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Sunlight Eases Behavioral Problems of Dementia

Jolie Bookspan, M.Ed, PhD, FAWM
Several studies have found that sunlight helped with depression and agitation in elderly people. It is likely that younger people benefit also.



Simple adjustments, not only in lighting, but scheduling daily outdoor activity and simple walks, may ease behavioral problems associated with dementia.

Click the label sunlight for ideas.


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Sunlight Needed for Physical and Mental Health

Jolie Bookspan, M.Ed, PhD, FAWM

Sunlight deprivation has been found in a clinical study to cause profound negative change to portions of your brain associated with depression.

Further, "neurons that produce norepinephrine, dopamine and serotonin, which are common neurotransmitters involved in emotion, pleasure and cognition, were observed in the process of dying."

Study source - Proceedings of the National Academy of Sciences March 25, 2008, vol. 105 no. 12 4898-4903




In the Northern hemisphere of the Earth, February brings deep wintertime, with short days, and greatly reduced light. For the last 30 years or so, each summer has brought warnings to stay out of the sun, practically zero tolerance for light exposure, urging hats, sunscreens, dark glasses. There also seems to be a sharp rise since then in incidence of serious diseases usually not seen in the young - soft and porous bones, depression, chronic body pain (fibromylagia and related), diabetes, and others. Sunlight seems to have several effects, one of which is helping the body produce Vitamin D. Lack of Vitamin D is now known to be directly linked to higher risk of lung cancer, Parkinsons disease, diabetes, high blood pressure. Vitamin D is available in food sources, however you can also take a prudent approach to getting the several different beneficial effects of the sun, many of which cannot not be gotten though a vitamin supplement.

Last summer Scientific American published a survey finding, "Americans are losing interest in going outdoors." As health providers, we need to see if part of that is telling people that staying out of the sun is necessary for health. We also tell kids to finish everything on their plate and sit still, two more practices, that on examination, translate into, "Practice and learn to be sedentary and overeat."



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Celebrate the Holidays

Jolie Bookspan, M.Ed, PhD, FAWM


How do people from Thailand celebrate their birthday? Traditionally they give gifts to others.

Young Thai children are thrilled when their birthday arrives, so that they can give gifts
and do good.

They will give extra food and gifts to monks (right).

Many holidays are celebrated around the world this time of year. Doing good returns merit and goodness. That gives health to celebrations and holidays.



By generosity and thanks to others you can overcome personal fear and selfishness:

Posts for Happy Holidays:
"Santa Claus has the right idea. Visit people only once a year."
- Victor Borge

Happy Holidays to my readers serving country, stationed all over the world.
Happy Holidays to all.


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Junk Food Through Your Skin?

Jolie Bookspan, M.Ed, PhD, FAWM

We live part of each year in Asia. For a few months, I was posting articles for you from various villages. The town shower of one is pictured at right - not the hut, the outdoor green post with hose. Imagine what the Internet café was like.

On the flights over, our only bag was lost. US transportation security required us to check our sole knapsack, since it had a small gift for friends containing liquid. It never reappeared. We don't need "things" and it was just as easy to make our own soap, comb, and toothbrushes as carry them.

In Western stores, I am astonished by the number of "personal care items." Not just shelves full, but aisles. Each promising better hair, skin, nails, and other parts, but with ingredients that are not healthy for your body, produced in ways that pollute the world, and packaged in plastics that are unhealthy to produce, pollute when discarded, and which apparently leak chemicals into the product that can be absorbed through your skin - see Green Water. A study commissioned by the Organic Consumers Association found that even shampoos, body washes, and lotions labeled "natural" and "organic" can contain unhealthful, even carcinogenic compounds.

I feel high maintenance just carrying a toothbrush. Then we arrived without even that. What freedom.

We made simple hand sanitizer from coarse salt, rubbed between the palms.


For body, face, and hair, we picked aloe leaves, squeezed out the gel inside, and rubbed directly on - see Fast Fitness - Aloe Inside and Out. It dries non-sticky, and makes your hair shiny, clean, and healthy. We used the rest of the gel in food and drink for healthy digestion.

Bamboo is easily made into cooking pots (photo above left). We also visit our favorite bean sprout PadThai restaurant - an outdoor wok on wheels run by a friend. Paul is always popular when we travel (photo at right). The others are not sitting; Paul is really that tall, and has to duck those umbrellas, doorways, and ceilings.

Baking soda and salt makes clean toothpaste. Even without them, a short branch called a neem stick with one end mashed until fibrous, makes a soft, effective bristled toothbrush. Neem extract is said to be a good antiseptic, and effective against various health ills and germs.

After a long day at work and after hard training, instead of hand lotion, you can rub sesame or other light healthy cooking oil onto your hands and feet. You can scent it with mint leaves, citrus peels, spices, and flowers. More ideas in Healthy Mother's Day.

I don't use sunblock, even in the tropics. I do use something to stop some of the unwanted effects of too much sun, but I do not want to block the Vitamin D and other helpful effects of sunlight. Vitamin D deficiency can lead to osteoporosis (thin, brittle bones) and osteomalacia (rubbery, demineralized bones). Vitamin D deficiency is associated with increased risk of a few types of cancer, including lung cancer. Studies find that people with low blood levels of vitamin D were more likely to have high blood pressure, cardiovascular disease, cystic ovary, and type 2 diabetes. Another study found that a number of patients with aches and weakness were vitamin D deficient and concluded, "A lot of 'fibromyalgia' may be D deficiency."

Instead of blocking or deflecting UV rays using chemical sunblocks that may contain chemicals that I am not sure are healthy, I mix my own, that I hope stops the oxidizing effects and makes my own body better able to stop skin cancer mechanisms. I mash together fresh coconut pulp, green tea, vegetable sprouts, mashed turmeric root, and aloe gel. Here is how to get a simple fresh aloe - Fast Fitness - Aloe Inside and Out.

A study by Johns Hopkins researchers, reported in the Proceedings of the National Academy of Sciences (October 30, 2007, vol. 104, no. 44, 17500-17505) found that rubbing an extract made from broccoli sprouts on your skin may help prevent skin cancer from high levels of ultraviolet (UV) radiation. Broccoli, and the sprouts in particular, contain a chemical called sulphoraphane, which is found to activate cancer-fighting enzymes in your own cells throughout your body, not only skin cells.

Instead of chemical anti-mosquito products, we try various things. Marigold flowers rubbed on the skin seem to work for us. I don't seem to be "sweet," and mosquitoes often ignore me while going after Paul. We have heard various theories from locals. One is that he eats sweet rice while I eat more garlic. Various grasses rubbed on the skin also work well for us.

There are vines growing in Thailand with beautiful purple flowers. When you rub them on wet hair, it leaves your hair soft and shiny and sweet smelling, but the bugs do not like it. There are other vines that, when mashed with water made effective gentle soap and mosquito control combined.

In Asia, martial arts training is often more rigorous and disciplined than is common in the states. After hard evenings of training, I would sit by a candle made from oil and tightly wrapped bamboo leaves, and rub salt and oil into my, and Paul's, tired feet. Bliss.
The biggest worry for Paul is just ducking the doorways.


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A Reader Asks About Osteoporosis and Walking Lightly

Jolie Bookspan, M.Ed, PhD, FAWM

One good question launched many answers. The post Walk Lightly - Shock Absorption for Happier Joints explained a light step prevents joint, soft tissue, and plantar fasciitis pain. In the comments, Carol asked if there were, "a connection between walking lightly and oesteopenia?" This is interesting, since osteopenia is lower than normal bone density, that lack of enough pulling or tension on the bones reduces bone density, and a certain amount of impact and loading keeps bones denser. The simple answer seems to be, that walking lightly should not be enough to reduce bone density, by itself.

Walking, running, and jumping lightly is good exercise to load the bones, while being better for your ankles, knees, hips, and spine than jarring with each step. The post Why So Many Aerobics Injuries? cited news accounts attributing joint pain and injury to high impact activities, with examples of popular aerobics personalities of the 1980s who now say they are too crippled to exercise. Their injuries were avoidable, but not by avoiding impact exercises. Impact activities can be done safely by not stomping down hard. Even repeated jumps from a height can be done with soft landings. Good athletes run, jump, and box with far less impact than most people walk, and have good strong bones. Exercise, done right, is crucial for your bones - Exercise is More Important Than Calcium Supplements for Bones.

When muscles pull your bones during walking, running, and other exercise, the pulling increases bone density. Adding external weight loads bones further. That is a major way weight-bearing and weight lifting exercise increases bone density. The effect of muscles contracting to provide good shock absorption when moving also pulls on the bones,which should be good. The post Forensic Anthropology and Bone Density looked at influencing the shape of our bones by how we move.

The reader went on to comment, "I have always been very light on my feet, and now in my 50s I have found out I have low bone density. I have a cousin who shakes the house when she walks who has been told that she doesn't ever have to worry about her bone mass." Walking lightly alone should not have caused the osteopenia. Questions would be, what other exercise the reader does, and what things might be decreasing her bone density? For the cousin, "shaking the house" by itself may not be enough bone stimulus that anyone could tell her that she "doesn't ever have to worry." Has the cousin taken a bone density test and was found to be high (for whatever reason)? Then you can say there is lowered risk of fracture. Is this cousin is very heavy, which helps load bone? Does this cousin do regular exercise to increase her bone density? It is not likely to be a valid prediction that someone never has to worry about bone density just because they walk badly.

The reader went on to ask, "I went to a bones for life class and was taught to do heel bouncing to stimulate bone growth. i.e. dropping repeatedly from toes onto heels while standing in proper alignment. Do you agree with that exercise?" I did a few searches on the bones for life class and found that the class uses many exercises, not bouncing on the heels alone. Bouncing for a few minutes would not be enough to undo an entire sedentary life style and the various things people do that actively take away from bone density. You need to do all the other exercises. How much the shock wave of the impact may additionally load or stimulate the bone is an interesting open possibility.

There are studies looking at effects of vibration and tapping on bone building. Mechanisms have been studied from the effect on cat bones of their purring, to various machines that bang or vibrate. Some advertising for vibration machines goes as far as making claims that they will increase bone density. So far, none have been found to have as much bone building effect as muscular activity (exercise). Too much occupational vibration, like jack-hammer, helicopter and similar environments produces joint pain, injuries to the spine, eyes, ear, nervous, and other systems. That was one of the topics I was looking into when I did aviation medicine research, explained in Indiana Jones Rocket Sled. A news article that came out on last year's fitness fad of vibration plates promising weight loss and fitness building, mentioned a few of the problems with too much vibration, and, ironically had an accompanying photograph showing severely hyperlordotic (overarched) lower spine positioning by a person listed as the trainer. Hyperlordotic spine posture, by itself, damages the facet joints of the spine over time. It seems safe to say that the jolting of the vertebral joints against each other in this overly arched position would only be worsened by vibration. The post Prevent Back Surgery shows examples of overarched lower spine and why it causes so many injuries in fitness.

It would be interesting to know if low levels of vibration and impact, through tap dancing, Flamenco dancing, pogo stick jumping, and similar activities, would change bone compared to the same amount of exercise without the impact. Some studies claim that swimmers or cyclists do not have as high bone density as runners, while others do not find that when they control for the direct muscle work applied to the area. There are even studies showing that Tai Chi, a most mild form movement with almost no foot-falls at all, can increase bone density in older people, just from the movement.

Along with walking or running, and weight lifting to build bone density, and using your muscles to stop stomping which can hurt the joints, you can prevent bone loss by avoiding things that reduce bone density:
Osteoporosis and osteopenia cause major problems for men, not only women. More on this to come. Move, walk, lift weights, stand on your hands, and jump for fun, exercise, and bone building. You do not need to ooze around on tiptoe to avoid impact injuries. Jump and dance and stamp your feet for fun, for bone building, and for all the refreshing good feeling it gives, without jarring your joints and retinas loose. Have fun.

Carol ended her comment to me with, "Thanks for your site - I've learned a lot about alignment, which has helped in many ways." Thank you Carol for writing so many helpful questions for our benefit.


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Healthy Mother's Day

Jolie Bookspan, M.Ed, PhD, FAWM

Neolithic groups (stone age) worshiped the mother. Ancient Germans worshipped the virgin Hertha holding her child. Scandinavians worshipped virgin Disa holding her child. In ancient Egypt it was Isis with infant Osiris. In India, Devaki had Krishna (also by virgin birth). In Asia, Cybele and Deoius. Chinese holy mother Shing Moo held her child in arms. Christian missionaries to Tibet, China, and Japan found that holy mothers depicted with splendid light around their head and holding a divine child had been worshiped long before they got there.

In Rome, the goddess was Demeter, meaning Earth Mother, wearing wreathes of braided corn in her hair. In ancient Greece, Demeter was called Ceres, the great mother with baby at breast. From her name "Ceres," we get the word "cereal" (grains), "which made man different from wild animals."

In the spring in ancient Greece, celebrations were held in honor of Rhea, the Mother of the Gods. Christian Europe celebrated the spring festival of "Mother Church" who (they believed) would protect them from harm. During the 1600's, England celebrated "Mothering Sunday" on the 4th Sunday of Lent, honoring the mothers of England. All cultures worshiped the divine, the Mother, who gives life and food, compassion and love.

So. How to celebrate this Sunday on Mother's Day? I'm in favor of some goddess worship, probably involving some rocks and food and chocolates and compassion and love. Not so original, but time tested and universal:


Goddess Mother photo by Rosa y Dani
Santo Island Mother photo by Graham Crumb

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Healthier Heart

Jolie Bookspan, M.Ed, PhD, FAWM

Scorn, anger, name-calling. Not good for the heart. The best warrior wins without hurting others or himself.

The Thais call it "jai yen" - cool heart. The secret is to not make anger a negative force. They keep kindness in their voice. Jai yen is central to Thai social and business interaction. It illustrates the mind and body of the experienced warrior. Jai yen is part of Muay Thai boxing training. In Thai martial arts, respecting teachers and elders is foremost. Every fight begins with the Ram Muay, a spirit dance to show respect and thanks to parents, and ask blessings from the Kruu Muay Thai - the teachers. In Japan it is "fudoshin" - unchanging heart. A person with fudoshin is more stable and light-hearted when things happen that they don't agree with.

How do you get good at being heart-healthy? Practice it like exercise. Unlikable things happen every day, so we all have the good luck to get much chance to practice. It's healthy exercise. In the novel Shogun, James Clavell, wrote:
"To think bad thoughts is really the easiest thing in the world. If you leave your mind to itself it will spiral down into ever increasing unhappiness. To think good thoughts, however, requires effort. This is one of the things that discipline - training is about."
Discipline is the mental exercise of self-control to direct your behaviors. With discipline you brush your teeth everyday, and do exercise, and refrain from bad habits, and breathe and smile when someone is rude. The other person may continue injuring their own health with negative behavior, but you won't sadden yourself and injure your body with the unhealthy chemicals generated that can hurt your health and heart. If your kindness and understanding calms and comforts the other person, that is twice healthy. Breathe. Get outside in the sunshine every day. Be happy.


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Are Your Shoes Too Tight?

Jolie Bookspan, M.Ed, PhD, FAWM

It is often taught that tight or snug shoes are needed for "support." However, tight shoes are not healthy for many reasons, or even needed. Tight or supportive shoes are a common source of tightness of the toes, foot, and Achilles tendon, and pain of the toes, feet, ankle, and knees. The posts Arch Support Is Not From Shoes and Which Shoes Help Exercise, Fall Prevention, and Ankles? explain more about the myth that support is from shoes.

Shoes worn snugly "for support" cause frequent problems. If your toes fit together like puzzle pieces or do not face straight ahead, as in the photo at left, it is likely that you frequently wear shoes that are too tight.

There should be space between each toe, and each toe should face straight forward, not turned toward either side (photo below right).



If you need toe separators (a soft foam device for separating toes) to paint your toenails, your toes are too tight and bunched together. Toes that are bunched together need regular stretching to separate them. Take your toes in your hands and gently pull them apart. Some of my patients use those toe separators to wear to bed. That is all right to start, but instead of only treating the result of a tightness problem, it is best to correct the problem with simple stretching before deformity progresses to the point where it is difficult to fix:
Toes do many wonderful things for balance, walking, ability to jump and move quickly, for the shock absorption important to your hip, and more. See the post Healthy Toe Stretches for foot stretches. The next article will give fun stretches specifically for tight toes.


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See if your answers are already here - click Fitness Fixer labels, links, archives, and Index.
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Photo 1 of tight toes by Estef from piesdemujer_com
Photo2 of healthy straight toes copyright by Jolie Bookspan from the book Fix Your Own Pain Without Drugs or Surgery.

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