Tag Archive for: Louisville therapist

Improving Posture Can improve your aging and quality of life

How to Look Decades Younger | Healthy Aging Series: Part 15

There was a crooked man, and he walked a crooked mile,
And he found a crooked penny and he had a crooked smile,
He bought a crooked cat which caught a crooked mouse,
And they all live together in a crooked little house.

I remember the crooked man nursery rhyme. The image I got was of a man bent over shuffling along a crooked road. I saw the image of a crooked house, and the image of a crooked cat and mouse. It all seems a little nonsensical. There is a political interpretation that has to do with crookedness, as in dishonesty or “I’m not a crook” (I’m sure you get the reference.) But I’ll stick with the literal image.

When I look around in the community, much like the crooked man, I see lots of crooked people, bent over, twisted, shuffling, and often times using a cane. Or, another way of putting it is, people with poor posture. Unfortunately, poor posture is associated with being elderly.

Poor posture is a problem. One of the more obvious problems, if not superficial, is poor posture is associated with aging. 

In other words, poor posture makes you look older.

My wife and I were visiting Saint Augustine a few years back and we went to a place that they called the Fountain of Youth. “Drink the water and gain eternal youth.” I’m not one of those people who wants to deny getting older. My mother taught me that there’s no better age for you, than the age that you are right now. It’s more than just vanity to want to continue looking youthful. One of the ways that you can  accentuate your youthfulness is with good posture. 

Problems Created by Poor Posture

Beyond this somewhat superficial problem, there are other problems that poor posture creates. 

Poor posture can create mobility issues and put a person at risk for falling. When you are standing straight your body is positioned over your center of gravity.  As you become more bent over, your body leans out, forward of your center of gravity. It would be similar to you taking a 10-pound dumbbell and holding it out in front of you and maintaining uprightness as you do. It puts a lot of strain on the body and puts you at risk for falling over.  

Poor posture can cause back pain and other joint pain. It puts constant strain on your lower back muscles. And for those with more severe posture issues it can cause problems with your breathing by limiting the full range of motion that you need to inhale and exhale fully.

What Causes Posture Problems?

There are a few obvious answers to that question. These are habits that are usually out of our control.

  • Accidents

There are times that posture problems are created from accidents. I have family members that have a difficult time standing up straight because of back injuries due to car accidents. There are genetic problems that are completely out of your control that can cause posture problems. 

  •  Gravity

One of the more obvious problems that every human being deals with is gravity. Gravity is constantly pulling you downward. 

  • Aging

Another issue that we all face as we age is the lack of elasticity in our ligaments and the fragility that are bones experience as we age.

And here are the controllable, lifestyle causes for poor posture:

  • Poor Postural Habits!

Poor posture is more often than not related to two or three preventable issues that we all encounter as we age. Poor posture is often-times related to poor postural habits that we practice throughout our lifetime. This is in large part due to the fact that we sit a lot, stooped over a desk, or over a steering wheel, or just simply don’t resist the effects of gravity on our body. 

  • Loss of Muscle Mass

Throughout our lifetime, as we age, we lose muscle mass. Of course everybody is different, but beginning in our 40s and 50s, we slowly lose muscle mass due to a decrease in growth hormone and other hormones. I mentioned this condition in other blogs related to resiliency, this condition is called Sarcopenia. Our body needs muscle in order to stand straight. Muscle and ligaments hold our joints in place. Of course I’m oversimplifying this but a loss of muscle mass contributes to poor posture. 

  • Loss of Muscle Strength

This involves the muscles in our core, and those muscles that contribute to mobility and stability. It isn’t just the loss of muscle mass, it’s a loss of muscle strength and endurance.  It takes strong muscles to fight the never ending pull of gravity on our body. 

One of the muscles that rarely gets talked about is the Transverse Abdominus muscle or TVA. This is the muscle that is the innermost layer of our abdomen and it is responsible in large part for our stability. It’s the muscle that helps hold our guts in place. And therefore it makes sense that it should be the our focus when talking about posture.

How to Have Better Posture

I was standing in front of one of the young men that I work with the other day and I’m not sure if he meant it as a compliment, but I took it as a compliment. He told me that I stand like someone in the military. It does seem to me that young men and women in the military are taught to stand up straight and suck in their gut, and push their chest out. I felt pretty good about his comment because I spend most of my waking hours focusing on my posture. I do this for several reasons but I also do it for a reason that may not be the most important, but I do it because I want to send a signal to others that one way that you can maintain a youthful look is by focusing on your posture.  So, what do I do, and what can you do to improve your posture? 

Note: If you have been diagnosed with Hyper-Kyphosis, consult a doctor and Physical therapist before doing any flexion exercises that cause you to bend forward. Flexion exercises can increase risk for factures to the vertebrae. Here are a list of dos and don’ts to avoid flexion stresses when exercising and activities of daily living:

  • Maintain good postural alignment during exercise 
  • Strengthen core stabilizer muscles, such as transversus abdominus, obliques, and multifidus 
  • When bending or lifting objects, keep the spine in neutral, and bend at the hips and knees (hip hinge); keep objects close to the body 
  • When getting out of bed, roll onto the side before sitting up (log roll) 
  • When coughing or sneezing, stabilize trunk in neutral by hugging a pillow, or placing hands on knees while hip hinging, or place hand in small of back to help keep back in neutral 
  • Maintain the natural curves in your neck and back while sitting and standing. Imagine that you are lengthening through the crown of your head 
  • Adjust height of the walker and walk within the frame when ambulating
  • Avoid seated rowing machines or upper body ergometers 
  • Avoid crunches, curl-ups, or flexed position (traditional sit-ups) 
  • Don’t twist or bend your spine when lifting objects 
  • Don’t sit straight up from a horizontal position
    Avoid forceful trunk flexion while coughing or sneezing 
  • Avoid leaning over towards your work, or standing in a pelvic tilt 

Ok, for the rest of us, here is what you can do to insure you maintain good posture as you age.

Exercise! You need strong muscles in order to maintain good posture. I do this by resistance training and I focus on muscle strength and muscle endurance. I focus on my back muscles and my core muscles. Strengthening your back muscles, helps to pull your shoulders back and help you stand upright. 

Current best-practices suggest that spine-strengthening exercises and posture training help correct posture problems with older adults. 

I have pointed out in other blogs, that as you age, you need to incorporate instability into your workouts. This means narrowing your center of gravity as you do your workouts and alternating left and right plains of your body as you exercise. 

Stretch! Often times our body is out of balance and that can cause posture problems. For example overly tight hamstrings, the three large muscles at the back of your thighs, and hip flexors, the muscles at the top front of your thigh, can hamper basic movements like walking and running. When muscles are tight, a common result from too much sitting, you’re not able to fully extend your legs and straighten your knees. Inflexible hamstrings have also been seen as one of the causes of lower back pain. Another common problem that stretching can address is having tight chest muscles. These muscles pull your shoulders forward giving you a hunched silhouette instead of a longer, slimmer, youthful looking you. Stretching can also address the issues of joint inflexibility. Joint inflexibility can undermine your balance which can cause life altering falls. Stretching helps with all of these problems.

Practice Good Posture! One of the exercises that I do often is activating my TVA. I stand up, and then pull my belly button in toward my backbone. This is what some call “sucking in your gut.” Practicing good posture also means sitting up straight. It means limiting the amount of time that you sit. 

One of the things that has affected my posture over the years is my drive out to Colorado to visit family. I love those long road trips, but sitting that long, 17 or 18 hours straight, wreaks havoc on my lower back and on my posture.

There is no Fountain of Youth! But there are ways of maintaining your youthful appearance. And ways of avoiding the negative consequences of poor posture. Start working on them now!

This is part fifteen in the Healthy Aging Series, written by Mark Neese, LCSW, BCBA. To see more entries in this series, click here.

Healthy Aging Series Part 12

Do These Five Things And I Will Predict Your Future! | Healthy Aging Series: Part 14

I’m sick and tired of watching the weather. I have a backpacking trip planed to the Great Smoky Mountains National Park this weekend and they’re predicting rain. An 80% chance of rain. I’m tempted to cancel but I’ve canceled backpacking trips before, when the local meteorologist predicted rain, and I regretted it. 

Predicting the weather is one thing, but what about predicting the future? I remember the beginning of the pandemic. I told the clinicians in our agency to do what they could to attend to the needs of their clients, and then I predicted that it would be over in two months. LOL. I missed that prediction by about two years.

What if we could predict your future? I mean really predict your future. What if we could predict whether you aged successfully? There was a study that was completed a few years ago that looked at the possibility of predicting your future. It was called the HUNT study. It was performed in Norway with about 4500 participants, ages 45 to 59, and it lasted over 20 years. Here is the question that the researchers asked: 

Are there behaviors that you can do, beginning around mid- life, that can predict whether you age successfully? 

Their answer: Yes!

What is “Successful” Aging?

What exactly did they mean by successful aging? They were three criteria:

First, successful aging was defined by the absence of disease. The list of this orders was short. It included serious diseases like heart failure, cancer, stroke, and depression.

Second, it was defined by high cognitive and physical functioning.
The physical criteria generally meant that you could take care of yourself and perform most activities of daily living, to include, showering, dressing, cooking, laundry, shopping, and household task. It was also defined as being able to remember what happened a few days ago.

The third criteria for successful aging was engagement with life. You were engaged with Live if you worked or volunteered in a job or got out of the house at least once a month to do something like going to church, or to a concert, or to a museum.

Notice what’s not mentioned in the definition of successful aging. You can have diabetes, have high blood pressure, use a cane, be a little overweight, be fully retired and not work or volunteer, living solely on Social Security, sitting around the house watching and binging series on Hulu in the evenings, with a vodka martini or just popcorn. The bar is low for successful aging. No general fitness criteria like 18% body fat or being able to bench press your bodyweight. If you are aging successfully, you’re generally healthy, generally able to take care of yourself and you remember what you had for dinner the day before, and generally connected with people in the community. Not a bad prospect for getting older.

What Are the Lifestyle Predictors?

What are the lifestyle predictors for successful aging? Spoiler alert: there are no surprises here.

1. Being a former-smokers or non-smoker.
Notice that if you stopped smoking by middle-age we can predict that you will age successfully. No surprises here. During the height of the pandemic, we were shocked by the number of people that were dying from COVID-19. It was heartbreaking. But before, during, and after the pandemic there were approximately 1300 deaths related to smoking cigarettes every day. Tobacco use accounts for 30% of the incidence of cancer. Smoking cigarettes is one of the major causes of COPD and emphysema. Being a non-smoker or a former smoker is high predictor that you will successfully age.

2. The second predictor is high physical activity. This was defined as exercising one or more times per week and on at least one of these occasions sweating or being out of breath. Again, not a high bar: work out at least two times per week and one of these workouts needs to be more intense. This behavior, along with being a former smoker or non-smoker,  were the highest overall predictors for successful aging. Notice, you don’t have to run half marathon‘s, join a spin class, climb 14,000-foot peaks in Colorado, ride your bike across the state of Indiana, be a bodybuilder, or participate in any extreme sport. Just work up a sweat or breathe hard at least one of the two times you exercise each week.

3. The third lifestyle predictor is having a BMI under 30, which put you under the obese criteria. Notice, there is no mention of any particular type of diet. The lifestyle predictor is, manager your weight anyway you can, using whatever diet strategy that suits your personality. My good friend Sam swears by the zone diet. Some people prefer the whole 30 diet or Atkins diet or Paleo or Mediterranean diet or Dash diet. Some people are vegetarian or vegan‘s. I tend to follow what is referred to as time-restricted eating or what some have called intermittent fasting.  This lifestyle predictor didn’t monitor for any supplements, or the percentage of macronutrients that you’re taking, or calorie intake. It didn’t even stipulate that you can’t be overweight. Just having a BMI below 30 or below being obese.

4. The fourth lifestyle predictor was low to moderate alcohol consumption. The definition of this predictor was drinking five times or less during the past 14-day period, without excess. Moderate/high consumption meant drinking five or more times in a 14-day period with periods of access during that time. Here is an interesting caveat to this predictor. Regardless of high or low alcohol consumption this behavior played almost no role in predicting successful aging. This is partly because most subjects were moderate to mild drinkers. Having said that, the low drinking status did not predict, by itself, successful aging.

5. Social supports. The definition of social supports in the study meant being connected with others and having significant relationships in your life. The criteria included two factors: Do you feel lonely? And do you have a person in your life that would help support you during an extended illness? The less lonely you felt and feeling that you would receive help when ill were predictors for successful aging.

What are Your Odds of Aging Successfully?

Look at your life and count the predictors.

1. Are you a former smoker or non-smoker?
2. Do you exercise intensely at least one of the two times that you exercise each week?
3. Is your BMI under 30?
4. Are you a mild or moderate drinker?
5. Are you connected to people in the community?


Of these five predictors the one that is most important to have in your life is being a former smoker or non-smoker. This means: if you smoke stop now! All bets are off if you smoke!

In other words, if you are a former smoker or non-smoker, you greatly increase your odds for successful aging. Having all five predictors dramatically improves your chances of successful aging.

If I were a betting man and you had the first predictor (former non-smoker) and at least two or three of the other predictors, my forecast would be clear skies ahead for you! 

You cannot predict everything about your future. Will you experience an accident, or exposure to an unexpected virus, or exposure to environmental toxins? No one knows. Those things are out of you control! What things are in your control are the lifestyle predictors that can and will predict your future.

BTW: I postponed my backpacking trip to the next weekend because of the rain chances. I watched my weather app closely that weekend. Not a drop ☺

This is part fourteen in the Healthy Aging Series, written by Mark Neese, LCSW, BCBA. To see more entries in this series, click here.

ROMMIE’S THOUGHTS ON ECKHART TOLLE’S THE POWER OF NOW

Rommie’s Thoughts on Eckhart Tolle’s The Power of Now

Where is your mind? Right now. In this moment. What is on your mind?

Imagine picking up whatever is on your mind and setting it outside the door. It will be fine sitting there. Now, look up. What do you see? What do you hear? Notice I did not ask what you feel.

I’m outside. I hear a soft rustle of leaves. A robin’s song. A buzz. The subtleties of a distant jet.  This is the Now. There are no problems in the Now. Life just is. This is the wisdom of Eckhart Tolle (ET), author of The Power of Now. Every moment of every day is what it is, as if we had chosen it that way, good or bad—and even “good” or “bad” are just concepts of the mind. The things we judge. The things we react to. The things that we empower to literally suck the life energy out of us as if the problem shouldn’t be what it is.  As if we shouldn’t accept life as it is just now. As if we shouldn’t accept, that in large portion, we have likely created whatever “problem” we are reacting to. If we accept the “problem”, what will happen?  We will become conscious. ET’s philosophy is to become aware, conscious, awake to what is. Accept what is as if you had chosen it. Then observe the transformation. The evolution of consciousness, of acceptance, of peace.

Our egos love to react.

Our egos love to argue, to fuss, complain, and demand that life be “better” as if the ebb and flow of life should be something other than what it is. 

I’m here to challenge you to give the “Now” a chance.

It takes practice to live, speak, and enjoy the Now, which is really all anyone has.  Becoming conscious of one’s self, one’s ego, one’s identification with mind is the first step towards acceptance, towards peace. ET teaches to observe your thoughts but don’t believe them. Think about when you quarreled with someone last. If you’re honest about your role in the non-peace, it likely comes from a place of fear. A fear of being wrong. A fear of “losing”. Losing what? And even if you “lose”, what does that mean about you, if anything? Can you accept the circumstances without judging them?

Which brings me to resistance. Can you accept the circumstances without resistance?

ET teaches that suffering does not come from the circumstances but our resistance to them. Again, whatever the circumstances are, this is the way it’s supposed to be. Our response, not reactivity, is to embrace whatever “is”. Whatever the circumstances are is the way the circumstances are supposed to be…or they wouldn’t be that way.  It is our reaction or response that determine whether or not we suffer.

Surrender to what is.

ET teaches that “surrender is the simple but profound wisdom of yielding to what is rather than opposing the flow of life.” When you stop resisting what is, when you surrender, the past and future cease to have power. 

But what if someone wrongs me? Does acceptance and surrender mean I allow others to mistreat me?  Does surrender mean give up? Give in? Enable disrespect?  What if I have disrespected another person?  Do I accept that, do I surrender to that? ET teaches that “resentment and pain arise from the false sense of self we’ve created for ourselves and others.”  That our grievances are reactions to the artificial egos of others. He teaches how to bring non judgment and equanimity when others overstep our boundaries. He also teaches how to forgive our past selves and what to do when the pain of memories hijack our emotions. Holding on to old wounds is one of the surest signs that we are caught in the egotistic thinking of the false self. However, ET shows us the way to let go and embrace the liberation that living in the present moment, the Now, brings us.

Make the present moment the primary focus of your life.

Rommie OshriehRommie Oshrieh is Co-Founder/Owner of Sage Support Services and True North Counseling.

She serves as Executive Director of Sage and has served as a Case Manager/Supervisor for individuals with Developmental and Intellectual Disabilities for the past 15 years. 

racial profiling

Racial Profiling and Our Youth

Time to Wake Up! Protecting our Black Youth from Racial Profiling

Racial profiling is a longstanding and deeply troubling national problem despite claims that the United States has entered a “post-racial era.” It occurs every day, in cities and towns across the country, when law enforcement and private security target people of color for humiliating and often frightening detentions, interrogations, and searches without evidence of criminal activity and based on perceived race, ethnicity, national origin, or religion. Racial profiling is patently illegal, violating the U.S. Constitution’s core promises of equal protection under the law to all and freedom from unreasonable searches and seizures.” –ACLU

I grieve for George Floyd and Breonna Taylor. Few of us can imagine the horror that they experienced in those last moments as they were murdered by the people who took an oath to serve and protect them. I grieve and I am disgusted. I want to do something!

As a Social Worker and owner of an agency that focuses on serving and protecting our black youth, I believe that I have been sleepwalking. Most of us have. I hear stories and read accounts of young black men being stopped and handcuffed for bogus traffic stops simply because they were black. Our young black men in our community do not feel safe! They live in constant fear of being stopped by the police. Imagine, if you can, how oppressive that is. It is emotional abuse! The young black men that I work with suffer from this oppressive fear. They feel it every day as that they walk into or drive into the community.

The fear of racial profiling is traumatizing our black youth, and we must wake up and reignite the passion that will end it once and forever.

Here’s an important name: Tae-Ahn Lea. Tae-Ahn was the teenager that was stopped in June of 2019 (a year ago) and detained in handcuffs while his car was searched for 1 ½ hours for drugs. He is suing the Police Department. Here is part of that document:

“Tae-Ahn Lea is an honors graduate from Central High School. He was the homecoming king, has no criminal history and upon graduation became employed with a well-respected local car dealership. Tae-Ahn, however, also happens to be black, live in a low-income neighborhood, and drive his mother’s fairly new vehicle. He was thus the perfect target for members of the Ninth Mobile Division of the Louisville Metro Police Department who, throughout the past two years in Louisville, have employed a discriminatory, prejudicial, and illegal stop and frisk practice in which “violent crimes” units use traffic stops as a pretext for pulling over young black men driving nice cars, handcuffing them and subjecting them to abusive, racist, and intrusive searches without consent, good cause, or reasonable suspicion of any criminal activity.”

Time to wake up! Time to do something! Young black men in our community need our help! They need my help. As an agency, we will be investing time, work, and money to stop this illegal practice! We cannot do everything, but we can do something! It’s time to be a change agent! It’s time to end racial profiling!

Join us!

out of the darkness

Out of the Darkness

Hank Buckwalter, his wife, Chelsea, and Rommie and I participated in the Out of the Darkness Walk this past weekend at Waterfront Park.

It can be emotionally overwhelming to be in a gathering of people that are celebrating the lives and passing of their loved ones. I listened as the “Honor Beads” were given to the family members and friends of those who had taken their lives. They celebrated these beautiful humans that saw only one solution to the pain they were experiencing.

I lost a friend of 47 years this year to suicide. He was in a lot of pain. At his memorial service, an acquaintance commented, “I can’t believe Jeff took his own life.” I forgive him for his insensitivity. As much as I miss Jeff, our laughs, our High School pranks, our wonderful conversations on his deck near Hikes Point, I understand why he took his own life. He was in pain.

I struggle with the legality and morality of suicide.  Having said that, I will do everything in my clinical and personal power to prevent others from taking their own lives.

People need hope and when they lose hope

 they see very few solutions to their problems.

I wrote a blog a year ago about hope. Here is what I said:

People come to therapy because they have feelings of hopelessness. As a young therapist, I was inspired by Moltmann’s admonition, to be an instrument of hope. At the very heart of therapy is the goal of helping people find hope, because without it they cannot live. I believe that hopeful people inspire hopefulness in others. A hopeful therapist has many tools and strategies for helping people, but most important they inspire hopefulness. I believe they infect people with their hopefulness. They engage in a Therapy of Hope.

If you have thoughts of suicide, even fleeting thoughts, contact a therapist. We have included the suicide hotline number on our website. Call it and make an appointment. In Kentucky, all therapists are required to take a workshop every three years on suicide prevention. Make the call.

After the walk this past Saturday, Hank and Chelsea, and Rommie and I went to First Watch and had breakfast together. We reverently celebrated life.

2 or 3 pounds a year

The 2 or 3 Pounds a Year Club

It doesn’t sound like much: 2 or 3 pounds a year. But in ten years you’ve added 20 pounds. In 20 years, you’ve added 40 or 50 pounds, even 60. 

I’ve had a membership in this club and, unfortunately, I put on 25 extra pounds in 8 years. 

Many, many Americans are members of this club. To be precise, 160 million. That’s how many Americans are overweight or obese.

I apologize for my insensitivity. This is not a club. 

For many, it’s a prison. It’s a life of hopelessness.

Most of this added weight comes from added sugar. I have used the word “insidious” to describe the effect that sugar is having on America and its children. Everywhere I look, people are carrying many, many extra pounds of adipose tissue (fat). They were fit and lean in their twenties and thirty years later they struggle with a high body mass index. I’m noticing it with children as well

Do you want to cancel your membership to the “2 to 3-Pounds-a-Year-Club?” Then you’ve got to do something different.  Alcoholics Anonymous warns us about doing the same thing over and over and expecting different results. We are reminded that they call this insanity. 

Two Options for Getting out of the Insanity Club

First, hire a personal trainer that can help you put together an exercise and nutrition plan. Make sure they are certified. I’m certified with the American Counsel for Exercise (ACE) and I believe that this is the best program because it initially focuses on stability and mobility.

You can find them at most fitness facilities, or you can hire them individually. Simply google ‘personal trainers’ in the city where you live.

I practice the Paleo Diet (and lifestyle) and believe that it’s the most nutritious. It also addresses the sugar problem. Make sure your trainer has a certification in nutrition and expect that they will be able to give good information and guidance (within their scope of practice) about nutrition. 

Your second option is to be your own trainer and nutritionist. If you choose this option, you’re going to need some help changing the status quo in your life. Think, KISS. Think “exercise and fitness for dummies.” 

I’ve selected three books with simplicity and comprehensiveness in mind. All are in the “Dummies” series of books. 

Fitness Walking For Dummies,” by Liz Neporent.

Weight Training For Dummies,” 4th Edition, by LaReine Chabut, Liz Neporent, and Suzanne Scholsberg.

Paleo All-in-One for Dummies,” by Patrick Flynn, Adriana Harlan, Melissa Joulwan, and Dr. Kellyann Petrucci.

I’ve chosen these books for two reasons:

If you put together an exercise, it needs to include moderate-intensity cardio and resistance training. The first book helps with the cardio and the second book helps with resistance training.

If you put together a nutrition plan, it needs to help you get the added sugar out of your life. I believe that the Paleo Diet accomplishes this.

One additional suggestion: find a coach. Find someone that can help you stick with the plan. This could be a workout buddy, a spouse, or a Certified Health Coach (they do exist). 

It’s time to get out of the 2 to 3-Pound-a-Year-Club or Insanity Club and start preparing for the next ten years of your life. 

NUTRITIONAL AND MEDICAL DISCLAIMER FOR TRUE NORTH COUNSELING, LLC

In viewing this website (and blog), it is assumed that you understand and acknowledge that the services and information, provided by True North Counseling, LLC may involve recommendation to improve your general health, fitness and well-being, including nutrition/diet advice and suggestions for physical activity.  In accepting this information, understand that it is under your best discretion to be respectful to your body when engaging in physical activity and/or changing dietary habits. It is recommended to consult with your primary physician before starting any new/recent exercise or eating routine and to get annual check-ups to assess current health and fitness status. Do not overlook the importance of having a team-approach when health is involved. Regular visits with both your physician and registered dietitian will allow you to create the best possible, balanced approach in meeting health and performance/fitness goals.

seduced by sugar

Seduced by Sugar

“Prone to Wander, Oh I Feel it,

Prone to Eat the Sugar I love!”

I’m not sure the hymn writer intended their song to be used to illustrate the temptations of sugar, but I had to give it a try. It may not be right, but it feels right. 

We are constantly seduced by sugar. It’s everywhere and in everything. It’s delicious! And if we are ever going to cut back or completely avoid it, we are going to need lots of willpower! 

Willpower, also referred to as self-control or strength, plays a big role in our health, fitness, work, and in our relationships. The problem is, we only succeed half the time when we try use willpower to overcome temptations. This is due, I believe, to our lack of understanding of willpower.

I want to share some current research about willpower. Hopefully, it will help you in your quest to eat and live well.

These are two important sources that help:

Understanding the Mysteries of Human Behavior: Why is Self-Control so Hard?” a series of lectures by Dr. Mark Leary, from Duke University 

Willpower: Rediscovering the Greatest Human Strength,” By Roy Baumeister and John Tierney.

Here is what I gleaned from them:

  • Willpower (or Ego Strength) is more effective when you are able to avoid being exposed to the things that tempt you. If you want to avoid added sugar, avoid going to a candy shop. Simple enough. Out of sight, out of mind.
  • Try to set more immediate and concrete goals vs. distant and abstract goals. You are more likely to keep goals that focus on losing 8 lbs. in one month than a goal to “get healthy or lose weight. 
  • Work on one goal at a time. “Studies have shown,” explains Leary, “that when people must control their behavior on one task, their ability to control themselves on a second task is weakened.”
  • There seems to be a reservoir of ego strength, so be careful to not expend it by stress and multi-tasking. Ego strength decreases as the day continues especially after a day of self-control for many hours. “People were using up all their willpower on the job,” writes Baumeister and Tierney. They explain that it’s the same supply of willpower to deal with frustrating traffic, tempting food, annoying colleagues, demanding bosses, and pouting children. 
  • It’s possible to “store up” self-control strength to be used for later tasks, such as engaging with family and children after work. This can be done by decreasing the level of self-control intensity that you use during the day. It may mean taking breaks and recharging throughout the day. “Possibly by relaxing before Lent,” write Baumeister and Tierney, “people store up the willpower necessary to sustain themselves through weeks of self-denial.”
  • I believe the self-control reservoir is similar to a gas tank. Work at keeping it at ¾ of a tank to ensure that you don’t experience lapses of willpower. I always remind parents about self-care to keep their gas tanks full. Relax and de-stress throughout the day.
  • Blood glucose levels affect willpower. Researchers have discovered that low blood glucose equals low willpower. The pattern showed up time and again as they tested more people in many situations. Sugar plays a role in our resisting sugar!!!

All roads lead back to sugar!

I want to make it clear; the researchers are not recommending that you have a flask of sugar water in your car or desk to use throughout the day. Sugar makes it worse!!! They are recommending that you eat a diet that helps you maintain a stable blood glucose level throughout the day. 

The High Willpower Diet and Lifestyle

  • Eat for the slow burn. The body converts just about all sorts of food into glucose, but at different rates. Foods that are converted quickly are said to have a high glycemic index.

To maintain steady self-control, you’re better off eating foods with a low glycemic index: most vegetables, nuts (like peanuts and cashews), many raw fruits (like apples, blueberries, and pears), cheese, fish, meat, olive oil, and other “good” fats. (These low-glycemic foods may also help keep you slim.) 

  • When you’re sick, save your glucose for your immune system.

If you’re too glucose-deprived (because of the demands put on your immune system) to do something as simple as driving a car, how much use are you going to be in the office (assuming you make it there safely)? 

  • When you’re tired, sleep.

Not getting enough sleep has assorted bad effects on your mind and body. Hidden among these is the weakening of self-control and related processes like decision making. 

Whatever you call it (ego strength, willpower, self-control strength), we need “it” to live healthy and successful lives. 

Improving your willpower will enhance every aspect of your life, but especially in overcoming the temptation of sugar.  

NUTRITIONAL AND MEDICAL DISCLAIMER FOR TRUE NORTH COUNSELING, LLC

In viewing this website (and blog), it is assumed that you understand and acknowledge that the services and information, provided by True North Counseling, LLC may involve recommendation to improve your general health, fitness and well-being, including nutrition/diet advice and suggestions for physical activity.  In accepting this information, understand that it is under your best discretion to be respectful to your body when engaging in physical activity and/or changing dietary habits. It is recommended to consult with your primary physician before starting any new/recent exercise or eating routine and to get annual check-ups to assess current health and fitness status. Do not overlook the importance of having a team-approach when health is involved. Regular visits with both your physician and registered dietitian will allow you to create the best possible, balanced approach in meeting health and performance/fitness goals.

thoughtful eating

Thoughtful Eating

We take food for granted. 

I know there are people in our country that are hungry. I work with many people on reduced incomes and I see them struggle to make ends meet. Poverty continues to pose a challenge for our country.

Despite this, children and adolescents in low-income families are more likely to be obese than those in high-income families.  This pattern doesn’t hold true for adults and is more likely affected by the level of education. We will look at obesity in a later blog.

Regardless of our socioeconomic status, Americans eat with little thought about the food we are eating. Americans are convenience eaters. We eat in our cars and we eat standing up. When we’re angry or sad, we eat. We impulse eat and snack between meals. We see a candy bar at the checkout lane and buy it and eat it. Even after we feel full, we continue to eat. 

We take our food for granted.

When was the last time you fasted? Skipped breakfast and lunch? When was the last time that you thought about the people that provided, cooked and served you your food? How often do you take a moment and quietly voice gratitude for the food for which you are about to receive? When was the last time that you sorted through the different textures, flavors, and colors while you were eating a meal?  Do you think about the triggers that prompt you to eat? Triggers like feeling down, angry, or anxious. When was the last time that you craved a pastry (that’s always for me) and ate it so quickly that you didn’t even remember eating it? 

Thoughtful Eating simply means, paying attention to what we are eating

 In his book, “How to Eat,” Thich Nhat Hanh offers what he calls “notes on eating.” I’ll share some of them.

  • Nothing comes from nothing. Think about how the bread was made. The fields where the grain grew. The sunshine that bathed the blades of wheat. The farmer that labored to harvest the grain.
  • Your body belongs to the earth. “We eat with care,” writes Nhat Hanh, “knowing that we are caretakers of our bodies, rather than their owners.”
  • Slow down. The author shares that, slowing down and enjoying our food helps our lives take on a deeper quality. You become connected to everything that the food represents.
  • Pay attention to the people that are eating with you. This he calls community-building. Food should bring you closer to the ones you love.
  • Take a moment before you eat and nourish yourself with the breath of life. Breathe deeply. Fill your lungs with the life-giving air around you.
  • Turn off the Television.
  • Become aware when you are full and satisfied with the food you are eating. Then stop eating.
  • Chew your food, not your worries. It’s difficult to feel grateful when your chewing your planning and your anxiety.

These are just a few of the suggestions in “How to Eat.” 

Here are two of mine: 

Prior to eating, reflect on the gift of food. The Stoics practiced reflection to insure they saw the meaning of the events in their lives. They reflected on the mistakes and successes. They wanted to learn from both. 

Reflecting on food can take place as a quiet moment or a prayer. I remember growing up and learning a prayer we called ‘Grace.’ We said ‘Grace’ before eating. Many faith traditions have their prayers. Mine was:

Bless us Oh Lord,

For these thy Gifts,

Which we are about to Receive,

From thy Bounty

Through Christ our Lord, Amen

You may prefer a more secular prayer:

Earth who gives to us our food,

Sun who makes it ripe and good,

Dearest earth and dearest sun,

Joy and love for all you’ve done.

If you’re not satisfied with these, create your own thoughtful prayer.

My second suggestion is to practice fasting. Many, many religious and secular practitioners have been fasting for millennium. I have practiced fasting for many years. I currently fast 3-4 times a week. There is nothing like feeling hungry. I love it. I think it mimics the lifestyle of early humans. It makes my senses more keen. It helps me appreciate food.

I have taken food for granted, but with practice, I’ll learn to savor it and to enjoy the people that I share it with. 

NUTRITIONAL AND MEDICAL DISCLAIMER FOR TRUE NORTH COUNSELING, LLC

In viewing this website (and blog), it is assumed that you understand and acknowledge that the services and information, provided by True North Counseling, LLC may involve recommendation to improve your general health, fitness and well-being, including nutrition/diet advice and suggestions for physical activity.  In accepting this information, understand that it is under your best discretion to be respectful to your body when engaging in physical activity and/or changing dietary habits. It is recommended to consult with your primary physician before starting any new/recent exercise or eating routine and to get annual check-ups to assess current health and fitness status. Do not overlook the importance of having a team-approach when health is involved. Regular visits with both your physician and registered dietitian will allow you to create the best possible, balanced approach in meeting health and performance/fitness goals.

 

in defense of doughnuts

In Defense of Doughnuts

In Defense of Doughnuts (or is it Donuts?)

I was preparing for a trip to Colorado, to visit some family, when my wife and I decided we wanted a donut to celebrate. It sounds silly and somewhat contradictory, considering the number of blogs that I’ve written about the evils of sugar.

We made a trip to Sugar and Spice and I was not disappointed, we were not disappointed.

What? Do you mean, eating donuts is part of a healthy lifestyle? Yep. It’s a small part, but it is a part of celebrating food, and life, and people. We ate them as we drove to the airport. It’s a wonderful memory etched into my mind.

We often visit donut shops when we travel together out-of-town. We’ve been to Psycho Donuts in San Diego, Zombie Donuts in D.C., and Desert Donuts outside of Phoenix. We eat them and then rate them. It’s a blast. We rate them in different categories. For example, we would never compare cake donuts with yeast donuts. We rate the sweetness, the texture of the dough, and most important, the creativity of the donut shop. 

As a result, we have created a wonderful repertoire of memories and we will create many, many more. 

We love donuts and could not imagine a life without them.

The donuts also reminded me of a book that I had read a few years ago, In Defense of Food: An Eater’s Manifesto,” by Michael Pollan. I reread it on my way out to Colorado. Pollan reminded me that, “Food is about pleasure, about community, about family and spirituality, about our relationship to the natural world, and about expressing our identity.”  

He states that we are becoming a nation of “orthorexics,” or people with an unhealthy obsession with healthy eating. We’ve become so fixated on dieting, weight-loss, and calorie restrictions, that we have lost the joy of eating.

This all sounds counter-intuitive, because we are living in a country that increasingly getting fat. Sorry to be blunt. Pollan would argue that we’re getting fatter and fatter because we don’t slow down and enjoy the food we eat, because we don’t respect ourselves and the food we eat, and because we’ve given into eating non-food. He would point out that much of what we eat would not be recognized by our great grandmothers. 

Here is Pollan’s menu for eating real food:

  • Don’t eat anything your great grandmother wouldn’t recognize. The test would be, don’t eat anything incapable of rotting.
  • Avoid food products containing ingredients that are a) unfamiliar, b) unpronounceable, c) more than five in number, or include, d) high fructose corn syrup.
  • Avoid foods that make health claims. This would eliminate food that comes in packages.
  • Shop the peripheries of the grocery store.
  • Get out of the grocery store whenever possible. Visit the farmer markets and get to know the people who grow what you eat.
  • Eat mostly plants, especially leaves.
  • Eat well-grown food from healthy soil.
  • When you can, eat wild foods.
  • Eat like an omnivore.

Pollan’s mantra is this:

Eat Food. Not too Much. Mostly Plants.

I would add, if you’re eating nutritious food, allow yourself a donut or two. Treat them like a luxury item but eat them. Enjoy the food in your life by eating it together with the people in your life. 

I can’t wait for our next Donut review!!!

Nutritional and Medical Disclaimer for True North Counseling, LLC

In viewing this website (and blog), it is assumed that you understand and acknowledge that the services and information, provided by True North Counseling, LLC may involve recommendation to improve your general health, fitness and well-being, including nutrition/diet advice and suggestions for physical activity.  In accepting this information, understand that it is under your best discretion to be respectful to your body when engaging in physical activity and/or changing dietary habits. It is recommended to consult with your primary physician before starting any new/recent exercise or eating routine and to get annual check-ups to assess current health and fitness status. Do not overlook the importance of having a team-approach when health is involved. Regular visits with both your physician and registered dietitian will allow you to create the best possible, balanced approach in meeting health and performance/fitness goals.

it's never too late

It’s Never Too Late

I’m 63.

I’ve been rather serious about my health most of my adult life. This is due, in part, to the many people that have mentored me and influenced me these past decades.

I see my doctor and dentist twice a year.

I work out almost every day and hike and walk every week.

During the warmer months I cycle every week.

I lift weights or do body weight exercises 3-4 times a week.

I recently eliminated “added sugar” out of my diet and dropped 20 lbs.

Even though I still have a lot of things to work on, it’s never too late to get started.

I probably have too much stress in my life, but I’ve been doing mindfulness practices to help.

I’m working at reducing the sodium in my diet with the hopes of reducing my blood pressure.

I’d like to get my percentage of body fat down to around 18%.

Like I said, It’s never too late!

In a recent New York Times article by Gretchen Reynolds (September 18, 2019) entitled, Taking up Running After 50? It’s never too late to Shine,” she writes that, “middle age is not too late to take up intense exercise training and begin banking many of the health benefits of being an athlete.” I love this analogy of banking health benefits! She explains that older athletes have fewer long-term health conditions, take fewer medications, have fewer hospital or medical visits, and their physical function is excellent.

Again, It’s never too late!!

I’ve mentioned in an earlier blog a book that my father gave me 2 decades ago, “Dr. Bob Arnot’s Guide to Turning back the Clock.” Arnot writes, “You can set back your biological age, like rolling back the miles on a car’s odometer. How much? A sedentary forty- or fifty-year-old can realistically expect to test as a healthy twenty-five-year-old after as little as six months.” This is a book worth reading if you want to become more active and reverse aging. I have two copies in my office, and I’ll loan you one!

Bob Arnot’s advice, “It’s never too late!”

Another book that inspired me during this past decade was, “Younger Next Year: Live Strong, Fit, and Sexy -Until You’re 80 and Beyond,” by Chris Crowley and Henry S. Lodge, M.D. This is a very hopeful book. Crowley is eight-four-years-old and continues to be active and in very good health. He writes that, “you may want to think about the fact that 70 percent of premature death is life-style related.” “Premature death,” he explains, “means before you’re deep into your eighties.”

Crowley and Lodge agree, It’s never too late to start preparing for old age!!

Here is my advice:

The sooner you become more health conscious, the better your chances of living a long and healthy life.

Let that sink in.

This means getting more health conscious about:

  • Good nutrition
  • Being active
  • Having something to get up for every morning
  • Maintaining good relationships
  • Learning to adjust to the things that will not adjust to you

I’m sitting in a Starbucks in Colorado as I write this blog. I’m getting ready to hike The Incline. It’s a mile-long train up the side of Pike’s Peak that increases in elevation by 2000 feet. I try to do it every time I visit, to test myself. It’s usually takes an hour and fifteen minutes to make it up that mile stretch. We’ll see about this time.

Why do I do things like this?

Because I’m doing what I can now to ensure that I live a long and healthy life.

It’s never, never too late to get started!

Nutritional and Medical Disclaimer for True North Counseling, LLC

In viewing this website (and blog), it is assumed that you understand and acknowledge that the services and information, provided by True North Counseling, LLC may involve recommendation to improve your general health, fitness and well-being, including nutrition/diet advice and suggestions for physical activity.  In accepting this information, understand that it is under your best discretion to be respectful to your body when engaging in physical activity and/or changing dietary habits. It is recommended to consult with your primary physician before starting any new/recent exercise or eating routine and to get annual check-ups to assess current health and fitness status. Do not overlook the importance of having a team-approach when health is involved. Regular visits with both your physician and registered dietitian will allow you to create the best possible, balanced approach in meeting health and performance/fitness goals.