Sunday, November 23, 2014

Beauty From the Inside Out: Skin Disorders, Stress and Aging

November 2014

Beauty From the Inside Out: Skin Disorders, Stress and Aging

Most of you can relate to the acne you had in your early teens, the premenstrual outbreaks, acne that appeared to flare up with stress or after all-nighters with pizza and junk food but what about now?

Are you between the ages of 25-40 with acne that wont quit?

Your skin is a reflection of your health from the inside out. Healthy, glowing, well-hydrated skin is a sign of good digestion, absorption, hydration, stress management and hormone balance. Your skin is the largest organ in the body and one of the five organs your body uses for elimination of toxins.  The skin, liver, kidneys, lungs and bowels all work together to rid the body of waste and become symptomatic when overloaded. You have seven layers of skin cells that store fat, water, glucose and salt; act as a channel for absorption and secretion; regulate body temperature; and acts a major producer of endocrine hormones. The skin directly links the brain to the nervous system through touch, pain, and temperature. Ayurvedic medicine refers to the skin as the body’s “second brain,” and that its appearance mirrors our internal physiology, mental emotional state and hormonal connection.[1]


If you struggle with chronic skin conditions you know that it rarely, if ever, has to do with “dirty” surfaces or lack of hygiene. So why in a world of incredible skin products, regimens and magical ointments, salves, antibiotics and medications are you still breaking out?

Distress:
Our stress responses are regulated by the autonomic nervous system made up of the sympathetic and parasympathetic branches to regulate “fight or flight” and “rest and digest” responses. These two systems work together to stay in balance and keep us happy, energetic, rested and digesting properly. Distress signals cause a large imbalance in the systems and over time it gets harder and harder to get back to center and feel balanced. This happens due to the natural process of aging as well as chronic stress. The sympathetic nervous system is unable to shut off and overrides the ability of the parasympathetic to turn on so energy is affected, maldigestion and malabsorption begins and cortisol levels rise stealing the backbone of hormones needed to regulate sex and thyroid hormones. This is the same nervous system that takes signals from the skin cells to the brain and back again…see the connection! Cortisol secretions affect blood sugar levels and therefore keep sugars in the blood longer affecting the circulation and hydration to the capillaries in the skin. Changes in estrogen and progesterone ratios begin and lead to disturbances in the menstrual cycle, infertility, PMS, PCOS and andropause in men. As you can see stress causes imbalances in the body that eventually show up in the skin as acne, cysts, eczema, infections, and accelerated aging.

Diet:
Digestion is directly affected by stress in our lives and we unfortunately live in a society dominated by the sympathetic nervous system. Maldigestion and malabsorption of nutrients leads to symptoms of constipation, diarrhea, colitis, gas, IBS, and GERD which all further the imbalance in the autonomic nervous system. The food we eat and the choices we make fortify the skin cells with nutrients, fluids, healthy fats and collagen. Low gut integrity with poor stomach acid, enzymes, flora and poor food choices will increase inflammation to the skin and lead to outbreaks, eczema, cystic acne and redness/flares. An anti-inflammatory Mediterranean type diet high in vegetables and fruits, healthy fats or an additional Omega 3 oil with DHA, appropriate enzymes and probiotics will improve gut-skin health. Nutritional supplements such as Zinc, Vitamins A, C, E and D are also valuable in supporting the skin. Your body is 70-80% water and that water encompasses each and every cell in the body. Stay hydrated with an average of 6-8 glasses of water daily.

“There are significant data supporting the role of diet in acne. Our Western diet includes many dairy sources containing hormones.The natural function of milk being to stimulate growth, it contains anabolic steroids as well as true growth hormones and other growth factors. The presence of 5α-pregnanedione, 5α-androstanedione, and other precursors of 5α-dihydrotestosterone add to the potency of milk as a stimulant of acne. In addition, foods with significant sugar content and other carbohydrates yielding high glycemic loads affect serum insulin and insulin-like growth factor-1 levels, both of which promote increased production of available androgens and the subsequent development of acne.”[2]


Detox:
The 5 organs of elimination need to be working properly to remove toxins from the body. Toxins are mainly filtered from the blood by the liver, secreted in the sweat, expired out of the lungs during respiration, and excreted through bowel movements and urine. Toxic load will have a large impact on phase 1 and phase 2 liver detoxification pathways. If these pathways are not working well toxins will back up in the blood and be recirculated into the system to be excreted through the skin developing in acne and skin inflammation. Body odor and bad/sour breath is also a strong indicator of toxic overload. Irregular bowel movements and gastrointestinal upset as well as scant yellow urine, UTIs and dehydration are signs of poor detoxification. Healthy diet, exercise, hydration and regulated liver support are necessary to encourage elimination of toxins and lower the total body burden for radiant skin.


Acne Resolution:
  1. 1.      Skin Hygiene: Use a simple cleanser and toner twice daily ending with skin hydration lotions or oils that may include hyaluronic acid or C-peptide serum. You don’t want to increase your toxic load with your skin care regimen, including make-up. Less is more for skin products. A good rule of thumb is if you can eat it you can put it on your skin. I use coconut and avocado oil for hydration, a simple toner with lavender or tea tree in a hydrosol and a pure cleanser we had compounded by Great Earth Pharmacy. 
  2. Eat clean and lean. Avoid high glycemic foods, dairy products, refined carbohydrates and processed fats food. Stick to a Mediterranean style anti-inflammatory diet. Consider supplementing with omega fatty acids, zinc, Vitamin C, A, D and E. Stay hydrated. Drink half of your body weight in ounces daily.
  3.  Make sure you are eliminating properly. Have at least one bowel movement daily, easy to pass. Have any gastrointestinal upset, IBS, constipation, diarrhea, gas and bloating properly addressed by your doctor.
  4. Enhance your detoxification pathways by supporting the two phases of liver detox with antioxidants, detox herbs and supplements.
  5. Manage stress and hormone imbalances. Don’t underestimate the power of stress and its relationship to the skin. If the signals are getting clogged or crossed the result will hit you right in the face!




[1] Raichur, Pratima, Absolute Beauty, Harper Perennial 1997.
[2]  Clinical Dermatology (2010) Nov-Dec; 28(6):598-604

Wednesday, March 12, 2014

10 Reasons Why Handheld Devices Should Be Banned for Children Under the Age of 12



Cris Rowan Headshot


10 Reasons Why Handheld Devices Should Be Banned for Children Under the Age of 12

Posted: Updated: 
Print Article
The American Academy of Pediatrics and the Canadian Society of Pediatricsstate infants aged 0-2 years should not have any exposure to technology, 3-5 years be restricted to one hour per day, and 6-18 years restricted to 2 hours per day (AAP 2001/13, CPS 2010). Children and youth use 4-5 times the recommended amount of technology, with serious and often life threatening consequences (Kaiser Foundation 2010, Active Healthy Kids Canada 2012). Handheld devices (cell phones, tablets, electronic games) have dramatically increased the accessibility and usage of technology, especially by very young children (Common Sense Media, 2013). As a pediatric occupational therapist, I'm calling on parents, teachers and governments to ban the use of all handheld devices for children under the age of 12 years. Following are 10 research-based reasons for this ban. Please visit zonein.ca to view the Zone'in Fact Sheet for referenced research.
1. Rapid brain growth
Between 0 and 2 years, infant's brains triple in size, and continue in a state of rapid development to 21 years of age (Christakis 2011). Early brain development is determined by environmental stimuli, or lack thereof. Stimulation to a developing brain caused by overexposure to technologies (cell phones, internet, iPads, TV), has been shown to be associated with executive functioning and attention deficit, cognitive delays, impaired learning, increased impulsivity and decreased ability to self-regulate, e.g. tantrums (Small 2008, Pagini 2010).
2. Delayed Development
Technology use restricts movement, which can result in delayed development. One in three children now enter school developmentally delayed, negatively impacting literacy and academic achievement (HELP EDI Maps 2013). Movement enhances attention and learning ability (Ratey 2008). Use of technology under the age of 12 years is detrimental to child development and learning (Rowan 2010).
3. Epidemic Obesity
TV and video game use correlates with increased obesity (Tremblay 2005). Children who are allowed a device in their bedrooms have 30% increased incidence of obesity (Feng 2011). One in four Canadian, and one in three U.S. children are obese (Tremblay 2011). 30% of children with obesity will develop diabetes, and obese individuals are at higher risk for early stroke and heart attack, gravely shortening life expectancy (Center for Disease Control and Prevention 2010). Largely due to obesity, 21st century children may be the first generation many of whom will not outlive their parents (Professor Andrew Prentice, BBC News 2002).
4. Sleep Deprivation
60% of parents do not supervise their child's technology usage, and 75% of children are allowed technology in their bedrooms (Kaiser Foundation 2010). 75% of children aged 9 and 10 years are sleep deprived to the extent that their grades are detrimentally impacted (Boston College 2012).
5. Mental Illness 
Technology overuse is implicated as a causal factor in rising rates of child depression, anxiety, attachment disorder, attention deficit, autism, bipolar disorder, psychosis and problematic child behavior (Bristol University 2010,Mentzoni 2011Shin 2011Liberatore 2011, Robinson 2008). One in six Canadian children have a diagnosed mental illness, many of whom are on dangerous psychotropic medication (Waddell 2007).
6. Aggression 
Violent media content can cause child aggression (Anderson, 2007). Young children are increasingly exposed to rising incidence of physical and sexual violence in today's media. "Grand Theft Auto V" portrays explicit sex, murder, rape, torture and mutilation, as do many movies and TV shows. The U.S. has categorized media violence as a Public Health Risk due to causal impact on child aggression (Huesmann 2007). Media reports increased use of restraints and seclusion rooms with children who exhibit uncontrolled aggression.
7. Digital dementia
High speed media content can contribute to attention deficit, as well as decreased concentration and memory, due to the brain pruning neuronal tracks to the frontal cortex (Christakis 2004, Small 2008). Children who can't pay attention can't learn.
8. Addictions
As parents attach more and more to technology, they are detaching from their children. In the absence of parental attachment, detached children can attach to devices, which can result in addiction (Rowan 2010). One in 11 children aged 8-18 years are addicted to technology (Gentile 2009).
9. Radiation emission
In May of 2011, the World Health Organization classified cell phones (and other wireless devices) as a category 2B risk (possible carcinogen) due to radiation emission (WHO 2011). James McNamee with Health Canada in October of 2011 issued a cautionary warning stating "Children are more sensitive to a variety of agents than adults as their brains and immune systems are still developing, so you can't say the risk would be equal for a small adult as for a child." (Globe and Mail2011). In December, 2013 Dr. Anthony Miller from the University of Toronto's School of Public Health recommend that based on new research, radio frequency exposure should be reclassified as a 2A (probable carcinogen), not a 2B (possible carcinogen). American Academy of Pediatrics requested review of EMF radiation emissions from technology devices, citing three reasons regarding impact on children (AAP 2013).
10. Unsustainable
The ways in which children are raised and educated with technology are no longer sustainable (Rowan 2010). Children are our future, but there is no future for children who overuse technology. A team-based approach is necessary and urgent in order to reduce the use of technology by children. Please reference below slide shows on www.zonein.ca under "videos" to share with others who are concerned about technology overuse by children.
Problems - Suffer the Children - 4 minutes
Solutions - Balanced Technology Management - 7 minutes
The following Technology Use Guidelines for children and youth were developed by Cris Rowan, pediatric occupational therapist and author of Virtual Child; Dr. Andrew Doan, neuroscientist and author of Hooked on Games; and Dr. Hilarie Cash, Director of reSTART Internet Addiction Recovery Program and author ofVideo Games and Your Kids, with contribution from the American Academy of Pediatrics and the Canadian Pediatric Society in an effort to ensure sustainable futures for all children.
Technology Use Guidelines for Children and Youth
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Please contact Cris Rowan at info@zonein.ca for additional information. © Zone'in February
Follow Cris Rowan on Twitter: www.twitter.com/zoneinprograms

Monday, February 17, 2014

The Cortisol Conundrum and How It Affects Your Adrenals

The Cortisol Conundrum and How It Affects Your Adrenals
Dr. Hillary Martin

What Are The Adrenals?
Your adrenal glands are made up of an inner cortex and outer medulla. They sit right on top of the kidneys at the mid to lower back and release hormones as needed. In times of stress or danger (physical or psychological) the adrenal glands stimulate the sympathetic nervous system into a “fight or flight” stress-response, releasing adrenalin and noradrenaline. These hormones charge directly into your bloodstream constricting blood vessels and increasing blood pressure.
Overactive adrenals are often the culprit of health issues such as anxiety, depression, high blood pressure, infertility, GERD/IBS, weight gain, and fatigue. When the adrenals are completely exhausted, it can lead to adrenal burnout resulting in insomnia, environmental or food allergies, hypoglycemia, and chronic fatigue. 
DIGESTION
Sympathetic nervous system stimulation causes the blood vessels in your gut to simultaneously constrict which slows or stops all digestive processes. This is when your body is in sympathetic “fight or flight” mode and NOT in parasympathetic “rest and digest” mode. This can make food difficult for your body to break down, digest, and absorb when under stress. If you don't have the proper enzymes to digest your food you also don't have the proper enzymes needed to kill off microbes like bacteria and yeast, nor the enzymes to pull nutrients into the blood. Many people under stress will suffer from candida, anemia or low D and B vitamins due to this sympathetic nervous system dominance or lack of parasympathetic rest/digest process.
HORMONES
Chronic low to high levels of stress increase cortisol production which ultimately pulls on the bank of reproductive hormones, depleting them in order to make stress hormones. This depletion will start to affect fertility, sex drive, energy and mood.
STRESS
How many times do you wake up and instantly check your email or start thinking about work? This puts your body in sympathetic mode, right upon waking. Then you may drink a cup of coffee and run out the door without breakfast to sit in traffic for an hour. This leaves no time for your body to enter rest and digest (or parasympathetic) mode.
Many of us suffer long term, chronic, low grade stress without even realizing it. It has become a lifestyle; an accepted and expected way to be. This is zapping your energy, your time with friends and family, your sex drive, your digestion, and fertility. We are constantly in a state of alarm- overstimulated, and overworked. Our bodies are not designed for these types of chronic stressors.  In short spurts our body is able to sense hypothetical danger and “run from the bear” in fight-or-flight mode. When that stressor is no longer there, our body may require weeks to recover and rest in a calm and safe zone. Unfortunately with our on-the-go society, this second step never seems to occur. Long-term, chronic stress and elevated levels of cortisol eventually lead to burn out and the adrenals have low to no function.
Do I have Adrenal Fatigue?
In men, high cortisol will lower testosterone, decrease libido and cause weight gain. Often cholesterol and triglycerides will increase as well as blood pressure. In women, high cortisol makes estrogen less recognizable at the receptor sites and we spend more time making adrenalin than estrogen and our estrogen progesterone ratios decrease. These changes can result in hot flashes, night sweats, insomnia, and PMS. In both men and women who have adrenal fatigue it is common to have difficulty falling asleep and/or staying asleep. Pain and inflammation will also often escalate, the liver will have trouble with detoxification resulting in digestive disorders, and anxiety or panic may arise or flare up.
Does Cortisol affect Fertility?
When your adrenals are shot, all your hormones are thrown off. The body digests cholesterol from the diet to make hormones. It will run them down the hormone pathways to make cortisol, DHEA, estrogen progesterone testosterone etc…yet in chronic states of stress, cortisol creation dominates the pathways and the other hormones get out of balance or depleted.  High cortisol will suppress the pituitary’s ability to release luteinizing hormone (LH). An LH surge is essential for ovulation generally at about day 14 of the menstrual cycle to release an egg. Abnormal cortisol levels can suppress ovulation creating a state of infertility. Estrogen, progesterone and the sex hormone ratios will also be imbalanced making it hard to promote fertility. In men, high levels of cortisol will lower testosterone levels which can make it difficult to get and or maintain erections.
Why do I keep gaining weight?
Stress creates high levels of cortisol, and high levels of cortisol create insulin resistance. Insulin resistance causes weight gain since carbohydrates are converted to fat rather than burned as fuel. Elevated cortisol weight gain is usually stored around the midsection while the rest of the body stays lean. With elevated cortisol, exercise and fewer caloric intake does not seem to have an effect on weight loss and may even make it worse. Skipping meals and over-exercising actually increase stress in the body further adding to already elevated levels of cortisol.

What can I do?
Balance is the key to healthy adrenals, healthy hormones and healthy weight.
Eat healthy food: more veggies and protein at every meal
Avoid alcohol, caffeine, and sugar
Drink 8 clean glasses of water per day
Manage stress with exercise, meditation, and relaxation
Sleep and get rested. The more hours you take in before midnight, the better. Take naps!
Get tested: Pick up a Salivary Adrenal Stress Panel and Hormone Test kit today
Rule out any other health conditions, acute or chronic, that may be affecting your adrenals such as hypothyroid, low immune function, anxiety/depression, food allergies, or IBS/GERD.