Thursday, July 28, 2011

Dr Dingle Clients

Below are some of Dr Dingle's clients

Associated Financial Planners
Australand
Australian Broadcasting Corporation (ABC)
Australian Institute of Banking and Finance
Australian Speakers Bureau
Australian Traditional Medical Society
Australian Veterinary Association of WA
Balya Cancer Self Help and Wellness.
BMS Solutions
Cancer Support Association
CGU Insurance
Chartered Professional Accountants (CPA)
Chifley on the Terrace Hotel
Christ Church Grammar School
City of East Fremantle
City of Fremantle
Clarkson Community School
Colliers International
Colonial Mutual
Conoco Phillips Australasia
Craigie Senior High
CSBP
Custodian Wealth Builders
Deakin Financial Services.
Enjo
Events WA
FESA
Fremantle Hospital and Health Service.
Glyde-In. Community learning Centre
Gooding Pervan
Greenwood Primary School
Hampton SHS
Healthcare Manufacturing Group
Health Protect International
Hospital Environmental Awareness Link.
Institute of Chartered Accountants
John Wollaston Senior High School
Karara Mining Ltd
KFC
Kwinana Industries Education Partnership.
Western Australian Leadership Centre
Lockridge SHS
Marubeni-Itochu Tubulars Oceania Pty Ltd
Meeting Place Community Centre
Melville Council
Micro Enterprises and Individuals
Mortgage Gallery
Mt Lawley SHS
National Council of Jewish Women of Australia.
National Council of Self Insurers
Neways Australia
Packaging Council of Australia.
Parkinson’s Association of WA.
Peel District Education Department Administrators
Pilbara Education District Office
Project Management Institute
Secret Harbour Surf Life Saving Club
Small Business Development Corporation
SOMA
Trades and labour Council.
WA Convention Centre
WACCRM (rural doctors conference)
Water Corporation
West Australian Police Force
West Coast Education District Directors
West coast TAFE
Woodside
Woodvale SHS
Wools of New Zealand
Health -Mor Industries. (USA)
ELKEN (Malaysia)
Deaken Finances (New Zealand)
Newways (Malaysia, Phillipines)
PWD EMS Ltd (Singapore)

Wednesday, July 27, 2011

Dr Dingle Speaking at Schools

Since 1988, Dr Peter Dingle has presented hundreds of talks school groups on topics of motivation, study skills and goals to health and managing stress. He has presented to school staff, students and school community groups as well as at graduation nights and special events. As a result of all his work Dr Dingle has helped many thousands of students and teachers with his hard hitting and honest information. As an author of 8 bestselling books (one more out soon) and 25 years of research Dr Dingle knows what he is talking about.


Dr Dingles’ 2011 Healthy Schools Makeover

Staff
Does your staff suffer from
• too much stress,
• poor work life balance
• falling energy and motivation?

Would you like some help???

Students in Year 11 and 12 in 2010

Would you like your students educated and motivated with one of Australia’s top motivational speakers?
Would you like their year 2010 to begin with a real bang?

Dr Dingle is one of Australia’s best motivational health speakers. But unlike other speakers all his work is based upon his own unique and thoroughly tested programs. He can make a real difference (see the testimonials attached)

Topics include
• Dealing with stress and building resilience
• Health and well-being. The dingle DEAL
• Nutrition for smart thinking and better health
• Goal getting and study skills
• Taking control of your life

School Community

Dr Dingle also runs programs for parents and familias of schools on any of the topics listed above.

Dr Dingle can run a program in schools from 45 minutes or a half-day session to a whole day or even more. These programs are unique, fun and entertaining (see the testimonials attached).
Dr Dingle can make a real difference with your staff and students.
For further information go to www.drdingle.com or contact him at peter@drdingle.com. Or 0414360569.

Testimonials

Dr D provided our Year 12 students with a wonderful introduction to their final year. His effervescent delivery captured the students’ imagination as he guided them through the importance of maintain a healthy diet through to strategies that lead to effective goal setting.
His presentation was entertaining, educational and importantly, practical. Dr D’s Journal & Playbook was an excellent source of information and a focus instrument that the students were able to put to practical use. His message is life-changing and challenging, just what students need to wake them from their slumber of holiday mode. Russell Scanlon Head of Year 12 Corpus Christie College

Your Motivational presentation to our year 12’s was a performance to remember. The unique and highly energetic style of your delivery kept the students both entertained and spellbound. The content of your delivery, reminding students of the aims and importance of goal setting practices, particularly leading up to those important final exams and assessments, was also well received. With such a short time until the TEE you managed to provide the students with ideas about what they could change and so differently, to hep them achieve their goals. The students were genuinely positive and in good spirits after the presentation. The power of a laugh and a smile never ceases to amaze me. Gavin Bradshaw, Manager student services John Curtin college of Arts WA


Thank you for yesterday's seminar-it was terrific and you left the group "gob smacked!" Your presentation was super and the energy, enthusiasm and passion you displayed was so clearly evident. The response I have had from the group has been overwhelmingly positive and the requests for a return seminar (only longer) was unanimous! You won them over and I have no doubt that many will change their habits and become the real DEAL!!!-not bad if I say so myself!!!
Your presentation was enthusiastic, stimulating, passionate and more importantly filled with practical applications. As a group we were so impressed with Peter's ability to connect with the group and to provide a relevant and meaningful presentation. He is fun to listen to-you never get bored and his knowledge of health treated issues is outstanding. He is truly a very talented gentleman!. We as group have every intention of utilizing Peter' talents and gift at future Principal Forum events. Lloyd Page, Chairperson, Leadership Committee, West Coast Education District, Perth.

Dr Peter Dingle captivated the large group of young people by presenting the five steps to attaining their goals. The magic tricks baffled the onlookers and helped to explain the concepts pitched at the level of the audience. He explained how attainment of goals are
affected by our conditioning, the choices we make and how we respond to change. We were inspired by the prompting to be courageous and accept the challenges presented. The statement that personally made an impact was that if we don't go forward, we go backwards! This has inspired me to consider the challenges ahead and to write down my goals and consider the 'what, when, who, where, how and why. Kath Bavich ,Davey CareerLink

Thanks again for your presentation on Wednesday. It was terrific in every way. Staff are still talking about it which is amazing and even those who didn't smile for the whole 3 hours came up to me later to say how they enjoyed the presentation. I think I need a Dingle dose about every 6 months to keep me on track. Jan Vines, Canning College

Peter - great presentation at Matilda Bay Restaurant on Wednesday morning - I suspect the free range eggs, Selenine, magnesium, linseed etc AND your book will have record sales from this group. Just checking an availability - possible conference 18 August AM - Floreat area, how do you sit? David Forster, MANAGER OPERATIONS, DEPARTMENT OF EDUCATION AND TRAINING, WEST COAST EDUCATION DISTRICT

Teachers program
Thankyou for your outstanding presentation which was one of the most dynamic and informative sessions we have ever had. The staff are still buzzing with the health messages which you presented and were motivated by the fact that you obviously practice what you preach. Thankyou for making a difference! Rob Stewart. Principal. Illawarra Primary School

Thank you so very much for coming to our school and giving a most informative and entertaining talk. It has been the talk of the school today and we would love to get you back maybe next year? That's another matter though... I just wanted to say on behalf of the Orana school community a most sincere 'THANK YOU". It was a great pleasure to have you and your lovely family! Cheers! Allison Pivac

Thanks very much for presenting at our conference last Friday, You certainly hit the mark with your messages and energetic delivery. Feedback we received from participants was all positive, with many determined to make some changes in their lifestyle and eating habits. Andy Sullivan Manager District Operations Midlands District Education Office

I don't know anyone who can make the subject as stimulating and entertaining as yourself. There are a lot of speakers around but in my search they tend to be fairly dry. MICHELLE GORE Director of Staff Development Christ Church Grammar School

Dr Peter Dingle's input to the Class of 2004 was outstanding. Students, their families, staff and special guests have all remarked on his unique talents as a presenter; he was able to engage all in the audience as he delivered his inspiring and meaningful message. I would recommend him highly as an entertaining, motivating and compelling speaker. Dick Hunter. Principal Newman Senior High School

Your presentation on Friday was excellent & inspiring as usual. I'm eating my nuts & fruit at the moment! Several staff came up to me & told me how wonderful they thought your manner & presentation were. It's always hard to keep people focussed after lunch, but you did it in you own inimitable way! Adrian Penistan. Clarkson Community School.

The presentation you gave with regard to goal setting was well received. Staff were most enthusiastic about your contribution. Both written and oral feedback have been most complimentary. John Young Craigie Senior High

Thankyou for the presentation you did on Monday for our staff. I have had so many staff come to me and say what a great day they had and how much they enjoyed your presentation. We have been eating our oats (mine were full of sugar – those Uncle Toby’s flavoured ones!) and we have all been into the fish oil – we’re researching the best value packages at the moment – so you’ve really started something!! Anne Fraser. Principal West Greenwood Primary

The staff at John Wollaston very much enjoyed your presentation at the end of last term. It was down-to-earth, practical and entertaining. Heather Williams. Teacher/Librarian. John Wollaston ACS.

Thankyou for the wonderful opportunity to participate in the breakfast. Peter is a motivational speaker who is truly passionate about good health. Looking forward to the next breakfast. Cheers Roz Tritton. Curriculum Consultant Pilbara Education District Office

Dr Dingle's presentation to District Directors at the June 2004 State Executive was very well received. The message of looking after one's own health and well being was a timely reminder to directors who all too often neglect this critical aspect of their working week. The session also provided a great mood that assisted with the rest of the day's agenda. Grant O'Sullivan Area Director West Coast Education District

thank you for your energetic, very informative, positive and stimulating seminar. We enjoyed every moment!! Collette, School of Psychology. The University of Western Australia

Thanks for such a positive and entertaining session on Saturday at UWA Extensions (Increase Your Personal and Professional Productivity). Pamela Slobe. Postgraduate Administrator. School of Psychology. The University of Western Australia
Peter thank you for your presentation to Managers Operations. It was provocative, amusing and highly engaging and gave us all cause to reflect on more healthy ways to live our lives. It was particularly pleasing to receive practical advice on how we can take a leadership role in the work place to raise awareness among our colleagues about healthy living. Stephen Ker, Manager, Operations, Swan Education District

Students program

Dear Peter
Thank you for the outstanding presentation you gave at our Year 11 Leadership Day. It was amazing to see what you packed into a one hour session (which just seemed to fly by). The students were entertained and educated at the same time - something we are always searching to achieve in education.
The students now have a richer understanding of themselves as individuals, as a team and as leaders of the community and no doubt have a deeper perspective on what they are eating on a daily basis. Thank you once again and we look forward to working with you again in the future. Regards Trevor Lynch, Director of Students, Dean of Students Year 11, Sacred Heart College

Dear Peter

A very big thank you for your wonderful presentation. I have had very positive feedback from many students and the teachers who attended. A couple of teachers said to me afterwards ‘I just needed that’!!
We had a Year 11 parent feedback evening on the Thursday evening after your presentation and quite a few parents made the point of talking to me about the inspiration you gave their children. One said ‘I don’t know who that person was who gave a talk to the students, but I had a different son on Wednesday night’. Some of the Year 12s caught up with me in the library and said thank you for organising Dr Dingle to come to the school, and many other students took the time to let me know how motivated they felt. One of the Year 12 art students made a poster with the five Cs and other summary points of your talk.
So, thanks again, Peter, for inspiring and motivating our Upper School students so effectively, and using good old fashioned common sense interspersed with interesting scientific facts – a very good strategy with teenagers. I have put your books in the library – that was a very generous gesture to donate them and we do appreciate that. Yours sincerely. Kate Abbott. Director of Upper School

"Thank you Dr Dingle for your highly energetic and motivating session with our Year 12's. You had some great messages for the students and your blend of information, stories and magic was "just what the doctor ordered"! The fact that so many of them came up afterwards to shake your hand and thank you shows how much they got from it. Can't wait till our follow-up session next month!" Paul Housley Associate Principal Woodvale SHS July 2008

Peter, you are Delightful
Informative
Nutty
Generous
Laugh-a-minute
Extraordinary
Thank you so much for your time today. You are an inspiration, and you rock! Kind regards, Sandra Seman-Bourke from Christ the King School.

G'day Dr.Dingle. My name is Malachy (mal-a-key) O'Connor, i'm a first year at Murdoch.
Throughout my secondary education (sacred heart college) I was fortunate enough to attend two presentations by your self. Your presentations were nothing short of amazing.
Hello Peter. I want to let you know about the impact you had on our students after your recent visit. The young woman you spent some time with has really made a break through... she wants to succeed like never before and you have been instrumental in that. She could see no solutions, only problems. The two young men that went up and shook your hand afterwards have their own moving stories which are quite unique. Your message was positively received by them both and I was surprised because they both are so determined to believe that the 'older' generation have nothing to offer.
I hope you will consider accepting invitations to speak to our students in the future….you should have been a fly on the wall the next day when they were talking about your 5 'C's and how they had beans on toast for breakfast. Thanks again. Kaye Davies. A/HOD English. North Lake Senior Campus

Hello Peter,
Now your wondering how does this guy know me well apart from seeing your magic trick 4 times in one afternoon, I had the pleasure of being present at my son’s Graduation Night @ UWA for Emmanuel Catholic College where you presented the kids with their Certificates & Medals etc
Peter you also gave the kids and the parents a wonderful speech which was very entertaining to watch but more importantly for myself and my son Matthew to listen too. Unfortunately Matthew had been advised that his grades would make going to University very difficult and was discouraged to take up any University subjects. However after your speech in fact that night walking back to the car Matthew was so inspired by your talk, that he asked if could change his electives and go for the subjects he was interested in and keen too at least try.
I was more than elated with Matthews request as in previous weeks we were struggling to get Matthew to attend the last weeks of school, because he saw it as a waste of time and was not looking forward to going back to school in 2008. We took up Matthews request with the school but sadly the school stuck with their option so we have gone our separate ways.
The Good News is Matthew has started at his new school with all the electives he is interested in plus a few others that the school has offered him, his attitude towards school has changed he is achieving his goals that have been set by himself and the school, he has already won a Merit Award for History and he is more than happy with the change.
So in closing Peter I wish to thank you for your inspiring speech on that faithful night I am sure that if hadn’t been for your speech and words of encouragement I could have a completely different boy on my hands so please keep doing your Public Speech’s you are inspiring young minds to achieve their dreams.

Yours truly, Greg Howard

"Peter Dingle is a person who inspires young people. His presentation at our school offered an insight that the students could relate to and appreciate. His clear and easy to understand message gave the students some real strategies that they can put into to place straight away. And of course, his energy, the students respond so well to his energy and passion." Silvana Patorniti Warwick SHS

Your motivational presentation to the Year 12 students on Thursday 31 August 2006 was a performance to remember. The unique and highly energetic style of your delivery kept the students both entertained and spellbound. The content of your delivery, reminding students of the aims and importance of goal setting practices, particularly leading up to these all important final exams and assessments, was also well received and offered them wisdoms they might not otherwise be exposed to.
It is important that students understand they have choices and that their futures are of their own choosing and your presentation endorsed that strongly. Jen Fraser (Year 12 Co-ordinator). JOHN CURTIN COLLEGE OF THE ARTS

Thank You for the wonderful and stimulating speak! You really are superb in what you do. Scott Haddrell. Acting Head of Year 9 Penrhos College

Peter Dingle addressed a recent workshop for our senior students on "feeding your mind and body for success". His presentation was spot on-dynamic entertaining and highly informative. The only complaint from the girls was that it was not long enough-they would like him to come back for more! Meg Melville. Head of Senior School. Penrhos College.

Peter Dingle’s presentation of ‘The Deal’ to my Year 11 students was bright, informative and dynamic. The students and staff who attended have been motivated to see change as a real possibility and not as something which is too hard to achieve. Peter showed them how to recognise negative influences on their lives and take positive steps towards improvement. The presentation was excellent – well targeted, fun and thought-provoking! We all learnt something and came out feeling empowered. Ms Alex Lawson Head of Year 11, Methodist Ladies' College

Peter addressed the Year 12 cohort at their start of year Convention. Peter is a dynamic presenter. His words motivated and inspired the girls for the year ahead. Peter's advice on healthy eating and diet was of particular interest to the girls and many were still asking questions long after the presentation had finished. Thank you, Peter. Michelle Taylor. Year 12 coordinator Penhros

thanks ever so much for your talk to the young tackers on wednesday...you made quite an impression. Mark Bruhn, Career Coordinator. Seton Catholic College

As usual Dr Dingle gave an entertaining and riveting lecture on motivation and exam preparation and students were overwhelmed by his enthusiasm and passion. Maryanne Hughes. Kwinana industries Education Partnership.

On behalf of all the year 12s and staff who attended your vibrant, energetic, inspiring, positive and educational presentation, we cannot thank you enough. We’ve learnt about “golumising”, the four C’s (change, challenge, choice and conditioning), the “Dingle Deal” and the power of positive thinking.
We have heard a lot of motivational speeches in our time and yours has been the most powerful and inspirational yet. The way in which you spoke to us was appreciated; you presented yourself as a very down to earth, positive, relaxed, and honest magician
What you have taught us has had a profound affect on all of us and it is something that we all can grow and benefit from. Also, despite how many times we have been told how important breakfast is, you have been the first to put it in to terms we can relate to. “We once were dumb but now we shall eat breakfast!” We all have made our own choices to become dealers of endorphins…. We promise to smile more! Thankyou once again. Matthew Dale & Josephine Vinci (2 students Mt Lawley SHS)

THANKYOU! What can I say? Your words of positivity and your vibrancy rubbed off onto the students this morning and I have had a number of those who attended the breakfast come to thank me for getting 'such an awesome' (their words) guest speaker. I really appreciated your spontaneous warmth and your down-to-earth approach. I shall do my best to ensure the 'Dingle DEAL' does become the mantra for the students for the rest of the year...I shouldn't find it too hard to achieve given that the students who heard you speak were avidly telling those who 'made the choice' not to attend the breakfast what the
DEAL was all about. Once again, thank you for touching the lives of our students in such a happy and positive way! Alice Basini year 12 coordinator Mt Lawley SHS

I just wanted to tell you how much you inspired me. Before going to the camp, I was talking to a girl who went last year. She told me that the camp had changed her life and given her so much. I wanted to believe her - but it was such a big thing to say - a 4 day camp had changed her life? Any way I now do believe her. Why? because it has changed my life. Everything you said made me stop and think.
You told us we can make a difference and all we need to do is get off our arses and make ourselves heard. You have definitely changed my outlook on life and I know I’m not alone. Last night i was thinking of what I could do to show my appreciation for the invaluable lessons you taught me. How could i thank you? - then it hit me. I'm gunna make a difference. I don't yet know how but I’m working on it. You gave me so much and i am eternally grateful. Never ever stop doing what you do. Brooke Russell.

Hi Dr Dingle!!! Its Krissie here from the summit :) Just to say a quick thank you for everything that you did for us. You were such an inspiration, and the things that you taught me, I’m sure will have a hugely positive effect on my life. The camp was so enjoyable and I have benefited from it soooooo much :) Myself and the other girls from my school hope to get some projects going to help the foundation so we'll be keeping in touch. Thankyou again, for everything.:) krissie

Dear Dr Dingle
I wanted to share with you the response my younger son had to your presentation while he was a student at Wesley College.
The school had asked you along to talk to the boys about a healthy lifestyle and choices and my usually monsyllabic son was transformed when we picked him up on our way to our annual Easter holiday some 3+ hours drive away.
He poured out the information you had communicated to the boys, letting his older brother know exactly why he should not be consuming the junk food he was munching away on and what effects it was having on his body. He was 'full bottle' as they say and so enthusiastic. He has always been a committed sportsman but after your presentation seemed more committed as he drank water fairly exclusively after that with fizzy drinks off the menu while fruit and veg intake seemed to increase. Alcohol also did not feature as it seems to for many young men of his age.
What I loved most was the enthusiasm that you had inspired in him which he spent 3+ hours commnicating to us!! Regards. Sharon Kendrew

Hi Dr Peter Dingle

My name is Phoebe Phillips I'm nineteen years old and i was a 2006 graduate of John Curtin College of the Arts Fremantle. I listened to your motivational speech two years ago before sitting my TEE and i just wanted to let you know what happened to me as a result.

After concluding that motivational speeches were totally cliche me and my friends sat in the third row a little to the left. Close enough to appear keen to our head of year and slightly of centre so we could happily chat whilst politely avoiding your eye line.
But something must have rung true because i did come away feeling slightly more excited then scared and the freaked out sensation seemed to meld into a unusual feeling of determination. At the early stages of year twelve i was really keen to get a good mark, and more importantly beat my brothers insanely high 93% TEER (which he got at a private school). So i went through all the motions you incouraged set my long term goals (ie beat my brother) then my weekly goals then transfered that into a timed study scheduale incorperating down time, party time and fitness etc.

Don't get me wrong it was really hard at times. I remember not having white out in the house and absalutly loosing it for a good two hours...solid. And wanting to go to the beach sooo bad, and wanting to finish 2 bottles of cheap white at the party not just two glasses, and wanting to sleep in...for ever. But then i'd look at my long term goals. And of course i would come back to the conclusion that the pay offs of those were better then a quick swim, an epic hangover, a guilty sleep in. So on weekends i'd tell my alarm to fuck off a few times, go for a jogg and hit the study schedual with gusto knowing i was getting that little bit closer to my long term goals each day.

I kept pushing through first semester with avarage grades. It was confusing at first how come when i was following this "winning" formula i wasn't blitzing it all? were was the instant gaurentee? the pay offs ey? But then towards the end of second semester around mocks something just switched. It all seemed to start coming together. the A's began rolling in then suddenly i was the top student in two of my four TEE subjects and i was on straight A's and B's for the rest. And to be the top TEE drama student in a specialist performing arts school was unbelievable, ludicrouse, amazing but hey it was one of my goals.

To cutt a long story short i ended up topping both art TEE and specialist drama TEE at John Curtin as well as achieving the parlimentarian award for excellence across all subjects in addition to the Curriculum Councils Comendment award for being one of the three highest exam results for TEE drama in the state. But most importantly i beat my big brother with a 96.5% TEER.

So i just wanted to say cheers, and i hope you can keep making other people believe its possible because to tell the truth i truly didn't think i could achieve what i did.

Thanks again, Phoebe Phillips

Vitamin D

Vitamin D is one of the essential nutrients required by the human body. Unlike most vitamins, it is one that we can manufacture on our own, given the right conditions. Despite this, vitamin D is showing up increasingly in populations as the most widespread and critical nutrient deficiency; this deficiency is linked to many diseases and disorders, costing billions of dollars each year. Our changing lifestyles, including increased indoor living and campaigns warning people to stay out of the sun have meant that most people don’t get enough vitamin D. The resulting deficiency is compounded by the consumption of modern and processed foods devoid of any vitamin D.

Vitamin D refers to two biologically inactive precursors: D3, also known as cholecalciferol (made from cholesterol), and D2, also known as ergocalciferol. Vitamin D is the only nutrient that can actually be synthesized by the human body, which technically means that it is not a vitamin. The synthesizing of vitamin D in the body can be achieved through contact with solar ultraviolet B radiation emitted by the sun. Without the presence of this solar radiation the only way to get vitamin D is through diet—hence, it is still classified as a “vitamin.”

It is becoming increasingly common to find low levels of vitamin D in Western populations. Vitamin D uptake from the sun is not affected so much by seasonal changes but by how much time people spend in the sun. People require between 70nmol/L to 100nmol/L of vitamin D and in winter, when people spend less time outdoors, it is difficult to achieve these levels. Furthermore, current sun avoidance advice combined with the dietary habits of the general populous make the situation much worse—the average level in adults is around 25nmol/L - not even half the recommended level. Populations particularly at risk are seniors and infants but also any person spending too much time inside.

In addition to vitamin D obtained through UVB exposure to the sun, this vitamin can be found in foods such as eggs, butter and fortified milk, with the highest levels found in fish. Remember, we evolved as fisher- hunter gatherers and fish used to be an essential part of our nutrition. Vitamin D can also be provided by supplements. Numerous studies have concluded that sensible sun exposure and supplementation are the most effective ways of increasing vitamin D levels.

Once in the body, vitamin D is either stored in the body’s fat adipocytes or enters the liver. The vitamin D gets broken down in the kidneys for the regulation of calcium and dozens of metabolic functions. The broken-down vitamin D then interacts with vitamin D receptors in the small intestine and on osteoblasts to regulate calcium and phosphorous metabolism. It not only assists calcium uptake in the bones but also works as an immunity modulator. It continues to be metabolised in various tissues and cells for regulating cellular proliferation and differentiation as well as in the functioning of the immune system and macrophages. In addition, circulating concentrations of the broken-down vitamin D may help increase insulin production and alter fat metabolism.
Deficiencies in vitamin D have been linked with a range of problems with the musculoskeletal system including low bone and muscle problems, as well as cardiovascular disease, diabetes and metabolic syndrome, cancer and impacts on the immune system, Parkinson’s Disease, asthma, pain, and pre eclampsia.

Low levels of vitamin D can reduce the amount of calcium uptake in the bones which, over time, can lead to a loss in bone density. Pregnant women with vitamin D deficiency have been found to give birth to children who are at greater risk of being unable to store calcium in their bones, reducing their bone density and increasing the risk of bone fractures. In addition, these children experience higher level of dental caries. Low vitamin D in children will prevent them from reaching their bone mineral density and therefore increase their risk of osteoporosis and fracture later in life. In a study of 206 pregnant women during their second trimester, researchers reported that only 10.5% of the women had adequate levels of vitamin D.

In a study of 23,423 would-be first time mothers, the risk of pre-eclampsia was 27% lower in women who consumed vitamin D supplements with daily doses of 10 to 15 micrograms, compared to women who did not take supplements. Pre-eclampsia, affecting 2% to 3% of all pregnancies is estimated to be responsible for about 60,000 deaths each year worldwide.

Vitamin D deficiency is inversely related to a range of diseases, including respiratory infections such as influenza. In support of these findings, clinical trials have shown that vitamin D supplementation can reduce the risk of reactivation of latent tuberculosis infection. Vitamin D (in particular, D3) stimulates neutrophils, monocytes (natural killer cells) and the epithelial cells lining the lungs and protecting them from infection. So come winter-time and flu season get out and get a bit more sun along with some cod liver oil.

Studies have indicated that vitamin D supplementation may reduce the risk and difficulties associated with autoimmune disorders. In particular, there is strong evidence that vitamin D reduces the risk of multiple sclerosis and type 1 diabetes mellitus, and weaker evidence for rheumatoid arthritis, osteoarthritis, systematic lupus and erythematosusstar. There is no doubt about the link between vitamin D shortage and multiple sclerosis. There is a 41% decrease in MS risk for every 50 nanomoles per liter increase in 1,25-hydroxyvitamin in the blood. Vitamin D deficiency also predisposes to insulin resistance and pancreatic beta cell dysfunction. In a study of 10,366 Finnish children those given 2,000 IU of vitamin D3 per day throughout the first year of life experienced a 78% reduced risk of type 1 diabetes.

Over time, vitamin D deficiency leads to osteopenia, precipitates and exacerbates osteoporosis, which causes the painful bone disease osteomalacia and leads to increased muscle weakness. Notably, vitamin D deficiency is also associated with an increased risk of falling and fractures. Frail older people confined to institutions may sustain fewer hip fractures if given vitamin D. A study of 302 women (average age 77.2) living in Perth, Australia found after 12 months of supplementation significantly more falls in the placebo group than in the vitamin D2 group (62.9% versus 53%, respectively). A study of 124 nursing home residents taking a daily vitamin D supplement of 800IU for five months reduced the number of falls among nursing home-dwelling elderly people by 70%. Lower blood concentrations of vitamin D increase the likelihood of hip fracture among menopausal women by up to 70%.

Numerous studies have shown that vitamin D deficiency is strongly associated with an increased risk in developing cardiovascular disease. Epidemiological studies report that the rates of coronary heart disease, higher rates of diabetes, hypertension and elevated LDL cholesterol, are strongly correlated with decreased vitamin D status. Vitamin D appears to be necessary to maintain adequate apolipoprotein A-I concentrations, the main component of HDL (good) cholesterol.
Vitamin D deficiency increases the risk of “all-cause mortality” and is associated with a 122% increase in the risk of “cardiovascular mortality” compared to the highest average Vitamin D levels. Researchers also found that low levels were linked to higher levels of inflammation markers, such as C-reactive protein (CRP) and interleukin-6 (IL-6), which are important markers for chronic illnesses, including cardiovascular disease (These inflammation markers are a much better predictor of cardiovascular disease than cholesterol levels).

Deficient or insufficient vitamin D levels have been documented in patients with myocardial infarction, stroke, heart failure, and peripheral arterial disease. A study of 13,331 initially healthy men and women found that low levels of vitamin D may increase the risk of death from all causes by 26% when the lowest and highest average vitamin D levels were compared. In an examination of 1,739 participants in one study, low levels of vitamin D were associated with a 62% increased risk of cardiovascular events like heart attack, heart failure or stroke. The study also found that 28% of subjects had blood levels lower than 15 nanograms per millilitre (ng/mL). Only 10% of the participants had levels in the optimal range above 30 ng/mL.

Low vitamin D levels are linked with the formation of atherosclerosis. When researchers exposed macrophage cells (white blood cells) with and without vitamin D, they found that vitamin D inhibits the uptake of cholesterol by the macrophage cells. When people are deficient in vitamin D, the macrophage cells take in more cholesterol, and they can't get rid of it. The macrophages get clogged with cholesterol and become foam cells, which are one of the earliest markers of atherosclerosis. Macrophage activation is higher in people with diseases such as diabetes, and when found in combination with low vitamin D levels, the macrophages become loaded with cholesterol and eventually stiffen blood vessels and block blood flow.

A number of studies have also shown a link between low vitamin D and diabetes and metabolic syndrome. In a study of 15,088 subjects Vitamin D levels were inversely associated with hypertension, diabetes mellitus and hypertriglyceridemia. Other cross-sectional studies have confirmed the links between vitamin D deficiency and both hypertension and diabetes. One study reported that a daily intake of 800 IU of vitamin D compared with a daily intake of less than 400 IU of vitamin D reduced the risk of type 2 diabetes by one-third. A number of studies have shown a close link between vitamin D deficiency and metabolic syndrome. Vitamin D appears to be necessary to maintain adequate apolipoprotein A-I concentrations, the main component of HDL (good) cholesterol. One study found similar results with the lowest levels of vitamin D being associated with a 31% prevalence of metabolic syndrome, compared to only 10% for people with the highest average levels. The results also showed that vitamin D blood levels were associated with HDL cholesterol levels. Each increase of 10 ng/mL in 25(OH)D was associated with an increase of 3.8 to 4.2 mg/dL in HDL-C. An increase of just 1 mg/dL increment in HDL-C is associated with a 4% to 6% reduction in coronary heart disease risk.

There is now overwhelming evidence that supports increased vitamin D to lower the risk of developing and dying of prostate, breast, colon, ovarian, esophageal, non-Hodgkin's lymphoma and a variety of other lethal cancers. In a 10-year study of 1,179 healthy, postmenopausal women, researchers found that those taking large amounts of vitamin D3 had a 60% or higher chance of not getting cancer compared to their peers. In a review of data from 177 countries, extrapolation of results showed that as many as 50% of breast and colon cancer cases could be prevented by increasing vitamin D intake. According to the study, the median adult intake of vitamin D in the US is only 230 IU per day, versus the researchers' recommended 2000 IU per day. For every increase of 25 nmol/L in people’s blood, there was a 34% cancer risk reduction, with the most common cancers being those of the lung, colon and pancreas.

Vitamin D can protect women with pale skin from breast cancer and it can reduce the risk of pancreatic cancer especially in young men. In fact vitamin D appears to reduce the risk of other cancers as well such as colon-, prostate-, Hodgkin’s Lymphoma and lung cancer. A recent study of vitamin D intakes found increased intakes of the vitamin were associated with a 24% reduction in the risk of developing estrogen and progesterone positive breast tumours.

One explanation for cancers being reduced by vitamin D is vitamin D receptors (VDR). These are found in the tissues of the body and help maintain cellular growth and prevent cells from becoming malignant. Studies on both colon cancer cells and healthy prostate cells have demonstrated protective effects of vitamin D at a cellular level.

Vitamin D deficiency is widespread in developed countries such as the US, UK, Australia, New Zealand and Europe. US studies have found vitamin D deficiency is present in approximately 30% to 60% of the general population. Increasing vitamin D levels just a small amount would outweigh the benefits of most of the medication people take for chronic illness including medication taken for cardiovascular disease.

Considering the evidence, there is an overwhelming agreement between vitamin D researchers that current recommendations of 200 IU per day for children and adults up to 50 years of age for vitamin D need to be increased to 800 IU to 1000 IU vitamin D3. Numerous studies have shown supplementation to be effective in raising blood levels of Vitamin D levels with no evidence of intoxication reported in either the short- or long-term trial.

Sensible sun exposure (or UVB irradiation) along with supplements are required to satisfy the body's vitamin D requirement. To achieve adequate levels of vitamin D we need to get one to two hours of sensible sun exposure a day. This should be during the morning or late afternoon. While it is prudent to avoid too much sun it is important to remember that the costs of vitamin D deficiency far outweigh the cost of skin cancer and some sun may also be necessary to reduce skin cancers. Remember, we did evolve in the sun but maybe not the hot midday sun, especially for those with fair skin.

Obesity causes cancer

According to the American Institute for Cancer Research, more than 100,000 cancer cases in the U.S. are linked to excess body fat - most of them are preventable. Obesity accounts from between around 50 to10 % of various types of cancer.

49% of endometrial cancers (20700 cases per year)
35% of esophageal cancers (5800 cases per year)
28% of pancreatic cancers ( 11900 cases per year)
24% of kidney cancers ( 13900 cases per year)
21% of gallbladder cancers (2000 cases per year)
17% of breast cancers (33000 cases per year)
9% of colorectal cancers (13200 cases per year)

Fat cells used to be thought of as inert stores of calories. We now know that fat is a complex and multifaceted organ system. Recent theory suggests that we put on increased weight over winter as a part of our immune system response to assist in the protection against bacteria and viruses. Short term inflammation is essential for our response to toxic invaders. However, in obese people fat becomes a major producer of inflammatory and chronic inflammation is closely linked with most (if not all ) forms of chronic illness including cancer. Additionally, in obese people, the adipose cells have the incredible capacity to increase their diameter 10- to 15- fold. The enlarged adipose size results in greater production of regulatory factors and unbalances the normal metabolic pathways, resulting in systemic chronic inflammation.

Recent research has found that infiltration of macrophages (white blood cells which are part of the immune system) in subcutaneous adipose tissue is greatly increased in obese people by up to 50% of cell content compared to 10% in lean subjects. The small number of macrophages in lean subjects are also category M2 whereas the recruited macrophages in obese persons are of category M1. M1 are responsible for the production of pro inflammatory cytokines (messengers) such as Interleukin 6 (IL6), Tumor Necrosis Factor alpha (TFNα) and monocyte-chemoattractant protein-1 (MCP-1). All of which have been linked with increased risk of cancer and have shown to be responsible for the activation of factors know to be active in several tumour types in humans.

Recent research has also demonstrated a close a link between inflammation and tumour growth. Including studies showing increased weight gain significantly associated with increased death rates for all cancers. Other studies have also demonstrated that dietary and genetic obesity strongly enhances the development of cancers in laboratory animals.

The research is now overwhelming. Obesity is a major and avoidable cause of many cancers.

Also check out my blog on What is cancer

Tuesday, July 12, 2011

milk and calcium myths

Milk Myths

I grew up in the 1960s, when every kid in Australia was given a free bottle of milk just before morning tea at school. I thought it was great. Now, 50 years on, maybe it was a big mistake. Today I see many people with allergies and reactions to milk; chronic illness related to milk is skyrocketing. Even the smallest amount of milk now causes me to have lots of mucus. Despite advertising claims, cow’s milk, as we know it, is not a healthy drink. Not only is it not a great source of calcium for bones but also there is mounting scientific evidence that consuming processed dairy has negative health consequences from colic in kids to breast cancer.

Milk is not the food it used to be. It is so highly processed that it no longer resembles the milk our ancestors consumed thousands of years ago. Today a cow (a Friesian cow) gives 25 litres per day compared to just a few litres daily that cows produced centuries ago. Modern farming practices have extended the milking period to 305 days per year (1). Pasteurization was necessary 100 years ago due to poor hygiene but today it destroys the enzymes that make milk easy to digest, particularly for infants. All milk, including human milk, comes with a rich array of nutrients, including 20 or more enzymes to help digest itself—such as lactase to digest lactose. Homogenisation forces the particles of fat through a series of sieves to mix it with water, just so cream does not settle on top. It then becomes difficult for the body to determine whether it is fat or water. Normally the two don’t go together.

Modern milk has been sold to millions of people around the world based on its supposed benefits in building healthy bones. The research shows that milk has, at best, questionable benefits for preventing osteoporosis and bone fractures and is in fact linked with many forms of chronic illness including cancer, cardiovascular disease, multiple sclerosis, diabetes type 1, Parkinson’s disease, gut disorders and allergies.

Calcium for bones?

Findings from long-term studies have cast doubt on the value of consuming the large amounts of dairy and calcium currently recommended. In particular, high calcium intake does not actually appear to lower a person’s risk for osteoporosis (2). There is evidence that the recommended levels in the West are too high, with countries such as India, Japan and Peru having an average daily calcium intake around 300 milligrams (mg) per day, less than half that in the Western world, and no increase in the incidence of bone fractures (3). If increased dairy consumption leads to reduced osteoporosis and fracture rates, then multi-country epidemiologic studies would show that countries with the highest dairy consumption, such as Australia, New Zealand, the U.S. and U.K., would have the lowest osteoporosis and fracture rates yet this is not the case. Although the consumption of dairy products in the United States is among the highest in the world, osteoporosis and fracture rates are simultaneously high (4,5).

Other areas of research also support this finding. A comprehensive literature review found that of 57 evidence-based scientific studies of dairy foods’ effects on bone health, “53% were not significant, 42% were favourable and 5% were unfavourable. Of 21 stronger-evidence studies, 57% were not significant, 29% were favourable and 14% were unfavourable” (6). In other words, despite the huge amount of money the dairy industry invests in research, there are many studies showing that milk has no benefit and that it has potentially negative effects.

In one study, a low intake of calcium (less than one glass of milk daily) was not associated with a significantly increased risk of any fracture, osteoporotic fracture or hip fracture and no significant relationship was observed by age for low milk intake and hip fracture risk (7). There was also no difference in risk of fracture or osteoporosis between men and women. In the Harvard Nurses’ Study of 77,761 mostly white women aged 34-59 who were followed over a 12-year period, those who drank little or no milk compared to the high milk drinkers (three glasses or more) had no reduction in risk of hip or arm fracture (8). The bottom line is that the studies do not support what we are constantly told by the dairy industry, media, governments and dieticians. So why do we keep getting told this message? If it was so clear cut to warrant a health message from the government you would expect all the research to support it. Not only is this not the case but there is also plenty of research to show the complete opposite.

It is simplistic to think that the calcium in our diet goes straight to our bones. The “calcium balance” is where the calcium intake from food is compared to the amount of calcium lost through excretion and unabsorbed mineral in sweat, faeces and urine. The remaining amount, whether positive or negative, is the calcium balance (9). If a person’s calcium balance is positive, there is an excess of calcium in the body, a proportion of which goes directly to increasing bone mineral density (10). If, however, a person’s balance is negative, more calcium is lost than is consumed, and therefore calcium from bone mineral must be reabsorbed into the bloodstream to provide the difference (10). This causes a lowering of bone mineral density and therefore is a factor in the onset of osteoporosis and fracture risk in later life 10. The amount of calcium that is absorbed and retained in the body from dairy products is about 30% of the total calcium consumed (9).

A number of factors help explain this discrepancy. First, calcium absorption is inversely related to the amount of calcium consumed in the diet, with low levels of calcium intake resulting in the most efficient absorption rates (11). This phenomenon may be partly responsible for the fact that many non-dairy-consuming societies around the world have few adverse health effects (such as osteoporosis and fracture) even with relatively low calcium intake (12).

Dairy products contain significant levels of protein, fat (in cheese, cream, butter and full cream products), sugar (in flavoured milks and yoghurts), sodium and phosphorous, all of which reduce the bioavailability of the calcium it contains. The presence of proteins has been demonstrated to have a negative influence on calcium absorption. Protein in milk causes an increase in urinary calcium excretion (13). Some dairy products, especially processed cheeses, clearly increase the urinary excretion of calcium as a result of their increased sodium, sulfur-containing amino acid, and phosphorus content (14). Interestingly, high-fat dairy products such as cheese, butter, chocolate and ice cream have also been found to be acid-forming foods (like protein and alcohol) (15,16), and so the question is raised: how effective are dairy products at ensuring bone health and are there other, more effectual dietary alternatives?

What is good for the bone

While protein has a negative effect on calcium availability, magnesium and potassium, which are found in high concentrations in plants we eat as food, have been recognized as having a largely positive influence (17). These minerals appear to decrease the rate of bone attrition and urinary excretion of calcium from the body when present in moderate quantities. Milk has a poor calcium-to-magnesium ratio and contains low concentrations of potassium, while plant sources have a much higher concentration. Potassium appears to buffer the effects of acidic foods by protecting against calcium loss from the renal acid load of protein (6).

Vitamin D, derived primarily from sunlight, certain oils (including cod liver oil) and fortified foods (including dairy products), is the major nutritional factor affecting calcium absorption (4). Scientific studies have repeatedly shown that inadequate vitamin D levels result in impaired calcium absorption in the body (4,9). The role of vitamin D in milk is also found to significantly lower the risk of fracture (5). Many people in Western populations are now recognised as being deficient in vitamin D (see my earlier article on the topic).

The adequacy of non-dairy centred diets to support bone health has been demonstrated by a recent study conducted in Spain among adolescent males. It reported that a Mediterranean-type intervention diet based on fresh fruits and vegetables, olive oil, fish and legumes provided the same amount of dietary calcium as the subject’s usual (baseline) diet, although the food sources of that calcium varied significantly. The intervention diet also resulted in a significant increase in calcium absorption and retention, while significantly reducing the amount of calcium excreted in urine. This may be partially attributed to the lowered potential renal acid load of the diet, particularly from a high intake of fruit and vegetables (19,20). Therefore, the study concludes, the adoption of a Mediterranean-style diet low in dairy can assist in maximising peak bone mass and preventing osteoporosis without milk or other dairy products (21).

Perhaps the most important part of the bone mass equation is a healthy mixture of minerals from unprocessed plant foods and physical activity, particularly weight-bearing exercises (22,6).
In response to learning these facts about milk, many people ask me, “But where can we get our calcium?” No other animal on the planet experiences bone problems at the rates humans do. Most other animals get calcium from their normal, often vegetarian diet. Our primate cousins, even those such as the gorilla which are much heavier and stronger than us, get all the calcium they need from unprocessed plant foods and cows get theirs from grass and have an excess of calcium.

So where should we be getting our calcium?

References

1. Maruyama et al. 2010
2. Papadimitropoulos et al. 2002
3. Babbar et al. 2006
4. Lanou et al. 2005
5. Feskanich et al. 2003
6. Weinsier and Krumdieck 2000
7. Kanis et al. 2005
8. Roba 2005
9. Allen 1982
10. Atkinson et al. 2008
11. Gallagher et al. 1979
12. Jackson et al. 2001
13. Beresteijn et al. 1990
14. Heaney et al. 1982
15. Alexy et al. 2008
16. Buclin et al. 2001
17. Tucker et al. 1999
18. Allen 1982
19. New 2003
20. Remer 2000
21. Seiquer et al. 2008
22. Black et al. 2002

Wednesday, July 6, 2011

what makes a good workplace wellness program

Organizing and running a WW program is not just about getting a speaker (like me) into motivate people for a day or two. They need real long term planning. Unfortunately the majority of WW programs that companies invest in are half-baked with little or no valid research to suggest that they will work. In this blog I have presented some guidelines from my research to help you get started. They need to be comprehensive, well planned and well thought out. From a survey of 89 organisations in Missouri private sector worksites with 250 or more employees that offered a worksite health promotion program, it was concluded that “the number of programs offered does not appear to be as important as depth of level of intervention. Have a smaller but more concentrated program rather than trying to run lots of smaller projects.

To facilitate long term behaviour change and achievement of organizational goals, it was recommended that programs should attempt to include the following four levels of intervention:
• I) Communication/Awareness.
• II) Screening/Assessment
• III) Education/Lifestyle Programs
• IV) Behaviour Change Support Systems

In support of this the Glaxo Wellcome corporation identified critical success factors for the success of their Health and Wellness program as
• Senior management support
• Contracting
• Focus
• Longitudinal programming
• Stages of readiness for change model
• Integration with other health programs
• Integrated data analysis
• Feedback/continuous improvement
• Employee surveys
• Continuous marketing

A 12 month study to determine the effectiveness of workplace stress management programs was carried out among five hundred and one participants. Full intervention participants showed a more rapid reduction in negative responses to stress than did participants from the other groups. Full-intervention subjects also reported fewer days of illness than subjects in the other groups. These results indicated that a work-site program that focuses on a complete program can significantly reduce illness and healthcare utilization.