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Superfoods: Science or Marketing?

Superfoods: Science or Marketing?

Breakfast Cereal 3There is no medical definition for a “superfood”. Food manufacturers are eager to use the word to promote sales of their products that contain traces of supposed superfoods such as blueberries, pomegranates and chocolate. The Oxford English Dictionary defines a superfood as “a nutrient-rich food considered to be especially beneficial for health and well-being.” However, there are no set criteria about what makes a food nutrient-rich. Most superfoods are high in antioxidants and phytonutrients relative to other foods. However, if you were to eat only one of these superfoods to the exclusion of all else, you would be seriously deficient in many of the nutrients your body needs in order to stay healthy. So what exactly is the science behind the idea of superfoods?

While we would like to believe that if we eat certain foods we can stave off illness and keep aging at bay, the truth is that it’s not so easy. Although there is no doubt that a diet consisting primarily of fruits and vegetables is one of the keys to healthy longevity, it is also what you don’t eat and do that is important. For instance, if you eat a breakfast of blueberries and pomegranates in a bowl of oatmeal, along with a cup of green tea, that does not mean that your health will improve overall if for lunch you have a bucket of fried chicken, French fries and a 64-ounce Coke, followed by a cigarette.

The majority of scientific studies indicating that there may be some positive health effects associated with the nutrients contained in certain foods were conducted in a laboratory. In general, high levels of nutrients are used in these studies—usually far more than what can be consumed in a normal diet. For instance, the compound resveratrol that studies have shown to be heart-healthy and to guard against prostate cancer is found in grape skins only in very small amounts. So although “the French paradox” (why the French have low rates of heart disease despite a rich diet) is often partially attributed to the regular consumption of red wine, in fact, you would have to drink 40 liters of wine a day to get the same amount that was shown to benefit the health of mice in these studies.

The positive results of studies performed in test tubes on a few human cells and studies performed on mice do not necessarily translate into health benefits for the wider population. The effect of a single nutrient on human health is difficult to pinpoint, as we all eat a combination of foods. Some nutritional benefits may only occur in the presence of other nutrients in the same food, or even in a different food eaten at the same time. Iron absorption, for example, is boosted when a food rich in vitamin C is eaten at the same time.

The best nutritional advice someone can follow if they’re interested in maintaining good health is to eat a wide range of whole foods, and (even more importantly) to avoid foods that are bad for you such as processed foods and hydrogenated oils. As the European Food Information Council advises, “A diet based on a variety of nutritious foods, including plenty of fruits and vegetables, remains the best way to ensure a balanced nutrient intake for optimal health.”

 

Children and Caffeine: What Parents Should Know

Children and Caffeine: What Parents Should Know

girlThe next time you pass a Starbucks, pause for a moment and imagine that the customers inside drinking their lattes and Grande Espressos are your children. Then imagine them ingesting a drug (caffeine) that is known as a powerful stimulant with a proven history of producing nervousness, restlessness, irritability, high blood pressure, insomnia, headaches and heart palpitations. Finally, consider that this exercise in imagination may not be all that far off the mark.

That is the key finding of the Centers for Disease Control and Prevention (CDC) in a 2014 study published in the journal Pediatrics. The researchers found that nearly three out of four children and young adults in America (73%) consume some caffeine a day, mostly from soda, tea, and coffee, but also from an alarming number of “energy drinks.”

This study comes as part of an investigation undertaken by the U.S. Food and Drug Administration (FDA) into the safety of foods and drinks that contain caffeine—especially their effects on children and teens. In response to numerous reports of hospitalizations and even deaths after the consumption of highly caffeinated drinks or “energy shots,” the investigators analyzed health surveys containing data on over 22,000 subjects aged 2 to 22.

Many foods contain caffeine (including chocolate, candy bars, some jelly beans, and marshmallows), but most of the caffeine ingested by small children comes in the form of soda. The rise in the use of energy drinks—although they account for only 6% to 10% of children’s daily caffeine intake—is seen as particularly alarming, because many of these drinks contain even higher amounts of caffeine than soda.

The FDA study found that the average caffeine intake among participants was about 60-70 milligrams—roughly the same amount of caffeine present in a six-ounce cup of coffee or two sodas. However, this finding does not necessarily mean that this level of caffeine consumption is safe for children. In fact, while the FDA has classified caffeine as GRAS (generally recognized as safe), that classification is based solely on its use by adults. There is actually no current body of research analyzing its possible detrimental effects on children. Nakia V. Williams, M.D., a pediatrician at the Henry Ford Health System, says, “There haven’t been a lot of studies of caffeine in young children, but we do know that children suffer from similar side effects as adults, and that on average these side effects can occur at lower doses given the smaller body sizes.” The American Academy of Pediatrics (AAP) recommends against caffeine consumption for children and teens because of possible harmful stimulant effects as well as the possibility of it worsening anxiety in children already suffering from anxiety disorders. The AAP holds the clear position that “stimulant-containing energy drinks have no place in the diets of children and adolescents.”

So if you have kids, think twice before allowing them to consume soda and other drinks that contain caffeine. Pediatricians are unanimous in suggesting that they would be better off drinking water, reasonable amounts of fruit juices, milk, and other non-caffeinated beverages.

Can Chiropractic Care Really Reduce Your Sensitivity to Pain?

Can Chiropractic Care Really Reduce Your Sensitivity to Pain?

???????????Chronic back pain is a worldwide problem. According to the 2010 Global Burden of Disease report, it is the single leading cause of disability worldwide. In America, an estimated $50 billion is spent each year to treat back pain. And that figure doesn’t even take into account broader economic or societal costs that come with lower productivity and wages lost to work absences. As a result, chronic pain (whether it’s located in the back, neck, head or elsewhere in the body) and its treatment is an issue—either directly or indirectly—affects all of our lives.

Over the years, there have been tens of thousands of anecdotal reports from patients who found relief from their chronic pain as the result of chiropractic spinal manipulation therapy (SMT). There have also been a number of research studies that documented pain relief after receiving spinal adjustments, especially with regard to decreased sensitivity to pain. But critics have always been able to suggest that the pain relief experienced in these studies might be due more to the placebo effect and “expecting” relief than to the therapy itself.

New research from the University of Florida, published in the February issue of the Journal of Pain, provides demonstrable proof that the pain relief from spinal manipulation therapy is the result of the therapy itself, and not simply the result of patient expectations. In this study, researchers worked with 110 participants suffering from chronic back pain. They assigned them randomly to four groups. A control group received no intervention at all, the SMT group received real spinal manipulation therapy, a third group received placebo SMT (non-chiropractic manipulations designed to simulate treatment) and the fourth group received “enhanced” placebo SMT accompanied by instructions that said “The manual therapy technique you will receive has been shown to significantly reduce low back pain in some people.” Patients then received their therapies or mock therapies six times over a period of 2 weeks. Pain sensitivity was assessed at the start and the end of the experiment.

The study design was thus intended to determine how much of any pain relief experienced by the test subjects was due to the placebo effect. Patients in the real SMT group experienced much more significant reductions in their sensitivity to pain than the control group (as expected), but also more pain reduction than either of the placebo SMT groups, including the group that had been “implanted” with the expectation that it would relieve their pain. The researchers suggest that real spinal manipulation therapy created changes to central nervous system response or the processing of neural pain input that the placebo treatments did not. They attributed the pain relief to “the modulation of dorsal horn excitability and lessening of central sensitization. This suggests potential for SMT to be a clinically beneficial intervention.”

These results should not surprise either chiropractors or their patients, who have had first-hand experience with spinal manipulation for years and understand its potential to reduce pain sensitivity in patients. But it is useful information to those who still doubt chiropractic’s ability to provide real relief without drugs or surgery. The pain alleviation produced by chiropractic adjustments has been determined to be a real and valuable alternative to other types of treatment than may involve far more risk and expense.

 

How Much Sleep is Too Much?

How Much Sleep is Too Much?

Mother Kissing Toddler's CheekWe all know how important it is to get a good night’s sleep and the detrimental effect on our health if we get too little of it. However, it is also possible to get too much sleep, and this may be even worse than getting too little. Sleeping too much has been shown to be a possible indication of underlying health problems, such as heart disease, diabetes, low thyroid and obstructive sleep apnea, and is liked to an increased risk of early death.

Everyone’s need for sleep differs, and there are good reasons for occasionally having to sleep more, such as during periods of high stress or illness. But on average, experts suggest that the optimum amount of sleep to get on a regular basis is between 7 and 9 hours a day. One study showed that those who slept between 9 and 10 hours per night were 21% more likely to become obese over a period of 6 years than those who slept between 7 and 8 hours a night. Another study of 72,000 women found that those who slept between 9 and 11 hours a night had a 38% greater likelihood of coronary heart disease than those who slept 8 hours.

Depression and low socioeconomic status have also been linked with sleeping too much, so it may be that oversleeping is one of the symptoms of these conditions rather than being a cause of the detrimental health effects associated with oversleeping. People with these conditions are less likely to seek or be able to afford health care, so any underlying health problems may not be discovered and treated.

When underlying health and mental problems have been ruled out, people who still feel a strong need to sleep for 70 hours or more per week have what is called primary hypersomnia. Many with hypersomnia go undiagnosed, as it often develops in the teenage years and can be attributed to typical teenage behavior. A study was performed by researchers at Atlanta’s Emory University on people with this condition. The researchers found that one of the major factors implicated in hypersomnia is the presence of a certain substance in the person’s cerebrospinal fluid that acts much in the same way as a sleeping pill. Emory researcher Andrew Jenkins said, “We know why you’re sleepy—your brain is sedating itself.” It is typical for people with hypersomnia to simultaneously experience low levels of energy, anxiety and memory problems, in addition to extreme sleepiness throughout the day that is generally not relieved by napping.

Obstructive sleep apnea is a condition that causes the sufferer to stop breathing for short periods of time during sleep, keeping them from getting to the stage of restful, restorative sleep that is necessary for proper physical and mental functioning during the day. Some prescription medications and the overuse of alcohol can also lead to oversleeping.

If you find yourself consistently sleeping more than 9 hours a day and are also sleepy throughout the day, it is a good idea to consult with your doctor to rule out any underlying medical conditions that may be contributing to your oversleeping.

 

Natural Approaches to Lowering Blood Pressure

Natural Approaches to Lowering Blood Pressure

????????????????????????High blood pressure (hypertension) often has no visible symptoms, especially early on. The only way to determine your blood pressure is to have it measured. If you have high blood pressure, lowering it is vitally important to your long-term health and to reducing your risk of cardiovascular disease. Risk factors for high blood pressure include the following:

  • Being Overweight—If you are overweight, this will put extra pressure on your artery walls
  • Inactivity—If you don’t exercise, you increase your risk of high blood pressure
  • Stress—Increased and prolonged stress can raise blood pressure
  • Alcohol consumption—Overdoing the drinking of alcoholic beverages can increase the risk
  • Potassium—If your potassium level is too low, cells tend to compensate with more sodium, which places you at greater risk
  • Sodium—Too muchrefined sodium in your diet leads to fluid retention and higher blood pressure. Be sure to use good natural, unrefined salts.
  • Age—As you get older, your risk increases
  • Genetics—Some families have greater risk of high blood pressure than others
  • Sugar—Excessive sugar intake, especially refined sugar, can lead to diabetes, which is frequently associated with high blood pressure
  • Inflammation – inflammation can be blamed for a whole host of health complaints and should probably be the first issue addressed. All of the risk factors listed above can be related to or be affected by inflammation. Eating a diet which contains REAL foods  and that includes lots of fruits and vegetables is key in helping to reduce inflammation in the body!

While you cannot influence some of these factors (such as genetic disposition and aging), it is possible to manage most of the items on this list. Exercise is one very effective way to reduce high blood pressure. First of all, it increases your general level of activity. Second, it tends to lower your weight. And third, it helps to reduce stress because of the release of endorphins. Yoga and biofeedback have also been found to be beneficial in reducing stress. When it comes to diet and blood pressure, bananas can be a useful addition. Bananas are a rich source of potassium and can help normalize the potassium-sodium balance in your cells. Limiting the sodium content of your food is also important. Eliminate refined sugar from your diet. Relying on fruit and natural 100% fruit juices to sweeten your diet can be one of the best things you can do. Alcohol, like most everything else, should be taken in moderation. If you have too much stress in your life, realize that alcohol is a depressant and cannot help in the long run. Exercise is a much better stress reliever. A few herbs are believed to contribute to high blood pressure risk:

  • Asian Ginseng
  • Licorice
  • Rosemary essential oil
  • Ephedra

Calcium and magnesium have been found to improve blood pressure. In particular, they’re associated with improving nerve action, calming nervous tension and reducing jitters. These substances also help reducing high blood pressure or its risk:

  • Coenzyme Q10 (CoQ10)
  • Garlic (may interfere with other medications, so check with your doctor)
  • Hawthorn (a natural herb with no known interactions with medications)
  • Fish oil
  • Folic acid

If you have high blood pressure, be sure to consult with your doctor before following any of the above suggestions. But rest assured that there are natural ways for you to manage your blood pressure without resorting to drugs.

Fruit Juice and Kids: A Reality Check for Parents

Fruit Juice and Kids: A Reality Check for Parents

?????????????Ah, the simple joys of parenting! You want to do your best to give your kids a healthy diet, so after reading all the articles about how bad soda is for them, you switch them over to fruit juice. But now when you pick up a newspaper or read posts on your favorite Internet forum, you see more and more evidence that fruit juice may also be bad for them. What’s a parent to do?

The two-part answer to this question seems to be, “Get all the facts and use your best judgment. And—when in doubt—use moderation.” Yes, there is a new study, published in The Lancet Diabetes & Endocrinology, that calls for the UK government to change its “five servings a day” guidelines to exclude fruit juice. And yes, the researchers have their reasons for presenting this argument.

Those reasons seem to relate primarily to the amount of sugar in fruit juices. The study authors argue that a common misperception among parents is that fruit juices provide a natural, low-sugar alternative to artificially-sweetened drinks like soda. Technically, this is not true. As Naveed Sattar, professor of Metabolic Medicine at the Institute of Cardiovascular and Medical Sciences at the University of Glasgow in Scotland points out, “Fruit juice has a similar energy density and sugar content to other sugary drinks, for example: 250 milliliters (ml) of apple juice typically contains 110 kilocalories (kcal) and 26 grams (g) of sugar; and 250 ml of cola typically contains 105 kcal and 26.5 g of sugar.”

Professor Nattar’s research leads him to believe that—unlike consumption of solid fruit, which has been shown to decrease the risk of diabetes—high consumption of fruit juices is linked to an increased risk of diabetes. “One glass of fruit juice contains substantially more sugar than one piece of fruit; in addition, much of the goodness in fruit – fiber, for example – is not found in fruit juice, or is there in far smaller amounts,” Nattar’s research partner, Dr. Jason Gill, adds that although fruit juices do contain minerals and vitamins not present in sodas, the level of these nutrients is not sufficient to offset the health risks associated with consuming excessive sugar.

That’s the bad news. The better news is that even Drs. Nattar and Gill don’t recommend that parents cut fruit juice out of their children’s diet entirely, merely that they limit consumption to 1 to 1½ small (125 milliliter) glasses of fruit juice per day. The Australian Dietary Guidelines (ADG) released in February agree with them, still recommending fruit juice as part of a healthy, balanced diet for everyone, including children. They point out that one of the elements left out of the debate is that 100% fruit juice contains no added sugars, and often contain nutrients that sodas do not, such as vitamin C, folate, potassium and other micronutrients, plus antioxidants. Nutritionist Kristin Beck of the ADG says, “It’s not always possible for kids to get their recommended daily servings of fruit, so parents should be aware that 100% fruit juice can help meet these targets – especially for fussy eaters.”

Ms. Beck also provides what may be the best advice on the topic for parents: “Check the label to ensure you’re buying a good quality, 100% fruit juice. Be mindful of portion sizes and combine with a healthy, balanced diet that includes all core food groups – such as fresh fruit and veggies and a combination of lean meats, fish, dairy and carbohydrate-rich foods, mainly whole grains.”

Chiropractic Care and Postpartum Depression

Chiropractic Care and Postpartum Depression

???????????????Many research studies have confirmed the benefits of chiropractic care during pregnancy. The postural and hormonal changes a woman goes through during pregnancy are potentially debilitating, and chiropractic adjustments have been shown to alleviate many of the most common problems. Studies have indicated that regular chiropractic care during pregnancy helps to prevent breech deliveries, permits more unobstructed fetal development, and reduces birth trauma in the infant. For the mother, chiropractic adjustments often relieve back pain during pregnancy, reduce labor time and make delivery easier.

But several of the important benefits of chiropractic care only become apparent after the birth. The hormonal and postural changes of pregnancy, combined with the stress of delivery itself, often cause severe symptoms of postpartum depression after the baby is born. Chiropractic adjustments during this recovery period can help to reduce the likelihood of postpartum depression, quicken recovery time, and help new mothers to re-normalize their pelvic and spinal structures.

At least one 1975 study published in the Journal of the American Osteopathic Association indicates that “post-partum depression is a rarity in patients receiving…manipulative [adjustment] therapy.” And the first-hand reports from the new mothers seem to reflect this same finding—many cite regular post-delivery chiropractic care as being as important to their overall mental health as it was to their physical health during the pregnancy itself. Intuitively, you can easily understand why this would be the case. Not only is the new mother’s body trying to return to some semblance of “normalcy” after nine months of pregnancy and the stress of delivery, it’s doing so during a period when they are “new mothers.” They aren’t getting enough sleep, they are so busy taking care of their new babies that they often don’t have the time to eat properly themselves or get enough exercise, and their hormones are still going crazy.

Doctors of chiropractic can offer a great deal of support during this critical period, ranging from “hands on” adjustments, relaxation therapies, and massage treatments to nutritional, exercise, and lifestyle advice that help new mothers’ bodies grow stronger. And, of course, chiropractic does this the same way it addresses other problems – in a holistic manner, without drugs and without surgery, aiming at helping the body heal itself.

From a biomechanical point of view, your “post-partum” period lasts for a full year after giving birth. It takes that long for the hormone relaxin– so essential in facilitating the bone and connective tissue changes necessary to give birth – to leave the body. During this time, the hormone continues to affect your ligaments, spine, and pelvis. It can produce pain and feelings of instability that make it difficult to stand and walk normally. These physical changes are magnified emotionally, as your hormone levels change and you deal with the pressures of being a new parent.

So even if you didn’t take advantage of chiropractic care during your pregnancy, consider using it during this period after the baby has been born. It can help in many ways, and anything that helps to re-establish your normal sense of health and well-being is good for your baby, too.

Chiropractic Care and the 2014 Winter Olympics

Chiropractic Care and the 2014 Winter Olympics

2014-olympics-200-300The 2014 Winter Olympics are underway! There have already been some amazing spectacles, and we’re all hoping for the games to continue without any serious injuries or disruptions. It’s a great opportunity for us to admire what the world’s finest athletes can accomplish. At the same time, it’s also a great opportunity for us to get more insight into how these athletes prepare themselves and to recognize the teams of professionals that help them achieve their dreams.

Chiropractic physicians are onsite in Sochi to help competitors perform at their best and to help them avoid and recover from injuries. Chiropractors have actually been involved in the training of Olympic athletes since the late 1960s, when doctors of chiropractic joined the medical specialists treating and supporting various national teams. Chiropractic became an official part of the Olympic training sports medicine program in 1980. It was offered onsite to athletes for the first time as one of the core services at the Polyclinic during the London Olympic Games in 2012.

As a healthcare discipline, chiropractic is a perfect “match” for the rigors of Olympic training and competition. These athletes train hard and place demands on their bodies that most of us never imagine. The intense levels of competition place unusual amounts of strain on the musculoskeletal systems of the athletes’ bodies. Many become injured during training, and need periods of recovery and rehabilitation before they can return to training, or to the Games themselves.

Before chiropractic care became an integral part of Olympic training (and the Olympic Games themselves), athletes often had to rely on pain-killing drugs and potentially invasive medical procedures to treat their injuries. With chiropractic care now available, they have a much wider range of options to choose from. Doctors of chiropractic (DCs) are able to bring injured athletes back to health—and to help keep them healthy—during training and competition with using drugs or surgery.

Michael Reed, a chiropractor and the Team USA Medical Director for the 2012 Games, said about inclusion of chiropractic services at the Polyclinic in London, “This is an historic event not only for the chiropractic profession, but also the athletes who will now have access to the care that will help them prepare their bodies for competition. These athletes train hard and endure significant physical demands. Sports-focused DCs, along with other members of the sports medicine team, are specially skilled to assist them in reaching peak performance.”

The staff of the Sochi Polyclinic (a huge complex that provides 24-hour medical services to the athletes) similarly contains a number of DCs, who will be working alongside medical doctors, sports medicine specialists, and therapists to keep the athletes of all participating countries healthy… and participating. As William Moreau, DC, Managing Director of Sports Medicine for the U.S. Olympic Committee says, “The athletes who comprise Team USA are the hardest-working, hardest-training and most amazing people I’ve ever treated. The athletes we see are akin to BMW racing machines; their joints and muscles are so finely tuned that small differences make notable changes.”

Dr. Moreau will be onsite at the Sochi Games supervising a staff of 28 physicians, 6 of whom are doctors of chiropractic. Of course, chiropractors will also be present on the national medical teams supporting other countries’ athletes. It’s nice to know that all the athletes participating in Sochi will be in very good hands!

 

Top 5 Exercises for Increasing Range of Motion in Your Neck

Top 5 Exercises for Increasing Range of Motion in Your Neck

girafe réticulée 06Pain and stiffness can significantly reduce your neck’s range of motion. Although a decreased range of motion in your neck may not seem like a major problem, it can actually contribute to a number of unpleasant conditions, including headache, fatigue, irritability and sleep loss. Like any other part of the body, our neck can become stronger and more flexible through exercise. Following are some useful exercises that can help to increase the range of motion in your neck.

All these exercises should be done while sitting comfortably in a chair with your feet flat on the floor and your neck in a neutral position. Your neck should be positioned right above your spine (in other words, be sure your head is not jutting forward or back), and you should be looking straight ahead. If you feel pain (rather than just discomfort) while doing any of these exercises, stop immediately and do not resume them until you have consulted with your chiropractor.

1) Neck rotations – Keeping your head level, gradually turn your head to the right as far as you comfortably can, looking over your right shoulder, and hold for 10 seconds. Then slowly turn your head to the left, looking over your left shoulder, and hold for another 10 seconds. Repeat 5 times.

2) Neck tilts – Tilt your head to the right, bringing your right ear as close to your shoulder as possible, and hold for 10 seconds. Do the same on the other side, tilting your head to the left, again holding for 10 seconds. Repeat 5 times.

3) Neck flexion and extension – This is simply bending your head forward and back. Beginning in a neutral position, gradually bend your head forward, letting it hang with your chin close to your chest, and hold for 10 seconds. Then slowly bring your head up and back so that you are looking at the ceiling. Repeat 5 times.

4) Half circles – Start by tilting your head toward your right shoulder as far as possible, then slowly swing it to the left in a fluid half-circle, moving your head forward and down until your chin is close to your chest, continuing until your head is tilted to the left with your left ear above your left shoulder. Then repeat the movement in the other direction.

5) Levator scapulae stretch – Tilting your head to the right over your shoulder, turn and drop your head slightly so that your nose is pointed toward your elbow, and hold for 10 seconds. You should feel the stretch in the muscle connecting the back of the left lower neck to your shoulder blade. Repeat on the other side.

How Flexible Should You Be?

How Flexible Should You Be?

??????????????????????????????????????????????????????????????????????????????????????????Watching a dancer put her leg to her nose is an impressive sight, and many of us can perform similar feats when we’re children. But we begin to lose flexibility as we age if we do not make a conscious effort to remain limber. Inactivity causes muscles to shorten and stiffen, and muscle mass is lost with increasing years as well. However, maintaining flexibility as we get older is of great importance, since it allows us to retain our mobility and reduces the likelihood of aches, sprains and falls as we age.

Optimal flexibility means the ability of each of your joints to move fully through their natural range of motion. Simple activities such as walking or bending over to tie your shoes can become major difficulties if your flexibility is limited. Unfortunately, sitting for hours at a desk, as so many are forced to do on a daily basis, eventually leads to a reduction in flexibility as the muscles shorten and tighten.

There are a number of different tests used to measure flexibility, but the one test that has been used as a standard for years is the sit and reach test. It measures the flexibility of your hamstrings and lower back. The simple home version of the test requires only a step (or a small box) and a ruler.

Before the test, warm up for about 10 minutes with some light aerobic activity and do a few stretches. Then place the ruler on the step, letting the end of it extend out a few inches over your toes, and note where the edge of the step comes to on the ruler. Sit on the floor with your feet extended in front of you, flat against the bottom step (or box). With your arms extended straight out in front of you and one hand on top of the other, gradually bend forward from the hips, keeping your back straight. (Rounding the back will give you a false result). Measure where your fingertips come to on the ruler. They should ideally be able to reach at least as far as the front of the step. Any measurement past the edge of the step is a bonus. No matter how far you can reach on the first measurement, do the test periodically and try to improve your score every few weeks.

If you find that you are less flexible than you should be, some regular stretching exercises combined with visits to your chiropractor can help to restore flexibility and improve range of motion, helping to ensure that you remain limber into older age.