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Gray Days: Seasonal Affective Disorder

Sad women sitting outside

All of us get the “winter blues” now and again, but for some people, feelings of sadness and exhaustion during fall and winter is evidence of something more serious.

Seasonal affective disorder (SAD) is a kind of depression that is linked to different seasons of the year, typically winter, but sometimes summer as well. It’s thought that shorter days and less exposure to sunlight may be a cause, as well as overproduction of melatonin, a hormone that helps regulate sleep cycles.

There are multiple potential symptoms of SAD:

  • Sleeping more and feeling tired during the day
  • Loss of interest in doing things
  • Irritability and anxiety
  • General fatigue
  • Brain fog and more

It’s important to note that SAD and general depression are different from feeling sad or “out of it” for a few days. For SAD, the depressive episodes need to line up with specific seasons (usually winter or summer) at least two years in a row. Anyone can develop SAD, though it is more often diagnosed in women and may be more common for people who live in areas with short winter days.

There are multiple avenues for treating SAD. Exposure to sunlight or use of special lights that mimic sunlight can help relieve symptoms. Different forms of talk therapy can help you learn coping mechanisms, and in some cases, vitamin D supplements and antidepressant medications can relieve symptoms. If you experience recurring symptoms of depression during the winter or summer, consider talking to your doctor.

NIMH » Seasonal Affective Disorder (nih.gov)

Seasonal affective disorder (SAD) – Symptoms & causes – Mayo Clinic

Why Running?

Man running

Running gets a bad rap for being high impact, but it can greatly improve overall fitness with minimal equipment.

WHO: You don’t have to be an elite marathoner to benefit from running. Runners are on treadmills, roads, tracks, and trails.

WHAT: Stick with these key things:

WHY? Running is an aerobic exercise that challenges your heart and lungs, improving their efficiency over time. Regular running helps increase your cardiovascular endurance, making it easier for your body to supply oxygen to working muscles and sustain physical activity for longer durations. Also, regular running sessions can help you burn calories and maintain a healthy body weight, or even contribute to weight loss when combined with a balanced diet.

HOW? If you’re lacing up your shoes for the first time, there are many beginner programs online to get you started. Here’s a quick look into some different types of runs to improve speed and/or endurance.

  • Base: Your starting point with running. What is comfortable to you?
  • Progression: Starts with a natural pace and ends with a race goal pace.
  • Hill repeats: Running an incline as fast as you can and walking or slowly running down. Repeat five times.
  • Intervals: Segments of running mixed with segments or a slower pace or even walking.
  • Tempo: Not a sprint, but a pace faster than what you could hold for hours.
  • Long: Longer distances at an easier pace. Designed to improve endurance.

Grab a pair of running shoes, some comfortable clothing, and a dash of motivation!

Cost Comparison Shopping

Man in suit talking to woman

There are so many different providers and varying costs for healthcare services — how do you choose?

Online services called healthcare cost transparency tools can help. Available through most health insurance carriers, these tools allow you to compare costs for services, from prescriptions to major surgeries, to make your choices simpler. Ask your Human Resources team for more information.

Managing Maternity Complications

Pregnant woman holding stomach

Pregnancy’s side effects that don’t always get talked about as much as baby names and nursery colors.

Among these complications are anemia, preeclampsia, depression, diabetes, and high blood pressure, just to name a few. While there are specific ways to prevent and treat these various conditions, healthcare professionals agree that there are some general steps that can help act as preventives before pregnancy.

Know your risk factors. Some people are at higher risk of complications than others. That doesn’t mean you can’t have a healthy pregnancy and birth, but it is a good idea to know your risk factors. Being younger than 20 or older than 35 can be a risk factor, as can obesity, anorexia, heart problems, or a history of miscarriage.

 

According to the CDC, in 2021, the maternal mortality rate for non-Hispanic Black women was 69.9 deaths per 100,000 live births — 2.6 times the rate for non-Hispanic White women).

 

Manage your health. Taking care of yourself now can reduce the risks of pregnancy complications down the road. This includes moderating your alcohol intake (and quitting once pregnant) and stopping use of tobacco products. It can also involve losing weight, making sure you’re eating a nutritious diet, and managing existing health conditions such as blood pressure issues or diabetes.

Talk to your doctor now. Prenatal care, or the medical care you receive before becoming pregnant, can help decrease your chances of complications. Based on your medical history, your doctor can suggest steps you can take to increase your chances of a healthy pregnancy.

What are some common complications of pregnancy? | NICHD – Eunice Kennedy Shriver National Institute of Child Health and Human Development (nih.gov)

Pregnancy Complications: Most Common & Risk Factors (clevelandclinic.org)

Adult Preventive Care

doctor talking to patient

We go to the doctor when we’re feeling sick, but it’s just as important to go in for regular visits and tests to catch developing medical issues early.

Most health plans are required to cover a set of preventive services at no cost to you! Below are some common recommendations for adult preventive health. Review your plan documents or talk with your provider ahead of your visit to confirm the service will be covered under your medical plan.

  • Blood pressure reading: Annual blood pressure checks can help reduce your risk of stroke and heart attack.
  • Cholesterol test: Get your cholesterol checked at least every 4 to 6 years.
  • Gynecologist: Persons with a uterus should see their gynecologist annually, according to the Women’s Preventive Services Initiative. Starting at age 21, you should get a pap smear to test for cervical cancer at least every three years (assuming your results are negative) until you turn 65.
  • Mammograms: Mammogram frequency can depend on family history, but guidance from the Women’s Preventive Services Initiative is that they should begin between age 40 and 50 and continue annually or every other year through at least age 74.
  • Prostate exam: Persons with a prostate should be screened for prostate cancer beginning at age 50, or sooner depending on family history.
  • Colonoscopy: This exam is recommended for adults beginning at age 45. Frequency depends on test results and family history.
  • Diabetes screening: Type 2 diabetes and prediabetes screening is recommended for adults 35 to 70 who are overweight or obese.
  • Bone density screening: This osteoporosis test is crucial for persons who have gone through menopause.

Bright Screens, Tired Eyes

man rubbing eyes

Advances in technology allow us to watch content on demand, talk in real-time with someone across the world, or download a book on a whim.

As a result, we spend a lot of time looking at screens. Per a recent study, Americans spend an average of 28 hours a week just on recreational screen time – not factoring in work-related screen time.

As a consequence, digital eye strain, also known as computer vision syndrome, is on the rise. Looking at screens makes your eyes work harder than they would if you were reading printed text or looking at real-world objects. Computer vision syndrome can manifest in eye strain, headaches, blurry vision, and dry eyes. If you already have vision-related issues such as astigmatism or age-related eye changes, you may be at a higher risk of developing computer vision syndrome. (The amount of harmful blue light your eyes experience from screens may also hurt your retinas.)

Give your eyes a break by following the 20-20-20 rule:

If you have off-screen tasks, try to spread them out during the day to give yourself regular breaks. If you experience eye pain, dryness, or ongoing strain, talk to your eye doctor. They may recommend special computer glasses with certain lens designs, tints, or coatings to give your eyes the help they need.

Sources:

https://www.center4research.org/digital-screens-eye-strain-blue-light-glasses/
Computer vision syndrome | AOA

Dealing With Phobias

woman with mouth covered

Fear is a deeply rooted human response that helps keep us safe from dangerous situations. It is the feeling and physical reaction most of us would experience upon encountering a dangerous animal or getting too close to a cliff edge.

Even though we sometimes experience fear in situations that are not life or death – think public speaking or having a difficult conversation with a family member – these experiences rarely keep us from living our lives to the fullest.

Some fears, however, are irrational, persistent, or both, and can hamper people from living healthy and productive lives. Phobias are uncontrollable, persistent, and irrational fears about certain situations, actions, or objects, often divided into two categories: avoidance and reaction. These may range from fear of heights and spiders to going outside or being in tight spaces. Some of these objects and situations are easy to avoid, but some are present in everyday life.

Cognitive-behavioral therapy (CBT) is commonly used to help someone with a phobia learn methods to deal with their fear. CBT helps people learn how to live with and overcome their fears. Professionally guided exposure therapy is also a helpful treatment, especially for people with phobias of specific objects or situations. It gradually brings the person closer to the object of their phobia to help desensitize them to the phobia. Sometimes doctors will also recommend anxiety medications or sedatives for occasional use.

If you are experiencing fears of specific situations or objects that interfere with your daily life, speaking to your doctor or a mental health professional is a great place to start.

Sources:

Phobias | Johns Hopkins Medicine
Therapy for Phobias: What Are the Options? (healthline.com)

The Sunshine Vitamin

woman on stairs in the sun

What vitamin does the human body produce when it is exposed to the sun? Vitamin D! This vitamin is anti-inflammatory and antioxidant, supporting overall health, muscle function, and brain cell activity. It is essential for maintaining bone strength from head to toe.

The amount of vitamin D your skin makes depends on many factors, including the time of day, season, latitude, and your skin pigmentation. Studies have shown that individuals with darker skin pigmentation require longer or more intense ultraviolet radiation exposure to synthesize sufficient levels of vitamin D. If you have darker skin, you tend to make less vitamin D in the sun than people with lighter skin.

Depending on where you live and your lifestyle, vitamin D production might decrease or be completely absent during the winter months. Sunscreen, while important for skin cancer prevention, can also decrease vitamin D production. If your doctor suspects you’re not getting enough vitamin D, a simple blood test can check the levels of this vitamin in your blood. Chronic deficiencies may cause hypocalcemia, a calcium deficiency disease, and hyperparathyroidism, which can produce the following symptoms:

  • Bone fragility, especially in older adults
  • Osteoporosis
  • Bone pain
  • Fatigue
  • Muscle twitching or pain
  • And more

Many older adults don’t get regular exposure to sunlight and have trouble absorbing vitamin D. To boost your levels, you could take a multivitamin with vitamin D and eat foods high in vitamin D, such as egg yolks, cheese, mushrooms, fortified milk and cereals, and more.

Sources:

https://www.medicalnewstoday.com/articles/161618#symptoms
https://www.mayoclinic.org/drugs-supplements-vitamin-d/art-20363792