{"id":12531,"date":"2017-08-07T08:50:00","date_gmt":"2017-08-07T08:50:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/08\/07\/flattening-the-mummy-tummy-with-1-exercise-10-minutes-a-day\/"},"modified":"2017-08-07T08:50:00","modified_gmt":"2017-08-07T08:50:00","slug":"flattening-the-mummy-tummy-with-1-exercise-10-minutes-a-day","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/flattening-the-mummy-tummy-with-1-exercise-10-minutes-a-day\/","title":{"rendered":"Flattening The &#039;Mummy Tummy&#039; With 1 Exercise, 10 Minutes A Day"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/07\/541204499\/flattening-the-mummy-tummy-with-1-exercise-10-minutes-a-day?utm_medium=RSS&amp;utm_campaign=healthcare\">Michaeleen Doucleff<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/07\/541204499\/flattening-the-mummy-tummy-with-1-exercise-10-minutes-a-day?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6086-copy_custom-95ecaf3fbbce8bcefddfd31d0942d34fbfae4a1a-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6086-copy_custom-95ecaf3fbbce8bcefddfd31d0942d34fbfae4a1a-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Women work on strengthening their core abdominal muscles in Leah Keller&#8217;s exercise class for new moms, inside a San Francisco clothing store called Monkei Miles.<\/p>\n<p>                <b><\/p>\n<p>                    Talia Herman for NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Talia Herman for NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>I admit it. I have a &#8220;mummy tummy,&#8221; also known as &#8220;mommy pooch.&#8221; You know, that soft, jelly belly you retain after having a baby \u2014 it makes you look a few months pregnant.<\/p>\n<p>I&#8217;ve tried to convince myself that the pooch is a valiant badge of motherhood, but who am I kidding? The pooch bothers me. And it turns out it&#8217;s been causing me back pain.<\/p>\n<p>So when I hear that a fitness coach and doctor have come up with a technique that can flatten the pooch quickly and easily, I think, &#8220;Why not?&#8221;<\/p>\n<p>A few weeks, later I&#8217;m rolling out a yoga mat with a dozen other moms and pregnant women in San Francisco.<\/p>\n<p>&#8220;We will see a dramatic change,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/leahkeller.com\/\">Leah Keller<\/a>, who leads the class. &#8220;You can easily expect to see 2 inches off your waist in three weeks of time,&#8221; Keller says. &#8220;That&#8217;s not an unrealistic expectation.&#8221; <strong><\/strong><\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<div>\n<aside>\n<div>\n<p>We had patients that were even one year out from giving birth, and they still had such great benefit from the exercises.&#8221;<\/p>\n<\/div>\n<p><!-- END CLASS=\"BUCKET\" --><\/p>\n<p>Dr. Geeta Sharma, OB-GYN, Weill-Cornell Medical Center<\/p>\n<\/aside>\n<\/div>\n<p><!-- END ID=\"RES541705431\" CLASS=\"BUCKETWRAP PULLQUOTE\" --><\/p>\n<p>Decked out in purple yoga pants and leather cowboy boots, Keller is a personal trainer from New York City. She has developed an exercise that allegedly shrinks the mommy pooch.<\/p>\n<p>There&#8217;s science to back up the method, she says.<\/p>\n<p>&#8220;A doctor at Weill Cornell and I did a study on the exact same program we&#8217;re going to do,&#8221; Keller says. &#8220;And we found 100 percent of women achieved full resolution.&#8221;<\/p>\n<div>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6398-copy1_custom-a27e7ff6312f27e90b3f674a723ff7e54a1f6eaa-s1100-c15.jpg\" alt=\"\"><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6398-copy1_custom-a27e7ff6312f27e90b3f674a723ff7e54a1f6eaa-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Keller measures the separation in a student&#8217;s abdominal muscles using her fingers as a guide.<\/p>\n<p>                <b><\/p>\n<p>                    Talia Herman for NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Talia Herman for NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<\/div>\n<p><!-- END CLASS=\"CONTAINER LARGE\" ID=\"CON541597245\" PREVIEWTITLE=\"2\" --><\/p>\n<p>OK! Wait a second. Two inches off my belly in three weeks? That sounds too good to be true. I decide to do a little digging into the science of mummy tummy and Keller&#8217;s claim.<\/p>\n<p><strong>Putting the six-pack back together<\/strong><\/p>\n<p>It turns out the jelly belly actually has a medical term: <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/medlineplus.gov\/ency\/article\/001602.htm\">diastasis recti,<\/a> which refers to a separation of the abdominal muscles.<\/p>\n<p>And it&#8217;s quite common. Last year, a study from Norway <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/bjsm.bmj.com\/content\/50\/17\/1092\">reported<\/a> about a third of moms end up with diastasis recti a year after giving birth.<\/p>\n<p>&#8220;This is such a ubiquitous issue,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/weillcornell.org\/geetasharma\">Dr. Geeta Sharma<\/a>, an OB-GYN at Weill Cornell Medical Center-New York Presbyterian Hospital.<\/p>\n<p>And it&#8217;s not just a cosmetic problem. Diastasis recti can cause another big issue for new moms: lower back pain.<\/p>\n<p>&#8220;People can start feeling some back pain because the core is weakened,&#8221; Sharma says.<\/p>\n<div>\n<div>\n<h3>The Diastasis Recti<\/h3>\n<p>During pregnancy, the abdominal muscles responsible for a &#8220;six pack&#8221; stretch apart (left) to accommodate a growing fetus. After birth, the muscles don&#8217;t always bounce back, leaving a gap known as the mommy pooch.<\/p>\n<div><img decoding=\"async\" src=\"http:\/\/www.npr.org\/assets\/img\/2017\/08\/04\/diastasis-recti.jpg\" alt=\"distasis recti\"><\/div>\n<p><!-- END CLASS=\"GRAPHICWRAPPER\" --><\/p>\n<div>\n<p>Source: Nick Sousanis\/Courtesy of Sustainable Fitness Incorporated<\/p>\n<\/div>\n<p><!-- END CLASS=\"FOOTER\" --><\/div>\n<p><!-- END CLASS=\"BUCKET\" --><\/div>\n<p><!-- END ID=\"RES541597678\" CLASS=\"BUCKETWRAP GRAPHIC MEDIUM\" --><\/p>\n<div>\n<div>\n<div>\n<p>There&#8217;s a simple way to see if you have diastasis recti:<\/p>\n<ol>\n<li>Lie flat on your back with your knees bent.<\/li>\n<li>Put your fingers right above your belly button and press down gently.<\/li>\n<li>Then lift up your head about an inch while keeping your shoulders on the ground.<\/li>\n<li>If you have diastasis recti, you will feel a gap between the muscles that&#8217;s wider than an inch.<\/li>\n<\/ol>\n<\/div>\n<p><!-- END CLASS=\"BUCKET\" --><\/div>\n<p><!-- END ID=\"RES541957543\" CLASS=\"BUCKETWRAP LISTTEXT\" --><\/div>\n<p><!-- END CLASS=\"CONTAINER SMALL\" ID=\"CON541957678\" PREVIEWTITLE=\"DIASTASIS RECTI TEST\" --><\/p>\n<p>Diastasis recti arises during pregnancy because the growing fetus pushes the abdominal muscles apart \u2014 specifically the rectus abdominal muscles.<\/p>\n<p>&#8220;These are the muscles that give you a &#8216;six pack,&#8217; &#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/providers.ucsd.edu\/details\/32697\/linda-brubaker-obstetrics__gynecology-san_diego\">Dr. Linda Brubaker<\/a>, an OB-GYN at the University of California, San Diego. &#8220;People think these muscles go horizontal across the belly. But they actually go vertical from head to toe.&#8221;<\/p>\n<p>The rectus abdominal muscles should be right next to each other, on either side of the belly button, Brubaker says. &#8220;There shouldn&#8217;t be much of gap between them.&#8221;<\/p>\n<p>But during pregnancy a gap opens up between the muscles, right around the belly button. Sometimes that gap closes on its own, but other times it stays open.<\/p>\n<p>That leaves a spot in the belly where there&#8217;s very little muscle to hold in your stomach and other organs, a spot that can be one to two inches wide. That lets the organs and overlying tissue bulge out \u2014 and cause mommy pooch.<\/p>\n<p>To flatten the area, women have to get those abdominal muscles to realign. And that&#8217;s where the exercises come into play.<\/p>\n<p>If you search online for ways to fix diastasis recti, you&#8217;ll turn up a deluge of exercise routines, all claiming to help coax the abdominal muscles back together.<\/p>\n<p>But the quality of much of that information isn&#8217;t good, Brubaker says. &#8220;Some of it is actually potentially harmful.&#8221;<\/p>\n<p>Even some exercises aimed at strengthening the abdomen can exacerbate diastasis recti, says Keller, including simple crunches.<\/p>\n<p>&#8220;You have to be very careful,&#8221; she says. &#8220;For example, please don&#8217;t ever again in your life do <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.fitday.com\/fitness-articles\/fitness\/exercises\/how-to-do-a-cross-over-crunch.html\">crossover crunches<\/a> or <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.menshealth.com\/exercise\/bicycle-crunch\">bicycle crunches<\/a>. They splay your abs apart in so many ways.&#8221;<\/p>\n<p>That said, there are a few exercise programs for diastasis recti that many doctors and physical therapists support. These include the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/diastasisrehab.com\/\">Tupler Technique<\/a>, Keller&#8217;s <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/thediamethod.com\/\">Dia Method<\/a> and <strong><\/strong>the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/mutusystem.com\/what-the-experts-say\">MuTu System<\/a> in the U.K.<\/p>\n<p>Most such courses, taught once a week for an hour in New York, San Francisco and at least a few other places, tend to run about four to 12 weeks and cost around $100 to $300. Some places offer online classes and videos.<\/p>\n<p>The American College of Obstetricians and Gynecologists also recommends abdominal exercises for the perinatal period. But the organization&#8217;s guidelines don&#8217;t provide details \u2014 such which exercises work best, or how often women should do them and for how long.<\/p>\n<p>Plus, ACOG focuses more on preventing diastasis than fixing the problem; it recommends strengthening the abdomen before and during pregnancy.<\/p>\n<p>&#8220;The best way is prevention,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/obgyn.slu.edu\/index.php?page=raul-artal-m-d-4\">Dr. Raul Artal<\/a>, an OB-GYN at St. Louis University, who helped ACOG write its exercise guidelines for the perinatal period. &#8220;The best way to do that is to exercise during pregnancy.&#8221;<\/p>\n<p>But, as Sharma, the Cornell OB-GYN, points out, no one has really vigorously studied these various exercises to see if they actually fix diastasis recti.<\/p>\n<p>&#8220;There&#8217;s a general knowledge that exercise is going to help,&#8221; Sharma says. &#8220;But no one has really tested them in a standardized way.&#8221;<\/p>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/mompooch_custom-d8e464fe54a60f801aecb23b814d8f3ff5c3fce9-s1100-c15.jpg\" alt=\"\"><\/div>\n<div>\n<div>\n<div>\n<p>\n                Keller (right) checks a student&#8217;s progress after the the final class. The fitness coach worked with an OB-GYN from Weill Cornell Medicine to standardize and evaluate her exercise program, which primarily targets abdominal muscles.<\/p>\n<p>                <b><\/p>\n<p>                    Talia Herman for NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Talia Herman for NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>Sharma hopes to change that. A few years ago, she teamed up with Keller to start to gather some evidence on her technique.<\/p>\n<p>&#8220;We did a pilot study to see if the method is helpful for women,&#8221; Sharma says.<\/p>\n<p>The study was small \u2014 just 63 women. But the results were quite promising. After 12 weeks of doing Keller&#8217;s exercise \u2014 10 minutes a day \u2014 all the women had fixed their diastasis recti, Sharma and Keller reported at ACOG&#8217;s annual meeting few years ago.<\/p>\n<p>&#8220;We had patients that were even one year out from giving birth, and they still had such great benefit from the exercises,&#8221; Sharma says. &#8220;We love to see that there is something we can do to help women.&#8221;<\/p>\n<p><strong>Tight and tighter<\/strong><\/p>\n<p>Back at the class in San Francisco, Keller is taking us moms through the key exercise. It&#8217;s surprisingly simple to do.<\/p>\n<p>&#8220;The exercise is a very small, very intense movement. That&#8217;s almost imperceptible,&#8221; Keller says. &#8220;OK. We&#8217;re going to do another set.&#8221;<\/p>\n<p>Sitting on the floor cross-legged, with our hands on our bellies, we all take a big breath. &#8220;Let the belly fully expand,&#8221; Keller says.<\/p>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6250-copy1_custom-b6aeb9a2aa2d18757c2e81de084ba440dfdb5243-s1100-c15.jpg\" alt=\"\"><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6250-copy1_custom-b6aeb9a2aa2d18757c2e81de084ba440dfdb5243-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Tania Higham (left) and Maeve Clancy, strengthening their abs in Keller&#8217;s class in San Francisco.<\/p>\n<p>                <b><\/p>\n<p>                    Talia Herman for NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Talia Herman for NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>And then as we exhale, we suck in our belly muscles \u2014 as far back as they&#8217;ll go, toward the spine. &#8220;Now we&#8217;re going to stay here near the spine. Hold this position,&#8221; she says.<\/p>\n<p>Then we take tiny breaths. With each exhale, we push our stomachs back further and further.<\/p>\n<p>&#8220;Tight, tighter,&#8221; Keller chants, rhythmically. &#8220;Good!&#8221;<\/p>\n<p>This is our fourth week of class, and we&#8217;ve been doing this same exercise on our own every day for at least 10 minutes. So it&#8217;s judgement day. Time to see if we&#8217;ve flattened our bellies.<\/p>\n<p>Keller pulls out a measuring tape and starts wrapping it around women&#8217;s middles.<\/p>\n<p>One by one, there&#8217;s success after success. Several moms completely closed up their abdominal separations. Many lost inches from their bellies.<\/p>\n<p>One woman had amazing results. &#8220;Oh my goodness, you lost nearly four inches from your belly circumference,&#8221; Keller exclaims. &#8220;That&#8217;s amazing!&#8221;<\/p>\n<p>How did I fare? Well, after three weeks, I didn&#8217;t completely close up the abdominal separation. But I did drop more than an inch from my belly circumference.<\/p>\n<p>And I am quite happy with the results. My abs are definitely firmer. And regularly doing this exercise brought a bonus benefit: My lower back pain has almost completely gone away.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/07\/541204499\/flattening-the-mummy-tummy-with-1-exercise-10-minutes-a-day?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Flattening The &#039;Mummy Tummy&#039; With 1 Exercise, 10 Minutes A Day\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/07\/541204499\/flattening-the-mummy-tummy-with-1-exercise-10-minutes-a-day?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/08\/07\/541204499\/flattening-the-mummy-tummy-with-1-exercise-10-minutes-a-day?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6086-copy_custom-95ecaf3fbbce8bcefddfd31d0942d34fbfae4a1a-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6086-copy_custom-95ecaf3fbbce8bcefddfd31d0942d34fbfae4a1a-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Women work on strengthening their core abdominal muscles in Leah Keller&#8217;s exercise class for new moms, inside a San Francisco clothing store called Monkei Miles.<\/p>\n<p>                <b><\/p>\n<p>                    Talia Herman for NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Talia Herman for NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>I admit it. I have a &#8220;mummy tummy,&#8221; also known as &#8220;mommy pooch.&#8221; You know, that soft, jelly belly you retain after having a baby \u2014 it makes you look a few months pregnant.<\/p>\n<p>I&#8217;ve tried to convince myself that the pooch is a valiant badge of motherhood, but who am I kidding? The pooch bothers me. And it turns out it&#8217;s been causing me back pain.<\/p>\n<p>So when I hear that a fitness coach and doctor have come up with a technique that can flatten the pooch quickly and easily, I think, &#8220;Why not?&#8221;<\/p>\n<p>A few weeks, later I&#8217;m rolling out a yoga mat with a dozen other moms and pregnant women in San Francisco.<\/p>\n<p>&#8220;We will see a dramatic change,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/leahkeller.com\/\">Leah Keller<\/a>, who leads the class. &#8220;You can easily expect to see 2 inches off your waist in three weeks of time,&#8221; Keller says. &#8220;That&#8217;s not an unrealistic expectation.&#8221; <strong><\/strong><\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<div>\n<aside>\n<div>\n<p>We had patients that were even one year out from giving birth, and they still had such great benefit from the exercises.&#8221;<\/p>\n<\/div>\n<p><!-- END CLASS=\"BUCKET\" --><\/p>\n<p>Dr. Geeta Sharma, OB-GYN, Weill-Cornell Medical Center<\/p>\n<\/aside>\n<\/div>\n<p><!-- END ID=\"RES541705431\" CLASS=\"BUCKETWRAP PULLQUOTE\" --><\/p>\n<p>Decked out in purple yoga pants and leather cowboy boots, Keller is a personal trainer from New York City. She has developed an exercise that allegedly shrinks the mommy pooch.<\/p>\n<p>There&#8217;s science to back up the method, she says.<\/p>\n<p>&#8220;A doctor at Weill Cornell and I did a study on the exact same program we&#8217;re going to do,&#8221; Keller says. &#8220;And we found 100 percent of women achieved full resolution.&#8221;<\/p>\n<div>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6398-copy1_custom-a27e7ff6312f27e90b3f674a723ff7e54a1f6eaa-s1100-c15.jpg\" alt=\"\"><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6398-copy1_custom-a27e7ff6312f27e90b3f674a723ff7e54a1f6eaa-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Keller measures the separation in a student&#8217;s abdominal muscles using her fingers as a guide.<\/p>\n<p>                <b><\/p>\n<p>                    Talia Herman for NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Talia Herman for NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<\/div>\n<p><!-- END CLASS=\"CONTAINER LARGE\" ID=\"CON541597245\" PREVIEWTITLE=\"2\" --><\/p>\n<p>OK! Wait a second. Two inches off my belly in three weeks? That sounds too good to be true. I decide to do a little digging into the science of mummy tummy and Keller&#8217;s claim.<\/p>\n<p><strong>Putting the six-pack back together<\/strong><\/p>\n<p>It turns out the jelly belly actually has a medical term: <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/medlineplus.gov\/ency\/article\/001602.htm\">diastasis recti,<\/a> which refers to a separation of the abdominal muscles.<\/p>\n<p>And it&#8217;s quite common. Last year, a study from Norway <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/bjsm.bmj.com\/content\/50\/17\/1092\">reported<\/a> about a third of moms end up with diastasis recti a year after giving birth.<\/p>\n<p>&#8220;This is such a ubiquitous issue,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/weillcornell.org\/geetasharma\">Dr. Geeta Sharma<\/a>, an OB-GYN at Weill Cornell Medical Center-New York Presbyterian Hospital.<\/p>\n<p>And it&#8217;s not just a cosmetic problem. Diastasis recti can cause another big issue for new moms: lower back pain.<\/p>\n<p>&#8220;People can start feeling some back pain because the core is weakened,&#8221; Sharma says.<\/p>\n<div>\n<div>\n<h3>The Diastasis Recti<\/h3>\n<p>During pregnancy, the abdominal muscles responsible for a &#8220;six pack&#8221; stretch apart (left) to accommodate a growing fetus. After birth, the muscles don&#8217;t always bounce back, leaving a gap known as the mommy pooch.<\/p>\n<div><img decoding=\"async\" src=\"http:\/\/www.npr.org\/assets\/img\/2017\/08\/04\/diastasis-recti.jpg\" alt=\"distasis recti\"><\/div>\n<p><!-- END CLASS=\"GRAPHICWRAPPER\" --><\/p>\n<div>\n<p>Source: Nick Sousanis\/Courtesy of Sustainable Fitness Incorporated<\/p>\n<\/div>\n<p><!-- END CLASS=\"FOOTER\" --><\/div>\n<p><!-- END CLASS=\"BUCKET\" --><\/div>\n<p><!-- END ID=\"RES541597678\" CLASS=\"BUCKETWRAP GRAPHIC MEDIUM\" --><\/p>\n<div>\n<div>\n<div>\n<p>There&#8217;s a simple way to see if you have diastasis recti:<\/p>\n<ol>\n<li>Lie flat on your back with your knees bent.<\/li>\n<li>Put your fingers right above your belly button and press down gently.<\/li>\n<li>Then lift up your head about an inch while keeping your shoulders on the ground.<\/li>\n<li>If you have diastasis recti, you will feel a gap between the muscles that&#8217;s wider than an inch.<\/li>\n<\/ol>\n<\/div>\n<p><!-- END CLASS=\"BUCKET\" --><\/div>\n<p><!-- END ID=\"RES541957543\" CLASS=\"BUCKETWRAP LISTTEXT\" --><\/div>\n<p><!-- END CLASS=\"CONTAINER SMALL\" ID=\"CON541957678\" PREVIEWTITLE=\"DIASTASIS RECTI TEST\" --><\/p>\n<p>Diastasis recti arises during pregnancy because the growing fetus pushes the abdominal muscles apart \u2014 specifically the rectus abdominal muscles.<\/p>\n<p>&#8220;These are the muscles that give you a &#8216;six pack,&#8217; &#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/providers.ucsd.edu\/details\/32697\/linda-brubaker-obstetrics__gynecology-san_diego\">Dr. Linda Brubaker<\/a>, an OB-GYN at the University of California, San Diego. &#8220;People think these muscles go horizontal across the belly. But they actually go vertical from head to toe.&#8221;<\/p>\n<p>The rectus abdominal muscles should be right next to each other, on either side of the belly button, Brubaker says. &#8220;There shouldn&#8217;t be much of gap between them.&#8221;<\/p>\n<p>But during pregnancy a gap opens up between the muscles, right around the belly button. Sometimes that gap closes on its own, but other times it stays open.<\/p>\n<p>That leaves a spot in the belly where there&#8217;s very little muscle to hold in your stomach and other organs, a spot that can be one to two inches wide. That lets the organs and overlying tissue bulge out \u2014 and cause mommy pooch.<\/p>\n<p>To flatten the area, women have to get those abdominal muscles to realign. And that&#8217;s where the exercises come into play.<\/p>\n<p>If you search online for ways to fix diastasis recti, you&#8217;ll turn up a deluge of exercise routines, all claiming to help coax the abdominal muscles back together.<\/p>\n<p>But the quality of much of that information isn&#8217;t good, Brubaker says. &#8220;Some of it is actually potentially harmful.&#8221;<\/p>\n<p>Even some exercises aimed at strengthening the abdomen can exacerbate diastasis recti, says Keller, including simple crunches.<\/p>\n<p>&#8220;You have to be very careful,&#8221; she says. &#8220;For example, please don&#8217;t ever again in your life do <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.fitday.com\/fitness-articles\/fitness\/exercises\/how-to-do-a-cross-over-crunch.html\">crossover crunches<\/a> or <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.menshealth.com\/exercise\/bicycle-crunch\">bicycle crunches<\/a>. They splay your abs apart in so many ways.&#8221;<\/p>\n<p>That said, there are a few exercise programs for diastasis recti that many doctors and physical therapists support. These include the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/diastasisrehab.com\/\">Tupler Technique<\/a>, Keller&#8217;s <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/thediamethod.com\/\">Dia Method<\/a> and <strong><\/strong>the <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/mutusystem.com\/what-the-experts-say\">MuTu System<\/a> in the U.K.<\/p>\n<p>Most such courses, taught once a week for an hour in New York, San Francisco and at least a few other places, tend to run about four to 12 weeks and cost around $100 to $300. Some places offer online classes and videos.<\/p>\n<p>The American College of Obstetricians and Gynecologists also recommends abdominal exercises for the perinatal period. But the organization&#8217;s guidelines don&#8217;t provide details \u2014 such which exercises work best, or how often women should do them and for how long.<\/p>\n<p>Plus, ACOG focuses more on preventing diastasis than fixing the problem; it recommends strengthening the abdomen before and during pregnancy.<\/p>\n<p>&#8220;The best way is prevention,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/obgyn.slu.edu\/index.php?page=raul-artal-m-d-4\">Dr. Raul Artal<\/a>, an OB-GYN at St. Louis University, who helped ACOG write its exercise guidelines for the perinatal period. &#8220;The best way to do that is to exercise during pregnancy.&#8221;<\/p>\n<p>But, as Sharma, the Cornell OB-GYN, points out, no one has really vigorously studied these various exercises to see if they actually fix diastasis recti.<\/p>\n<p>&#8220;There&#8217;s a general knowledge that exercise is going to help,&#8221; Sharma says. &#8220;But no one has really tested them in a standardized way.&#8221;<\/p>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/mompooch_custom-d8e464fe54a60f801aecb23b814d8f3ff5c3fce9-s1100-c15.jpg\" alt=\"\"><\/div>\n<div>\n<div>\n<div>\n<p>\n                Keller (right) checks a student&#8217;s progress after the the final class. The fitness coach worked with an OB-GYN from Weill Cornell Medicine to standardize and evaluate her exercise program, which primarily targets abdominal muscles.<\/p>\n<p>                <b><\/p>\n<p>                    Talia Herman for NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Talia Herman for NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>Sharma hopes to change that. A few years ago, she teamed up with Keller to start to gather some evidence on her technique.<\/p>\n<p>&#8220;We did a pilot study to see if the method is helpful for women,&#8221; Sharma says.<\/p>\n<p>The study was small \u2014 just 63 women. But the results were quite promising. After 12 weeks of doing Keller&#8217;s exercise \u2014 10 minutes a day \u2014 all the women had fixed their diastasis recti, Sharma and Keller reported at ACOG&#8217;s annual meeting few years ago.<\/p>\n<p>&#8220;We had patients that were even one year out from giving birth, and they still had such great benefit from the exercises,&#8221; Sharma says. &#8220;We love to see that there is something we can do to help women.&#8221;<\/p>\n<p><strong>Tight and tighter<\/strong><\/p>\n<p>Back at the class in San Francisco, Keller is taking us moms through the key exercise. It&#8217;s surprisingly simple to do.<\/p>\n<p>&#8220;The exercise is a very small, very intense movement. That&#8217;s almost imperceptible,&#8221; Keller says. &#8220;OK. We&#8217;re going to do another set.&#8221;<\/p>\n<p>Sitting on the floor cross-legged, with our hands on our bellies, we all take a big breath. &#8220;Let the belly fully expand,&#8221; Keller says.<\/p>\n<div>\n<div><img decoding=\"async\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6250-copy1_custom-b6aeb9a2aa2d18757c2e81de084ba440dfdb5243-s1100-c15.jpg\" alt=\"\"><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/08\/04\/_n0a6250-copy1_custom-b6aeb9a2aa2d18757c2e81de084ba440dfdb5243-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Tania Higham (left) and Maeve Clancy, strengthening their abs in Keller&#8217;s class in San Francisco.<\/p>\n<p>                <b><\/p>\n<p>                    Talia Herman for NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Talia Herman for NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>And then as we exhale, we suck in our belly muscles \u2014 as far back as they&#8217;ll go, toward the spine. &#8220;Now we&#8217;re going to stay here near the spine. Hold this position,&#8221; she says.<\/p>\n<p>Then we take tiny breaths. With each exhale, we push our stomachs back further and further.<\/p>\n<p>&#8220;Tight, tighter,&#8221; Keller chants, rhythmically. &#8220;Good!&#8221;<\/p>\n<p>This is our fourth week of class, and we&#8217;ve been doing this same exercise on our own every day for at least 10 minutes. So it&#8217;s judgement day. Time to see if we&#8217;ve flattened our bellies.<\/p>\n<p>Keller pulls out a measuring tape and starts wrapping it around women&#8217;s middles.<\/p>\n<p>One by one, there&#8217;s success after success. Several moms completely closed up their abdominal separations. Many lost inches from their bellies.<\/p>\n<p>One woman had amazing results. &#8220;Oh my goodness, you lost nearly four inches from your belly circumference,&#8221; Keller exclaims. &#8220;That&#8217;s amazing!&#8221;<\/p>\n<p>How did I fare? Well, after three weeks, I didn&#8217;t completely close up the abdominal separation. But I did drop more than an inch from my belly circumference.<\/p>\n<p>And I am quite happy with the results. My abs are definitely firmer. And regularly doing this exercise brought a bonus benefit: My lower back pain has almost completely gone away.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-12531","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/12531","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=12531"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/12531\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=12531"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=12531"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=12531"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}