Can a Winter Walk Change Your Life?

     Anthropologists believe that humans have
probably existed in something close to our current
form for at least 300,000 years.  With the exception
of modern times, human activity was almost all
outdoors in natural daylight.  Unfortunately, our
species has been a bit too clever in creating dim
and unnaturally lit boxes to live in that go by names
like home, school, office, store, etc. What is common
to most of these boxes is a lack of natural light. The
irony is that in the process of swaddling ourselves in
comforts unimaginable by our ancestors, we created
unhealthy lighting in our living spaces.

      While the ramifications of opposing our natural
needs are many and complex, getting more natural
light has an easy fix – just take a walk outdoors in
daylight.  Natural light helps us manufacture vitamin
D
3, helps reduce mood disorders, and in moderation
reduces the incidence of melanomas. While the
mechanism by which vitamin D
3 is produced by
natural sunlight has been understood for almost 100
years, researchers are only now beginning to
understand that natural light is probably involved in
the synthesis of many other important health
regulating factors.

      More than twenty percent of Americans
experience mood disorders like depression.
Fortunately, most depression is the result of
accumulated situational effects and not the result of
a disease. In some cases, medications are used to
help a person through a rough patch of depression.  
Interestingly, clinical psychologists have long known
that walking outdoors in daylight is usually more
effective than antidepressants or anxiolytics (meds
for anxiety) in relieving anxiety and depression.
Fortunately, almost any outdoor daylight exercise
can be helpful.  Brisk daylight activities often provide
the most positive effects (fast walking, running,
biking, dancing, outdoor sports, etc.)  Both the
duration and the intensity have positive effects.  If
words like walking and exercise sound punishing
then reconsider your choices.  Keep it fun and it will
happen more easily and more frequently.
      
      Of course, there is more to our moods than
exercise and natural sunlight.  People who feel
passion for their work, friends, and families don't
become depressed as often.  Also, people that can
maintain a sense of wonder and awe don't become
depressed very often.  If not blessed from birth with
the happiness gene or an amazing sense of wonder,
don’t despair.  Quite possibly what you need is more
activity in natural daylight.

      Organizing our lives so that we have routine
outdoor daytime activities is beneficial for our
health.  For some a half hour after work or the
weekend warrior approach can be effective mood-
boosting time.  These routine activities could be
recreational or home related such as washing a car,
gardening, cleaning leaves off the driveway, or any
manner of garden or yard work.
      
      For some, being outdoors in nature is a mood
therapy like meditation without having to sit still.  For
many, it stimulates their mind to reveal innovative
ideas and to help solve long-standing problems. For
others, they find a spiritual experience in the
stillness, beauty, and majesty of nature.  For me, an
occasional trip to the ocean or mountains pretty well
covers all of the above.  When that’s not possible a
walk in the park or along a greenway is my favorite
medicine.

      If your outdoor daylight time has been reduced
to walking from the front door to your car then it’s
time for a change.  Perhaps there is a clean grassy
field nearby where you can take off your shoes and
feel the earth.  While barefoot, many experience an
improved mood, fewer worries, fewer anxieties and
as a result more happiness and health.

     Perhaps finding an opportunity to be outdoors at
this time in life is impossible.  If this is your situation,
then consider buying a full spectrum light box.  Just
know that a walk outdoors is free. A quality light box
to supplement indoor lighting may cost over $200.  
Daylight on a sunny day can provide twelve times
more natural light than a top of the line light box.  As
shown in the table below, even on a shady day,
sunlight can provide twice the illuminance of the
best light box.













Daylight Intensity in Different Conditions


      Ready for a daylight walk?  Why not join me for
a walk around the lakes at Jones Farm Park. Hats,
coats, scarves, and mittens are the appropriate
dress this time of year.  For temperatures below 40
degrees, double layers are recommended.  Hope to
have you join me.

     Nancy Neighbors, MD
      Huntsville, Alabama




     Is Light Therapy Right for You?


      Some people find Seasonal Affective Disorder
(SAD) lights helpful. From a medical perspective
there are problems when trying to prescribe them.  
Currently, insurance will not pay for them until there
is more research to determine which people will
benefit, which products work best and how to time
exposure to the light.  Without more research to
show which SAD light products help, it’s difficult to
make a recommendation.  Most products are
sketchy on specifications and lacking in studies that
demonstrate their effectiveness.  In essence, SAD
lights are viewed by insurance companies as
experimental devices.  While the science of
medicine depends on long term studies of large
populations, the art of medicine allows for doctors to
make decisions that are more attuned to difference
in individuals for which studies don’t yet exist. In
essence, if a light box can help is difficult to know.  
When all else has been tried and failed it’s usually
worth a try.  We do know that a body of anecdotal
reports tell us that SAD light therapy may help to:

  • Improve mood
  • Overcome negative thoughts and emotions
  • Sleep better
  • Not over sleep
  • Feel more uplifted and positive about life
  • Focus and be attentive
  • Feel joyful and renewed
  • Combat negative thoughts
  • Balance appetite
  • Conquer the urge to hibernate or isolate yourself
  • Help you to get excited about the things that you
normally love



              What is a Light Box?

      A light therapy box is a light source that mimics
outdoor light. Often the product is packaged as a
box like device and sometimes as a device in the
form of a more conventional looking lamp. Typically
a light box is used within the first hour of waking up
for about 20-30 minutes.

      Some studies show that a light box needs to
provide about
10,000 lux of light. For safety, it
should also emit very little ultraviolet (UV) light. Be
aware that light boxes are not approved or
regulated by the Food and Drug Administration
(FDA).  While you can buy a light box from a wide
range of companies making remarkable claims, it’s
important to carefully review the specifications and
buy from a reputable source.

      For more about light boxes read “
Seasonal
affective disorder treatment: Choosing a light
therapy box” and “Not all light boxes meet the
recommended requirements for treating SAD.”         

        
          Additional Resources

  • How SAD Lamps Can Help You Fight Seasonal
Depression   

  •
Northern Light Technology (light boxes)

  •
Alaska Northern Lights (light boxes)
Sunlight Level
Illuminance
Brightest sunlight
120,000 lux
Bright  sunlight
111,000 lux
Shade illuminated
by entire clear blue
sky, midday
  20,000 lux
Typical overcast
day,midmay
1,000 - 2,000 lux