It is 10:30 on a crisp Saturday morning, and exercise instructor Ludmilla Fedina is barking orders like a drill sergeant. "Don't be lazy. You have five more seconds," she cries to Luba Yeremeeva, 27, a machine-tool worker who is pumping away on a Soviet-made stationary bike. Galina Usochina, 47, a factory engineer, turns red as borscht as she works out on a rowing machine. And retiree Zinaida Kolmakova flashes a gold-toothed grin while she demonstrates how, at 61, she can do a dozen chin-ups. Business is brisk at the Krylatskoya Physical Fitness Clinic in west Moscow.
Down the hall, Dr. Irina...
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