Tag Archives: illness

iScoliosis

Google-search-neck-xray

Industrial and occupational illnesses have followed humans since the advent of industry. Obvious ones include: lung diseases from mining and a variety of skin diseases from exposure to agricultural and factory chemicals.

The late 20th century saw us succumb to carpal tunnel and other repetitive stress injuries from laboring over our desks and computers. Now, in the 21st we are becoming hosts to the smartphone pathogen.

In addition to the spectrum of social and cultural disorders wrought by our constantly chattering mobile devices, we are at increased psychological and physical risk. But, let’s leave aside the two obvious ones: risk from vehicle injury due to texting while driving, and risk from injury due to texting while walking. More commonly, we are at increased risk of back and other chronic physical problems resulting from poor posture. This in turn leads to mood disorders, memory problems and depression. Some have termed this condition “text-neck”, “iHunch”, or “iPosture”; I’ll go with “iScoliosis™”.

From NYT:

THERE are plenty of reasons to put our cellphones down now and then, not least the fact that incessantly checking them takes us out of the present moment and disrupts family dinners around the globe. But here’s one you might not have considered: Smartphones are ruining our posture. And bad posture doesn’t just mean a stiff neck. It can hurt us in insidious psychological ways.

If you’re in a public place, look around: How many people are hunching over a phone? Technology is transforming how we hold ourselves, contorting our bodies into what the New Zealand physiotherapist Steve August calls the iHunch. I’ve also heard people call it text neck, and in my work I sometimes refer to it as iPosture.

The average head weighs about 10 to 12 pounds. When we bend our necks forward 60 degrees, as we do to use our phones, the effective stress on our neck increases to 60 pounds — the weight of about five gallons of paint. When Mr. August started treating patients more than 30 years ago, he says he saw plenty of “dowagers’ humps, where the upper back had frozen into a forward curve, in grandmothers and great-grandmothers.” Now he says he’s seeing the same stoop in teenagers.

When we’re sad, we slouch. We also slouch when we feel scared or powerless. Studies have shown that people with clinical depression adopt a posture that eerily resembles the iHunch. One, published in 2010 in the official journal of the Brazilian Psychiatric Association, found that depressed patients were more likely to stand with their necks bent forward, shoulders collapsed and arms drawn in toward the body.

Posture doesn’t just reflect our emotional states; it can also cause them. In a study published in Health Psychology earlier this year, Shwetha Nair and her colleagues assigned non-depressed participants to sit in an upright or slouched posture and then had them answer a mock job-interview question, a well-established experimental stress inducer, followed by a series of questionnaires. Compared with upright sitters, the slouchers reported significantly lower self-esteem and mood, and much greater fear. Posture affected even the contents of their interview answers: Linguistic analyses revealed that slouchers were much more negative in what they had to say. The researchers concluded, “Sitting upright may be a simple behavioral strategy to help build resilience to stress.”

Slouching can also affect our memory: In a study published last year in Clinical Psychology and Psychotherapy of people with clinical depression, participants were randomly assigned to sit in either a slouched or an upright position and then presented with a list of positive and negative words. When they were later asked to recall those words, the slouchers showed a negative recall bias (remembering the bad stuff more than the good stuff), while those who sat upright showed no such bias. And in a 2009 study of Japanese schoolchildren, those who were trained to sit with upright posture were more productive than their classmates in writing assignments.

Read the entire article here, preferably not via your smartphone.

Image courtesy of Google Search.

 

MondayMap: The State of Death

distinctive-causes-of-death-by-state

It’s a Monday, so why not dwell on an appropriately morbid topic — death. Or, to be more precise, a really cool map that shows the most distinctive causes of death for each state. We know that across the United States in general the most common causes of death are heart disease and cancer. However, looking a little deeper shows other, secondary causes that vary by state. So, leaving aside the top two, you will see that a resident of Tennessee is more likely to die from “accidental discharge of firearms”, while someone from Alabama will succumb to syphilis. Interestingly, Texans are more likely to depart this mortal coil from tuberculosis; Georgians from “abnormal clinical problems not elsewhere classified”. While Alaskans — no surprise here — lead the way in deaths from airplane, boating and “unspecified transport accidents”.

Read more here.

Map: Distinctive cause of death by state. Courtesy of Francis Boscoe, New York State Cancer Registry.

 

Circadian Misalignment and Your Smartphone

Google-search-smartphone-night

You take your portable electronics everywhere, all the time. You watch TV with or on your smartphone. You eat with a fork in one hand and your smartphone in the other. In fact, you probably wish you had two pairs of arms so you could eat, drink and use your smartphone and laptop at the same time. You use your smartphone in your car — hopefully or sensibly not while driving. You read texts on your smartphone while in the restroom. You use it at the movie theater, at the theater (much to the dismay of stage actors). It’s with you at the restaurant, on the bus or metro, in the aircraft, in the bath (despite chances of getting electrically shocked). You check your smartphone first thing in the morning and last thing before going to sleep. And, if your home or work-life demands you will check it periodically throughout the night.

Let’s leave aside for now the growing body of anecdotal and formal evidence that smartphones are damaging your physical wellbeing. This includes finger, hand and wrist problems (from texting); and neck and posture problems (from constantly bending over your small screen). Now there is evidence that constant use, especially at night, is damaging your mental wellbeing and increasing the likelihood of additional, chronic physical ailments. It appears that the light from our constant electronic companions is not healthy, particularly as it disrupts our regular rhythm of sleep.

From Wired:

For More than 3 billion years, life on Earth was governed by the cyclical light of sun, moon and stars. Then along came electric light, turning night into day at the flick of a switch. Our bodies and brains may not have been ready.

A fast-growing body of research has linked artificial light exposure to disruptions in circadian rhythms, the light-triggered releases of hormones that regulate bodily function. Circadian disruption has in turn been linked to a host of health problems, from cancer to diabetes, obesity and depression. “Everything changed with electricity. Now we can have bright light in the middle of night. And that changes our circadian physiology almost immediately,” says Richard Stevens, a cancer epidemiologist at the University of Connecticut. “What we don’t know, and what so many people are interested in, are the effects of having that light chronically.”

Stevens, one of the field’s most prominent researchers, reviews the literature on light exposure and human health the latest Philosophical Transactions of the Royal Society B. The new article comes nearly two decades after Stevens first sounded the alarm about light exposure possibly causing harm; writing in 1996, he said the evidence was “sparse but provocative.” Since then, nighttime light has become even more ubiquitous: an estimated 95 percent of Americans regularly use screens shortly before going to sleep, and incandescent bulbs have been mostly replaced by LED and compact fluorescent lights that emit light in potentially more problematic wavelengths. Meanwhile, the scientific evidence is still provocative, but no longer sparse.

As Stevens says in the new article, researchers now know that increased nighttime light exposure tracks with increased rates of breast cancer, obesity and depression. Correlation isn’t causation, of course, and it’s easy to imagine all the ways researchers might mistake those findings. The easy availability of electric lighting almost certainly tracks with various disease-causing factors: bad diets, sedentary lifestyles, exposure to they array of chemicals that come along with modernity. Oil refineries and aluminum smelters, to be hyperbolic, also blaze with light at night.

Yet biology at least supports some of the correlations. The circadian system synchronizes physiological function—from digestion to body temperature, cell repair and immune system activity—with a 24-hour cycle of light and dark. Even photosynthetic bacteria thought to resemble Earth’s earliest life forms have circadian rhythms. Despite its ubiquity, though, scientists discovered only in the last decade what triggers circadian activity in mammals: specialized cells in the retina, the light-sensing part of the eye, rather than conveying visual detail from eye to brain, simply signal the presence or absence of light. Activity in these cells sets off a reaction that calibrates clocks in every cell and tissue in a body. Now, these cells are especially sensitive to blue wavelengths—like those in a daytime sky.

But artificial lights, particularly LCDs, some LEDs, and fluorescent bulbs, also favor the blue side of the spectrum. So even a brief exposure to dim artificial light can trick a night-subdued circadian system into behaving as though day has arrived. Circadian disruption in turn produces a wealth of downstream effects, including dysregulation of key hormones. “Circadian rhythm is being tied to so many important functions,” says Joseph Takahashi, a neurobiologist at the University of Texas Southwestern. “We’re just beginning to discover all the molecular pathways that this gene network regulates. It’s not just the sleep-wake cycle. There are system-wide, drastic changes.” His lab has found that tweaking a key circadian clock gene in mice gives them diabetes. And a tour-de-force 2009 study put human volunteers on a 28-hour day-night cycle, then measured what happened to their endocrine, metabolic and cardiovascular systems.

Crucially, that experiment investigated circadian disruption induced by sleep alteration rather than light exposure, which is also the case with the many studies linking clock-scrambling shift work to health problems. Whether artificial light is as problematic as disturbed sleep patterns remains unknown, but Stevens thinks that some and perhaps much of what’s now assumed to result from sleep issues is actually a function of light. “You can wake up in the middle of the night and your melatonin levels don’t change,” he says. “But if you turn on a light, melatonin starts falling immediately. We need darkness.” According to Stevens, most people live in a sort of “circadian fog.”

Read the entire article here.

Image courtesy of Google Search.