Do your friends impact your health?
In our day to day lives, during the times when we are deciding what to eat or whether to watch TV or take a walk, who is more likely to be around us, our family, friends, flat mates or a doctor? Even for individuals living with a chronic condition who will probably only spend a few hours a year with medical professionals compared to the thousands of waking hours with family and friends.
Recently researches discovered that women are more likely to survive breast cancer if they have a strong social network of friends and family, whereas those who are more isolated are twice as likely to die of the disease.
University of Pennsylvania have found that good health is more likely if people see fewer doctors and more of their family and friends especially if they get their support and help. They discovered that people are more likely to make healthier choices – like going for a walk over watching TV if they are around family and friends. In addition people are more likely to go to the gym if they have someone to go with.
Being part of a group e.g. family, friends, book club, tennis club, social group, religious/spiritual practice seems to aid our motivation to be healthier in terms of diet, exercise, smoking or drinking. This could be because being part of a group enhances your sense of meaning in life, which in turn leads you to better take care of yourself. Or it could be down to feeling a sense of responsibility towards other or even just wanting to fit in.
References
D A. Asch, and R Rosin, Engineering Social Incentives for Health, N Engl J Med 2016; 375:2511-2513
Kroenke, C. H., Michael, Y. L., Poole, E. M., Kwan, M. L., Nechuta, S., Leas, E., Caan, B. J., Pierce, J., Shu, X.-O., Zheng, Y. and Chen, W. Y. (2017), Postdiagnosis social networks and breast cancer mortality in the After Breast Cancer Pooling Project. Cancer, 123: 1228–1237. doi:10.1002/cncr.30440
Tarrant, M., Warmoth, K., Code, C., Dean, S., Goodwin, V. A., Stein, K., & Sugavanam, T. (2016). Creating psychological connections between intervention recipients: development and focus group evaluation of a group singing session for people with aphasia. BMJ Open, 6(2), e009652.
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Anxiety reduction & massage?
I know that I often say that one of the benefits of massage is that it may reduce anxiety. I think most people would agree that being in hospital or undergoing hospital procedures may makes us feel anxious. So I was interested in a recent study that looked at the effectiveness of massage with or without guided imagery (a therapist talking you through a scene to help you relax), prior to cardiac catheterisation. As you can imagine anxiety is very common in patients prior to cardiac catheterisation, which can lead to high blood pressure and increase the amount of sedation necessary to complete the procedure. Fifty five patients opted to receive either a 15-minute massage (31 patients) and a 20 minute guided imagery (24 patients) in a quiet area of the hospital prior to cardiac catheterisation. Self-report anxiety levels, blood pressure and heart rate were evaluated in the research participants as well as matched for comparison to a control group not taking part in the study. The results indicated that massage, with or without guided imagery, produced significant reductions in self-reported anxiety, with the combined intervention having a more pronounced effect. In addition a lower diastolic blood pressure and heart rate were found when compared to the control group. In my experience slow, deep stokes help to reduce anxiety and as a team we often incorporate this into treatments. References Amstrong K, Dixon S, May S, Patricolo GE (2014). Anxiety reduction in patients undergoing cardiac catheterisation, following massage and guided imagery. Complementary Therapies in Clinical Practice 20 (4): 334 - 338.

Mundane superfoods – part 4
This week I explain how to replace goji berries.
Rose Hips can replace Goji Berries
Goji berries are renowned for having a lot of vitamin C. Originally from Asia, they were used by the ancients to replenish body fluids, improve skin and soothe jangled nerves. The bush-like plant belongs to the nightshade family of plants with tomatoes and peppers and is reputed to be beneficial for insomnia, tuberculosis and to increase testosterone. On the other hand, rose hips, contain so much vitamin C, aka ascorbic acid, they're actually known to be the most abundant source in the world, which explains why they're so sought after by many markets. It was only in the last several decades that anyone thought to consider if there might be actual nutrition in rose hips. Once used in animal food, today they're an ingredient in jams, jellies and pie, as well as soups, bread and wine. Bon Appetit adds:"The hips, like the petals, are high in flavonoids, those small but mighty antioxidant friends. Like nettle, rose hips are anti-inflammatory. The pectin in rose hips also make it a heart healthy medicine … "
Mother Nature Network adds vitamins A and E to rose hips' benefits, so they can be made into tea or even eaten to help treat colds and sore throat. Because they also contain free radical-fighting antioxidants, the anti-inflammatory properties can even treat rheumatoid arthritis. The odd pods also contain pectin, which is good for your heart. Organic Facts reveals more advantages of consuming rose hips in some form, including an ability to optimize cholesterol, boost your immune system, prevent chronic disease such as cancer, regulate your blood sugar and eliminate toxins. References Bon Appétit July 19, 2017 Mother Nature Network July 6, 2011 International Society for Horticultural Science Organic Facts 2017
Are you taking blood pressure medication if so read on …
Globally more than 10 million people die each year from conditions related to high blood pressure. In clinic we notice that high blood pressure medication is one of the most common medications that are clients take (outside the contraceptive pill). The Hygia Chronotherapy trail, looked at 19,084 Caucasian Spanish men and women over a period of 6 years. Patients were split into two groups, with one asked to take their high blood pressure medication in the morning and one in the evening. The patients that took their blood pressure medication before bedtime are 66% less likely to die from heart and circulatory conditions, according to the researchers. Experts believe a person’s circadian rhythm or “body clock” can change the effect of the medication. The study found that blood pressure dipped lower at night in those who took the medication before bed compared to those who took it in the morning. Researchers say that further studies looking at people of different ethnicities should take place before doctors change their advice to patients on when to take blood pressure medication. Reference https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehz754/5602478

