Concussions, or head injuries, are considered to be some of the most common sports injuries. Athletes can experience head trauma due to a variety of injuries and accidents related to their specific sport. While there are various symptoms which can characterize the presence of a concussion, recent research studies have found that certain markers in the blood can predict an athlete’s recovery from a head injury.
Researchers at the National Institutes of Health found that the blood protein tau could be an important new clinical biomarker to better identify athletes who need more recovery time before safely returning to play after a sports-related concussion. The research study, supported by the National Institute of Nursing Research or NINR, with additional funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, or NICHD, published online in the Jan. 6, 2017 issue of Neurology, the medical journal of the American Academy of Neurology.
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How Blood Markers Can Help Athletes with Concussions
Despite the millions of sports-related concussions that occur annually in the United States, there is no reliable blood-based test to predict recovery and an athlete’s readiness to return to play. The new study shows that measuring tau levels could potentially be an unbiased tool to help prevent athletes from returning to action too soon and risking further neurological injury.
“Keeping athletes safer from long-term consequences of concussions is important to players, coaches, parents and fans. In the future, this research may help to develop a reliable and fast clinical lab test that can identify athletes at higher risk for chronic post-concussion symptoms,” said NINR Director Patricia A. Grady Ph.D., R.N.�
Athletes who return to play before full recovery are at high risk for long-term symptoms like headaches, dizziness, and cognitive deficits with subsequent concussions. About half of college athletes see their post-concussive symptoms resolve within 10 days, but in others, the symptoms become chronic.
Tau is also connected to development of Alzheimer’s and Parkinson’s diseases, and is a marker of neuronal injury following severe traumatic brain injuries.
In the study, led by Dr. Jessica Gill, NIH Lasker Clinical Research Scholar and chief of the NINR Division of Intramural Research’s Brain Injury Unit, researchers evaluated changes in tau following a sports-related concussion in male and female collegiate athletes to determine if higher levels of tau relate to longer recovery durations.
“Incorporating objective biomarkers like tau into return-to-play decisions could ultimately reduce the neurological risks related to multiple concussions in athletes,” said Gill.
To measure tau levels, a group of 632 soccer, football, basketball, hockey, and lacrosse athletes from the University of Rochester first underwent pre-season blood plasma sampling and cognitive testing to establish a baseline. They were then followed during the season for any diagnosis of a concussion, with 43 of them developing concussions during the study. For comparison, a control group of 37 teammate athletes without concussions was also included in the study, as well as a group of 21 healthy non-athletes.
Following a sports-related concussion, blood was sampled from both the concussed and control athletes at six hours, 24 hours, 72 hours, and seven days post-concussion.
Concussed athletes who needed a longer amount of recovery time before returning to play, (more than 10 days post-concussion) had higher tau concentrations overall at six, 24, and 72-hours post-concussion compared to athletes who were able to return to play in 10 days or less. These observed changes in tau levels occurred in both male and female athletes, as well as across the various sports studied.
Together, these findings indicate that changes in tau measured in as short a time as within six hours of a sports-related concussion may provide objective clinical information to better inform athletes, trainers, and team physicians’ decision-making about predicted recovery times and safe return to play.
Further research will test additional protein biomarkers and examine other post-concussion outcomes.
Preventing Sports Injuries with Chiropractic
Chiropractic care is frequently utilized by athletes to treat common sports injuries. Aside from treating the side effects associated with concussions, chiropractic can help relieve neck pain and back pain caused by an injury or accident. Chiropractic care can also help prevent sports injuries from occurring as the spinal adjustments and manual manipulations can help improve the strength, flexibility and mobility of the structures surrounding the spine, particularly improving the health and wellness of the neck and head.
Organization Information
About the National Institute of Nursing Research (NINR): NINR supports basic and clinical research that develops the knowledge to build the scientific foundation for clinical practice, prevent disease and disability, manage and eliminate symptoms caused by illness, and enhance end-of-life and palliative care. For more information about NINR, visit the website at www.ninr.nih.gov.
About the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): NICHD conducts and supports research in the United States and throughout the world on fetal, infant and child development; maternal, child and family health; reproductive biology and population issues; and medical rehabilitation. For more information, visit NICHD’s website.
About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.
For more information, ask Dr. Jimenez or contact us at 915-850-0900�. �
By Dr. Alex Jimenez D.C.,C.C.S.T
Spinal Trauma Specialist
Additional Topics: Neck Pain and Auto Injury
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.
Each year, cases of liver disease developing without the instance alcohol abuse are increasing throughout the United States, the U.K, and Australia. Decades ago, fatty liver disease and cirrhosis were diagnosed due to excessive alcohol consumption. Currently, however, more and more adults and even children are diagnosed with non-alcoholic fatty liver disease, or NAFLD.
Non-alcoholic fatty liver disease is a medical condition that is characterized by an excessive accumulation of fats within liver cells. More precisely, NAFLD causes normal, healthy liver tissue to become partially replaced with fatty tissue. Although it’s common for the liver to have some fat, an accumulated amount of more than 5 to 10 percent of the individual’s liver weight can create complications. Excess fat can begin to invade the liver, eventually covering healthy regions of the liver and decreasing the amount of healthy liver tissue.
According to statistics, approximately 70 million Americans may have fatty liver disease and not even know it.
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The Function of the Liver
The liver is one of the most active and highly functioning organs in the body, working hard and tirelessly to maintain the body’s overall health and wellness. The liver is in charge of regulating chemical levels and toxins in the blood as well as excreting bile. Bile is necessary to break down fats stored in the body. All of the blood which leaves the stomach and intestines must be filtered through the liver. The liver’s primary function is to detoxify the blood. Other essential functions of the liver include:
Detoxifies chemicals and metabolizes (breaks down) drugs.
Manufactures proteins important for the regulation of blood clotting
Breaks down excess hormones circulating in bloodstream
Produces cholesterol (necessary for vitamin D and hormone production and for healthy nerves)
Stores and releases glucose, as needed
Stores iron
Converts harmful ammonia to urea (urea is an end product of protein metabolism that gets excreted in the urine)
Clears the blood of alcohol, medications, drugs and other harmful chemicals
Produces immune factors and removes bacteria from the bloodstream
Clears and removes bilirubin (excessive buildup causes jaundice -yellowing of skin and eyes)
The liver is also responsible of processing and storing important nutrients, such as vitamins, minerals and iron, in order for these to be more effectively absorbed by the body.
Non-alcoholic fatty liver disease, or NAFLD, has become a prevalent condition in the United States and western Europe as weight gain, obesity, insulin resistance, diabetes and metabolic syndrome have dramatically increased over the population. It is now the most common cause of liver disorders in the United States as well as in other western countries, such as Australia and the U.K. Approximately 1 in 5 people, amounting up to 25 percent of the population in these regions have NAFLD.
While some research studies have demonstrated that non-alcoholic fatty liver disease most commonly develops due to excess weight and obesity, metabolic syndrome and diabetes, studies have also shown that the excessive use of prescribed medications and pain killers can lead to fatty liver disease as well.
Symptoms of Non-Alcoholic Fatty Liver Disease
NAFLD is referred to as a silent disease. People with non-alcoholic fatty liver disease may initially experience no symptoms from the disorder, where they will often live with the condition for many years, even decades without a diagnosis. Eventually, however, several signs and symptoms may begin to manifest. These symptoms include:
feeling tired
fatigue
weight loss
loss of appetite
weakness
nausea
confusion
trouble concentrating
pain in the center or right upper part of belly
enlarged liver
bloating and gas
dark urine
bruising easily
sweating, excessively
constipation
dry and dark patches on neck and under arms
If non-alcoholic fatty liver disease is left untreated for an extended period of time, it could eventually lead to the development of cirrhosis. Cirrhosis results when scar tissue develops in the liver, preventing the liver from functioning properly. This scar tissue can then block the normal flow of blood that passes through the liver and can also slow down the processing and absorption of nutrients, hormones, drugs and naturally produced toxins as well as the production of proteins and other substances produced by the liver. The symptoms of cirrhosis are usually severe and they include the buildup of fluid in the body, particularly in the abdominal cavity called ascites, muscle weakness, internal bleeding, yellowing of the skin and eyes, and liver failure.
Non-Alcoholic Fatty Liver Disease Diagnosis
Utilizing an abdominal ultrasound or a biopsy is the best way to diagnose fatty liver disease. Individuals with NAFLD often don’t have elevated levels of liver enzymes, which is why blood tests generally appear normal. Elevated levels of liver enzymes do however indicate that there may be some inflammation in the liver due to non-alcoholic fatty liver disase or another more serious condition known as NASH.
Causes and Risk Factors of Fatty Liver Disease
There are numerous risk factors which may increase your chances of having NAFLD, including:
Obesity
Gastric bypass surgery
High cholesterol
High levels of triglycerides in the blood
Type 2 diabetes
Metabolic syndrome
Medications
Sleep apnea
Polycystic ovary syndrome (PCOS)
Underactive thyroid (hypothyroidism)
Underactive pituitary gland (hypopituitarism)
Hemachromatosis (excess iron accumulation)
A research study published in the Journal of Clinical Gastroenterology in 2006 stated that NAFLD is commonly diagnosed in 84 to 96 percent of patients who are undergoing bariatric surgery. The study also recognized that the disease is most common in men but can increase with menopause in women.
Foods Which Can Lead to Fatty Liver Disease
High-Carbohydrate & Refined Foods
When we consume an excess of refined carbohydrates and other types of foods, insulin levels can spike significantly. Foods such as white bread and other carbs should be reduced or eliminated from your diet, even whole grains should be consumed in moderation as these can convert into sugar. Rice and corn should also be avoided. Insulin sensitivity is a major factor in the development of liver disease.
Sugary Beverages
Sports drinks, such as gatorade or powerade, soda, energy drinks and fruit juices, contain refined sugars and artificial sweeteners. When these substances are consumed in excess, they could eventually lead to fatty liver disease. The average 12-ounce can of soda, for instance, has about 10 teaspoons of sugar. The human body is not designed to be able to break down the elevated amounts of sugar the average American consumes on a daily basis and this can greatly impact the health of the liver. The average person consumes 20 tsp of sugar per day, equaling to about 66 pound of sugar per year.
The American Heart Association, or AHA, recommends that no more than 6 tsp of sugar per day for women and 9 tsp per day for men should be consumed. A child�s sugar intake should not exceed 3 tsp per day.
According to a research study conducted at Emory University School of Medicine in Atlanta, refined sugars, particularly fructose, are suspected to be a common contributor to the development of non-alcoholic fatty liver disease. Fructose has been demonstrated to cause extensive damage to liver cells. There have also been substantial connections between increased fructose consumption and obesity, dyslipidemia and insulin resistance.
Processed Foods
Refined sugars, hydrogenated oils, convenience foods and lunch meats can be toxic to your body in the long run. Nitrates and nitrites, for instance, are commonly found in processed foods and they have been closely associated to the development of serious conditions, including cancer. The high fructose corn syrup found in processed foods is the single biggest cause of fatty liver disease. It’s essential that you eliminate these products from your diet to heal liver disease.
Foods Which Can Improve Fatty Liver Disease
A research study published in the European Journal of Medicinal Chemistry revealed that natural enzymes found in fruits and vegetables as well as in plant extracts and herbs, can be utilized traditionally to treat various liver diseases. It’s essential to add these foods into your everyday diet. Fruits and vegetables can be easily added into your diet through juicing.
When the proper function of the liver is impaired due to non-alcoholic fatty liver disease and/or due to other liver conditions, juicing fruits and vegetables has the additional benefit of making these easier to digest for better absorption. Vegetables ideal for a liver detox include, kale, cabbage, lettuce, cauliflower, broccoli, Brussels sprouts, asparagus, beets and celery.
Beets
Beets can naturally cleanse and purify the blood, boosting the function of the liver and increasing nutrient production in the body. Beets are also rich in antioxidants, folate, iron, fiber and betaine, a natural digestive enzyme. Beets are great additions to juicing recipes and can also be added into smoothies. You can also daily shred some beets and toss them into your salads.
Broccoli
Broccoli and other members of the cruciferous family, such as brussel sprouts, cauliflower, arugula, cabbage, collard greens, kale and bok choy, are rich in fiber and glucosinolates, which help the liver naturally cleanse the body of carcinogens and other toxins.
Sweet Potatoes
Sweet potatoes, carrots, butternut squash and pumpkin are rich in beta-carotene, a natural anti-inflammatory. When an individual has a potassium deficiency, it can disrupt the proper function of the liver. �Sweet potatoes, which are naturally high in potassium, can be tremendously beneficial because they help support healthy liver function. One sweet potato contains nearly 700 milligrams of potassium. Sweet potatoes are also rich in vitamins B6, C, D, magnesium and iron. These are also easy to eat because they�re naturally sweet and their sugars are slowly released into the bloodstream through the liver, preventing blood sugar spikes.
Lemons
Lemons are great for your liver. They provide a variety of antioxidants and can help the liver produce more enzymes to give you more energy and help with digestion. Lemons are also naturally rich in electrolytes. Although lemons are acidic, once they enter the body they become alkaline, which helps neutralize toxins and excrete wastes. Juice 1 fresh lemon, daily and drink it undiluted on an empty stomach every morning to enjoy its wonderful benefits.
Bananas
With about 470 milligrams of potassium, bananas can also be great for cleansing the liver as well as for overcoming low levels of potassium in the body. In addition, bananas can help with digestion, helping to release toxins and heavy metals from the body, decreasing the liver’s work load.
Garlic, Whole Cloves
Garlic is high in allicin and selenium, two fundamental nutrients for the liver. These function by cleansing and nourishing the entire body, especially the blood. Selenium is a naturally detoxifying mineral and allicin helps counter immune system invaders, also assisting to decrease the load on the liver. Garlic also activates enzymes in the liver which aid digestion and flush out toxins. Use whole garlic cloves instead of processed minced garlic or powder.
Ginger Root
Ginger has powerful anti-inflamatory properties and it’s also an excellent antioxidant. For people diagnosed with non-alcoholic fatty liver disease, consuming ginger can be fundamental. Ginger root can also drastically lower blood sugar levels. Insulin resistance and elevated glucose levels are major factors in the development of NAFLD. You can make ginger tea by boiling slices of ginger in green tea or water. You can also add ginger to a stir-fry, salad or smoothie.
Leafy Greens
Consuming leafy greens are a huge part of a balanced nutrition as these can be beneficial for just about any type of health issue. Spinach, kale, chard, romaine, arugula, and collards are all some of the most nutrient dense leafy greens to enjoy. These are rich in chlorophyll, which assists in liver function by purifying the blood, alleviating toxins, decreasing inflammation and promoting the healing of wounds. Chlorophyll is also amazing at neutralizing heavy metals, toxic chemicals, and even pesticides that can burden liver function.
Supplements Which Can Improve Fatty Liver Disease
Dandelion Root
Dandelion root contains vitamins and nutrients which are important to help cleanse the liver in order to allow it to keep functioning properly. Dandelions have also been known to aid the digestive system by maintaining the proper flow of bile. Dandelion root is a natural diuretic and it allows the liver to eliminate toxins effectively. Dandelion stems which can be brewed in a tea are also rich in vitamin C, which can help with mineral absorption, reduces inflammation and prevents the overall development of many diseases.
Milk Thistle
Milk thistle is a powerful detoxifier, aiding and supporting proper liver function. This supplement helps rebuild liver cells and removes toxins from the body which have been processed through the liver. According to a research study published in Digestive Diseases and Sciences, milk thistle has the power to improve mortality rates in patients with liver failure as it is capable of naturally reversing the harmful effects of excessive alcohol consumption and that of pesticides in our food, heavy metals in water supply, pollution in the air we breathe in and even poisons. A 2010 study showed that milk thistle benefits treatments of alcoholic liver disease, acute and�chronic viral hepatitis as well as toxin-induced liver diseases.
Vitamin D
Recent research studies have shown that vitamin D deficiencies can often lead to NAFLD, or non-alcoholic fatty liver disease. Vitamin D deficiency has also been demonstrated to cause severe cases of NAFLD, including serious liver inflammation and liver fibrosis, or hardening of the liver. The research study also revealed that vitamin D deficiencies can lead to insulin resistance and metabolic syndrome. All of these factors can additionally play a considerable role in the development of peripheral neuropathy. Optimal vitamin D levels should be between 70-100 ng/ml for overall health and wellness.
Curcumin
Curcumin is the active component of turmeric and it’s considered to be the most powerful herb on the planet, effectively helping to treat and reverse disease naturally. Currently, there are over 6,000 published articles emphasizing on the amazing health benefits of curcumin. Other research studies have also demonstrated that curcumin could prevent the progression of liver disease, helping to reduce the inflammation of the liver and the body alike.
Black Seed Oil
Black seed oil can help speed up the healing process of people with fatty liver disease. A research study published in the European Review for Medical and Pharmaceutical Sciences measured black seed oil�s ability to restrict liver oxidative stress markers. The results of the research study indicated that black seed oil can benefit liver disease patients because it�s capable of decreasing issues associated with the gradual progression of liver disease.
Maintaining a healthy and balanced nutrition is the best course of action to treat fatty liver disease. Many people with liver disease are overweight and malnourished. A healthy diet can provide the body with essential vitamins and nutrients needed for the body to function. Weight loss along with a balanced diet can be an effective treatment for fatty liver disease as well. Exercising regularly for a minimum of 30 minutes a day and eating a healthy plant-based diet can ultimately help your overall well-being.
Can Fatty Liver Disease Cause Peripheral Neuropathy?
Nonalcoholic fatty liver disease, or NAFLD, is considered to be the most common liver disorder in the western region . It�s recognized as one of the most common forms of chronic liver disease across the world.
A research study published in the Journal of Gastroenterology and Hepatology in 2003 reported a connection between non-alcoholic fatty liver disease and peripheral neuropathy. The research revealed that 73 percent of people with NAFLD could develop peripheral nerve damage leading to the symptoms of peripheral neuropathy.
As if the development of peripheral neuropathy wasn’t bad enough, scientific evidence demonstrated that the longer you have NAFLD, the more likely it is to progress into liver fibrosis, or the accumulation of abnormal fibrous tissue, cirrhosis, or the accumulation of scar tissue in the liver, and NASH, or severe liver inflammation and cell damage.
Although, non-alcoholic fatty liver disease is most likely to occur in people who are overweight with metabolic syndrome or type 2 diabetes, recently there are more and more cases of children with NAFLD. This is a direct result of the standard American diet. Pediatric NAFLD has been reported in children as young as 3 years old.
If you have been diagnosed with NAFLD or are overweight, suffer from metabolic syndrome, insulin resistance or diabetes, it�s important to take action. The good news is, the liver is the only organ capable of fully regenerating itself. As long as at least 15 percent of your liver is working and functioning properly, your body can repair and regenerate your liver.
Liver disease is commonly diagnosed in people due to excessive alcohol consumption. While this instance can cause an accumulation of fats within liver tissue, each year, more adults even children are diagnosed with a specific type of condition, referred to as non-alcoholic fatty liver disease. NAFLD can occur for a variety of reasons.
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.
For the more than 68 percent of Americans who own smart phones, it’s difficult to imagine doing without them, especially when it comes to your health. Millions use them to keep track of the number of steps they take, the calories they consume, and even the medications or supplements taken each day.
To aid in this process, more than 165,000 healthcare applications have been developed for iPhones and androids — focusing on diet and fitness, as well as the management of heart disease, diabetes, cancer, and mental health.
“The technology in healthcare apps has exploded,” IT expert Sanket Shah tells Newsmax Health.
But with so many health apps on the market it can be challenging to chose the right app, says Shah, who specializes in helping people the right technology for healthcare services.
“There are thousands of apps out there and some of it can be overwhelming. Just like trying new hobby or picking out a new pair of pants, you need to see what works for you and what makes you the most comfortable,” says Shah, an instructor in the University of Illinois at Chicago Department of Biomedical and Health Sciences.
Shah recommends deciding beforehand what you plan to do with an app and chose only one (or more) that will be the most useful. Don’t just download apps that will sit on your phone without ever being accessed. Her recommendations:
Avoid the apps that bombard you with ads.
Consider how user-friendly the app is.
Read the reviews. Some of the best information can be found in them.
Realize that nothing is really free. In exchange for that so-called “free” app, you are usually asked to grant permission for your age, email, zip code, and other personal information to used internally, shared, or sold.
Be careful about add-ons. Many apps charge for additional content or enhanced experiences that require extra purchases and costs. Most apps require a credit card, which means yours is probably on file, so be careful not inadvertently purchase these features.
These are Shah’s top five health apps:
HealthTap (Health Tap)
Launched in 2010, this online service provides real-time answers to health questions from more than 107,000 doctors. In an era where Internet services provide thousands of vague results, HealthTap was designed to give patients direct access to health professionals, saving you time and money. You can also pay for a virtual consult to video or text chat with a primary care doctor 24/7 or a doctor of your choice during their “virtual office hours.”
Drink Water Reminder (Leap Fitness Group)
Dehydration can lead to serious health problems. This app lets you calculate your needs based on your gender, weight, and the climate where you live. Taking its lead from apps that remind you to take 10,000 steps a day, this app provides customized tracking and reminders to ensure that you are drinking enough water throughout the day.
Fooducate (Fooducate LTD)
Do you really know what’s in the food you eat? Nutritional labels may be misleading, so Fooducate takes all of the guesswork out by providing a grade instantly on the items you buy. Simply scan the UPC code from your mobile camera (over 250,000 items) and the app will grade the product and most importantly, explain why it is healthy or unhealthy, as well as provide alternative choices. A diet and weight loss goal tracker is also included.
Breath2Relax (National Center for Telehealth & Technology)
Oftentimes we focus on the physical aspects of health but our mental health is equally important. Focusing on the mind and taking some time to relax can provide tremendous benefits in your daily life This app provides a guide to simple breathing exercises to help relieve stress and relax.
Down Dog (Yoga Buddhi Co.)
Yoga is gaining in popularity, and there is a reason why this ancient practice has been around for centuries. Improving your mental state and also strengthening your core muscles is the goal of this app, designed for all levels. It provides easy-to-follow tutorials and all you really need to get started is a basic yoga mat.
An Australian study involving more than 60,000 volunteers aged 45 years and older found that eating fruits and vegetables lowered anxiety and depression.
The study, which was published in the British Medical Journal Open, measured psychological distress at two time points, 2006-08 and 2010 using the Kessler Psychological Distress Scale. It also assessed their intake of fruits and vegetables.
Eating a diet high in both fruits and vegetables was the most effective at keeping the blues at bay, especially in women. Women who ate five to seven servings of fruits and vegetables daily lowered their risk of stress by 23 percent.
Fruit gave the biggest bang for the least amount consumed — at least when vegetables were also included in the diet. Women who ate two servings of fruit daily lowered their risk by 16 percent when compared to women who ate no fruit or a single serving.
Men and women who ate three to four servings of vegetables a day lowered their risk of stress by 12 percent when compared to those who ate no vegetables or only one serving a day. Women who ate three to four servings of vegetables daily lowered their risk by 18 percent.
“This study shows that moderate daily fruit and vegetable consumption is associated with lower rates of psychological stress,” said Dr. Melody Ding of the University of Sydney’s School of Public Health.
“It also reveals that moderate daily vegetable intake alone is linked to a lower incidence of psychological stress,” Ding said.
“We found that fruit and vegetables were more protective for women than men, suggesting that women may benefit more from fruit and vegetables,” said first author and University of Sydney Ph.D. student, Binh Nguyen.
Fruits and vegetables are packed with stress-fighting antioxidants, including vitamin C. One German study found that berries were especially effective in fighting stress.
Over recent years, the detox has become a form of diet in its own right for losing weight with low-calorie regimens. As springtime arrives and some may have weight-loss programs in mind, here’s a look at five common myths about detox diets and whether they’re true or false.
Detoxing is a natural process
TRUE. In reality, detoxing is a natural process of purification that’s constantly underway in the body. When everything is functioning properly, the infamous toxins are destroyed and excreted by different organs in the body, known as emunctories: the skin, the lungs, the kidneys, the intestines and the liver. Toxins that accumulate in the body (food, air, tobacco, cosmetics, drugs, heavy metals, stress) are eliminated at varying speeds depending on your metabolism. You can help your body detoxify all year long, notably with foods rich in antioxidants like fresh fruit and vegetables that are organic and don’t contain pesticides.
A detox is a diet
FALSE. A drastic diet or a fast isn’t the same things as detoxing. The word diet has been wrongly associated with the concept of the detox, since the two approaches don’t have the same goal. In fact, the aim of a detox isn’t necessarily to lose weight. However, you should take care to avoid sugar, junk food and barbecued food which hinder the work of the emunctories.
Plant-based supplements can be helpful
TRUE. A course of certain plant-based dietary supplements or herbal teas can be used to support and optimize detox performances in periods of burn-out, stress or fatigue, for example. Artichoke, milk thistle, rosemary, turmeric, fennel, birch, dandelion, black radish, queen-of-the-meadow and fumaria are the most effective. Some plants, like chlorella, spirulina and laminaria japonica help combat heavy metals (mercury, aluminum, lead).
Juices and broths are a good way to detox
FALSE. Although they contain fruit and vegetables, juices, soups and broths have two drawbacks. First, they contain high quantities of sugar and salt, and have less fiber than eating the equivalent fresh fruit or vegetables whole. Second, a liquid-only diet isn’t advisable, as you could end up starving yourself, since the body needs a minimum amount of protein to function. Small quantities of white meat or pulses are recommended to boost the detox process. And don’t rely on a soup + herbal tea + yogurt combination for your evening meal, as this can favor water retention. However, drinking lots of water (1.5l per day) is recommended.
Massage can help flush out toxins
TRUE. Massages in the abdominal region — home to three groups of emunctory organs: the liver, the kidneys and the intestines — can help flush out toxins. But lymphatic drainage is even more effective, promoting blood circulation and helping the lymphatic system to drain out waste substances which aren’t filtered out by blood.
If you live in the city, you might want to make sure you take your vitamins. A study from Columbia University found that B vitamins reduce changes to the epigenome — the chemicals that regulate and direct genes — caused by air pollution.
The study reveals even small amounts of the vitamins could counteract the damage caused by tiny, toxic pollutant particles called PM2.5, which include toxins such as sulfate and black carbon. These pollutants are often deposited in the respiratory tract resulting in inflammation in the lungs and throughout the body.
According to the World Health Organization, about 92 percent of the world’s population lives in areas where pollution is higher than safety levels set by the WHO. The U.S. also has pollution problems. The American Lung Association says that 47 percent of Americans live in areas that often have dangerously high levels of pollution.
“The molecular foundations of air pollution’s health effects are not fully understood,” said Dr. Andrea Baccarelli. “Our study launches a line of research for developing preventive interventions to minimize the adverse effects of air pollution.”
For the study, researchers gave adult volunteers a B-vitamin supplement (2.5 mg of folic acid, 50 mg of vitamin B6, and 1 mg of vitamin B12) or a placebo daily for four weeks. Participants were healthy non-smokers, 18 to 60 years old, who were not taking any medicines or vitamin supplements. They were then exposed to pollution particles.
Blood tests showed that levels of B vitamins increased significantly in those taking the supplements. Tests also found that while the PM2.5 pollutants can turn off cells in the immune system, supplementing with B vitamins limited their effect by up to 76 percent.
“As individuals, we have limited options to protect ourselves against air pollution,” said Baccarelli. “Future studies, especially in heavily polluted areas, are urgently needed to validate our findings and ultimately develop preventive interventions using B vitamins to contain the health effects of air pollution.”
The study’s results are published in the journal Proceedings of the National Academy of Sciences (PNAS).
Parents, take courage. If you survive the sleep deprivation, toddler tantrums and teenage angst, you may be rewarded with a longer life than your childless peers, researchers said Tuesday.
Fathers gained more in life expectancy than mothers, a team wrote in the Journal of Epidemiology & Community Health — and particularly in older age.
“By the age of 60, the difference in life expectancy… may be as much as two years” between people with, and those without, children, they concluded.
Researchers tracked the lifespan of men and women born between 1911 and 1925 and living in Sweden — more than 1.4 million people in total.
They also gathered data on whether the participants were married and had children.
Men and women with at least one child had “lower death risks” than childless ones, the team concluded.
“At 60 years of age, the difference in life expectancy was two years for men and 1.5 years for women” compared to peers with no kids, the researchers wrote.
By age 80, men who fathered children had a remaining life expectancy of seven years and eight months, compared to seven years for childless men, said the team.
For mothers, life expectancy at 80 was nine years and six months, while for childless women it was eight years and 11 months.
The study merely pointed out a correlation, and cannot conclude that having children is the cause of the life expectancy gains, the researchers admitted.
But they theorised that parents may benefit from social and financial support from their children in older age, which childless people lose out on.
It could also be that childless people live unhealthier lifestyles than parents do.
The association between having children and longer life was found in married and unmarried people, but appeared to be strongest in single, older men, said the study.
This could be because unmarried men relied more heavily on their offspring in the absence of a partner.
The study did not echo previous research which found that having daughters is more beneficial for longevity than sons.
Fewer and fewer people are having children in Sweden at the same time as older people are spurning old age institutions to receive care at home — often by their children.
“Therefore, to further investigate health and survival consequences for childless older individuals is of importance,” wrote the team.
Type 2 diabetes in the United States has tripled since the 1980’s, where researchers have estimated that one in three Americans will have diabetes by 2050. More than one-third of American adults are obese and one in three Medicare dollars are spent on issues relating to diabetes. Unfortunately, these numbers continue to increase.
The sequence of health complications associated with insulin resistance, obesity and diabetes are characterized as the underlying cause of the majority of heart disease, cancer and premature death in the world. According to research, however, these conditions are preventable and reversible. Type 2 Diabetes is associated with the following chronic illnesses and diseases:
Both obesity and diabetes are preventable and reversible with proper lifestyle changes and a balanced diet and nutrition. On average, people consume approximately 152 pounds of sugar and 146 pounds of flour every year. The consumption of food high on refined sugar and flour can have a drastic effect on a person’s overall health and wellness.
When you remove foods that are causing disease from your diet and exchange them for nutritious foods, disorders such as diabetes, can be reversed, even in patients with obesity. The following seven strategies can be implemented every day with patients to prevent, treat and reverse insulin resistance, obesity and type 2 diabetes without the use of drugs and surgery:
5 to 5 grams of PGX, a unique type of fiber that controls appetite and blood sugar, before each meal with eight ounces of water
200 � 600 mcg of chromium polynicotinate or picolinate
600 mg of alpha lipoic acid twice daily
2,000 IUs or more of vitamin D3 (Thorne Research)
One to two grams of omega 3 fatty acids (Tuna Omega by Standard Process)
A high-quality multivitamin/mineral (Basic Nutrients by Thorne Research)
Get the proper nutrients.�Taking supplements can make your cells be more sensitive to insulin while increasing their effectiveness to metabolize sugar and fat in the body. Together with varies lifestyle changes and a proper diet, these can help the individual balance their blood sugar as well as prevent or reverse diabetes.
Stock up on whole, unprocessed foods. Whole, unprocessed foods can help balance blood sugar levels, reduce inflammation and oxidative stress as well as improve your liver detoxification, to prevent or reverse insulin resistance and diabetes. Choosing a variety of colorful fruits and vegetables known to have a low to moderate glycemic index, and foods rich in omega-3 fats, coconut butter and olive oil, legumes, nuts and seeds, can help promote a healthy metabolism, reverse insulin resistance and diabetes, even slow down aging and age-related diseases, such as heart disease.
Cut the Sugar.�Consuming foods and beverages with refined sugars and carbohydrates can create high levels of insulin, which can eventually lead to insulin resistance and type 2 diabetes. Among the many complications associated with chronic, elevated levels of insulin, inflammation, high blood pressure, poor sex drive, increased risk for cancer and depression can also occur. The most important thing you can do to reduce your risk of obesity and type 2 diabetes is to reduce or eliminate sugar from your diet.
Get the right exercise.�Participating in physical activity or exercise can have tremendous benefits for your overall well-being. Effective exercise can help balance blood sugar and lower insulin levels. The goal is to walk or perform any other cardio activity for 60 minutes, up to six times a week, although even 30 minutes of physical activity can help. Studies show high-intensity interval training can also benefit type 2 diabetes and obesity. Best of all, you can do these in only a few minutes a day.
Get sufficient sleep. Lack of sleep or poor sleep can affect your metabolism, may spike sugar and carb cravings, can increase your appetite, and may even increase of developing several diseases, including Type 2 diabetes. One study found that even a partial night�s poor sleep could induce insulin resistance. Therefore, sleeping properly should be a priority. Create a sleep ritual that includes turning off the T.V. in the bedroom, herbal therapies consisting of aromatherapy with essential oils, soaking in warm bath with 2 cups of Epsom salts and essential oils and creating total darkness and quiet.
Control stress levels.�With chronic stress, our levels of insulin, cortisol, and inflammatory compounds called cytokines all increase. This can trigger a metabolic dysfunction that leads to weight gain, insulin resistance, and eventually, type 2 diabetes. The connection between stress, weight gain, mental disorders, and blood sugar imbalances show that managing stress is a critical component when managing obesity and diabetes. You can�t eliminate stress, but you can learn to control it. Meditation, deep breathing exercises, yoga, massage, laughing, and dancing are among the best ways to manage stress and reverse type 2 diabetes.
Journal Your Results. Research shows that people who track their results lose twice as much weight and do twice as well. Begin by getting a journal to track your progress. That could be as simple as a pad of paper, a notebook, a spreadsheet in your computer, or anything that is convenient and works for you. You should track: what you eat; the baseline of all measurements, weight, waist size, body mass index, or BMI; daily blood pressure (optional); and daily glucose readings (if diabetic). Many patients become inspired to stay on task when they begin to see their results on paper.
Every year in the United States, 1 million people are diagnosed with diabetes. Diabetes is known to be the 7th leading cause of death. The good news is that this statistic can be changed according to new research. Diabetes is no longer inevitable. You can prevent and reverse type 2 diabetes.
Research studies have demonstrated that developing type 2 diabetes occurs as a result of environmental factors, such as how you eat, chemical exposure and stress management, among others. When you eliminate these negative factors, the pancreas has the ability to heal and cells will regain insulin sensitivity. This is ultimately fundamental considering that diabetes is responsible for a host of debilitating illnesses such as: Peripheral neuropathy; heart disease and stroke; kidney disease and kidney failure; and alzheimer’s disease.�
Type 2 diabetes affects many individuals in the United States and it’s often considered to be the underlying cause of heart disease and other diseases. According to new research studies and evidence, diabetes can be prevented and reversed by following several important life changes and a proper nutrition.
For more information, 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.
As a team physician for the St Louis Cardinals during their 2011 World Series Championship season, I learned a lot about the importance of players taking care of themselves firsthand. I would see players preparing themselves both mentally and physically for the game ahead. Kids look up to these players and emulate them. Major League Baseball (MLB) recognizes this and wants their youth players to be healthy and play as safely as possible. This is why MLB took time, energy, and resources, to determine what would be best for today�s young pitchers. Below is a snapshot of what the MLB and the American Sports Medicine Institute (ASMI) found as risk factors for the young pitcher. It�s recommended that these guidelines be followed by coaches, parents, and players.
The MLB Pitch Smart guidelines provide practical, age-appropriate parameters to help parents, players, and coaches avoid overuse injuries and encourage longevity in the careers of young pitchers.
It was found that specific risk factors were seen as creating a higher incidence of injuries. According to the ASMI, youth pitchers that had elbow or shoulder surgery were 36 times more likely to regularly have pitched with arm fatigue. Coaches and parents are encouraged to watch for signs of pitching while fatigued during their game, in the overall season, and during the course of the entire year.
The ASMI also found that players that pitched more than 100 innings over the course of a year were 3.5 times more likely to be injured than those who did not exceed the 100 innings pitched mark. It�s important to note that every inning counts. Games and showcase events should count toward that total number of 100.
Rest is key. Overuse on a daily, weekly, and annual basis is the greatest risk to a young pitcher�s health. Numerous studies have shown that pitchers that throw a greater number of pitches per game, as well as those who don�t get enough rest between outings, are at a greater risk of injury. In fact, in little league baseball, pitch count programs have shown a reduction in shoulder injuries by as much as 50% (Little League, 2011). Setting limits for pitchers throughout the season is vitally important to their health and longevity in the game.
Pitching with injuries to other areas of the body will also affect a player�s biomechanics and change the way he delivers his pitch. An ankle, knee, hip, or spinal injury can cause changes in the biomechanics of how a player throws and will put more stress on his arm. Be cautious with these injuries, because at times the changes in the mechanics of the player can be very subtle; however, they can cause a significant amount of strain on a player�s pitching arm.
For best results for your youth baseball player�s longevity in the sport and keeping a healthy arm for seasons to come follow the MLB�s pitch count and required rest guide.
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3 Common Shoulder Sports Injuries
The shoulder is the most mobile joint in the body, which also makes it prone to injury. If you�re an athlete, taxing your shoulder over time with repetitive, overhead movements or participating in contact sports may put your shoulder at risk for injury.
There are several nonsurgical and surgical options available to treat labrum tears in the shoulder.
These are three common shoulder injuries caused by sports participation:
1. SLAP Tear
This is a tear to the ring of cartilage (labrum) that surrounds your shoulder’s socket. A SLAP tear tends to develop over time from repetitive, overhead motions, such as throwing a baseball, playing tennis or volleyball, or swimming.
Athletic performance decreases. You have less power in your shoulder, and your shoulder feels like it could �pop out.�
Certain movements cause pain. You notice that pain occurs with certain movements, like throwing a baseball or lifting an object overhead.
Range of motion decreases. You may not throw or lift an object overhead like you used to, as your range of motion decreases. You may also find reaching movements difficult.
Shoulder pain you can�t pinpoint. You have deep, achy pain in your shoulder, but you can’t pinpoint the exact location.
It�s common to experience shoulder instability if you�re an athlete. This injury can occur if you�re participating in contact sports, including football or hockey, or ones that require repetitive movements, like baseball.
Shoulder instability happens when your ligaments, muscles, and tendons no longer secure your shoulder joint. As a result, the round, top part of your upper arm bone (humeral head) dislocates (the bone pops out of the shoulder socket completely), or subluxates (the bone partially comes out of the socket).
Dislocation is characterized by severe, sudden onset of pain; subluxation (partial dislocation) may be accompanied by short bursts of pain. Other symptoms include arm weakness and lack of movement. Swelling and bruising on your arm are visible changes you may also notice.
This is another injury commonly seen in athletes participating in repetitive, overhead sports, including swimming and tennis. Rotator cuff injuries are typically characterized by weakness in the shoulder, reduced range of motion, and stiffness.
Being aware of these injuries and knowing their symptoms may encourage you to seek medical treatment sooner; early treatment intervention could result in a better outcome and earlier return to sports.
There�s nothing more frustrating for an athlete than sitting injured on the sidelines watching others compete. Although there�s not one foolproof way to stop shoulder pain from occurring, there are several tips that may help prevent it from starting or getting worse.
If you notice shoulder pain during certain activities, say while throwing a baseball or swimming, stop that activity for a period of time and find an alternative exercise, such as riding a stationary bike. Doing so can give your shoulder some time to rest and heal, while maintaining your cardiovascular fitness.
At the same time, don�t eliminate all shoulder movement. This is because you don�t want to develop a stiff shoulder from infrequent use. Consider doing some mild stretches to keep your arm moving.
2. Change Your Sleeping Position
If you notice pain in your right shoulder, don�t sleep on your right side. Try sleeping on your left side or back instead. If sleeping on your back irritates your shoulder, try propping your arm up with a pillow.
3. Warm Up
Exercising cold muscles is never a good idea. Before practicing your volleyball serve or baseball pitch, warm up your body with mild exercise. For example, start walking for a few minutes and gradually build up to a jog. Doing so raises your heart rate and body temperature and activates the synovial fluid (lubricant) in your joints.1 In other words, a mild warm up gets your body ready for the intense workout that follows.
4. Build Up Your Endurance
It�s a good idea to increase your endurance over time. If it�s been a few weeks or months since you�ve hit the tennis court, consider playing for a short period of time�maybe just 20 minutes to start�and build up to a longer period of playing time. Don�t fall into the trap of doing too much too soon, especially when your body is not used to it.
Strengthening your shoulder muscles can help provide support and stabilization to your shoulder joint. This, in turn, may prevent painful injuries like a shoulder dislocation, which is when the ball of your shoulder comes out of its socket.
Speak to your doctor before starting a strengthening program. They can suggest exercises to perform or may recommend working with a physical therapist.
6. Cross-Train
Some sports are particularly taxing on the shoulder due to repetitive, overhead movements. So you may want think about cross-training. If you�re a swimmer, for example, alternate some of your swimming workouts with a running or biking workout to reduce the stress on your shoulder, while still staying physically fit.
Alternatively, if you�re a painter or construction worker�two occupations commonly associated with repetitive, overhead movements�talk to your boss and ask if there are other non-repetitive tasks you can take on.
Above all, listen to your body and be proactive. You may need to make some adjustments to workout or daily routine to help prevent further damage down the road. It may also be worth getting your doctor�s input, even if you think you�ve got a minor injury. Catching injuries or discomfort early may help keep you in the game and prevent painful injuries down the road.
Being aware of sports�injuries and knowing their symptoms may encourage you to seek medical treatment sooner as early treatment intervention could result in a better outcome and earlier return to sports.�For Answers to any questions you may have please call Dr. Jimenez at
You know exercise is good for you, but if you’re over 65, which is best? A study from Mayo Clinic found that high-intensity aerobic exercise can actually reverse aging on a cellular level.
High-intensity aerobic exercise — or cardio — includes running.
Mayo researchers compared high-intensity interval training (HIIT), resistance training and combined training in a 12-week study. They monitored molecular and metabolic changes in adults divided into age groups of between 18 and 30 and between 65 and 80.
All types of training improved lean body mass and insulin sensitivity, but only high-intensity and combined training improved aerobic capacity and mitochondrial function in skeletal muscle.
Mitochondria are tiny energy-producing structures inside cells. They change with age and activity, and tend to decrease, both in content and function, as we grow older. One result is we have less energy.
In the study, high-intensity interval training also improved muscle protein content that not only allowed cells to create more energy, but to also cause muscles to get bigger, especially in older adults.
The ability of the mitrochondria to generate energy was increased by 69 percent among the seniors and by 49 percent in the younger group.
“We encourage everyone to exercise regularly, but the take-home message for aging adults that supervised high-intensity training is probably best, because, both metabolically and at the molecular level, it confers the most benefits,” says Dr. K. Sreekumaran Nair, a Mayo Clinic endocrinologist and senior researcher on the study.
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, the medical journal of the American Academy of Neurology.
