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®
Biomarkers
of
Wellness
1. Body Mass Index (BMI)
BMI = Weight (in kg)
Height2 (in meters)
Lbs/ inches2 x 703
A BMI of
<25
25 – 29.9
>30
= desirable
= overweight
= obese
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2. Waist/Hip Ratio
Waist/Hip Ratio
Ideal: <.80 Woman and <.95 Man
Adipose Tissue is the largest endocrine
gland in the body and produce:
• Inflammatory chemicals
• Estrogen
• Cortisol
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3. Blood Pressure & Resting Pulse
Blood Pressure
Systolic less than or equal to 110mm-Good
Diastolic equal to or less than 70mm-Good
Greater than 130/85mm is Mildly Hypertensive
Resting Pulse
55-60 Athlete
60-70 Good
70-80 Average
>80 Poor
Medications??
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4. Bioimpedance Analysis
•Phase angle
•Intracellular Water
•Body Fat
5. Sugar Biomarkers
Fasting Glucose
80-100 mg/dl
HbA1C- Glycosylated Hemoglobin
Normal range is 4-5.9 %. In poorly controlled diabetes, its 8.0% or
above, and in well controlled patients it's less than 7.0%
The predictive value of HbA1C for total mortality was stronger than
that documented for cholesterol concentration, body mass index and
blood pressure.”
Khaw, K-T, et al, BMJ, 2001, Vol 322: 1-6
Fasting Insulin
Increased insulin production causes insulin resistance
Sign of Insulin Resistance with levels over 15 uU/ml
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6. Lipid Biomarkers
Lipids, fractionated lipids
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Total Cholesterol-under 200
Triglycerides-under 150, preferably under 100
HDL-over 50 (male) and over 60 (female)
LDL-under 130
Trig/HDL ratio- under 2.0
Chol/HDL ratio- under 3.0
Inflammatory C-reactive protein
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7. Core Flexibility
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Newtown 1st law of Physics
An object in motion….
Use it or…
Computerized Inclinometry and Core Flexibility Testing
Increased spinal motion (proprioception):
Decreases Sympathetic tone (stress response)
Increases cognition (learning)
Increases visceral function
Increased muscle tone and posture
8. Posture
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Somatic Retraction, Increased Sagittal Balance, Anterior
Weight Bearing occurs as C7 moves anterior to the sacral
base
Every inch of increase10 fold increase in posterior cervical muscle
activity (hello tight traps!!)
Resistance to compression: R= N2 + 1
Positive Sagittal Balance reduces blood flow to the brain
and senses by 30%
“All measures of health status show significantly poorer
scores as C7 plumb line increase”
Spine 2005:30(18):2023-9
Digital Postural Evaluation (posture pro)
9. Systems Evaluation
Medical Symptoms Questionnaire (MSQ)
- Identifies symptoms in most
body systems
- Quantifies patient’s level of
symptoms
- Provides a simple metric to track
patient improvement
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10. Chiropractic Biomarkers
X-ray
EMG
Thermography
HRV
Inclinometry
Muscle
testing
Palpation
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#1 Biomarker of Aging
“. . . no decline with age is as
dramatic or potentially more
significant than the decline in
lean body mass.”
J Nutr 127:990S-991S (1997)
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“What Gets MeasuredGets Managed”