Ten Simple Things You Can Do to Get Healthy and Stay Healthy

Dr. Purushothaman
September 3, 2013

Listed below are ten essential elements of good health. If you take all of the actions listed below, you will be much healthier.

Eat a Healthy Breakfast
Drink at Least 8 Glasses of Water
Take a Good Quality Multiple Vitamin/Mineral
Connect with Other People
Express Your Emotions Appropriately
Eat Fruits and Vegetables
Spend at Least 30 Minutes Outdoors
Do Something Physically Active
Take Some Quiet Time for Yourself
Keep Regular Sleep Hours
Establish a Relationship with a Doctor You Can Trust

Eat a Healthy Breakfast

As we work with patients to improve their diet, we continue to be amazed at how few people eat breakfast. Most either skip it entirely, or drink coffee and eat sugary pastries instead.

A healthy breakfast is the cornerstone of a good diet. It is a meal that provides the opportunity to eat a serving of whole grains, a digestible protein, and have a serving or two of fruit. The energy from a healthy breakfast can carry you through your morning in a more stable way than by eating stimulating foods such as sweets and coffee.

Studies have shown, for example, that people can lower their cholesterol by eating breakfast. This is due to several factors. Breakfasts tend to be high in fiber (fruit, oatmeal, whole grain cereals) which absorb cholesterol in the intestines for removal from the body. More importantly, however, when we skip breakfast, our bodies go for 10-16 hours with no outside source of energy. Our chemistry begins to shift to a mode of starvation, which increases appetite and changes how our bodies regulate blood sugar. We then tend to crave high fat and high carbohydrate foods and binge later in the day, resulting in taking in more calories than we need just as our bodies are primed to store energy in the form of fat.

If you are trying to improve your diet and nutrition and stay healthy as you age, eat a good breakfast every day. Vary your foods and try to get some protein if you have problems regulating your blood sugar.

To get you started, here's a recipe for the Immune Support Breakfast which is very popular with students at the naturopathic medical colleges. We eat this a few mornings a week at our house.

4 cups rolled oats
2 cups oat bran
1 cup lecithin granules
1 cup flax seeds, finely ground
1 cup milk thistle seeds, finely ground
1-2 cups sunflower seeds
1-2 cups almond slivers (toasted or untoasted)
1-2 cups raw cashew pieces
Optional: raisins or other dried fruit to taste

Mix ingredients and store in an airtight container, such as Tupperware. In the morning, soak 3/4 to 1 cup of the mixture in soy milk, rice dream or juice for 30 minutes. Before eating, stir in 1-2 tablespoons of flax seed oil. Add fresh fruit if desired.


Drink Water

Drink at least eight 8oz. glasses of water a day.

Thoreau said that water is the drink of the wise man. Water is fundamental to all life on earth. Our bodies are made up of 60% water. It is involved in every function in the body, including circulation, digestion, absorption of nutrients and the transmission of electrical currents in the body which control our nerves, muscles and hormones. Due to its importance in proper elimination and detoxification, I'm fond of saying "The solution to pollution is dilution," as water facilitates the elimination of waste products through urination, sweating, defecation, tears and mucus which line our respiratory and digestive tracts.

While we get water in many foods we eat and beverages we drink, pure water is often the best form to ingest. A recent study surveyed peoples' various aches and pains, energy levels and sense of well-being. When they were instructed to drink 8 glasses of water a day and their symptoms were reevaluated, notable improvements were seen in improved energy levels, fewer aches and pains, and generally improved sense of health. Adequate water is an extremely inexpensive and efficacious health practice.

Water quality is very important. In many areas of the country, tap water may contain lead, radon, nitrates and other potentially toxic chemicals. Additionally chlorine and chloramines are placed in municipal water to decontaminate it. Recently, San Francisco changed from using chlorine to using chloramine. Flouride in water supplies is a controversial topic with some studies suggesting health risks associated with fluoridation.

For these reasons, I recommend using clean sources of water and the use of solid carbon filters, such as Multi-Pure, or reverse osmosis filters. Avoid water that is in soft plastic containers, particularly in hot climates, as these can leach plastics into the water. Nalgene bottles are a good type for storing and transporting filtered water.


Take a Good Quality Multivitamin/Mineral Supplement

Eating a health-promoting diet is an essential component of good health. While it seems to be common sense that eating a healthy diet provides all of the vitamins and minerals we need to enjoy good health and reduce the risk of chronic disease, numerous scientific studies have shown that using good quality nutritional supplements can go beyond addressing nutrient deficiencies and help you achieve optimal health.

A recent study commissioned by Wyeth Consumer Health found that daily use of a multivitamin by older adults is a relatively inexpensive yet potentially powerful way to stay healthy. The group studied the effects of taking multivitamins on five diseases: coronary artery disease, diabetes, osteoporosis, prostate cancer and colorectal cancer.

These researchers estimated that providing a daily multivitamin to the elderly would result in a five-year potential health care cost savings of approximately $1.6 billion, and avoidable hospitalization for heart attacks of approximately $2.4 billion because of improved immune functioning and a reduction in the relative risk of coronary artery disease.

There is evidence that both clinical and subclinical nutrient deficiencies are common in the US. In recent years, the US government has commissioned a number of comprehensive studies (HANES I and II, Ten State Nutrition Survey, etc) to determine the nutritional status of the US population.

These studies in general reveal that marginal nutritional deficiencies exist in approximately 50% of the US population, and that for some selected nutrients and selected age groups, more than 80% of people consumed less than the RDA (recommended daily allowance). While it is theoretically possible for us to get all of the vitamins and minerals we need from our diets, the evidence suggests the reality is many of us do not. Taking a multiple vitamin and mineral formula can in many ways be viewed as cheap health insurance.

While most Americans are deficient in some vitamins and minerals, the level of deficiency is not often obvious. Severe vitamin C deficiency as seen in scurvy is rare, though evidence suggests that marginal, or subclinical, vitamin C deficiency is quite common.

So, what do I mean by a good quality nutritional supplement? First of all, it is not a one-a-day RDA vitamin/mineral combination. RDA guidelines were originally developed to reduce the rates of severe deficiency diseases such as scurvy and pellagra. There is much scientific evidence that the optimal levels for many nutrients, especially the antioxidant vitamins such as vitamins C and E, are significantly higher than the RDAs for these vitamins. RDAs also do not take into account environmental and lifestyle factors, such as smoking, alcohol consumption and exposure to toxins that affect how we absorb and utilize vitamins and minerals.

A good quality supplement, in my opinion, contains higher levels of antioxidant vitamins and minerals. It also balances the minerals and vitamins in proper ratios for absorption and utilization by the body and contains few if any binders, excipients and other additives. While not necessary for many people, I often use ones with hypoallergenic ingredients to avoid reactions in sensitive people. Finally, vitamins and minerals should be in safe amounts and chemical forms that absorb well and are easily utilized by the body.

What this means is most good quality vitamin and mineral supplements are in the range of four to six tablets or capsules per day. I can recommend a specific formula to address your needs and advise taking two or three with both breakfast and dinner. This simple step can go a long way to insure you are not deficient in important nutrients, and is often a core part of one's treatment plan. Typical monthly costs are approximately $1 per day for most formulas, and I prefer the Pure Encapsulations products as well as NF's Women's Formula.


Connect with Other People

By our very nature, humans are social animals. We nurture our young, form families and identify ourselves as part of larger social groups such as circles of friends, neighborhood ties, and memberships in clubs and organizations. Connecting with other people and forming bonds of communication and intimacy nourish our emotional and spiritual health as much as a healthy diet nourishes our bodies.

In this day and age, people can become increasingly cut off from others, leading to an increase in the prevalence of depression and feelings of isolation. Many go through their day-to-day lives surrounded by other people without making meaningful connections. The increasing use of the internet is a mixed blessing, allowing us to connect with other people via email and chat groups while remaining in the isolation of our homes. While the internet makes us feel connected, these communications lack the physical components of touch, body language and face to face communication.

We know that physical touch is extremely important to good health. Studies done in the 1930's in orphanages have shown that infants who are touched and picked up thrive and grow faster than those who are left alone in their cribs. Being touched in our early lives has been shown to help our brains and nervous systems develop in healthy ways.

As Dean Ornish, MD, states in his book Love & Survival, the healing power of love and relationships has been documented in an increasing number of well-designed scientific studies. In one study involving almost ten thousand married men, those who answered "yes" to the simple question, "Does your wife show you her love?" had significantly less angina (heart pain) even when they had high levels of risk factors such as elevated cholesterol, high blood pressure, diabetes and EKG abnormalities.

In other words, no matter how well people manage the physical risk factors in heart disease, the major killer of US citizens, our perceptions of love and connections to others is a major risk factor that is often overlooked by ourselves and our doctors.

In another study, researchers at Johns Hopkins tested and followed male medical students in the 1940's in order to determine if the quality of human relationships might be a factor in the development of cancer. Those who subsequently developed cancer were more likely to have described a lack of closeness with their parents than their healthy classmates, even 50 years later. Father-son relationships were particularly important to these male medical students.

Dr. David Spiegel, in a landmark study of women with metastatic breast cancer, found that women who regularly met for 90 minutes weekly for one year to express their feelings about their illness in a supportive environment lived on average twice as long as did other women who were not part of a support group.

The list of studies supporting the notion that intimacy, love and connections with others play an important role in our physical, mental, emotional and spiritual well-being is growing everyday.How can we stay connected with others in an increasingly disconnected world? There are many ways to do this. Keeping in regular communication with our families and friends, even if separated by distance, can maintain a level of intimacy and connection.

Expressing our love and affection to our partners and loved ones on a regular basis promotes intimacy and opens our hearts. Becoming involved in neighborhood organizations and groups that share our common interests increases our connections with our neighbors and creates bonds with those in our community, growing our circle of friends. Learning the names of people we interact with in little ways on a regular basis and greeting them personally grows our sense of connectedness with others.

I would be remiss if I didn't include the role our pets play in fostering good health and connections with others. Pets have been shown to play hugely important roles in our mental and physical well-being, especially in the elderly, people dealing with chronic diseases, and people who live alone and feel isolated. Fortunately, San Francisco, recognizing this as an important public health issue, recently passed a law allowing people with specific needs such as the above can obtain a waiver to have pets in rental units that traditionally do not allow pets.

Our connection with others is an important part of what makes us healthy, and creating positive relationships provides a healing influence on our society at large. Make an effort to connect with others on a daily basis and I guarantee your happiness and sense of wellness will increase.


Express Your Emotions Appropriately

Traditional Chinese Medicine (TCM) has always recognized that emotional factors play an important role in health and illness and notes seven emotions that particularly affect the body: joy, anger, sadness, grief, pensiveness, fear and fright. These emotions are not by themselves thought to be pathological and all constitute emotional aspects of healthy people. However, if any of these emotions are excessive over a long period of time or arises suddenly with great force, it can generate imbalances and illness.

Many theories of disease causation in TCM are based on inappropriate expression of emotions which leads to physical and mental symptoms. For example, inappropriate expression of anger is thought to affect the Liver. People who feel frustrated or irritable are often not expressing their underlying anger appropriately by talking about it or by creating change in their lives to relieve their frustration. This affects the function of the liver which helps promote the smooth flow of qi, or life energy, in the body. Consequently, this can lead to depression, achiness in the body, constipation, and inappropriate outbursts of anger. If the imbalance persists long enough, western diagnoses such as hypertension or tension headaches may result.

If holding in emotions or expressing them in inappropriate ways can lead to health imbalances which may lead to illness, endeavoring to express our positive and negative emotions in appropriate ways can be as preventive as exercising or eating a balanced diet. In our society, this takes awareness and careful choices of words as the expression of "negative" emotions such as anger or sadness is often discouraged socially. Nonetheless, it is important to be in touch with our feelings and to express them in an authentic way.

One way to appropriately express anger is through the use of "I" messages. Instead of saying "You make me so angry when you...," try instead saying "When you ...., I feel......" This takes ownership for feelings and provokes less defensiveness in the other person.

Learning to be in touch with emotions, expressing ourselves appropriately, and letting things go-it is not easy but produces rewards in enriching our emotional lives and our relationships and connections with others.

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