Each time I get on the treadmill, I feel confident—until the questions creep in. Am I standing up properly? Am I supposed to be engaging my arms more? I try to concentrate, but then catch myself wrapping my arms around the front of the machine or looking down at my feet. Running outdoors comes so naturally, but the treadmill? It has me doubting myself constantly. I catch myself relaxing, releasing the handrails, and keeping my eyes forward. Honestly, though, each session seems like a battle of mini size between what I think I'm doing correctly and what I am possibly doing wrong!

Treadmill exercise is a standard of indoor cardiovascular exercise, providing a simple means of staying active in any weather. Unfortunately, most individuals inadvertently create negative habits when exercising on the treadmill, negating the full potential of their workouts and even putting them at increased risk of injury. Both casual walkers and experienced runners alike can reap the benefits of avoiding these typical treadmill errors by maximizing performance, burning calories, and ensuring they have correct posture.

1. Grabbing the Handrails

Handrails are intended as a source of support, but using them excessively undermines your form and the intensity of your workout. Gripping the rails changes your body weight to an unnatural position, compresses your stride, and makes it less effective. It also eliminates the natural arm movement involved in a great cardio session.

How to Correct It:

Release the handrails and walk or run at a pace where you're able to balance without holding on. If you have a medical condition where support is needed, work with a physical therapist to keep proper posture when using the handrails.

2. Running Without a Plan

Merely jumping onto the treadmill and hitting "start" is not an effective form of exercise. Without organization, you may not be challenging yourself enough, and you will only get mediocre results. Lack of diversity can make workouts seem stagnant and uninvigorating too.

How to Correct It:

Schedule your treadmill workouts with a purpose. Alternate among intervals, hill repeats, or speed changes to tax the varying muscle groups and increase endurance. For example, walk and then sprint for two minutes, alternating back and forth to maintain high heart rates and excitement in your workout.

3. Looking Down Rather than Ahead

It’s common to see treadmill users staring down at their feet or fixating on the control panel. Unfortunately, this habit can strain your neck, shoulders, and lower back, leading to long-term posture problems.

How to Correct It:

Maintain your head up and eyes forward, similar to when you're running outside. If viewing a screen for fun, place it at eye level to prevent looking down or tilting your head back.

4. Hugging the Front of the Treadmill

Most treadmill users prefer to stay too close to the front console, restricting their natural stride. This not only impacts performance but also heightens the risk of accidental falls, particularly if you trip or require a quick balance adjustment.

How to Correct It:

Stand in the middle of the treadmill belt with your natural running stance. Provide yourself with sufficient room to fully extend your legs and establish a proper stride pattern.

5. No Arm Movement

When running or walking outside, your arms swing naturally to stabilize your stride. When using a treadmill, most individuals lock their arms, allow them to hang loose, or grab the sides, lowering the effectiveness of the workout.

How to Correct It:

Use your arms in a natural swing while bending them at a 90-degree angle. Pumping your arms serves to create momentum, enabling your legs to move with better efficiency and enhance total calorie burn.

6. Sticking to One Speed

Walking or running at a constant speed throughout your workout can be comfortable, but it doesn't push your body hard enough. Your muscles get used to it over time, and you hit plateaus in progress.

How to Correct It:

Vary your treadmill workout with speed changes and incline adjustments. Experiment with high-intensity interval training (HIIT), where you switch between high-speed sprints and jog recovery, to build endurance and burn more calories.

7. Overlooking the Incline Feature

Most users of treadmills stay on a flat surface, which does not activate major muscles such as the glutes, hamstrings, and calves. Walking or running uphill mimics outdoor terrain and is a better workout.

How to Correct It:

Gradually add inclines to your workout. Begin with a 1-2% incline and progress to higher inclines as your endurance increases. Incline walking is particularly effective for building leg muscle strength and cardiovascular fitness.

Effective use of a treadmill takes more than just a leg movement—it takes proper stance, strategic intention, and engagement. The treadmill is an excellent fitness tool if used properly, so invest in changing your routines and maximizing your indoor running.

Obesity is not just about how waist size or BMI, but it’s now reshaping the kinds of injuries patients are coming to orthopedic clinics. According to Dr. Rakesh Mattoo, Director of Orthopedics & Joint Replacement at Max Smart Super Speciality Hospital, Saket, the link between weight gain and joint degeneration is now impossible to ignore. “In India, cases of obesity-related osteoarthritis have increased by 30–35 percent over the last ten years, especially in urban areas,” he explains.

Orthopedic surgeons are seeing the consequences every day. “Approximately 55–60% of our knee replacement patients are now overweight or obese, up from about 35–40% a decade ago,” Dr. Mattoo shares. A similar pattern exists with hip replacements: obesity now accounts for nearly 28–30% of those cases, compared with 15% in 2010. The physics behind this trend are sobering, studies show that “every 5 kg of extra weight increases the load on the knees by approximately 15–20 kg,” accelerating cartilage wear and hastening surgical intervention.

What Is Happening In India?

These clinical numbers reflect a far larger population trend. India’s burden of obesity has been rising steadily for decades. In 2022, around 70 million adults in India were classified as obese, including 44 million women and 26 million men, according to data published in The Lancet. This marks a sharp rise from the early 1990s, when obesity rates were much lower. Overall, obesity prevalence climbed from 1.2% to 9.8% in women and 0.5% to 5.4% in men between 1990 and 2022. Additionally, overweight and obesity together affect nearly one in four Indian adults, nearly 24% of women and 23% of men aged 15–49, and even children are showing increases in overweight prevalence.

It’s not just body weight that matters, but where fat is stored. Central abdominal fat, that stubborn belly, is one of the greatest predictors of early joint degeneration, says Dr. Mattoo. And certain groups are at especially high risk: women (particularly post-menopausal), people with prior knee injuries, those with family histories of osteoarthritis, and individuals leading sedentary lives. Conditions like diabetes, hypothyroidism, and metabolic syndrome also create a kind of chronic internal inflammation that accelerates cartilage breakdown.

How Can You Stay Safe?

So what can someone do to protect their joints before they reach the operating table? Dr. Mattoo emphasizes realistic, sustainable steps:

Keep weight in check: Even losing 5–10% of body weight can significantly ease stress on knees and slow osteoarthritis progression.

Build strength: Strengthening the muscles around the thigh, hip, and knee, along with the core, helps distribute load and protect joints. Moderate, low-impact activities like walking, cycling, or swimming are far kinder to joints than high-impact exercise.

Eat smart: “Choose joint-friendly nutrition,” he urges, including foods rich in omega-3s, calcium, vitamin D, and protein, all essential for healthy muscle and cartilage.

Don’t rush into high-impact activity: Running, jumping, or poorly executed gym movements may feel energizing but can do more harm than good if your body isn’t prepared.

Get routine screening: Annual check-ups — including BMI, vitamin D levels, blood glucose, and lipid profiles — catch early risk factors so that preventive measures can be taken.

Looking at younger adults, building strong musculature between ages 20–35 isn’t vanity — it’s protection. Dr. Mattoo points out that muscle mass helps slow degenerative joint changes over decades. Simple habits like walking 6,000–10,000 steps a day, practicing correct posture, and avoiding harmful sitting patterns or lifting techniques go a long way.

With air pollution keeping many indoors, lifestyle changes have to adapt. Structured home workouts like resistance bands, yoga, or bodyweight exercises can mimic outdoor benefits. Even small changes — standing desks, walk-and-talk phone calls, frequent stretch breaks — increase daily calorie burn and reduce sedentary strain.

The rising tide of obesity isn’t just a statistic; it’s now manifesting in the everyday pain and movement limitations of millions of Indians. But as Dr. Mattoo reminds us, “It’s never too early or too late to make changes that protect your joints and your future mobility.”

Aging brings a shift in how the body functions. Metabolism slows down, hormones fluctuate, and the risk of conditions such as diabetes, heart disease, joint problems, and bone loss begins to rise. Health experts often describe the 40s as a turning point, a decade where prevention matters more than ever. According to US-based longevity doctor Dr Vassily Eliopoulos, many habits that feel harmless in one’s 20s and 30s begin to show their impact sharply after the age of 40.

In a recent Instagram post, Dr Eliopoulos highlighted five things people should stop doing immediately if they want to protect their long-term health. He wrote that this is the decade to take muscle health seriously, make sleep a priority, and let go of small daily habits that quietly speed up aging. He added that the choices made in the 40s decide how well the body functions in the 50s, 60s, and 70s because preventing damage is always easier than trying to repair it later.

Stop cutting back on sleep

Sleep becomes crucial in the 40s because the body needs more time to repair itself. Dr Eliopoulos explains that adults between 40 and 60 require seven to nine hours of sleep every night to maintain hormone balance, protect cognitive function, and support metabolism. Even losing a single hour can make a difference. Research shows the risk of type 2 diabetes, heart disease, and faster brain aging rises for every hour of sleep below the seven-hour mark. Chronic lack of sleep also encourages fat storage around the abdomen, weakens the immune system, and slows recovery after daily activities.

Simple habits such as keeping the room dark and cool, avoiding late-night screen time, and sticking to a regular sleep schedule can make sleep more restorative. Dr Eliopoulos describes good sleep as a free nightly hormone reset.

Stop neglecting strength training

Muscle loss is one of the most predictable changes after 40. According to Dr Eliopoulos, adults lose three to eight percent of their muscle mass each decade unless they actively work against it. Resistance training two to four times a week can slow this decline dramatically.

Strength work helps maintain bone density, improves insulin sensitivity, and builds lean muscle. Exercises such as squats, push-ups, weightlifting, or using resistance bands increase stability, balance, and overall metabolic rate. Studies also show that middle-aged adults build strength more efficiently with resistance training than relying on cardio alone.

Stop relying on highly processed foods

Packaged snacks, sugary drinks, instant meals, and ultra-processed foods can have a much bigger impact in midlife. More than half of adults over 40 struggle with obesity linked to these foods. They cause sudden spikes in blood sugar and promote inflammation, raising the risk of heart failure. These foods also lack fibre, which affects gut health and increases the risk of colon cancer. Brain health is not spared either, with several studies linking diets high in processed food to faster cognitive decline.

Switching to whole foods such as fruit, nuts, vegetables, and yoghurt can help stabilise energy levels and reduce the risk of diabetes. Reading labels to avoid additives and hidden sugars is an important habit at this stage.

Stop delaying routine health tests

Once a person enters their 40s, regular health screenings become essential. Many conditions, including high cholesterol, prediabetes, thyroid disorders, and vitamin deficiencies, develop silently. Monitoring levels such as A1C, lipid profiles, thyroid markers, and vitamin D helps detect issues early, allowing interventions before symptoms show up. Avoiding tests often means missing warning signs until fatigue, pain, or more serious complications appear.

Stop letting stress build up

Stress hits harder in the 40s because the body becomes more sensitive to cortisol. Continuous stress can raise blood pressure, increase inflammation, affect memory, and contribute to anxiety. Long-term stress even accelerates cellular aging and can push biological age forward by several years. When paired with poor sleep or unhealthy eating, stress significantly increases the risk of stroke.

Dr Eliopoulos recommends daily breathing exercises, regular walks, and simple meditation practices to help reduce stress and protect long-term health.

Disclaimer: Please note that this is a user-generated content. Health and Me does not encourage any changes to be made in your daily schedule without consulting your doctor.

A New York City teacher Pedro Soto, 56, who teachers at the Manhattan school had a simple sore throat and he believed it was from a viral infection, but it soon turned out to be type 2 diabetes.

This was in April 2024, when he went to his doctor with the complaint of a sore throat and took a blood test. This is when he was "officially diagnosed with type 2 diabetes".

In an interview with PEOPLE, he tells while the doctor recommended medications for him, he was determined to make a lifestyle change first. "After receiving the news, I chose not to start medication right away. Instead, I committed to exercising, running twice a week and improving my diet."

Turns out, running, changed his life.

Running With Diabetes: Soto's Determination To Change His Life(style)

Pedro Soto first considered running the TCS NYC Marathon after a colleague mentioned that her husband had completed it. Motivated, he applied through a special program for teachers, sharing an essay about his type 2 diabetes diagnosis. His story earned him a spot on the team. As he trained, he closely monitored his health, undergoing regular blood tests every three months. The improvement surprised him. His blood sugar levels, once concerning, gradually returned to the normal range. While type 2 diabetes cannot be fully cured, it can be reversed, and Soto was seeing that transformation firsthand.

Training Through The Tough Times

The marathon was scheduled for November 2, 2025. Soto’s training, however, didn’t begin smoothly. In June, he learned he had Lyme disease. Around the same time, he lost his father. Because of these back-to-back challenges, he wasn't able to train consistently until August. Running soon became more than exercise. It became a way to navigate grief and rebuild strength.

He describes those months as emotionally heavy. Running offered him space to reflect, heal, and feel close to his father. It became a ritual that allowed him to confront his feelings rather than avoid them.

Experiencing the Race

To prepare mentally, Soto dove into YouTube videos and articles about the marathon. Still, nothing compared to the real thing. To him, race day felt like a citywide block party. The cheering crowds, music, and energy made the pain more bearable. He said that although the long hours of pounding take a toll on joints and muscles, the city's encouragement kept pushing him forward.

Finding Strength in His Students

The toughest stretch came in the final six miles, when self-doubt crept in. What kept him going was thinking about his students. Soto works with teenagers in a transfer program, many of whom have struggled in traditional school systems. Their perseverance inspired him. If his students could show up every day despite their challenges, he believed he could finish the race.

He says he is taking care of his health and this itself is an act of commitment to his students. Whenever he feels healthier, he shows up as a strong educator and for him the marathon teaches him the importance one needs in life of balance, self-care, and knowing when to put themselves first.