Friday, July 26, 2013

Strong Mind, Strong Body: the link is Exercise

It is great to want to drop a few pounds to improve physical health and appearance.  But for many people that I have worked with, particularly those who have are at the beginning of what will be a long journey, looking better during that vacation to the beach is simply not in the picture yet.  Consequently, noticeable changes in physical appearance, while desired, are inadequate motivation.  For the person who starts, as I did, severely obese, that beach body is simply not going to cut it.  The mirror is a very unforgiving entity because nearly everyone is their own worst critic. Far too often, when exercise is discussed, it is only in the context of the physical benefits for the body.  Rarely, if ever, are the mental or emotional benefits considered.

This is tragic because it is through the underlying foundation of increasing mental and emotional strength that spurs on those who were once obese into the physical body.    Stress, anxiety, and depression are the most common and fastest growing mental health problems in America today.  One research group is predicting by 2020 that this will be the second-highest lifelong disease that will afflict both children and adults.  Only heart disease will surpass mental health as the most common of health problems in America.¹  Please understand that I am not some crazy person whom believes that the pharmaceutical industry is the only source of this problem or that all forms of prescription drugs are bad.  But, at best, it seems inappropriate and misinformed to rely solely upon drugs to fix problems of the mind.  After all, how smart is it to put complete trust in a drug treatment if the worsening of stress, anxiety, or depression is one of the possible side effects?  Call me crazy but I thought medicine is supposed to make you better.  Now, in no way I am saying that someone who struggles with these issues should ignore the advice of a doctor and completely forgo any use of what may be helpful medicine.  What I am saying is, that limiting treatment just to prescription medications is not exploring all of the options.  By taking this path, a person is missing out on what may be the best natural form of medicine available.

Stress and anxiety both cause a response by the sympathetic nervous system, commonly referred to as “fight or flight.”  This response is both physical and mental.  Physically, the heart rate increases as two hormones, epinephrine and norepinephrine are dumped into the blood stream.  Breathing rate and blood pressure also increase.  At the same time the brain focusing on the source of stress, sometimes to the exclusion of all other surroundings.  This process happens within a few short seconds with the aim of deciding and acting to either fight the stress or run from it.  Depending upon the nature of the stress this may last from a few seconds to a few hours, however, the body should return to its normal state shortly after the source of stress is absent.  Short-term stress is no big deal when comes to the body’s ability to cope.  However, long-term stress has several negative consequences that may lead to anxiety and depression.  The body is not meant to stay in this heightened state for days or weeks on end.

The body responds to stress primarily in two ways: the immune system and hormonal system, both respond differently when dealing with, chronic or individual, stressful situations.  The ability of the immune system to fight diseases and infections is suppressed.  The hormonal balance of the body can be thrown off, possibly disrupting sleep or other bodily functions, in severe cases long-term chronic stress may throw off a woman’s normal menstrual cycle.  People with blood pressure or other heart problems often see a worsening of the effects during stress.  Behavior and mood can undergo extreme changes creating substantial change in a person’s personality.

Exercise has been shown to help reduce, and given time and persistence, has the potential to eliminate the harmful effects of stress.  Under prolonged or extreme stress the immune system can be severely depressed.  This effectively makes it harder for the body to fight infections, viruses, and bacteria. A biochemical substance, αKLH, found in the brain plays an important role in activation of the immune system.  However, stress and anxiety will inhibit the brain’s ability to produce αKLH.  Exercise counteracts this by increasing the brains ability to produce αKLH.  In as little as six weeks of 20 minutes or more of daily physical activity the brain can increase the production of αKLH to reduce signs of anxiety and stress by almost half.²

Hormonally, serious changes take place as the result of stress and anxiety.  The pituitary gland is the region of the brain responsible for the vast majority of hormonal regulations of the body.  Under short term stress incidences large amounts of the hormone cortisol are released into the bloodstream.  Cortisol drastically raises levels of blood sugars and triglycerides.  These are released to provide the energy necessary to support a literal “fight or flight,” the body it preparing itself for a physical fight for survival or to run and hide.  In today’s modern society the overwhelming number of stressors do not require this kind of physical response, so this extra surge of energy goes unused, leaving blood sugar levels high.  In response, extra insulin, the hormone response for lowering high blood sugar levels, is released causing it to become stored as extra body fat.  This extra insulin is so effective during its response to stress that it often removed more blood sugar than necessary, resulting in low blood sugar, and causing the body to crave carbohydrates.  During this time most people reach for a candy bar or soda, causing the insulin cycle to repeat itself.  If the stressor is a chronic problem, cortisol levels will constantly be produced by the pituitary gland, potentially causing substantial weight gain.  Daily exercise reduces the output of cortisol during stressful times and, in combination with a healthy diet, minimizes the cortisol produced.

High levels of stress potentially may disrupt a sleep pattern.  A disruption in sleep prevents the pituitary gland from releasing the two most important hormones, insulin growth factor-4 (IGF4) and growth hormone, from restoring and repairing the body in preparation for the following day.  These two hormones are at the highest levels during the fifth and sixth hours of sleep.  A minimum of seven hours of sleep is needed to maximize the benefits of these hormones, more is better.  IGF4 and growth hormone focus on tissue repair and insulin regulation, minimizing body fat storage and improving muscle growth; the more intense an exercise session the higher response of these hormones.  Not only does poor sleep disrupt the good that these hormones do, but in response to poor sleep the pituitary gland secretes higher levels of insulin and ghrelin.  Ghrelin is the hunger stimulation hormone, have a poor night’s sleep and the body wakes up feeling hungrier.  This makes it incredibly easy to overeat the day after a night of little sleep.  Exercise reduces the presence of both hormones.

So how much exercise is necessary to improve the brain’s function and regulation of the body?  For people who are not interested in hitting the gym to lift weights or engage in intense cardio, light daily activity for 30 minutes is needed.  Easy activities like going for a walk, cleaning around the house, yard work will do wonders.  Lifting heavy weights, in the 4-10 rep range, four days per week for 45 to 60 minutes per session will accomplish this.  Fans of cardio need to engage in 5 to 6 sessions per week of 30-60 minutes at a moderate to intense pace.  Exercise performed with these guidelines improves and strengthens the brain’s response to stress and anxiety: a strong mind literally builds a strong body.  The stronger the body becomes the more effective the mind becomes at regulating the body and the body becomes even stronger.  A strong mind builds a strong body.  It is a cycle, ride it.


Sources Cited
1.       Exercise, Stress Resistance, and Central Serotonergic System. Journal of Exercise and Sport Science Reviews. Vol 39 (3), p140-149, July 2011.
2.       Physical Activity and Stress Resistance: Sympathetic Nervous System Adaptations Prevent Stress-Induced Immunosupression. Journal of Exercise and Sport Science Review. Vol 33, #3, p 120-126

                

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