Body Dysmorphia

Body dysmorphia or body dysmorphic disorder (BDD) is a mental health condition that causes you to unfairly and negatively think about how you see and feel about your body and appearance. A person who has body dysmorphia may feel embarrassed, ashamed, or anxious. Other common symptoms of body dysmorphia include: 

  • Constantly comparing yourself with others 
  • Constantly asking others if you look okay 
  • Not believing others when they say you look fine 
  • Hiding parts of your body under a hat, scarf, or makeup 
  • Constantly checking yourself in the mirror or avoiding them entirely 
  • Constantly grooming or exercising 
  • Picking at your skin with your fingers or tweezers 
  • Seeing several healthcare providers about your appearance 
  • Having unnecessary plastic surgeries 
  • Suicidal ideations 
  • Avoiding social situations 
  • Not leaving the house, especially during the day 

These symptoms can cause severe disruptions in a person’s life, affecting their thoughts, which can undermine their mental and physical well-being. 

Experts estimate that body dysmorphia affects about 2.4% of adults in the U.S. overall, and between 1.7% and 2.9% of people globally. 

Body dysmorphia is most likely to begin in the teen or early adult years. Two-thirds of people with body dysmorphia develop the condition before the age of 18, usually around 12 or 13 years old. However, it can also start in early adulthood. 

Experts don’t fully know how or why body dysmorphia occurs, but they believe multiple factors are involved, such as: 

  • Genetics 
  • Brain structure, chemistry, and activity differences 
  • Cultural influences and popular media 
  • A history of childhood abuse, neglect, or bullying 

People who suffer from body dysmorphia are more likely to have other mental conditions, including: 

  • Anxiety disorders 
  • Depression 
  • Eating disorders 
  • Obsessive-compulsive disorder (OCD) 
  • Substance use disorders 

The symptoms of body dysmorphia can take many shapes as a person who suffers from this condition can excessively focus on one or more parts of the body, such as their: 

  • Face, such as their nose, complexion, wrinkles, acne, and other blemishes 
  • Hair, such as its appearance or any thinning and/or baldness 
  • Skin and appearance of their veins 
  • Breast size 
  • Muscle size and tone 
  • Genitalia  

There aren’t any medical tests that can diagnose dysmorphia. A healthcare provider will perform a medical evaluation to help rule out other medical conditions and may refer you to a mental health professional for further evaluation. The mental health professional will diagnose body dysmorphia based on: 

  • A psychological evaluation, which assesses risk factors, thoughts, feelings, and behaviors related to negative self-image 
  • Your personal, social, family, and medical history 
  • Signs and symptoms that you have experienced 

The treatment for body dysmorphia often can include a combination of: 

  • Psychotherapies, such as cognitive behavioral therapy (CBT) and family therapy 
  • Medications, such as antidepressants 

You may find that negative thoughts about your body are hard to control, and you may even spend hours each day worrying about the way you look. Your thinking can become so negative and persistent that you may think about suicide at times. If you are having suicidal thoughts or behaviors, dial 988 on your phone to reach the Suicide and Crisis Lifeline. If there is an emergency, call 911. 

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Restless Leg Syndrome

Restless legs syndrome (RLS), or Willis-Ekbom disease, is a condition that causes a strong urge to move the legs, typically accompanied by an uncomfortable sensation. This sensation usually occurs in the evening or at night when sitting or lying down. Moving the legs eases the discomfort for a short time.  

There are two types of restless leg syndrome: early onset and late onset. 

Early onset restless leg syndrome is diagnosed before the age of 45, usually runs in your biological family, and progresses slowly. 

Late-onset restless leg syndrome is diagnosed after the age of 45 and progresses more quickly. 

Restless leg syndrome affects between 7% and 10% of the U.S. population and is more common among Caucasian people and females. 

The symptoms of restless leg syndrome include: 

  • An uncomfortable sensation in the legs that causes the urge to move them 
  • A temporary feeling of relief when the legs move 
  • Sensations that worsen while resting 
  • Twitchy legs or leg jerks in the evening and while sleeping 

Restless leg syndrome symptoms can affect sleep and can cause: 

  • Sleep disruptions, difficulty falling or staying asleep 
  • Fatigue or daytime sleepiness 
  • Behavior or mood changes 
  • An urge to get out of bed to stretch or move the legs 
  • Depression or anxiety 
  • Difficulty paying attention, remembering things, or concentrating 

When a person experiences restless leg syndrome, they feel sensations that make them want to move their legs and feet. These sensations include: 

  • Crawling 
  • Itching  
  • Aching  
  • Throbbing 
  • Pulling or tugging 
  • Burning 

There isn’t a known cause for restless leg syndrome. However, researchers believe it may be caused by an imbalance of dopamine, the brain chemical that sends messages to control muscle movement. 

Other factors that may contribute to the risk of developing restless leg syndrome include: 

  • Genetics  
  • Medications, such as antihistamines, antidepressants, or anti-nausea medications 
  • Having an underlying medical condition, such as an iron deficiency 

Other medical conditions can cause restless leg syndrome, including: 

  • Anemia 
  • Pregnancy 
  • Diabetes 
  • Kidney disease 
  • Peripheral neuropathy 
  • Substance abuse disorder 

There are several triggers, such as alcohol, caffeine, nicotine, stress, and certain medications, that can make restless leg syndrome symptoms worse. 

To diagnose restless leg syndrome, a healthcare provider will perform a physical exam to review your symptoms and ask about your medical and family medical history. They may also perform a neurological exam, blood tests, and recommend an overnight sleep study. The criteria they will use to confirm a diagnosis of restless leg syndrome include: 

  • You have the urge to move your legs, usually occurring with uncomfortable sensations like aching or pulling. 
  • Symptoms begin or worsen during periods of rest or inactivity. 
  • You have partial or total relief when stretching, walking, or exercising the affected muscles. 
  • Your symptoms are worse or only occur in the evening or at night. 
  • Another medical condition didn’t cause your symptoms. 

Treating restless leg syndrome includes taking medications or changing your routine at home by following recommended at-home therapies to help relieve your symptoms and help you feel more comfortable.  

If you are experiencing any symptoms of restless leg syndrome, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Lupus Awareness Month

May is observed as Lupus Awareness Month, a month used to educate, advocate, and support those affected by lupus. 

Lupus is an autoimmune disease that occurs when the body’s immune system attacks its tissues and organs. Inflammation caused by lupus can affect many different body systems, such as the joints, skin, kidneys, blood cells, brain, heart, and lungs. 

Healthcare providers sometimes call lupus systemic lupus erythematosus (SLE). It is the most common type of lupus, which means you have lupus throughout your body. Other types of lupus include: 

  • Cutaneous lupus erythematosus- is lupus that only affects your skin 
  • Drug-induced lupus- occurs when some medications trigger lupus symptoms as a side effect. It is usually temporary and might go away after you stop taking the medication that caused it 
  • Neonatal lupus- occurs when babies are sometimes born with lupus. Babies born to biological parents with lupus aren’t certain to have lupus, but they might have an increased risk 

No two cases of lupus are exactly alike. Signs and symptoms may come suddenly or develop slowly, may be mild or severe, and may be temporary or permanent. Most people with lupus have a mild form of the disease characterized by flare-ups, when signs and symptoms may get worse for a while, and then improve or disappear completely for a time. 

The signs and symptoms of lupus you experience will depend on which body systems are affected by the disease. The most common signs and symptoms include: 

  • Fatigue 
  • Fever 
  • Joint pain, stiffness, and swelling 
  • A butterfly-shaped rash on the face that covers the cheeks and bridge of the nose, or rashes elsewhere on the body 
  • Skin lesions that appear or worsen with sun exposure 
  • Fingers and toes that turn white or blue when exposed to cold or during stressful periods 
  • Shortness of breath 
  • Chest pain 
  • Dry eyes 
  • Headaches, confusion, and memory loss 

Lupus likely results from a combination of genetics and the environment. 

People with an inherited predisposition for lupus may develop the disease when they come into contact with an environmental trigger of the disease. Some potential triggers of lupus include: 

  • Sunlight 
  • Infections 

Diagnosing lupus is difficult because signs and symptoms can vary from person to person and may change over time, overlapping with those of many other disorders. 

No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and results of a physical examination can lead to a diagnosis. Blood and urine tests may include: 

  • A complete blood count 
  • Erythrocyte sedimentation rate 
  • Kidney and liver assessment 
  • Urinalysis 
  • Antinuclear antibody (ANA) test 

If your healthcare provider suspects that lupus is affecting your lungs or heart, they may suggest imaging tests that can include: 

  • A chest X-ray 
  • An echocardiogram 

Lupus can harm the kidneys in many ways, and treatments can vary depending on the type of damage it causes. Sometimes, a kidney biopsy is needed to determine the best treatment. A skin biopsy can be performed to confirm a diagnosis of lupus affecting the skin. 

A healthcare provider will suggest treatments for lupus that manage your symptoms. The goal is to minimize damage to the organs and how much lupus affects your day-to-day life. Most people with lupus need a combination of medications to help them prevent flare-ups and lessen the severity of symptoms during a flare-up. Medications you might need include: 

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) 
  • Corticosteroids 
  • Antimalarial drugs 
  • Immunosuppressants 
  • Biologics 

Simple measures can help prevent lupus flare-ups if they occur, and help you to better cope with the signs and symptoms you experience, including: 

  • Seeing your doctor regularly 
  • Being sun smart 
  • Getting regular exercise 
  • Quitting smoking 
  • Eating a healthy diet 
  • Asking your healthcare provider if you need vitamin D and calcium supplements 

If you would like to participate in Lupus Awareness Month, here are some ways you can do so: 

  • Learn about lupus 
  • Support those who are suffering from lupus 
  • Advocate for better research, more care, and more compassion 

For more information about the Lupus Center at the campus of Jamaica Hospital Medical Center or to make an appointment with a lupus doctor, call (718) 206-9888. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Health Benefits of Tai Chi

Integrative health is a progressive approach to healthcare in which leading treatment services offered by modern medicine are combined with a deep understanding of the nature of illness, healing, and wellness.  

This approach combines modern and holistic medicines to help prevent the onset of disease, address existing chronic conditions, and promote healing in patients at the center of a treatment plan that considers their physical, emotional, and social needs. 

A treatment plan that accomplishes this is tai chi. Tai chi has been a tenet of traditional Chinese medicine (TCM) for centuries. Sometimes called meditation in motion, tai chi is a series of exercises that help bring harmony between the body’s energy and mind, by using slow, highly coordinated movements and physical postures with meditation and controlled breathing, aimed to energize and balance the body’s energy, known as qi, pronounced “chi”. According to traditional Chinese principles, when the qi is balanced, the body functions at its best.  

Although tai chi is a low-impact exercise with movements that look leisurely, these movements are bodyweight exercises with physical demand.  

There are hundreds of studies on tai chi, with researchers finding that tai chi has several benefits that may help with numerous health concerns. Here are some health benefits of tai chi: 

  • According to the Centers for Disease Control and Prevention (CDC), falls are the leading cause of death for older adults, with about one in four adults 65 years and older experiencing a fall every year. A review of ten studies on tai chi and balance found that people who practiced it had up to 50% fewer falls than those who didn’t. Both the CDC and the American Geriatric Society recognize tai chi as an effective way to lower fall risk as it helps build stability and strength, increasing balance, which helps prevent falls. 
  • Research indicates that practicing tai chi can slow the progression of dementia by boosting cognition and brain health, as it can help with learning, memory, and other mental functions. Researchers found that older adults who practiced tai chi daily for 12 weeks had more activity in their prefrontal cortex, the area of the brain responsible for higher-level thinking skills. A study conducted by tai chi researcher and Chief of Geriatrics in the Division of General Internal Medicine and Geriatrics at Oregon Health & Science University, Elizabeth Eckstrom, showed that people who practiced a simple form of tai chi called Tai Ji Quan twice a week for six months improved their score on a cognitive test by one and a half points. Additionally, the study showed that if they added a cognitive challenge while practicing tai chi, such as counting backwards from 20 or spelling words backward, their scores jumped by another three points. 
  • Tai chi can bring a sense of calmness and quiet as it focuses on breathing and movement, which takes the mind away from any stressors, helping the stress melt away. One study conducted on participants who are deemed healthy but stressed showed that practicing tai chi for 12 weeks lowered their anxiety levels substantially.  
  • There are studies that have shown that tai chi can reduce blood pressure as well as or better than antihypertensive drugs or other types of exercise. In 2024, one randomized controlled trial published in the Journal of the American Medical Association (JAMA) Open Network assigned 342 people with prehypertension to two groups: one group performed four sessions of tai chi each week, and the other group performed four sessions of aerobic exercise. After a year, both groups displayed lower systolic blood pressure readings. However, the group that practiced tai chi experienced a larger decline of 7.01 mg Hg on average, compared to the aerobic group, which was 4.61 mm Hg. 
  • According to the CDC, one in five people in the U.S. lives with chronic pain that affects their daily life and activities. One review of people with chronic knee osteoarthritis found that they had significantly less pain and better physical function after practicing tai chi. The American College of Rheumatology and the Arthritis Foundation strongly recommend practicing tai chi to manage both chronic knee and hip osteoarthritis, as it helps improve muscle and core strength and coordination, leading to better joint stability. Studies have also indicated that tai chi can help people with fibromyalgia, with research showing it may relieve symptoms even better than aerobic exercise. 
  • In 2021, a review of 23 studies by the National Center for Complementary and Integrative Health found that tai chi improved the exercise capacity, lung function, and quality of life for patients with chronic obstructive pulmonary disease (COPD) due to tai chi’s focus on deep abdominal breathing and movement, which can help increase breathing efficiency and oxygen intake. 
  • Practicing tai chi can help the 10%-30% of older adults who suffer from insomnia. One systematic review of nine randomized trials published in the Journal of Sleep Disorders and Therapy reported that older adults who practiced tai chi one and a half to three hours a week significantly improved their sleep quality and had an enhanced functional ability. What’s more, Elizabeth Eckstrom’s research showed that people fell asleep 17 minutes sooner and slept 42 minutes longer after doing tai chi.  

There is also other research that has linked tai chi to lower cholesterol and inflammation levels, and evidence that it may help reduce complications of Parkinson’s disease as well. 

If you are interested in learning more about any of our integrative health services, events, or classes, or would like to schedule an appointment, please call us at (718) 206-5675. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Why Spring is A Good Time to Rebuild Healthy Routines

Spring has finally arrived, and with it comes warm weather, blooming flowers and trees, and longer days. It is a time for renewal and rejuvenation, and as we thaw out from winter, we may realize that spending most of our time indoors has caused us to fall into sedentary habits, such as binging comfort foods, not exercising, and other sluggish routines.  

However, spring is the perfect time to refresh your health goals, rebuild healthy routines, and establish new habits. Here are some ways you can reset for the season: 

Spring cleaning usually relates to deep cleaning our homes and decluttering our closets. However, it can also be a great way to reset your mindset. A clutter-free environment can help encourage mental clarity, productivity, and relaxation. You can start spring cleaning by organizing your workspaces, donating unused clothes and items, and deep-cleaning busy areas to create a space that feels new and cheerful. You can also declutter any digital spaces, such as emails, phone apps, and limit screen time, which can promote a more mindful relationship with technology. 

Warmer temperatures and longer daylight hours make springtime the perfect time to take advantage of the sun. It allows us to enjoy its benefits, as it can boost our mood and energy. The spring sun recharges us with the vitamin D we were lacking after a cold and dreary winter. The sun also helps regulate circadian rhythms, which improves sleep and overall well-being. Even taking a short daily walk during the daytime can increase mental clarity and reduce stress. It is important to note that you should put on sunscreen, wear sunglasses, wide-brimmed hats, and garments with long sleeves and pants while outside to help prevent skin cancer.  

Spring is a great time to assess your work-life balance and make the necessary adjustments that support your well-being. If you suffered from seasonal affective disorder or felt burnt out during winter, spring is an opportunity to rebalance work and life for less stress. Prioritize self-care and set boundaries. Make time for activities that bring you joy and happiness, such as engaging in your favorite hobbies, socializing with friends, or spending time with family. It is also important to schedule breaks, time outdoors, and moments of relaxation. A healthy work-life balance can increase mental clarity, motivation, and happiness, which can help you enter spring with restored energy and focus. 

Warm spring weather provides the perfect temperature to move your workout outdoors. The standard minimum recommended time for moderate-intensity physical activity is 150 minutes per week. Whether it’s a morning jog, yoga in the park, evening walks, or gardening, it will do as long as your muscles are activated, and you do it consistently. Exercising in the sunshine adds a mood-enhancing benefit, as being amongst nature helps reduce cortisol levels, which improves heart health.    

The longer days of spring may also benefit sleep health. The natural light of the sun during the day helps regulate the body’s melatonin production and improve your sleep quality and energy levels. Create a relaxing evening routine by winding down with calming activities such as reading, meditating, or gentle stretching. Try to avoid consuming caffeine or heavy meals late in the evening, as they can disrupt restfulness.  

Spring is the time for new beginnings, which makes it an excellent time to focus on mental wellness. Mindfulness practices, such as meditation, deep breathing, or journaling, can help decrease stress and gain clarity. Take a few minutes each day to practice gratitude, as it can change your mindset and improve your emotional well-being. Think about establishing seasonal goals that fit your values, whether it is improving your fitness, learning a new skill or language, or creating more balance in your life. Connecting with nature, practicing self-reflection, and letting go of old habits can refresh your outlook, which can help you feel more grounded and at peace. 

This season of renewal is a great time to make dietary changes. Trade in heavy, processed foods for seasonal fruits, vegetables, and lighter meals that support digestion and energy. Focus on eating foods that are rich in nutrients, such as berries, leafy greens, citrus fruits, and lean proteins. It is also important to hydrate. Increase your water intake and try drinking herbal teas or lemon water to support natural detoxification. Evaluate your eating habits and identify areas where there can be improvement. Decrease your consumption of excess sugar, refined carbs, and artificial additives. Replace them with foods that are rich in fiber, healthy fats, and lean proteins. Add more fermented foods such as yogurt and kimchi, as they can also promote gut health, boost digestion, and immunity. 

Spring can be a seasonal reset, as it allows you to feel more energized, balanced, and refreshed. Incremental changes such as spending more time outdoors, improving your diet, prioritizing rest, and tidying up your space can make a major impact on both your physical and mental well-being. Embracing renewal and positive habits can help you enter spring rejuvenated, filled with happiness, vitality, and personal growth. 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Botox for Migraines

Chronic migraines are a severe, recurring type of headache that is often debilitating. Migraines have four phases, which are prodrome, aura, migraine headache, and postdrome. 

Although the exact cause of migraines is unknown, researchers believe genetics is a factor.  

There are a few conditions and lifestyle factors that can trigger a migraine, including: 

  • Anxiety 
  • Bipolar disorder 
  • Depression  
  • Epilepsy 
  • Sleep disorders 
  • Caffeine or withdrawal from caffeine 
  • Taking certain medications or taking them too often 

Migraines are more likely to occur in the morning, making it common to wake up with a migraine. Some people have a predictable pattern of migraines, such as just before a menstrual period. Other people may have trouble recognizing what triggers their migraines. 

There is no cure for migraines, but they can be managed and prevented with over-the-counter triptans and pain relievers. 

Another treatment that can be used for chronic migraines is Botox. Botox for migraines is a type of botulinum toxin that may prevent chronic migraines and is only recommended by a healthcare provider if a person has 15 or more headaches per month. 

Although Botox is mostly known for its cosmetic use, it has medical benefits, such as blocking pain signals before they reach the brain, as certain nerves are highly active during a migraine.  

To prevent this from happening, a healthcare provider injects Botox into specific muscles in the head, neck, and shoulders using a tiny needle. These areas connect to the nerves that send pain signals during a migraine. Botox travels along these connected nerves towards the brainstem and blocks the release of chemicals that trigger pain. This may reduce how often a person gets a migraine or make their symptoms less severe when they experience one.  

Before receiving Botox for migraine treatment, you will meet with your healthcare provider, who will explain the risks and benefits of it and make sure that it is a safe option for you. If you agree to move forward, you will sign a consent form. 

It is important to let your healthcare provider know about any medications and supplements that you are currently taking, as Botox may interact with different types, such as muscle relaxants.  

Botox has many side effects, including: 

  • Mild pain and bruising at the injection site 
  • Neck pain and stiffness  
  • Headache  
  • Flu-like symptoms 
  • Temporary changes in appearance 

These side effects are usually minimal and will clear up. Let your healthcare provider know if you are experiencing any severe pain or discomfort. 

The main benefits of Botox for migraines are that it reduces: 

  • The severity of migraines
  • The frequency of migraines
  • The duration of migraines 

Botox for migraines has other benefits, including: 

  • It’s effective with long-term use and has minimal complications 
  • It can be combined with other migraine medications 
  • The side effects may be better tolerated than other medications available 

Chronic migraines can be painful and debilitating, and trying to find the right treatment to provide relief can be difficult and frustrating. If you are suffering from chronic migraines and haven’t found the right treatment options to relieve your symptoms, discuss Botox treatment for migraines with your healthcare provider.  

If you are experiencing any symptoms of chronic migraines and are interested in Botox for migraines, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Eating Disorder Awareness Week

National Eating Disorder Awareness Week (NEDAW) takes place February 23rd – March 1st. NEDAW raises awareness about eating disorders, challenges stigma, and provides hope and support to all who have been impacted by these conditions.  

Eating disorders are serious mental health conditions that can cause unhealthy relationships with how a person thinks about food, eating, weight, and how they see themselves. If eating disorders aren’t treated effectively, they can become long-term problems and can be fatal in some cases.   

Eating disorders are common. According to the National Eating Disorder Association (NEDA), studies show that 28.8 million people in the U.S. will have an eating disorder in their lifetime. 

There are several types of eating disorders. They include: 

  • Anorexia nervosa restricts food and/or caloric intake, and creates a fear of gaining weight and a distorted self-image 
  • Bulimia nervosa causes a person to binge or eat large amounts of food in a short amount of time, or believe that the food intake was large, which is followed by purging the food by vomiting or with the use of laxatives, or excessive exercise 
  • Avoidant/restrictive food intake disorder (ARFID) limits the amount or type of food eaten for reasons unrelated to a distorted self-image or an attempt to lose weight 
  • Binge eating disorder causes a person to eat or think there is a large amount of food in a short time, followed by feelings of shame, regret, guilt, or depression 
  • Pica causes a person to compulsively swallow non-food items, such as chalk, dirt, or paint 
  • Rumination disorder causes undigested food to return to a person’s mouth after swallowing it. Food is then rechewed, re-swallowed, or spit out 

It may be difficult to spot an eating disorder in a loved one, as they can often mimic some dietary or lifestyle changes. What’s more, you may not be able to tell if someone is suffering from an eating disorder by looking at them. Eating disorders have several signs and symptoms, including: 

  • Mood swings 
  • Fatigue 
  • Fainting or dizziness 
  • Thinning hair or hair loss 
  • Unexplained weight changes or drastic weight loss 
  • Unusual sweating or hot flashes 

Behavioral symptoms of eating disorders include: 

  • Restrictive eating 
  • Eating a lot of food in a short amount of time 
  • Avoiding certain foods 
  • Forced vomiting after meals or misuse of laxatives 
  • Compulsive exercising after meals 
  • Frequent bathroom breaks after eating 
  • Withdrawing from friends or social activities 
  • Hiding food or throwing it away 
  • Food rituals, such as chewing food longer than necessary or eating in secret 

These symptoms look and feel different for each person and vary depending on the type of eating disorder they have, and can affect their health, emotions, and ability to function in important areas of life 

If a person has an eating disorder, they may experience several feelings, including: 

  • Food is their enemy, or it can harm them 
  • They did something wrong or shameful after they ate food 
  • They aren’t the correct weight or body size 
  • They are perceived negatively by other people 
  • They are “failing” if they don’t meet certain food or weight requirements 
  • What and how they eat is the only thing they can control in their life 
  • They don’t want to spend time with others due to the fear of being judged 

There isn’t an exact known cause for eating disorders. However, research has suggested that several factors can lead to a person developing an eating disorder, including: 

  • Genetics 
  • Brain biology 
  • Underlying mental health conditions 
  • Cultural and social ideals 

Eating disorders can be developed by anyone at any age but are most common among adolescents and teenagers. A person may be at increased risk of developing an eating disorder if they: 

  • Have a history of eating disorders or other mental health conditions in their biological family 
  • Have an underlying mental health condition such as anxiety, depression, or obsessive-compulsive disorder (OCD) 
  • Experienced a physical, emotional, or sexual trauma 
  • Participate in activities where their weight or body size is a factor, such as swimming, gymnastics, or wrestling 
  • Have gone through a major change, such as starting a new school or job, a divorce, or a move 
  • Have type 1 diabetes. Studies have found that up to 25% of women with type 1 diabetes develop an eating disorder 
  • Has a driven personality and is a perfectionist 

Untreated eating disorders can cause a person to have several serious health complications, as severely restricting calories, vomiting, or extreme exercise can take a toll on their physical health. Complications include: 

  • Arrhythmia, heart failure, and other heart problems 
  • Stroke  
  • Gastrointestinal problems 
  • Acid reflux 
  • Low blood pressure 
  • Osteoporosis 
  • Organ failure and brain damage 
  • Severe dehydration and constipation 
  • Stopped menstrual cycles 
  • Tooth damage 

A healthcare provider may diagnose a person’s eating disorder by reviewing their symptoms, performing a physical exam, and ordering imaging, blood, or urine tests.  

A mental health professional, such as a psychologist or psychiatrist, can also diagnose an eating disorder by conducting a psychological evaluation to learn more about a person’s eating behaviors and beliefs. They will use the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR) to make a diagnosis. The DSM-5-TR outlines symptoms for each type of eating disorder. 

Treatments for eating disorders can vary by type, but they can include: 

  • Psychotherapy, such as cognitive behavioral therapy (CBT) 
  • Medications such as antidepressants, antipsychotics, or other medications 
  • Nutrition counseling from a registered dietitian 

As a mental health condition, your feelings about food or your body image may put you at risk of suicide or suicidal thoughts. If at any time you feel overwhelmed or need someone to talk to, call or text 988 to reach the Suicide and Crisis Lifeline (U.S.). Someone is available to help you 24/7. 

If you or a loved one is experiencing symptoms of an eating disorder and needs the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. Call 911 if there is an emergency. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Do Using Smart Rings Actually Help You Be Healthier?

Recently, technology has brought us fitness trackers and smart watches that can help us track our workouts, daily steps, and even monitor our sleep, stress, heart rate, and blood oxygen levels.  

However, smart rings have become another way to track our health, and can be used to monitor movement, body temperature, sleep, heart rate, stress, as well as menstrual cycles. 

Unlike smartwatches, smart rings don’t have screens to view these health metrics. Instead, they use a Bluetooth connection to send health data to your smartphone.  

When a smart ring detects a person’s cardiovascular health, it uses infrared photoplethysmography technology (PPG), which uses a light source and a photodetector on the surface of the skin to measure the variations in blood circulation. These variations can estimate heart rate variability, blood oxygen saturation, blood pressure, and artery stiffness.  

Out of the different sensors a smart ring has, the PPG is the most studied one due to its proposed accuracy in tracking heart rate and monitoring overall cardiovascular health. However, most studies note that they are significantly less accurate than medical-grade technology.  

According to the National Library of Medicine, in a study with 35 healthy individuals, researchers compared the heart rate and heart variability measured by a smart ring with an ECG during the night. Results showed that some health parameters matched the medical-grade measurement, but most were inaccurate. 

To monitor body temperature, smart rings use a sensor called a thermistor, which estimates body temperature based on a person’s skin temperature. Smart rings also use this feature to assess stress levels and identify other bodily issues. However, a systematic review of the sensors and functionalities of wearable health technology, like a smart ring, indicates that these devices may not accurately indicate a person’s core body temperature, as researchers point out that a person’s skin temperature is a few degrees Fahrenheit lower than their body’s temperature.  

What’s more, researchers emphasize that a person’s skin temperature fluctuates based on environmental conditions. When considering these two factors, it may be assumed that the thermistor sensor won’t be accurate. 

Companies that produce smart rings have detailed the use of a variety of sensors to support women’s health. This feature relies mostly on the smart ring’s temperature feature, which they claim to use to track menstrual cycles and fertility windows. 

Numerous studies have examined the accuracy of smart rings, which have produced promising results. According to the National Library of Medicine, in a pilot study with 22 participants, researchers used a smart ring to analyze temperature changes during the menstrual cycle. They discovered that the temperature readings were consistent with oral temperatures that were taken with ambulatory equipment.  

In a separate study with 26 participants, it was found that this study was consistent with the previous study’s findings, demonstrating that smart rings could be a beneficial tool for monitoring menstruation. This study also detected that there was a significant temperature drop around ovulation, highlighting that smart rings could be an additional tool to track fertility. 

Although these results are promising based on limited studies on smart rings, further research is needed as they are not 100% accurate.  

Most of the smart rings on the market combine various metrics such as heart rate, heart rate variability, body temperature, and movement, to estimate a person’s daily stress levels and provide tips to reduce them. 

According to the National Library of Medicine, research suggests that there is a connection between stress and decreased parasympathetic regulation, the regulation that affects heart rate, heart rate variability, and respiratory rate. These are changes that a smart ring could potentially detect.  

Additionally, a study with 525 college students explored this subject further. The study indicated that sleep data from smart rings could help predict stress. Notably, some experts do not consider smart rings as promising as research, as they highlight the negative effect smart rings may have on mental health. The reason is that while smart rings are promoted as a tool to shift lifestyle habits, they may cause the opposite effect, noting that constant monitoring of health metrics can create obsessive behaviors and paranoia about a person’s well-being. It could also be harmful to a person’s self-confidence, as a person may feel like they are not meeting the expectations and goals that a smart ring sets for them. 

Smart rings can perform a sleep analysis by tracking a person’s heart rate, blood oxygen, and sleep cycles. They may also include features, such as a snoring score and a recovery metric that indicates energy levels before a person starts their day.  

Polysomnography (PSG) is used to track sleep, which uses a variety of signals such as brain activity, eye movements, muscle activity, blood pressure, heart rate, and more. Although smart rings are not as accurate as PSG, researchers have been drawn to them due to the smart ring’s potential to monitor a person’s sleep at home comfortably.  

Any current evidence on smart rings for tracking sleep is still very limited and conflicting. While some small studies highlight their potential. However, studies with bigger sample sizes indicate that smart rings can over- or underestimate some sleep parameters. A study in the National Library of Medicine compared the accuracy of several health technology devices on 35 individuals overnight. The study found that a smart ring surpassed the accuracy of smartwatches in various sleep parameters such as wake, light sleep, deep sleep, and REM sleep. 

Smart rings can measure a person’s physical activity with two sensors: an accelerometer that tracks movement and speed, and a gyroscope that helps determine orientation. Smart rings gather data from these motion sensors, as well as the PPG and body temperature trackers, to understand how physical activity affects the body.  

Research is limited in this area; however, a study in the National Library of Medicine focused on the accuracy of smart rings in measuring caloric expenditure and steps. The results indicated that smart rings were far from accurate, causing researchers to note the need to improve these devices, specifically their estimation of energy expenditure. 

Another study on step count was consistent with a study that indicated a smart ring overestimated step count, compared to a medical-grade device to detect motion called ActiGraph. 

A systematic review on wearable tech devices supported the findings of the studies, noting that they may be useful for estimating step count but shouldn’t be trusted to measure calorie expenditure. 

Smart rings and other wearable devices that can track a person’s health can be useful. However, it is important not to use them to self-diagnose conditions. It is important to see a healthcare provider when experiencing any symptoms to professionally diagnose conditions.  

If you are experiencing any medical problems, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Does Negative News Affect Your Mental Health?

Current events in the news have been very tense, stressful, and depressing. The constant barrage of negative news on local and cable news stations, as well as social media, feels never-ending.  

Watching or reading the news can have a negative impact on our mental health.  

When we watch news footage that upsets us, our body’s “fight or flight” response is activated. Adrenaline and the stress hormone cortisol are released, causing us to experience symptoms similar to those we feel when we are in danger, such as a rapid heart rate, shallow breathing, and an upset stomach, among others. 

Negative news can increase symptoms of depression and anxiety. According to Mental Health America (MHA), one study found that people showed an increase in symptoms after only 14 minutes of news consumption. The symptoms worsen when people feel they have no ability to improve the situations they are learning about on the news.  

As these symptoms worsen, they can cause a person to doomscroll. Doomscrolling is when a person actively seeks saddening or negative material to read or scroll through on social media or news media outlets. Doomscrolling can also greatly impact your mental health as it reinforces negative thoughts and a negative mindset, and can also cause feelings of: 

  • Apprehension 
  • Sadness and anger 
  • Uncertainty about the future 

Doomscrolling has many potential effects, including: 

  • May worsen mental health issues 
  • May lead to insomnia 

Doomscrolling can be attributed to someone relying on social media for their news, which can drive addictive behavior. In 2020, the Pew Research Center found that about 53% of U.S. adults said they “often” or “sometimes” get their news from social media. Among the social media sites where they get their news from, 36% of Americans regularly get their news from Facebook, 23% from YouTube, and 15% from Twitter/X.  

Regularly getting your news can be detrimental as clickbait headlines, mis- and disinformation, and social media algorithms are designed to keep you coming back for more, making it difficult to stop returning to apps for your news.  

People are more likely to be negatively affected by the news when it is personally relevant to them and when they share an identity with the people involved in the news story. This is the case for members of the BIPOC and LGBTQIA+ communities because they are more often targets of violence and hate crimes. 

With all the negative news, there are many ways to support ourselves and each other during these times, such as: 

  • Identifying your triggers by taking time to think about the topics that cause symptoms of anxiety and depression, so you can limit your consumption of media with triggering content 
  • Reading the news instead of watching news videos. Studies done by the American Psychological Association (APA) show that this can be less triggering due to written news articles containing less disturbing imagery 
  • Limiting your time watching or reading the news. Although doomscrolling may help you feel more informed, it ultimately does more harm than good. Aim for no more than 30 minutes a day if possible 
  • Engaging in an enjoyable activity after taking in the news to help you decompress 
  • Getting involved with a group that is working on the issues you are passionate about can help you feel empowered to make a change instead of feeling helpless about the world around you 
  • Joining a supportive community of people who share a common identity, such as an affinity group, can help foster resilience and create solidarity during these difficult times of prejudice or injustice 
  • Being conscious of where your news sources come from, as some can be more based on opinions than facts. Make sure the information you’re getting is accurate and provides diverse perspectives 
  • Focusing more on what brings you joy and happiness, such as engaging in social activities, spiritual practices, physical movement, mindfulness and gratitude practices, creative hobbies, journaling, or spending time with a pet 

Today’s 24-hour news cycle can seem difficult to stay clear of. If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Tips to Help You Keep Your New Year’s Health Resolutions

Every New Year’s Eve, we ambitiously make resolutions that we intend to keep. Unfortunately, keeping those resolutions is easier said than done.  

For many of us, we set many long-term goals as a New Year’s resolution. Setting long-term goals, such as losing a certain amount of weight without a plan or outline of specific ways to accomplish that goal, often sets us up for failure. This is why experts recommend that we achieve long-term goals by making a plan and taking small incremental steps that help us change our behaviors over time. These behavioral modifications must be repeated for them to become routine. 

Here are some additional tips to help you stay on track with keeping your New Year’s resolution: 

  • Instead of stopping an old habit, try starting a new habit. Rather than stop eating candy, try to eat more fruits and vegetables. Starting a new habit can push an old habit aside, which may make it more likely that you will stick with your new routine 
  • Add another habit onto one of your current ones. For example, you can do stretches after brushing your teeth. Pairing a new habit with an old or current one can be an effective way to create a long-term lifestyle change 
  • Focus on the process of achieving your goal rather than focusing on the outcome. Fixating on the outcome can cause you to be discouraged when you have trouble accomplishing that goal 
  • Track your progress by using an app, journal, or calendar to help you monitor the progress you are making. Keeping data on your progress can be a positive reinforcement and help keep you accountable 
  • Plan ahead by considering any challenges you may face while trying to keep your resolution. For example, if you are trying to eat healthy, think about what you are going to buy at the grocery store or what you may order at a restaurant. If you are trying a new exercise routine, schedule when you are going to exercise so it doesn’t conflict with any other activities 
  • Give yourself grace when you make a mistake. Being negative and self-critical when you mess up may make you less likely to stick to your new habits. Be more compassionate with yourself and be as consistent as you can  

If you would like help keeping your New Year’s health resolutions, you can schedule an appointment with a physician at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.