“D” for Depression

“D” for Depression

By

Jane Hart, MD

Women who eat high amounts of vitamin D may lower their risk of depression

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The list of health benefits linked to vitamin D is rapidly growing, and a new report in the American Journal of Clinical Nutrition suggests that women who eat high amounts of vitamin D may lower their risk of having depression symptoms by as much as 20%.

Dietary vitamin D linked to a healthier mood

In this study, which included 81,189 postmenopausal women from the Women’s Health Initiative, researchers used questionnaires to estimate the amount of vitamin D that women ate and informally diagnose depression symptoms. The results of the questionnaires, given at the beginning of the study and three years later, showed:

• Women who consumed a total of 800 IU of vitamin D or more through diet and supplements had a 20% lower risk of having depression symptoms compared with women who ate less than 100 IU of vitamin D.
• In women who did not have depression symptoms at the beginning of the study, those who ate 400 IU or more of dietary vitamin D per day had a 20% lower risk of having depression symptoms at the three year follow-up compared with women who ate 100 IU or less of dietary vitamin D per day

The study authors comment, “Vitamin D may affect the function of dopamine and norepinephrine, which are monoamine neurotransmitters that are likely involved in depression.” They add that further research is needed to know more about the role of vitamin D in preventing and possibly treating depression.

Getting your vitamin D

• Try these top dietary sources of vitamin D. Top sources of dietary vitamin D include oily fish such as salmon and mackerel. Non-fish options include vitamin D–fortified foods and beverages such as cereal, margarine, yogurt, milk, and orange juice. To a lesser extent, eggs and sardines are also sources of vitamin D.
• Check your vitamin D status. Increasingly, doctors recommend that people have their vitamin D levels checked to ensure a healthy level that may help prevent disease and optimize the health of your mind and body. If the level is found to be low then a doctor may recommend vitamin D supplements. When thinking about taking a supplement, check with a doctor about the appropriate dose, duration of time to take the supplement, and the potential risks and benefits.
• Live a balanced life. Getting enough vitamin D is just one aspect of having a healthy mind and body. People who eat a balanced diet, exercise regularly, and who have strong social supports are also less likely to be depressed. See a healthcare professional if you feel you are suffering from symptoms of depression such as persistent sadness, feelings of hopelessness, frequent crying, and/or a loss of interest in participating in social activities.

(Am J Clin Nutr doi: 10.3945/ajcn.111.017384.)

Jane Hart, MD, board-certified in internal medicine, serves in a variety of professional roles including consultant, journalist, and educator. Dr. Hart, a Clinical Instructor at Case Medical School in Cleveland, Ohio, writes extensively about health and wellness and a variety of other topics for nationally recognized organizations, websites, and print publications. Sought out for her expertise in the areas of integrative and preventive medicine, she is frequently quoted by national and local media. Dr. Hart is a professional lecturer for healthcare professionals, consumers, and youth and is a regular corporate speaker. 

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Above-Down, Inside-Out

Chiropractic and the Nerve System

How is it that chiropractic health care can be so effective across so broad a range of conditions? The key is that chiropractic care focuses on restoring more normal function within the nerve system. The nerve system is responsible for directing and coordinating all the functions in your body. When the nerve system works right, your body can begin to recover effectively from many kinds of problems. Chiropractors are specialists in analyzing and correcting nerve interference, Chiropractic care restores the free flow of information between your brain and the rest of your body. When your body's physiologic systems receive accurate information - on time and in the right sequences - they can do the jobs they were designed to do. The result is dynamic, vibrant, fully expressed health and well-being.

"Above-down, inside-out" is a poetic coinage by Dr. B.J. Palmer, one of the founders of the field of chiropractic. "B.J.", as he has been affectionately known by chiropractors for almost 100 years, was describing the inner workings of the brain and spinal cord, the complex nerve system connected to all parts of the body, and the cells, tissues, and organs comprising the bulk of human physiology.

In his inimitable style, Dr. Palmer was addressing many deep, complex phenomena all at once. From a high-level viewpoint, he was describing how the central nervous system communicates with the rest of the body. One major conclusion is that the brain (as the originator of nerve signals that flow to the spinal cord and from there to the organs, tissues, and cells) is the master controller of all the other systems. The gastrointestinal, endocrine, cardiopulmonary, and musculoskeletal systems are all ultimately controlled and regulated by activities within the brain. 

More than this, "B.J." was pointing directly to an organizing intelligence responsible for all the operations of living tissue. This concept, "Innate Intelligence", was propounded by his father, Dr. Daniel David Palmer. "B.J." expanded, publicized, and promoted the idea of Innate Intelligence as he helped the field of chiropractic grow into the second largest healing arts profession in the United States.

In the above-down, inside-out paradigm, Innate Intelligence is an intrinsic guiding and instructional force that maintained ongoing health and healing. Innate Intelligence knows how much oxygen and other nutrients a cell needs to meet its energy requirements. Innate Intelligence knows how to direct B lymphocytes to build a new antibody to fight a previously unencountered bacteria or virus. Innate Intelligence knows how much insulin should be released by beta cells in the pancreatic islets of Langerhans in order to properly use the carbohydrates you ingested during your last heart-healthy meal.

But disorder within the nerve system can interfere with the body's ability to carry out the instructions of Innate Intelligence. Symptoms, pain, disorders, and disease ensue from such nerve interference. Chiropractic care helps restore balance within the nerve system, thus helping restore health and well-being.^1,2,3

¹Nguyen LT, et al: Use of Complementary and Alternative Medicine and Self-Rated Health Status: Results from a National Survey. J Gen Intern Med Nov 5 2010 (Epub ahead of print)

²Millet JD: Progress in complementary and alternative medicine research: Yale Research Symposium on Complementary and Integrative Medicine. Yale J Biol Med 83(3):127-129, 2010

³Ahn AC, et al: Applying principles from complex systems to studying the efficacy of CAM therapies. J Altern Complement Med 16(9):1015-1022, 2010

 

 Daniel Lonquist, DC, CCST, CCWP

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New Beginnings

Chiropractic Care and Long-Term Health

Achieving long-term health does not imply that you will never get sick. Achieving long-term health does not imply that you will never have a neck or back problem. Achieving long-term health does mean that you will get the most out of what you've got; you will be much healthier than otherwise; and you will feel better about yourself, have more energy, and get more out of life. Chiropractic care is an essential component of achieving long-term health. Making sure you eat good food, drink plenty of water, and eat several portions of fresh fruits and vegetables each day is a very good place to start. Adding a daily program of 30 minutes of regular, vigorous exercise is the next key piece in achieving good health. Chiropractic care is the important link that brings everything together, enabling your body to make the best use of your nutrition and exercise. Chiropractic care helps ensure that the various parts of your body are working in harmony to achieve your long-term goals in health and wellness.

The time is always right to begin returning to good health. Regardless of whether your issues involve weight, exercise, diet, blood pressure, diabetes, or chronic pain, now is the time to begin taking action on your own behalf.

You are not alone. Literally hundreds of millions of people worldwide have various chronic complaints and illnesses.^1,2,3 Some problems are more serious than others, but everyone eventually wants to find a better way to manage their health problems. Eventually everyone wants to actually begin to be healthier and feel better.

Of course, a healthy diet and regular vigorous exercise are the key elements in any process of returning to good health. People know this, but for the most part this knowledge alone does not do any good. The deep truth is that feeling good and actually being healthy takes a lot of effort. It's much easier to pick up dinner from a fast food restaurant than to spend precious time planning and shopping and preparing meals. It's much easier to sit on your couch and watch people on TV trying to lose weight than to actually do the work of losing weight yourself. It's much easier to spend 30 minutes watching the news for the third time that day than to put on your workout clothes and go for a brisk 30-minute walk.

We are all slaves to our habitual ways of thinking and habitual ways of living. Just as in physics, people have inertia. Newton's First Law of Motion states that a body at rest stays at rest and a body in motion stays in motion, unless it is acted upon by an external unbalanced force. We will do the same things we have always done, achieving the same results we have always achieved, unless we make an active choice to engage in new thinking and new activities.

By the way, no one is going to make any lasting changes in their lifestyle - for example, by choosing a healthy diet and daily exercise - merely because someone told them they needed to do it. If you're chronically overweight, your doctor has told you every year that you need to make changes. Every year at your annual physical she tells you to begin regular, vigorous exercise and adopt healthy eating habits. Do any of these admonitions ever make a lasting difference? They don't, not becauses they are bad advice, but because they were not a match for your own world view. Real change, lasting change, has to come from within, from your own personal choice.  

When a person is actually ready to choose to revamp her lifestyle with respect to achieving good health, there are many possible steps to take. Chiropractic care can be an important and critical component of an overall health improvement strategy.

¹Temple R, Murphy H: Type 2 diabetes in pregnancy - An increasing problem. Best Pract Res Clin Endocrinol Metab 24(4):591-603.

²Li S, et al: Genetic predisposition to obesity leads to increased risk of type 2 diabetes. Diabetologiz Jan 26, 2011 (Epub ahead of print)

³Urquhart DM, et al: Increased fat mass is associated with high levels of low back pain intensity and disability. Spine Jan 25, 2011 (Epub ahead of print)

 

Dr. Daniel Lonquist

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The Pain of Clinical Depression

Many of us think of depression as a psychological condition. The causes of depression are sought in the person's childhood or in her personal circumstances as an adult. But within the last 10 or 20 years depression is increasingly being evaluated within a physiological context. Various disease states and physical disorders are being recognized as important contributors to depression. This viewpoint is empowering to persons with depression and often provides a way forward when progress has been minimal or absent.

Those with depression experience both physical and psychological pain. It is well-documented that chronic physical pain can lead to depression. Also, it is well-known that depressive states can cause physical pain. A feedback loop (vicious circle) is often created in which physical pain makes a person's depression worse and the person's depression makes the physical pain worse.

In addition, changes in brain physiology may cause a person to be depressed. In other words, abnormal electrical activity in the brain - which, of course, is not under the person's conscious control - may result in depression. The brain's electrical activity is evaluated by a method known as quantitative EEG (QEEG).1 For those with clinical depression, the QEEG often demonstrates too much slow-wave activity in the left front brain (prefrontal cortex) and too much fast-wave activity in the right prefrontal cortex.

For those with clinical depression, the light of the world is considerably dimmed. The mood of a depressed person is low and he loses interest in normally pleasurable activities. Depressive disorders interfere with a person's work and/or school activities, family life and social life, and overall health. Lack of energy, lack of appetite, and decreased physical activity are all associated with clinical depression.

An access to relieving chronic depression may be found in encouraging the person to begin to engage in physical activity.2,3 Such activity may be difficult for those who are severely depressed, and yet all persons with depression should be presented with this form of therapy.

Additionally, chiropractic care may be of great benefit for those with clinical depression. The pain relief and improved musculoskeletal function afforded by chiropractic care may help reduce the physical component of ongoing depression.

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Daniel Lonquist, DC, CCST, CCWP

970-257-9199

¹Hargrove JB, et al: Quantitative electroencephalographic abnormalities in fibromyalgia patients. Clin EEG Neurosci 41(3):132-139, 2010

²Gill A, et al: Clinical Inquiries: Does exercise alleviate symptoms of depression? J Fam Pract 59(9):530-531, 2010

³Uebelacker LA, et al: Hatha yoga for depression: critical review of the evidence for efficacy, plausible mechanisms of action, and directions for future research. J Psychiatr Pract 16(1):22-33, 2010

Four Resolutions for a Healthier Back

Eat more vegetables. Stress less. Take the kids out to the park more often. You may already have a long list of resolutions for the new year. This year, honor your spine, too. With the help of your doctor of chiropractic, these simple steps can promote a healthier back for the new year.

Consider replacing your pillow or mattress.

Do you wake up with aches and pains? It could be time to purchase a new mattress or pillow. The American Chiropractic Association (ACA) recommends finding a mattress that evenly supports your whole body. There should be no gaps between you and the mattress when you lie down. When choosing a pillow, select one that supports your head and neck in alignment with the rest of the spine, whether you sleep on your side or back. Keep in mind that what works for your partner may not work for you— there isn’t one mattress or pillow that fits everyone. Simple adjustments, such as adding foam padding, can help tremendously.

Re-evaluate your posture at work.

Americans spend an average of 44 hours at work every week— often behind a desk. To avoid poor posture that can lead to tension, back pain, and joint problems such as carpal tunnel syndrome, check that your chair is the right size and adjusted correctly, says the ACA. Do your feet rest comfortably on the ground? Does the chair offer lumbar support? Are you able to tilt or swivel easily while performing tasks at your desk? Also, be sure you have adequate light (so that you aren’t straining to see documents or a computer screen), adjust your computer monitor so that it is at eye level, and wear a headset for longer telephone conversations. And don’t forget to take frequent breaks and stretch throughout the day.

Learn how to lift correctly.

Many back injuries are caused by improper lifting of items such as luggage, backpacks or briefcases, storage boxes, or even groceries. But knowing how to lift properly can prevent serious injury. First and foremost, don’t bend from the waist. Keep your back straight, and squat to reach the item. Then, keep it close to your body as you lift, and avoid twisting motions. When traveling, check all bags that weigh more than 10 percent of your body weight.

Eat right and exercise well.

Eating a balanced diet and getting regular exercise helps your body stay toned and tension-free— and promotes a healthy weight and a happier spine. Smart exercise and a good diet can also prevent osteoporosis, which affects over 20 million American women. To start, the ACA recommends eating out at restaurants less (to reduce the amount of unhealthful fats and sugars you consume) and adding more fresh fruits, vegetables, and whole grains to your diet. Aim for a minimum of 20 to 30 minutes of exercise, three or four days a week.

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Daniel Lonquist, DC, CCST, CCWP

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What is Health?

In the language of statistics, health is a continuous variable. A person's health can be expressed as an infinity of values ranging from abundant well-being to terminal states approaching death. If health were a discrete quantity you could assign a number to it. You could say that someone had 95% health or 32% health. You'd be able to measure health on an exact scale. But of course health is much more complex. Health status requires intermediate descriptive states for a more complete understanding of a person's level of wellness.
The practical outcome is that health is an expression of many factors, not merely one kind of activity. A person who has an extraordinarily healthy diet but has very high levels of stress may still suffer from cardiovascular disease, regardless of the amounts of omega-3 fatty acids and fresh fruits and vegetables he consumes.¹ A person may be a champion athlete, such as a ballet dancer or a figure skater, and yet have type 2 diabetes owing to a lifetime of unhealthy nutrition.²
There are many such cautionary tales, including that of a famous runner, author, and fitness expert who died suddenly of a heart attack at the age of 52.
Like an archeological dig, good health has many layers. It's always a mistake to stop digging (even though you think you completely understand a process), because a little more effort and a little more thought will reveal new patterns and new connections. This is the major problem with medications. You take a drug to stimulate one thing or inhibit another thing, but there always more layers to consider. Side effects result from trying to manipulate one layer of effects while ignoring the consequences to other important layers.
Statins are a good example of this process of failing to consider the layers of health. These drugs lower blood cholesterol levels by inhibiting the production of a liver enzyme that is part of the pathway of cholesterol synthesis. But statins have many side effects, including Lou Gehrig's disease, memory loss, liver damage, nausea, diarrhea, and muscle pain.³
In contrast, chiropractic care is designed to pay attention to all the layers. Chiropractic care, in fact, is a layer-optimization process. By restoring full functioning of a person's nerve system and improving the mechanical functioning of the musculoskeletal system, chiropractic care enables the body's layers of health to interact in the way they were designed to interact. Chiropractic care is a natural, efficient method of restoring and maintaining good health.

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¹Knoepfli-Lenzin C, et al: Effects of a 12-week intervention period with football and running for habitually active men with mild hypertension. Scand J Med Sci Sports Feb 2, 2010 (Epub)
²Fuemmeler BF, et al: Weight, dietary behavior, and physical activity in childhood and adolescence. Implications for adult cancer risk. Obes Facts 2(3):179-186, 2009
³Sharma M, et al: Systematic review: comparative effectiveness and harms of combination therapy and monotherapy for dyslipidemia. Ann Intern Med 151(9):622-630, 2009

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REAL Cancer Advancements that Need to Become Mainstream Knowledge

By: Dr. Mercola

In the last 30 years the global cancer burden has doubled, and it will likely double again between 2000 and 2020, and nearly triple by 2030—unless people begin to take cancer prevention seriously. We CAN turn this trend around, but to do so the medical community must stop overlooking the methods that can actually have a significant impact.
Three cancer advancements in particular merit special mention. These advancements have not yet been accepted by conventional medicine, and they must be.

Number 1: Vitamin D—There's overwhelming evidence pointing to the fact that vitamin D deficiency plays a crucial role in cancer development. Researchers within this field have estimated that about 30 percent of cancer deaths -- which amounts to 2 million worldwide and 200,000 in the United States -- could be prevented each year simply by optimizing the vitamin D levels in the general population.

On a personal level, you can decrease your risk of cancer by MORE THAN HALF simply by optimizing your vitamin D levels with sun exposure. And if you are being treated for cancer it is likely that higher blood levels—probably around 80-90 ng/ml—would be beneficial.

If the notion that sun exposure actually prevents cancer is still new to you, I highly recommend you watch my one-hour vitamin D lecture to clear up any confusion. It's important to understand that the risk of skin cancer from the sun comes only from excessive exposure.
Meanwhile, countless people around the world have an increased risk of cancer because their vitamin D levels are too low due to utter lack of sun exposure.

The health benefits of optimizing your levels, either by safe sun exposure (ideally), a safe tanning bed, or oral supplementation as a last resort, simply cannot be overstated. In terms of protecting against cancer, vitamin D has been found to offer protection in a number of ways, including:

• Regulating genetic expression
• Increasing the self-destruction of mutated cells (which, if allowed to replicate, could lead to cancer)
• Reducing the spread and reproduction of cancer cells
• Causing cells to become differentiated (cancer cells often lack differentiation)
• Reducing the growth of new blood vessels from pre-existing ones, which is a step in the transition of dormant tumors turning cancerous

To learn the details on how to use vitamin D therapeutically, please review my previous article, Test Values and Treatment for Vitamin D Deficiency.
Number 2: Optimizing Your Insulin Levels—Normalizing your insulin levels is one of the most powerful physical actions you can take to lower your risk of cancer. Otto Warburg actually received a Nobel Prize for his research on cancer cell physiology in 1934, which clearly demonstrated cancer cells require more sugar to thrive. Unfortunately, very few oncologists appreciate or apply this knowledge today.
The Cancer Centers of America is one of the few exceptions, where strict dietary measures are included in their cancer treatment program.

High levels of insulin can cause major damage to your body. The most recognized of these is diabetes, but that is far from the only one. As Ron Rosedale, M.D. said in one of my most popular articles, Insulin and Its Metabolic Effects:

"It doesn't matter what disease you are talking about, whether you are talking about a common cold or cardiovascular disease, osteoporosis or cancer, the root is always going to be at the molecular and cellular level, and I will tell you that insulin is going to have its hand in it, if not totally control it."

The good news is that controlling your insulin levels is relatively straightforward. First, limit your intake of processed foods, grains and sugars/fructose as much as possible to prevent your insulin levels from becoming elevated in the first place.
Number 3: Exercise—If you are like most people, when you think of reducing your risk of cancer, exercise doesn't immediately come to mind. However, there is some fairly compelling evidence that exercise can slash your risk of cancer.
One of the primary ways exercise lowers your risk for cancer is by reducing elevated insulin levels, which creates a low sugar environment that discourages the growth and spread of cancer cells. Controlling your insulin levels and optimizing your vitamin D level are two of the most powerful steps you can take to reduce your cancer risk. For example, physically active adults experience about half the incidence of colon cancer as their sedentary counterparts, and women who exercise regularly can reduce their breast cancer risk by 20 to 30 percent compared to those who are inactive.
Additionally, exercise improves the circulation of immune cells in your blood. Your immune system is your first line of defense against everything from minor illnesses like a cold right up to devastating, life-threatening diseases like cancer.
The trick about exercise, though, is understanding how to use it as a precise tool. This ensures you are getting enough to achieve the benefit, not too much to cause injury, and the right variety to balance your entire physical structure and maintain strength and flexibility, and aerobic and anaerobic fitness levels. This is why it is helpful to view exercise like a drug that needs to be carefully prescribed to achieve its maximum benefit.
It's important to include a large variety of techniques in your exercise routine, such as strength training, aerobics, core-building activities, and stretching. Most important of all, however, is to make sure you include high-intensity, burst-type exercise, such as Peak 8. Peak 8 are exercises performed once or twice a week, in which you raise your heart rate up to your anaerobic threshold for 20 to 30 seconds, and then you recover for 90 seconds.
These exercises activate your super-fast twitch muscle fibers, which can increase your body's natural production of human growth hormone. For detailed instructions, please see this previous article.

Winning the War Against Cancer Begins with Your Personal Choices

You can do a lot, right now, to significantly decrease your cancer risk. Even the conservative American Cancer Society states that one-third of cancer deaths are linked to poor diet, physical inactivity, and carrying excess weight. So making the following healthy lifestyle changes can go a very long way toward ending the failure-streak and becoming one less statistic in this war against cancer:

1. Normalize your vitamin D levels with safe amounts of sun exposure. This works primarily by optimizing your vitamin D level. Ideally, monitor your vitamin D levels throughout the year.
2. Control your insulin levels by limiting your intake of processed foods and sugars/fructose as much as possible.
3. Get appropriate amounts of animal-based omega-3 fats.
4. Get appropriate exercise. One of the primary reasons exercise works is that it drives your insulin levels down. Controlling insulin levels is one of the most powerful ways to reduce your cancer risks.
5. Eat according to your nutritional type. The potent anti-cancer effects of this principle are very much underappreciated. When we treat cancer patients in our clinic this is one of the most powerful anti-cancer strategies we have.
6. Have a tool to permanently erase the neurological short-circuiting that can activate cancer genes. Even the CDC states that 85 percent of disease is caused by emotions. It is likely that this factor may be more important than all the other physical ones listed here, so make sure this is addressed. My particular favorite tool for this purpose, as you may know, is the Emotional Freedom Technique.
7. Only 25 percent of people eat enough vegetables, so by all means eat as many vegetables as you are comfortable with. Ideally, they should be fresh and organic. Cruciferous vegetables in particular have been identified as having potent anti-cancer properties. Remember that carb nutritional types may need up to 300 percent more vegetables than protein nutritional types.
8. Maintain an ideal body weight.
9. Get enough high-quality sleep.
10. Reduce your exposure to environmental toxins like pesticides, household chemical cleaners, synthetic air fresheners and air pollution.
11. Reduce your use of cell phones and other wireless technologies, and implement as many safety strategies as possible if/when you cannot avoid their use.
12. Boil, poach or steam your foods, rather than frying or charbroiling them.

Daniel Lonquist, DC, CCST, CCWP

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