Health-E-Newsletter -- Volume 1 - Issue 3     Saturday, January 20, 2001

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A service of Essence of Wellness Chiropractic Center, Eaton, Ohio
 
*INTRODUCTION
*HEALTH NEWS - The latest news in health
*FEATURE ARTICLE - Muscular strength and chiropractic care
*HEALTH RESEARCH - Current research you should be aware of
*HOW TO CONTACT US
 
                                                         
INTRODUCTION
 
Welcome to the third issue of Health-E-Newsletter, a weekly newsletter for those interested in a wide variety of up-to-date health news.  Our mission is to provide informative, useful, and current health news for the betterment of our community.  This information was found online and in peer-reviewed health and medical journals and is not intended to be a replacement for professional health care.  Please forward this to friends, family, discussion groups and others so that they may benefit as well.  If you have questions, comments, suggestions for future articles, or to subscribe/unsubscribe, please let us know at: Essence of Wellness
 
Yours in health,
Dean L. Smith, D.C., M.Sc.
Jane Palmer Smith, D.C.
We look forward to serving you.
 
                                                          
HEALTH NEWS
 
*Important Note*  Since last week there have been a number of important health related articles that have been published relating to improved quality of life.  As you know we are primarily concerned with improving your quality of life and hence, we urge you to please read the articles/abstracts listed below.  As such, this newsletter is longer than usual, but well worth the read :)
 
Omega-3 Fatty Acids are everywhere in the literature and media recently.  You might have heard about the "amazing" health results derived from these fats such as its protective role against cancer, anti-inflammatory capabilities and its role in preventing stroke as well as many others.  I will attempt to explain what omega-3 fatty acids are, why they are important and why you should care. 
 
What are Omega-3 Fatty Acids?
Fats are put together a little differently than carbohydrates (sugars) and proteins.  The base molecule for fat is the triglyceride.  It is a 3 pronged molecule, with glycerol as a base.  Attached to each of the prongs of the molecule is a long molecule called a fatty acid. Linolenic acid is the prime member of the omega-3 family.  This acid cannot be made in the body and must be supplied by foods. 
 
Importance of Omega-3 Fatty Acids
Fats have critical and essential regulatory roles for every facet of metabolism and health.  A few roles and functions of fats in general:
1.  source of calories
2.  storage form of calories
3.  insulation and shock-absorbing mechanical qualities
4.  forms the structure of cell membranes
5.  cell signaling and transmission
6.  precursors for steroid hormones
7.  essential for growth, development, and health maintenance
8.  transport and uptake of fat-soluble vitamins
 
Why should you care?
An explosion of research into the health effects of omega-3 fatty acids has occurred since 1980.  The rationale for the use of omega-3 fatty acids is to influence the fat in cell membranes so that one can enhance production of anti-inflammatory (eicosanoids) and reduce pro-inflammatory (eicosanoids) conditions.  A diet leading to an inflammatory state of our systems, has been proposed to promote changes in gene activity that would promote cancer, heart disease, rheumatoid arthritis and many other diseases.  A diet rich in omega-3 fatty acids on the other hand has been proposed to reduce these harmful effects. 
 
Given linolenic acid, the body can make 2 other omega-3's, DHA (docosahexaenoic acid) and EPA (eicosapentaenoic acid).  Linolenic acid can be found in: fats and oils (canola, soybean, walnut, wheat germ) nuts and seeds, vegetables (soybeans).  EPA and DHA can be found in: human milk, shellfish and fish (mackeral, tuna, salmon, bluefish, mullet, sturgeon, anchovy, herring, trout, sardines). 
 
Our data indicate that higher consumption of fish and omega-3 polyunsaturated fatty acids is associated with a reduced risk of thrombotic infarction, primarily among women who do not take aspirin regularly, but is not related to risk of hemorrhagic stroke.
 
Epidemiological observations reveal that Japanese women, who eat a low-fat diet with a high fish consumption, have a much lower incidence of breast cancer than North American and European women who eat a higher fat diet rich in omega-6 polyunsaturated fats. This observation has been supported by experimental research that omega-6 fatty acids like corn and safflower oil can promote tumor growth, and omega-3 fatty acids found in fish oil can inhibit tumor growth. Omega-3 fatty acids serve a protective role against breast cancer by competitively inhibiting harmful omega-6 metabolites that may be responsible for tumor promotion.
 
Several sources of information suggest that man evolved on a diet with a ratio of omega 6 to omega 3 fatty acids of approximately 1 whereas today this ratio is approximately 10:1 to 20-25:1, indicating that Western diets are deficient in omega 3 fatty acids compared with the diet on which humans evolved and their genetic patterns were established. Omega-3 fatty acids increase bleeding time; decrease platelet aggregation, blood viscosity, and fibrinogen; and increase erythrocyte deformability, thus decreasing the tendency to thrombus formation.
 
Report Helps Clear Vitamin Confusion
Call it vitamania: About 40 percent of Americans pop vitamin pills. But just how much of each vitamin does your body need? When does food provide enough? And how much is too much? A prestigious science group has just updated national guidelines on how much of every vitamin and mineral Americans should eat daily for good health - plus a never-before-compiled list of which popular megadose vitamins could harm them.
 
Early exposure to germs may help protect children from developing asthma or allergies later in life, according to a new study. Researchers at the University of Arizona's Respiratory Sciences Center followed the progress of 1,035 children from birth to the age of 13. They found that infants taken to day-care centers are less likely to develop asthma than those children who aren't. And it seems the earlier that exposure comes, the better off the child will be.
 
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FEATURE ARTICLE
By: Dean L. Smith, D.C., M.Sc.
Muscular Strength and Chiropractic Care
 
Several studies have examined the relationship between chiropractic adjustments and muscular strength. Smith and Cox recently reviewed research investigations regarding strength and chiropractic care (1). These studies have shown improvement of strength in athletes, young subjects, males and females, and those with or without symptoms. We cannot each be as massive as the famous body builders such as Arnold Schwarzenegger (nor would a lot of us care to be), but nearly everyone can improve strength. Most athletes today, include strength and power training as important components of their complete training programs. In fact, resistance training is now recognized as important for nonathletes who seek the health-related benefits of exercise.

Mechanisms of Strength via Chiropractic Adjustment

There are 3 key determinants of a muscle’s ability to produce force: 1. neural factors, 2. muscular factors and 3. biomechanics. Chiropractic may improve these determinants in a few different ways. Firstly, neural processes could be improved via restoration of appropriate patterns of sensory input (e.g. mechanoreceptors) and/or motor output. Secondly, appropriate movement patterns can be facilitated by removing motion restrictions and restoring normal joint biomechanics. Finally, muscle properties such as length-tension relationships and resting tone are reliant on neural and biomechanical factors and thus may be affected by the processes described above.

Why Add Strength Training to Chiropractic Care?

Strength training has numerous benefits. For athletes, these benefits may include the ability to generate more force during a movement, more power production [(force x distance)/time], and the ability to repeatedly develop and sustain near maximal or maximal forces. For example, the golfer who is required to maintain a semi-standing position while putting may require less muscular effort to do so; or the wrestler who is required to maintain a static position while they attempt to pin their opponent can do so better after strength training. Improved strength and co-ordination can also decrease the incidence of future injury and contribute to better structural integrity.

The person who has endured an acute injury can benefit from strength exercises as well. In general, it is recommended to start with static (isometric) exercises at first to avoid gross joint movement, allow for edema (fluid) to be “pumped” out of the area, activate the neural factors in the muscle and connective tissue, avoid deconditioning (weakening) and to keep people active in their care. While the tissues are inflamed, light static contraction can be done by the various muscle groups to tolerance. Avoid prolonged static contractions as vascular stasis (lacking flow) may occur during this type of contraction. Once the inflammation has reduced and the joints have been mobilized via adjustments and reduction in pain and guarding, more active concentric (for example doing a curl to strengthen the biceps) activity can benefit. Finally, once the tissues allow, eccentric (negative) actions will strengthen the muscle fibers and stress the connective tissue. Strengthening exercises, along with stretching may also help organize scar tissue formation and prevent haphazard alignment of healing tissue. Don’t forget that chiropractic adjustments also aid by improving biomechanics and neurological status!

The Nature and Benefit of Strength Training

A single exercise is usually not sufficient to evoke a training response. To achieve a “training” effect, a certain amount of repetitions need to be performed during any given session. Basically there are three principles of training that can be discriminated (2):
1. the principle of repetition
2. the principle of summation
3. the principle of duration

In general, the benefits of a single training session such as improved neural co-ordination, adaptive protein synthesis and supercompensation of energy will not hold if there are no subsequent sessions. Stable training benefits necessitate a systematic approach with frequent sessions of appropriate duration. It is important to note that the demands of training must gradually increase due to adaptation of the same stimulus intensity.

Changes take place at the level of cellular structure to organs and their systems that are involved directly in muscular activity (muscles), in organs attaining the function of muscles (cardiovascular/respiratory systems and liver), in tissues supporting muscle function (connective and skeletal tissue), and in the central and peripheral nervous system and endocrine glands that co-ordinate the functions and metabolic processes and effects of muscles (2).

If these benefits are not enough to convince you to incorporate strength training into your routine, consider the following facts. In humans, muscle constitutes 40-50% of total body mass (3) with over 430 muscles (4). There are a high percentage of afferents (nerve messages) from muscle and these impact not only muscle reflexively, but also have important connections to cardiovascular regulation (5). The activity of the cardiovascular system is intimately linked to the activity of the muscular system (5). Because muscle represents such a high proportion of body mass, it requires considerable fuel and could generate considerable heat and metabolic waste (e.g. acids) and thus can be a threat to homeostasis. Muscles that are deconditioned may be ill prepared in dealing with “normal” everyday stresses appropriately.

Summary

It is recommended that in addition to chiropractic care, individuals adopt some form of strength training. Chiropractic adjustments can enhance strength. Resistance training can be added as an adjunct to chiropractic care to maximize strength gain. Enhancements in strength have a number of positive manifestations some of which are perceived and others not. The ability of the chiropractor to impact muscular function can have widespread bodily effects.

Resources:
For those interested in pursuing this topic, the following websites and references may help:
http://www.humankinetics.com for a wide variety of books and media on strength training.
http://www.nsca-cc.org
http://www.chiropractic.org/councils/fitness_certification.htm for the ICA’s certification program in exercise and fitness.

References

1. Smith DL, Cox RH. Muscular strength and chiropractic: theoretical mechanisms and health implications. JVSR 1999-2000; 3(4):1-13.
2. Viru A, Viru M. Nature of training effects. In: Garrett WE, Kirkendall DT, editors. Exercise and sport science. Philadelphia, PA: Lippincott Williams & Wilkins, 2000.
3. Williams PL, Bannister LH. Gray’s anatomy: the anatomical basis of medicine and surgery. New York, NY: Churchill Livingstone, 1995.
4. McArdle WD, Katch FI, Katch VL. Essentials of exercise physiology. Malvern, PA: Lea & Feabiger, 1994.
5. Rowell L. Human cardiovascular control. New York, NY: Oxford University Press, 1993.
 
________________________________
HEALTH RESEARCH
 
Overall, the new study found that back pain made up the overwhelming share of workplace problems, along with muscle and bone disorders and wrist injuries, including carpal tunnel syndrome. It estimated that these maladies cost the country $45 billion to $54 billion annually in compensation, lost wages and lowered productivity.
 
"Accutane is prescribed as a last resort for severe cases of acne. In researching, Laurie Stupak said she was stunned to find that the Federal Food and Drug Administration had published reports indicating that Accutane may trigger psychosis and suicidal tendencies. A 1998 FDA report linked the drug with 31 reports of suicide, suicide attempts or having thoughts of suicide. Despite these reports, no warning label accompanied the drug."
 
Risk of work-related injuries/illnesses among females has not been well documented. This study compares compensable work-related injuries/illnesses between females and males across all major industrial sectors and occupations using a state-managed Workers Compensation database.  The distribution of types of injury/illness varied by gender, occupation, and industry with significantly higher risk of carpal tunnel syndrome, burn, sprain, and fracture in females compared to males.
 
We find it paramount to measure the patient's structure on the outside (posture) and use radiography for the segmental alignments on the inside (spine). The measurements gathered are used to uniquely determine the specific interventions chosen for each individual patient.
 
                                                      
HOW TO CONTACT US
 

Essence of Wellness Chiropractic Center
Dean Smith, D.C., M.Sc.
Jane Palmer Smith, D.C.
890 South Barron St.
Eaton, Ohio 45320
(937) 456-4555 
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