BULLETIN 2 — APRIL 2012

YOUR HEALTH YOUR CHOICE
AN EDUCATIONAL SERVICE PROVIDED BY THE
ROTHESAY CHIROPRACTIC CENTER
Next Infosession April 11 7pm
Probiotics — what u need to know
PH, calcium, osteoporosis and the ocean
Food as an anti-inflammatory

contents:

Health Maintenance Care in Work-Related Low Back Pain         

Red Meat Consumption and Mortality                                              

Pain Relievers Could Be Spiking Your Blood Pressure                 

Low Back Exercises:

 

From The Chiropractic Report March 2012
Maintenance Care Prevents Future Disability

A new study into work related low back pain(LBP) by health economists in the US and the UK concludes that health maintenance care as “explicitly recommended by chiropractors” is associated with fewer recurrences of LBP and disability than ongoing care provided by physical therapists or physicians.

This study “Health Maintenance Care in Work-Related Low Back Pain and Its Association With Disability Recurrence” was published in the Journal of Occupational & Environmental Medicine. 53(4):396-404, April 2011.
Data for the study comes from the 2006 claims records of Liberty Mutual, an insurance company with about 10% of US workers compensation coverage.
There was analysis of 11,420 claims for low back pain.
All claimants were followed for 12 months.
Note: LBP is one of the costliest work related injuiries.
Recurrence of LBP is an important component of human and economic cost.
This study is the first of chiropractic health maintenance care.
The study reports much lower recurrent disability for workers who “only or mostly” used a chiropractor during maintenance
care versus physical therapists or physicians.
Two reasons are suggested for this chiropractic advantage:
One -– Provider/Patient communication and a focus on return to work rather than just symptom control.
Two — Benefits flowed simply from keeping patients away from medical procedures “of unproven cost,utility, value or
dubious efficacy”.
Those patients who only or mostly saw chiropractors “had fewer surgeries,used fewer opioids and had lower costs                                for medical care than the other provider groups”.
Comment: Finally a study by independent researchers demonstrating long standing Chiropractors observation
“Maintenance is better than repair”and chiropractors do it best

All the recent media coverage on red meat comes from the following study recently published.
The following is a paraphrase of that study.

Red Meat Consumption and Mortality
Arch Intern Med. Published online March 12, 2012.
“its relationship with mortality remains uncertain.”   however the media interprets this as certain and distorts it as do others

Men and women with higher intake of red meat were less likely to be physically active and were more likely to be current smokers, to drink alcohol, and to have a higher body mass index .(excess body fat)
In addition, a higher red meat intake was associated with a higher intake of total energy but lower intakes of whole grains, fruits, and vegetables.

We found no statistically significant differences among specific unprocessed red meat items or among specific processed red meat items for the associations with total mortality  However, bacon and hot dogs tended to be associated with a higher risk than other items.
Additional adjustment for other foods (fish, poultry, nuts, beans, and dairy products) or nutrients (glycemic load, cereal fiber, magnesium, and polyunsaturated and trans fatty acids) did not appreciably alter the results.

Several mechanisms may explain the adverse effect of red meat intake:

saturated fat and cholesterol
dietary iron, particularly heme iron primarily from red meat,although some studies using biomarkers of iron status found no association
in processed meat, particularly sodium and nitrites, might explain the additional harm of processed  meats.

blood nitrite concentrations have been related to endothelial dysfunction(inflammation) and impaired insulin response in adults.
Several compounds in red meat or created by high-temperature cooking, including N -nitroso compounds (nitrosamines or nitrosamides) converted from nitrites.

polycyclic aromatic hydrocarbons, and heterocyclic amines, are potential carcinogens.

Comment:

the study population engaged in numerous risk factors which would contribute to the indicated diseases ie. decreased activity,smokers,alcohol
consumption,excessive body fat,lack of adequate fresh fruit and veggies

consumption of industrial meat: which means increased pro inflammatory omega 6 fatty acids,drug residue,antibiotic residue, increased pesticide
residue, and decreased Conjugated Linoleic Acid(CLA)—confers numerous benefits as a cancer preventive

Note: we should be ingesting organic grass fed meat: high in omega 3 anti inflammatory fatty acids,high in CLA,no antibiotic residue,no or negligible pesticides

Regarding saturated fat and cholesterol— saturated fat and cholesterol is good for you: read the book “Fat and cholesterol is good for you” by Uffe Ravnskov ,medical     researcher:The Cholesterol Myths www.ravnskov.nu/cholesterol.htm

Pain Relievers Could Be Spiking Your Blood Pressure

ScienceDaily (Mar. 20, 2012) — Diseases such as kidney failure and endocrine tumors are among the suspects causing high blood pressure — but could the common pain relievers in your medicine cabinet be the culprit?

According to Prof. Ehud Grossman of Tel Aviv University’s Sackler Faculty of Medicine and the Sheba Medical Center, many common over-the-counter and prescription medications are underlying causes of hypertension, which is a major risk factor for stroke, heart attack, and aneurisms.

“In diagnosing the causes of hypertension, over-the-counter drugs like ibuprofen are often overlooked,” says Prof. Grossman. Patients often assume that because a medication can be obtained without a prescription, it’s relatively harmless. But that’s not always the case
1.
Many of the medications that are linked with a rise in blood pressure are quite widely used, says Prof. Grossman, whose research provides an overview of which medications are related to high blood pressure. Examples include contraceptive pills, various anti-depressants, anti-inflammatory pills to control pain. and bacterial antibiotics.

.Journal Reference
1.    Ehud Grossman, Franz H. Messerli. Drug-induced Hypertension: An Unappreciated Cause of Secondary Hypertension. The American Journal of Medicine, 2012; 125 (1): 14 DOI: 10.1016/j.amjmed.2011.05.024

Comment: Over-the-counter drugs like ibuprofen are part of a class of drugs called NSAID’s—nonsteroidal antiinflammatory drugs to control pain. This class of drugs inhibits an enzyme which is responsible for creating pain due to the formation of pro-inflammatory prostaglandins. But that same enzyme is also responsible for many benefits one of which is regulating your blood pressure. Changing the foods you eat to encourage the formation of anti-inflammatory prostaglandins is more effective.  Wednesday night information sessions show you how to do this.

Pain is a process. It starts with tightening of muscles and joints,due to daily activities, which results in poor circulation. This then causes an inflammatory reaction with a fibrosis or development of scar-like tissue (adhesions) in muscles and joints. Adhesions slowly develop to eventually cause symptoms of tightness,soreness and pain.

We do not sense the adhesions until they reach “5″ on a “0″to”10″ scale. Prior to sensation,up to 4.99 we feel good. But these developing adhesions interfere with the proper movement in muscles and joints locally as well as far removed. All parts are fully integrated and if any one part(s) tighten then other parts must tighten to compensate. This chain of events is coordinated and patterned by the brain and is the reason why it takes repeated corrections of muscles and joints to restore movement which is associated with loss of pain.

The longer you have been dealing with pain the longer it takes to correct it. This is because pain is a brain thing and our brains learn through repetition. Pain means the brain cannot see what the tight muscles and joints are doing. This is due to poor feedback from special movement sensors (mechanoreceptors) in the muscles and joints because of the developing adhesions.

Thus pain is a protective mechanism—–we need pain. If muscles and joints tighten for whatever reason then we need to know what not to do—–pain tells us this. Without pain we hurt ourselves more. If we treat pain so we cannot sense pain then not only do we hurt ourselves more but the brain will pattern it repetitively and result in chronic pain. To correct pain, that is, tight muscles and joints, the adhesions must be found and physically stimulated with muscle and joint manipulation. This takes time.Then supportive exercise(s) need to be followed.

Once the adhesions have been corrected it is easier to keep muscles and joints moving correctly. This is done  by continuing the appropriate exercises and having the body parts checked periodically for the development of adhesions or tightness. Maintenance care is better than repair—–always.

Low Back Exercises:
Cat/Camel and the Birddog/Superman are two of the most important exercises for the low back.
The cat/camel should be done 5-6 repetitions with constant movement—it is not a stretch.
It is meant to stimulate movement throughout the spine and pelvis.

The birddog/superman is done after the cat/camel.
This exercise is for stability. It increases the strength of your core muscles which not only stabilizes your low back but
also the rest of the spine and your arms and legs.
Be careful to keep your pelvis level when your opposite arm and leg are stretched out and there should be no side
movement when you do this.
If you need help with these exercises ask us next time you are in the office.

Remember maintenance is better than repair, see you soon.

“bird dog”

 

 

 

 

 

 

Cat/camel

 

 

 

An Educational service proved by: Rothesay Chiropractic Centre

Table of Contents:

Vitamin E – the Selenium and Vitamin-supplements versus food and exercise and mortality

Improve your Looks – eat your Greens

Gut Flora – gut micro-organisms and mood

Vegs, fruits – Reduce Stroke in Women

Most Important Low Back exercise -”Bird Dog”

The following controversy highlights the importance of the food we eat. If the food we eat is pro-inflammatory all of our present and potential health problems are aggravated or induced.

The upcoming Wednesday night health discussions will focus on the anti-inflammatory nature of food choices appropriate to us as individuals.

Session 1— Feb 22— 7pm to 8:30

You are welcome to bring your friends/family who also may be interested in understanding the biological effects of food choices.

Recent controversy in the media:

Do Dietary Supplements Really Increase Mortality?

 Dietary supplements and mortality rate in older women. Arch Intern Med, 2011;171(18):1625-33.

Vitamin E and the risk of prostate cancer: the Selenium and Vitamin …JAMA. 2011 Oct 12;306(14):1549-56. … Klein EA, Thompson IM Jr, Tangen CM, et al.

Comment:   As observed by David Seaman, DC, MS, DABCN in Dynamic Chiropractic Canada Feb 2012—In reference to cardiovascular protection with statin use in the JUPITER trial–(Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. New Eng J Med, 2008;359:2195-207). While it was publicized that heart attacks were reduced by 50 percent, the raw data demonstrates only a 1 percent reduction.

Consider the recent studies appearing in the October 2011 issues of the Archives of Internal Medicine² and JAMA³ that looked at supplements in relation to mortality and prostate cancer, respectively. The media reported that multivitamins will increase mortality and vitamin E / selenium will cause prostate cancer, which has led many to be concerned. The actual studies tell a slightly different story.

The Archives study focused on dietary supplement use in 38,772 older women living in Iowa.

The average BMI of participants throughout the study was 27.  so these were overweight women. Excess body fat is associated with low-grade inflammation and metabolic syndrome, which has been defined as a free-radical and inflammatory state since at least 2002. It is also known that within the population in general, almost 45 percent of men and women age 60 and older have metabolic syndrome.⁵

Why are body weight and the metabolic syndrome an issue? Because the only real way to control both of these problems is to eat properly and exercise regularly; they cannot be fixed by supplementation alone. And since each represents an inflammatory state, the addition of iron and antioxidants may help to induce a pro-oxidant state, which would not likely lead to greater longevity. In other words, it is not surprising that taking multivitamins did not increase longevity in this group.

Regarding heart disease, 1,864/12,769 women who were taking multivitamins died during the 20 years of this study, which is 14.6 percent of the study group. A total of 3,782/2,5475 non-multi-users died (14.8 percent). In other words, slightly more of the non-users died, which is contrary to the scary news reports most of us heard.

Regarding cancer, 1,749/12,769 or 13.7 percent of women who were taking multivitamins died. In contrast, 3,094/25,475 or 12.1 percent of non-multi users died of cancer. So, there was a greater percentage death rate in users of multivitamins.

For the vitamin E, selenium and prostate cancer study,The JAMA Study the numbers are similar.³ Approximately 35,000 men were followed from 2001 to 2011, of which 8,696 received placebo, 8,737 received vitamin E, 8,752 received selenium, and 8,707 received vitamin E and selenium. Here’s who developed prostate cancer during that time:

• Placebo: 6.08%
• Vitamin E: 7.09%
• Selenium: 6.56%
• Vitamin E / selenium: 6.37%
• the men in this study were 50 years or older, and we know that in general, approximately 35 percent of men between the ages of 50 and 60 have the pro-inflammatory and pro-oxidative metabolic syndrome.

Why should anyone expect that the addition of 1-2 nutrients would reduce the expression of prostate cancer that is multifactorial and associated with the metabolic syndrome, free radicals and chronic inflammation? Moreover, the maximum increased risk of prostate cancer in subjects taking vitamin E or selenium was only 1.01 percent, which is clinically irrelevant.

Conclusion: Antioxidants vitamins and mineral supplements cannot combat the pro-inflammatory state created by an unhealthy diet and a lack of appropriate exercise.

Supplements shown to be helpful in reducing chronic inflammation includes vitamin D, probiotics and anti-inflammatory spices, such as ginger and turmeric, as well as EPA/DHA.

Eat your greens to improve your looks

January 10, 2011

Getting your five a day will do more for your looks than a sun tan according to scientists who have found that our appearances really do prove that you are what you eat.

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Describing their findings in the journal, Evolution and Human Behavior, the team of researchers prove that eating plenty of fruit and vegetables is by far the most effective way to achieve a healthy, golden glow.

“Most people in the West think that the best way to improve your skin colour is to get a suntan,” said Dr Ian Stephen, lead researcher on the project and an ESRC post-doctoral fellow in the Department of Experimental Psychology at the University of Bristol, “but our research shows that eating lots of fruit and vegetables is actually more effective.”

The team, working at the Perception Lab at the University of St Andrews in Scotland, first assessed the skin colour of people in relation to their diet.  Those who ate more portions of fruit and vegetables a day were found to have a more golden, yellow skin colour.  Further analyses using a scientific instrument called a spectrophotometer measured the way that light in different parts of the spectrum is absorbed by the skin, revealing that those with a healthy glow had a higher presence of carotenoids, which are yellow and red antioxidants thought to play a role in the immune system and fertility.  Carotenoids are commonly found in fruit and vegetables such as yellow and red peppers, spinach, apricots and melons.

In the second part of the study, the team used specialist computer software to manipulate the skin colour on the images of 51 faces to simulate more and less carotenoids and more and less suntan. Participants were then asked to adjust the skin colour to make the faces look as healthy as possible. Given the choice between skin colour enhanced by suntan and skin colour enhanced by carotenoids, participants preferred the carotenoid skin colour.

Images show ‘natural’ faces alongside the differences between the effects of exposure to the sun versus intake of carotenoids.

“Our study shows that not only do people use colour cues to judge how healthy other individuals are, but they are accurate when they make those judgments,” said Prof Perrett, who heads the Perception Lab. “This is important because evolution would favour individuals who choose to form alliances or mate with healthier individuals over unhealthy individuals.”

 

Proc Natl Acad Sci U S A. 2011 Sep 20;108(38):16050-5. Epub 2011 Aug 29.

Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor expression in a mouse via the vagus nerve.
Source Laboratory of NeuroGastroenterology, Alimentary Pharmabiotic Centre, University College Cork, Cork, Ireland.

Abstract

There is increasing, but largely indirect, evidence pointing to an effect of commensal gut microbiota on the central nervous system (CNS). However, it is unknown whether lactic acid bacteria such as Lactobacillus rhamnosus could have a direct effect on neurotransmitter receptors in the CNS in normal, healthy animals. GABA is the main CNS inhibitory neurotransmitter and is significantly involved in regulating many physiological and psychological processes. Alterations in central GABA receptor expression are implicated in the pathogenesis of anxiety and depression, which are highly comorbid with functional bowel disorders. In this work, we show that chronic treatment with L. rhamnosus (JB-1) induced region-dependent alterations in GABA(B1b) mRNA in the brain with increases in cortical regions (cingulate and prelimbic) and concomitant reductions in expression in the hippocampus, amygdala, and locus coeruleus, in comparison with control-fed mice. In addition, L. rhamnosus (JB-1) reduced GABA(Aα2) mRNA expression in the prefrontal cortex and amygdala, but increased GABA(Aα2) in the hippocampus. Importantly, L. rhamnosus (JB-1) reduced stress-induced corticosterone and anxiety- and depression-related behavior. Moreover, the neurochemical and behavioral effects were not found in vagotomized mice, identifying the vagus as a major modulatory constitutive communication pathway between the bacteria exposed to the gut and the brain. Together, these findings highlight the important role of bacteria in the bidirectional communication of the gut-brain axis and suggest that certain organisms may prove to be useful therapeutic adjuncts in stress-related disorders such as anxiety and depression.

• Nat Rev Neurosci. 2011;12(10):549.

Comment:  The gut flora regulates our neurotransmitters in the brain as this above research suggests.

 

Vegetables, Fruits, Reduce Stroke Risk in Women

ScienceDaily (Dec. 1, 2011) — Swedish women who ate an antioxidant-rich diet had fewer strokes regardless of whether they had a previous history of cardiovascular disease, in a study reported in Stroke: Journal of the American Heart Association.

“Eating antioxidant-rich foods may reduce your risk of stroke by inhibiting oxidative stress and inflammation,” said Susanne Rautiainen, M.Sc., the study’s first author and Ph.D. student at the Karolinska Institutet in Sweden. “This means people should eat more foods such as fruits and vegetables that contribute to total antioxidant capacity.”

Oxidative stress is an imbalance between the production of cell-damaging free radicals and the body’s ability to neutralize them. It leads to inflammation, blood vessel damage and stiffening.

Antioxidants such as vitamins C and E, carotenoids and flavonoids can inhibit oxidative stress and inflammation by scavenging the free radicals. Antioxidants, especially flavonoids, may also help improve endothelial function and reduce blood clotting, blood pressure and inflammation.

“In this study, we took into account all the antioxidants present in the diet, including thousands of compounds, in doses obtained from a usual diet,” Rautiainen said.

Researchers collected dietary data through a food-frequency questionnaire. They used a standard database to determine participants’ total antioxidant capacity (TAC), which measures the free radical reducing capacity of all antioxidants in the diet and considers synergistic effects between substances.

Researchers categorized the women according to their TAC levels — five groups without a history of cardiovascular disease and four with previous cardiovascular disease.

For women with no history of cardiovascular disease who had the highest TAC, fruits and vegetables contributed about 50 percent of TAC.

Other contributors were whole grains (18 percent), tea (16 percent) and chocolate (5 percent).

The study found:

• Higher TAC was related to lower stroke rates in women without cardiovascular disease.
• Women without cardiovascular disease with the highest levels of dietary TAC had a statistically significant 17 percent lower risk of total stroke compared to those in the lowest quintile.
• Women with history of cardiovascular disease in the highest three quartiles of dietary TAC had a statistically significant 46 percent to 57 percent lower risk of hemorrhagic stroke compared with those in the lowest quartile.

“Women with a high antioxidant intake may be more health conscious and have the sort of healthy behaviors that may have influenced our results,” Rautiainen said. “However, the observed inverse association between dietary TAC and stroke persisted after adjustments for potential confounders related to healthy behavior such as smoking, physical activity and education.”

For the study, researchers used the Swedish Mammography Cohort to identify 31,035 heart disease-free women and 5,680 women with a history of heart disease in two counties. The women were 49-83 years old.

Researchers tracked the cardiovascular disease-free women an average 11.5 years and the women with cardiovascular disease 9.6 years, from September 1997 through the date of first stroke, death or Dec. 31, 2009, whichever came first.

Researchers identified 1,322 strokes among cardiovascular disease-free women and 1,007 strokes among women with a history of cardiovascular disease from the Swedish Hospital Discharge Registry.

“To the best of our knowledge, no study has assessed the relation between dietary TAC and stroke risk in participants with a previous history of cardiovascular disease,” Rautiainen said. “Further studies are needed to assess the link between dietary TAC and stroke risk in men and in people in other countries, but we think our results are applicable.”

Co-authors are Susanna Larsson, Ph.D.; Jarmo Virtamo, M.D.; and Alicja Wolk, Dr.Med.Sci. Authors’ disclosures are on the manuscript.

The Swedish Research Council for Infrastructure and the Swedish Council for Working Life and Social Research funded the study.

Journal Reference:

1. Susanne Rautiainen, Susanna Larsson, Jarmo Virtamo, Alicja Wolk. Total Antioxidant Capacity of Diet and Risk of Stroke: A Population-Based Prospective Cohort of Women. Stroke, 2011; DOI: 10.1161/STROKEAHA.111.635557

Comment: Veggies and fruits are part of our genetic diet and have a variable low probability of intolerance—that is, provoking an adverse immune response. However, not the same can be said of grains. Read the book “Dangerous Grains by Ron Hoggan—available in office. Although grains do confer nutritional benefit as in antioxidants, that benefit is negated by the immune reaction to the storage protein which creates inflammation thus contributing to numerous symptoms of human discomfort and pathology as outlined in Dangerous Grains.

 

 

The following exercise should be done daily, 5 reps opposite arm and leg hold up to 30 sec

Most important low back exercise “bird dog”

 

 

Most important low back exercise “bird dog”

 

 

 

 

 

 

 

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YOUR HEALTH YOUR CHOICE
An Educational service provided by
Rothesay Chiropractic Centre
Website: www.rothesaychiropractic.ca   E-mail: info@rothesaychiropractic.ca

Bulletin 4-2011

NEXT WEDNESDAY INFOSESSION— June 15,7pm

BIOLOGICAL MEDICINE: FOOD AND EXERCISE

COUNTER INFLAMMATION WITH FOOD—THE EICOSANOIDS

BUTT TO LEG PAIN—GLUTEUS MAXIMUS ADHESIONS

IT’S SPRING—INVEST IN YOUR SELF —GROW YOUR FOOD— IF UNABLE TO GROW YOUR OWN THEN BUY LOCALLY GROWN ORGANIC

BULLETIN 4 CONTENT

Addition of chiropractor to australian rules sports medicine team

Chiropractic vs Medicine for acute low back pain: no contest

Dirt poor: Have fruits and vegetables become less nutritious

Tai Chi beats back depression

Antidepressants may increase the risk for heart disease

Blood pressure may be unnecessarily labeled abnormal

Gut bacteria can control organ function

Citrus show anti inflammatory potential

Your waist size predicts heart disease

Low back and butt pain —the gluteus maximus

The process of pain/discomfort

gluteus maximus–anatomy, pain pattern, stretch and strenthening exercise

Addition of chiropractor to Australian Rules Sports Medicine Team

Remember the Australian Rules Football study discussed June 2010, Bulletin 7. The study noted the addition of a chiropractor to the Sports Medicine team looking after the Australian teams. They had accumulated 15 years of statistics demonstrating that back pain,hamstring injuries,lower limb injuries and knee injuries were being poorly managed. With the addition of a Chiropractor the most telling statistic was that the average game loss of 28 per season decreased to 1 game loss. The following stats resulted from the addition of the Chiropractor to the Sports Med Team:

The results:  Lower limb muscle strain:                            sports medicine group plus chiropractic care (intervention group)—injury rate 3.6%

sports medicine group (control group )                                          —injury rate 27.6%

Hamstring injuries:                                      intervention group — injury rate 3.6%

control group        —  injury rate 17.2%

Non- contact knee injury:                             intervention group—  injury rate 3.6%   number of matches missed — 1

control group        —  injury rate 24.1% number of matches missed — 24

Low back pain:                                              at mid-season there was a significant reduction in the intervention group but not the control

Now read the following recently published research further acknowledging the most effective way to correct/manage low back pain. Be certain to read the last article,in this bulletin, on the gluteus maximus adhesions in low back pain. Remember these adhesions form in both muscles and joints and both must be corrected with appropriate exercise to help as demonstrated in the discussion.

Chiropractic vs. Medicine for Acute LBP: No Contest

Acute low back pain patients demonstrate significantly greater improvement with chiropractic than “usual care.”

With the publication of the Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) Study1 in The Spine Journal, one of the most frequently cited spine research journals in the world,2 the health care community at large may finally appreciate what the chiropractic profession has known for more than a century: Patients with acute mechanical low back pain enjoy significant improvement with chiropractic care, but little to no improvement with the usual care they receive from a family physician.

Published in the December 2010 edition of The Spine Journal, the study found that after 16 weeks of care, patients referred to medical doctors saw almost no improvement in their disability scores, were likely to still be taking pain drugs and saw no benefit with added physical therapy – and yet were unlikely to be referred to a doctor of chiropractic.

The study is “the first reported randomized controlled trial comparing full CPG [clinical practice guidelines]-based treatment, including spinal manipulative therapy administered by chiropractors, to family physician-directed UC [usual care] in the treatment of patients with AM-LBP (acute mechanical low back pain).” (Evidence-based clinical practice guidelines have been established for acute mechanical low back pain in many countries around the world, but sadly, most primary care medical doctors don’t follow these guidelines.)

The Chiropractic Hospital-based Interventions Research Outcome (CHIRO) initiative was “designed to evaluate the outcomes of spinal pain patient management strategies that involve a component of chiropractic assessment and/or spinal manipulative therapy, administered in a hospital-based spine program outpatient clinic.

CPG “study care” (SC) was compared with the usual care (UC) provided by family physicians.

Patients in the SC group received —– up to four weeks of  chiropractic spinal manipulative therapy by a chiropractor.

Patients assigned to the UC group received treatment from “a variety of professionals including family physicians, massage therapists, kinesiologists, and/or physiotherapists.”

All care was provided at a hospital-based spine program outpatient clinic.

After 16 weeks, “78% of patients in the UC group were still taking narcotic analgesic medications on either a daily or as needed basis.”

Condition-specific improvement after 16 weeks “clearly favored the SC group.

Both groups showed improvement in bodily pain and physical functioning, but “patients in the UC group uniquely showed no improvement whatsoever in back-specific functioning  throughout the entire study period.”

The inclusion of NSAIDs and manipulation/mobilization performed by physical therapists were no more effective in treating patients than family doctors who offered patients advice and acetaminophen.

The study criticizes a 2007 report that had derided the efficacy of spinal manipulation by pointing out that the older report based its conclusions on the outcomes of therapies performed by non-chiropractors. The 2007 study concluded that patients “do not recover more quickly with the addition of diclofenac or spinal manipulative therapy.”3 By contrast, the CHIRO study noted: “Although spinal-manipulative therapy is currently administered by many different healthcare professionals, including: chiropractors, osteopaths, orthopedic surgeons, family physicians, kinesiologists, naturopaths, and physiotherapists, the levels of training and clinical acumen vary widely. The study design used by Hancock, et al., therefore, differs from our study because [their study] did not use chiropractic spinal manipulation, and current guideline based care does not endorse any forms of spinal manipulation administered by any other practitioners.”

References

Bishop PB, Quon JA, Fisher CG, Dvorak MFS. The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) Study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. Spine Journal, 2010;10:1055-1064. www.ncbi.nlm.nih.gov/pubmed/20889389
Brunarski D. “Impact of the Chiropractic Literature.” Dynamic Chiropractic, Dec. 2, 2010;28(25).
Hancock MJ, Maher CG, Latimer J, McLachlan AJ, Cooper CW, Day RO, Spindler MF, McAuley JH. Assessment of diclofenac or spinal manipulative therapy, or both, in addition to recommended first-line treatment for acute low back pain: a randomised controlled trial. Lancet, 2007 Nov 10;370(9599):1638-43. www.ncbi.nlm.nih.gov/pubmed/17993364

Source: Dynamic Chiropractic Canada Vol.4 No.3

Dirt Poor: Have Fruits and Vegetables Become Less Nutritious?

Because of soil depletion, crops grown decades ago were much richer in vitamins and minerals than the varieties most of us get today

| April 27, 2011

Fruits and vegetables grown decades ago were much richer in vitamins and minerals than the varieties most of us get today. The main culprit in this disturbing nutritional trend is soil depletion: Modern intensive agricultural methods have stripped increasing amounts of nutrients from the soil in which the food we eat grows. Sadly, each successive generation of fast-growing, pest-resistant carrot is truly less good for you than the one before.

A landmark study on the topic by Donald Davis and his team of researchers from the University of Texas (UT) at Austin’s Department of Chemistry and Biochemistry was published in December 2004 in the Journal of the American College of Nutrition. They studied U.S. Department of Agriculture nutritional data from both 1950 and 1999 for 43 different vegetables and fruits, finding “reliable declines” in the amount of protein, calcium, phosphorus, iron, riboflavin (vitamin B2) and vitamin C over the past half century.

The Organic Consumers Association cites several other studies with similar findings: A Kushi Institute analysis of nutrient data from 1975 to 1997 found that average calcium levels in 12 fresh vegetables dropped 27 percent; iron levels 37 percent; vitamin A levels 21 percent, and vitamin C levels 30 percent. A similar study of British nutrient data from 1930 to 1980, published in the British Food Journal,found that in 20 vegetables the average calcium content had declined 19 percent; iron 22 percent; and potassium 14 percent. Yet another study concluded that one would have to eat eight oranges today to derive the same amount of Vitamin A as our grandparents would have gotten from one.

The key to healthier produce is healthier soil. Alternating fields between growing seasons to give land time to restore would be one important step. Also, foregoing pesticides and fertilizers in favor of organic growing methods is good for the soil, the produce and its consumers. Those who want to get the most nutritious fruits and vegetables should buy regularly from local organic farmers.

CONTACTS: Journal of the American College of Nutrition, www.jacn.org; Kushi Institute, www.kushiinstitute.org; Organic Consumers Association, www.organicconsumers.org.

COMMENT:  If you can’t grow your own then invest in locally grown organic— refer to bulletin board in office.

Tai Chi Beats Back Depression in the Elderly, Study Shows

ScienceDaily (Mar. 20, 2011) — The numbers are, well, depressing: More than 2 million people age 65 and older suffer from depression, including 50 percent of those living in nursing homes. The suicide rate among white men over 85 is the highest in the country — six times the national rate.

Researchers at UCLA turned to a gentle, Westernized version of tai chi, a 2,000-year-old Chinese martial art. When they combined a weekly tai chi exercise class with a standard depression treatment for a group of depressed elderly adults, they found greater improvement in the level of depression — along with improved quality of life, better memory and cognition, and more overall energy — than among a different group in which the standard treatment was paired with a weekly health education class.

COMMENT: Movement stimulates the brain and we feel better—its that simple. Tai chi movement is fine but walking does it too—even better is interval walking—as fast as comfortable to out of breath then reduce to normal breath and repeat as many times as comfortable.

Antidepressants may increase the risk of heart disease by thickening artery walls By Thomas H. Maugh II, L.A.Times: April 2, 2011
Taking antidepressants may raise the risk of heart disease in men by producing a thickening of artery walls, researchers said Saturday. Although a potential mechanism for the action is not obvious, the drugs appear to accelerate atherosclerosis by increasing the thickness of what is known as the intima media, the inner and middle layers of the arteries, particularly the carotid arteries that feed blood to the brain, researchers from Emory University in Atlanta reported at a New Orleans meeting of the American College of Cardiology.

Comment:  Out of breath exercie is more effective for mood disorders. Also completely removing gluten from your diet gets rid of a major cause of depression.

Blood Pressure: 100 Million Americans May Be Unnecessarily Labeled Abnormal

ScienceDaily (Mar. 21, 2011) — As many as 100 million Americans may currently be misclassified as having abnormal blood pressure, according to Dr. Brent Taylor from the Veterans Affairs Health Care System in Minneapolis and the University of Minnesota and his colleagues. Their findings show that these people are not actually more likely to die prematurely than those with ‘normal’ blood pressure, i.e. below 120/80.

Taylor and colleagues’ article in the Journal of General Internal Medicine, published by Springer, also shows that in those under 50, diastolic blood pressure*(DBP) is the more important predictor of mortality, whereas in those over 50, systolic blood pressure*(SBP) is the stronger predictor. The authors argue it is time to consider a new definition of ‘normal’ blood pressure.
The authors looked at data for 13,792 people from the National Health and Nutrition Examination Survey, which enrolled participants in 1971-76 and followed them up for two decades — they studied DBP, SBP and long-term survival data specifically. In order to assess the underlying distribution of untreated blood pressure in American adults by age, Taylor and team also looked at data for 6,672 adults from the first National Health Examination Survey carried out between 1959 and 1962.

They found that in people aged over 50, those with SBPs above 140, independent of DBP, were significantly more likely to die prematurely. In those aged 50 or less, DBPs above 100 were linked to significant increases in premature death. The authors’ analysis offers alternative cut-off points for the definition of ‘normal’.

Dr. Taylor concludes: “Our findings highlight that the choice of approach used to define normal blood pressure will impact literally millions of Americans. If we cannot reliably see an effect on mortality in a large group of individuals followed for nearly 20 years, should we define the condition as abnormal? We believe considering this kind of approach represents a critical step in ensuring that diagnoses are given only to those with a meaningful elevation in risk, and targeted towards individuals most likely to benefit.”

Gut Bacteria Can Control Organ Functions

ScienceDaily (Mar. 21, 2011) — Bacteria in the human gut may not just be helping digest food but also could be exerting some level of control over the metabolic functions of other organs, like the liver, according to research published this week in the online journal mBio®. These findings offer new understanding of the symbiotic relationship between humans and their gut microbes and how changes to the microbiota can impact overall health.

————————————————————————

“The gut microbiota enhances the host’s metabolic capacity for processing nutrients and drugs and modulates the activities of multiple pathways in a variety of organ systems,” says Sandrine Claus of the Imperial College of London, a researcher on the study.

Claus and her colleagues exposed germ-free mice to bedding that had previously been used by conventional mice with normal microbiota and followed their metabolic profiles for 20 days to observe changes as they became colonized with gut bacteria.

Over the first 5 days after exposure, the mice exhibited a rapid increase in weight (4%). Colonization also triggered a number of processes in the liver in which sugars (glucose) are converted to starch (glycogen) and fat (triglycerides) for short-term and long-term energy storage. Statistical modeling between liver metabolic functions and microbial populations determined that the levels of glucose, glycogen and triglycerides in the liver were strongly associated with a single family of bacteria called Coriobacteriaceae.

“Here we describe the first evidence of an in vivo association between a family of bacteria and hepatic lipid metabolism. These results provide new insights into the fundamental mechanisms that regulate host-gut microbiota interactions and are of wide interest to microbiological, nutrition, metabolic, systems biology and pharmaceutical research communities,” says Claus.

Another important finding in the paper, according to Claus, is that gut colonization strongly stimulated the expression and activity of the cytochrome P450 3A11, an essential enzyme in drug-detoxification pathways.

Although she warns about being careful to extrapolate the specific findings from mice to humans, Claus notes the results of this research will provide a basis to further develop new strategies to beneficially modulate host metabolism by altering microbial communities in the gut.

Journal Reference:
1.      S. P. Claus, S. L. Ellero, B. Berger, L. Krause, A. Bruttin, J. Molina, A. Paris, E. J. Want, I. de Waziers, O. Cloarec, S. E. Richards, Y. Wang, M.-E. Dumas, A. Ross, S. Rezzi, S. Kochhar, P. Van Bladeren, J. C. Lindon, E. Holmes, J. K. Nicholson. Colonization-Induced Host-Gut Microbial Metabolic Interaction. mBio, 2011; 2 (2): e00271-10 DOI: 10.1128/mBio.00271-10

Citrus flavonoids show anti-inflammatory potential: Study

By Stephen Daniells, 05-Apr-2011

Increased intakes of compounds called flavonoids from citrus may be associated with lower levels of markers of inflammation, according to a new study from researchers at Harvard, Sweden and Singapore.

Citrus consumption was linked to lower levels of inflammatory compounds

Data from between 1,200 and 1,600 women showed that women with the highest intakes of total flavonoids, which includes various subclasses such as flavones, flavonols, flavanones, flavan-3-ols, anthocyanidins, and polymeric flavonoids, were associated with an 8 percent lower level of the pro-inflammatory compound interleukin-18 (IL-18), compared with women with the lowest intake.

“Higher intakes of selected flavonoid subclasses were associated with modestly lower concentrations of inflammatory biomarkers,” wrote the researchers in the Journal of Nutrition.

“In particular, flavonoids typically found in citrus fruits were modestly associated with lower plasma IL-18 concentrations,” they added.

If the study can be repeated in further studies and intervention trials, it may offers promise for reducing the risk of chronic inflammation, brought about by an over-expression or lack of control of the normal protective mechanism. Chronic inflammation has been linked to range of conditions linked to heart disease, osteoporosis, cognitive decline and Alzheimer’s, type-2 diabetes, and arthritis.

The flavonoids family

A vast body of epidemiological studies has linked increased dietary intake of antioxidants from fruits, vegetables, wine, chocolate, coffee, tea, and other foods to reduced risks of a range of diseases including cancer, cardiovascular disease and diabetes.

Flavonoids can be split into a number of sub-classes, including anthocyanins found in berries, flavonols from a variety of fruit and vegetables, flavones from parsley and thyme, for example, flavanones from citrus, isoflavones from soy, mono- and poly-meric flavonols like the catechins in tea, and proanthocyanidins from berries, wine and chocolate.

Source: Journal of Nutrition
Published online ahead of print, , doi: 10.3945/ jn.110.133843
“Selected Dietary Flavonoids Are Associated with Markers of Inflammation and Endothelial Dysfunction in U.S. Women”
Authors: R. Landberg, Q. Sun, E.B. Rimm, A. Cassidy, A. Scalbert, C.S. Mantzoros, F.B. Hu, R.M. van Dam

Comment: refer to Foods That Fight Cancer by Belliveau

J Am Coll Cardiol. 2011 May 10;57(19):1877-86.

For Reflection

Central obesity and survival in subjects with coronary artery disease a systematic review of the literature and collaborative analysis with individual subject data.
The aim of this study was to examine the association of central (waist circumference [WC] and waist-hip ratio [WHR]) and total obesity (body mass index [BMI]) measures with mortality in coronary artery disease (CAD) patients.

CONCLUSIONS:

In subjects with CAD, including those with normal and high BMI, central obesity but not BMI is directly associated with mortality

In other words:  Your Waist Size Predicts Heart Disease Death Better than Your Weight

CNN reports:

Researchers found that heart patients with a high ratio of waist-to-hip circumference or a large waist size — greater than 35 inches for women, or 40 inches for men — were 70 percent more likely to die during the study period than those with smaller waists. The combination of a large waist and a high BMI upped the risk of death even more.”

Source    CNN May 2, 2011

Comment:  too many carbs, lack of regular exercise especially out of breath exercise, abnormal gut microflora(infecto-obesity)

Solution(s):  increase quality protein and fat;decrease, better yet, eliminate grain(refer to dangerous grains — in office or newsletter 4,5,6—archives 2007 on webpage Rothesay

Chiropractic), remove intolerant inflammatory foods—-if you want more detailed information consider measuring urine and saliva for ph(acidity),energy(redox) and

congestion(resistivity) —- ask for office handout 210; supplement with high potency multiple species gut microflora

Low Back and Butt pain — the Gluteus Maximus

The last email focused on the gluteus minimis adhesions—–referral pain pattern of pseudosciatica

The following illustrations show the anatomy of the gluteal muscles,the gluteus maximus referral pattern,gluteus stretch and strenthening exercises— if you are not doing these exercises or need help with them then ask next time you are in the office.

Reasons for gluteal adhesions/tightening involve excessive load from stair climbing/hill climbing,weight lifting as in squats and of course too much sitting. An indication that the gluts are involved is that it is difficult to get up from a seated position but this is also an indication of poor sacro-iliac joint movement in fact any time we feel discomfort ther are multiple muscles and joints involved and all of them must be corrected. Just like your foot hurts due to stones in your shoe if you remove 7 stones and there is 10 then your foot still hurts.

The process of pain/discomfort

Adhesions form anywhere in the  muscles and joints when they become too tight. This can be due to acute trauma but is most often just due to repetitive action of day to day activities.

Thus non-contact injury is the most common reason for pain or discomfort.

The tightness in the muscle/joint reduces the circulation resulting in mechanically induced inflammation and development of scar-like tissue or adhesions. These adhesions then inhibit the signal from the movement sensors to the brain which then allows pain sensor signals to reach the brain. The brain then furthers the process by sending out signals to the muscle-joint to tighten more as a protective response.

Eventually we get pain at 5 on a 0 to 10 scale. We do not feel these these adhesions from 0 to 4.9 but may experience a tightening or heaviness and reduced ability to perform an activity.

The brain has to tighten the rest of the muscles and joints to the initially tightened area and secondary adhesions develop. The brain learns to do this like any other skill it learns and the longer it does this the stronger the pattern or record. This is why it can be so difficult to correct pain patterns .

The brain likes to do what it has learned and resists change be it a skill from a pain pattern or a skill to play a sport/musical instrument etc. If the brain learns the wrong skill/pattern/technique then it takes repeated stimulis to correct the pattern and this is why physical therapy such as joint/muscle manipulation requires repetition and exercise and the longer it has been going on the longer it takes. This is why the sooner you have muscle/joint problems corrected the easier it is and the shorter the time of correction. And this is also why it is easier to have body mechanics checked and corrected on a regular maintenance basis to avoid the development of pain .

gluteal pain patterns  

stretches

to strengthen

Bulletin 3-2011

YOUR HEALTH YOUR CHOICE
An Educational service provided by
Rothesay Chiropractic Centre

506-847-7263
Website: www.rothesaychiropractic.ca <http://www.rothesaychiropractic.ca/>
E-mail: info@rothesaychiropractic.ca

I have always found that it is easier to make the right “choice and do” the better my understanding of the subject–hopefully you find the info in these communications helps you similarly. As well you can attend the Wednesday night info session for further understanding and discussion.

NEXT INFOSESSION —–MARCH 30TH,2011 AT 7 PM

Food is best medicine: – how to make our own natural anti-inflammatories

– Omega 6 and 3 fat  and the eicosanoids–
- facial pictures of food reactions

– The gluteals—pain in the butt
Basic physical capability can predict mortality in later life
September 10, 2010
People who are better at simple physical acts such as gripping, walking, rising from a chair and balancing on one leg are more likely to live longer, according to a new study published in the British Medical Journal today.

These measures are related to a person’s ability to perform everyday tasks.

Researchers from the MRC Unit for Lifelong Health and Ageing reviewed 57 studies and found 28 that looked at physical capabilities in people of any age and recorded subsequent mortality.

The researchers found that, although there was some variation between studies, there was consistent evidence of associations between all four measures of physical capability and mortality – people who performed less well in these tests had a consistently higher risk of death.

From 14 studies (including 53,476 participants) that dealt with grip strength, the death rate among the weakest people was 1.67 times greater than among the strongest people, after taking age, sex, and body size into account.

From five studies (including 14,692 participants) that dealt with walking speed, the death rate among people who were slowest was 2.87 times greater than among the people who were fastest, after similar adjustments.

Five studies (including 28,036 people) that dealt with chair rising showed that the death rate of people who were the slowest was almost twice the rate of people who were fastest at this physical task.

Most of the studies were carried out amongst older people, but the association of grip strength with mortality was also found in younger populations.

The authors note that a steep decline in physical capability may be a better predictor of mortality than is the absolute level at a single point in time.



Regular exercise can delay the aging process
February 22, 2011 by Lin Edwards

(PhysOrg.com) — A team of Canadian scientists working with mice genetically modified to age twice as fast as normal has found regular exercise keeps them young.

Professor of pediatrics and medicine, Dr Mark Tarnopolsky, and colleagues from McMaster University in Hamilton, Ontario used a litter of mice that had been modified to have a defect in a gene involved in repairing mitochondria, which supply energy for the cells. When the mice were three months old (roughly equivalent to 20 years in humans) they then forced some of the mice to exercise on a treadmill <http://www.physorg.com/tags/treadmill/>  for 45 minutes a few times a week, while giving the others no exercise.

The results showed that after five months (when the mice were the equivalent of 60 human years) the exercising mice looked like wild-type mice: younger and healthier and more active than the non-exercising mice, which were almost immobile and had lost much of their hair. The non-exercising mice were also less sociable and less fertile than the exercisers.

The researchers said every tissue and every organ they examined was better in the exercising mice than in those that did not exercise, including the hair, skin, ovaries, testicles, spleen, kidneys, and liver. In the non-exercisers their brains had shrunk and hearts were enlarged, but they were normal size in the exercisers. The anti-aging effects were “unprecedented” and protected every part of the body.

The muscle structure in the exercising mice was normal, while in the sedentary mice it appeared damaged. The mitochondria in the exercising mice appeared young and healthy, while those in the sedentary mice looked old and damaged.

This result was the most surprising because mitochondria <http://www.physorg.com/tags/mitochondria/>  have their own DNA, and the accumulation of mutations in their DNA <http://www.physorg.com/tags/dna/>  has been thought responsible for the gradual decline in tissue functions during aging, and for conditions such as cancer, diabetes, Parkinson’s disease and Alzheimer’s disease.
Senior PhD student Adeel Safdar, a co-author of the paper, said the exercised mice <http://www.physorg.com/tags/mice/> showed a “huge recovery” in mitochondrial function.

The researchers also said the study deliberately kept the exercise regime simple and at only moderate intensity and the results would also apply to humans. Dr Tarnopolsky said he hopes the research will inspire people to get serious about exercising regularly. Other studies have also shown that even people who have been sedentary for a long time benefit enormously from moderate exercise.

Dr Tarnopolsky said that while death is inevitable, exercise <http://www.physorg.com/tags/exercise/>  is the most potent anti-aging therapy available and can keep us healthy and disease free for longer than anything else.

More information: Endurance exercise rescues progeroid aging and induces systemic mitochondrial rejuvenation in mtDNA mutator mice, Published online before print February 22, 2011, doi: 10.1073/pnas.1019581108. PNAS http://www.pnas.or … 108.abstract <http://www.pnas.org/content/early/2011/02/18/1019581108.abstract>





Health Benefits of Eating Tomatoes Emerge
Science Daily (Mar. 1, 2011) — Eating more tomatoes and tomato products can make people healthier and decrease the risk of conditions such as cancer, osteoporosis and cardiovascular disease, according to a review article the American Journal of Lifestyle Medicine (published by SAGE).

Researchers Britt Burton-Freeman, PhD, MS, and Kristin Reimers, PhD, RD of the National Center for Food Safety & Technology, Illinois Institute of Technology and ConAgra Foods, Inc., looked at the current research to discover the role tomato products play in health and disease risk reduction.

The researchers found that tomatoes are the biggest source of dietary lycopene; a powerful antioxidant that, unlike nutrients in most fresh fruits and vegetables, has even greater bioavailability after cooking and processing. Tomatoes also contain other protective mechanisms, such as antithrombotic and anti-inflammatory functions. Research has additionally found a relationship between eating tomatoes and a lower risk of certain cancers as well as other conditions, including cardiovascular disease, osteoporosis, ultraviolet light-induced skin damage, and cognitive dysfunction.

Journal Reference  B. B. Freeman, K. Reimers. Tomato Consumption and Health: Emerging Benefits. American Journal of Lifestyle Medicine, 2010; DOI: 10.1177/1559827610387488 <http://dx.doi.org/10.1177/1559827610387488>




Eating Apples Extends Lifespan of Test Animals by 10 Percent
ScienceDaily (Mar. 8, 2011) — Scientists are reporting the first evidence that consumption of a healthful antioxidant substance in apples extends the average lifespan of test animals, and does so by 10 percent. The new results, obtained with fruit flies — stand-ins for humans in hundreds of research projects each year — bolster similar findings on apple antioxidants in other animal tests.

---

The study appears in ACS’s Journal of Agricultural and Food Chemistry.

Zhen-Yu Chen and colleagues note that damaging substances generated in the body, termed free radicals, cause undesirable changes believed to be involved in the aging process and some diseases. Substances known as antioxidants can combat this damage. Fruits and vegetables in the diet, especially brightly colored foods like tomatoes, broccoli, blueberries, and apples are excellent sources of antioxidants. A previous study with other test animals hinted that an apple antioxidant could extend average lifespan. In the current report, the researchers studied whether different apple antioxidants, known as polyphenols, could do the same thing in fruit flies.

The researchers found that apple polyphenols not only prolonged the average lifespan of fruit flies but helped preserve their ability to walk, climb and move about. In addition, apple polyphenols reversed the levels of various biochemical substances found in older fruit flies and used as markers for age-related deterioration and approaching death.

Chen and colleagues note that the results support those from other studies, including one in which women who often ate apples had a 13-22 percent decrease in the risk of heart disease.

Journal Reference  Cheng Peng, Ho Yin Edwin Chan, Yu Huang, Hongjian Yu, Zhen-Yu Chen. Apple Polyphenols Extend the Mean Lifespan of Drosophila melanogaster. Journal of Agricultural and Food Chemistry, 2011; : 110214164435048 DOI: 10.1021/jf1046267 <http://dx.doi.org/10.1021/jf1046267>
From European Heart Journal <http://www.medscape.com/index/list_4774_0>
Chocolate Consumption in Relation to Blood Pressure and Risk of Cardiovascular Disease in German Adults
Brian Buijsse; Cornelia Weikert; Dagmar Drogan; Manuela Bergmann; Heiner Boeing

Authors and Disclosures <file:///\\Users\davidforgie\Library\Mail%20Downloads\Bulletin%203-2011.htm>

Posted: 09/28/2010; European Heart Journal. 2010;21(13):1554-1556. © 2010 Oxford University Press

Conclusion Chocolate consumption appears to lower CVD risk, in part through reducing BP. The inverse association may be stronger for stroke than for MI.
Blueberry Juice Improves Memory in Older Adults
Science Daily (Jan. 21, 2010) — Scientists are reporting the first evidence from human research that blueberries — one of the richest sources of healthful antioxidants and other so-called phytochemicals — improve memory.

A report on the study appears in ACS’ Journal of Agricultural and Food Chemistry.

In the study, one group of volunteers in their 70s with early memory decline drank the equivalent of 2-2 l/2 cups of a commercially available blueberry juice every day for two months. A control group drank a beverage without blueberry juice. The blueberry juice group showed significant improvement on learning and memory tests, the scientists say. “These preliminary memory findings are encouraging and suggest that consistent supplementation with blueberries may offer an approach to forestall or mitigate neurodegeneration,” said the report.

Journal Reference:

1. Krikorian et al. Blueberry Supplementation Improves Memory in Older Adults. Journal of Agricultural and Food Chemistry, 2010; 100104141245097 DOI: 10.1021/jf9029332 <http://dx.doi.org/10.1021/jf9029332>


The Gluteals focusing on gluteus minimis and pseudosciatica.
As you can see in the following pictures the gluteals are a major muscle group in our pelvis and when the gluteus minimis develops adhesions the discomfort/pain pattern can mimic sciatica or leg pain. Adhesions form in muscles and joints due to tightness causing poor circulation from daily activity or inactivity ie repetitive activity. These adhesions slowly spread in the joint/muscle aggravating movement and stability inhibiting nerve/motion sensor signal to the brain which then allows pain sensor signal to the brain. In other words the motion sensor signal regulates the pain sensor signal. This is why we always feel better when we are moving. The brain then,because of poor motion sensor signal, engages a process that leads to pain threshold and we feel discomfort/pain as a protective mechanism.
To correct the pain or discomfort motion has to be restored to the tight muscle/joint complex. Both must be corrected otherwise poor results or no results. And the correction must be done by physically manipulating the joints and muscles along with appropriate exercise otherwise the tightness/adhesions remain.
The problem is that pain is a brain thing. Because our body mechanics are totally interdependent once one area tightens then other areas must compensate and our brain orchestrates that ie it learns to pattern it. Because the brain likes to do what it learns it learns the pain pattern and because it learns by repetition it must be stimulated with physical  manipulation repeatedly over time. The research suggests that most pain syndromes will respond within 6-10 therapeutic sessions. However, the longer you have been dealing with the pain then the longer it takes, that is why it is better to start restoring movement ASAP so the brain does not pattern it for a long time.
When you begin to understand the process of pain you will then understand that the most common cause of pain or injury is non contact-injury. That is most individuals when asked how they hurt themselves will state that they do not know ie it just happened or that they just did a normal movement like bending over or picking up something. This is because we do not sense adhesions in muscles and joints until they reach threshold of pain which is 5 on a 0-10 scale. So when adhesions are 4.9 we do not sense it but it means the tissue is not functioning properly and the least little extra mechanical demand will take us into threshold.
Recall the Australian Rules Football Research whereby a chiropractor who physically manipulated both muscles and joints was added to a sports medicine team. This resulted in the average game loss by injured players to go from 28 games to 1 game loss. If you wish a copy of that research ask me or go to www.biomedcentral.com/1471-2474/11/64 <http://www.biomedcentral.com/1471-2474/11/64> or bulletin 7 2010 The chiropractor adjusted the joints and stimulated the muscles which was not being done by the current sports medicine team of medical doctors, physiotherapists,massage therapists,rehab specialists, acupuncturists etc. Also,after the initial correction of the injury the players were seen on a weekly basis as maintenance to correct for any development of adhesions in muscles and joints along with review of apprppriate exercise.
So this is the whole point of this discussion to correct pain not only do you have to correct the tight muscles and joints but you have to maintain it hopefully you have a better understanding now.
See you soon.
The following pics show the gluteus minimis,its referral pattern,stretch and strengthening exercise—the inverted bridge which should be held for at least 30 secs. If you are not certain how to do this exercise ask next time you are in the office to review the low back maintenance exercises.

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BULLETIN 2-2011

YOUR HEALTH YOUR CHOICE

An Educational service provided by

ROTHESAY CHIROPRACTIC CENTRE

506-847-7263

Website: www.rothesaychiropractic.ca

E-mail: info@rothesaychiropractic.ca

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BULLETIN 2011-1

 

YOUR HEALTH YOUR CHOICE

An Educational service provided by

ROTHESAY CHIROPRACTIC CENTRE –

(506)847-7263

Website: www.rothesaychiropractic.ca

E-mail :info@rothesaychiropractic.ca

 

The year begins:  “Unless you try to do something beyond what you have

Bulletin 2010-13

YOUR HEALTH YOUR CHOICE

An educational service provided by

ROTHESAY CHIROPRACTIC CENTRE

(506) 847-6273

Website: www.rothesaychiropractic.ca

E-mail: info@rothesaychiropractic.ca

The next nutrition/health infosession would be dec 15 at 7pm—–if there is interest/ability to attend

This is a busy time of year—-So i need to know if you will be able to attend

Simply email/phone and let us know ASAP and we will let you know by dec 8

email : info@rothesaychiropractic.ca

phone : 847-7263

The discussion for dec 15 would focus on the following:

Food as medicine—the eicossanoids and the fats that make them

the omega 6 and construction of GLA/DGLA/PG1

the omega 3 and EPA/DHA

how protein/carbohydrate relates to inflammatory problems

more on cholesterol studies that show no relationship to heart/cardiovascular disease

Tinnitus(ear noise),headaches and adhesions in tight joints and muscles

Magnesium reduces sudden heart failure risk for women: Harvard study
By Stephen Daniells, 29-Nov-2010

Increased intakes of magnesium-rich foods are associated with a reduced risk of sudden cardiac death, says new research from Brigham and Women’s Hospital and Harvard Medical School.

The highest dietary intakes of the mineral were associated with a 37 percent reduction in the risk of sudden cardiac death, compared with the lowest average intakes, according to new findings published in the American Journal of Clinical Nutrition.

Dietary sources of magnesium include green, leafy vegetables.

Potential cardiovascular benefits of the mineral were highlighted in a review in the Journal of the American Academy of Nurse Practitioners (2009, Vol. 21, pp. 651-657), which found that increased intakes of magnesium may reduce the risk of coronary heart disease (CHD) in men, with the mineral being implicated in more than 300 biochemical reactions in the body, and toxicity issues being rare, “oral magnesium supplementation is recommended”.

The new study adds to this body of evidence by indicating a protective role in women from sudden cardiac death. the researchers noted that the highest intakes and the highest blood level of magnesium were associated with significant decreases in the risk of sudden cardiac death, compared with the lowest average intakes and blood levels.

Comment: There are other food sources of magnesium but green veggies are best. For example nuts are often recommended but nuts are seeds and all seeds contain natural plant chemicals that inhibit our ability to digest and absorb nutrients, as well nuts are among the most common of foods that are not well tolerated.

Primary indicators of lack of magnesium include muscles that tend to cramp, twitching muscles, sleep disturbance, anxiety and constipation.

Magnesium is a major buffer to acid body fluids and if you are not getting 2-3 cups of veggies per meal then you should consider using a supplement such as the mag/cal available in our office which has 2:1 ratio of magnesium to calcium. Otherwise you may have to consider eating bone marrow as our ancestors did to get these minerals. Subsequently, it is useful to have your saliva/urine checked once or twice a year for acidity and along with resistivity measurement will give insight not only to how well your kidneys are eliminating salts but also how well you are absorbing minerals and therefore ability to buffer acid. Remember if you are too acid then you will not be digesting properly and all cell enzyme activity will be compromised. This is the stuff we talk about on Wednesday info sessions.

The following info is further evidence of the importance of EPA/DHA and as i indicated in the next session more info on omega6 GLA/DGLA

See you soon and if you have questions take the time to ask me when i see you.

Maintenance is better than repair

Am J Clin Nutr. 2003 Mar;77(3):532-43.
Intakes of fish and marine fatty acids and the risks of cancers of the breast and prostate and of other hormone-related cancers: a review of the epidemiologic evidence.

Terry PD, Rohan TE, Wolk A.

Marine fatty acids, particularly the long-chain eicosapentaenoic and docosahexaenoic acids, have been consistently shown to inhibit the proliferation of breast and prostate cancer cell lines in vitro and to reduce the risk and progression of these tumors in animal experiments.

J Nutrigenet Nutrigenomics. 2009;2(3):149-58. Epub 2009 Sep 23.
Omega-3 fatty acids, genetic variants in COX-2 and prostate cancer.

Reese AC, Fradet V, Witte JS.

Dietary intake of fish and omega-3 polyunsaturated fatty acids (omega-3 PUFAs) may decrease the risk of prostate cancer development and progression to advanced stage disease. This could reflect the anti-inflammatory effects of PUFAs, possibly through mediation of cyclooxygenase (COX), a key enzyme in fatty acid metabolism and inflammation.

Biomed Pharmacother. 2006 Nov;60(9):502-7. Epub 2006 Aug 28.
Evolutionary aspects of diet, the omega-6/omega-3 ratio and genetic variation: nutritional implications for chronic diseases.

Simopoulos AP.

The Center for Genetics, Nutrition and Health, 2001 S Street, NW, Suite 530, 20009 Washington, DC, USA. cgnh@bellatlantic.net

Research indicates that human beings evolved on a diet with a ratio of omega-6 to omega-3 essential fatty acids (EFA) of approximately 1 to 1. Whereas in Western diets the ratio is 15/1 to 16.7/1. A high omega-6/omega-3 ratio, as is found in today’s Western diets, promotes the pathogenesis of many diseases, including cardiovascular disease, cancer, osteoporosis, and inflammatory and autoimmune diseases, whereas increased levels of omega-3 polyunsaturated fatty acids (PUFA) (a lower omega-6/omega-3 ratio), exert suppressive effects. Increased dietary intake of linoleic acid (LA) leads to oxidation of low-density lipoprotein (LDL), platelet aggregation, and interferes with the incorporation of EFA in cell membrane phospholipids. Both omega-6 and omega-3 fatty acids influence gene expression. Omega-3 fatty acids have anti-inflammatory effects, suppress interleukin 1beta (IL-1beta), tumor necrosis factor-alpha (TNFalpha) and interleukin-6 (IL-6), whereas omega-6 fatty acids do not. Because inflammation is at the base of many chronic diseases, dietary intake of omega-3 fatty acids plays an important role in the manifestation of disease.

A lower ratio of omega-6/omega-3 fatty acids is needed for the prevention and management of chronic diseases.

YOUR HEALTH YOUR CHOICE

An educational service provided by

ROTHESAY CHIROPRACTIC CENTRE

(506)847-7263

Website: www.rothesaychiropractic.ca

E-mail: info@rothesaychiropractic.ca

The Next Info Session is Wednesday November 17,2010 at 7 pm

Discussion again will include new material but also review of food and exercise on inflammation

In particular the role of gastrointestinal micro flora on our gut and immune system

As well more info about cholesterol

All about Headaches

As reported by The Chiropractic Report (TCR), Sept.2010,—there is a continuum between the primary headaches: tension type TTH, cervicogenic CGH and migraine. Migraine and tension type are easily recognized by most. Cervicogenic, you may not be aware is the movement dysfunction of the neck. That is, the neck joints and muscles are too tight which contributes to both tension type and migraine all of which is corrected by manipulation(CSMT–cervical spine manipulative therapy) and exercise. In fact, the TCR reports that a review from Duke University states that CGH is one of the most common headaches and responds well to manipulation which has distinct advantage over medication as it addresses the cause and not just the symptoms without the side effects of the med. The TCR also reports on a study which demonstrates that manipulation is more effective than a common pain med for headache —Amitriptyline. further the TCR reports on research which demonstrates that CSMT is more effective than massage. However, with migraine with aura, that is symptoms which precede the onset of the headache(prodromal) it is often necessary along with CSMT to remove triggers of the headache—various foods and or airborne chemicals. The following is a chart of the characteristics of the primary headaches—remember CGH is common to both tension type and migraine; all demonstrated to respond well to CSMT.

Tension Headache Migraine Headache

Dull Pain Sharp Pain

Bilateral Pain (both sides of head) Unilateral Pain

No Nausea Nausea

Mild/Moderate Pain Severe Pain

Steady Pain Throbbing Pain

Back of head/above eye Pain Around eye Pain

Mild light and sound sensitivity Extreme light and sound sensitivity

Frequent headaches Infrequent Headaches

Headaches long-lasting Headaches short lived

Able to exercise with headaches Exertion exacerbates headaches

No prodromal symptoms Prodromal symptoms

Live with it headaches Disabling headaches

Remember pain, anywhere, including the face and head is due to tight muscles and joints which results in poor circulation, inflammation, fibrosis, (deposits of scar -like tissue: adhesions).These adhesions, found both in muscles and joints must be physically stimulated(manipulated) to increase circulation to allow resorption of the adhesion by white blood cell activity. Otherwise, these adhesions reduce signals from mechanoreceptors (movement sensors) which in turn regulates whether the brain creates pain. Recall that the creation of pain is a process that results in symptoms of pain only after these adhesions have undergone significant development, for example, on a 0-10 scale symptoms of pain start at 5. Up to 4.9 we do not experience symptoms, we feel pretty good. But the tissue, muscle and joint complex, has, due to the adhesion development reduced capacity to withstand increased load, so we hurt our shoulder or back, whatever, by bending over to pick up a pencil—non-contact injury– the most common mechanism of injury. This is why manipulation of muscle and joint is so effective in addressing acute and chronic pain– by restoring movement and stimulating the activation of the mechanoreceptors which regulates the pain pathway in the brain. This is also why if we start moving ,no matter how much pain we are under we start to feel better due to activation of mechanoreceptors. And because it is the brain which is responsible for pain it requires repeated stimulis with manipulation and exercise. If the pain is of short duration then 6-10 sessions is adequate but if chronic then it could take much longer.

Maintenance is easier than repair. See you on Nov. 17th

BULLETIN 2010-11

YOUR HEALTH YOUR CHOICE

An educational service provided

Rothesay Chiropractic Centre

(506) 847-7263

website: www.rothesaychiropractic.ca

e-mail: info@rothesaychiropractic.ca

Wednesday Night Info Session – October 20th at 7:00 p.m.

What you need to know to get well and stay well

Focus: Review of anti-inflammatory foods

§ Review of gut microflora and its relationship to food intolerance, immunity and not feeling well

§ Review of saliva resistivity as indicator of gut (gastrointestinal) function

§ Review of pain, exercise and inflammation

§ Introduction to cholesterol and the cholesterol hypothesis originator Ancel Keys

I daily survey various news science reviews and although we have covered aspects of pain meds before I was quite taken by the stats on the use of acetaminophen and development of asthma. As you read you will see that about 40% of asthma today is suggested to be caused by the use of this common pain medication.

Consider that approximately 500 people per year die from asthma and about 3 million suffer from the condition in Canada — why would anyone want to live with asthma when there is a way of ridding yourself of it? That is if you are willing to make the right changes in your environment — what you breathe and eat. To overcome and manage such difficulty you have to have the desire to do so and the knowledge to do it. That is the focus of the Wednesday night Info Sessions. Hope to see you there!

ACETAMINOPHEN USE IN ADOLESCENTS LINKED TO DOUBLED RISK OF ASTHMA

ScienceDaily (Aug. 13, 2010) — New evidence linking the use of acetaminophen to development of asthma and eczema suggests that even monthly use of the drug in adolescents may more than double the risk of asthma in adolescents compared to those who used none at all; yearly use was associated with a 50 percent increase in the risk of asthma.

The research results will be published online on the American Thoracic Society’s Web site ahead of the print edition of the American Journal of Respiratory and Critical Care Medicine.

The study involved 300,000 13 and 14 year old children in 113 centers throughout 50 countries, asking them to quantify their use of acetaminophen (none, “medium” — at least once in the last year, or “high” — at least once in the last month) and their asthma, eczema and allergy symptoms.

There was a significant association between acetaminophen use and risk of asthma and eczema. For medium users the risk of asthma was 43 percent higher than non-users; high users had 2.51 times the risk of non-users. Similarly, the risk of rhinoconjunctivitis (allergic nasal congestion) was 38 percent higher for medium users and 2.39 times as great for high users compared to non-users. For eczema, the relative risks were 31 percent and 99 percent respectively.

In an earlier study from the United States, 13 and 14 year old children with asthma were randomized to take either acetaminophen or ibuprofen after a febrile illness. For those whose illness was respiratory, there was an increased risk of a subsequent outpatient visit for asthma.

Possible explanations include: Acetaminophen may have a systemic inflammatory effect, possibly increasing oxygen stress resulting from the depletion of glutathione-dependent enzymes, which may in turn lead to enhanced allergic immune responses. Furthermore, acetaminophen may suppress the immune response to, and prolong the symptomatic illness from, rhinovirus infections, which are a common cause of severe asthma exacerbations in childhood

Dr. Beasley and colleagues calculated “The overall population attributable risks for current symptoms of severe asthma were around 40 percent, suggesting they would be of major public health significance,” said Dr. Beasley. “Randomized controlled trials are now urgently required to investigate this relationship further and to guide the use of antipyretics, not only in children but in pregnancy and adult life.”

ACETAMINOPHEN MAY BE LINKED TP ASTHMA IN CHILDREN AND ADULTS

ScienceDaily (Nov. 5, 2009) – New research shows that the widely used pain reliever acetaminophen may be associated with an increased risk of asthma and wheezing in both children and adults exposed to the drug.

Researchers from the University of British Columbia, Vancouver, BC, Canada, conducted a systematic review and meta analysis of 19 clinical studies (total subjects=425,140) that compared the risk of asthma or wheezing with acetaminophen exposure.

Furthermore, results showed a slight increase in the risk of asthma and wheezing with prenatal use of acetaminophen by mothers

USE OF ACETAMINOPHEN IN PREGNANCY ASSOCIATED WITH INCREASED ASTHMA SYMPTOMS

ScienceDaily (Feb. 4, 2010) – Children who were exposed to acetaminophen prenatally were more likely to have asthma symptoms at age five in a study of 300 African-American and Dominican Republic children living in New York City. Building on prior research showing an association between both prenatal and postnatal acetaminophen and asthma, this is the first study to demonstrate a direct link between asthma and an ability to detoxify foreign substances in the body. The findings were published this week in the journal Thorax.

The children whose mothers had taken acetaminophen were more likely to wheeze, visit the emergency room for respiratory problems, and develop allergy symptoms, compared to those children whose mothers did not take acetaminophen.

Comment: Anybody who lives with asthma does not have to if they are willing to stop eating pro inflammatory foods and clean up the air in their living space.

MORE ON EXERCISE

Vigorous exercise reduces breast cancer risk in African-American women

October 2, 2010

Vigorous exercise of more than two hours per week reduces the risk of developing breast cancer in postmenopausal African-American women by 64 percent, compared to women of the same race who do not exercise, according to researchers at Georgetown Lombardi Comprehensive Cancer Center.

Results were presented at the Third AACR Conference on The Science of Cancer Health Disparities, held Sept. 30 to Oct. 3, 2010.

“People often want to know what they can do to reduce their risk of disease, and we have found that just two or more hours of vigorous activity per week can made a difference in one’s risk of developing breast cancer,” said the lead researcher Vanessa Sheppard, Ph.D., a cancer control scientist and assistant professor in the department of oncology at the Lombardi Comprehensive Cancer Center.

In this study, more than two hours of aerobics, running or similar activity over the span of a week counted as vigorous activity.

Women who exercised vigorously for more than two hours a week in the past year had a 64 percent reduced risk of breast cancer compared to women who did not exercise. Women who engaged in moderate exercise, like walking, had a 17 percent reduced risk, compared to women who were sedentary.

Comment: I would suggest that vigorous exercise would reduce the risk of the process of cancer in general. This would be due to the fact that out of breath exercise causes the release of muscle derived interlukin-6 which acts as an anti-inflammatory.

ONE LEG STANDING

This exercise aids the mechanical function of the low back and body movement in general, and should be part of the group of exercises that you do to prevent back pain. If you have not been shown this exercise ask next time you are in the office. —– Pick a spot on the wall to look at about 5 ft. plus from the wall. Stand on one foot without shoes on and the other leg out to 90o and bent at the knee. Place arms by your side with eyes open, once you have good balance then close your eyes and try to maintain balance on 1 foot for at least 10 seconds. Try to do this exercise a total of 5 minutes daily total time, that is, don’t do the exercise all at once separate it throughout the day. One side will be easier than the other but if you find yourself falling easily you should stand in a corner of the room so you can catch yourself if you fall. The more you practice this the easier it will become and the better the low back mechanics.

See you in the office— maintenance is better than repair

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