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Wellness

Clinic Wellness Team. A key factor to spine or back pain conditions is staying healthy. Overall wellness involves a balanced diet, appropriate exercise, physical activity, restful sleep, and a healthy lifestyle. The term has been applied in many ways. But overall, the definition is as follows.

It is a conscious, self-directed, and evolving process of achieving full potential. It is multidimensional, bringing together lifestyles both mental/spiritual and the environment in which one lives. It is positive and affirms that what we do is, in fact, correct.

It is an active process where people become aware and make choices towards a more successful lifestyle. This includes how a person contributes to their environment/community. They aim to build healthier living spaces and social networks. It helps in creating a person’s belief systems, values, and a positive world perspective.

Along with this comes the benefits of regular exercise, a healthy diet, personal self-care, and knowing when to seek medical attention. Dr. Jimenez’s message is to work towards being fit, being healthy, and staying aware of our collection of articles, blogs, and videos.


Cranberry Juice Health Benefits

Cranberry Juice Health Benefits

Individuals dealing with health problems, UTIs, and skin issues can become chronic, what are the effects and benefits of drinking cranberry juice?

Cranberry Juice Health Benefits

Cranberry Juice

Cranberries are a healthy source of nutrients and antioxidants. Cranberry juice is a recommended source of vitamin C, with the added benefits of promoting digestive, heart, immune, and skin health. Most individuals can safely drink cranberry juice to their diet with no issues, but women who are pregnant or individuals that take blood thinners, or medications should discuss adding cranberry intake with a doctor or specialist first.

  • One cup of unsweetened cranberry juice provides 23.5 milligrams or 26% of the daily value for vitamin C. (USDA 2018)
  • To avoid excess consumption of added sugars and maximize the benefits, it is recommended to drink unsweetened cranberry juice.

Digestive Health

  • Cranberries contain antioxidant compounds/polyphenols that have been shown to help with digestive health.
  • A study found that drinking cranberry juice was associated with increased beneficial gut bacteria and decreased constipation.
  • Improvements in inflammatory markers were also observed.(Chicas MC, et al.,2022)

Heart Health

  • Research funded by a cranberry juice company found participants who consumed cranberry juice twice daily had lower levels of several risk factors for heart disease, stroke, and diabetes than those who received a placebo. (USDA 2016)
  • A systematic review and meta-analysis found that cranberry supplementation may improve body weight and blood pressure levels.
  • Cranberries may also help improve high-density lipoprotein (HDL) cholesterol—considered “good” cholesterol—in younger adults.
  • Further studies are needed to confirm these findings. (Pourmasoumi M, et al.,  2019)

Immune Health

  • Cranberry juice contains vitamin C, which is important for immune system function.
  • Research suggests that inadequate vitamin C consumption can lead to decreased immunity and an increased risk of infections. (Carr A, Maggini S, 2017)

Skin Health

  • Thanks to its high antioxidant content, cranberry juice may help protect your skin against damage caused by free radicals that contributes to premature aging.
  • The vitamin C in cranberry juice is also needed for collagen production.
  • Collagen is a type of protein that provides strength, elasticity, and structural support to the skin, helping to keep it firm and smooth.(Pullar JM, et al., 2017)

Infection Prevention

  • A study found that cranberry components known as proanthocyanidins, can promote oral health.
  • Cranberries activate antibacterial processes that can prevent bacteria from binding together, reducing periodontitis/gum disease and the formation of dental plaque. (Chen H, et al., 2022)

Urinary Tract Infection Prevention

  • Cranberries have gone through many studies for home treatment of UTIs.
  • It is believed the chemical compounds/proanthocyanidins can help prevent certain bacteria from sticking to the lining of the urinary tract, thus reducing the risk of UTIs. (Das S. 2020)
  • A study found cranberry products in the form of juice or tablets may lower the risk of UTIs in at-risk groups by approximately 30%.
  • At-risk groups include those with recurrent UTIs, pregnant women, older adults, and individuals with chronic indwelling catheters (devices used for short-term bladder drainage) and neurogenic bladder (conditions in which people lack bladder control due to problems in the brain, spine, or spinal cord). (Xia J Yue, et al., 2021)

Daily Amount

There is no official recommendation on the optimal amount of juice an individual should consume for health benefits. Most studies examining the benefits have used amounts ranging from 8 to 16 ounces, or around 1 to 2 cups per day. (The Cranberry Institute) However, cranberry juice with large amounts of added sugar can contribute to increased calories, leading to weight gain and other health concerns. Therefore, it is important to read the product label and look for pure, 100% cranberry juice.

  • If the pure juice is too tart, dilute it with some ice or water.
  • Avoid cranberry cocktails that are often mixed with other juices, like grape or apple juice, and contain added sugars that can decrease the benefits.
  • Examples of common added sugars include: (Centers for Disease Control and Prevention 2022)
  • Fruit nectar
  • Honey
  • Molasses
  • Brown sugar
  • Cane sugar
  • Raw sugar
  • Cane juice
  • Corn syrup
  • High-fructose corn syrup
  • Maple syrup
  • Malt syrup
  • Dextrose, fructose, glucose, maltose, sucrose, lactose

Smart Choices Better Health


References

Carr A, Maggini S. Vitamin C, and immune function. Nutrients. 2017;9(11):1211. doi:10.3390/nu9111211

Centers for Disease Control and Prevention. Know your limit for added sugars.

Chicas MC, Talcott S, Talcott S, Sirven M. Effect of cranberry juice supplementation on the gut microbiome and inflammatory markers: a randomized, double-blind, placebo-controlled study in overweight individuals. Curr Dev Nutr. 2022;6(Suppl 1):272. doi:10.1093/cdn/nzac053.013

Chen H, Wang W, Yu S, Wang H, Tian Z, Zhu S. Procyanidins and their therapeutic potential against oral diseases. Molecules. 2022;27(9):2932. doi:10.3390/molecules27092932

The Cranberry Institute. How much cranberry juice should I drink in a day?

Das S. Natural therapeutics for urinary tract infections-a review. Futur J Pharm Sci. 2020;6(1):64. doi:10.1186/s43094-020-00086-2

Pham-Huy, L. A., He, H., & Pham-Huy, C. (2008). Free radicals, antioxidants in disease and health. International journal of biomedical science: IJBS, 4(2), 89–96.

Pourmasoumi M, Hadi A, Najafgholizadeh A, Joukar F, Mansour-Ghanaei F. The effects of cranberry on cardiovascular metabolic risk factors: A systematic review and meta-analysis. Clinical Nutrition. 2020;39(3):774-788. doi:10.1016/j.clnu.2019.04.003

Pullar JM, Carr AC, Vissers MCM. The roles of vitamin C in skin health. Nutrients. 2017;9(8):866. doi:10.3390/nu9080866

USDA. Cranberry juice, unsweetened.

USDA. Cranberry juice can boost heart health.

Xia J Yue, Yang C, Xu D Feng, Xia H, Yang L Gang, Sun G ju. Consumption of cranberry as adjuvant therapy for urinary tract infections in susceptible populations: A systematic review and meta-analysis with trial sequential analysis. PLoS One. 2021;16(9):e0256992. doi:10.1371/journal.pone.0256992

Recommended Nutrition For Constipation

Recommended Nutrition For Constipation

The digestive system breaks down the foods eaten so the body can absorb the nutrients. During digestion, the unnecessary parts of these foods are turned into waste/stool, which is evacuated during a bowel movement. When the digestive system stops functioning properly due to factors such as diet change, eating unhealthy foods, lack of physical activity/exercise, medications, and certain health conditions, can cause constipation. Constipation occurs when the body cannot have a regular bowel movement. The distention, gas, bloating and not being able to have a bowel movement cause irritability and stress, which can worsen constipation. Incorporating recommended nutrition can help restore regular bowel movements and gut function.

Recommended Nutrition For Constipation

Recommended Nutrition For Constipation

Symptoms like abdominal pain, bloating, and difficult bowel movements are common. Diet and proper hydration have a significant role in digestive health, especially in relieving and preventing constipation. High-fiber foods, prebiotics, and adequate hydration from foods and beverages are essential for healthy bowel movements.

  • Fiber is found in whole grains, starches, fruits, and vegetables.
  • Soluble and insoluble fiber are important for digestive health.
  • Focusing on incorporating high-fiber fruits, vegetables, and whole grains.
  • Foods rich in prebiotics like fermented foods are recommended when constipated.

The recommended nutrition for constipation, according to a dietitian includes.

Avocados

  • Avocados can be paired with just about anything and are full of nutrients and fiber.
  • One avocado contains around 13.5 grams of fiber.
  • One avocado will provide almost half daily fiber needs.
  • Other high-fiber fruits: pomegranates, guava, raspberries, blackberries, and passionfruit.

Figs

  • Figs can be eaten fresh and dried.
  • Figs are considered a laxative and have been shown to treat and reduce constipation.
  • They contain antioxidants, polyphenols, polyunsaturated fatty acids, and vitamins.
  • Other fruits similar to a fig: dried apricots, prunes, and plums.

Plums

  • Plums, prunes dried plums are packed with fiber and prebiotics that have a natural laxative effect.
  • Sorbitol – a sugar found in plums and prunes, acts as an osmotic laxative that retains water.
  • The added H2O makes the stools softer and easier to pass.
  • Natural fruit juices, like pear, apple, or prune are often prescribed for constipation.
  • Other fruits that aid in bowel movements: peaches, pears, and apples.

Kefir

  • Fermented foods like kefir are rich in beneficial bacteria that work to maintain digestive system health.
  • It can be consumed on its own or used in smoothies, cooking, and baking recipes.
  • Other fermented foods: kombucha, yogurt, sauerkraut, kimchi, miso, and tempeh.

Oat Bran

  • Oat bran is oatmeal that has not had the bran removed.
  • The bran contains beneficial nutrients including fiber, antioxidants, vitamins, and minerals.
  • Oat bran contains soluble and insoluble fiber, as well as beta-glucan/non-starchy polysaccharides.
  • All improve the composition of gut bacteria and promote healthy bowel movements.
  • Other beneficial grains: oatmeal, wheat bran, rye, and barley.

Incorporating Gut-Beneficial Foods

How to incorporate recommended nutrition gut-beneficial foods into a regular menu:

Smoothie

  • Use kefir or yogurt as a base then balance it out with fiber-rich fruits like mango, blueberries, and kiwi.

Snacks

  • Diversify snacks with a plate of fiber and prebiotics.
  • Nuts, cheese, crackers, fruit, and a yogurt or avocado dip.

Oatmeal

  • Try oat bran to increase fiber.
  • Sprinkle a serving of flaxseeds, chia seeds, or hemp seeds for added fiber and healthy fats.

Parfait

  • Yogurt parfaits can maximize nutrients, flavor, and textures in a bowl.
  • Layer up on a favorite yogurt with granola, nuts, fruit, and seeds.

Grain Bowl

  • Fiber found in whole grains and seeds like barley, farro, and quinoa, helps promote healthy digestion.
  • Make a bowl with a grain base, then top with a protein, fresh or grilled veggies, avocado, and dressing.

Talk with a registered nutritionist or other healthcare provider to discuss recommended nutrition plan options.


Balancing Body and Metabolism


References

Arce, Daisy A et al. “Evaluation of constipation.” American family physician vol. 65,11 (2002): 2283-90.

Bharucha, Adil E. “Constipation.” Best practice & research. Clinical gastroenterology vol. 21,4 (2007): 709-31. doi:10.1016/j.bpg.2007.07.001

Gray, James R. “What is chronic constipation? Definition and diagnosis.” Canadian Journal of Gastroenterology = Journal Canadien de Gastroenterology vol. 25 Suppl B, Suppl B (2011): 7B-10B.

Jani, Bhairvi, and Elizabeth Marsicano. “Constipation: Evaluation and Management.” Missouri medicine vol. 115,3 (2018): 236-240.

Naseer, Maliha, et al. “Therapeutic Effects of Prebiotics on Constipation: A Schematic Review.” Current clinical pharmacology vol. 15,3 (2020): 207-215. doi:10.2174/1574884715666200212125035

National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms and Causes of Constipation.

National Institute of Diabetes and Digestive and Kidney Disease. Your Digestive System and How It Works.

Sinclair, Marybetts. “The use of abdominal massage to treat chronic constipation.” Journal of bodywork and movement therapies vol. 15,4 (2011): 436-45. doi:10.1016/j.jbmt.2010.07.007

Easily Digestible Foods

Easily Digestible Foods

With the summer heatwave blasting through, some individuals can experience digestive health problems. The relationship between the temperature outside and the temperature in the body translates to the digestive system. As the heat rises, it can make the digestive system slow down and become weakened feeling bloated, nauseated, and tired. The body’s balance may feel off because the body lowers its internal temperature to protect itself. Individuals must be careful not to overload themselves with the wrong foods. One way to avoid problems and maintain digestion working smoothly is to eat lighter, eat smaller portions for each meal, and eat easily digestible foods. Doing this will allow the body will feel cooler, and maintain alertness and energy throughout the hot day.

Easily Digestible Foods

Easily Digestible Foods

Heat-related health issues can include:

  • Loss of appetite
  • Heartburn
  • Acid buildup
  • Abdominal pain
  • Constipation
  • Gastroenteritis
  • Diarrhea
  • Irritable bowel syndrome (IBS)
  • Dehydration
  • Heat exhaustion
  • Stroke

The objective is not to skip meals but to eat regular meals, just smaller and easily digestible ones. Foods low in fiber tend to be easy to digest and can help the body feel better.

White Rice

  • White rice is low in fat and fiber, making it easy on the stomach and easy to digest.
  • It is not associated with any gastrointestinal issues and is considered a safe starch because it is an easy source of carbohydrates that provides instant energy.
  • To digest rice even more easily, eat it by itself or pair it with foods low in fat.
  • Certain foods that are high in fat, like vegetable oils, can take longer to digest and could cause discomfort.
  • A 1/2 cup of cooked white rice:
  • 210 calories
  • 4g protein
  • 0g fat
  • 49g carbohydrates
  • 1g fiber

Bananas

  • Ripe bananas are an easily digestible fruit that only contains a moderate amount of fiber.
  • They are associated with improvements in both constipation and diarrhea,
  • Individuals with a variety of digestive issues may experience relief when incorporating bananas into their diets.
  • Cooking bananas makes them even easier to digest as it makes certain nutrients easier to absorb.
  • Make sure the bananas are ripe enough.
  • Unripe bananas can be more difficult to digest.
  • 1 medium raw/ripe banana:
  • 105 calories
  • 1.3g protein
  • 0.4g fat
  • 27g carbohydrates
  • 3g fiber

Applesauce

  • Although made from apples, applesauce is low in fiber and a great source of vitamin C.
  • Cooked, canned, or processed fruits tend to be lower in fiber and easier to digest.
  • Applesauce is recommended to calm a variety of stomach-related ailments like constipation, diarrhea, and gastroparesis.
  • A 4-ounce serving of applesauce:
  • 90 calories
  • 0g protein
  • 0g fat
  • 22g carbohydrates
  • 2g fiber

White Bread

  • Plain white bread is low in fiber and easier to digest than bread made with whole-grain wheat bread.
  • It is often fortified with nutrients including folic acid, B vitamins, vitamin D3, and more.
  • Try plain toast for breakfast
  • Use low-fat fillings for an easily digestible sandwich for lunch or dinner.
  • 2 slices of plain white bread:
  • 150 calories
  • 4g protein
  • 28g carbohydrates
  • 2g fat
  • 1g fiber

Chicken and Turkey

  • Lean proteins low in fat like chicken breast and turkey are easy to digest.
  • Individuals experiencing digestive problems are recommended to consume lean protein over fattier red meats.
  • A 3-ounce serving of skinless, boneless chicken breast:
  • 128 calories
  • 26g protein
  • 2.7g fat
  • 0g carbohydrates
  • 0g fiber

Sweet Potatoes

  • Cooked potatoes of all varieties are examples of easily digestible foods.
  • Sweet potatoes are gentle on the digestive tract because they are mostly insoluble fiber, which speeds up digestion and increases regularity.
  • To make potatoes easier to digest, remove the skins and mash the inside.
  • Removing the skins decreases the fiber content, and mashing them makes digestion easier.
  • 1 medium sweet potato that is cooked and peeled:
  • 135 calories
  • 3g protein
  • 0.2g fat
  • 31g carbohydrates
  • 5g fiber

Other recommendations that could help stimulate digestion include drinking more water, getting more sleep, reducing stress levels, and exercising.


The Healing Diet


References

Howard, Sally, and Geetanjali Krishna. “How hot weather kills: the rising public health dangers of extreme heat.” BMJ (Clinical research ed.) vol. 378 o1741. 14 Jul. 2022, doi:10.1136/bmj.o1741

Kong, Fanbin, et al. “Physical changes in white and brown rice during simulated gastric digestion.” Journal of food science vol. 76,6 (2011): E450-7. doi:10.1111/j.1750-3841.2011.02271.x

Nguyen, Hoang Chinh et al. “Bioactive Compounds, Antioxidants, and Health Benefits of Sweet Potato Leaves.” Molecules (Basel, Switzerland) vol. 26,7 1820. 24 Mar. 2021, doi:10.3390/molecules26071820

Remes-Troche, José María. “Too hot” or “too cold”: effects of meal temperature on gastric function.” Digestive diseases and sciences vol. 58,9 (2013): 2439-40. doi:10.1007/s10620-013-2789-4

Salfi, Salvatore F, and Karyn Holt. “The role of probiotics in diarrheal management.” Holistic nursing practice vol. 26,3 (2012): 142-9. doi:10.1097/HNP.0b013e31824ef5a3

Singh, Balwinder, et al. “Bioactive compounds in banana and their associated health benefits – A review.” Food Chemistry vol. 206 (2016): 1-11. doi:10.1016/j.foodchem.2016.03.033

Food Energy Density: EP Back Clinic

Food Energy Density: EP Back Clinic

The brain and body need macronutrients that include carbohydrates, fats, and protein in the right amounts to energize the body. About half of the calories should come from carbohydrates, 30% from fat, and 20% from protein. Food energy density is the amount of energy, represented by the number of calories, in a specific weight measurement.

Food Energy Density: EP's Functional Chiropractic Team

Food Energy Density

Energy density is determined by the proportion of macronutrients – protein, fat, carbohydrates, fiber, and water.

  • Energy-dense foods are high in calories per serving.
  • Foods with large amounts of fiber and water have a lower density.
  • Foods high in fat have an increased energy density.
  • An example of a high-energy-density food is a donut because of the high-calorie count from the sugar, fat, and small serving size.
  • An example of a low-energy-density food is spinach because it only has a few calories in a whole plate of raw spinach leaves.

Energy Dense Foods

Energy-dense foods contain a high number of calories/energy per gram. They are typically higher in fat and lower in water. Examples of energy-dense foods include:

  • Full-fat dairy
  • Butter
  • Cheese
  • Nut butter
  • Fatty cuts of meat
  • Starchy vegetables
  • Thick sauces
  • Nuts
  • Seeds

Less nutrient-dense foods include:

  • Sweets
  • Deep-fried foods
  • French fries
  • Pasta
  • Crackers
  • Chips

Foods like soups and beverages can be either high or low energy density depending on the ingredients. Broth-based soups with vegetables usually have low density while creamed soups are energy-dense. Non-fat milk is less dense than regular milk, and diet soda is less dense than regular soda.

Low Energy Dense Foods

  • Foods with low energy density include high-fiber green and colorful vegetables.
  • Foods with low energy density are often nutrient-dense, which means they have plenty of nutrients per serving size.
  • Many fruits, berries, and vegetables are low in calories, high in fiber, and packed with vitamins and minerals.
  • Foods high in water content like citrus fruits and melons are usually less energy-dense.
  • Low-calorie foods often have a low energy density, but not always.
  • It’s important to read nutrition labels to know how many calories are being provided daily.

Weight Management

  • Weight management is about watching how many calories are taken in and how many calories are burned.
  • Filling up on foods with low energy density will cause the body to feel satisfied while eating fewer high-density calories.
  • Plan all meals so they include foods with a low energy density and high in nutrients.
  • However, the opposite can happen if individuals eat mostly low-energy-dense foods, will need a larger volume of food to fill up, and as a result, will take in more calories.
  • This is not ideal for losing weight, but it could be helpful if trying to gain weight.
  • High-energy-dense foods that are nutritious include avocados, nuts, and seeds.

Adjustment Recommendations

Add More Fruits and Vegetables To The Plate

  • At least half of a plate should be covered with low-calorie fruits and vegetables.
  • Berries are sweet and delicious and provide antioxidants
  • Leave a quarter of the plate for the protein, and the remaining quarter can hold a serving of starchy foods like pasta, potatoes, or rice.
  • Eating more fruits and vegetables will partially fill the body leading to eating less high-energy-dense foods.
  • Picky eaters should try various recipes, sooner or later, they will discover something they enjoy.

Start With Salad or a Bowl of Clear Broth Soup

  • Soups and salads will fill the body before the main energy-dense course like pasta, pizza, or another high-calorie food.
  • Avoid heavy cream-based salad dressings and creamed soups.
  • Water has zero calories and drinking a few glasses can help suppress the hunger until the next meal, or a low-density snack.

From Consultation to Transformation


References

www.cdc.gov/nccdphp/dnpa/nutrition/pdf/r2p_energy_density.pdf

Fernandez, Melissa Anne, and André Marette. “Potential Health Benefits of Combining Yogurt and Fruits Based on Their Probiotic and Prebiotic Properties.” Advances in nutrition (Bethesda, Md.) vol. 8,1 155S-164S. 17 Jan. 2017, doi:10.3945/an.115.011114

Horgan, Graham W et al. “Effect of different food groups on energy intake within and between individuals.” European Journal of Nutrition vol. 61,7 (2022): 3559-3570. doi:10.1007/s00394-022-02903-1

Hubbard, Gary P et al. “A systematic review of compliance to oral nutritional supplements.” Clinical nutrition (Edinburgh, Scotland) vol. 31,3 (2012): 293-312. doi:10.1016/j.clnu.2011.11.020

Prentice, A M. “Manipulation of dietary fat and energy density and subsequent effects on substrate flux and food intake.” The American Journal of clinical nutrition vol. 67,3 Suppl (1998): 535S-541S. doi:10.1093/ajcn/67.3.535S

Slesser, M. “Energy and food.” Basic life sciences vol. 7 (1976): 171-8. doi:10.1007/978-1-4684-2883-4_15

Specter, S E et al. “Reducing ice cream energy density does not condition decreased acceptance or engender compensation following repeated exposure.” European Journal of clinical nutrition vol. 52,10 (1998): 703-10. doi:10.1038/sj.ejcn.1600627

Westerterp-Plantenga, M S. “Effects of the energy density of daily food intake on long-term energy intake.” Physiology & behavior vol. 81,5 (2004): 765-71. doi:10.1016/j.physbeh.2004.04.030

Learning To Sleep On Your Back

Learning To Sleep On Your Back

Individuals spend around one-third of their life sleeping or resting. Every person has their own preferred sleeping position. However, not all sleep positions are comfortable and supportive to the body, especially the spine. Individuals that sleep on their side or stomach that experience back pain might want to consider switching to sleeping on their back. Changing preferred sleeping positions can seem impossible,  however, learning to sleep on your back is possible with a little training and adjustment period.

Learning To Sleep On Your Back

Learning To Sleep On Your Back

After side sleeping, back sleeping is the second most common position. Individuals that are stomach or side sleepers that suffer from:

  • Body and back soreness.
  • Pain symptoms.
  • Tension headaches.
  • Heartburn or acid reflux.
  • Aches in the joints and ligaments.

Learning to sleep on your back is recommended because its health benefits can potentially solve all these problems and more.

  • Adapting this sleeping position can help maintain proper spinal alignment.
  • Relieves waking up with tension headaches.
  • Relieve sinus problems.

Individuals that are not natural back sleepers understand how difficult it is to force oneself to adapt to a new sleeping position. There are ways to condition the mind and body to fall and stay asleep on your back, resulting in healthy rest. These include:

A Pillow Under The Knees

  • It may help to place a supportive pillow under the knees.
  • The knees should be slightly bent and feel comfortable.
  • Check to make sure that the neck and spine feel comfortable and are in alignment.
  • Make adjustments as needed.

A Pillow Under The Low Back

  • In the beginning, switching to back sleeping can increase discomfort in the low back.
  • Placing a pillow under the lower back can help.
  • Using too large or thick a pillow could create added discomfort.
  • Try a few different pillows to find what works best and feels right.

Pillow Surround

  • Individuals that are active sleepers and tend to roll onto their side or stomach soon after falling asleep, can place pillows around the midsection and hips.
  • A small barrier of pillows around the body can assist in learning to sleep on your back.
  • The pillows help prevent the body from rolling.
  • It’s recommended to place pillows closely against either side of the body.
  • Using the pillows as an enclosure will force the body to remain in a neutral position throughout the night.

Sleeping On The Right Pillow

  • Individuals will want to make sure they are using the right sleeping pillow.
  • In addition to supporting the spine’s alignment, a quality pillow will also support the neck.
  • The recommended pillow for back sleeping should cradle the head and ensure it stays elevated.
  • A pillow that is too flat or too thick can cause the head to become unlevel with the body leading to:
  • Neck and upper body pain
  • Restricted airflow, which may cause you to snore or suffer from sleep apnea.
  • Digestive issues like acid reflux and heartburn.
  • Consider a pillow that’s made out of some type of memory foam to assist with learning to sleep on your back.
  • The thickness and hugging sensation can help to stay on the back and prevent inadvertently flipping over.

Sleeping On The Right Mattress

A positive back sleeping experience begins with the right mattress. There are so many mattress types to choose from. It is recommended to consider the materials, the firmness level, and the size. For comfortably sleeping on your back, the firmness level is essential.

  • Consider the positioning of your spine.
  • The objective is to keep the spine as straight as possible, which is achieved with the proper firmness.
  • A mattress that is too firm will create unwanted pressure and tension on the shoulders and the pelvic region.
  • A mattress that is too soft will cause the hips to sink, throwing spinal alignment off and causing back pain symptoms.
  • A medium-firm mattress is recommended.
  • Memory foam is a great option for learning to sleep on your back.
  • Memory foam cradles the natural curve of the body, and hugs the body during sleep, which helps avoid accidentally rolling onto your side or stomach.
  • Memory foam mattresses with integrated gel can provide cooling and ventilation to keep the body refreshed throughout the night.
  • A medium-firm memory foam mattress will make sure the body stays straight, with the proper cushioning around the pelvis and hips.

Training To Sleep On Your Back


References

Anderson, Ngaire H et al. “Association of Supine Going-to-Sleep Position in Late Pregnancy With Reduced Birth Weight: A Secondary Analysis of an Individual Participant Data Meta-analysis.” JAMA network open vol. 2,10 e1912614. 2 Oct. 2019, doi:10.1001/jamanetworkopen.2019.12614

Desouzart, Gustavo, et al. “Effects of sleeping position on back pain in physically active seniors: A controlled pilot study.” Work (Reading, Mass.) vol. 53,2 (2015): 235-40. doi:10.3233/WOR-152243

Khan, Bashir Ahmad, et al. “Effect of bed head elevation during sleep in symptomatic patients of nocturnal gastroesophageal reflux.” Journal of Gastroenterology and Hepatology vol. 27,6 (2012): 1078-82. doi:10.1111/j.1440-1746.2011.06968.x

Portale, G et al. “When are reflux episodes symptomatic?.” Diseases of the esophagus: official journal of the International Society for Diseases of the Esophagus vol. 20,1 (2007): 47-52. doi:10.1111/j.1442-2050.2007.00650.x

Skarpsno, Eivind Schjelderup, et al. “Sleep positions and nocturnal body movements based on free-living accelerometer recordings: association with demographics, lifestyle, and insomnia symptoms.” Nature and Science of Sleep vol. 9 267-275. 1 Nov. 2017, doi:10.2147/NSS.S145777

Surdea-Blaga, Teodora, et al. “Food and Gastroesophageal Reflux Disease.” Current medicinal chemistry vol. 26,19 (2019): 3497-3511. doi:10.2174/0929867324666170515123807

Pesto – Nutritional and Health Benefits

Pesto – Nutritional and Health Benefits

Pesto is a sauce that is made with garlic, pine nuts, basil, cheese, and olive oil, which creates a strong, rich flavor. It is used as a marinade, dip, salad dressing, sandwich spread, and a topping for dishes like pasta and pizza. It can be homemade or bought premade, including vegan varieties. It is made with nutritious ingredients and can be consumed as part of a balanced diet. The sauces can vary in nutrition, but in general, it is a rich source of healthy fats and is also part of the Mediterranean Diet.

Pesto - Nutritional and Health Benefits

Pesto

Carbohydrates

  • The sauce is not a significant source of complex carbohydrates, dietary fiber, or sugar.
  • A spoonful contains under 1 gram of carbohydrates.
  • It is often paired with foods rich in carbohydrates, like sandwiches, pizza, and pasta.

Fats

  • Nearly 60% of the calories in pesto come from fats, provided by the olive oil, cheese, and pine nuts.
  • There are 9.47 grams of fats per spoonful, which includes:
  • 5.63 grams of monounsaturated fatty acids.
  • 1.53 grams of saturated fatty acids.
  • 1.68 grams of polyunsaturated fatty acids.
  • It also contains 2.56mg of cholesterol.
  • According to U.S. Dietary Guidelines for Americans, 20% to 35% of daily calories should come from fat.

Protein

  • The sauce is not a protein-rich food with only 1.38 grams of protein per tablespoon.
  • It is often used as a condiment, it can add flavor to other foods higher in protein.

Vitamins and Minerals

  • Pesto contains:
  • 33.1mg of calcium.
  • 36.8mg of phosphorus.
  • 31.8mg of potassium.
  • 9.76mg of magnesium.

Health Benefits

Some of the potential health benefits of pesto.

Antioxidant Properties

  • Garlic, pine nuts, olive oil, and basil are rich sources of antioxidants.
  • Antioxidants have an essential role in defending the body against free radical damage, which can lead to disease.
  • Diets high in antioxidants reduce the risk of various diseases, like heart disease and cancer.
  • Consuming antioxidant-rich foods like pesto on a regular basis can increase antioxidant levels.

Cardiovascular Benefits

  • Olive oil health benefits include the reduced risk of heart disease.
  • Substituting other high-fat foods like margarine, butter, and mayonnaise with olive oil can help lower the risk of heart disease and stroke.

Help Lower Cholesterol

  • Four different types of fats – saturated, trans, monounsaturated, and polyunsaturated fats.
  • Saturated fats can raise LDL/unhealthy cholesterol levels.
  • Foods rich in monounsaturated and polyunsaturated fats like pesto can help lower LDL cholesterol levels in the blood and support HDL/healthy cholesterol levels.

Weight Management

  • Pesto is commonly consumed on the Mediterranean diet and can be part of a nutritious lifestyle that supports a healthy weight.
  • Research has shown that following a Mediterranean diet can lead to and maintain long-term changes in weight management.
  • Store-bought pesto can contain a large amount of sodium.
  • Individuals following a low-sodium diet or taking heart medications should check with their doctor before consuming these products.
  • To control the amount of sodium, consider making a homemade recipe that uses less salt and aligns with individual dietary preferences.

Types

  • Grocery stores generally carry several varieties of pesto.
  • Basil is the main ingredient but some varieties are made with other herbs.
  • Pesto traditionally contains parmesan cheese/milk products and pine nuts/tree nuts which are common food allergens.
  • The sauce is a vegetarian-friendly sauce, but vegans can look for cheese and dairy-free versions.
  • It is possible that an allergic reaction can occur in individuals allergic to dairy products and nuts.
  • Individuals allergic to nuts can choose nut-free varieties.

From Consultation to Transformation


References

Agnoli C, Sieri S, Ricceri F, et al. Adherence to a Mediterranean diet and long-term changes in weight and waist circumference in the EPIC-Italy cohort. Nutr Diabetes. 2018;8(1):22. doi:10.1038/s41387-018-0023-3

Bolling, Bradley W et al. “Tree nut phytochemicals: composition, antioxidant capacity, bioactivity, impact factors. A systematic review of almonds, Brazils, cashews, hazelnuts, macadamias, pecans, pine nuts, pistachios, and walnuts.” Nutrition research reviews vol. 24,2 (2011): 244-75. doi:10.1017/S095442241100014X

Bower, Allyson, et al. “The Health Benefits of Selected Culinary Herbs and Spices Found in the Traditional Mediterranean Diet.” Critical Reviews in food science and nutrition vol. 56,16 (2016): 2728-46. doi:10.1080/10408398.2013.805713

Guasch-Ferré M, Liu G, Li Y, et al. Olive oil consumption and cardiovascular risk in U.S. adults. J Am Coll Cardiol. 2020;75(15):1729-1739. doi:10.1016/j.jacc.2020.02.036

Liu, Qing, et al. “Antibacterial and Antifungal Activities of Spices.” International journal of molecular sciences vol. 18,6 1283. 16 Jun. 2017, doi:10.3390/ijms18061283

Marcelino, Gabriela et al. “Effects of Olive Oil and Its Minor Components on Cardiovascular Diseases, Inflammation, and Gut Microbiota.” Nutrients vol. 11,8 1826. 7 Aug. 2019, doi:10.3390/nu11081826

Nicastro, Holly L, et al. “Garlic and onions: their cancer prevention properties.” Cancer prevention research (Philadelphia, Pa.) vol. 8,3 (2015): 181-9. doi:10.1158/1940-6207.CAPR-14-0172

Sestili, Piero, et al. “The potential effects of Ocimum basilicum on health: a review of pharmacological and toxicological studies.” Expert opinion on drug metabolism & toxicology vol. 14,7 (2018): 679-692. doi:10.1080/17425255.2018.1484450

Sun, Liangzi, et al. “Tryptophan targeted pulsed electric field treatment for enhanced immune activity in pine nut peptides.” Journal of food biochemistry vol. 44,6 (2020): e13224. doi:10.1111/jfbc.13224

USDA FoodData Central. Pesto sauce.

Pickleball: Health Benefits For Everybody

Pickleball: Health Benefits For Everybody

Pickleball is a growing, increasingly popular sport that can be enjoyed by individuals of every age and fitness level. It combines elements of tennis and badminton at a slightly slower pace that makes it ideal for families and provides excellent health benefits and enjoyable socializing. It is easy to learn and requires little practice. The sport is easy on the body and is a great activity for seniors because it is joint-friendly.

Pickleball: Health Benefits For Everybody

Pickleball

Individuals do not need to be athletes or belong to a certain age group to play or benefit from the sport. It requires minimal equipment and a few basic skills. Using a flat paddle and a plastic pickleball, opponents singles or doubles play a game like tennis or badminton.

Playing the Game

  • A three-foot-long net is set up in the center of a court measuring 44 feet long by 20 feet wide.
  • The court is divided between right and left service zones.
  • If the receiving side misses the serving side volley, the serving side receives a point.
  • The game is played to 11 points, but a player or team must win by two points.
  • The ball’s design keeps the pace manageable and user-friendly.
  • Pickleball has other intricacies common with other racket-court sports.
  • The player serves from a specific side.
  • The no-volley zone, or the kitchen is seven feet from the net on both sides.
  • There are rules regarding when the player must call the score, how tournaments work, and variations between singles and doubles matches.
  • Most players only need a few games to pick up the basics.

Reasons To Play

The sport offers a number of health benefits.

Improves Mental Health

  • One study found individuals who played pickleball tended to have better mental health and outlook.
  • Researchers followed older adults competing in pickleball competitions and tournaments.
  • At the end of the study, the researchers found that a commitment to a physical hobby correlated to reduced depression levels.

Improves Cardiovascular Health

  • The sport is not as physically intense as say tennis, but offers significant benefits for cardiovascular health.
  • One study found that individuals who played three times a week for an hour had improved cardiorespiratory fitness, lower cholesterol levels, and decreased blood pressure.
  • Experts found that it is a healthy alternative to traditional exercises like walking or biking.

Improved Hand-Eye Coordination

  • Pickleball will improve hand-eye coordination and reflexes.
  • Coordinating the feet, legs, arms, hands, and eye movements quickens responses, challenges the brain to think fast, and increases balance.
  • Physical activity combined with cognitive challenges has been found to improve cognitive health and prevent mental decline in older adults.

Socialization

  • Pickleball requires an opponent or two for doubles matches.
  • A significant benefit is that the sport provides increased socialization.
  • Socializing with others, especially the elderly can help with loneliness.
  • Loneliness can negatively impact physical and mental health, increasing the risk of heart disease, stroke, dementia, and depression.

Getting Started

Individuals need minimal gear like paddles, shoes, and balls and knowledge to get started playing. One of the easiest ways to begin is locating a court in the community. This is a great physical activity that can be competitive, but overall it is fun, easy to play, and provides great health benefits.


Home Exercises For Pain Relief


References

Casper, Jonathan M, and Jung-Hwan Jeon. “Psychological Connection to Pickleball: Assessing Motives and Participation in Older Adults.” Journal of Aging and physical activity, 1-6. 24 Oct. 2018, doi:10.1123/japa.2017-0381

Cerezuela, Juan-Leandro, et al. “Pickleball and mental health in adults: A systematic review.” Frontiers in psychology vol. 14 1137047. 21 Feb. 2023, doi:10.3389/fpsyg.2023.1137047

Ryu, Jungsu, et al. “Pickleball, Personality, and Eudaimonic Well-Being in Middle-Aged and Older Adults.” Journal of Aging and physical activity vol. 30,5 885-892. 14 Feb. 2022, doi:10.1123/japa.2021-0298

Vitale, Kenneth, and Steven Liu. “Pickleball: Review and Clinical Recommendations for this Fast-growing Sport.” Current sports medicine reports vol. 19,10 (2020): 406-413. doi:10.1249/JSR.0000000000000759

Webber, Sandra C et al. “Physical Activity Intensity of Singles and Doubles Pickleball in Older Adults.” Journal of Aging and physical activity vol. 31,3 365-370. 10 Sep. 2022, doi:10.1123/japa.2022-0194