visually, this can enhance projection and fullness. However, the biological driver of change is muscle adaptation and not the surgery itself.

2. You Gain Real Health Benefits From Training

Strength training is associated with:

• Reduced all-cause mortality (Saeidifard et al., 2019)
• Improved insulin sensitivity
• Improved bone mineral density
• Reduced visceral fat
• Lower risk of sarcopenia

The American College of Sports Medicine recommends resistance training at least 2 days per week for adults due to its protective health effects.

None of these systemic benefits occur from fat grafting.

They occur from muscle contraction and adaptation.

3. Glute Strength and Low Back Health

Glute weakness has been associated with increased risk of:

• Lumbar spine instability
• Anterior pelvic tilt
• Low back pain

Studies show that glute strengthening improves hip mechanics and reduces dysfunctional loading patterns (Distefano et al., 2009; Cooper et al., 2016).

If someone receives a BBL but does not train, the mechanical function of the hips remains unchanged.

If they train, they improve structural resilience which is independent of the fat graft.

4. Fat Graft Survival and Training Considerations

Long-term fat graft retention varies, with studies estimating 50–70% survival depending on technique and postoperative care (Del Vecchio & Wall, 2018).

Aggressive early training, major weight fluctuations, or rapid fat loss can alter cosmetic results.

Muscle adapts dynamically.

Fat responds to systemic energy balance.

Over time, these two tissues may change differently meaning the aesthetic outcome of “BBL + training” is not static.

Biomechanical Considerations

Increasing posterior mass (through fat + muscle) alters load distribution at the pelvis.

Without adequate core strength:

• Lumbar compressive forces may increase
• Pelvic alignment may shift

However, properly programmed glute and core training improves force transfer and reduces shear stress at the lumbar spine (McGill, 2007).

This reinforces an important conclusion:

If someone chooses a BBL, structured training becomes even more important not less.

The 10-Year Question We Always Ask

At RR Health + Fitness, we don’t just ask:

“How will it look next month?”

We ask:

“How will it function in ten years?”

Muscle loss isn’t just about aesthetics but more importantly about independence, mobility, and long-term health.

As we age, the body naturally begins to lose skeletal muscle mass, strength, and power in a process known as sarcopenia. This condition increases the risk of falls, limits mobility, slows metabolism, and makes everyday tasks more difficult. While sarcopenia is common, research makes one thing clear: it is not inevitable.

With the right training stimulus, muscle tissue can be preserved and even rebuilt well into later life. The Jacked Ass Method was designed specifically around what the science shows muscles need to stay strong, functional, and resilient.

What Is Sarcopenia?

Sarcopenia is defined as the progressive, age-related loss of skeletal muscle mass and function. It typically begins in early adulthood and accelerates after the age of 60, particularly in individuals who are inactive or under-load their muscles over time (Cruz-Jentoft et al., 2019).

Consequences of sarcopenia include:

• Reduced strength and power
• Impaired balance and gait
• Increased fall and injury risk
• Loss of independence

Because muscle tissue is metabolically active, sarcopenia is also associated with insulin resistance, decreased bone density, and poorer overall health outcomes.

Why Resistance Training Is the Gold Standard

Decades of research consistently identify progressive resistance training as the most effective intervention for preventing and treating sarcopenia (Peterson et al., 2011; Liu & Latham, 2009).

Resistance training:

• Stimulates muscle protein synthesis
• Preserves and increases lean muscle mass
• Improves neuromuscular coordination
• Enhances functional performance

Importantly, muscles respond to resistance at any age. Studies show older adults even those in their 80s and 90s can safely gain strength and muscle when resistance is applied progressively and appropriately (Fiatarone Singh, 2002).

What Is the Jacked Ass Method?

The Jacked Ass Method is a structured strength system designed to deliver the exact stimulus muscles need to resist sarcopenia without requiring heavy barbells, gym machines, or high joint stress.

The method combines:

• Progressive resistance training
• Hip-dominant and lower-body focused movements
• Functional, real-world movement patterns
• Joint-friendly loading strategies

At the center of the method is the Jacked Ass Belt, which allows resistance to be applied through the hips which is one of the most critical regions for strength, balance, and mobility as we age.

Why the Jacked Ass Method Is Effective Against Sarcopenia

1. Prioritizes Lower-Body Muscle Preservation

The muscle groups most affected by sarcopenia — the glutes, quadriceps, hamstrings, and hip stabilizers — are also the muscles most responsible for daily function.

Lower-body strength is directly linked to:

• Walking speed
• Stair climbing ability
• Sit-to-stand performance
• Fall prevention

Research shows that maintaining strength in these muscle groups significantly improves functional capacity and reduces disability risk in older adults (Cadore & Izquierdo, 2018).

The Jacked Ass Method intentionally places these muscles at the center of training.

2. Built-In Progressive Overload

Muscle tissue is maintained only when it is regularly challenged. Sarcopenia accelerates when resistance remains too low for too long.

The Jacked Ass Method emphasizes progressive overload, meaning resistance is increased gradually over time. This provides the mechanical tension necessary to preserve muscle mass and improve strength without requiring maximal or unsafe loads (Peterson et al., 2011).

3. Functional Strength That Transfers to Daily Life

Rather than isolating muscles in non-functional positions, the Jacked Ass Method uses movement patterns that mirror real-world demands:

• Squatting
• Hip hinging
• Lateral stepping
• Bridging and stabilization

Functional, multi-joint movements have been shown to improve balance, coordination, and overall mobility more effectively than isolated exercises alone (Cadore & Izquierdo, 2018).

4. Joint-Friendly, Low-Impact Loading

Traditional resistance training can feel intimidating or uncomfortable for individuals with joint pain, prior injuries, or spinal sensitivity.

By loading resistance through the hips using bands and belt-supported systems, the Jacked Ass Method:

• Reduces spinal compression
• Minimizes knee joint stress
• Encourages proper muscle recruitment

This approach aligns with clinical recommendations for safe strength training in aging populations (ACSM).

5. Improves Neuromuscular Activation and Stability

Sarcopenia affects not only muscle size but also muscle activation and coordination. Resistance training improves neuromuscular efficiency, helping muscles fire more effectively and stabilize joints during movement (Hunter et al., 2004).

Improved activation leads to:

• Better balance
• Reduced compensatory movement patterns
• Increased confidence in daily activities

How to Use the Jacked Ass Method to Prevent Sarcopenia

Most evidence-based guidelines recommend:

• 2-3 resistance training sessions per week
• Moderate resistance with progressive increases
• Emphasis on proper form and controlled tempo

The Jacked Ass Method fits seamlessly into these recommendations and can be scaled for beginners, aging adults, or experienced lifters alike.

The Science, Simplified (For Real Humans)

If you skim everything else, here’s what the research actually says in plain language:

• Muscle loss is not inevitable with aging
  Muscle responds to resistance at any age.
• Resistance training is the gold standard
  Walking and cardio are great but they do not preserve muscle mass.
• Lower-body strength is non-negotiable
  Strong hips and legs = better balance, mobility, and independence.
• You don’t need heavy barbells
  Muscles care about tension and progression, not gym intimidation.
• Consistency beats intensity
  Moderate resistance done regularly outperforms sporadic “hard” workouts.

The Jacked Ass Method checks every one of these boxes.

Clinician & Medical-Professional Perspective

From a clinical standpoint, sarcopenia is now recognized as a muscle disease, not just “normal aging.” Leading organizations (including the European Working Group on Sarcopenia and ACSM) agree on several intervention priorities all of which align with the Jacked Ass Method.

Clinically Relevant Benefits of the Jacked Ass Method

• Progressive resistance loading without excessive joint compression
• Hip-dominant movement patterns critical for gait, transfers, and fall prevention
• Neuromuscular activation that improves coordination and stability
• Low-barrier adherence, increasing long-term compliance

Because the Jacked Ass Belt allows resistance to be applied at the pelvis rather than the spine or knees, it offers a joint-conscious alternative to traditional free-weight training especially valuable for aging adults or those returning to exercise after inactivity.

In short:
The method aligns with evidence-based exercise prescriptions for older adults while remaining practical, scalable, and safe.

Frequently Asked Questions: Sarcopenia & the Jacked Ass Method

Is the Jacked Ass Method safe for older adults?

Yes. Research shows that resistance training is safe and beneficial for older adults when properly progressed. The Jacked Ass Method emphasizes controlled resistance, functional movement, and joint-friendly loading making it appropriate for beginners and aging populations.

Can resistance bands really prevent muscle loss?

Absolutely. Studies show that resistance bands can generate sufficient mechanical tension to stimulate muscle growth and strength when used progressively. The key is how they’re loaded and progressed which is built into the method.

Do I need heavy weights to fight sarcopenia?

No. Muscle responds to tension, not ego-lifting. Moderate resistance applied consistently and progressively is enough to preserve and rebuild muscle tissue especially when targeting large muscle groups like the glutes and legs.

How often should I train to prevent sarcopenia?

Most guidelines recommend 2-3 resistance sessions per week, allowing for recovery between sessions. The Jacked Ass Method is designed to fit comfortably within this evidence-based frequency.

Is this only for people who are already fit?

Not at all. The Jacked Ass Method is scalable. Resistance, volume, and movement complexity can be adjusted to meet people where they are whether they’re rebuilding strength or pushing performance.

Does this help with balance and fall prevention?

Yes. Lower-body strength, hip stability, and neuromuscular control are all strongly linked to reduced fall risk. The method specifically trains these systems through functional, upright movement patterns.

Why This Method Matters Long-Term

The goal of the Jacked Ass Method isn’t short-term soreness or aesthetic change alone. It is designed to support:

• Muscle preservation
• Metabolic health
• Joint stability
• Mobility and independence

Sarcopenia may be common, but muscle loss does not have to define aging.

Muscle Is a Longevity Skill

Muscle protects joints, supports bones, regulates blood sugar, and keeps the body capable. It is one of the most powerful predictors of long-term health and independence.

The Jacked Ass Method delivers exactly what the science shows muscle needs:
 Progressive resistance
 Lower-body prioritization
 Functional movement
 Joint-conscious loading
 Long-term sustainability

Strong glutes aren’t just about performance but about staying capable for life.

Scientific References

1. Cruz-Jentoft, A. J., et al. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, 48(1), 16–31.
2. Peterson, M. D., Sen, A., & Gordon, P. M. (2011). Influence of resistance exercise on lean body mass in aging adults. Medicine & Science in Sports & Exercise, 43(2), 249–258.
3. Liu, C. J., & Latham, N. K. (2009). Progressive resistance strength training for improving physical function in older adults. Cochrane Database of Systematic Reviews.
4. Hunter, G. R., McCarthy, J. P., & Bamman, M. M. (2004). Effects of resistance training on older adults. Sports Medicine, 34(5), 329–348.
5. Cadore, E. L., & Izquierdo, M. (2018). How to simultaneously optimize muscle strength, power, functional capacity, and cardiovascular gains in the elderly. European Journal of Applied Physiology, 118, 233–254.
6. Fiatarone Singh, M. A. (2002). Exercise comes of age: Rationale and recommendations for a geriatric exercise prescription. Journal of Gerontology: Medical Sciences, 57(5), M262–M282.
7. American College of Sports Medicine. ACSM Position Stand: Exercise and Physical Activity for Older Adults.

Vitamin D is often called “the sunshine vitamin,” but its impact goes far beyond warm, sunny days. This essential nutrient plays a vital role in bone health, muscle strength, immune function, and overall vitality—yet vitamin D deficiency is surprisingly common.

Understanding how vitamin D works and how to support healthy levels can make a meaningful difference in how your body moves, feels, and performs over time.

What Is Vitamin D?

Vitamin D is a fat-soluble vitamin that functions like a hormone in the body. It helps regulate calcium and phosphorus, supports muscle contraction, influences immune responses, and plays a role in brain and mood health.

Unlike most nutrients, your body can produce vitamin D naturally but only under the right conditions.

The Benefits of Vitamin D

Adequate vitamin D levels are associated with:

Bone Health

Vitamin D helps your body absorb calcium efficiently, supporting bone density and reducing the risk of fractures and osteoporosis.

Muscle Strength and Stability

Vitamin D supports muscle function and neuromuscular coordination, which are critical for balance, power, and injury prevention.

Immune System Support

Vitamin D helps regulate immune responses and supports your body’s ability to defend against illness.

Brain and Mood Health

Low vitamin D levels have been linked to fatigue, low mood, and decreased cognitive function, particularly during darker months.

Long-Term Health

Vitamin D plays a role in metabolic health, inflammation regulation, and cardiovascular function.

Where Do We Get Vitamin D?

Sunlight (A Natural Source)

When sunlight hits your skin, your body produces vitamin D naturally. However, vitamin D production depends on many variables, including:

• Time of year and latitude
• Time of day
• Skin tone
• Age
• Clothing and sunscreen use

Because of these factors, even people who spend time outdoors regularly may not produce enough vitamin D especially during fall and winter.

Food Sources (Limited but Helpful)

Vitamin D is naturally present in only a few foods, including:

• Fatty fish such as salmon, sardines, and mackerel
• Egg yolks
• Cod liver oil
• Mushrooms exposed to UV light

Many foods are fortified with vitamin D, including milk, plant-based milks, yogurt, and cereals, but food alone often isn’t enough to meet daily needs.

Supplements

For many people, vitamin D supplements are a reliable way to maintain healthy levels year-round. A simple blood test can help determine appropriate supplementation with guidance from a healthcare provider.

Not all heroes wear capes—some come in the form of a delicious, berry-flavored tablet. Super Vitamin D tablets deliver a super dose of vitamin D (250% DV) to help your body do its thing, rain or shine. Infused with lemon balm extract and Lime and Melissa essential oils, this vitamin D blend is packed with benefits for supporting mood regulation and healthy immune function.

A Simple Habit: Strength Training + Sunlight

At RR Health + Fitness, we focus on habits that work together to support the body. One of the most effective combinations is pairing strength training with safe sunlight exposure.

Here’s how to make it practical:

• Strength train 2–3 times per week, focusing on large muscle groups like legs and glutes
• After your workout, spend 5–15 minutes outdoors when possible
• Walk, stretch, cool down, or breathe outside as part of your recovery
• Strength training signals the body to build and preserve bone
• Vitamin D supports muscle function and calcium absorption
• Together, they help maintain strength, balance, and long-term mobility

Consistency matters more than perfection.

Signs You May Be Low in Vitamin D

• Ongoing fatigue or low energy
• Muscle weakness or aches
• Frequent illness
• Bone or joint discomfort
• Low mood or seasonal dips in motivation

If these symptoms sound familiar, a blood test can provide clarity.

A foundational nutrient for overall health

Vitamin D is a foundational nutrient for strong bones, resilient muscles, and a healthy immune system. While sunlight is a powerful natural source, modern lifestyles and seasonal changes often make it difficult to maintain optimal levels year-round.

By combining smart nutrition, appropriate supplementation, regular strength training, and time outdoors, you can support your body in a way that promotes strength and vitality for years to come.

Strong bodies are built from the inside out and vitamin D plays a key role in that foundation.

Most people think “leg day” is just about building strong quads, shapely glutes, and toned hamstrings—but the benefits go far beyond aesthetics. At RR Health + Fitness, we believe leg training is one of the most powerful ways to strengthen both your body and your brain. In fact, research continues to show a strong connection between lower-body strength and long-term cognitive health.

If you’re skipping leg day, you may be skipping one of the most important contributors to mental sharpness and overall wellness.

How Leg Strength Boosts Brain Function

Your legs contain the largest muscles in your body. Training them activates systems that directly influence brain health—including increased oxygenation, hormone release, and enhanced neural communication.

1. Strong Legs Support Strong Brain Performance

Studies have linked leg strength with improved memory, faster decision-making, and better cognitive aging. When your legs work harder, your brain follows suit.

2. Leg Training Stimulates Neurogenesis

Lower-body exercises trigger the release of growth factors that support neurogenesis—the creation of new brain cells. More movement = more mental vitality.

3. It Reduces Stress and Improves Mental Clarity

Squats, lunges, hip hinges, and glute training help regulate cortisol and release endorphins, which support emotional stability and clearer thinking.

Stop Skipping Leg Day: Your Brain Will Thank You

Skipping leg day isn’t just a gym faux pas—it’s a missed opportunity for full-body health and long-term brain resilience. Consistent lower-body training:

• Improves balance and mobility
• Supports metabolism and fat loss
• Boosts everyday strength and stamina
• Enhances brain longevity
• Helps maintain independence as you age

Leg day is foundational for both physical and cognitive well-being.

Upgrade Your Leg Workouts with RR Health + Fitness Equipment

To get the most out of your leg training, the right tools matter. At RR Health + Fitness, we offer several pieces of equipment that take your lower-body training to the next level.

Badonka Bands

Our popular Badonka Bands provide powerful glute and hip activation to intensify squats, bridges, lunges, and side steps. Their comfortable protective sleeves eliminate pinching and rolling—making them ideal for all fitness levels.

RR H+F Resistance Bands

Our full resistance band line helps build strength safely and effectively. We recently released a YouTube video showing a woman performing squats with our #5 X-Heavy Resistance Band—a perfect example of how to build serious leg strength with minimal equipment.

If you’d like added support, you can place a chair behind you for added assurance during banded squats, especially when you’re learning proper form.

Jacked Ass Belt

The Jacked Ass Belt is another powerful addition to your leg-day toolkit. It allows you to perform weighted hip thrusts using dumbbells or kettlebells—no barbell required. This makes glute training safer, more comfortable, and more accessible from home or the gym.

If glute growth and leg strength are your goals, the Jacked Ass Belt helps you get there faster.

Want More Exercises? Visit Our Workout Video Page

On our website’s Workout Video Page, you’ll find guided demos showing how to use:

• Badonka Bands
• RR H+F Resistance Bands
• Jacked Ass Belt
• And more

Whether you’re looking to increase intensity or ensure proper form, these videos give you everything you need to train effectively and safely.

Try This Quick Leg-Day Routine

Use any combination of RR Health + Fitness equipment:

• 12–15 Banded Squats
• 12 Glute Bridges (with the Jacked Ass Belt for weighted thrusts)
• 12 Side Steps (Badonka Bands recommended)
• 12 Reverse Lunges (Badonka Bands recommended)
• Repeat 2–3 rounds

This routine elevates both lower-body strength and brain-boosting blood flow.

An Investment in Your Long-Term Health

Leg day is more than a workout—it’s an investment in your long-term health. Strong legs support a strong brain, and with tools like Badonka Bands, RR H+F Resistance Bands, and the Jacked Ass Belt, you can build a foundation of strength that enhances your mood, cognition, and physical performance for years to come.

Spring and fall bring blossoms, raking, and sniffles, sneezes, and scratchy throats. Most allergy conversations focus on pollen counts, antihistamines, and nasal sprays. There’s another player worth your attention: the digestive system. Emerging research shows the gut and its microbial community shape immune responses, including how strongly your body reacts to seasonal allergens. That means supporting digestion and gut balance with targeted, natural ingredients can reduce inflammation and ease allergy symptoms and in some cases without drugs. PMC+1

Below I’ll explain the gut–allergy connection in plain language, then walk through seven natural ingredients — tarragon, ginger, peppermint, juniper, fennel, anise, and patchouli — that have traditional and experimental support for calming digestion and modulating inflammatory/allergic responses.

Gut health and allergies: the short version

Your gut is home to trillions of microbes that train and regulate the immune system. When gut microbial balance shifts (called dysbiosis) or intestinal barrier function weakens, immune regulation can go haywire increasing the likelihood of allergic sensitization and exaggerated responses (like hay fever). Strengthening gut health and lowering intestinal inflammation can therefore help tone down allergic reactions. PMC+1

The herbs and how they help

Tarragon (Artemisia dracunculus)

Tarragon is more than a tasty flavor which lab and animal studies show it contains compounds with anti-inflammatory and antioxidant activity. These effects can reduce local inflammation in the gut and systemically, helping lower the inflammatory signals that amplify allergy symptoms. Tarragon is traditionally used to support digestion (reducing bloating and gas), which helps overall gut comfort. PMC+1

How to use: Add fresh tarragon to meals, steep as a light herbal infusion after dinner, or include it in a digestive blend.

Ginger (Zingiber officinale)

Ginger is one of the best-studied culinary herbs for inflammation and allergy. Clinical and animal studies show ginger and its active components (like 6-gingerol) can reduce allergic rhinitis symptoms and blunt inflammatory pathways. Ginger also speeds gastric emptying and eases nausea and bloating by supporting the gut in two complementary ways: lowering inflammatory drivers and improving digestion. One randomized study found ginger extract improved allergic rhinitis symptoms compared with antihistamine in small trials. PMC+1

How to use: Hot ginger tea, grated ginger in food, or ginger tincture in small amounts (ask a clinician about interactions).

Peppermint (Mentha × piperita)

Peppermint is widely used for digestive relief especially for spasmodic discomfort and gas and its primary constituents (menthol, menthone) have antioxidant, antimicrobial, and anti-inflammatory properties. By supporting digestion and modulating microbial activity, peppermint can indirectly reduce the gut-driven immune signaling that feeds allergic inflammation. Note: peppermint oil can worsen reflux in some people. PubMed+1

How to use: Peppermint tea after meals or peppermint as part of a digestive herbal blend (avoid peppermint oil if you have GERD without clinician advice).

Juniper (Juniperus communis)

Juniper berries have a long folk-medicine history for both digestive complaints and respiratory support. Research indicates anti-inflammatory and antioxidant properties in juniper extracts which are useful for reducing inflammatory tone and supporting gut health. Juniper should be used carefully in pregnancy and with certain medications. PMC+1

How to use: Small amounts of crushed juniper in cooking, or as part of an herbal infusion; consult a provider if pregnant or on medications.

Fennel (Foeniculum vulgare)

Fennel is a classic digestive remedy: it relaxes intestinal cramping, reduces bloating, and is used for colic and gas. Scientific reviews also show anti-inflammatory and antioxidant activity in fennel compounds which are mechanisms that can reduce mucosal inflammation and downstream allergic signaling. Because fennel soothes the gut, it can be a supportive partner in reducing allergy severity. PMC+1

How to use: Fennel seed tea after meals, chewing a few seeds, or adding fennel to food.

Anise (Pimpinella anisum / Illicium verum – star anise)

Anise has been used traditionally for digestion (carminative effects) and contains anethole, a compound with anti-inflammatory properties. Note: some varieties (and close relatives) have toxic compounds so always use culinary or pharmaceutical-grade anise and avoid unknown sources. People with seed allergies should proceed cautiously. WebMD+1

How to use: Anise tea or as a flavoring in digestive bitters; avoid unverified “wild” star anise varieties.

Patchouli (Pogostemon cablin)

Patchouli (often known for its scent) contains patchouli alcohol and other constituents with measurable anti-inflammatory activity. While more research focuses on topical or inhaled uses, patchouli extracts show immune-modulating effects in lab studies that could complement other gut-supporting herbs by lowering systemic inflammation. PMC+1

How to use: Patchouli is most commonly used as an essential oil in steam inhalation or in very dilute topical blends (for respiratory comfort); oral use should be guided by an herbalist or clinician.

Putting the pieces together: synergy, not miracle cures

These herbs work best as part of a gut-friendly approach: eat fiber, avoid highly processed foods that disrupt the microbiome, stay hydrated, manage stress, and get good sleep. Used together, the herbs above can:

• Improve digestion (less gut irritation → less immune activation)
• Lower mucosal and systemic inflammation (fewer cytokines that amplify allergic responses)
• Provide direct antiallergic effects for some people (ginger is the most strongly studied here). PMC+1

When most people hear the word sarcopenia, they picture frailty, aging, and muscle loss in their 60s or 70s. But research tells a very different story.

Age-related muscle loss begins decades before sarcopenia is ever diagnosed, often as early as the mid-30s. That means the habits you build in your 20s and 30s play a critical role in how strong, mobile, and independent you remain later in life.

The Jacked Ass Method, supported by tools like the Jacked Ass Belt and Badonka Bands, was designed around this reality: muscle health is a lifelong investment, not a late-stage intervention.

Peak Muscle Development and Early Muscle Decline

Physical Peak Years: Your Best Opportunity to Build Muscle

Human skeletal muscle reaches its peak strength and size around age 25, with physical performance remaining near peak levels for another 10-15 years (Peterson et al., 2011). Most individuals achieve maximum muscle mass between their late 20s and early 30s, making this the optimal window for strength development.

During this period, resistance training:

• Maximizes muscle hypertrophy potential
• Improves neuromuscular efficiency
• Builds connective tissue resilience
• Establishes long-term movement patterns

The Jacked Ass Method leverages this window by prioritizing lower-body resistance training, particularly through the hips and glutes, using the Jacked Ass Belt to load muscle effectively without excessive spinal or joint stress.

Muscle Loss Begins Earlier Than Most People Realize

Although sarcopenia is clinically diagnosed later in life, muscle mass decline often begins around age 35 (Cruz-Jentoft et al., 2019). Research indicates:

• Muscle mass decreases 1-2% per year in inactive adults
• Muscle loss averages 3-8% per decade after age 30
• The rate of decline accelerates after age 60

Between the ages of 65 and 80, individuals may lose up to 8% of muscle mass per decade, particularly in the lower body which consist of the muscle groups most responsible for balance, gait, and fall prevention (Cadore & Izquierdo, 2018).

This is why the Jacked Ass Method emphasizes early and consistent loading of the hips, glutes, and legs, the areas most vulnerable to age-related muscle loss.

Why Your 20s and 30s Are Critical for Sarcopenia Prevention

Your 20s: Peak Muscle-Building Years

Your twenties represent the most powerful opportunity to build muscle that protects you for decades to come. During this stage, muscle protein synthesis is highly responsive to resistance training, and recovery capacity is at its highest.

Key goals during this phase include:

• Building maximal lean muscle mass
• Learning proper movement mechanics
• Establishing lifelong strength habits

Using Badonka Bands during this stage helps improve muscle activation, control, and joint stability, while the Jacked Ass Belt allows for progressive hip loading that supports powerful, functional movement patterns.

Your 30s: The Shift to Prevention Mode

By your 30s, the body gradually transitions from building muscle easily to preserving what you’ve built. Without consistent resistance training, muscle loss becomes measurable during this decade (Peterson et al., 2011).

This is when strength training becomes preventative medicine.

The Jacked Ass Method supports this transition by emphasizing:

• Progressive overload without excessive joint strain
• Functional strength that transfers to daily life
• Consistency over maximal intensity

Why Early Strength Training Delivers Lifelong Benefits

Bone Health and Structural Support

Peak bone mass is typically achieved between ages 30 and 35, but in women, skeletal bone mass is nearly complete by age 20 (Fiatarone Singh, 2002). Resistance training during early adulthood increases bone mineral density and helps preserve skeletal strength later in life.

Lower-body, weight-bearing movements especially hip-loaded exercises using the Jacked Ass Belt play a key role in maintaining bone integrity.

Metabolic Health and Muscle Preservation

Muscle tissue is metabolically active. Building and maintaining muscle increases resting metabolic rate, improves insulin sensitivity, and reduces the risk of metabolic disease (Hunter et al., 2004).

Consistent resistance training with Badonka Bands provides sufficient mechanical tension to maintain lean muscle mass without requiring heavy external weights making long-term adherence more achievable.

Long-Term Health and Functional Independence

Regular resistance training in early adulthood has been associated with:

• Reduced fall risk
• Improved balance and coordination
• Lower rates of chronic disease
• Improved cognitive health
• Greater mobility and independence later in life (Liu & Latham, 2009)

The Jacked Ass Method supports these outcomes by focusing on functional, multi-joint movements that mimic real-world demands.

Age-Based Strength Training Recommendations Using the Jacked Ass Method

Ages 18-25: Foundation Building

• Learn proper movement patterns
• Build maximal muscle capacity
• Develop neuromuscular coordination
• Use Badonka Bands for activation and control
• Introduce the Jacked Ass Belt for hip-dominant loading

Ages 25-35: Peak Maintenance

• Maintain muscle mass with progressive resistance
• Emphasize recovery and adequate protein intake
• Continue consistent lower-body loading
• Use the Jacked Ass Method to train without joint overload

Ages 35+: Active Sarcopenia Prevention

• Implement structured resistance training 2-3x per week
• Prioritize functional strength and balance
• Preserve fast-twitch muscle fibers responsible for power
• Treat this phase as the critical intervention window before accelerated loss begins

The Cost of Delaying Strength Training

Adults who do not engage in regular resistance training can lose 4-6 pounds of muscle per decade, often replacing muscle with fat masking decline on the scale while functional capacity worsens (Cruz-Jentoft et al., 2019).

Fast-twitch muscle fibers decline more rapidly than slow-twitch fibers, resulting in reduced power, slower movement, and higher fall risk.

Even short periods of inactivity matter:

• Bed rest can cause ~1% strength loss per day
• After 3-4 weeks of inactivity, muscle mass may decrease 1-2% per week (Hunter et al., 2004)

Low-barrier tools like Badonka Bands and the Jacked Ass Belt make consistent resistance training more achievable which is essential for preventing muscle loss.

Muscle Health Is a Lifelong Investment

Although sarcopenia is typically diagnosed in adults over 60, prevention must begin decades earlier. Your 20s and 30s are the most influential years for building a muscular foundation that protects mobility, independence, and quality of life later on.

The Jacked Ass Method provides everything the science says muscle needs:

• Progressive resistance
• Lower-body prioritization
• Functional movement patterns
• Joint-friendly loading
• Long-term sustainability

It is never too early to start preventing muscle loss.

By investing in strength early with the right method and tools you are not just training for today. You are protecting your body for the next 40, 50, and 60 years.

Scientific References

1. Cruz-Jentoft, A. J., et al. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, 48(1), 16–31.
2. Peterson, M. D., Sen, A., & Gordon, P. M. (2011). Influence of resistance exercise on lean body mass in aging adults. Medicine & Science in Sports & Exercise, 43(2), 249–258.
3. Liu, C. J., & Latham, N. K. (2009). Progressive resistance strength training for improving physical function in older adults. Cochrane Database of Systematic Reviews.
4. Hunter, G. R., McCarthy, J. P., & Bamman, M. M. (2004). Effects of resistance training on older adults. Sports Medicine, 34(5), 329–348.
5. Cadore, E. L., & Izquierdo, M. (2018). How to simultaneously optimize muscle strength, power, functional capacity, and cardiovascular gains in the elderly. European Journal of Applied Physiology, 118, 233–254.
6. Fiatarone Singh, M. A. (2002). Exercise comes of age: Rationale and recommendations for a geriatric exercise prescription. Journal of Gerontology: Medical Sciences, 57(5), M262–M282.
7. American College of Sports Medicine. Exercise and Physical Activity for Older Adults: Position Stand.