The Art of Manliness - January 25, 2023


Move the Body, Heal the Mind


Episode Stats

Length

47 minutes

Words per Minute

168.23158

Word Count

7,991

Sentence Count

484

Misogynist Sentences

1


Summary

Jennifer Heiss is a professor, the Director of the NeuroFit Lab, which studies the effects of exercise on brain health, and the author of Move the Body, Heal the Mind. In this episode, Dr. Heiss shares how exercise can not only mitigate mental disorders, but actually optimize the mind.


Transcript

00:00:00.000 Brett McKay here and welcome to another edition of the Art of Manliness podcast.
00:00:11.100 When we think about the benefits of exercise, we tend to think of what it does for our body,
00:00:15.200 making us leaner, stronger, and healthier. But my guest is out to emphasize the powerful effect
00:00:19.900 physical activity has on our brains too, and just how much our bodies and minds are connected.
00:00:24.660 Dr. Jennifer Heiss is a professor, the director of the NeuroFit Lab, which studies the effects
00:00:29.060 of exercise on brain health, and the author of Move the Body, Heal the Mind. Today on the show,
00:00:34.040 Jennifer and I first discuss how physical activity can help treat mental disorders.
00:00:38.160 She shares the way that low to moderate intensity exercise can mitigate anxiety,
00:00:42.180 and how short bouts of intense exercise can be used as exposure therapy for treating panic disorders.
00:00:47.400 We also talk about the phenomenon of inflammation-induced depression, and how exercise can
00:00:51.660 alleviate it. And Jennifer shares how exercise can strengthen someone's attempt at sobriety,
00:00:55.960 as well as prevent addiction in the first place. From there, we turn to the way exercise can not
00:01:00.660 only mitigate mental maladies, but actually optimize the mind. Jennifer shares how physical
00:01:04.980 activity fights aging and can enhance your focus and creativity. We discuss how exercise can improve
00:01:09.780 your sleep, how it can be used to shift your circadian clock, and whether it's okay to work out close to
00:01:14.260 your bedtime. After the show's over, check out our show notes at aom.is slash move the body.
00:01:35.440 All right, Jennifer Heiss, welcome to the show.
00:01:37.740 Thanks so much for having me.
00:01:38.740 So you are the director of the NeuroFit Lab at McMaster University in Canada. What do you
00:01:44.200 research at the NeuroFit Lab?
00:01:46.140 Yeah, so my lab studies the benefits of exercise for brain health. So we look at the benefits of
00:01:52.000 exercise for our mental health, cognition, and in the prevention of Alzheimer's disease.
00:01:56.700 And how do you start exploring that connection between physical activity and our mental health?
00:02:00.880 So it was back in graduate school, I was studying sort of the fundamentals of neuroscience.
00:02:06.000 So how does the brain represent who we are as people and our memories? And it became really
00:02:11.960 clear to me that something was not quite right with my own brain. I was having some pretty severe
00:02:16.760 anxiety, some intrusive thinking. And I went to the doctor, they recommended I try an antidepressant.
00:02:25.960 I was very reluctant. And then a friend recommended I try cycling. And magically, those bike rides soothed
00:02:33.460 my mind, they quieted my mind. And it really had a profound shift, not just in my personal life,
00:02:39.260 giving me a lot of peace, but also in my professional life, because I became fascinated
00:02:44.780 with understanding how exercise was having such a profound effect on the brain. And so that's where
00:02:50.520 it all began back in grad school. And we've been intensely studying it ever since.
00:02:56.140 And this idea of there's a connection between our bodies and our mental health. This is, I mean,
00:03:02.500 this, it's been going on for, I would say 50 years, but this is a break from Descartes,
00:03:07.760 right? Who said, famously said the brain and the mind are separate, right? The body is just the
00:03:13.120 machine. And there's a soul inside the machine. And the body doesn't really have effect on the mind.
00:03:18.740 But what the research is showing is, no, we are our minds. Our body is our minds.
00:03:23.540 Yeah. Oh gosh. Descartes, he did a lot of damage. I mean, it was important, the mind-body dualism that
00:03:31.280 he set forth, because prior to that, the body was really mystified, like a spiritualized, religious,
00:03:40.320 like, and the study of it couldn't take place. So he had to kind of separate the mind and the body,
00:03:46.460 kind of spirit and body to advance medicine. But in doing so, he removed basically like the shoulders
00:03:55.380 up from the study of medicine for such a long time that we don't really, we don't fully understand how
00:04:01.640 the brain works. And we don't fully understand how to take care of our mind, what the biological
00:04:08.040 bases are of mental health. But yes, you're right. We are absolutely paving the way. New research is very
00:04:14.440 exciting. And we're starting to piece things together. So you got a book out, it's called
00:04:18.780 Move the Body, Heal the Mind, where you make a very reader-friendly summary of this research you've
00:04:24.460 been doing at your lab. And you explore how exercise and physical activity can help different types of
00:04:30.860 mental health issues. And the first one is anxiety. And I'm sure all of us have read the articles or
00:04:36.300 heard the podcast about how anxiety is on the rise in the West. What does your research show about
00:04:41.180 exercise's effect on anxiety? So exercise has a really profound effect on reducing anxiety symptoms
00:04:48.400 and the effects are felt immediately after we exercise. So you go out for your workout and in
00:04:54.460 that sort of acute phase, as soon as you're done, you know, when you're like, oof, done, that gives us
00:05:00.600 a huge reprieve in our anxiety levels. But even if we consistently go back to exercise, we get less
00:05:07.660 less anxious. Now, there's kind of an interesting play here with intensity of exercise. So when you're
00:05:17.220 feeling especially anxious, so if you're already in a stressful situation in life, for example,
00:05:27.320 then intensive workouts may not be the best mode to go to because the exercise stress will add on to the
00:05:36.640 stress in your life. And vigorous exercise, as you know, mimics the symptoms of anxiety. So your heart
00:05:44.680 will race, it'll be difficult to breathe. And for a lot of people, this can create a panic attack
00:05:52.100 situation where, you know, the heart is racing so fast that they're afraid they're going to have a heart
00:05:58.160 attack. So when it comes to exercising for anxiety, just kind of check in with yourself because
00:06:04.900 sometimes too intense is not good. And the research shows that at that low to moderate
00:06:11.140 intensity, you can really get a lot of benefits. And the reason why is these lighter intensity
00:06:19.380 exercises release this neurochemical called neuropeptide Y. And essentially, this is like a
00:06:25.400 resiliency factor that bathes the brain, it bathes the fear centers, the amygdala, and helps to
00:06:31.380 essentially quiet those centers down. So it's having this biochemical effect to give you that
00:06:37.840 anxiety relief.
00:06:39.340 Yeah. The neuropeptide Y, I've read studies where they've looked at Navy SEALs. And I think they
00:06:44.900 typically have more neuropeptide Y than the general population. It might be a genetic thing and like,
00:06:50.620 they're just being selected for that inadvertently. But you're saying that exercise, even if you don't
00:06:55.360 have Navy SEAL levels, neuropeptide Y, it can increase it. Is that increase immediate?
00:07:00.700 Yeah. The increase happens immediately after, and it lasts for about 30 minutes afterwards.
00:07:06.220 Now, the research done so far has only shown that you have to do the exercise to get the boost. In
00:07:12.540 neuropeptide Y, there's no kind of residual effects over the long term. So this is why consistency is key,
00:07:19.920 so that every workout that you put in, you get that boost. Now, the cool thing about the Navy SEAL
00:07:25.260 studies is that not all Navy SEALs have this abundance of neuropeptide Y. And the ones that
00:07:32.920 don't have as much, they're the ones most likely to develop post-traumatic stress disorder. So this
00:07:38.660 is really a protective factor for the brain against trauma and stress.
00:07:43.800 Okay. So you get the immediate boost of neuropeptide Y when you exercise, and that can help. And if you
00:07:49.820 do exercise consistently, it can stave off anxiety or mitigate it. I mean, is there anything else that
00:07:55.180 goes on with exercise that helps prevent anxiety in the long run? Like, let's say you do some intense
00:08:01.980 exercise when you're not in a state of stress. Does that have any type of an effect on long-term anxiety?
00:08:07.840 Yeah, absolutely. So when we think about the stress response,
00:08:11.240 a lot of anxiety stems from like a maladaptive stress response. And the stress response
00:08:17.260 is this balancing act between the sympathetic nervous system, like that fight or flight response,
00:08:22.720 and the parasympathetic nervous system where the rest and digest. And when we use exercise,
00:08:28.920 like in a state of calm, essentially we're training up our stress response. So we're activating the
00:08:36.180 parasympathetic nervous system when we're vigorously going. And then as soon as we stop,
00:08:41.200 we are flexing our parasympathetic nervous system, that rest and digest, so that it becomes stronger
00:08:48.320 and better able to help us recover from stress. And so by continuously like hitting the stress system
00:08:55.380 with exercise, we can actually strengthen our stress response, not just for exercise stress,
00:09:01.940 but for all stressors in our life. And so ultimately what happens is that when we experience a stressful
00:09:09.000 situation in our life, yeah, it will activate the sympathetic nervous system, but our parasympathetic
00:09:14.040 nervous system will be really strong and better able to engage so that we stay more calm and less
00:09:20.420 reactive. Okay. And I also, you mentioned in the book, you've also done research, there's been research
00:09:25.340 done on, let's say someone's got severe anxiety and they're actually getting talk therapy for it,
00:09:29.680 exposure therapy. Combining them with exercise can actually give that a boost, correct?
00:09:34.260 Oh yeah. That's like a super cool finding. Now this, this is a bit tricky. So people with
00:09:40.220 severe anxiety or like panic disorder, when, before I was talking about how anxiety symptoms really mimic
00:09:48.120 the symptoms of vigorous exercise, right? So the heart racing, difficulty breathing, difficulty
00:09:52.780 concentrating. So this, this vigorous exercise is actually can act as an exposure therapy for people
00:10:00.100 who have panic disorder. So most, most people with panic disorder, they avoid exercise. They hate it. They
00:10:08.100 especially avoid vigorous exercise because it evokes those symptoms that they fear the most, right? So
00:10:14.440 there's this anxiety sensitivity that makes them really sensitive to vigorous exercise. But it turns out that
00:10:21.540 vigorous exercise is the medicine that they need, but in really short baby doses. So for example,
00:10:29.560 one way to sort of micro dose intense exercise into their life would be just doing like a few seconds of
00:10:36.060 sprint. And the idea is that it exposes them. So you, you sprint all out for like a few seconds and your
00:10:43.900 heart immediately picks up. It's difficult to breathe. You stop and everything comes back down.
00:10:51.380 And you realize you're safe, but it gives you that exposure to those symptoms that you fear the most.
00:10:57.960 And you, you know, over time with the repetition of this, the exposure of this, eventually those
00:11:03.500 symptoms lose their power and control over you. And you're not afraid of them anymore. And that then
00:11:09.120 transfers into the panic disorders that you feel in your life.
00:11:13.180 That's really interesting. And I imagine too, besides the neuropeptide Y increasing and strengthening the
00:11:17.920 parents, empathetic systems, I imagine exercise, just moving your body gets you out of your brain,
00:11:22.660 right? And part of the problem with anxiety is you're just worried about stuff that's not
00:11:25.860 really happening and moving your body like takes you away from that and kind of gets you back into
00:11:31.300 just the present.
00:11:33.100 Oh yeah. A hundred percent. So the mind, it has one track, you know, we can only think about one thing at
00:11:38.240 the time. And when we're, when we're, our heads a mess with anxiety, we're, you know, focused on
00:11:44.320 negativity and just getting the mind to think on something else like the breath. This is, you know,
00:11:50.560 meditative techniques often focus on attention to the breath, but you can couple that with exercise.
00:11:55.140 So attention to movement, attention to breath. You don't just have to be sitting still, you can be
00:12:00.240 moving and it doesn't just have to be yoga. It could be running or weightlifting. The point is you're
00:12:05.360 focusing sort of on the here and now, and it's grounded in the body.
00:12:10.100 Okay. So for anxiety to sort of prevent anxiety or reduce it in the long run, do that intense stuff
00:12:16.020 because it's going to make you more resilient. But if you're feeling stressed out right now,
00:12:20.520 take it easy because that might just add to the stress. So like maybe a walk, for example,
00:12:24.720 would be the thing you'd want to do.
00:12:26.900 Perfect. Yeah, that would be great.
00:12:29.060 Okay. Let's talk about another issue that's been on the rise in the West and that's depression.
00:12:33.200 And you started the book talking about, you know, the usual response from many general
00:12:37.240 practitioners. You had this experience yourself. You go in, you're just like, man, I'm, it's been
00:12:41.240 like a couple of weeks. I'm just feeling gray. I'm just feeling really down. Well, the GP will say,
00:12:45.580 well, you know, here's an antidepressant. Why were you hesitant to take the antidepressant? And
00:12:50.300 what are some of the problems of relying on antidepressants to treat depression?
00:12:54.060 Yeah, I was reluctant to take the antidepressant, you know, partly because these drugs have
00:13:02.260 a profound effect on the whole brain, not just for the intended benefit to reduce depression. And,
00:13:10.000 you know, I was pretty scared of what alterations would take place. And so I wanted to just at least
00:13:17.260 explore alternatives. And for me, fortunately, my symptoms were mild. I mean, some people don't have
00:13:23.880 that luxury. Their symptoms may be too severe and they may need immediate help. And the
00:13:30.400 antidepressant can be really beneficial and transformative for some people. So I want to
00:13:34.620 make sure that that message is clear, that it's not, I'm not anti-antidepressants, but I do think that
00:13:42.160 having options is really important for people. I mean, the first line of defense for most
00:13:50.100 general practitioners or doctors is to prescribe an antidepressant. And we've seen that on the rise,
00:13:58.180 especially for mild forms of depression that may benefit from other alternatives like exercise. And
00:14:05.620 so I think it's important that, you know, we educate our medical practitioners on the benefits of these
00:14:14.340 other therapies and sort of equip them with the tools. I don't think it's their fault. I just don't
00:14:19.940 think that they're trained. They're trained really to prescribe drugs and for ailments. And so I think
00:14:27.940 that it really, it comes back to Descartes, actually, you know, this biomedical model and we need much more
00:14:35.120 of a holistic approach to our health.
00:14:37.080 Well, something you talk about in the book is that even when someone is given an antidepressant,
00:14:41.580 they don't always respond to it. And that's because depression, it isn't homogenous. You know,
00:14:46.900 there can be different causes for it and it may not be a serotonin problem. The depression could be
00:14:52.060 caused by something else. And one of the sources it could be, the sources of depression, it could be
00:14:56.660 inflammation. And we actually had a guest on a few years ago talking about the inflammation-depression
00:15:02.580 connection. But can you, can you kind of summarize what we're discovering about the connection between
00:15:07.720 inflammation and depression?
00:15:09.560 Yeah, it's super fascinating. And this, I think, is, is the form of depression on the rise because
00:15:16.200 it's linked to chronic stress. So when we are experiencing chronic stress, as many people have
00:15:24.100 in the last several years, what happens is that the body was never intended to deal with stress at
00:15:31.840 such a chronic level. It was really designed to kind of deal with it acutely. So the predator or
00:15:37.900 whatever the threat would be immediately in the physical environment, and then it would either be
00:15:42.720 dealt with or not, and then the stress would go away, right? So it wasn't like today in modern life,
00:15:49.120 like there's, you know, stress after stress after stress, day after day after day. We worry,
00:15:54.940 which creates more stress. The uncertainty of situations create even more stress. And so this
00:16:00.620 chronic stress that we're facing day in and day out is really damaging the body. And what it does
00:16:08.060 is it, it starts to damage the cells, like physically damage the cells. And this launches a sterile immune
00:16:16.640 response. And so it's sterile because there's no bacteria or virus in the body. It's just the damaged
00:16:23.180 cells from the stress. And so the immune system launches an attack against these damaged cells.
00:16:31.220 This elevates inflammation. And that inflammation doesn't just stay in the body, but it can start
00:16:36.340 infiltrating into the brain. And when the brain has too much inflammation, it creates a lot of problems
00:16:43.420 for the natural functioning of the neurons. And so things don't function as well. And this can lead to
00:16:49.920 dysfunctions and neurochemicals, but it can also lead to kind of slowing of processing, brain fog,
00:16:56.320 depressed mood, and there's the source of depression. Not necessarily coming from the root cause of like
00:17:03.140 something you're born with, a biochemical deficit in serotonin production or some other neurochemical,
00:17:09.900 but a lifestyle, the chronic stress of life is damaging the body in ways that are affecting the mood.
00:17:18.520 Yeah. I mean, like when you're sick, think about that. When you're sick, not only do you feel bad,
00:17:22.580 but like you get depressed, like you just want to hunker down in a blanket. And so, I mean,
00:17:26.920 it kind of makes sense that there's a connection there. When you feel depressed, you don't want to
00:17:29.840 do anything. When you're sick, you don't want to do anything.
00:17:32.340 Yeah. Yeah. And that's like an evolutionary advantage, right? Because if you're kind of antisocial
00:17:37.340 and you're home alone in bed, you know, you're not going to spread the bacteria or virus around.
00:17:42.860 And so, that was actually like an evolutionary advantage. But now, if inflammation is being
00:17:49.360 caused not by a bacteria or virus, but rather stress, then that advantage is no longer. And
00:17:55.020 instead, it just looks like major depressive disorder.
00:17:57.660 Can we, are we able to screen for inflammation-caused depression?
00:18:01.100 Well, technically, yes. The research suggests that certain cytokines, these pro-inflammatory cytokines,
00:18:08.520 can actually are elevated more in people who have depression, especially drug-resistant depression.
00:18:16.360 TNF-alpha is one of them. However, it's certainly not routine clinical practice,
00:18:22.980 even though we've known about this research for about 10 years. So, you know, again, we need to
00:18:28.500 sort of catch up the medical community to some of the newer research on mental illness and how to
00:18:33.060 treat it.
00:18:34.020 So, one thing they've discovered with people with inflammation-caused depression is that
00:18:38.480 exercise helps. But this is counterintuitive because exercise is a stressor. It causes
00:18:45.660 inflammation. If you do a heavy weightlifting session, your muscles get inflamed to repair
00:18:50.380 the damage you've done. So, how can something that causes inflammation reduce inflammation to
00:18:56.680 help reduce depression?
00:18:58.300 So, this is a beautiful thing about exercise. You're right. You go out for a hard run or a
00:19:03.540 vigorous workout and the body has an acute inflammatory response. And this is to protect
00:19:09.260 your body while you're, you know, pushing it hard. But as soon as you stop, the exercising
00:19:15.640 muscles then release these myokines that essentially act like an inflammatory cleanup crew. These anti-inflammatory
00:19:24.120 cytokines then make the body, they clean up all that inflammation that you produce from exercising
00:19:30.300 and then some so that over time, your body becomes less and less inflamed. And this is such a really
00:19:36.760 interesting way that we can kind of rebalance, create homeostasis back in the body when it comes to
00:19:43.080 inflammation.
00:19:44.360 That's interesting. When we had the podcast guest about inflammation and depression, he was researching
00:19:48.700 sauna use to reduce inflammation. Because like what's in, you know, you heat your body up
00:19:55.180 and it causes inflammation and it can reduce inflammation in the long run.
00:20:00.080 Yeah. I think all of these sort of acute like micro dosing of stress, like the cold showers or the
00:20:08.260 holding of the breath or the sauna, the hot exposure or exercise, they're all micro challenging the body
00:20:16.080 in a way that creates this counter response. And then over time, that counter response, the recovery
00:20:22.800 from stress becomes stronger and makes the body more resilient to stressors. So I think they're all
00:20:29.680 kind of working with a similar mechanism on the stress response, which is super cool.
00:20:34.020 In your lab, have you guys found if a particular type of exercise works best for depression or is it
00:20:38.360 any type of exercise?
00:20:40.360 Yeah. So the research has a pretty interesting, clear benefits. So when it comes to aerobic exercise,
00:20:48.620 we're really talking like every step counts and the longer that you go, the better. So every
00:20:55.200 additional 10 minutes that you add onto your aerobic exercise, you get an additional boost in mood up to
00:21:02.460 one hour. When it comes to resistance exercising, like weightlifting or yoga, tai chi, the more intensive
00:21:09.980 you are with the weights or the resistance, the bigger the benefit there when it comes to depression.
00:21:16.960 Interesting. Okay. Let's move on to another issue some people are struggling with and that's addiction.
00:21:21.480 How can exercise help in addiction recovery?
00:21:24.580 So when someone gets addicted to a substance, what happens is that the substance is addictive because it
00:21:34.860 increases dopamine in the brain to supernatural levels. And what ends up happening is the reward
00:21:41.020 system within the brain ends up like locking down. So it strips away receptors. And what this does is
00:21:47.580 it makes it really difficult to get enough dopamine response from natural things in life. So they're no
00:21:54.360 longer rewarding. They no longer induce that feeling of reward. And so what ends up happening is that when
00:22:02.900 an addict then gains tolerance and dependency on the substance of abuse. Now, when they enter sobriety,
00:22:12.440 what ends up happening is that, okay, now they've taken away that supernatural dopamine and all they're
00:22:18.260 left with is the natural dopamine, you know, the natural stimuli in the world that induces just a small
00:22:23.500 amount of dopamine. And it's not enough, at least at first, because the brain needs to recover. And
00:22:29.480 it will recover, which is a really fascinating, amazing feature of the brain that it heals itself.
00:22:36.940 But it takes time. And exercise, because it releases dopamine as well, can help speed that up. So it
00:22:46.220 helps speed up the healing process. It helps crush cravings within that first, you know, few weeks of
00:22:52.540 sobriety. And it can be a real helpful tool for people who are in recovery. Another super beneficial
00:22:59.480 effect of exercise for addiction recovery is, you know, especially if you're exercising with a group,
00:23:05.660 it creates a brand new social circle for you to have additional support. And for most recovering
00:23:14.120 addicts, you know, they've lost a lot of their friends because they were all tied up with the
00:23:21.000 addiction and the drug use. And so building this new community of support and friendship through
00:23:28.840 exercise has been extremely beneficial for a lot of recovering addicts.
00:23:34.060 Okay. Let's just make sure I understand. So when you take a really strong drug,
00:23:37.700 you basically blast your dopamine receptors, correct? And it's just like...
00:23:41.220 That's right.
00:23:41.880 Right. And so to get the feeling back, you have to take more and more of the
00:23:45.280 addictive substance, whatever. What you're saying, when we stop the addictive substance,
00:23:49.700 it gives our brain a chance for those dopamine receptors to get back to like a normal state.
00:23:54.380 Yeah.
00:23:54.860 And exercise can just help that process along. Is that how it works?
00:23:58.820 Yeah.
00:23:59.400 Okay. And then you also talk about how exercise can actually be a great way to prevent
00:24:04.160 addictions, correct?
00:24:06.060 Yeah. And this is again, back to the idea that exercise is a form of reward and can give the brain
00:24:14.740 the dopamine that it seeks. So teenagers are especially experimental. They're seeking novelty
00:24:23.220 and new experiences. And in fact, there's even a theory that suggests that that's like by design,
00:24:29.680 like the brain is just like hungry for new experiences. And this helps them to explore the
00:24:35.840 environment around them, to understand what the world is like, and then they're better equipped to
00:24:42.160 function in it. And so exercising helps provide the brain, the dopamine that it seeks within these
00:24:50.480 novel, rewarding experiences. And if exercising is not there, or these novelty experiences are not there,
00:24:59.060 then there is a temptation to, a greater temptation to go seeking dopamine out in less helpful
00:25:07.280 situations like in alcohol and drugs of abuse. And so the research is really fascinating on that,
00:25:15.660 you know, for teens, for young people who are more active, they're less likely to experiment with
00:25:22.680 drugs of addiction, drugs of abuse, they're less likely to become addicted. And so, yeah, it seems to
00:25:29.020 be really beneficial. But there's this really interesting study I like that it contrasted,
00:25:35.960 you know, the different forms of education that we give students and young people about drugs. So
00:25:43.640 there's like the anti-drug campaign, just say no to drugs, you know, this is your brain on drugs,
00:25:48.280 that kind of don't do drugs campaign, versus teaching kids how to live a healthy lifestyle that
00:25:55.520 includes physical activity. And what the research found was that kids are less likely to try and
00:26:02.140 experiment with drugs if they've been educated on a healthy lifestyle rather than when they've been
00:26:08.660 educated to do the anti-drug campaign. Because if you think about it, I mean, when I was a teen,
00:26:15.520 if you told me not to do something, I was just more curious about why I wasn't supposed to do it.
00:26:21.900 And so, to me, this makes a lot more sense. And having that exercise there,
00:26:26.820 as part of that healthy lifestyle, it gives the brain the dopamine that it craves.
00:26:31.500 We're going to take a quick break for your word from our sponsors.
00:26:35.560 And now back to the show.
00:26:37.640 Okay, so let's talk about another thing you were focusing on. You don't just focus on,
00:26:41.140 you know, preventing, you know, mental illness or mental health issues, but you want to use
00:26:44.580 exercise as a way to help people have a more fulfilling life in all aspects of their life.
00:26:48.680 And one thing you found is that exercise can help in the aging process. What does exercise do to
00:26:54.360 keep our brains young? Yeah. So exercise has an incredible effect on the aging brain. So it
00:27:01.620 essentially helps keep our brain young. So as we get older, we, well, the brain, even through
00:27:08.820 adulthood, can produce brand new neurons, brand new born neurons within the hippocampus, which is
00:27:15.960 critical for memory and learning. And it's also the brain region that's devastated by Alzheimer's
00:27:20.760 disease. So by creating more new neurons there, we boost our memory, keep our brain sharp and young
00:27:28.660 and help prevent Alzheimer's disease. Well, it also increases this substance, BDNF. Is that what it
00:27:35.440 is? Yeah. What is BDNF? So BDNF, brain derived neurotrophic factor, and this is a growth factor
00:27:43.320 that helps support the survival functioning of these brain cells. And I like to think of it as like a
00:27:51.040 fertilizer. So it helps them really thrive, the brain cells really thrive and function well. And
00:27:57.260 exercise produces brain BDNF, brain derived neurotrophic factor. And there's this super cool
00:28:03.360 new research out. Primarily it's been shown in animal models, and we're trying to bring it into human
00:28:09.140 models in my lab now. But it's looking at this link between lactic acid or lactate and BDNF. So
00:28:16.400 lactate is produced by the muscles when they get into that anaerobic state. You know, when
00:28:23.180 when we're in an anaerobic state, what happens is lactate starts to accumulate and the accumulation of
00:28:33.140 that lactate spills out into the blood. It travels to the brain, reporting directly to the hippocampus.
00:28:40.240 And there it produces, it sort of activates BDNF, which then can help fertilize and fortify the cells
00:28:48.720 there. So it's a really fascinating link between like higher intensity exercise and the lactate that
00:28:53.920 it produces. And then this growth factor BDNF that actually helps to support brain cells.
00:28:59.460 Okay, so it can exercise can help neurogenesis along. Has there been studies that show that can help
00:29:05.100 prevent or reduce our risk for dementia?
00:29:08.440 Yeah, so research from my lab, we did like a head to head comparison between genetic risk factors and
00:29:15.300 physical inactivity. And there's a genetic risk factor APOEE4. It's a it's an allele that puts people
00:29:23.340 at an elevated risk and about 25% of the population has it. And we compared that genetic risk to physical
00:29:32.220 inactivity and found that people who are physically inactive had a similar risk of developing dementia as
00:29:38.020 those who were genetically predisposed. So it's I have this saying, you know, you can't change your genes,
00:29:44.260 but you can change your lifestyle. And it can have as big of an effect on your dementia risk as your
00:29:51.860 genetic profile. So, you know, we often think about dementia as being sort of a biological disease,
00:29:57.940 but we do have a lot of control. And this simple thing of moving the body can actually help prevent
00:30:04.900 that.
00:30:05.760 And you also found your research to going back to the social component of exercise, that it can,
00:30:10.840 if you add in sociability into exercise, it actually turbo charges the age benefits, correct?
00:30:15.920 Yeah, it's really cool. So the especially for older adults who can suffer from loneliness and social
00:30:23.640 isolation, exercise provides this social benefit. And there's this cool study, I really like it. It, it, it showed
00:30:32.020 that older adults who work out together, have better health benefits than those who work out alone, even if the
00:30:40.140 ones who are working out together are not working out as hard. So it really, it really highlights the
00:30:46.340 benefits that we get from being with others. And I think, you know, the last couple of years has been
00:30:51.280 a testament to how important social connections are and exercise is such a catalyst for creating those
00:30:57.700 social connections.
00:30:59.160 So another thing that people want to be better at, at least I do sometimes, you know, oftentimes is I want
00:31:04.000 to be able to focus better, right? I'm at work, I'm just, I feel distracted. And your labs actually found
00:31:09.340 research that exercise, physical activity can help with focus. What does that research say?
00:31:14.500 Yeah, so basically, I mean, most of us do our work sitting, right? Or with little movement. And when we sit for
00:31:22.420 prolonged periods of time, essentially, the brain gets starved of the vital nutrients that it needs to really think
00:31:28.720 and focus. And so every 30 minutes, get up for a two minute movement break, you know, it doesn't have to be like
00:31:36.280 anything vigorous. It could just be a stretch, walk around the office, walk around the room, go get a
00:31:44.240 drink of water. That subtle movement from sitting to standing and then moving a little bit is enough to
00:31:51.340 help increase brain blood flow, especially to the prefrontal cortex. So the prefrontal cortex is our
00:31:57.800 most evolved brain region in humans. And it is, it's governing all of that focused attention that we
00:32:05.460 need to like inhibit distractions and stay on task. And it needs a lot of blood flow, it needs a lot of,
00:32:13.060 you know, energy in the form of glucose and oxygen. And so we can give it that through exercise. And
00:32:18.820 research in my lab, we've shown that these short exercise breaks can actually help students
00:32:23.460 prevent them from mind wandering during class so they can stay on task better. And then when you're
00:32:28.320 on task, you're remembering things later so they perform better on their tests afterwards.
00:32:33.220 Yeah, we've had guests on the podcast talking about the need to revive physical education in schools.
00:32:39.120 Because like a lot of schools, I don't know how it is in Canada, but here in the United States,
00:32:42.200 they've pulled back on PE because they want to spend more time studying for these, you know,
00:32:46.700 state mandated tests. But some schools have found, actually, when they had the kids spend more time
00:32:51.840 doing, you know, vigorous exercise, just vigorous play, scores go up.
00:32:56.880 Yeah, it's counterintuitive. And I think that a lot of parents, like, and school administrators
00:33:02.660 think that, okay, we just need to cram in more knowledge and information, but the brain needs
00:33:07.920 to be primed to accept that knowledge. And exercise helps to prime it so it's ready for learning.
00:33:14.200 And then it can learn better and learn more efficiently and more effectively. So it's something
00:33:19.860 that we're really pushing here. Yeah. So I think the dose you gave in the book for focus is like
00:33:27.400 for kids, they need like 60 minutes of vigorous movement, right? So just like they get out of
00:33:34.540 breath and sweaty, basically. I think it's like five times or seven. It's like every day is ideal,
00:33:40.140 correct, isn't it? For young kids. And then when you're a teenager, it's like three to four days
00:33:44.520 is the minimum effective dose. Yeah. And I think I'm not a stickler on like getting the maximum.
00:33:51.160 I just want people to move more. You know, I don't want to put too much stress on parents. They already
00:33:56.840 have a lot of stress, but like, you know, just moving more, it accumulates throughout the day,
00:34:03.160 get it in, you know? And so just focusing on that and being mindful of how much you're sitting and for
00:34:09.680 how long and breaking up that sedentary time is really important. What about creativity? Is there
00:34:16.400 a connection between creativity and physical activity? Yeah. Yeah. So this is really cool. So
00:34:21.920 the brain, you know, I talked about the prefrontal cortex and it kind of has these two modes. So one of
00:34:30.340 its mode is like focus, you know, it inhibits distraction and, um, we, we call that inhibitory
00:34:38.140 control. The, the, the second mode is this mental flexibility, which is kind of like daydreaming,
00:34:44.520 mind wandering, creative thinking, thinking like divergently outside the box. Um, and so it,
00:34:51.120 it has these two modes. And when we sit and stay focused for so long, what ends up happening
00:34:58.700 is that that mode gets super tired and it can't do that very well. And then it just kind of does
00:35:05.120 unproductive thinking. But when we, when we exercise, what happens is we can switch the context. So we
00:35:11.780 switch our context from sitting and focusing to exploring the environment, which, which flips the
00:35:19.460 switch to that, uh, mental flexibility. And this it's, it's, it's sort of the idea, like when you're,
00:35:25.920 when you're moving in, in space and doing something different, it's very interesting to the brain.
00:35:32.380 And you can kind of, um, in states of flow, for example, when it's challenging, but you're in the
00:35:38.080 moment, you can actually couple these two different modes so that they're actually both on at the same
00:35:45.020 time. And this gives you like the most powerful brain function possible.
00:35:50.340 So you're a cyclist, you run, you do the triathlon stuff. Like when you're on a run or a long cycle,
00:35:56.200 do you get a lot of ideas for your work?
00:35:58.620 Oh yeah. Yeah, for sure. Yeah. The best ideas come when I'm on my run.
00:36:04.320 Yeah.
00:36:04.700 And so it's like, you're, you know, you're, you're uninhibited by, you know, focused thinking.
00:36:10.080 The idea is that when, when we're kind of free to allow our mind to wander,
00:36:15.520 then it gets more access to the deep repertoire within our brain that may not have bubbled up to
00:36:22.320 the surface. If we're just focused on one single point, you know, one single stream of thought.
00:36:28.100 Um, so it, it, it just opens up the channels. Um, and the research shows, you know, this, um,
00:36:36.000 when we look at different sports, certain sports are better able to unleash that creativity. So, um,
00:36:43.100 net and combat sports that have an opponent and they involve this improvisation and this play
00:36:50.680 between you and an opponent, this creates a lot more creativity within the individual than say,
00:36:57.260 for example, um, gymnastics or figure skating, which require you to memorize a predefined set
00:37:04.120 of moves. So there's less creativity involved in that. And the idea is of when we train our body to
00:37:10.480 move more creatively, we train our brain to think more creatively. And so even if you're not into
00:37:17.000 sports, you can apply this to your own workout program by, you know, changing things up. So
00:37:22.320 take a different walking route or, uh, try a different activity, even if it's just for fun,
00:37:28.940 these additional things, these novelty experiences that we add to our life, help the brain to stay
00:37:34.760 in that flexible mode. Uh, another connection you found in your lab, uh, to our quality of life
00:37:41.160 is exercise and sleep. What's the connection there? Yeah. So exercise, uh, is so beneficial for sleep.
00:37:50.040 Um, it's one of the greatest gifts it gives. And, um, so it works kind of two ways. So exercising during
00:37:57.700 the day, um, it helps us expend more energy. When we expend more cellular energy like ATP,
00:38:04.940 it produces this by-product called adenosine and adenosine is a natural sleeping aid. So when
00:38:10.840 adenosine builds up to a certain threshold, it triggers sleep. And so when we move more during
00:38:15.860 the day, we build up more adenosine and we can, we can sleep better at night. We sleep deeper at night.
00:38:20.780 Um, the other way that exercise works is that it can help retrain or resynchronize brain time to real
00:38:29.440 time. So, um, we've all experienced this when traveling through different time zones, you know,
00:38:35.820 you, that jet lag that you experience when your brain time is just really out of sync with real
00:38:40.760 time. And it just takes some time to kind of realign the two. Well, exercising can help speed that
00:38:47.380 realignment up. So we know that the sun is a really powerful cue of what time it is for the brain and
00:38:54.060 the brain can kind of link up with the sun, but exercising actually has similar qualities as the
00:38:59.900 sun does to help reset the suprachiasmatic nucleus, that master clock within the brain to help, uh, to
00:39:08.940 help us, uh, sync up our time better. Okay. So you're having trouble sleeping, exercise during the day.
00:39:14.820 Mm-hmm. Yeah. Is there like a time that's best for that to get the benefits of exercise and sleep?
00:39:21.180 Yeah. So some people may have heard it's bad to exercise at night and the research shows actually
00:39:27.200 it's okay as long as you're not going super vigorously to the point that your heart rate's
00:39:35.120 still elevated 25 beats above baseline when you're about to go to sleep. So that's sort of the key.
00:39:42.280 But if you, you know, a lot of people like to work out just before they go to bed. And if it's not,
00:39:47.320 you know, if you're, if you're able to get your heart rate back down before you sleep,
00:39:51.460 then it will be very beneficial. But, um, there's this cool research that was done.
00:39:57.240 They use these micro ultra short sleep cycles where they'd like have people sleep for one hour,
00:40:04.480 wake for one hour and do that for three days straight to just wipe out the circadian clock.
00:40:09.940 And then they would introduce exercise at different times of the day to see how it impact,
00:40:16.480 how it would shift the clock. And so what they found was that, you know, if you're someone who
00:40:23.920 likes to stay up late and you need to start getting up earlier and you need to shift your clock a bit
00:40:30.460 earlier, then exercising first thing in the morning around 7am is beneficial. Um, but if you're,
00:40:38.000 you know, someone who needs to sleep in more and stay up a bit later than exercising in the early
00:40:45.460 evening is best for them.
00:40:46.860 So I think a lot of people might be listening to this and thinking, yeah, I know I got to exercise
00:40:50.840 more, not only for my physical health, but yeah, not my mental health, but man, it's really hard to
00:40:56.060 get going. It's hard to stick to a routine. And your lab has actually researched why people struggle
00:41:01.940 to start and stick with an exercise program. Uh, what have you all found?
00:41:05.800 Yeah. I mean, it's hard. It's, it is hard. The brain is against us. It's kind of this relic of the
00:41:11.180 evolutionary past when, you know, we needed to conserve energy to survive. And so when we weren't
00:41:16.560 expending energy to, to like survive, to hunt and gather our food, then, uh, the brain was just like,
00:41:24.620 okay, let's just, let's just chill, you know, let's just be lazy here. Um, but now we don't have to
00:41:30.100 really move to survive, at least most of the time. Um, you know, there's no imminent danger, no,
00:41:36.700 you know, need to hunt and gather our food. Uh, and so the brain sees voluntary exercise as an
00:41:44.120 extravagant expense and it goes out of our, out of its way to prevent us from doing it. You know,
00:41:48.980 that, that negative talking around, oh, I'm too tired. Oh, we don't have time to do it. You know,
00:41:54.180 this, this is just that, you know, that brain trying to conserve energy. And so there are certain
00:42:00.660 things you can do to kind of remind yourself that resources are plenty of a really fun,
00:42:06.300 trick is to like swish some sugary drink in your mouth. And the trick is you don't actually even
00:42:11.660 have to drink it. You could just swish it around and spit it out. And that actually helps to, uh,
00:42:16.220 reduce the effort you feel when you're first starting your workout, um, to kind of essentially
00:42:21.320 break the inertia and remind the brain that resources are plenty. Um, but I think it's,
00:42:27.080 it's also important to remember, um, that it is harder to move when we're not mentally well.
00:42:33.780 So at the very beginning of the pandemic, we conducted some research, surveyed 1600 people
00:42:39.860 asking them, you know, how are you doing? You know, what's your physical activity like?
00:42:44.460 And not surprisingly, people were really, you know, they were stressed. They were more depressed
00:42:48.860 and more anxious. Their activity level was down. People who were able to be active, um, they,
00:42:55.320 they were faring better, but, uh, and people shifted why they wanted to be active. So instead of being
00:43:00.720 active to like physically look good, they were trying to be active to like feel better mentally.
00:43:07.800 Um, but there was this mental health paradox where there, they wanted to work out for their
00:43:13.260 mental health, but their mental health was getting in the way. So they were too stressed or anxious to
00:43:18.340 exercise and they lack the motivation, which is the symptom of depression. And so we created a toolkit.
00:43:23.960 It's, it's, it's available on my website, neurofitlab.com. And basically it goes over some evidence-based
00:43:31.180 tips, but essentially it's, you know, like keep in mind in those states, you know, some is better than
00:43:38.080 none. Consistency is key. And it's back to this idea that, you know, yeah, there are these benchmarks
00:43:44.160 that we want to meet in terms of what's best for the brain body, but every little bit counts. And
00:43:50.700 some movement is better than no movement, especially when it comes to your mental health.
00:43:55.120 And so having, taking like a much more compassionate approach to exercising and, um, you know, taking off
00:44:02.420 the intensity and putting in the time. I personally found this to be really, uh, beneficial. Um, like you
00:44:09.080 said, during the pandemic, I had been, I'd started training for this Ironman and I had prior to the
00:44:15.440 pandemic, I had been going out, you know, training pretty vigorously, but once the pandemic hit and
00:44:21.780 the uncertainty of the situation, it caused so much personal stress in my life that when I would go
00:44:28.660 out for these long runs or these vigorous runs, I would start like panic, like my body would go into
00:44:34.320 this panic attack mode. Um, and so I had to learn to just essentially take off the intensity. So I'd put
00:44:41.020 in the time, but it wasn't at that intensity that I, that I was used to, you know, because I wasn't
00:44:48.280 in that same mental state as I had been before. And so doing those check-ins with your body is really
00:44:54.080 important and being just really compassionate with yourself and, and understanding that, you know,
00:44:59.440 it is really when it comes to your life and your health and your wellbeing, consistency is really the
00:45:05.160 goal. Okay. So yeah, the takeaway there, if you're having a hard time getting started with an
00:45:09.020 exercise program, change your mind of what an exercise program has to look like. I think a lot
00:45:13.640 of people think, well, it's got to be like an hour long of intense, whatever. It doesn't have to be
00:45:18.920 like, if it is, if you get like 60 minutes of day walking, it's broken up in 15 minutes throughout
00:45:23.960 the day, start there. And also make sure you pick something you enjoy. If you, if you hate, uh,
00:45:30.400 marathon running, like don't do that because you're not going to do it.
00:45:34.820 That's right. Absolutely.
00:45:36.060 Well, this has been a great conversation. Where can people go to learn more about the book and
00:45:39.500 your work? Cause in your book, what's great, besides all this research you highlight, you
00:45:42.400 also provide some, uh, starter templates for people for exercise programs. So where can they
00:45:47.000 learn more about that? Yeah. So my book's called Move the Body, Heal the Mind. Um, you can order it
00:45:52.480 anywhere books are available for purchase. I have a website that gives some background on the book.
00:45:58.420 Um, Jennifer Heiss. So J E N N I F E R H E I S said.com. Um, and I, I had mentioned my Neurofit Lab
00:46:08.860 website. Um, I'm on Instagram, dr.jenniferheiss. Follow me there or on Twitter at Jennifer Heiss.
00:46:15.380 Fantastic. Well, Jennifer Heiss, thanks for your time. It's been a pleasure.
00:46:17.780 Thank you so much.
00:46:19.260 My guest today was Dr. Jennifer Heiss. She's the author of the book,
00:46:21.860 Move the Body, Heal the Mind. It's available on amazon.com and bookstores everywhere. You can find
00:46:25.840 more information about her work at our website, jenniferheiss.com. Also check out our show notes
00:46:30.160 at aom.is slash move the body. You can find links to resources where you can delve deeper into this
00:46:34.680 topic. Well, that wraps up another edition of the AOM podcast. Make sure to check out our website at
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