How important is
posture to you? Have you thought about it? When you go to a job interview do
you think about it? How about when you go on a date? Maybe you do not think
about your posture but do you think about the posture of others. What do you
think about a person who has their shoulders slumped and belly out? What kind
of image or interpretation comes to mind? Can I trust this person, is this
person a model of productivity, can I trust them to come through for me and get
the job done?
Posture is a very important aspect of our health and well-being
but, "Despite considerable evidence that posture affects physiology and
function, the significant influence of posture on health is not addressed by
most physicians."1 What we see and how we are seen plays a
large part of our daily lives and influences greatly what we may be working to
achieve with our families and in our careers.
Posture
influences many body functions. "Spinal pain, headache, mood, blood
pressure, pulse, and lung capacity are among the functions most easily
influenced by posture."1 As the head moves forward all measures
of health status are significantly reduced. 2 Rene Cailliet,
Director of the Department of Physical Medicine and Rehabilitation, University
of Southern California, concluded that forward head posture can add up to
thirty (30) pounds of abnormal leverage on the spine, reduce lung capacity by
as much as 30%, which can lead to heart and blood vascular disease. He
determined a relationship between forward head posture and the digestive system
as well as endorphin production affecting pain and the experience of pain.3
Posture affects
how you look and how you feel but it can have more profound effects as well. A
study in 2004 reported that bad posture can increase mortality.4 It
was discovered that an increased curvature of the mid back produces higher
mortality rates in the elderly. Remember the days when grandma would tell us to
sit up straight well it is time to check her posture and make sure she is not
creating any unnecessary risk.
The most dramatic study though comes from
England where it was found that loss of height increases the risk of heart
disease. As a part of the British Regional Heart Study scientists found that men
who lost 3cm in height were 64% more likely to die of a heart attack than those
who lost less than 1cm and that over the 20-year period of the study, men lost
an average of 1.67cm, and that height loss was associated with a 42% increased risk
of heart attacks, even in men who had no history of cardiovascular disease.
Posture is an
extremely important indicator of health and one that is poorly addressed by the
present model of health care. In a world where of incredible technological
advances and access to information it is puzzling to see something so obvious
so overlooked. Hopefully a profession arises that takes this poorly addressed,
but highly important aspect of health, into deep consideration and creates a
significant model to restructure and reorganize how we look and health and
well-being and give people new options to improve their quality of life and
vitality.
1.
1.Lennon J., Shealy C., Cady R., Matta
W., Cox R., Simpson W. Postural and Respiratory Modulation of Autonomic
Function, Pain, and Health. AJPM 1994; 4:36-39.
2.Glassman, Steven D. MD;
Bridwell, Keith MD; Dimar, John R. MD; Horton, William MD; Berven, Sigurd MD;
Schwab, Frank MD. The Impact of Positive Sagittal Balance in Adult Spinal
Deformity Spine: 15 September 2005 - Volume 30 - Issue 18 - pp 2024-2029
3.Cailliet R, M.D., Gross L,
Rejuvenation Strategy. New York, Doubleday Co. 1987.
4.Kado, Deborah M. MD, MS, Huang, Mei-Hua DrPH;
Karlamangla, Arun S. MD, PhD, Barrett-Connor, Elizabeth MD, Greendale, Gail A.
MD.Hyperkyphotic Posture Predicts Mortality in
Older Community-Dwelling Men and Women: A Prospective Study.Journal of the American
Geriatrics Society. 52(10):1662-1667, October 2004
5.Wannamethee, S.G. and
Shaper, A.G. and Lennon, L. and Whincup, P.H. Height loss in older men:
associations with total mortality and incidence of Cardiovascular disease.
Archives of Internal Medicine, 166 (22). pp. 2546-2552. 2006.