aging

Tears dry? Dry mouth? Chapped lips? Must be the ‘pause

Posted by Liz on Mar 9, 2012 in aging, dry mouth | 4 comments

A friend recently asked if I had run across any research papers linking chapped lips to menopause. Although I’ve not seen that direct association, I can tell you menopause is linked with dry mouth as well as burning mouth syndrome, i.e. burning in the tongue or oral mucous membranes and taste alterations.

In so far as dry mouth and burning mouth syndrome go, the tissues in the mouth and the salivary glands both contain estrogen receptors. Consequently, hormone fluctuations, like those associated with menopause, can affect the mouth, lips, tongue and even lead to periodontal disease. The rub is that although researchers are aware of this, the data are pretty scarce, although studies have shown that saliva, which by the way, is the primary defense against oral disease, is more productive in premenopausal compared to postmenopausal women. Moreover, it appears that psychological stress can also influence saliva flow, since it affects the nervous system. In some ways, it’s similar to an endless loop: oral discomfort relating to dry or burning mouth can lead to unpleasant sensations and anxiety, which then activates the autonomic nervous system and further reduces saliva.

Although there is not cure for either issue, there have been small but inconclusive studies indicating that hormone replacement may help. Dry mouth can be counterbalanced by drinking at least 1 to 1.5 liters of water or other liquid daily, or using commercial mouthwashes especially formulated for dry mouth. For burning mouth syndrome, there are commercially available gels and ointments, and some practitioners recommend rubbing olive or other vegetable oil to the oral tissues. Short of that, severe cases may benefit from antidepressants or probiotic products. For chapped lips? Personally, I am pretty hooked on the Pangea Organics line of lips products but I recommend that you use what feels best. Finally? Be sure to maintain your oral health by seeing the dentist regularly. It’s essential!

Wednesday Bubble: Designer What?!

Posted by Liz on Mar 7, 2012 in aging, appearance, sexual health | 1 comment

Rarely do I run across editorials in medical journals that catch my attention at the first sentence. However, this one wins my vote, not only for its candor but also for its attempt to clear the air, so to speak about ‘designer vaginas.’

Designer what?

You may recall that I ran a piece in early February about vaginal rejuvenation and the promise the procedure offers to millions of women who are concerned about their aging va-jay-jays.

Hold on for one sec! You may want to reconsider getting a facelift ‘down there.’ At least according to two physicians from Yale.

Burstable? You bet!

Drs. Alexandra Pencow and Marsha Guess from Yale University School of Medicine say that the purported benefits of female genital cosmetic surgery (FGCS), namely that there is a “normal or standard in vaginal aesthetics,” or that FGCS will “result in improved sexual function” are misleading. They write (in the April issue of the journal Maturitas):

“The ‘designer vagina’ sounds like the name of a ‘Sex in the City’ episode, and may evoke a variety of responses, from enthusiasm for anything that can make the vagina more modern and user-friendly, to mistrust for unproven treatments for conditions that have not been clearly defined.”

FGCS refers to surgical procedures that modify the shape, caliber or length of the vagina and external genitals for aesthetic purposes. They include:

• Labiaplasty, to reduce labial size or corrects irregularities (if the labia are too large, elongated or assymetrical)
• Vaginoplasty or vaginal rejuvenation, to narrowsthe vagina and the vaginal entrance
• Clitoral unhooding, geared towards removing the tissue surrounding the clitoris to enhance sexual and genital sensation
• Hymenoplasty, a form of ‘revagnation,’ in which the hymen is reconstructed to mimic virginity
• G-spot amplification, i.e. injecting collagen into the vaginal wall to increase sexual satisfaction/sensitivity

The physicians write that despite the lack of clinical evidence proving benefit, these procedures have increased three-fold or more in both the U.S. and the United Kingdom. They also note that the media, talk shows, women’s magazines and the Internet combined have worked to perpetuate myths about these procedures without properly explaining the reasons why they might be done other than aesthetics. Procedures such as the ones described above can be invaluable following cancer, trauma or pelvic organ prolapse to improve life quality and treat certain symptoms.

Still, when it comes to aesthetics, there is a lack of standards for these procedures to define proper follow up and outcomes. Even more important is the fact that there is no true definition of “normal.” How then does a woman who desires smaller labia or an enhanced vagina temper her expectations?

Sexuality, sexual desire and sexual satisfaction are multifacted and personal, influenced by life stressors, environment, mood, self-esteem, hormones, personality and social and partner support. The new ‘normal’ isn’t supposed to be defined by the medical community and the media, is it? Just as the Menopause Industrial Complex wants to sell you on HRT, so apparently do the Vaginal Patrol wish to convince you that your parts ‘down under’ need a nip, tuck, an ‘Occupy,’ if you will.

Designer vaginas? Evidently, they’re here to stay. The benefits, however? Hard to say.

Dr. Seuss, omega-3s and brains!

Posted by Liz on Mar 5, 2012 in aging, memory/learning | 1 comment

I am not jumping on the Dr. Seuss bandwagon, I promise! But when I ran across this study on omega-3 fatty acids, the aging brain and memory, the following lines from Oh! The Places You’ll Go came to mind:

You have brains in your head. You have feet in your shoes. You can steer yourself any direction you choose. You’re on your own. And you know what you know. And YOU are the one who’ll decide where to go…” —  Oh! The Places You’ll Go. Dr. Seuss

Damn our aging brains, right?! Coupled with waning hormones, daily stressors and even weight gain, and many women of ‘a certain age’ are left with a veritable mindless meld cognitive decline and memory issues that only seem to worsen over time. And there’s nothing that can be done.

Think again. Researchers say that low levels of omega-3 fatty acids may accelerate the rate at which our brains age and even cause lapses in thinking and memory. This latest bit of information comes from an analysis of from 1,575 women participating in the ongoing Framingham Study. Women in this portion of the study (who were, on average 67 years old) had their blood drawn and examined for concentrations of omega-3s in red blood cells, underwent brain MRI, and participated in battery of cognitive-psychological tests. The findings? Those with the lowest levels of docosahexaenoic acid (DHA) had lower brain volumes compared to women who had higher levels. According to one of the lead study investigators. Dr. Zaldy Tan, this distinction “is equivalent to about two years of structural brain aging.” Moreover, lower DHA and ecosapentoic acid (EHA) levels were also linked to declines in the ability to solve problems, multitask and think abstractly – all of which are tied to visual memory and so-called “executive function,”  a concept that refers to the ability to connect past experiences with present action. Humans use executive function to plan, organize, strategize, focus and remember details and manage time.

These findings are critical because they add to a growing body of research that show that omega-3 fatty acids are essential for brain health, possibly due to their positive actions on blood vessels in the central nervous system. In fact, clogged arteries and stroke are associated higher risks of dementia and cognitive decline, so the benefits of omega-3s may relate to how they can help to lower blood pressure, reduce stroke risk, decrease inflammation and reduce blood fat levels. The ongoing question is always diet versus supplements. And while diet is sure to improve the body’s concentrations of omega-3s, it can be difficult to maintain the three times a week regimen.

Personally? I have gravitate towards Krill oil because it doesn’t cause the ‘burps’ and is environmentally friendly. But as a dietician friend recently pointed out to me, the levels of DHA in Krill oil are relatively low, meaning that if I want to slow down my aging brain, I may need to find sources of DHA to supplement what I’m already taking (e.g. from seaweed or coldwater fish).

Dr. Seuss made it abundantly clear that we have choices and it is those choices that will steer the direction we go. Want to save your brain? It looks as though the addition of omega-3s might help.

Wednesday Bubble: Say what you will, but the way to a man’s heart is through your hands

Posted by Liz on Feb 29, 2012 in aging, humour | 0 comments

Bet you thought I was gonna talk about something else, didn’t you?

Nope, it’s all about anti-aging, 1940s style. Funny thing is that nothing has really changed. Well, almost nothing.

Middle aged skin in the 40s is the same as middle aged skin in the ‘2012’s…except the solution.

Happy Wednesday!

Wednesday Bubble: Want to look years younger? Consider the knife

Posted by Liz on Feb 22, 2012 in aging, anxiety | 4 comments

This headline, which appeared in the LA Times on February 20, says it all:

Plastic surgery does make you look younger, study finds. 

Earth shattering, right?

Actually, what struck me most about it is that on a day when scientists were reporting that the reasons that certain conditions associated with aging may be due to changes in the eye  (e.g. narrowing of the lens and pupils) responsible for controlling our internal clocks, that headlines touting more nip and tuck were stealing the show.

Not too long ago, I wrote about a survey that was conducted in England that showed that a third of women would give up a year of their lives, forgo part of their salary or a promotion or sacrifice time with their partners to achieve an ideal body weight and appearance. Shortly thereafter, I featured an incredible piece by author D.F. Wolf about ‘anti-aging,’ in which she questions the need to appear young and literally erase our appearance. And right after that, we learned that ‘make-up makes the woman.’

What a perfect trifecta of misconstrued values about our worth as women.

That’s why this particular study is drawing a few questions in my mind. Published online in the Archives of Facial Plastic Surgery, it reviews an investigation of 60 patients (of whom 54 were women) between the ages of 45 and 72 who had undergone three different combinations of plastic surgery:

• face and neck-lift
• face and neck-lift, and removal of bags and sagging around the eyes/eyelids
• face and neck-lift, removal of bags/sagging around the eyes/eyelids and a forehead lift

The goal of the study? To prove that facial surgery not only makes you look better but definitively alters how others perceive you.  To achieve this, they asked first-year medical students to view the before and after photos of the patients and then estimate their age. The researchers found that prior to surgery, the students estimated that on average, patients were 1.7 years younger than their actual chronological age, and after surgery, 8 years younger. By group, the raters perceived patients who had had the most facial surgery as the youngest.

The researchers claim that this study was conducted in order to provide a means by which facial surgery can be quantified  However, what it doesn’t address is the degree to which attitude, self-awareness and a general sense of wellbeing also influence how we look and how others perceive us. Moreover, while surgeons now have “the ability to resuspend, excise, tuck, inject and augment, the question remains: ” how do you achieve a ‘look’ without robbing that person of their unique attributes or characteristics?

We live in a society where aging is a four letter word and fountain of youth is an abused. elusive goal, where teenagers often model in lieu of actual adults and where photoshop and air brushing is the rule and the exception. The message inherent in this study and in the headlines that appeared on the web that day is that more plastic surgery= more pleasure. However, how many of you recall news of Madonna’s new, new face or Jocelyn Wildenstein’s frightening New York Magazine cover photo in 1997?  When does ‘more’ become ‘too much?’

Admittedly, there are days I look in the mirror and am shocked by the reflection staring back at me. And days I’d consider a nip and a tuck. But to what end? Am I trying to achieve a youthful glow or a bonefide bonfire of juvescence?

Maybe it’s time to step back, really step back, and consider the message that we are sending to ourselves and to the girls and young women in our lives. Don’t we owe it to us..and to them?

Motivating Women…Part 3: New Attitude

Posted by Liz on Feb 17, 2012 in aging, appearance, exercise, Inspiration, women's health | 2 comments

If you haven’t caught this week’s posts, I’ve been talking to three powerhouse women: Shonali Burke, Kami Watson Huyse and Julie Pippert about the changes that they are making in their lives to improve their health. From the reaction these posts have garnered, I am convinced that my instincts were correct: their stories are nothing but motivating, not only to other women but also amongst themselves.

The sum of our parts

One overriding theme that arisen as this series has unfolded is that as women,  we are often as strong as the sum of our parts. Research has shown repeatedly that women thrive when they are supported by others. As I wrote several years ago ‘tending and befriending,’  nurturing our personal relationships,  communicating to one another when we need help, finding a shoulder to cry on or simply offering a hug not only reaffirms who we are but can also provide an essential foundation to see us through. The same goes for starting and maintaining a healthier routine: if you have a strong foundation, there’s no limit to what you can achieve.

To a certain extent, aging has given these women strength to take on new challenges and has acted a personal motivator to take back their health. “I am actually really enjoying my 40s,” says Shonali. “I feel much more ‘together’ than I did in my 30s and definitely in than in my 20s. I suppose as you age, you realize that life isn’t really worth anything unless you are satisfied that you gave it your all each day.” And as Julie notes, it’s not as easy as it once was to “coast in good health.” Rather, she expresses that, like many of her peers, the challenges have piled on and “it’s harder and harder to keep up good health and good feeling, as well as a trim and fit body.”  Moreover? The old adage ‘there’s no time like the present’ has certainly put its tendrils in these women’s psyches; Kami says that she knows that if she doesn’t “start now, I only get older from here.” This perspective is quite interesting because it does speak to the inside out; if you feel good about yourself, your outward glow certainly radiates a younger, healthier you.

A game plan

Your strategy for achieving personal wellness goals is just that: yours’. As noted, having a fitness ‘buddy’ or a personal trainer to lend support and push you to go the extra mile is optimal. So is journaling, says Julie. “I think it’s crucial to journal, at least during your initial phase of getting healthy, especially when it comes to eating right and being active. It’s a pain and not something I can maintain long-term, but each time I hit a plateau or start gaining [weight], I go back to journaling and see, oh yes, I am eating too much or too much of the wrong things and I’m not exercising enough. Or I’ve hit an exercise rut and it’s time to shake it up. Some people need a lot of shifting and I am one. You have to listen to your body. If you aren’t achieving your goal, it’s probably time to start journaling again and figuring out what you need to change.”

Give to yourself and they shall receive

As women, we don’t always adapt well to being on the receiving end. Mindful living, as I wrote about a year ago, is essential to our ability to care for others:

 How do we acknowledge that be cared for does not equate to losing power or control but actually improves outlook, wellbeing, and ability to deal with any challenges that we might be facing, that allowing others to “do” empowers and does not ‘de-power?’ Is it fear of refusal? Or fear of letting go?

Importantly, being cared for also refers to being cared for by ourselves. That means incorporating healthier habits that will add that extra armor we need as we age. As Kami says, “it is so easy for us to put everything and everyone else first and forget that by taking care of ourselves we actually are doing everyone a favor,” adding that “as a mother and a spouse, when I am less stressed out and taking care of my health and wellbeing it is a much better environment in my home.”

When was the last time you stepped back and really stopped to take stock? “Women spend so much time looking after/worrying about others that they don’t take enough care of themselves,” says Shonali. “We need to nurture ourselves first; only then will we be strong and capable enough to do this for others.” She adds an interesting point of view about taking time, that it’s not selfish. “We need to take a second look at the word ‘selfish'” explains Shonali. “It’s not selfish to be well. It’s not selfish to give yourself personal time and space. It’s not selfish to make your own health a priority. In fact, it’s the best kind of selflessness, because only then can we truly and wholly care for others.”

If you are still on fence about diving into a new routine, just try. Be present, engage in the moment. Start slowly and build up. You don’t need to run a marathon the first time you step out in your new sneakers. And you don’t have anything to prove. However, also? Don’t lose sight of the joy and fun as you move through your goals: the humorist Josh Billings said it best:

“There’s lots of people who spend so much time watching their health, they haven’t got time to enjoy it.”

Motivating women. There are three in my immediate horizon and thousands more around me. And you? Take some time and look around. I bet you’ll be glad that you did!