This is the time of year when heat starts to creep, and so does work & life load on the system.
This year, we put together a "Pro-Activity Summer Survival Guide" with the top 5 tactics you can implement to stay healthy & feel at the top of your game this summer. The shortlist: Recover First, Get Fit Now, Fuel Your Gut Bacteria, Hydrate Your Joints, and Prime Tendons for Tension.
From 'the lab' - our team takes on 4 metabolism hacks to help 'smooth the sugar spike'...using continuous glucose monitors to watch their body's response in real time! Listen in for what we learned about 'fueling your powerhouse' for optimal performance.
This month we dive into the details on building a 'stable base' to maximize performance and reduce risk of stability related aches, pains, and injuries.
The human body is a healing machine...but what about when it stalls out? Listen to this month's presentation as we dive into a 'case study' of knee pain for one of our own team members, and see how they managed to get back on track by 'restoring power'.
As we think about goals for the year ahead, we are encouraged to share just how much control you hold over your health trajectory. It is NEVER too late to change course, or too early to start adjusting slightly. Our team takes great pride in working with our incredible populations, and are here, ready, and honored to help if you have goals that we can support this year.
We take a look in the rearview mirror at our key themes from 2024. Thank you for a wonderful year of achievements!
This month, we dive into strategies to prepare your body for the 'ramp up' that is often experienced in the final months of the year. Taking an 'ELEMENTAL approach', we cover how you can position your body to absorb the increased stress (good and bad!) that can pile up over the holiday season.
Part 2 of a 2 Part Series
This month, we dive into a case study from one of our very own team members demonstrating the human machine in 'repair mode'. Listen in to hear how 6 months of implementing an ELEMENTS 'recipe' reversed cardiovascular risk for one of our team members...and what you can do to get started, too.
Part 1 of a 2 Part Series
We often refer to the human body as 'the most amazing machine' in existence...the only one that is able to heal itself (when given the opportunity and environment to do so). This month, we dive deeper into the 'living machine' that is the human body and how our risk is MORE than mechanical in nature. By appreciating the importance of the biological (blood flow) and chemical (inflammation, irritants) influences on the human machine, we can start to peel back the complexities of our ache/pain risk and set the stage for what to DO to best position our human machine to thrive for years to come.
Fatigue impacts the human movement system, and is often reaching a peak during this final season of the summer. A focus on the body's 'transition zones' can help buffer injury risk and ensure your body is primed to win the fourth quarter.
Now that we are in the thick of Summer, implementing strategies to optimize our 'internal environment' can help us ENDURE. Listen in for key principles that you can implement this summer to speed up your body's 'recharge rate'.
This month, we dive into the science between 'finding our pace' to endure the heat of the summer. The body is made for this, but listening to it can help us know when to 'push forward' and when to 'pull back'.
Sometimes the best defense is a good offense. This month, we are diving into things we can start doing today to build a good offense to combat the summer heat.
The FUEL good pyramid is pretty simple, do what's tried & true, 80% of the time or more. Today we go into the other 20%.
RECOVER is critical for future health. This month we do a refresher on one of the most powerful areas for future health.
Getting "ready" everyday for work and life comes with MANY different routines. Maybe it's turning on the coffee pot or making a healthy breakfast. If nothing else, there's a specific routine for simple things (socks BEFORE shoes). This month we make the case for another CRITICAL part of the routine - readying the body & mind for the action of the day. MOVE, like a body should...everyday!
There aren't many times of the year when it's common to seek out change - January is one of them. This month we dive into the approaches proven to increase the odds of success.
It's the time of year when many of us pause to say "thanks". While it's hard to go wrong with a gratitude practice, even if only once per year, there may be a way that is especially right.
Watch the video below for more details, or read the blog below to learn more!
CHECK OUT THE WINNERS (AND HOW TO CLAIM YOUR PRIZES) FROM THIS ROUND IN THE VIDEO!
November 2023
When I first learned about Positive Psychology, the (far oversimplified) less-traditional practice of diving into mental health with an eye toward the "upside" like resilience, happiness and growth, instead of the more traditional focus on rehabilitating the negative (disease, disorder and trauma) it felt like a game changer. It was clear that within their profession, at least some psychologists were trying to reorient back toward attaining "health" (flourishing, thriving, etc) rather than "avoiding disease"...something that can seem nuanced at first but is clearly spelled out by authorities like the World Health Organization in their constitution. As funding led to research, we began to understand the difference more fully and where our efforts should be.
As it turned out, gratitude, whether it be a momentary appreciation for something good in life or a cultivated practice of recognizing such things, became one of the most widely studied components. The "what went well" exercise described by one of the profession's giants in the early 2000's, which in the most basic form is writing down 3-5 unique experiences that "went well" each day for a few weeks, showed promise across several of life's domains and across a large portion of the lifespan. Gratitude also shows up near the top in a framework Dr. Paul Conti recently discussed with Andrew Huberman on his podcast - part of a 4 part series and a great listen on mental health. In a review of 19 different studies it even showed a clear benefit on cardiovascular risk, adding more evidence that there is no "physical" or "mental" health...just health with all systems playing a role. However, as is the case with many health practices, knowing the "best" way to do it has not been as clear.
Not surprisingly then, when this study from the University of California came across my feed I was intrigued. The researchers tested a variety of gratitude practices to find out which had the most impact. The punchline? Taking the time to sit down, think through the details and write a letter was most powerful.
And so, in the spirit of the season here's a quick one to you:
To our clients, friends and the employer teams who have invited us into your spaces, stories and lives, I know I speak on behalf of the entire Pro-Activity Family when I say, it is both an honor and a privilege to play a small role in your big thing. We have had the unique fortune to witness up close what it takes to make the components and assemble the structures that become homes and buildings. We've seen the magic that goes into bringing power and water and heat to those structures and to keep them well lit and warm when nature intends otherwise, 24/7, 365. In some places we have seen the effort, nothing short of an act of daily love that goes into making those products that mop up messes while in others those that help fuel and cleanse the bodies doing the mopping. And we have had the great honor to walk with many of you as you journey through life and in health. When we give thanks this month and into the holiday season please know that YOU are among those we are most thankful for.
Now it's your turn - write one for someone you're thankful for and enjoy a health bump.
Have a great month,
Mike E.
It's a simple and inexpensive way to protect our brains. Thanks to some recent research we are closer to understanding why. Whether you like the little foam inserts or the sophisticated noise-canceling type, it might be time to re-label "hearing protection" as "brain protection".
Watch the video below for more details, or read the blog below to learn more!
CHECK OUT THE WINNERS (AND HOW TO CLAIM YOUR PRIZES) FROM THIS ROUND IN THE VIDEO!
October 2023
It's project season. Work tends to ramp up, leaves fall fast, and if we're not paying to eliminate them in hopes of that perfect fall playlist, the ads about where doers go to "get more done" continue to flood our airspaces. Some people love it, others not so much, but many of us get out there and do it. But the question becomes, are we "doing it right?"...or at the very least, "safely"? as we work to cram as much as possible into the over-stretched time we have.
For me, always feeling somewhere between "over-committed" and "too busy to get it all done" it's the lawn that tests my resolve. It's just so easy to find myself trying to squeeze it in; to rush out to the blower and get started, hoping to knock it out as fast as possible. I have to remind myself no matter how many times I've completed the task, that it is still inherently dangerous, that protecting myself by slipping on some safety glasses is worth the few seconds it takes, and that losing my focus or rushing could easily result in harm. The good news is, with some planning, it's usually pretty easy to overcome those obvious risks. But what about the less obvious ones? The ones that don't cause immediate harm. Those tend to be the tricky ones, easy to ignore but not without consequences.
The more we learn about brain health the more we realize that protecting our hearing and minimizing the impact of age-related hearing loss has significant value. With a "direct connection" to the brain, our hearing essentially becomes a pathway for the exposures to the outside world to impact, potentially negatively, our brain. In 2019 for example, an association between hearing loss and brain health was established in a population studied. Although the "why?" (the mechanism) has been harder to pin down, the connection is clearly there.
Some experts suggest that when we lose hearing we strain our system (cognitive overload) while trying to hear. Others suggest that the opposite is the case, that when that connection is less than it should be we are depriving the brain of proper stimulation. Still, others point to hearing loss and cognitive decline as "symptoms" of some bigger, common ailment (common cause), while still, others think it could be just a diagnostic overlap since it's hard to perform well on either test (hearing or cognition) without the capacity of the other available. Although growing, the evidence base is far from conclusive.
New research from Korea out earlier this year appeared to have taken us 1 step closer. Researchers assessed a variety of advanced images of the brains of individuals with mild cognitive impairment, some with hearing loss and some without. They found that in those with hearing loss, there was a significant decrease in the connectivity of the "salience network" which, as described in an accompanying editorial, helps us "process and integrate sensory stimuli with cognition to direct behavior"...that is, make sense of what is happening around us and help us to react accordingly.
Although this extra detail may only serve to solidify the connection between hearing loss and cognitive loss, the take-home message seems pretty clear - we should take our hearing seriously and protect it fully and always.
Whether we decide it's the foam inserts for a few cents that are right for us, or the many other varieties that go up in sophistication and cost from there, protecting our hearing is protecting our future brain and if now is a time of year when exposure goes up, it's a great time to add some extra layers of protection.
Have a great month,
Mike E.
Nearly 50% of American adults struggle with high blood pressure. In the most grim situations, it quietly leads to cardiovascular disease and stroke, but that's not all. A "revved up" system can also be related to episodes of discomfort, poorer recovery, and a system that is inching past a safe threshold.
The good news is, most people can normalize it, and it may only take a few minutes per day. This month we learned that simple isometric exercises (things like wall sits or gripping) can help lower our 'top number' (systolic blood pressure).
Watch the video below for more details, or read the blog below to learn more!
CHECK OUT THE WINNERS (AND HOW TO CLAIM YOUR PRIZES) FROM THIS ROUND IN THE VIDEO!
September 2023
“Dripping water hollows out stone, not through force but through persistence.”
- Ovid (Roman Poet, 43 BC - 18 AD)
120 Million. That's a big number and the approximate number of Americans who are living with hypertension which is, heartbeat by heartbeat, overburdening and eventually wearing to the point of harm, the inside lining of the arterial pipes. It is a patient little health gremlin, lulling us into believing it's not really that big of a deal. After all, many people can't feel it and can still "do" everything without any obvious symptoms. Yet there it is, heartbeat by heartbeat hammering away until irreparable harm is done. If we consider that there are around 35 million heartbeats per year for the average adult, we understand why it doesn't take that long to take its toll.
It's not all bad news though. Hypertension is preventable by most, treatable for many and even little things can add up to big results. If blood pressure (combined with heart rate) acts as a "body tachometer" telling us how "revved up" we are, it stands to reason that it has been associated with stress and pain. It also makes sense then that anything which helps us to slow or otherwise calm down can help.
We've known for a while for example that some of our greatest levers include exercise which pushes our stress-threshold higher over time, nutritional approaches that lower the inflammatory load and balance the intake of foods that naturally constrict the arterial pipes like highly processed foods with those that relax them (nitric oxide and potassium-containing fruits and veggies especially) and sleep which gives us a chance to relax and repair. These are not the only approaches though. Stress management, breathing exercises, and even social connectedness may have a role in protecting us.
More recently, however, research teams have tried to take the conversation deeper - attempting to find the signal through the noise. Comparing various dietary approaches for example has helped us to contrast what might work (there are many) with what actually does for most. The DASH which promotes low-process, high-fiber, and naturally occurring foods usually scores at or near the top. Under the header of the exercise, the story has been less clear until recently. This year, 2 cool new studies have made the case for holding still...right where we are...for minutes on end. In exercise-jargon: Isometric exercises.
The first study which was published in March showed that office workers who spent 16 minutes per day (4 rounds of 2-minute "holds" with 2 minutes break in between), 3 times per week, either performing a wall-squat or a sustained gripping exercise at 30% of their maximum could lower their blood pressure in a meaningful way in as little as 3 months. They went on to show that after the initial 3 months, they could maintain the changes by dropping it down to only 1 day per week. While the wall squat out-performed the gripping task, both were effective.
The second, out a couple of months ago, reviewed 270 different studies on the blood pressure lowering impacts of exercise and found that, on average, the isometric exercise outperformed the other modes which included: aerobic, resistance, high-intensity interval, and even combined aerobic & strength. The effect was strongest for systolic blood pressure ("the top number"). Aerobic exercise, specifically running, took the top spot for diastolic ("the bottom number").
It takes effort to control risk factors and ultimately prevent disease but sometimes not as much as we might think. Pretty good terms, not only for those required to meet certain work standards but also for those who look forward to a long healthy life after that phase is over.
Maybe this week try sitting for a few minutes without the chair :)
Have a great month,
Mike E.
We know that physical activity - MOVE - provides many health benefits ranging from decreased risk of depression, to improving our cardiovascular (heart) health profile.
The question is not IF it works, but HOW MUCH we need to see benefit.
In August's Fun Fact, we see that getting just 8,000 steps per day, 1-2 times per week provides enough stimulus to our bodies to substantially lower our risk of a heart-related (or any cause) death.
Watch the video below for more details, or read the blog below to learn more!
CHECK OUT THE WINNERS (AND HOW TO CLAIM YOUR PRIZES) FROM THIS ROUND IN THE VIDEO!
August 2023
With Summer coming to a close, the upcoming change in seasons seems to always bring a little bump in motivation to MOVE. To get outside, get started on a project, or find a path that I haven't walked in a while and stretch things out a bit. Of course it also forces me to face the reality, usually amidst some unwelcomed huffing and puffing, that my natural tendency to move a little less over the Summer has had an impact...an awareness I don't love but makes turning the little bump of motivation into action a reason to challenge myself to get closer to where I want to be.
Over the last couple of years, I've invited others to join this challenge. Looking back to this Spring, I invited people to jump in, and around a dozen folks decided to play along - this time working to progressively "stack" 10 relatively simple healthy habits (like drinking 40 ounces of water per day or moving at least 1 minute every hour) into a powerful bundle over a month. Some saw benefits within a couple of weeks, an amazing example of how quickly our systems can adapt - new stimulus, new response.
It begs the question - exactly how little do we need to see a change? How easy could a significant risk reduction be if we did a little bit consistently?
In a sense, this is the question that has been coming to the forefront of the research on preventative health actions ("lifestyle change") in recent years; less about "does this work?" and more about "what dose is required?" - and we've learned a ton.
Although only 1 avenue of many, when it comes to physical activity we are getting closer and closer to dialing in the dose not only for specific conditions but also for general health, vitality, and longevity. If we had to sum it all up in a few words, we might say "more is more, but a little is way more than you might think." Getting over the growing inertia of an increasingly sedentary world pays handsome dividends, most of the benefit comes in the very first few minutes. New research over the last few weeks confirms this.
First, out in late February this year, a great study in the British Journal of Sports Medicine showed that as little as 11 minutes per day of movement which might be classified as "hard enough to break a sweat" was enough to prevent nearly 16% of premature deaths, whether from the two most common killers (heart disease and cancer) or for any cause. Technically speaking, 8-10 marginal MET hours per week, which, on average, means moving at an intensity that is harder than yard work (6 METS) but easier than running (9+ METS) for a little more than an hour per week had major impacts. A little bit goes a long way.
Then, in March in the Journal of the American Medical Association, another interesting twist on essentially the same theme, emerged. A preventative benefit started at a relatively low level and didn't even require a daily effort. In this case, the metric studied was the number of days per week a person hit the 8,000 steps per day mark, a known risk-lowering threshold. As it turned out, a significant risk reduction (around 15% which is most of the maximum +/- 20% expected) was gained in as little as 1-2 days per week of hitting 8,000 daily steps. Hope for the weekend warriors!
There's always more to learn, but one thing seems increasingly clear - for most people, more is better, but for almost everyone, something on the MOVE is immeasurably more than nothing.
Have a great month,
Mike E.
The term "anthocyanin" may have tripped you up in this month's trivia, but really we're talking about our FUEL.
While all the foods listed on the board bring their own unique health benefits, we look to PURPLE-BLUE foods to find high levels of anthocyanins.
Anthocyanins are known for their antioxidant (think: brain health, anticancer), anti-inflammatory (think: heart disease, arthritis), and anti-diabetic benefits.
Watch the video below for more details, or read the blog below to learn more!
CHECK OUT THE WINNERS (AND HOW TO CLAIM YOUR PRIZES) FROM THIS ROUND IN THE VIDEO!
July 2023
I'm not shy about the professional crush I have on Finland for their epic disease reversal story which started in the 1970s, an 80+% reduction in cardiovascular disease risk. I figure if you can take a nation from "worst to first", from incredibly high likelihood to having life cut short due to preventable disease in the 70s to, according to the World Happiness Report, the happiest nation on earth in 2022 (and many of the years since the report was first published in 2012), you're doing many things right.
Thankfully, the US doesn't need a worst-to-first type performance in this case and by global standards. According to rankings built on data from the International Diabetes Foundation and the World Bank, we're somewhere around 50 on the list of countries and territories by prevalence (percentage of the population with the condition). Of course, given the size of our population, that still translates to 130+ million Americans who either manage the disease (38 M) or are in the pre-diabetes progression (96 M), the highest risk category of developing the disease, which negatively impacts every tissue in the body, very much including the moving parts like muscles, joints, and connective tissue where nearly 3 of every 5 also have musculoskeletal disorders.
So what have they learned in Finland? In short, and when it comes to Diabetes, it may be that purple is the new blue...or at the very least "Purple for Prevention."
One of the really cool details in the Finland health-turnaround story of the 70s was that they had the right conditions to grow berries - lots and lots of berries, with special emphasis on strawberries, raspberries, blackberries, and blueberries. For those that follow this blog, you know we hold those blueberries in high regard. They are packed with anthocyanin (a plant phenol that gives the berry its blue color) which has been shown to have positive impacts on inflammation and therefore, not surprisingly, conditions with a significant inflammation component including heart disease, arthritis, and, yes, even Diabetes.
Early this year, and thanks to a research team about 2 hours West of the capital of Finland, our understanding has gotten even more nuanced. In a very detailed review, they showed that acylated anthocyanin (a slightly more stable kind that gets through the stomach and deep into the intestines/colon before its relative magic is unlocked by the gut bacteria there) which is found abundantly in purple grapes (concord) and purple sweet potatoes may have an even more impressive impact. The review cites countless studies that have shown this impact for a variety of reasons from blood sugar lowering to inflammation impact. Pretty impressive stuff and more evidence of how much we can do to lower the risks we face.
It's gardening season. If you've got a green thumb, save some space for purple.
Have a great month,
Mike E.
Not only are purple-blue foods fun to add to our plate for some unique color (gives is the "BIV" in ROY G BIV of eating the rainbow), but the health benefits are astounding. Check out the recipe below for a purple cabbage slaw recipe - perfect for your next end of summer-Labor Day cookout!
Veggies:
Purple cabbage, carrots, and white onion (all sliced/cut thin)
Dressing:
1/3 cup apple cider vinegar
3 Tbsp olive oil
1 Tbsp honey
1/2 Tbsp dijon mustard
1 tsp celery seed
Salt/pepper to taste
Don't mix dressing into veggies too soon (vinegar will soften/"cook" the veggies and it won't last long if making a larger batch for the week for example). If you like your veggies a little more crunchy, mixing dressing with veggies morning of!
Recipe courtesy of Pro-Activity team member Dana Edwards
This month's trivia was all about how BLOOD SUGAR can impact our MOVE - it even has a direct impact on our mobility!
In the picture from the whiteboard, this individual did NO exercises for hand strength or mobility, but rather got his blood sugar under control over a period of 4 months and his hand mobility improved!
CHECK OUT THE WINNERS (AND HOW TO CLAIM YOUR PRIZES) FROM THIS ROUND IN THE VIDEO!
The relationship between our blood sugar levels and musculoskeletal health has a lot to do with how well our blood can flow through our arteries to get to the tissues like our muscles, tendons, joints, and nerves. The better our blood is flowing, the healthier and more mobile the tissues are that it supplies! When our blood sugar is high, it can make it harder for our blood to circulate well to these tissues...contributing to decreased mobility, increased inflammation, and increased pain.
There are MANY ways to improve your blood sugar control, and we'd love to give you some ideas to help you move in the right direction. Sometimes, some simple tweaks to your lifestyle behaviors can make a big impact (exercise, nutrition, sleep habits, stress management). Of course if you have been diagnosed with diabetes, making sure you work with your doc to get your glucose under control and then monitoring to make sure it STAYS under control is critical!
June 2023
Most people over the age of 18 likely know what the word "octane" means. They may not know the exact definition, or that it refers to the fuel's stability, but if they've ever put a petroleum product into a vehicle, it's likely they know that "higher means more expensive" and "most cars run on regular". Wouldn't it be convenient if we had a similar scoring system for the FUEL we use? The public health community thought so too.
After an initial attempt in 2009 was updated in 2014 by a team from South Carolina, the framework was ready. Called the "dietary inflammatory index" (DII), it was an attempt to show that despite our impressive ability to convert just about anything into usable energy, every combination comes with a cost. Not unlike other fuels we use every day, some, as measured by the inflammation spike after consuming them, burn cleaner than others. In particular, foods with high saturated or trans fat content are "pro-inflammatory" (spike inflammation) while those naturally high in fiber, polyphenols, and vitamins (aka plants) are low or even anti-inflammatory. Since that time, hundreds of studies have explored whether the index predicts disease, and for several (heart disease, cancer, and even other inflammatory conditions like asthma and daily pain), the answer is yes.
Of course, at Pro-Activity the relationship with joint pain is particularly important since it can be a risk factor that stops us from work, sport, training, and countless other life functions. So when we saw a recent systematic review of the connection between dietary inflammation and knee osteoarthritis (OA), it caught our eye.
The key points are simple enough:
1 - after screening thousands of studies and finding 6 that met the quality standard, there was a significant connection between diet and knee OA pain.
2 - the Prudent Diet (low in saturated/trans fat, low in processed items, high in fiber, lean meats) and the Mediterranean Diet both slowed the progression of knee OA while the "Western Diet" (highly refined/processed, low in fruits/veggies/whole grains, etc; comparison here) accelerated it.
3 - the results are promising and, given the many other diseases that dietary inflammation is connected to likely worth acting on, but more research is needed.
In the most practical terms, healthy FUEL for most of us continues to be "more and/or less":
More: Foods that are naturally high in nutrients, low in calories, and high in fiber (aka plants) and as close to their natural state as possible - too many studies to include.
Less: Hyper-palatable (high saturated fat, sugar, and/or salt) foods and "food-like" creations (ultra-processed) - review here.
There's no need to complicate it: FUEL Good to Feel Good.
Have a great month,
Mike E.
May 2023
Not everyone likes to or is able to exercise. Although I hate to admit this fact, since there are many benefits across many areas (physical, mental, social, emotional, and more), it's no less true. For some, it's just too much. Maybe it takes too much time, too much planning, or maybe it feels boring and like a chore, or maybe the intensities in the gym or sports don't align well with their current abilities. Yet, as more and more of the world's population moves less and less, we also lose more of our resilience against the injury, illness, and disease risks we face - making the need to MOVE more both widespread and of critical importance.
But what if we could decouple "MOVE" or even "MOVE intensely" from "exercise"? After all, they're not really the same. Could it still give us what we're after? Could it possibly give us the reduction in risk (disease and even dying) that exercise does? Well, according to new research, the answer seems to be "yes" and to understand it a bit better you have to rewind to 2020.
Without getting too deep into the weeds, in 2020 while the World Health Organization was busy trying to deal with a new widespread threat (pandemic), another wing of the organization was revising its physical activity guidelines to strike references to the idea that health benefits were only substantially gained by bouts of physical activity lasting at least 10 minutes. There are many reasons why they made this change, one of the most important was that as wearable devices that measure both physical activities (e.g. steps) and intensity (e.g. heart rate) were more commonly used and accurate, researchers could rely less on surveys and more on objective data...which was increasingly pointing to benefits of ALL physical activity, even incidental movement, especially if it was achieving exercise-like intensity - heart pumping and people huffing a puffing - something we and others started referring to as "fitness snacks".
As it turns out when they crunched the numbers over seven years of tracking, the risk of dying for those who got enough "VIPA" (vigorous-intensity physical activity) minutes, which was at least 2-3 bouts lasting 1-2 minutes, were significantly less likely to die during the study period, ranging from 25% to a staggering 50% less likely compared to those who did not get at least this "dose". The effect was seen across all causes, and when carved out, for cardiovascular disease and for cancer, the leading causes of death worldwide.
What does this mean for all of us? Well...
(1) if you love exercise, KEEP GOING - the benefits of doing so continue to be clear.
(2) If you don't share that love and find it hard to get going on a consistent exercise routine, you can still get a substantial portion of the benefit by working a few hard bouts of MOVE into your day.
(3) Dose matters - remember F.I.T.T.; The risk reduction came in around 2-3 bouts (frequency), hard enough to get the heart pumping at least 77% of max (estimate here) and/or becoming "breathy" when trying to talk during the activity, using short 1 or 2 word answers (intensity) for at least 1-2 minutes (time) doing any number of typical daily activities, like climbing stairs, carrying bags, walking fast, etc (type).
Generally speaking, this confirms that being sedentary comes with risk, but it also tells us there are ways to manage that risk at a lower investment of time and money than previously thought.
To the stairwell!
Have a great month,
Mike E.
April 2023
Think about your bedtime routine. Is there one? Does it happen at a certain time? Maybe it involves finally taking a minute to relax and enjoy a quiet moment to yourself. Are you a glass of wine or chamomile tea type? Are you a TV & doze off in the recliner or a strict bedtime type? Are you a "asleep before my head hits the pillow" or a "take a few minutes to process" type? Are you none of these ever or all of these on any given day type?
Of course, if the goal is to get to sleep quickly and get the most restful sleep, some strategies ARE better than others, as one of the world's experts on sleep, Matthew Walker, detailed in his TED Talk a couple years back. Up until recently however, one strategy was less widely discussed. This probably wasn't because it was unknown in the strictest sense. After all, the phenomenon had been seen in some well-controlled studies as far back as 25 years ago which may have prompted more researchers to study the connection.
As is often the case, as a base of small studies of specific populations began to grow, the phenomenon became more universally accepted and our understanding slowly got more specific. Then, in an even more refined study of an even larger group of people for an even longer period of time the results were more conclusive than ever: Resistance Exercise, that is muscle loading (and not necessarily aerobic exercise), improved sleep duration (time asleep), quality (deep and REM stages of sleep) and latency (how fast we fall asleep).
So, along with a fixed and routine bed/wake time, a cooler environment to sleep in, and severely limiting light to let the brain rest, if we are trying to improve our ability to RECOVER by improving our sleep, it may be time to consider walking away from the nap and toward the weights.
Have a great weekend,
Mike E.
March 2023
The connection between what we eat and how we feel is not a new discovery. Ask anyone who has had the unfortunate experience of "overdoing" on Thanksgiving and they might be able to shed some light on why lifehacker.com felt the need to publish a "decision support" article on when to go to the emergency room for "post-Thanksgiving stomach". Of course 2011, when that article was written, is nothing compared to this book which connected the notoriously painful condition of Gout with consumption patterns and an "impaired state of the stomach" more than 200 years prior. Yet, as many of us who aren't quite ready to let go of harmful habits are quick to point out - correlation is not causation - and so the pursuit of evidence rumbles on.
Since those early times, many more connections have been made between our dietary habits and bodily discomfort. High-fat diets have a clear connection with spikes in inflammation while diets that include naturally fermented foods have been shown to reduce it. While the specific mechanism is still not perfectly sorted out, the root cause, what we ate or drank, and the ultimate effect, how we felt, are clear.
One theory gaining traction is the impact of foods and drinks on the bacteria in our gut (microbiome). Since high-fiber foods drive anti-inflammatory bacteria, and pain is a feature of inflammation, it may explain the connection between a high-fiber diet and lower levels of pain, in this case, knee pain. On the other hand, high-fat diets, which appear to feed the other end of the spectrum, have been connected to joint pain increases in animal models. Although some of the substances on board (polyphenols) show promise, alcohol may have a net-negative impact as (not unlike cleaning a wound or taking long courses of antibiotics) it significantly alters bacteria in the gut (called dysbiosis), leaving us depleted and susceptible depending on what we put-in next.
However, in a recent development that aimed at gaining an even more specific understanding of the connection between dietary factors and pain, researchers at the University of Texas in Dallas were able to definitively show that high-fat diets, even without obesity or previous injury, sensitized the system and primed the transition from acute to chronic pain in a lab experiment on mice. In plain English, within 8 weeks, diets that were high in saturated fat caused an exaggerated pain response with no history of injury and no changes in metabolic health (such as obesity and diabetes) known to do the same - the diet alone was the cause.
While the holiday meal and party blitz is behind us now, it's a great time of year to think about how we are FUELing. Do your body a favor and tell the chef to hold the side of pain.
Have a great weekend,
Mike E.
January - February 2023
My kids get a laugh any time my wife talks on the phone with her sister. They only hear one side of the conversation of course, but they always know who's on the other side as the tone, tempo, and even word choices my wife uses begin to morph ever-so-slightly and sound, somehow, more midwestern or western US (tones of her childhood) than western Jersey (tones of most of her life).
Of course, in one way or another we all do this with the people around us. The more time we spend around people, the more we seem to merge our mannerisms - to find a cadence and rhythm that works for the situation. When we get around family or close friends we haven't seen in a while it can be like "we never missed a beat" (as the saying sometimes goes). During the early portion of the COVID-19 quarantine, we talked a bit about this 2011 study which seemed to show that under heightened arousal (in this case fire walking) there could even be a synchronization of more automatic functions, like heart rate, among people who were socially close (in this case family).
Over the longer term, it seems this effect might have an impact on our health outcomes. For example, 15 years ago a landmark study showed that across 30 years of observation, bodyweight changes in 12,000 people tended to run along social ties, eventually forming clusters. Said more simply, there was evidence that in the case of body weight (and presumably the actions that influence it), people tended to become more similar to those they had the closest interactions & ties with.
A few months ago, in an interesting twist on the phenomenon, a team showed that future earning potential (as a proxy of financial health) seemed to follow a similar pattern. Individuals who had exposure and close ties with people in high socioeconomic brackets had a significantly higher likelihood of enjoying a higher income over the course of time. More simply, children with fewer finances tended to be higher-earning adults IF they grew up with friends whose parents were already higher-income earners - a phenomenon the researchers called "economic connectedness", which can be explored on www.socialcapital.org.
But what about more classic health behaviors, like whether we MOVE enough during the day to hold off preventable disease?
As it turns out, and as published this week, at the very least, the math modeling says yes. When researchers plugged data into a computational model "Social interactions between sedentary and moderately active populations were the most important social parameter that influenced low active populations to become and remain physically active".
Or in plain English - when sedentary folks became friends with moderately active folks, the sedentary folks started to MOVE more.
Of course, this doesn't mean moderately active folks are immune to the effect. It seems the effect can run both ways. Said more eloquently by the researchers, "On the other hand, social interactions encouraging moderately active individuals to become sedentary drove exercise persistence to extinction".
There is most certainly more to come, but the main point seems to continue to become more clear - our actions, from mannerisms to health behaviors and beyond - are not solely our own; the people we interface with regularly and get close to having a clear impact on our future selves, choose wisely.
Have a great month,
Mike E.
December 2022
It's a bit like the financial planner who tells the story of the person who chose to "set it and forget it" - that is, automatically withdraw pretax money from their paycheck each week and let it use the power of compound interest over time. The conclusion is almost always an impressive nest egg by retirement.
Or maybe it's the story the seasoned coach tells of the (rare) athlete who simply "trusted the process" and logged the training hours even when "base" training seemed too easy to do anything or "breakthrough" sessions seemed like punishment.
The moral of these stories are shockingly similar - slow and steady wins the race, the tortoise often beats the hare, consistency beats intensity, and the "tried and true" got that way for a reason.
With that in mind and in light of 3 new studies that came out in October which reinforced a few of those tried and true concepts, here's what you need to know:
(1) When it comes to MOVE - something is infinitely better than nothing. As shown in research from a group in Canada, "activity snacks", that is, short bursts of movement to break up an otherwise sedentary day, especially when timed after a meal, are surprisingly powerful. The team tracked a blood marker that signifies whether food is being used by the muscles in a healthy way under 3 conditions: sedentary (no activity snacks), air squats (do a sit-to-stand using only bodyweight 15 times every 30 minutes), and walking (brisk 2 min walks every 30 minutes). When it came to the results - squats were better than sitting and walking was the best. Headline? Less than 5 minutes of movement every hour significantly changes how our bodies use fuel.
(2) In the FUEL category - another tried and true message bubbled up to the top of the pile this week. Maybe you've heard us say (over and over and over) to "eat more plants". Of course, we are quick to point out that this is a general statement for "every person" and maybe too general for some. However, the concept is simple and holds true for the vast majority - when we put a little bit more of the inflammation-lowering, gut-health-promoting fiber, which comes from plants, and many diets lack, we get health benefits. As it turns out, for those who don't eat much fiber, "more" could be as small as 2 servings of almonds per day. Researchers from London asked study participants to try it using 56 grams of almonds, either whole or ground, and compared a key indicator of their gut health (butyrate) against a control group. The almond eaters fared significantly better. Of course, it's unlikely that almonds are the only food giving this result but there's certainly more to come. Headline this time? If you're not getting enough fiber, even a little effort can go a long way.
(3) In regards to RECOVER - duration matters. Once again research has confirmed that short sleep at midlife is linked with chronic disease as we age. A team in London confirmed that individuals who routinely slept 5 hours or less per night at 50 years old were 20% more likely to develop a single chronic disease in their retirement years AND up to 40% more likely to develop two or more (termed "multimorbidity") than those who routinely got at least 7 hours of sleep per night. Sleep is one of the most important health tactics we have - we should probably treat it like our (quality of) life depends on it; it does.
If you're already doing these things CONGRATS....keep going. If not, maybe it's a great time for an experiment to see if the tried and true can work for you. Good luck and let us know if we can help.
Have a great month,
Mike E.
November 2022
My refrigerator has ratted me out. OK, that's probably a little sensational. In truth, it has "raised my awareness" of a nasty little habit I've developed. No, it's not some type of smart tech that is designed to keep me mindful...at least I don't think it is...but it seems to work that way for me. See, this 2-door refrigerator (a recent replacement), has a feature where it cannot dispense water when the opposite door is open. Now, this probably doesn't seem like that big of a deal; in truth, it's not. But it was a VERY effective way to point out that I had developed a mindless fridge-trolling habit every time I got up to fill a glass of water. And I do mean EVERY time.
It used to be a simple loop of: start filling the glass (left hand), open the fridge (right hand), and mindlessly scan for a snack - whether hungry or not - at least until the glass was full. I didn't always find something, but I always looked. That is until the loop became: start filling a glass (left hand), open the fridge (right hand), notice the water had frustratingly shut off, close the fridge and get back to work, feeling like something was missing. It was literally a wake-up call.
I wasn't really hungry nor was I craving anything in particular and yet my behavior (once it was made so glaringly obvious), suggested I was always open to the idea of eating. So where does this mindless snacking habit come from? If we could solve this riddle, we might better understand some of why most of us are at risk of steady weight gain by middle age, despite the ever-increasing certainty that over-consumption of particular foods, especially those that are sugar-sweetened or fatty, seem to add both pounds and risk for injury/illness/disease and even dying prematurely. Well, thanks to a team of researchers at Columbia University we have more clues and, as it turns out, it's NOT just as simple as "because they taste so good" (aka hyper-palatability).
This time they found, much like their 2020 work on sugar, fat consumption is driven not only by lighting up the brain by way of taste (i.e. receptors on the tongue) but ALSO by circuits that monitor nutrient absorption in the intestine. Said more simply, even when the subjects (mice) were unable to taste the food (bred without the ability to taste), they learned to prefer foods that were able to provide usable fuel (sugar and now fat) over tasty but unusable fuel (artificial sweetener) within 48 hours. The connection between their gut and their brain (aka the gut-brain axis), although much slower than taste receptors, which helped prove it wasn't the tongue driving the behavior, was still driving them to go back to the source of the sugar and fat....not that unlike my fridge habit.
It may even help us understand why individuals who habitually ingest artificial sweeteners (i.e. tasty but not usable nutrients) may actually have an increased risk of metabolic diseases like diabetes and decreasing consumption of diet sodas (even those with no calories) can improve weight and associated risks ...because we don't only forage for flavor...we forage for FUEL; and since one without the other won't satisfy our needs, we are left craving more.
It is officially Fall. Here's to finding some recipes that are both flavorful AND satisfying; perhaps a little less pumpkin spice and a bit more pumpkin! Definitely let us know if you've got a good one.
Have a great month,
Mike E.
October 2022
Patient: "It hurts when I do this (moves arm) doc"
Doctor: "don't do that then"
It's the classic doctor-patient meme, a one-liner originally attributed to comedian Henny Youngman, but the more we learn, the more it seems to capture how a critical component of common and long-lasting aches and pains might go astray; the complex two way street of the nervous system and its many brain-body connections that produce human movement.
In the last 100 years our understanding of human movement has progressed by leaps and bounds. We have moved from the purely mechanical components - the levers and pulleys of muscles pulling on bones to move them at joints - to the contributions of living tissue and the many "little things" that help them to stay healthy, perform near their best and recover well enough to repeat the feat each next day for a lifetime. In the last 10 years another major contribution has come to light; the wider lens of the whole-person and how their unique interactions with their environment, including their perceptions, beliefs and previous experiences (context) impacts their movement, pain and recovery.
It sounds super complex and at some level it is but it's not uncommon. Say for example we over-do some weekend-warrior chores or have gotten to an age as an athlete where our mind thinks we still "can" but our body is less sure (so I'm told ) and we enter into the somewhat grey area of something that "hurts" but is not "harmed", that is, we experience some level of discomfort or pain, but no signs of injury so we try to ignore it, maybe with a little hitch in our movement patterns to minimize the irritation until things get back to normal. Not only is this a natural instinct, but it usually serves us well by giving the area a relative break and allowing it to calm down so we can get back to normal movement and life-as-usual.
But what if we've had this discomfort once or twice in the past and it was intense enough that it left us a little scared to go through it again? What if someone we cared about had something similar that turned out to be longer-lasting and it worried us? Could our unique context and history cause us to respond differently, maybe in a more exaggerated way? If so, could this have more pronounced effects on how we move and therefore (in an ironic twist) actually INCREASE our odds for future and worse episodes of the exact discomfort we're trying to avoid? If so, it would seem that deliberate efforts to restore normal movement patterns and the brain-body connections in the central nervous system that produce them, might actually improve things more fully than an isolated approach to reduce local discomfort. That is, when we retrain a body to move like it "should", we might also retrain the brain's expectations and baseline "settings"...and, so says some new research out of Australia, when it comes to chronic lower back pain, improve healing.
Specifically, the new approach focuses on helping people who suffer with chronic lower back pain (typically defined as lasting >90 days) to achieve 3 goals:
(1) to understand the latest and best information about the causes of chronic lower back pain (and debunk a bunch of outdated and disproven scary stories)
(2) reintegrate the way the brain and back communicate with each other
(3) gradually retrain the brain to reset its "pain radar" and the body to resume normal movement.
Of course, as a first-of-its-kind study, this is just the beginning of a conversation, but, based on everything we know about the impact of movement on health and quality of life, it makes total sense - the way we move plays a major role in how we experience the world. Maintaining, protecting, strengthening and occasionally restoring it when needed is critical to making sure it's a great experience.
If you've had back pain that has lasted for a while and maybe even has you moving differently than you think you should, feel free to come by and see us, and we'll start a conversation to sort it out. Keep moving...well.
Have a great month,
Mike E.
September 2022
It's the kind of thing that we think we know when we see it (or feel it). If you ask people to rate the most important things in their life it's often near the top of the list. There are timeless quotes that suggest it is the most important asset we have or can accrue and according to Merriam-Webster it is defined as "a condition in which someone or something is thriving or doing well : WELL-BEING" - but when it comes to the details, the level that allows for measuring it, we are faced with a tricky endeavor because it has physical, mental, social, financial and even metaphysical (or perhaps spiritual) component parts. It is influenced not only by our present actions and personal experiences, but like the formation of a riverbed, grooved and etched by the choices made and circumstances lived by family members from generations past; people we have never met. In something that resembles a "mushy middle", enjoying good "health" is simple to understand when we zoom way out (we know it when we see it) or way in (the formula to achieve it, if consistently applied is pretty straight forward), it gets complex as we get toward the "gooey center" of what it actually means.
The American Heart Association, over the course of its nearly 100 years, has tried. With an expected emphasis on Cardiovascular Health (CVH) it has helped to decipher many specifics on what it means to be healthy. Although never perfect and always evolving, they have contributed heaps and continue to do so. In July, the group published newly refined guidance on how to define CVH and, tucked into an article in their scientific journal, explained how to score our own health. They call it "Life's Essential 8", which refers to the 8 measurable factors that they suggest lie at the roots, and provide a reasonably easy to follow 0-100 scoring system for each.
With that in mind, we will break down 2 components of the "Essential 8" and provide both the scoring mechanism and some insights that you might not otherwise get if you only read the headline. The 2 components we will focus on are the first 2: FUEL and MOVE...or as the AHA calls them Diet and Physical Activity respectively.
Take a look at the descriptions below and start to estimate your score.
Essential number 1 is Diet. On near-continuous and ever-detailed review of the literature, the AHA agrees with US News & World Report who ranks the DASH and Mediterranean diets as the top diets for health. The AHA believes that at the individual level, the modified Mediterranean Eating Pattern for Americans (MEPA) scoring, where a 1 point is given for each of 16 areas and a higher score is better, is the best way to assess diet quality.
Generally speaking, the MEPA gives points for including/increasing the consumption of olive oil, leafy greens, other veggies, berries, fruit, nuts/seeds, beans and fish (as the preferred animal-based protein source). It also gives points for (as compared to the standard American diet) reduced consumption of red-meat, chicken, sweets and processed foods while moderate consumption of dairy products (cheese/butter) and alcohol as depicted on a Mediterranean Diet food pyramid here is acceptable. Those who score the max points on the MEPA (15-16) get the full 100 points on the AHA Essential 8 with reductions in points as MEPA scores fall (12-14 on MEPA = 80 on AHA8, 8-11 = 50, 4-7 = 25, <3 = 0 points).
Category 2 is Physical Activity; specifically the number of moderate (or greater) intensity minutes of physical activity per week, where 150 or more minutes at a heart rate of >50% of maximum (loosely defined as 220-age) gets the full 100 AHA8 points. As moderate-minutes fall, so do points: 120-149 minutes = 90 points, 90-119 = 80, 60-89 = 60, 30-59 = 40, 1-29 = 20 and 0 minutes = 0 points.
One insight worth noting is that even ONE MINUTE of physical activity gives 20% of the benefit (20 points). This is one way that the AHA speaks to something we point out whenever we can - some physical activity (any!) is WAY better than nothing.
There's more to come on this story, but for now, the takeaway should be pretty clear: According to the latest guidance from the American Heart Association, ELEMENTS 1 and 2 (MOVE & FUEL) account for as much as 25% of cardiovascular health and are critical ways to combat the risks of the number one killer in America. Big rocks.
Get out there and break a sweat this month. Even better if it's while picking fresh stuff from the garden for eating later!
Have a great month,
Mike E.
August 2022
A funny thing happened to me on my way through the pandemic - my knees started to ache. Not an injury per se as there was no incident that I could remember, just a pair of cranky knees, as if I had aged in place one night and woken up "old". At first I didn't think much of it but as it became consistent and I found myself feeling limited in one way or another (kneeling down was uncomfortable, changing positions was met with a "give me a second" sensation) I started to wonder if the "hard wear" of an active life had taken its toll on my hardware...specifically my joints. After all, I was right at the age when the incidence of arthritis begins to jump significantly, from 7% to nearly 30% in the US according to the CDC.
Then, around this time last year I decided to run a little experiment. Pandemic life had me sitting more than ever and so it was possible that, as bodies do, mine had adapted; in this case to a more stationary/sedentary life. After all, a year of significantly increased sitting time is plenty for soft tissues like muscles and tendons to stiffen and shorten enough for movement to become less free, joints to compress a little, and possibly even surface tissues like cartilage to become less resilient and more sensitive. I decided to spend each day of my vacation working on movement - long bouts of sustained stretching and lots of walking on varied terrain. If some version of soft-tissue adaptation was the source of my achy knees, I should see some improvement (even minimal), for the effort. Instead, I got almost immediate change and within a week, total resolution of symptoms.
This didn't come as a surprise, we've got countless studies showing that a regular and dedicated practice of varied movements (stretching, yoga, tai chi, etc) can have an amazing impact on health and quality of life, but it was a welcome relief.
Even in the last two months more studies have come up supporting these three themes:
1. Sedentary Time (as measured across 21 countries and more than 100,000 people for a decade or more), specifically sitting for >8 hours per day, is directly correlated with poorer health, increasing the risk of mortality by as much as 50% in some parts of the world and nearly 20% in ours.
2. Time spent moving (as measured in 1200+ people for 2 years), specifically walking, reduced the symptoms (pain) and progression (joint space narrowing) of knee osteoarthritis at/near midlife by 60% and 80% respectively.
3. Varied movements which require us to adapt to new challenges across muscle groups may have a particularly strong potential. Nordic walking, which features walking with the use of handheld poles, outperformed other forms of exercise (high intensity and moderate to vigorous continuous training) in a randomized trial which measured effects ranging from cardiovascular improvements to quality of life over a 12 week period.
Our knees can tell us a lot. Some studies suggest knee health predicts future health overall. If yours are barking, they may just need to go out for a walk.
Have a great month,
Mike E.
July 2022
They call it the "silent killer" for a reason. Despite common beliefs related to symptoms like headache, blurred vision, etc (which might but doesn't always happen even in severe cases), most of the time the slow and steady harm is asymptomatic; we simply cannot feel it.
For as much as we might hear about high blood pressure (aka hypertension) given how common it is, affecting as many as 50% of American adults, most folks only partially understand what "it" is, why and when we should care and what we can do to stay on the right side of risk or get back there if need be.
First, the basics, admittedly oversimplified - we are made of soft/flexible pipes.
The human body is under constant pressure. Not of the "stress" variety (although that could be), but rather physical forces acting on us. Gravity is of course the most obvious, but since we are essentially built to be a mostly closed canister, every time we move, cough, strain or sneeze - the force on our tissues and organs changes. Since this is the case, we are built with a pressurized system to make sure blood and nutrients get where we want it to go uninterrupted under various conditions; that is, hoses don't get easily crimped.
According to American College of Cardiology guidelines, the pressure required at complete rest is less than 80 millimeters of Mercury (abbreviated mmHg, the common unit of pressure) to keep the pipes open - this happens during "diastole" when the heart is refilling with blood and is the second (typically lower) of the 2 numbers we get in a blood pressure number. Since this happens during "diastole", we call it "diastolic" blood pressure. The "top number" (usually larger), called "systolic" and best if less than 120 mmHg, refers to the temporary spike in pressure that happens when the heart forcefully contracts to push blood all the way through the pipes to the end reaches of our system (fingers and toes).
But what happens if we need more pressure to keep the pipes open and blood flowing than is healthy? This is where "hypertension" (abbreviated HTN and referring to higher than normal pressure) comes in. Since our vessels are soft & flexible, when the pressure on the inside gets too high it can damage the inner lining, causing our bodies to attempt a repair before more serious harm is done. If this is a one time small event, like many things that challenge us, the repair is made and we go about our business. If, however, we get a micro-injury 60-80 times per minute (every time the heart beats and spikes a pressure), it doesn't take long before we are in a constant state of inflammation and doing irreparable harm.
This is oversimplifying very complex physiology, but, with any luck, these basics can give us a nudge to answer the following questions - and keep us on a healthy track:
1 - What is my blood pressure? This can be read at any number of free kiosks in many pharmacies. HOWEVER, if the numbers seem odd, it's best to rest a full 3-5 minutes and retake. Even if they come up higher than seems right, it's also best to NOT just write it off as inaccurate (they sometimes are) but rather find someone who can get you a better (more accurate) reading. This can include our team! Reply back to this email and we can get the convo going ANY TIME.
2 - What specifically drives high blood pressure? As many people know and have felt, physical/mental/social/emotional loads (aka "stress") can rev us up, tire us out and increase our blood pressure as a result. This of course is not the only thing, but it's real. Other important drivers include inadequate sleep (quality, quantity or both), high-inflammatory diets and/or low fiber diets and, on the other end of the spectrum from over-stressing our system, under-stressing our systems by not getting enough physical activity or having poor fitness.
3. How can I make it better? In addition to more medically oriented treatment (medication), a variety of more conservative approaches can yield good results. Although high-level it's probably reasonable to simply say "the opposite of what was listed above", more specifically - achieving a standard sleep/wake cycle, consuming more plants and the healthy compounds they are packed with (fiber, antioxidants, poly-phenols, etc) and getting out there and breaking a sweat with leisure time physical activity (considered a "first line treatment" in an American Heart Association scientific statement, a benefit that has also been seen in children), these get even better when combined. For example, eating 7 servings of fruit/veggies a day and getting adequate physical activity can cut the risk of high blood pressure IN HALF.
None of this makes blood pressure management easy. Preventing Hypertension takes a good plan and effort. But in many (and perhaps even most) cases, it can be done.
As we draw into the Summer, now is a fantastic time to pause, get a reading and have a plan. We can help.
Have a great month,
Mike E.
June 2022
Heart disease and Cancer. From an overall health-risk perspective, these are the two most ominous dark clouds that loom over the health of the US population and the world. Even COVID19, which has caused immense pain, suffering and loss, hasn't overshadowed their impact, coming in around 1/2 as deadly as cancer and 2/3rds less deadly as heart disease in early analyses of the leading causes of death in 2021 - about as clear a reason to do everything we can to find the tactics that can keep us outside of their path as there is.
If there is a silver lining, it may be in the fact that all 3 of the world's leading killers in 2021 (Heart Disease, Cancer and COVID19) along with various less lethal conditions share major risk factors. Shared risk of course means shared reward if we have strategies that work. With a risk lowering effect on as many as 7 different types of cancer, a well known impact on heart disease, the ability to strengthen our immune system and, as shown last month, a powerful means to substantially cut our risk of depression even at relatively small doses, physical activity can be a very long lever.
Last month, in a small but very cool experiment involving one of the more common and deadly forms of cancer, blood taken from previously sedentary subjects after 30 minutes of aerobic exercise (cycling) substantially reduced the replication of colon cancer cells. When the researchers explored the possible mechanisms, it was clear that a protein which muscles release after exercise is known to reduce inflammation (myokine IL6) and help with cellular repair was playing a significant role.
The American College of Sports Medicine says "Exercise Is Medicine". Although there's always more to learn, it certainly seems like the science this week agrees.
Summer will be here before you know it, it's a great time to get a MOVE on.
Have a great month,
Mike E. of Pro-Activity
May 2022
Humans are diurnal - the "up and moving" part of the 24 hour day is counterbalanced by a "rest" stage. For most, the sunlight of dawn is the natural cue to get going, while dusk signals our bodies to slow toward sleep. It doesn't always follow this pattern perfectly. For example, "Night owls" do exist; some by nature (genetic predisposition) and others by physiological-training, such as years of working at night and sleeping during the day. For most of us however, it is the rise and fall of the sun that we set our internal clocks by....natural light, in technical terms is our "zeitgeber".
But what if you can't follow the sun? What if your internal clock and the world around you are on different schedules?
This topic has been a source of debate for a long time. Daylight savings time, when the natural rhythm is thrown off to conserve hours of light, has often been referred to as one of largest and longest standing social experiments in US history. It has been linked with a variety of injury and health risks. However the debate has more recently heated up as congress considers making Daylight Savings Time permanent. The American Academy of Sleep Medicine disagrees with some of the approach, citing a variety of concerns and phenomena associated with these changes.
But what is really going on? Why, for one of the most adaptable creatures on the planet (us), is an hour here or there such a big deal? 2 new studies last month give us clues.
The "eyes" have it.
The human eye is amazing. Not only does it provide the large majority of the information we use to make the day to day decisions, it is a window directly into our central nervous system via the "hardwired" optic nerve. This means that when the sensors of the eye are turned "on" (stimulated), the brain revs up to deal with the information pouring in. Of course, it also stands to reason then that all of the systems that support the brain, including the energy management system known as "metabolism" must also be on. Although this may in part explain why sunlight is such a great cue to set our internal clocks by, it also says in places where some level of light is always on, such as more and more of the earth, the eye, brain and therefore entire human system has a hard time shutting down for rest.
In fact, as the first of two independent research papers pointed to last month, stimulating the sensors of the eye with even partial/low light for 1 night revs up the nervous system enough to reduce the body's ability to process blood sugar the next morning. Unfortunately if a pattern of interrupted sleep and subsequent metabolic changes is extended over the course of 2 weeks , as was the case in study 2, we will not only begin to crave significantly more protein and fat (as might be expected to keep the "machine running"), we will store it around the vital organs in the middle (visceral fat), the least healthy place to do so.
Protecting our future health includes but is not limited to eating right and exercising. One of the most straight forward ways to do so might just be to protect our bedtime and buy some blackout shades.
Have a great month,
Mike E. of Pro-Activity