Monthly Archive for November, 2008

Are you Achieving Your Wellness Goals?

Who would ever think that working out in the morning or cranking the AC might be the reason you are not suceeding. Check out some of the comon mistakes when embarking on a wellness lifestyle.

Mistake 1: Sleep – Always a go-getter, you work out at 6am. What’s wrong with that? Morning workouts are great – “if you go to bed at 10pm.” In a recent study in the American Journal of Epidemiology, women who slept seven or more hours a night were less likely to put on weight than women who didn’t. Those who slept only six hours a night were 12 percent more likely to gain substantial weight – 33 pounds on average over the course of 16 years! (Women who slept a measly five hours had a 32 percent chance of gaining 30 or more pounds.) Other studies have linked lack of sleep to a higher BMI and have found that it negatively affects levels of the appetite-regulating hormones ghrelin and leptin.

Solution: Don’t sacrifice your snooze time - not even for an extra-long run. And quality matters more than quantity, so taking a siesta later won’t help. “In a 20-minute power nap you don’t get into the deep sleep stage,” says Donna Taliaferro, Ph.D., associate professor of nursing at the University of Missouri-St. Louis, who conducts research on sleep and circadian rhythyms. “You need to go through the cycles of sleep over a few hours to get the restorative rest that allows your body to work properly.” Bottom line: You’re better off sleeping through your workout every other day than stumbling to a sunrise Pilates class on too few z’s

Mistake 2: A/C and Eating – Do you crank the AC? What’s wrong with that? Al Gore wants you to lay off the thermostat to save the planet. Here’s how it can save (the shape of) you: in a study published in Physiology & Behavior, researchers found that exposure to temperatures above the “thremoneutral zone” – the artificial climate we create with clothes, heating, or air conditioning – decreases our appetite and food intake. “At a slightly uncomfortable 81 degrees, the women in the study experienced a 20% decrease in appetite and ate 10 percent less than at 72 degrees,” says lead author Margriet S. Westerp-Plantenga, Ph.D., a professor of food-intake regulation in the department of human biology at Maastricht University in the Netherlands.

Solution: Instead of cranking the air conditioner everytime you feel a little warm, learn to endure slightly steamier conditions. Hitting the “off” button is well worth it…not only do you save the pounds but the high energy bills as well.

Mistake 3: Weight Management – “logging extra miles on the treadmill to make up for giant meals”. WHat’s wrong with that? When it comes to managing your weight, success is’t 90% perspiration. You can’t achieve lasting weight loss via exercise alone.

Solution: You need a clear idea of how much you should be eating and nothing beats proper meal planning and nutritional guidance. Here’s and easy way to understand the maximum calories you should be consuming. Multiply your weight by 10, than add your weight again to that sum: That gives the nuber of calories you need to maintain your current weight without activity. For example, 135 pounds X 10 = 1350 + 135 = 1485 calories. Eat more than that regularly, and your “loose-fit” pants won’t anymore; eat less and you start melting away. But not so fast – before you burn your gym membership or think your path to true wellness is through nutrition alone, read on about sarcopenia.

Mistake 4: Muscle Loss – “You ignor sarcopenia”. What’s wrong with that? Sarcopenia, in case you haven’t been paying attention to your medical TV dramas, is age-related muscle loss – and it can start in your 30s. If you don’t take action now, you could begin to lose as much as 1-2 percent of your muscle mass by the time you hit 50. Less muscle means you burn fewer calories and store more of them as fat.

Solution: The key to stopping muscle meltdown is to strengthen your back shoulders, arms, and thighs. “When you increase lean muscle mass, you burn more calories, even when you are sitting down doing mothing.” Work out at least twice a week and keep it up after you reach your target weight: Studies show that if you don’t exercise regularly (60 minutes of moderate physical activity a day), the pounds can creep back on.

Mistake 5: Realistic Goals and Coaching – “You’re shooting for a realistic size 6 instead of a near-impossible 2.” I know size 2 jeans look like they were made for a 10-year-old, but, according to a study published in the International Journal of Obesity, woen who set unrealistically high weight-loss goals dropped more weight in 24 months than those who kept their expectations low.

Solution: The study concluded that having an optimistic goal motivated woen to stay focused on their wellness goals. “If you’re a driven person and a lofty goal motivates you – it can work.” The study also showed that participants who had a “wellness partner” or trainer were 5 times more likely to succeed than those going it alone.

Mistake 6: Antioxidant – “Stop popping the M&M’s”. You have heard the news: Cocoa (dark chocolate) can lower blood pressure; reduce the risk of heart attack, stroke, diabetes, and dementia; and possibly even prevent cancer. But the research isn’t a s delicious as it seems. The cocoa-bean products used in the studies are a far cry from the highly processed chocolate candy you find on the shelves of your local store. “Milk chocolate contains about 150 calories and 10 grams of fat per ounce,”…Not Good!

Solution: The key here is small doses. Dark chocolate, which retains more of the bean during processing, generally has slightly less fat and fewer calories than milk chocolate – plus it’s richer, so less goes a longer way.

Mistake 7: Water – You think “water-rich” diet means more trips to the cooler. Water in your glass is good, but water in your food can have serious slimming power. In a new American Journal of Clinical Nutrition study, obese women ages 20-60 were told to either reduce their fat intake or increase their intake of water-rich foods, such as fruits and veggies. Although they ate more, women in the water-rich group chose foods that were more filling – yet had fewer calories -so they still lost 33 percent more weight in the first six months than the women in the fat reduced-fat group.

Solution: Fill up on food that’s high in water. Another good idea is to drink your body weight in ounces (water) on a daily basis. Staying hydrated is a key to good wellness.

Mistake 8: Potassium – You never think about potassium. A recent Canadian study concluded that gettring more potassium might help lower your weight and blood pressure. Levels measured in study participants were proportional to their diet and weight. “The richest sources of potassium are beans, vegetables, and fruit, so the person with high potassium levels is consuming a lot of these foods, which are low ing calories and are the most filling.”

Solution: You should aim for 4700mg of potassium each day. Supplements, like Creating Wellness Vitalize, can help you hit that target. Other suggestions – white beans (1 cup: 1000mg), winter squash (1 cup: 494mg), spinach (1 cup 840mg), baked potato with skin (926mg), yogurt (1 cup: 600mg), halibut (4 ounces: 566mg), and orange juice (1 cup: 473mg).

Mistake 9: Kick bad habits…one at a time – you give up junk food today but put off your wellness program until January. Tackling one goal at a time is supposed to help you succeed. But new research published in the Archives of Internal Medicine bucks that conventional wisdom. In a study of people who smoked, had high blood pressure, and weren’t extremely active, one group was asked to quit the butts, cut back on dietary sodium, and increase physical activity all at once. Another group addressed one bad habit at a time. The group that tackled all their problems simultaneously had a higher success rate after 18 months.

Solution: Combining your goals may work for the same reason job negotiations do: When you ask for everything, you are more likely to get something. Put this thinking to the test by creating a healthy eating and exercise plan and throwing all your energy into following both. Your Creating Wellness coach can help you!

The High Cost of Inactivity

In a time where many people are concerned about money and want to decrease expenses as much as possible it is good to know of the simple things that can save you and your family money.

The economic consequences of inactivity are substantial. There is a growing body of research quantifying physical inactivity as a serious and expensive public health problem. The costs associated with physical inactivity are borne by taxpayers, employers and individuals.

In the long run, physcial inactivity threatens to reverse the decades of progress that follwed President John F. Kennedy’s call to improve the fitness of all Americans. This progress reduced morbidity and mortality associated with many chronic conditions including cardiovascular disease. A physically inactive population puts our society at risk both medically and financially. Medically, many chronic diseases can occur including heart disease, stroke, colon cancer, diabetes, obesity, osteoporosis and depression. Financially, the astronomical cost to society in terms of lost productivity and ever-increasing healthcare costs can be mitigated by decreasing sedentary lifestyles.

Healthcare costs for preventative, diagnostic and treatment services related to chronic conditions can be dramatically reduced by  more physically active population. Since regular activity helps prevent disease and promote health, it’s reasonalbe to expect it will reduce heathcare costs. It has been estimated that workplace physical activity programs can reduce short-term sick leave by 6-32%, reduce healthcare costs by 20-55% and increase productivity by 2-52%. Indirect costs include: training replacement personnel, longer rehabilitation times and the cost of drug reations. Indirect costs are estimated to be three times that of direct costs.

Medicare and Medicaid programs alone account for more than $84 billion annually for 5 major chronic conditions. This could be significantly decreased by increasing levels of physical fitness, specifically for heart diease, depression, cancer, arthritis, and diabetes.

Studies have shown virtually all individuals can benefit from regular physical activity, whether they participate in vigorous exercise or some type of moderate health-enhancing physical activity. Regular physcial activity has been shown to reduce the morbidity and mortalityfrom many chronic diseases. Millions of people suffer from chronic illnesses that can be prevented or improved through regular physical activty.

Physical inactivity is a major risk factor for a number of diseases, including cardiovascular disease, diabetes, osteoporosis, obesity, colon cancer, and mental illness. While regular physical activity reduces the risk of death from heart disease and other conditions; reduces the risk of developing high blood pressure and reduces blood pressure in people with hypertension; reduces the risk of developing colon and breast cancer; helps maintain a health body weight, healthy bones, muscles, and joints; helps older adults become stronger and more stable; and promote psychological well-being.

Physical activity need not be strenuous, such as 30 minutes of walking 5 or more times per week. In addition, physical activity does not need to be sustained for long periods of time in order to provide health benefits. Repeated shorter bursts of moderately intense activity also yield health benefits, such as walking two 15 minute segments or three 10 minute segments regularly. Perhaps the most important factor in increasing physical activity is determining the right type of activity for each individual. The only good activity is one performed on a regular basis. Unless an activity is enjoyed for its intrinsic value, it will not be practiced on a regular basis.

What is Chiropractic?

Chiropractic is the Science, Art and Philosophy that concerns itself with the restoration of good health by restoring and maintaining a properly functioning nervous system, without the use of drugs or surgery. Chiropractic is based on the scientific fact that your body is a self-regulating, self-healing organism. These important functions are controlled by the brain, spinal cord, and all the nerves of the body. The skull protects the delicate tissues of the brain. The moving bones of the spine protect the vulnerable communication pathways of the spinal cord and nerve roots. If the nervous system is impaired, it can cause malfunction of the tissues and organs throughout the body. Doctors of Chiropractic call this the Vertebral Subluxation Complex. The Chiropractic adjustment has been proven to increase motion, increase circulation, reduce swelling and pain, and remove nerve interference. Once this nerve interference is removed, your body is able to do what it was DESIGNED to do – HEAL ITSELF!!

Employers want Wellness

The trend toward wellness continues, as more and more decision-making centers around the financial consequences of an unwell society. For example, an msn.com article published recently detailed the state of Alabama’s recent decree that rewards well behaviors, and punishes those who don’t comply.

Starting in 2011, Alabama will charge overweight state workers a surcharge of $25.00 per month if they don’t make an obvious effort to lose weight and get more fit. They already charge smokers extra, and have seen progress in decreasing smoking in their workforce, and this new rule accentuates their determination to reduce health costs by establishing a new code of conduct for state employees.

All workers will be screened, and if issues with blood pressure, cholesterol, glucose, or obesity turn up, they will have a year to see a doctor at state expense, enroll in a wellness program or take steps on their own to address their challenge. If they succeed there will be no extra payments, but if not, then they will have to shoulder some of the fiscal responsibility of their self-induced jeopardy.

Radical as this may seem, it is a clear indicator of a blossoming intention to save ourselves from the specter of medical bankruptcy that looms over us. When state governments, not always the quickest to move in such circumstances, are certain enough about these trends to take such dramatic action, they must be convinced of the magnitude of the dilemma, and the necessity for meaningful change.

As a chiropractor I have been a proponent of wellness for many years – especially with the advent of new technology that allows us to measure and track more than just the medical numbers. This kind of validation by our leaders is proof that our position is not only philosophically sound, but also consistent with contemporary understanding of the health and wellness landscape. Alerting people to the risks of poor diet, thoughts, and lack of physical activity and to the benefits of a chiropractic wellness lifestyle is my responsibility and one I take very seriously.

What to do while waiting for Orthotics

1) Golf Ball Exercise – use a golf ball to relax tight and tender muscles and loosen up the stiff connective tissue. After chilling two golf balls in the freezer sit in a chair with a golf ball under each bare foot. Using as much pressure as comfortable roll the ball from front to back and in a circular motion for about 5 minutes in the morning and evening.

2) Towel Scrunch – sit on a chair and place a towel flat on a smooth floor, not carpet. Then “scrunch” the towel up with your toes. Do this 6 times at least once per day.

3) Resistance exercises – use a resistance tube and practice moving the foot to each side against resistance. If you are not familiar with these motions please consult your doctor.

For those who really need arch support right away there are taping techniques that can be used.

Source Dynamic Chiropractic: October 22, 2007

Watch for Harmful Ingredients in Skin Care Products and Pain Relief Topicals

These products are not regulated by any governing body (such as the FDA) for safety or efficacy and as such we need to be extra cautious of the substances they contain. Topical products are absorbed through the skin into the bloodstream and can accumulate in the tissues of the body leading to harmful effects.

Triethanolamine (TEA) – a mutagen (causes your cells to mutate) and is considered hazardous/moderately toxic. Its a skin, mucus membrane and eye irritant, and causes contact dermatitis. Some people suffer allergic reaction. TEA is absorbed through the skin. Frequent exposure may cause kidney and liver damage.

Methylparaben – a mutagen, a skin irritant, and may cause allergic reactions especially in those who are alergic to local anesthetics (benzocaine and novocaine). It has been linked to contact dermatitis and asthma. It is completely absorbed through the skin and is a weak endocrine disrupter.

Propylparaben – disrupts the endocrine system, is a skin irritant, a strong allergen, and causes contact dermatitis and asthma. It is hazardous and moderately toxic.

DMDM hydantoin – skin irritant, sensitizer, possible mutagen and may cause allergic dermatitis. Contains formaldehyde – a group 1 carcinogen (definitely causes cancer) – as a preservative.

Diazolidinyl urea – a formaldehyde releaser. Its a possible mutagen, skin irritant, sensitizer and may cause allergic reactions.

Imidazolidiyl urea – a formaldehyde releaser and a possible mutagen. It is a strong irritant, a sensitizer and causes contact dermatitis.

Polyethylene glycol (PEG) and its compounds – may be contaminated with the carcinogen 1,4-dioxane. They are absorbed through the skin, are eye and skin irritants and are considered hazadrous on large areas of the body. (Other ingredients that may be contaminated include ceteareth, laureth, myreth, oleth, and any other chemical ending in “-eth”, polyethylene, polyoxyethylene or oxynol).

Propylene glycol – a strong irritant and penetration enhancer, absorbed quickly through the skin. It may cause delayed allergic reactions, acne and contact dermatitis. It is a neurotoxin and may cause kidney and liver damage.

Sodium hydroxymethylglycinate – a skin and eye irritant and a sensitizer, a formaldehyde releaser that breaks down in water based solutions to sodium glycinate and formaldehyde.

FD&C yellow #5 – derived from cancer causing coal tar and may contain carcinogenic contaminants. Individuals who are sensitive to aspirin.

F&C blue #1 – derived from coal tar and may be tainted with cancer-causing contaminants.

Source Dynamic Chiropractic: September 9, 2008

Taking Aim at Big Pharma

On August 16, 2008 the US Supreme Court received an amicus brief from contributors and editors of the New England Journal of Medicine, one of the most renowned medical journals. They charged pharmeceutical companies with deliberately withholding relevent adverse reaction data when their profits are at stake. The claims are made against Wyeth in regards to the anti-nausea drug Phenargan. Another case was filed at the same time – Wyeth vs. Levine in which the claimant argues that the labeling on the drug was inadequate for warnings and instructions for use. Wyeth in turn is claiming it is the FDA’s responsibilty to ensure proper labeling.

Many medications that have been approved by the FDA have later been withdrawn or have post-approval dangers revealed. The FDA’s ability to anticipate these risks or react quickly once they have been revealed is often limited by serious information gathering constraints in both pre- and post-approval settings. This is due to the fact they are relying on the manufacturers themselves for the data, however these are the same corporations that have a lot to gain by having their drugs approved and keeping them on the market for as long as possible.

The amicus brief discusses Pondimin/Redux, Vioxx, and Trasylol. In all cases, the companies allegedly manufactured data, ghostwrote articles for medical journals or withheld negative findings from the FDA. The brief stringly suggests the FDA and legal systems continue to work together to ensure the protection of the consumer.

The conclusion was that pharmaceutical companies typically equate increased warnings with decreased profits, they have an incentive to delay warnings, and some of these companies have already been found practicing profits over safety – even when faced with civil lawsuits.

The full text of the amicus brief, along with all other briefs filed in the lawsuit, is available online at www.abanet.org/publiced/preview/briefs/nov08.shtml#wyeth.

Source: Dynamic Chiropractic October 7, 2008.

From Fat Loss to Performance Ready – Heart Rate and Exercise Intensity

Before begining an exercise or training program it is important to know both your resting heart rate and your maximum heart rate. Many formulas exist to calculate the values but recent research has identified the following formula as being more accurate:

206.9 – (0.67xage).

If you are in good health and have been activly involved in a fitness program you can test your own maximum heart rate. After a warm up, do 2-3 cycles at maximum intensity for 3-4 minutes with a 30 second recovery between them.

To measure resting heart rate you can either use a heart rate monitor or place you index and middle fingers along the thumb (radial) side of your wrist and count the pulses you feel for 60 seconds. The best time to do this is in the morning before you get out of bed.

Utilizing these numbers leads to better control of training intensity. When you exercise below 60 percent of your maximum heart rate is restorative and improves your basic fitness if you are just begining or returning from a long break. Typically you want to have these activities last for an hour or more and help develop endurance. Increasing to between 60% and 70% is the fat-burning zone or the aerobic zone. It should still feel easy but long durations at this intensity can have a very high training effect and consume a lot of energy from your body’s fat stores.

Xavier Jouven, MD, did a study with men and found that those who had heart rates of less than 89 BPM during exercise were 6 times more likely to die of sudden death from heart attacks than those whose heart rates skyrocketed. However, more importantly men whose heart rates didn’t drop by at least 25 BPM within one minute also had a greater risk. He concluded that the heart rate profile during exercise and recovery is a predictor of sudden cardiac arrest.

Exercising at 70% to 80% of your maximum heart rate feels like hard work but will improve your ability to more quickly and economically. Due to the fact that your body is under stress at this level it is only recommended a couple times per week. Increasing to 80% or 90% prepares for competition and high speed workouts. Interval training often occurs in this range. Beware of overtraining. Signs include lack of energy, mild, prolonged leg soreness and general aches and pains, drop in performance, insomnia, headaches, decreased immunity, decrease in training intensity, moodiness and irritability, depression, loss of enthusiasm, decreased appetitie, or increased injuries.

Source: Dynamic Chiropractic: August 26, 2008

Chiropractors as Wellness Coaches

This is the main service that sets our office apart from other chiropractic offices. Our Creating Wellness lifestyle programs include one-on-one professional coaching and also group sessions to cover general topics such as being fit, eating right, and thinking well. Even businesses are taking advantage of these types of services to help improve employee productivity and morale while decreasing the employers cost for healthcare related issues such as sick leave and injuries. I came across the following example for some major health insurance companies.

Companies like Wellnesss Watchers Health Coaching, LLC, which has established a relationship with a national network of insurance brokers who have teamed up with Humana, Aetna, BlueCross/BlueShield Association, UnitedHealthcare, and other insurance companies to promote a healthier work force. And the Wellness Chamber of Commerce??? which contracts with with the general corporate sector, chiropractors will direct employee wellness programs. In some cases this service is provided for by employee insurance benefit plan and other times the employer is offering its own incentives to encourage participation by the employees.

Frank Benson of Benson Insurance Group, which serves 15 states in the Southeast, remarked, “As an insurance broker, I’m thrilled to see major medical companies such as Humana, Aetna, BluCross/BlueShield Association, UnitedHealthcare and others now pay for wellness programs as part of an employees insurance benefit plan. As part of a national network of insurance brokers, I’m delighted that doctors of chiropractic have been chosen as health coaches for employers.”

These companies are looking to Chiropractors as the preferred provider due to their obvious orientation to wellness and lack of reliance on drugs or surgery. Bringing wellness to thte worksite is something that many companies view as a way to attract and retain high quality employees. It is a wonderful way to get employees enganged.

Source: DYnamic Chiropractic August 26, 2008

Chiropractors play important role in Olympics

Four doctors of Chiropractic joined the 62-member US Olympic healthcare team for the 2008 Olympic Games in Beijing, China, to help optimize performance outcomes for many of the 600 US athletes. Since the 1980 Winter Olympic Games in Lake Placid, New York, chirorpactors have provided healthcare services to elite performers, and this year chiropractors will assume an even greater role in the intergrated healthcare team, which includes medical doctors, amssage therapists, and certified athletic trainers.

“Chiropractic fulfills a niche need, not only by treating injuries but also by aiding in recovery and positively impacting athletic performance,” said Ted Forcum, DC, Tigard, Oregon, who was joined by Amor Adams, DC, Oakland, CA; Ernie Ferrel, DC, Santa Barbara, CA; and Michael Reed, DC, Colorado Springs, CO, medical director, United States Olympic Committee. “Chiropractors promote active care and treatment with a commitment to healthy progression and rehabilitation. The role of chiropractors in the US Olympics showcases the profession and emphasizes its dedication to promoting optimal individual performance.”

Chiropractors provided care during practice sessions in the Olympic Village training facilities as well as during the Olympic events. “Chiropractic takes a non-invasive, drug-free approach to healthcare, a position that is now highly regarded among Olympic athletes and their trainers who must meet strict eligability requirements to qualify for the Olympic Games,” added Forcum. “Chiropractic care is particularly valuable for pain management, and offers athletes highly effective solutions for achieving optimal performance without the use of prescription drugs.”

In addition to the four chiropractors who will provide care to the US Olympic athletes, team chiropractors were present from Sweden, New Zealand, the United Kingdom, Canada, Brazil, and China, among others. “The growing presence of chiropractic at the Olympic Games represents world-wide recognition of the profession and its impact on healthcare and performance for the most talented athletes,” said Forcum. “Everyday, chiropractors are helping amateur athletes and “weekend warriors” in local communities around the world.”