Behavioral Health
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How Stress Affects the Body
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Should you stress about stress?
Stress is part of life, but its impact on your health can be more serious than you might think. While eliminating stress entirely may not be realistic, managing it effectively could be life-saving. It’s important to understand how stress affects your body—and what you can do to take control.
Stress and your body’s systems
Your body is equipped to handle stress in small doses. But heavy stress—especially over long periods of time—can take a toll on every aspect of your health, from your mental and emotional wellbeing to your physical condition. And physiologically speaking, stress can affect every one of your body’s systems in one way or another.
Stress and your heart health
When you become stressed, your heart rate increases and your heart muscle contracts—which means your blood vessels pump more blood to different parts of your body, temporarily raising your blood pressure. When your heart rate is consistently higher, and stress hormones increase your blood pressure on a regular basis, it can significantly multiply your risk for a heart attack or stroke.
Stress and your gastrointestinal (GI) tract
The neurons in your gut constantly communicate with your brain. Stress can affect this communication and trigger bloating, pain and other discomfort. And high levels of stress over time can often lead to chronic GI conditions, like irritable bowel syndrome (IBS).
Stress and your musculoskeletal system
When your body becomes stressed, your muscles tense up. Chronic (constant) stress causes your muscles to be in a continuous state of guardedness, which can cause stress-related disorders. For example, chronic muscle tension in your shoulders can lead to migraines and tension headaches. For many people who have chronic pain conditions related to musculoskeletal disorders though, stress-relieving activities can bring significant relief.
Stress and your respiratory system
Stress can manifest itself as shortness of breath and rapid breathing. While this isn’t typically a problem for people without respiratory disease, it can harm those who have conditions such as asthma and chronic obstructive pulmonary disease (COPD). In fact, some studies suggest that high amounts of stress can trigger asthma attacks.
Stress and your nervous system
Stress triggers your body’s “fight or flight” response, which signals your adrenal glands to release hormones. When the crisis is over, your body usually returns to its normal state. But chronic stress can cause a long-term drain on your body.
Stress and your reproductive system
For men, chronic stress can affect testosterone production, leading to a decreased sex drive and sometimes causing erectile dysfunction. It can also reduce sperm production. For women, stress can cause missing or delayed periods, which in turn affects their ability to conceive. In addition, it can make premenstrual syndrome (PMS) much worse.
Managing your stress
Stress management can be challenging, but it’s a necessity. The good news is that making small, incremental changes can pack a big punch. Consider trying these strategies:
Aim for seven to nine hours of sleep each night. Sleep has remarkable restorative power, and you’re more likely to be able to manage stress when you’re well-rested.
Connect with others. Spending time with family and friends can be a pleasant distraction from life’s struggles. Loved ones can lend a listening ear and laughter is always good medicine.
Eat a well-balanced diet. A healthy diet that’s heavy on fruits, vegetables and whole grains will go a long way toward helping you feel your best. Food is fuel for the mind and body.
Exercise regularly. Physical activity releases endorphins, which are your body’s natural feel-good chemicals. Aim for 30-minutes of exercise a day at a minimum.
Try proven relaxation techniques. Whether it’s yoga, meditation, music, art or journaling, relaxation techniques can help your mind—and body—find much-needed balance.
Meet with a therapist. A therapist, counselor or other professional can help you understand the root of your stress and come up with long-term plans for stress relief.
Support when you need it
A Luminis Health Behavioral Health provider can help you figure out the cause of your stress and offer additional ways to manage it. If stress is disrupting your life or putting your health at risk, make an appointment with someone from our team today.
Authors
Crystal Osuchukwu, LCPC, is a licensed clinical professional counselor. To make an appointment with Crystal, please call 301-623-4352.
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Cancer Care
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How Weight Can Impact Cancer Risk
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Here’s some food for thought: Being overweight or obese can significantly increase your risk for many types of cancer. Obesity can also lead to a higher rate of cancer recurrence and a lower likelihood of survival. While this might be surprising news, it’s important to realize the reasons why, and with the help of Luminis Health Surgical Oncologist Dr. Naeem A. Newman, know how you can decrease your risk of developing cancer.
Which cancers are associated with obesity?
The 13 types of cancer for which obesity is known to increase the risk are:
Breast cancer (in postmenopausal women)
Multiple myeloma, a cancer that forms in a type of white blood cell called a plasma cell
Meningioma, a type of brain cancer
Cancers of the esophagus, colon and rectum, uterus, gallbladder, upper stomach, kidneys, liver, ovaries, pancreas and thyroid
The risk of getting cancer increases with the more excess weight a person has and the longer they are overweight. Experts believe being obese increases that risk largely due to the inflammation caused by the fat that surrounds your vital organs. This excess fat affects certain processes in the body, including how it manages hormones like insulin—the hormone that regulates blood sugar—and estrogen.
How does inflammation cause damage?
Inflammation caused by obesity can keep the body from properly responding to insulin. This is called insulin resistance. When the body doesn’t respond to insulin correctly, it produces more insulin to make up for that. The increase in insulin due to insulin resistance triggers an increase in the number of cells produced, which can lead to cancer.
Increased insulin also affects how hormones like estrogen are controlled. More insulin can lead to more available estrogen, which also increases the risk for cancer.
What’s wrong with excess estrogen?
Estrogen is necessary for the body to function: In women, the ovaries are the main source of estrogen. In men, an enzyme converts testosterone to estrogen. Fat cells in both men and women can also make estrogen, which is why too much estrogen is often seen in obese people. In a nutshell, higher estrogen levels lead to increased cell production, which could result in the growth of a tumor.
What is a healthy weight?
Body mass index (BMI) is used as a screening tool for being overweight and obese. BMI is calculated using a ratio of a person’s weight in proportion to height. BMI calculators are readily available online. Adults with a BMI from 25.0 to 29.9 are considered overweight. A person with a BMI that is 30.0 or higher is considered obese. It’s estimated that about 21% of all cancers that are linked to obesity could be prevented if the American adult population had a BMI of less than 25.
What you can do
There are steps you can take to prevent obesity:
Keep moving—Aim for 150 minutes of moderate activity or 75 minutes of vigorous activity a week.
Eat healthy—Fill at least two thirds of your plate with non-starchy vegetables, fruit, whole grains and legumes (beans and peas), and a third or less with protein. Evidence shows that exercise combined with healthy eating results in greater weight loss and the greatest impact on reducing inflammation in your body.
Limit alcohol—Women should limit themselves to one alcoholic drink per day and men to two.
Get plenty of rest—Fatigue can make you want to eat more and increases the chances of making unhealthy choices.
When it comes to cancer, there are some risks we can’t control, but when we know more about the risks we can control, it gives us one more reason to make healthy choices. If you are interested in losing weight, create a weight loss plan with your doctor that works for you.
Author
Naeem A. Newman, MD, is a surgical oncologist/general surgeon at Luminis Health. He is dedicated to a multi-disciplinary, collaborative approach to cancer care.
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Behavioral Health, Men's Health, Women's Health, Wellness
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Ways to stress less during the holidays
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You’re in holiday overdrive, baking cookies, running to the mall and rushing back home to arrive before your out-of-town guests. Is the gift you want most for yourself a nap?
That may be just what you need. The holidays are meant to be a season of peace, not pressure. Carving out some downtime—whether it’s to recharge with a nap, take a walk or even play a game with your family—can make your holidays less stressful. And by slowing down, you may even have more energy to host guests and tackle your holiday to-do list.
What else can you do to de-stress this holiday season? Try these tips:
Focus on What Really Matters
Say the word ‘holiday’ and a lot of us imagine picture-perfect celebrations. That fantasy is almost certain to stress you out if you buy into it. It’s okay if this year’s tree is a little lopsided or the cookies get burnt. Instead of focusing on presents and parties, focus on what truly gives the holidays meaning: time spent with family and friends. Make it a tradition to write letters to loved ones as gifts. This practice is both relaxing and rewarding, and can create deeper bonds with your loved ones.
Get Moving
As winter weather sets in and schedules get hectic, it’s not as easy to stay active. Exercise can help reduce stress, give you a fresh perspective and produce mood-boosting endorphins. Try fun activities that keep you moving such as sledding, building snowmen, skiing and ice skating. Simply taking the stairs instead of the elevator or walking around the mall before you start your holiday shopping can make a difference. Try going to a group exercise class with a friend to stay motivated. Our Energize fitness classes are great for staying active during the winter. If you’re consistent with exercise, your body will respond with healthy outcomes.
Mind Your Mental Health
Take a step back and remember to prioritize your health. Anticipate the holiday stressors that affect you and create a plan to manage them. Making time for yourself is important to stay calm during the holiday season. While electronics help connect us to family and friends, being constantly “plugged in” can create anxiety due to information overload. Everyone should unplug and spend some quiet time alone. Journaling or writing down a list of things you’re thankful for can help put you at ease.
For some, keeping up the holiday spirit can be hard work. The shorter, cold days of winter can create a downward spiral into a phase of depression. This is known as seasonal affective disorder (SAD) and affects millions of people every year. It’s important to recognize when you may need help and talk to your doctor.
Prevent Illness
Getting sick only adds to stress and can put a damper on holiday activities. Winter also brings cold and flu season. You can keep the flu away by getting a flu shot, making sure to wash your hands and cover your cough. And remember, you are what you eat. A nutrient-dense diet can help strengthen your immune system to fight off illness. Stay in contact with your doctor if you have any concerns about your health or feel like you’re getting sick.
Don’t Drink Your Calories
From cider and eggnog to hot chocolate, there’s no shortage of delicious holiday drinks. However, it’s important to keep in mind how these will affect your health in the long run. For example, one cup of eggnog can pack around 350 calories. Drink smart; keep portions small and limit yourself to one glass per occasion. Better yet, trade in the high-calorie drinks for something with a lower calorie content, like sparkling wine with fresh cranberries.
Originally published Dec. 17, 2015. Last updated Dec. 2, 2019.
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Behavioral Health, Heart Care
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Holiday stress and your heart
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Juggling multiple commitments during the holidays might bring out the best in you. Or it might leave you feeling stressed, anxious or depressed. These feelings go well beyond your mental health. They can have short-term and long-term effects on your whole body, especially your heart.
Boaz Rosen, MD, a cardiologist at Anne Arundel Medical Center, says it is important to find ways to manage the emotions the holidays bring out. “Stress and anxiety can affect the heart in a variety of ways, such as increasing blood pressure,” he explains.
Tips to Relieve Holiday Stress
When it comes to the holidays, finding the right balance between celebration and healthy habits will serve your heart well.
Recognize your hot buttons. Think about the things that made you anxious or sad during previous holiday celebrations and develop a plan to cope with those stressors.
Carve out some time for yourself. Exercise, meditation, yoga, prayer or time with a favorite book or movie can help you relieve stress.
Practice moderation with sodium and alcohol. Repeated use of large amounts of sodium or alcohol can cause heart problems.
More importantly, Dr. Rosen says, people may try to use food, smoking or alcohol to relieve stress, anxiety or depression. Weight gain from overeating can affect blood pressure and contribute to an increased risk of diabetes. Tobacco use has well-known short- and long-term effects on the heart and lungs. And while moderate intake of red wine (not more than one glass a day) can be beneficial, excessive alcohol use can affect heart, brain and liver function.
Dr. Rosen also warns that it’s important to know the signs of a heart attack and to take any symptoms seriously. “A lot of people will ignore chest pain symptoms thinking it’s indigestion,” he says. “They describe a gassy feeling of pressure or discomfort in the chest. If there is any concern or if antacids don’t take care of that discomfort in minutes, think ‘heart’ and call 911. Even if it turns out to be indigestion, it’s better to be safe than sorry. On a positive note, I wish you and your family a happy, healthy holiday season!”
Learn your “heart age” and risk for heart disease with AAMC’s free online heart risk assessment.
Author
Boaz Rosen, MD, is a cardiologist at Anne Arundel Medical Center.
Originally published Dec. 5, 2016. Last updated Dec. 12, 2019.
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Women's Health, Pregnancy & Birth
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Why getting healthy before pregnancy can make a big difference
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Whether you’re just beginning to think about pregnancy or actively planning, it’s never too early to begin preparing for a baby. One of the best places to begin is by focusing on your own health. Making sure you are healthy before pregnancy can help support a smoother pregnancy and give your baby the best possible start.
It’s common to feel unsure even before you start thinking about pregnancy. Taking a few proactive steps to improve your health early can make a significant difference.
Start with your provider
Stay up to date on regular Gyn care, including routine Pap smears
Schedule a preconception checkup.
Review medications and update vaccinations.
Manage chronic conditions like diabetes or high blood pressure.
Discuss your family health history.
Fuel your body
Begin a prenatal vitamin with 400–800 mcg of folic acid.
Eat a balanced diet rich in fruits, vegetables and whole grains, along with nutrient-dense proteins (like beans, nuts, lentils and lean meats), iron-rich foods and healthy fats.
Limit caffeine (generally under 200 mg per day, about 1–2 cups of coffee).
Adopt healthy habits
Stop or drastically reduce smoking or vaping and avoid alcohol or drugs.
Aim for 30 minutes of movement each day, like walking, yoga, swimming or dancing — and build a routine that feels sustainable for you.
Aim for 7–9 hours of sleep each night.
Maintain a healthy weight.
Your emotional well-being matters just as much as your physical health. Address stress, anxiety, or depression with your provider, and build a strong support system with family and friends before, during, and after pregnancy.
When you do get pregnant, early and consistent care is more urgent than ever. A new report from Centers for Disease Control and Prevention found that a quarter (25%) of women delay prenatal care. No prenatal care raises the risk of maternal mortality. That’s especially concerning in Prince George’s County, where 8 out of 10 women leave the county to deliver their babies, and the maternal mortality rate for Black women is 50% higher than the national average.
A new support option in Prince George’s County
Luminis Health is proud to launch the Start Well: A Luminis Health Preconception Program. Led by registered nurses, midwives and doulas, these small, cohort-based groups connect participants with others navigating similar questions and experiences.
Sessions include education and on-site health screenings such as A1C testing, diabetes risk assessment, nutrition counseling and blood pressure checks. Thanks to a generous grant from the Greater Washington Community Foundation, the program is free and no insurance is required.
Classes begin in July, and enrollment is now open.
You’re invited to a Community Baby Shower
As part of Black Maternal Health Week, Luminis Health will host its third annual Community Baby Shower on Saturday, April 11, from noon until 4 p.m. at Reid Temple A.M.E. Church in Glendale.
The event is dedicated to celebrating and supporting parents and those considering having children in the Prince George's County community through:
Educational presentations on pregnancy, maternal mental health, and lactation.
Local vendors offering baby essentials and supportive services
A raffle for a car seat and stroller.
Diaper and other baby giveaways.
The Community Baby Shower is free and open to the public and is designed for expectant mothers and pregnant people and new moms and parents with babies up to age 2.
New Women’s Health Pavilion on the way
Luminis Health’s ongoing commitment to maternal health is just getting started. In the coming weeks, we will break ground on our new Women’s Health Pavilion on the campus of Luminis Health Doctors Community Medical Center in Lanham. The pavilion will include inpatient obstetric services, including labor, delivery, and postpartum care.
These expanded services are scheduled to launch in 2028. Once fully operational, we look forward to delivering 2,000 babies each year, providing families with high-quality care close to home.
By expanding access to comprehensive women’s health services, we can help reduce maternal and infant mortality rates in our community and build healthier, thriving families for generations to come.
Authors
Kelley Robinson, CNM, PHD, CNE is lead certified nurse midwife at Luminis Health supporting CenteringPregnancy.
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