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Winter Health & Hormones


Winter blues

The shorter days of winter are commonly associated with seasonal affective disorder (SAD). Around 2% of people in the UK experience SAD, and it is four times more likely to occur in women than in men. Approximately 20% of the population experience a milder form of the condition, commonly known as winter blues. The exact cause of SAD is not yet known for certain, but it is clear that hormones play a role.

Melatonin

During autumnal and winter months, levels of the hormone melatonin are higher compared to spring and summer months. Melatonin is the hormone responsible for regulating our sleep-wake cycle, known as our circadian rhythm by initiating and maintaining sleep.

Levels of melatonin respond to light levels; levels are high during the night and low during the day. In winter, when there are fewer light hours, our levels of melatonin are elevated, and this is associated with drowsiness and a low body temperature.

Serotonin

Decreased levels of sunlight have also been associated with a drop in serotonin. Serotonin is the hormone associated with good mood, and it also regulates appetite and sleep. Low levels of serotonin are associated with symptoms of depression.

The action and production of serotonin is closely linked with estradiol. Studies have demonstrated that levels of estradiol also fall during winter months, and this may help to explain why women are more susceptible to SAD than men.

Thyroid Stimulating Hormone

Studies have shown that levels of thyroid stimulating hormone (TSH) increase during the winter and decrease during the summer in both healthy people and people with hypothyroidism. Symptom of raised TSH include low mood, fatigue, weight gain, an intolerance to cold and memory problems, commonly described as a ‘brain fog’.

Researchers suggest that our bodies may be trying to cope with the cold, or compensate for it, by increasing hormone levels to generate heat. However, elevated TSH is diagnostic of mild hypothyroidism, and as a result many people are misdiagnosed with hypothyroidism, when the cause of their symptoms is in fact the change in weather.

Winter illnesses

You might notice that at this time of year people are more likely to fall ill with viruses, such as the cold or flu. Scientific studies suggest that the cold weather may alter our immune system, making it more difficult for our bodies to fight infection. A recent study in animal models found that exposing the airways to cold temperatures decreased the immune response to the cold virus.

A reduction in vitamin D levels can also impact our immune system. Known as the ‘sunshine’ vitamin, vitamin D it is produced in the skin in response to sun exposure. Therefore, the body produces less of it during winter. It plays an important role in maintaining the immune system and producing the cells that fight infections.

Spending more time indoors may also contribute to the increased risk of catching a cold during winter months, as we are more likely to pick up bugs when we are in close contact with other people. In addition, feelings of fatigue and stress, common at this time of year, can also impact your immune system, leaving you more susceptible to colds and flus.

What can we do to stay healthy in winter?

Between changes in hormones and having a run-down immune system, the winter months can often feel like a struggle. The good news is that there are some simple ways to support your hormones and immune system, to make sure you feel good all year round.

Soak up some rays

You should try to get as much exposure to natural sunlight as possible. Research shows that as little as 20-30 minutes of sun exposure per day is beneficial for health and well-being. An easy way to achieve this is to take a short walk during your lunch break. An added benefit of this is that physical exercise increases the release of serotonin, which can improve mood.

Another option is to try indoor light therapy. Light boxes can trick your body into thinking it is being exposed to natural sunlight. Several clinical studies have shown that light therapy can significantly improve symptoms of SAD and can be a useful intervention for patients with depressive symptoms.

Eat well

The cold weather can make us crave carbohydrates and sugary food; however, these foods can make us feel even more fatigued after the initial energy boost wears off.

A healthy, balanced diet, with fruit and vegetables, protein-rich nuts, pulses and eggs, and foods with omega-3 fatty acids such as oily fish, flax seeds and spinach can help to improve your energy levels. Limiting your intake of caffeine can also help to keep you sleep-wake cycle on track.

It is also important to ensure that you get enough vitamin D to keep your immune system strong. It can be difficult to get the recommended amount from food alone, so it is recommended that everyone take a daily 10mcg vitamin D supplement during winter and autumnal months.

Including foods rich in vitamin C, such as bell peppers, broccoli, Brussel sprouts and oranges, can also help to boost your immune system. Whilst vitamin C does not prevent colds, it has been shown to reduce the duration and severity of them.

These tips can help you to keep in to ensure that you don’t miss out on any of the fun of the festive season.

References

Melrose, S. (2015). Seasonal Affective Disorder: An Overview of Assessment and Treatment Approaches. Depression Research and Treatment.
NHS. (2018). Seasonal affective disorder. Available: https://www.nhs.uk/conditions/seasonal-affective-disorder-sad/ [Accessed November 2019].
Society for Endocrinology. (2018). Melatonin. Available: https://www.yourhormones.info/hormones/melatonin/ [Accessed November 2019].
Kim, T.H. et al. (2013). Effect of Seasonal Changes on the Transition Between Subclinical Hypothyroid and Euthyroid Status. The Journal of Clinical Endocrinology and Metabolism.
Bjørnerem, A. et al. (2006). Seasonal Variation of Estradiol, Follicle Stimulating Hormone, and Dehydroepiandrosterone Sulfate in Women and Men. The Journal of Clinical Endocrinology and Metabolism.
McMahon, B. et al. (2016). Seasonal difference in brain serotonin transporter binding predicts symptom severity in patient with seasonal affective disorder. Brain: A Journal of Neurology.
Levitan, R.D. (2007). The chronobiology and neurobiology of winter seasonal affective disorder. Dialogues in Clinical Neuroscience.
Heijnen, S. et al. (2016). Neuromodulation of Aerobic Exercise – A Review. Frontiers in Psychology.
Rosenthal, N.E. (2006). Winter blues: everything you need to know to beat seasonal affective disorder. New York, NY: Guilford Press.
Perera, S. et al. (2018). Light therapy for non-seasonal depression: systematic review and meta-analysis. The British Journal of Psychiatry.
Nair, R., Maseeh, A. (2012). Vitamin D: The “sunshine” vitamin. Journal of Pharmacology and Pharmacotherapeutics.
Public Health England. (2016). Government Dietary Recommendations. Available: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/618167/government_dietary_recommendations.pdf. [Accessed November 2019].
Berryman, D. (2016). 10 Diet tips to ease the symptoms of SAD. Available: http://www.sad.org.uk/10-diet-tips-ease-symptoms-sad/. [Date accessed: November 2019].
Hemila, H., Chalker, E. (2013). Vitamin C for preventing and treating the common cold. Cochrane Database of Systematic Reviews.
Foxman, E.F. et al. (2015). Temperature-dependent innate defense against the common cold virus limits viral replication at warm temperature in mouse airway cells. Proceedings of the National Academy of Sciences of the United States of America.
Gil, A., Plaza-Diaz, J., Mesa, M.D. (2018). Vitamin D: Classic and Novel Actions. Annals of Nutrition and Metabolism.

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