Archive for the ‘lifestyle’ Category

Care and Feeding of the Middle Aged Brain

Monday, May 17th, 2010

As we work with administrators to help navigate the world of Long Term Care it is hard not to be hyper-aware of our own mortality and the eventuality that we, too, are likely to reach a point where we will need some level of assistance in getting through the tasks of day-to-day living.  This awareness, combined with our mission to be a resource for those who serve the aging, means that our antennae are up for any news related to maintaining our bodies and minds well into our twilight years!

A New York Times review of the new book The Secret Life of the Grown-Up Brain caught my eye a week or so ago, and the author, Barbara Straunch, had some interesting insights to share relative to what middle-aged brains are actually good at, and how to keep our brains functioning well into the future.

  • Our brains are still growing and developing far into adulthood.  Although we do have some compromises in short term memory (Where are my keys anyway? And what is your name?), the middle-aged brain is actually better in many ways than at any other point in our lives.
  • Logic, creativity and social skills are all at a high point during those middle years.  Although you might not remember the name of the person to whom you are speaking, you will be an excellent judge of his character.
  • We do not, as previously thought, actually lose brain cells as we age.
  • Exercise and diet recommendations that benefit your heart are also likely to benefit the health of your brain.  Exercise in particular can actually help strengthen and grow your brain.  So get out there and start moving!
  • Although there are benefits to making your brain work hard, crossword puzzles and learning a foreign language hold no particular magic powers in terms of maintaining the health of your brain.  Partaking in vigorous debates on subjects of interest can be just as helpful, so unless you just love the Sunday Times crossword puzzle, you can stop doing it!
  • Meeting and engaging with people is healthy for your brain, and your mood!

It is so refreshing to hear that middle age is not necessarily the beginning of a slow slide into senility.  Staying engaged and active in life, both in terms of intellectual pursuits and social involvement, seems to be key to keeping your gray matter from graying.

I am hopeful that by maintaining an active life filled with fulfilling relationships, creative pursuits and lively conversation, I can remain one less consumer of Long Term Care services in New York!

You Want Me to Drink What?

Saturday, May 1st, 2010

I am admittedly not the trendiest girl around.  I don’t have designer shoes or a luxury car or get my hair blown out.  Actually, where I live getting your hair blown out means you drove with a window open, but I don’t do that much either.  The NYC crowd would have a field day with how un-cool I am with my suburban clothes and addiction to Dunkin’ Donuts iced coffee.  I am about as mainstream as they come, and for this I am generally unapologetic.  It’s who I am and I’m OK with that.

Although un-hip, I am quite interested in doing things to keep myself and my family healthy.  I try mightily to get my children to willingly eat vegetables. I don’t cook red meat. I choose fresh ingredients rather than food-in-a-box whenever possible.  I am embarking on an experiment to be a vegetarian, and I recently gave up caffeine for a month.  I am willing to try new things – within reason.

There was a recent article in the New York Times about the popularity of a fermented tea drink called kombucha.  Apparently this tea can do all kinds of magical things like re-growing hair, calming digestive issues and curing hangovers.  Those who drink it claim that it is quite delish.  Sounds good, right?  I’m in! I could be the first one in the suburbs to partake of this delightful elixir!  How do I get it?

This is where things get a little hairy for me.  Because kombucha is made by immersing a disk of bacteria into brewed tea and letting it sit, unrefrigerated, for up to two weeks.

A disk of bacteria.

In your tea.

On purpose.

I am so not down with that.

I understand the benefits of probiotics.  I eat yogurt (from the refrigerator, thank you very much).  But, I have to admit that I wouldn’t even drink the plain tea if it sat out for two weeks – and the introduction of the bacteria disk into the equation does nothing to improve the situation for me.

I suppose the nature of kombucha is essentially similar to beer.  Fermented substances in a drink are not that uncommon.  And yet, I can’t quite get my head around voluntarily introducing bacteria into a completely acceptable drink like tea.  I guess I don’t brew my own beer either, although I do enjoy drinking it.

There are packaged versions of kombucha available, including one made by Red Bull.  I am slightly more comfortable with the manufactured versions, mostly because I work under the assumption that beverage manufacturers are as terrified of being sued as I am of dying of kombucha poisoning.

I am a big sucker for slick marketing and putting anything, even something utterly disgusting, in a pretty bottle and giving it a fun name goes a long way to drawing my interest.  If I actually went out and purchased a Carpe Diem Kombucha, it would be an ultimate marking success for them.

Ooooo…pretty bottle….fancy name…who cares what’s in it?  I must have it!

I want to be cool and brave enough to jump on this bandwagon and give kombucha a try.  But the reality is that it’s probably beyond my capabilities to be that cool and brave.  And the Dunkin’ Donuts coffee is working just fine for me, thanks!

Stress-Busting Tactics

Thursday, January 7th, 2010

Stress is a part and parcel of our frenetic lives, but chronic stress is not what the doctor ordered. Too much stress hikes up your blood pressure, causes body inflammation and can result in heart problems.

So what do we do to slow down? Here are some ways to manage your stress.

• Be realistic about your goals and keep things simple. If you offer to host the annual family Holiday party, don’t go over the top and self cater the entire thing. Take-out side dishes and salads are great fill-ins.

• Express your thoughts in writing. Keeping a journal, blog or diary can be very therapeutic. And if you are not keen of the pen, try recording yourself via a digital voice or video recorder.

• Incorporate some form of exercise into your day and be consistent about it. You don’t have to run the marathon; take a walk with a friend, join the pool at the local Y or shoot some hoops with your kids.

• Massages are the ultimate relaxant. If you don’t believe me, try one for yourself. An aside, did you know that despite the gloomy economy – massage therapy has remained quite popular according to a recent survey from the American Massage Therapy Association?

• Find out if your workplace has any stress-fighting resources in place. Many Employee-Assistance Programs (EAP), wellness programs or health plans provide confidential personal stress-relief plans.

re MODEL your Brain!

Monday, November 9th, 2009

All those early wake-up calls to make those before dawn exercise classes were doing more for me than I thought- according to researchers at Princeton University who were following a comprehensive experiment with running rats… They discovered that the neurons of the  brains of rats who exercise  respond remarkably different to – dare I say it- the couch potato rats… They concluded that the young  “cells born from running,” appeared to have been “specifically buffered from exposure to a stressful experience.”  Amazingly, the rats had created, through running, a brain that seemed biochemically, molecularly, calm.

We always intuited that  exercise enhanced our psychological states, but now  scientists are learning how exercise, a physiological activity,  directly affects mood and anxiety- that  exercise remodels the brain, making it more resistant to stress.

Exercise alters the activity of dopamine, a neurotransmitter in the brain, and appears to dampen the effects of oxidative stress. In an experiment led by researchers at the University of Houston and reported at the Society for Neuroscience meeting,” rats whose oxidative-stress levels had been artificially increased with injections of certain chemicals were extremely anxious when faced with unfamiliar terrain during laboratory testing. But rats that had exercised, even if they had received the oxidizing chemical, were relatively nonchalant under stress. When placed in the unfamiliar space, they didn’t run for dark corners and hide, like the unexercised rats. They insouciantly explored.”

“It looks more and more like the positive stress of exercise prepares cells and structures and pathways within the brain so that they’re more equipped to handle stress in other forms,” says Michael Hopkins, a graduate student affiliated with the Neurobiology of Learning and Memory Laboratory at Dartmouth. “It’s pretty amazing, really, that you can get this translation from the realm of purely physical stresses to the realm of psychological stressors.”

Alas, these stress-reducing changes on the brain  influenced  by exercise  don’t happen overnight.  In the University of Colorado experiments, for instance, rats that ran for only three weeks did not show much reduction in stress-induced anxiety, but those that ran for at least six weeks did. “Something happened between three and six weeks,” says Benjamin Greenwood, a research associate in the Department of Integrative Physiology at the University of Colorado, who helped conduct the experiments. Dr. Greenwood added that it was “not clear how that translates” into an exercise prescription for humans. We may require more weeks of working out, or maybe less. And no one has yet studied how intense the exercise needs to be. But the lesson, Dr. Greenwood says, is “don’t quit.” Keep running or cycling or swimming. (Animal experiments have focused exclusively on aerobic, endurance-type activities.) You may not feel a magical reduction of stress after your first jog, if you haven’t been exercising. But the molecular biochemical changes will begin, Dr. Greenwood says. And eventually, he says, they become “profound.”

Unemployed and Down in the Dumps

Tuesday, October 13th, 2009

The current recession is taking a toll on the mental health of the ranks of unemployed and underemployed. The risk of severe depression is four times greater for those without a job than those who are working – according to a recent national survey conducted by Mental Health America, the National Alliance on Mental Illness and the Depression Is Real Coalition. And those people still lucky enough to be employed, but who were coerced into reduced hours or pay cuts, were twice as likely to have symptoms.

The findings were released during Mental Illness Awareness Week that recently took place on Oct. 4-10.

According to Michael J. Fitzpatrick, Executive Director of the National Alliance on Mental Illness, “Unemployment today stands at almost 10 percent. Nationwide, we face a mental health crisis as well as an economic crisis.”

Approximately 15 million U.S. adults (5 percent to 8 percent of the adult population) are affected by major depression each year, and only 50% seek treatment, regardless of their economic or employment situation the survey found.

Some Natural Ways to Fight Depression

Wednesday, September 23rd, 2009

Aside from therapy and medication – crucial elements in one’s battle against serious doldrums, there are some natural lifestyle changes that can be quite effective.

“Having a routine gives you a sense of control over the day,” says Ian A. Cook, MD, director of the Depression Research Program at UCLA. “We know that helps, and we know that not having a sense of control makes people feel worse.”

– Exercise is proven to be a great mood-booster.

– A basic healthy eating plan will do wonders.

– Get a good night’s sleep.

–  Set realistic goals daily and try to meet them.

–  Incorporate some downtime for fun or relaxation into your schedule.

– Have a support network of family and friends and don’t distance yourself from them.

–  Make sure you have some responsibilities that give you a sense of accomplishment and keep you active.

– Try a natural supplement such as fish oil, but only after checking with your doctor.

– Stay away from substance abuse.

– When you’re in a rut, go out of your way to try something new and different. Push yourself to go to a museum . . .Volunteer at a soup kitchen . . . Take a language class. . .

Here are some cognitive ways to fight automatic negative thinking:

– Use logic when you have exaggerated terrible thoughts about yourself.
“Try to impose some reason,” says Cook. “Inject some reality.” Is it really true that no one likes you? Is there real evidence for that?  Sure, you might feel like the most stupid and hateful person on the planet, but really, what are the odds?”

– Clear your head of negativity by taking a break. Breathing exercises or a simple walk around the room can help.

Just remember not to ignore serious signs of depression. If you’re not functioning make sure to get professional help.

Missed Breakfast? A Big No No for the Weight Conscious

Sunday, September 20th, 2009

Everyone knows that breakfast’s good for you. How good just became a little clearer. A team of British Researchers have pinpointed scientifically how your brain craves high calorie food when you skip your morning meal.

Utilizing MRI’s of the brain, they studied 20 healthy, thin people who went without breakfast that day. When those people were exposed to an array of food photos, both high and low fat, their brains become more active at the sight of the high-calorie options than when they saw low calorie foods. When this test was repeated on another day 90 minutes after they ate breakfast, there was no significant difference in their brain’s reaction to different caloric foods

Corresponding to the MRI findings, were ratings of appealing food pictures. After skipping breakfast, participants found calorie laden food choices to be much more tempting.  After eating, however, the group did not show a strong preference for the high-calorie foods.

According to Tony Goldstone, MD, PhD, a consultant endocrinologist with the MRC Clinical Sciences Centre at Imperial College London, “Our results support the advice for eating a healthy breakfast as part of the dietary prevention and treatment of obesity, When people skip meals, especially breakfast, changes in brain activity in response to food may hinder weight loss and even promote weight gain.”

Senior Self Neglect Increases Risk of One-Year Mortality

Sunday, September 20th, 2009

It starts with neglecting one’s hygiene, nutrition and medications, and can lead to death within the year. According to data compiled by the Chicago Health and Aging Project (CHAP), an older person’s risk of dying within the year increases six-fold when he or she starts to ignore his or her physical and medical needs.

The CHAP study took place from 1993-2005 in three Chicago neighborhoods and the 9,318 participants were ages 65 or older. Among that population there were 1,544 reported cases of self-neglect (mean age of 73.2 years old) and in the average follow-up within almost a year, there were 927 deaths (47.8%) in that group.

Elder abuse of any kind also generated a greater mortality rate, with a 61.6% death rate within an average of 2.7 years.

By the self neglect cases,  the increased mortality rate wasn’t affected by whether or not the senior’s cognitive or physical functions were impaired. However by confirmed abuse cases there was a significant difference – increased mortality was not associated with elder abuse of high functioning seniors, demonstrating that this group was more likely to recognize abuse and seek help.

Stiff Joints Keeping You Up at Night? Try Some Cognitive Therapy

Thursday, September 17th, 2009

As the Baby Boomer generation ages, there is a swelling populaton of people suffering from osteoarthritis. Arthritis pain seems to go hand in hand with insomnia, with joint pain keeping awake 60% of those with osteoarthritis

A new study, reported in the Aug. 15 issue of Journal of Clinical Sleep Medicine, finds that cognitive therapy has a beneficial effect on osteoarthritis patients and insomniacs – assisting them in their quest for a good night’s sleep.

Cognitive behavior therapy for insomnia or CBT-I,was given by an experienced clinical psychologist who taught participants cognitive restructuring techniques that helped change unrealistic beliefs and irrational fears regarding sleep or lack of it.

Handwritten sleep logs kept by participants documented their sleep patterns, and pain level was graded by the Short-Form McGill Pain Questionnaire (MPQ) and the Body Pain Subscale (SF-PAIN) question from the Medical Outcomes Study Short Form-36 Pain.

Results showed that after CBT-I treatement, patients were falling asleep faster than before, and remained sleeping approximately 37 minutes longer. CBT-I seems to be an effective tool for treatment of osteoarthritis in conjunction with other pain management techniques, and may also work well with other chronic pain conditions.

Say Goodbye to Those Scary Shots

Sunday, August 23rd, 2009

By Nechama Drillick

Will those stinging booster shots be a thing of the past, fading into oblivion together with walkmans, analog TV and Kodak film? With the advent of a new Band-aid-like painless patch lined with microneedles, our grandchildren may never know the ouch of a needle at an annual checkup.

Scientists have developed a patch that can simply be applied to a patient in place of using hypodermic needles, a big boon to diabetics and others suffering from diseases that require frequent pricks. This was presented at the 238th National Meeting of the American Chemical Society in Washington, D.C.

“If you can move to something that’s as easy to apply as a Band-Aid, you’ve now opened the door for people to self-administer their medicine without special training.” said Mark Prausnitz of Georgia Tech, one of the developers.

This development was enabled by advances in the electronics industry, which has microminimized all forms of technology – opening the door for the creation of needles that are only a few hundred microns long, about the width of a few strands of human hair.

Researchers are hopeful that the patch which will initially be used in a clinical setting could ultimately be self applied at home, replacing many other needle injections – even flu shots!