It’s summer (hurrah!) and this season’s theme at West Norwood Therapies is water.  I have been exploring water and the human body and why hydration is so critical.
 
Water is essential for life and for our bodies to function optimally.  On average water makes up around 60% of body weight in men and 50-55% in women (this can vary depending on age and body composition).
 
Drinking enough water each day is essential for the function of all the cells in the body, it helps us to: regulate body temperature, keep eyes and joints lubricated, helping to rid waste and transport nutrients, helps convert food into energy, protects the nervous system, prevents infection, and keeps organs functioning properly.
 
Some organs contain much more water than others and I found it staggering to learn that the brain and kidneys possess the highest percentage of water: a whopping 80-85%, followed by the heart and lungs 75-80%, muscles, the liver and skin are 70-75%, blood is 50%, bones are 20-25% and lastly teeth at 8-10%.   This helps to put into context how dehydration can have so many symptoms and consequences.
 
The current UK recommendation is to drink 6-8 glasses of fluid per day, more specific recommendations about the quantity needed at different ages are shown below:
(provided by the European Food Safety Authority (EFSA):

The EFSA assume that 20% of fluid intake comes from food and 80% comes from drinks.
It is also important to note that doing strenuous activity or living in hotter or more humid climates may need more than the above.
 
The body works hard to find balance and drinking too little or too much water can have severe consequences.  The warning signs of dehydration include:

• Feeling thirsty or lightheaded
• A dry mouth
• Headache, delirium
• Tiredness (fatigue)
• Having dark coloured, strong-smelling urine
• Passing urine less often than usual (less than 3 or 4 times a day)
• High heart rate and low blood pressure
• Muscle cramps
• Constipation

 
As mentioned above the brain contains 85% water, dehydration can also impact on cognitive function with difficulty in concentrating, impacting mood making us prone to feeling angry, anxious, and irritated.
 
It’s important to note that on the flip side at the extreme end of consuming too much water, can lead to hyponatraemia, a very serious condition that causes extremely low sodium levels in the blood.
 
It is more common for people to suffer with the symptoms of dehydration.
 
The best way to avoid dehydration is to keep track of how much fluid you drink and drink water throughout the day.  It’s ideal to avoid excessive caffeine drinks as they have a diuretic effect on the body, as does alcohol.  Of course, I am not staying to cut them out but to just be mindful of intake and ensure you’re having an adequate water intake too.
 
If you have been unwell with a fever or diarrhoea, playing sports or have been sweating a lot in high temperatures: drinking coconut water or a sports drink or rehydration drink can help to replenish your electrolytes and essential salts and minerals.
 
Swap sugary drinks for sugar-free or no added sugar and dilute squash drinks to reduce the sugar content.
 
If you don’t like the taste of water you can try sparkling water or try adding a slice of lemon or lime, some berries or cucumber.

Stress is the body's reaction to feeling threatened or under pressure.  It affects everyone, of all ages, in different ways and is an unavoidable part of life.  According to the Mental health Foundation 74% of UK adults have felt so stressed at some point over the last year they felt overwhelmed or unable to cope.

When we think of the word stress it usually comes with a negative bias, however, stress isn’t always a bad thing.  It makes me think of the Goldilocks Principle: too hot, too cold and just right…

• Too much stress can have negative consequences on our health,
• Too little stress can lead to lethargy and lack of motivation,
• However the right amount of acute stress (ie short-term) can help to focus and reach an optimal level of alertness and cognitive performance. 

 
Eustress is defined as a positive form of stress.  It has a beneficial effect on health, motivation, performance, and emotional well-being.  It is perceived as being within our coping abilities, feels exciting and is short-term.
 
Distress is defined as a negative form of stress having a detrimental impact on health and wellbeing.  It triggers feelings of anxiety and overwhelm, decreases focus and motivation, contributes to mental and physical problems and can be both short and long-term.
 
It is interesting that both expressions, eustress and distress, stem from the body’s primal reaction to stress: the Fight or Flight Response.  Let’s explore this a little further…
 
The Autonomic Nervous System (ANS) is the involuntary part of the Nervous System that regulates processes in the body that we cannot consciously influence, including: respiration, heart rate, blood pressure, digestion, metabolism, sexual response, body temperature, electrolyte balance, urination and defecation.  The ANS is constantly receiving information about the body and its external environment.  It sends signals from the brain and passes them on to the body and also send signals from the body to the brain via neurotransmitters. 
 
The ANS has two main divisions:
 
Sympathetic Nervous System (SNS) aka Fight or Flight.
The SNS enhances voluntary muscle activity while shutting down all non-essential functions (ie: digestion, urination).  It releases a combination of hormones and chemicals including epinephrine, cortisol and norepinephrine to increase the heart rate, blood pressure and respiration, blood is diverted to the muscles, the body releases stored energy, muscular strength is increased, pupils dilate, and palms sweat.
 
Parasympathetic Nervous System (PNS) aka Rest, Digest, Repair
The PNS role is to conserve and restore.  It is responsible for the bodily functions when we are at rest, slowing the heart rate and respiration, decreasing blood pressure, increasing digestion, stimulates normal peristaltic smooth muscle movement of the intestines, and increases urination.
 
The two divisions work together to ensure that the body responds appropriately to different situations. 
 
Recognising stress:

Acute vs Chronic Stress
 
The body is able to cope with acute, short-term stress, it is what has kept humankind alive for millions and millions of years.  If we think back to our pre-historic ancestors, a classic case of a Fight-or-Flight response for a caveman would be to the imminent physical danger of sabre-toothed tiger! The stress response was triggered as a means of survival.  Once the threat has gone it takes between 20 to 30 minutes for the body to return to its pre-arousal levels.
 
In our modern world a physical fight-or-flight response can happen if jumping out the way of an oncoming vehicle or encountering a growling dog when out for a walk.  We also experience the same chemical response to situational stresses:  managing work commitments, juggling personal, family and friend’s needs, financial concerns, big life events, health etc….  Sometimes, the fight-or-flight response is overactive and the body stays in a prolonged and consistent state of stress.
 
Chronic stress happens when the body is constantly reacting to stress and is not fully able to recover.  Prolonged exposure to fight or flight responses (high cortisol, epinephrine and norepinephrine) take their toll on the body and can lead to a number of serious problems, including: burn-out, exhaustion, lowering immunity and experiencing an increase in colds and infections, gastrointestinal problems, cardiovascular disease, menstruation problems, sexual dysfunction and mental health problems with anxiety, depression and panic attacks and a number of other conditions.
 
What can we do about it?
Stress looks different to each person so it’s really helpful to be aware of your own stress triggers and how you respond to them.  Knowing and recognising your own triggers and behaviours is really powerful so you are able to identify them as they happen, by doing so you can then choose how you want to respond in that moment.
How can I help myself?

• Talking – whether to a psychologist, friend or family member talking to someone you trust can be really helpful to process the stress.
• Breathing Exercises – highly effective for calming the body as well as stimulating the vegus nerve that is key for regulating the parasympathetic nervous system: rest, digest, repair.
• Mindful Movement – moving your body through dance, yoga, qigong etc.. can help the body move and release energy, connecting breath to movement to help soothe the nervous system.
• Meditation – there are a number of different meditation techniques and not all involve sitting still.  Being able to observe ones thoughts without responding to each one will in turn help to calm the mind and body.
• Nature – taking time out to be in nature helps us to feel connected, listening to the sound of birds singing, noticing everything starting to bloom in Spring has a very grounding and inspiring effect.

 
 References:
The Autonomic Nervous System
https://www.msdmanuals.com/en-gb/home/brain,-spinal-cord,-and-nerve-disorders/autonomic-nervous-system-disorders/overview-of-the-autonomic-nervous-system
Sympathetic Nervous System
https://biologydictionary.net/sympathetic-nervous-system/
Stress Symptoms
https://www.webmd.com/balance/stress-management/stress-symptoms-effects_of-stress-on-the-body
The Stress Response
https://www.visiblebody.com/blog/the-endocrine-system-the-adrenal-glands-and-the-stress-response