Support your lungs with deep breathing exercises

Healthy Human Lungs 2d illustrationThe World Health Organization says about 80% of people with COVID-19 recover without needing any special treatment. But one person in six becomes seriously ill and develops difficulty breathing.

Professor John Wilson, president-elect of the Royal Australian College of Physicians and a respiratory physician says that people develop a fever and cough when the infection reaches the air passages that conduct air from the lungs to the outside. If it gets worse, the infection moves to the end of the air passages. In an article in “The Guardian,” Wilson explains “If they become infected they respond by pouring out inflammatory material into the air sacs that are at the bottom of our lungs.”

If the air sacs then become inflamed, the lungs fill up with fluid and inflammatory cells, which results in pneumonia. This condition severely impacts the body’s ability to take in oxygen and get rid of carbon dioxide. And coronavirus pneumonia affects all of the lungs, instead of just small parts.

I don’t know whether the condition of a relatively healthy person’s lungs is a factor in whether or not you would get pneumonia from the COVID-19 virus, but it certainly wouldn’t hurt to paying attention to how you breathe. It’s always a good idea, but it’s more important now than ever.

Breathing is something most of us take for granted.  In fact, the average person breathes 1,261,440,000 (one and a quarter billion) times in a lifetime without thinking about it.  Breathing is so vital to your overall health and well-being that Dr. Andrew Weil, best-selling author, educator and practicing M.D. says: “If I had to limit my advice on healthier living to just one tip, it would be simply to learn how to breathe correctly.”

Slow, deep breathing is probably the single best anti-stress medicine we have, ” says James Gordon, a clinical professor of psychiatry at the Georgetown University School of Medicine and director of the Center for Mind-Body Medicine in Washington.”  When you bring air down into the lower portion of the lungs, where oxygen exchange is most efficient, everything changes.  Heart rate slows, blood pressure decreases, muscles relax, anxiety eases and the mind calms.  Breathing this way also gives people a sense of control over their body and their emotions that is extremely therapeutic,” says Gordon.1

Most of us do not breathe correctly.  Typically our “normal” breathing is shallow. “The result is a vicious cycle, where stress prompts shallow breathing, which in turn creates more stress,” says Gordon.2

Abdominal breathing and pranyama (yoga breathing exercises) are natural, easy ways to increase your energy and feel more relaxed because they accelerate the intake of oxygen.

Here are some breathing exercises that might just help strengthen your lungs and help you to relax during this stressful time.

Abdominal Breathing

Abdominal breathing is done from the depths of the belly, rather than breathing from your chest and nose.  It is a simple method of relaxation that can be done anywhere, at any time.

  1. Sit or lie down with your hands on your stomach.
  2. Inhale slowly through your nose, filling your stomach and then your chest.  Your abdomen should rise as if you’re inflating a balloon.  Allow it to swell and return to normal.  Your chest should move only slightly.
  3. Try to get a rhythm going, counting to 4 on the in-breath and to 8 on the out-breath.
  4. Exhale as slowly as possible through slightly parted lips.
  5. Practice this for about 10 minutes.

Alternate nostril breathing (pranyama)

You’ll notice that one of the nostrils is more open than the other.  Don’t mind this, it’s normal.

  1. Close the right nostril with your thumb.
  2. Breathe in through your left nostril.
  3. Close the left nostril with your third and fourth fingers.
  4. Breathe out through your right nostril.
  5. Close the right nostril with your thumb.
  6. Breathe in through your left nostril.
  7. Repeat the entire sequence and continue for 3-5 minutes.

The effects from these breathing exercises are cumulative, so try to practice them a few minutes each day.  You’ll experience a more settled feeling immediately, and after a week or two you may realize that the mind chatter has quieted down, and that physical tension has diminished too.

Reverend Sharon Shanthi Behl wrote a chapter called “Breath Work” for my book Calmer Waters: The Caregiver’s Journey Through Alzheimer’s and Dementia. This excerpt includes a breathing exercise you can do with a care partner who gets agitated, as well as for yourself.

“When we say we are tired and have no energy, what we are really saying is that our energy is blocked. We need to breathe to live, and how we breathe can profoundly affect our degree of physical well-being; it can regulate our emotions, and it can deplete, sustain, or increase our experience of aliveness.

“Prana is constantly fluctuating and moving throughout the universe. According to yoga philosophy, it flows throughout the living body in exquisitely determined whirlpools and currents. The wonderment of the yogic system is asana and pranayama practice allows our innate energy currents to flow as nature intended.

Here is a lovely pranayama practice to use with an agitated individual who is “sundowning.” You may be familiar with this phenomenon. Mayo Clinic clinical neuropsychologist, Glenn Smith, Ph.D., describes sundowning as a state of confusion at the end of the day and into the night. Sundowning isn’t a disease, but a symptom that often occurs in people with dementia, such as Alzheimer’s disease. Smith lists several factors that may aggravate late-day confusion including fatigue, low lighting, increased shadows, and the disease’s disruption of the body’s internal clock. You might find that focusing your loved one’s attention on this practice calms them, and you. ”

Read these instructions slowly out loud as you demonstrate the movement.

  1. Let us do the Butterfly Breath together.  
  2. Face palms toward the heart center at center of the chest.  Interlace the fingers with thumb pointing up to the ceiling.  Place hands on the chest and keep your awareness at this heart center as you breathe deeply and slowly in and out the nose.
  3. Can you feel your heart beating? Can you feel how much you are loved?
  4. Notice the rise and fall of your breath. Feel the warmth of your hands on your chest.  

Add this option for yourself:

  1. Notice any feelings or thoughts as you breathe naturally.
  2. As you breathe in, see your feelings and thoughts like bubbles of air rising from the bottom of a lake.
  3. Breathe out and imagine the bubbles silently bursting as they reach the water’s surface.

If you are a caregiver, please remember to take care of yourself so you can take care of your loved one(s).

References

  1. Krucoff, Carol. “Doctors Empowering Patients by Promoting Belly Breathing,” Washington Post, June 2000.
  2. Ibid

Barbra Cohn cared for her husband Morris for 10 years. He passed away from younger-onset Alzheimer’s disease in 2010. Afterward, she was compelled to write “Calmer Waters: The Caregiver’s Journey Through Alzheimer’s & Dementia”—Winner of the 2018 Book Excellence Award in Self-Help—in order to help other caregivers feel healthier and happier, have more energy, sleep better, feel more confident, deal with feelings of guilt and grief, and to ultimately experience inner peace. “Calmer Waters” is available at AmazonBarnes & NobleBoulder Book StoreTattered Cover Book Store,  Indie Bound.org, and many other fine independent bookstores, as well as public libraries.

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16 ways to help you get through the anxiety and fear of the pandemic

Empire of the sunWe’re all experiencing some level of anxiety during this crazy time. And if you’re a caregiver, you’re dealing with your own stress and the anxiety of the person you are caring for. Watch for a blog next week about calming the person that you care for. Or, search through the archives on this site.

Here are some practical things that really work to help create order and calm.

  1. First thing in the morning when you wake up say an affirmation or prayer. “This will be a beautiful day,” “I will do the best I can,” I am strong and healthy,” ” I can get through this.” “I am strong and confident.”
  2. Create a schedule and try to stick to it. For example:
  • Shower
  • Make breakfast
  • Do an online yoga or cardio class
  • Wash clothes, clean house
  • Clean your office
  • Work on a creative project, i.e. write, knit, paint, etc.
  • Have lunch
  • Walk outside, if the weather permits
  • Etc.

It seems very simplistic, but it helps. And when you check each item off the list it adds to a sense of accomplishment.

3. Include a self-care ritual in your day. Take a bath, call a friend, do a manicure. Wash and style your hair. Whatever makes you feel good.

4. When the negative thoughts start flowing, stop them in their tracks. I heard about this technique recently from a friend, who got it from her therapist. Change the mental dialogue in your head by replacing the worst case scenario you imagine with a best case scenario. Instead of dwelling on doom and gloom, think hopeful thoughts. Of course, this technique only goes so far. If the person you are caring for has mid- to late -stage Alzheimer’s, for instance, hoping for a total recovery isn’t very likely. But you can still think positive thoughts that focus on what you cherish about the person instead of  what you dislike about his or her behavior. Or when you start to panic about what will happen to your loved one if you get sick, replace that thought with a visualization of being strong and healthy.

5. Watch a funny movie or YouTube video. There are tons of movies online, and as of today, March 20, Hulu is currently offering a free 30-day trial. The Metropolitan Opera is offering Free Live Audio Streams. Vocal artists are offering online concerts while you’re stuck at home.

6. You can work out in your living room thanks to fitness studios that are live-streaming workout classes for yoga, meditation, cardio, etc. free during the coronavirus outbreak.

7. Create a ritual of lighting a candle and playing classical music at dinnertime.

8. Use aromatherapy to calm the nerves and uplift the mood. Use essential oils to immediately diffuse feelings of sadness, depression, anxiety, etc. Lavender oil is the most frequently used fragrance. You can also try bergamot, grapefruit, lemon, orange, clary sage, geranium, rose, and ylang ylang, frankincense, and myrrh. Put the oil in a diffuser or spray bottle to mist your collar or pillow. Check online for ways to order aromatherapy oils. For more information about the use of aromatherapy to reduce stress, improve immunity, reduce agitation, and to promote relaxation read chapter 18 “Aromatherapy” in “Calmer Waters: The Caregiver’s Journey Through Alzheimer’s & Dementia” by Barbra Cohn.

9. Support serotonin levels. Omega 3 fatty acids are rich in DHA, the major unsaturated fat in the brain. Your brain is 60% fat and depends on the fat you ingest from food. Healthy fats found in cold-water fish such as salmon, mackerel, sardines, and in olive oil, walnuts, flax and avocado will improve your mood. It is important to cook with a healthy fat such as olive oil, walnut or avocado in order to feed your brain! Canola oil, peanut oil, and safflower are not able to provide you with the fat your brain needs.

As a nutrition educator, I also like to recommend foods that increase the “happy” neurotransmitter serotonin. Whole grains, sweet potatoes, brown rice, oatmeal, buckwheat, millet, quinoa, support your brain’s ability to process more serotonin.

10. If you’re lucky to have a caring partner, give each other a massage. It’s a wonderful way to tune out the world and relax. Or do a self massage with warm oil. Olive or coconut works perfectly.

11. Avoid an excess of alcohol, caffeine and sugar. These will just make you feel more jittery in the long run, and add extra calories.

12. Avoid listening to the news before bed. When the coronavirus outbreak first occurred, I found myself glued to the news and I suffered the price. My sleep was restless and I had nightmares. Limit yourself to tuning in 2 or 3 times a day at most, for a limited period of time. Don’t keep the TV or radio on all day, and certainly not while you’re eating or before bed.

13. Limit your social media time, too. There are a lot of scary things on Facebook, etc. While it’s important to stay informed, too much information can overwhelm us and make us even more frightened.

14. Stay in close contact with family and friends. Reach out to those you haven’t been in touch with for a while. Laugh about old times.

15. Do some volunteer work, unless you are a caregiver. Your spiritual/religious community has things you can do to help others like calling congregants to check-in and see if they need anything. Or donate money to a food bank or emergency assistance organization. It’ll make you feel good.

16. It’s officially spring! Get outside and do some yard work. Plant some seeds for a spring garden and watch as the seeds sprout into nature’s gift of flowers and greens.

Stay positive and healthy. We will get through this together.


Barbra Cohn cared for her husband Morris for 10 years. He passed away from younger-onset Alzheimer’s disease in 2010. Afterward, she was compelled to write “Calmer Waters: The Caregiver’s Journey Through Alzheimer’s & Dementia”—Winner of the 2018 Book Excellence Award in Self-Help—in order to help other caregivers feel healthier and happier, have more energy, sleep better, feel more confident, deal with feelings of guilt and grief, and to ultimately experience inner peace. “Calmer Waters” is available at AmazonBarnes & NobleBoulder Book StoreTattered Cover Book Store,  Indie Bound.org, and many other fine independent bookstores, as well as public libraries.

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Pandemic Flu Home Care: A detailed guide for caring for the ill at home.

Dear Readers,

I want to share a valuable guide for caring for the ill at home.

Pandemics: What DOES your family need to know? Get the essential guide backed by clinical professionals: www.pandemichomecare.nethttp://tinyurl.com/pandemichomecare #breaking #coronavirus #covid19

The guide covers strategies every adult can understand, from what to do if you must stay home to infection control and basic nursing skills to what supplies to have on-hand. What’s more, the book’s authors underscore a pivotal theme that often gets overlooked amidst a globally stressful time: we can’t do this alone.

Albuquerque, NM/ March 16, 2020

In 2008, three women health care professionals responded to a potentially dire situation—the bird flu, or H5N1 epidemic. During that period, the nurses noticed a troubling effect—it was clear that rural communities would not receive the care needed to survive, and residents were asking for guidance in the event they were without access to health care.

They decided to do something.

Collaborating with scientists, teams of nurses, and physicians, the women began transcribing their deep experience mitigating the spread of influenza outside of a hospital setting. They gathered evidence-based tactics from historical outbreaks, including the 1918 pandemic. They amassed a veritable “how to” in the face of a pandemic in America.

The first edition of Pandemic Flu Home Care: A Detailed Guide for Caring for the Ill at Home was published in 2008, another in 2013, and is now under its 3rd edition in consideration of coronavirus (COVID-19). It is widely regarded as one of the most principle publications on how to slow influenza, care for yourself, and your community during a pandemic.

This is flattening the curve: allowing a system to care for patients over time as opposed to all at once.

“I believe (this book) should be the starting point for governments in pandemic/bioterrorism preparedness planning,” says William D. Stanhope, MS, PA Associate Director at the Institute for Biosecurity.

“When we studied these historical influenza outbreak events—and hearing the stories of living through it firsthand—the setup of a network of support with family, neighbors and friends was one of the best things people could do.” advises co-author Maurine Renville, LISW, MEd. “Sharing resources. Helping one person if the other fell ill. That saved a lot of people. We don’t want anyone to wait until it’s too late to have a plan in place.”

Pandemic Flu Home Care: A Guide to Caring for the Ill at Home is available in both Spanish and English on Amazon.com. All profits go to non-profit organizations and charities after expenses and taxes.

###

Contact:

For information on interviews, speaking engagements, or other press-related inquiries, please contact:
Kim Naujock
707-985-8122

info@pandemichomecare.net

www.pandemichomecare.net

About the Authors:

Sandra L. Schwanberg, PhD RN has over 35 years of experience in community and public health nursing and nursing education. She has served on many non-profit community agency boards. Dr. Schwanberg received her basic nursing education at the University of Wisconsin-Milwaukee, completed a master’s degree in nursing at the University of Illinois and a doctorate at the University of New Mexico.

Maurine Renville, LISW, MEd has 30 years of experience in education and training, business, community building and clinical social work. She has taught in baccalaureate programs and has developed and implemented a business-training model in communication skills. She received bachelor and master’s degrees in education from Central Washington State University and a graduate degree in social work from New Mexico Highlands University.

Contributions from:

Lesley J. Mortimer, MSN, MPH, FNP has over 38 years of experience in nursing, and deemed an expert in infectious diseases and tropical medicine having worked and lived in Africa, Asia, Latin America and the Middle East. Ms. Mortimer received training from St. Luke’s Hospital School of Nursing in Racine, Wisconsin and holds a baccalaureate degree from the University of Montana, a master’s in nursing degree from Vanderbilt University and a master’s in public health degree from Johns Hopkins University.

 

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14 Ways to boost your immune system to stave off the VIRUS.

boost your immune systemDear Readers,

This is a crazy time, and there’s a lot of misinformation out there.

I’d like to share time-tested information, and a few new tips I’ve learned from health professionals about ways to boost your immunity . . . and the immunity of the people you lovingly care for.

You’ve heard it a million times: wash your hands, don’t touch your face, stay hydrated and rested, and eat well.

What else should you do?

The mucous membranes—the linings of our nose, throat, sinuses, eustachian tubes, upper respiratory system—-are the body’s first defense against bacteria, viruses and other toxins. Mucous traps the stuff we don’t want inside of us. We sneeze and cough in order to rid ourselves of the “invaders.” We also swallow the invaders. If the good bacteria in our stomach is doing its job, stomach acid will destroy the invaders.  So, you want to keep your mucous membranes hydrated. It’s important they stay moist and lubricated.

  1. Turn on the humidifier if you live in a dry climate. If you don’t have one, consider buying one.
  2. Use a Netti pot or Neil Med sinus rinse with Alkalol, an antimicrobial nasal wash. And please use distilled water, not purified water. This helps clear mucous to support healthier nasal passages.
  3. If your sinuses are congested use an ayurvedic oil in your nostril. Sinus Care & Nasal Oils. You can also use a cooking oil such as sesame, olive, or coconut. Just put a couple of drops of oil in each nostril 3 times a day.
  4. Gargle twice a day with warm salt water or oil. There is an email going around that says it will eliminate the virus. Although I don’t have a scientific reference for this, it’s worth a try.  Oil Pulling is an ayurvedic practice of holding and swishing 1-2 teaspoonfuls of herbalized oil in your mouth for 5-10 minutes. This practice is also said to reduce infection from bacteria and viruses.
  5. Drink water. Lots of it. Forget about sodas and juices. You need to stay hydrated in order to flush the toxins out of your body, and that includes the virus. Herbal tea and coconut water are good, also. Have coconut water on hand just in case you get a fever. It provides electrolytes naturally, without getting artificial color or sugars found in Gatorade.
  6. Take Vitamin D3–2-5,000 IU a day, depending on health and body weight. Please read my article Are You Getting Enough Vitamin D? Most people are not getting enough and that puts us in greater risk for getting the flu, and now COVID-19.
  7. Did you know that 70% of your immune system lies in your gut? Probiotics are live bacterial microorganisms that populate the human gastrointestinal tract. They combat the daily bombardment of toxins and pathogens (bacteria, fungus, parasites, and viruses) that enter our digestive system every day through contaminated food and other toxins. Recent studies show that the bacteria in your gut can also affect your mental health, mood and stress levels. Fermented foods such as kombucha, Greek yogurt, kefir, sauerkraut, miso, cottage cheese are probiotics. Probiotic bacteria colonize the digestive tract with good bacteria. Prebiotics are the food and nutrients that feed probiotics. Prebiotic fiber is found in fruits and vegetables such as artichokes, jicama, wild yams, onions and garlic, asparagus, beans, oats, chicory root and Jerusalem artichokes. Prebiotics support mineral absorption, vitamin utilization, and healthy blood sugar levels. Your gut needs both pro- and prebiotics in order to stay healthy and keep you healthy.
  8. Include EFAs (Essential Fatty Acids) in your diet. EPA/DHA from fish, nuts or algae are essential for our brain, nerves and immune system to work efficiently. Under stress, our systems become inflamed so it’s more important now than ever to make sure you’re getting enough. Ways to increase your DHA intake: eat cold-water fish such as wild-caught salmon, sardines and mackerel, at least twice a week. Add flax meal to cereal and baked goods, sprinkle flax oil on your salad, eat a small handful of walnuts at least several times a week.
  9. Take a Multivitamin Mineral for overall added protection. Make sure it is high quality.
  10. Zinc has been shown to inhibit various coronaviruses in a couple of studies. SARS coronavirus, and ZN (2+) inhibits coronavirus.  However, it hasn’t been tested on COVID-19. Still, it is always a good idea to make sure you are taking a zinc supplement, and that doesn’t mean the zinc lozenge. Most people are deficient in zinc. A researcher at the University of Pittsburgh recommends taking 25 mg of zinc morning and evening.
  11. Make sure you’re getting enough Vitamin A. Beta Carotene is the antioxidant of choice for people who are unsure about which vitamin A to take. It is the precursor of vitamin A and can be converted into vitamin A if the body needs it. It gives added protection to the immune system, skin, eyes, and lungs.
  12. Get plenty of Vitamin C-Your body does not manufacture vitamin C on its own, nor does it store it. Since vitamin C is water-soluble, it dissolves in water, and leftover amounts of the vitamin leave your body through urine. That means you need to maintain your vitamin C intake by eating citrus and other fruits and vegetables that are high in vitamin C. Dr. Ed Bauman, founder and president of Bauman College of Nutrition recommends taking a high-quality vitamin C supplement such as Vitamin C with Bioflavonoids: 500 mg. 3-5 x day of Amla (natural vitamin C with bioflavonoids from gooseberry) or 2-4 times that amount of buffered vitamin C from ascorbic acid. Or, take Ascorbyl palmitate. It is a fat-soluble form of vitamin C, which is better absorbed than ascorbic acid, the water-soluble form. It offers all the benefits of ascorbic acid, plus it won’t flush out of the body as quickly as ascorbic acid, and it is able to be stored in cell membranes until the body needs it.
  13. Eat a variety of colored fruits and vegetables. There’s not much left on the grocery store shelves at the moment. But the next time you shop, fill up your cart with fruits and veggies that contain antioxidants and carotenoids to boost your immune system.
  14. Make Healthy Choices

Choose these

  • Water, green tea, herbal teas
  • Nuts & seeds
  • Avocado, olive oil, omega-3 fatty acids
  • Fresh fruits and Veggies
  • Fish, high-quality protein
  • SOUL foods (seasonal, organic, unadulterated, local)
  • Sugar alternatives: stevia, monk fruit, coconut sugar, maple syrup, agave, birch sugar, honey

Avoid these

  • Coffee, soda, artificial sweeteners
  • Chips, cookies, pastries, candy
  • Poor quality fats (hydrogenated,
  • Processed lunch meats
  • Dairy products with rBGH (growth hormones)

Remember this

Whether you’re eating breakfast, lunch, dinner or a snack, always think protein! Protein helps build cells and tissues and supports our strength.

Build your meal around chicken, fish, tofu, cottage cheese or eggs, and then add low-starch vegetables or fruits. The general rule is to eat 3-4 ounces of lean, dense meat or 6 ounces of fish. Women should aim for around 30 grams of protein. Men should aim for around 40 grams of protein. Another rule of thumb is to divide your plate in half. Fill half of the plate with veggies, one quart with a protein, and the other quarter with a whole grain such as quinoa, rice, barley, etc.

Please take care of yourself. And if you are a caregiver, take double care of yourself. You won’t be of help, if you get sick.

All the best to you and your family.

Barbra


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Barbra Cohn cared for her husband Morris for 10 years. He passed away from younger-onset Alzheimer’s disease in 2010. Afterward, she was compelled to write “Calmer Waters: The Caregiver’s Journey Through Alzheimer’s & Dementia”—Winner of the 2018 Book Excellence Award in Self-Help—in order to help other caregivers feel healthier and happier, have more energy, sleep better, feel more confident, deal with feelings of guilt and grief, and to ultimately experience inner peace. “Calmer Waters” is available at AmazonBarnes & NobleBoulder Book StoreTattered Cover Book Store,  Indie Bound.org, and many other fine independent bookstores, as well as public libraries.

20 Ways to give your body the nutrition it deserves

Health food fitness. Food sources of omega 3 on dark background top view. Foods high in fatty acids including vegetables, seafood, nut and seeds

Health food fitness. Food sources of omega 3 on dark background top view. Foods high in fatty acids including vegetables, seafood, nut and seeds

It’s National Nutrition Month and a perfect time to think about ways to increase your nutritional intake. By now most folks have forgotten about their New Year’s resolutions to lose weight, eat healthier, become a vegetarian, reduce sugar intake, etc. It doesn’t matter. New Year’s resolutions are made to be broken.

This is a good time to develop a new plan that makes sense. Whether you want to support your brain health, relieve stress and anxiety about caregiving responsibilities, or just want to rev up your energy, stamina and immunity, here are some ways to protect your health and support your mood.

  1. Did you know that 70% of your immune system lies in your gut? Probiotics are live bacterial microorganisms that populate the human gastrointestinal tract. They combat the daily bombardment of toxins and pathogens (bacteria, fungus, parasites, and viruses) that enter our digestive system every day through contaminated food and other toxins. Recent studies show that the bacteria in your gut can also affect your mental health, mood and stress levels. Fermented foods such as kombucha, Greek yogurt, kefir, sauerkraut, miso, cottage cheese are probiotics. Probiotic bacteria colonize the digestive tract with good bacteria. Prebiotics are the food and nutrients that feed probiotics. Prebiotic fiber is found in fruits and vegetables such as artichokes, jicama, wild yams, onions and garlic, asparagus, beans, oats, chicory root and Jerusalem artichokes. Prebiotics support mineral absorption, vitamin utilization, and healthy blood sugar levels. Your gut needs both pro- and prebiotics in order to stay healthy and keep you healthy.
  2. The brain is very sensitive to the food we eat. A new study published in The New England Journal of Medicine (Aug. 8, 2016) evaluated 242 participants, measuring fasting blood sugar and neuro-cognitive functioning. Those with elevated blood sugar, including people who did not have diabetes, had a dramatic increase of developing dementia. Just remember that what is good for your heart is good for your brain. So try eating a Mediterranean based diet of olive oil, fish, and lots of fruits and vegetables, whole grains, beans, and nuts and seeds, with less meat, cheese and sweets.
  3. Drink plenty of water to keep your body hydrated and to flush out toxins. Your brain is 70% water when fully hydrated, and it gets dehydrated just like your body. When it is dehydrated neurotransmission—which is heavily dependent on water—is impaired, resulting in poor memory, concentration and impaired abstract thinking. The next time your mind is muddled, drink a tall glass of water and notice the difference.
  4. Take a complete B-vitamin supplement to make sure you are getting a balanced amount of B vitamins. Vitamin B complex optimizes cognitive activity and brain function, has a positive effect on memory, learning capacity and attention span, and supports a healthy nervous system and a stable mood. Vitamins B6 and B12, in particular, play a role in the synthesis of serotonin, the neurotransmitter linked to improving memory, lifting mood and regulating sleep.
  5. Berries are berry good for your health. Blueberries, strawberries, raspberries, cherries, cranberries, as well as some others you may never have heard of, contain unique phytochemicals that may help prevent cancer, heart disease, age-related brain declines, and much more. Blueberries score highest on the Oxygen Radical Absorbance Capacity (ORAC) test—a measurement that rates the total antioxidant score of foods, and many berries, such as raspberries, blackberries, cranberries, and strawberries contain ellagic acid, which preliminary research suggests may help to prevent certain types of cancer. Summer is almost here, so enjoy your berries. They are good for you!
  6. Eat more healthy fats and skip the hydrogenated and trans fats found in doughnuts, potato chips and other pastries and desserts.  Omega-3 fatty acids are rich in DHA, the major unsaturated fat in the brain. This long-chain fatty acid provides the necessary fluid quality to the membranes of the nerve cells so that electrical nerve impulses can flow easily along the circuits of the brain. One study found that Alzheimer’s patients given an omega-3-rich supplement experienced a significant improvement in their quality of life. Eating fish such as wild-caught salmon, sardines and other cold-water fish can protect you against Alzheimer’s disease and other forms of dementia. Numerous studies have shown that elderly people who did not have dementia had high blood levels of docosahexaenoic acid (DHA), an essential fatty acid found in cold-water fish, in comparison to those with dementia, who had on average 30% to 40% lower blood levels of DHA. Ways to increase your DHA intake: eat cold-water fish such as wild-caught salmon, sardines and mackerel, at least twice a week. Add flax meal to cereal and baked goods, sprinkle flax oil on your salad, eat a small handful of walnuts at least several times a week.
  7. Eat breakfast! It is the meal that you break your fast with. During the night our blood sugar levels drop, so it’s especially important to eat within one hour of arising and by 10am. Eating breakfast restores healthy blood sugar levels, but make sure your breakfast isn’t coffee and a doughnut. Have some protein and a healthy fat such as an omelet and avocado and a piece of whole grain or gluten-free toast. It’ll provide you with the energy you need to get through the morning while maintaining a sense of equilibrium. My favorite cool weather breakfast is eggs (any way you like them), a side of beans such as black or pinto, and a pile of sautéed greens. When the weather is hot, I prefer home-made granola made with oats, a bit of coconut oil and maple syrup, coconut flakes, and lots of nuts including almonds, walnuts, cashews, and pumpkin seeds. Add chia seeds, flax meal, yogurt and fresh berries and you’ve got a breakfast for champions.
  8. Avoid commercially processed meats and favor grass-fed meats, free-range chickens and eggs fed an organic, non-GMO diet. And limit your meat consumption to no more than twice a week.
  9. Eat like a rabbit to reduce your risk of stroke, dementia, macular degeneration, and other chronic illness. Veggies are low in calories and high in fiber. Fruits are also high in fiber and like veggies, contain numerous vitamins and minerals. Just like people, fruits and vegetables come in a variety of shapes, sizes and colors. And it’s the colors that identify many of the bioactive substances called phytonutrients that give us antioxidant protection and other special health benefits. The scientific community has produced a large body of research showing the potential of these super nutrients. Compared with people who eat few fruits and vegetables, populations that consume a large variety and generous amounts of plant foods enjoy longevity and reduced risk of disease. For example, the people of Okinawa have a long life expectancy, numerous centenarians, and a low-risk of age-associated diseases. Their diet is low in calories, fat, sugar, salt, and meat and dairy products. Instead, Okinawans eat fish, tofu, whole grains, and lots of fruit, dark green leafy vegetables, onions, green peppers, sea vegetables and sweet potatoes—which are all dense in phytonutrients and antioxidants. These islanders are known for a low-stress, carefree and relaxed attitude. Their rates of stroke, dementia, cancer and heart disease are also the lowest in the world. For every 100,000 people in Okinawa, 30 have passed their 100th birthday, one of the highest rates in the world.
  10. A cup of Joe will do you good . . . just don’t overdo it and don’t add lots of cream and sugar. Researchers from the University of Scranton found that coffee is the number one source of antioxidants in the U.S. diet. Coffee has been shown to improve mental acuity. In fact, a study published in the Journal of Alzheimer’s Disease (2012) found that people older than 65 who had higher blood levels of caffeine developed Alzheimer’s disease two to four years later than people with lower caffeine levels. The study included 124 people who had mild cognitive impairment (MCI). Typically, 15% of people with MCI will go on to develop full-blown Alzheimer’s disease each year. The study participants who had less than 1,200 ng/ml of caffeine levels in their blood developed Alzheimer’s disease. This is equivalent to drinking several cups of coffee a few hours before their blood was taken. The people whose memory loss did not progress to full-blown Alzheimer’s disease had higher levels of caffeine in their blood. Coffee appeared to be the only source of caffeine for the participants in the study. Some big caveats: if you have high blood pressure limit your coffee intake to 2 cups a day, and avoid drinking it before exercise or physical labor which both naturally raise blood pressure. Coffee acts as a diuretic, depleting the body of necessary fluids, so make sure you drink a glass of water for every cup of coffee you drink. Coffee can raise homocysteine levels, an indicator and risk factor for cardiovascular disease. It can also cause headaches, fatigue, depression, anxiety and drowsiness if a coffee drinker forgoes his or her usual daily dose of caffeine. So be smart and listen to your body.
  11. Drink green tea if you don’t like coffee or are unable to drink it. Scientists have found evidence that green tea extract can help fight everything from glaucoma to prostate cancer and leukemia. Now a research team composed of chemists, biochemists and biophysicists at the University of Michigan has found a new potential benefit of green tea extract: preventing the clumping of proteins associated amyloids in the brain, which is associated with Alzheimer’s disease and other neurodegenerative conditions. The study found that the specific molecule in green tea, ( — )-epigallocatechin-3-gallate, also known as EGCG, prevented aggregate formation and broke down existing aggregate structures in the proteins that contained the metals copper, iron and zinc. At Tohoku University Graduate School of Medicine, researchers tracked the green tea consumption of nearly 14,000 people over age 65 for three years. The participants’ quality of life (measured in day-to-day activities such as getting dressed, walking the dog, and performing household chores) was examined in relation to how much green tea they drank. The authors found that the more green tea participants consumed, the longer they were able to ward off the difficulties associated with old age. The people who drank at least five cups a day were one-third less likely to develop disabilities than those who had less than a cup per day. Those people who averaged three or four cups a day had a 25 percent lower risk. Just remember that while green tea and its extracts are considered safe in small amounts, they do contain caffeine and small amounts of vitamin K, which means it could interfere with drugs that prevent blood clotting. So the next time you feel the need for a cup of coffee or black tea, consider drinking a cup of green tea instead. It just might help you maintain clarity of mind, healthy bones, and cardiovascular health well into your senior years.
  12. Herbs or adaptogens can be helpful for increasing energy without stimulation. An adaptogen is a natural substance—usually an herb—that helps the body adapt to stress by producing a calming effect on the whole physiology, and stress is often blamed with being the root cause of many illnesses and diseases. Phytosterols, the plant compounds in the herbs ashwaghanda, gotu kola, passion flower, schizandra, skullcap, rhodiola, and cordyceps have been scientifically shown to support the adrenal glands and healthy blood chemistry, and enhance the body’s ability to resist the ravages of stress. Valerian, Siberian ginseng, kava kava, oat straw, and hops also help reduce stress. These herbs can be taken as a tea or in the form of a nutritional supplement. Culinary herbs also have numerous health benefits. Turmeric, the spice used in Indian cooking, has dozens of studies backing up its ability to reduce inflammation, another major cause of chronic disease, and risk of Alzheimer’s disease. Cinnamon helps to stabilize blood sugar levels, which is vital to healthy aging. Oregano contains antioxidants that offer antibacterial protection. Garlic has been called the natural antibiotic, and ginger root has been used for thousands of years for its anti-inflammatory and anti-microbial effects. The list goes on and on.
  13. Magnesium is the fourth most abundant mineral in your body—which means it is absolutely essential to your healthy blood pressure, cardiovascular health, bone and overall health. In fact, you cannot live without it! Magnesium is involved in more than 300 biochemical reactions, particularly as a catalyst for food metabolism and the release of energy. Yet, only about 25% of Americans meet the Recommended Dietary Allowance (RDA) of 400 mg per day for magnesium. Good sources of magnesium include: dark green, leafy vegetables such as spinach, Swiss chard and kale dark green, legumes, peas and beans (especially soybeans), seeds and nuts (especially almonds, cashews and pumpkin seeds) whole, unrefined grains, including oatmeal and bran, and halibut
  14. Go nuts on Brazil nuts. They are rich in selenium, a potent antioxidant which is concentrated in the thyroid gland. They also contain copper, which helps to support a healthy thyroid. Regardless of whether you have thyroid issues, selenium is a good all-round antioxidant. According to the Institute of Medicine, the tolerable upper intake level (UL) (i.e., the highest level of intake that is known to avoid toxicity) for selenium is 400μcg per day. On average, Brazil nuts have 544 mcg selenium per ounce, but studies indicate that the selenium content may vary widely depending on country of origin, cultivation methods, etc. With that in mind, a good starting point for most folks would be to consume 2 – 3 Brazil nuts per day.
  15. Eat more tomatoes. Recent epidemiological studies have suggested that eating tomatoes and tomato-based food products can reduce the risk of prostate cancer and macular degeneration.  This protective effect has been attributed to carotenoids, which are one of the major classes of phytochemicals in this fruit. The most abundant carotenoid in tomato is lycopene. Cooking tomatoes in olive oil helps you digest and assimilate the lycopene so if you like tomato sauce on your pasta, go for it. Just make sure you are eating a healthy pasta product–think whole grain, quinoa, etc.
  16. Include flax oil, flax meal or flax oil in your diet. They are the best source of lignans. Lignans are compounds that form the building blocks of plant cell walls. They contain phytoestrogens that help regulate the body’s estrogen production. When we eat plant foods the lignan compounds are converted in our intestines by good bacteria to produce a form that the body can assimilate. Enterolactone—the primary lignan metabolite (a substance produced by metabolism) that circulates in our blood—produces weak estrogenic activity. Dozens of reports have revealed that high levels of enterolactone in our blood help to reduce risk of breast, prostate and colon cancers, and cardiovascular disease. Studies have also shown that high levels of lignans can support healthy weight and glucose metabolism, reducing the risk of insulin sensitivity, metabolic syndrome and diabetes. Most plant foods contain small amounts of lignans, but flax seeds are by far the best source. Other good sources include high fiber foods such as whole grains (wheat, barley), sesame seeds, sunflower seeds, cashews, kale, broccoli, carrots, legumes, garlic, asparagus and berries.
  17. Lutein and zeaxanthin reduce eye health risks. What are they? They are antioxidants in the carotenoid family—a group of naturally occurring, fat-soluble pigments found in plants—that play a key role in our the health of our eyes.  Carotenoids are the red, orange and yellow plant pigments that give fruits and vegetables their vivid colors.  All fruits and vegetables contain varying concentrations of carotenoids.  But their colors are often covered up by green chlorophyll contained in the plant. Lutein is found in spinach, kale, collard greens, romaine lettuce, leeks, peas, egg yolks, tomatoes, carrots, marigold flowers, and fruits. Zeaxanthin is found in corn, kale, mustard greens, spinach, egg yolk, orange peppers, collard greens, lycii berry fruit, green algae spirulina and other types of commercially produced algae. Lutein and zeaxanthin accumulate in the macula, the prominent, bright yellow spot in the center of the retina that allows you to clearly distinguish fine detail. And studies are showing that people with macular degeneration—the slow deterioration of the cells in the macula, which affects your central vision, the vision you use for reading, writing, driving and identifying faces—have low concentrations of these two pigments in the macula. So make sure you are eating plenty of the above mentioned fruits and veggies.
  18. Chromium is a first class blood sugar and insulin regulator. Yet, nine out of 10 American diets fall short of this trace mineral, which is essential for the transfer of sugar from the bloodstream to muscle cells, giving them the fuel they need to work.  Chromium is also involved in maintaining cholesterol and triglyceride levels, and supporting healthy muscles.  Chromium levels decrease with age and are often low due to poor diet. Eat more foods that are naturally high in chromium: broccoli, barley, oats, green beans, tomatoes, Romaine lettuce, black pepper, Brewer’s yeast.
  19. Coenzyme Q10, or CoQ10is a vitamin-like compound and an important antioxidant. It exists in every cell of your body and you could not survive without it. CoQ10 is essential in the body’s production of adenosine triphosphate (ATP), which produces energy within the cells and is the basis for normal functioning of all body systems and organs. If you think of the body’s cells as little engines that use oxygen to burn the organic fuels that come from food, you may think of CoQ10 as the part of the engine that provides the spark for this process. No other substance will substitute for CoQ10. Without it there is no spark and therefore no production of energy for the cell. And without energy there is no life! As we age, it becomes more and more difficult for the body to produce enough CoQ10. An 80-year-old person has about half the CoQ10 levels of a 20-year-old.  Body levels of CoQ10 are also influenced by stress, cold, illness, high blood pressure, hormone concentrations, physical activity and prescription drugs, which can deplete CoQ10 levels. Scientists estimate that once levels drop below the 25% deficient level, a variety of health problems can take hold. But your cells’ energy and efficiency can be restored with supplementation and/or by eating eggs, dairy products, meat, and poultry, fatty fish, nuts and seeds, broccoli, cauliflower, and some fruits and vegetables.
  20. Are you getting enough vitamin D? Most people, especially the elderly, are vitamin D deficient.  Researchers have found a correlation between vitamin D deficiency and low mood, depression and worse cognitive performance in older adults. In a recent study, 1618 patients who averaged 73.8 years old were tested for vitamin D deficiency. Those with severe vitamin D deficiency were twice as likely to suffer from depression. Vitamin D is most commonly known for helping the digestive system absorb calcium and phosphorus. In that way it helps the body build and maintain healthy bones. But it does much more. Adequate vitamin D is believed to play a role in the reduction of falls, as well as supporting cardiovascular health, a strong immune system and cognitive function. Also, scientists theorize that one of the reasons that influenza occurs in the wintertime is that we do not manufacture enough vitamin D, and the resulting vitamin D deficiency might promote our susceptibility to the flu virus. Which foods contain vitamin D? Fatty fish such as salmon, trout, tuna and sardines, milk, and fortified cereals provide more than 100 IU per serving. And mushroom is the only food in the produce section that has vitamin D. But you’d have to eat an awful lot of these foods to get the recommended daily dose of vitamin D, which is 2400 IU, according to a study published in the Journal of Nutrition. For instance, you would have to eat at least five servings of salmon a day or drink 20 cups of fortified milk. Play it safe and take a vitamin D dietary supplement. According to a study published in the Journal of Nutrition (March 9, 2009) adults need at least four times the current recommended dose of 600 IU of vitamin D. In 2008 The American Academy of Pediatrics (AAP) doubled its recommended minimum intake for infants, children and teens from 200 IU to 400 IU per day.

Be well, be heathy, and please subscribe to my blog for more articles filled with information on how you can support your health and the health of your loved ones.


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Barbra Cohn cared for her husband Morris for 10 years. He passed away from younger-onset Alzheimer’s disease in 2010. Afterward, she was compelled to write “Calmer Waters: The Caregiver’s Journey Through Alzheimer’s & Dementia”—Winner of the 2018 Book Excellence Award in Self-Help—in order to help other caregivers feel healthier and happier, have more energy, sleep better, feel more confident, deal with feelings of guilt and grief, and to ultimately experience inner peace. “Calmer Waters” is available at AmazonBarnes & NobleBoulder Book StoreTattered Cover Book Store,  Indie Bound.org, and many other fine independent bookstores, as well as public libraries.