It’s not weight gain! It’s a shapeshifter!
[Copyright: Doug Savage. Many thanks for use of this cartoon. Who doesn’t love a chicken?! Show some love… www.savagechickens.com]
In literature, shapeshifting takes place when an individual finds her figure involuntarily changed by someone or something else, menopause for example! For women in midlife in particular, weight gain often becomes a primary concern. But it’s not just any weight gain — it’s the spare tire in the midsection, the sudden belly that seems to appear out of nowhere, that causes the most distress.
If you go back through the archives on weight gain during menopause, you’ll discover that the midsection bulge is a personal pet peeve. And while research has shown the mindful meditation, getting up from your chair during the workday, biking and perhaps even isoflavones may make a difference, a recent review in Climacteric journal goes one step further towards clarifying the ‘why.’
The findings may interest you. For example, weight gain itself does not appear to be affected by hormonal changes during menopause. “It’s a myth that menopause causes women to gain weight” says the leading review author Professor Susan Davis from Monash University. Rather, she says that “it’s really just a consequence of environmental factors and aging,” (i.e. absolute weight gain as we age is influenced by non-hormonal factors, such as low activity levels, previous pregnancies, family history of obesity and even the use of certain antidepressants or having undergone chemotherapy). However, hormones — namely the fall in estrogen — cause the fat to deposit itself in the belly (oh, joy!). In fact, data suggest that during perimenopause, there is a rapid increase in fat mass and redistribution of this fat to the abdominal area, leading to an increase in total body fat.
Whether or not you call it weight gain or shapshifting, the result of this excess weight goes well beyond physical appearance and self esteem. We know that excess weight, especially belly fat, can lead to metabolic syndrome and other serious issues. And it’s really difficult to get rid of once it decides to rest in the abdominal area. Still, if you don’t want to go the HRT route (which may help prevent the increase in abdominal fat), there’s really only one solution: diet and exercise. And more diet and exercise.
Frustrating, isn’t it? I’d like a do-over on the shapeshifting thing. Right now? The Beast is looking pretty darn attractive!
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Wednesday Bubble: Asking for Help
Ready to burst a bubble, as in, your own?
When was the last time you asked for help? Better yet, how easily do you ask for and receive help?
Reading Karen Rosenthal Hilsberg’s “Lessons in Living” and her struggle to make sense of a life unraveled as her husband dies, I can’t help but reflect on a close friend who was ill several years ago. Despite a ‘take no prisoners’ attitude, he had trouble acknowledging the seriousness of his condition and even more trouble asking for support. Quite honestly, he doesn’t do too well in that department and neither do I. However, like him, I readily offer assistance to those I love and care about, whenever I can.
So, why the divide between offering and taking?
Hilsberg writes that “what I learned during this intense time of life was profound. I learned to ask for help from others.” Utilizing the mindfulness practice of the Zen Master, Buddhist monk and scholar Thich Nhat Hanh and the Buddhist Master Thich Phuoc Tinh, she says that she discovered that asking for help really wasn’t much different than providing it, that the helper and ‘helpee’ were intertwined, unable to exist without the other. By allowing assistance, she was able to provide others who cared about her and her family an opportunity to “be of service and to practice generosity” and in doing so, make a shift away trying to do everything on her own. Most importantly, by reflecting on how much she personally enjoyed being of service when loved ones needed her, she was able to accept how appropriate and okay it was to actually ask for help from others — to allow them to “do” as much as she did. The result? Her “wellbeing improved as [she] felt [her] burden shared by many hands.”
As caretakers, many women often do not adapt well to being on the “receiving end.” And yet, most of us are aware of the importance of social ties, friendships and support to our health and wellbeing, particularly as we age. So why do we find it so difficult to ask for and receive help? 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?
Mastering the art of asking for help is difficult. However, it behooves us to do so, not only for our wellbeing but for the wellbeing of those around us who wish to help.
My friend deserves the kind of care that he has provided to others in his life for most of his life.
Guess what?
So do you.
Read MoreGot Stress?
Did you know that April is Stress Awareness Month? All I can say is that maybe some of us need an entire year! That’s why I as devoting today to stress busting posts with tips aimed at ameliorating some of that stress out of your life, and in turn, ameliorating some of the more unpleasant parts of the transition. And while I can’t make any guarantees, I can confirm that learning to relax and let go can pave the way to wellbeing.
A few highlights from the Flashfree archives await!
From December, 2011: Mindfulness, meditation and stress. Learning to bring on the relaxation response can go a long way towards health and happiness.
From November, 2011: Yoga, insomnia and sleep quality. Don’t know about you but when I don’t sleep well, I react in ways that are not always beneficial. Apparently, yoga not only promotes better sleep patterns, but also, helps to boost stress resistance.
From March, 2011: Try a little mindfulness. It appears that by breaking down the components of one’s experience, you may be better equipped to handle a variety of situations. And although this particular information applies to hot flashes, the reality is that it is likely useful in all aspect of life.
From July, 2009: Why I bake. Sometimes simply incorporating pleasurable activities into our lives can help alleviate daily stressors. One of the web’s top social researchers says that baking is her path towards relaxation.
From September, 2009: The best medicine. Want to feel better? Laugh…to the point of tears.
From August, 2008: L’Chaim. Women gravitate towards ‘tending and befriending.’ No wonder; social support can go a long way towards alleviating stress.
What tricks of the relaxation trade work best for you? Care to share them?
Read MoreMeditation in motion: Tai Chi and the ‘pause
I’ve written about yoga and meditation/mindfulness training and how both may help with menopausal symptoms in terms of alleviating stress and improving overall wellbeing. However, what about Tai Chi?
Tai Chi is an ancient Chinese martial arts practice that uses a self-paced system of soft flowing movements to improve respiration and deep relaxation. It has also been shown to boost muscle strength, coordination and physical condition, improve balance and like yoga and mindfulness training, benefit overall wellbeing. On the health side, it’s been linked with better sleep quality and duration, enhanced circulation and in fact, is considered a weight-bearing exercise akin to aerobic exercise of moderate intensity. As such, it may even help prevent osteoporosis. Yet, unlike regular strength training Tai Chi appears to offer an important means by which risk of metabolic heart disease during menopause may be reduced.
For women specifically, hormonal changes – namely a steeply progressive increase in testosterone — can contribute to a risk of developing metabolic syndrome (i.e. the cluster of risk factors — abdominal fat, high blood pressure and cholesterol levels and insulin resistance –that increases the likelihood of developing heart disease and diabetes). Moreover, as women age, the ability to effectively metabolize blood fats and maintain ample antioxidant defenses in their bodies requires higher maximal aerobic capacities (which inherently decline with age). Conversely, being sedentary deteriorates the efficiency by which fats are burned or utilized by the body and also negatively affects antioxidant defense lines and their ability to adapt to sudden or chronic exposure to oxidative imbalances in our bodies that can wreak havoc on cells and lead to build up of plaques and heart disease.
Where does Tai Chi fit in?
Yogic pranayma breathing has been linked to improvements in antioxidant capacity and in lower oxidative stress markers. Moreover, it may also improve cardiorespiratory function. Tai Chi combines postures with slow, deep breathing (i.e. 6 breaths per minute) and may also convey the same benefits. In a recent study published in the Journal of Aging Research, 8 premenopausal and 7 post menopausal sedentary women were asked to participate in an 8-week Tai Chi program that involved the following:
- 75 minute training sessions twice weekly consisting of a 5 minute check in, 10 minutes of stretching/warm-up, and 60 minutes of a modified 18-posture Tai Chi and Tai Chi fan style. The Tai Chi routines coupled breathing to music, took a minute to a minute and a half per motion. The women learned five to 10 postures per week and the complete set was practiced for two weeks. Instructors were also sure to monitor and correct postures during each class.
- Twice-weekly, 60 minute at-home practice that also included completion of a log that detailed the practice (to insure compliance).
- Measures of body weight, diet, physical fitness, balance, flexibility, muscle strength, maximal aerobic capacity and blood samples.
Not only did 8 weeks of Tai Chi practice significantly improve balance, muscle strength and flexibility in both groups, but also produced as much as an 18% decline in a major marker for heart disease risk (i.e. plasma total homocysteine). Additionally, Tai Chi combined with measured, slow deep breathing improved the activities of antioxidant markers in the bloodstream that play a role in defending cells against damage from oxidative stress.
Although this study is quite small and bears repeating with significantly higher numbers of women, the findings do imply that Tai Chi and slow deep breathing have the potential to play an important role in improving functional/physical declines that occur during menopause and equally if not more importantly, improve antioxidant defenses against metabolic diseases, especially heart disease. Tai Chi is not only low impact, low-velocity and safe, but within the framework of menopause, it may prove to be a golden ring amongst alternatives to prevent disease. Meditation in motion, indeed.
Read MoreThe alternative alternative: physician-prescribed alternative medicine
In addition to exploring mid-life emotional, physical and social issues, Flashfree is about effective alternatives to hormone replacement therapy for menopausal symptoms. A huge challenge in this arena is that alternatives are often automatically dismissed as “woo woo” medicine, with naysayers claiming that there is little scientific evidence to support their use. Nevertheless, I have long believed that with the proper considerations and adjustments to the way that medical studies are conducted, findings might prove to be very different than they are. That’s why I’m heartened to read that mind-body medicine, which includes yoga, tai chi, qi gong, meditation, guided imagery, progressive muscle relaxation and deep breathing, comprises a large portion of the types of practices that are being incorporated into everyday life (and medicine).
Is the tide turning?
It may be, at least when it comes to mind-body strategies.
According to a study in this week’s Archives of Internal Medicine, over 41 million Americans report trying some sort mind-body strategy. More importantly? About 1/8th, or 6.36 million of these individuals are using these strategies on the recommendation of their healthcare providers, most of which involves deep breathing, meditation and yoga or a combination thereof. Moreover, complementary strategies are apparently suggested mostly in people who have chronic illness, such as pulmonary disease or anxiety. On a broader level, physicians are increasingly recommending mind-body therapy to individuals with neurological deficiencies including headaches, migraines, back pain with sciatica, strokes, dementia, seizures or memory loss. Meanwhile, in so far as menopausally-related symptoms, there is evidence that mind-body medicine may ease hot flashes and promote overall wellbeing (which in turn, eases symptom severity).
For something that is as easy and safe as mind-body medicine, one has to wonder why it’s taking so long to catch on. And yet, the question remains: are physicians starting to turn to alternative or complementary strategies because conventional medicine isn’t working or has been just about exhausted for a particular condition or patient? Is it possible that physician recommended alternative strategies lead to better outcomes or declines in use of the healthcare system? Only time will tell.
Stay tuned.
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