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Tag: stress

Categories Advice, Health, How To, Nutrition, Sleep, Stress, Weight Loss

8 Steps to Better Sleep

Author Amber Hudler Posted on

Ahh, sleep. How many of us out there wish we could get more of it? We know we should be aiming for 8 hours per night, but an estimated 33% of the population falls short of that goal. Hectic schedules, chronic stress, anxiety, excessive screen time, and alcohol consumption can all contribute to regular amounts of sleep deprivation.

Poor sleep leads to poor health outcomes. According to the CDC, individuals who achieve less than 7 hours of consistent sleep per night – meaning you fall asleep easily and stay asleep – are at a higher risk for weight gain, obesity, insulin resistance, pre-diabetes, diabetes, anxiety, depression, heart disease, stroke, asthma, and cancer.

So what can you do to improve your sleep? Here are 8 quick and easy steps to show you how.

  1. Strive for a consistent bedtime each night. The more consistent you can be, the better. Your bedtime should allow you to achieve 7-9 hours of sleep per night and ultimately should occur during our prime sleep hours (10pm-7am).
  2. Unplug all electronic devices 2 hours prior to bedtime. The artificial blue light from these devices will lower the hormone melatonin. Melatonin is needed to help you fall asleep. Devices are also a trigger for stress and emotions. Give yourself plenty of downtime in order to ready your body for sleep.
  3. Practice stress relaxation techniques. A warm bath, reading, journaling, listening to soft relaxing music, prayer, meditation, yoga poses, whatever you like. Implement one of these strategies each night as you ready yourself for sleep.
  4. Keep your room dark and cool. Avoid having any devices or electronics near your bed that can emit light. Use room darkening shades if necessary.
  5. If you are a light sleeper, consider using deep breathing or meditation techniques to achieve deep sleep. Another thing that can help is a sound machine that will generate white noise. 
  6. When possible, expose yourself to sunshine or daytime light upon waking either by going outside or opening a window. This will support healthy melatonin levels throughout the day.
  7. Consume dietary sources of Melatonin. These include eggs, fish, pistachios, mushrooms, oats, black rice, organic cow’s milk (if tolerated), green beans, cherries. You can also consider a melatonin supplement.
  8. Eat plenty of magnesium rich foods such as bananas, almonds, spinach, cashews, black beans, peanut butter, and avocado, or take a magnesium supplement if needed. Magnesium can help your body relax and achieve restful sleep throughout the night.

Set a goal to implement these strategies in order to enhance your sleep. Along with proper diet and exercise, quality sleep can help you to significantly improve your health. For more information, contact me here.

Photo by Vladislav Muslakov on Unsplash

Resources:

https://my.clevelandclinic.org/health/articles/12114-causes-of-sleep-problems

https://www.cdc.gov/sleep/data_statistics.html

https://www.cdc.gov/media/releases/2016/p0215-enough-sleep.html

Ferreira, S. (2018). A Dietitian’s Guide to Assessing and Treating Fatigue.

Categories Gut Health, Nutrition, Stress

A Nutritional Approach to GERD

Author Amber Hudler Posted on

The incidence of Gastroesophageal Reflux Disease (GERD) has dramatically increased over the last few decades. I know I see a lot of it in my practice. This blog post will help you to understand the most common causes of reflux, dietary factors that contribute to symptoms, and some helpful tips for management and prevention.

 

GERD is most often caused by the flow of gastric juices (stomach acid) up the esophagus, which can result in a burning sensation, pain, or discomfort often referred to as heartburn. The condition typically intensifies following a meal and when lying down. While some individuals may suffer from occasional cases of heartburn that are easily resolved with over the counter medications such as antacids, GERD is more of a chronic condition. GERD can place individuals at a higher risk for swallowing difficulties, esophageal inflammation, ulcers, and certain cancers.

GERD is frequently associated with abnormalities or a decrease in pressure of the lower esophageal sphincter (LES). Your LES is a valve that controls the flow of food from your esophagus into your stomach. Normally this valve should close tightly, keeping hydrochloric acid and gastric juices in their rightful place – your stomach – so that they can help you digest your food properly. When the LES is compromised, the valve does not close fully, or it opens too often, and stomach acid will creep up into the esophagus as foods are being digested.

GERD can also be associated with muscle contractions known as gut motility. In a healthy gut, foods are normally pushed through the GI tract from the esophagus into the stomach, from the stomach into the small intestine, and from the small intestine into the colon. However, when the gut is impaired, these contractions can become compromised and cause a disruption in the digestive process.

Another factor to consider is hypochlorhydria or low stomach acid. While it may sound counterintuitive, having too little stomach acid can disrupt natural digestion, causing food to remain in the stomach longer then it should. This can cause major discomfort for many individuals including reflux-like symptoms.

Consuming foods that weaken the LES (see list below), along with increased stress, anxiety, and gut dysfunction, can make the symptoms associated with GERD occur more frequently and at a higher intensity.

 Common causes of GERD include:

Overeating / Obesity (puts pressure on the stomach)

Smoking (relaxes the LES)

Ingestion of the following trigger foods (weakens the LES):

  • Alcohol
  • Soda / Carbonated beverages
  • Coffee / Caffeine
  • Chocolate
  • Fatty / Greasy / Fried foods
  • Spicy foods
  • Acidic foods (tomatoes, orange juice, citrus fruit)
  • Peppermint / spearmint
  • Onions / garlic
  • Sugar

Stress (impairs gut motility)

Use of certain medications (NSAIDS, calcium channel blockers, Bisphosphonates)

Additional considerations include:

  • Bacterial overgrowth such as H. pylori, SIBO or yeast
  • Celiac Disease
  • Hiatal Hernia (stomach pushes up through the diaphragm muscle)
  • Food sensitivities / Allergies
  • Chronic constipation
  • Micronutrient deficiencies (from use of GERD medications) such as zinc, B12

When reviewing this list, you may find that few or many of these items pertain to you. The list of trigger foods is a general one, and not all foods listed will trigger symptoms in all individuals with reflux. But it is important to know which ones exacerbate your particular symptoms and to avoid those whenever possible. This will allow your esophagus to heal and will help to avoid the pain and discomfort associated with this condition.

Conventional treatment and management of GERD often involves:

  • Weight loss (when appropriate)
  • Continual avoidance of trigger foods
  • Eating smaller meals
  • Raising the head of the bed
  • Use of certain medications such as antacids and acid-blocker drugs such as Proton Pump Inhibitors (PPIs)
  • Avoidance of eating within 2-3 hours of lying down or going to bed
  • Avoidance of tight clothing that can put pressure on the LES
  • Avoidance of certain exercises that can put pressure on the LES such as sit-ups, inverted yoga poses, and certain forms of heavy lifting

Additional recommendations that can help include:

  • Slowing down at meals
  • Sitting at meals (avoid standing)
  • Taking smaller bites
  • Chewing food thoroughly. This can actually increase saliva production which can help support the integrity of the esophageal mucosal barrier, which is often impaired in reflux patients.
  • Consume meals that are lower in fat
  • Consume meals that are lower in carbohydrates (to help maintain a healthy weight)
  • Consume fermented foods (to support a healthy microbiome)
  • Avoid consuming large amounts of fluids with meals
  • Begin a routine of gargling at night to stimulate the vagus nerve (supports healthy digestion)
  • Stress reduction / Lifestyle change
  • Regular exercise

There are several types of supplements that can support GERD naturally and can help avoid the harmful side effects of PPIs. These include:

  • Deglycyrrhizinated licorice(DGL)
  • Limonene (extracted from citrus fruit peel)
  • Zinc Carnosine
  • Magnesium Citrate or Glycinate
  • Aloe Vera
  • Slippery Elm
  • Marshmallow
  • Glutamine (to heal)
  • Probiotics (to balance the microbiome)
  • Digestive Enzymes
  • Ginger
  • Iberogast (for motility)

It is always important to work with a qualified healthcare practitioner to receive a proper diagnosis for reflux and to identify the root cause.

In addition, many people find it valuable to work with a dietitian to help control their diet, which will make it easier to manage reflux and its related symptoms.

Common dietary approaches that I recommend in practice:

  • Identify and avoid trigger foods
  • Avoid processed foods and those high in refined sugar that can impair gut integrity and motility
  • Identify and support any nutrient deficiencies
  • Practice the key principles of eating properly (slow down, chew your foods, do not overeat)
  • Dietary support of Hypochlorhydria if present
  • Dietary support of bacterial infections if present
  • Incorporation of fermented foods and probiotics to heal the gut and support your microbiome
  • Stress reduction each day

 

Sources:

Gaby, Alan R., MD. Nutritional Medicine. Alan R. Gaby, M.D., 01/2011. VitalBook file.

Murray, M. T., & Pizzorno, J. (2012). The Encyclopedia of Natural Medicine, 3rd Edition. New York, New York: Atria paperback.

University of Wisconsin School of Medicine and Public Health. An Integrative Approach to GERD (Gastroesophageal Reflux Disease). (2018)

Mullin, G. E., & Swift, K. M. (2011). The Inside Tract: Your good gut guide to great digestive health. New York, New York: Rodale.

https://www.iffgd.org/motility-disorders.html

Rishikof, D. Health Takes Guts Ebook, 2018.

Hyman, M. 7 Steps to Reduce Acid Reflux. 2018.

https://www.mayoclinic.org/diseases-conditions/gerd/expert-answers/heartburn-gerd/faq-20058535

Categories Health, Nutrition, Stress

Strategies to Avoid Stress Eating

Author Amber Hudler Posted on

Picture this… a plate of food, a laptop, and a deadline. You are mindlessly snacking as you try to answer emails, review work documents, write your latest blog post…you get the picture. After a few minutes you look down. The plate of food is empty, and you have no recollection of what you just consumed, nor did you get any satisfaction from eating it. What’s worse? You may still be hungry and continue to eat more.

Eating on the go, eating while we are rushed, eating mindlessly while working on our computers or devices, snacking in front of the TV. Sound familiar? It can happen to any one of us, even a dietitian.

Two strategies that can help you stay on track with your nutrition goals are Mindful Eating and Intuitive Eating.

Mindful Eating (which is adopted from the principle of Mindfulness) is all about being present and avoiding distractions at meals, such as eating while on your laptop or cell phone. It is about SLOWING DOWN, taking the time to eat, and using all of your senses to get the most out of your experience. An example might be taking the time to prepare your food by hand. Once on your plate, taking the time to notice the color, smell the aroma, or even hold the food on your tongue for a few minutes to detect the flavors; all before eating it. Mindful eating can allow us to savor our meals and to view food as nourishment and fuel. Being mindful at meals can make food much more satisfying, and studies show that mindful eating can be a powerful tool for maintaining a healthy weight. Check out this guide to learn more about Mindfulness and Mindful eating.

Intuitive Eating is a positive approach to eating. It involves 10 key principles, which you can learn by clicking here.

Two principles that can help avoid stress eating are the ability to recognize and respect your fullness, and to honor your feelings without using food. Respecting your fullness means eating until you are satisfied, not stuffed. As children, we were born with an innate sense of our hunger cues. We ate when we were hungry and we stopped when we were full. As adults, we can easily lose site of these cues and instead eat when we are stressed, anxious, bored, or lonely. Intuitive eating helps you to recognize these emotions and to realize that food won’t fix any of them. Eating intuitively can reacquaint you with your inner hunger cues, and teach you how to respect and honor your food choices because those choices are unique to you. Simply put, it embraces the notion that you are the expert of your own body, and you have the wisdom to build a positive and healthy relationship with food.

Both Mindful Eating and Intuitive Eating can help you avoid the pitfalls of stress eating. Taking time each day to slow down, respect your hunger, and respect your fullness can go a long way toward helping you reach your healthy eating goals.