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Summertime is fun time - swimming, surfing, beach volleyball, beach barbecues, and lots of sunshine!

We want to be sure to enjoy ourselves all summer long and not be slowed down by the speed-bumps of sunburn, muscle aches and pains, and back strain. There's plenty we can do for prevention and to make sure we continue to have fun for the whole summer and beyond!

Sunburn first. This is now a real problem for almost everyone. More harmful ultraviolet radiation is reaching the surface of the planet, and that means it's reaching us! When we were kids we could get away without putting on sunscreen. Now we really need protection - for kids as well as adults.

Everyone needs to use a sunscreen. These products are rated by the amount of sun protection factor they offer - the SPF. Generally, sunburn can be avoided by using a product with an SPF of 15. Infants and children should be protected with an SPF of 30. Babies younger than six months of age should be kept out of the sun.

Both sweat and water reduce SPF protection. So if you've been in the ocean or the pool or have worked up a sweat playing volleyball or Frisbee, reapply your sunscreen right away. If you're fair-skinned or have a receding hairline, wear a hat. Protecting your lips is important too - lip balms are available with an SPF of 30.

The right kind of sunglasses is important - not all sunglasses are created equally. For proper protection, choose sunglasses that offer ultraviolet (UV) protection - helping to avoid cataracts and other eye diseases. Protection should block 99% of UVB and 95% of UVA radiation.

Getting ready for exercise is next on our summer-fun agenda. Swimming, surfing, and volleyball all require a good amount of flexibility. It's a bad idea to jump in the ocean after having spent the last six months sitting on your couch playing "Grand Theft Auto" or "World of Warcraft". The first big wave may knock you over and sprain your back!

Getting ready is important. Begin by doing daily gentle stretches for your major leg muscles - the hamstrings, quads, and calves. Stretching these big muscle groups reflexively relaxes and lengthens the muscles of your lower back.

Also, start doing abdominal exercises - leg lifts for the lower abs and crunches for the middle and upper abs. Strong abdominal muscles translates into support for your lower back.

Learning how to do a set of core exercises is very valuable. These exercises specifically strengthen the inner wall of your abdominals and lower back, resulting in more strength, more flexibility, and better balance. The only equipment required is an exercise mat.

Your chiropractor will be glad to provide information, guidance, and recommendations for a range of exercises and stretches that will help keep you healthy all summer long and beyond!

1Holick MF: Sunlight, UV-radiation, vitamin D and skin cancer. How much sunlight do we need? Adv Exp Med Biol 624:1-15, 2008
2Moehrle M: Outdoor sports and skin cancer. Clin Dermatol 26(1):12-15, 2008
3Urquhart DM, et al: Abdominal muscle recruitment during a range of voluntary exercises. Man Ther 10(2):144-153, 2005

Like Goldilocks, we want things to work out just right. When it comes to our health, though, things don't work out just right by themselves.

Neglect causes many serious health problems. Abuse - in the form of unhealthy behaviors - causes many additional serious disorders.

Every day on TV and radio news programs we hear about the importance of healthy eating and exercise.1 But most of us don't know how to apply these recommendations to ourselves and to our families. The Goldilocks approach could resolve a lot of the confusion and provide a great deal of value.

How would Goldilocks put a healthy lifestyle into practice? "Just right" would be her mantra. Not too much, not too little, but just right. How would Goldilocks approach a healthy diet? She would choose a food plan that didn't require a lot of effort. She'd quickly teach herself to read labels and count calories, and once she'd done that she'd learn a core group of easy-to-prepare recipes. She'd train herself to go shopping only once a week and she'd prepare a shopping list before each trip.

Goldilocks wants her family to eat healthily, but she wisely doesn't want food to be a big preoccupation. She wants this lifestyle change to be a no-brainer.

What about exercise? Goldilocks is pretty tired of listening to her friends smugly talking about how good they feel and how they went from a size whatever to two sizes less. Goldilocks want to feel good, too, but doesn't want to take on more than she can handle. She wants a "just right" exercise plan.2,3

Goldilocks talks to a friend who is just as busy as she is and learns a few secrets. First, she learns how to do a high-intensity cardio workout in only 15 minutes. "That's all?" she asks her friend, who reassures her that 15 minutes is the new 30. Next, her friend explains how to do a complete program of strength training in two 30-minute sessions - done a day or two apart, of course. "Only 30 minutes?" Goldilocks is skeptical. "Thirty is the new 60!" her friend affirms. "Check-out my arms. That's all muscle, girl!"

After only a few weeks on her new fitness program, Goldilocks is so pleased with the results that she shares what she's doing with her husband and teenage son and daughter. Months later, everyone in her family notices a rekindled togetherness and family spirit.

Goldilocks shares her experiences with her chiropractor and admits she wishes she'd acted on her chiropractor's nutritional and exercise recommendations sooner. "No worries," her chiropractor replies. (Goldilocks lives in California.) "I'm giving a health care and wellness talk at our local high school next week. Would you like to be part of the talk and share what you've been learning?"

"I'd love to!" exclaims Goldilocks. "Thank you again, Doctor, for always helping everyone in my family!"

1Loimaala A, et al: Effect of long-term endurance and strength training on metabolic control and arterial elasticity in patients with type 2 diabetes mellitus. Am J Cardiol 103(7):972-977, 2009
2Monteiro AG, et al: Acute physiological responses to different circuit training protocols. J Sports Med Phys Fitness 48():438-442, 2008
3Lakka TA, Bouchard C: Physical activity, obesity, and cardiovascular diseases. Handb Exp Pharmacol 170:137-163, 2005

Not too long ago, the Eighth Joint National Committee (originally commissioned by the National Heart, Lung, and Blood Institute) released a new set of evidence-based guidelines for evaluation and treatment of hypertension (high blood pressure). The guidelines committee, comprised of 17 academics, spent five years reviewing evidence as preparation for developing the new recommendations.

The committee’s report represents nothing less than a sea change in the treatment of patients with higher-than-normal blood pressure readings. The primary shift is from a long-held standard of implementing treatment when a person’s blood pressure is higher than 140/90 mmHg. The new guidelines recommend beginning treatment only when blood pressure readings are higher than 150/90 mmHg. The new standard is a huge modification of decades-old practice methods, and has generated substantial controversy.1.2 Of course, a good portion of the pushback is from those who have a vested interest in maintaining the status quo, such as physicians who dispense medications from their office and earn substantial income from selling antihypertensive drugs at multiples of their wholesale costs. In addition to physicians who act as pharmacies, drug companies who manufacture antihypertensive medications also stand to lose significant revenue. But aside from considerations related to the practice of medicine as a business, the real issues should be focused on the benefits and harms to patients. In this context, it may be reasonably stated that fewer medications are, by and large, a good thing.

The new blood pressure guidelines have two primary impacts. First, for people over age 60, treatment for presumed hypertension should be initiated when blood pressure readings are higher than 150/90 mm/Hg. More than 7.4 million Americans over age 60 will be in the new safe range. Many of these millions of people have been taking antihypertensive medication for years, possibly needlessly as implied by the new guidelines. Next, for all those under age 60, there is insufficient medical evidence that a systolic blood pressure (the first number in the reading) threshold exists that would dictate treatment. In other words, for many years the systolic threshold had been 140 (as in 140/90 mmHg). Higher systolic readings virtually mandated antihypertensive treatment. Although the committee expressed its opinion that the systolic threshold of 140 mmHg ought to be maintained for those younger than age 60, even though evidence for such a threshold is weak. Thus, it may be that many millions more people have been taking antihypertensive medication without such recommendations being backed by sound scientific research.

The point here is not that people should stop taking their blood pressure medication.3 All such types of decisions should be made in consultation with the prescribing physician. The main consideration is having the ability to make informed choices. Some medication regimens may be appropriate. Some may not. Some may need to be reevaluated. As always, regular chiropractic care is of value by providing you with the best opportunity to achieve maximum good health.

1Mitka M:Groups spar over new hypertension guidelines. JAMA 311(7):663-664, 2014
2Kieldsen SE, et al: Hypertension management by practice guidelines. Blood Press 23(1):1-2, 2014
3Sheppard JP, et al: Missed opportunities in prevention of cardiovascular disease in primary care: a cross-sectional study. Br J Pract 2014, Jan;64(618):e38-46. doi: 10.3399/bjgp14X676447

Being an informed patient is an empowering concept.1 In the modern healthcare marketplace, the doctor-patient relationship has become a two-way street. It's no longer a situation in which the doctor tells the patient what to do. Today, patients can be full partners in managing their care and well-being.2

What does it take to be an informed patient, one who can participate in a meaningful way and not be merely the passive recipient of the doctor's instructions and recommendations?

The first key is to identify a doctor - a chiropractor or family physician, depending on the circumstances - in whom you have confidence. Here are a few essential points to consider

The questions you ask are not just to keep talking and capture more of the doctor's time spent with you. An informed patient does some preparation - some homework - before the actual office visit. The Internet offers a lot of valuable information on both chiropractic and medical treatment. And, it's important to remember that not all information is accurate and authoritative - consider the source of the "information".

Do your best to evaluate the doctor's recommendations. First, what are the expected results? How quickly should you begin to feel better? Are there potential side-effects of the recommended treatment? What are the alternatives?

Alternatives may include other forms of therapy within the doctor's office and may also include consultation with another specialist. The main point is not to be left with a confusing array of choices, but to have enough information to go forward with a treatment plan that makes the most sense, both to your doctor and to you.

If a prescription is involved, make sure you write down the exact spelling of the medication and the exact dosage and frequency. Prescriptions are usually scribbled, and both doctors and pharmacists can make a mistake. Don't let your doctor simply hand you an illegible piece of paper. Insist on ensuring that you understand what is being prescribed, and be sure to ask your doctor about potential side effects, risks, and interactions with any other medicines you may be taking.

As in all relationships, the doctor-patient relationship is based on clear communication and mutual trust and understanding. You can help your doctor help you by being informed and participating in the decision-making process.

1Informed Consent. "Ethics in Medicine". University of Washington School of Medicine. http://depts.washington.edu/bioethx/topics/consent.html#ques1
2"Be an active healthcare consumer". Agency for Healthcard Research and Quality. http://www.ahrq.gov/path/beactive.htm

Health insurance costs are out of control. We're all painfully aware of this inflationary spiral. Monthly premiums are through the roof. Co-payments keep going up and up. Out-of-pocket expenses are so high we often wonder what we're saving by purchasing health insurance at all.

Every family has been hit hard by these financial burdens. If you're self-employed, your health insurance premiums for adequate individual coverage are close to $1000 per month. These bills are too high for many small business owners, so they opt for catastrophic coverage. These policies still cost $4000 to $5000 per year. If you encounter medical problems, you have to pay up to $5000 or more in out-of-pocket expenses.

What solutions, if any, are available to U.S. citizens? The Federal government may or may not address our crumbling health care system in the next presidential administration. Individuals and families need to take steps on their own to ensure better health. Improved health and well-being always translate into reduced health care costs.1,2

Health-affirming lifestyle choices make a real difference in both short-term and long-term well-being. Old habits may need to be broken. New habits may need to be nurtured. The outcomes will be better health and increased savings by reducing health care expenditures.

Nutrition and fitness are often the primary categories needing improvement. Obesity, high blood pressure and heart disease, and diabetes are a few of the main culprits raising our national health insurance costs. Each of these can be positively impacted by achieving a better diet and engaging in regular exercise.

Stopping smoking. Reducing alcohol consumption. Replacing soda with water. Cutting-down on snacks. Cutting-down on processed carbohydrates - white bread and white rice. Reducing portion size. Taking all these action steps, progressively and over time, will improve your overall state of health.3

Be in it for the long haul. Change doesn't happen overnight - it's a process. We're talking about a lifetime of good health supported by good habits.

Chiropractic health care is an important part of the process of restoring well-being and reducing health care costs. Regular chiropractic visits help a person stay active and are a key component in returning to fitness. Chiropractic treatment helps to improve flexibility, balance, and stability, increasing your ability to exercise and making it more fun.

Use your chiropractor as a resource as you work on improving your health. Your chiropractor will have many valuable recommendations regarding healthful nutrition and healthful exercise, and will be glad to offer guidance and support in your journey to good health.

1Fronstin P: Health promotion and disease prevention: a look at demand management programs. EBRI Issue Brief 177:1-14, 1996
2Parks KM, Steelman LA: Organizational wellness programs: a meta-analysis. J Occup Health Psychol 13(1):58-68, 2008
3Pearce PZ: Exercise is medicine. Curr Sports Med Rep 7(3):171-175, 2008

In the field of statistics, a five-point rating scale is commonly used to evaluate all sorts of personal responses, feelings, and assessments. This frequently used tool is known as the Likert scale, and most people have completed such a rating device on numerous occasions, most typically in consumer after-sales surveys. The Likert scale asks a person to respond to a statement such as “I would recommend this restaurant to my friends”, choosing from the predetermined answers of “strongly disagree,” “disagree,” “neither agree nor disagree,” “agree,” and “strongly agree.” The Likert scale was developed in 1932 and has been consistently validated over many decades of use. We can effectively apply this rating system to our own state of health by answering the statement, “I enjoy high levels of health and well-being.” We can than employ our truthful answers to make sound decisions on our own behalf regarding future health-promoting activities.

If your truthful response is “strongly agree,” you probably have been engaged for a year or more in a regular, vigorous exercise program and consistently follow a nutritional healthy eating plan. You do at least 30 minutes of vigorous exercise five times a week, on most weeks. You are probably at or very near your target body weight (based on a calculation of your body mass index, readily done at numerous online resources) and consume an appropriate amount of calories on a daily basis. Overall, you feel fit. You sleep well and wake up refreshed. You have abundant energy to do all the things you need to do for yourself and your family, every day.

At the other end of the Likert rating system, if your truthful response is “strongly disagree,” you probably haven’t done any form of exercise for some time. Of course, such a circumstance might be the result of a serious illness. But if your lack of engagement in regular exercise and healthy eating is related to apathy or some other form of ennui, or in itself is a personal choice, it’s useful to consider the consequences of such inaction. Or, rather, it could be personally beneficial to consider the value in taking on new habits that result in your becoming a person who responds “strongly agree” to the statement, “I am healthy and well.”

How do you get to “strongly agree”? The solution is three-fold. The first part is to make a choice that you want to enjoy high levels of health and well-being. No one is ever going to make such a commitment because someone else told him or her they should, no matter whether that someone is a spouse, other family member, or a physician. The decision must be a personal choice. The second and third components are to begin an exercise program1 and a healthy eating plan2,3. Exercise needs to be vigorous (“vigorous” is relative, based on your age, overall health status, and other considerations) and done five times per week. Healthy eating encompasses a wide range of selections and options. One of the key elements is to consume at least five servings of fresh fruits and vegetable every day.

The good news is that every person who begins and stays with such a course of healthy living will soon reap the benefits. And not too long after that, you’ll find you’ve become a person who sleeps better, has more energy, and has, day by day, more fun in living. This is what healthy eating and exercise is really all about.

1 Chilton WL, et al: Acute Exercise Leads to Regulation of Telomere-Associated Genes and MicroRNA Expression in Immune Cells. PLoS One 2014 Apr 21;9(4):e92088. doi: 10.1371/journal.pone.0092088. eCollection 2014

2 Michas G, et al: Dietary fats and cardiovascular disease: Putting together the pieces of a complicated puzzle. Atherosclerosis 2014 Mar 27;234(2):320-328. doi: 10.1016/j.atherosclerosis.2014.03.013. [Epub ahead of print]

3 Yoon U, et al: Efficacy of lifestyle interventions in reducing diabetes incidence in patients with impaired glucose tolerance: a systematic review of randomized controlled trials. Metabolism 62(2):303-314, 2013

As we get older, most of us begin to experience the acceleration of the passage of time. The sensation of time passing gets faster and faster, until for many of us weeks begin to feel like days and months begin to feel like weeks. This is very disconcerting and we'd like to be able to slow things down. We'd like to make the months and years whiz by a little less quickly. This isn't possible, of course, from the point of view of time itself, and the only comfort may lie in the fact that everyone else is experiencing similar phenomena. "Time flies" is a common expression. But there are solutions, relative ones, by which we may get a better grasp on our personal relationship to time and time's effect on our physical bodies.

The first solution is associated with the concept of present time consciousness. In other words, the more you actually experience the present moment itself, the more you will be participating in what these moments offer and the more you will be getting out of the experiences of which your life is comprised. "Being present" is a skill that gets stronger with practice. There's always the tendency for our minds to wander off on any other track than the one we want to be on, that is, being present. But with practice our ability to be present in the moment expands. One of the remarkable benefits of this practice is that our experience of time passing slows down. By being present, our hours, days, and weeks become much more meaningful. We experience more of life and the passage of time no longer washes over us like an unending series of 20-foot waves.

The second solution involves taking better care of ourselves. When we're healthy and well, each day is more enjoyable. When we're healthy and well, our physical state is not a daily concern and we're free to do what we want. We can read, study, exercise, engage in new work activities, or simply relax and watch a movie without the concerns and constraints of physical pain and disease. Our ability to participate in these unique experiences enriches our lives and makes the passage of time a joy rather than a burden. But as with the skill of being present, the skill of being healthy and well requires practice. Such practice takes the form of eating a nutritious diet,1,2 doing regular vigorous exercise,3 and getting sufficient rest. With these practices in place, we are well on our way to increasing our long-term levels of health and wellness.

Thus, although we cannot control the actual passage of time, we can control our relationship to the phenomenon of time passing. By learning the skill of present time consciousness and practicing healthy behaviors, we become able to add more life to our years and may even be adding more years to our lives.

1Paddon-Jones D, et al: Protein and healthy aging. Am J Clin Nutr 2015 Apr 29. pii: ajcn084061. [Epub ahead of print]
2Royston KJ, Tollefsbol TO: The Epigenetic Impact of Cruciferous Vegetables on Cancer Prevention. Curr Pharmacol Rep 1(1):46-51, 2015
3Gonzales JU: Do older adults with higher daily ambulatory activity have lower central blood pressure? Aging Clin Exp Res 2015 May 22. [Epub ahead of print]

Having a pair of healthy hips is a key to healthy aging. But healthy hips are not only important for people in their 60s, 70s, and beyond. Your hips are one of your most important structural components, regardless of how old you are. Whether you're 20, 30, or 40, your hip joints provide biomechanical support to your entire body. Thus, keeping your hips healthy is a necessary consideration for everyone who wants to be healthy and well throughout a long life.

Healthy hips do not happen automatically. Your body's physiology follows the biomechanical principle of "use it or lost it". Muscles, bones, and joints that do work on a regular basis are strengthened and enhanced. Those musculoskeletal elements that don't do much physical work are broken down, so that molecular building blocks such as amino acids and nutrients such as calcium can be put to better use elsewhere. In other words, if you're haven't done much exercise in a while, weight-bearing joints such as the hips, knees, and ankles will begin to degrade. However, even as these joints lose optimal structural integrity, gravitational forces persist. The long-term result of such weakened joints is strains and sprains, degenerative arthritis, and possibly other inflammatory conditions. These disorders likely involve daily ongoing pain, which may become moderate or severe.

In the absence of conservative treatment and rehabilitative exercise, such conditions may ultimately require joint replacement. These procedures are becoming increasingly common, with total hip replacements and total knee replacements being performed on younger and younger patients. For example, annual rates for total hip replacement in the United States in patients aged 45 and older have almost doubled between 2000 and 2010.1

Importantly, many hip joint problems can be prevented by instituting appropriate lifestyle changes. As the cause of many of these degenerative conditions is long-term lack of use, the solution lies in activity and physical work. In Western nations, physical labor is becoming increasingly uncommon. Most of us work in service-type industries and spend most of our days sitting at a desk. As a result, physical work is now typically obtained by engaging in regular, vigorous exercise. By performing five 30-minute sessions of vigorous weight-bearing exercise every week, we will restore and maintain sufficient healthy stress on our muscles, bones, and joints.

As these musculoskeletal structures undergo physical loads and perform mechanical work, your body responds by making them stronger.2-4 New blood vessels are built to supply these structures with increasing amounts of oxygen and other nutrients. New cells are built to support existing tissues. Worn-out cells are removed more efficiently. The entire musculoskeletal system is revitalized in response to regular, vigorous exercise. The long-term result is healthy hips, knees, and ankles, as well as a healthy spine. These weight-bearing structures work synergistically to help provide you with long-term health.

1Hospitalization for Total Hip Replacement Among Inpatients Aged 45 and Over: United States, 2000–2010. NCHS Data Brief No. 186, Centers for Disease Control and Prevention, February 2015
2Qian JG, et al: Effectiveness of Selected Fitness Exercises on Stress of Femoral Neck using Musculoskeletal Dynamics Simulations and Finite Element Model. J Hum Kinet 41:59-70, 2014
3Bolam KA, et al: The effect of physical exercise on bone density in middle-aged and older men: a systematic review. Osteoporosis Int 24(11):2749-2762, 2013
4Hill KD, et al: Individualized home-based exercise programs for older people to reduce falls and improve physical performance: A systematic review and meta-analysis. Maturitas 2015 Apr 29. doi: 10.1016/j.maturitas.2015.04.005. [Epub ahead of print]

The scientific concept of complexity is only a few decades old, but like many powerful ways of looking at the world it has spread rapidly throughout the public consciousness. Anyone who has watched even a couple of episodes of "The Big Bang Theory" would have heard multiple references to chaos theory, complex systems, and emergent phenomena. Remarkably, these very interesting topics from the fields of physics, mathematics, chemistry, and biology have special importance for human health and wellness.

Examples of complexity and chaos abound in the natural world. For example, weather systems are complex systems, which is why weather is notoriously difficult to predict even in the short-term. And long-range weather forecasts are not much better than guesswork, because the basic structure of a weather pattern can change in an instant. Study of avalanches has helped to advance chaos theory. And the flocking behavior of birds, especially the well-studied starlings, represents ever-shifting outcomes of a huge number of factors.

An emergent phenomenon is one that cannot be predicted from studying the various parts that make up the whole. Emergent phenomena include flocking behavior, in which large flocks create beautiful, always varying, dynamic patterns in flight; the architecture of beehives; and the World Wide Web. Even human consciousness may, from a certain perspective, be considered an emergent phenomenon.

From a health perspective, the relative wellness of any specific individual is an emergent phenomenon.1,2,3 For example, fighting off an infection is a dynamic process with many complex and chaotic interactions taking place before the final outcome is determined. We're not aware of these specific processes per se. We are aware of how things are going, that is, the sum total of the cellular and subcellular activities, based on how well or not well we feel.

Looking at one key area as an example of flocking behavior, are our white blood cells being effective in combating the infection? Is their behavior organized? Do they know where to go to battle the invading forces? Or is their behavior random and uncoordinated and are we not well and even sick as a result?

Long-lasting good health emerges from a variety of inputs, including nutritional balance, regular exercise, and sufficient rest. These activities are known as healthy behaviors or healthy lifestyle choices. As the interactions are complex, we can never predict a specific outcome. But we can base our choices on historical data and an analysis of facts. This information tells us that the outcomes we want - health and wellness - are likely to emerge from a set of healthy behaviors, i.e., healthy lifestyle choices taken consistently over the long-term.

1Koonin EV: Are there laws of genome evolution? PLoS Comput Biol Epub August 25, 2011
2Jayasinghe S: Conceptualising population health: from mechanistic thinking to complexity science. Emerg Themes Epidemiol 8(1):2, 2011
3Parkes MW, Horwitz P: Water, ecology and health: ecosystems as settings for promoting health and sustainability. Health Promot Int 24(1):94-102, 2009

Here come the holidays - Thanksgiving, Channukah, Christmas, and New Year's. And the travel - Thanksgiving is one of the biggest travel days and the day before Christmas is just as busy.

If you're flying, you know what to expect - long lines, delays, crowded flights. But knowing what's to come doesn't necessarily provide reassurance. Traveling - particularly traveling by plane - makes many people crazy. Sitting in the terminal, waiting for your boarding call, you can see the deep lines of care, worry, and anxiety etched into peoples' faces.

However, whereas air travel may not be the funnest thing in the world, there are many action steps individuals and families can take to de-stress the experience. Traveling doesn't have to mean losing your mind and getting all wound up with tension and mental and physical strain.1,2

Here's a Top Eight List of things to do in the days before your flight and then during your flight -
Before the flight -

Starting your packing early will make a huge difference in how you feel on the day of the flight. Imagine what it would be like if you didn't have to dash all over your house minutes before you're supposed to leave for the airport, searching for that critical thing you must bring with you.

Make a list and make a plan. Promise yourself you're going to have everything packed, including the kids' backpacks, by the time you go to sleep on the night before you travel. You'll be amazed at how relaxed everyone is on the actual travel day, in sharp contrast to the usual mayhem and fighting.

A good supply of healthy snacks will keep everyone's energy level up, and minimize in-flight crankiness due to hunger and low blood sugar levels. 3 Most airlines don't even serve food anymore, and even if they did, you don't want it. Bring your own low-fat protein energy bars; little plastic cups filled with peanut butter; low-calorie muffins; trail mix with nuts, dried fruits, and chocolate; string cheese; low-fat crackers; and plenty of water.

Be sure to do light exercise and stretches the week of your flight. You're going to be lugging heavy baggage, and want to be ready for some awkward schlepping, dragging, and lifting.

Seeing your chiropractor before a trip will help ensure your body is in peak condition for any unexpected jars and jolts. And even when you're well-prepared, travel still has its stressful moments. Chiropractic treatment helps ensure that your nervous system will be flexible and adaptable, adjusting to whatever surprises are in store during your trip.

1Waterhouse J, et al: The stress of travel. J Sports Sci 22(10):946-965, 2004
2Reilly T, et al: Jet lag and air travel: implications for performance. Clin Sports Med 24(2):367-380, 2005
3Waterhouse J, et al: Factors associated with food intake in passengers on long-haul flights. Chronobiol Int 23(5):985-1007, 2006

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