We are very excited to announce that another Spinal Research Foundation facilitated research has been published in a highly reputable journal [1].�The study, undertaken by Heidi Haavik, Kelly Holt, Bernadette Murphy and others is�published in the�Journal of Neural Plasticity. And the results are very exciting for chiropractic!
The�Journal of Neural Plasticity boasts an impact factor of 3.5 (as a comparison, The Journal of Manipulative and Physiological Therapeutics has an impact factor of 1.5.)
This from Heidi Haavik [2]:
�WE DO KNOW THAT SPINAL FUNCTION DOES AFFECT BRAIN FUNCTION.�THERE�S NOW SOLID EVIDENCE THAT ADJUSTING THE SPINE CHANGES BRAIN FUNCTION. THIS IS THE FOURTH TIME THAT THE EFFECT OF ADJUSTING THE SPINE HAS ON THE BRAIN HAS BEEN STUDIED. THIS LAST TIME IT WAS STUDIED AND CONFIRMED BY AN INDEPENDENT MEDICAL RESEARCHER.�
This study�was conducted�in an independent medical professor�s lab, where his bioengineer collected and analyzed the data. This is an important�bonus for this study ��that all data was collected and analysed by scientists who had no preconceived ideas about chiropractic.�This greatly�lowers the level of bias.��These were scientists from Aalborg University Hospital in Denmark.
A Vitally Important Implication
More than just confirming once again that adjusting the spine has an effect on the brain, this study indicates that adjustments impact the function of the prefrontal cortex. Haavik is particularly excited about what this implies:
�The latest study suggests that the changes that we do see in the brain when we adjust the spine do occur in the prefrontal�cortex. That part of the brain is like the conductor in the brain.� The research shows that�when we adjust the spine, we significantly increase activity in the prefrontal cortex. �The study showed a change in brain function by almost 20% on average�. The prefrontal cortex is the area in the brain where higher learning and�cognition happens. Haavik explains:
�An effect on the function of the prefrontal cortex could explain many previous research results, such as improvements in sensorimotor function relevant to falls-prevention; better joint-position sense in both the upper limb and the lower limb; improved muscle strength in lower limb muscles; better pelvic floor control; and better ability to carry out mental rotation of objects.� Chiropractors have long observed a wide variety of changes in the people under their care following adjustments. Along the wide spectrum of claims from those under care are those who say they feel better or focus better and those who notice improvements in movement and coordination. This study takes us a little further down the path of understanding why this could be.
These are important control mechanisms run by the prefrontal cortex. For example,�joint position sense is the brain�s ability to know where the arms and legs are in space. And mental rotation is important, because as Haavik explains:
�Being able to accurately perceive the world around you is a vital skill we need all day every day. To recognize some objects you may need to mentally rotate them. For example to recognize the letter p versus b if they were not upright you would need to rotate them in your mind to figure out which letter it was. We all do mentally rotate shapes and objects we see, but we may not often think about that we do it, or how important this is in our daily life.�
Haavik and her team are excited about the evidence regarding the location of changes post-adjustment.
�THIS IS SOLID SCIENTIFIC EVIDENCE THAT ADJUSTING THE SPINE CHANGES THE WAY THE PREFRONTAL CORTEX OF THE BRAIN IS PROCESSING INFORMATION FROM THE ARM. IT DEMONSTRATES WE CHANGE THE WAY THE BRAIN WORKS AND SHOWS THAT SPINAL FUNCTION IMPACTS BRAIN FUNCTION. ONE OF THE MOST INTERESTING THINGS ABOUT THE CHANGES WE OBSERVED WAS THAT THE PREFRONTAL CORTEX IS RESPONSIBLE FOR BEHAVIOR, GOAL DIRECTED TASKS, DECISION MAKING, MEMORY AND ATTENTION, INTELLIGENCE, PROCESSING OF PAIN AND EMOTIONAL RESPONSE TO IT, AUTONOMIC FUNCTION, MOTOR CONTROL, EYE MOVEMENTS AND SPATIAL AWARENESS.�
If, as this research suggests, adjusting improves prefrontal cortex activity, a part of the brain that is responsible for just so much higher level function, then what does this mean in terms of chiropractic�s impact on things like�behavior, decision making, memory and attention, intelligence, processing of pain and emotional response to it, autonomic function, motor control, eye movements and spatial awareness?
We already know that adjustments cause improvements in sensorimotor function relevant to falls-prevention; better joint-position sense in both the upper limb and the lower limb; improve muscle strength in lower limb muscles; better pelvic floor control; and better ability to carry out mental rotation of objects.
Why This Study Matters
Again, this study not only shows that when we adjust subluxations we change brain function. It changes�activity by 20% just by adjusting.
And this effect may be on the conductor in the brain. This shows us that every time we�re adjusting someone, we�re having a big, positive effect on the brain. And a brain that�s functioning differently and conducting its activities better is sure to have an effect on the body.
Download a Poster
Keen to share�these amazing results with the people under your care in your practice?�Download a Poster�to use in practice.
What�s Next
The project�involved collaboration with researchers from Denmark, Canada and Australia. We are proud to be able to facilitate studies like this one, as they help back our profession with peer-reviewed certainty.
Getting the word out to people in your practice is imperative. Knowledge is powerful, not just for chiropractors but for those whose lives have been touched by the power of chiropractic care. Too often, they know it works but they don�t know why.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Once again research shows adjusting the spine has an effect on the brain. This study indicates that adjustments impact the function of the prefrontal cortex.�For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900
Being overweight or obese is assumed to be the primary factor for people to develop type 2 diabetes. Excess weight is generally associated with insulin resistance and diabetes, however, it�s this insulin resistance, not the excess weight, which can cause the disease to develop.
Because of this, many individual�s who maintain a healthy weight may not necessarily be metabolically healthy, which can in turn increase the risk of diseases, such as type 2 diabetes, regardless if they�re overweight or obese. According to researchers from the University of Florida, one of the greatest risk factors for developing type 2 diabetes is actually inactivity, which can increase the risk or pre-diabetes even if you have a healthy weight.
Dr. Alex Jimenez D.C.,C.C.S.T�s insight:
Type 2 diabetes is commonly described to develop in overweight or obese individuals, however, recent research studies have demonstrated that slim, healthy people are also at risk of developing the disease. In fact, a sedentary lifestyle has been linked to be the major factor behind the development of type 2 diabetes in American adults. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
Injuries to the muscles and ligaments around the hip affect both competitive and recreational athletes. These injuries can interfere significantly with sports enjoyment and performance levels, and they occasionally will end participation completely. Excessive pronation and poor shock absorption have been found to be an underlying cause or a contributing factor for many leg injuries.1 Functional orthotics which have been custom-fitted to improve the biomechanics of the feet and reduce the extent of pronation can help to prevent many sport-related leg injuries.
Lower Extremity Problems in Athletes
One study looked at the foot biomechanics of athletes who reported a recent foot or leg injury and compared them to an uninjured control group.2 The researchers determined that those athletes with more foot pronation had a much greater statistical probability of sustaining one of five leg injuries, including iliotibial band syndrome (which is due to excessive tightness of the hip abductor muscles). This study helps us understand how providing appropriate functional foot orthotic support to patients who are involved in sports or recreational activities lowers their likelihood of developing both traumatic and overuse hip injuries.
In this paper, sixty-six injured athletes who ran at least once a week, and who had no history of traumatic or metabolic factors, were the study group. Another control group of 216 athletes were matched who did not have any symptoms of lower extremity injuries. The amount of pronation during standing and while running at �regular speed� was determined by measuring the angles of their footprints.3 The investigators found a significant correlation: Those athletes with more pronation had a much greater likelihood of having sustained one of the overuse athletic injuries.
Hip and Thigh Injuries
Many injuries experienced at the hip develop from poor biomechanics and gait asymmetry, especially when running. Smooth coordination of the muscles that provide balance and support for the pelvis is needed for optimum bipedal sports performance. This includes the hamstring muscles and the hip abductor muscles, especially the tensor fascia lata (the iliotibial band). When there is a biomechanical deficit from the feet and ankles, abnormal motions (such as excessive internal rotation of the entire leg) will predispose to pulls and strains of these important support muscles. The hamstrings (comprised of the biceps femoris, semimembranosus, and semitendinosus muscles) are a good example.
During running, the hamstrings are most active during the last 25% of the swing phase, and the first 50% of the stance phase.4 This initial 50% of stance phase consists of heel strike and maximum pronation. The hamstring muscles function to control the knee and ankle at heel strike and to help absorb some of the impact. A recent study has shown a significant decrease in electromyographic activity in the hamstrings when wearing orthotics.5 In fact, these investigators found that the biceps femoris (which is the most frequently injured of the three hamstring muscles) had the greatest decrease in activity of all muscles tested, including the tibialis anterior, the medial gastrocnemius, and the medial and lateral vastus muscles. The scientists in this study theorized that the additional support from the orthotics helped the hamstrings to control the position of the calcaneus and knee, so there was much less stress into the hip joint and pelvis.
Excessive Pronation and Hip Injuries
Using functional orthotics to correct excessive pronation and to treat hip problems requires an awareness of the various problems that can develop. The following is a list of the pathologies that are seen in the hip and pelvis secondary to pronation and foot hypermobility:7
Iliotibial band syndrome����������������� Tensor fascia lata strain
Trochanteric bursitis����������������������� Hip flexor muscle strain
Piriformis muscle strain������������������ Hip adductor muscle strain
Hip joint capsulitis��������������������������� Anterior pelvic tilt
These conditions will develop much more easily in athletes, who push their musculoskeletal systems, and who seek more efficient and effective functional performances.
In 2002, researchers at Logan College of Chiropractic recruited a total of 40 male subjects that demonstrated bilateral pes planus or hyperpronation syndrome. Subjects were cast for custom made orthotics; their right and left Q-angles were measured with and without the orthotic in place. Thirty-nine of 40 test subjects showed reduced Q-angle, which was in the direction of correction, suggesting that wearing orthotics can improve stability and levelness of the pelvis, thus protecting the body to some degree from hip injury.8
Conclusion
Excessive pronation and/or poor shock absorption have been shown to be an associated or causative factor in many leg injuries � from the foot itself, up the lower leg to the knee, thigh, and into the hip joint. The good news is that many of these conditions can be prevented with custom-fitted functional orthotics. Evaluation of foot biomechanics is a good idea in all patients, but is especially necessary for those who are recreationally active, or for anyone who has experienced hip problems.
To avoid potentially disabling hip injuries, competitive athletes must have regular evaluations of the alignment and function of their feet. Additional preventive measures include wearing well-designed and solidly-constructed shoes. When athletes are provided with custom-fitted functional orthotics, it can help prevent arch breakdown and biomechanical foot problems, and also treat numerous injuries of the lower extremities, including the hip joints.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Many injuries experienced at the hip develop from poor biomechanics and gait asymmetry, especially when running. Smooth coordination of the muscles that provide balance and support for the pelvis is needed for optimum bipedal sports performance. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900
Over 3 million people in the United States have been diagnosed with type I diabetes. This disorder is considered an auto-immune condition where the immune system destroys the insulin producing Beta cells of the pancreas. A new case study showed how chiropractic adjustments dramatically improved a 4 year old child�s ability to manage this disorder.
A large UK study has revealed that type 1 diabetes has increased 5-fold in children less than 5 years of age between the years of 1985 and 2004. During those same years there was a doubling in children under 15 years of age being diagnosed with type I diabetes. Studies in other European countries and the US have shown similar results.
Environmental Risk Factors
The most common risk factors include exposure to environmental toxins and other stressors. The list of toxins includes pesticides, herbicides, and household cleaning agents. Additionally, food allergens such as pasteurized cow�s milk, gluten and processed soy, peanuts, & eggs are thought to be possible triggers. Low maternal and infant vitamin D3 levels and less than 6 months of breast feeding appear to be very serious risk factors as well. Birth trauma affecting the upper cervical spine has been hypothesized as a risk factor by some experts.
A recent case study published in the November 2011 edition of the Journal of Pediatric, Maternal, & Family Health documents a case of a 4 year old child, who had terrific results stabilizing her blood sugar through chiropractic care.
The child�s mother described her as being a very healthy baby, who was not vaccinated at all and was breastfed for a full 12 months. She was officially diagnosed with type I diabetes at 2 years of age. The family ate a healthy, whole food based diet and avoided processed foods and other environmental toxins.
Understanding the role of Neuroendoimmunology
The nervous, endocrine and immune system are hardwired and work together to create optimal responses for the body to adapt and heal appropriately. The new study of neuroendoimmunology looks closely at this intimate relationship between bodily systems.
Neural dysfunctions due to spinal subluxations are stressful to the body and cause abnormal changes that lead to a poorly coordinated immune response. Chiropractic adjustments have been shown to reduce subluxations and boost the coordinated responses of the nervous, endocrine, and immune systems.
The patient was diagnosed with spinal subluxations in the upper cervical region. She began chiropractic care and was seen a total of 24 times over a 2 month period. During this 2 month period, she experienced a decrease in hemoglobin A1C from 7.2% to 6.5%. She also decreased the amount of insulin used from 15 units to 11 units per day.
These results are quite remarkable because the literature states that intensive medical treatment of type I diabetes often does not succeed in lowering A1C levels under 7.0%. Chiropractic care works by optimizing the neural connections throughout the body.
This enhanced brain-body connection works to better coordinate immunity and hormone function throughout the body. This improvement in type I diabetes management is most likely a result of better cellular communication.
Over 3 million people in the United States have been diagnosed with type I diabetes.�A new case study showed how chiropractic adjustments dramatically improved the ability to manage this disorder.�For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900
We are very excited to announce that another Spinal Research Foundation facilitated research has been published in a highly reputable journal.�The study, undertaken by Heidi Haavik, Kelly Holt, Bernadette Murphy and others is�published in the�Journal of Neural Plasticity. And the results are very exciting for chiropractic!
The�Journal of Neural Plasticity boasts an impact factor of 3.5 (as a comparison, The Journal of Manipulative and Physiological Therapeutics has an impact factor of 1.5.)
This from Heidi Haavik:
�WE DO KNOW THAT SPINAL FUNCTION DOES AFFECT BRAIN FUNCTION.�THERE�S NOW SOLID EVIDENCE THAT ADJUSTING THE SPINE CHANGES BRAIN FUNCTION. THIS IS THE FOURTH TIME THAT THE EFFECT OF ADJUSTING THE SPINE HAS ON THE BRAIN HAS BEEN STUDIED. THIS LAST TIME IT WAS STUDIED AND CONFIRMED BY AN INDEPENDENT MEDICAL RESEARCHER.�
This study�was conducted�in an independent medical professor�s lab, where his bioengineer collected and analyzed the data. This is an important�bonus for this study ��that all data was collected and analyzed by scientists who had no preconceived ideas about chiropractic.�This greatly�lowers the level of bias.��These were scientists from Aalborg University Hospital in Denmark.
Contents
A Vitally Important Implication
More than just confirming once again that adjusting the spine has an effect on the brain, this study indicates that adjustments impact the function of the prefrontal cortex. Haavik is particularly excited about what this implies:
�The latest study suggests that the changes that we do see in the brain when we adjust the spine do occur in the prefrontal�cortex. That part of the brain is like the conductor in the brain.�
The research shows that�when we adjust the spine, we significantly increase activity in the prefrontal cortex. �The study showed a change in brain function by almost 20% on average�. The prefrontal cortex is the area in the brain where higher learning and�cognition happens. Haavik explains:
�An effect on the function of the prefrontal cortex could explain many previous research results, such as improvements in sensorimotor function relevant to falls-prevention; better joint-position sense in both the upper limb and the lower limb; improved muscle strength in lower limb muscles; better pelvic floor control; and better ability to carry out mental rotation of objects.�
Chiropractors have long observed a wide variety of changes in the people under their care following adjustments. Along the wide spectrum of claims from those under care are those who say they feel better or focus better and those who notice improvements in movement and coordination. This study takes us a little further down the path of understanding why this could be.
These are important control mechanisms run by the prefrontal cortex. For example,�joint position sense is the brain�s ability to know where the arms and legs are in space. And mental rotation is important, because as Haavik explains:
�Being able to accurately perceive the world around you is a vital skill we need all day every day. To recognize some objects you may need to mentally rotate them. For example to recognize the letter p versus b if they were not upright you would need to rotate them in your mind to figure out which letter it was. We all do mentally rotate shapes and objects we see, but we may not often think about that we do it, or how important this is in our daily life.�
Haavik and her team are excited about the evidence regarding the location of changes post-adjustment.
�THIS IS SOLID SCIENTIFIC EVIDENCE THAT ADJUSTING THE SPINE CHANGES THE WAY THE PREFRONTAL CORTEX OF THE BRAIN IS PROCESSING INFORMATION FROM THE ARM. IT DEMONSTRATES WE CHANGE THE WAY THE BRAIN WORKS AND SHOWS THAT SPINAL FUNCTION IMPACTS BRAIN FUNCTION. ONE OF THE MOST INTERESTING THINGS ABOUT THE CHANGES WE OBSERVED WAS THAT THE PREFRONTAL CORTEX IS RESPONSIBLE FOR BEHAVIOR, GOAL DIRECTED TASKS, DECISION MAKING, MEMORY AND ATTENTION, INTELLIGENCE, PROCESSING OF PAIN AND EMOTIONAL RESPONSE TO IT, AUTONOMIC FUNCTION, MOTOR CONTROL, EYE MOVEMENTS AND SPATIAL AWARENESS.�
If, as this research suggests, adjusting improves prefrontal cortex activity, a part of the brain that is responsible for just so much higher level function, then what does this mean in terms of chiropractic�s impact on things like�behavior, decision making, memory and attention, intelligence, processing of pain and emotional response to it, autonomic function, motor control, eye movements and spatial awareness?
We already know that adjustments cause improvements in sensorimotor function relevant to falls-prevention; better joint-position sense in both the upper limb and the lower limb; improve muscle strength in lower limb muscles; better pelvic floor control; and better ability to carry out mental rotation of objects.
Why This Study Matters
Again, this study not only shows that when we adjust subluxations we change brain function. It changes�activity by 20% just by adjusting.
And this effect may be on the conductor in the brain.
This shows us that every time we�re adjusting someone, we�re having a big, positive effect on the brain. And a brain that�s functioning differently and conducting its activities better is sure to have an effect on the body.
Download a Poster
Keen to share�these amazing results with the people under your care in your practice?�Download a Poster�to use in practice.
What�s Next
The project�involved collaboration with researchers from Denmark, Canada and Australia.
We are proud to be able to facilitate studies like this one, as they help back our profession with peer-reviewed certainty.
Getting the word out to people in your practice is imperative. Knowledge is powerful, not just for chiropractors but for those whose lives have been touched by the power of chiropractic care. Too often, they know it works but they don�t know why.
Once again research shows adjusting the spine has an effect on the brain. This study indicates that adjustments impact the function of the prefrontal cortex.�For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900
Injuries to the muscles and ligaments around the hip affect both competitive and recreational athletes. These injuries can interfere significantly with sports enjoyment and performance levels, and they occasionally will end participation completely. Excessive pronation and poor shock absorption have been found to be an underlying cause or a contributing factor for many leg injuries. Functional orthotics which have been custom-fitted to improve the biomechanics of the feet and reduce the extent of pronation can help to prevent many sport-related leg injuries.
Contents
Lower Extremity Problems in Athletes
One study looked at the foot biomechanics of athletes who reported a recent foot or leg injury and compared them to an uninjured control group. The researchers determined that those athletes with more foot pronation had a much greater statistical probability of sustaining one of five leg injuries, including iliotibial band syndrome (which is due to excessive tightness of the hip abductor muscles).
This study helps us understand how providing appropriate functional foot orthotic support to patients who are involved in sports or recreational activities lowers their likelihood of developing both traumatic and overuse hip injuries.
In this paper, sixty-six injured athletes who ran at least once a week, and who had no history of traumatic or metabolic factors, were the study group. Another control group of 216 athletes were matched who did not have any symptoms of lower extremity injuries. The amount of pronation during standing and while running at �regular speed� was determined by measuring the angles of their footprints. The investigators found a significant correlation: Those athletes with more pronation had a much greater likelihood of having sustained one of the overuse athletic injuries.
Hip and Thigh Injuries
Many injuries experienced at the hip develop from poor biomechanics and gait asymmetry, especially when running. Smooth coordination of the muscles that provide balance and support for the pelvis is needed for optimum bipedal sports performance. This includes the hamstring muscles and the hip abductor muscles, especially the tensor fascia lata (the iliotibial band). When there is a biomechanical deficit from the feet and ankles, abnormal motions (such as excessive internal rotation of the entire leg) will predispose to pulls and strains of these important support muscles. The hamstrings (comprised of the biceps femoris, semimembranosus, and semitendinosus muscles) are a good example.
During running, the hamstrings are most active during the last 25% of the swing phase, and the first 50% of the stance phase. This initial 50% of stance phase consists of heel strike and maximum pronation. The hamstring muscles function to control the knee and ankle at heel strike and to help absorb some of the impact. A recent study has shown a significant decrease in electromyographic activity in the hamstrings when wearing orthotics. In fact, these investigators found that the biceps femoris (which is the most frequently injured of the three hamstring muscles) had the greatest decrease in activity of all muscles tested, including the tibialis anterior, the medial gastrocnemius, and the medial and lateral vastus muscles. The scientists in this study theorized that the additional support from the orthotics helped the hamstrings to control the position of the calcaneus and knee, so there was much less stress into the hip joint and pelvis.
Excessive Pronation and Hip Injuries
Using functional orthotics to correct excessive pronation and to treat hip problems requires an awareness of the various problems that can develop. The following is a list of the pathologies that are seen in the hip and pelvis secondary to pronation and foot hypermobility:
Iliotibial band syndrome����������������� Tensor fascia lata strain
Trochanteric bursitis����������������������� Hip flexor muscle strain
Piriformis muscle strain������������������ Hip adductor muscle strain
Hip joint capsulitis��������������������������� Anterior pelvic tilt
These conditions will develop much more easily in athletes, who push their musculoskeletal systems, and who seek more efficient and effective functional performances.
In 2002, researchers at Logan College of Chiropractic recruited a total of 40 male subjects that demonstrated bilateral pes planus or hyperpronation syndrome. Subjects were cast for custom made orthotics; their right and left Q-angles were measured with and without the orthotic in place. Thirty-nine of 40 test subjects showed reduced Q-angle, which was in the direction of correction, suggesting that wearing orthotics can improve stability and levelness of the pelvis, thus protecting the body to some degree from hip injury.
Conclusion
Excessive pronation and/or poor shock absorption have been shown to be an associated or causative factor in many leg injuries � from the foot itself, up the lower leg to the knee, thigh, and into the hip joint. The good news is that many of these conditions can be prevented with custom-fitted functional orthotics. Evaluation of foot biomechanics is a good idea in all patients, but is especially necessary for those who are recreationally active, or for anyone who has experienced hip problems.
To avoid potentially disabling hip injuries, competitive athletes must have regular evaluations of the alignment and function of their feet. Additional preventive measures include wearing well-designed and solidly-constructed shoes. When athletes are provided with custom-fitted functional orthotics, it can help prevent arch breakdown and biomechanical foot problems, and also treat numerous injuries of the lower extremities, including the hip joints.
Many injuries experienced at the hip develop from poor biomechanics and gait asymmetry, especially when running. Smooth coordination of the muscles that provide balance and support for the pelvis is needed for optimum bipedal sports performance. For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900
Being overweight or obese is assumed to be the primary factor for people to develop type 2 diabetes. Excess weight is generally associated with insulin resistance and diabetes, however, it’s this insulin resistance, not the excess weight, which can cause the disease to develop.
Because of this, many individual’s who maintain a healthy weight may not necessarily be metabolically healthy, which can in turn increase the risk of diseases, such as type 2 diabetes, regardless if they’re overweight or obese. According to researchers from the University of Florida, one of the greatest risk factors for developing type 2 diabetes is actually inactivity, which can increase the risk or pre-diabetes even if you have a healthy weight.
Contents
Inactivity and Pre-diabetes
If you were looking for motivation to get moving, this study, published in the American Journal of Preventive Medicine, is as good as it gets.1
In a research study published in the American Journal of Preventive Medicine, a survey of more than 1,100 healthy-weight individuals, those who were inactive, or physically active for less than 30 minutes per week, were more likely to score an A1C test level of 5.7 or higher, which is considered to be pre-diabetic.
The researchers suggested that people who live a sedentary lifestyle yet have a healthy weight may have �what is referred to as normal-weight obesity or skinny fat, which they described as a high proportion of fat to lean muscle.
�Don�t focus solely on the scale and think you�re OK. If you have a sedentary lifestyle, make sure you get up and move,� lead author Arch Mainous III, chair of health services research, management and policy in the University of Florida�s College of Public Health and Health Professions, stated in a news release of the subject matter.
Weight May Not Reveal a Person�s Metabolic Health
Dr. Robert Lustig, professor of pediatric endocrinology at the University of California, San Francisco, USCF, explains that weight isn’t necessarily an accurate tool to determine a person’s metabolic health. Dr. Lustig is best known for speaking out about the health risks of sugar. In a 2015 interview, he declared the issue of “judging a book by its cover” in terms of weight and health.
Approximately more than two-thirds of the American population is overweight or obese. About 50 percent have pre-diabetes or diabete and 1 out of every 3 have high blood pressure. Many of these individuals additionally have high serum triglycerides, which can be a huge factor when it comes to heart disease and stroke. Insulin resistance is a component of all of these health issues. According to Dr. Robert Lustig, at least 50 percent of the American population has some form of insulin resistance, regardless if they have an excess of weight or not.
Exercise is Essential to Prevent Diabetes
A variety of research studies and other evidence have concluded that regular participation and engagement in exercise and physical activity, which includes reducing time being spent sitting, can be crucial to help lower an individual’s risk of developing diabetes. Exercise can even help treat the disease once you’ve been diagnosed.
Sitting for more than eight hours a day has been shown to increase the risk of developing type 2 diabetes by up to 90 percent, while people with diabetes who participated in a six-month moderate-intensity exercise program experienced considerable health improvements, including decreased fat in the abdomen, liver and around the heart.
How to Determine if You�re Pre-Diabetic
If you’re uncertain on what your fasting insulin and glucose levels are to determine if you’re pre-diabetic, there are various blood tests which are recommended to receive annually. The fasting insulin level reflects how healthy a person’s blood glucose levels are over time.
A normal fasting blood insulin level is below 5, but ideally, you will want it to read below 3. A fasting glucose level below 100 mg/dl suggests you�re not insulin resistant while a level between 100 and 125 confirms you may have pre-diabetes. If these results, or your A1C level, confirms you either have or are at risk of pre-diabetes or diabetes, its fundamental for you to take action. Furthermore, a hip-to-waist size index chart can also be helpful to help determine the proper diagnosis for pre-diabetes or diabetes.
When it comes to evaluating whether the individual is overweight or obese, the previous tests may be better than utilizing the body mass index method, or BMI, as this test fails to factor in both how much muscle and intra-abdominal fat mass, or the visceral fat that accumulates around the inner organs, an individual may have. These can be indicators of insulin/leptin sensitivity and other associated health problems.
Insulin Sensitivity Improvements in Two Weeks
Fortunately, with proper exercise and a carefully balanced diet, people can reverse the course of type 2 diabetes. These benefits have been documented in as little as two weeks, in some instances, occurring just after one exercise session. During a research study for example, inactive but healthy middle-aged adults improved their insulin sensitivity and regulated their blood sugar over two weeks of interval training, about three sessions per week. A follow-up study also found that interval training positively impacted insulin sensitivity.
The research study was conducted involving people with type 2 diabetes and after only one interval training session, the individuals experienced an improvement in the regulation of their blood sugar for the following 24 hours. By exercising in short, high-intensity bursts, known as intervals, you can exercise for longer periods of time at a slower, steady pace and still experience the benefits.�A recommended high-intensity interval training, or HIIT, approach is the Peak Fitness method, which consists of 30 secons of maximum effort followed by 90 seconds of recuperation, for a total of eight repetitions. Very slow weight lifting for your resistance training is also recommended.
Standing Up From Sitting is Also Essential
Moreover, it’s important to understand that exercising for 20 or 30 minutes a day but sitting for the rest is not enough physical activity to begin categorizing yourself as an active individual. In fact, sitting for an extended period of time has been linked to the development of chronic diseases such as diabetes, primarily because it can increase aging at a cellular level.
In a research study involving women ranging from 64 to 95 years of age, those who were sedentary and sat for more than 10 hours a day who engaged in only 40 minutes of moderate to vigorous exercise experienced shorter telomeres. In addition, the sedentary women were biologically about 8 years older than the active women in the research study.
The telomeres are utilized to measure biological aging because every time a cell divides, these become shorter. Shorter telomeres have also been associated with other chronic diseases, such as cancer, heart disease and diabetes.
Furthermore, the body’s ability to properly respond to insulin can be tremendously affected by only a single day of excessive inactivity. Sitting for extended periods of time can cause the pancreas to produce increased amounts of insulin. A research study published in Diabetologia, found that individuals who sat for long periods of time were twice as likely to develop diabetes of heart disease compared to individuals who sat for short periods of time. It’s recommended to replace the majority of your sitting with exercise or physical activity, keeping sedentary habits to three hours a day or less.
What to Do if You Have Pre-Diabetes or Diabetes
Being thin doesn’t necesarily mean you have more lean muscle than fat in your body. Having a higher percentage of fat than lean muscle can set the stage for insulin resistance. It’s not as simple to assume you’re metabolically healthy just because you’re not overweight or obese, especially if you live a sedentary lifestyle. Thin people who are also sedentary have as much risk of developing type 2 diabetes as someone who has excess weight.
The good news is, there�s plenty you can do to not only reduce your risk of developing type 2 diabetes and pre-diabetes but also to improve your metabolic health at the same time.
During the three-year Diabetes Prevention Program study, lifestyle interventions were found to be more effective than the diabetes drug Metformin at preventing or delaying the development of the disease in people at higher risk. A follow-up research study monitored the group for 15 years and lifestyle interventions were still more effective than Metformin at preventing diabetes.
One of the most important dietary recommendations is to limit net carbs, or total carbohydrates minus fiber, and protein, replacing them with higher amounts of high-quality healthy fats, such as seeds, nuts, raw grass-fed butter, olives, avocado, coconut oil, organic pastured eggs and animal fats, including animal-based omega-3s.
If you�re insulin resistant or diabetic, its also suggested that you limit your total fructose intake to 15 grams per day until your insulin/leptin resistance has improved, increasing to 25 grams, and then begin intermittent fasting as soon as possible.
In conclusion, exercise and physical activity while reducing the amount of time spent sitting, together with a balanced diet, including optimized levels of vitamin D and gut health, as well as proper sleep, are crucial towards preventing or improving type 2 diabetes and pre-diabetes. Taken together, this plan will �also substantially lower your risk of diabetes and related chronic diseases, helping you to avoid becoming victim to a health condition you might not even realize you have.
Type 2 diabetes is commonly described to develop in overweight or obese individuals, however, recent research studies have demonstrated that slim, healthy people are also at risk of developing the disease. In fact, a sedentary lifestyle has been linked to be the major factor behind the development of type 2 diabetes in American adults.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
Back pain is one of the most common complaints reported by a majority of the population. Although the symptom generally occurs temporarily and it typically resolves on its own, some cases of back pain can become chronic or persistent.
A variety of factors, including trauma or injury from an accident and/or an aggravated condition, can manifest symptoms of back pain, however, the natural degeneration of the structures of the body are described to be the most prevalent cause for back complications resulting in pain and discomfort. Degenerative scoliosis is an infrequent cause for back pain in adults.
Scoliosis most frequently develops in children and adolescents. When it is diagnosed in adulthood, it is known as adult degenerative scoliosis. Other spinal degenerative disorders associated with adult scoliosis include: spinal stenosis; spondylolisthesis; degenerative disc disease; osteoporosis; and compression fractions in the vertebrae.
Adult degenerative scoliosis is characterized as the abnormal, side-to-side curvature of the spine due to the degeneration of the facet joints, which provide flexibility to the spine, allowing it to bend and twist easily. The distinctive scoliosis curve which forms into a �C� shape along the spine, most commonly develops in the lumbar spine. Individuals with scoliosis describe noticing a change in their posture. With the disorder, instead of carrying weight vertically, the upper body begins to lean to one side. Also, an adult with degenerative scoliosis may notice that one shoulder is positioned higher than the other in a mirror.
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Causes & Symptoms of Adult Degenerative Scoliosis
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Over the natural wear-and-tear changes that begin to occur in the body as we age, the bones and other connective tissues surrounding each structure of the body begin to gradually degenerate, weakening and breaking down. When this occurs in the spine, the alignment of the vertebral bones may become altered, taking on an abnormal curve: scoliosis. Adult degenerative scoliosis most commonly develops among people over 65 years of age.
As the degeneration progresses, the changes in the spine caused by the scoliosis may interfere with the individual�s balance, altering the person�s gait, or manner of walking. Because of this, adult scoliosis causes considerable back pain. Other symptoms of the disorder include: spinal rigidity; stiffness; loss of sensation in the extremities; fatigued muscles; sciatica; and even respiratory and cardiac complications in severe cases.
The Different Forms of Scoliosis
Adolescent scoliosis, also known as idiopathic scoliosis, is the most common type of scoliosis. The differences between the two are often misunderstood by the general population. Idiopathic scoliosis develops in children and adolescents between 10 and 18 years of age. This form of the disorder is still unknown to experts as to why it occurs in the first place. In severe cases of adolescent scoliosis, the lateral shift of the spine can change immediately with the child�s growth, which may often require the use of a brace as well as other treatment methods to slow down or stop the abnormal curvature of the spine, caused by scoliosis.
Different from adolescent or idiopathic scoliosis, there is a known cause for adult or degenerative scoliosis. Adult degenerative scoliosis is caused by the gradual deterioration of the facet joints found in the back due to aging, the same type of process which can lead to osteoarthritis in the spine. The pressure that builds up from the degenerating facet joints has been previously identified as the leading cause for the abnormal lateral shift, or curving to one side, of the spine. The scoliosis itself is rarely the cause for back pain. The true cause for the symptoms is the result of the inflammation of the degenerating facet joints, which can usually progress slowly at about 1 to 2 degrees per year. As a result, treatment for scoliosis is not focused on slowing down the progress of the scoliosis curvature, but instead, it is focused on relieving the back pain and other symptoms associated with the disorder.
Treating Scoliosis Pain with Chiropractic
Depending on the severity and location of the degeneration leading to scoliosis, there are a variety of treatments available to help alleviate the symptoms of the disorder, including both nonsurgical and surgical options. The goals of non-surgical treatments are to reduce pain as well as increase the strength, flexibility and range of motion of the spine to help reduce future symptoms and help correct the curvature of the spine. The majority of individuals with adult scoliosis can find relief without the need for surgery.
Chiropractic care focuses on the diagnosis, treatment and prevention of injuries and conditions related to the musculoskeletal and nervous system. Chiropractic utilizes safe and effective spinal adjustments and manual manipulations, which are performed by a qualified and experienced chiropractic professional to help improve and maintain the natural mobility of the facet joints while reducing the irritation and inflammation on the surrounding structures of the spine. Through the use of chiropractic treatment, a chiropractor will gradually realign the spine, decreasing the symptoms of back pain, reducing the lateral curvature of scoliosis and restoring the original health and wellness of the spine. In addition, a chiropractor may recommend a series of stretches as well as strengthening exercises to keep the soft tissues and joints flexible and speed up the rehabilitation process.
Scoliosis Pain and Chiropractic
Because every individual�s condition is unique, the same forms of treatment may not always benefit everyone. Visiting a variety of healthcare professionals can help patients determine the best treatment option that fits their specific needs for recovery. Other treatment plans may include the temporal use of medication for pain management, physical therapy and the use of back braces. More severe cases of adult scoliosis may require surgical intervention to help relieve the individual�s symptoms and restore their sense of well-being.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
A combination of vitamin D supplements and certain dairy foods may protect against age-related bone loss, a new study indicates.
Consumption of milk, yogurt and cheese was associated with higher bone mineral density in the spine and less bone loss in the hip among older adults — but only if they also took vitamin D supplements, researchers said.
Vitamin D stimulates calcium absorption, which aids in bone building and prevention of bone loss, according to the researchers from Harvard-affiliated Hebrew Senior Life, and the University of Massachusetts, Lowell.
This study is significant because it looked at dairy products other than just milk, and it “clarified that the association of dairy foods with bone density is dependent on adequate vitamin D intake,” said lead author Shivani Sahni.
“However, additional studies are needed to confirm these findings,” she added in an institute news release. Sahni is director of the nutrition program at Hebrew Senior Life’s Institute for Aging Research.
An estimated 10 million Americans older than 50 have osteoporosis, a disease marked by low bone mass and progressive deterioration of bone tissue. Osteoporosis increases the risk of fractures, loss of physical function, decreased quality of life, and even death.
Another 44 million Americans have low bone density, increasing their risk of fractures, according to the National Osteoporosis Foundation.
Study participants were enrolled in the long-running Framingham Study, which began in 1948 and followed the health and habits of residents of Framingham, Mass.
The study was funded by the U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases. The results were published March 1 in the Journal of Nutrition.
Squinting while texting? Always losing your reading glasses? An eye implant that takes about 10 minutes to put in place is the newest in a list of surgical repairs for the blurry close-up vision that is a bane of middle age. But who’s really a good candidate to toss their specs?
“It’s not bringing anybody back to being 20 again,” cautioned Dr. Shilpa Rose, a Washington ophthalmologist who tests whether patients’ eyes are healthy enough to qualify. “But it decreases the need to rush to get that pair of reading glasses every time you want to send a text or read an email.”
Nearly everybody will experience presbyopia at some point, usually starting in the mid-40s. At first you may notice yourself holding restaurant menus at arm’s length. Eventually, even in good light, reading becomes a blur.
How well you see has to do with how light is directed through the natural lens to the back of the eye. That lens stiffens with age, losing its ability to shift and bend light so that it becomes more difficult to focus close-up.
The usual options are magnifying drugstore reading glasses or, for people with other vision problems, bifocals, multifocal contact lenses or what’s called monovision, correcting for distance vision in one eye and near vision in the other.
“I have glasses everywhere — the bedroom, the office, the kitchen,” said Christianne Krupinsky, 51, of Marriottsville, Maryland, who’d never needed them until presbyopia struck. “Getting ready in the morning, even to put on jewelry I can’t see the clasp. It’s so frustrating.”
And while surgery always carries some risk, corneal inlays that are implanted into the eye’s clear front surface are getting attention because they’re removable if necessary.
“It’s not magic. It’s surgery. People have to remember this is not one and done,” but requires post-surgical exams and care, said Dr. Deepinder K. Dhaliwal of the University of Pittsburgh Medical Center, a corneal specialist who is watching studies of the inlays.
Krupinsky was a little nervous while lying on the operating table to receive the new Raindrop near vision inlay.
“The most you’re going to feel is pressure,” promised Washington refractive surgeon Dr. Mark Whitten, applying numbing drops to her left eye.
A gel-like device that looks like a miniature contact lens, the Raindrop is smaller than the eye of a needle. It’s the first implant to treat presbyopia by changing the cornea’s shape, making it steeper to alter how light passes through.
It’s placed in only one eye; both eyes still see at a distance. Patients can test-wear a single contact lens to be sure they’ll like the effect before choosing surgery.
Rose, the ophthalmologist, checked for dry eye, underlying diseases like glaucoma, and whether the corneas were thick and healthy enough to implant before turning Krupinsky over to her surgical partner.
“Just look straight up,” Whitten said as he used a laser to slice a flap in Krupinsky’s cornea. He centered the Raindrop inlay over her pupil and lowered the flap to seal it in place.
Minutes later, Krupinsky read lines on an eye chart she previously couldn’t make out without glasses, albeit still a little blurry. She’ll need eye drops for several months as her cornea heals so vision can sharpen.
Maker ReVision Optics Inc. is gradually training eye surgeons to use the Raindrop properly, after the Food and Drug Administration approved it last summer based on a study of 373 people whose only vision problem was moderate presbyopia. Two years later, 92 percent had good near vision, 20/40 or better without glasses, in the implanted eye.
Potential side effects include infection, dry eye, glare, or corneal problems such as scarring. About 7 percent of study participants had the implant removed, mostly because they weren’t satisfied with their vision or experienced a haze or clouding of the cornea. Most returned to their pre-surgical vision, although one had lingering haze.
Other surgical options:
—Another FDA-approved corneal inlay, the Kamra, is a doughnut-shaped device, also used in one eye and removable. It works like a pinhole camera, improving vision by focusing light through the center of the pupil.
—A more invasive operation replaces the natural lens in each eye with an artificial one, named Symfony, that can focus both near and far. Approved for cataract surgery, it also is being offered as a presbyopia fix for the middle-aged who don’t yet have cataracts. Unlike inlays, artificial lenses can’t simply be removed.
Insurance doesn’t cover elective presbyopia surgery. Rose said the inlays average about $4,000 to $5,000, while the artificial lens in both eyes can cost twice as much.
Patients should consult a surgeon experienced with all the options who can determine which best suits their eyes, advised Pittsburgh’s Dhaliwal.
Each has pros, cons and unknowns. For example, elective lens replacement isn’t for the very nearsighted because they’re at higher risk for a vision-threatening complication, Dhaliwal said.
And the Raindrop hasn’t been studied in people who years ago underwent LASIK surgery to correct nearsightedness. That didn’t deter Mike Gray, 52, of Haymarket, Virginia, who lost his reading glasses so often that he bought bulk packs. To implant the inlay, Whitten had to avoid cutting the cornea in the same place as Gray’s long-ago LASIK, and advises such patients to pick a surgeon experienced in both procedures.
“Everything is very clear and getting better every day,” Gray said about a month later.
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