IN SEASON WELLNESS

Men's Mental Health & Wellbeing

30th November, 2021

It is a common stereotype that men have a tendency to bottle up their feelings – but mental health is no topic to be shy about, it’s something that should be comfortably discussed, just like our physical health is. Mental health is an essential component of overall health, alongside physical and social wellbeing. It is a state of wellness that is more than just psychological wellbeing or having the absence of mental illness, it’s fundamental in our everyday lives, relating to cognitive functions, behaviours, processing emotions, social interactions, ability to cope with stress and essentially, a positive state of mental health allows us to realise our abilities and function at our full potential.
The phrase ‘mental health’ is often confused with the conditions that impact mental health, however the two are very different. A mental illness is defined as “a clinically diagnosable disorder that significantly interferes with a person’s cognitive, emotional or social abilities” and can include conditions such as stress, mild anxiety, sleep disorders, affective or mood disorders and substance use disorders. There are varying degrees to these conditions and an individual does not need to meet all of the criteria of a mental illness or disorder to display some of the signs and symptoms.

All individuals face the risk of being affected by mental health conditions, although there are factors which can make certain groups of people more vulnerable to developing mental health problems. Factors that can play a role in this include: psychological, biological and genetic, environmental, social, lifestyle and dietary factors. Negative mental health can be associated with traumatic life experiences, a rapid change in social settings, discrimination, exclusion, stressful work conditions or the misuse of recreational drugs, alcohol and tobacco. Socioeconomic factors such as a person’s education level, employment status, level of income, housing conditions and accessibility / availability to services also strongly influence mental health.

Mental health conditions and disorders are more common than you may think. The most recent National Health Survey indicated that almost 1 in 2 (46%) of Australians aged 16-85 years have experienced a mental health disorder during their lifetime and of this, 48% were males which is a higher proportion when compared to females. The most prevalent type of disorder was mild anxiety (14%), followed by affective disorders (6.2%) and substance use disorders (5.1%). Substance use disorders were male dominated, with men displaying twice the rate of women. The data suggested that there is also a strong association of co-morbidity with mental health conditions and physical chronic conditions, meaning these two areas often overlap.

So what can this look like in populations of men? Well some of the early warning signs can be vague although they can be seen as withdrawal from social activities, trouble sleeping, low energy and fatigue, inconsistent eating patterns, difficulty with daily tasks, impacted cognitive functions such as focus, concentration and clarity, changes in mood/emotions and increased feelings of irritability, nervous tension, restlessness and/or stress. Mental health disorders and their related signs and symptoms can appear differently for everyone, as it is a unique experience for every individual with varying levels of severity, duration and this may also change throughout different stages of life.

There are specific types of health factors known as ‘modifiable risk factors’, which are recognised influencers of mental health, both positively and negatively. Maintaining a healthy balance of these modifiable risk factors may help you to keep a consistent positive state of mental health.

Examples of modifiable risk factors include:

An unhealthy weight can also be a contributing factor to conditions of poor mental health. Research has shown the association between the two, but it being overweight can impact additional things such as our self-confidence levels, which can be closely related to our mood. Data showed that of Australians aged 18 and over, there was a greater proportion of men who were overweight or obese (74.5%). To support a healthy weight range, start by calculating your Body Mass Index (BMI) and set target goals to achieve, using the BMI scale as a reference guide. If you are unsure how to start, don’t be afraid to seek the advice of a qualified health practitioner who specialises in this area.

In Australia, the minority of the population has met the national physical activity guidelines, with only 15% of people aged 18-64 years achieving these daily recommendations. Physical activity is essential for our wellbeing, not just physically but mentally too – It helps to simulate the release of brain chemicals that are essential for a healthy mood balance. The Australian guidelines recommend adults participate in 30 minutes of moderate to intense physical activity, daily. This is equivalent to a total of approximately 2.5 – 5 hours per week.
Men have a higher prevalence of substance use compared to women, but they also have higher rates of tobacco smoking (16.5%) and exceeding alcohol consumption of more than four standard drinks per day (54.2%). The misuse of substances alongside mental health disorders is known as a ‘dual diagnosis’ and can have a complex relationship. People may initially find the reduction of substances difficult, however the long-term benefits outweigh these complaints and they are likely to experience improvements in various aspects of their general health with the positive changes.

Diet plays a major role in many aspects of our life, and this doesn’t fall short when it comes to mental health. Our diet is a source of important vitamins, minerals, amino acids, antioxidants and much more, which all support numerous body systems and functions. In Australia, only 5.4% of adults had met the guidelines for daily intake of both fruit and vegetables. The Australian guidelines recommend enjoying a wide variety of nutritious, colourful foods from the main five food groups: vegetables, fruits, grains, lean meats and reduced fat dairy. Statistics show that when compared to women, men are almost twice as likely to consume sugar sweetened drinks daily (11.8%), so it is also important to minimise the intake of junk foods such as sugary drinks, saturated fats, processed and refined foods, which contain minimal nutrients .
Sleep is essential for our overall health, but it is especially important for our mental health, with research showing that there’s a strong association between sleep quality and mental health. During sleep, the body relaxes and restores itself while the mind calms down from daily chatter. Research from the 2016 Sleep Health Survey of Australian Adults has shown that 33-45% of adults have inadequate sleep, either duration or quality, and this has shown to consequently impact daytime performances in a negative way. The national sleep guidelines recommend that adults aged 18 and over sleep for 7-9 hours per night. To support a healthy sleeping pattern and bedtime routine, try out some of the practices of sleep hygiene.

**Statistics derived from the AIHW National Health Survey 2017-18 and ABS National Survey of Mental Health and Wellbeing, unless mentioned otherwise.

In the same way everybody presents differently with their mental health disorder, the treatments which are used to manage these conditions, will also be unique to each individual. The path to positive mental health can often be a journey where various methods and approaches are used, however they are most successful in combination. Seeking medical advice from a qualified health professional will ensure that suitable options are explored, to benefit the needs of each individual person.

In addition to modifiable risk factors, other ways to manage your mental health may include:

Psychotherapy, or ‘talk therapy’ such as with a counsellor, psychologist or psychiatrist
Relaxation techniques such as deep breathing, meditation or mindfulness
Support network of close friends, family or community – staying connected with others
Environments which are safe, respectful and protect all human rights
Increasing education and self-awareness surrounding mental health
Developing a range of coping skills and mechanisms to draw from in times of need
The use of nutritional supplementation or prescribed medications

So to all the men out there: whether you are recovering from a mental illness, wanting to improve your current circumstances or looking to help a friend – mental health disorders are more common than you may think, and most importantly, they can be effectively managed with the right treatment. Maintaining a positive state of mental health can significantly improve the quality of your life.

References available upon request

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Traditional Ayurvedic and Chinese Medicine healers have been using turmeric as a natural remedy for centuries. Today, Turmeric is now one of the most researched herbs in the world and thousands of studies have demonstrated its therapeutic benefits for a wide range of health conditions. Is turmeric a herb or is it a spice? It’s both. Turmeric is a perennial herbaceous plant from the same family as ginger. The underground stems, called rhizomes, are harvested, dried and ground into a powder, which is the golden spice used for medicinal and culinary purposes. What gives turmeric its health benefits? There’s a lot of confusion out there about how turmeric works. Turmeric isn’t just a homogenous powder. Like many natural remedies, it’s made up of a number of biologically active substances. Of these, there is a group of three compounds, called curcuminoids, which make up about 2% -5% of turmeric. They are curcumin, demethoxycurcumin and bisdemethoxycurcumin. Curcumin is the star of the trio. It’s the curcuminoid primarily responsible for turmeric’s anti-inflammatory and antioxidant properties. Curcumin is a natural anti-inflammatory Inflammation can be triggered as the body’s way of defending and healing. In the process of inflammation, the release of cytokines sets off a pro-inflammatory cascade which lead to the production of inflammatory molecules such as thromboxane and prostaglandis. Tissue damage, as in arthritis, causes the release of cytokines and sets off pro-inflammatory processes which lead to the production of inflammatory molecules such as thromboxane and prostaglandins. These inflammatory molecules are produced by enzymes such as phospholipase, lipoxygenase, 5-LOX and COX-2. Curcumin works by inhibiting some of these inflammatory processes and enzymes, and also by down-regulating the activity of some inflammatory molecules. Curcumin also helps to support joint health. Curcumin also helps to protect cells from damage by free radicals Free radicals are highly reactive molecules that roam around the body and can damage cells through a process called oxidative stress. Oxidative stress has been linked to many health conditions, including poor joint health and function, so antioxidants are important to keep our bodies healthy. Learn more about the benefits of Turmeric for joint health, here. Curcumin works by directly scavenging free radicals as well as by inhibiting some of the processes that generate free radicals, so it helps to reduce the damage they can cause to body cells. Can you just eat turmeric powder to get the benefits of curcumin? Not really. Firstly, like we mentioned earlier, curcumin and turmeric are not the same thing. Curcuminoids make up only around 2-5% of turmeric rhizome powder, and of that 2-5%, curcumin makes up about 75%. So that means an average teaspoon of turmeric powder may contain less than 1% of the all-important curcumin. And that’s not the only reason that turmeric powder alone can’t really deliver much in the way of health benefits. To have a therapeutic effect in your body curcumin needs to get into your blood plasma. Once there it can circulate around the body and exert its anti-inflammatory and antioxidant effects. But turmeric, and the curcumin in it, is very poorly absorbed by your body. It is naturally insoluble in water (just check out that yellow gunk at the bottom of your turmeric latte or tea!) Very little remains intact after it gets into the highly acidic stomach environment What does remain isn’t absorbed very well by your digestive system And what is absorbed gets broken down and excreted by your liver really quickly. So consuming turmeric, or even straight curcumin powder, isn’t a very effective way of getting enough bioactive curcumin into your bloodstream. A better way to get the health benefits of curcumin The best way to get the health benefits of curcumin is by taking a high strength supplement which has been formulated for higher bioavailability.

Benefits Of Turmeric For Joint Health 419c2c84 3bb8 421f befa cac98f7137fa

HERBAL MEDICINE WELLNESS

Turmeric- The ancient healing herb that’s now a modern wellness sensation.

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What is inflammation? The word inflammation is derived from the latin word, “inflammatio”, which translates to ‘ignite’ or to ‘set fire’. During the 1st century AD, the Roman scholar and medical encyclopaedist Aulus Cornelius Celsus described the clinical symptoms of inflammation, as: calor (heat), dolor (pain), rubor (redness) and tumour (swelling). With thousands of years in medical advances, the understanding of inflammation’s pathogenesis has subsequently expanded into a sophisticatedly coordinated cascade of events. The 5 cardinal symptoms are: heat, pain, redness, swelling and a limited range of motion. Inflammation is a defence mechanism and essential component in the healing process where the body attempts to maintain homeostasis by repairing affected structures and restoring function, in order to return the site of damage back to its pre-injury state. Inflammation is produced by the body when it interprets trauma or potentially harmful agents and in response stimulates a series of immune reactions, however depending on the cause of inflammation, the process may slightly differ and involve condition specific immune reactions. For example, inflammation from physical injuries, skin irritation and sinus allergies will have unique immune responses such as the chemicals stimulated and pathways allowed, although the common phases of the inflammation cascade are as followed: Understanding the inflammation process The process of inflammation is initiated by a varying degree of trauma or damage, which can occur either internally or externally. The initial trauma which triggers inflammation can be due to virtually anything that causes damage to our body cells, tissues, organs or other structures. Common causes could include injuries, infections, allergens, certain medications, chronic stress and exposure to harmful pathogens, irritants, toxins or chemicals. There is a diverse range of inflammation causes, examples may range from a paper cut, pollen, certain foods, topical sensitives, sprained ankle, broken bone or underlying health conditions i.e. arthritis. Inflammation is a multi-factorial however the progression has various influences, such as: genetic predisposition, medical history, lifestyle and dietary factors, age, weight, immune function, sensitivities and allergies and current health status. The first response is the immediate recognition of trauma to the cells which is detected by sentinel cells, such as mast cells or macrophages. These immune sentinel cells are often referred to as the body's first line of defence as their duty is to recognise damage or harmful microbes and signal for a recruitment of inflammatory factors to regulate and remove the damage, thereby commencing the immune-inflammation cascade. In this acute phase, there is a stimulation of chemicals and hormones such as histamine which assists in the breakdown of our blood barriers at a microcirculatory level. The release of histamine increases local blood flow and a process of vasodilation takes place where blood vessels dilate and enlarge, resulting in an increased capillary permeability. The vasodilation facilitates the transportation of inflammatory factors including plasma and White Blood Cells (WBC) at the site of injury. This activation causes the presentation of heat and redness and can generally last 2-5 days. In the sub-acute phase, the focus is removing acquired threats and repairing damaged structures. The immune WBC’s migrate towards the affected area where they stimulate the release of inflammatory mediators such as antibodies, immunoglobulins (IgE), cytokines (IL, TNF) and prostaglandins (PGE2). Inflammatory mediators are essentially ‘messengers’ that promote stimulation of immune responses. This stimulation causes an accumulation of various active hormones, chemicals and plasma proteins which then actively work together in removing the damaged cells. The localised concentration of substances is what causes swelling. An additional process in this phase is the production of Nitric Oxide (NO), which is a ‘pain producing’ substance. The local release of NO signals the nervous system for the generation of the pain sensation, which interestingly is a protective mechanism the body makes! If the structure that is inflamed is experiencing pain, we are more likely to protect the area. A fifth symptom is also observed here, a limited range of motion which is another protective method. The repair and removal of cellular waste can have a duration lasting up to approximately 6-8 weeks. Throughout this sub-acute phase, the main pathway involved is the cyclooxygenase (COX) pathway. The final stage is known as the chronic phase, where remodelling and maturation of the original injury or trauma takes place. Once the inflammation inducer has been removed, the process of wound healing and/or tissue repair occurs, where damaged tissue is regenerated or they may be replaced with collagen strands and fibroblasts to begin the remodelling process. When collagen has been generated, the strands are progressively replaced by other materials and they adapt to the original tissue. If the inflammation continues, or the structures further destruct, scar tissue or fibrosis follows. This chronic phase can last months to years, depending on the type of injury and the inflammation. What is the difference between acute and chronic inflammation? Inflammation may present as acute or chronic and the main influence of this is the type and intensity of trauma. In acute inflammation, the onset is rapid with short-term symptoms which may be severe, whereas chronic inflammation has a long-term presentation with a prolonged duration that may last years. In some cases, chronic stressors causing inflammation can have a suppressive effect on the immune system in contrast to the acute stressors which enhance immediate adaptive immunity. In this scenario, sustained stressors may actually over-activate the immune system causing an imbalance of pro-inflammatory and anti-inflammatory mediators in the body, causing chronic inflammation. Chronic inflammation has a negative impact on overall health including our cells, tissues and organs which in-turn can increase the risk of developing disease and poor health states. Tips to help better manage inflammation Just as there are various factors contributing to the progression of inflammation, there are also multiple strategies for the management of symptoms, including pharmaceutical, physical therapies, dietary or lifestyle alterations and other complimentary or alternative medicine modalities. Some natural remedy suggestions may include herbal or nutritional sources with anti-inflammatory actions. The term ‘anti-inflammatory’ relates to a substance which has direct actions in reduces inflammation. Dietary food sources with anti-inflammatory actions can inhibit pathways such as the COX and therefore the inflammatory mediators such as prostaglandins, TNF, IL etc. described earlier also provide benefits to inflammatory conditions. Overall, an anti-inflammatory diet would ideally include higher intakes of antioxidant and fibre rich foods plus ensuring an adequate balance between healthy fats, proteins and carbohydrates. Try to avoid In inflammatory conditions, it is advised to limit the intake of refined carbohydrates i.e. white pasta, trans fats i.e. margarine, processed meats i.e. deli meats and sugars. It is best to avoid these food groups as they aggravate inflammation and contribute to inflammation by producing Advanced Glycation End (AGE’s) and may raise blood glucose levels, with cell damaging effects. Lifestyle suggestions to support the anti-inflammatory diet may include moderate physical activity to maintain a healthy weight range, reducing stress levels, allowing enough sleep for cell repair and recovery and managing any associated pre-existing conditions. It is also recommended to reduce alcohol intake and smoking as they can create inflammation driving toxins in the body. Fun Fact: Conditions ending in ‘-itis’ indicate inflammation of a specific organ, tissue or structure. For example: derma (skin) + itis (inflammation) = dermatitis

IN SEASON WELLNESS

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One day your jeans zip up without a problem… the next day you’re undoing the top button or browsing for clothes with elasticated waistbands. Belly bloat, food baby, abdominal bloating, abdominal distension…whatever it’s called it’s uncomfortable! What causes bloating? A bloated stomach is that feeling of pressure or fullness in your belly. It may or may not be accompanied by distension, which is a noticeable difference in the size of your abdomen. A build-up of gas in the stomach and intestines is one of the most common causes of bloating. Intestinal gas can be caused by eating certain foods, particularly beans and cruciferous vegetables such as cauliflower, broccoli, and cabbage. Some foods are high in a type of sugar called FODMAPS. In people sensitive to FODMAP-rich foods, the small intestine doesn't always fully absorb these carbohydrates, and instead passes them to the colon, where they are fermented by bacteria and produce gas. FODMAPs don’t affect everyone equally, so while certain FODMAPs may make you feel bloated, you may be able to process others just fine. Eating too quickly, drinking through a straw, or drinking lots of fizzy drinks can cause you to swallow lots of air and make you feel full. Constipation can cause a build-up of faecal matter in the intestine leading to abdominal distension and bloating. Bloating can also be caused by medically diagnosed conditions such as food intolerances and intestinal disorders such as IBS (irritable bowel syndrome), IBD (inflammatory bowel disease, including Crohn’s disease and ulcerative colitis), and SIBO (small intestinal bacterial overgrowth). Is bloating the same thing as fluid retention? Yes and no. Fluid (water) retention, also known as oedema, is related to the kidneys, while bloating is usually related to the gastrointestinal tract. Fluid retention can make you feel bloated, but it doesn’t usually affect your abdomen as much as bloating caused by intestinal gas. Fluid retention occurs when excess fluid builds up in your body's circulatory system and generally causes swelling in your extremities, such as your feet, ankles, legs and hands. A common sign of fluid retention is when your rings feel tight on your fingers, or your ankles are swollen after sitting down for a long time. A diet high in carbohydrates, sugar and salt can cause your body to retain water, leading to that feeling of puffiness and heaviness. Fluid retention can also be caused by hot weather and hormonal changes. What can I do about bloating? Bloating that comes and goes is usually digestive-related and tends to disappear after a couple of days. It will often help if you cut down on salty foods, carbohydrates and fizzy drinks. If you have a food intolerance, or suspect that FODMAPS might be the issue, try eating less of the problem foods for a while. Keep a food diary for a couple of weeks, noting everything that you eat and drink and when bloating troubles you most. If you find you have a regular problem with certain foods though, you should consult a doctor or dietitian before making any permanent dietary changes. Adopting a few simple lifestyle changes may also help. Avoid chewing gum Eat slowly Avoid drinking from a straw Drink plenty of water If you suffer from constipation, try eating more high-fibre foods, increasing the amount of water that you drink, and exercising regularly. It might also be helpful to try taking probiotics. These can support a healthy gut bacteria population and help your digestive system moderate the effects of a bloated stomach. If bloating or fluid retention persists for more than a couple of days, or is accompanied by pain or diarrhoea, then you should speak to a doctor.

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Men's Mental Health & Wellbeing

30th November, 2021

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