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Keeping the Sinuses Clear

Win­ter is noto­ri­ous for increas­ing one’s pre­dis­po­si­tion towards colds, aller­gies, sinus infec­tions, etc.  One of the sim­plest ways to com­bat a nasal drip or mucous build up is through pranayama and nasya.  Nasya is one of the five Ayurvedic purifi­ca­tion treat­ments  used in pan­chakarma ther­apy; but it also stands alone as a help­ful way to pre­vent win­ter from tak­ing a hold on the body.  Nasya can be used in con­junc­tion with a neti pot to amplify its mucous clear­ing properties.

I recently under­went extreme win­ter tem­per­a­ture changes (Texas-Russia), and found the fol­low­ing breath­ing exer­cises and nasal clear­ing tech­niques to be quite help­ful in reestab­lish­ing bal­ance and pre­vent­ing com­pli­ca­tions due to cli­mate differences.

1.  Nasya helps to clear and lubri­cate the sinus pas­sage­ways, reliev­ing acute and chronic sinus prob­lems such as aller­gies, mucous con­ges­tion, dry nasal pas­sage, and snor­ing. Nasya also helps to relieve headaches, migraines, stiff neck, fatigue, insom­nia, and stress related prob­lems. It reduces anx­i­ety, clears and strength­ens the mind, and stim­u­lates the ner­vous sys­tem.  Nasya is praised in yoga because of its effects on con­cen­tra­tion and med­i­ta­tion, as well as its lubri­cat­ing action which soothes the dry­ing of the nasal pas­sages from reg­u­lar breath­ing prac­tices (Pranayama).  Nasya is com­pletely safe for most peo­ple (see con­sid­er­a­tions below for when you want to avoid nasya) and extremely effec­tive due to its rapid absorp­tion into the mucous mem­branes of the sinus pas­sages. The active herbal ingre­di­ents are effec­tive much faster when absorbed through the nasal pas­sage than when taken orally.

Con­sid­er­a­tions:

Make sure you use a high qual­ity oil. You can buy med­icated oils which are usu­ally a sesame oil base with herbs to  increase the med­i­c­i­nal prop­er­ties of the nasya ther­apy.  Alter­na­tively you can use plain sesame oil.  Choose plain, nat­ural sesame oil – do not use sesame oil that is sold in the gro­cery store for Asian cooking.

It is best to do nasya in the morn­ing or in the after­noon. Do not do a large dose nasya if you have just eaten.

Do not per­form large dose nasya if you have fever, acute rhini­tis, extreme fatigue, or have just given birth. Also avoid nasya treat­ment on days you are fast­ing or have taken drugs or alco­hol.  A nasya treat­ment is not to be per­formed on young chil­dren or on the elderly, but a small dose can be done on anyone.

Nasya works best in con­junc­tion with neti. You may want to alter­nate nasya with neti if you have a lot of con­ges­tion and mucous prob­lems. Be aware that too much neti can cause dry­ing of the nasal pas­sage, so it is impor­tant to per­form reg­u­lar nasya to keep the nasal pas­sage well lubricated.

2.  Ujjayi (vic­to­ri­ous breath). Ujjayi pranayama is the foun­da­tion of proper breath­ing and one of the most com­monly prac­ticed yoga breath­ing tech­niques. In Ujjayi pranayama one must tune the ears and mind to con­tin­u­ally and con­sciously cre­ate har­mony of sound dur­ing inhala­tion and exha­la­tion.  An unsteady breath leads to an unsteady mind there­fore Ujjayi is also prac­ticed to smooth the flow of breath and har­mo­nize the breath­ing rhythms.

Instruc­tions
Find a com­fort­able seated posi­tion. Gen­tly exhale all of the air from the lungs.
Inhale gen­tly allow­ing the air to pass into the body with ease and no resis­tance.
Exhale make a sound with the mouth closed that sounds like “hhh­hha”.
Make the sound the same through­out the exha­la­tion. This will indi­cate the same amount of air leaves the lungs through­out the exha­la­tion. An uneven sound usu­ally indi­cates an unsteady ner­vous sys­tem. This will smooth out dur­ing prac­tice.
A sound that is too loud indi­cates too much inter­nal con­flict. Mus­cles are used in the exha­la­tion and other mus­cles are used in restrict­ing the exha­la­tion and also to cre­ate the sound. Use the mus­cles lightly so that the con­flict of energy within is soft and pres­sure does not exits around the tem­ples.
After mas­ter­ing the above, progress to the fol­low­ing:
Inhale and restrict the air flow to make the sound “sssss”. Keep the sound con­stant and smooth.
Exhale make a sound with the mouth closed that sounds like “hhhhha”.

The “other” fitness pole

Pole fit­ness classes have made their mark on fit­ness sched­ules across the coun­try. This post, how­ever, is ded­i­cated to the “other” type of pole–the trekking pole–their ben­e­fits and train­ing advan­tages.  Although, I have com­pleted Nordic Walk­ing Instruc­tor Train­ing (along with Zumba, Grav­ity, Power Plate, and a tool­box full of other pop-up fit­ness trends, bands, disks, balls, bells and whis­tles),  this method (as the oth­ers) is in many ways just a cre­ative brand­ing of a time-tested prac­tice.  This post is meant to edu­cate the reader on the ben­e­fit of poles (fit­ness, trekking, etc.) when prepar­ing for long-distance hikes or when going out for a power walk.  I will use the term Pole walk­ing, Nordic walk­ing, and Ski walk­ing syn­ony­mously through­out this post.  Tips for choos­ing the right poles to come!

Ben­e­fits of Pole Walking

(Stud­ies in Europe and the United States have proved the fol­low­ing health ben­e­fits.  More studies/research avail­able at skiwalking.com)

 

  • Nordic Walk­ing burns up to 46% more calo­ries than walk­ing with­out poles. Nordic Walk­ing also reduces knee and joint strain. It nat­u­rally loosens and strength­ens the neck, back and shoulders.
  • Unlike walk­ing, run­ning and bik­ing, Pole Walk­ing works the arms, shoul­der and abs.
  • A study con­ducted at the Uni­ver­sity of Mass­a­chu­setts at Amherst showed that using poles lets hik­ers lengthen their strides, put less strain on their knees, and gen­er­ally feel more com­fort­able. The hik­ers stud­ied did not expend less energy, but the increase in sta­bil­ity made long treks easier.
  • Pole walk­ing pro­vides ALL the low impact ben­e­fits of walk­ing, while reduc­ing knee and joint strain, burn­ing more calo­ries, work­ing the upper body, increas­ing oxy­gen con­sump­tion and pro­vid­ing a more effec­tive aer­o­bic workout.
  • Pole walk­ing improves lymph sys­tem func­tion and boosts the immune system.
  • It helps main­tain joint health and range of motion.
  • 90% of the body’s mus­cles are acti­vated in this form of exercise.
  • Using poles gives an aver­age of 20–25% greater car­dio fit­ness effect than reg­u­lar walk­ing and induces a lower per­ceived feel­ing of exer­tion than like aer­o­bic activities.
  • Using poles pro­motes an upright and bal­anced walk­ing posture.

Staying Hydrated

Though we have not yet sur­passed the DFW record for con­sec­u­tive num­ber of 100 degree days set in 1980, we came pretty close.  On August 11, 2011, our triple digit weather took a small dip only to rise up again.  The heat is still with us and we may yet set some new records.  All this to say, stay­ing cool and hydrated is a major con­cern for us and all fit­ness enthu­si­asts try­ing to con­tinue their out­door train­ing pro­grams.  And unless you plan to take a trip to the Rock­ies in the near future, we must rec­on­cile our train­ing pro­gram with our cur­rent sit­u­a­tion in a peace­ful, healthy way.  Below are the fluid rec­om­men­da­tions set by the Inter­na­tional Marathon Med­ical Director’s Asso­ci­a­tion for stay­ing hydrated on our group hikes and in your per­sonal train­ing time.

IMMDA’s REVISED FLUID RECOMMENDATIONS FOR RUNNERS & WALKERS
Writ­ing com­mit­tee: Lewis G. Maharam, MD.FACSM (chair),Tamara Hew DPM, Arthur Siegel MD, Marv Adner, MD, Bruce Adams, MD and Pedro Pujol, MD, FACSM
Approved by IMMDA: 6 May 2006. Barcelona, Spain

As Med­ical Direc­tors (IMMDA: Inter­na­tional Marathon Med­ical Director’s Asso­ci­a­tion) of the world’s largest marathons and endurance events, it is our desire to edu­cate and ensure that our par­tic­i­pants con­sume proper flu­ids and amounts of flu­ids dur­ing endurance events to remain healthy and per­form well. Too much or too lit­tle may bring about health con­cerns and/or poor per­for­mance. We there­fore offer the fol­low­ing guid­ance for run­ners and walk­ers at all lev­els to fol­low in their train­ing and com­pet­i­tive events.

What should you drink? The evi­dence on this is clear. If your event or work­out is longer than 30 min­utes you should be drink­ing a sports drink. The added car­bo­hy­drate and elec­trolytes speed absorp­tion of flu­ids and have the added ben­e­fit of energy fuel and elec­trolytes. There is actu­ally decreased ben­e­fit to water­ing down or dilut­ing sports drinks or alter­nat­ing sports drinks with water.

How much should you drink? Drink­ing too much or too lit­tle can be of risk to health and per­for­mance. Hypona­tremia ( low blood salt level due to abnor­mal fluid reten­tion from over-drinking) and dehy­dra­tion (due to net fluid losses from under drink­ing) are con­di­tions eas­ily adverted by under­stand­ing your indi­vid­ual body needs. Just as you have a unique face and fin­ger­print, your body’s need for fluid is indi­vid­ual as well. Body weight, gen­der, cli­mate, sweat rate are just a few vari­ables that indi­vid­u­al­ize your needs. Under­stand­ing that it is nor­mal to lose a small amount of body-weight dur­ing a marathon race: body-weight will re-equilibrate over the next 24 hours through the con­sump­tion of sodium and flu­ids with meals. A weight loss of more than 2% or any weight gain are warn­ing signs that jus­tify imme­di­ate med­ical con­sul­ta­tion and indi­cate that you are drink­ing improp­erly.
We offer the fol­low­ing ideas and guide­lines for you to con­sider as you assess your indi­vid­ual flu­ids:
Try to drink to thirst. This advice seems way too sim­ple to be true; how­ever, phys­i­o­log­i­cally the new sci­en­tific evi­dence says that thirst will actu­ally pro­tect ath­letes from the haz­ards of both over and under-drinking by pro­vid­ing real time feed­back on inter­nal fluid bal­ance. If you are not thirsty, try to refrain from drink­ing. Do not feel com­pelled to drink at every fluid sta­tion nor fol­low the cues of other run­ners: their fluid needs are prob­a­bly very dif­fer­ent from your own. If you are “over-thinking” and feel you can­not rely on this new way of think­ing, exper­i­ment in your train­ing with one of these other ways real­iz­ing each has it’s own cau­tions as well.

APPROXIMATION OF FLUID REPLACEMENT *
*The reader should under­stand that there are indi­vid­ual vari­a­tions: “one size does not fit all”. We endorse thirst as the best sci­en­tif­i­cally sup­ported method for you to use. These alter­nate meth­ods may not take into account changes in ambi­ent con­di­tions, run­ning speed and ter­rain which can all change dynam­i­cally which thirst as a method to use does.
Run­ners and walk­ers who are inter­ested in the endurance “expe­ri­ence” rather than pur­su­ing a ‘per­sonal best’ per­for­mance, must resist the ten­dency to over drink. Runners/walkers plan­ning to spend between 4–6 hours or longer on the course are at risk for devel­op­ing fluid-overload hypona­tremia and usu­ally do not need to ingest more than one cup (3–6 oz: 3 oz if you weigh approx­i­mately 100 lbs and 6 oz if you weigh approx­i­mately 200 lbs) of fluid per mile. Ath­letes should avoid weight gain dur­ing an event.
Some par­tic­i­pants may find that adjust­ing their intake to pace or time is eas­ier for them as shown below but remem­ber­ing thirst is the best method:

Adjust the rate of fluid intake to race pace: slower race pace = slower drink­ing rate; max­i­mum intake of 500 ml/hr (4–6 oz every 20 min) for run­ners with greater than 5 hour fin­ish­ing times (10–11 min/mile pace). Weight mon­i­tor­ing is also impor­tant: if you gain weight dur­ing your work­out or event, you are drink­ing too much!
For a more highly moti­vated runner/walker who desires a numeric “range”, a fluid cal­cu­la­tor can pro­vide an esti­mate of body fluid losses as a gen­er­al­ized strat­egy for fluid replace­ment. Par­tic­i­pants con­cerned about peak per­for­mance are advised to under­stand their indi­vid­u­al­ized fluid needs through use of this fluid cal­cu­la­tor but ALWAYS defer to phys­i­o­logic cues to increase fluid intake (thirst, con­cen­trated dark urine, weight loss) or decrease fluid con­sump­tion (dilute or clear uri­na­tion, bloat­ing, weight gain) while par­tic­i­pat­ing. It is also impor­tant to rec­og­nize that if you use this method in one cli­mate and then travel to a dif­fer­ent cli­mate for your event, the humid­ity will change your sweat rate and there­fore your fluid needs.

Fluid cal­cu­la­tor: to cal­cu­late sweat rate, runners/ walk­ers should fol­low these steps:
1.    Weigh nude before the run.
2.    Run/walk at race pace for one hour.  (One hour is rec­om­mended to get a reli­able rep­re­sen­ta­tion of sweat rate expected in an endurance event.)
3.    Track fluid intake dur­ing the run or walk; mea­sure in ounces.
4.    Record nude weight after the run/walk. Sub­tract from start­ing weight. Con­vert the dif­fer­ence in body weight to ounces.
5.    To deter­mine hourly sweat rate, add to this value the vol­ume of fluid con­sumed (in Step 3).
6.    To deter­mine how much to drink every 15 min­utes, divide the hourly sweat rate by 4.  This becomes the guide­line for fluid intake every 15 min of a run.
7.    Note the envi­ron­men­tal con­di­tions on this day and repeat the mea­sure­ments on another day when the envi­ron­men­tal con­di­tions are dif­fer­ent.  This will give you an idea of how dif­fer­ent con­di­tions affect your sweat rate.

Good luck in your train­ing. Exper­i­ment­ing with your flu­ids can be a fun exer­cise. Remem­ber to keep in mind that the con­sump­tion of bev­er­ages and foods con­tain­ing sodium or car­bo­hy­drate should be guided by the goal to min­i­mize loss of body weight and pre­vent weight gain.

The Inter­na­tional Marathon Med­ical Direc­tors Asso­ci­a­tion (IMMDA) was formed as the Con­sult­ing Med­ical Com­mit­tee of the Asso­ci­a­tion of Inter­na­tional Marathons (AIMS). The pur­pose of IMMDA is to i) pro­mote and study the health of long dis­tance run­ners, ii) pro­mote research into the cause and treat­ment of run­ning injuries, iii) pre­vent the occur­rence of injuries dur­ing mass par­tic­i­pa­tion runs, iv) offer guide­lines for the pro­vi­sion of uni­form marathon med­ical ser­vices through­out the world, and v) pro­mote a close work­ing rela­tion­ship between race and med­ical direc­tors in achiev­ing the above four goals.