Category Archives: medication

Move more to fight depression …and diabetes

depression. mental health, happy, mood, healthWhen most people start an exercise program, they may be trying to do one of a few things. Most people move more to lose weight, some exercise to gain muscle, and some just want to tone up. However, the benefit from exercise that most may not think of is improved mood. A recent study shows that moving more each day may have prevent depressive symptoms. Not to mention, that research also shows that preventing or improving such symptoms can help improve health outcomes in those with diabetes.

What is depression?

Depression is a mood disorder that can greatly impact daily life. It can make daily activities seem impossible by impacting the way you feel, think, sleep, eat, and work. There are various forms of depression such as persistent depressive disorder, which involves symptoms lasting two years or more.

On the other hand, there are forms of depression that occur as a result of certain environmental changes such as in climate like with seasonal affective disorder, or after pregnancy like with postpartum depression. Some people with depression may also experience other serious mood symptoms like with bipolar disorder or psychotic depression.

No matter what type of depression a person may have, they all share certain serious symptoms for more than two weeks at a time that may include:

  • persistent “empty” mood or sad feelings
  • irritability
  • hopelessness
  • loss of interest in hobbies or daily activities
  • decreased energy or fatigue
  • restlessness
  • moving or talking more slowly
  • difficulty concentrating
  • trouble sleeping or eating
  • digestive problems or headaches without a medical cause
  • thoughts of death or suicide

Not everyone with depression experiences every symptom. However, if you have a few of these symptoms and you feel that daily life has become hard to handle, then it may be time to reach out to a healthcare professional for help.

Antidepressant medications and psychotherapy, like talk therapy are typical primary treatments for depression. However, if these treatments alone are not helping all of your symptoms, then there are some other things you can try. Experts suggest asking for help from a trusted friend, family member, or counselor as well as taking steps to take part in your community for social support.

Another treatment option is to join a study through the National Institutes of Health where new treatments will be tested. If you need help now, then reach out to someone today for advice through one of the resources found on this website. Exercise can also be something you can do now to help improve your depressive symptoms.

Exercise and depression research 

The American Heart Association suggests that most adults exercise at least 150 minutes a week. This means that for most days of the week, you should move at least thirty minutes a day. This doesn’t have to be all at once, but can be a few minutes at a time. And this exercise should be at a moderate pace. Therefore, if you walk briskly for a few minutes here and there for a total of thirty minutes a day, then you can keep your heart strong. Not only that, but you can also keep your mind healthy too.

A recent study shows that exercise may help improve depressive symptoms. This study looked at data from over 600000 adults. Study results show that there is a protective relationship between exercise and risk for major depressive disorder. And what makes this finding stronger is that this data was taken from actual measured movement, not self-reported exercise. Therefore, experts suggest that exercise could be an effective adjunct strategy to help treat and prevent depressive symptoms.

Exercise and diabetes research

If you exercise to help improve your depressive symptoms, you could also help improve your diabetes risk. Experts report that depressive symptoms correlate strongly with a risk of incident diabetes. A study of data from the Women’s Health Initiative (WHI) looked at whether positive behavior could help lower risk of type 2 diabetes in postmenopausal women.

The study looked at data from over 100000 women over 14 years. Study results show that those who were the most optimistic had a 12-percent lower risk of developing diabetes versus those in the lowest quartile of optimism. Also, those who showed more hostile and negative behaviors, were at higher risk of developing type 2 diabetes. Therefore, prevention strategies to help target such negative mood and personality traits may help lower risk of type 2 diabetes in these persons.

Take home message

If you suffer from depression, then there are many steps you can take to help improve your quality of life. The first step is to ask for help.  I know this is not an easy ask, but there are many resources out there where people want to help you take back your life.

And if you have diabetes, it may be worth it to be screened for depression to see if such strategies listed above may help you not only feel better in your mind, but also help improve your diabetes symptoms.

Changes in diet such as consuming more antioxidant-rich foods and taking supplements such as Elevia by Vita Sciences may also help. Elevia contains GABA and 5-HTP to help calm your mind and boost serotonin levels. This could be another tool in your belt to help you improve your depressive symptoms and start feeling better inside and out.

-written by Staci Gulbin, MS, MEd, RD

References:

American Heart Association (last reviewed April 18, 2018) “American Heart Association Recommendations for Physical Activity in Adults and Kids.”

Choi KW, Chen C, Stein MB, et al. (Published online January 23, 2019) “Assessment of Bidirectional Relationships Between Physical Activity and Depression Among AdultsA 2-Sample Mendelian Randomization Study.” JAMA Psychiatry, doi:10.1001/jamapsychiatry.2018.4175

National Institute of Mental Health (February 2018) “Depression.”

Sandoiu, A. (January 27, 2019) “Diabetes: How optimism may influence your risk.” Medical News Today, https://www.medicalnewstoday.com/articles/324297.php

 


  • Could fish oil lower your risk of stroke?

    fish oil. stroke, healthy fat, health, heart healthStroke continues to be one of the top ten leading causes of death in the United States.  And even if a person survives a stroke, they may face permanent disability from a stroke. In turn, having a stroke could greatly impact a person’s quality of life. This is why it’s so important to keep learning more about how this disease can be prevented. A recent study shows that taking a fish oil supplement each day may help lower risk of stroke.

    What is stroke?

    Stroke is a form of vascular disease that affects the arteries to and within the brain.  A stroke occurs when these vessels become blocked by a clot or bursts. A stroke caused by a blockage is called an ischemic stroke. On the other hand, a stroke called by a ruptured vessel is called a hemorrhagic stroke.

    Since these arteries normally carry oxygen and blood to the brain, this blockage can be deadly. If the brain, or the control center of your body, doesn’t receive oxygen or nutrients, then brain cells can die. This in turn can wreak havoc all over your body.

    Depending on what area of the brain the stroke occurs, different complications can occur. A right brain stroke can cause paralysis on the left side of the body, vision problems, and memory loss. On the other hand, a stroke on the left side of the brain can cause paralysis on the right side of the body, speech problems, and memory loss.

    Either way, these complications can greatly affect quality of life. However, by taking care of your heart health, you can lower your risk of stroke.

    What is fish oil?

    Fish oil is a supplement that contains omega-3 fatty acids. Two of the primary long-chain omega-3 fatty acids in fish oil supplements are DHA, or docosahexaenoic acid, and EPA, or eicosapentaenoic acid.  These fatty acids are marine-based, hence fish oil supplements.

    The omega-3 fatty acids are polyunsaturated fatty acids (PUFA) are well-known for their role in heart health. Study results show that fish oil works well as a supportive treatment, along with statins, to help lower heart disease risk. The average fish oil supplement provides about 1000 milligram of fish oils, containing about 180 mg EPA and 120 mg DHA or more.

    An example of a high quality fish oil supplement is the formula developed by Vita Sciences. This fish oil by Vita Sciences contains 400mg of EPA and 300mg of DHA in a 1000 milligram fish oil supplement.

    Stroke and fish oil research

    A recent study analyzed data from about 55,000 people enrolled in the Danish Diet, Cancer and Health study. They completed dietary surveys and had baseline adipose tissue analysis completed. Then, the individuals had follow-up assessments after 13.5 years to check for ischemic stroke status events, if any.

    Study results show that those with higher adipose tissue content of EPA showed a lower risk of total ischemic stroke.  Also, lower rates of large artery atherosclerosis were seen with higher intakes of total marine n-3 PUFA, EPA, and DHA.

    Other ways to reduce stroke risk

    Besides taking a fish oil supplement each day, here are some other ways you can lower your stroke risk.

    • Quit smoking if you already do. This is because smoking can constrict blood vessels. This, in turn, can raise blood pressure and increase risk of stroke.
    • Maintain heart health by keeping blood pressure and cholesterol levels in a healthy range. You can do this by eating a diet rich in fiber and antioxidant-rich fruits and vegetables, lean proteins, and healthy fats. Also, be sure to move more on a regular basis to keep your heart muscle strong and maintain a healthy weight.
    • Keep your blood glucose levels in a healthy range. This is because those with diabetes are at higher risk for heart health issues than those without diabetes.
    • Visit your doctor regularly. By having your labs done at least yearly (or more often if you have a chronic disease risk), you can track your progress. Early detection of heart health issues can help lower your risk of stroke.

    -written by Staci Gulbin, MS, MEd, RD

    References:

    American Stroke Association (accessed January 23, 2019) “About Stroke.”

    Centers for Disease Control and Prevention (last reviewed November 28, 2017) “Stroke.” https://www.cdc.gov/stroke/index.htm

    Harvard T.H. Chan School of Public Health (accessed January 23, 2019) “Omega-3 Fatty Acids: An Essential Contribution.” https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/fats-and-cholesterol/types-of-fat/omega-3-fats/

    Hughes, S. (January 17, 2019) “Fish Oil, Particularly EPA, Linked to Reduced Ischemic Stroke.” https://www.medscape.com/viewarticle/907950

    National Institutes of Health Office of Dietary Supplements (last updated November 21, 2018) “Omega-3 Fatty Acids.”

    Office of Disease Prevention and Health Promotion (last updated October 29, 2018) “Reduce Your Risk of Stroke.”


  • Could a Mediterranean diet improve your brain health?

    heart, cardiovascular, brain, heart healthy, omega-3, vessel, cholesterol, diabetesYou can’t talk about a heart healthy lifestyle without at least referring to the Mediterranean diet. That’s because this Greek-style eating plan is full of heart healthy foods and other healthful tips. But did you know that this diet is also good for brain health? Recent research shows that certain nutrients found in the Mediterranean diet can help with brain health aging in older adults.

    What is the Mediterranean diet?

    The Mediterranean diet is a heart healthy diet based on healthy fats like olive oil. Along with olive oil, healthy fat-containing foods like fatty fish, avocado, olives, nuts, and seeds make up the largest portion of the diet. The omega-3 fatty acids in these foods can help lower blood fats, also known as triglycerides. In addition, these fats can also help improve blood pressure and blood vessel health.

    The majority of foods in this eating plan are plant-based. In other words, this means eating plenty of antioxidant-rich fruits and vegetables. These foods will also provide fiber and important nutrients like potassium, magnesium, and vitamins C and E. This also means switching to whole grains if you’re going to eat breads or pastas.  Also, it encourages consuming fiber and protein-rich plant foods like beans, peas, nuts, and seeds.

    Other eating guidelines of this diet include limiting whole-fat dairy products, red meat, processed foods, and foods high in sodium. This eating plan also encourages use of spices to flavor food instead of using table salt.  Finally, to maintain a balanced healthy lifestyle, this diet encourages exercise and eating meals with family and friends.

    Mediterranean diet and brain health

    A recent study looked at healthy, older adults and how a Greek-style diet affected brain health. MRI scans and cognitive function tests measured brain health. These tests were done throughout the study and two years after the study to assess the diet’s impact on brain health.

    The researchers focused on 32 nutrients found in this diet. These nutrients included folate, vitamin B12, riboflavin, and vitamin D. Also, the researchers looked at antioxidants found in the Greek-style diet like omega-3 fatty acids, lycopene, and carotenoids. Study results show that such nutrients, along with omega-6 fatty acids, were involved in biomarker patterns. Also, those people who ate foods with such nutrients had better results on cognitive function tests of general intelligence, memory, and executive functions like attentional and inhibition control.

    Take home message

    So, if the heart healthy benefits of this eating plan haven’t convinced you to go Greek-style in your eating, hopefully the brain health factors did. This is because this diet has shown time and again that it ranks on top for health benefits.  Therefore, take small steps towards such an eating plan. You can do this by starting to eat more vegetables one day. Then maybe trying new recipes that use olive oil to roast or stir-fry those vegetables. Finally, you can add in nuts and/or seeds as snacks for even more healthy fats and fiber.

    If you feel like a supplement would help you at first, then try an omega-3 fatty acid supplement. An example of a high quality omega-3 fatty acid is the fish oil supplement by Vita Sciences. This fish oil supplement contains a healthy balance of EPA and DhA, which are two important omega-3 fatty acids for brain health. Not to mention that this supplement is burpless and ensures optimal purity.

    Therefore, if you’re thinking about starting a healthy lifestyle this new year, consider the Greek-style diet. Not only will it help you work towards just about any health goal you have, but it will taste fresh and delicious in the process.

    References:

    Mayo Clinic (November 3, 2017) “Mediterranean diet: A heart-healthy eating plan.”

    Paddock, Ph.D., C. (December 21, 2018) “Mediterranean diet nutrients tied with healthy brain aging.” Medical News Today.

    Romagnolo, D. F., & Selmin, O. I. (2017). “Mediterranean Diet and Prevention of Chronic Diseases.” Nutrition today52(5), 208-222.

    Zwilling, C.E., Talukdar, T., Zamroziewicz, M.K., and Barney, A.K. (March 2019) “Nutrient biomarker patterns, cognitive function, and fMRI measures of network efficiency in the aging brain.” NeuroImage, Volume 188, 239-251.


  • Do you have good metabolism? If not, try this

    metabolism, health, weightNow if you’ve ever tried to lose weight, which many of us have, then I’m sure you’ve heard the term metabolism. Usually you are told you either have “good” or “bad” metabolism. The only thing you may be sure of is that if you have a “bad” one then it will be harder for you to lose weight. But have you ever wondered what exactly this term means? If so, read below for some background on metabolism and a surprising look into how many of us have metabolic issues and what to do about it.

    What is metabolism?

    Metabolism is simply the way your body breaks down foods and uses them for energy. As you grow older, your metabolic rate naturally slows down. Not only that, but natural aging also leads to reduced levels of lean muscle mass. In turn, this will cause a further drop in your metabolic rate.

    Metabolic health and inflammation

    Besides aging, research is starting to see a possible connection between inflammation and metabolic health.  Evidence shows that regulators of the immune system and metabolic interactions include genetics and gut health. Inflammation and metabolic signals may also be closely related. Therefore, further research is warranted to see if an anti-inflammatory approach may be effective in treatment of insulin resistance and other metabolic-related health issues.

    What is good metabolic health?

    Having a “good” metabolic health means that you have healthy levels of the following five measures without the help of medication.

    • Fasting blood glucose: should be at or below 100 mg/dL
    • Triglycerides: should be at or below 150 mg/dL
    • High density lipoprotein (HDL) cholesterol, or “good” cholesterol: should be at or above 40 mg/dL for men or 50 mg/dL and above for women
    • Blood pressure: should be at or under 120 mm Hg systolic pressure over 80 mm Hg diastolic pressure
    • Waist circumference: should be less than 35 inches for women and less than 40 inches for men

    Any of these measures above the healthy ranges would indicate a less than optimal metabolic health. This in turn could put your at risk for conditions such as type 2 diabetes and heart disease.

    The metabolic state of the union

    A recent report looks at the latest results of the U.S. National Health and Nutrition Examination Survey. The report looked at data from between 2009 and 2016 of about 8700 adults. This study is used often to look at data trends that represent the average U.S. population.

    Current data results reveal that only about 12-percent of the U.S. population has “good” metabolic health. Factors linked with “good” metabolic health include being physically active, younger, and a non-smoker, among other things. Obesity was a leading factor of “poor” metabolic health, with less than 1-percent of those who are obese being considered of “good” metabolic health.

    How can I improve my metabolic health?

    By looking at what increases risk of metabolic health issues, then you can see what lifestyle changes can help. Here is a list of some healthy lifestyle behavior changes you can make to help improve your metabolic health.

    • Exercise often: Stay active as much as possible with both cardio and strength training. This will help you to maintain muscle mass and heart health.
    • Eat a healthy, balanced diet: Try to consume a heart healthy diet full of antioxidant and fiber-rich fruits and vegetables as well as lean proteins and plenty of water. Be sure to portion out food into appropriate servings throughout the day to prevent eating too many calories daily. Also, limit processed food intake such as packaged snacks, meals, and sugary drinks and snacks. This will also help to lower your total calorie and sugar intake that can impact metabolic health.
    • Manage your weight: Diet and exercise, along with sleeping at least seven hours a night and managing stress can help manage your weight. Since obesity is a risk factor for poor metabolic health, managing weight can improve your metabolic health.
    • Quit smoking or don’t start: Since being a non-smoker is a marker for “good” metabolic health, then quitting smoking if yo smoke would help improve your metabolic health.
    • Take supplements when necessary: If you have any nutrient deficiencies, then this could impact your energy or ability to be at your best. Therefore, in some cases, a supplement such as Glucarex by Vita Sciences may be helpful. Glucarex contains natural ingredients like chromium, alpha lipoic acid, and cinnamon to help naturally support weight loss as well as healthy metabolism and blood glucose levels.
    • Visit your healthcare provider often: If you visit your doctor at least once a year to check your lab numbers, then you can better track your progress. This can help yo to catch any unhealthy trends in lab values early before they cause any major health issues.

    References:

    1. NIH News in Health (July 2015) “Minding Your Metabolism.”
    2. Medline Plus (April 23, 2018) “Can you boost your metabolism?” https://medlineplus.gov/ency/patientinstructions/000893.htm
    3. HealthDay (December 4, 2018) “Few Americans Have Optimal ‘Metabolic Health.'”
    4. Zmora, N., Bashiardes, S., Levy, M., and Elinav, E. (March 2017) “The Role of the Immune System in Metabolic Health and Disease.” Cell Metabolism, 25(3): 506-521.
    5. Johns Hopkins Medicine (accessed December 12, 2018) “Metabolic Syndrome.”

     

     


  • Nuts can be your heart’s best friend

     

    From peanuts to pistachios, or almonds to macadamias, nuts can be a delicious, healthy snack any time of day. Nuts provide a plant-based food full of fiber, protein, and antioxidants that can add flavor and health to any dish. Not only that, but research shows that adding nuts to your daily routine can improve heart health and weight management, to name a few health benefits. Let’s learn a little more about nuts and how you can make them a staple in your healthy lifestyle routine.

    About nuts and heart health

    Nuts are a plant-based food that for many years was avoided by many due to its high calorie content. However, research now shows that this calorie dense food is also nutrient dense and could benefit heart health. This is due to the healthy mixture of unsaturated and omega-3 fats as well as protein and fiber.

    The highest protein nuts are almonds, and pistachios at about 6 grams per ounce. Cashews are not far behind at five grams of protein per ounce. When it comes to fiber, almonds, pistachios, pecans, and hazelnuts top the list of tree nuts at 3 grams of fiber per ounce. Furthermore, pecans and walnuts provide the most omega-3 fatty acids of the tree nuts at 278 and 2565 milligrams of omega-3 fatty acids, respectively.

    Nuts and metabolic health

    Two recent studies looked at the health benefits of adding nuts to your daily routine. The first study looked at the impact of nut intake on weight gain. Study results show that by replacing a serving of unhealthy food with an ounce of nuts, a person could lower risk of weight gain and obesity. Such unhealthy foods that could be replaced include red meat, processed meat, French fries, desserts, or potato chips. Research suggests that by doing this you could help counteract the gradual weight gain many adults have with aging. This in turn could help reduce risk of obesity-related conditions like heart disease and diabetes.

    A second study looked at the impact of Brazil nut intake on overall health in healthy people. People in the study groups were given either a serving of Brazil nuts or pretzels with similar calorie and sodium content. Study results show that those given the Brazil nuts had an increased feeling of fullness. Also, nut intake prevented an increase in blood glucose and insulin levels after eating. These increases occurred with those eating pretzels about forty minutes after eating. Researchers suggest that this positive metabolic impact of Brazil nuts is likely due to its rich selenium content.

    Other ways to improve metabolic health

    Besides eating nuts, there are other ways you can help improve your health that include:

    • Sleeping enough at night. Most adults require at least seven to nine hours of sleep each night for your best health. Experts suggest that if you don’t receive enough sleep, your risk for type 2 diabetes can increase. Therefore, if you have trouble sleeping, be sure to visit your healthcare provider for tips. They can also see if you may have pain or sleep apnea that is preventing you from sleeping well.
    • Moving more. Staying active can help you reduce your risk of heart disease or diabetes. It does this by helping you to manage weight and improve insulin resistance. Therefore, try to engage in moderate activity for a total of 30 minutes a day most days. Such activities inlcude walking, biking, swimming, gardening, or other aerobic activity.
    • Managing stress. Stress can sap your energy levels and can also increase blood glucose levels and blood pressure. Therefore, find ways to manage your stress like relaxation breathing, yoga, or talking to a counselor. Also, taking a walk outside can  help refresh your mind so you manage stress better. Make time in your schedule for “me-time” that can help you improve your health.
    • Taking supplements when needed.  If you are B12-, iron-, or vitamin D-deficient, you can feel fatigued. This can make you not feel like being active and healthy. Therefore, be sure to have your nutrient levels checked each year. If you are low, you can take a supplement if needed to put your health on track. An example of such a supplement is Glucarex by Vita Sciences. Glucarex contains compounds like alpha-lipoic acid, cinnamon, and chromium. Along with antioxidant vitamins C and E, this supplement can help support healthy weight loss, metabolism, and blood glucose levels.

     References:

    Harvard Health Publishing: Harvard Medical School (June 2017) “Why nutritionists are crazy about nuts.” https://www.health.harvard.edu/nutrition/why-nutritionists-are-crazy-about-nuts

    Mayo Clinic (September 9, 2016) “Diabetes prevention: 5 tips for taking control.” https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

    National Sleep Foundation (accessed November 13, 2018) “The link between a lack of sleep and type 2 diabetes.” https://www.sleepfoundation.org/sleep-disorders-problems-list/the-link-between-lack-sleep-and-type-2-diabetes

    Sandoiu, A. (November 5, 2018) “Daily serving of nuts may stave off weight gain.” Medical News Today, https://www.medicalnewstoday.com/articles/323577.php

    Today’s Dietitian (accessed November 13, 2018) “Nutritional Profiles of Tree Nuts.” https://www.todaysdietitian.com/pdf/webinars/treenuts/NutritionalProfilesofTreeNuts.pdf

     

     


  • Is there a link between diabetes and depression?

    depression, mental health, anxiety, healthDepression on its own can be a very challenging condition to deal with. This diagnosis not only affects the mind, but can affect the body as well. It can make everyday tasks difficult to deal with such as sleeping, working, and even eating. Because of the effect of depression on eating behaviors, weight gain or loss can occur through appetite changes unrelated to diet.  Not only that, but because of the many lifestyle changes that come with a diabetes diagnosis, depression is seen two to three times more often in such patients than those without diabetes. A recent study looked at how diet and exercise factors can affect the relationship between depression and metabolic syndrome.

    What is depression?

    We all may feel depressed from time to time. However, a diagnosis of depression is a chronic display of such feelings that can affect daily life, relationships, and can cause both psychological and physical symptoms. If the following symptoms occur for two weeks or more, then you should see a doctor for possible diagnosis and treatment of depression.

    • Feeling sad or having a depressed mood
    • Loss of interest in activities once enjoyed
    • Changes in appetite
    • Weight loss or gain unrelated to dieting
    • Trouble sleeping or sleeping too much
    • Loss of energy or increased fatigue
    • Slowed movements and speech
    • Feeling worthless or guilty
    • Difficulty concentrating or making decisions
    • Thoughts of death or suicide

    Conditions related to the thyroid, nutrient deficiencies, or tumors of the brain can mimic symptoms of depression. Therefore, such underlying causes should be ruled out by a qualified healthcare provider.

    Metabolic syndrome and depression

    Metabolic syndrome is the name for a group of risk factors that can increase a person’s risk of chronic diseases like diabetes and stroke.

    • A waist circumference of more than 35 inches for women and 40 inches for men
    • A triglyceride level of 150 mg/dL or higher
    • An HDL cholesterol level of less than 50 mg/dL for women and less than 40 mg/dL for men
    • A blood pressure of 130/85 mmHg or higher
    • A fasting blood sugar level of 100 mg/dL or higher

    Research shows that there is a relationship between those with depression and metabolic syndrome.  A recent study looked at this relationship to see what exactly is causing it. Researchers looked at data from over 64,000 adults. Study results show that those with depression are highly linked to a high fat, high sugar diet regimen and low levels of physical activity.

    Researchers suggest that diet and exercise may link depression and metabolic syndrome. However, they also state that inflammation and genetic factors have a greater causal link between the two conditions. Inflammation can develop as a result of the stress on the brain due to depression that may cause an imbalance in gut microbiome. This link is a theory known as the gut-brain axis. This in turn, could cause inflammation in the body that could increase risk of chronic diseases like heat disease and diabetes.

    How to lower risk of metabolic syndrome

    Besides diet and exercise, you can use the tips below to help lower your risk of metabolic syndrome.

    • Add more fruit and vegetables to your diet: More fruits and vegetables means more antioxidants. And more antioxidants in your diet means more anti-inflammatory power. In turn, you can help reduce inflammation in your body by adding more colorful fiber sources to your plate at each meal.
    • Move more: Exercising at least 30 minutes a day for most days of the week can help you manage your weight. It can also help you manage stress and strengthen your heart. All of these factors can help reduce inflammation in your body and lower chronic disease risk.
    • Stop smoking or never start: Smoking can constrict blood vessels and in turn can increase heart disease risk. Therefore, if you already smoke, visit Smokefree.gov to quit. If you have never started smoking, then don’t. Your body will thank you.
    • Take a daily supplement: If you are deficient in nutrients, then this could put you at risk for conditions like depression that have an inflammatory link.  Certain supplements can also help you gain better control over your blood glucose levels too. Glucarex by Vita Sciences is one such supplement that uses chromium, alpha lipoic acid, and cinnamon to help support weight loss, metabolism, and blood glucose levels.

     

    -written by Staci Gulbin, MS, MEd, RD

    References:

    American Psychiatric Association (January 2017) “What is Depression?”  Physician Review By: Ranna Parekh, M.D., M.P.H.

    Matta J, Hoertel N, Kesse-Guyot E, et al. (2019) Diet and physical activity in the association between depression and metabolic syndrome: Constances studyJ Affect Disord., 244:25-32.

    National Heart, Lung, and Blood Institute (accessed November 6, 2018) “Metabolic Syndrome.”


  • Lower stroke risk with healthy living

    heart, health, stroke, cardiovascular, nutritionIt may seem like common sense that living a healthier lifestyle can lower your disease risk. but what exactly is a healthier lifestyle? With so much information on health and wellness in the media, it can be hard to know what healthy really is. From low carb to keto to fasting, each diet plan claims to be the best and healthiest. However, the healthiest eating regimen is going to be the one that makes your unique body feel its best and that you can stick with for the long term. Not to mention, that being healthy is about more than just diet. Staying active, managing stress, and sleeping well enough are just some behaviors that affect health. Recent research shows that leading a healthier lifestyle can reduce your stroke risk and in turn improve your quality of life.

    What is stroke?

    A stroke occurs when something blocks blood flow to the brain, or when a blood vessel in the brain bursts. As a result, part of the brain can become damage or die. This can lead to brain damage, disability, or death. Therefore, it is important to know if you are at risk for stroke. And if you are, it is important to know what you can do to lower your risk. This is because the brain is vital for such functions as thinking, feeling, breathing, and digestion. So to take care of your whole body health, you need to take care of your brain. And for brain health, you need to take care of your body in many ways. This is where healthy living comes in.

    Stroke risk and healthy living

    A 7-year research study looked at the impact of different lifestyle measures on stroke risk. Also, researchers looked at 90 gene variants in this group of over 300,000 people to determine their stroke risk. The stroke rate was 35-percent higher for those with a higher gene score versus one with a lower score. And when researchers looked at lifestyle factors, those who were healthier had a 66-percent lower risk of stroke than those who had an unhealthy lifestyle. In this study, those considered to have a healthy lifestyle were those that:

    • did not smoke.
    • were not overweight.
    • engaged in regular exercise.
    • consumed a diet rich in fruits, vegetables, and fish.

    Furthermore, those who had a high genetic score and were considered unhealthy had a stroke risk score nearly double than that of those with the lowest scores and healthiest lifestyles.

    Ways you can live your healthiest life

    Besides eating right, staying active, and not smoking, there are several other things you can do to stay your healthiest.

    • Sleep enough each night: Research shows that short or too long sleep patterns as well as insomnia with short sleep patterns, can increase risk of stroke. Therefore, be sure to find a happy balance in your sleep time. the National Sleep Foundation recommends that most adults sleep seven to nine hours each night. If you find you are having trouble sleeping, it may be helpful to visit your doctor for treatment. They could recommend a sleep study done to identify any health issues that could be disturbing your sleep.
    • Manage stress: Stress affects all of us to some degree. However, too much stress can have an impact on your heart health. Therefore, be sure to manage your stress with some relaxation breathing, meditation, yoga, or talking to a counselor each week.
    • Visit your doctor regularly: It’s important to visit your doctor at least once a year to check your numbers. Your numbers include cholesterol, triglycerides, blood glucose levels, blood pressure, and body weight. These numbers can help identify any heart health risk factors you may have. The earlier you find such risk factors, the earlier you can receive treatment and prevent your risk of stroke.
    • Take supplements when necessary: If you are lacking certain vitamins or minerals in your diet, you may need a supplement such as a multivitamin or fish oil. This can help your body receive the antioxidants you need to fight oxidative stress and lower chronic disease risk factors. One such supplement is Circova by Vita Sciences. Circova contains ingredients like L-arginine, niacin, and hawthorne to help promote improved blood flow and blood pressure.

    -written by Staci Gulbin, MS, MEd, RD

    References:

    Centers for Disease Control and Prevention (May 3, 2018) “About Stroke.”

    HealthDay (October 25, 2018) “Does Stroke Run in Your Family? Healthy Living Lowers the Risk.”

    Koo, D. L., Nam, H., Thomas, R. J., & Yun, C. H. (2018). Sleep Disturbances as a Risk Factor for Stroke. Journal of stroke20(1), 12-32.

    Meschia, J.F., et al. (2014) “Guidelines for the Primary Prevention of Stroke.” Stroke, 45(12): 3754-3832.

    National Sleep Foundation (accessed October 30, 2018) “National Sleep Foundation Recommends New Sleep Times.”

     

     


  • Can intermittent fasting help those with diabetes?

    intermittent, fasting, health, weight loss, dietDiabetes can be a tough disease to manage. From doctor’s visits to medications to daily blood glucose checks, it can be a lot to juggle for anyone. Not only that, but having diabetes means diet changes that can make every meal or snack a challenge.  Counting carbohydrates and reading labels can become a new task to take on every time you buy groceries. This can be time-consuming and can also make social events stressful.

    But what if someone told you that by simply cutting back on the hours you eat, you could help control your diabetes better? A recent study shows that intermittent fasting may be a new treatment for type 2 diabetes control.

    What is intermittent fasting? 

    Intermittent fasting (IF) is a way of eating that involves extended periods of fasting coupled with periods of eating. The theory behind IF is that during fasting, your body will have time to heal.  In any case, cutting back on the hours you eat during the day can help reduce snacking and in turn total calorie intake. This can help with controlling weight and any conditions related to weight like diabetes and heart disease.

    There are several forms of intermittent fasting.  All forms of IF are focused on helping  your body adapt to less eating hours each day. The three major forms of IF include:

    • Alternate day fasting: This type of fasting consists of one day of no food restriction followed by a day of only eating one meal equal to 25-percent of your daily calorie needs. Your daily calorie needs would be the number of calories your body needs to maintain your current weight.
    • The 5:2 fasting regimen: This regimen involves 2 days of whole day fasting each week. On these non-consecutive fasting days, you would consume no more than 25-percent of daily calorie needs. The other five days would consist of no food restrictions. However, healthy eating within your daily calorie needs is suggested for the most benefit.
    • Time-restricted feeding: This regimen is most common with those following an IF lifestyle. It involves setting a fasting period as part of your daily routine. When you are starting out on this regimen, you may have just 12 hours of fasting. Therefore, if you stopped eating at 9 pm every night, you wouldn’t eat again until 9 am the next morning. This 12:12 regimen of fasting would help your body used to the idea of not eating as long.  Over time, you can extend your period of fasting as you choose. A popular form of this diet is the 16:8 diet, which involves 8 hours of eating and 16 hours of fasting.

    When following an IF regimen, your eating hours should still consist of healthy eating. If you continue to consume lots of high sugar and highly processed foods, then you will not gain the most health benefit. Therefore, during eating hours you should consume mostly whole foods and a balanced diet low in sugar and refined carbohydrates.

    Intermittent fasting and type 2 diabetes

    A recent study looked at the effect of IF on type 2 diabetes control. This small study involved three patients observed over several months.  Patients had six hours of diabetes education and insulin adjustments at the start of the study. They were then instructed to follow three 24-hour fasting periods each week. On fasting days the patients only consumed dinner.  Then on non-fasting days they consumed lunch and dinner. A low-carbohydrate eating regimen was recommended for all meals during the study period.

    Patients had an exam twice a month with labs, medication changes, and insulin adjustments completed as warranted. After several months, all of the patients were able to discontinue their insulin. Two of the patients were also able to discontinue their diabetes medication.  Also, all three patients had improvements in their body mass index, waist circumference, and HgA1C levels. This study warrants further research on a larger scale to see if IF could help those with type 2 diabetes.

    Other ways to control your type 2 diabetes

    Besides changing your diet, there are other things you can do to help control your type 2 diabetes. Read below for some simple steps you can make in your lifestyle today. These small steps can make a big difference in helping to control your type 2 diabetes.

    • Stay active: Moving more each day can help to keep your blood glucose levels stable and manage your weight. In turn, this can help you to better control your type 2 diabetes. Therefore, try to be active for 30 minutes total each day for most days of the week. This could involve walking, biking, aerobics, dancing, cleaning house, or swimming, among other things.
    • Visit your doctor regularly: Visiting your doctor every 3 to 6 months can help you stay healthy. Your doctor can also check your labs and adjust your medication as needed to help you control your diabetes better.
    • Take a daily diabetes-friendly supplement: Taking a daily supplement to help with blood sugar control may also be helpful. A supplement like Glucarex by Vita Sciences can naturally support metabolism, weight loss, and blood glucose control. It does this through natural ingredients like chromium, cinnamon, and alpha lipoic acid that have shown to help support healthy blood sugar levels.

    -written by Staci Gulbin, MS, MEd, RD

    References:

    Furmli, S., Elmasry, R., Ramos, M., and Fung, J. (2018) “Therapeutic use of intermittent fasting for people with type 2 diabetes as an alternative to insulin.” BMJ Case Reports, doi:10.1136/bcr-2017-221854

    Harvard T.H. Chan School of Public Health (accessed October 14, 2018) “The Nutrition Source: Diet Review: Intermittent Fasting for Weight Loss.”

    National Institute of Diabetes and Digestive and Kidney Diseases (May 2017) “Type 2 Diabetes: What is Type 2 Diabetes?”

     

     


  • Could diabetes increase risk of osteoporosis?

    osteoporosis, bone health, healthIf you have diabetes, you may or may not know that you are at higher risk for heart disease than those who don’t have diabetes. However, in addition to heart disease, you could also be at risk for bone health issues. This risk was discovered in a recent study that found those with diabetes were at higher risk for osteoporosis than those without diabetes. Therefore, this finding warrants further research on this risk. And in turn, standard diabetes diet and supplement treatments may need to be revised to account for this higher risk.

    What is osteoporosis?

    Osteoporosis is a condition that causes bone loss. It often occurs without any symptoms. Therefore, you may not know you have the condition until you fall and break a bone. The bone loss related to osteoporosis can be caused by the body losing too much bone, not making enough bone, or both.

    Literally, osteoporosis means “porous bone” which describes the honeycomb-like bone structure in those with the conditions. These spaces in the bone make it less dense, weaker, and more likely to break. It may be beneficial if you are 50 years of age or older, to get a bone density test.

    Height loss or curving of the spine may be serious symptoms of osetoporosis. Therefore, if you have such symptoms and have not yet been diagnose with osteoporosis, you should visit your doctor right away. If diganosed, treatment will likely include vitamin D and calcium supplements, an exercise program, and medications.

    You may be at risk for osteoporosis if you have:

    • certain autoimmune conditions like rheumatoid arthritis
    • certain cancers like breast or prostate cancer
    • digestive conditions like inflammatory bowel disease or celiac disease
    • a history of weight loss surgery
    • liver disease
    • and eating disorder
    • certain thyroid or hormone-related conditions

    You may also be at risk for osteoporosis if you take certain medications such as:

    • certain heartburn medicines like  Nexium®, Prevacid® and Prilosec®
    • some antidepressants like Lexapro®, Prozac® and Zoloft®
    • steroids
    • certain diabetes medicines like thiazolidinediones

    Osteoporosis and Diabetes

    Using data from the 2013 Danish National Health Survey, researchers looked at the connection between bone health conditions and other health factors.  This analysis found that those people with diabetes were one-third more likely to have osteoarthritis than those without diabetes. These same people were also more likely to have bone related conditions like rheumatoid arthritis and osteoporosis.

    Likely related to such bone conditions, those with diabetes were more nearly 30-percent more likely to have back, shoulder, and neck pain as well. Researchers suggest that the link between bone health and diabetes may be inflammation. Diabetes is an inflammatory condition as is arthritis. Therefore, those with one condition may have an increased risk of developing other inflammation-related conditions. This research warrants further research on this connection of inflammatory health conditions.

    Ways to help your bone health

    If you feel you may be more at risk for bone health conditions, read below for ways you can help improve your bone health.

    • Consume plenty of calcium: Calcium is used in many parts of the body such as helping blood clot and muscles to contract. And when the body does not have enough calcium to do these things, it takes the calcium from the bones. Over time, this can make the bones weak. Therefore, be sure to have plenty of calcium in your daily diet. Foods high in calcium include milk, yogurt, fortified breakfast cereals and juices, as well as leafy greens like kale and spinach.
    • Go outside every once in while: Vitamin D is also known as the sunshine vitamin since the body can absorb it from the sun. This vitamin helps the body absorb calcium, so it is very important to bone health. Therefore, be sure to get outside at least 10-15 minutes a day with some of your arms, legs, and face showing. During the winter, consume plenty of fatty fish like salmon, eggs, mushrooms, and fortified dairy products for vitamin D. Ask your doctor to have your vitamin D levels checked each year and take a daily supplement if your levels are low.
    • Stay active: Exercise is great for not only keeping blood glucose levels stable if you have diabetes, but it is also good for bone health.  Weight-bearing exercises like walking, hiking, jogging, dancing, and weight training are good for strengthening bones. Be sure to engage in some sort of physical activity most days of the week. You should engage in strength training such as weight exercises or resistance training at least 2 times a week.
    • Eat a plant-based diet: Not only does a plant-based diet contain calcium-rich leafy greens, but is also antioxidant-rich. Antioxidants can reduce the inflammation that can lead to oxidative stress and increased chronic disease risk. Therefore, eat plenty of colorful fruits and vegetables at every meal and snack.
    • Take a bone health supplement: If you are having trouble consuming enough calcium and vitamin D, a supplement may be for you. Find a supplement that combines calcium and vitamin D, or take them separate. One such supplement is Osteovent by Vita Sciences. Osteovent contains 400IU vitamin D3 and 1000mg calcium along with other important bone health nutrients like magnesium as well as antioxidants like vitamin C and bromelain.

    -written by Staci Gulbin, MS, MEd, RD

    References:

    National Osteoporosis Foundation (accessed October 10, 2018) “What is osteoporosis and what causes it?”

    National Osteoporosis Foundation (accessed October 10, 2018) “Calcium/Vitamin D.”

    NIH Osteoporosis and Related Bone Diseases National Resource Center (February 2017) “Osteoporosis Overview.”


  • Could vitamin D be the key to preventing obesity?

    vitamin D, supplement, health, obesity, heart healthObesity is a growing problem around the world today. Along with these growing statistics is also the growing amount of diet and exercise programs trying to help people lose weight. Recent research shows though that diet and exercise may not be the whole solution to the obesity issue. Vitamin D, also known as the sunshine vitamin, may be the key to helping people lose weight and lower risk of chronic disease.

    What is vitamin D?

    Vitamin D is a fat-soluble vitamin that you can soak in from the sun as well as from a few food items. Since it is not found in many foods, it is important to get this vitamin from the sun. Therefore, if you do not go outside often for any reason or if you live in an area that is very cloudy, you may have to take a supplement.

    Foods you can eat to get this sunshine vitamin include fatty fish like salmon, tuna, and mackerel. You can also get small amounts in beef liver, egg yolks, or cheese.  Also, some milks or orange juices may be fortified with the vitamin.

    The recommended daily intake of vitamin D is 800 IUs, or international units. When you go to the doctor, you can ask to have your levels of the vitamin checked.  It is not usually a part of the standard lab tests.  Your blood level of vitamin D should be at least 30nmol/L, but ideally around 50 nmol/L.  If it is less than this number, your doctor may put you on a supplement regimen to help bring up your levels of the vitamin.

    You can also buy vitamin D supplements on your own such as Maxasorb by Vita Sciences. Maxasorb provides 2000 IU’s of vitamin per dose. This formula provides vitamin D3 as well as vitamin E and moisturizing aloe in an easy to apply cream to help support immunity and well-being.

    Those at risk for vitamin D deficiency include:

    • older adults
    • those with limited exposure to the sun
    • people with dark skin
    • those with fat malabsorption conditions like inflammatory bowel disease
    • those who have had gastric bypass surgery
    • breastfed infants

    Those who are deficient may be at risk for bone health issues like osteoporosis. Also, as current research shows, vitamin D deficient individuals may also be at risk for developing obesity.

    Vitamin D and obesity

    A recent study looked at the effect of vitamin D on overweight and obese children and adolescents. Study results show that those children who were given vitamin D supplements daily for 12 months had lower body mass index (BMI), body fat, and improved cholesterol levels as compared to those who were not supplemented. Researchers suggest that vitamin D supplements may be able to help youth reduce their risk of chronic disease as adults.

    Other ways to reduce disease risk

    Besides keeping your vitamin D levels healthy, there are other things you can do now to help reduce your chronic disease risk.

    • Stay active: You should try to be active most days of the week for at least 30 minutes a day. This can include walking, gardening, cleaning house, swimming, cycling, or any other movement that gets your heart rate up a bit. Exercise is not only great for heart health, but can also help you expend energy to help you sleep better at night and also can help you manage stress and anxiety.
    • Get plenty of sleep: The average adult should get at least 7 to 9 hours of sleep each night for optimal health. This is because during bedtime your body works to regulate hormones, fluids, blood pressure, and many more processes.
    • Quit smoking or don’t start: Smoking can constrict blood vessels and in turn increase your risk of heart disease. Therefore, if you don’t already smoke, don’t start. If you do smoke, visit smokefree.gov for resources to help you quit.
    • Limit drinking alcohol: Research has shown that alcohol can increase triglycerides, or fat, in the blood. It can also increase risk of high blood pressure and other heart health issues. Therefore, limit your alcohol intake to no more than the recommendation of one standard drink a day for women or two a day for men. One standard drink is equal to about 12 ounces of beer, 5 ounces of wine, and 1.5 ounces of hard liquor.
    • Manage stress: Stress and anxiety can get your blood pressure high and can also impact other healthy lifestyle choices you want to make. Therefore, work on getting your stress levels down. You can do this by talking to a counselor, doing some yoga or meditation, or practicing relaxation breathing. Reducing stress can also reduce emotional eating, increase your energy, and can make you feel better overall.

    -written by Staci Gulbin, MS, MEd, RD, LDN

    References:

    American Heart Association (August 15, 2014) “Alcohol and Heart Health.”

    American Heart Association (accessed October 3, 2018) “Be Healthy for Good with Life’s Simple 7 Infographic.”

    Anxiety and Depression Association of America (accessed October 3, 2018) “Physical Activity Reduces Stress.”

    Hindustan Times (September 28, 2018) “Vitamin D supplements can help obese children lose weight.”

    National Institutes of Health Office of Dietary Supplements (September 18, 2018) “Vitamin D.”

    National Sleep Foundation (accessed October 3, 2018) “Why Do We Need Sleep?”