OSTEOARTHRITIS

OSTEOARTHRITIS: Fact or Fiction?

Did you know Osteoarthritis (OA) is the most common degenerative joint disease and a major cause of pain and disability in adult individuals?

Media video about Osteoarthritis:

This media video makes the following remarks on the management of osteoarthritis:

  • Medications can reduce joint swelling and pain.
  • Ice pack may also reduce joint pain.
  • Losing weight may also help slow the progression of osteoarthritis.
  • Physical therapy, exercises, and walking may help decreasing pain.
  • Braces help with joint support and alignment to reduce joint pain.
  • Injection may helps to control joint pain
  • Surgery might be needed for joint replacement.

Islam, M. J., Yusuf, M. S., Hossain, M., (2013). Update Management of                          Osteoarthritis: A Review. Journal of Science Foundation. 11 (2), 49-55. doi: 10.3329/jsf.v1112.21597

This article explains the role of non- pharmacologic ( natural and drug free medicine) therapies and pharmacologic ( prescription and over- the – counter medication) therapies in the management of osteoarthritis.

Natural and drug free medicine include:

  • weight reduction through diet and exercise
  • Correction of malalignment of the joints of the joints with used of braces

Prescription and over – the – counter medications include:

  • Medications that can be taken by mouth.
  • Medications in the form of topical ( can be applied on the surface of the joints:  cream, gels, lotions, or ointments)
  • Injections
  • Surgery: minor or major surgery

This article supports this media video; both the media video and this source report  similar treatment methods for the management of osteoarthritis. Therefore, I find this information on the media video to  be credible.

Media Video about osteoarthritis

This media video exposes the best and the worst food for arthritis

Food to eat:

  • Rich in Omega -3 fatty acid: wild cod fish,  salmon, walnuts,  seeds
  • High in sulfur: onions, garlic, asparagus, cabbage
  • Bone broth
  • Fruits and vegetables

Food to avoid:

  • Excess sugar- causes joint swelling
  • Hydrogenated oil

Rayman, P., (2015). Diet, nutrition and  osteoarthritis. BMC Musculoskeletal Disorders. 16 (1), S7. doi: 10.1186/1471-2474-16-S1-S7

Osteoarthritis is the fastest growing cause of disability. Individuals with this condition may take some control of their own condition by making a change in their diet which could potentially ease the symptoms and reduce the progression of the disease.

These are some of the recommendations:

  • Lose weight, if overweight, through exercise.
  • Reduce high cholesterol food.
  • Increase omega- 3 fatty acids; eat oily fish times a week.
  • Eat rich vitamin- D food- milk
  • Increase vitamin-K intake by eating green leafy vegetables.

This article supports the video on the proper diet for individuals with osteoarthritis; however, the author did not make any suggestions on the type of diet that should be avoided. I would recommend this media video as credible.

Media Video

This media video claims there is a cure for osteoarthritis. The treatment  is to stop eating dairy products such as milk and cheese.

Bing, L., Jeffrey, B., Driban, D.,[…], and Charles, B. E. (2014). Milk Consumption and Progression of Medical Tibiofemoral Knee Osteoarthritis: Data from the Osteoarthritis Initiative. Arthritis Care & Research. 66(6), 802-809. doi: 10.1002/acr.2297

This source clearly states, ” our results suggest that frequent milk consumption may be associated with reduced osteoarthritis (OA) progression in women” (Bing et al., 2014, p. 802).

  • OA is a slow progressive disease that has no cure.
  • Milk is an excellent source of vitamins and protein.
  • Milk has been recognized for its important role in bone health.
  • Milk and other dairy products should be consumed daily as part of a balanced and healthy diet.

This article does not support this media. Based on these findings, I can conclude  this media video is not accurate at all. I would not recommend this media video as credible.

 

Dementia: Just a Normal Part of Aging… Right?

How many times have you had to turn your car around because you forgot your wallet. Or how many times have you had to remind your mother that her doctor’s appointment is Tuesday, not Thursday. As we get older so do our brains. It is normal to become more forgetful as we age, but when does slight confusion become something more dangerous? With humans living longer and longer, diseases such as Alzheimer’s are becoming more common. According to the Alzheimer’s Association, there are over 5.7 million Americans living with this disease. Although Alzheimer’s disease is the most common cause of dementia other factors such as heart disease and strokes can cause this as well.

 

Dementia is not a disease in itself. Instead, it is a cluster of symptoms. These symptoms vary from person to person however, the defining symptom is a gradual decline of brain function. This may begin with some increased confusion, your grandmother may forget where she left her recipe book even if it has never been moved. A year later you may realize that grandma has been eating expired food unknowingly. Eventually your grandmother will need help performing basic tasks such as brushing teeth, as her mind has forgotten how to. Although this memory loss is the most common and prevalent symptom, many sufferers also have personality changes that can cause a complete change of character. These changes can cause a nun to curse like a sailor, or a sailor to become a quiet, docile man. Behavioral symptoms can also change the normal behavior from a person with dementia. These symptoms range from hallucinations (sensing things that are not there), delusions (believing things that are not true), depression, anxiety, and agitation.

Dementia is more serious than your typical old-age forgetfulness and requires immediate attention. Dementia is often under-represented in the media and the image presented is typically underplayed. Many Hollywood movies that feature older adults with dementia, show a pleasantly confused woman who is brought back with stories from the past. A key example of this is the much loved film, “The Notebook.” In this film, a love story between a young Ryan Gosling and Rachel Mcadams unfolds. The ending of this movie is so touching because it shows the much older husband reading their story to the wife with dementia. Upon the end of the story the wife realizes that he is her husband and they have one final night together.

In reality however, those with dementia are unable to simply ‘snap’ out of their confusion. It is possible for these people to have moments of clarity, but these are far and few inbetween. Expecting that by reminding them of past memories will lead to curing or even pausing their confusion will lead to a lot of heartbreak.

Although The Notebook is one of the most popular movies with dementia as a theme, Still Alice is 2015 movie that shows the struggles of living with early-onset dementia. This movie accurately shows the physical and emotional toll that this disease can cause on a person. This clip is an accurate demonstration of what living with dementia is like.

Alice is shown talking to her husband. Initially we notice that she confuses herself and her daughter as her mother and sister. This is very common among many of those with dementia as they may think they are much younger than they are because their long term memory is more intact then their short term. The major event in this clip however is Alice getting lost in her home. This shows the extent to which memory loss occurs. Alice becomes so anxious over not being able to find the bathroom in her own home that she eventually messes herself. This heartbreaking scenario is life for many with dementia.

Although there is no cure for dementia, there are medications available that can help slow the progression of the disease. Early detection is crucial in order to help your loved ones. The biggest sign to look out for is memory loss that impacts their daily life. If your grandmother forgets your birthday, it is probably age-related confusion. However, if your grandmother wishes you a “Happy fifth birthday!” there is a chance it could be dementia related.

This video shows an accurate depiction of an early sign of Alzheimer’s. The mother is fixated on the purple scarf and can not sleep because she does not remember where it came from. Episodes like this become increasingly more common and more dangerous and the dementia progresses.

If someone you know is showing the warning signs of dementia, please urge them to get tested by a trained doctor. Early detection and treatment can lead to extra years of memory and health. If you need more resources please visit The Alzheimer’s Association at: https://www.alz.org/

References:

Alzheimer’s FACTSHEET. (2013). Senior Market Advisor14(11), 30–31.

Backhouse, T., Killett, A., Penhale, B., Burns, D., & Gray, R. (2014). Behavioural and psychological symptoms of dementia and their management in care homes within the East of England: a postal survey. Aging & Mental Health18(2), 187–193.

Facts and Figures. (2018). Retrieved from https://www.alz.org/

Ticking Time Bomb in Women

By: Hey Paul Studios

Ladies it is time to talk about you. This is not something to brush away. This is about you and your future. Your heart health is something to take on a serious note. Ladies, you do not have typical chest pain majority of the time when it comes to heart distress. The woman in this video is experiencing typical chest pain associated with a myocardial infarction, otherwise known as heart attack.

This video is seen to be what some people go through for a typical heart attack. They get sweaty, have some fullness in their arms, pain in their chest and jaw, as well as some indigestion. When a person has a heart attack, the arteries on the muscle spasm and cause decrease blood flow to the cells of the heart, causing cell death. After a cardiac cell has died, it will not be replaced. The quicker to go into the hospital to be treated the better(Samoraphop Banharak, Zahrli, T., & Hisako Matsuo, 2018). This next video is educational. It explains what are possible signs and symptoms of a typical heart attack.

When someone says chest pain, we think something is wrong with the heart. However, in some instances, chest pain is only felt in about 75 to 80% of the patients having a heart attack. Some have flu-like symptoms, such as physical discomfort, nausea, vomiting, fever, malaise, lethargy, weakness, and fatigue. Then there are some symptoms that are not typical like altered level of consciousness, inability to sleep, and sexual disfunction (Soares Passinho, Garcia Romero Sipolatti, Fioresi, & Caniçali Primo, 2018). This next video is about the silent heart attacks. This is what most women and diabetics tend to experience when experiencing a heart attack.

Because of the silent heart attacks that women experience, they do not seek help afterwards because they were unaware the event was related to their heart. Women are also less likely to care for themselves if they have a family. They have a partner to take care of, be it husband or boyfriend, wife or girlfriend, their children. They also care for the household chores, make dinner at night, ensure their children are bathed daily. Women do not feel they have enough time for themselves (Gyberg, Björck, Nielsen, Määttä, & Falk, 2016).

NEWS FLASH WOMEN–you need to take care of yourself and your heart health so you can take care of your family and your house.

Thank you.

References

Gyberg, A., Björck, L., Nielsen, S., Määttä, S., & Falk, K. (2016). Women’s help-seeking behaviour during a first acute myocardial infarction. Scandinavian Journal of Caring Sciences30(4), 670–677.

Samoraphop Banharak, Zahrli, T., & Hisako Matsuo. (2018). Public knowledge about risk factors, symptoms, and first decision-making in response to symptoms of heart attack among lay people. Pacific Rim International Journal of Nursing Research22(1), 18–29.

Soares Passinho, R., Garcia Romero Sipolatti, W., Fioresi, M., & Caniçali Primo, C. (2018). Signs, symptoms and complications of acute myocardial infarction. Journal of Nursing UFPE / Revista de Enfermagem UFPE12(1), 247–264.

Fact or Fiction: Do Sensory Integration Approaches improve participation in children with ASD?


Autism written on the wipe board

What is Autism?

Autism, or autism spectrum disorder (ASD), refers to a broad range of conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication. (Autism Speaks, 2018)

What is Sensory Integration?
organizing, and interpreting sensations to optimize occupational
performance and participation (AOTA,2015)
<a
Senses:
1.Vestibular-providing us with information about the position of our heads and bodies in space- spatial awareness
2.Proproceptive- Provides a sense of what our bodies are doing and where our body parts are in relation to the environment.
3.Tectile- Touch
4.Auditory- Sound
5.Visual- Sight
6.Gustatory- Taste
7.Olfactory- Smell

How do I know if my child with ASD has difficulty processing his/her sensory input? See the link below !

Sensory-Processing-Disorder-Checklist

The media clip below was based out of a school in Hanover Elementary School. The school had made a clip explaining the benefits of using the sensory room to help children diagnosed with ASD focus and learn. Take a look !

According the the article Sensory-Based Approaches in Intervention for Children with Autism Spectrum Disorder: Influences on Occupational Therapists’ Recommendations and Perceived Benefits, Occupational Therapist used an online survey addressing their work experience, training, use of sensory-based approaches, and beliefs and perceptions about the effects of the approaches. The results showed that Most respondents (98%) used sensory-based approaches for children with ASD and would recommend the approaches for 57% of the children they treat.

This clip is an information video from the Ann & Robert H. Lurie Children’s Hospital of Chicago. The video explains providing structured sensory experiences help organize a child’s body to increase learning. Take a look!

According to the article: Efficacy of Occupational Therapy Using Ayres Sensory Integration, the results showed positive outcomes for improving individually generated goals of functioning and participation as measured by goal attainment scaling for children with autism.

The media clip below comes from the Medical Minute. This news clip talked about a child diagnosed with ASD using sensory integration therapy during Occupational Therapy to improve independence. The OT explained the child’s difficulty with processing sensory information. The OT explains strategies provided in the treatments. Mom reports since participating in these treatments, her child is functioning much better in his environment. Take a look !

According the the article: A Retrospective Pre-Post Treatment Study of Occupational therapy Intervention for Children with Sensory Processing Challenges, the results showed Improvements in adaptive behavior, problem behaviors, sensory-related functions, and measures of motor function.

References
Schaaf, R. C., Dumont, R. L., Arbesman, M., & May-Benson, T. A. (2018). Efficacy of Occupational Therapy Using Ayres Sensory Integration®: A Systematic Review. American Journal of Occupational Therapy, 72(1), 1–10. https://library.neit.edu:2404/10.5014/ajot.2018.028431

Schoen, S. A., & Miller, L. J. (2018). A Retrospective Pre-Post Treatment Study of Occupational Therapy Intervention for Children with Sensory Processing Challenges. Open Journal of Occupational
Therapy(OJOT), 6(1), 1–14. https://library.neit.edu:2404/10.15453/2168-6408.1367

Thompson-Hodgetts, S., & Magill-Evans, J. (2018). Sensory-Based Approaches in Intervention for Children With Autism Spectrum Disorder: Influences on Occupational Therapists’ Recommendations and Perceived Benefits. American Journal of Occupational Therapy, 72(3), 1–8. https://library.neit.edu:2404/10.5014/ajot.2018.024729

Ann & Robert H. Lurie Children’s Hospital of Chicago . (2015, 6 9). Sensory Processing Disorder: Occupational Therapy Demonstration . Retrieved from Youtube : https://www.youtube.com/watch?v=YUdsgQGHSR8&t=36s

Edutopia. (2017, 4 2). The Sensory Room: Helping Students With Autism Focus & Learn. Retrieved from YouTube: https://www.youtube.com/watch?v=T9j6rQ4rtQY&t=39s

Minute, M. (2017, 9 14). Sensory integration therapy helping children with autism. Retrieved from Youtube: https://www.youtube.com/watch?v=W8rBHeubDNs&t=28s

Phd, T. B. (n.d.). Sensory Processing Disorder Checklist: Signs And Symptoms Of Dysfunction. Retrieved from http://www.tbaileyphd.com/resources/Sensory-Processing-Disorder-Checklist.pdf

AOTA . (2015). Addressing Sensory Integration and Sensory Processing Disorders Across the Lifespan: The Role of Occupational Therapy. Retrieved from AOTA : https://www.aota.org/-/media/Corporate/Files/AboutOT/Professionals/WhatIsOT/CY/Fact-Sheets/FactSheet_SensoryIntegration.ashx

To Zumba or not to Zumba?

The truth about Zumba you’ve been dying to find out!I am here to enlighten you on the effects that Zumba has on our mind and body. Through research and personal experience, I am eager to share with you the world of Zumba fitness.Image result for zumbaZumba is a highly talked about exercise program that combines dancing, Latin music and exercise. Various media reports support this progressing style of exercise that has tons of benefits, however, there are a few sources that report on the risks it might have.

“When I saw Zumba for the first time, the thing that struck me the most was that everybody was smiling. Happiness seemed to be the objective of the workout, with fitness as the result.” -Zumba CEO Alberto Perlman

 

Here are just a handful of key benefits of Zumba:

  • Weight loss, keeps you active and moving
  • Burn 600-1,000 calories in 1 hour
  • Tones your body, build endurance & strength
  • Improves heart health
  • Helps you de-stress
  • Improves coordination
  • Anyone can do it –
  • Proven to reduce negative symptoms of anxiety and depression
  • It’s fun! You can meet new friends

Image result for zumba

Personally, I have been doing Zumba for about 6 years now and I love it. The best part about it is that it doesn’t feel like you are working out. Having a gym partner is also very helpful for motivation in getting to the gym. Mine happens to be my mom! We are each others biggest supporters and we have so much fun together.

Check out this inspiring story who express how Zumba changed their lives! When doing my research, I found it hard to come across any stories or articles that did not support Zumba fitness being  valid method of weight loss and improving one’s quality of life.

Although there are many comments about how great Zumba is, ABC13 News Channel reports that Zumba is a fitness class where injuries and incidents can happen. It is important to engage in this exercise with proper shoes, attire and in a safe environment. Stretching after any workout is very important for muscle recovery. Most importantly, listen to your body!

The Zumba craze! There are a variety of speakers that state how much Zumba has changed their lives for the better.  Some members husbands have jumped on board and state that it is better than a Friday outing. Some members say they don’t want the class to end. It is very culturally diverse and for anyone looking to improve their health and well-being.

This new clip talks about Zumba after the holidays for people looking to lose weight. Members of the Zumba classes speak on behalf of the fitness style, stating that it is way better than the typical exercise machines. Zumba is a high energy party that incorporates dancing, however, that should not intimidate you. It can be completed by all different types of people at different levels of fitness. Man, woman, young or old, it is a great way to burn calories while having fun.

Image result for is it worth it

Comparing what I have found in the news and through thorough research, it is safe to say that Zumba is definitely a powerful fitness program that can help you lose weight, get in shape and improve your mind and body. There are injuries that can happen, which is why it is very important to wear proper shoes and read up on anything else you might have questions about. It is helpful to consult with other people who are experienced in Zumba fitness.Image result for zumbaReferences:

VLATCH, S. (2017). STRONG Group Ex: Kick Up the Intensity: ZUMBA’S NEW FULL-BODY HIIT FORMAT CREATES INTRIGUING POSSIBILITIES FOR STUDIOS AND INSTRUCTORS. American Fitness, 35(4), 52–55. Retrieved from http://library.neit.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=hxh&AN=125748749&site=ehost-live

Krishnan, S., Tokar, T. N., Boylan, M. M., Griffin, K., Du Feng, Mcmurry, L., … Cooper, J. A. (2015). Zumba® Dance Improves Health in Overweight/Obese or Type 2 Diabetic Women. American Journal of Health Behavior, 39(1), 109–120. https://library.neit.edu:2404/10.5993/AJHB.39.1.12

PR Newswire. (2018, October 10). Zumba Teams Up with Celebrity Photographer to Redefine the Fitness Industry’s “Before and After” Photos in Honor of World Mental Health Day. PR Newswire US. Retrieved from http://library.neit.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bwh&AN=201810100900PR.NEWS.USPR.FL34016&site=ehost-live

Let’s dance! How rhythmic motion can improve your health. (2016). Harvard Women’s Health Watch, 23(10), 1–7. Retrieved from http://library.neit.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115391633&site=ehost-live

Importance Of Assistive Devices For Post-op Hip Surgery: Fact or Fiction

          After you have a total hip replacement, your doctor usually recommends certain hip precautions to prevent dislocation of the new hip. Rehabilitation after hip surgery focuses on reducing pain, increasing the range of motion, strengthening exercises, and regaining mobility to improve the quality of life. Moreover, utilizing assistive devices in self-care tasks is helpful to maintain hip precautions and avoid some common complications such as dislocation.

                                                  By: Franciscan Health

What is total hip replacement (THR)?

  • Total hip replacement is a surgical procedure that removes the painful hip joint and replaces it with man-made components. It produces better pain relief, functional recovery, and substantial quality of life improvement (Spalević, Milenković, & Kocić, 2018).

What are the reasons for hip surgery?

  • Has chronic hip pain, stiffness, and limited mobility caused by osteoarthritis, femoral neck fractures, rheumatoid arthritis, and post-traumatic arthritis.

What is the hip precautions?

–   Do not bend  over at the waist !

–   Do not cross your legs when sitting !

–   Do not turn your operated leg inward !

**   Adhering to hip precautions helps to prevent post hip surgery dislocations.

What activities cause post THR dislocations?

According to the article by Smith, Davies, Ingham, & Mann, these following activities relate to total hip replacement dislocations:

  • Getting into or out of bed
  • Twisting or turning in bed
  • Putting socks and shoes
  • Getting onto or up from a toilet
  • Picking up objects from floor

How assistive devices relate to hip precautions?

  • Advantages of adaptive devices

–  Prevent post hip surgery dislocation

–  Increase independence in daily activities

–  Improve quality of life

  • Adaptive devices include: Reacher, dressing stick, shoe horn, sock aid, raised toilet seat, shower bench. These assistive devices are used to prevent clients with post hip surgery from bending over at wait and to improve their independence in everyday activities (Bozorgi, Ghamkhar, Kahlaee, & Sabouri, 2016)

–  Long handle reacher: picking up items off the floor.

–  Dressing stick: pulling up or pushing off the socks or pants.

–  Shoe horn: putting the shoes on, or taking them off.

–  Sock aid: putting on the socks or stockings.

–  Raised toilet seat: increasing the height of toilet.

–  Abduction pillow: placing this pillow between legs to prevent your hip from turning in or away from your body.

 

References

Spalević M, Milenković S, Kocić M, et al. Total Hip Replacement Rehabilitation: Results and Dilemmas. Acta Medica Medianae. 2018;57(1):48-53. doi:10.5633/amm.2018.0108.

Toby Smity, Leigh Davies, Christopher Ingham & Charles Mann. What activities cause hip dislocation? A review of 100 total hip replacement dislocations. Advances in Physiotherapy. 2012; 14:2, 55-60.

Jame Bozorgi AA, Ghamkhar L, Kahlaee AH, Sabouri H. The Effectiveness of Occupational Therapy Supervised Usage of Adaptive Devices on Functional Outcomes and Independence after Total Hip Replacement in Iranian Elderly: A Randomized Controlled Trial. Occupational Therapy International. 2016;23(2):143-153. doi:10.1002/oti.1419.

Low Vision

Movie Clip 1

 

This movie clip shows a guy with low vision driving a car. He shows demonstrates good driving skills for someone with low vision. However, this is not safe and would not happen in real life. Living with low vision does not mean you have to stop driving. There are different visual glasses and contacts that can help increase vision.

 

Movie clip 2

Working is an important milestone in peoples lives. Having low vision should not impact this. There are jobs and companies looking to hire people with low vision. You can work with a job coach, occupational therapy or caseworkers to help find the right job. Modifications and adaptions can increase your independence in completing job tasks.

Movie Clip 3

People with low vision use their other senses to get around and adapt to their environment. This media clips show that people change how they feel when they meet someone with low vision. We feel bad for them when they just want to be treated fairly. Having low vision is not a noticeable disability, you might not even know that someone has low vision. Not everyone uses a walking cane, as the man did in this movie clip.

Movie clip 2 was the only reputable source and accurate information. Movie clip 1 and 3 were from movies and are staged. I think most of us can relate to the movie clip 3. We tend to change our feels and feel bad or sympathize when someone doesn’t appear to be “normal”.

 

 

 

 

Flu Vaccine

Should the Flu Vaccine be mandatory for healthcare workers?

By: Rusty Clark ~ 100K Photos

What exactly is the flu vaccine?

The flu vaccine is recommended annually (each year) for persons at high risk for serious complications from influenza virus infection.

 

Forty two percent of people worry about getting the flu each year. The majority of people get sick, and automatically think they have the flu virus. The video below describes the symptoms that come with the flu, and what symptoms are usually just a common cold.

 

What are the stats?

  • The U.S. Centers for Disease Control and Prevention, conduct studies annually has found immunization reduces the risk of flu illness by 40 percent to 60 percent.
  • Older people with weaker immune systems often have a lower protective immune response after flu vaccination compared to younger, healthier people.
  • In 2015-2016 the vaccine prevented 52.4% of flu cases
  • In 2016-2017 the vaccine prevented 39.8% of flu cases
  • The numbers are significantly down in long term facilities with elderly patients being affected by influenza.
  • Flu vaccines have been given for more than 50 years, and have a safe track record.
  • Every year an estimated 36,00 Americans die due to the flu virus.

Fiction about the flu vaccine

By: Daniel Paquet
  • Flu shot will cause the flu
  • Never having the flu shot will make you less likely to get the flu
  • The flu shot does not work
  • Healthy people do not get the flu
  • You cant spread the flu if you’re feeling well
  • Enough people get the flu shot so I do not have too

Benefits and facts of the flu vaccine

Receiving the vaccine helps stop the spread of the influenza virus, and this is extremely important with the elderly, children, pregnant woman, and people with medical conditions. The flu virus is contagious two days before having any symptoms which gives two days for the virus to be spread without knowing. Even if the vaccine doesn’t completely prevent the flu, it may lessen the severity of your illness and the risk of serious complications.

References

Nichol KL, Lind A, Margolis KL, Murdoch M, McFadden R, Hauge M, … Drake M. (1995). The effectiveness of vaccination against influenza in healthy, working adults. New England Journal of Medicine1995(14), 889–893. Retrieved from http://library.neit.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cgh&AN=CN-00117971&site=ehost-live

Jefferson, T., Rivetti, D., Rivetti, A., Rudin, M., Di Pietrantonj, C., & Demicheli, V. (2005). Efficacy and effectiveness of influenza vaccines in elderly people: a systematic review. Lancet366(9492), 1165–1174. https://library.neit.edu:2404/10.1016/S0140-6736(05)67339-4

VENSEL, M. (2018). Flu vaccine programs for providers: Making it legal, effective, and mandatory. Patient Safety Monitor Journal19(9), 7–9. Retrieved fromhttp://library.neit.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131246409&site=ehost-live

 

 

 

 

Is Stress Making You Fat?

Yes, Stress!
You’re trying to diet and live an active lifestyle, but the scale just won’t budge. It could be stress. Yes, stress can make you gain weight. In today’s hustle and bustle world we are busier and under more psychological stress than ever before. The average adult stressors may include financial obligations, relationship issues, relocation, marriage or divorce, being a caretaker, and of course job stress.  According to a survey conducted by CareerBuilder in 2016, fewer than half of workers with extremely low-stress levels (41 percent) feel they are overweight compared to 77 percent of workers with extremely high-stress levels. So, it is your boss’s fault your overweight! Not quite.

Stress, Emotions, and Obesity
Stress and emotional brain networks can lead to obesity. An evidence-based article, Stress-induced Obesity and the Emotional Nervous System, explains the complicated connection between stressors, the body,  the brain, and food intake. The cycle begins with a stressor triggering an emotional and physical response.  In response to this stress, the body releases hormones called glucocorticoids and insulin. These hormones promote hunger and increased food intake.  As a person eats the pleasure center of the brain is activated. This relieves the stress and reinforces the habit. This is why many people will indulge in fattening foods after a hard day at work or a stressful situation. So all you have to do is avoid all stress and the pounds will fall off! Not really.

Lack of Sleep
Lack of sleep can cause bags under your eyes and extra pounds on your waistline. Not a good look for anyone. Evidence suggests a link between poor quality sleep or lack of sleep with obesity.  Experts at the Department of Medicine, University of Chicago point out the obesity epidemic parallels reduction in the amount of sleep in today’s society. Sleep directly affects the metabolic and endocrine processes within the body.  Lack of sleep can cause several imbalances within the metabolic system and hormones such as insulin, cortisol, ghrelin and leptin levels. (Insulin, cortisol, ghrelin, and leptin are hormones that control hunger, feelings of being full,  and regulate the amount of sugar in the blood.) All of these imbalances play a role in weight gain and obesity when you have poor quality or too little sleep. So, you can blame it on lack of sleep and just dream away the pounds! Not exactly.  

What about the Children?   
Ah ha! It has to be your kids’ fault. They cause stress and make you buy all those fattening snacks. It definitely has to be the kids’ fault!  No, it’s not the kid’s fault. However, your stress could contribute to your child’s risk of obesity. A study published by the Pediatric Journal of Medicine identified stressors including serious life events, parenting stress, lack of social support, and parental worries. The study then calculated the odds for childhood obesity in the presences of family stress. The results noted that children from families with increased stress factors had two times the obesity rate than that of their peers.

So,  who or what is causing you to be overweight or obese? According to the experts, obesity and weight gain can be caused by many factors but rarely caused by only one factor. Remember the next time your trying to lose but the scale just won’t budge. Don’t just diet and exercise, but also be sure to get enough rest and try to decrease stress. Eat nutritious foods, be active, sleep, and relax to maintain a healthy weight for yourself and your family.

 

For further reading on the subject:

https://www.news-medical.net/health/Obesity-and-stress.aspx

http://www.careerbuilder.com/share/aboutus/pressreleasesdetail.aspx?sd=4%2F7%2F2016&id=pr942&ed=12%2F31%2F2016

Resources:
Beccuti, G., & Pannain, S. (2011). Sleep and obesity. Current opinion in clinical nutrition and metabolic care, 14(4), 402.

Dallman, M. F. (2010). Stress-induced obesity and the emotional nervous system. Trends in Endocrinology & Metabolism, 21(3), 159-165.

Koch, F. S., Sepa, A., & Ludvigsson, J. (2008). Psychological stress and obesity. The Journal of pediatrics, 153(6), 839-844.