Relax Frequently. Very Frequently.

by Nina

“When we’re renewing, we’re truly renewing, so when we’re working, we can really work.”—Tony Schwartz

On this blog, we’ve talked till we’re blue in the face about how important it is to reduce stress to support healthy aging. After all, chronic stress can cause everything from heart disease and stroke to depression. But when people are busy with their everyday lives, it’s often difficult for them to make lifestyle changes to support a long-term goal. But according to a recent editorial in the New York Times Relax! You’ll be More Productive, there is also a short-term payoff to relaxing on a regular basis:

“A new and growing body of multidisciplinary research shows that strategic renewal—including daytime workouts, short afternoon naps, longer sleep hours, more time away from the office and longer, more frequent vacations — boosts productivity, job performance and, of course, health.”

Yes, author Tony Schwartz says that relaxing on a regular basis “it’s possible to get more done, in less time, more sustainably.” He goes on to say that human beings didn’t evolve to expend energy continuously but rather to pulse between spending and recovering energy. This is a reference to the fight or flight response vs. the relaxation response, which we’ve discussed in previous posts (see Chronic Stress: An Introduction and The Relaxation Response and Yoga). This is not big news to us, of course. What got me intrigued, however, was Schwartz’s statement that “strategic renewal” ideally should come every 90 minutes.

“during the day we move from a state of alertness progressively into physiological fatigue approximately every 90 minutes. Our bodies regularly tell us to take a break, but we often override these signals and instead stoke ourselves up with caffeine, sugar and our own emergency reserves — the stress hormones adrenaline, noradrenaline and cortisol.”

Among other studies, Schwartz cites the work of Professor K. Anders Ericsson and his colleagues at Florida State University. Dr. Ericsson studied elite performers, including musicians, athletes, actors and chess players, and found that in each of these fields, the best performers typically practice in uninterrupted sessions that last no more than 90 minutes. They begin in the morning, take a break between sessions, and rarely work for more than four and a half hours in any given day.

Legs Up the Wall Pose (Better Than Sleep)

 Of course most of us can’t take a nap every 90 minutes—something Schwartz recommends—at work. Besides, unless you’re sleep deprived, sleeping probably isn’t the best way to relax and restore yourself (see Conscious Relaxation vs. Sleep). So—wait for it—how about doing a little bit of yoga every 90 minutes? Maybe shut your office door and do a restorative pose or two (see Mini Restorative Sequence). Legs Up the Wall (Viparita Karani) would be my pose of choice. And if you don’t have a door (yeah, I worked in one of those cubicle thingies back in the day) or feel like being active instead of resting, try some of our office yoga poses. We’ve got a sequence you can do in your office clothes (see Mini Office Yoga Sequence) and a series of seated poses you can do right at your desk (see Chair Yoga Mini Sequence). And, of course, you could always meditate, even in a noisy environment (see Achieving Stillness in Turbulent Situations)!

Yoga, Stress and Weight Management

by Nina

Are you planning to relax over the holidays? Because if you’re not and you are worried about gaining weight, perhaps you should set aside some time for yoga.

You see, I’m helping Baxter with research for his upcoming workshop on Yoga for Healthy Eating at the San Francisco Yoga Journal Conference in January and I’ve learned exactly how stress can induce weight gain. Of course, we all know about so-called “stress eating,” but I wanted to know why that happens (I’m like that, you know, always wanting to the whys and hows as well as the whats). And I found that it’s due to the combination of hormones that are released in our bodies when we’re under stress.

These hormones include  adrenalin, which gives us instant energy, along with corticotrophin releasing hormone (CRH) and cortisol. While high levels of adrenalin and CRH decrease your appetite at first—we usually don’t have much of an appetite during a crisis—the effects usually don’t last very long. That’s when the cortisol—whose job is to help you to replenish your body after the stress has passed—kicks in, increasing your appetite and driving you to eat more. And because most of us no longer expend extra calories while in the acute phase of stress (we’re no longer actually fighting or running when our “fight or flight” responses are triggered), we don’t really need to replenish our food stores. So the increased appetite results in, you guessed it, unwanted weight gain.

Chocolate-Almond Candy Heart Made and Photographed by Brad Gibson

In addition, while we’re under stress, we typically have an impulse to do something, to move. So unless you respond to your impulse to move with actual physical activity—yoga asana, anyone?—eating often becomes the activity that relieves the stress.

This is why both relaxation and exercise are recommended for reducing your appetite. When you use yoga or meditation to trigger the relaxation response (see Stress, Your Health, and Yoga), your parasympathetic nervous system reduces the levels stress hormones in your body. Exercise is also excellent for stress reduction as it, too, triggers the release of biochemicals that counter the negative effects of stress hormones. In addition, exercising will satisfy your impulse to move and hopefully prevent you from turning to food as a way to relieve your stress.

My prescription for preventing weight gain during the holidays? An active yoga practice followed by conscious relaxation (see The Relaxation Response and Yoga). And if you’re short on time, try even 10 or 15 minutes of conscious relaxation.

Yoga is a great thing but...

by Nina 

Stop Sign by Brad Gibson

“Yoga is a great thing but it is not everything or the only thing.”

That’s the sentence that popped into my mind while I was practicing yoga yesterday afternoon (a very enjoyable backbend practice, by the way). In the back of my mind, I was obviously mulling over a post I read on the It’s All Yoga Baby blog (see when the yoga doesn’t work: depression, failure & the purpose of practice), in which Roseanne talked about her depression and her feeling that she is “failing” at her yoga practice.

“Underneath it all, however, is a vague sense that I’m failing at my practice, that I’m as broken and fucked up as I was before I committed to yoga (chronic and clinical depression was what drove me to practice in the first place), that the practice isn’t working. There’s also the vague sense that I’m not allowed to be feeling this way – there are many stories of miraculous healing from depression (and everything else) through yoga, but nobody talks about the relapses. I feel like I’m doing something wrong.”

I’ve already mentioned in a couple of previous posts (see Practice As Many As You Can and Authentic Yoga) how reading Yoga Body by Mark Singleton brought home to me once again that most of what we consider to be “yoga” these days was developed in the 20th century. This means that, contrary to what some teachers claim, the yoga we know and practice these days is not some thousands-of-years-old practice that is the answer to everything, including depression and anxiety, as well as physical injuries and illnesses (though it can definitely help with those things for certain people). And I think those in the yoga community who promote it as such, do us all a disservice. Because the result for people like Roseanne is that when yoga doesn’t provide the answer for them, they feel as if they are at fault, that they are doing something wrong, or that they have “failed” in some way. And the truth is, yoga was probably only used to treat depression and anxiety starting in the 20th century.

When I teach yoga for emotional well-being (including depression, anxiety, stress, etc.), I always add that I while I consider yoga to be a powerful tool for improving mental health, it may not be the only answer for you. In fact, you may need to use it as a supplement to western medicine, including drugs and/or therapy. And I recommend that if you are in a crisis, you should consult with your family doctor or a mental health professional. You need to do whatever it takes to help you get better. And, please, no guilt or shame about this!

The truth is, many years ago, before I became serious about yoga but while I was taking regular classes, I had two nervous breakdowns (the diagnosis was agitated depression), within a five-year period. And I’m convinced that, especially during the second breakdown, that my family doctor and the drugs she prescribed for me prevented me from being hospitalized. Later on, life style changes, including a regular home yoga practice, helped me reduce the stress in my life that seemed to be the main trigger for my illness. And I’ve been well since then. But just as important, I believe that yoga has also helped me come to a state of self acceptance regarding my condition. And this included both overcoming my feeling of shame about taking medication for depression (my therapist encouraged me to stay on a low maintenance dose) and starting to talk—and write—about my experiences as a way of possibly helping others.

I want to be very clear that I’m not here giving any medical advice here. This post is not intended to tell anyone what the best way is to heal from depression. I just felt that it was very important to state that as wonderful as I feel yoga is, I believe it has its limits. And there's no shame in that. Really, all I’m trying to say here is summed up by the sentence that I opened this post with:

“Yoga is a great thing but it is not everything or the only thing.”

Does Home Yoga Practice Make You Healthier?

by Baxter

Over the years, as I have worked with individuals on a variety of health issues using yoga as a therapeutic tool, I have observed that those who do a regular home practice (usually two to four times a week) have more dramatic and sustained improvement in their health. There are always other factors that come into play, but in general, if they do their work regularly, they feel better and function better over time. This has been especially true for the students who have chronic pain conditions. But can what I have observed informally be applied more broadly to our general population of yoga practitioners? And what if you are generally healthy? Does yoga give you an advantage over other things? Well, a new study seems to say yes to that and a few other propositions about yoga’s benefits.

In a recent study entitled “Frequency of Yoga Practice Predicts Health: Results of a National Survey of Yoga Practitioners,”the authors out of the University of Maryland School of Nursing and the National Institutes of Health Clinical Center  looked at the positive health benefits of yoga, not simply the therapeutic benefits of yoga for those with illness and injury. Their stated purpose was to examine the relationship between yoga practice and health by evaluating such things as subjective well-being, diet, BMI, smoking, alcohol/caffeine consumption, sleep, fatigue, social support, mindfulness, and physical activity. They chose the tool of a survey, administered to practitioners of a specific style of yoga with a strict standardization of teaching that would likely contribute to consistent instruction, Iyengar Yoga, which could lead to a more valid set of results.  Out of a pool of over 18,000 potential students at fifteen Iyengar schools in the US, they sent out a cross-sectional, anonymous internet survey to 4307 randomly selected students. They received back 1045 (24.3%) surveys completed and ready for analysis.

Backyard Wild Flowers by Brad Gibson

When they evaluated their data, they found that home practice had the greatest predictive positive effect on health. Frequency of home practice favorably predicted the following: mindfulness, subjective well-being, BMI, fruit and vegetable consumption, vegetarian status, sleep, and fatigue. They also found that the different components of yoga practice also had some influence: “Each component of yoga practice (different categories of physical poses, breath work, meditation, philosophy study) predicted at least 1 health outcome.”

Finally, they concluded, “Home practice of yoga predicted health better than years of practice or class frequency. Different physical poses and yoga techniques may have unique health benefits.” This so wonderfully echoed something I probably say once a week in class: “I love that you come to yoga class once a week with me, but if you want to get the real benefits of yoga, you need to practice on your own a few times a week.” And, of course, Patanjali in the Yoga Sutra says the same thing when he states that you will achieve your goals when you practice regularly over a long period of time!

To recap what the authors were looking at, I quote their study once again:

“The objective of this study is to better understand the interrelationship between yoga practice and health. Specifically, the study addressed the contributions of yoga practice in general (years of practice, classes per month, and/or days per month of home practice) and practice of specific components of yoga practice (physical poses, breath work, meditation, and/or philosophy study) to these aspects of health. It is important to study the unique contributions of the individual components of yoga practice because some aspects of yoga practice may be more effective than others in improving specific health outcomes such as body weight, sleep, and mental health.”

I couldn’t agree more! As I work with individuals, I am always considering which component practices would best serve the unique circumstances an individual is working with in designing a home practice for them. 

When reading the fine print, a few notable specific observations popped out at me, specifically related to the study of yoga philosophy. Notably, frequency of philosophy study was the yoga practice variable that most often predicted health.  In addition, more frequent philosophy study also contributed to a lower BMI and higher odds of being a vegetarian.  And this sometimes equated to only reading philosophy once a week. 

When they looked at categories of poses, “vigorous poses remained an independent predictor of BMI and sleep quality, for every additional day per week of vigorous pose practice, BMI decreased .21 of a point, and sleep disturbance improved .26 of a point.”  And doing gentle poses more often correlated to a greater chance of eating vegetarian diet and drinking less alcohol. In regards to fatigue, it seemed that for older practitioners, even a small amount of yoga had a positive effect on fatigue levels and sleep disturbances.

And since so many of us are concerned about eating in a healthy way as we age, “more frequent practice of gentle poses, including supine restorative poses and relaxation pose (Savasana), were associated with three aspects of health that deal with feeding behaviors or cravings: higher fruit and vegetable consumption, higher rates of vegetarianism, and lower alcohol consumption.”

When the question of how does yoga achieve these impressive results, the authors mention a theory on how yoga decreases stress: “It has been postulated that yoga impacts the Hypothalamic-Pituitary-Adrenal (HPA) axis and the Sympathetic Nervous System (SNS) response to stress, possibly via direct vagal stimulation.” In other words, yoga may have some impact on the endocrine and autonomic nervous systems that results in lowered stress reactions in the body. We have alluded to this mechanism of action in past blog posts, and although this study does not look at the biochemistry of those surveyed, this theory still seems plausible as an underlying explanation for yoga’s benefits.

I need to go back to the philosophy findings. The authors go on to note that all those who had regular philosophy study were also practicing a lot of yoga in general. They concluded,” Thus, any relationship between philosophy study and health may reflect the relationship of frequency and intensity of yoga practice to health. This provides more evidence that an intense practice involving all aspects of yoga practice may be more beneficial to health than a less intense practice that includes only one or two aspects of yoga practice, such as just practicing the physical poses or breath work.” Darn!  I can’t just sit around and read about yoga and expect good health! But we all kind of know that already from our personal experience, don’t we?

So, does yoga lead to good health?  Well, this study does not actually prove this. It infers that may be the case, but it does not conclude that yoga causes good health.  It may seem like semantics, but it simply means more work needs to be done to show causality between practicing yoga and good health.

Like all studies, there were some blind spots. Some of the limitations of the study included: studying only to Iyengar yoga practitioners in the USA; anonymous online surveys have the potential for lots of inaccurate data; the response rate of 27% was low; most of the subjects were predominantly white, female, and highly educated, so diversity was not represented; and this kind of study allows one to draw inferences, but do not allow one to conclude that yoga actually impacts health.

Despite these limitations, yoga still looks like a good bet to help improve your overall health. It seems you don’t necessarily need to practice for years to get benefits, but the more you incorporate it into your daily life, the more likely you are to see the predicted positives come true for you.

Restorative Yoga: An Introduction

by Nina

Last fall I did a series of posts on yoga and stress. Working from my first major post on the topic (see Relaxation Response and Yoga), which listed the various types of poses and practices that are helpful for stress, I added posts that expanded on each of the items I listed, except one: restorative yoga. My reason for skipping over the topic of restorative yoga was simple: I didn’t have any good photographs of restorative yoga poses that I could use with my post! But last week for Baxter’s post on digestion (see Mini Restorative Practice for Digestion), I finally had a chance to take a few photos of three of the classic, most frequently practiced restorative poses. And I woke up this morning realizing that it was finally time to address this topic.

Restorative yoga is a form of yoga that was specially designed to provide deep rest and relaxation. In restorative yoga, you use props to support yourself in the shape of a classic yoga pose, including forward bends, backbends, side stretches, twists, and inversions. For example, in Child’s Pose, rather than folding forward all the way on to the floor, you use a bolster or stack of folded blankets to support your entire front body.

The props you use in restorative yoga not only make the pose more comfortable but they take the effort out of the pose. Rather than using your muscles to hold you in the shape of a pose as you would normally, the props hold you in the pose so you can simply let your muscles relax. With your muscles completely relaxed, you can then turn your attention inward, focusing on your breath, physical sensations, or any other object of meditation, which allows the relaxation response to switch on.

Restorative yoga is perfect for those days when you depleted, sick, stressed out, low on energy or are just in the mood for a soothing practice. For people who can’t practice inversions for stress reduction, restorative yoga poses are an excellent alternative. For example, Reclined Cobbler’s pose with props is the perfect choice for a 10 to 20 minute stress reduction practice.

Are you looking at this photograph and wondering why you would want to go through all the trouble of getting all those props together when you can just lie down in Savasana (Corpse pose)? Well, I’m writing today to answer that very question.

First of all, like active yoga poses, the type of restorative pose you do can have a strong effect on your moods and emotions. And because you typically stay in a restorative yoga pose for longer periods of time, the emotional effect can be even stronger. For example, the forward bend of Child’s pose is normally quieting (as a forward bends for people who can practice them comfortably), and the restorative version is even more quieting. Active backbends can be simulating and uplifting, and while the restorative versions are not stimulating (all the effort is taken out of them), a restorative backbend can also be uplifting, providing an anti-depressant effect. (See Yoga and Your Emotions for information on the emotional effects of poses.)

And, secondly, in Savasana your body is in an anatomically neutral position, so no muscles are being released or stretched. In a restorative pose, however, you still receive many of the benefits of the pose itself. For example, in a restorative backbend, you are opening your chest and stretching many of the muscles that become tight after driving long distances or sitting hunched forward at a desk all day. Passively stretching your muscles as your relax increases your feeling of relaxation, as some of the stress you have been holding in your body is gently released. And because you are completely comfortable and relaxed, you can stay in the pose for much longer amounts of time. So restorative poses are actually a good way to work on flexibility, as well as relaxation.

But the best way for you to understand the benefits of restorative yoga is to experience them. So if you’ve never tried restorative yoga, experiment by trying either one of the poses I’ve shown today (or any other you’ve seen before). As always, you can just do a single pose or you can do short or full-length sequence (see Mini Restorative Practice for a short sequence). If you’re feeling hyper from stress or anxiety, you may find it difficult to lie down in a restorative pose. In this case, I recommend doing either an active yoga practice or some other form of exercise first before the restorative pose.

Yoga Sutra 1.2: Restricting the Whirls of Consciousness

by Nina

My young cousin asked me last night about the history of the form of yoga that she’s been practicing lately. I told her that it was a very recent form of hatha yoga, but added that all the hatha yoga we’ve been doing in the United States was developed in the 20th century. We then talked about the part of yoga that was, indeed, very ancient, and I tossed out some of the definitions of yoga from the classic scriptures. One of them was this from The Yoga Sutras:

Yoga cittavritti nirodha

Yoga is the restriction of the whirls of consciousness.

I like this particular translation of sutra 1.2 because it translates the compound word “cittavritti” as “whirls of consciousness.” I not only find that very poetic, but also very accurate in terms of how the mind works. The word “vritti” has many definitions, including "waves" and "fluctuations," but whirls reminds me of the revolved yoga poses that also contain the word “vritti,” such as Paravritti Trikonasana and Paravritti Parsvakonasana. So for me, whirls evokes revolving, turning, and circling. And when we’re depressed or anxious or mentally stressed out, aren’t we tormented by the our whirls of consciousness, by negative thoughts and emotions that cycle over and over? What if I miss my deadline? What if the plane crashes? What if I can’t fall asleep tonight? Or, if only my lover hadn’t left me. If only I wasn’t so helpless/afraid/overwhelmed. If only my parents had loved me more.

In Andrew Solomon’s wonderful book on depression The Noonday Demon, he describes the difference between clinical depression and agitated (or anxiety based) depression, saying that clinical depression is an obsession with the past or, as I like to put it, all those “if only” thoughts. On the other hand, he says that agitated depression (or anxiety for that matter) is an obsession with the future, or as I put it, all those “what if” thoughts. Do either of those states of mind sound familiar? And if so, don’t you think it would wonderful to be able to “restrict” or “cease” or “quiet” those whirls of consciousness?

Spring Blossoms, Clouds by Nina Zolotow

Yoga was initially developed (or perhaps “evolved” is a better word) for that purpose. Thousands of years of different kinds of yoga practice have resulted in a lot of different methods for “restricting the whirls of consciousness” or quieting the mind, including meditation, breath practices, and chanting, as well as asana practice.

And, for me, this concept is the basis for using yoga for your emotional wellbeing. When I teach workshops on this topic, I always talk about this translation of sutra 1.2. Because my general principle for using yoga for emotional wellbeing is simply this: Start by becoming aware of the vrittis, of the way your mind gets caught up in them. And then observe how different yoga practices affect them.

Stressed Mind, Stressed Cells?

by Brad

Last Friday I attended a talk by Dr. Elissa Epel called “Telomeres, telomerase and mental states: Stressed mind, stressed cells?” According to the abstract Dr. Epel supplied in advance of her seminar:

"I will discuss our UCSF research on the telomere/telomerase maintenance system and relationships to stress and other psychological states and lifestyle factors. The length of our telomeres is a predictor of health status – early disease and mortality, and may serve as an index of biological aging. We now know from 8 years of research that shorter telomere length is related to states of suffering—anxiety, depression, trauma exposure, and chronic stress. Just how much can people stabilize their telomere length through interventions such as exercise and meditation? I will discuss initial findings, suggesting that this marker appears somewhat malleable."

Dr. Epel is an Associate Professor in the Department of Psychiatry at UCSF.  She is also a co-founder of Telome Health, Inc., a relatively new company located in the Bay Area to promote the use of telomere testing as a measure of biological age and overall health status. The basic idea that Dr. Epel was promoting is that chronic stress has a negative impact on telomere length, and that stress reduction through diet, exercise, and possibly other lifestyle changes can have preserve telomere length.

You may remember I posted a piece on this subject a couple months ago that discussed telomeres, yoga and aging ("Science, Aging and Yoga"). As a recap, telomeres are sequence of nucleotides or base pairs at the ends of your DNA that serve cap off and protect DNA integrity. One of the theories of aging asserts that decreased telomere length resulting from the failure of certain cell type in the body (immune cells, stem cells, etc.) to properly renew their telomere length after rounds of cell division via the action of telomerases (enzymes that add back lost telomere DNA) can lead to cellular senescence (a terminal, not dividing state) that could play a role in aging, acting as a sort of molecular clock. The question as to whether a reduction or low telomere length is responsible human aging or diseases is still hotly debate (see NY Times article here), despite many studies showing a correlation of shortened telomeres with cancer, diabetes, osteoporosis, Alzheimer’s and other chronic diseases of aging.

Ferns by Joan Webster

Personally, I found much of the data presented by Dr. Epel not especially convincing, as it was mostly correlative, and did not provide much if any mechanistic insight. However, I was intrigued by her attempt to link the physical and mental state of “stress” that we experience daily (you know, “I’m so stressed out”) to cellular stress and damage (alteration in the physiological state of cells or tissues that can lead to damage at the molecular and cellular level). Although we are all familiar with the former use of the term “stress,” this second usage of the term “stress” is quite different, and its effects can remain hidden until it manifests into a pathological or disease state.

It is well known that emotional stress can lead to an increase in cortisol and insulin levels, as well as increases in catecholamines and inflammatory cytokines. What is less clear is how these signals are integrated at the cellular and tissue level, especially under chronic stress, some of which are not at all obvious. Most studies measuring telomere length are on carried out on immune cells present in blood, as these cells are relatively easy to collect and originate from actively dividing cells. 

The notion that chronic stress could alter telomerase activity in these proliferating immune cell types, resulting in the shortening of the telomeres and causing these cells to lose their capacity to divide (“Immunosenescence”) is certainly an interesting hypothesis. Indeed, immunosenescence is increasingly being seen as a new target for drugs and/or biologics therapy by both pharmaceutical and biotech companies. According to data presented by Dr. Epel, one group of people that apparently has a statistically significant decrease in telomere length are long-term primary caregivers, a group that is regarded as suffering from chronic stress. People with long-term depression apparently also have a similar phenotype.

And as I have discussed in an earlier post, meditation and mindfulness practices have been proposed as ways to ward off the presumed negative effects of telomere shortening. (I say presumed, because it’s still not clear to what extent shortened telomeres are by definition a bad thing, or how much shortening of telomeres is required for any negative consequences.) The science on all this is still in the very early days. It may turn out that telomere length will be one more false lead in the ongoing search for biochemical measures of biological aging. And I would be extremely wary of any company advertising to measure your telomere length or that suggests that taking supplements to increase telomere length makes any sense at all. Unfortunately, there are a growing number of companies out there they do indeed make such claims. (To their credit, Telome Health appears to be considerably more circumspect in their claims and services than most.)

I suppose what interested me the most from Dr. Epel’s seminar is that it once again reminded me of the many avenues of medical research that are converging on the notion that chronic stress is a negative factor in human health and possibly a driver in premature or accelerated aging. While the details of how this actually happens is unclear, it is interesting to consider that one of the main, if not primary, benefits of practicing yoga might be to reduce stress.  Who knows, maybe it will turn out that yoga reduces stress at both the psychological and cellular level? Too early to tell, but stay tuned….

Featured Pose: Reclined Leg Stretch Sequence

by Baxter and Nina

The Reclined Leg Stretch sequence (Supta Padangusthasana) opens your hips and stretches the backs of your legs. It’s a perfect starting pose for just about any practice, as we usually like to start low (on the ground, that is!) and work up to standing poses. But it also works as a great standalone mini practice, providing relief for lower back pain or release of leg muscle tension due to sitting, traveling, or walking. And if you tend to store stress in your body, it’s also a great anti-stress pose after any stressful event or simply at the end of your work day.

The three variations of the pose take you first through forward folding at your hip joint, then, with your top leg out to the side, abduction of the femur, and finally, with your leg across the midline of your body, into a twist, adduction of the femur and rotation of the lower vertebrae of the spine, so you get overall opening of your hips and some twisting, too.

Baxter prescribes this pose for:

• any musculoskeletal conditions that result in tightness in the hamstrings, hips and lower back
• chronic back pain
• general knee conditioning
• stress relief

Instructions: Start by making a loop with the strap and have it ready off to your right side.

Now recline on your back, bend your right knee into your chest, place the loop over the arch of your right foot and straighten your leg toward the sky. Adjust the size of the loop so your arms can be comfortably straight. Press from both your hips to your heels. Stay in this version one for 14-16 breaths.

For the next variation, keep your bottom leg engaged and take the loop into your right hand and extend your left arm out to the side. Now slowly take your right leg out to the right side of the room until your foot is about 12 inches off the floor. If this feels painful or like too much effort is required to hold your leg in position, place a block or folded blanket under your right thigh for support. Stay for 14-16 breaths and on a exhale return to your leg to vertical.

Finally, take the loop into your left hand and extend your right arm out to the side. Then take your right leg across the midline of your body and over to your left side about 6-12 inches, keeping your lower back and pelvis on the floor.

Stay for 14-16 breaths, then release out of the pose, returning to a symmetrical position, either with legs straight or both knees bent, feet resting on the floor. Take a few moments to feel your body, and then repeat the series on your left side.

Cautions: Don’t pull your top leg aggressively toward your chest (although you can encourage it in that direction) as this could result in a strain to the origin of your hamstrings at your sitting bone, as well as aggravating a lower back condition if your lower back ends up flattening too firmly into the floor.

If you have weak wrists and fingers, you may need to modify the strap by making a loop and hooking your fingers over the loop to hold onto the strap—this makes it much gentler and easier for fingers and wrists.

STRESS, TELOMERES, AND AGING

by Nina

In his next post, Brad will be writing about one of the several competing theories about aging: Nobel Prize winner Dr. Elizabeth Blackburn’s theory of the relationship between aging and telomeres (the protective caps at the ends of our chromosomes). Dr. Blackburn believes that telomere length is an indicator of the age and vitality of a cell, and that psychological stress actually ages cells, which can be seen when telomere length is measured.

We thought you might be interested in Dr. Blackburn’s work because she is so convinced about the effects of stress on cellular aging that she is studying the effects of meditation and yoga on telomeres. So for those of you who would like to learn a bit about her work before Brad’s post, here is a little background information. As a start, you can find a brief interview with Dr. Blackburn here. If you’ve got an hour or so, you can listen to her lecture on “Chromosome Ends and Diseases of Aging” here.

Gaudi Mosaic by Brad Gibson

Throughout your life, your cells may reproduce many times to repair and strengthen their host organs, to grow or to fight disease, and the telomere at the end shrinks each time the cell divides and duplicates itself. A chemical called telomerase helps restore a portion of the telomere with each division, but after 10 to 50 divisions or so (the number varies by tissue type and health, and biologists still do not understand the system well), the telomere gets so short that the cell is no longer able to replicate. Because some cells or tissues in our body (skin, blood cells, etc.) continue to replicate and be replaced as we age, or to be repaired after injury, if the progenitor cells needed for these processes cannot replicate due to telomere shortening, this can contribute to the aging process and increase our susceptibility to disease. See here for a short article on this.

For several years, Dr. Blackburn has been conducting research on the relationship between stress and telomere length. According to her, there is so much evidence that psychological stress actually ages cells that she and her colleagues have been studying the effects of mindful meditation on telomere length. See here for a full academic paper entitled “Can meditation slow the rate of cellular aging?” I've read that as a result of these studies, Dr. Blackburn has taken up meditation as regular practice.

To be continued....

CAN'T BEGIN TO TELL YOU

by Nina Zolotow

It was an idyllic Sunday afternoon in Seattle, warm weather, blue skies, and the company of old friends. During a lull in the conversation, J asked me, “Nina, could you show me that yoga pose you told me about, the one for stress that you said anyone can do? And could you repeat what you told me about the relaxation response and how the pose helps trigger that?”

As I did my best to demonstrate Savasana (Relaxation Pose) with legs on a chair using the lawn and the outdoor furniture as my yoga props, I reflected on how many times I get asked questions like these by my friends. And while I quite enjoy explaining the basics to both friends and students, I’ve always wished there was a place where I could send people to look up the poses and practices when they are on their own. My hope now is for this blog to become that place, an ongoing resource of practices and information that I personally have found helpful over the years.

Path in the Mist by Brad Gibson

As a long-time yoga practitioner, I’ve been using my home practice for years to help me address my changing physical and emotional needs. I’ve learned to ask myself each day, “What is the best practice for me today? Do I need to stretch to make up for a day of hiking or do I need to do backbends to make up for day spent in front of a computer? Do my problematic shoulders need attention? Or do I need to do a calming practice to restore my equanimity after a stressful day?” When my mother was dying of cancer, I was able to spend a lot of time with her. But I also understood how important it was for me to stay strong and steady for the long haul. So after each visit with her, I would come home and spend 20 minutes in my go-to relaxation pose, Viparita Karani (Legs Up the Wall pose). I can’t begin to tell you how helpful this was for me (and I’m someone who in the past had terrible problems with anxiety and stress).

But what works for me won’t necessarily work for you. We all have different bodies, personalities, and needs. That’s why I’m hoping to make this blog very interactive, a place where you ask questions and request information, and where we can all learn together.

For those who are interested in trying the relaxation pose I was demonstrating to my friend in Seattle, here is a short video that’s pretty good. I have one quibble with it, however. If you pay close attention you’ll notice that although the teacher first says that the folded blanket should be at the base of the chair legs, she moves the blanket away from the chair legs just she goes into the pose. Do what she does not what she says, people! The blanket should be 6 to 12 inches from the chair legs, so that the angle of your thighs when you are in the pose is easy and comfortable, and so your calves can release and relax on the chair seat. If you find the blanket under your pelvis irritates your back, you can do the pose without it.

What I love about this pose (which goes by many names but which Baxter and I are calling “Easy Inverted Pose”) is that unlike most of the other inverted poses, which can be difficult or uncomfortable for some practitioners, almost everyone can do this one comfortably.

Tomorrow we'll have our first Q&A.

FULL DISCLOSURE

by Brad Gibson

Okay, so it took me ten years to finally listen to my wife Nina and take up yoga. I may be slow, but I’m not an idiot.  So what was the epiphany? There were actually several. 

The first was listening to my wife Nina and Rodney Yee at a book signing in Los Angeles talk about how restricted most of us are in using and exploring our bodies. As adults we typically sit, stand up, walk, and lie down.  That’s pretty much it. Compare this to our younger selves, where we rolled down hills on our bellies, spun ourselves so we were so dizzy we crumpled to the ground, and did handstands on the lawn.  And all that just for the fun of it.

The second was attending a seminar given by a well-regarded scientist from the University of California San Francisco.  Here I learned about the startling plasticity of the human brain, and its ability to rewire and reorganize itself based on various environmental and behavioral stimuli. One particular example struck me: that the regions in the brain that control movements to our fingers are spatially distinct and this spatial resolution and control can be lost if the hand is constrained in motion over long periods of time. These regions then shrink and become partially fused, resulting in the inability to use the hand in a way we are accustomed, and more like a paw. The good news was that this is largely reversible if the constraint is removed.  The brain—along with the slow recovery of the hand —can then restore these neural connections. The significance to our aging brain and body was clear, both in a negative and positive sense. We must actively fight against the restricted physical activity that we impose on ourselves, as well as the loss of dexterity that is the result of this behavior. Otherwise, this can become a vicious cycle as we react to our aging bodies by imposing further restrictions to our movements, and our brain’s ability to control and balance these movements becomes diminished as a result. 

The Light on the Water (from Muir Beach) by Brad Gibson

My third epiphany was a bit more vain, but important to me nonetheless. As I was attending a party in the Berkeley hills on a warm summer evening, I was struck by how many beautiful women were there. Now this party was not one of the faculty or science-type parties that I usually attend, but one made up of by yoga practitioners of many stripes and ages. But as I pondered this—admittedly over a few glasses of very good vodka and some really delicious food—I realized that these people held their bodies in a posture and poise that I was not generally accustomed to. They were not just physically fit, but healthy and vibrant. Okay, my wife did point out the next morning as I told this story that I not only didn’t have my glasses on, but was also pretty drunk by this point. Fair enough. But over the years—and under more sober conditions—I have found this observation to hold up pretty well. 

So as a scientist who studies the biology of aging and the many disease that are associated with aging, I have come to my own personal conclusions on the importance of practicing a mind/body discipline like yoga. And as I approach my 59^th birthday, the immediate realities of physical and mental loss become more apparent. And I am not one of those people who think I can avoid this. I do believe, however, that we have the capacity to regain some of theses age-related losses, and if not, at least slow down their progression. Regaining or maintaining a higher level of balance, physical dexterity, and cognitive function and resolution is therefore something that is attainable and has the capacity to make huge impacts on the quality of our lives. The aging component that works against all this and drives these declines, however, is scientifically and mechanistically poorly understood. This is what makes my scientific life and work so interesting. But as far as I can tell, the basic processes underlying human aging are largely inescapable, at least as we currently understand them. That doesn’t mean we can’t intervene or we have to give up, nor that some of the losses we associate with aging can’t be mitigated.  We probably need to practice both acceptance and active engagement as we confront our own aging—part of the underlying philosophy of yoga that I am still struggling with. In any case, it can’t hurt to strive to feel better and think more clearly. There are few things that I would consider more important.

My primary interest in participating in this ongoing discussion on “yoga for healthy aging” is to examine evidence on how practicing yoga might intervene and in some cases reverse some aspects of the mental and physical decline we think of as normal aging. In doing so I have to first acknowledge that there is a lot of crap out there, and as a scientist I would want to bring rigorous and critical thinking to the process of evaluating these claims. Most published studies or claims just don’t stand up to rigorous scientific and statistical scrutiny because of poor study design, small sample size or the lack of good controls. But I also I don’t want to fall into the trap of constantly seeking to debunk or ridicule studies that attempt to establish a connection between yoga (or other related disciplines) and possible beneficial effects on aging or limiting age-related diseases. Rather, I’m more interested in trying to extract whatever useful information I can from these aging studies and see if it can be applied to improving one’s yoga practice.

And lastly, a full disclosure: I’m a firm believer in science.  I am also a believer in western medicine, although with some qualifications.  My concern with western medicine is that it can overreach itself at times and rely on vastly incomplete scientific knowledge in coming to diagnosis or treatments.  Or worse yet, it can incorporate many cultural biases. That said, it’s by far the best and most successful form of medical practice that we have. I am also aware of limitations in the scientific method. Not so much as a philosophy or discipline, but rather from the standpoint of recognizing the difficulty of scientific inquiry in tackling highly complex phenomena or systems. And as complex biological systems go, humans are at the top. This makes it exceedingly difficult for scientists to predict, investigate or fully understand how we respond to various environmental, temporal and behavioral changes. And yes, yoga would fall under these latter categories, as would aging itself.

Despite all this, I believe there are important things that we can do that can impact and alter our aging status and overall health, and that yoga has the potential to be a key player in this process. Indeed, some reasonable information already exists on how yoga might lower blood pressure, or reduce muscle atrophy (sarcopenia), stress, or cognitive decline.  These and other such topics will be ones that my colleagues and I will try and tackle.

Do any of you have questions for our scientist?