Category: Daily Dose

The below is an excerpt from NPR’s wellness blog. Read the full piece at https://www.npr.org/sections/health-shots/2023/11/06/1210507968/thai-chi-word-games-cognition-mentally-sharp-meditation-motion

There’s plenty of evidence that exercise can help protect our bodies and brains. And as we age, daily movement doesn’t need to be super intense. In fact, a new study finds tai chi, a slow-moving form of martial arts, can help slow cognitive decline and protect against dementia.

The study found that people who practiced a simplified form of tai chi called Tai Ji Quan twice a week for about six months improved their score by 1.5 points. This increase may not sound like a lot, but study author Dr. Elizabeth Eckstrom says “you’ve basically given yourself three extra years” of staving off decline. The study is published in Annals of Internal Medicine.

Her theory on why tai chi is effective is that it combines the memorization of the movements, known as forms, almost like a dance choreography. “So, you’re getting the physical activity, plus the memory piece,” she says.

Cooper recently relaunched one of it’s physical activity initiatives, now known as the Cooper Climbers Club (formerly the Zenith Climb Challenge). You can read full details at https://wellness.cooperhealth.org/ccc/, but in brief its goal is to connect all Cooper team members to climb as many stairs as they can in a month – getting healthy together!

But getting our steps in every day can sometimes be challenging. To that end, Jennifer Garefino, Cooper Operational Excellence Specialist and CCC founding member, recently passed along the following article outlining how to try to get steps in, as well as scientifically backed benefits of doing so. More details available below and at ABCNews.com.

Many people fear a long life span, e.g.  living to be 100, due to possible loneliness, poor health, and solitudeI. Peter Attia, physician and best-selling author, acknowledges that many of those fears are valid and so he believes in maximizing what he calls “health span” instead. Attia’s focus is on addressing “the Four Horsemen of Chronic Disease” — cardiovascular disease, cancer, cognitive diseases (such as Alzheimer’s) and metabolic diseases (such as Type 2 diabetes). Below are some guidelines he provides for achieving this, and you can read the full article at https://www.washingtonpost.com/wellness/2023/10/13/peter-attia-longevity-advice/.

First, Be Specific: the greater the specificity with which you train for your physical goals, the more likely you are to achieve them. Attia asks patients to think specifically about what they want to be able to do when they are in their 80s or older, and to start training for that when they are in their 40s or 50s or 60s, setting milestones along the way. For example, if you want to lift your great-grandchild when you’re 80, you need to, in your 50s, 60s, and 70s, focus on hip flexibility and abdominal and spinal stability that will sustain you to be able to pick up at 30 pound weight at that age. 

Second, Focus on Moving: Attia says “If you’re starting from zero, just getting to 90 minutes a week of exercise will result in a 15 percent reduction in all-cause mortality [including the Four Horsemen]. That’s dramatic. I mean, we don’t have drugs that can reduce 15 percent all-cause mortality across the board. And the good news is it’s not just like this abstract thing of “we’re adding a couple of years to your life.” No, no. You’re going to feel better in three months.”

Life Kit is a podcast produced by NPR. They believe everyone needs a little help being a human. From sleep to saving money to parenting and more, they talk to the experts to get the best advice out there. Recently, three of their contributors, Becky Harlan, Sylvie Douglis, and Andee Tagle asked professional advice-givers the question “What’s the best piece of advice you’ve ever received?” Below are their answers, but feel free to read the full article at https://www.npr.org/2023/02/19/1157287474/best-life-advice-tips

• ‘There’s more than one way to do something’ – I remember scrubbing a pan when I was maybe 8 or 9 years old. There was something stuck on the pan that wouldn’t come off, and I just kept scrubbing it. My dad stopped me, grabbed a fork and just scraped it off. And he looked at me and said, “Jody, there’s more than one way to do something.” From that moment on, I’ve been looking at every problem in my life like how can I do this a different way? — Jody Adewale, clinical psychologist.
• ‘The hate will come at the same rate as the love’ – The best advice I ever received was that the hate will come at the same rate as the love. There will always be people who are so dissatisfied with themselves that they have to project that onto other people. And instead of trying to focus on the negativity, I tend to try to put more energy into the people and the things that are showing me love, support and good energy. — Kiaundra Jackson, marriage and family therapist
• ‘Do smaller loads of laundry’ – I used to work at a small grocery store, and before moving away to college, I asked the store manager, “What’s the No. 1 thing that I need to know about going away to college?” And he said, “Do smaller loads of laundry. Your clothes will come out cleaner.” — Shaun Galanos, a relationship coach and host of The Love Drive podcast
• ‘Being vulnerable means taking off our armor’ – I was talking with my therapist about how I didn’t mind being vulnerable as long as I knew the other person would be warm, that they wouldn’t judge and all of that. And she said, “that’s not vulnerable. Being vulnerable means taking off our armor and going in not knowing how we’ll be received, but putting ourselves out there a little bit anyway.” — Tania Israel, a professor of psychology at the University of California, Santa Barbara
• ‘Go where the energy goes’ – The best piece of advice I ever received was “Go where the energy goes.” What has good vibes? What makes you feel good about yourself? Where is that good energy? Head in that direction. — Betty Who, pop star and the host of the reality dating series, “The One That Got Away”
• ‘It’s not all about you’ – The best piece of advice I was given was, “Shanita, it’s not all about you.” When I’m in a situation where a tough decision has to be made and it feels personal, I remind myself it’s not all about me, and that I’m one piece of a bigger universe that’s at play right now. — Shanita Williams, career coach and the author of Feedback Mentality
• Expect yourself to change – We all change every five years or so. More or less, we have to expect ourselves to change, and we have to expect people in our lives to change. That little piece of advice has given me a lot of space for room and for growth. — Lindsay Bryan-Podvin, a financial therapist and host of the Mind Money Balance podcast
• ‘When people show you who they are, believe them’ – When people show you who they are, believe them. Far too often, I have seen us try to recreate who we want people to be, only to later find out they are exactly what they’ve been demonstrating. — Nedra Glover Tawwab, licensed therapist and the author of Set Boundaries, Find Peace.
• Pace out your self-improvement – Don’t be so overly involved with your self-improvement. Accept the gifts and abilities that you have, and don’t spend so much time trying to develop new ones that you sacrifice your gifts. Be yourself. — David Defoe, a psychotherapist who specializes in depression, anxiety and grief
• It’s OK to say ‘I don’t know’ – Something I’ve benefited a lot from is telling yourself, “I don’t know. And that’s exactly where I should be when I take that first step.” I’m as ready as I ever will be. I’m going to do it, and I’ll know more after. — Becky Kennedy, clinical psychologist and author of Good Inside: A Guide to Becoming the Parent You Want to Be

Racing thoughts at bedtime can be a real sleep disruptor, leading to intermittent wakefulness throughout the night but luckily there are ways to clear your head before you lay it down on your pillow.

Recently, the folks at Calm looked at why this happens. Common causes include Life stressors: Whether it’s stress from work, family, or financial situations, daytime worries have a habit of reappearing at night. Anxiety and panic disorders: For some, these continuous thoughts might be a symptom of a bigger issue, like an anxiety disorder. Obsessive-Compulsive Disorder (OCD): OCD might cause recurring, unwanted thoughts. Caffeine: That afternoon coffee might be the reason you’re awake at night. Caffeine can stay in the system for hours, preventing your brain from relaxing for sleep. Fear of sleeplessness: If you’re worried about not getting enough sleep, this sleep anxiety can make you hyper-aware, with thoughts zooming around your alert brain. Over time, this cycle can lead to insomnia.

Want to learn more about what to about it? Check out Calm’s full article and practices at https://blog.calm.com/blog/racing-thoughts-at-night

Bots and corporations excluded, there are 4.9 billion social media users globally, meaning 60.49% of the global population use social media. That is unsurprising given that there are nitch networks for just about everyone in addition the the giants like Facebook and Twitter (now X). But what is social media usage doing for our wellness? It may differ by generation and, in some regards, we are not entirely sure.

Take adolescents as an example. The New York Times recently summarized the state of the science for this group and, yes, social media is of concern because the rapidly developing adolescent brain may be uniquely vulnerable to what the platforms have to offer. But the science is not nearly as settled as some of the most dire headlines would make it seem. Biologically, during adolescence, neuronal signals do not always travel through the brain rapidly enough to help kids regulate their emotions and impulses as mylnation continues to occur, and likewise, the prefrontal cortex, responsible for tasks like weighing, consequences and planning is still maturing. But extant researcher has yet to show any kind of consistent causal connection between social media use and poor mental health outcomes is difficult as a function of their unique needs or biological vulnerabilities. So why are mental health-related E.R. visits are up, and why is anxiety skyrocketing as social media bombards kids with unrealistic academic and health messages, dangerous and deadly challenges, and disinformation? As ever, the message is complicated.

Like many things, social media is not inherently good or bad. Rather, the changes happening in adolescents’ brains may make them particularly drawn to these platforms and more susceptible to the potential pitfalls. When tweens start obsessing about their social lives — talking endlessly about their peers and who sits at the “popular table” — that is a sign that they are maturing normally. But now, adolescents are experiencing those changes in an online world that is creating the opportunity for reward and social feedback incessantly, almost 24/7. And that’s a combination to be concerned about for teens.

The moral of the story? It is important to talk to our children early and often about the function that social media is playing in their lives but not just emphasizing the negatives. Encourage them to build meaningful connections, but also encourage them to diversify how they are connecting on and offline. How do we promote teen wellness in the digital age? Here are some tips offered by Children’s Hospital of Orange County:

• Encourage teens to be involved in a variety of free-time activities, like spending time with friends, joining clubs or after-school activities, and exercising.
• Encourage your teen to be physically active every day and get enough sleep.
• Turn off all screens during meals and at least an hour before bedtime.
• Keep devices with screens out of your teen’s bedroom after bedtime and don’t allow a TV in your teen’s bedroom.
• Spend time together with your teen watching TV, playing games or going online. Use this time as a chance to talk and learn together.
• Teach your teen about safe Internet and social media use. Make sure they know the dangers of sharing private information online, cyberbullying or sexting.
• Set a good example. Turn off TVs and other screens when not in use. Don’t leave screens on in the background. Turn off or mute your phone when you’re not using it and during family times, like meals.

Coffee is everywhere at Cooper and society at large. In Starbucks, break rooms, public spaces, the delicious drink has been ubiquitous throughout human history. But how much is too much? Coffee is linked with lots of health benefits, but there are some risks to consider from the caffeine it contains.

Alice Callahan at the New York Times recently wrote a piece exploring the pros and cons of coffee consumption.

Most adults can safely consume 400 milligrams of caffeine — or the amount in about four eight-ounce cups of brewed coffee or six espresso shots — per day, according to the Food and Drug Administration. If you’re pregnant, the American College of Obstetricians and Gynecologists recommends no more than 200 milligrams.

“Overall, coffee does more good than bad,” said Rob van Dam, a professor of exercise and nutrition sciences at the Milken Institute School of Public Health at George Washington University. But between your breakfast brew, lunchtime latte and afternoon espresso, is it possible to have too much? And if so, how can you tell?

Having too much caffeine can cause a racing heart, jitteriness, anxiousness, nausea or trouble sleeping, said Jennifer Temple, a professor of exercise and nutrition sciences at the University at Buffalo. It can also lead to headaches, acid reflux and, at high enough doses, even tremors or vomiting, said Dr. Adrienne Hughes, a medical toxicologist and an assistant professor of emergency medicine at Oregon Health and Science University.

Caffeine overdoses typically result from taking in too much caffeine from concentrated forms, such as powders or supplements, in a short period of time, she said. And in most cases, you would need to consume at least 10,000 milligrams of caffeine — or the equivalent of about 50 to 100 cups of coffee, depending on the strength — for it to be potentially fatal, Dr. Hughes said.

That said, if you’re prone to abnormal heart rhythms, or if you notice palpitations after having caffeine, you may be more sensitive to its effects and should not consume more than you’re used to, or ingest large doses from concentrated sources, like supplements or energy shots, Dr. Hughes said. And having too much caffeine while pregnant is associated with an increased risk of miscarriage, Dr. van Dam said.

At the end of the day, “you just kind of have to listen to your body,” Dr. Temple said. “If you’re starting to feel nauseous or jittery or anxious, maybe cut back,” she said. “If it’s affecting your sleep, cut back.”

Read the full article at https://www.nytimes.com/2023/09/26/well/eat/coffee-benefits-caffeine-risks.html

Jancee Dunn is the Well columnist for the New York Times and, for over two decades, has written about health for a variety of publications in addition to being a New York Times bestselling author of nine books. Recently she turned her attention to a common problem: how to stop thinking about work all the time. Rumination is a common issue, whether our focus is on work, relational problems, geopolitics, or anything else under the sun. Her full article can be read at https://www.nytimes.com/2023/07/21/well/mind/work-stress-burnout-strategies.html and some tips for battling this phenomenon are listed below:

Keep a Journal – Experts suggest keeping a “rumination journal” to record the hours they devote to chewing over work issues each week. This can help orient you to how much time you are really dedicated to ruminating, which one can think of as hours as overtime for which you’re not getting paid.

Set Guardrails – Establish a clear line when your workday ends, and be strict about maintaining it. Ritualize your transition from job to home by changing your clothes, putting on music or taking a walk. Doing so not only erects a psychological boundary but it can also make us more likely to use that time to rest or connect with people in real life. Keep in mind that technology “empowers rumination” so if possible turn off your notifications for email and workplace messaging apps after a certain hour; if you must check them, do so at a designated time. And set a timer, so you don’t spend the rest of the night responding to messages.

Turn Ruminative Thoughts into Productive Ones – There’s evidence that ruminating about work during leisure time can affect our emotional well-being, but thinking about creative solutions to problems does not. So when you’re stewing ask yourself: “Is there something I can do about this situation? And if so, what?” Frame specific concerns as problems to be solved. Are you brooding that a new hire is performing better than you? Ask yourself what that person is doing well, and what he or she is not doing that you are.

Learn the Difference Between Unplugging and Recharging – Unplugging at the end of the day will not stop rumination, but recharging will. A recharging activity leaves you feeling energized mentally, and pleased with yourself for doing it. That can include activities like working out, crafting or meditation.

Distract Yourself – Distraction techniques have been shown to break the rumination cycle. If you can’t find a way to solve an issue doing something that requires focus, such as a crossword puzzle or a word game, can help. Or, if it’s the middle of the night, try a memory exercise, like naming every teacher you can remember from kindergarten on up.

Martinus Evans is a fitness influencer and the founder of the radically inclusive Slow AF Run Club. He calls himself proudly slow and has taken great pride in proving wrong the people who have underestimated him. Told by his doctors to lose weight or die, Martinus Evans decided to do something no one thought his body was capable of – run a marathon. His new book empowers would-be-runners to lace up, no matter what their size.

Since a doctor’s appointment over a decade ago where he was confronted with this, Evans has founded the Slow AF Run Club, a community of over 10,000 members worldwide, has been featured by the likes of The New York Times and Men’s Health and has even appeared on the cover of Runner’s World US. With 84K followers on Instagram – @300poundsandrunning – he’s become a voice for ‘back-of-the-packer’”, encouraging and empowering those who perhaps thought that running wasn’t really for them and campaigning around issues related to size-inclusivity.

Read more about Martinus’ inspirational story at https://www.runnersworld.com/uk/health/weight-loss/a44282905/martinus-evans/

Many of us have a near-constant internal monologue running in our head. Sometimes the content is as dull as listening to someone read the dictionary, other times it is joyful or entertaining, but all too often the content contains harsh criticisms toward ourselves. As Ethan Kross noted in a recent interview with NPR’s Life Kit this kind of negative self-talk can get in the way of creating strong relationships with ourselves and others. Researchers of Cognitive Behavioral Therapy (CBT) have studied this phenomenon for some time, and much of CBT focuses on techniques such as Socratic questioning to begin to address this. In the above linked article, Kross and others summarize several of this techniques in six tips for quieting that harsh critic, summarized below.

• Get Perspective – Assessing a situation from different angles can help you avoid the unproductive thought loop that can prevent our ability to move on. Try coming up with as many different explanations for something that is bothering you, regardless of how unlikely they initially feel, then way the evidence for and against each.
• Be Your Own Best Friend – The next time you’re tempted to disparage your looks or criticize your decision-making, ask yourself: would I talk this way to my best friend? If not, practice using the same kind and gentle language that we use with the people we love, because we’re also people who we hopefully love, right?
• SIFT – The acronym SIFT (source, impact, frequency and trends), developed by research scientist Mike Caulfield, can help you figure out whether you should listen to feedback from others or just ignore it. Say someone calls you out for poor email communication. Did that criticism come from someone you trust and value? Is it demanding a big change or a minor tweak to your behavior? Is this something you’ve heard from other people? And have you heard this from different communities in your life, or just at work? Consider these points before deciding to act.
• Focus – The mind is a tricky thing. It can lead us to fixate, for example, on one bad aspect of a year-end review from a manager instead of their positive feedback. This is called “negativity bias,” says Yale psychology professor Woo-kyoung Ahn, and it illustrates our propensity to weigh negative events a lot more heavily than an equal amount of positive events. This “thinking error,” she says, is dangerous because it can lead us to make the wrong choices. Find out how to counteract this bias here.
• Talk It Out – If someone you love is causing you distress, don’t be afraid to communicate with them about it, says psychologist Adia Gooden. It may help clear up any assumptions you may have and offer new perspectives about the incident. For example, instead of jumping to conclusions if your partner is always on their phone at dinnertime, you might say to them: “Because you’re always on your phone, I feel like you don’t think I’m worthy of your attention,” says Gooden. “And they might say, ‘Oh, shoot, I didn’t mean to be on my phone. Or, you know, I’ve been kind of frustrated with you and I didn’t know how to bring it up. So I’ve been looking at my phone instead of making eye contact. Let’s talk.”
• Focus on Growth – Instead of defining yourself by your failures or limitations, consider every loss as part of your learning process. This idea, developed by psychologist Carol Dweck, is called a “growth mindset,” and it can help bolster that internal dialogue when you’ve taken an L and can’t stop kicking yourself about it. Let’s say you lose a round of pool. Those with a fixed mindset, she says, think that talent and intelligence are static: I give up, I’ll never get good at this! Growth-minded people believe that effort can lead to mastery: Hey! I’m getting a lot better at putting some power behind the ball! It’s all about finding the right perspective.