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Chew your way to Healthier Bones

Chew your way to Healthier Bones

Drink your solids, chew your liquids is a common principle encouraged by many holistic and integrative practitioners.  But what does that mean and how is that possible?  Through chewing!  Slowing down and taking time to thoroughly chew your food benefits your health in so many ways…including building strong, healthy bones!  The simple act of chewing aids in healthy digestion, nutrient absorption, stress reduction, mood enhancement and even brain stimulation.

 

Good health begins with digestion and digestion begins in the mouth.  With just the mere thought of food, enzyme-rich saliva is produced by the glands in your mouth which begins the process of digestion.  As you chew, the saliva moistens and mixes with the food, allowing the enzymes to break down the food into particles that can be easily swallowed and digested.  Chewing also prepares the stomach to receive food by stimulating the release of gastric enzymes. You can be eating all the best bone building foods, but if you are not using your teeth and muscles of mastication to break down that food, the nutrients can’t be digested, absorbed and assimilated into your bones.
 
The act of chewing also relieves stress.  Recent research has shown that chewing interferes with the release of stress hormones and helps to switch the body from a sympathetic state (state of stress) to a parasympathetic state, a state of relaxation. Only in a state of relaxation can our bodies fully rest and digest.  It is becoming more and more evident that chronic psychological stress, along with depression and anxiety,  can trigger bone loss by inhibiting bone formation and stimulating bone resorption.  A study done in mice revealed that the simple act of chewing alleviated stress induced bone loss. Adequate chewing should be part of an integrative approach to preventing and treating osteoporosis.
 
Many of us are often in a hurry when eating, giving no regard to chewing our food.  Beyond digestion and stress reduction, chewing can also stimulate the brain and elevates alertness, leading to improved cognitive performance.  So if you are in the habit of shoveling your lunch in your mouth and swallowing whole while preparing for your afternoon presentation, your performance might be enhanced by taking 30 minutes to relax, enjoy and CHEW your meal.
 
Did you know that the average person only chews their food 6 times before swallowing? Yet, most animals are intense about chewing!  Have you ever watched a horse eat?  They chew until the cows come home!  Over 60% of our teeth are molars that are designed for chewing and grinding our food, let’s put them to good work and chew our food.
 
Strong bones start with the simple act of chewing, so let’s look at some tips to help your chew your food with more gusto!

Tips for Chewing!

  1. Slow down, relax and give yourself time to eat
  2. Take small bites
  3. Soft foods (potatoes, fruits) should be chewed 5-10 times before swallowing
  4. Dense foods (meats and vegetables) should be chewed 30 times before swallowing
  5. You should fully swallow your mouthful of food before taking another bite
  6. Consume liquids between bites, not while you are chewing
  7. Chewing your liquids also helps to stimulate the digestive process and breakdown the nutrients in your drinks as well
  8. Make mealtimes more meaningful by eating with friends and family as often as you can

 

Chew to slow down
…………Chew to digest
……………….Chew to relax
…………………..Chew to stimulate your brain
…………………………………Chew for your bones!

 

Contact me if you need more ideas to chew on for keeping your bones strong and healthy!  Susan@nurturedbones.com

 

References:

Kubo, K., Iinuma, M., & Chen, H. (2015). Mastication as a Stress-Coping Behavior. BioMed Research International,2015, 1-11. doi:10.1155/2015/876409
 
Azuma, K., Furuzawa, M., Fujiwara, S., Yamada, K., & Kubo, K. (2015). Effects of Active Mastication on Chronic Stress-Induced Bone Loss in Mice. International Journal of Medical Sciences,12(12), 952-957. doi:10.7150/ijms.13298
 
Hirano, Y., & Onozuka, M. (2015). Chewing and Attention: A Positive Effect on Sustained Attention. BioMed Research International,2015, 1-6. doi:10.1155/2015/367026
 
Even, J. E., Expanded Food and Nutrition Education Program, & Consumer Sciences. (2016, March 17). Mindful Eating: Revitalize Your Relationship with Food. Retrieved from https://livesmartohio.osu.edu/food/even-2osu-edu/mindful-eating-revitalize-your-relationship-with-food/

Fermented Foods Fortify your Bones

Fermented Foods Fortify your Bones

In the following article, Liane Paulson, of Wow Wow LLC, describes how fermented foods can promote optimal gut health.  Learn how you can included fermented foods in your daily diet.

“All disease begins in the gut,” says Hippocrates, the father of medicine. If disease does begin in the gut, then healing needs to focus on the gut too. Keeping a healthy gut leads to overall better health – including bone health!

One way that good gut health is achieved is by including fermented foods in your diet. Fermented foods contain probiotics and are alive with good bacteria and yeasts that help to populate your gut. These gut microbes act as a digestive aid, helping to break down some foods and making their nutrients more available to the body. Good gut microbes bolster the immune system and can enhance mood. 90% of the serotonin in your body, a neurotransmitter associated with good mood, is produced in the gut as a result of microbial action. You have about 3 pounds of microbes in your body taking up approximately the same amount of space as your brain. Those microbes need to be nurtured and supplemented.

Some of the most common good gut microbes are in the lactobacilli family commonly found in fermented foods. The fermentation of vegetables is officially called lacto-fermentation. The “lacto” in the name refers to the lactobacillus strains that are active in the fermentation process. Natural microbes such as lactobacilli in the environment create lactic acid which is a natural preservative for food. The microbes pass into your system when you eat the food. Pickles, sauerkraut, kimchi, miso, and yogurt are a few of the more common foods you may recognize that contain lactobacilli.

Multiple studies of the effect of different strains of lactobacilli are proving that use of certain probiotics could be a welcome addition to treatment of osteoarthritis, osteoporosis, and of distal radius fractures in the elderly. Results of additional studies show that lactobacilli may help to increase bone mineral density as well, and probiotic supplements are being reviewed as a means of preventing age associated bone loss. Probiotic treatment has already been shown to improve bone formation, increase bone mass density, and prevent bone loss in mice. The positive benefits of probiotics at the gut level also help to create healthier bones!

Recently probiotic items have been popping up at farmer’s markets, health food stores, and even traditional grocery stores. Supplements are available over the counter and often recommended by health care providers. How should you introduce probiotics and fermented foods into your diet?

Consult your healthcare provider. If you are just beginning to explore introducing probiotics and fermented foods into your diet and you have any compromising health conditions, discuss with your provider. They may be able to guide you regarding specific strains of probiotics to look for or to avoid. For example, people with a sensitivity to Candida should avoid Kombucha while many other fermented foods help to fight Candida.

Start small. Because taking probiotics may build a new microbiome in your gut, when starting just try a little and build to full servings. Some people experience discomfort during the first week or two of trying new foods. If you have any adverse effects, stop and consult with your healthcare provider. Not all probiotics are for everyone. And just because a food is fermented does not mean it’s good for YOU. Everyone is different.

Read the label. Not all fermented foods are probiotic! When buying ready-made foods, read the label. Probiotic foods will be clearly labeled as containing live cultures or live probiotics.

Do not heat. To maintain the health benefits of probiotic fermented foods it is important that the food not be heated above approximately 105° F. Temperatures above 105° will kill those beneficial microbes. Canned sauerkraut, for example, is not probiotic because of the heat required in the canning process. Instead, opt for freshly fermented sauerkrauts, kimchi, or pickles, ideally having fermented for at least 3 weeks to gain optimum probiotics. Many farmer’s markets today include vendors who make delicious, fresh, fermented vegetables who often support local farmers.

Make it yourself. When antibiotics are prescribed, often people turn to yogurt to counteract negative effects such as diarrhea or yeast infection. However, even live culture yogurt may not have as many beneficial bacteria as homemade. Commercial yogurt is generally fermented for only a few hours and is often supplemented with pectin (a natural sugar) to thicken and sweeten it for the American palette. Homemade yogurt tends to ferment for 12 to 24 hours, increasing the number of microbes available in the yogurt and therefore your gut.

In Benefits of Traditional Fermented Foods, Dr. Jyoti Prakash Tamang laments that fewer and fewer people possess the traditional knowledge to create fermented foods from scratch. Despite the health benefits, because there are limited providers of fermented foods in the marketplace there is a decline in biodiversity of micro-organisms. Eating a variety of fermented foods will increase the biodiversity in your gut and give your gut more tools to improve your health.

Whether you create your food from scratch, buy ready-made foods, or somewhere in-between, probiotics are good for you — down to your bones.

Let food be thy medicine and medicine be they food. – Hippocrates

Below is a simple recipe for Fermented Carrots. It is so easy, I was able to share it recently at a summer camp for children ages 6-12. We did a variation of garlic and rosemary that the kids LOVED! We also did a variation with serrano peppers that the counselors LOVED! Give it a try!

Fermented Carrots

Ingredients

  • Carrots
  • Unchlorinated water
  • Non-iodized salt

Equipment

  • Quart sized, wide-mouth canning jar with a lid
  • Weight for holding solids under brine such as a glass weight, water-filled Ziploc, or visco disc

Variations:

  • 2-3 garlic cloves, peeled and cut into slivers
  • 1 inch piece of fresh ginger, sliced and cut into slivers (No need to peel.)
  • 1-2 jalapeno peppers sliced lengthwise into quarters (Remove seeds to white membrane to reduce heat.)
  • 1 teaspoon dried dill (1 tablespoon fresh)
  • 1-2 sliced green onions, a bit each of sliced red onion and sliced yellow onion
  • 1 few sprigs of fresh rosemary

Instructions:

  1. If using a flavor variation, place what you’ll be using to flavor your carrots in the bottom of a wide mouth jar.
  2. Make brine by mixing 1 TBS salt with 2 cups non-chlorinated water for each pint you plan to ferment.
  3. Gently scrub carrots clean. Slice carrots lengthwise to one inch shorter than the height of your jar or slice crosswise into disks. Pack snugly into the jar.
  4. Place weight on top of carrots.
  5. Pour brine over the weight letting it percolate down. Stop when brine is 1 inch from the top of the jar. Jostle the jar to get the brine between all the packed carrots and add more brine, if necessary.
  6. Cover loosely to allow gases to release during the fermentation process.
  7. Place in a shallow bowl, out of direct sunlight to ferment until active bubbling stops, usually 5-10 days depending upon the temperature of your room. Some liquid may expand out of the top of your vessel. That is OK. The carrots are ready when bubbles have stopped rising to the surface, there is a slightly sour aroma and the carrots taste tangy.
  8. Store your carrots in the refrigerator. They may be eaten immediately but will increase in flavor with time. They will keep for up to a year, though they lose color over time.

Adapted from www.makesauerkraut.com

I have always enjoyed making food from scratch and have been excited to learn about, and now teach about, making fermented foods. This gives me more control over the length of time, and therefore the density of microbes in my foods, and it takes little time or money. I enjoy the variety of flavors I can add to sauerkrauts and other fermented vegetables which leads to a diverse menu full of flavor and good gut health.

If you want more personal instruction, come to a fermentation workshop or contact me with questions.

Contributor: Liane Paulson, Wow Wow LLC. Liane offers workshops in fermentation in the Northern Virginia region. 

 

References used for the blog post:

Collins, F., Rios-Arce, N-D., Schepper, J., Parameswaran, N., and Mccabe, L. (November, 2017). The Potential of Probiotics as a Therapy for Osteoporosis. Microbiology Spectrum. 5. 10.1128/microbiolspec.BAD-0015-2016.

Katz, S. (2012). The Art of Fermentation. Chelsea Green Publishing. White River Junction, VT.

Lei, M, Guo, C, Wang, D., Zhang, C., and Hua, L. (2017) The effect of probiotic Lactobacillus casei Shirota on knee osteoarthritis: a randomised double-blind, placebo-controlled clinical trial. Beneficial Microbes: 8 (5) – Pages: 697 – 703.

Lei, M., Hua, L-M, Wang, D-W. (2016). The effect of probiotic treatment on elderly patients with distal radius fracture: a prospective double-blind, placebo-controlled randomised clinical trial. Beneficial Microbes: 7 (5) – Pages: 631 – 637

Forest Bathing for Better Bones

Forest Bathing for Better Bones

We are more than just physical beings reliant on food and water to survive.  Inside each of us there is a life force that we call the soul.  You can’t see, touch or test the soul, yet it is critical to our health and happiness.  Nurturing your mental, spiritual and emotional health is just as important as exercise and nutrition are to maintaining strong bones.

Spending time in nature is a wonderful way to nurture the soul and strengthen your bones.

“EVERYBODY needs beauty, places to pray and play in, where NATURE MAY HEAL AND CHEER, and give strength to body and soul alike.”
~ John Muir, naturalist and conservationist

Nature has healing powers.  Intuitively we know that being out in the woods, absorbing the sights and sounds of nature, makes us feel healthier.  Now emerging research confirms that connecting with nature helps humans reduce stress, combat chronic pain and boosts the immune system. Scientists are studying the growing practice of Shinrin-yoku, or “Forest Bathing” and the benefits it has on health and healing.

This practice of “Forest Bathing” was developed in Japan in the 1980’s as part of its national health program and today numerous studies have shown it to have tangible health benefits. These gentle walks through the woods have been shown to provide cardiovascular benefits of lowering blood pressure and heart rate, psychological benefits of reducing stress, anxiety and depression, as well as improved cognitive function and creativity.  Most recently, researchers have found positive effects of forest bathing on the human immune function.

A forest bathing trip involves visiting a forest or natural green space for relaxation while breathing in organic compounds called phytoncides.  Phytoncides are antimicrobial oils emitted by trees and plants into the atmosphere. These phytoncides defend the plants against bacteria, fungi and insects and can benefit our health as well.  Studies have shown that breathing in phytoncides can significantly decrease the production of stress hormones and increase the production and activity of Natural Killer cells, immune cells that can kill off tumors and cells infected with viruses.  These affects were found to last at least 7 days after a forest bathing trip.

How can a slow stroll through the woods, that doesn’t emphasize exercise, help to strengthening your bones?  Spending time among trees and in nature can enhance the immune system, decrease systemic inflammation and reduce the production of stress hormones.  All strongly associated with optimal bone metabolism and protection against bone loss.

How can you begin to experience the benefits of the forest?  Find a way to connect with nature, be it a forest, park or any green space.  Tune into the sights, sounds, smells, textures and taste the freshness of the air.

Below are further guidelines by the Association of Nature and Forest Therapy to enriching your forest bathing experience.

Guide lines for Practicing Forest Bathing

  • Work with the forest as a partner, rather than as a setting for an activity. When you skillfully open yourself to the forest, it will work with you in a positive way.
  • Keep your focus on embodiment and sensory experience; don’t over-think it.
  • Minimize efforts to achieve anything.
  • Ideally, your walks will last between two and four hours. This allows enough time for your mind and body to slow down and become relaxed.
  • You don’t need to go very far, often only a half mile or less. It’s about being here, not getting there.
  • Your primary goal is not to get a workout. It’s more like playtime with a meditative feeling. If you find yourself working out, just pause for a moment of stillness, then proceed again slowly.
  • While you can forest bathe in any natural environment, ideally your walks should take place in a wooded environment, with streams and meadows and minimal intrusion from human-made sounds such as traffic or construction.
  • The trail should be accessible and easy to walk on.
  • Go unplugged, without technological barriers between your senses and the forest.
  • Don’t let concepts such as “mindfulness” or “walking meditation” trick you into making efforts to experience anything other than what the forest offers.
  • Don’t let the experiences of others or outcomes such as the feelings of awe described in research studies trick you into trying to have those same experiences. Let each walk be its own experience; avoid trying to recreate prior positive experiences.

Don’t allow the hustle and bustle of life to interfere with your relationship with nature.  Find time to bathe yourself in the beauty and awe of nature.  Your spirit, soul, body and bones will thank you!

 

References used for the blog post:
1.  Association of Nature and Forest Therapy Guides and Programs.  Guidelines  Retrieved from http://www.natureandforesttherapy.org/
2.  Atchley, R. A., Strayer, D. L., & Atchley, P. (2012). Creativity in the Wild: Improving Creative Reasoning through Immersion in Natural Settings. PLoS ONE,7(12). doi:10.1371/journal.pone.0051474
3.  Feng, S., Madsen, S. H., Viller, N. N., Neutzsky-Wulff, A. V., Geisler, C., Karlsson, L., & Söderström, K. (2015). Interleukin-15-activated natural killer cells kill autologous osteoclasts via LFA-1, DNAM-1 and TRAIL, and inhibit osteoclast-mediated bone erosionin vitro. Immunology,145(3), 367-379. doi:10.1111/imm.12449
4.  Li, Q., Kobayashi, M., & Wakayama, Y. (2009). Effect of Phytoncide from Trees on Human Natural Killer Cell Function. International Journal of Immunopathology and Pharmacology,22(4), 951-959. doi:10.1177/039463200902200410
5.  Li, Q. (2009). Effect of forest bathing trips on human immune function. Environmental Health and Preventive Medicine,15(1), 9-17. doi:10.1007/s12199-008-0068-3
6.  Li, Q., Kobayashi, M., & Kumeda, S. (2016). Effects of Forest Bathing on Cardiovascular and Metabolic Parameters in Middle-Aged Males. Evidence-Based Complementary and Alternative Medicine,2016, 1-7. doi:10.1155/2016/2587381
7.  Park, B. J., Tsunetsugu, Y., Kasetani, T., Kagawa, T., & Miyazaki, Y. (2009). The physiological effects of Shinrin-yoku (taking in the forest atmosphere or forest bathing): Evidence from field experiments in 24 forests across Japan. Environmental Health and Preventive Medicine,15(1), 18-26. doi:10.1007/s12199-009-0086-9

Don’t Delay! Osteoporosis screening critical to prevention.

Don’t Delay! Osteoporosis screening critical to prevention.

Benjamin Franklin said “an ounce of prevention is worth a pound of cure.”  Yet when it comes to medicine, it seems like we are still focused on a cure instead of averting the condition.

The US Preventive Services Task Force (USPSTF) published its final recommendations this month on the screening of women for osteoporosis.  Despite their acknowledgement that an osteoporotic fracture can lead to chronic pain, loss of mobility and independence, and even death, the USPSTF new guidelines only recommends screening for osteoporosis with bone measurement testing in women 65 and older and younger women at high risk.

Osteoporosis is reaching epidemic levels, with data suggesting 50% of woman over the age of 50 will suffer from a fracture due to weakened bones.  Delayed screening for osteoporosis misses a crucial opportunity to intervene and prevent bone loss before it is too late.

Most woman achieve maximum bone strength and density by age of 25.  Although we begin to slowly lose bone around the age of 30, bone loss accelerates substantially by our late 40s and continues at this accelerated rate during the first several years after menopause.  Because there are no signs or symptoms of weakening bones, until one breaks, women really have no way of determining if they are excessively losing bone.  It is during these early menopausal years that woman need to be screened and preventative measures initiated.

Waiting until age 65 to be screened, gives women the false perception that they don’t have to worry about bone loss until later in life. 

We need to intervene during those crucial early menopausal years where actual prevention can occur through nutrition, exercise, and lifestyle changes aimed at slowing or stopping the loss of bone.

The Dual Energy X-ray Absorptiometry (DXA) scan has long been the gold standard for bone density testing. It is the most commonly used test for measuring bone mineral density and the way the medical community diagnoses Osteopenia or Osteoporosis.  Although it does have its flaws, DXA continues to be the best way to determine bone density.

However, there are tests that can accurately measure bone turnover, or the rate at which bone is being formed or degraded.  These tests can’t be used to determine bone density or diagnosis osteoporosis, but can provide insight into how fast you are losing bone.

The test I use most commonly is the DPD (deoxypyridinoline) urine test which measures bone resorption, or the amount of bone being lost.  In various studies, the mean urinary excretion of DPD is 20-100% higher in patients with osteoporosis than in healthy subjects.  I find this test useful to determine if someone is actively losing bone and then for monitoring the effectiveness of treatment.

Wouldn’t it be good to know how fast you are losing bone?

Osteoporosis is not an inevitable side effect of aging.  It can be prevented, and is some cases, even reversed.  But that starts by understanding your risk for fracture through testing.

Breaking a bone is not the way you want to find out that you have osteoporosis!

 

Call or email me today to schedule an appointment 
703-738-4230
Susan@nurturedbones.com

Is anxiety attacking your bones?

Is anxiety attacking your bones?

I often talk about the importance of exercise and how the mechanical stress induced by impact exercise stimulates positive bone remodeling. Emerging research indicates that psychological and emotional stress also influences the bone, but NOT in a positive way.   To take control over osteoporosis, you need to take control of your stress.

Stress is unavoidable in our modern day society, and everyone experiences stress at one time or another. But prolonged stress can contribute to psychological issues like anxiety. With emerging research suggesting that people suffering from anxiety are at an increased risk for fracture, learning to manage stress and anxiety plays an important role in addressing osteoporosis.

In a recent study published online in the journal Menopause, the journal of The North American Menopause Society (NAMS), researchers found that women who had anxiety faced a noticeably higher fracture risk, compared with women with low levels of anxiety.  In addition, anxiety levels were significantly correlated to age, menopause age, years since menopause, and depressive symptoms.

How does anxiety stress your bones?
When your body perceives stress, either physically or psychologically, your body responds by activating your sympathetic nervous system.  This system produces hormones and chemicals that help you to “fight or flight.” Although hormones such as adrenaline, norepinephrine and cortisol help to boost your ability to handle the immediate threat, the prolonged secretion of these hormones that occurs with chronic stress can lead to systemic inflammation, suppression of growth hormone and prolonged elevated levels of cortisol.  The long term effects of these hormones can both stimulate the osteoclasts (cells that breakdown bone) and inhibit the bone-building osteoblasts.  Over time, this leads to bone loss.  The third pillar of my BONES Method™ is to Nurture the Soul.  In our busy lives, it hard enough to find the time to take care of our bodies, let alone our mind, spirit and soul.  Here are some easy things you can do every day to offset the harmful side effects that stress and anxiety have on our bone health.

Ways to Calm your Mind and your Soul

  1. Laugh– Laughter triggers the release of endorphins, your “feel good” hormones and simultaneously reduces the level of stress hormones.
  2. Get adequate sleep– Sleep helps to restore and repair the body, mind and spirit, and when we awake more rested we can also better tackle the day’s stress with greater ease.
  3. Diaphragmatic breathing–  Deep breathing is one of the best ways to get oxygen to the brain and help to calm your emotional brain.  Make sure you are breathing deep into your belly and not just into the chest area.
  4. Take a brisk walk Walking can calm your brain, boosts endorphins and reduce stress hormones.
  5. Spend time in nature Spending time outdoors has been shown to relieve stress, improve memory and attention and increase energy levels.
  6. Meditation– Numerous studies have shown that medication can help you relax, regulate emotions and help bring awareness and insight into your feelings.

If you tried the above methods and are still suffering, anxiety expert Jewell Miriam Gibbs, LPC offers further advise.  “Sometimes life gets overwhelming and it feels like it will never get better or the list of things to stress over gets longer and longer.  When you find yourself here or expect to be facing stress in the future, I say “Call in all resources!”  Find support through groups or reach out to your friends.  If your thought is “I don’t want to burden anyone“ or “I’m too embarrassed” say that out loud.  Would you really respond to a friend that way? Learning new coping skills, eating well and exercising can help too.  If your worry interferes with your life or morphs into panic, consult with a therapist, consider medication if only temporarily in order to pull yourself out of your head so you can rest and calmly work on your stress issues.  Remember to pause and remind yourself that just because there is madness all around you, you can walk through this life with clarity, calm and purpose.”

Although our bones seem hard and impenetrable, emotional and psychological stress can and will wear them down, leaving them weak and fragile and susceptible to breaking.

Jewell Miriam Gibbs, LPC has a private practice in Vienna, VA.  Her practice focuses on the use of Cognitive Behavioral Therapy, Mindfulness, EMDR and Hypnosis to help people overcome psychological issues.

Contact me today to find out other ways your can build up your bones!