Resilience, illness and community
This week I called on your help. And you answered by sharing Wednesday’s Team Brilliant post, joining the community, sharing via Facebook and Twitter, donating and buying tee shirts. I am honoured and wowed. Which is why I want to this little gem with you: when you are ill, your resilience appears to highly related to social support, along with the ability to cope, finding benefit in your experience, however difficult, and perception.
So, what is meant by ‘resilience?’
Across the literature and across different illnesses, resilience in the form of adversity refers to one’s capacity to successfully maintain or regain one’s mental health and attitude. It relates to hope, empowerment, acceptance of hardship and determination. Anticipating and envisioning a ‘healthy self’ in the future can help us see past current and immediate physical or illness hardships.
Social support from family and friends also plays an essential role. Social support has been associated with better psychological health, finding benefit in one’s situation, hardiness and self-esteem. Moreover, studies show that social support actually boosts success in living with an illness.
Over the past several weeks, we have seen that in action, as a community of people, many with only two people in common, joined together to help and support someone with a critical illness in need. When I asked that person how that effort impacted his outlook, he told me that he looked forward to the future when he could pay it forward.
Social support is powerful. According to a recent review in Psychosomatics Journal, “social support is clearly vital to most patients to enhance resilience.” The researchers say that factors that further enhance this support include active coping, positively assessing one’s situation, acceptance, and spirituality. Ultimately, these factors in concert can help many individuals with illness form a new framework, identify new and positive inner strength that they never realized they were capable of and even improve overall functioning.
Goethe once wrote “The world is so empty if one thinks only of mountains, rivers & cities; but to know someone who thinks & feels with us, & who, though distant, is close to us in spirit, this makes the earth for us an inhabited garden.”
Whose garden will you inhabit?
p.s. Julie Pippert. I have a tee shirt for you.
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Got life? How about another cup of joe?
Have you seen the headlines? Yup, that’s right! That morning caffeine fix might just be the ticket to a longer life, at least according to a new study published in the New England Journal of Medicine this week. Mind you, whether or not daily consumption of coffee directly causes a longer life or simply associated with it has yet to be determined. But this is truly the type of news that all of us can use, right?!
In this study, researchers from the National Cancer Institute examined data compiled from over 220,00 men and 173,000 women who participated in a larger diet and health study. They analyzed intake of a broad variety of foods ranging from fruits and vegetables to meat and other source of saturated fat, and coffee consumption was assessed terms of frequency, i.e. 0 to 6 or more cups daily.
Although coffee is rich in antioxidants, its consumption has been linked with increases in cholesterol and blood pressure levels. And, in this particular pool of individuals, coffee drinkers were likelier than nondrinkers to smoke cigarettes, have more than three drinks (alcoholic) a day and eat more red meat.
And yet, after adjusting for all of these confounders — in particular smoking — researchers found that drinking coffee actually appeared to prolong life. In fact, men who drank 6 or more cups a day had a 10% lower risk of dying and women who drank this much had a 15% lower risk of dying compared to non-coffee drinkers. Even better? It didn’t appear to matter whether or not the coffee was caffeinated or decaffeinated.
The researchers say that their findings add evidence to other data that show inverse associations between coffee drinking and risk of diabetes, stroke and death from inflammatory diseases. Importantly, they caution that even though smokers appeared to gain the same benefits as nonsmokers, lowered risk from dying appeared to be the strongest amongst participants who never smoked or had stopped smoking.
So, should you start drinking more coffee than ever? Well, this study is an observational study and one that relied on self-reports. Therefore cause and effect is inconclusive. However, in this extremely large pool of men and women, drinking coffee more frequently appeared to confer a moderate degree of protection from dying of heart and respiratory disease, stroke, injuries, accidents and infections. Of course, more coffee may mean less sleep and more jitters, depending on your constitution and the degree of caffeine. Regardless, it appears that more is less when it comes to dying.
Got life? Have another cup!
Read MoreBringing back the woo-woo…or the ‘ain’t no woo woo.’ Mindfulness, meditation and stress
Are you familiar with the end of the year crunch? I’m in the midst of it and although life is scheduled to slow starting next week, I am finding that I am having difficulty keeping up. So, today, I’m bringing back the woo woo in hopes that it might influence my own inability to calm down the adrenals right now.
Apologies for being self-serving. To be truly honest, this is one of my favourite posts of this year so I’m bringing it back. One word at a time. Let’s start with the first:
Relaxation.
It’s so elusive for many of us. And yet, so important to our overall health and wellbeing. In fact, researchers are finally discovering how relaxation actually counters changes that occur in our bodies that result from exposure to constant stressors.
For decades, Dr. Herbert Benson, founder of the Mind-Body Institute in Cambridge, MA and an associate professor at Harvard University, has been writing about the relaxation response, a “mind-body intervention that elicits deep changes in the physical and emotional response to stress.” Strategies that elicit the relaxation response include meditation, yoga, tai chi, Qi gong, deep breathing, controlled muscle relaxation and guided imagery. And although many would like to point to the “woo woo” factor at-play, an evolving and wide body of published literature is indicative of how interested the medical community is in the mid-body connection and the positive changes that these practices promote, including a slowing or heart rate, a reduction in blood pressure, improvements in blood sugar and fats, and even boosts in our immune system. However, what has long eluded researchers is what actually happens in the body to achieve these improvements.
In a novel study published in 2008 in PLoS ONE, Dr. Benson and his colleagues looked closely at 19 volunteers who had practiced relaxation response strategies (e.g. meditation, yoga, repetitive prayers) for as long as 20 years and compared them to 20 novices, individuals with no relaxation practice experience. These novices were provided with training sessions for 8 weeks that included information about how to reduce daily stress and the relaxation response and a 20 minute, individually-guided session comprising diaphragmatic breathing, a body scan and meditation.For 8 weeks thereafter, the novices then used a 20-minute relaxation CD at home and were asked to review the informational brochures. Blood samples and analysis of gene expression between experienced and novel relaxation practices, and pre- and post-training were then compared.
Importantly, while the researchers observed distinct changes in the genes in experienced relaxation practitioners compared to novices, when the novices started to incorporate relaxation practice into their lives, they also started to express similar positive alterations in their genes. Moreover, these changes are directly related to how cells respond to stress and create free radicals and inflammation that can lead to long-term damage. Additionally, type of relaxation strategy that was practiced was of no important; by achieving a relaxation state, individuals could make positive changes in their cellular structures thought to promote health.
Both inner and outer psychological states and environmental factors play a role in how women experience peri and post-menopause, their self-esteem, attitudes and severity of symptoms. If a daily practice of some sort of relaxation strategy can actually alter genes in a way that improves health and well-being, why can’t that daily practice also improve the menopausal/midlife experience?
While I’ve long embraced the idea, I’ve never actually made a concerted effort to incorporate some sort of relaxation strategy into my daily activities. I’m going to change that. Ain’t no woo woo but a woot woot so far as I can tell.
Read MoreHow dry I am…
Bet you think I’m talking about vaginal dryness or dry skin. I’m not.
Actually, I am referring to another dry condition that affects women in peri and postmenopause: dry eye.
Yikes. Do women really need more dry in their lives?!
Dry eye affects almost 5 million people over age 50 and is one of the most common reasons for an eye doctor visit. It is related to an imbalance in the tear system that interferes with the ability to produce tears, tear quality (meaning that it’s mostly water and less lubrication needed to moisturize and protect the eye) and function (meaning that the three layers of oil, water and mucus surrounding and protecting the eye — the tear film — starts to thin and loses its stability). This imbalance can lead to symptoms like itching, burning, irritation, redness, tearing, light sensitivity and blurred vision, as well as infection and injury.
Sounds like fun, right?
Even worse? Recent estimates suggest that dry about twice as common in women than in men, especially as they age. And while environmental factors like insufficient intake of fluids, excessive alcohol, excessive exposure to air conditioning or forced hot air and excessive bathing all contribute, one of the most important factor are the sex hormone receptors in the eye.
It’s true that sex hormones, namely estrogen, progesterone and testosterone, are produced by the ovaries in females. However, they are freely available to all tissues in the body, and in fact, regulate tissue in the eye as well. In fact, researchers are increasingly discovering that hormonal changes may directly influence certain eye disorders, and it is believed that the altered hormonal balance at and around menopause may affect tear production.
What can you do about dry eye?
Quite simply, the easiest way to combat dry eye is to hydrate! Lifestyle measures like drinking lots of water and other hydrating fluids, modifying alcohol intake, using humidifiers, avoiding too much air conditioned or heated air and not drying completely post-bathing before moisturizing can help. Practitioners also recommend the use of artificial tears, gels and ointments (not the type that “get the red out”) can help to increase the humidity of the surface of the eye and improve lubrication. If you are suffering from dry eye and using any medications, you should also speak to your doctor. Anticholinergic-containing drugs like Benadryl for example, can cause dry eye. Eyelid hygiene is also important as any offenders like infection or inflammation can just make things worse.
Importantly, taking hormone replacement therapy appears to worsen, not improve dry eye, especially as it relates to the ability to produce tears. This is especially true for women taking estrogen-only. Yet another reason to stay away from HRT.
There are prescription treatments for moderate to severe dry eye and at the extreme, surgery may required. The best course of action is to try some of the simpler measures and if they don’t work or if dry eye worsens, see your doctor.
I don’t know about you but I do see the humour in this, however deeply it may be hidden. Throughout menopause, many of us sweat and flash and produce all sorts of moisture. Except in the areas that matter most.
Read MoreAin’t no “woo woo” going on. Mind, body, relaxation and health
Relaxation.
It’s so elusive for many of us. And yet, so important to our overall health and wellbeing. In fact, researchers are finally discovering how relaxation actually counters changes that occur in our bodies that result from exposure to constant stressors.
For decades, Dr. Herbert Benson, founder of the Mind-Body Institute in Cambridge, MA and an associate professor at Harvard University, has been writing about the relaxation response, a “mind-body intervention that elicits deep changes in the physical and emotional response to stress.” Strategies that elicit the relaxation response include meditation, yoga, tai chi, Qi gong, deep breathing, controlled muscle relaxation and guided imagery. And although many would like to point to the “woo woo” factor at-play, an evolving and wide body of published literature is indicative of how interested the medical community is in the mid-body connection and the positive changes that these practices promote, including a slowing or heart rate, a reduction in blood pressure, improvements in blood sugar and fats, and even boosts in our immune system. However, what has long eluded researchers is what actually happens in the body to achieve these improvements.
In a novel study published in 2008 in PLoS ONE, Dr. Benson and his colleagues looked closely at 19 volunteers who had practiced relaxation response strategies (e.g. meditation, yoga, repetitive prayers) for as long as 20 years and compared them to 20 novices, individuals with no relaxation practice experience. These novices were provided with training sessions for 8 weeks that included information about how to reduce daily stress and the relaxation response and a 20 minute, individually-guided session comprising diaphragmatic breathing, a body scan and meditation.For 8 weeks thereafter, the novices then used a 20-minute relaxation CD at home and were asked to review the informational brochures. Blood samples and analysis of gene expression between experienced and novel relaxation practices, and pre- and post-training were then compared.
Importantly, while the researchers observed distinct changes in the genes in experienced relaxation practitioners compared to novices, when the novices started to incorporate relaxation practice into their lives, they also started to express similar positive alterations in their genes. Moreover, these changes are directly related to how cells respond to stress and create free radicals and inflammation that can lead to long-term damage. Additionally, type of relaxation strategy that was practiced was of no important; by achieving a relaxation state, individuals could make positive changes in their cellular structures thought to promote health.
Both inner and outer psychological states and environmental factors play a role in how women experience peri and post-menopause, their self-esteem, attitudes and severity of symptoms. If a daily practice of some sort of relaxation strategy can actually alter genes in a way that improves health and well-being, why can’t that daily practice also improve the menopausal/midlife experience?
While I’ve long embraced the idea, I’ve never actually made a concerted effort to incorporate some sort of relaxation strategy into my daily activities. I’m going to change that. Ain’t no woo woo but a woot woot so far as I can tell.
Read MoreBaby got back
[youtube=http://www.youtube.com/watch?v=2ImZTwYwCug]
Maybe Sir Mix-a-Lot has a point. It seems that a large derriere and thighs may actually extend your life. The reason? Researchers say that fat particles that end up in these areas help trap harmful fatty acids in our diet.
Although they are unsure of the exact reasons why, researchers do say that unlike abdominal fat, which has been linked to metabolic syndrome, lower body fat, i.e., fat that accumulates in the thighs and backside, has actually been confirmed to play a protective role in the body. In fact, it not only stores unhealthy fatty acids, but may also release harmful compounds more slowly than say, abdominal fat.
So if you’ve got back, are you in the clear to eat whatever you want? Not so fast. Even though “back” may offer a protective role, there are other reasons to eat and stay healthy – not only to maintain optimal cholesterol levels, but also to counteract some of the natural effects of declining estrogen, such as weakening bones.
(The study appeared in the January 12 online edition of the International Journal of Obesity.)
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