Flashfree…what’s it all about?
There’s a misconception going around that only women who are entering or have entered menopause should read this blog. And it’s not true. So, I thought that I’d use this opportunity to again, highlight some of the common themes and issues that run through an adult woman’s life, no matter her age:
- Health & Prevention. Women’s health is so important. And so misunderstood. While some of that misunderstanding can be attributed to an early failure to evaluate drugs in important studies, for example, heart disease, the broader issue is that women are intricately wired beings whose systems are truly integrated and connected. Our physical health is so often influenced by our emotions and environment that it can be difficult to discern cause and effect, and by default, treat appropriately and effectively. However, there are important steps that can be taken to stave off some of the unwanted effects of aging or even some diseases. Just think…exercise and heart health, bone health, mind health; a healthy diet and maintaining a healthy weight and helping prevent heart disease and diabetes; or, stress reduction, yoga, focused breathing to maintain balance and energy and promote immune health.
- Friendships and Social Support. No matter our age, situation, relationship status, creed, religion, or color we rely on our relationships and networks to raise us up and bring us out of the darkness into the light, to fully blossom, thrive and grow, to create, express and love. Just think…strengthening friendships and support networks to maintain emotional and physical health or boosting self esteem to help with career and achievement
My point is that if you are in your late 30s or 40s and premenopausal, there are many things you can do now that will benefit you later. Hard to believe, right? But truly, Flashfree is no just for the menopausal set. Flashfree is for you. And although many posts focus on menopause, there are a lot that focus on aging issues, something that all of us, for better or worse, will go through.
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She works harder for the money
Awhile back, I wrote a post about how menopause impacts our occupational health and the need for greater awareness among managers of the types of health challenges that their middle aged female employees might be going through. This issue is evidently an ongoing hot button, as it has popped up again in a study that is current online at the Menopause journal site.
There are several conditions that affect work participation and demands, including menopause. And although there is some indication that abseenteeism is highest among women 45 years and older compared to their male contemporaries, the reasons have not been entirely elucidated. By gaining a better understanding of the factors that influence the balance between resources and work demands, there may be a greater openness to understanding and managing expectations by both the employee and the employer.
To explore this further, and using two scientific scales as a foundation, researchers looked into the severity and frequency of psychological, somatic, vasomotor and sexual symptoms and their potential impact on physical and mental work demands, health status and resources in208 women between the ages of 44 and 6o Additionally, they evaluated individual and lifestyle factors that might skew results, as it has been shown previously that among both men and women, lower education, older age, overweight, smoking and lack of exercise all negatively affected work ability.
The result? there was a negative and significant association between menopausal symptoms and work ability. Moreover, even after theyadjusted for some of the factors mentioned above, they found total work ability scores declined by almost a half a point for every one point on the total symptoms scale score. Mental health played a huge role as did somatic symptoms such as sleep disturbances, insomnia, joint pain or mood swings.
If these findings are extrapolated to real world situations, workplace interventions such as yoga breaks, exercise and stress reduction strategies, coupled with a self awareness of overall health and how symptoms detract from that (or not) are simple first steps towards finding a solution and improving work ability. The other piece of this, however, i.e. to openly communicate to our work colleagues, our managers, our partners and our friends how productivity and our relationships may be suffering and actively involve them in finding solutions, might not be so simple.
Often, one of first thing that’s pulled out of the aging hat is the fear that an employee is easily replaced. This has never been truer than in today’s economic environment where the numbers of willing and able workers are stacked against those who are holding onto their jobs by a string and a prayer. As a menopausal woman, do you really want to hand your employer a reason to replace you? I’m betting that the answer is no. Consequently, I am unclear about the best strategy for finding the elusive balance between work ability, resources and symptoms.
Any thoughts or ideas? I’d love to hear them. Let’s get a dialogue going, particularly if you are working harder for the money because of symptoms.
Read MoreSpanx a lot…active wear and a whole lotta hot
A few years ago, I ran a hilarious video, posted by Fighting Mad Mary featuring her friend GloZell (star of the You Tube Glozell channel), trying to squeeze her frame into a pair of spanx capri. For those of you who are unfamiliar with spanx, it was clearly invented by a man because no sane woman would ever do that to another female.
That’s what I thought. Until I encountered SpanxActive. Say what? The hottest, most uncomfortable material to hold in the stuff for your workout? Talk about torture! And whole lotta hot. Seriously, why are you wasting your time and dollars on Hot Yoga when you can buy Spanx and sweat to your heart’s desire?
In any case, I would love to share GloZell’s experience with Spanx because we need to laugh as much as we need to cry. In this particular case, you may do both as you watch GloZell attempt to deal with the challenge at hand.
This one’s for you GloZell. You had me at Spanx!
Happy Friday!
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Hot flashes and Japanese herbal medicine: the lowdown on TU-025
Women who choose to go the alternative route for menopausal hot flashes have few evidenced-based options. Although acupuncture and standardized black cohosh have been shown to be effective in ameliorating hot flashes, others, including red clover and even soy, have been less successful. Consequently, herbal practitioners often turn to Traditional Chinese medicine (TCM) herbal formulations or the lesser known (in the U.S.) Japanese multiherb medicinal formulations known as Kampo. Interestingly, the term Kampo refers to ‘the way of China” and the practice which is several thousand years old is based on TCM.
Kampo is prescribed by over 90% of Japanese gynecologists and is regulated by the Japanese Ministry of Health to insure manufacturing standards and product stability. One of the most popular Kampo agents for perimenopausal hot flash management is an 1,800 year old formulaton known as “keishibukuryogan” or in the US, as TU-025. Comprised of a combination of cinnamon bark, peony root, peach kernal and mountain bark, it active ingredient remains unknown. Japanese data from both the government and the manufacturer demonstrate a very low incidence of side effects and no estrogenic activity, which means that theoretically, it could be safely used by women who have had breast or gynecologic cancers. Nevertheless, its utility in American women has not been known, at least until now.
In a study published in the August issue of Menopause, 178 postmenopausal women were randomly assigned placebo, 7.5 g/daily TU-025 or 12.5 g/daily TU-025 for 12 weeks. All participants reported 28 or more hot flashes a week, had been in menopause for at least a year, had stopped using hormones for at least 8 weeks if they were already using them, smoked less than 10 cigarettes a day and most were slightly overweight or obese (based on body mass index). None were using antidepressants (which studies have shown may help alleviate hot flashes), nor did they have a history of breast or uterine cancer. While the 7.5 gram daily is the dose taken most often by Japanese women, the researchers upped the dose to 12.5 gm daily to account for a larger sized American woman.
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.
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