Overall well-being among U.S. adults has declined substantially this year. The Gallup-Sharecare Well-Being Index score so far in 2017 is 61.5, down 0.6 points from 62.1 in 2016 and on par with the lower level recorded in 2014. This decline is both statistically significant and meaningfully large.

These data are drawn from more than 135,000 interviews with U.S. adults across all 50 states from Jan. 2-Sept. 30, 2017, and more than 176,000 interviews each year in 2014, 2015 and 2016.

The <a href="http://www.well-beingindex.com/about" target="_blank">Gallup-Sharecare Well-Being Index</a> is calculated on a scale of 0 to 100, where 0 represents the lowest possible well-being and 100 represents the highest possible well-being. The Well-Being Index consists of metrics drawn from each of the five essential elements of well-being:

<ul>
	<li>Purpose: liking what you do each day and being motivated to achieve your goals</li>
	<li>Social: having supportive relationships and love in your life</li>
	<li>Financial: managing your economic life to reduce stress and increase security</li>
	<li>Community: liking where you live, feeling safe and having pride in your community</li>
	<li>Physical: having good health and enough energy to get things done daily</li>
</ul>

Democrats&#39; Well-Being Drops Sharply; Republicans&#39; Unchanged 
Democrats have suffered a significant decline in overall well-being so far in 2017 compared with 2016. The 0.9-point drop in Democrats&#39; Well-Being Index score is at least triple the decline seen among Republicans and independents. Independents had a statistically significant decline of 0.3 points, while Republicans&#39; well-being is statistically unchanged. The decline among Democrats comes after a notable improvement in 2016, and their well-being is now below 2014 levels.

Women, Blacks, Hispanics, Low-Income See Large Drops 
The overall decline in well-being is concentrated among demographic groups that tend to align with the Democratic Party. Women have had a substantial 1.1-point drop in their Well-Being Index score, while the score for men is unchanged. Across the four major racial and ethnic groups, well-being has dropped the most among blacks and Hispanics, although it has also come down to a lesser degree among whites and Asians. Americans living in lower-income households saw a significant drop in well-being, while their higher-income counterparts saw a smaller decrease, no change or a slight increase.

Emotional Health, Social and Purpose Well-Being All Worsen 
The overall decline in well-being in 2017 is driven by dips in emotional health, social well-being and purpose well-being.

In terms of emotional health, the percentage of adults who report experiencing significant worry on any given day is up, as is the percentage who report having little interest or pleasure in doing things at least some of the time.

Social well-being shows similar declines. Fewer Americans agree that their friends and family provide them with positive energy every day and that someone in their life always encourages them to be healthy, while more disagree with the statement.

Purpose well-being indicators have also receded. Fewer agree and more disagree that there is a leader in their life who makes them enthusiastic about the future and that they like what they do each day.

All of these metrics were highly stable from 2014 through 2016, and in each case the negative movement so far in 2017 is highly statistically significant.

The remaining three elements, financial, physical and community well-being, have had much smaller changes thus far in 2017. Community well-being is unchanged, while financial and physical well-being are both down slightly.

Implications 
After rising in 2016, the Gallup-Sharecare Well-Being Index score has reversed course this year. This drop comes even as key economic metrics closely related to well-being have improved, including <a href="http://news.gallup.com/poll/189068/bls-unemployment-seasonally-adjusted.aspx.aspx" target="_blank">unemployment</a>, perceptions of <a href="http://news.gallup.com/poll/218981/americans-ratings-standard-living-best-decade.aspx?g_source=&amp;g_medium=&amp;g_campaign=tiles" target="_blank">standard of living</a>,&nbsp;<a href="http://news.gallup.com/poll/125735/economic-confidence-index.aspx" target="_blank">confidence in the economy</a> and <a href="http://news.gallup.com/poll/221060/americans-best-holiday-shopping-mood-years.aspx" target="_blank">optimism about spending</a>.

Other signs of worsening well-being in the U.S. include an <a href="http://news.gallup.com/topic/category_wellbeing.aspx" target="_blank">uptick in the uninsured rate</a> for three quarters in a row and reports of elevated <a href="http://news.gallup.com/poll/204590/daily-worry-sharply-presidential-election.aspx?g_source=&amp;g_medium=&amp;g_campaign=tiles" target="_blank">daily worry</a>, particularly among <a href="http://news.gallup.com/opinion/polling-matters/215657/hispanics-emotional-during-trump-era.aspx" target="_blank">Spanish-speaking Hispanics.</a>

This drop in well-being is important for leaders to monitor and address because research shows the Well-Being Index predicts <a href="http://info.healthways.com/hubfs/Science_and_Research/Well-being-5_Science_Paper.pdf" target="_blank">key health, business and social outcomes</a>.

Read more about the decline in social well-being this past year on the new website, <a href="https://quartzy.qz.com/1121777" target="_blank">Quartzy</a>.

Survey Methods 
Results are based on 135,426 telephone interviews with U.S. adults across all 50 states and the District of Columbia, conducted from Jan. 2-Sept. 30, 2017. In 2016, 2015, and 2014, a total of 177,192, 177,281 and 176,702 interviews, respectively, were conducted from Jan. 2-Dec. 30 of each year. Gallup conducts 500 telephone interviews daily, resulting in a sample that projects to an estimated 95% of all U.S. adults.

The Well-Being Index margin of sampling error for the reported groups will range from about &plusmn;0.2 points for the U.S. and for whites to about &plusmn;0.3 points for blacks and Hispanics to about &plusmn;0.6 points for Asians. The margin of error for demographic groups will be no larger than &plusmn;0.3 points. All reported margins of sampling error include computed design effects due to weighting.

Each daily sample of national adults for data collected between Jan. 2, 2014 and Sept. 1, 2015, comprised 50% cellphone respondents and 50% landline respondents. Each daily sample from Sept. 1, 2015-Dec. 30, 2016, comprised 60% cellphone respondents and 40% landline respondents. Daily samples in 2017 comprise 70% cellphone respondents and 30% landline respondents. Additional minimum quotas by time zone and within region are included in the sampling approach.

Learn more about how the <a href="http://www.gallup.com/209189/gallup-sharecare-index-work.aspx" target="_blank">Gallup-Sharecare Well-Being Index</a> works.

This content originally appeared on <a href="http://news.gallup.com/poll/221588/americans-declines-2017.aspx" target="_blank">Gallup.com</a>.

News: Americans' Well-Being Declines in 2017

A funny thing happened on Dr. Mike&rsquo;s way home from watching a last-second playoff victory by the Cleveland Cavaliers over the Chicago Bulls; he thought about eating a Cinnabon (didn&rsquo;t, wouldn&rsquo;t ever, but&hellip;). True Cleveland fans know that rooting for the Cavs usually elicits a heightened stress response.

Then, two days later, he noticed how exhausted he was from the stress of watching the game and yet how much he was looking forward to the next one. That made him realize how important it is to stay healthy (he exercises three days a week, walks 10K a day and eats well) if he were to keep going to these stressful games! And that made him wonder if we could come up with a similarly immersive experience that creates enthusiastic participants for Team Wellness&mdash;participants who would come back season after season for more physical activity and good nutrition, participants who would then be able to manage the stress that emotional attachments cause without resorting to the consolation of a sugary, fatty treat.&nbsp;

So we&rsquo;re asking you to join Team Wellness. You only need to play by five rules.

<ol>
	<li>Ditch: all trans and most sat fat, any added sugar or syrup and any grain that isn&rsquo;t 100% whole.</li>
	<li>Walk 10,000 steps a day.</li>
	<li><a href="https://www.sharecare.com/health/healthy-sleeping" target="_blank">Sleep</a> 7-8 hours nightly and meditate daily.</li>
	<li>Avoid toxins like tobacco and BPAs (wash your hands after touching receipts).</li>
	<li>Share laughter and love with friends and intimate partners.</li>
	<li>The rewards? A healthier, happier and longer life. That&rsquo;s the ticket!</li>
</ol>

Medically reviewed in March 2019.

Are You A Fan of Team Wellness?

Q: My eight-year-old daughter and I got our flu shots and then got sick anyway. I think next year we&rsquo;ll skip it. What&rsquo;s the use? 
&mdash; Carolina B., New York, NY

A: It&rsquo;s not fair to blame the flu vaccine. There are several viruses out there that are not influenza: respiratory syncytial virus (or RSV), rhinovirus, croup and the common cold. You may have had one of those common infections and your flu vaccine may be protecting you and your daughter even now. Plus, it has many remarkable benefits&mdash;including, but not limited to, preventing the flu or lessening its impact.

For example, a recent Danish study found that kids who experience a bad enough infection to require hospitalization are at an 83 percent higher risk of developing a mental disorder and a 42 percent higher risk of using psychotropic medications. The flu qualifies as one of those potentially hospital-serious infections. You want to help your child dodge those risks for sure! And we wonder&hellip; could that be related to another study from the UK that identified a rise in anxiety among British children, where many kids don&rsquo;t receive flu vaccines?

Adults are also at risk if they skip the shot&mdash;and a survey shows over half of all adults are not currently vaccinated against the flu, and four in ten don&rsquo;t intend to get vaccinated. That&rsquo;s a shame. A 2013 study of randomized clinical trials published in JAMA showed that &ldquo;influenza vaccine was associated with a lower risk of major adverse cardiovascular events&hellip; The greatest treatment effect was seen among the highest-risk patients with more active coronary disease.&rdquo;

So, young and old, remember the saying: &ldquo;For want of a horseshoe nail, the kingdom was lost.&rdquo; It means if you ignore first steps, one thing leads to another, until the end result is not what you want. The same thing can be said about skipping your flu shot. It&rsquo;s not too late to get yours.

Q: My dad has a rifle, a shotgun and a few pistols. He&rsquo;s 82 and was a competitive marksman back in the day. But I just heard about a healthcare worker who was shot by an 80-year-old in her care. She&rsquo;d been with him five days a week for several months. Should I ask him if I can have his guns?&nbsp; 
&mdash; Jack K., Seattle, WA

A: As our population grows older, the problem that comes along with the combination of dementia and guns needs attention. Forty-five percent of people 65 and older have guns in their household, according to a 2017 Pew Research Center survey, while nine percent of Americans 65 and older are diagnosed with <a href="https://www.sharecare.com/health/dementia/article/what-need-know-about-dementia">dementia</a>&mdash;and many others suffer from reduced cognition and mobility issues. The combination has become such a problem that a non-profit Alzheimer&rsquo;s volunteer group in San Diego has decided not to send volunteers into homes with weapons after discovering that 25 to 30 percent of the households their &ldquo;helpers&rdquo; visited had guns.

Security is one of biggest reasons why people own guns. But when older people start to experience cognition and other physical challenges, imagined threats can seem all too real. Remember the episode on The Sopranos in which Junior (Dominic Chianese) walks into the kitchen and shoots his nephew Tony (James Gandolfini) while he&rsquo;s making pasta, thinking he&rsquo;s an intruder?

An article published in the Annals of Internal Medicine voiced doctors&rsquo; concerns about the risk of suicide by gun owners with dementia. According to the CDC, the suicide rate in the US is highest among those 65 and older, and firearms are the most common method.

AARP suggests families draw up an advance directive (sort of a healthcare proxy) for a firearm retirement date. Another suggestion is to put any ammunition under (your) lock and key. So, now that you&rsquo;re armed with this information, sit down with your dad and have a frank discussion about his guns.

Ask Oz and Roizen: Why You Need a Flu Shot and the Dangers of Gun Ownership With Dementia

Ready for an intensive, all-encompassing process to change your life?&nbsp;

Yeah, me neither. Kind of tough to fit in, between prepping the presentation for your boss, last-minute runs to Costco and making goodies for the bake sale you somehow signed up to chair. Besides, can I remind you that you&rsquo;re already pretty awesome? Don&rsquo;t go&nbsp;changin&rsquo; that much.&nbsp;

But, we all have improvements that we&rsquo;d like to make&ndash;-and what if I said that you could still get the impact, in barely more time than it takes to shimmy into your Spanx? Research shows that even 10 minutes a day can have a surprisingly significant effect.&nbsp;

Let&rsquo;s face it&mdash;none of us have time to waste&mdash;so here are a few of my favorite powerhouse activities.&nbsp;

Move it. If you only have 10 minutes, exercise is one of the best activities for you physically, mentally and emotionally.&nbsp;<a href="https://www.sharecare.com/health/benefits-regular-exercise/article/how-two-minutes-of-walking-can-save-your-life">Walk</a>. Run. Dance. Stomp. In one study published in the International Journal of Obesity and Related Metabolic Disorders participants who were asked to exercise in 10-minute spurts two to four times a day, five days a week, stuck to the program and exercised more than those who were asked to exercise in single 20- to&nbsp;40-minute chunks over the same time period. I&rsquo;d love you to get&nbsp;20 to 30 minutes total, but if you&rsquo;ll start with a 10-minute workout, you&rsquo;ll notice a difference.  &nbsp;

10 minutes of meditation or mindfulness. Studies show that regular&nbsp;<a href="https://www.sharecare.com/health/meditation/article/starting-a-meditation-practice">meditation or mindfulness exercises</a> cannot only improve heart health,&nbsp;they&nbsp;cut down on mind wandering (such as obsessing over that catty remark from a coworker or how you could have handled a challenge better), and lowers levels of depression and anxiety. One study published in Psychological Science found the effect of improved focus in as little as two weeks of mindfulness practice.&nbsp;

Play. Adults don&rsquo;t get recess anymore. (We don&rsquo;t get naptime either, which is something I&rsquo;d like to address with management at a later point.) Whether with your children, your dog or your best friends, let out your inner child. Host game night. Take a friend to one of those indoor trampoline gyms. When you&rsquo;re at brunch, put the orange peel across your teeth and smile at a stranger. Let out your inner 12-year-old.&nbsp;

Prepare meals with the freshest, brightest fruits and veggies. You get home, you&rsquo;re exhausted, and you reach for whatever leftovers are in the fridge, right? Take 10 extra minutes to saut&eacute; that fresh asparagus or chop up the papaya and squeeze on a little lime. Taking a few minutes to&nbsp;<a href="https://www.sharecare.com/health/healthy-foods-cooking/slideshow/autumn-inspired-upgrade-morning-oatmeal">spruce up your meal</a>&nbsp;not only makes it healthier with fewer calories and higher antioxidants, it will make your veggie a little more appealing at the same time.&nbsp;

Two times a day, stop interacting and start connecting. You take your groceries from the clerk. You swipe your ID card for the security guard at work. Those are transactions. But what if you took two minutes to say hello, ask how they&rsquo;re doing and learn about them? In Talk to Strangers, author David&nbsp;Topus&nbsp;writes that replacing an &ldquo;efficient&rdquo; transaction with a true connection will not only improve your mindset and day, but the other person&rsquo;s as well.   
A successful journey needn&#39;t start with huge sweeping changes. It&rsquo;s the small, daily decisions that accumulate and forge our lives.

How 10 Minutes Can Change Your Life

We know that carrying some extra weight can increase the risks of conditions like heart disease, high cholesterol, elevated blood pressure, diabetes, stroke and even death. But is being slightly overweight really so unhealthy? The answer might surprise you.

Excess weight and a laundry list of health concerns are not always synonymous. But, don&rsquo;t be so quick to ward off a healthy diet and exercise&mdash;this subgroup of overweight people, dubbed the metabolically healthy obese, fit some very specific criteria.

Defining the risks 
Body mass index: An individual&rsquo;s risks for these conditions don&rsquo;t depend solely on the numbers that appear on the scale, nor on any other single measure, like body mass index.&nbsp;

Body mass index (BMI) is a measure used to determine body fat based on a person&rsquo;s height and weight, and is typically used to assess the risks your weight has on your health, but even that is an imperfect measure.

&ldquo;I use risk to define everything,&rdquo; Neil McDevitt, MD, a bariatric surgeon with <a href="https://www.sharecare.com/group/summerville-medical-center">Summerville Medical Center</a> says. &ldquo;There&#39;s a lot of social issues that go into what people feel comfortable with, so we use a BMI chart to give us an overall gestalt of what your general risk is, based on your weight,&rdquo; he adds.

By definition, overweight and obese people have a BMI greater than 25 or 30, respectively, but, &ldquo;there&#39;s a weakness inherent in BMI charts,&rdquo; McDevitt says. &ldquo;It doesn&#39;t take into consideration muscle mass.&rdquo;

That&rsquo;s not all. The healthiest BMI for longevity might not fall within the normal range (18.5 to 25), although the jury is still out on the optimal BMI for lowest mortality. In fact, one study suggests the &ldquo;sweet spot&rdquo; for longevity is a BMI of 27, which you&rsquo;ll find right in the middle of the overweight range. Other studies, still, suggest the lowest rates of mortality are among those with a BMI between 20 and 24. &nbsp; &nbsp;

Waist-to-hip ratio: Concerns over weight may not be directly related to how much fat a person is carrying, but where on the body they&rsquo;re carrying it. One major risk factor of metabolic syndrome is a large midsection, often described as <a href="https://www.sharecare.com/health/live-to-one-hundred/article/what-your-body-shape-says-about-longevity">an &ldquo;apple-shaped&rdquo; figure</a>.

In fact, a new study suggests those with a normal BMI who tend to carry weight around their middle have an elevated risk of death from any cause compared to people who are overweight or obese, and carry weight elsewhere.

&ldquo;We look at something called the waist-to-h ratio,&rdquo; McDevitt says. &ldquo;The World Health Organization says that abdominal obesity is significantly more of a risk factor than obesity of the periphery of the body.&rdquo;

The measure used to determine fat distribution is known as waist-to-hip ratio&mdash;a comparison between the smallest part of the waist and largest part of the hip. A ratio of one or greater for men and .8 or greater for women, is considered an apple shape, and thus carries a greater potential for obesity-related health risks and death. &nbsp;&nbsp;

In combination with BMI, waist circumference gives a good picture a person&rsquo;s risk of obesity-related mortality&mdash;even if you fall within a healthy BMI range.

Other factors: Exercise tolerance and genetics play a role in determining the risks of your weight on your health, as well. &ldquo;There&#39;s a huge difference between somebody who has a higher BMI, who is only able to walk one thousand steps a day, versus somebody who is capable of walking nine or ten thousand steps a day,&rdquo; McDevitt says.

Good genes can very well bless an overweight individual with normal cholesterol and blood pressure levels, thereby relieving some pressure to shed the pounds.

Extra pounds may be OK 
&ldquo;What I look at is sustainability&mdash;if somebody has a BMI of 27 or 28, but they&rsquo;re healthy, making good food choices, exercising and they&rsquo;re able to maintain that BMI, then I don&rsquo;t really foresee an issue,&rdquo; McDevitt says. &ldquo;Why should we push them any harder, unless they want to be a lighter weight?&rdquo;

The bottom line? A BMI that is indicative of being overweight or obese doesn&rsquo;t innately make in individual unhealthy. &ldquo;So, it is very possible, and very acceptable, to be overweight and still be healthy,&rdquo; McDevitt says.

Before you run to the pantry, keep in mind, metabolically healthy obesity isn&rsquo;t common&mdash;about one in every seven people&mdash;and it might not last forever. Age, lack of exercise and other factors can turn that excess weight into a dangerous health concern.

One study with a 10-year follow up period found that men who started out metabolically healthy and obese were three times more likely to develop heart disease than metabolically healthy men of a normal weight. The risk doubled&nbsp;for metabolically healthy obese women when compared to healthy, normal-weight women.

Results from another study of more than 3.5 million men and women suggest a similar outcome. Obese individuals who began the study free of obesity-related conditions like diabetes, high blood pressure and high cholesterol were at a higher risk of developing heart disease, stroke and heart failure than normal weight people without these initial complications.

When compared with healthy normal weight people, obese, but otherwise healthy individuals, were 49 percent more likely to develop heart disease, at a 7 percent higher risk of stroke and at a 96 percent increased risk of heart failure, after an average of 5 years and 4 months.

Although extra baggage is OK for some, excess weight is a problem for many&mdash;two out of three Americans are considered <a href="https://www.sharecare.com/health/obesity-overweight-condition/article/whats-the-latest-obesity">overweight or obese</a>, and many of them are unhealthy.

What if your weight is an issue? 
There are certainly some people whose bodies aren&rsquo;t built to handle excess weight. In these cases, they may develop metabolic syndrome&mdash;a group of risk factors that up your chance of developing issues like heart disease and diabetes.

Excess weight can also take a toll on your knee and hip joints, your ability to sleep and has been linked to respiratory issues and even some cancers. Don&rsquo;t sweat (or do)&mdash;many of these conditions can be managed with weight loss. In the simplest terms, losing weight is a matter of burning more calories than you consume. &nbsp; &nbsp;

The only sure fire way to assess these risks is to visit your doctor. Work with your healthcare provider to create a diet and exercise regimen that works with your lifestyle. &ldquo;Adjust your lifestyle, so that you don&#39;t have to work harder,&rdquo; McDevitt says. &ldquo;If you make better food choices consistently, you don&#39;t necessarily have to make up for it at the gym.&rdquo;

Can You Be Overweight and Healthy?

Q: My grandmother recently suffered a &ldquo;minor&rdquo; heart attack followed with a stent placement. She&rsquo;s scared about a recommended cardio rehab program. What can I say to get her to go? &mdash;Laura G., NY, NY

A: Recovering from a <a href="https://www.sharecare.com/health/circulatory-system-health/article/heart-attack-cardiac-arrest-heart-failure">heart attack</a> can be challenging, not just physically but emotionally. Cardio rehab helps with both aspects. Unfortunately, only about two-thirds of diagnosis-appropriate patients are referred to cardio rehab and only about a quarter of those folks enroll in a rehab program. Even at the Cleveland Clinic where everyone with an appropriate diagnosis is approached separately by a doc and a nurse, only about 22 percent of patients join rehab. This is despite the fact that the program is almost totally covered by every insurance company, Medicare and Medicaid. Clearly, patients need to better understand the enormous benefits.

Explain to your mom that cardio rehab is a wide-ranging wellness program that promotes good health and a good mental attitude by offering everything from exercise to nutritional advice, emotional counseling and stress reduction. It&rsquo;s individualized and can include help with other lifestyle changes (<a href="https://www.sharecare.com/health/quit-smoking/slideshow/how-quit-smoking-once-all">smoking cessation</a>?) she wants to make. Here&rsquo;s what she can expect.

Evaluation: Her program will start with a face-to-face evaluation with the professionals at her rehab center. An accompanying friend or family member would be welcome here. After that, she&rsquo;ll probably have a stress test during which her heart rate and her blood pressure will be monitored. Then, they&rsquo;ll review her medications and she and the cardio-rehab team will decide on the next steps.

Her Program: She will set up a schedule for attending lectures/discussions about healthy eating, classes in meditation or chair yoga, and workouts on exercise machines. There are also intensive cardiac rehab programs, which increase frequency and incorporate programs such as Ornish or Pritikin. They reduce the incidence of recurrence and restore a more active and normal lifestyle.

We hope you can convince your grandmother to go. We&rsquo;ve seen so many people benefit from these programs&mdash;they restore physical and emotional self-confidence along with physical strength.

Q: I tell my 16-year-old son that he&rsquo;s missing out on a lot by spending too much time on his computer and phone. What else can I say to get him to get out more? &mdash;Karin B., Tulsa, OK

A: How about making him aware of the threat to his eyesight that <a href="https://www.sharecare.com/health/kids-teens-health/article/how-screen-time-too-much-kids">screen time</a> poses? We remember when moms would tell kids, &ldquo;Get out of the house and don&rsquo;t come back until dinner!&rdquo; Yes, times have changed, but past generations of kids who played outside more frequently didn&rsquo;t end up nearsighted as often.

Recent studies have shown that adolescents and teens who are glued to their computer screens and phones don&rsquo;t use their long-range sight and end up developing myopia (nearsightedness). One BBC report claims that 90 percent of young people in China are currently myopic. In Seoul, South Korea, it&rsquo;s estimated that more than 95 percent of kids need glasses for distance. One study estimates that by 2050, 4.8 billion people worldwide will be affected by nearsightedness, which is 2.4 billion more than in 2010.

Theory #1: Lack of long-range focus 
Getting children outside and away from their devices changes how they use their eye muscles and how the lens in the eye focuses on objects. Whether looking down the soccer field or down the street, gazing into the distance lets eyes move from near to far and focus more easily and accurately.

Theory #2: Lack of Sunshine 
Several studies over the past seven or eight years have shown that kids who spend more time outside are less likely to develop nearsightedness both as adolescents and by the time they reach age 65. One study in China found that 40 more minutes of recess daily reduced myopia rates by 23 percent.

So tell your son it&rsquo;s shortsighted to make yourself nearsighted when there&rsquo;s so much fun to be had doing sports, hiking, walking and <a href="https://www.sharecare.com/health/healthy-habits/slideshow/nature-keeps-you-healthy">enjoying nature</a>.

Ask Oz and Roizen: Cardio Rehabilitation and Risks of Screen Time

Have you ever suspected that actual sunlight could make you physically lighter? Your body clock responds to the daily light cycle of dawn, daylight, dusk and dark. It influences your metabolism, your hormone secretion, your brain waves, and your mood, including your interest in sex.

<a href="https://www.sharecare.com/health/vitamin-d/what-are-health-benefits-sunlight" target="_blank">Related: The Health Benefits of Sunlight</a>

Now, it seems, if you&rsquo;re regularly exposed to 20-30 minutes of sunlight between 8am and noon, your BMI will be lower than someone who misses those early rays -- even if all other variables are the same. The effects are due to light&rsquo;s influence on your <a href="https://www.sharecare.com/health/endocrine-system/which-hormones-affect-my-appetite" target="_blank">appetite control hormones</a>, your glucose control systems, or something we don&rsquo;t know about yet. But here&rsquo;s how decipher the quality of your light exposure:

You need exposure to light that&rsquo;s rated at 500 Lux. A cloudy day serves up more than 1,000, while direct sunlight delivers around 32,000 to 100,000 (so don&rsquo;t over do it!). A bright office only serves up around 400 Lux. Moonlight? 1 Lux. A moonless night away from city lights --you&rsquo;re out of Lux.

So take time in the early morning to go outside for 20 minutes; then take a midmorning break and head into the light for another 10 minutes or more. If you&rsquo;re also exercising in the gym or getting your 10,000 steps a day at the mall, you&rsquo;ll get double benefits -- and soon feel very en-lightened!

<a href="https://www.sharecare.com/health/types-exercise/what-benefits-exercising-morning" target="_blank">Related: The Benefits of Morning Exercise</a>

Medically reviewed in May 2019.

Early Burst of Sun Can Boost Your Whole Day

NBA locker rooms are dripping with more than sweaty jerseys these days. Water-fanatics like the Sixers&rsquo; T.J. McConnell (he and his teammates favor Ph-adjusted alkaline water), Golden State&rsquo;s Steph Curry (filtered water) and LeBron James (he masks his bottled water&rsquo;s label) have embraced the health benefits of plain water over sports drinks. That&rsquo;s a good practice each of you could follow to improve your digestion and muscle function as well as your skin, heart and brain health.

According to the American Academy of Family Physicians, some folks need fewer than eight glasses of water daily, some more. You should always drink when thirsty (more often while exercising or in extreme weather). You can tell if you&rsquo;re hydrated by the color of your urine&mdash;pale yellow or colorless means you are doing well.

But all your hydration should not only come from water&mdash;you can rely on <a href="https://www.sharecare.com/health/diet-nutrition/slideshow/foods-help-stay-hydrated">water-soaked fruits and veggies</a> for around 20 percent of your daily dose:

<ul>
	<li>Cucumbers&mdash;97.9 percent water</li>
	<li>Grapefruit&mdash;91.5 percent water</li>
	<li>Celery&mdash;95.4 percent water</li>
	<li>Strawberries&mdash;90.9 percent water</li>
	<li>Summer squash&mdash;96 percent water</li>
	<li>Watermelon&mdash;91.4 percent water</li>
	<li>Tomatoes&mdash;95.2 percent water</li>
	<li>Casaba&mdash;91.8 percent water</li>
	<li>Rhubarb&mdash;93.6 percent water</li>
	<li>Lettuce&mdash;95.6 percent water</li>
</ul>

These water-soaked fruits and veggies provide moisture to lubricate your system, fiber to improve your digestion and phytonutrients that allow well-hydrated muscles to become more energetic and powerful. Your brain needs them to receive oxygen and their nutrients keep you clear-thinking. So drink in all the <a href="https://www.sharecare.com/health/wellness-healthy-living/slideshow/ways-drink-more-water">benefits of staying hydrated</a> with water and water-enriched food.

Medically reviewed in January 2020.

Eat Your Water: How to Stay Effectively Hydrated

If you&#39;re looking for a healthy place to take a vacation, consider heading for the hills.

People who live in mountainous regions appear to have lower mortality rates than people living in low-lying areas, a study determined. Researchers believe this may be due to the physical demands of <a href="https://www.sharecare.com/health/running/why-should-i-run-hills">walking on hilly terrain</a> with less oxygen. If you live in the lowlands, make your power hikes high-altitude workouts by heading for local hills.

A study of roughly 1,200 men and women who lived in either lowland or mountainous regions revealed that mountain dwellers experienced lower total and coronary mortality than people who lived closer to sea level. Researchers speculate that mountain dwelling may boost heart health because it requires people to walk on uneven, hilly terrain in high-altitude, low-oxygen conditions. Working out at a higher altitude where there&#39;s less oxygen forces your heart and lungs to work harder, strengthening them more than if you were exercising closer to sea level. If you live in the mountains or regularly exercise at high altitude, you also may increase your number of red blood cells and use oxygen more efficiently. However, if you are working out for the first time or have a medical condition, the strain of high-altitude hikes may be too much. Consult your healthcare provider first.

Head for the Hills

It was about eight years ago. I was 33 years old, with a BMI considered <a href="https://www.sharecare.com/health/body-mass-index-bmi/what-body-mass-index-reading">clinically obese</a> and a family history of diabetes and heart disease. I knew I was at risk. I was sedentary, I ate poorly and I was depressed with very low energy. I felt awful.

To add to the mix, my girlfriend (now my loving wife), diagnosed with brain cancer, was undergoing chemo and radiation. She had a life expectancy of three years. She really needed me to be strong for her. I knew it. And at some point the question arose in my mind&hellip;

How can I possibly take care of her if I&rsquo;m not well.

I started with a simple piece of advice from a good and healthy friend: Start by doing things you like to do and modifying things you like to eat.

So, what were my passions? Well, I knew I Ioved trail running. And hiking. And mountain biking. I started with short walks and slower rides and worked up doing more each week. As I began to get stronger, I enjoyed these things even more. Eventually I added&nbsp;bodyweight workouts,&nbsp;doing push-ups, lunges and pull-ups for more strength.

Once I started exercising more, I realized I had to eat better or I couldn&rsquo;t get through my workouts without feeling lightheaded and nauseated. I found that when I&nbsp;ate well, my workouts were better and I&nbsp;felt much better. This sparked a strong interest in nutrition. I discovered what different foods really cost in terms of calories &ndash; that I could take in half the&nbsp;<a href="https://www.sharecare.com/health/calories/calories-need-per-day">calories I need in a day</a>&nbsp;with just a few slices of pepperoni pizza, without even thinking about it. That enjoying a bowl of ice cream after the pizza was pushing me to almost 75 percent of my actual need for that day. Wow.

Something had to change.

I changed my diet and just started feeling better. More energized. Less lethargic, less likely to crash. As I read about what good nutrition really is, I ate less junk food,&nbsp;<a href="https://www.sharecare.com/health/protein-and-weight-loss/protein-help-me-lose-weight">more proteins</a>,&nbsp;vegetables and&nbsp;<a href="https://www.sharecare.com/health/healthy-athlete-diets/why-healthy-snacks-important-athletes">healthy snacks</a>.

I drastically improved the macronutrient makeup of the foods I ate and it was easier than I thought it would be.

<ul>
	<li>I began to pack my lunches for work, favoring fresh veggies, lean protein, and brown rice.</li>
	<li>I reduced my&nbsp;white starch&nbsp;and fat intake. So, ice cream became&nbsp;light&nbsp;ice cream and eventually yogurt with fresh fruit and granola.</li>
	<li>Side orders of chips and fries became&nbsp;baked chips or baked fries.</li>
	<li>Pizzas got&nbsp;smaller and less calorie-dense&nbsp;and vegetables were added.</li>
	<li>Popcorn servings had much less butter, and eventually I used misted olive oil instead.</li>
</ul>

Over time, the foods I once loved started to taste different. Rich foods started to taste&nbsp;too rich&nbsp;and sweet foods,&nbsp;too sweet. Whole grains took on a whole new level of flavor and I started craving clean, vitamin-rich foods. It still blows my mind that now I like vegetables more than the fatty starches I used to crave.&nbsp;

I didn&rsquo;t&nbsp;try&nbsp;to force this shift in taste, it just happened.

These days, at 41, progress of my health is more evident. I have a very healthy&nbsp;BMI, I&rsquo;ve dropped many pant sizes and my cholesterol levels have improved dramatically. I run and ride further, with more energy. I embrace new challenges in my life with confidence.

Above all, I naturally climbed out of depression. I now feel useful in my relationships &ndash; and to my wife. And her cancer? It&rsquo;s been eight years of &ldquo;no change&rdquo; MRIs. We&rsquo;re both healthier than we have ever been. I have a lot to celebrate these days, and as I set new and higher goals for myself, I know I&rsquo;ll always be a work in progress &ndash; and I look forward to every minute.

Take the first steps to growing younger and healthier with the <a href="https://www.sharecare.com/static/realage">RealAge Test</a>.

Medically reviewed in September 2019.

Health: A Work in Progress

Sweating is actually a very necessary&mdash;and healthy&mdash;part of living, because it cools the body down and keeps us from overheating. But do you ever feel like you&rsquo;re sweating more than everyone else around you?

It&rsquo;s possible that you&rsquo;re just hot-natured, says internist Ashley Guild, MD, of <a href="https://www.sharecare.com/group/tristar-summit-medical-center">TriStar Summit Medical Center</a> in Hermitage, Tennessee. &ldquo;You may be prone to getting hot, and sweat is a normal response to excessive heat,&rdquo; says Dr. Guild.

But, there may be more scientific reasons you&rsquo;re <a href="https://www.sharecare.com/health/embarrassing-health-questions/slideshow/5-down-and-dirty-facts-about-sweat">sweating often</a>. If you can&rsquo;t seem to stop dripping, read on to learn more about some of the common conditions that may ramp up your sweat glands. &nbsp;&nbsp;

7 reasons you&rsquo;re sweating a lot&nbsp; 

Hyperhidrosis 
Hyperhidrosis is a&nbsp;condition that causes excessive sweating or sweating when the body doesn&rsquo;t need to. It&rsquo;s normal to sweat when you&rsquo;re nervous or your body is overheated, but when you have hyperhidrosis, you sweat for no clear reason.&nbsp;

&ldquo;If you have hyperhidrosis, the sweating usually happens in your hands, underarms or feet,&rdquo; says Guild.

Medications &nbsp; &nbsp; 
Many common drugs can cause you to sweat, so it&rsquo;s important you check with your doctor about prescriptions that may have this side effect, says Guild. Here are some of the culprits:

<ul>
	<li>Acetaminophen</li>
	<li>Aspirin</li>
	<li>Ibuprofen</li>
	<li>Hormone therapy</li>
	<li>Hypoglycemic agents</li>
	<li>Antidepressants</li>
</ul>

Happy hour &nbsp;&nbsp; 
When you drink alcohol, your blood vessels dilate and that increases your skin temperature, causing you to sweat. This can happen as your drinking your favorite glass of wine, or that new must-have beer.

And alcohol withdrawal can cause you to sweat, too. If you drink pretty regularly, but haven&rsquo;t had any alcohol recently, you might sweat more. If you notice any nausea, shakiness, fatigue or headaches with sweat sessions, see your healthcare provider to determine whether or not you&rsquo;re having alcohol withdrawals.

Spicy foods 
People may notice sweating around their face or lips when they&rsquo;re eating spicy foods or foods they are sensitive to. This type of sweating is also known as <a href="https://www.sharecare.com/health/functions-of-skin/why-do-i-sweat-when-i-eat">gustatory sweating</a>&nbsp;or Frey&rsquo;s syndrome, and happens because certain foods cause your brain to think your body temperature is higher, which in turn, triggers sweat. This nerve confusion can also cause you to sweat even when you just think about certain foods, too.

Menopause 
One of the symptoms of menopause is excessive sweating. Hormonal changes in the body trigger hot flashes and night sweats.

Your weight&nbsp; 
People who are overweight are typically in the group of people who get warmer quicker because they have more fat on their body, says Guild. &ldquo;Fat is an insulator, so that causes them to be warmer and causes them to sweat easier.&rdquo;

Emotions &nbsp; 
If your hands, feet or underarms sweat when you&rsquo;re in front of a big group of people or when you&rsquo;re making an important presentation at work, you may be an emotional sweater, says Guild. When you&rsquo;re stressed or nervous, sweat glands in the face, palms and soles of your feet and armpits may be triggered.

5 ways to manage and treat sweat 
Luckily, many of these sweat causes can be easily managed at home or with medical treatment. Here&rsquo;s what to expect when it comes to treatment options.

1. Wear an antiperspirant&mdash;and get clinical strength if you need it. Antiperspirant sits on the top layer of your skin. As you start to sweat, it&rsquo;s absorbed into your sweat glands, which signals your body to cut down on sweat production.

2. Drink this. Whether you&rsquo;re hot-natured or not, drinking water cools the body down internally, says Guild.

3. Try Botox injections. The U.S. Food and Drug Administration has approved Botox injections to treat sweating, says Guild. Botox is specifically approved to reduce excessive underarm sweating, but may also treat sweating of the hands and feet. The injection blocks body chemicals that cause you to sweat for four to six months at a time.

4. You may need a prescription. If you have excessive body sweat, your doctor may prescribe medications like anticholinergics that prevent the sweat glands from working or beta blockers or benzodiazepines to decrease anxiety and reduce emotional sweat.

5. Surgery is a last resort. If all other treatments are unsuccessful, your doctor may recommend surgery such as sweat gland removal or <a href="https://www.sharecare.com/health/surgical-procedures/who-should-have-ets">sympathectomy</a>, a surgery to terminate the nerve signals that trigger your sweat glands.

If you feel like you&rsquo;re sweating more than others, or you feel embarrassed or uncomfortable about your sweat, see your healthcare provider for a physical exam, and if necessary, a sweat test.

Medically reviewed in January 2020.

7 Reasons You’re Always Sweaty

Deeply aching joints, feeling constantly exhausted and other changes that aren&rsquo;t just &ldquo;part of getting old.&rdquo;

7 Normal—And Not-So-Normal—Signs of Aging

Ben Affleck, Charlie Sheen, Dustin Hoffman, Harvey Weinstein, James Toback, Kevin Spacey and most recently NBC&rsquo;s TODAY Show host Matt Lauer. Day by day, the list of celebrity men accused of sexual harassment at work grows. But it&rsquo;s not only celebrities. The viral #MeToo Twitter campaign gave voices to other sexual violence survivors and victims.

The nationwide conversation around <a href="https://www.sharecare.com/health/sexual-assault-violence/article/what-everyone-should-know-about-sexual-violence">sexual violence</a>, which includes sexual harassment, is getting louder. And that&rsquo;s a good thing. The more comfortable people are with coming forward, the more difficult it will be for perpetrators to continue to act in abusive ways.

Sexual harassment on the job isn&rsquo;t something new. In 2016, the U.S. Equal Employment Opportunity Commission (EEOC) received nearly 13,000 sexual harassment-based charges. This number does not include unreported incidents or incidents reported only to state and local agencies&mdash;which is over 75 percent of the total cases that actually occur.&nbsp;

Women aren&rsquo;t the only people who experience sexual harassment either. Men, women, transgendered people, children, gay or straight are victims of this unlawful act every day.

Sexual harassment at work may seem tricky because you&rsquo;re talking about someone&rsquo;s career, but no act of sexual violence should be tolerated. So, what is workplace-related sexual harassment? Why is it difficult for survivors or victims to come forward? And how will it end if you do come forward? Here are the answers.

Sexual harassment isn&rsquo;t just sex 
Many people assume that sexual harassment involves a colleague locking the door of their office and forcing them to have sex. And while that is one form of harassment, there are so many other acts that are unacceptable, too.

The EEOC describes sexual harassment as unwelcome sexual advances, requests for sexual favors, verbal or physical harassment of sexual nature, offensive remarks about a person&rsquo;s sex or severe teasing that creates a hostile work environment.&nbsp;

To be more specific, here are some of the ways perpetrators commit acts of sexual harassment while at work&mdash;verbally, physically, nonverbally and visually.

Verbal or written: &nbsp;

<ul>
	<li>Commenting on your clothing, behavior, body or romantic relationships</li>
	<li>Telling sexual jokes or innuendoes&nbsp;</li>
	<li>Asking for sexual favors or dates &nbsp;</li>
	<li>Spreading rumors about your sex life</li>
	<li>Threatening you when you refuse their requests</li>
</ul>

Physical: 

<ul>
	<li>Keeping or disrupting you from moving</li>
	<li>Touching your clothing or body inappropriately</li>
	<li>Kissing, hugging or showing any other means of physical affection</li>
	<li>Touching you without your permission</li>
</ul>

Nonverbal: 

<ul>
	<li>Staring at your body</li>
	<li>Making offensive and sexual motions or facial expressions</li>
	<li>Following you around or refusing to respect your personal space&nbsp;</li>
</ul>

Visual: 

<ul>
	<li>Exposing posters, pictures, screensavers or emails that involve sexual cues</li>
</ul>

In addition to these examples, sexual harassment isn&rsquo;t just sexual&mdash;equally offensive is anything related to your sex or gender. For example, if your career involves a position dominated by male employees and you receive harsh criticism far more often than men in your role (and your work performance is comparable), that&rsquo;s considered sexual harassment.&nbsp;And, it&rsquo;s illegal to harass a woman by making disrespectful comments about women in general.&nbsp;

The legal classification of harassment involves activity that is either pervasive or severe; it doesn&rsquo;t have to be both. If you&rsquo;ve been sexually harassed, you&rsquo;ll want to start thinking about your next course of action: reporting the misconduct.

It can be difficult to come forward 
You may think that coming forward to admit what you&rsquo;re going through may put you in a difficult position career-wise, but it&rsquo;s worth stating again, that by law, sexual harassment at work is a form of discrimination that violates Title VII of the Civil Rights Act of 1964. And the US law even protects victims and survivors from being punished for complaining about harassment.

Of course, reporting harassment might be easier said than done. Most victims or survivors are hesitant to report misconduct because they:

<ul>
	<li>Fear damage to their career</li>
	<li>Think that no one will believe them</li>
	<li>Believe nothing will be done about the harassment</li>
	<li>Feel embarrassed or ashamed of the harassment</li>
</ul>

And while those feelings are understandable, reporting the incident is the first step to stopping your harasser from hurting you or anyone else.&nbsp;&nbsp;

How to report sexual harassment at work 
If you&rsquo;ve experienced harassment at work, first understand that it isn&rsquo;t your fault and you aren&rsquo;t alone. Whether you have a human resources department at work or not, there are actionable steps to take to bring your perpetrator to justice, including:

<ol>
	<li>If you&rsquo;re in immediate danger, call 911.</li>
	<li>Always keep detailed notes about any sexual incidents.&nbsp;</li>
	<li>If you feel comfortable doing so, communicate to the person harassing you that you want them to stop.</li>
	<li>Find your anti-harassment policy in your employee handbook and follow the steps suggested. (The instructions will often involve contacting your human resources department).&nbsp;</li>
	<li>If you don&rsquo;t have a harassment policy, talk with a supervisor about what has happened&mdash;and it doesn&rsquo;t have to be your own.</li>
	<li>If you don&rsquo;t have a human resources department at your company, talk to your boss or a supervisor. You can also find an employment attorney in your area that can discuss your legal rights with you. From there, they can coach you through what to do. You can file a charge of discrimination with the EEOC <a href="https://www.eeoc.gov/employees/howtofile.cfm" target="_blank">here</a>.</li>
	<li>Don&rsquo;t wait. Deadlines to file a complaint with the EEOC (if that&rsquo;s the route you choose) vary from state to state, so you&rsquo;ll want to report it as soon as you feel comfortable doing so. And if you&rsquo;re reporting it to your company, the sooner you report it, the sooner your company can deal with the perpetrator.</li>
	<li>Confide in a friend or family member. It always helps to have someone to lean on, and someone to support you as you come forward.</li>
	<li>Seek advice from others who&rsquo;ve experienced what you&rsquo;re going through, too. Organizations like <a href="https://www.equalrights.org/legal-help/know-your-rights/sexual-harassment-at-work/" target="_blank">Equal Rights Advocates</a> and the <a href="https://www.rainn.org/about-rainn" target="_blank">Rape, Abuse and Incest National Network</a> provide information about coming forward and guidance for those who&rsquo;ve experienced sexual harassment&mdash;in the workplace and beyond.</li>
</ol>

What happens next all depends on your place of employment, their harassment policy and the severity of the situation. In some cases, simply telling your harasser to stop is sufficient, but in other cases, your human resources department or supervisor will need to get involved and take action.

The most important thing to remember is that sexual harassment is not your fault and you don&rsquo;t have to put up with it no matter where you are&mdash;work, home or school. &nbsp;Seek help as soon as you can, and stay encouraged by <a href="https://rainn.org/" target="_blank">reading stories</a> of those who have come forward and are spreading awareness.

Medically reviewed in January 2020.

What’s Considered Sexual Harassment at Work?

If you find yourself nodding off at 10 p.m. despite your best efforts to stay awake, or routinely opening your eyes at 7 a.m.&mdash;even on mornings when you could sleep in&mdash;you have your circadian rhythm to thank. This self-sustaining 24-hour internal body clock responds to daylight and darkness to tell us when it&rsquo;s time to be sleepy and when we should be fully awake. Fending off these messages is tough. Your rhythm is based on a roughly 24-hour day, and once it&rsquo;s there, it can be hard to shift.

Circadian rhythms are determined mainly by genetics, but they&rsquo;re also influenced by external factors, such as exercise, meal times, sleep deprivation and exposure to artificial light, particularly the glow emitted by smartphones, tablets and computer screens. Your environment or lifestyle can derail your internal clockwork, which, in addition to sleep, helps regulate your metabolism, blood pressure, body temperature, and hormone levels.

When you stay up too late, sleep too little or constantly change your sleep&ndash;wake schedules, you&rsquo;re disrupting your body&rsquo;s natural circadian rhythms. This can not only leave you feeling tired or groggy during the day, but also have longer term health consequences.

Learning more about circadian rhythms and how they can be disrupted could help you sleep more soundly and improve your overall quality of life.

How circadian rhythms work 
Circadian rhythms are controlled by &quot;clock genes&quot; that code for certain proteins. Many different types of cells throughout the body have their own internal clock, but the &ldquo;master clock&rdquo; that regulates these 24-hour cycles (and helps control a number of processes in the body through hormones and the nervous system) is found in the hypothalamus&mdash;the part of the brain that helps regulate body temperature and appetite as well as sleep and emotions.

Your body clock helps keep you asleep throughout the night and helps you feel wakeful during the day. Light is one of several external factors that can affect circadian rhythms. Minus some midafternoon energy dips after lunch, it keeps the awake messages coming, while darkness brings on that familiar sleepy feeling.

When it&rsquo;s dark, the hypothalamus sends a signal to the nearby olive-shaped pineal gland. Once this gland receives the &ldquo;it&rsquo;s dark&rdquo; message,&rdquo; it releases the hormone melatonin, which makes you sleepy. The result? Mentally, your mind starts tucking itself in for the night. Then, as sunrise approaches, your melatonin levels should naturally drop, letting you know it&rsquo;s time to wake up and start a new day.

So, what is a normal sleep-wake cycle? This really varies from one person to the next. Some people naturally prefer to get to bed early and rise with the sun, while others, including so-called &ldquo;night owls,&rdquo; tend to be most alert or energetic later in the day.

Typically, in modern-day work week, &ldquo;normal&rdquo; is going to sleep at around 10 or 11 p.m. and waking up at around 6 or 7 a.m., according to Ali Najar, MD, a sleep medicine specialist at <a href="https://www.sharecare.com/group/saint-joseph-mercy-health-system">St. Joseph Mercy Oakland</a> in Auburn, Michigan. Rapidly changing your sleep-wake routine&mdash;like staying up extra late on weekends, thinking we&rsquo;ll just sleep in&mdash;&ldquo;goes against our fundamental biology&rdquo; and should be avoided, if possible, cautions Dr. Najar.

Why your body clock may be out of sync 
Circadian rhythms are powerful, but they&rsquo;re not set in stone. They can adapt to a new schedule over time. But if you&rsquo;re constantly changing your sleep patterns, you&rsquo;re not allowing your internal body clock to adequately adjust. Shift work that involves a rotating schedule, staring at a bright screen until the wee hours and abruptly changing time zones are all ways you could throw your body clock out of whack.

The body&rsquo;s sleep-wake cycle is complex so its disruption can trigger a cascade of effects. For example, adenosine, a naturally occurring chemical that plays a role in why you feel drowsy, may build up if you&rsquo;re sleep deprived. Your melatonin levels may also rise and fall at the wrong times, leaving you drowsy when you&rsquo;re trying to work or alert when you&rsquo;re trying to sleep.

Keep in mind there are some circadian rhythm disrupters that you can&rsquo;t control, such as getting older. As you age, the way your body responds to body clock messages changes. As time passes, you may find yourself sleeping less and waking more often&mdash;even in the dark. Your ability to sleep soundly can also be disrupted by the hot flashes of menopause or underlying health issues, such as arthritis pain or migraine.

Sleep apnea, which occurs when breathing is repeatedly interrupted during sleep, and insomnia, a distressing inability to fall and stay asleep, are two sleep disorders that can disrupt your sleep-wake cycle, according to Najar. These conditions, jet lag, aging, and shift work are the most common disrupters, but researchers have realized that certain sleep-wake disorders also affect circadian rhythms.

Disorders of the circadian rhythm 
Young people can have what&rsquo;s called delayed sleep-wake phase disorder, in which they tend to go to bed and wake up later than what is considered normal or than they&rsquo;d like. It&rsquo;s unclear what causes this disorder, but it may be related to developmental changes, ultra-sensitivity to light at night and other environmental factors.

On the opposite end of the spectrum, older people tend to have advanced sleep-wake phase disorder, in which age-related weakening of their circadian rhythms cause them to wake up much earlier than normal, or than they&rsquo;d prefer.

There are other sleep-wake conditions that typically affect people who are blind (non-24-hour sleep-wake rhythm disorder) and those with dementia or other neurodegenerative diseases (irregular sleep-wake rhythm disorder).

How sleep-wake disorders are diagnosed 
To determine whether or not a person&rsquo;s problems meet the threshold for a sleep disorder, the first step is to keep a sleep diary, Najar explains. The patient records their sleep patterns for a couple of weeks, and clinicians then use that as a tool to find out what kind of sleep disorder, if any, is present. Another tool is actigraphy, a device (usually a wrist wearable) that automatically tracks a person&rsquo;s sleep-wake patterns.

What therapies are available if your doctor identifies a problem? Depending on the disorder, treatment may include carefully managing set sleep and wake times.

Melatonin supplements and light therapy may also be recommended, says Najar. The two approaches have opposite effects. Taking melatonin an hour before the target bedtime in the evening will help shift sleepiness to an earlier time. Exposure to bright light will have the opposite effect, promoting alertness. Be sure to talk to your doctor before taking melatonin for any reason to ensure it&rsquo;s safe and appropriate for your situation.

Practicing good &lsquo;sleep hygiene&rsquo; 
For those with a sleep-wake rhythm disorder, their sleep hygiene, or certain habits and behaviors that promote quality sleep and keep your body clock running smoothly, will also be examined. It&rsquo;s important for everyone&mdash;even those without a sleep disorder&mdash;to have <a href="https://www.sharecare.com/health/sleep-health/slideshow/simple-habits-sleep-soundly#slide-1">healthy sleep habits</a>.

This includes creating a clean path to sleep, advises Najar. It&rsquo;s important to avoid exposure to stimulating artificial lights&mdash;particularly the blue light emitted by many electronic devices, such as smartphones and tablets&mdash;which can suppress melatonin production and keep you awake. This light-based mind clutter includes late-night TV binges. So, best to remove electronics from your bedroom and avoid streaming a new Netflix series until 2 a.m.

It&rsquo;s also a good idea to avoid lengthy naps and to get outside during the day. Greater exposure to sunlight can help you realign your body clock. A 2015 study published in Chronobiology International found that not getting enough natural light exposure during the day is associated with lower levels of melatonin and higher levels of the stress hormone cortisol at night (this should be the case in the morning when people are waking up).

As bedtime approaches, steer clear of alcohol and stimulants, such as caffeine. Establishing a relaxing bedtime routine can also help prepare your mind and body for sleep. This may include taking a warm shower or bath, reading a book and keeping your bedroom cool, quiet and dark.

How shift workers can adapt 
Of course, some professions require shift work, with its odd schedules that constantly switch up sleep-wake cycles. This type of rotating shift work&mdash;and the resulting disruption of circadian rhythms&mdash;has been associated with serious health consequences, including an increased risk for obesity, type 2 diabetes, depression, multiple sclerosis, heart disease and cancer.

Still, there are jobs that require people, such as doctors, nurses, pilots, police officers and flight attendants, to work nights. There are strategies&nbsp;that these and other shift workers could use to minimize some of the drowsiness caused by disruptions to their 24-hour body clock.

&ldquo;We recommend taking a brief nap at nighttime during the shift work, not lasting more than 15 minutes,&rdquo; Najar adds. If the napping goes on longer, grogginess may become a problem.

Adding in some light therapy, which involves deliberate exposure to very bright light that should end two hours before a shift can help mitigate the drawbacks of shift work, he notes. The U.S. Food and Drug Administration has approved the use of modafinil (brand name, Provigil) for shift workers to help them stay alert, Najar points out, but caffeine is another option.

Keep in mind, coping with shift work won&rsquo;t necessarily reduce the health risks associated with chronic disruptions of your circadian rhythms. If you struggle with daytime sleepiness, disrupted sleep or if you&rsquo;re having trouble adjusting to rotating shift work, talk to your doctor about the lifestyle adjustments and possible treatment options that may be right for you.

Medically reviewed in March 2019.

What May Be Wreaking Havoc on Your Body Clock

Driving through Honolulu on July 20 or 21, 2018, you may have noticed something strange about Aloha Tower and the IBM Building&mdash;they were both glowing red. It wasn&rsquo;t a fire, but a celebration of people with intellectual disabilities. The Light Up for Inclusion campaign marked Special Olympics International&rsquo;s 50th anniversary by illuminating monuments around the world. It&rsquo;s one of the many Special Olympics initiatives that spotlights an often-underserved community.

50 years of changing lives 
Founded in 1968, Special Olympics is an international sports training and competition program designed for athletes of all ages and physical abilities with an intellectual disability. In 2017, Special Olympics Hawaii served over 3,400 athletes (at no cost to them) on six islands.

Through sports, Special Olympics aims to help its athletes uncover inner strengths and empowers them to grow socially, mentally and physically. As a result, according to research done by the organization, they&#39;re 200 percent more likely to be employed than non-participating individuals with intellectual disabilities. They develop improved motor skills and physical fitness, and tend to have a more positive self-image, as well.

The organization also strives to end stigmas associated with intellectual disabilities. &ldquo;Some of our athletes have had vision problems, and the assumption is that they can&rsquo;t catch a ball because they have a disability,&rdquo; says Dan Epstein, COO for Special Olympics Hawaii. &ldquo;And then all of a sudden they go through an eye exam and you realize they need glasses.&rdquo; Through working with medical professionals and the community at large, Special Olympics aims to curtail these common misconceptions.

Let the games begin 
Special Olympics Hawaii has year-round sports competitions divided into three seasons: spring, summer and fall. There are over 45 individual contests across Hawaii, including three state-wide events&mdash;Summer Games, Aukake Classic and Holiday Games.

<a href="http://www.specialolympicshawaii.org/sports/sports-offered.html" target="_blank">Sports offered</a> include:

<ul>
	<li>Basketball</li>
	<li>Bocce</li>
	<li>Bowling</li>
	<li>Flag football</li>
	<li>Golf (exhibition only)</li>
	<li>Power Lifting</li>
	<li>Soccer</li>
	<li>Softball</li>
	<li>Swimming</li>
	<li>Track and field</li>
</ul>

Any person age 8 and older with an intellectual disability can compete in Special Olympics events. For keiki aged 2 to 7, Special Olympics offers a <a href="http://www.specialolympicshawaii.org/get-involved/young-athletes-program.html" target="_blank">Young Athletes Program</a> focusing on pre-sports skills.

Athletes can also participate representing Hawaii in the Special Olympics USA Games, a national competition that welcomes thousands of athletes from all 50 states. In 2018, athletes from Oahu, Kauai, Maui and Hawaii Island competed in soccer, track and field and basketball at the Seattle USA Games. Costs for airfare, training, equipment and uniforms were covered by Special Olympics Hawaii through donations and local fundraising efforts.

&ldquo;Everything we provide is free of charge to our athletes and families, and all monies raised in Hawaii stay in Hawaii,&rdquo; says Healthy Communities Manager Jennifer Ernst. That includes the regular costs of flying athletes from neighbor islands to Oahu for the three annual competitions.

Focusing on health 
Special Olympics Hawaii is, at its core, a sports program, but like many nonprofits, its mission has grown over time. One of its current major initiatives is <a href="http://www.specialolympicshawaii.org/special-olympics-hawaii-initiatives/healthy-athlete-initiatives.html" target="_blank">Healthy Athletes</a>. Each year, athletes are provided free health screenings at the Summer Games held at the University of Hawai&lsquo;i, Mānoa. In 2017, over 500 exams were performed.

Health disparities are common among individuals with intellectual disabilities. According to statistics provided by Special Olympics, they&#39;re twice as likely to die before the age of 50 than those without intellectual disabilities. Many have poor or almost no access to healthcare, putting them at increased risk for medical and dental conditions. Diagnostic overshadowing is also common, where a physician may assume that physical symptoms are caused by a disability, instead of an underlying medical condition.

&ldquo;See the person, not the disability,&rdquo; says Ernst about diagnostic overshadowing. Through Healthy Athletes, Special Olympics Hawaii trains volunteer healthcare professionals who then go back to their practices with increased knowledge of and compassion for people with intellectual disabilities.

Next steps with Sharecare 
Sharecare and HMSA are working together to donate up to $100,000 to Special Olympics Hawaii, but we need your help! For each Hawaii-based new user who creates a profile and takes the RealAge Test, Sharecare will donate $5 across five Hawaii charities, including Special Olympics. From there, log your green days. Every green day earned&mdash;up to 30 days a month&mdash;is another $1 to charity through November 2018. Help your health and Special Olympics Hawaii this fall with Sharecare and HMSA.

Sharing Care With Special Olympics Hawaii

How can we find strength during tough times? Why do some people bend, but not break?

These are the themes explored in the first class of our Roadmap to Resilience series. Every month, Dr. Vonda Wright MD, a board-certified orthopedic surgeon and resilience coach, will share techniques that will help you build mental strength and reframe the challenges in your life as opportunities.

Watch the preview above and go to&nbsp;<a href="https://www.youtube.com/watch?v=KbQxfc2Cqqk" target="_blank">Sharecare&rsquo;s YouTube page</a>&nbsp;to view the full class.

Resilience Homework 
Put the resilience skills you learned during class into action. Below are three areas of focus suggested by Dr. Wright for this month:

<ol>
	<li>Take time to think about what is important and interesting to you... your personal values and goals. 
	Finding our passions helps us set our life goals. People who have a purpose, something they want to accomplish over the next 1, 5, and 10 years tend to be better at getting through life&rsquo;s stresses. If you want to reduce poverty, improve the environment, have your family live in comfort, make life easier for others, or whatever, discover your passion and set your goals.</li>
	<li>Work on increasing your skills and competence in an area that is important to you. 
	In order to carry out our life&rsquo;s purpose, we need to develop skills that will help us be more successful. So, learn or improve your skills in areas that are meaningful for you. It could be communication, writing, financial analysis, fundraising, selling, or whatever will excite you.</li>
	<li>Pay attention to what&rsquo;s going on in the world around you, read, observe. 
	By being aware of what&rsquo;s happening in your community, region, country, or the world you are better able to gauge the direction of your personal goals. How might your skills and passions help influence others?</li>
</ol>

Leave a comment or question for Dr. Wright in the comments of the&nbsp;<a href="https://www.youtube.com/watch?v=KbQxfc2Cqqk" target="_blank">YouTube video</a>&nbsp;and she may answer it during a Q&amp;A session on March 1st. And don&#39;t forget to subscribe&nbsp;<a href="https://www.youtube.com/channel/UCRiKSjrkkMrlTZqKmBVW9OA" target="_blank">Sharecare&#39;s YouTube channel</a>&nbsp;so you&rsquo;ll never miss a class Road to Resilience series. The next class starts March 15th.&nbsp;

What's Resilience and Why Should You Care?

Clear skin, slimmer waistline and other reasons to sip more throughout the day.

6 Simple Ways to Drink More Water Every Day

Our lives are constantly forming around our intentions whether they are conscious or unconscious. When we make them conscious we are choosing to move our lives in a certain direction, and these intentions take shape depending on how we tend to them. Now that Spring is here, flowers are starting to bloom and the sun is shining stronger, it&rsquo;s a wonderful time to clean out the old and give new energy to what we are trying to grow in our lives.

I remember as a small child we always did spring cleaning. It was a time for taking stock in all that we had collected over the past year and then clean out whatever didn&rsquo;t serve us anymore. We carefully made our way through the entire house bagging up items to give away and cleaning the dust and dirt that had collected in the cold dark months of winter. Afterwards we would delight in the spaciousness it created. My drawers and closets had space for something new.

Planting the Seeds of Change 
This is the same spirit that we can use to set intentions. Getting rid of old thoughts and patterns to make room for the new is like preparing the soil before we plant our garden. We can start by assessing where we are and what we are willing to change. Then we can decide the new shape we want our life to take. As we focus on the positive changes we want to create, we can plant a seed of conscious intention. We clear the ground, clean it up and then plant the seed. Just like water and sunlight provide nourishment to our gardens we too can nourish our seeds of intention with our awareness and attention.

Making Room for the New 
As you reflect on the current shape of your life, you can look at the things that don&rsquo;t bring you into alignment with what you want to create. You may see that you have a lot of stress in your life and you prefer to have a more peaceful life. Perhaps there is someone in your life with whom you are struggling to get along, either at work or at home. Maybe you want to have more harmony in your relationships. Maybe you long for adventure and yet night after night you get sucked into the same routine of watching television and overeating. Setting a positive intention can help you make choices that support change.

The Practice

<ul>
	<li>Sit quietly or lie down in a comfortable position.</li>
	<li>Start by focusing on one thing (you can always choose more later) you would like to affect; one area of your life that needs some spring cleaning.</li>
	<li>Imagine letting go of your old way of being in that part of your life. You can do this with a few long slow exhalation breaths while you envision those patterns leaving through your fingers and toes.</li>
	<li>Now invite a new image into your awareness. Begin to see yourself behaving differently in that area of your life. For example, if you want to create more peace in your relationships, begin to imagine yourself in harmonious relationships. This paves the way for something new to emerge.</li>
	<li>You can now state your intention by using a positive affirmation. Try to use &ldquo;I&rdquo; phrases to make it more personal. &ldquo;I live in harmony with those who surround me. I nurture peace in myself and in others.&rdquo; Say it three times to yourself and plant it like a seed in your heart. Let it take root.</li>
	<li>Return to your intention throughout the day imagining it as if it were already so. This provides the nourishment it needs to bloom. Over the days, weeks and even the months you will find yourself shifting your actions to align with your intention. Those actions will start to shape the world around you.</li>
</ul>

Spring has always been a time for new growth and new beginnings. Let this spring mark the beginning of something new for you. Start with your own personal intention and let it bloom.

Learn how practicing yoga and meditation can sharpen your ability to change your mind. Read <a href="https://www.ornish.com/zine/how-to-change-your-habits-with-yoga/" target="_blank">Yoga to Change Your Habits</a>.

This content was originally published on <a href="https://www.ornish.com/zine/spring-cleaning-change-growth/" target="_blank">Ornish Living</a>.

Medically reviewed in February 2019.

Spring Cleaning for Change and Growth

This article, written in conjunction with Gallup, is a five-part exploration into the changes in Americans&rsquo; health and well-being during the presidency of Barack Obama. It will be updated with new insights daily during the week of August 29th-September 2nd, 2016.

As the eight years of the current presidential administration near conclusion, Gallup and Healthways are reporting on&nbsp;well-being metrics in the United States during the Obama era. Since President Obama&rsquo;s inauguration in January 2009, well-being in the U.S. has maintained or improved in several key areas, including life evaluation, healthcare access, smoking&nbsp;and perceived standard of living. Other well-being items, however, such as obesity and incidence of diabetes continue to trend in the wrong direction, indicating an increasing need for intervention.

The Impact of the Affordable Care Act 
President Obama&rsquo;s most notable contribution to the healthcare sector, the Affordable Care Act (ACA), has played a fundamental role in transforming the healthcare paradigm nationwide.&nbsp;Gallup and Healthways research&nbsp;shows that the adoption of the ACA has had&nbsp;<a href="http://www.well-beingindex.com/uninsured-down-since-obamacare-cost-quality-still-concerns" style="line-height: 1.6em;" target="_blank">a profound effect</a>&nbsp;on reducing&nbsp;uninsured rates, which have declined 6.1 percentage points since the fourth quarter of 2013, right before the key provision of the Affordable Care Act took effect. As of the end of 2015, uninsured rates had dropped&nbsp;<a href="http://www.well-beingindex.com/uninsured-rate-remains-at-historical-low" style="line-height: 1.6em;" target="_blank">to historical lows</a>. A&nbsp;<a href="http://www.well-beingindex.com/the-state-of-health-care" style="line-height: 1.6em;" target="_blank">recent article</a>&nbsp;published by President Obama in the&nbsp;Journal of the American Medical Association&nbsp;details the impact of the law on this and other healthcare trends.

Healthcare Insecurity&nbsp;Drops; Costs Remain Steady 
Significantly, healthcare insecurity is on the decline. From 2008 through 2013, the percentage of Americans who experienced difficulty in the past 12 months affording healthcare or medicine remained fairly steady, hovering near the average of 18.7%. Since then, the average has been 16.4%, including the&nbsp;<a href="http://www.well-beingindex.com/in-u.s.-healthcare-insecurity-at-record-low" style="line-height: 1.6em;" target="_blank">new quarterly low of 15.5%</a>&nbsp;for the first quarter of 2016.

U.S. adult satisfaction with the&nbsp;<a href="http://www.well-beingindex.com/uninsured-down-since-obamacare-cost-quality-still-concerns" target="_blank">total cost they pay</a>&nbsp;for their healthcare&nbsp;has remained relatively steady over the past 14 years, including after the healthcare law was passed. Additionally,&nbsp;Gallup reported in late 2015 that the percentage of U.S. adults&nbsp;<a href="http://www.gallup.com/poll/186740/americans-own-healthcare-ratings-little-changed-aca.aspx?g_source=healthcare&amp;g_medium=search&amp;g_campaign=tiles" target="_blank">rating the quality of their healthcare and their healthcare coverage</a>&nbsp;as &quot;excellent&quot; has dropped over the previous two years.

Life Evaluation Reaches Record High; Health Assessments Drop 
<a href="http://www.well-beingindex.com/americans-life-evaluations-improve-during-obama-era" style="line-height: 1.6em;" target="_blank">Recent Gallup and Sharecare analysis</a>&nbsp;finds that life evaluation across all major racial/ethnic groups has improved since 2008. Life evaluation for whites is now higher than it has ever been, although life evaluation for blacks dropped slightly during the President&rsquo;s second term. In 2016, the 55.4% who evaluate their lives &ldquo;thriving&rdquo; is on pace to be the highest measured in the nine years of tracking by Gallup and Healthways.&nbsp;

However, Americans&#39;&nbsp;<a href="http://www.well-beingindex.com/americans-health-assessments-worsen-during-obama-years" target="_blank">self-assessments of their overall health</a>&nbsp;have slipped&nbsp;since 2008. Currently, 19.0% of U.S. adults report &quot;excellent&quot; health,&nbsp;compared with 22.6% in 2008.&nbsp;The percentage of U.S. adults who report their health as &quot;poor&quot; or &quot;fair&quot; has remained stable at around 20% during this period.

Health Behaviors Vary; Obesity Rate Continues to Climb 
While&nbsp;Americans&#39; exercise and smoking habits have improved under the current administration, their eating habits have worsened slightly over the&nbsp;past eight years.&nbsp;The percentage of Americans who said they ate healthy all day yesterday has fluctuated since Gallup and Healthways began to track this metric in 2008, from an initial 66.1%, reaching a high of 67.7% in 2010, to the&nbsp;<a href="http://www.well-beingindex.com/in-u.s.-smoking-dips-but-fewer-eating-healthy-since-09" style="line-height: 1.6em;" target="_blank">64.2% of U.S. adults</a>&nbsp;measured in 2016.

The current 18.0% of U.S. adults who smoke has decreased from 21.0% in 2009,&nbsp;<a href="http://www.gallup.com/poll/1717/Tobacco-Smoking.aspx" target="_blank">continuing a trend</a>&nbsp;that began long before Obama took office.&nbsp;Additionally, the percentage of Americans who report exercising regularly has edged up in 2016&nbsp;<a href="http://www.well-beingindex.com/in-u.s.-smoking-dips-but-fewer-eating-healthy-since-09" target="_blank">to 53.8%</a>, and from a longer-term perspective, has increased 2.4 percentage points since 2008.&nbsp;

Though Americans&#39; exercise habits have improved, this has not contributed to a drop in the obesity rate. In 2015, the obesity rate among U.S. adults climbed to&nbsp;<a href="http://www.well-beingindex.com/u.s.-obesity-rate-climbs-to-record-high-in-2015" target="_blank">a new high of 28.0%</a>, up 2.5 percentage points since 2008. This concerning trend highlights the need for leaders, both civil and political, to continue pushing towards positive change in their communities&nbsp;to encourage active living and promote access to healthy food.

These results are based on more than 100,000 interviews thus far in 2016, 175,000 interviews conducted in 2015 and more than 350,000 interviews conducted in 2008 and 2009 as part of the&nbsp;<a href="http://www.well-beingindex.com/about" target="_blank">Gallup-Sharecare Well-Being Index</a>.

Stayed tuned during the week of August 29th for additional research from Gallup and Healthways. The release schedule for our Obama Era series includes:

<ul>
	<li>Monday, Aug. 29:&nbsp;<a href="http://www.well-beingindex.com/uninsured-down-since-obamacare-cost-quality-still-concerns" target="_blank">Healthcare accessibility and views of healthcare quality and cost</a></li>
	<li>Tuesday, Aug. 30:&nbsp;<a href="http://www.gallup.com/poll/194816/americans-life-evaluations-improve-during-obama-era.aspx?g_source=Well-Being&amp;g_medium=newsfeed&amp;g_campaign=tiles" target="_blank">Americans&#39; life evaluation</a></li>
	<li>Wednesday, Aug. 31:&nbsp;<a href="http://www.well-beingindex.com/in-u.s.-smoking-dips-but-fewer-eating-healthy-since-09" target="_blank">Health behaviors</a></li>
	<li>Thursday, Sept. 1:&nbsp;<a href="http://www.well-beingindex.com/americans-health-assessments-worsen-during-obama-years" target="_blank">Health assessment and chronic conditions</a></li>
	<li>Friday, Sept. 2: Standard of living</li>
</ul>

Learn more about how the&nbsp;<a href="http://www.gallup.com/175196/gallup-healthways-index-methodology.aspx" target="_blank">Gallup-Sharecare Well-Being Index</a>&nbsp;works.

This article originally appeared on Healthways.

Medically reviewed in February 2019.