by Alexandra Church | Nov 1, 2020 | Health, Pregnancy
Overview of the Three Trimesters
First Trimester (weeks 1 – 12)
This is a very exciting time, but you will likely be suffering from some of the following complaints: nausea, breast tenderness, tiredness and feeling emotional.
Due to the production of the hormone relaxin, you may experience joint instability, and progesterone may make you constipated, so it is important to keep well hydrated and increase your fibre intake.
Exercise considerations
You don’t need to make any dramatic changes or modifications to your exercise programme if you are currently training, but the first 3 months are crucial for foetal development. Be aware of overheating, and excessive production of lactic acid, which can have severe adverse effects on this development. It is important to reduce exercise intensity and focus on the correct technique.
Your heart rate will be elevated when exercising in early pregnancy, as a result of a deficiency in blood volume and corresponding low blood pressure. Most aspects of respiratory function are actually improved during pregnancy.
Insulin
1 in 300 women will develop diabetes mellitus (also known as gestational diabetes) at some point in their pregnancy. Insulin resistance increases during pregnancy, making the woman’s pattern of energy similar to that of a mild diabetic. During mid to late pregnancy, more fat is utilised to supply maternal energy leaving more carbohydrate available for the foetus and placenta.
Second Trimester (weeks 13 – 28)
As the placenta begins to take over the role of maintaining the pregnancy, you may start to feel better and have more energy.
As your baby continues to grow, you will notice a change in your centre of gravity, which will affect your posture and balance.
Exercise Considerations
If you have stopped training in the first trimester, then your return to exercise must be gentle and cautious. High impact activities and combat sports should be avoided, and again a focus on proper technique is crucial.
Continued hormonal influence affects joint instability and cardiorespiratory systems.
Third Trimester (weeks 29 – 40)
You will be aware of the increased size and weight of your growing baby and will experience further changes in the centre of gravity and balance. The pressure of your uterus will increase on your bladder, and you may well feel tired and have general aches and pains. Feelings of breathlessness are a result of the diaphragm being pushed up.
Exercise considerations
It is important to listen to your body and optimise rest and regeneration.
Lower the intensity, and prioritise pelvic mobility and birth preparation exercises. Try to move daily, preferably outdoors, and prepare your body’s tissues and systems with appropriate nutrition and hydration. It is during the last month of pregnancy that babies start to receive their microbiome from the mother, so ensuring you have a healthy gut and vaginal flora is extremely important in setting up the baby’s colonisation and immune system.
by Alexandra Church | Oct 28, 2020 | Health
Brain Health
- Since the 1950s there has been an explosion in the prevalence of chronic degenerative diseases such as obesity, diabetes, hypertension, heart disease, mental illness, dementia. Impaired immunity, leading to cancer, asthma and arthritis.
- It is estimated that 46 million people currently live with dementia across the world. This number is predicted to rise to 132 million by 2050.
- For all the internal chatter that goes on in our head, the brain is not very good at letting us know when it is struggling. For example, some people carry on doing normal things for hours or even days following a concussion before they feel faint or confused. If our brain is hungry, we won’t know until we suddenly feel light-headed or faint. One of the reasons we have such a disconnect with our brain is that the brain has no pain sensors. This is why surgeons can perform brain surgery on a patient when they are awake. A headache is exactly that, pain in the head (and probably the neck and upper back muscles) rather than the actual brain.
- The brain is incredibly resilient. It can take a lot of punches before being knocked down, due to the ‘brain’s reserve’; its capacity to perform in the face on ongoing attacks. However, if it is fighting off constant attacks, it eventually becomes exhausted.
- Everything in our brain calls out for proper food. The only way for the brain to receive nourishment is through our diet. The foods we eat are broken down into nutrients, taken up into the bloodstream, and carried to the brain to replenish its depleted storage, activate cellular reactions, and most importantly to be incorporated into brain tissue.
The Brain and Modern Life
- Forgetting certain types of information is the brain’s way of protecting itself from overload.
- Modern life and mobile phones mean that we are exposed to huge amounts of information throughout the day. It is both normal and necessary to discard most of it otherwise our system would become overloaded.
- We don’t need to retain all the information we come across.
- Memories are formed by the action of neurotransmitters on the synapses – the connections between neurons – in our brains. When we pay attention to something, such as an emotional experience, the neurotransmitters make the synapses stronger, and eventually, pieces of information are directed into the hippocampus (part of the brain that is vital for transferring memories into long-term storage).
- ‘Executive function’ is the sorting mechanism. We choose what we pay attention to, and the rest is lost.
- Forgetting someone’s name when you meet them is normal, as our brain is focussing on the more vital aspects of social interaction. We use our working memory, which only has space for a limited amount of storage.
- Our working memory only keeps hold of information for only a few seconds, or for as long as we keep thinking of it.
- When we meet another person, we are filling up our working memory with lots of other information, i.e. how we might appear to them, what we are going to say next etc, who this person is in terms of personality, which is more important than a name, which is just a random label.
- Don’t worry if you lose your keys; this is a mundane activity that doesn’t require concentration. Our brain isn’t paying attention at all. If you are not aware of what you are doing, the information can’t enter your long-term memory. It can help to say aloud ‘I put my keys on the table by the door’.
- We live in an information-heavy age. We have too much to remember, which makes it difficult for the brain to filter out what is important and what needs to be taken out.
- We can help our memory by highlighting what matters. Writing down appointments can help.
- Stress and lack of sleep are the real enemies of your memory.
- Worrying fills up our memory with stressful thoughts. Poor sleep also has a negative effect, as a lot of memory consolidation happens when we are asleep. Memories are being laid down, rearranged and put into the right place.
- Lack of sleep can cause memory problems; you might remember events from the day, but memories are not properly consolidated.
- What can you do to help? Physical exercise, eating healthily (including brain-healthy foods – more on this later), getting enough sleep and brain exercises.
- Your brain doesn’t care about precious moments. It is not important for your brain to remember your child’s first steps. Its priority is to learn socially important information about their childhood. Who they are, their likes and dislikes.
- We also remember events that frighten us to avoid repeating them.
- Emotion works as a glue for our memory. It glues an experience into our brain. Physiological processes occur in order to take care of these memories.
- There is a release of stress hormones and neurotransmitters in the event of an emotional experience that has a direct effect on the synaptic changes taking place when a memory is formed.
- Mundane activities are merged by the brain to save storage space. Cumulative memories are activated when we repeat activities. Our brain is making it into a more efficient piece of information.
- If we didn’t forget the unremarkable, it would be harder to notice and retain important information.
- The most advanced form of memory (specific memories) takes a lot of resources and our brain has to prioritise.
- Memory is not a hard drive!
- Total recall is not requisite, or even useful for survival. The past is mostly forgotten, but we are able to reconstruct pieces of the past using the same processes as when we imagine the future.
- Memory is very associative, when you hear a piece of music or a story fragment, your memory will throw things at you. Sometimes it takes a very specific association to prompt a memory, for example, a smell from our childhood.
What Can You Do To Keep Your Brain Healthy?
Exercise
- Cardio and strength training – exercise can actually grow the hippocampus and can reverse the age-related loss in volume by 1-2 years.
- What is good for the heart is good for the brain! Aerobic activity promotes blood flow and circulation, improves the delivery of oxygen and nutrients to your brain, and slows down the build-up of plaque in your arteries. This is very useful, as blood flow to the brain would naturally slow down with age.
- Exercise is a natural antidepressant. Exercise pumps up your endorphins (the body’s natural pain killers) and increases the production of serotonin.
- Physical activity stimulates memory formation, increases our neurons’ ability to recover from injury, and is exceptionally beneficial to the formation of new brain cells.
- The more you train, the more your brain produces a protein called, brain-derived neurotrophic factor (BDNF), which plays a key role in growing memory-forming neurons.
- Finally, physical activity enhances your immune system activity. Increasing our defences against disease, and even boosts enzymatic activity that is very effective at dissolving Alzheimer’s plaques in the brain, further reducing your risk of memory loss and dementia.
- It is not all about high-intensity exercise, as studies have shown that those who engaged in leisure-time activities during their midlife years, reduced their risk of cognitive decline later in life. Activities such as gardening, going for a stroll in the park, taking the stairs where possible, cleaning the house, showed that you are working your brain as well as your body. It is not about intensity as much as frequency and consistency.
- The goal is to keep moving as much as you can and as often as you can. Study after study is showing that a sedentary lifestyle makes your brain age faster.
- Clinical trials have shown that simply walking can slow down brain shrinkage in just one year.
- In older adults, the hippocampus typically shrinks by 1-2 per cent every year.
- Brain exercises such as sudoku and chess – the brain utilises reasoning and strategy skills to win. They also keep the brain active and help to prevent memory loss. Brain HQ is a great app with brain training games.
- Learn a new instrument or language – this strengthens areas of the brain linked to improving memory
- Yoga – a 3-month course of yoga and meditation minimised the cognitive problems associated with those suffering from Alzheimer’s. It was more effective than memory training exercises such as crosswords and games.
- Eat nuts, seeds and berries – nuts can boost brain health. Pistachios have the greatest impact on memory improvement. Seeds and berries contain fatty acids and vitamins which slow down the ageing process of the brain.
- Drink red wine – contains the antioxidant resveratrol that prevents memory decline. It encourages the development of neurons and decreased inflammation of the hippocampus.
- Take more holidays! Exposing your mind to different sights, languages and inflexions stimulate short-term memory.
Eating for Health and Good Cognitive Function
The optimum diet for human health is one that is low-glycemic, with plenty of plant-based fibre, wholegrain and good sources of protein.
The core elements of a diet to support brain function are:
- Low sugar and moderate starchy carbohydrates
- Healthy fats
- A range of vegetables (try to eat the ‘rainbow’ and get lots of dark, leafy veg)
- A couple of portions of low-sugar fruit (such as berries)
- Reduce consumption of wheat where possible as gluten can cause inflammation in the gut and should be consumed carefully
Healthy Fats
- The brain is 60% fat, so we need good fats in our diet.
- Bad fats contribute to inflammation in the body
- Fats to enjoy include extra virgin olive oil, coconut oil, avocados, seeds (especially pumpkin and sunflower seeds), nuts and butter.
- Fats to avoid include corn oil, sunflower oil, margarine, fried foods, pastries, biscuits, cakes and processed meats.
Vegetables
- Vegetables contain minerals, vitamins and anti-inflammatory phytonutrients. They are also high in fibre, which is important for the bowel.
- Aim to eat between 6-8 portions of vegetables per day. Aim for dark, green leafy vegetables and incorporate the ‘rainbow’ if you can. Diversity is key!
Low GI Fruits
- Brightly coloured fruits are high in antioxidants and high in soluble fibre, which helps promote gut health and provides other phytonutrients.
- These include apples, pears, berries and plums. Try to eat a portion of blueberries a day (frozen is fine) as they are very beneficial for cognitive function.
Great Brain Foods
Fish
- Whitefish and oily fish. Choose small, wild fish e.g. wild salmon, sardines (fresh or tinned in olive oil).
- Avoid farmed fish, and those high in mercury and other pollutants e.g. swordfish
Meat
- Free-range, organic chicken, lean lamb, grass-fed beef. Organic meat is ideal.
Eggs
- A great source of protein, eggs contains all nine essential amino acids. They also contain selenium, vitamins B2, D, B6 and B12, zinc, iron and copper
Nuts
- Walnuts, almonds, pistachios and hazelnuts
Seeds
- Pumpkin, sunflower, chia and flaxseed
Fruit
- Berries, apples, pears and plums
Vegetables
- Dark green leafy and purple vegetables, cucumber, tomatoes, peppers, avocado, green beans, dark salad leaves, brightly coloured root vegetables i.e. beetroot and squash
Starchy Carbohydrates
- Sweet potatoes, oats, brown rice, quinoa, buckwheat
Oils
- Extra virgin olive oil, extra virgin coconut oil, extra virgin nut oils, butter
Foods to Avoid
Sugary foods – cakes, biscuits, sweets, fizzy drinks
Artificial sweeteners – aspartame, sucralose etc
Corn oil, sunflower oil, margarine, processed meats, fried foods, processed foods
- Lack of sleep is a serious threat to the health of our brains, and may even deteriorate our cognitive function as well as increase our risk of developing Alzheimer’s.
- One of the most important features of sleep is its ability to clean the brain of harmful toxins. Whenever the brain needs to clean itself, it employs the glymphatic system. With a series of pulses, this system literally bathes the brain’s tissues with CSF. This is the brain’s equivalent of us taking a morning shower. The lymphatic system is programmed to rev up and launch its activity just as we are about to go into a deep sleep. Research into lab animals has shown that brain cleaning becomes ten times more active during sleep than wakefulness. It was during this process that harmful toxins such as amyloid proteins (linked to Alzheimer’s) were flushed out of their brains. When the animals didn’t get enough sleep, those same toxins built up night after night, damaging the brain as a result.
- Getting too little sleep, or sleeping poorly is linked to mental deterioration.
Neurogenesis
- The creation of new nervous system cells (known as neurons).
- It was long considered that the number of neurons was fixed and they did not replicate after maturity of the brain.
- Neurogenesis is also linked to changes in neuroplasticity; referring to changes in synapses and neural pathways in the brain.
- Neurogenesis has been found to occur in two brain regions: the subventricular zone and the hippocampus.
- The hippocampus plays a key role in learning and memory, and alterations have been linked to a variety of cognitive pathologies such as anxiety, depression, addiction and neurodegenerative diseases such as Parkinson’s.
- To reverse this process, we need to harness neurogenesis.
- Exercise is the single most effective way to boost neurogenesis. The endorphins produced to act as a potent antidote to cortisol, exercise increases levels of brain-derived neurotrophic factor (BDNF) and glial cell-line derived trophic factor (GDNF), two key growth factors supporting neurogenesis. It also increases hormones such as testosterone which also seem to have an extremely beneficial effect on neurogenesis, and act as a buffer against the effects of psychological stress. This is increasingly important as we age.
- Diet – as we have already covered
- Meditation – there is an ever-growing body of scientific evidence to support the benefits of meditation. It has been found to cause an increase in grey matter density in a number of different brain regions including the hippocampus.
- Lifestyle – sleep deprivation reduces hippocampal neurogenesis.
- Exposure to sunlight – increases serotonin levels and GDNF expression in the brain.
- Sex – beneficial for brain function, elevating levels of feel-good neurotransmitters while promoting neurogenesis.
- Intermittent fasting – linked to increased BDNF and improved memory function, with the brain responding to this stress via increasing neurogenesis.
by Alexandra Church | Oct 9, 2020 | Health, Strength
The Benefits of Whole Body Vibration Training
Whole Body Vibration Training (or WBVT) originated in space medicine as a way of counteracting the severe bone and muscle mass loss that astronauts experience when in space. Whole-body vibration machines such as Power Plate®, work in three planes: horizontal, vertical, and sagittal (front to back), and depending on the setting you are using, your muscles will contract between 25 and 50 times per second! This means that you are able to reach the lactate threshold in less time and with the added bonus of less perceived exertion (i.e. it doesn’t feel as hard as it should!). This is ideal if you are lacking in either time and/or energy. In order to reap the benefits from exercise, you need to increase the forces on your body; mass (weight) or acceleration (speed). WBVT does both!
Each muscle responds to the vibrations, which contract reflexively. WBVT engages up to 98% of your muscle fibres, including the fast, and super-fast fibres, and as a result, you see greater results in a shorter period of time.
The benefits of WBVT are extensive:
- Increases muscle strength (especially explosive strength) and improves proprioception (balance), by stimulating our natural balance mechanisms
- Studies have shown that WBVT is 54% more effective than traditional aerobics and strength training in producing visceral fat loss (visceral fat is stored within the abdominal cavity around a number of important internal organs, and is associated with an increased risk of various health problems and diseases)
- Increases flexibility and mobility
- Counteracts age-related muscle loss. The more muscle you have, the higher your metabolism
- Improves blood circulation and lymphatic drainage
- Increases the production of hormones that are essential for regeneration, repair and anti-ageing, such as the Human Growth Hormone, IGF-1, and testosterone, as well as encouraging serotonin and collagen production
- Can maintain and increase bone density by providing the stimulus for osteogenesis. The vibrations encourage bones to regenerate in the same, but the more exaggerated way that weight-bearing exercise does
- Can reduce pain caused by conditions such as fibromyalgia
- Improves foot to core coordination
- Addresses your neuromuscular system as a whole (neurological, proprioceptive, cardiovascular and musculoskeletal), rather than isolated muscles
We are now aware that cortisol (the stress hormone) has a very negative effect on our minds and bodies, and it is crucial that we find ways to reduce our levels. Extensive periods of cardio result in more cortisol being released into our systems, so shorter, more efficient workouts are ideal. High-intensity interval training (or HIIT) is a fantastic way to challenge the cardiovascular system, whilst allowing for adequate recovery and repair. Training on the Power Plate® adds intensity to any exercise you do, so you can imagine the huge benefits you will reap from doing HIIT on one!
Many people can use a vibration trainer with no ill effects, but if you are suffering from any medical condition, you should consult a doctor first before beginning any whole-body vibration training. However, some of the contraindications are:
- Pregnancy
- Active cancer (tumours with metastases in the musculoskeletal system)
- Recent fractures
- Acute inflammation, infections and/or fever
- Current blood clots or other thrombotic afflictions
- Recent surgery
- Serious heart or vascular diseases
- Acute migraines
- Epilepsy
- Acute hernia, discopathy or spondylolysis
- Hip and knee replacements
- Recently implanted IUD/coil
- Wearing a pacemaker
- Severe diabetes Mellitus with peripheral vascular disease or neuropathy
If appropriate, WBVT can be incorporated into hourly sessions, but for a quick blast, I offer half-hour sessions solely on the Power Plate®. If you are looking for an even greater burst of HIIT, these sessions can be finished with a bout of boxing!
by Alexandra Church | Sep 12, 2020 | Health, Post Natal
The Benefits of Training in the Post-natal Period
So, you have just had your baby (or babies!), and despite feeling more tired than you ever believed possible, you are starting to think about a gentle return to exercise. Your body has been through an enormous amount of stress, and you are likely to have wounds that need healing, but the pelvic floor and gentle restorative core work (focussing on deep breathing and reconnecting with your core) may commence as soon as you have had your baby. You must, however, wait until you have had your 6-week check (8-12 weeks if you have had a C-section) with your GP or health care professional before you start any formal exercise.
There are huge benefits to training in the post-natal period, as long as the proper technique is adhered to, and most importantly, that you listen to your body. It is a time of huge change, and whilst being a wonderful time, can be exhausting and stressful coping with a new baby.
Some of the benefits include:
- Being able to cope with the physical demands of looking after your baby through functional strength training
- Improved mood and sense of wellbeing
- Controlled weight loss
- Enhanced self-confidence
- Reduced stress and better sleep patterns
- Improved cardiovascular fitness
- An understanding of intrinsic core synergy, which will improve the function of the pelvic floor and safely activate the core when performing any movement
It is crucial to healing your body from the inside out with excellent nutrition and keeping well hydrated, but rest is also essential, so make sure you ask for help and put your feet up whenever you can.
by Alexandra Church | Aug 28, 2020 | Health
Brain-Boosting Food
The optimum diet for human health is one that is low-glycemic, with plenty of plant-based fibre, wholegrain and good sources of protein.
The core elements of a diet to support brain function are:
- Low sugar and moderate starchy carbohydrates
- Healthy fats
- A range of vegetables (try to eat the ‘rainbow’ and get lots of dark, leafy veg)
- A couple of portions of low-sugar fruit (such as berries)
- Reduce consumption of wheat where possible
Low sugar and moderate starchy carbohydrates
- A diet that avoids too much sugar, particularly refined sugar and white rice. Rice, oats and potatoes can be eaten in moderation
- Healthy starchy carbohydrates include – sweet potatoes, carrots, beetroot and squash (i.e. brightly coloured root vegetables).
Healthy Fats
- Fats to enjoy include extra virgin olive oil, coconut oil, avocados, seeds (especially pumpkin and sunflower seeds), nuts and butter.
- Fats to avoid include corn oil, sunflower oil, margarine, fried foods, pastries, biscuits, cakes and processed meats.
Vegetables
- Aim to eat between 6-8 portions of vegetables per day. Aim for dark, green leafy vegetables and incorporate the ‘rainbow’ if you can. Diversity is key!
Low GI Fruits
- These include apples, pears, berries and plums. Try to eat a portion of blueberries a day (frozen is fine) as they are very beneficial for cognitive function.
Sugary and refined foods
Sugar and refined foods raise blood sugar rapidly. This can lead to high insulin levels, which in turn is linked to insulin resistance. These foods are also inflammatory.
Healthy Fats
The brain is 60% fat, so we need good fats in our diet. Bad fats contribute to inflammation in the body.
Vegetables
Vegetables contain minerals, vitamins and anti-inflammatory phytonutrients. They are also high in fibre, which is important for the bowel.
Fruit
Brightly coloured fruits are high in antioxidants and high in soluble fibre, which helps promote gut health and provides other phytonutrients.
Gluten
Gluten can cause inflammation in the gut and should be consumed carefully.
Great Brain Foods
Fish
- Whitefish and oily fish. Choose small, wild fish e.g. wilds salmon, sardines (fresh or tinned in olive oil).
- Avoid farmed fish, and those high in mercury and other pollutants e.g. swordfish
Meat
- Free-range, organic chicken, lean lamb, grass-fed beef. Organic meat is ideal.
Eggs
Nuts
- Walnuts, almonds, pistachios and hazelnuts
Seeds
- Pumpkin, sunflower, chia and flaxseed
Fruit
- Berries, apples, pears and plums
Vegetables
- Dark green leafy and purple vegetables, cucumber, tomatoes, peppers, avocado, green beans, dark salad leaves, brightly coloured root vegetables i.e. beetroot and squash
Starchy Carbohydrates
- Sweet potatoes, oats, brown rice, quinoa, buckwheat
Oils
- Extra virgin olive oil, extra virgin coconut oil, extra virgin nut oils, butter
Non-dairy Milk
- Coconut milk, almond milk
Cheese and plain natural yoghurt, 70%chocolate
Foods to Avoid
Sugary foods – cakes, biscuits, sweets, fizzy drinks
Artificial sweeteners – aspartame, sucralose etc
Corn oil, sunflower oil, margarine, processed meats, fried foods, processed foods
Lifestyle Factors
Smoking, alcohol, extreme exercise and stress all increase our need for certain nutrients. Certain other factors can affect our ability to assimilate nutrients:
- Chew– if we cannot chew food, we do not acquire the nutrients. Digestion begins in the mouth.
- Stress – impacts adversely on the digestion
- Dysbiosis – this is an imbalance in our gut microbiome and can cause dysfunctional digestion due to an overgrowth of bad bacteria, which impairs mineral uptake and utilisation.
- As we age, our bodies are naturally less efficient at digesting food. Zinc deficiency is often associated with ageing and this is now being viewed as a key nutrient in a specific subtype of Alzheimer’s.