Understand and Boost Your Immune System

By: Manager of Nutrition Therapy, Cindy Baranoski MS, RDN, LDN

Better Immunity is Achievable

What better time than now to start building your defenses against illnesses? With coronavirus or COVID-19 here, there is a lot of fear and a feeling of helplessness to do anything. But you should know that there are things you can do to help protect yourself and your family’s health overall.

As a human we are bound to become ill, but how that illness manifests in us, how extreme are the symptoms, how long does it last, when does it go away, and can we get it again, can be under a bit of our control if we do the right things to keep our body’s immune system and defenses strong.

What Protects Us From Illness

Many components make up our defense system, some we can control and others we cannot. A human body contains trillions of microorganisms or microbes that outnumber our cells by 10 to 1. The term ‘microbiome’ refers to the genetic material all of these microbes contain, and their total genetic material is 200x more than the number of genes in a human body. Many of these microbes are pathogenic, or able to cause disease, but coexist with a human body never causing disease. Consider that two to six pounds of a 200-pound person would be bacteria!!

The immune system

Our immune system is made up of cells that perform the ‘immune response’ to foreign invaders, such as disease causing bacteria, viruses, fungi, parasites or any other foreign matter. B cells, T cells and Memory cells are all mobilized in some manner when they determine there is an antigen – a toxin or foreign substance – that has entered the body. The response is antibodies matched to an antigen, like a key in a lock, helping to neutralize or destroy the antigen.

Physical protection from foreign invaders

Our body has many physical systems in place to keep us healthy and protect us from foreign microbe invaders, or the ones living within us, from causing disease.

  • Skin – is a physical barrier, with a pH that discourages growth of organisms, and our secretions of sweat and oil can kill many bacteria.
  • Stomach – acid in the stomach can kill organisms.
  • Tears – will wash away any foreign matter and contain enzymes that kill bacteria.
  • Saliva – helps clean microbes from our teeth, tongue and oral area.
  • Respiratory tract – including our nose, which contains fine hairs to trap foreign matter, mucous lining the system to trap invaders, and cilia to sweep away trapped organisms.
  • Large intestines – contains bacteria that help keep invaders in check. This ‘gut microbiome’ makes up 70% of our immune system.
  • Bladder – urine washes away microbes from the area leading to the outside world.

What we Have Limited Control Over

Chronic noninfectious conditions, such as cancer, diabetes, hypertension, high cholesterol, heart disease, inherited genetic conditions all play a role in diminishing the defense system of the human body. Those that are most notable include the following –

Heredity – is one of the greatest factors that influence our noninfectious disease risk. Our genes play an important role in what conditions, such as diabetes, cancer, hypertension, may occur in our lives. These conditions impact our immune system, and can leave us more susceptible to disease.

Age – after 40 years of age the human body is more vulnerable to chronic diseases, though very young children whose immune systems are still developing, or those over 65, are especially vulnerable.

Environment – and the ability to have clean, sanitary living conditions is key to keeping us healthy. Though our bodies need to be exposed to microorganism to help our immune systems develop resistance. Too clean doesn’t allow our systems to recognize good and bad microbes. Additionally, conditions that include the presence of drugs, chemicals, pollutants, waste in food and water, or the absence of medical care, increase risk for disease.

Microorganisms – severity of or resistance to pose challenges as well. For some, only one cell is needed to create drastic illness in the human body. Bacteria that become resistant to antibiotics from overuse by us have mutated to be able to bypass the antibiotic’s effectiveness.

What We Have Control Over

Though we cannot see most of the microbes that cause sickness, they are there, and we can create an environment within and outside of our body that prevents them from causing illness. Stress, personal hygiene, nutrition, fitness, sleep, substance use, environment, and behaviors are all under our control.

Stress, such as what we are experiencing right now diminishes our ability to fight disease. When we are stressed our body will divert its energy away from nonessential functions to those that are essential – the Fight, Flight or Freeze response. Our blood is redirected to muscles to run or fight, breathing is faster, heart rate increases, pupils dilate, and hearing is keener, ready to take on the Sabre Tooth Tiger that generally doesn’t exist. What our body prepares to fight remains invisible, but it is prepared at all times. This leaves body functions required to exist in an unstressed state diminished in their ability.

Reducing Stress

If you’ve not already received numerous emails or suggestions from friends, there are many ways to manage your stress. Any one of these should be done with care, intent, and in such a gradual manner a snail could pass you by. Safety is key, to not create an injury or situation that will cause you more stress.

Exercise is one way, and has more than just stress reduction benefits. A workout club or gym may not be available to you, but you have so much in your home that is available!

Walk out your door for 15 minutes, turn around and come home. You’ve just walked for 30 minutes.

Turn on some fun music and simply march or walk in place for 20 minutes.

If you live in a condo or apartment building, do the stairs (taking precautions with social distancing and face masks right now.)

If you don’t have weights, you can use cans, bottles, something of weight that you can use for dumbbells.

Floor exercises that are easy, safe and you do not over do such as sit ups, leg raises, push ups. You only need to do a few, or even just one.

Yoga can be done on your own, without one piece of equipment. There are recorded and live streams of yoga all over the Internet today. As a yoga instructor, I can share that anyone can do it! Yoga is not just for bendy, flexible, skinny-legged sweaty 25-year-olds.

Chair yoga is amazingly beneficial, and is done by 85-year-olds around the globe.

Restorative yoga is one of the most relaxing forms of yoga, where you are supported by props, which increases your parasympathetic nervous system, slowing your heart and relaxing your body.

The yoga many are familiar with regular upright movement, is a wonderful stress reliever-though remembering if you’ve never done yoga, it may contribute to more stress.

And if nothing else, just laying on the floor, on your back, legs and arms out on the floor (or knees bent), known as savasna, is one of the most important poses in yoga. Lay there for 10 minutes.

Meditation may sound all “woo woo,” but it is more than just crossing your legs into a pretzel, closing your eyes and chanting ‘ommmm’. Meditation is simply anything you do to direct your mind to become focused on one thing, taking you away from this world momentarily. It reduces the physical reactions to stress mentioned above, slows your breathing, quiets your organs, increases your parasympathetic nervous system, and quiets your racing mind. The benefits of meditation are not IN the meditation, but in your body’s response when not meditating. By helping to maintain the ‘quiet’ your body should be in, your immune system can work it’s best.

Reading a book, gardening in the yard, coloring, drawing or painting, and praying are all forms of meditation.

Traditional meditation takes practice, and yes, sitting quietly, not moving, eyes closed, is what many think of. Try sitting still for 1 minute with your eyes closed. You’ve just started meditating. Now, get comfortable in a supportive seated position, and try it for 5 minutes. This is how you start to meditate with intention to do so, knowing it can only help.

Numerous meditation apps exist now, with timers, streamed and recorded meditations from 1 minute to many. Examples include:

Laughter should not be discounted by any means. Laughter is the best medicine! It can decrease stress hormones, relax muscles, and decrease pain. Ten minutes of laughter is better than any drug!

Sleep is a time when our body heals, rests, and prepares for our next day. Restful sleep is often not possible when we are stressed. 7-8 hours a day for an adult, and more for children and teens. There are many activities that can impact restful sleep, including technology, alcohol, eating before bed, and stress. Helping reduce your stress will promote restful and restorative sleep. Aim to create a bedtime routine for you and your family with no technology, eating, bright lights, noise – good sleep equals less stress, and less stress equals good sleep.

Personal Hygiene is something we take for granted. We have soap, water, tooth brushes and toothpaste, showers, baths, shampoos, hand sanitizers and hand soaps. Just so many forms of how we can keep ourselves clean on a daily basis. We forget this is not available to everyone in our area or the world. But keeping ourselves clean is something we can do, easily, by washing our hands routinely – especially now.

Improving Personal Hygiene

The greatest source of infection is our hands. We touch everything, then ourselves, transmitting to someone or us, germs and potential antigens. Wash your hands – for 20 seconds – with soap and water, between the fingers, back side of the hands, under the nails and wrists.

When you cough or sneeze, cover up! Most of the time we have on shirts, right? Pull it over your nose and mouth, use your elbow and sleeve, and if you use your hands, wash them after.

And now we have face masks. So treat your face mask like you do your underwear

only wear it if it’s clean

don’t touch it or adjust it – especially in public

don’t lend it to anyone

don’t borrow anyone’s

make sure it fits well

wash it after wearing

if it’s stained or torn, throw it away I

From A Chalkboard a Day

Nutrition is one of the key contributors to the immune system. Remember, we are built on what we consume and do with our bodies. The ingredients for a great body include what we consume, and if all we eat and drink is lacking in nutrients, then that is who we become. Under nutrition or malnutrition is not reserved exclusively for poor families and children who are skinny and wasting away. Malnutrition is found in obese individuals as well as healthy weight ones too. http://www.MyPlate.gov shared by the USDA gives a basic outline of what should be consumed for variety of all the nutrients, including Carbohydrate, Protein, Fat, Calories, Fluid and 29 known vitamins and minerals. We are what we eat! To learn more about helping a child with nutrition or feeding issues, visit: https://www.easterseals.com/dfv/our-programs/medical-rehabilitation/nutritional-therapy.html.

Improving Nutrition 

  • A balanced diet containing of all the different food groups is the starting place. Review your family’s diet, and see if you have foods representing Fruits, Vegetables, Protein, Dairy (animal or plant), Grains (whole) as well as fat. Is there enough fluid each day? Are there vitamin/mineral supplements taken already. Are there nutritional drinks being consumed each day, and what might these be replacing or supplementing if they are used regularly. What about processed foods, high sugar, fat and salty foods that are being consumed more than they should be. Are fresh foods represented well? And is one food group consumed in a much greater quantity than it should be? You need to review your diet before you know what to change to make it better.
  • Protein is one of the most important nutrients, helping make antibodies of the immune system. We all need varying amounts of protein, but we also don’t need as much as we think we need. An average adult needs about 50 grams of protein a day, and consumes about 100 grams a day in the US. Children need less than this, yet often consume more than they need as well. Main food sources include meat, fish, poultry, egg, legumes, dairy.
  • Malnutrition and under nutrition exists in this country, and includes lack of calories and protein, but often times our society consumes more than enough of these two nutrients, however, lack many vitamins and minerals. A recent government study shows potassium, calcium, Vitamin E, C, A, D and magnesium are all less than optimal in our diets. All vitamins and minerals are ingredients of our immune system.
  • A few nutrients identified in research as key to the immune system and it’s response, that you should be sure you are receiving adequate amounts of, include the following –
    •  Zinc – found in tuna, beef, poultry, pumpkin and hemp seeds and dairy. Caution, over consumption of zinc, or taking large supplements, can interfere with copper balance in the body.
    • Selenium – found in Brazil nuts, tuna, sardines, salmon, chicken egg, brown rice.
    • Vitamin C – found in acerola extract, rose hips, camu camu, black currents, guava, lemons, limes, oranges, strawberries. Though higher doses can cause loose stools.
    • Vitamin D – does not have many great food sources. Fortified animal and plant milks will contribute when consumed in the right portions. Short periods of exposure to the sun without sunblock allows for production of Vitamin D beginning in the skin. However, with the concerns for skin cancer, sun exposure is limited. Supplementation of Vitamin D3 is the most reliable source.
  • Probiotics are beneficial for the human body. Studies have shown their benefit to the digestive tract, and ultimately the immune system, by ensuring the line of defense in the gut microbiome is balanced and working well. They are found naturally in some foods, and more common are manufactured supplements taken orally. ‘Prebiotics’ are food for the probiotics and are found naturally in our gut through consumption of fiber, but can also be found along with probiotic supplements.
    Important Note on Vitamins, Minerals and Probiotics – Taking large amounts of any supplements, or consumption in large amounts of any individual or multivitamin/mineral supplement is not advised. If you are choosing to do this for you or your child, you are directed here to speak to a physician or dietitian.

Environment and Behaviors could be discussed in so much more detail than this post can provide. But know your behaviors are under your control. What you do impacts anyone and everyone, including our world. The environment is not just something that happens, but is changed by everything we do. Being thoughtful of ourselves is so important, but if we become so self absorbed and focused in the long run, our world will become more skewed from what it should be, which ultimately comes back to our ability to be healthy in this world.

In summary
Creating a place in your world that is safe, clean, nutritive, and supportive of your immune system is totally within your reach, taking time and attention. The scary world of viruses and diseases that are out of your control can be managed, and the impact it has on health – yours, your family’s, friends, and society – is pretty significant. There is so much more, but I hope some of the thoughts and ideas mentioned here might stir you to rethinking your role in this world of immunity.

I wish you and your family the best health. For more information on our nutrition services, please visit: https://www.easterseals.com/dfv/our-programs/medical-rehabilitation/nutritional-therapy.html.

6 Tips for a Smooth Transition Back to School

By: Laura Van Zandt, OTR/L

School is right around the corner if it isn’t already here for many of you. With school starting again, gone are the lazy days of summer and once again the hustle and bustle of getting you kids out the door and getting them to do their homework is resuming. Whether your child is just starting school or is nearing the end of his/her K-12 educational career, here are some tips to help ease the transition back to school. You won’t be able to avoid the business at the beginning of your day, but you can try to ease the morning stress to make the day go smoother.

1. Decide when you have to get up. It will be much easier to decide what time your child needs to go to bed if you know what time they have to get up in the morning. Most experts agree children need between 9 and 10 hours of sleep each night to be at their best. If you know your child must be up at 6 a.m. in order to be ready for school by 7:30 a.m., you would want your child to begin getting ready for bed around 7:30 p.m.

You may want to explain to your child the importance of a good night’s sleep. Getting enough sleep is important for the body to heal itself and allow ourselves to have enough energy to stay awake during the day. It also helps us focus and be less cranky when we have to do tasks we are not particularly interested.

2. Call a family meeting and decide who will be responsible for which tasks each morning. For example, dad will make sure the kids are dressed and their teeth are brushed while mom will take care of breakfast and lunches. Don’t forget to assign these tasks or similar tasks to your children too! This will not only help ease the stress of the morning but it will also help develop their executive function skills which will help serve your child well throughout all grade levels in school. For developmentally appropriate ideas for your children click here.

3. Draw up a schedule or start a family calendar. Designate a spot if possible within your home that is consistent for the family calendar. The family spot can also be used to help make returning back from school easier. If you have young children include photos or illustrations representing the task they need to do. Clipboards are an excellent resource for individual family members to have to list his/her own chores.

Family calendars help to keep things organized
Family calendars help to keep things organized.

4. Do what you can the night before. The more you do before you go to bed, the less frantic you are likely to feel in the morning cramming in as much as possible.

  • Run the dishes overnight (bonuses this sometimes can save money!) or run the dryer to have clean clothes. Lay out tomorrow’s clothing.
  • Maintain a steady supply of quick breakfast foods for this days when it just happens and you are running late. Kid’s growing bodies and developing brains need regular refueling. When kids skip breakfast, they don’t get what they need to perform their best.
  • Hang complete outfits together in your closet or put outfits in bins to quickly grab. Keep your children’s matching shirts and pants in the same drawer or on the same hanger so they can find them easily without help.
  • Gather everything that you will take with you the next day and assemble them in one place near the door your exit from in the morning.
  • Teach your children to get everything ready for the next day before they got to bed. Make lunches, distribute lunch money, and pack backpacks. Take a picture of a completed backpack and attach to a luggage tag so all your child has to do is “match the picture” to make sure everything is included.
  • “Match the Picture” is a concept taught by Sarah Ward where the adult can take a picture of the desired end product and assists the child in breaking down the steps to create both a written and visual to match when completing a goal. This concept can be very helpful in eliminating the need to “nag” your child though every step as well as support independence.

5. Ease the transition back from a full day of school to home by allowing your children a break to move and be active. Go for quality, not quantity with after school programs. Your child will benefit most from one or two activities that are fun, reinforce social development, and teach new skills. Remember children need movement. After sitting for an extended period of time during a school day, giving your kids an opportunity to need can be extremely beneficial.

Regular movement has been shown to increase focus in children of all ages. Movement also helps all children regulate (i.e. adjust their energy) and lower rates of behavioral problems. Research shows that physical exercise influences the central dopaminergic, noradrenergic, and serotonergic systems. Together those systems help manage our mood, appetite, sleep, learning, as well as alertness, focus, and motivation.

Ideas for active play might include tossing a ball/back and forth with a peer, playing tag outside, going for a bike ride on the sidewalk, exploring how your body moves by climbing/cartwheeling/summersaulting/etc., or just taking a short walk. Other active play ideas include exploring different textures or drawing with sidewalk chalk. Here is a link to some fantastic indoor play ideas.

6. Set up a time and place for homework. Having a set place to study and complete homework helps send the signal to your children that learning is important. As much as possible, try to make yourself available during homework time….even if that means you still might be cooking dinner or doing the laundry.

One example of a homework station.
One example of a homework station.

Wherever your homework station is in your house and whatever your homework station looks like in your house, make sure you have all the essentials readily available. This will help avoid time robbers (e.g. getting up to find stuff) and help eliminate any headaches over missing supplies. Pinterest has many great ideas for creating a homework station. Right now the bargain bin section in Target also has great supplies for organization. Purchasing a tri-fold poster at Staples is another fantastic idea to eliminate visual clutter and help your child focus.

For more information about Easter Seals DuPage & Fox Valley please visit EasterSealsDFVR.org.

Interactive Metronome

By: Laura Van Zandt, OTR/L

Did you know that our brains have an “internal clock” that keeps time? This timing is critical for attention, executive functions, speech and language, social skills, reading and other academic skills, motor control and coordination, sensory processing and integration, as well as many other areas common to childhood development.

Interactive metronome is an evidence-based, intensive computer centered assessment and training tool that can help improve timing, rhythm, and synchronization in the brain. Interactive metronome is used around the globe in hospitals, pediatric and adult clinics, school, and homes.  It can be used to improve a child’s processing abilities that affect attention, motor planning, sensory processing, and sequencing. Children who have been diagnosed with ADHD/ADD, Apraxia/Dyspraxia, Autism Spectrum Disorders, Brain Injury, Auditory Processing Disorder, Cerebral Palsy, Dyslexia, Language-Learning Disorders, Non-Verbal Learning Disorders, Sensory Processing Disorder, Stuttering, and much more can all benefit.

The goals of Interactive Metronome include:

  • Improve independence with activities of daily living
  • Improve physical endurance and stamina for performance in sports and leisure activities
  • Improve overall whole body coordination
  • Improve focus and attention for longer periods of time related to daily function and filtering out internal as well as external distractions
  • Improve academic function performance and ability to follow directions
  • Improve self-esteem and social skills
  • Improve behavior and impulsivity

interactive metronome  interactive metronome2

Interactive Metronome is available through Easter Seals DuPage Occupational, Physical, and Speech Therapy Departments. The therapists at Easter Seals use this program to tailor a treatment plan specific to the child’s needs and family priorities. Interactive Metronome challenges the child to precisely match a rhythmic beat, which can be customized to your child’s unique learning style and challenges, with synchronized hands and feet exercises. Feedback is then is given auditorally or visually based on the child’s goals that tell the child how close they are within milliseconds to the reference tone. This feedback guides the child to attend and problem solve how to stay to the beat for improving their timing and overall coordination.

During Interactive Metronome, the child treatment activities can be customized based on your individual child’s areas of needs. Exercises can include working on crossing midline for integrating both sides of the body together, improving standing balance for strengthening and endurance, improving both upper and lower extremity range of motion for reach and gait, improving impulse control by ignoring specific stimuli, improving attention to increasing longer and more complex exercises, improving working memory  by recalling a series of exercises to shift between with either upper extremities, lower extremities or both, as well as improving coordination tasks with all extremities. The goals of Interactive Metronome are vast and largely customization.

If your child if already enrolled in therapy, talk to your therapist about this exciting new opportunity! If you are not currently enrolled in therapy, discuss this with your pediatrician and obtain a script for a discipline specific evaluation and treatment.

interactivemetronome8

“Interactive Metronome helps me coordinate things. It helps me get better going to the speed of things and getting used to more things. I feel proud of myself and all of my great work and effort. I even ask my parents if they can order it for me.”

More information can be obtained from www.interactivemetronome.com. For more information about Easter Seals DuPage & Fox Valley please visit EasterSealsDFVR.org.

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