Posts Tagged ‘Barefoot’

Preventing Falls

Saturday, November 28th, 2009

Falls are the second leading cause of accidental death in the United States each year.  According to the home safety council they cause about 5.1 million injuries and nearly 6,000 deaths yearly.  (Falls Prevention - Home Safety Council)  Many seniors who fall never go home again, and are placed in care facilities or end up in a wheelchair for the remainder of their life.  The average cost of health care resulting from a fall is $19,440, not including doctor’s fees.  Falls also result in five times more hospitalizations for seniors than the next leading cause.  Roughly 25% of such falls are listed as the main cause of death through complications in those over 65 years of age.  (Cost of Falls Among Older Adults – CDC) (Hip Fractures Among Older Adults - CDC

Here are some ways to prevent them:

The stairs are where many serious falls occur, and a large number of them occur when someone is carrying something.  So, don’t try to carry too many things at once, and give yourself at least one free hand to grab the handrail.  You should have secure handrails on both sides of your steps and stairs, and make sure they run from the top to the bottom extending 12 inches beyond both.  They should be rounded and no more than 1 & 1/2 inches in circumference.  Their ends should also be shaped to indicate when you have reached the top or bottom.  Obviously, keep all litter off stairs.  The entire stair length should be well lit, and you should be able to turn on the lights from both ends.  Preferably stairs should have no carpet, but instead anti-slip strips or anti-slip paint on them.   If there is carpet on the stairs it must be firmly attached and be tightly woven with a low pile.  Your stairs should not have noses or open risers.  If there are children in the home the stairs should have safety gates.  Stair treads should be deep enough for a whole foot, 11 inches or more.  Stair rises should be no higher than 7 inches.  If you have eye problems you should paint a line at the edge of stairs so you can see it better.  The ultimate stairs solutions would be either to live in a house with only one level, or to install an elevator.  If you have only a short rise to deal with consider having a ramp instead of steps. 

The bathroom is another common place where falls occur.  You should have non-slip strips or a mat in the tub or shower.  You should also have a non-slip bath mat outside of them.   Have grab bars in them, and handle bars on the toilet that makes it easier to stand up. (1)  All grab bars must be mounted properly, so they can not only carry a person’s full weight, but also the greater momentary force generated when a person is falling.  Replace a sliding glass door with a shower curtain.  A shower seat will allow people to wash without having to bend over.  A liquid soap dispenser will prevent having to fish around for a dropped bar.  And a storage unit attached to the shower or tub will reduce a person’s need to turn around to reach things.  You can convert your regular shower head to a hand held shower spray, which will allow you to reach farther.  If you buy a tub transfer bench you can remain seated at all times when getting in and out.  You also might consider converting over to a walk-in shower.  Fix any leaks which might make the floor unnecessarily wet and slippery.  Remove soap build-up in tub or shower on a regular basis.  Use hard water, since soft-water can make things very slippery.     If you need to go to the bathroom often at night, consider using a bedside commode.  

In the kitchen you should install cabinets, sliding shelve, and lazy Susans so that you don’t have to reach up to get things.  Commonly used items should be stored between waist and shoulder level.  To reach higher items have a solid step stool with nonskid steps and feet and a bracing bar to hold on to.  Wipe up spills as soon as they happen.  The oven and refrigerator should open easily.  You should have an area where you can sit down to prepare food.  Use non-skid wax on the kitchen floor, and put a non-skid mat by the kitchen sink. 

Around the home make sure that cords are not underfoot, and don’t run them under rugs directly where you walk.  You should have a straight path through every room.  Floors should be smooth and level, but not slippery.  Preferably doorways should be wide, 36 inches is a good size.  All doors and windows should open and close easily.  Living room chairs should be sturdy, not swivel chairs, chairs on casters, or lightweight chairs.  All the other furniture should also be sturdy enough for you to lean on.  Carry things in your pockets so your hands are free to grab and stop a fall.  Don’t walk in the dark, but have night lights in the bedroom, hall, and bathroom.  Glowing light switches can help.  Make sure your lighting doesn’t produce hazardous shadows or glare, and light cords should be long enough so you don’t have to reach up.  Provide good lighting for the closet.  Carry a small flashlight on your keychain.  Ideally get rid of small rugs, or, if not, at least securely tape them to the floor with double sided carpet tape all around.  Repair or replace frayed corners or rolled up edges on carpets and floor coverings.  In general you want to minimize bending or climbing.  A long-handled grasper can be used to reach objects that are on high shelves or on the floor.  Lower the closet shelves.  You should get up from chairs or your bed slowly, and take advantage of the fact that higher chairs and couches are easier to ease into and out of.  Keep track of where your pets are, and put them in another room before carrying heavy things into the house.  Close cabinets and drawers when done.  Have a phone close to the floor so you won’t have to get up in case you fall, and keep emergency numbers near each phone.   Furniture should have rounded or padded corners in case you fall. (Safety Edge & Corner Guards)   

In the bedroom your bed should be low enough such that you do not have to climb into it, and high enough so that you can sit with your feet on the ground.  Have the light switch and your eyeglasses within arm’s reach of where you sleep, and a phone close to the bed so you can answer it from there.

Don’t wear trailing clothes, and if your clothes have long cords shorten them.  Avoid bare socks, smooth soled shoes, shoes with shoelaces, and slippers.  Instead wear low heeled shoes with good grip, or go barefoot.  If you are barefoot you will feel the ground better, and this feedback should help you walk better.  (See also: Barefoot Walking and Running – Lost Wanderer)  Matt Metzgar reports on a high tech approach that works along these lines.  Researchers are doing vibration research that involves providing sensory feedback to people’s feet.  Scientists at Harvard are working on vibrating insoles, and one group has shown that such subsensory vibrations do improve the elderly’s gait. (Vibration Roundup – Matt MetzgarStatipro (a French company), US Patent 6024093 – Proprioceptive sole or pedal device containing crystals for treatment of statural disorders, Vibrating Insoles – Wyss Institute, and Subsensory vibrations to the feet reduce gait variability in elderly fallers)     

Outside you need a roof or awning to keep snow off of your home’s entrance-way.  Have a place near your door where you can put packages while you close it and get ready to put things away.  Sidewalks and walkways should be well lit and clear of debris, clutter, and weeds.  You should keep your steps and sidewalks in good condition by fixing broken or uneven steps.  Holes and cracks are trip hazards, as are bumps and ridges.  Put abrasive strips on outdoor steps, and have a non-stick surface area inside all of your outside entrances.  Install motion sensitive lights on your outdoor paths.   Have someone shovel immediately after a snow storm, and then apply salt or sand.  All entrance areas should have an outside space large enough such that you are not crowded by your swinging door.

To prevent child falls consider installing window guards on windows ground floor and up, unless designated as emergency fire exits.  Make sure they have easy release mechanisms.  When a child can pull to a standing position, the crib mattress should be adjusted to its lowest position; there should be at least 26 inches between the top rails of the crib drop side and the mattress.  Toys, bumper pads, and other objects that can be used as steps to climb out should be removed from the crib.  Never leave babies alone on beds, changing tables, or sofas.  Strap children into high chairs and strollers.  Keep furniture away from windows.  Keep windows and doors locked.  For bunk beds you should never allow a child younger than age 6 to sleep on the top bunk.  For older children, if the upper bunk is not up against a wall, use guardrails on both sides.  No matter how old a child is, keep the guardrails in place on the top bunk since children might roll out during sleep.  Don’t allow any horseplay on bunks.  You should keep dresser drawers pushed all the way in to lessen the risk of a child climbing up the dresser.  Make it a habit to push kitchen and dining room chairs in under the table to take away an attractive climbing gym for children. Don’t store desserts or other treats in high locations, particularly over stoves, to decrease climbing temptations.  Outside, ladders should be put away and hung on their sides when not in use.  Playgrounds should have 12 inches of padding.

Certain situations increase the risk of falling.  You should be careful when you are on a stool or ladder in reaching your arms out or overextending your reach.  Are there situations where you have to rush, such as getting to the front door, or answering the telephone?  Think of ways to eliminate these situations.  Slow down, take your time.  Also, be careful about consuming alcohol.

One major risk factor to keep in mind is that vitamin D deficiency is very common and can lead to abnormal gait, muscle weakness, osteomalacia, and osteoporosis.  (Vitamin D Deficiency in Modern Society – Lost Wanderer)

Other things that increase your risk of include having a history of falls, age, living alone, and being Caucasian.

Medications that can increase the risk include benzodazepine digoxin, diuretics, sedative psychotropics, taking four or more medications, and class 1a anti-arrhythmic medications. 

Medical conditions that increase your risk of falling include circulatory disease, poor nutrition or malnutrition, poor postural performance, impaired cognition such as with dementia or memory problems, visual impairments, muscle weakness (indicated in particular by having a slower walk and poor hand strength), a history of stroke, a low body mass index, poor self-rated health and decreased quality of life, chronic obstructive pulmonary disease, depression, arthritis, thyroid problems, incontinence (which leads to frequent bathroom trips at night), impaired mobility, drowsiness, dizziness, poor balance, low blood pressure, Parkinson’s disease, Meniere’s disease (affects the middle ear and causes vertigo), poorly controlled epilepsy, joint stiffness, limited neck movement, any lower extremity disability (loss of strength, orthopaedic abnormality, foot problems, or poor sensation), and difficulty in rising from a chair.  Fear of falling can also lead to falling because people who are afraid of falling will restrict their physical activities and become sedentary.

There are many health related preventive steps you can take to help prevent falling.  Get your vitamin D level checked.  You should regularly get your eyes and hearing tested.  If you have foot problems get them treated. You should exercise, for example take Tai Chi Lessons, and perhaps even learn better how to fall.  Work on increasing your balance, strength, cardiovascular capacity, and flexibility.  Review your medications (including supplements and other products you take over-the-counter) with your doctor.   

Assistive devices can be very helpful in preventing and coping with falls.  If your doctor recommends a walker or cane for stability, learn how to use it properly from a health care professional, and then do use it.  Some people use hip protectors, or get an alarm device they wear in case they fall.  There are a number of other assistive devices, mobility aids, and other helpful gadgets available.  (Arthritis Aids – Gadgets – Products – Tools – Adaptive Equipment  Keep all such devices in good repair. (replace worn rubber tips, etc.)  During winter cleats for your shoes and boots can be helpful for dealing with ice.  (Polar Cleats) (Get-A-Grip Advanced – Snow & Ice Traction Cleats)

If you do fall you should try to fall on your side or buttocks, rolling over naturally turning your head in the direction of the fall, and keep your arms bent.  Don’t necessarily try to get up right away, but assess the situation, and then, if the situation suggests it, crawl to find something to raise yourself up with. 

(1)  A raised toilet seat will also make it easier to get up.  But, on this issue there is a trade-off, since using a squat toilet is the natural and healthier way for you to do your business.  (The Squat Toilet – Lost Wanderer)  For someone who has a condition such as arthritis, I have read that in Asia they make a squat toilet that starts out in sitting position and then mechanically lowers you into position.

(Practical Guide to Universal Home Design: Convenience, Ease, and Livability – Remodeling, Building, and Buying a Home) (Preventing Slips and Falls) (Prevention of Slips, Trips and Falls) (The Fall Prevention Project) (Preventing Falls in the Home – NAMIC Online) (A Home Fall Prevention Checklist for Older Adults – MetLife) (Minnesota SeniorSafe – Minnesota Safety Council) (Fall Prevention Home Safety Checklist What YOU Can Do To Prevent Falls – Minnesota Safety Council) (Preventing Falls at Home)(Home Fall Prevention Guidelines) (Preventing Injuries from Slips, Trips and Falls) (Preventing Falls: How to Develop Community-based Fall Prevention Programs for Older Adults - CDC) (What Causes Falls in the Elderly? How Can I Prevent a Fall?) (Preventing Falls in the Elderly by K.R. Tremblay Jr., and C.E. Barber1 (12/05) (What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls? -  World Health Organization – Europe) (Aging well: Making your home fall-proof – CIGNA) (Handicap Shower Safety – 10 Money Saving Keys to Fall Proof Your Shower Area – No Tools Required! – Ezine Articles) (How to Fall-Proof a Bathroom for Seniors – Denise Wang) (Fall-proof your home – Humana) (Tumble-Proof Your Home to Prevent Falls – Common sense precautions for all ages By Sandra Wendel) (Fall Prevention Center of Excellence) (Preventing Slip-and-Fall Accidents) (Fall Prevention Center) (CDC – Falls – Older Adults) (What you can do) (Preventing Falls) (Preventing Injuries from Slips Trips and Falls – NASD) (Public Enemy Number One: Slips, Trips and Falls) (Falls – Older Adults – Home & Recreational Safety - CDC) (Falls Among Older Adults: An Overview – Home & Recreational Safety – CDC) (Falls in Nursing Homes – CDC)(Fall Prevention Activities – CDC) (Preventing Falls: What Works – CDC) (Help Older Adults Live Better, Longer: Prevent Falls and Traumatic Brain Injuries - Public Health Grand Rounds) (Podcasts — Unintentional Injury Prevention – CDC) (Causes of Falls – Wrong Diagnosis) (Causes of Falls – Osteoporosis-INFO.com) (Preventing Falls Among Older Adults – Patricia M. Burbank) (Pets cause falling injuries – Wellsphere) (Creating a Fall Proof Environment in Your Home - National Safety Council) (Safety First: Fall Risks and Fall Prevention Tips – parentgiving) (Be Safe at Home – Minnesota Falls Prevention) (Falls – Older Adults - CDC)

 
 

Ergonomics Related Information

Wednesday, September 16th, 2009

I’ve already posted about the benefits of the squat toilet, how we should probably be sleeping on a firm mattress, how we should be squatting instead of sitting in chairs, the inadequacy of ordinary cup protectors (NuttyBuddy), and the benefits of going barefoot.  Along with these issues, I’ve also run across several other ergonomic types of problems that modern living has caused: 

Wallet sciatica (piriformis syndrome) is caused by sitting on a thick wallet, which presses on the sciatic nerve causing pain, tingling, and numbness in the buttocks and down the leg.   

A tight necktie might contribute to glaucoma.  In one study, subjects who wore tight neckties had significantly raised inner eye pressure.   Researchers think this was happening because neckties constrict the jugular vein, and thereby increase blood pressure.  This, in turn, leads to the increased inner ocular pressure.  (Tight necktie linked to glaucoma)

Men’s briefs have been linked to infertility because of the warmth they create.  (Boxers vs. Briefs: Increasing Sperm Count)  Lapboards and heated car seats might have the same problem. (Laptop computers lower sperm counts and increase infertility risk for men, Heated seats may be frying your sperm)  Of course, if you desire this result, it’s one method of contraception.  (The Heat Method of Male Contraception

There has been some speculation that bras contribute to the risk of breast cancer by increasing warmth.  They also might do this by reducing movement, which in turn reduces circulation.  Via Matt Metzgar: Brassiers, Breathing, and Breast Cancer, Bras and Breast Cancer, Dressed to Kill: The Link between Breast Cancer and Bras)

The modern keyboard was poorly designed for the human hand, and one result is carpal tunnel syndrome.  The Wristease is designed to mitigate this risk.  Fortunately, we also now have a large number of keyboard designs to choose from.  (13 Computer Keyboards You’ve Never Seen Before, Unusual Keyboards, Alternative Keyboard Gallery, Keyboard Specialists, Ergocube, abKey, Kinesis, G-Tech’s Wireless Fabric Keyboard, Maltron, Eka Tetra, Gesture Keyboard, WolfKing Warrior Game Keypad, TypeMartix EZ-Reach 2030 Keyboard, Universal Keyboard, My keyboard

Heavy book bags have been linked to muscle and orthopedic injuries in school children.  To help with this issue, researchers have developed the bungee-powered backpack.  The load slides up and down lessening the peak force exerted on the person as they walk.  (Bungee-powered Backpack Can Lighten Your Load, Researcher Says)    

Ikea has developed a tiny plastic nail holder to keep you from smashing your thumb when hammering.  (Ikea Nail-Driving Utensil)

Catcher’s mitts don’t provide enough protection.  One study found that over time players might sufferer career threatening trauma as a result.  (Catcher’s mitts don’t provide enough protection, baseball

Athletes can suffer a rare fatal result when they are struck over the heart at just the right point in the heart beat.  This is called “commotio cordis,” and modern equipment doesn’t provide enough protection to prevent it.  (Chest gear may not protect athletes from deadly blows, and How a blow to the chest can kill)  

For more comfortable airplane trips we now have several types of travel pillows.  (Travelrest inflatable travel pillow, and the Skyrest travel pillow)

Pregnancy & Child Related Information

Wednesday, September 2nd, 2009

I’ve previously blogged about how geophagy (eating clay) has been practiced for thousands of years to prevent morning sickness.  Pregnant women become hyper-sensitive to environmental toxins, and morning sickness helps protect the developing fetus from deformities.  It now turns out that all that misery could pay off for yet another reason, because women who have a greater degree of morning sickness might have more intelligent babies.  (Morning Sickness may be Sign of a Bright Baby)  The researchers involved theorize that the hormones which cause it might also protect a baby’s brain.  

S. Boyde Eaton, et al., have written (Dietary Intake of Long-Chain Polyunsaturated Fatty Acids during the Paleolithic, p. 20) that our brains are somewhat smaller than our Paleolithic ancestor’s brains, and that one reason might be our modern dietary deficiency in DHA omega-3 fats.  Along with DHA, it seems that, for rats, enriching the environment of the mother long before she becomes pregnant can affect the learning of her offspring.  Researchers theorize that the mother’s learning affects the nature of the hormones she will release during her later pregnancies.  This will affect epigenetic chemical markers on her offspring’s genes, which will in turn affect these genes’ expression during brain development, finally causing changes in the brains of the pups.  (Can Experiences be Passed on to Offspring? and A Mother’s Experience can Alter her Offspring’s Memory Performance)  Meanwhile, stress during pregnancy very likely harms a baby’s brain, and might increase the risk of schizophrenia.  Researchers think the mechanism is likely related to the stress hormone cortisol crossing the placenta.  (Stress Harms Baby’s Brain While in Womb)  Another possible factor that could increase the risk of schizophrenia is having the flue during pregnancy. (Flue During Pregnancy may Increase Risk of Schizophrenia in Certain Offspring

There are some indications that vitamin D deficiency is a risk factor for preeclampsia.  (Vitamin D for the Prevention of Preeclampsia?  A Hypothesis.)  This is a condition that occurs in pregnancy, which causes the patient to develop hypertension, along with protein in their urine.  It’s widespread, affecting about 10% of pregnancies, and is currently only treatable through termination.  It is most common in first pregnancies, and some researchers think that it’s the result of the mother’s immune system inappropriately attacking fetal cells.  The theory is that they are being triggered by the foreign antigens that were introduced by the father.  So, besides vitamin D supplementation, another recommendation is to delay pregnancy for a while after beginning sexual relations, on the theory that this allows the mother’s immune system to become acquainted with the father’s sperm’s antigens.  (Introduction and Overview of Evolutionary Medicine (p.24) by Wenda R. Trevathan, et al.) 

Low levels of vitamin D are also associated with chronic pain and muscle weakness, which suggests this might be a possible factor in a painful difficult birth. (Lack of Vitamin D Linked to Pain, and Recent Developments in Vitamin D Deficiency and Muscle Weakness Among Elderly People)  Stephan Guyenet, of Whole Health Source, reports that pelvic inlet depth index was larger in our hunter-gatherer ancestors (97.7% versus 92.1% today), and that this might be still another reason why childbirth is difficult for modern people.  (Longevity & Health in Ancient Paleolithic vs. Neolithic peoples)  Because vitamin K2 deficiency narrows the bone structure of the face, it seems natural to speculate that this could also be part of the reason for our lower pelvic inlet depth index today. 

Difficult births lead to caesareans, and, using MRIs, researchers have been able to show that women who have had c-sections had lower response levels to their baby’s cries.  This might indicate weaker bonding with their infants.  Researchers suggested that this possibly occurred because these women missed out on the hormonal priming from oxytosin that takes place during a vaginal delivery.  (C-sections may Weaken Bonding with Baby)  

Home birthing is as safe as in the hospital.  Two studies, one from the Netherlands and the other from Canada, found no evidence of greater death rates among home births, for low risk pregnancies, in either the mothers or their babies.  In the Netherlands study nearly 1/3 of those who started at home did end up being transferred to the hospital, but the risk was no greater than those mothers who had started out in the hospital.  Researchers said that a good midwife was the key. (Home Births “as Safe as Hospital,” and Home Birth with Midwife as Safe as Hospital Birth, Study) (See also: The Natural Family Site, and Why Have Natural Childbirth?) 

Also, as I previously blogged, some people claim that placenta eating can prevent postpartum depression.  (Placenta Benefits.info)

The natural childrearing people argue against circumcision on a number of grounds, including that they believe there doesn’t seem to be much of a reason for it.  (Put Down that Knife!  11 Reasons not to Circumcise, Circumcision – Wikipedia, and Circumcision Rates)

Pacifiers reduce the risk of sudden infant death syndrome (SIDS) by about 90%.  (Pacifier Greatly Reduces Risk of Sudden Infant Death)  They reduce the risk regardless whether or not the infant sleeps on his/her stomach, in soft bedding, or his/her mother smoked.  Problems such as thumb sucking, tooth development, and difficulties breast feeding can be avoided by waiting a few weeks before using one, and stopping when they become toddlers.  (However, there apparently is a trade-off, because, according to Gabe Mirkin, studies from Finland found that children who use pacifiers are more likely to have recurrent ear infections.)  Other people also recommend co-sleeping as protective.  (See below)  One more way of lowering the risk of SIDS is by using a fan to circulate the air in the room.  This reduces the risk by 72%. (Fan Use Linked to Lower Rate of Sudden Infant Death)  (See also: Sudden infant death syndrome – Wikipedia)

Coming to very similar conclusions as The Continuum Concept by Jean Liedloff, here is an article on Evolutionary Psychology: Natural Parenting - Back to Basics in Infant Care by Regine A. Schon.     Matt Metzgar wrote up this outline.  (I inserted some additional materials and links):  

Evolutionary Function of Crying (For a second opinion see: Should Infants be Allowed to Cry Themselves to Sleep?)

  • Crying signals genuine needs of the infant
  • Crying should be immediately attended to by the mother or caregiver
  • Crying takes significant physical effort on the part of the infant
  • The immediate response to crying should be to restore physical contact between the caregiver and the infant

Infants as Carried Young

  • Hunter-gatherer women carried their infants in slings close to the body
  • This increased beneficial skin-to-skin contact between the mother and the infant
  • The common leg positions of babies suggest they are adapted for carrying

Cosleeping  (Regarding co-sleeping: Mr. Metzgar cites this article (which argues in favor of it), Why Babies Should Never Sleep Alone: A Review of the Co-sleeping Controversy in Relation to SIDS, Bedsharing, and Breastfeeding, and this site, Mother-Baby Behavioral Sleep Laboratory.  See also: The Benefits of Co-Sleeping)       

  • Cosleeping for the infant and mother has been the universal norm throughout most of human history
  • Bedsharing is the environment to which the vulnerable newborn is best adapted
  • Cosleeping may reduce some forms of SIDS

Breastfeeding (See also: Breastfeeding Linked to Smarter Babies (Again)  This article points out that, as well as being correlated with 5.9 points of higher IQ, breastfeeding also apparently reduces the chances of a mother later developing rheumatoid arthritis, and lessons the child’s odds of later developing cardiovascular disease.  This article, Big Bad Cavities: Breastfeeding is not the Cause, states that more than three dozen studies have shown no link between breastfeeding and the disease of Early Childhood Carries (ECC).  Medical News Today reports that the concentration of volatile organic compound toxins in breast milk are much lower than indoor air, and also much lower than the safe levels for drinking water. (Concentrations of Certain Toxins in Breast Milk are Low, Study Finds))

  • No alternative to breast milk existed before the transition to a farming economy
  • Therefore, infants have been breastfed for 99% of all human existence
  • Artificial substitutes have been unable to replicate the complex structure of breast milk
  • There is mounting evidence about the many benefits of breastfeeding on child development

Extrogestation

  • Human infants are born in an exceptionally immature state
  • The conditions for the early part of infant life should attempt to mimic that of the womb
  • This includes close contact with the mother’s body in a tight, warm embrace
  • Heartbeat sounds are comforting to an infant; women tend to hold infants on the left side of their body, close to their hearts
  • Rocking an infant provides a calming effect since it mimics the movement stimulation the infant received from the mother’s normal daily movements
  • Swaddling replicates the feeling of the womb and has been proven effective in calming infants

Toilet Training  (What is Infant Potty Training, Benefits of Infant Potty Training, Infant Potty Training, The Controversy over Infant Potty Training, Shaping self-initiated toileting in infants)  (There are also major health benefits of squatting instead of sitting for defecation.  (The Squat Toilet)  The repeated refrain is to do things the way nature intended.)

  • Infants were historically toilet trained much earlier than in modern times
  • Natural toilet training depends on reading an infant’s signals and responding appropriately
  • Children trained in this way complete toilet training anywhere from 6 months to 2 years

Matt also reviewed this book, The 90-Minute Sleep Baby Program.  As he says, the basic idea behind the book is that humans have a 90 minute cycle of activity and rest.  This means that when a baby wakes up their next nap should be 90 minutes later.  (Older children might string several of these together.)  22 out of 27 reviews on Amazon gave the book 5 stars.  Matt speculates that many children today are sleep deprived, which is obviously troublesome.  It turns out that sleep deprived children have twice the risk of becoming obese.  (Sleep Deprivation Doubles the Risk of Obesity in Both Children and Adults

Matt also very favorably reviewed, The Happiest Baby on the Block.  The author argues that babies need a uterus like environment, and he suggests a number of tactics for mimicking it.  These include swaddling, shh sounds, side/stomach position, swinging, and sucking.  He claims that his program will calm almost all babies.  

Matt also pointed out Baby Sign Language, which allows the infant to communicate his/her needs at a much younger age.  I think it’s very surprising that this wasn’t stumbled upon thousands of years ago, yet it is a remarkably simple and wonderful advancement.  It apparently isn’t some sort of silly fad, but brings real benefits, which I think all parents would appreciate, including greatly reduced frustration on everyone’s part, and increased language skills. 

Matt has blogged about Baby Led Weaning, which takes the position that children shouldn’t be fed pureed foods (Pureed Food “isn’t Natural for Babies’), but instead weaned directly onto solid foods.  The argument behind the idea is that this is much closer to the way our ancestors would have done it.  (It should be said that hunter-gatherers often did pre-chew the child’s food to help him/her along.)   

I have blogged before about going barefoot, and children who go barefoot as long as possible have about half the rate of flat footedness later on.  Having said that, being flat footed doesn’t appear to be as big a problem as people once thought.  There appears to be no relationship between the height of children’s arches and their ability to perform athletically, and it very well also might not affect their injury rates. (Flat Feet don’t Impair Kid’s Motor Skills)  

A study from Sweden concluded that risk factors for snoring as an adult include respiratory and ear infections as a child, being raised in a large family, and being exposed to a dog at home as a newborn. (Have A Dog? Your Child is More Likely to Snore as an Adult) 

Children who suffer from cyclic vomiting might actually be suffering from migraines. (Gabe Mirkin: Cyclic Vomiting

Low levels of carbon monoxide, 25 parts per million, might cause oxidative stress on the cochlear nerve, and permanently damage the hearing of children.  Such carbon monoxide can come from tobacco, cooking, and heating appliances.  (How Chronic Exposure to Tiny Levels of Carbon Monoxide Damages Hearing in Young Ears)  However, the main cause of hearing loss in modern world is loud noise.  The blast from a single gunshot, or the loud prolonged noise of a rock concert, can result in permanent hearing loss and tinnitus (ringing in the ears).

Many cases of bed-wetting might be caused by breathing problems.  63% of bed-wetting children stopped when they had surgery to remove their adenoids or tonsils, and the use of a plate to widen the palate of bed-wetters with narrow palates ended the condition in 70% of cases. (Breathing Troubles the Cause of Bed-wetting?)   Gabe Mirkin discusses another theory, that it’s the lack of antidiuretic hormone that causes the problem.  This hormone causes the kidneys to shut down at night.  (Bedwetting

The BBC reports that a 10 minute test for dyslexia has been developed that can be used starting at age 3 & 1/2.  (Early Warning Test for Dyslexia)  The test has children repeat sentences and re-tell a story while looking at how the child builds sounds up into words.  For parents of children who seem a little different there is the book, Quirky Kids: Understanding and Your Child Who Doesn’t Fit In- When To Worry And When Not To Worry.  One reviewer thought the book would be most helpful to parents who are just beginning to suspect something is unusual, but don’t know what might be the problem.  It also debunks a number of folk myths out there, and reportedly has a good section on the pros and cons of various medications.  Science Daily has this article, Specific Behaviors Seen in Infants Can Predict Autism, New Research Shows, which reports that Canadian researchers have discovered that there are behavioral signs that can accurately predict autism in children as young as one year old.  (See also: The Vitamin D Theory of Autism)

According to a study by the University of Rochester Medical Center, there is no detectable risk to children from the mercury in the seafood their mother’s ate, up to 12 servings a week.  The study period was before birth to age 9, and the children were tested for 21 different cognitive, neurological and behavioral functions.  These abilities included concentration, attention, problem-solving, and motor skills. (No Detectable Risk From Mercury in Seafood, Study Shows

Tonsils serve to trap germs and train the white blood cells when children are young, but as they grow older their importance lessons.  Doctors generally seem to say that their removal can be justified if they obstruct the throat, or the child suffers from frequent throat infections.  (Dr. Alan Green on Tonsil Removal)    

Not surprisingly, mother’s who talk about people’s mental states, such as beliefs, wants, and intentions, have children with a greater understanding of social interactions.  (This obviously does not establish causation, because mothers with greater social skills might pass on genes that also dispose their children to have those same skills.)  Researchers note that these greater social skills do not necessarily imply that these children will be better behaved. (The Secret to Building Children’s Social Skills)   The Incredible Years is an organization which hosts a variety of programs for teaching parents, teachers, and children social skills.  It turns out the ability of a mother to read her child’s emotions is more important than her social status for the child’s development. (Why Mind-Reading Mums are Best

Not surprisingly, children are happier who have a sense of spirituality, that is meaning in life, and they think that their lives have value.  Good interpersonal relationships also helped, and accounted for 27% of the happiness variation between children.  Being more sociable was also a happiness predictor.  (Spirituality is key to kids’ happiness

Researchers want to know why some children are resilient in spite of bad upbringings.  They have found that resilient children tend to share a number of characteristics:  They have at least one supportive person in their life, have a positive outlook, a pleasant altruistic personality, they are eager to learn, and have problem-solving skills.  They take responsibility for their mistakes, and move on.  They also have an interest or friend they can turn to when they need to.  (This description to me sounds somewhat like the characteristics of lucky people.)  (Raising Resilient Children Foundation, their book, Psychosocial Characteristics of Resilient Children, and The Resilient Child)

Sara Bennett and Nancy Kalish, in The Case Against Homework: How Homework is Hurting our Children and What We Can Do About It, argue that there’s almost no evidence that homework helps kid’s academic success.  They point out that the amount of homework has skyrocketed in recent years, which is contributing to an epidemic of obesity, and robs kids of the time they need to be kids.  They also give advice on how to separate useful assignments from the time wasters.  Richard Louv, author of, Last Child in the Woods, argues that children suffer from a nature-deficit disorder. 

For preventing myopia, besides a low glycemic diet/ Paleolithic Diet, it seems that playing outside is also protective.  Researchers in Australia have found that kids who spend a lot of time outside have lower myopia rates. (Kid’s eyes need the great outdoors)   

I have previously blogged about The Freedom to Learn site.  Peter Gray has a series of articles which argue that play is essential for healthy human life, and maintaining a band’s existence.  John Holt takes a similar approach in his books, How Children Learn and How Children Fail, that children are natural learners, and the process of forcing them to learn in school changes their personalities for the worse.  David Elkind’s book, The Power of Play: How Spontaneous Imaginative Activities Lead to Happier Healthier Children, argues that play is changing from teaching children social roles, vocations, and academic skills to teaching them brand loyalty, fashion consciousness, and group think.  Matt Metzgar reviewed Susan Linn’s book, The Case for Make-Believe: Saving Play in a Commercialized World, which argues that many of today’s toys are scripted, and that they don’t foster the development of social and critical skills.  Matt also discussed this article, Sucker-Me Elmo, which questions the merits of electronic toys.  Meanwhile, New York City is developing the next generation playground, which is designed to foster the imagination of kids. (New York developing a next-generation playground)  Here is a site that features educational products for children We Make Stories, which allows the child to write and print their own stories.

It turns out that pedophiles don’t randomly search through MySpace sites searching for kids.  Instead they go for those kids in chat rooms who are presenting themselves in sexually suggestive ways. (Welcome to Crimes Against Children Research Center, and Salon – Stop Worrying about your Children)  This information is from the same woman who runs Free Range Kids, which I have written about before.  Boing Boing favorably reviewed this book, If Your Kid Eats this Book Everything will Still be Okay: How to Know if Your Child’s Injury or Illness is Really an Emergency by Lara Zibners.  Zibners is an emergency room pediatrician who says that 75% of late night emergency room visits are unnecessary, and this book is a guide to all the things you don’t have to worry about.

On the other hand, there are real risks out there, and Dreambaby makes safety products to help reduce these.  Science Daily has a story, Homes Need More Protection Against Falls, which points out that falls are the second leading cause of death among children, and that this is because many homes have inadequate protection against them.  Such homes are lacking such commonsense things as banisters, grab bars, anti-slip bathtub strips, and child safety gates.  Eco Child’s Play has a similar outlook, and advocates ”Green Parenting for Non-Toxic Healthy Homes.”  This site focuses on alternative medicine, and sources of toxins from such things as plastics, medicines, and cleaners.  (See, for example: 12 Warnings for Parents and Kids in 2008, 10 Ways to Avoid Toxic Plastic - BPA (Bisphenol A), Synthetic Estrogens and Your Child, Smart Medicine for a Healthier Child, 9 Best Articles for Natural and Home Remedies on Echo Child’s Play in 2008, Another Reason We Can’t Trust the FDA, Melamine…, New Study Suggests Link Between Hairspray Exposure and Genital Birth Defect, How Safe is Your Child’s Playground?, Balloons Cause More Deaths than Marbles, and Finding Safer Products for our Children)  They also discuss products to make parent’s lives easier. (Postpartum Bamboo Belly Wrap Helps Shrink Your Belly and Prevent Stretch Marks, and Why Tilty is a Better Sippy

In recent years people have been taking bullying far more seriously, and researchers have found that, at least with rats, bullying might scar the brain for life.  When rats were bullied new brain nerve cells would form, but then die, and they acted depressed.  (Bullying May Scar Brain for Life

Psychologist Randall Flanery has this advice for being a great dad:  Run a benevolent dictatorship.  Be friendly, but not a friend.  Admit when you’re wrong.  Remain firmly flexible.  Stick around even when they don’t want you to.  Ask questions.  Don’t take it personally if they express unhappiness.  Know that parenting is 24/7, and then some.  Keep in mind that who you are is more important than what you buy them.  Laugh.  Of course, there is also the book, Supernanny: How to Get the Best from your Children by Jo Frost.  For the sport parent, there is Who’s Game is it Anyway: A Guide to Helping Your Child Get the Most From Sports, Organized by Age and Stage by Amy Baltzell.

Move Natural Exercise

Wednesday, July 29th, 2009

The MovNat group teaches that humans were meant to be strong, healthy, happy, and free.   Today we live in a “human zoo” which has made us overweight, weak, sick, and depressed.  In short, we suffer from a “nature deficit disorder.” Drawing on La Methode Naturalle they seek to get back to the way humans originally got their exercise, with activities in natural settings involving walking, running, jumping, balancing, moving on all fours, climbing, lifting, carrying, throwing, catching, swimming, and defending.  The benchmark for fitness is that people should be athletically capable of handling practical real world situations (bottom of the page).  An example of such a situation might arise if your house were on fire.  The idea is that if you had to you could climb a tree, crawl in a window, put someone over your shoulder in a fireman’s carry, and then climb back down to the ground.

Barefoot Walking and Running

Wednesday, July 15th, 2009

We originally evolved to walk and run barefoot, and when you do this you naturally use a forefoot landing because a heel landing would be too painful.  This means that your calf muscle absorbs the energy as you land, instead of the shock running up your leg.  This shock can cause shin splints, knee problems, and even lower back pain.  It turns out that some injured runners find that the only way they can run is barefoot, and some track programs have their runners sometimes train barefoot.  This group, Barefooters.org, has collected some of the relevant medical papers that have been published on this issue.  Another advocacy site worth looking at is Running Barefoot.