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.
When older women fracture a hip, they usually don’t get bone density tests that might show whether they need treatment to help prevent more broken bones, a recent U.S. study suggests.
“Osteoporosis screening after hip fracture is so important because there are a number of highly effective and relatively low-risk treatments available that can substantially reduce future fracture risk,” said lead study author Catherine Gillespie of the AARP Public Policy Research Institute and George Washington University in Washington, D.C.
For the study, researchers examined insurance data on medical care and prescription use for 8,359 women over 50 who had a hip fracture between 2008 and 2013.
None of the women had a prior history of osteoporosis, hip fracture, or taking medications to improve bone density.
More than half of the women in the study were at least 80 years old when they first fractured their hip. Most had multiple chronic medical problems.
Within six months of experiencing their first hip fracture, just 17 percent of the women got tested for osteoporosis or received a treatment for the condition, researchers report in the Journal of Bone and Mineral Research.
After one year, only 23 percent of the women had been screened or put on treatment for osteoporosis.
During the study period, use of bone mass measurement tests increased among women 65 and older but declined among women from 50 to 64.
Over the same timeframe, the rate of osteoporosis drug use remained constant for women aged 50 to 64 but declined among older women in the study.
Seeing a primary care doctor after fracture was the strongest and most consistent predictor of osteoporosis assessment or treatment, the study found. Women with private health insurance and higher income also appeared more likely to get screening and treatment.
One limitation of the study is that researchers lacked data on women who were uninsured or covered by Medicaid, the government health program for the poor.
They also lacked data on some interventions used to strengthen bones and help prevent future falls such as calcium and vitamin D supplements, counseling on exercise and fall prevention, or home repairs and modifications to make day-to-day life safer to navigate.
Even so, the study confirms a long recognized gap in routine osteoporosis care for patients with hip fractures, said Dr. Matthew Drake, a researcher at the Mayo Clinic in Rochester, Minnesota, who wasn’t involved in the study.
“Almost all patients who have a hip fracture should be screened for osteoporosis as this will allow their provider to assess their bone mineral density, and will also establish a baseline so that if pharmacologic or other treatment approaches are chosen there is data against which to compare later in order to determine how the therapy is working,” Drake said by email.
“If a woman or man has a hip fracture, she/he should speak with her/his doctor about getting screened for osteoporosis and strongly consider starting therapy,” Drake added. “As this study clearly shows, this screening and treatment continues to occur at a rate which is abysmal.”
SOURCE: http://bit.ly/2m4InBt Journal of Bone and Mineral Research, online February 23, 2017.
Peripheral neuropathy most commonly develops in patients who’ve been previously diagnosed with pre-diabetes. According to researchers from the University of Utah, early interventions can allow people to maintain their overall health and wellness. Further research studies have revealed that peripheral nerve damage begins with pre-diabetes and obesity.
Approximately more than one in three adults in the United States, about 86 million people, have pre-diabetes. Without the proper body weight and moderate physical activity, 15 to 30 percent of these individuals could develop type 2 diabetes within 5 years.
“We now know a lot more than we did 3 to 5 years ago about neuropathic pain in patients with pre-diabetes. Neuropathy affects patients with pre-diabetes in a continuum,” stated Dr. Rob Singleton, MD, and professor of neurology at the University of Utah in Salt Lake City. “We think obesity and the dysfunction of lips or fats are what’s actually causing the issues.”
During another research study conducted and published by researchers from the University of Michigan in JAMA Neurology, peripheral neuropathy was also commonly diagnosed in patients with obesity, regardless if they had normal blood sugar levels when compared with lean, control patient participants. This same study additionally confirmed that the rate of neuropathy increased in individuals with pre-diabetes and diabetes, leading the researchers to conclude that pre-diabetes, diabetes and obesity are possible metabolic drivers of peripheral neuropathy.
Dr. Singleton and his team of researchers have been studying peripheral neuropathy associated with pre-diabetes and metabolic syndrome as well as which forms of treatment may work best for the condition. Metabolic syndrome is characterized as the group of risk factors which increases the chance of experiencing heart disease, diabetes and stroke. Risk factors include: high blood pressure; elevated blood glucose, high cholesterol and abdominal fat. Throughout their research, they discovered that many patients with metabolic syndrome had pre-diabetes and peripheral neuropathy.
�We have demonstrated that in pre-diabetics with neuropathic pain, exercise can reduce neuropathic pain and can increase the intradermal nerve fibers in the thigh and ankle. We are in the process now of replicating that study,� Dr. Rob Singleton explained in an interview with an endocrinology advisor. �You need to improve lipid, or cholesterol, function and glucose levels. Lifestyle issues have to be addressed.�
The Relation Between Pre-Diabetes & Peripheral Neuropathy
New research studies have evaluated the relationship between pre-diabetes and peripheral neuropathy. In a study published in Diabetes Care, Dr. Christine Lee, PhD, of the University of Toronto, determined that pre-diabetes created similar risks towards nerve damage and dysfunction, which often lead to the development of peripheral neuropathy, as those caused by diabetes.
Evidence suggests that peripheral neuropathy begins in the early stages of the diabetes pathogenesis. Dr. Lee and other researchers evaluated 467 individuals. The researchers found that peripheral neuropathy was common in 29 percent of adults with normal glucose levels as compared to 49 percent in adults diagnosed with pre-diabetes and 50 percent in adults diagnosed with diabetes. The researchers also established that pre-diabetes, or a progression of elevated glucose levels in the course of 3 years concluded an increased risk of developing peripheral neuropathy and nerve damage or dysfunction.
“Early interventions such as lifestyle changes involving proper diet and exercise, could be ultimately essential towards preventing severe nerve complications,” stated Dr. Christine Lee. Another study published in Diabetes Care by Dr. Rob Singleton in 2006, supported this statement. Dr. Singleton and other researchers concluded that dietary changes and physical activity can result in cutaneous reinnervation as well as improved symptoms in patients with pre-diabetes.
Peripheral Nerve Damage Before Diabetes
Its fundamental to acknowledge that the nerve injury which occurs with peripheral neuropathy can occur before diabetes develops. As a matter of fact, current research studies have shown that obesity, even with normal blood sugar levels, has been associated with causing peripheral neuropathy as well as pre-diabetes.
Fortunately, more and more research studies and evidence on the issue has been published to help enlighten doctors and the public. Although it is essential to maintain fasting glucose levels between 70 to 80 mg/dL, it is equally important to manage a healthy weight, LDL cholesterol and triglycerides. All of this can be achieved without the use of medication or bariatric procedures. Natural treatments and holistic care options are also available to help control the symptoms of the disease.
Nerve dysfunction, characterized by symptoms of pain, tingling sensations and numbness are common among individuals with diabetes. However, new research studies have found that nerve injuries can also occur as a result of obesity, where patients are diagnosed with pre-diabetes.
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.
Waving white pom poms in the air, dozens of grey-haired cheerleaders in matching red and white uniforms hop and skip to K-pop music that fills the practice room.
Halfway into their two-hour practice session, most of the elderly dancers are panting and sweating, but do not let their bad knees or back pain stop them from what they say is keeping them healthy and youthful.
“Because I come here, I don’t need to take any medicine,” said 82-year-old Oh Geum-Nyu. “Although I’m ageing on the outside, this keeps me young at heart.”
Oh is one of the oldest members of Cheer Mommy, a 30-member cheerleading squad with an average age of 75, based in Samcheok, on South Korea’s east coast.
Life expectancy in Asia’s fourth-largest economy is accelerating rapidly, and for women born in 2030 it could stretch to nine decades on average, the longest in the world, according to research published in The Lancet medical journal.
The study by researchers at Imperial College London noted improved nutrition and broader access to health care as some of the reasons behind the phenomenon.
Some South Korean experts also point to social factors behind longevity.
“Their love for informal gatherings and forging new personal bonds can be a source of energy,” said Chung Soon-Dool, a social welfare professor at Ewha Women’s University in Seoul.
Most South Korean women in their 60s and older spent much of the lives in a strongly patriarchal society where women were expected to stay at home and raise the children.
Some are now embracing pursuits of their own choosing for the first time after retiring as the “caretaker”.
“I was done raising my seven grandchildren when my friend told me about this place,” said Cheer Mommy member Ahn Young-Ja, 65.
Lee Pal-Soon, 82, who also takes singing classes when she is not cheerleading, said she was enjoying the “second chapter” of her life after marrying off her five children.
Some are choosing to keep their brains active by going back to school, such as 88-year-old Kim Soon-Sil, who is among some 370 students aged 60 and up studying at Ilsung Women’s School in Seoul.
Kim, who grew up under Japan’s 1910-1945 colonial rule of Korea, had to leave school at 13 and it was not until seven decades later that she could fulfill her longing to continue her studies in history and English.
“I can feel small changes to my health every day, but if my health permits, I want to enroll in university,” said Kim.
South Korea’s government has rolled out various welfare programmes to accommodate its rising senior population — its men are also set to become the world’s longest-lived, according to the Imperial College study — including opening more community centres and organising leisure activities for the elderly.
But experts say the cost could become crippling in the face of a looming demographic crisis in the country with the world’s lowest birthrate.
Around 6.5 million out of the country’s 50 million population were 65 years or older in 2015, and in the next 10 years, one out of five South Koreans will be retired, according to a Statistics Korea report in December.
The country’s working age population started declining last year, it said, and by 2065 it will be overtaken by the number of retirees.
“It’s the question of who will cover the increase in social security cost,” said Professor Chung. “It wouldn’t be a problem if the number of young people were also rising, but that’s not the case.”
Authorities need to consider raising the retirement age, said Ha Jung-Hwa, social welfare professor at Seoul National University.
“It’s important the government introduces new policies to keep healthy and skilled senior citizens longer in the job market,” she said.
Cheer Mommy started out as a local authority leisure programme, but the elderly squad now regularly travels across the country to compete in national tournaments against rivals decades their juniors.
With the youngest member aged 63, the choreography lacks dynamic stunts like back flips or somersaults. It takes them twice as long to remember the routines, and instructor Yoon Bok-Ja said: “They are slow like turtles but they don’t give up until they are perfect.”
The bubbly grannies quickly changed into their next uniform — graffiti-printed jerseys, white tracksuit bottoms and black baseball caps — for a number set to Gangnam Style star Psy’s latest hit Daddy, chanting: “Hip hop! Youth! To 100 years!”
Used in your morning cup of coffee or tea, added into pastries, cakes and cookies, even sprinkled over your breakfast cereal and oatmeal, sugar is that sweet, short-chain, soluble carbohydrate which is most commonly found in most of the foods we consume today. Sugar is also hidden in many of the favorite treats we eat on a daily basis, such as fruit juices, sodas, candies, ice cream and almost all processed foods, including popular condiments like ketchup.
Although it’s common for people to regularly ingest sugar in every meal, how much sugar is acceptable to consume? More importantly, can excessive sugar cause negative side effects to your health? What is the exact function of sugar in the body? These are only several of the fundamental questions we must ask ourselves before we continue to eat foods with high amounts of sugar.
Excessive Sugar: Is it Bad for Your Health?
According to a research study released in February 2015, the average American today consumes approximately 32 teaspoons, or 126 grams, of sugar per day, amounting to 134 pounds of sugar per year. Moreover, people are ingesting excessive amounts of sugar in the form of fructose or high-fructose corn syrup. While this highly processed form of sugar is cheaper, it is also 20 percent sweeter than regular table sugar, which is why most food and beverage manufacturers utilize the product, allowing them to save more money in the long run.
Knowing these statistics, our concern is that the human body is actually not designed to consume excessive sugar, much less in the form of fructose. As a matter of fact, the body metabolizes fructose differently than sugar. Fructose is actually a hepatotoxin, meaning it is toxic to the liver, and it is metabolized directly into fat, which can result in a variety of issues that can have significant effects to your health.
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The Effects of Consuming Too Much Sugar
Dr. Robert Lustig, a professor of Clinical Pediatrics in the Division of Endocrinology in the University of California and a pioneer in decoding sugar metabolism, explained that the human body is capable of safely metabolizing at least six teaspoons of added sugar per day. However, because most Americans are consuming over three times that amount, the majority of the excess amounts of sugar in the body are metabolized into body fat, which can lead to other debilitating chronic metabolic diseases.
The following are several side effects which occur due to excessive sugar:
It overloads and damages your liver. Excess sugar or fructose can have similar effects to that of alcohol. All the fructose you eat travels directly to one single organ: the liver. This can severely affect the organ, leading to potential liver overloads and damage.
It tricks the body into gaining weight and affects insulin and leptin signaling. Fructose can fool your metabolism by stopping the body�s appetite-control system. Also, it fails to stimulate insulin, failing to suppress ghrelin, otherwise known as the hunger hormone, that then fails to stimulate leptin, also known as the satiety hormone. This causes you to eat more, developing insulin resistance.
It causes metabolic dysfunction. Eating excess amounts of sugar can cause a variety of symptoms to develop, identified as classic metabolic syndrome. These symptoms include: weight gain; abdominal obesity; decreased HDL and increased LDL; elevated blood sugar; elevated triglycerides; and high blood pressure.
It increases your uric acid levels. Increasingly high levels of uric acid are considered to be a major risk factor for heart and kidney disease as well as the leading cause of Gout. As a matter of fact, the connection between fructose, metabolic syndrome, and uric acid levels in the body has become so clear that an individual’s uric acid levels can be utilized as a marker for fructose toxicity. According to recent research studies, the safest range of uric acid is between 3 to 5.5 milligrams per deciliter. If your uric acid level is higher than this, then it�s clear that you are at risk of experiencing the negative health impacts caused by excess sugar or fructose.
Sugar Increases Your Risk of Disease
One of the most severe effects of eating too much sugar is its potential to damage the liver, leading to a condition known as non-alcoholic fatty liver disease, or NAFLD. The same disease that you can get from excessive alcohol intake can also be caused by excessive sugar or fructose intake. Dr. Lustig described the three similarities between alcohol and fructose:
The liver metabolizes alcohol the same way as sugar, since both serve as substrates for converting dietary carbohydrates into fat. This promotes insulin resistance, fatty liver, and dyslipidemia, or abnormal fat levels in the blood.
Fructose causes superoxide free radicals to form, resulting in inflammation, a condition that can be also caused by acetaldehyde, a metabolite of ethanol.
Fructose can directly and indirectly stimulate the brain�s hedonic pathway, or addiction pathway, creating habituation and dependence, the same way that ethanol does.
While these are some of the most commonly known ways that excess amounts of sugar or fructose can negatively affect the body, there are other ways the body can be affected as well. Evidence from several of America�s most respected institutions now confirms that sugar is a primary dietary factor that drives the development of chronic disease and obesity.
One study found that fructose is readily used by cancer cells to increase their proliferation, in other words, it feeds the cancer cells, promoting cell division and speeding their growth which allow the cancer to spread faster.
Alzheimer�s disease is another deadly illness that can arise from excessive sugar consumption. A growing body of research found a powerful connection between a high-fructose diet and the risk of developing Alzheimer�s disease through the same pathway that causes type 2 diabetes. According to some experts, Alzheimer�s and other brain disorders may be caused by the constant burning of glucose by the brain.
Other diseases that are linked to metabolic syndrome that may potentially develop from excess sugar include:
Type 2 Diabetes
Hypertension
Heart Disease
Peripheral Neuropathy
Polycystic Ovarian Syndrome
Lipid (cholesterol) problems
Dementia (Alzheimer�s disease)
Cancer
How to Manage Your Sugar Consumption
Sugar, in its natural form, is not bad as long as it�s consumed in moderation. This means avoiding all sources of fructose, particularly that found in processed foods and beverages such as soda. Approximately 74 percent of processed foods contain hidden added sugar under more than 60 different names. Ideally, you should consume more whole foods and less processed foods.
Furthermore, it’s recommended to limit the consumption of refined carbohydrates, such as waffles, cereals, bagels, etc. and grains, as these can break down sugar in your body, increasing your insulin levels and causing insulin resistance.
As a general recommendation, its advised for people to keep their total fructose consumption below 25 grams per day, including that from whole fruit. Keep in mind that although fruits are rich in nutrients and antioxidants, they also naturally contain fructose, and if consumed in high amounts, they may actually worsen your insulin sensitivity and raise your uric acid levels.
Remember that artificial sweeteners like aspartame and sucralose should also be ultimately avoided, since they can develop a completely different set of health complications which may be far worse than the issues sugar or corn syrup can cause.
Avoiding the Cravings
More evidence from recent studies has revealed that obesity, pre-diabetes and diabetes can be driving factors for, not only chronic conditions such as peripheral neuropathy, but also for a diversity of other chronic diseases, including cancer. It�s essential to realize that you don�t have to give up sugar completely but you must reduce it significantly from your diet. Research studies have demonstrated that no one should be consuming more than 6 teaspoons of sugar per day, including fruit sugar as well.
In order to become healthy and fight off chronic illness, here are some additional dietary tips to remember:
Increase your consumption of healthy fats, such as omega-3, saturated, and monounsaturated fats. Your body needs health-promoting fats from animal and vegetable sources for optimal functioning. In fact, emerging evidence suggests that healthy fats should make up at least 70 percent of your diet. Some of the best sources include: organic butter from raw milk; virgin olive oil; coconut oil; ghee; raw nuts like pecans and macadamia; free-range eggs; avocado; and wild Alaskan salmon.
Drink pure, clean water. Simply swapping out all the sweetened beverages like sodas and fruit juices for pure water can go a long way towards improving your health. The best way to gauge your water needs is to observe the color of your urine, it should be a light, pale yellow, and the frequency of your bathroom visits, ideally, this is around seven to eight times per day.
Add fermented foods to your meals. The beneficial bacteria in these healthful foods can support your digestion and provide detoxification support which helps lessen the fructose burden on your liver. Some of the best choices include: kimchi; natto; organic yogurt and kefir made from grass-fed milk; and fermented vegetables.
How to Give Up Your Sugar Cravings
Sugar is highly addictive and can often affect dependency centers in the brain and it can have an emotional component as well. In order to suppress sugar cravings, it�s essential to detox. A variety of healthcare professionals can help design appropriate sugar detox programs. Such programs can be great for detoxing the body from unwanted chemicals, eliminating sugar addiction and decreasing inflammation.
The temptation to eat or indulge in sugary foods will always be there, especially with the abundance of processed foods and fast foods everywhere. However, most sugar cravings arise because of an emotional challenge. If this is what causes you to crave sugar, there are solutions such as the Emotional Freedom Technique, or EFT, that can help. This technique is a simple and effective strategy to help control your emotional food cravings. Ultimately, seeking medical help or support to decrease your sugar consumption can be the best first step to cleanse your body and improve your overall health and wellness.
On average, people consume sugar from their favorite snacks and foods on a daily basis, however, processed foods and beverages can have an excessive amount of sugar which may affect the body’s overall health and wellness. The human body is not designed to handle the excess sugar and its regular consumption can lead to a variety of complications, including diabetes.
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.
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.
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.
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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