Everyone Should Care About Pelvic Floor Health

Many women (AND MEN) experience pelvic floor problems, but often they ignore them, think it’s just a part of aging, or may be too embarrassed to talk to a professional about them. The specific issues can vary and may involve injuries or damage to muscles in the pelvic area, the bowel, bladder, or uterus. Getting help early usually means better treatment results. If you do think you have issues, we recommend seeing your doctor who can do an exam to diagnose and figure out the best treatment. Treatment options range from medications to surgery, laser treatment, or physical therapy, depending on what's going on and where.

With our clients at the Body by Hannah Studio, we believe that proactively training the pelvic floor just like all of our other muscle groups is a great way to prevent weakening of the pelvic floor muscles over time. Creating mindfulness around many of our exercises to properly breathe and engage/relax these muscles is our first defense from future issues.

Let's break down five common problems when the pelvic floor isn't working properly. But first, think of the pelvic floor like a hammock made of lots of connected muscles that support your bladder, bowel, and other organs. These muscles help with things like controlling when you pee or poop, keeping your posture in check, and even sexual function.

1. Needing to pee a lot or urgently: If you're constantly running to the bathroom, it might be due to something called overactive bladder. Basically, the muscles in your bladder contract too much, making you feel like you gotta go all the time. Strengthening your pelvic floor can help calm down your bladder, reducing those urgent feelings.

2. Leaking urine when you cough, sneeze, or laugh: This is called stress urinary incontinence. It happens when the muscles supporting your bladder and urethra are weak or damaged, often from childbirth. Even simple movements like laughing can make you leak a little.

3. Trouble with pooping: Weak pelvic floor muscles can mess with how well you poop. Sometimes it leads to constipation or feeling like you can't fully empty your bowels. The process of pooping is pretty complex, and when those pelvic muscles aren't doing their job right, it can cause pain or discomfort.

4. Back or pelvic pain, or pain during sex: Your pelvic floor muscles play a role in a lot of daily activities, like keeping you upright and moving smoothly. But if they're weak or damaged, they can cause pain in your back or pelvis. They can also make sex uncomfortable, especially during orgasm, when those muscles contract strongly.

5. Feeling like things are falling down there: Damage to the pelvic floor can cause organs like the uterus or bladder to sag or bulge into the vagina. This is called prolapse. It's more common as women get older and their bodies change. You might feel pressure or heaviness in your pelvis, especially when standing for a long time or lifting heavy things.

We created a FREE pelvic floor introductory series with Dr. Kat Hamblin that will help you understand better what the pelvic floor is and how to begin to activate it and strengthen it! Download the BBH Fit App and search for Pelvic Floor Series to get started at home!

Young-Onset Dementia

A growing concern over young-onset dementia has sparked our own interest in it, lately. Young onset dementia affects individuals under the age of 65. It is often misdiagnosed or overlooked due to its rarity and the age of those it affects. It encompasses a range of neurological conditions, with Alzheimer's disease, vascular dementia, and frontotemporal dementia being the most common types. The symptoms can vary widely but generally include memory loss, difficulty with problem-solving, and changes in mood and behavior.

The Role of Physical Activity in Prevention

What research has been confirming over and over again, is that physical activity can be a cornerstone of dementia prevention. Here’s how:

1. Boosting Cardiovascular Health: Exercise improves cardiovascular health, which is directly linked to brain health. A healthy heart pumps blood more efficiently, delivering essential nutrients and oxygen to the brain!

2. Enhancing Neuroplasticity: Physical activity stimulates the production of neurotrophic factors, chemicals that support the growth and survival of neurons. This enhances neuroplasticity aka the brain's ability to form new neural connections.

3. Reducing Inflammation: Chronic inflammation has been linked to neurodegenerative diseases. Exercise can help to reduce inflammation levels in the body, potentially lowering the risk of dementia.

4. Stress Reduction: Chronic stress is a risk factor for cognitive decline. Exercise, particularly aerobic activities, can reduce stress levels, thereby indirectly protecting cognitive health.

OTHER PREVENTATIVE MEASURES:

1. Social Engagement: Engaging in social activities more than once a month can be protective against early dementia, while social isolation can increase the risk.

   2. Vitamin D Levels: Maintaining healthy vitamin D levels is crucial. Severe deficiency has been linked to a higher risk of YOD. Consuming vitamin-D-rich foods and supplements can be super beneficial.

   3. Physical Strength:

   • Grip Strength: Improving grip strength, an indicator of overall physical strength, can help to lower the risk of YOD.

While the risk of young-onset dementia can be influenced by genetic factors, lifestyle choices play a significant role in our genetic expression. By adopting a routine of regular physical activity, focusing on cardiovascular health, and engaging in exercises that challenge the brain, individuals can significantly reduce even a genetic predisposition to dementia.

BBH Tailored Fitness Programs

At BBH, we understand the importance of a personalized approach to physical fitness, especially when it comes to cognitive health. Our programs are designed to cater to individual needs and preferences, in hopes that we can help you hit your own personal goals.

1. Personalized Cardiovascular Training: We focus on cardiovascular health through a mix of aerobic exercises, tailored to suit each individual's fitness level and preferences.

2. Cognitive Challenge and Variety: Our routines include exercises that challenge the brain, such as coordination and balance activities, to stimulate mental engagement.

3. Mind-Body Approaches: We love sharing ways you can better connect your mind-body connection. Often times you will hear us referring to shifting your focus to a certain muscle you are trying to engage, to form that connection.

4. Stress Management: We love to weave in stress reduction techniques, recognizing its critical role in overall brain health.

Download the BBH Fitness App for fitness programs and nutrition plans you can trust to improve your physical and mental health!

Tread with Caution: The world of compounded weight loss drugs

Promising Weight Loss Drugs

As the new year unfolds, many of us are embracing resolutions, especially those related to health and weight loss. We totally understand the battle around sustained weight loss and want to recognize the huge potential around trending weight loss drugs approved by the FDA for helping pre-diabetic and diabetic patients. In my opinion, this is a very exciting time to hopefully see the obesity epidemic curbed in a big way. We’re seeing at risk individuals achieve substantial weight loss and improve their overall health. This could create a huge dent in our overall medical care costs across the globe. It’s also exciting to see that in many cases, the results patients are having from taking the drug inspire and motivate them to eat healthier and move more as a way to safeguard this better health.

Wagovy, Ozempic, Mounjaro, oh my!

Semaglutide medications like popular Wagovy and Ozempic are typically prescribed for individuals with type 2 diabetes to help manage blood sugar levels and signaling to the brain “fulllness”.

Before considering any medication, including semaglutide, it's wise to consult with your doctor. While these drugs are promising, the collected data around them only extend about 20 years, making what we know about long term effects, quite limited. It is best to have your doctor assess your health status, consider your medical history, and determine the most appropriate treatment plan based on your specific needs.

Enter Compounded Semaglutide

I started getting one email after another from boutique fitness clubs in Chattanooga and Atlanta and NYC and from med spas all over advertising their new “medical weight loss fitness program”. And what I discovered from digging a bit more is that many of these programs were packaging compounded semaglutide drugs into their program, making it easier for the general public to get the weight loss drug. And this is where I throw up my red flag and say, if this intrigues you, tread with caution.

So what is compounded semaglutide?

Compounded semaglutide refers to the practice of combining or altering the commercially available medication, semaglutide. Compounding drugs can be very helpful in shortage situations or in situations where it can address a patients allergy to a specific ingredient in the commercially available drug. But, compounding medications also introduces potential risks.

1. Effectiveness Concerns: Compounded medications may lack the precise formulation and quality control of commercially available drugs. This raises concerns about the effectiveness of compounded semaglutide in managing blood sugar levels as intended.

2. Dosage Accuracy: Achieving accurate dosage in compounded medications can be challenging. Variability in dosage may lead to inadequate blood sugar control or, conversely, increase the risk of side effects.

3. Safety Profile: Commercially available medications undergo rigorous testing to establish their safety profiles. Compounded semaglutide may lack such comprehensive safety data, making it difficult to assess potential risks and side effects accurately.

4. Contamination and Stability: Compounding introduces the risk of contamination and instability. Improper handling or storage of compounded semaglutide could compromise its effectiveness and safety.

5. Lack of Regulatory Oversight: Unlike commercially available medications, compounded drugs may not be subject to the same level of regulatory scrutiny. This absence of oversight can pose challenges in ensuring product quality and patient safety.

Patients considering compounded semaglutide should consult their healthcare providers to thoroughly discuss the potential risks and benefits.

…more on this from the FDA

The Bottom Line

I’m excited about the potential these weight loss drugs have to create a huge impact on the obesity epidemic and the ripple effect we will likely see it have on choosing to move more and eat healthier to sustain the results from taking the drug. The wellness expert in me says “BRING IT ON!”

But, I’m cautious and concerned for anybody that chooses to take semaglutide or its’ compounded versions without consulting their doctor and doing the research needed to make sure that the product they are getting is safe and legitimate. We still don’t know what happens with long term drug use on the population it was intended for, and we absolutely don’t know what long term effects it will have on a population for whom the drug was not intended for. It’s so tempting to want to use semaglutide to lose those last 5 or final 10 lbs, but will the side effects and potential long term effects be worth it? We just don’t know yet.

What are your thoughts on this? Please add your comments below. I know this topic can absolutely stir up a lot of emotions and opinions. I’m curious what your experiences have been with any of these drugs, what other questions you have around it, and what feedback you can share with us all.

Pickleball, What’s with the hype?!

Okay, who’s played it? Who loves it? We do. And here’s a little on why we’re hooked.

But first, for those who aren’t familiar, what even is pickleball?!

Pickleball is a dynamic paddle sport with roots in badminton, tennis, and table tennis. For all you history intrigued friends out there, it was actually invented not too long ago. It was birthed on Bainbridge Island, Washington, in 1965. Contrary to what some might believe, it wasn't named after pickled cucumbers. Instead, the sport was invented by three fathers, as a way to entertain their bored children. Hah!

So what about the name, why PICKLEball? There are 2 main theories, it turns out. Some say it was named after their dog, Pickles, who loved chasing the ball. Others believe it comes from the pickle boat in crew where oarsmen are chosen from the leftovers of other boats. So who really knows?! But it sure is a name that sticks!

Over the years, pickleball spread beyond the boundaries of Bainbridge Island. By the 1990s, it had established itself across the US, and in the 21st century, it expanded globally! 

Why do we love it so much? We mostly love that it’s a friendly competitive sport that can be appropriate for all ages and even athletic ability. BUT, we strongly believe you should include a good warmup (shared below) and even start including some agility work in your workouts if you want to stay injury free because pickleball injuries are on the rise!

Here are 3 health benefits that we associate with playing:

1. It’s a full-body workout! Pickleball gets you moving – from quick lateral moves to gentle sprints and volleys, it exercises a variety of muscle groups. The continual movement provides cardiovascular benefits, helping to increase endurance over time. During these movements, we target different muscles, offering a well-rounded physical activity sport.

2. Improves Reflexes and Balance. The gameplay involves quick decision-making and reflex action. This not only keeps the brain engaged but also helps in refining hand-eye coordination. With the repeated change in direction and short sprints, it’s common to improve our balance and agility, which is so important as we age!

3. Low Impact Yet Effective.  One of the charms of pickleball is that it's easier on the joints compared to a lot of other sports/exercises. This makes it suitable for older individuals or those recovering from injuries. The game provides an intense workout without putting too much stress on the body, promoting longevity and reducing the risk of injury, which is key!

Wait one more…4) it’s so much FUN! Talk about a little friendly competition…this game can quickly become an addictive activity, one you don’t want to stop playing (especially until you win! ;)

See you on the court :)

Pickleball Warmup