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Mental Health

Mental health is a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community. Mental health includes our emotional, psychological, and social well-being.

how to prevent job burnout

How To Prevent Job Burnout: Using The Allostatic Load Stress Calculator

How To Prevent Job Burnout: Using The Allostatic Load Stress Calculator Read More »

Did you know that safeguarding your well-being from job burnout can be simple using the Allostatic Load Calculator (ALI)? In today’s fast-paced work environment, chronic stress has become a pervasive issue, taking a toll on our physical and mental health. The ALI empowers individuals to assess the impact of stress on their bodies by studying the intricate interplay between inflammatory, neuroendocrine, and metabolic systems. At its core, allostatic load refers to the physiological consequences of chronic exposure to fluctuating or heightened neural or neuroendocrine responses, primarily arising from stress. To put it simply, it’s the wear and tear on our bodies due to chronic stress. Discover effective strategies on how to prevent job burnout through the assessment of allostatic load, gaining valuable insights into maintaining a healthy work-life balance and fostering resilience against the deleterious effects of chronic stress. Before delving into how the allostatic load calculator works, it’s essential to understand the broader concept of ‘allostasis.’ Unlike ‘homeostasis,’ which strives to maintain internal stability, allostasis pertains to the process by which the body adapts to stressors by establishing new norms. Essentially, it’s the body’s response to cope with stress at the expense of its natural norms, whether it’s a looming work deadline or a sudden scare. This article was last reviewed by Mai Saleh, Healsens, on January 22, 2023. This article was last modified on 21 January 22, 2023. Package of lab tests to calculate your allostatic load: IN THIS ARTICLE 1 For Whom is This Product Intended? 2 Study Your Allostatic Load to Understand How to Prevent Job Burnout 3 How to Prevent Job Burnout Unlocking Your Allostatic Load 4 Ordering Blood Tests RELATED ARTICLES For Whom is This Product Intended? If you engage in a high-stress job or face prolonged personal challenges without relief, this can result in chronic allostatic load. When such a load lasts for years, we can talk about the cumulative effect of allostatic load. It would not be an exaggeration to say that those with a high allostatic load are often at a greater risk of several health challenges, including: While stress is an inevitable part of life, its impact on our bodies doesn’t have to be. Just as understanding your biological age can inform lifestyle changes to reduce health risks, comprehending your allostatic load can guide interventions on how to prevent job burnout and address the associated challenges stemming from stress at home. This holistic approach addresses not only workplace stressors but also those encountered in personal life, ensuring a comprehensive strategy for maintaining overall well-being. As we delve into the significance of the Allostatic Load Calculator, we can appreciate its proactive approach to mitigating job burnout and other chronic stress, preserving long-term well-being. Study Your Allostatic Load to Understand How to Prevent Job Burnout Allostatic load cannot be directly observed because it is a latent and unobservable trait, but it’s possible to estimate it by summarizing data from a number of appropriate clinical biomarkers. The main reason is that it provides valuable information about your overall health status and can help identify areas for improvement. By undergoing an allostatic load blood test, you gain a comprehensive insight into the cumulative impact of stress on your body’s physiological systems. This not only enables early detection of potential health risks but also empowers you with the knowledge needed to proactively manage and optimize your well-being. In the quest to prevent job burnout, home measurements are as essential as blood test results. Assessing body composition with a measuring tape at home plays a crucial role in understanding your allostatic load. Monitoring changes in your body composition offers an accessible and practical method for tracking the physical effects of stress. From cardiovascular health to cognitive function, and now body composition, the results of these assessments collectively offer a roadmap for targeted interventions, guiding you towards a healthier, more resilient lifestyle. How to Prevent Job Burnout Unlocking Your Allostatic Load You can find out your allostatic load by taking blood tests, as well as taking some measurements of your body parameters. For residents of the Netherlands, the test package is available via the reference link above or through the Healsens app. Since the calculation requires not only blood tests but also measurements of body parameters, installing the Healsens app and ordering tests from it can be more convenient. Additionally, when ordering tests through the app, the results will be sent automatically. However, both options are equally effective. Ordering Blood Tests 1 Download the Healsens App from Google Play or the App Store, depending on your device. 2 Complete the registration process in the app. 3 Go to the “Risks” page via the bottom menu of the application. 4 Tap on the test you need — ”Allostatic Load Index (ALI)” 5 Tap on the “Add to Cart” button inside the test page and proceed with the ordering process. Process of taking blood tests in: Labplusarts ↗ Bloedwaardentest ↗ *For Residents of Other Countries: If you wish to assess your allostatic load but are not a resident of the Netherlands, Healsens cannot facilitate blood tests for you. However, you can take the necessary tests at any other laboratory in your country and input the obtained results into the application. Note If you order a blood test package through other labs, you need to manually enter the blood test results into the app. Because the app has no information about the person placing the order, this is necessary for the correct processing of the results. To receive the results directly in the app, install the app, choose the desired lab test package, and place the order directly from the app. When the order is placed from the app, the system recognizes your profile, and the results can be received automatically!

Соотношение кортизол/ДГЭА-С

Cortisol/Dhea-S Ratio Of Longevity

Cortisol/Dhea-S Ratio Of Longevity Read More »

A complex interaction between cortisol and dehydroepiandrosterone-sulphate (DHEA-S) is crucial in the stress system balance. In particular, significantly higher or lower cortisol/DHEA(S) ratios have been associated with depression and aggression. In general, DHEA-S levels affect various body systems, as well as prevent aging (Chahal and Drake 2007). That is why the Cortisol DHEA ratio is a very informational indicator, which, along with other indicators calculated in Healsens, provides important information about human health. Thus, using the ratio of cortisol / DHEA-S, you can assess body responses to exercise or evaluate mental health. Another benefit is that you can check your cortisol and DHEA-S levels at home. This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on 4 March 2021. How Cortisol and DHEA Sulfate Affect the Body Let’s start by looking at how cortisol and DHEA-S affect overall health. Dehydroepiandrosterone (DHEA) and cortisol are produced in the adrenal glands and are both derived from pregnenolone. So, DHEA and DHEA-S production reaches its peak at the age of 20–30 and then declines progressively with age. When it comes to cortisol levels, while some studies show that cortisol increases with age, others do not support this observation. However, everyone agrees that the reduction in DHEA-S entails disruption of various physiological systems. Stress Level As mentioned above, DHEA and DHEA-S play a protective role during acute stress as an antagonist to the action of the stress hormone cortisol. In turn, cortisol also helps to effectively manage stress. Let’s see how this happens. About 15 minutes after a stressful situation, cortisol levels rise and remain elevated for several hours. This marks the onset of stage 1. During this stage, there are elevations in cortisol with no corresponding changes in DHEA. Subsequently, glucose is mobilized, non-essential organ systems are suppressed, and inflammation is reduced. All of these physiological responses collectively enable the body to effectively cope with stress. However, in cases of chronic stress, this adaptive reaction can take a catastrophic turn: cortisol loses its ability to function normally. This transition ushers in stage 2. In this latter stage, the persistence of stress leads to a sustained peak in cortisol levels, matched by a corresponding elevation of DHEA. IN THIS ARTICLE 1 How Cortisol and DHEA Sulfate Affect the Body 2 Assessing Exercises 3 Adrenal/DHEA Restoration RELATED ARTICLES It becomes increasingly challenging to maintain appropriate blood sugar levels, to allow for adequate rest, to achieve high-quality sleep, and to achieve a harmonious balance among other hormones. This signals the arrival of stage 3, wherein stress persists and becomes chronic. During this stage, cortisol levels decrease, while DHEA remains elevated. In the absence of timely intervention, prolonged adrenal hyperstimulation can result in adrenal exhaustion. This condition is eventually manifested by a decline in both cortisol and DHEA, a phase often denoted as adrenal exhaustion or stage 4. Ultimately, this process may culminate in adrenal failure. Thus, the optimal ratio between salivary cortisol and DHEA is approximately 5:1 to 6:1, serving as an indicator of a normal state of adaptation to stress. When the body’s ability to maintain its normal stress adaptation is compromised, a process known as stress maladjustment can ensue. This phenomenon is now recognized as a chronic stress response, often identified by terms like pregnenolone steal, cortisol escape, or an elevated cortisol to DHEA ratio. The longer one remains in a state of chronic stress, the more pervasive its negative impact becomes on various aspects of physical well-being. As a result, individuals grappling with depression or heightened anxiety levels (measured at 0.24 ± 0.03 in the healthy group compared to 0.41 ± 0.12 in the group of individuals with severe anxiety), along with those dealing with post-traumatic stress disorder, exhibit disruptions in the cortisol to DHEA ratio. Nevertheless, it’s worth noting that certain studies have demonstrated the potential of DHEA treatment to mitigate the adverse health effects associated with stress. Musculoskeletal disorders We have already mentioned that cortisol dysfunction entails disorders of the musculoskeletal system. Thus, the higher the cortisol / DHEA-S ratio, the more serious the risk of this problem. Moreover, multiple regression analysis showed that the independent risk factor for sarcopenia was a serum cortisol/DHEA-S ratio ≥ 0.2. Sarcopenia is a type of muscle loss that occurs with aging and/or immobility. Immunity and Cortisol DHEA Ratio In addition, an increase in the cortisol / DHEA-S ratio with age (Phillips et al. 2007) is associated with immune dysfunction and the risk of infection in the elderly due to the fact that DHEA-S enhances immunity. However, cortisol has an inverse immunosuppressive effect (Buford and Willoughby 2005). It is also worth adding that DHEA-S is known for its antioxidant properties. Metabolic Syndrome Various studies have shown that both cortisol and DHEAS are related to metabolic syndrome, and type 2 diabetes. While high cortisol concentrations are associated with an increased risk of metabolic syndrome, high DHEA-S levels appear to be protective. By far, the strongest associations were observed for the cortisol / DHEA-S ratio. According to observations, the higher the coefficient, the greater the risk of metabolic syndrome. This ratio is also strongly associated with four of the five components of metabolic syndrome. Alzheimer’s Disease The cortisol / DHEA-S ratio may also be crucial in Alzheimer’s disease. For example, some studies have found a link between the cortisol / DHEA-C ratio and a decrease in hippocampal volume. It is worth saying that a decrease in the volume of the hippocampus is one of the early diagnostic signs of Alzheimer’s disease. This finding has been confirmed by other studies, observing the relationship between cortisol / DHEA-S and hippocampal atrophy (HA). For example, such a direct relationship was observed in patients with Cushing’s syndrome. Moreover, HC volume partially recovered following treatment-induced cortisol decrease. However, not all studies support this association within normal cortisol levels in healthy people. To sum up, the ratio of cortisol / DHEA sulfate can reflect: Assessing Exercises DHEA (Aldred et al. 2009; Cumming et al. 1986) and DHEA-S (Tremblay et al.

Kirtan Kriya

Discover The Benefits Of Kirtan Kriya For Stress Reduction

Discover The Benefits Of Kirtan Kriya For Stress Reduction Read More »

A growing number of medical studies confirm that Kirtan Kriya (KK) meditation is not only a stress management tool, but can also aid in the treatment of cognitive impairment, memory improvement and, as a result, it plays a role in Alzheimer’s Disease Prevention. KK has also been proven to improve sleep, reduce depression, reduce anxiety, activate immune system genes, and even increase telomerase. Therefore, it is obvious that we paid our attention to Kirtan Kriya benefits for a reason, since it has already passed a rigorous randomized controlled trial (RCT) design. So, its effectiveness has been confirmed experimentally. We will start by telling you more about the research carried out. Hopefully, after reading this, some of you will make this wonderful practice a part of your healthcare plan. This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on 7 March 2021. Cognitive Function and Memory Improvement There are many studies proving that yoga practices are increasingly shown to be effective for the treatment of age-related cognitive issues. Let us start with a 2017 12-week study that tested the effects of kundalini yoga training on mild cognitive impairment (MCI). What makes this study interesting is that the results of yoga practice were compared with the results of training to improve memory MET. MET was developed by researchers within the UCLA Longevity Center. It is well studied and has become a gold standard intervention for cognitive training. At the same time, improvement in memory with MET training is observed in both healthy people and people with cognitive problems. Thus, MET provides a rigorous control for KY meditation. It also needs to be noted, that cognitive decline is a strong predictor of Alzheimer’s disease leading to dementia. Overall, the study provides evidence of the benefits of Kundalini yoga, including Kirtan Kriya, for improving cognitive function in individuals with MCI The Design Research The trial participants were gathered among the people ≥55 y.o. with a mild cognitive impairment. To assess the impact of training, 2 different groups were created. So, part of the people randomly got into a 12-week program on kundalini yoga (KK). All others were involved in the MET memory improvement training, which we wrote about above. IN THIS ARTICLE 1 Cognitive Function and Memory Improvement 2 Kirtan Kriya Helps to Improve Mood 3 Better Sleep 4 Influence at Telomere Length and Activity 5 As alternative Treatments for Depression 6 How to do Kirtan Kriya Practice RELATED ARTICLES In addition, all program participants were administered extensive tests assessing their cognitive abilities. Researchers assessed their verbal and visual memories, visual-spatial skills, individual executive, and executive functions. People were also tested for depression, present symptoms of apathy, and psychological resilience to stress. You can also take these tests by downloading👇 the app. The participants of the experiment passed such testing several times. The tests were passed at baseline (pre-intervention) and repeated at 12 and 24 week post-intervention. Let’s say a few more words about what exercises were performed in the yoga group. First, once a week the participants would hook up for a 60-minute kundalini lesson. In addition, all participants were required to do a 12-minute Kirtan Kriya meditation daily. Results As a result of the experiment, both groups had significant improvement in memory. However, the yoga team additionally showed a broader effect on executive functioning, with greater improving in their mood. In addition, such positive dynamics persisted after the end of the training. Impressive, isn’t it? A similar RCT was conducted in 2016. Here the results of the meditation group were compared with the machine learning program. The researchers came up with the same result. Kirtan Kriya meditation can help people with early memory loss. It is worth mentioning that the participants practiced the 12 minutes kirtan kriya meditation only. And this is only 12 minutes a day at home and at a convenient time. » Learn more about how blood tests can reveal the extent of cumulative stress on your body. Cerebral Blood Flow Changes Interestingly, Kirtan Kriya benefits also showed cerebral blood flow changes during the practice of KK. Thus, there was observed a significant increase in cerebral blood flow (CBF) within the frontal lobe and right superior parietal lobe. Moreover, the posterior cingulate gyrus (PCG) is also activated. All this suggests that such activation of the brain with increased blood flow may have a beneficial effect or provide protection against neurodegeneration. However, a larger study is needed to confirm this conclusion. And finally, Luders’s study concluded that someone who practices meditation regularly, has a 7.5 years younger brain.The age was calculated as BrainAGE index. It was also found that with every passing year, meditators’ age reduced. Thus, the researchers concluded that Kirtan Kriya benefits help maintain the brain and its activity in good shape. Kirtan Kriya Helps to Improve Mood Various studies have shown that Kirtan Kriya markedly improves mood, reduces anxiety, tension, and fatigue. There was also a significant improvement in depressive symptoms and mental health. And this effect was observed both in healthy people, so in people with memory loss. It is worth mentioning that the latter participated in the 8-week Kirtan Kriya meditation program, which highlights Kirtan Kriya benefits. Studies have also shown that 8 weeks of KK helped in alleviating worry and soaring positive mood and energy. In addition, a majority of patients found the sessions relaxing, calming, peaceful, and uplifting, demonstrating the multiple Kirtan Kriya benefits. Better Sleep In the same way, sleep disruption has negative effects on health, performance, and quality of life. It is also known to impair cognitive function in healthy people, to accelerate cognitive decline, and to predict incident MCI and dementia. In addition, sleep disturbances can generate glucose intolerance, obesity, and hypertension. And finally, sleep impairment has likewise been linked to increased risk for type 2 diabetes and some other diseases. That being said, research shows that an 18-week 12-minute daily meditation program may be effective in reducing stress and improving sleep and mood. Influence at

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HOW STRESS AFFECTS THE BODY

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Today’s life rhythms and demands are often complex and require intense physical and psychological efforts. Generally, acute stress reactions in young healthy individuals do not cause any harm to their health. However, if the threat is not eliminated, such stimuli that exceed a specific person’s ability to adapt can cause significant damage. But how dangerous is such harm and how exactly does stress affect the body? Positive and negative stress As mentioned earlier, not all stress has a negative effect. When the body experiences stress and uses it to overcome lethargy or increase productivity, stress becomes positive and healthy . This type of stress is also known as eustress. Therefore, stress is positive when it prompts us to adapt and thus enhances our adaptive mechanisms. This stimulating effect of stress gives athletes a competitive edge and speakers enthusiasm. Stress is negative when it exceeds our ability to cope with it. Such stress exhausts the body’s systems and leads to behavioral or physical problems. This harmful stress is called distress. If an event triggers an excessive reaction, confusion, poor concentration, and anxiety, it leads to a decrease in productivity. . IN THIS ARTICLE 1 Positive and negative stress 2 Depression 3 How stress affects health? RELATED ARTICLES Fortunately, under normal circumstances, within three minutes after the threatening situation disappears and the real or perceived danger is eliminated, the “fight or flight” response subsides. During this time, our body relaxes and returns to its normal state. Heart rate, blood pressure, respiration, muscle tension, digestion, metabolism, and the immune system all return to normal. However, if stress persists after the initial “fight or flight” response, the body’s reaction enters the second stage. At this stage, the activity of the sympathetic nervous system decreases, and adrenaline secretion decreases, but the secretion of corticosteroids (such as cortisol) remains elevated, exceeding normal levels. Finally, if stress continues and the body cannot cope with it, an organism’s energy levels are likely to decline, leading to a state of exhaustion. Depression sets in. Depression When it comes to depression, it is defined as experiencing 5 or more of the listed symptoms persistently for 2 or more weeks, causing significant emotional distress. We have already discussed depression and its diagnosis in the article “Depression Screening | Anxiety and Depression.” Currently, depression is one of the most common mental disorders worldwide. It is estimated that 350 million people globally suffer from some form of depression . It is also the leading cause of disability worldwide. Additionally, it is the most costly mental disorder, accounting for 33% of all brain-related disease costs in Europe. This corresponds to 1% of the entire European economy (GDP) . According to the estimates of the Centers for Disease Control and Prevention in the United States, stress accounts for approximately 75% of all doctor visits . Patients often come with complaints such as: But can stress cause serious harm to health? How stress affects health? Hypertension and Atherosclerosis When it comes to how stress affects health, it can confidently be stated that prolonged negative stress can damage almost all organs and tissues. For example, chronic stress leads to sustained elevation of blood pressure and vascular hypertrophy . This means that the muscles that constrict the blood vessels thicken, causing increased blood pressure. Additionally, there is a tendency to respond to all types of stress with a vascular reaction. In turn, chronically elevated blood pressure forces the heart to work harder, leading to left ventricular hypertrophy. Over time, this condition can damage arteries and lead to the formation of plaques (atherosclerosis). And this is just one of the many chains of influence of chronic stress on health. How stress affects the body: Immunity and chronic inflammation Elevated levels of stress hormones associated with chronic stress also suppress the immune system, directly influencing cytokine profiles . Cytokines are communicative molecules primarily produced by immune cells (see Roitt et al., 1998). In response to a higher number of chronic stressors, pro-inflammatory cytokines disrupt regulation and lead to immune suppression. As a result, this leads to slower wound healing, weaker antibody response to vaccination, and decreased ability to fight viral infections. This means that psychological stress can actually induce an acute-phase response typically associated with infections and tissue damage. Such immune imbalance results in a state of low-grade chronic inflammation, which, in turn, can serve as a precursor to the development of other diseases. Diseases associated with both stress and inflammation include: Chronic stress is particularly dangerous for elderly individuals. Impact on the brain Chronic stress has been shown to be associated with macroscopic changes in specific brain regions. For example, significant reduction in gray matter has been observed in individuals suffering from prolonged occupational stress . However, our understanding of the molecular pathways underlying these changes is still in the early stages of research. It is worth noting that physical exercise can support brain health in counteracting stress-related depression. This can manifest as overall improvement in cognitive abilities, reduced risk of neurodegenerative diseases, and alleviation of depression. How stress affects the body: Gastrointestinal disorders It is known that stress has a significant impact on gastrointestinal disorders such as peptic ulcer disease (PUD) and ulcerative colitis (UC). Specific stressful life events are closely associated with the onset or exacerbation of symptoms in other common chronic digestive system disorders, including: Functional gastrointestinal disorders Inflammatory bowel diseases (IBD) Gastroesophageal reflux disease (GERD). Furthermore, early-life stress in the form of abuse or trauma also plays an important role in predisposing individuals to the development of gastrointestinal disorders and IBD later in life. How stress affects the body: Impact on genetic health Finally, a recent study on stress conducted by Epel and Blackburn demonstrates that stress has a pronounced negative impact on genetic health by reducing the level of telomerase, an enzyme responsible for maintaining the length of telomeres, protective caps of DNA. Shorter telomeres are associated with inflammation, accelerated aging, and Alzheimer’s disease. Furthermore, the study revealed that individuals who experienced childhood

Treatment For Vitamin D Deficiency

Treatment For Vitamin D Deficiency Read More »

Understanding the importance of vitamin D for health at any age is crucial. Since low levels of vitamin D are common, it is important to know how to treat it. We will discuss various ways to improve health through sunlight exposure, proper nutrition, and the use of vitamin D supplements as part of the treatment for vitamin D deficiency. Additionally, we will explore how individual characteristics can influence the success of achieving healthy vitamin D levels, as well as determine safe dosages for its maintenance. This article was last reviewed by Svetlana Baloban, Healsens, on October 24, 2020. This article was last modified on 29 October 2020. Let us start with how we define vitamin D deficiency. In summary, a deficiency occurs when the serum 25-hydroxyvitamin D level is less than 20 ng/ml (50 nmol/L). If your serum 25-hydroxyvitamin D level is between 20 and 30 ng/ml (50 to 75 nmol/liter), then we are talking about vitamin D insufficiency. Values of less than 10 ng/ml refer to severe vitamin D deficiency. We will analyze the approach to treat this deficiency separately. Treatment for vitamin D deficiency Sunbathing Sunbathing, mentioned in the article about the influence of vitamin D on health, is an excellent way to compensate for vitamin D deficiency. Sunlight (ultraviolet) promotes the formation of about a dozen beneficial compounds, including not only vitamin D but also nitric oxide (NO5), which is beneficial for reducing blood pressure, cardiovascular diseases, and metabolic syndrome. The skin contains significant reserves of nitric oxide, which, when exposed to ultraviolet light, can be converted into NO and enter the systemic circulation. Studies on humans show that this process can cause dilation of arterial vessels and reduction in blood pressure. IN THIS ARTICLE 1 Treatment for vitamin D deficiency 2 Vitamin D Deficiency Treatment Using Supplements 3 Maintenance Dose of Vitamin D 4 Monitoring Vitamin D Levels RELATED ARTICLES It is also noted that the impact of ultraviolet radiation can suppress clinical symptoms of multiple sclerosis independently of vitamin D synthesis . Sunlight is also beneficial for maintaining healthy erectile function. However, it is worth remembering that UV radiation remains a proven carcinogen. What to do in this situation? It is recommended to consider the option of “healthy sun exposure”, when you are in the sun during the safest times – before 10 in the morning and after 4 in the evening. It is important to remember that sunscreen with a sun protection factor of 30 can reduce vitamin D synthesis in the skin. Additionally, people with naturally dark skin have built-in sun protection and require at least three to five times longer exposure to produce the same amount of vitamin D. Choose the safest times for sunbathing without sunscreen. Food Another way to increase the level of vitamin D in the body is through the consumption of food products. Very few foods naturally contain or are enriched with vitamin D. However, in combination with sunbathing, food products can also be beneficial. Pay attention to foods such as fatty fish (salmon, mackerel, tuna), egg yolks, cheese, liver, and vitamin D-fortified dairy products and cereals – they can become a good source of this vitamin. In addition to sunbathing, in case of vitamin D deficiency (especially at critical levels when the level of 25(OH)D is less than 20 ng/ml), it is advisable to take vitamin D in the form of supplements. It is worth noting that the increase in the level of 25(OH)D when taking vitamin D supplements is highly individual. In the next chapter, we will delve into the issue of vitamin D dosages through supplements recommended at present. Vitamin D Deficiency Treatment Using Supplements Vitamin D deficiency is defined when the level of 25(OH)D is below 20 ng/mL. It is important to realize that unprotected sun exposure is the primary source of vitamin D for both children and adults. Vitamin D synthesized in the skin can remain in the blood at least twice as long as vitamin D obtained from external sources. However, if opportunities for sunbathing are unavailable, considering vitamin D supplementation becomes advisable. The amount of vitamin D needed to treat deficiency largely depends on the degree of deficiency and key risk factors. Let’s delve into clinical recommendations for treating vitamin D deficiency using supplements. Research findings indicate a rate of increase in the level of 25(OH)D in serum of approximately 0.4 ng/mL/μg/day. This means that intake of 100 IU/day of vitamin D increases the level of 25(OH)D in serum by less than 1 ng/mL. For instance, if your level of 25(OH)D in serum is 15 ng/mL, an additional daily intake of about 1500 IU of vitamin D2 or vitamin D3 is required to achieve and maintain a level of 30 ng/mL. However, to achieve a similar increase in the level of 25(OH)D in serum among individuals with obesity, two to three times more vitamin D is required. Vitamin D can be taken on an empty stomach or with meals, and dietary fats are not required. Taken three times a year, weekly, or daily, vitamin D can be effective in maintaining the level of 25(OH)D in serum for both children and adults. » Discover everything about what your cholesterol results mean. How much vitamin D should I take if I’m deficient? So, the amount of vitamin D needed to treat a deficiency depends largely on the degree of the deficiency and the underlying risk factors. Initial supplementation with Vitamin D3 for 8 weeks, either 6,000 IU daily or 50,000 IU weekly, can be considered. When the vitamin level exceeds 30 ng/ml, the daily maintenance dose will be 1500 to 2000 IU. If after 8 weeks your level of 25(OH)D in the blood has not increased, it is recommended to undergo testing for celiac disease or hidden cystic fibrosis. Higher-risk adults may require higher starting doses of vitamin D3. These people include African Americans, Hispanics, people with obesity, chronic illness, and taking certain medications. Typically, your doctor may prescribe 10,000 IU of vitamin per day. For such people,

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ONLINE DEPRESSION SCREENING

ONLINE DEPRESSION SCREENING Read More »

Depression is one of the most common mental illnesses in the world. It is estimated that there are 350 million people worldwide who have some form of depression. In the United States, 16 million people had a depressive episode in the past year. Moreover, depression is the leading cause of disability worldwide. But how to understand that a person has depression? For this, various questionnaires are used to screen for depression and assess its severity (degree of depression). Such, for example, as PHQ-9. In general, screening and assessment tools for depression and anxiety include questions about mental health symptoms. Screening for Depression The Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition, has defined depression as 5 or more of the following symptoms that are present for 2 or more weeks and cause significant emotional distress and/or impairment in functioning. Symptoms are: IN THIS ARTICLE 1 Screening for Depression 2 Online Depression Screening 3 Pros and Cons of Depression Screening RELATED ARTICLES Having noted 5 or more factors from the list above, especially if they have been persisting for a long time, you can suspect you have depression. In addition, below 👇 you can take a depression questionnaire and even determine its severity. Online Depression Screening By the link below 👇 you can assess your own level of depression and anxiety! It is important to remember that screening tools only detect symptoms of depression or anxiety. The diagnosis of depressive or anxiety disorder requires a deeper assessment. The PHQ-9 Depression and anxiety assessment tool Beck’s Depression Inventory The PHQ-9 Evidence Appraisal The PHQ-9 was initially developed by Kroenke et al (2001), as a subset of 9 questions from the full PHQ. It had previously been derived and studied in a cohort of 6,000 patients. PHQ-9 scores ≥10 were found to be 88% sensitive and also 88% specific for detecting MDD. Criterion validity was also assessed in a sample of 580 patients. self-administration takes 5–7 min. Beck’s Depression Inventory Online Test Evidence Appraisal The Beck Depression Inventory-II (BDI-II) is currently one of the most widely used measures for assessing depression. The questionnaire was developed from clinical observations of attitudes and symptoms occurring frequently in depressed psychiatric patients and infrequently in non-depressed psychiatric patients. The questionnaire is commonly self-administered although initially designed to be administered by trained interviewers. Self-administration takes 5–10 min. Short Form-36 Health Survey (SF-36) SF-36 is a set of generic, coherent, and easily administered quality-of-life measures. These measures rely upon patient self-reporting and are now widely utilized by managed care organizations and by Medicare for routine monitoring and assessment of care outcomes in adult patients. Self-administration takes 8–14 min. Geriatric Depression Scale: Short Form The Geriatric Depression Scale (GDS) has been tested and used extensively with the older population. The GDS Long Form is a brief, 30-item questionnaire in which participants are asked to respond by answering yes or no in reference to how they felt over the past week. A Short Form GDS consisting of 15 questions was developed in 1986. Self-administration takes 4–7 min. GAD-7 (General Anxiety Disorder-7) SThe GAD-7, or Generalized Anxiety Disorder-7, is a self-report questionnaire designed to assess the severity of generalized anxiety disorder symptoms in individuals. It consists of seven questions that ask about common anxiety symptoms and their impact on daily life. The GAD-7 is often used as a screening tool in clinical and research settings to help identify individuals who may be experiencing significant levels of anxiety. Self-administration takes 3–5 min. Pros and Cons of Depression Screening Above all, еhere is not thought to be any significant harm associated with screening for depression and anxiety. However, some people worry that screening and assessment tools may lead to incorrect diagnoses. Therefore, it is important to remember that screening tools only detect symptoms of depression or anxiety. At the same time, screening tools can detect most, but not all, cases of possible depression and anxiety. We already talked about connection between our minds and our bodies. So, the main advantage of screening tools is that they are quick and easy. And it’s true for its use and interpreting. A limitation is that they simplify complex experiences and impose artificial symptom thresholds. It is important to remember that screening tools only detect symptoms of depression or anxiety. Diagnosis of depressive or anxiety disorder requires deeper assessments.

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