Saturday, July 31, 2010

The Luck of the Draw

The Luck of the Draw

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We Can Make
Our Own Luck

Making your own luck with respect to good health involves taking various actions on your own behalf. In fact "luck" itself, without any help from us, only goes so far. For example, you could be lucky and blessed with a fast metabolism. That's great, you can eat whatever you want and not put on much weight. But is eating exclusively from the three main food groups of pasta, pizza, and peanut butter what you really want to do?

Well, yes, but it's important to recognize that there is a down side. Eventually your metabolism will rebel against this slog-fest and betray you. You'll begin to put on weight and it may take a long time to reverse this trend, even after you've switched to a more sensible diet.

Similarly, health check-ups are a smart lifestyle choice. Chiropractic check-ups help ensure your body is functioning at peak levels. If some optimizing is needed, your chiropractor will recommend treatment that will get you back to being fit. They'll also be able to answer your questions about diet and exercise, helping you plan choices and activities that will keep you and your family healthy and well.
Some people do all the right things and still develop serious health problems. Others flaunt their bad habits and are able to live long lives, dying peacefully in their sleep at the age of 95. For example, high blood pressure (hypertension, HTN) is a common chronic disease in the United States. With HTN a person's heart has to work much harder, all the time, to pump the blood needed by the rest of the body. HTN is associated with heart attacks and stroke, and hypertensive heart disease is a leading cause of death. 1

HTN is often described as a lifestyle disease. 2,3 Those who are overweight and/or obese (this characterizes two-thirds of American adults) are at increased risk for HTN, as are persons with diabetes. People who don't exercise regularly are more likely to develop high blood pressure, as are those who smoke cigarettes. In fact, overweight/obesity, lack of exercise, and tobacco use are the top three causes of HTN.

Obviously, achieving an average weight, exercising regularly, and stopping smoking (or never starting) are three main lifestyle actions related to decreasing one's risk of developing HTN. But some people who are slim, have exercised all their lives, and do not smoke may still develop high blood pressure. In such a case, HTN is termed "essential hypertension". The person has a very healthy lifestyle, there are no risk factors for HTN, and still they become hypertensive. That is the luck of the draw, otherwise known as a genetic predisposition to this disease.

In a contrasting example, a few people may smoke two packs of cigarettes a day since age 15, drink a quart of gin every few days, and never get really sick. They don't develop lung cancer or liver cancer and have no problems with HTN or heart disease, and live lives that fly in the face of all received wisdom in the field of public health. They continue to thrive well into their 80s and beyond and love to tell their well-meaning friends and relatives, "I've never been sick a day in my life" while lighting up another cigarette. Such persons are described by epidemiologists as outliers, those whose health parameters represent an outlying 2.5% or less of the standard values. Their luck of the draw lies in possessing an indestructible constitution.

Of course the exceptions only prove the rule. Their existence does not suggest that rules for good health should not be observed. Regular vigorous exercise and a healthful diet containing plenty of fresh fruits and vegetables are important for all of us, young and old. Chiropractic care is an important component of the lifestyle mix. Chiropractic care helps people, young and old, achieve the best health possible. This natural form of health care helps take the "luck" out of the equation. We can make our own luck and chiropractic helps us do that in the arena of health and well-being.

1Zhang WW, et al: Hypertension and TIA. Int J Stroke 4(3):206-214, 2009
2Schmid AA, et al: Current blood pressure self-management: a qualitative study. Rehabil Nurs 34(6):223-229, 2009
3Pascual JM, et al: Body weight variation and control of cardiovascular risk factors in essential hypertension. Blood Press 18(5):247-254

Tuesday, July 13, 2010

Peeling the Onion


Peeling the Onion

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The Path of an Adjustment

Chiropractic treatment, known as a chiropractic adjustment, involves methods of restoring optimal mechanical function to spinal joints. When joint mobility is optimized, nerve impulses flow freely from the brain to the body and back from the body to the brain.

Normal nerve transmission allows all body systems to function normally. Cells receive their instructions on time and in the right amount. Information (feedback) from the cells likewise reaches the brain on time and without distortion. Cells and tissues do their jobs efficiently and effectively and the body expresses optimum health.

The channels of communication are open and information is freely transmitted back and forth. Thus, the layers of good health are in alignment. The body has a built-in healing mechanism. The job of the chiropractor is to enable that mechanism to work properly.
In the language of statistics, health is a continuous variable. A person's health can be expressed as an infinity of values ranging from abundant well-being to terminal states approaching death. If health were a discrete quantity you could assign a number to it. You could say that someone had 95% health or 32% health. You'd be able to measure health on an exact scale. But of course health is much more complex. Health status requires intermediate descriptive states for a more complete understanding of a person's level of wellness.

The practical outcome is that health is an expression of many factors, not merely one kind of activity. A person who has an extraordinarily healthy diet but has very high levels of stress may still suffer from cardiovascular disease, regardless of the amounts of omega-3 fatty acids and fresh fruits and vegetables he consumes.1 A person may be a champion athlete, such as a ballet dancer or a figure skater, and yet have type 2 diabetes owing to a lifetime of unhealthy nutrition.2

There are many such cautionary tales, including that of a famous runner, author, and fitness expert who died suddenly of a heart attack at the age of 52.

Like an archeological dig, good health has many layers. It's always a mistake to stop digging (even though you think you completely understand a process), because a little more effort and a little more thought will reveal new patterns and new connections. This is the major problem with medications. You take a drug to stimulate one thing or inhibit another thing, but there always more layers to consider. Side effects result from trying to manipulate one layer of effects while ignoring the consequences to other important layers.

Statins are a good example of this process of failing to consider the layers of health. These drugs lower blood cholesterol levels by inhibiting the production of a liver enzyme that is part of the pathway of cholesterol synthesis. But statins have many side effects, including Lou Gehrig's disease, memory loss, liver damage, nausea, diarrhea, and muscle pain.3

In contrast, chiropractic care is designed to pay attention to all the layers. Chiropractic care, in fact, is a layer-optimization process. By restoring full functioning of a person's nerve system and improving the mechanical functioning of the musculoskeletal system, chiropractic care enables the body's layers of health to interact in the way they were designed to interact. Chiropractic care is a natural, efficient method of restoring and maintaining good health.

1Knoepfli-Lenzin C, et al: Effects of a 12-week intervention period with football and running for habitually active men with mild hypertension. Scand J Med Sci Sports Feb 2, 2010 (Epub)
2Fuemmeler BF, et al: Weight, dietary behavior, and physical activity in childhood and adolescence. Implications for adult cancer risk. Obes Facts 2(3):179-186, 2009
3Sharma M, et al: Systematic review: comparative effectiveness and harms of combination therapy and monotherapy for dyslipidemia. Ann Intern Med 151(9):622-630, 2009


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Dr. Pete