Healthy Living

How Bad Sitting Posture at Work Leads to Bad Standing Posture All the Time

Amen to this!!!  I recommend something like this for your desk: click here - Dr. Dale

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http://online.wsj.com/articles/how-bad-sitting-posture-at-work-leads-to-bad-standing-posture-all-the-time-1403564767

By: JEANNE WHALEN

Looks like your mother was right when she told you to sit up straight.

There's growing evidence that good posture contributes to a range of health benefits, from reducing back and joint pain to boosting mood. Health-care practitioners from physical therapists to surgeons to psychologists increasingly take posture into account when evaluating patients, and offer tips and tools for improvement.

Good posture doesn't just mean standing with the shoulders thrown back. More important is maintaining good alignment, with ears over the shoulders, shoulders over hips, and hips over the knees and ankles. Body weight should be distributed evenly between the feet.

Seated posture, especially while using a computer, is critically important and deserves more attention, experts say, in part because it can affect a person's posture while standing and walking. Experts say it is essential to think about posture while walking, getting up out of a chair or using a cellphone or tablet.

The hunched-over position of the typical electronic-device user is of particular concern, and is sparking new back- and neck-pain problems in teenagers. A study of 6,000 Finnish adolescents found frequent use of computers, mobile phones, videogame players and television was associated with greater rates of neck and lower-back pain, according to a 2006 paper in the European Journal of Public Health.

Posture is "probably the 800-pound gorilla when it comes to health and wellness," says Allston Stubbs, an orthopedic surgeon at Wake Forest Baptist Medical Center, in Winston-Salem, N.C., who treats patients with back or joint pain. "We see the spine and overall skeletal structure being critical to a patient's functionality and their satisfaction with their life and health care."

Evan Johnson, of the New York Presbyterian-Columbia University Medical Center Spine Center, helps a patient, Josh Gordon, work on alignment. Cassandra Giraldo for The Wall Street Journal

Because poor posture can often be caused by obesity or weak muscle tone, correcting it isn't a quick fix for many patients. Even for people in good shape, bad posture habits can be so ingrained that it takes constant vigilance to improve them.

Evan Johnson, head of physical therapy at the Spine Center, a back-pain treatment facility at New York-Presbyterian Hospital and Columbia University Medical Center, starts scrutinizing patients' posture as soon as they walk through the door. "I will go get the patient from the waiting room and escort them back. As they're walking, you're evaluating," he says.

On a recent morning Dr. Johnson sat his patient on a bench. "Roll your chest up and forward. Sit tall through the top of the head," he said, gently pulling the patient's hair upward. "Bring your navel in." The patient, a man recovering from back-pain surgery who declined to be named, slowly straightened up.

Dr. Johnson then put a wooden stick down the back of the patient's shirt and asked him to stand. The stick was meant to remind him to keep his spine straight and bend at the hips as he got up. "Many patients, when they go from sitting to standing, they lose their posture. They slouch," Dr. Johnson said.

Dr. Johnson shows how an annotated map, right, can help locate the neutral spine position. Cassandra Giraldo for The Wall Street Journal

He peppered the patient with questions. "Remind me again, do you commute to work? Do you have a bucket seat in the car?" Dr. Johnson asked. "When you have a bucket seat, your butt is way down," which can cause back pain, he said. He brandished a wedge-shaped cushion and asked the patient to sit on it, with the thick edge in back. "It takes the bucket out," Dr. Johnson said, so that "your behind is above your knees."

One of the most common posture problems, called kyphosis, is a direct result of spending too much time in front of a computer, experts say. The shoulders hunch forward, the pectoral muscles in the chest tighten, the neck and head extend toward the computer screen, and the spine is no longer vertically aligned.

Many deskbound office workers have started standing and walking in this position, too, says Andrea Cheville, a rehabilitation physician at the Mayo Clinic in Rochester, Minn.

To counteract kyphosis, it is important to stretch the pectoral muscles and strengthen the trapezius muscles in the upper back, which hold the shoulder blades back, Dr. Cheville said. Remembering to keep the ears and head over the shoulders, and not jutting forward, is also important.

Another common problem is lordosis, or swayback, where the lower spine curves inward, toward the front of the body, and the butt is thrust backward. Overweight people often display this posture, as do women wearing high heels, Dr. Cheville said. Losing weight, strengthening the so-called core muscles around the trunk and pelvis and wearing flat shoes can help reverse it.

New research is also demonstrating links between body position and mood. It has long been known that depression can lead to a slumped posture. But new evidence suggests the reverse is also true—that slouching can spark negative emotions and thoughts.

In one recent study, 30 people receiving inpatient treatment for major depression disorder in Germany were divided into two groups, and asked to sit in either a slumped or upright position. Participants were shown 16 positive words, such as "beauty" and "enjoyable," on a computer screen, and then 16 negative words, such as "exhaustion" and "dejected."

After each word, they were asked to imagine themselves in a scene connected with the word, such as a time when they'd felt depressed or beautiful.

The participants were then distracted with other tasks for five minutes, and afterward asked to recall as many of the words as they could. Patients in the slumped position recalled more negative than positive words, while those in the upright position showed more balanced recall, according to the study results, which were published this year in the journal Clinical Psychology and Psychotherapy.

The study's main author, Johannes Michalak, a clinical psychologist at Germany's University of Hildesheim, said he became interested in the link between posture and mood after practicing qigong, a traditional Chinese movement exercise that he says helped boost his sense of well-being.

In a study published in the journal Biofeedback in 2012, researchers in California and Taiwan asked 110 university students to rate their energy levels, then walk in either a slouched position or in a skipping pattern. The students reported a decrease in energy levels after the slouched walk and an increase after skipping, the researchers reported.

7 Sneaky Reasons You're Bloated

As a stomach doctor, these are all true!  Also, I'd add "gluten" sensitivity as another major cause for bloating. -- Dr. Dale

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http://www.huffingtonpost.com/2014/06/10/bloating_n_5439816.html?utm_hp_ref=healthy-living

The Huffington Post  | By Abigail Wise

It’s uncomfortable, gross and occasionally embarrassing, but bloating is something we all deal with at one point or another. Gassiness isn't just from gorging yourself at the last family meal. Bloating happens because your body can't break down gas, like it does the food you swallow. Sometimes even the digestive process itself creates gas right in your abdomen. If it's not released, air begins to build up in the stomach and intestines, which can make your belly feel like a balloon.

This type of abdominal discomfort can pop up at any time, last for hours and sometimes antacids and burping just don't quite do the trick. Can't seem to beat the bloat? Here are seven reasons that gas is gurgling in your gut.

You're stressed out.

When stress hits us hard, some of our bodies react by driving blood away from the usual digestive process, Dr. Anne Nedrow, M.D., told Health.com. As a result, you could end up with bloating, constipation, diarrhea or a plain old stomachache.

While stress itself could be to blame for bloating, the nervous habits that many of us pick up when we're anxious could also be the culprits, according to the Mayo Clinic. We chew gum, down carbonated drinks or even gulp air when we're nervous or feeling anxious. All of these habits push extra air into the stomach, which the body can't digest. This abdominal side effect is yet another reason to practice yoga, go for a run or do whatever it takes to de-stress.

Your medication is bringing on the bloat. Medications can come with a long, and sometimes nasty, list of possible side effects, including bloating. Meds that contain lactulose or sorbitol, or the diabetes medicine acarbose, are especially common culprits.

You ate too much.

Is that lump more than a food baby from your last big meal? An uncomfortable bubble in your belly could be gas trapped from eating too much in one sitting. Overeating is one of the most common causes of bloating. Research published in the International Journal of Obesity found that if you're binge eating, you're even more likely to encounter gassiness.

You chow down at superspeed. Stop gulping down your grub. Eating too quickly or drinking through a straw can result in swallowing bubbles of air along with your meal.

Plus, insufficient chewing can reduce your body's ability to digest carbs, nutritionist Monica Reinagel, M.S., LDN, CNS, tells The Huffington Post. This can create gas in the intestines, which makes you feel uncomfortable. Even if you're starved after a long day at the office, force yourself to chew thoroughly and take small sips before you swallow. This will help eliminate the air pockets that bloat your belly.

You're dehydrated. Just like crash diets cause the body go into starvation mode and cling to fat, your body begins to retain fluid when it's dehydrated, Marilyn Glenville, nutritional therapist, told Good Housekeeping. If you feel like you're retaining fluid, that probably means it's time to drink some more. Avoid carbonated drinks, which will likely exacerbate your problem. Instead, reach for herbal tea or a good old glass of water.

You're eating gassy foods.

Some foods are notorious for causing gas, Reinagel tells HuffPost. Cabbage, broccoli, kale, apples and avocados have all been known to cause bloating. Eating too much salt can also cause water retention, which can leave you feeling puffy. Plus, downing lots of fiber -- especially from supplements -- without drinking enough water is a fast track to a gassy gut. If you know the foods you're intolerant of -- dairy if you're lactose intolerant, for instance -- those might also be good to steer clear of if you're trying to break the bloat.

You have a chronic medical condition. Many disorders cause bloating, including celiac disease, dumping syndrome and even ovarian cancer. Irritable bowel syndrome is one of the most common. IBS affects the large intestine and causes food to be forced through the intestines faster than it should be, often resulting in gas and diarrhea. If you just can't seem to reduce your bloating, visit your doctor. Symptoms of many disorders can improve dramatically as people learn to control their condition.

Here's Why Soda Is Even More Unhealthy Than You Thought

This is amazing research!  Thank you Michael Goran, director of the Childhood Obesity Research Center at USC's Keck School of Medicine. -- Dr. Dale

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http://www.huffingtonpost.com/2014/06/10/there-may-be-more-sugar-i_n_5480398.html?utm_hp_ref=healthy-living

The Huffington Post  | By Erin Schumaker

On nutrition labels, sugar is just sugar. But when it comes to how the body metabolizes that sugar, there are two very different molecules that make up what we think of as table sugar. There's glucose, the more easily metabolized of the two that provides most of the body’s energy, and fructose, which can only be processed in the liver and is associated with Type 2 diabetes and obesity. But that's not to say you should swear off sugar entirely. Naturally occurring fructose in fruit is fine -- it's the large amount that's problematic. And according to a new study published in the journal Nutrition, we may be consuming more fructose than we bargained for when we drink sweetened beverages.

"The human body isn't designed to process this form of sugar at such high levels," the study's main researcher Michael Goran, director of the Childhood Obesity Research Center at USC's Keck School of Medicine, said in a statement. "Unlike glucose, which serves as fuel for the body, fructose is processed almost entirely in the liver where it is converted to fat, which increases risk for diabetes, cardiovascular disease and liver disease."

Take a look below for the not-so-sweet truth about your favorite soft drinks.

See full-size graphic here.