September 13, 2012

College Health Survival Kit.

College can be one of the most challenging times to stay healthy.

Suddenly, things like basic nutrition and sleep are taken for granted, resulting in compromised immunity and making students susceptible to colds, acne, hormonal issues and more.

With six kids, two in college and one a college grad, I have had firsthand experience keeping my kids, and many of my patients’ kids, healthy and happy during those challenging college years.

To navigate the late night exhaustion, lack of nutrition, extreme amounts of schoolwork, a compromised immune system, a trashed digestive system, the ever-present social and emotional stress, and, oh yes, that thing called partying, I have put together a College Survival Kit and set of strategies that these kids seem to really need!

If you have kids in college, read on.

Five Triggers for Compromised Immunity

Perhaps the most common symptom I see in my practice with college kids is a compromised immune system. They get sick a lot! I find it easier to keep toddlers and elementary school kids healthy compared to college kids. The causes are clear:

1. Late nights
2. Stress
3. Cramming
4. Bad food
5. Partying to de-stress

These triggers seem to be responsible for most of what typically ails college kids, including:

•    acne
•    insomnia
•    heartburn
•    constipation
•    hormonal issues
•    lack of concentration
•    mood issues

Depression is a Close Second

Probably the second most common symptom I see in college students is depression. Basically, you need energy to be happy, have a stable mood, sleep through the night and focus.

Last year, my son invited me to sleep in his dorm room, and I did! The deafening roar from the hall and the open window to the courtyard below seemed to escalate from midnight to almost two a.m., and finally, by three a.m. most of the commotion died down and I finally fell asleep. At breakfast, I learned that was a pretty typical weekday night. I didn’t dare ask about the weekends!

College kids become exhausted without realizing it. The more tired they get, the more wired they become. The term “wired and tired” means that you are so exhausted that you do not have the energy the body needs to settle down and sleep, stabilize moods, and muster the energy to focus or find the joy in your life.

Additionally, while indigestion is common and easy to discuss with peers, many of the mood issues like sadness, depression and loneliness are not socially acceptable conversations so they often get internalized and buried.

The College Survival Kit

I do my best to motivate kids to follow a better lifestyle. This is much easier as kids move out of the dorms into smaller or more private housing where they can live the lifestyle they choose rather than be swept up by the incessant late night party roar.

Here are some of my favorite tips:

1.    Sleep: College Style
While I make a case for early to bed early to rise, I often am outvoted by that late night roar. But, if they are up until 2AM studying, partying, or chilling with friends, they often have time during the day to catch a nap and reboot. It is when sleep is missing regularly over an extended period of time that a strong immune system, stable moods, and a good night’s sleep vanish! Get it whenever you can!

Back in the 60s, a college kid from California decided to attempt breaking the record for not sleeping. Researchers at Stanford followed him to document the effects of no sleep. He did break the record and stayed awake for 11 days, but not without extreme changes in his mood and behavior. Throughout the period, he became violent, blamed the researchers for making him do this and, by the end, this skinny white kid was convinced he was a black NFL running back.

Sleep is needed for our sanity. While it is much better to get it at night, a midday nap during a break is better than nothing!

2.    Food
Pizza and beer may be the most popular meal on campus, but clearly falls short of delivering the nutrition college kids need. The most common mistake kids make is that they don’t eat at all, or frequently miss meals. Make an effort to get your kids to eat three times a day at least.

Instead of a Cliff Bar and coffee for breakfast, pizza for lunch with a coke and nachos for dinner, not to mention snacks as-needed throughout the day, see if you can lobby for three filling meals that they actually sit down for.

Sitting and eating a meal until you are full is what kids need to deliver enough energy to sit though classes all day, with enough energy left over to study at night. Snacks for college kids are fine, as long as they do not interfere with, or replace, a healthy meal.

3.    Stimulants
Sadly, our culture is more demanding now than ever before. Without adequate nutrition or sleep, kids are drawn to coffee, Red Bull-like beverages, Five-Hour Energy, and even drugs like Adderall and others, to stay up at night and study. Not sleeping on the weekends catches up with them on Monday and then, exhausted, they look for ways to boost or stimulate themselves to focus and concentrate. This leads to deep fatigue and exhaustion.

Pointing out that the need for these stimulants is a sign of deep fatigue and soon the body will give out is our job as parents. The body cannot be pushed so hard for so long and not break down.

Sometimes, these talks seem to go in one ear and out the other, but as parents, we have to keep trying. Who I see in my practice are the kids who did break down; the kids whose bodies couldn’t endure the wear and tear.

To help antidote college burnout, I am a firm believer in the lifestyle changes I mentioned, along with three supplements essential to supporting immunity, mood, energy, and focus.

4.    Vitamin D: Supports Immunity and Mood Stability
Up to 87 percent of folks in the Northern Hemisphere have a Vitamin D deficiency in the winter (1). With the majority of colleges located in the northern half of the US, many college kids just don’t get enough sun to manufacture adequate amounts of Vitamin D.

Seasonal affective disorder (SAD), often termed “winter depression,” has been linked to low serotonin levels, which may be caused by Vitamin D deficiency* (2). Vitamin D levels often plummet in the winter.

Vitamin D expert, Dr. John Cannell, developed a theory that the flu is seasonal because of seasonal variations in sunlight, which cause fluctuations in Vitamin D levels (3,4,5).

Vitamin D activates genes to protect antimicrobial peptides or AMP, which govern our immune systems and support the body’s ability to fight viruses like influenza (6). Vitamin D is converted into its potent form in the respiratory cells, a process that supports respiratory immunity (7). Vitamin D also supports a healthy inflammatory response. Inflammatory cytokines are thought to be responsible for the pain and misery associated with the flu (8).*

Vitamin D Dosage: During the fall and spring college terms, I suggest 5000IU each day. In May, after school is out, I recommend getting a Vitamin D test to confirm your child is in the optimal range, which is 50-80 ng/ml. Vitamin D levels can easily be tested from home with a Vitamin D Testing Kit.

5.    Ashwaganda: Rejuvenation and Stress Support
Ashwaganda is an herb that is becoming famous for its adaptogenic properties, meaning it supports the body’s natural ability to cope with stress.

In one study, Ashwaganda was shown to both increase and decrease cortisol, a stress fighting hormone, based on what the body needed at the time. In times of exhaustion, cortisol levels plummet, while when over-stimulated or stressed, they can rise (9).

Ashwaganda is therefore not a stimulant nor a sedative, it just provides deep rejuvenative support. Ashwaganda is also an herb that is commonly used for supporting energy before a sporting event or a stressful endeavor (10).

Most college kids battle chronic fatigue and exhaustion, particularly during exam time. Ashwaganda seems to provide the deep rejuvenative and stress-fighting support most college kids lack.

Ashwaganda Dosage: 500 – 1000mg (one to two capsules) of the whole herb with breakfast.

6.    Turmeric:  Supports and Immunity
Experts now believe that up to 80 percent of the immune system is found in the gut. Thus, nutritional food supports a healthy gut and a healthy immune system. Unfortunately, most college kids struggle to get healthy food on a regular basis.

Though poor food quality is a cause of poor digestion and compromised immunity, stress takes the number one spot responsible for weak immunity.

Stress receptors line the gut and, when kids are under a lot of stress, the intestinal mucous membranes produce excessive reactive mucus. This reactive mucus may compromise absorption and detoxification pathways in the gut, leading to congestion in the body’s lymphatic system, which also lines the gut.

Turmeric supports the mucosa of the gut, thins the mucus, and supports the flow of bile.*

In addition to breaking down nutritional fats that we need, bile is also your body’s primary immune response in the gut to emulsify toxic chemicals and other fat-soluble toxins that you may have ingested. These include heavy metals, parasites, pesticides, candida, fungi and more.

Cognitive Support: Turmeric has at least 10 neuro-protective actions that support healthy cognitive function (11) which may be important in a college environment of late nights and parties. Because the brain is predominately fatty tissue, fat-soluble toxins, chemicals, and certain drugs may accumulate in the brain and cause damage.* As a fat-soluble substance, turmeric may have an affinity for chelating (removing) fat-soluble toxins out of the deep tissues.*

Turmeric crosses the blood-brain barrier, where it may attach to neurotoxins and support healthy antioxidant activity (12).*

Turmeric Dosage: 500 – 1000mg (one to two capsules) of the whole herb with breakfast.

Parenting College Kids

If you are the parent of a college student, the key here is to not fight the system and, as parents, support our children as they navigate college life. It has been my experience that kids figure out soon enough that the college lifestyle is a drain. While these strategies offer support right away, most kids eventually choose a healthier lifestyle. It is our job as parents to introduce this to them.


1. J Clin Endocrinol Metab. 2002 Nov; 87(11): 4952-6.
2. AM J Clin Nutr. 2007 Mar; 85(3): 860-8.
3. Virol J. 2008; 529.
4. Epidemiol Infect. 2006 Dec; 134(6): 1129-40.
5. Partonen T. Vitamin D and Serotonin in the Winter, Med Hypotheses. 1998  Sept;51(3):267-8.
6. Science News. 2006 Nov 11: 312-3.
7. J Immunol. 2003 Dec 15; 171(12): 6690-6.
8. Armas LA, Hollis BW, Heaney RP. Vitamin D2 is much less effective than Vitamin D3 in humans. J Clin Endrinol Metab. 2004;89(11)5387-91.
9. Kumar A, Kalonia H. Protective effect of Withania somnifer Dunal on the behavioral and biochemical alterations in sleep-disturbed mice (and over water suspended method). Indian J Exp Tiol. 2007;45:524-528.
10. Sudhir S, Budhiraja R, Migiani G, et al. Pharmacological studies on leaves of Withania somnifera. Planta Med. 1986;52:61-63. 27 Naidu P, Singh A, Kulkami S. Effect of Withania
11. Adv Med Biol. 2007;595:197-212.
12. Chem. 2005 feb 18;280(7):5892-901.


Editor: Kate Bartolotta

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