Vitamin D Deficiency Is a Big Problem In West Michigan

We are now in the true middle of winter, and many people in West Michigan are experiencing Seasonal Affective Disorder. While SAD is a common challenge this time of year, Vitamin D deficiency is even more common, and most people don't realize they are deficient. Today we have a guest blogger, Dr. Daniel Hungerford, from Hungerford Chiropractic, to explain common myths about Vitamin D and how all of us in Grand Rapids and West Michigan can get the Vitamin D we need to be healthy.

Vitamin D levels are often too low for Michiganders, with an even higher rate of deficiency in western Michigan, due to increased lake-effect cloud cover. In fact, most all of us in the Northern Hemisphere might find it hard to obtain a healthy level of Vitamin D from the sun. Over the years it has become apparent to researchers that Vitamin D deficiency is a serious problem. Yet, even with these findings there is not much awareness being spread about this deficiency.

There are a few myths surrounding Vitamin D that make its deficiency more common:

Myth #1: You can get enough Vitamin D from the sun.

While it’s true that our best source of Vitamin D is sunlight, most of us, especially those of us in the Northern Hemisphere are not obtaining enough though the sun alone, particularly in the fall and winter months. It also doesn’t help that many of us have an increased indoor lifestyle. Also, most of us are in the habit of using sunscreen when we’re outside. While sunscreen is important, it does prevent the production of Vitamin D.

Myth #2: "I eat plenty of Vitamin D rich foods.”

Oily/fatty fish are the best source of Vitamin D, but most of us don’t eat this on a daily basis. Wild tuna is a good source of Vitamin D, coming in at 500 IU per portion. Interestingly enough, farmed tuna is only giving us 100 IU per portion. Cheese is another source of Vitamin D that people equate with getting their healthy levels of Vitamin D. Many people state that they drink Vitamin D milk which has 2 IU, far to low for daily recommendations. Sadly, in order to reach the recommended dose of Vitamin D, you’d have to consume 6lbs of cheese a day! Getting adequate Vitamin D through food is not a reasonable option for most Americans and supplementation fills that need in the fall and winter.

Myth #3: Only "at risk" groups need to use supplements.

Our government actually recommends everyone have Vitamin D during the winter months. The most at risk groups include:

• Infants and children under 5
• Pregnant and breastfeeding mothers
• People with little to no exposure to the sun
• People with darker skin

Myth #4: “I already take a multivitamin containing Vitamin D so I get all I need.”

Many multivitamins have low levels of Vitamin D, compared to what is required to reach an optimum level (read more myths and info about Vitamin D). Many people take multivitamins on an empty stomach which will impair Vitamin D absorption as Vitamin D is fat-soluble vitamin. This means there must be food especially fat in the stomach for the vitamin to be absorbed. People who have digestive conditions including IBS and celiac disease may not easily digest multivitamins. Other problems include the vitamin not breaking down completely or at all, with the worst offenders being tablets or gummy vitamins. Check with consumer labs to see if you have a good vitamin.

Problems with low Vitamin D levels include: increased risk of infections by viruses like influenza or bacterial infections like food poisoning, increased risk of depression including Seasonal Affective Disorder, increased risk of cancer, brittle bones such as osteoporosis, and increased chronic pain.

Most of the United States receives adequate levels of sunlight in the summer to maintain healthy Vitamin D levels. The National Institutes of Health states “… [A]pproximately [five to] 30 minutes of sun exposure between 10 [a.m.] and 3 [p.m.] at least twice a week to the face, arms, legs, or back without sunscreen usually lead to sufficient vitamin D synthesis." When the body is exposed to proper sunlight, the skin produces about 10,000 units of vitamin D. However, in the winter and in cloudy areas like Grand Rapids, deficiency rates are higher.

A question I often hear about Vitamin D deficiency is: Can you get too much vitamin D? Vitamin D toxicity is possible although it is extremely rare. Problems with Vitamin D toxicity can include nausea, vomiting, kidney problems and frequent urination. The Mayo Clinic states that “Taking 60,000 international units (IU) a day of vitamin D for several months has been shown to cause toxicity.” This is significantly higher than most forms of Vitamin D available.

The most accurate way to determine if you are deficient or not is with a simple blood test. If you would like to be a part of Vitamin D research you can participate in the D*Action Project. Also check out http://www.vitamindawarenessweek.co.uk/ for more helpful information.

Supplementing with Vitamin D is a healthy and effective way to keep yourself healthy this fall and winter.

In an effort to increase awareness about Vitamin D, Hungerford Chiropractic in Grand Rapids is giving away free Vitamin D to their patients to help protect them from the cold and flu season. As always, talk with your healthcare provider to see if Vitamin D supplementation is right for you.

References: 

Hathcock JN, Shao A, Vieth R, Heaney R. Risk assessment for vitamin D. Am J Clin Nutr 2007. Jan;85(1):6-18 [PubMed]

Joshi R. Hypercalcemia due to hypervitaminosis D: report of seven patients. J Trop Pediatr 2009. Dec;55(6):396-398 10.1093/tropej/fmp020 [PubMed] [CrossRef]

Pazirandeh S, et al. Overview of vitamin D. https://www.uptodate.com/contents/search. Accessed Dec. 12, 2017

Ebeling, P. R., Sandgren, M. E., DiMagno, E. P., Lane, A. W., DeLuca, H.F.Riggs,B. L. (1992)

Evidence of an age-related decrease in intestinal responsiveness to vitamin D: relationship between serum 1,26 dihydroxyvitamin D3 and intestinal vitamin D receptor concentrations in normal women. J. Clin. Endocrinol. Metab.75:176–182.

The aftermath of the Family Christian Stores' bankruptcy

The 2015 bankruptcy of Family Christian Stores (FCS) has toppled America’s largest Christian products distributor, Send the Light Distribution (STL), according to a June 1, 2015 article in Christianity Today. STL has shipped Christian books and other products via its global supply chain for 42 years, but the fate of Family Christian Stores, in addition to competition from online stores like Amazon, is causing it to close its doors and lay off 85 workers.

A Grand Rapids-based company, Family Christian Stores filed for Chapter 11 bankruptcy protection in February, 2015. At that time the company stated its debts amounted to $127 million dollars, while its assets totaled only $75 million. Bankruptcy judge John Gregg rejected the initial auction of the company to Family Christian Acquisitions in June, 2015, stating that behind-the-scenes contact between CEOs of both companies had denied fair bidding to competitors. In response, Family Christian Stores’ creditors were asked to vote on whether they approved the chain being sold to Family Christian Acquisitions. Overwhelmingly they voted yes due to the fact that the chain owned and operated 266 stores in 36 states and this distribution network remained a viable asset. Judge Gregg approved that sale in August of 2015, and it was sold debt-free.

As a result Send the Light Distribution had to erase debts of approximately a half million dollars at a time when many of their other customers, Christian bookstores all over the nation, were closing down as well. The Amazon business model of online sales has changed the way people buy books and other products. Offering online reviews and shipping either wirelessly via tablet or directly to the customer revolutionized the way people choose and buy books and other media. This has affected all kinds of brick-and-mortar stores, not just bookstores. Interestingly enough, sales of Christian books remain strong overall, although the sale of Christian fiction has declined some in popularity over the past decade.

Send the Light Distribution was not the only company penalized by the sale, however. Twenty-seven publishers sued Family Christian Stores in an attempt to get their books, music, and DVDs back before the bankruptcy could proceed. How they have been affected by the erasure of the debt has yet to be seen.

Peter J. and Bernard Zondervan began Family Christian Stores in 1931, and it was known as Zondervan for decades. In 1984 accounting irregularities discovered resulted in lawsuits, SEC sanctions, and shareholder losses in the millions. The company was renamed Family Bookstores in 1993 and then Family Christian Stores in 1997.

Obesity Numbers for Michigan Go Down

The health news for Michigan - not including the Flint Water Crisis - remains a concern for the majority of our adult citizens. The website State of Obesity reported in 2015 that, according to its updated numbers, obesity in Michigan appeared to be leveling out after a sharp rise from 13.2% in 1990 to 31.5% in 2013. It was 30.7% in 2014.

This may not seem to be much, it means that Michigan has dropped from being one of the Top 10 most obese states down to 17, below other Midwest states like Indiana, Ohio, and Wisconsin. Sadly, all of the fifty states have obesity rates above 20% and many of them much, much higher. Obesity is highest in the 45-64 category and lowest in the 18-25 category. Men in Michigan are slightly more likely to be obese than women, and Blacks and Latinos are both more likely to be obese than Whites. Adults are considered to be obese if their body mass index (BMI) is greater than 30. Adults with a BMI of higher than 25 but lower than 30 are considered overweight. Combining both overweight and obese adults, two-thirds of adults in Michigan are heavier than what is considered a normal weight.

Recent university research has revealed that childhood sweet cravings are a good predictor of later weight gain and adult obesity. Childhood obesity is also a problem in Michigan, although the percentage of obesity children ages 2-4 in low-income households also dropped with the most recent survey.

While individually people tend to look at weight gain and the health problems associated with it as an individual’s struggle, the fact is that there are long ranging consequences for the state at large because of obesity which is why researchers are looking into childhood obesity predictors and what other root causes could be behind these trends. Not only are diabetes, hypertension, and a host of other physical problems linked to weight gain, but much of the damage done is permanent. Losing weight will help alleviate many dangerous or uncomfortable health conditions, but it will not reverse the stress placed on internal organs or the stretching of skin the results from large weight gain.

Finally, losing hundreds of pounds is not only very difficult, but most people who accomplish it are not able to maintain that weight loss and gain it back over time. This is why researchers want to bypass childhood and mid-life weight gain so that the overall quality of health of the U.S. population is better.

In Kent County the percentage of obese adults is 29%. Women have a slightly lower rate at 28% than men, 30% of whom were obese.  

The West Michigan brain gain

At one point in time, only a few decades ago, Michigan was essentially synonymous with an achievable middle class lifestyle. The Big Three employed a variety of people from all socio-economic strata, and manufacturing was strong state-wide. Unfortunately globalization, NAFTA, and the economic meltdown of 2008 took a harsh toll on the average citizen’s income, and the result was many people left the state looking for other opportunities.

The economy in West Michigan, however, has diverged from that pattern and is also attracting young professionals to the area, reversing the trend of brain drain the rest of the state has experienced. As the West Michigan economy continues to improve and grow, what will be the effect on its Millennial demographic?

What we know right now is good news. Last year Kent County topped the list for jobs gained in the state. Population-wise, the area has seen growth as well. In the Greater Grand Rapids area, including Barry, Kent, Montcalm, and Ottawa counties, the total population last year was 1,034,840, with a growth rate of 4.6% over the past five years. Out of that population approximately 60% of adults have at least some college education.

According to Paul Isely, Associate Dean of GVSU’s Seidman College of Business, 80-90% of GVSU’s graduates remain in Michigan. Given the trend of Millennials continuing to live with their parents after college, no doubt a significant number of GVSU’s graduates remain in state because their families are here. The diverse economy, however, has given rise to a number of professional jobs that require skill and training, and that means that West Michigan gets to keep more of its young people for itself.

In 2015, Aaron Renn released the findings of a study that indicated that the Greater Grand Rapids area had seen a 45.6% brain gain - that is, an increasing population of highly educated residents between the years 2000 and 2013. Due to this gain, we are seeing Grand Rapids and the West Michigan area remake itself to cater to a resident with more urban sensibilities. The improvement of Grand Rapids’ bus transit system, the RAPID, and the spreading reach of bike paths through the area have allowed young people to live within the city and more easily commute to a job elsewhere.

Downtown and throughout the city more live-work spaces have been developed from former commercial and manufacturing buildings, allowing for neighborhoods that are not just residential, but multi-use. This kind of housing availability will serve to attract more young professionals of the creative class to West Michigan.

The area is not experiencing an aging population trend like many places, but has a mixed population of old, middle-aged, young people, and children. This is a much more positive sign for the future of this city and larger West Michigan. Its hospitals, research facilities, engineering software companies, and manufacturing sector will have talent to draw from to improve the area's future well into the twenty-first century.

Will Grand Rapidians rely on the co-op option for downtown housing?

Grand Rapids has a very low vacancy rate for its rental housing. It has, in fact, the lowest vacancy rate in the nation -- 1.6 percent -- for a number of reasons. As a result of the housing meltdown and the Great Recession, many Americans have damaged credit and cannot qualify for a mortgage or, having lost their homes, do not want to invest in home ownership again. Also pushed into the renters’ market are young college graduates. A generation or two ago, young professionals would have been looking for houses to purchase, but now they are burdened with student loan debt or have relocated to find work and don’t want to explore longer-term options.

Grand Rapids also has a number of colleges, including Grand Valley State University and Grand Rapids Community College, both of which are located downtown where demand for housing is already high. Additionally, while Americans in the latter part of the 20th century were eager to move out of the city and to the suburbs, that trend is reversing as younger people struggle to afford cars and pay for gas on stagnant wages and with fewer job opportunities. As restaurants, breweries, farmer’s markets, sports and cultural venues continue to multiply in Grand Rapids, people of all ages want to be on hand to enjoy them.

Furthermore, the majority of Baby Boomers are not yet ready to retire, often because they lost money in the recession. Unlike their parents, many Boomers do not own their housing outright and will have to make different choices than their parents did when Social Security becomes their main source of income.

Given that the housing market downtown is already tight and the price of housing is rising, what are the options for people seeking to live downtown who cannot afford sky high rents? One type of housing is being floated as a way to reconcile supply and demand: co-ops.

Co-operative housing is a less private and more communal way of living that allows people to get to know each other and pool their money to better afford both room and board. Typically, co-op residents have private bedrooms but share kitchen and living areas. Co-op ownership options vary, but frequently co-op residents share household chores and pay fees that provide meals and utilities at a much reduced cost. Nationwide there are co-ops that are created to meet the needs of single people, creative groups, college students, retirees, and families. The rules and requirements of each of these will vary according to the special needs of the groups these co-ops serve.

Could offering more co-op housing options help more people be able to enjoy the city’s expanding list of cultural and culinary venues? The answer is obviously yes. By reducing the cost to live downtown these residents will be able to spend money they would have allocated to rent on healthcare, dental care, organic food, theater tickets, dining out, and travel. In some areas, however, home owners are pushing back against the idea of co-ops, worried that their residents will be loud and unpleasant neighbors. Whether the city will allow more co-ops to open and groups of people will choose to embrace co-ops as a solution to current societal problems remains to be seen.

Is Our Water Safe to Drink?

With the Flint water crisis being in the news now for weeks, it's very likely that citizens from all over Michigan are asking themselves if they can trust the water coming from their faucets. Certainly Grand Rapids residents aren't the only one wondering if their water is potable or if it's full of harmful bacteria and toxic chemicals.

To begin with, it's important to note that Grand Rapids City Deputy Manager Eric DeLong says that the water in the Grand Rapids area is safe to drink. That water comes from Lake Michigan, is treated in West Olive, and is piped in from there to residents' homes. It is checked at multiple points to determine that it meets specifications for drinking water safety. The Grand Rapids Water Systems sends out an annual water quality report detailing how it makes sure that the city's water is safe to drink.

Also, Grand Rapids has a history with its water. Its location on the Grand River facilitated its success as the Furniture City, and Grand Rapids was the first city to implement a policy of adding fluoride to it public water system in 1945.

The problem in Flint appears to be one of oversight and accountability, but it's clear the public doesn't understand what the risks with untreated water are either. Water is most often contaminated because of how humans behave around water sources. Toxic chemicals get dumped in streams, river, and lakes. People don't keep their drinking water separate enough from the water they use to clean, bathe, urinate, or defecate in. Very frequently the water-borne illnesses travelers pick up in other countries are because the water is not sufficiently treated to remove germs, bacteria, or parasites.

One of the larger problems with the Flint case is the lead currently found in the drinking water. Heavy metals including lead dissolve in water when it flows through pipes or within the natural aquifers the water is taken from. Sometimes people notice it, such as when water has an iron taste or stains a sink red over time. Mostly it's invisible, though. Unfortunately, once a person has ingested heavy metals, they are hard to remove from bodily tissues. Instead, they build up over time and eventually interfere with numerous bodily processes in various ways. The simplest way to treat heavy metal poisoning is not to be exposed to heavy metals in the first place. It's hard to recommend that as a strategy after exposure has already occurred, however.

A good water treatment system has multiple steps included in order to remove all of the above hazards and more. These include coagulation and flocculation, sedimentation, filtration, and disinfection. The water must be well monitored over time to make sure the system is working and consistently. In Flint neither of these were done effectively.

This is certainly not the first time the public has gotten nervous about contamination. Now that such a large percentage of our food comes from hundreds or thousands of miles away and is subject to contamination anywhere from point of origin to each loading dock stop it makes. We all rely on both municipal systems and government oversight to maintain public health. The question is, can we trust these people to do their jobs?

Tight housing market in downtown Grand Rapids continues to expand

The diversified and growing West Michigan economy has benefited Grand Rapids residents and communities in the past several years, making this area a desirable place to live and work. This has lead to a tightening market for housing downtown, however. Not only are condos and apartments difficult to find in Grand Rapids, they’re also getting more expensive for those who can locate them.

Triad Real Estate Partners released a December report which found that, for the 50 apartment complexes surveyed, 98% of units are currently occupied by tenants. Many factors are at work in the city’s renaissance, but solid city planning, a growing number of jobs in the educational, healthcare, and manufacturing sectors, and a low cost of living are luring new people to the area to stay and settle in the city Forbes Magazine ranked as #1 in the country for raising a family. In fact, the unemployment rate in the area dropped to 3.1%, making it one of the lowest in the country.

Currently, the average rate for a one-bedroom apartment in the Grand Rapids area is $728 a month. Rates on all types of apartments increased an average of 5% in 2015, but analysts do not expect this trend of inflation to continue unchecked. More and more developers have been feeling out the West Michigan market, and construction is already well in process in many places around the city.

Just this week the Woda Group, an Ohio-based developer announced plans to build a $12 million dollar affordable housing development on Front Avenue NW. The project, to be named Grand View Place after its location on the Grand River, will have 68 units and consist of both apartments and townhouses. Construction will begin this coming summer.

Also this week the Grand Rapids Area Community Foundation announced a $500,000 grant to Habitat for Humanity of Kent County for renovation and revitalization of housing on the city’s West Side. This money should allow 120 homeowners to achieve affordable housing for themselves and their families.

Other projects, such as the Clancy Lofts overlooking Division and the Medical Mile are expected to be completed this year and will offer further variety for downtown renters seeking a place to live. Whether the planning and construction of these projects will continue apace with burgeoning demand is something that remains to be seen, but for now area renters can expect to have to search and pay more than they’ve had to in the past.