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Park Zeit<br />

Park Igls Guest Magazine<br />

Winter <strong>2021</strong>/2022<br />

8<br />

GIVE ME A HUG! –<br />

AS IMPORTANT AS EVER<br />

14<br />

SPECIAL TOPIC:<br />

DEM<strong>EN</strong>TIA<br />

24<br />

FERM<strong>EN</strong>TING –<br />

FOREVER IN VOGUE


4<br />

Long Covid: Fatigue<br />

Fatigue is one out of a number of potential<br />

long-term effects of a Covid-19 infection<br />

8<br />

Give Me a Hug!<br />

Finally! We are hugging again – what a hug<br />

means for us<br />

11 Breathing<br />

Conscious breathing bears great potential<br />

for our mental, physical and emotional<br />

wellbeing<br />

SPECIAL TOPIC: DEM<strong>EN</strong>TIA<br />

Have you<br />

got a minute?<br />

I’ve got<br />

something<br />

I need<br />

to tell you,<br />

Ms Gnägi.<br />

When conversations start out this way, it's usually<br />

not clear in which direction the talk might go. We’ve<br />

all been there before: You’re not entirely sure if<br />

you’re about to hear something you’d rather not<br />

know or even discuss. Or perhaps it’s some positive<br />

news after all?<br />

Either way, suddenly you’re all ears because starting<br />

out a conversation this way is a sure-fire way to<br />

grab someone’s full attention. It is for me anyway,<br />

as a trained lawyer and passionate hostess at our<br />

health centre. I'm an optimist by nature. That almost<br />

always helps. The start of the conversation quoted<br />

in the title of the article was actually the beginning<br />

of a compliment.<br />

IMPRINT<br />

Responsible for the content:<br />

Gesundheitszentrum Igls GmbH,<br />

Igler Str. 51, 6080 Innsbruck-Igls,<br />

Austria<br />

Tel. +43 512 377 305<br />

Fax +43 512 379 225<br />

info@park-igls.at<br />

www.park-igls.at<br />

EDITORIAL TEAM:<br />

Andrea Gnägi (MA), Dr Peter Gartner,<br />

Michael Weiß, Franziska Lipp (MA),<br />

Helene Forcher (MA)<br />

Subject to changes and<br />

grammatical errors.<br />

EDITORIAL CONCEPT AND<br />

COPYWRITING HEAD<br />

Michael Weiss, www.weiss-pr.at<br />

CONCEPTION AND DESIGN<br />

www.studioway.ch<br />

EDITING<br />

Merle Rüdisser (MA), Innsbruck<br />

PHOTOGRAPHY<br />

Fred Einkemmer, Christian Forcher,<br />

Martina Meier, Maricruz Aguilar<br />

PRINTING<br />

mst druckoptimierer<br />

Circulation: 2,500 copies<br />

© September <strong>2021</strong><br />

Printed on Circle Volume White from<br />

100% recycled paper. Awarded the<br />

Blue Angel Ecolabel, EU Ecolabel,<br />

FSC ® -certified<br />

14<br />

20<br />

24<br />

30<br />

34<br />

39<br />

A Topic We Need to Discuss<br />

More Openly<br />

A healthy lifestyle is the only way to reduce<br />

the risk of dementia<br />

Brain Training<br />

Our ‘CPU’ needs regular training, too<br />

A Kitchen Trend that<br />

Never Goes out of Style<br />

Fermented vegetables – for joy on the taste<br />

buds and order in the gut<br />

The Mouth is a Gateway<br />

to Health – and<br />

to Some Diseases<br />

Interview with Dr Walter Wille-Kollmar and<br />

Dr Peter Gartner<br />

A Good Night’s Sleep<br />

Healthy sleep is an efficient and essential<br />

source of energy<br />

Mayr Programmes<br />

New Specials for your health<br />

One of our guests, who I met at our tea bar, came<br />

up to me and said: “Have you got a minute? I’ve<br />

got something I need to tell you, Mrs Gnägi. I’ve<br />

seen and experienced a lot both professionally<br />

and in my private life. But I have never experienced<br />

the warmth with which I have been cared for here<br />

by all members of staff. Everyone here is so<br />

incredibly nice. That's unique, so I just wanted to<br />

say congratulations!"<br />

Why am I sharing this story with you? Such<br />

compliments make me very happy and also make<br />

me so very proud of our entire Park Igls team. And<br />

I would like to take this opportunity to thank all of<br />

our dedicated employees. I know that in addition<br />

to our high level of medical and therapeutic<br />

competence, it is precisely this cordiality that is<br />

also a decisive reason why people come to us in<br />

Igls again and again to actively do something<br />

positive for their health in an environment offering<br />

utmost discretion.<br />

In the meantime, stay healthy! And do leave me a<br />

message letting me how you liked this issue.<br />

andrea.gnaegi@park-igls.at<br />

Sincerely yours,<br />

Andrea Gnägi (MA) & the Park Igls team<br />

2 EDITORIAL 3


LONG COVID / FATIGUE<br />

Full Stop<br />

With Covid-19 and Long Covid on the rampage,<br />

the concept of fatigue has become better<br />

known to the general public.<br />

What do you need to know about<br />

this condition of extreme physical, mental<br />

and emotional exhaustion?<br />

4 LONG COVID / FATIGUE LONG COVID / FATIGUE 5


The word fatigue comes from Latin (fatigatio =<br />

fatigue). Since the advent of SARS-CoV-2, and<br />

Long Covid disease in particular, fatigue has now<br />

become a common term in many languages.<br />

Physical, mental and emotional exhaustion is one<br />

of the most common symptoms of Long Covid<br />

worldwide. Fatigue has been well understood in<br />

oncology and cancer therapy for a long time, as it<br />

often occurs during tumour treatment.<br />

DR IR<strong>EN</strong>E BRUNHUBER<br />

“It's hard to imagine,<br />

but it's like when you just<br />

pull the plug”<br />

"Fatigue is one of many possible long-term<br />

consequences of Covid-19," says internist and<br />

Mayr physician at Park Igls, Dr Irene Brunhuber.<br />

However, there is still a dearth of long-term<br />

studies and research on this topic, which is<br />

currently being studied intensively, for example,<br />

at the Charité-Fatigue-Zentrum in Berlin. As an<br />

internist, Dr Brunhuber is following these<br />

developments with great interest, as well as<br />

relevant studies and research results worldwide.<br />

"We just don't know enough yet. In any case, it is<br />

positive that fatigue is widely discussed as an<br />

illness, because those affected (apart from<br />

the symptoms) still suffer greatly from the fact<br />

that it is too rarely diagnosed correctly," says<br />

Dr Brunhuber.<br />

A DIFFICULT DIAGNOSIS<br />

Not having one’s complaints taken seriously<br />

is always a problem for every patient. Because<br />

Long Covid was completely new, it hit and still<br />

hits people suffering from fatigue with full force:<br />

“People suffering from this condition who claimed<br />

exhaustion were simply told ‘yeah, we’re all<br />

exhausted, so what you’re experiencing can’t be<br />

that bad.’ I also know that such patients are often<br />

considered to be going through something<br />

psychosomatic. In reality, however, this can be a<br />

serious misdiagnosis," says Brunhuber.<br />

What Brunhuber tells us about people who<br />

have been diagnosed with fatigue after Covid-19<br />

is truly depressing. Even one of her friends also<br />

suffered from this condition terribly. She is a<br />

doctor herself, a mother of three teenage sons,<br />

and the "type of woman where you say to<br />

yourself: She takes care of her health, she’s very<br />

active at work and in her private life, and she’s<br />

really physically fit. And even though she lives her<br />

life at a fast pace, she has her job, her private life,<br />

her responsibilities totally under control. She’s<br />

the type of person who really has things together,"<br />

says Brunhuber, describing her doctor friend.<br />

Today, more than a year after the illness and after<br />

a one-month stay in rehab, she is back at her job.<br />

But she still doesn’t feel fit, not like she did before.<br />

"It's hard to imagine, but it's like when you just<br />

pull the plug. Fit people are no longer able to<br />

cope with their normal routines. Sufferers often<br />

say it’s impossible for them to even make a<br />

telephone call. The smallest, supposedly simple<br />

and self-evident tasks in everyday life suddenly<br />

no longer seem manageable," says Irene<br />

Brunhuber, describing the information given by<br />

those affected. “This has enormous consequences<br />

on their professional and private lives." Even<br />

though there is not yet enough concrete<br />

information and data on this subject, what we do<br />

know shows that the condition can affect<br />

individuals of any age and is completely<br />

independent of the severity of the initial Covid-19<br />

disease. Women also appear to be more<br />

commonly affected than men.<br />

A HARD JOURNEY BACK<br />

When it comes to fatigue symptoms in Long<br />

Covid patients, the focus is on rest as well as<br />

slowly and carefully reintroducing the affected<br />

person to the challenges of everyday life. For<br />

many, not taking on too much right away is an<br />

often insurmountable hurdle to overcome.<br />

"Because sometimes it's better, sometimes it's<br />

worse during recovery," says Brunhuber. And, as<br />

is the case with her friend the doctor, "even if<br />

you're used to a fast pace in your professional<br />

and private lives, after slowing things down to a<br />

full stop, you’d be well advised to pick up the<br />

pace again very slowly, step by step and<br />

cautiously."<br />

“Being mindful<br />

of your own health<br />

is one of the most<br />

important lessons”<br />

Dr Irene Brunhuber MD<br />

Specialist for internal medicine, Mayr physician with an<br />

additional diploma in orthomolecular medicine<br />

The special "Fit after Covid" programme has<br />

been offered at Park Igls since late 2019.<br />

Dr Irene Brunhuber played a leading role in<br />

developing this programme along with the<br />

medical management team. It is designed to<br />

help people who have already been sick with<br />

Covid-19. How does the programme aid<br />

recovery?<br />

Who is it suitable for?<br />

The programme is primarily aimed at people<br />

who have already had Covid-19 and includes<br />

comprehensive diagnostics and therapy.<br />

What does the programme entail?<br />

In addition to a medical check-up, which is<br />

carried out for all programmes at the beginning<br />

of the stay, we check the status of the lung<br />

function and carry out a medical performance<br />

diagnosis as well as a special physiotherapeutic<br />

assessment. By means of our in-house blood lab,<br />

we also exclude myocardial damage, which is not<br />

uncommon with Covid-19. These are central<br />

building blocks.<br />

Do more men or women book this programme?<br />

Just about equal. What we are finding is that<br />

many of our regulars are interested in the<br />

diagnostics of this programme. This can of<br />

course be added on during a stay here.<br />

Why is Park Igls so good at helping people?<br />

Those that come to us are interested in tailormade<br />

treatment both diagnostically and<br />

therapeutically. In other words, the therapy<br />

offered is personalised and fits to the needs of the<br />

patient. That's what makes our treatment stand<br />

apart, and that individuality is immensely<br />

important, especially after a Covid-19 infection.<br />

When should one book the "Fit after Covid"<br />

programme?<br />

Are you chronically tired, lacking drive or<br />

strength? Do you have headaches, insomnia,<br />

persistent irritable cough, shortness of breath,<br />

or difficulty concentrating after having had<br />

Covid-19? We can usually achieve good results<br />

with this programme for effective regeneration.<br />

And what about strengthening the immune<br />

system?<br />

Exactly, this is quite essential in the context of<br />

Mayr-Prevent medicine. But we are interested in<br />

more than just strengthening the immune system.<br />

Our cures or special programmes are about so<br />

much more. One of the most important lessons is<br />

mindfulness – for your own physical and mental<br />

health. This changes lives permanently. That's<br />

not only great to see, but it’s also part of the<br />

reason why I love being a doctor here.<br />

TIP<br />

Everybody is familiar with stress in their private<br />

and professional lives. However, very few people<br />

know suitable stress management strategies.<br />

This is exactly where our treatment methods come<br />

in. As an active therapy, Modern Mayr Medicine<br />

also achieves great results in this regard.<br />

With our Mayr De-Stress therapy module, we<br />

combine the latest conventional medical methods<br />

with therapies and treatment techniques of<br />

complementary medicine such as cranio-sacral<br />

therapy and thus achieve lasting treatment<br />

successes for people suffering from stress.<br />

6 LONG COVID / FATIGUE LONG COVID / FATIGUE 7


Give Me a Hug!<br />

Hugs allowed.<br />

The fact that this familiar ritual<br />

was no longer possible due<br />

to the pandemic served to underscore<br />

just how important it really is.<br />

A fist bump, a pat on the back, a friendly handshake<br />

or a simple nod of the head... Or perhaps a casual<br />

foot-shake or the namaste bow, which is<br />

completely unusual for us in Central Europe? How<br />

do you greet others these days when meeting<br />

friends, family or colleagues at a business meeting?<br />

Have you started hugging or kissing on the cheek<br />

again? Are things already back to the way they<br />

were before the pandemic broke out?<br />

"When habitual behaviours are taken away from<br />

us or forbidden – for whatever reason – it naturally<br />

does something to us," says Thomas Blasbichler,<br />

psychologist at Park Igls. In these welcoming<br />

rituals that we are accustomed to where we live,<br />

we’ve all felt and experienced this quite clearly.<br />

"We have all found ourselves in situations over<br />

the past year and a half that have unsettled, perhaps<br />

even disturbed us. Situations where we weren't<br />

sure how to say hello. How will the other person<br />

react or what is the most appropriate greeting for<br />

all those present in the room," says Blasbichler.<br />

When habitual greeting rituals or gestures are no<br />

longer allowed, "social distancing" happens in the<br />

truest sense of the phrase.<br />

This is always drastic and often associated with<br />

insecurity. “After all, this also has a negative effect<br />

on our mutual communication relationship, which<br />

is made more difficult by the lack of closeness – a<br />

closeness that is actually customary in our culture,"<br />

explains the expert. Apart from that, such<br />

encounters – where, for example, face masks are<br />

worn – require particularly complex actions and<br />

reactions within fractions of a second in order to<br />

be able to form a positive relationship.<br />

Blasbichler: "Of course, we're not used to this<br />

at all, so how should we be able to do so straight<br />

away?" In a hospital operating theatre, for example,<br />

the medical staff are used to such conditions and<br />

to wearing masks and communicating this way.<br />

Outside, all of us who are not constantly confronted<br />

with such situations were extremely overwhelmed<br />

at first. Misunderstandings in new communication<br />

scenarios are therefore completely normal.<br />

With a handshake, a kiss on the cheek or a hug<br />

we say much more than just "Hello!", "Ciao," or “Hi."<br />

Above all, we express a willingness to cooperate.<br />

Through proximity and distance, which we determine<br />

ourselves, we humans simultaneously define<br />

our relationship to each other. Blasbichler:<br />

"In psychology we say: Proximity stands for <br />

CRISIS WINNERS<br />

The daily commute to work – an enormous<br />

effort. Leaving the house was generally a difficult<br />

undertaking, so he hardly ever went out. His<br />

social phobia just wouldn't allow it. His anxiety<br />

in social situations was very pronounced. The<br />

many appointments with doctors and therapists<br />

reinforced this, and he spent countless days<br />

a year on sick leave from work. Then came the<br />

coronavirus pandemic. And everything changed...<br />

for the better. Home office was a huge relief<br />

because he no longer had to go out and be around<br />

people. This meant that he had more time and<br />

energy to fill his day with sports and exercise.<br />

At the start of the restrictions and tough<br />

lockdowns, he went out into the open air more<br />

than he ever had before. He never felt as free as<br />

he had during these weeks, he says. And why?<br />

There was simply no one around to be afraid of.<br />

The people he encountered gave him a wide berth,<br />

which was a truly wonderful feeling. He didn't<br />

even have to suppress his strong impulse to keep<br />

a distance from others. All of this felt so perfectly<br />

natural. It was, he says, as if society had finally<br />

started to experience his same anxiety. Unlike<br />

many others, however, all that was going on was<br />

familiar to him... quite familiar indeed. Suddenly<br />

life was good. He got an exercise bike, took yoga<br />

lessons via streaming video, and made a conscious<br />

effort to cook.<br />

To this day, he has what he calls the "privilege of<br />

working from home". He claims to still be able<br />

to perform his job quite well. He has not been<br />

sick since March of 2020 and in that time he had<br />

no doctor's appointments, which for him was<br />

simply unbelievable. He is fully aware that in this<br />

uncertain time, a great many people are suffering<br />

and going through terrible things and facing<br />

tremendous suffering as a result of the pandemic.<br />

It will therefore sound strange to many people, but<br />

he feels like one of the winners during this surreal,<br />

exceptional situation. For society, he hopes that<br />

normality will soon return, even though he knows<br />

that it will then limit him greatly once again.<br />

8<br />

GIVE ME A HUG!<br />

GIVE ME A HUG! 9


CRISIS LOSERS<br />

Four, seven and ten are the challenging ages of<br />

her beloved children. And her? She’s married,<br />

full of life, and wholly engaged in professional<br />

life. She refers to herself as both lucky and<br />

successful – in the prime of her life so to speak.<br />

This strong woman knows only of financial worries<br />

or existential fears from stories. She enjoys her<br />

freedom of choice when it comes to travel and<br />

holidays and knows that her future is carefree.<br />

But then the corona pandemic hits and her life as<br />

she knew it was turned upside down as things<br />

took a complete 180. What this would truly mean<br />

and with what force it would throw her off her<br />

usual track, she had no idea at that time. The ease<br />

with which she lived and mastered her life until<br />

now was suddenly gone.<br />

It was replaced instead with school closures,<br />

distance learning, curfews and restrictions as well<br />

as feelings of confinement or being locked up<br />

for many months. It was all suddenly too much,<br />

she affirms. In addition to her professional life,<br />

she has to function as a housewife, cook, teacher,<br />

cleaning lady and mum. Every day, seven days a<br />

week. Suddenly, she was unable to manage or to<br />

even get space.<br />

She was left alone with her tasks, she says, as her<br />

husband was of no help. Without distance and<br />

her usual freedoms, she fell into a state of constant<br />

stress. And before long, sleeping disorders, violent<br />

migraine attacks, exhaustion, anxiety disorders<br />

and panic attacks followed. These are typical<br />

reactions to severe stress and adjustment<br />

disorders. Anxiety and depressive disorders were<br />

diagnosed later. Accepting help never came easy<br />

for her. She’s the type of person who loves to help<br />

others, but too often forgets about herself in the<br />

process. Because she couldn't get going on her<br />

own and the pressure of suffering was too high,<br />

she sought psychological help. Fortunately, such<br />

help was available. And she accepted it. “I'm a crisis<br />

loser,” she says, “but I am fighting my way out of it.<br />

It will make me more resilient and bring back my<br />

quality of life.”<br />

close communication, distance for unfamiliarity.<br />

Everyone knows this instinctively. Just imagine the<br />

following greeting situations: a particularly intimate<br />

hug from your best friend whom you haven't seen<br />

for a long time or a handshake to greet a new<br />

business contact. Such gestures make all the<br />

difference."<br />

WHY DO WE LIKE HUGGING SO MUCH?<br />

"Closeness is a part of our lives from birth. I'll<br />

even go so far as to say proximity is vital to our<br />

survival. Ideally, when we are held, we feel safety,<br />

affection, perhaps love, comfort or trust.<br />

Everything we like to feel," says Thomas Blasbichler.<br />

Are we going to forgo hugging? "Never!"<br />

“Closeness is<br />

part of our lives<br />

from birth”<br />

Breathing<br />

From the moment we first cry<br />

when we are born to the often quoted<br />

very "last breath": Breathing<br />

is something we do throughout<br />

our whole lives.<br />

Thomas Blasbichler (MA)<br />

Clinical and health psychologist, sports psychologist,<br />

specialist in prevention, coach<br />

10<br />

GIVE ME A HUG!<br />

BREATHING 11


Adults inhale and exhale<br />

between 10,000 and 20,000 litres<br />

of air every single day<br />

Breathing is a highly complex basic function of our<br />

bodies. It’s not only completely autonomous, but<br />

is also the only basic function that we can influence<br />

and control voluntarily, i.e. quite consciously, at<br />

times.<br />

"This fact alone makes breathing both<br />

remarkable and unique. Respiratory physiology<br />

and mechanics are not only vital; they are as<br />

fascinating as they are complex," says Dr Peter B.<br />

Barth. As an experienced Mayr physician, he knows<br />

that good breathing techniques are both rewarding<br />

and beneficial to health. Not all of us, however, are<br />

experienced Mayr doctors, actresses, opera singers,<br />

lung specialists, yogis or voice or meditation<br />

trainers – in other words, someone who deals with<br />

breathing for a living. Therefore, many of us are<br />

often unaware of the importance and effectiveness<br />

of correct breathing techniques – at least not to<br />

the proper extent.<br />

Take a deep breath and just calm down! There<br />

are many moments when we truly notice our<br />

breath: When someone gasps from excitement,<br />

when one feels completely out of breath after<br />

climbing the stairs or after an intense exercise<br />

session, when a breath catches in our throat from<br />

shock, or when something is simply breathtakingly<br />

beautiful... Even our use of language reveals that<br />

our breathing is of paramount importance in any<br />

situation. In fact, every physical and mental state<br />

affects our breathing. Joy, anger, excitement,<br />

sexual arousal, calmness or nervousness influence<br />

our respiratory centre and increase or inhibit<br />

breathing.<br />

We breathe 24 hours a day. Without breathing,<br />

there is no life. And without functioning lungs,<br />

there is no breathing. As the organ responsible for<br />

respiration, our lungs ensure that adults inhale and<br />

exhale between 10,000 and 20,000 litres of air<br />

every single day. In fact, we breathe in and out 12 to<br />

17 times per minute on average. According to<br />

Dr Barth, "The lung is a precise, high-performance<br />

machine. Without it, we are literally finished, so it<br />

goes without saying that we must avoid doing<br />

harm to our lungs... smoking, for example."<br />

What you should also know: Proper breathing<br />

techniques can be learned. Mostly due to stress,<br />

we often do not breathe properly. This means that<br />

we breathe too shallowly and not enough into the<br />

abdomen. "Abdominal breathing is essential to a<br />

proper breathing function. It allows for deeper<br />

breathing," explains Barth.<br />

Why is the correct breathing technique, i.e.<br />

abdominal breathing, so important in Mayr<br />

Medicine? Barth: "That is quite simply explained:<br />

Abdominal breathing stimulates peristalsis, the<br />

autonomously controlled movement of the<br />

intestines. The diaphragm works like a suctionpressure<br />

pump. When we breathe deeply into the<br />

abdomen, the diaphragm sinks downwards and<br />

our lungs also open downwards. Below the<br />

diaphragm are the solar plexus (note: a network of<br />

fibres and nodes of the autonomic nervous system),<br />

spleen, liver and our digestive system. These areas<br />

are massaged and supplied with energy during<br />

inhalation. This is important and works to<br />

counteract constipation. Any improvement in the<br />

abdomen inevitably leads to an improvement in<br />

the quality of breath, and vice versa. Deep<br />

abdominal breathing also leads to relaxation and<br />

the release of tension. This is done by stimulating<br />

the vagus nerve, which is the main parasympathetic<br />

connection between the brain in your gut and the<br />

brain in your head (CNS). This is one of the<br />

quintessential learnings of more than a century of<br />

experience with Mayr Medicine."<br />

DR PETER B. BARTH<br />

“Deliberate, conscious<br />

breathing holds great<br />

potential for spiritual, mental<br />

and physical health”<br />

Dr Peter B. Barth MD<br />

General practitioner, Mayr doctor<br />

CONTROLLING<br />

OUR BREATHING<br />

Our breathing is basically controlled<br />

automatically. However, we are able to<br />

influence this by, for example, slowing<br />

down, stopping or speeding up our<br />

breathing. The automatic control happens<br />

in our breathing centre, in the brain stem.<br />

In very simplified terms, this is where we<br />

decide whether we breathe fast or slowly.<br />

Sounds simple, but in reality it is highly<br />

complex. The most important basis<br />

for decision-making is the current level of<br />

carbon dioxide (CO2) in our blood stream.<br />

If the level of carbon dioxide is high,<br />

the breathing rate is increased in order<br />

to exhale carbon dioxide. Conversely,<br />

we breathe shallowly when the CO2 level<br />

in our blood is low.<br />

BREATHE<br />

THE STRESS AWAY<br />

It can be done, and it can be practiced.<br />

The following is a simple belly breathing<br />

exercise: First, place your hands on your<br />

stomach. Then inhale deeply through your<br />

nose and feel in the palms of your hands<br />

how the belly inflates and the abdominal<br />

wall lifts significantly. As you slowly exhale<br />

through your mouth, you will feel your<br />

abdomen and diaphragm move back up.<br />

Perhaps you can manage to consciously<br />

breathe like this three or four times a week?<br />

The diligent do this every day, ideally for<br />

10 to 15 minutes.<br />

INHALE, EXHALE<br />

The organ responsible for our breathing is<br />

the lungs. The lungs ensure the exchange<br />

of gases, which is vital for us because our<br />

blood, or rather our body’s organs, muscles<br />

and every cell, is supplied with oxygen<br />

via the alveoli when we breathe in. When<br />

we exhale, carbon dioxide in the blood<br />

is removed. Mechanical support is provided<br />

by the respiratory muscles, which include<br />

the diaphragm and intercostal muscles, and<br />

the "helpers" of the auxiliary respiratory<br />

muscles. These are abdominal muscles and<br />

muscles of the neck and chest.<br />

12 BREATHING<br />

BREATHING 13


SPECIAL TOPIC: DEM<strong>EN</strong>TIA<br />

A Topic We<br />

Need to Discuss<br />

More Openly<br />

14<br />

SPECIAL TOPIC: DEM<strong>EN</strong>TIA<br />

SPECIAL TOPIC: DEM<strong>EN</strong>TIA 15


MAKING<br />

THINGS SIMPLE<br />

Although we do not yet know a cure<br />

for dementia, we know very well<br />

that a healthy lifestyle reduces the<br />

risk of developing dementia in<br />

old age. That's no small thing. But it<br />

also depends on what you make<br />

of it. After all, shaping our lifestyles is<br />

something we all have control of.<br />

This applies to each and every one of<br />

us. If you are reading this magazine,<br />

you are particularly aware of the<br />

importance of your health.<br />

After all, you’ve probably already<br />

been our guest and have consciously<br />

decided to take a Mayr cure with us.<br />

Perhaps you are our guest right now!<br />

I hope this was and is a life-changing<br />

experience for you, even if it's not<br />

easy, especially at the beginning, to<br />

set a course towards a healthier<br />

lifestyle. Most of us feel the same way.<br />

But let me tell you this: It's the very<br />

best decision you can make! For you<br />

own benefit. So, if you are just<br />

starting out on this journey: Just do it!<br />

Sincerely yours, Dr Peter Gartner<br />

Head physician Park Igls<br />

According to the WHO, there<br />

are an estimated 50 million<br />

dementia cases worldwide.<br />

Unfortunately, the trend is rising<br />

sharply. When the human<br />

brain dies gradually, it is a very<br />

distressing journey for those<br />

affected and their families.<br />

Let's start with the good news of this story: The<br />

principle of hope is prevention. Those who lead<br />

healthy lives significantly reduce the likelihood of<br />

developing some form of dementia. Science today<br />

already knows a great deal about dementia, its<br />

forms, the course of the disease and prevention.<br />

And at the same time, unfortunately, what we do<br />

actually know is still far too little. There are many<br />

unanswered questions about the causes and<br />

development of dementia and about possible<br />

therapeutic approaches.<br />

"The fact is that with increased life expectancy,<br />

there will be more and more people who develop<br />

some form of dementia as they get older. And this<br />

will have massive societal implications. Therefore,<br />

based on our current understanding, it’s definitely<br />

time that we have a frank conversation about<br />

preventive approaches to this disease," says<br />

Dr Richard Kogelnig, physician and deputy medical<br />

director at Health Retreat Park Igls. According to<br />

the medical doctor and psychologist, we need to<br />

speak more openly and more publicly in favour of<br />

prevention awareness, research as well as for<br />

facilities for those affected or support for relatives.<br />

According to the WHO, 50 million people<br />

worldwide, including around 2 million Germans,<br />

850,000 Britons, 130,000 Austrians and around<br />

145,000 Swiss are estimated to be currently<br />

suffering from some form of dementia – excluding<br />

(presumably) high numbers of unreported cases.<br />

Forecasts predict that these numbers may double,<br />

perhaps triple, by 2050 at the latest, so this is<br />

anything but a small thing.<br />

"This raises a host of societal questions that<br />

urgently need answers, and the sooner the better.<br />

However, findings from scientific and medical<br />

research give us reason for optimism. All that’s<br />

needed is to organise the necessary resources,"<br />

says Dr Richard Kogelnig.<br />

WHAT CAN WE DO?<br />

"Healthy living, eating right, plenty of exercise.<br />

And training the brain. All this sounds so simple, but<br />

for many of us it is not, because it often requires<br />

modifying our lifestyles. A Mayr cure over the<br />

course of several weeks can actually offer a very<br />

conscious starting point and inspiration for a<br />

healthier life. We experience this quite often here at<br />

Park Igls," says the experienced expert. And what’s<br />

more: "Dementia affects us all including our friends<br />

and loved ones. That which each and every one of<br />

us has in our control is maintaining a healthy<br />

lifestyle. Perhaps you just have to remind yourself<br />

of this every day: "The modern F.X. Mayr cure, which<br />

has been at the centre of prevention at Park Igls for<br />

decades, is a proven therapy to avoid lifestyle<br />

diseases and thus also provides sensible, active<br />

protection against neurodegenerative diseases. If<br />

you want to protect your brain for the long haul,<br />

you would do well to prioritise lifestyle choices in<br />

line with Dr F. X. Mayr!"<br />

Before you continue reading, allow us to leave<br />

you with this phrase from Jorge Bucay of Argentina:<br />

"Children are told stories to fall asleep – adults to<br />

wake up."<br />

Dr Richard Kogelnig MD<br />

Deputy medical director at Park Igls, Mayr physician<br />

MORE INFORMATION ABOUT<br />

DEM<strong>EN</strong>TIA<br />

Dementia is a generic term for around<br />

50 different diseases of the human brain.<br />

One such type of dementia is Alzheimer’s.<br />

It is by far the most common form of<br />

dementia, a disease in which nerve cells<br />

in the brain die and thereby impair a<br />

person’s mental faculties. The causes<br />

of Alzheimer's disease are still not fully<br />

understood. What is certain, however,<br />

is that Alzheimer's disease – similar to<br />

other forms of dementia (e.g., Lewy body<br />

dementia) – is a neurodegenerative<br />

disease; i.e. nerve cells in the brain<br />

die off. When it comes to Alzheimer's<br />

disease, nerve cells in the cerebral cortex<br />

are mainly affected, but also in deeper<br />

brain areas as well.<br />

Sulcus<br />

Gyrus<br />

Language<br />

HEALTHY<br />

Memory<br />

UNHEALTHY<br />

Memory<br />

Sulcus<br />

Gyrus<br />

Language<br />

NERVE CELLS in our brain are constantly<br />

exchanging information, as they constantly<br />

fire electrical impulses to their neighbouring cells.<br />

In order for neighbouring cells to receive<br />

information, the electrical impulses are converted<br />

into chemical messengers. There are various<br />

messenger substances in our brains, so-called<br />

‘neurotransmitters’. Alzheimer's disease is primarily<br />

associated with the neurotransmitter acetylcholine.<br />

This is the substance that transports memories,<br />

thinking and learning processes, but also<br />

orientation through to our brains. In Alzheimer's<br />

disease, the nerve cells that produce acetylcholine<br />

die off, which is one cause of all the disorders that<br />

Alzheimer's dementia provokes. The other cause<br />

is that, in addition to the nerve cells dying, proteins<br />

called ‘amyloid’ or ‘plaques’ are deposited outside<br />

these nerve cells.<br />

<br />

16<br />

SPECIAL TOPIC: DEM<strong>EN</strong>TIA<br />

SPECIAL TOPIC: DEM<strong>EN</strong>TIA 17


PLAQUES consist of a nucleus, the amyloid<br />

nucleus, pathologically altered nerve cell processes<br />

and other cells, i.e. the supporting cells. In simplified<br />

terms, one speaks of amyloids. In many Alzheimer's<br />

patients, amyloids are found not only between nerve<br />

cells but also in the smaller blood vessels of the brain.<br />

That’s why about one in five Alzheimer's patients<br />

suffers not only from Alzheimer-type dementia, but<br />

also from vascular dementia at the same time. The<br />

small blood vessels in the brain are constricted or<br />

even blocked with amyloids, which can trigger<br />

strokes.<br />

STAGES OF ALZHEIMER'S DISEASE are<br />

differentiated in medicine into mild (early-stage<br />

Alzheimer's disease), moderate (progressive<br />

Alzheimer's dementia) and severe (advanced<br />

Alzheimer's dementia). Doctors use tests, such as<br />

the MMST (the Mini-Mental Status Test), an<br />

interview with nine task components, to determine<br />

patient’s current stage.<br />

15 %<br />

15 %<br />

5 % Alzheimer's disease<br />

65 %<br />

Vascular dementias<br />

Mixed Dementias<br />

Other<br />

DISEASE PROGRESSION<br />

In Alzheimer's disease, the short-term memory<br />

is affected first. The long-term memory is affected<br />

later. In the beginning, those affected forget<br />

situations that have just happened as if they have<br />

been erased, and some names for the most banal<br />

everyday things, such as shoes, no longer spring to<br />

mind. As the disease progresses, memories<br />

disappear, as do everyday skills such as how to<br />

handle eating utensils or personal hygiene activities.<br />

DURATION OF THE ILLNESS<br />

On average, Alzheimer's disease lasts about<br />

eight years after diagnosis, though this varies from<br />

patient to patient, especially since the disease is<br />

often detected or diagnosed late. There are patients<br />

who live with their disease for 20 years. Nevertheless,<br />

Alzheimer's generally leads to death in its final stages.<br />

The reason that the condition becomes fatal is<br />

that the immune system of those affected continues<br />

to weaken, so that infections become more<br />

frequent. For instance, patients are more likely to<br />

contract pneumonia and other infections. Since<br />

patients in the final stage are usually already of an<br />

advanced age, many also suffer from other physical<br />

diseases which can also lead to death.<br />

ALZHEIMER RISK FACTORS<br />

Even though the causes of Alzheimer's disease<br />

remain largely unclear, there are definitely some<br />

risk factors that promote the onset of Alzheimer's<br />

dementia. These include obesity, high blood<br />

pressure, high cholesterol, high blood sugar, lack of<br />

exercise and poor nutrition, as well as alcohol<br />

abuse, type 2 diabetes mellitus or permanent stress<br />

(see WHO recommendations).<br />

obesity<br />

high cholesterol<br />

lack of exercise<br />

poor nutrition<br />

type 2 diabetes mellitus<br />

high blood pressure<br />

high blood sugar<br />

alcohol abuse<br />

permanent stress<br />

WOM<strong>EN</strong> are statistically more likely to develop<br />

Alzheimer's disease. This may be because men<br />

don't live to be that old on average, and for that<br />

reason alone, their risk is simply lower. However, it<br />

is a fact that the number of new cases is higher in<br />

women than in men.<br />

VASCULAR DEM<strong>EN</strong>TIAS refer to forms of<br />

dementia caused by disturbances in the blood<br />

supply to the brain. For various reasons such as<br />

deposits, constriction or clotting, the blood vessels<br />

are no longer able to adequately fulfil their task of<br />

transporting blood. What are the consequences?<br />

Nerve cells become damaged or even die. High<br />

blood pressure is often the underlying cause,<br />

although obesity or smoking can also promote<br />

vascular dementia. Vascular dementia accounts for<br />

about 15 percent of all dementia cases and is the<br />

most common form of dementia after Alzheimer's<br />

disease. Although vascular dementia cannot be<br />

cured, there is a good chance that its cause, i.e.<br />

circulatory problems, can be treated. It is important<br />

that vascular dementia is detected and treated as<br />

early as possible.<br />

BINSWANGER'S DISEASE is amongst the<br />

most common classifications of vascular dementia<br />

cases. The cause is a thickening of the walls in small<br />

blood vessels of the brain (arteriosclerosis). This<br />

subcortical arteriosclerotic encephalopathy (SAE<br />

disease) is called Binswanger's disease after the<br />

German neurologist Otto Ludwig Binswanger.<br />

Sometimes, the terms 'subcortical dementia' or<br />

'subcortical vascular dementia' are also used. Those<br />

who have suffered from high blood pressure or<br />

other vascular diseases for many years are often<br />

affected by this condition.<br />

MULTI-INFARCT DEM<strong>EN</strong>TIA is a form of<br />

dementia in which small cerebral infarctions occur<br />

due to repeated vascular occlusions. They slowly<br />

destroy the brain in many small steps. Sometimes, a<br />

single, severe stroke is responsible, but often there<br />

are several multi-strokes.<br />

SYMPTOMS OF VASCULAR DEM<strong>EN</strong>TIA,<br />

unlike Alzheimer's, can occur quite suddenly –<br />

depending on where a blood vessel has clotted in<br />

the brain. Multi-infarct dementia, in particular,<br />

progresses almost inconspicuously over long<br />

phases. At times, the affected person is clearly<br />

impaired, for example, cannot find words or has<br />

difficulty remembering, then suddenly he or she is<br />

lucid once again. Typical symptoms include<br />

memory, speech, thinking and movement disorders,<br />

problems with orientation or mood swings.<br />

1 + 1 = ?<br />

thinking<br />

?<br />

orientation<br />

mood<br />

?<br />

memory<br />

distancing<br />

RISK FACTORS FOR VASCULAR DEM<strong>EN</strong>TIA<br />

include high blood pressure, smoking, diabetes<br />

mellitus, high LDL cholesterol levels, heart failure<br />

and cardiac arrhythmias. These risk factors all have<br />

one thing in common: They can lead to damage of<br />

the blood vessels, deposits (arteriosclerosis), poor<br />

blood circulation and strokes. If none of the risk<br />

factors apply, family history may also promote the<br />

development of vascular dementia. There is an<br />

increased risk of vascular dementia if ancestors,<br />

parents or close relatives have suffered strokes<br />

more frequently and if family members are prone to<br />

high blood pressure.<br />

high blood pressure<br />

diabetes mellitus<br />

heart failure<br />

family history<br />

smoking<br />

high LDL cholesterol levels<br />

DEM<strong>EN</strong>TIA PREV<strong>EN</strong>TION<br />

A study published in Nature in 2009 impressively<br />

illustrated that modified fasting with a thirty percent<br />

calorie reduction over a period of just three months<br />

could significantly improve memory performance<br />

in the fasting group.<br />

ADDITIONAL INFORMATION ON DEM<strong>EN</strong>TIA<br />

Dementia is an enormous burden for those<br />

affected and for their relatives. You can find more<br />

information on this topic here:<br />

A Austrian Alzheimer Society<br />

D German Alzheimer’s Society<br />

UK Alzheimer's Society<br />

Sources:<br />

Alzheimer Forschung Initiative e.V., www.pflege.de<br />

18<br />

SPECIAL TOPIC: DEM<strong>EN</strong>TIA<br />

SPECIAL TOPIC: DEM<strong>EN</strong>TIA 19


Why we should integrate<br />

regular brain training<br />

into our everyday lives<br />

Belly, legs and bum. Biceps, triceps or back.<br />

With varying degrees of enthusiasm, we<br />

regularly train our bodies through fitness and<br />

sport. We do so to be attractive and to stay<br />

healthy. However, very few of us do targeted<br />

and regular brain training to strengthen our<br />

cognitive abilities. According to Dr Melanie<br />

Robertson, this is "a major failure”. After all,<br />

our ‘CPU’ also needs regular training. Such<br />

training keeps you healthy, makes everyday<br />

life easier, and is also really fun!<br />

A human being can memorise a shuffled deck of<br />

52 cards in an incredible 12.74 seconds. Sounds<br />

impossible and it (almost) is! But not for mastermind<br />

Shijir-Erdene Bat-Enkh. The 21-year-old Mongolian<br />

still holds the world record in this supreme discipline<br />

at the Memory Championships. Reigning world<br />

chess champion Magnus Carlsen is said to be able<br />

to recall around 1,000 positions in this game of<br />

kings. The best memory athletes can memorise up<br />

to 100 words in just five minutes. These are<br />

impressive feats of the human brain.<br />

But what do all these feats have in common?<br />

"Today we know from science that such peak<br />

achievements are acquired through regular<br />

training of cognitive abilities. At the same time,<br />

this also means that basically everyone is capable<br />

of developing an excellent memory," explains<br />

Dr Melanie Robertson, clinical and health<br />

psychologist and neuro-psychologist at Park Igls.<br />

Of course, practically speaking, we mere<br />

mortals hardly ever need such extraordinary skills<br />

as memorising a deck of playing cards in our private<br />

or professional lives. The point is nevertheless<br />

salient in terms of our lives and our health.<br />

Robertson: "Train your brain regularly and in a<br />

targeted way! This promotes mental skills and<br />

keeps you fit. Similar to untrained muscles, we<br />

know that the performance of our cognitive<br />

faculties also declines with age. We can counter<br />

this through regular training.” If we work hard to<br />

ensure that our outwardly visible body parts remain<br />

supple and fit, why do we do so little in relation to<br />

our mental fitness?<br />

Working on cognitive abilities and visual-spatial<br />

perception is particularly important because we<br />

are confronted with increasing speed, sensory<br />

overload, pressure, stress and massively increased<br />

media consumption in our everyday lives. Ideally,<br />

memory-boosting exercises should begin in<br />

childhood. "It's well established scientifically that<br />

even in children, there is a correlation between<br />

physical activity and the ability to process complex<br />

cognitive processes," says Robertson.<br />

RELEVANCE IN EVERYDAY LIFE<br />

Let’s be honest, we all know that there are<br />

situations in everyday life where we forget. Things<br />

from the shopping or to-do list, appointments,<br />

birthdays, phone numbers we have trouble<br />

remembering, or names of people who have<br />

been introduced to us at a business meeting or<br />

social gathering. "This," Robertson says, "is not<br />

fundamentally concerning in any way; it's normal<br />

and deeply human." However, through training and<br />

special techniques, exercise and healthy eating,<br />

these skills and our brain fitness can be greatly<br />

improved with positive effects. In doing so,<br />

everyday life becomes easier and our brains<br />

become fitter. And medically speaking? Through<br />

targeted training or new experiences, new<br />

neuronal pathways and networks are formed, new<br />

connections (synapses) between neurons are<br />

created, communication between neurons is<br />

improved and strengthened, and efficiency is<br />

increased. This process is called synaptic plasticity<br />

or neuroplasticity.<br />

One possible maxim when it comes to potential<br />

dementia prevention is: The more synapses we<br />

form, the better. Cognitive training combined<br />

with a healthy lifestyle can also reduce the risk<br />

of dementia. "Only a very small, single-digit<br />

percentage of all dementia cases have a genetic<br />

component," explains Robertson. As an expert, she<br />

is convinced that we are not helplessly at the mercy<br />

of our genes. Instead, we do have the power to<br />

influence them and thus to act and be agents of<br />

change.<br />

In the extensive weekly programme that guests<br />

can take advantage of during their stay at Park Igls,<br />

brain fitness is a popular offering. Dr Robertson<br />

leads these group sessions personally and gives,<br />

among other things, individual tips for everyday life<br />

on how best to train the brain.<br />

"Guests (of all ages, by the way) come to me<br />

in regard to the aforementioned situations and<br />

want to work out techniques and strategies." How<br />

does this work? "All of our daily lives are increasingly<br />

associated with pressure and with a fast pace.<br />

This requires constant adaptation and enormous<br />

flexibility. Many of our guests are or were<br />

professionally employed in very demanding<br />

positions and tasks that required or still require a<br />

high degree of brain power. Professions such as<br />

judges, diplomats, doctors, top managers, pilots<br />

or entrepreneurs often require a very high level<br />

of education. These professionals are often<br />

multilingual and master demanding activities. But<br />

if someone has excellent cognitive abilities in the<br />

area of working memory, for example, this does not<br />

necessarily mean that their action planning or<br />

focused attention skills are also equally well<br />

developed. In the sessions, we discuss weak <br />

20 SPECIAL TOPIC: DEM<strong>EN</strong>TIA SPECIAL TOPIC: DEM<strong>EN</strong>TIA 21


points as well as examples of how to improve them<br />

with practice while also concentrating on strengths.<br />

You’ll really notice the difference, we promise!"<br />

DR MELANIE ROBERTSON<br />

“There are many<br />

ways in which<br />

we can challenge<br />

and train our<br />

brains with different<br />

techniques.”<br />

What to do when my partner becomes forgetful?<br />

It's very common, especially for people with high<br />

levels of education, to be able to cleverly hide<br />

cognitive decline, or at least try to do so. In particular,<br />

such individuals often display extremely little<br />

willingness to have this decline medically clarified.<br />

A good strategy in partnership can then be to<br />

say: "Come on, honey, let's just both do a<br />

neuropsychological exam together."<br />

What is the best way to specifically train my<br />

brain?<br />

There are many ways in which we can challenge<br />

and train our brains with different techniques.<br />

Regularity is essential, and as with physical training,<br />

it is important to avoid routine. Dancing, playing a<br />

game of chess, reading a foreign language book,<br />

learning a new language or solving tricky brain<br />

teasers – these are all things that help make our<br />

brains fitter. These activities bring us joy, too.<br />

Recommended<br />

by the WHO –<br />

guidelines for the<br />

prevention<br />

of dementia<br />

5 GREAT EXERCISES FOR THE<br />

BRAIN THAT ARE REALLY EASY TO<br />

INTEGRATE INTO OUR EVERYDAY<br />

LIFE, EFFECTIVE AND ALSO FUN<br />

Dr Melanie Robertson<br />

Clinical, neuro- and health psychologist, sports and<br />

emergency psychologist, specialising in stress prevention<br />

and acute intervention<br />

Brain fitness<br />

When you forget things, is there a need<br />

for action?<br />

Everyone forgets something every once in a while,<br />

it's nothing to worry about. If, however, you<br />

perceive subjective impairments, such as frequent<br />

forgetfulness in certain situations, you can have<br />

this looked into neuropsychologically. We of<br />

course offer this kind of check-up at Park Igls. Here,<br />

we start with a standardised testing procedure that<br />

takes about an hour and a half to complete. This<br />

can also have preventative benefits as it first and<br />

foremost serves to take away worry.<br />

How important is a ‘healthy lifestyle’ in this<br />

regard?<br />

Poor nutrition, little exercise, alcohol in excess or<br />

smoking are known pathogens that damage the<br />

brain and destroy nerve cells. Everything we know<br />

from the pillars of Modern Mayr Medicine promotes<br />

our health. Getting sufficient sleep and drinking<br />

enough also have a very positive effect on cognitive<br />

performance.<br />

Any other personal tips?<br />

Just stay curious, be inquisitive and keep moving –<br />

it's a simple but wonderful and effective recipe!<br />

NEUROPSYCHOLOGICAL<br />

EVALUATIONS<br />

Park Igls stands for state-of-the-art<br />

diagnostics at the highest level, which<br />

only very few facilities of this kind can<br />

offer worldwide. Neuropsychological<br />

evaluations are also offered on site. Often<br />

the question arises for those affected<br />

or (just as importantly) for relatives<br />

of those affected, as to when there is<br />

a need for action for medical evaluation.<br />

If subjective losses are perceived<br />

or if a person's private or professional<br />

environment starts to let him or her know<br />

that changes in mental abilities have<br />

occurred, this should be investigated.<br />

It doesn't hurt and it's easy. During a stay<br />

at Park Igls you have the opportunity<br />

(with the utmost discretion) to undergo<br />

such a neuropsychological evaluation.<br />

Standardised test procedures are used in<br />

this diagnostic process in order to create<br />

a targeted, completely personalised<br />

training programme. This examination<br />

takes about one and a half hours.<br />

Incidentally, this can often have the effect<br />

of not only relieving concern, but also<br />

expanding one's own willingness to act.<br />

1 SPELLING WORDS BACKWARDS: It certainly sounds<br />

a lot easier than it is. Tip: Don't start out with the name<br />

of this community in the south of the island of Anglesey<br />

in northwest Wales, which has 58 letters:<br />

Llanfairpwllgwyngyllgogerychwyrndrobwllllantysiliogogoch.<br />

But drop us a line if you can manage this toughest of<br />

words.<br />

2 WATCH OR LIST<strong>EN</strong> TO THE NEWS: And then try to<br />

recall the content of the newscast. This is a popular<br />

practice in foreign language training and is a great brain<br />

fitness exercise.<br />

3 SOCIAL CONTACTS: Meeting people on a regular<br />

basis is a great practice in any event. Are your social<br />

contacts from different age groups, perhaps also from<br />

different cultural backgrounds, and are foreign<br />

languages possibly required for conversation? Fantastic,<br />

this is the best kind of brain fitness.<br />

4 CLASSICS: Crossword puzzles or Sudoku help make<br />

the brain fitter. So why not consciously work on such a<br />

puzzle at least once a week? Such puzzles offer a varied<br />

workout for the brain.<br />

5 LEARN A FOREIGN LANGUAGE: Vocabulary doesn't<br />

usually just fall into your lap, you have to work at it<br />

and that's a good thing! When we learn, our brains are<br />

challenged and we are also rewarded with better<br />

foreign language skills. Ten new vocabulary words a day,<br />

you can do that easily!<br />

22 SPECIAL TOPIC: DEM<strong>EN</strong>TIA SPECIAL TOPIC: DEM<strong>EN</strong>TIA 23


FERM<strong>EN</strong>TING<br />

A Kitchen Trend<br />

that Never<br />

Goes out of Style<br />

Fermented vegetables boast<br />

a delicious sour taste. Adding such foods<br />

to your diet is also a simple way<br />

to promote intestinal health.<br />

A plea for sauerkraut and kimchi and<br />

the long overdue rediscovery<br />

of a kitchen technique<br />

that has gone out of fashion.<br />

24 FERM<strong>EN</strong>TING FERM<strong>EN</strong>TING 25


Preserving, drying and pickling: What once<br />

belonged to the kitchen ABCs of our grandmothers<br />

is now trendy like never before. Old, almost<br />

forgotten methods have been rediscovered in<br />

recent years by young avant-garde chefs. These<br />

experimental cooks have literally dusted off this<br />

old trend while giving the technique a fresh new<br />

look. What’s currently being celebrated at the<br />

highest level in award-winning restaurants is now<br />

also finding its way into local kitchens. For example,<br />

instead of buying sugary jam from the supermarket,<br />

organic fruit is canned at home with vegetable<br />

gelling agents. Apple slices for muesli are dried,<br />

and herbs are desiccated and processed into salt.<br />

DR SONJA SCHOTTKOWKSY<br />

“Regular consumption of<br />

fermented vegetables<br />

creates order in our gut”<br />

The large head of cabbage is fermented to produce<br />

sauerkraut, while Chinese cabbage is fermented<br />

to make kimchi. Once again, delicious homemade<br />

products are being made and preserved just like in<br />

grandma's day.<br />

Dr Sonja Schottkowksy is not only a Mayr<br />

doctor at Park Igls, but also a phytotherapist. She is<br />

an expert in the field of medicinal herbs and plants<br />

and their effects. Dr Schottkowksy recognises a<br />

deep-seated desire among people to rediscover<br />

old methods of preparation. "The last few years<br />

have already demonstrated that many people are<br />

once again more interested in food, its origins and<br />

preparation. Baking bread is a recent mega-trend<br />

as well as getting involved with herbs or home<br />

farming. The desire for transparency is just as great<br />

as the longing to try out new things for oneself. In<br />

the past year, many have taken advantage of<br />

lockdown and the home office to spend more<br />

time cooking, but also gardening – on the balcony,<br />

for example," says the doctor.<br />

The traditional methods of preservation fit<br />

perfectly into the values of sustainability, climate<br />

friendliness and generationality. Not to mention<br />

the demands of regionality, seasonality and zero<br />

waste. In short, everything that the Fridays for<br />

Future movement stands for, for example.<br />

One of these preservation techniques is<br />

fermentation, which is experiencing a veritable<br />

renaissance: "In our area, we also know fermentation<br />

as 'lactic acid pickling’. The best-known local product<br />

that results from fermentation is sauerkraut.<br />

After harvesting, the cabbage was traditionally<br />

pickled in order to have it handy for the winter<br />

months," explains Dr Schottkowsky. "Today,<br />

packaged sauerkraut is available in the supermarket,<br />

but it no longer contains the ingredients that we<br />

actually want from fermented vegetables. This is<br />

because industrially produced sauerkraut – like<br />

many other products – is pasteurised, i.e. heattreated.<br />

Unfortunately, this largely negates the<br />

effects of fermenting."<br />

Fermentation is considered to be the oldest<br />

form of preservation known to mankind. The term<br />

goes back to the French chemist Louis Pasteur<br />

and means something like ‘fermentation in the<br />

absence of oxygen’. "The fermentation of<br />

vegetables involves lactic acid fermentation.<br />

Carbohydrates contained in fresh vegetables are<br />

converted into lactic acid by lactic acid bacteria<br />

and their enzymes, so-called ferments, in an<br />

oxygen-poor environment. In this case, it has<br />

nothing to do with milk, but with the lactic acid<br />

bacteria that are found in the soil and therefore also<br />

on plants. These bacteria convert carbohydrates<br />

contained in fresh vegetables into lactic acid,"<br />

explains Dr Schottkowsky.<br />

"From a medical point of view, the lactic acid<br />

bacteria are interesting. These are already present<br />

in our intestines but are often pushed aside by<br />

unhealthy diets that contain too little fibre, too<br />

much sugar and meat, causing harmful bacteria to<br />

colonise. This is called dysbiosis, i.e. a deficient<br />

colonisation of the intestine, which can have<br />

health effects not only on the digestive tract, but<br />

also on other systems such as the immune system,"<br />

she continues.<br />

"Regular consumption of fermented vegetables –<br />

in addition to a balanced diet – creates order in<br />

our gut and helps the right bacteria to re-colonise.<br />

If you eat fermented vegetables regularly, you can<br />

save on expensive probiotics."<br />

However, the digestive system needs time to<br />

get used to this supply of bacteria. Many are<br />

familiar with the side effects of sauerkraut, which<br />

can stimulate digestion and, in some cases, even<br />

cause diarrhoea. Therefore, the recommendation<br />

is to first consume fermented vegetables in small<br />

doses (just a forkful every day) and then slowly<br />

increase consumption.<br />

Fermented vegetables are lactose-free, but<br />

some caution is advised for histamine intolerance:<br />

The longer fermented vegetables are stored, the<br />

more histamines they contain. "However, in<br />

histamine intolerance, it is especially important to<br />

sanitise the gut and support the body's own<br />

microbiome. Thus, in mild cases of histamine<br />

intolerance, one should also regularly consume<br />

small amounts of fermented vegetables –<br />

starting with one teaspoon per day," advises<br />

Dr Schottkowsky.<br />

When preparing kimchi – the Korean version<br />

of sauerkraut – fish sauce is added, which has a<br />

very high histamine content. This can also be<br />

omitted, which leads to lower histamine content<br />

and improves tolerance.<br />

"If you want to try fermenting yourself, start<br />

with white, red or Chinese cabbage or carrots," the<br />

Mayr doctor recommends. "And don't be afraid to<br />

make mistakes! If you work cleanly, deficient<br />

fermentations rarely occur with the vegetables<br />

mentioned, because the absence of oxygen<br />

means that problematic germs can hardly multiply."<br />

Should mould nevertheless form during the<br />

fermentation process, the contents of the jar must<br />

be disposed of. In the case of creamy yeast, on the<br />

other hand, which can be visually distinguished<br />

from mould, the top layer is simply skimmed off. <br />

A SHORT GUIDE TO FERM<strong>EN</strong>TING<br />

1 Almost all vegetables are suitable for fermentation:<br />

white cabbage, red cabbage, Chinese cabbage and<br />

carrots are particularly recommended for first<br />

experiments. To do this, cut or slice the vegetables into<br />

strips about 3 centimetres wide.<br />

2 Mix the vegetables with salt (2% of the weight of<br />

the vegetables, which is equivalent to 20 grams of salt<br />

per kilogram of cut vegetables) and knead well until<br />

the vegetables soften and leave liquid. The addition of<br />

flour or sugar to stimulate bacterial growth is not<br />

necessary!<br />

3 Put the vegetables into clean, preferably sterilised<br />

preserving jars (for example, Weck or Rex jars), pressing<br />

down firmly so that they are covered by their own juices.<br />

Ideally, the vegetables should be weighed down with<br />

a glass weight: this prevents the vegetables from being<br />

pressed above the liquid level during the fermentation<br />

process and starting to mould. Jars and lids can be<br />

sterilised very easily by placing them in a pot of boiling<br />

hot water (100 degrees Celsius) for about 10 minutes.<br />

Drain the jars and lids briefly and do not touch the inside.<br />

4 The fermentation process takes one to two weeks:<br />

To do this, leave the jars in a dark place at room<br />

temperature until the desired fermentation begins.<br />

5 After opening the jar for the first time, the vegetables<br />

should be stored in the refrigerator.<br />

6 Unopened, the fermented vegetables will keep for<br />

many months if stored correctly (cool, dark).<br />

26 FERM<strong>EN</strong>TING<br />

FERM<strong>EN</strong>TING 27


You can recognise cream yeast by its very fine,<br />

velvety surface and its white colour throughout.<br />

Apart from the health and sustainability benefits,<br />

the taste of fermented vegetables is also appealing.<br />

Markus Sorg, head chef at Park Igls, is enthusiastic<br />

about the fine note of acidity that balances every<br />

dish: "In our hotel, the topic of wholesomeness is<br />

important: On the one hand, fermented vegetables<br />

are easier to digest than raw vegetables, so they can<br />

also be eaten in the evening. On the other hand, the<br />

fermentation process develops versatile aromas<br />

and flavours.” The effect of fermented vegetables<br />

can be supported by the addition of spices. Caraway<br />

seeds in sauerkraut, for example, have a positive<br />

effect on taste and tolerability. Here, there is virtually<br />

no limit to how much you can experiment.<br />

Insights into the human body.<br />

The latest medical findings.<br />

Tips for after your treatment programme.<br />

Mouthwatering recipes based on Modern Mayr cuisine.<br />

Healthy exercise sequences.<br />

How to lead a good life. Recognising what makes us happy.<br />

Getting and staying healthy into old age. Feeling strong and<br />

facing all of life’s challenges. Modern Mayr Medicine deals with<br />

all of these issues, and its holistic approach helps you put a<br />

new, healthier lifestyle into practice. This includes great food<br />

as well as plenty of exercise, restful sleep, and taking charge<br />

of body, mind and spirit and – last but not least – lots of<br />

fun. This book is ideal as a companion to a Mayr treatment<br />

programme and offers a comprehensive guide to a better,<br />

healthier life.<br />

‘Every day, your body gives its best.<br />

Trust it, the power of life is unbroken,<br />

the will can move mountains.<br />

Do the same to your body and enjoy good<br />

health and a good life into old age.’<br />

Dr Peter Gartner, Medical Director<br />

Health is Central<br />

A RECIPE FROM OUR NEW BOOK<br />

Health<br />

is Central<br />

Happy and Healthy with<br />

Modern Mayr Medicine<br />

Available both<br />

in English<br />

and German<br />

Mouth-watering<br />

vegetable carpaccio<br />

for 2 servings<br />

• 400g celeriac, Chioggia beetroot, kohlrabi (unpeeled)<br />

• Freshly ground salt, caraway seeds and mustard seeds<br />

• 150g sheep’s cheese (preferably feta)<br />

• Pistachios<br />

• 100g olives (pitted)<br />

“More and more people<br />

are discovering fermenting<br />

for themselves”<br />

Dr Sonja Schottkowsky MD<br />

Wash and clean the vegetables and remove the stalks<br />

(but do not peel). Cook in plenty of boiling water<br />

with the spices until soft; the time will depend on size.<br />

Remove the vegetables from the water, allow them<br />

to cool and peel. Then slice very thinly. Serve carpaccio<br />

with sheep’s cheese, pistachios and olives. Gremolata or<br />

lemon mayonnaise are also suitable accompaniments.<br />

You can order our new book 'Health is Central' directly at Park Igls.<br />

ISBN 978-3-9501262-2-8<br />

General practitioner, Mayr physician<br />

28 FERM<strong>EN</strong>TING MODERN MAYR CUISINE 29


Healthy teeth are beautiful and do not cause pain.<br />

But few people are aware that taking care of your<br />

teeth and mouth can help prevent infections like<br />

Covid-19 or pneumonia. We discuss how a simple<br />

test can detect inflammation in the mouth and<br />

what influence the mouth has on our health with<br />

dentist Dr Walter Wille-Kollmar and the head<br />

physician at Park Igls, Dr Peter Gartner.<br />

Chew for a long time and carefully is a basic<br />

principle of Mayr Medicine. After all, digestion<br />

begins in the mouth.<br />

Dr Walter Wille-Kollmar: I couldn’t agree more.<br />

The more you’re able to crush the food in the<br />

mouth, the better it is absorbed and digested by<br />

the body.<br />

Dr Peter Gartner: In the mouth, there are six large<br />

and hundreds of small salivary glands that produce<br />

digestive enzymes. Each time you chew, you crush<br />

the food twice, four times, eight times – up to a<br />

hundred times! The food's surface area is thus<br />

enlarged, combined with enzymes through careful<br />

salivation and prepared for the digestion process.<br />

The better you are able to chew and add enzymes<br />

to food, the easier it is for the organs to filter out<br />

valuable substances from the food.<br />

Wille-Kollmar: To chew efficiently, you need a<br />

good set of teeth. The important thing here is<br />

occlusion, i.e. the process of biting together.<br />

How do you define a ‘good set of teeth’?<br />

Wille-Kollmar: Chewing is a complex process that<br />

involves cutting, shearing, up and down motions<br />

and grinding, which also puts a lot of strain on the<br />

muscles used. There are many factors involved, but<br />

optimal occlusion requires the interaction of all<br />

teeth. For those with fillings or dentures, this is<br />

particularly important. If occlusion is not occurring<br />

properly, problems with the spine, migraines or<br />

other diseases may be the result. Teeth are a part of<br />

a long, orthopedically functional chain.<br />

Lay people are probably unaware that a tooth is not<br />

a rigid structure. It has a degree of mobility as long<br />

as its roots are there. As a result, occlusion is better<br />

over the long term when teeth are preserved as<br />

opposed to dental implants.<br />

Does this mean that neck pain could be related<br />

to my teeth?<br />

Gartner: I once attended a seminar about ‘the<br />

physics of teeth’: Using different inserts in the<br />

denture, a dentist changed the occlusion of a<br />

seminar participant. This occlusal change corrected<br />

a previously visible pelvic obliquity with leg length<br />

deviation.<br />

Wille-Kollmar: For those suffering from seemingly<br />

unrelated physical symptoms, I would suggest also<br />

having your teeth examined. It should be<br />

mentioned, however, that not all dentists take a<br />

holistic approach. If just one tooth is ground down,<br />

then the entire chewing process changes. "Form is<br />

function, and function determines form." This<br />

principle is the basis of Dr. Robert L. Lee’s concept<br />

of bio-occlusion. Lee studied dentures to better<br />

understand why some worked well over time and<br />

others did not.<br />

ORAL HYGI<strong>EN</strong>E<br />

The Mouth is a Gateway<br />

to Personal Health –<br />

and to Some Diseases<br />

Gartner: Guests at Park Igls benefit greatly from<br />

the fact that we doctors here work closely with<br />

specialists in all fields.<br />

Wille-Kollmar: This allows me, for example, to give<br />

patients important tips when dealing with their<br />

general dentist.<br />

What should I bear in mind when having a dental<br />

prosthesis?<br />

Wille-Kollmar: It is important to note that every<br />

tooth procedure – whether it is a filling or a denture<br />

– requires a customised approach. Therefore,<br />

patients also need patience. Levelling the tooth<br />

surface is the easiest and fastest procedure. <br />

30 ORAL HYGI<strong>EN</strong>E ORAL HYGI<strong>EN</strong>E 31


Fitting a denture well or having an interdental filling<br />

takes time and is extremely difficult. Reconstructing<br />

the original condition of the teeth is the goal here.<br />

There is recent evidence that suggests a link<br />

between poor mouth hygiene and the<br />

progression of Covid-19. Can you confirm this<br />

latest finding?<br />

Wille-Kollmar: Most viruses enter through the<br />

mouth, which acts like a conduit through which<br />

pathogenic germs can travel on into the body and<br />

cause infections such as pneumonia. Researchers<br />

have now discovered that the SARS-CoV-2 virus<br />

also enters the body mainly through the mouth. A<br />

healthy mouth is therefore an important defence<br />

mechanism against all infections!<br />

What do you mean by 'a healthy mouth’?<br />

Wille-Kollmar: A healthy mouth includes saliva,<br />

which contains important enzymes and<br />

immunoglobulins that defend against infections.<br />

Saliva deficiency is a condition that should be<br />

treated.<br />

Gartner: Chewing muscles and salivary glands can<br />

be trained just like any other muscles. Mayr<br />

Medicine promotes such training by ensuring<br />

ample saliva production for the chewed food.<br />

Wille-Kollmar: There are many barriers against<br />

pathogenic germs. These include the healthy<br />

condition of the oral mucosa and gums, the<br />

immune system in the mouth and the microbiome<br />

of the oral mucosa, i.e. the composition of the<br />

bacteria, which also includes many beneficial<br />

forms.<br />

DR WALTER WILLE-KOLLMAR<br />

“A healthy mouth is<br />

an important defence<br />

mechanism against<br />

all infections”<br />

What is the best way to recognise an infection in<br />

the mouth?<br />

Wille-Kollmar: Nowadays, there is a simple saliva<br />

test, the aMMP-8 test, which can be used to<br />

measure oral immune defence. The enzyme<br />

aMMP-8 destroys protective proteins that the body<br />

uses to close openings between cells to prevent<br />

pathogens. When there are high levels of this<br />

enzyme, it is easier for viruses like SARS-CoV-2<br />

to enter the body. Bacterial infections such as<br />

pneumonia are also more common then. Preexisting<br />

chronic diseases such as diabetes,<br />

cardiovascular diseases or rheumatism can also be<br />

negatively influenced by inflammation in the<br />

mouth. For women, the risk of miscarriage may<br />

also be higher.<br />

Gartner: Incidentally, a healthy oral microbiome is<br />

also important in preventing atherosclerosis.Signs<br />

of inflammation in the mouth can therefore<br />

indicate the onset of vascular hardening.<br />

What does an elevated level of inflammation<br />

mean?<br />

Wille-Kollmar: That really depends on the level. If<br />

the aMMP-8 test reveals an incipient inflammation,<br />

then targeted oral hygiene is the therapy of choice.<br />

In my opinion, oral hygiene should be monitored<br />

professionally. This does not necessarily mean that<br />

the dentist is entirely in charge, but that it should<br />

be supervised by him or her. For cleaning, I prefer<br />

to use a hand instrument instead of an ultrasonic<br />

device to work on the tooth surface very delicately<br />

and without scratches. This allows the teeth to be<br />

made smooth without damaging them.<br />

It is also important to pay close attention to the<br />

condition of the tooth pockets, where tartar can<br />

build up, in order to clean them thoroughly.<br />

Depending on the level of inflammation, I can then<br />

determine the frequency of oral hygiene. As a rule,<br />

once or twice a year is sufficient. For those with<br />

high inflammation levels, I would recommend<br />

every three to four months.<br />

What do you recommend in regard to gum<br />

recession?<br />

Wille-Kollmar: Periodontitis, also called<br />

periodontal disease, is a bacterial inflammation of<br />

the tooth bed that, if left untreated, can lead to<br />

loosening and eventual loss of teeth. In old age,<br />

people are more prone to gum recession, which<br />

can be stopped with proper oral hygiene. The<br />

aMMP-8 test can detect the preliminary stage of<br />

periodontitis and prevent the progression of the<br />

inflammation. There are even preventive measures<br />

I can recommend for children.<br />

What does optimal oral hygiene look like?<br />

Wille-Kollmar: First and foremost: Brush your<br />

teeth twice a day; evening cleaning is more<br />

important than morning cleaning. Second: Clean<br />

the interdental spaces daily. This is another area<br />

where I think doctors have a responsibility. I give<br />

my patients tips on this. Whether they use dental<br />

floss or dental brushes is up to them. It is essential<br />

that I show people who lack fine motor skills or<br />

older people who find it difficult to clean dentures<br />

how to clean their dentures as efficiently as<br />

possible.<br />

Gartner: When choosing toothpaste, make sure<br />

that the enamel is not damaged.<br />

Wille-Kollmar: It’s best to ask your dentist for<br />

advice. He or she can also tell you whether or not<br />

you need a toothpaste with fluoride added.<br />

Are mouthwashes a good idea?<br />

Wille-Kollmar: My advice is to use mouthwashes<br />

sparingly. In the long run, the chlorhexidine<br />

contained in many rinses damages the good<br />

microbes in the mouth. A mouthwash is a<br />

medication and, as a result, should be used sparingly.<br />

Mouthwashes are also not recommended for longterm<br />

use.<br />

What type of diet is good for the teeth?<br />

Wille-Kollmar: We all know that sugar and<br />

carbohydrates damage teeth. Just like we know<br />

that smoking is poison to the mouth's immune<br />

system, by the way. Giving your teeth something to<br />

chew on is all well and good, but a diet too rich in<br />

grains leads to increased abrasion, which damages<br />

the enamel.<br />

Gartner: Moderation, as is usually the case, is the<br />

sensible choice. To keep our mouths and the<br />

related bones in shape, good chewing practices<br />

are important, which leads us back to Mayr<br />

Medicine.<br />

Healthy teeth are beautiful teeth, is that true?<br />

Wille-Kollmar: Absolutely. I'm always excited to<br />

see a healthy set of teeth. But, and this is important<br />

for me to emphasise, beautiful teeth are not<br />

necessarily healthy teeth. There are people who<br />

only pay attention to the beauty of their teeth,<br />

especially the visible front row of teeth. Such<br />

measures have nothing to do with dental health.<br />

Because in fact, the back molars and grinders are<br />

more important for the overall health of your teeth<br />

than the incisors. That is why a good dentist is<br />

always a holistic medical practitioner and more<br />

than a good craftsman or a purely aesthetic<br />

medical practitioner.<br />

Dr Walter Wille-Kollmar MD<br />

Born in Munich, Dr Walter Wille-Kollmar studied medicine<br />

and dentistry at the FAU Erlangen-Nuremberg. After passing<br />

his state examination in 1996, he worked as a dentist in<br />

Germany before founding a dental practice in Italy (Barletta)<br />

in 2001, where he also worked for several years as the<br />

medical director of the International Academy for Advanced<br />

Dentistry and Diagnostics, amongst other positions. Along<br />

the way, he worked as a consultant for implantology at<br />

practices in Italy and Germany. He was also a partner dentist<br />

in Munich and Ingolstadt. He set up the ‘Zahnarzt im Roten<br />

Adler’ dental practice in Innsbruck in 2016. Dr Wille-Kollmar<br />

also contributes his expertise in implantology and<br />

periodontology as a journalist as well as editor-in-chief for<br />

various specialist media and as a speaker. The Park Igls<br />

consultant is also a member of various committees such as<br />

the European Dental Association or the German Society<br />

for Periodontology.<br />

32 ORAL HYGI<strong>EN</strong>E ORAL HYGI<strong>EN</strong>E 33


A Good Night’s Sleep<br />

In a world that never seems to settle down,<br />

sleeping appears like an untimely need.<br />

And yet, a good night's sleep is an efficient<br />

and valuable source of energy that has<br />

no substitute. Psychologist Dr Melanie<br />

Robertson is committed to restoring sleep’s<br />

deserved status. She advises us to think of<br />

sleep as a caring big brother who embraces<br />

you protectively each and every night.<br />

Somewhere in the city, a church clock chimes<br />

twelve. It's midnight and the moon is high in the<br />

sky. However, no one seems to be thinking about<br />

sleeping: People crowd the counters in the bars,<br />

the streets are busy, and the windows are brightly<br />

lit. Now seems as good a time as any to quickly<br />

make a final bank transfer for the day, to place an<br />

online grocery order for tomorrow's birthday party<br />

at the deli around the corner, and, once you've put<br />

on your reading glasses and poured yourself a<br />

glass of wine, to check out the latest goings-on on<br />

your social media channels. And, before you know<br />

it, night turns into day and the clock strikes again.<br />

Those who go to bed at such times may well<br />

wonder why sleep seems so elusive: The brain and<br />

body are wide awake. Reason – and reason only –<br />

suggests turning off the lights. And when the alarm<br />

clock rings the next morning, you hardly feel up to<br />

the day’s challenges. Your head is buzzing and your<br />

eyes are watering. Sleep was unable to perform its<br />

healing effects. Instead of allowing sleep the time it<br />

deserves and seeing it as a source of regeneration<br />

and rest, it is instead treated like an unwanted<br />

problem. The result: a vicious circle. Dr Melanie<br />

Robertson can help you to escape this pattern.<br />

Dr Robertson, we all know that sometimes<br />

young children don’t want to go to bed for fear<br />

of missing out. Are we adults feeling the same<br />

way these days?<br />

Yes, in some ways that’s a good parallel. We all<br />

want to function at a high level. When we are<br />

asleep, it seems like a waste of time. It’s a time<br />

when we all must let go, which is hard for many<br />

people. The idea of relinquishing control for a few<br />

hours does not fit to our lifestyles of constant<br />

accessibility and availability. Therefore, sleep is<br />

having a hard time in our current living and working<br />

world. Sleep patterns change as we grow older.<br />

Sleep becomes more fragmented. Sleep <br />

34 A GOOD NIGHT’S SLEEP A GOOD NIGHT’S SLEEP 35


SLEEP PATTERNS change as we<br />

grow older. Sleep becomes<br />

more fragmented. Sleep continuity,<br />

for example, decreases during<br />

menopause. Basically, it is important<br />

to regard these changes as ‘normal’<br />

in order to be able to deal with<br />

them more easily.<br />

continuity, for example, decreases during<br />

menopause. Basically, it is important to regard<br />

these changes as ‘normal’ in order to be able to<br />

deal with them more easily.<br />

Why do we need sleep so badly?<br />

Even though our entire system is shut down during<br />

sleep and we are no longer physically active, many<br />

processes run autonomously. Our brain, which<br />

never rests, is also active during sleep. It uses<br />

the nightly downtime to process events and<br />

happenings. The amygdala, for example, is<br />

extremely active at night.<br />

It is part of our limbic system and links events to<br />

emotions. This is one reason why dreams can often<br />

be very intense and emotionally overwhelming.<br />

During sleep, important processes of cell renewal,<br />

detoxification and metabolism also take place:<br />

Hormones, enzymes and fats are absorbed, broken<br />

down, metabolised and produced. It is a wellknown<br />

fact that permanent sleep deprivation<br />

provokes numerous diseases and symptoms.<br />

Conditions such as digestive disorders and obesity,<br />

an increased risk of developing cancer or type-2<br />

diabetes, emotional problems such as depressive<br />

moods and cognitive impairment can all be the<br />

result. Reduced sleep also causes a reduction in<br />

attention span and concentration decreases. In<br />

fact, when we close ourselves off to sleep, we lose<br />

our ability to perform.<br />

So conversely, sleep is an important contributor<br />

to our holistic health?<br />

Absolutely, and this is the value that sleep should<br />

be given. It is not something to be annoyed by but<br />

is instead a very effective and simple strategy we<br />

should adopt for better health. In combination<br />

with good nutrition and exercise, sufficient sleep is<br />

probably the most efficient rejuvenation cure. But<br />

in addition to sleep itself, we also need dreams.<br />

After all, those who sleep also dream.<br />

And yet sleep disorders are now considered a<br />

lifestyle disease. When did we forget how to<br />

sleep?<br />

It would be accurate to say in the last fifty years or<br />

so. In the 1960s, humans slept an extra hour and a<br />

half per night on average. This probably also has to<br />

do with the fact that more physical work was<br />

performed, but also more time was devoted to<br />

sleep. Basically, the levels of sensory overload, stress<br />

and general strain have increased dramatically.<br />

Today, up to one fifth of people suffer from sleep<br />

disorders. How are such disorders defined?<br />

Sleep disorders are very individual. There are<br />

people who lie awake for an hour every night, but<br />

don't give it much thought. Others, on the other<br />

hand, are afraid of going to or falling asleep. Some<br />

lie awake for long hours in the morning, constantly<br />

looking at the clock and becoming nervous. They<br />

thus suffer from a feeling of severe pressure. As a<br />

psychologist, I would classify this as a sleep<br />

disorder.<br />

How would you treat such disorders?<br />

In the vast majority of sleep disorders cases, small<br />

yet not so easy to implement changes in everyday<br />

life are required. Such changes might include: no<br />

large meals or raw food after 5 pm, sufficient<br />

exercise during the day, no stressful conversations<br />

shortly before bedtime and a pleasant sleeping<br />

environment. Warmth, for example in the form of a<br />

hot shower or a hot water bottle, helps greatly<br />

when trying to fall asleep. Alcohol, on the other<br />

hand, is not an effective sleep aid. In fact, it prevents<br />

you from sleeping through the night. You should<br />

also refrain from looking at your mobile phone, TV<br />

or tablet for at least half an hour before going to<br />

bed. Additionally, I strongly advise against using<br />

sleep apps, as they increase the pressure to sleep<br />

or constantly make you feel like you haven't slept<br />

enough. They are usually counterproductive, as is<br />

looking at the clock at night. A good remedy for<br />

insomnia is serenity.<br />

Worries, fears and other burdens often rob us of<br />

sleep. It is therefore important to give these cares<br />

some space and thus to set in motion the necessary<br />

processing time. Psychologists can offer assistance<br />

in this regard.<br />

Sleep is a highly individual matter. Does that also<br />

lead to stress?<br />

We like to be guided by standards, that's true. But<br />

when it comes to sleep, only our own needs apply.<br />

There is basically no right or wrong: You can go to<br />

sleep at 9 pm just as easily as you can go to sleep at<br />

midnight. You can sleep eight hours or you can<br />

sleep six. You can lie awake or sleep through the<br />

night. As long as you don't put pressure on yourself,<br />

sleep will happen and not become a problem.<br />

If sleep disorders are accompanied by pain, acting<br />

out dreams, or breathing and movement disorders,<br />

it is important to seek medical help. The medical<br />

team at Park Igls will be happy to assist you.<br />

If SLEEP DISORDERS<br />

are accompanied by pain,<br />

acting out dreams, or<br />

breathing and movement<br />

disorders, it is important<br />

to seek medical help. The<br />

medical team at Park Igls will<br />

be happy to assist you.<br />

But just lying awake at night also wears you<br />

down. Why does brooding in bed become such a<br />

negative?<br />

There are physical reasons for this and it is good to<br />

recognise them. At night, one part of our brain –<br />

the prefrontal cortex – works less intensively than<br />

during the day. However, this area of the brain is<br />

responsible, among other things, for problem<br />

solving, and therefore we start brooding very<br />

quickly when lying awake, without actually coming<br />

to a solution. Problem solving strategies simply<br />

work less well at night. So, my tip is to get up, make<br />

a little note for the next morning and then go back<br />

to bed. This ensures that the problem is not<br />

forgotten, but there is no acute need to mull it over<br />

any longer.<br />

Are there strategies for becoming more<br />

comfortable with sleep?<br />

Yes. In fact, they are strategies that should be<br />

practiced during the day. They aim to reduce the<br />

major antagonists of sleep – adrenaline and<br />

cortisol. If you lie awake at night and worry that you<br />

won't be able to sleep, these stress hormones are<br />

released. So, if we practice regularly during the day<br />

to contain the level of stress, we will succeed more<br />

easily at night. A simple exercise would be to take<br />

five minutes several times a day to switch off briefly.<br />

This exercise can then also be used at night to help<br />

you fall asleep.<br />

<br />

36 A GOOD NIGHT’S SLEEP A GOOD NIGHT’S SLEEP 37


What else promotes healthy sleep?<br />

It’s a good idea to have a well calibrated sleep-wake<br />

rhythm. This is achieved by going out into the<br />

daylight during the day and – whenever possible –<br />

going to bed or getting up in the morning at<br />

approximately the same time. The body’s production<br />

of the sleep hormone melatonin begins when it<br />

gets dark and peaks between two and three in the<br />

morning. So, at this time it’s best to be in bed and<br />

not active. It's also important to really only go to<br />

bed when you're tired and to set an alarm during<br />

the week or for important appointments. The<br />

alarm clock creates certainty that you wake up on<br />

time, so you can really let go while you sleep.<br />

Is the nap an exercise for the night or is it rather<br />

counterproductive?<br />

Those who are very sleepy during the day should<br />

give in to the feeling. However, a nap during the<br />

day should not last longer than 20 minutes and<br />

should be finished at least six hours before bedtime.<br />

So, if you go to bed at 10 pm, you should be awake<br />

by 4 pm at the latest after your siesta.<br />

What should you do if you lie awake at night and<br />

sleep fails to come?<br />

Getting back up is absolutely fine, although you<br />

should avoid overly bright light sources. I would<br />

advise against sitting in front of your cell phone,<br />

computer or television. It would be better to listen<br />

to soft music, read something or make yourself a<br />

cup of tea.<br />

Dr Melanie Robertson offers one-onone<br />

sleep coaching at Park Igls. Sleep<br />

disorders are often due to personal<br />

fears and worries such as stress at work,<br />

relationship problems or dissatisfaction<br />

with certain areas of one’s life. Often,<br />

one or two one-on-one meetings are all<br />

that is needed to get a new perspective.<br />

With what thoughts should you go to bed?<br />

Anxious fears concerning the night ahead should be<br />

avoided. Daydreaming is a nice way to help you fall<br />

asleep. You can dream yourself away somewhere<br />

or think back on a wonderful experience. My<br />

recommendation would be to focus your thoughts<br />

on yourself rather than external stimuli. Everyone<br />

has thoughts that relax them; these need to come<br />

into play. Concentrating on your own breath also<br />

helps you fall asleep.<br />

What is your personal sleep ritual?<br />

Regular exercise during the day and a very small<br />

evening meal are part of my routine. I also<br />

consciously shower off the workday and change<br />

my clothes. This helps me go from activity<br />

to rest.<br />

With our high level of medical, diagnostic and therapeutic competence,<br />

as well as maximum discretion and individuality in all treatment areas,<br />

Park Igls is one of the best medical spas in the world. Thanks to our<br />

sterling international reputation, we host people from all over the world.<br />

WHICH TYPE OF THERAPY OR OFFER IS THE RIGHT FOR ME?<br />

Our competent reception team will be happy to provide you with more<br />

information via telephone. We will also be happy to discuss your desired<br />

health goals with you as well as suitable treatment emphases.<br />

BETTER HEALTH IS JUST A PHONE CALL AWAY AT +43 (0)512 377 305<br />

38 A GOOD NIGHT’S SLEEP HEALTH IS C<strong>EN</strong>TRAL 39


MAYR DETOX<br />

MAYR FOKUS<br />

Mayr Basic<br />

Mayr Classic<br />

Mayr De-Stress<br />

Mayr Metabolic<br />

Mayr Basic is a fixed component of your stay and forms<br />

part of every Mayr programme. It can also be booked<br />

individually and supplemented with individual services.<br />

MEDICAL SERVICES<br />

• Initial examination – health check (30 mins)<br />

• 1 medical examination – abdominal treatment (20 mins)<br />

• Concluding examination (30 mins)<br />

BASIC SERVICES<br />

• Daily Kneipp treatments<br />

• Personal Modern Mayr Cuisine diet plan<br />

• Mineral water, herbal tea and base broth<br />

• Exercise sessions<br />

• Active and passive anti-stress exercises<br />

• Lifestyle management<br />

• Mental group coaching<br />

• Lectures<br />

• Use of swimming pool and sauna<br />

• Use of gym with panoramic views<br />

1,102 excluding Mayr medication and<br />

accommodation, each additional week 969<br />

Time out for your health – this therapeutic module<br />

includes relaxing full body massages and offers the ideal<br />

introduction to Modern Mayr Medicine.<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 5 full body massages (50 mins each)<br />

1,574 excluding Mayr medication and<br />

accommodation, each additional week 1,442<br />

Mayr De-Stress is a burnout prevention programme:<br />

sleep disorders, a lack of motivation, rapid heartbeat,<br />

restlessness or stomach cramps could indicate an<br />

immanent burnout or chronic exhaustion. Most of us<br />

are familiar with high pressure at work or stress in<br />

our daily lives. Only few, however, know how to cope<br />

with this. Reduce the pace! This programme offers<br />

a welcome timeout and is not just for stressed-out<br />

managers.<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 2 craniosacral therapy sessions (50 mins each)<br />

• 2 talk therapy/coaching sessions (50 mins each)<br />

• 3 combination heat packs (hay flowers and moor)<br />

• 4 partial body massages (25 mins each)<br />

• 1 metabolic detox bath<br />

2,108 excluding Mayr medication and<br />

accommodation, each additional week 1,976<br />

This programme is recommended for allergies, fat<br />

and glucose metabolism disorders, skin conditions, food<br />

intolerances and increased uric acid. Modern Mayr<br />

Medicine provides targeted treatment, which often breaks<br />

the vicious circle of chronic conditions.<br />

This programme is often booked by people with the<br />

following indications: high blood pressure, overweight,<br />

gout, metabolic syndrome with type 2 diabetes.<br />

Prevention: type 2 diabetes, heart attack, stroke, high blood<br />

pressure in old age<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 1 bioimpedance measurement<br />

• Expanded laboratory blood tests<br />

• 1 personal training session (50 mins)<br />

• 3 partial body massages (25 mins each)<br />

• 2 lymphatic drainages or full body massages<br />

(50 mins each)<br />

• 3 detox compresses with beeswax<br />

• 2 metabolic detox baths<br />

2,055 excluding Mayr medication and<br />

accommodation, each additional week 1,731<br />

prices in euro<br />

Mayr Intensive<br />

Mayr Physio<br />

Mayr Intensive is the premier class of Modern Mayr<br />

Medicine and the most popular detox programme for<br />

long-term weight loss. You will notice an improvement to<br />

your health already during your stay as you begin to feel<br />

fitter and discover new strength and energy. Our team of<br />

doctors will put together a custom therapy programme<br />

for you. We recommend a minimum stay of two weeks.<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 1 additional medical examination – abdominal treatment<br />

(20 mins)<br />

• 1 bioimpedance measurement<br />

• Expanded laboratory blood tests<br />

• 5 full body massages (50 mins each)<br />

• 3 detox compresses with beeswax<br />

2,058 excluding Mayr medication and<br />

accommodation, each additional week 1,727<br />

This programme focuses on relieving back and joint<br />

pain so that you can live a healthy and pain-free life.<br />

The programme targets pain syndromes in the muscularskeletal<br />

system.<br />

It is often booked by people with the following indications:<br />

back problems, arthrosis, osteoporosis and painful muscle<br />

tension.<br />

Prevention: back pain, joint pain and muscular disbalance<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 1 bioimpedance measurement<br />

• 1 diagnostic physiotherapy session (50 mins)<br />

• 2 physiotherapy sessions (25 mins each)<br />

• Gait analysis<br />

• 3 partial body massages (25 mins each)<br />

• 2 full body massages (50 mins each)<br />

• 2 combination heat packs (hay flowers and moor)<br />

1,993 excluding Mayr medication and<br />

accommodation, each additional week 1,607<br />

40<br />

HEALTH IS C<strong>EN</strong>TRAL<br />

HEALTH IS C<strong>EN</strong>TRAL 41


MAYR SPECIALS<br />

MAYR SPECIALS<br />

DIAGNOSTICS AND MEDICAL SERVICES<br />

Mayr Short Stay<br />

Programme<br />

Give yourself a break from everyday stress. Enjoy our<br />

revitalising Short Stay Programme that will lead to full<br />

physical and mental relaxation. This programme will<br />

introduce you to our hotel, the effective basics of Modern<br />

Mayr Medicine as well as the exquisite Mayr Cuisine.<br />

During your stay, we will tell you whether we would<br />

recommend longer stays for you including personal<br />

treatment and therapy goals based on our proven method.<br />

4 NIGHTS INCLUDING BASIC SERVICES<br />

• Initial examination – health check (30 mins)<br />

• Concluding examination (30 mins)<br />

• 1 full body massage (50 mins)<br />

4 THERAPEUTIC TREATM<strong>EN</strong>TS – PLEASE SELECT<br />

FROM THE FOLLOWING<br />

• 1 partial body massage (25 mins)<br />

• 1 personal training session (25 mins)<br />

• 1 heat compress<br />

• 1 nourishing body pack<br />

• 1 metabolic detox bath<br />

• 1 detox compress with beeswax<br />

975 excluding Mayr medication and accommodation<br />

Resilience after Crisis<br />

Find your way back and reclaim your emotional balance<br />

after a personal crisis, misfortune or extraordinarily<br />

stressful situations. Our highly qualified team of doctors<br />

and therapists will help you to achieve this goal.<br />

This programme is often booked by people with the<br />

following indications: post-COVID-19 syndrome,<br />

remitting depression or burnout.<br />

Prevention: better coping for future stress situations<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 2 talk therapy/coaching sessions (50 mins each)<br />

• 2 personal training sessions (50 mins each)<br />

• 2 craniosacral therapy or shiatsu sessions (50 mins each)<br />

• 3 full body massages (50 mins each)<br />

• 3 combination heat packs (hay flowers and moor)<br />

2,341 excluding Mayr medication and accommodation<br />

Feldenkrais® and<br />

Mentalcoaching@Mayr<br />

Will take place from 19 through 26 June 2022.<br />

Ideal for migraine, back pain, arthrosis, sport injuries, impaired<br />

mobility or stress. You will explore your movement patterns<br />

and discover relieving and pain-free ways to move with the<br />

help of our Feldenkrais ® coach. Combined with Modern Mayr<br />

Medicine and mental coaching, this programme will help you<br />

to experience a new level of lightness.<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 5 Feldenkrais ® group classes (60 mins each)<br />

• 1 one-to-one Feldenkrais ® lesson (60 mins)<br />

• 2 one-to-one mental coaching sessions (50 mins each)<br />

• 5 partial body massages (25 mins each)<br />

• 1 detox compress with beeswax<br />

2,000 excluding Mayr medication and accommodation<br />

Super Medical Check<br />

This comprehensive diagnostic programme offers an<br />

effective preventative medical package within only<br />

a few days. You don’t have to see several different<br />

specialists, which will save you time and provide<br />

you with a comprehensive analysis of all vital functional<br />

processes in your body. By assessing potential risk factors,<br />

our doctors and our team of staff offer an ideal screening<br />

programme using state-of-the-art diagnostics.<br />

DIAGNOSTIC MODULE EXCLUDING MAYR BASIC<br />

• 1 physiotherapeutic assessment (50 mins)<br />

• Expanded laboratory blood tests including hormone status<br />

• 1 urinalysis<br />

• 1 spirometry<br />

• 1 oxidative stress measurement<br />

• Ultrasound of abdominal organs and vessels<br />

• Ultrasound of brain-supply vessels<br />

• Ultrasound of thyroid gland<br />

• Ultrasound of prostate and testes / breasts<br />

• Resting and exercise ECGs<br />

• Echocardiography<br />

2,253 combined with Mayr Basic programme. Needs to<br />

be booked in advance. Without Mayr Basic, an initial<br />

examination (187 euro) and a concluding appointment<br />

to discuss the results (177 euro) must be booked.<br />

Immune System Booster<br />

Neuro@Mayr<br />

Yoga@Mayr<br />

prices in euro<br />

This Mayr Special Programme will strengthen your immune<br />

system, making you more resilient to illnesses. You can<br />

book our package all year round, but we recommend late<br />

summer as an ideal time for this programme which is<br />

often booked by people with increased susceptibility to<br />

infections.<br />

Prevention: infectious diseases<br />

1 WEEK INCLUDING MAYR BASIC<br />

• Expanded laboratory blood tests + special immune<br />

profile test<br />

• Evaluation and discussion of results<br />

• 3 intravenous drip therapies with activated oxygen<br />

(ozone)<br />

• 3 intravenous drip therapies with zinc and vitamin C<br />

• 5 full body massages (50 mins each)<br />

This specialised therapy programme helps for degenerative<br />

diseases of the nervous system such as Parkinson’s or<br />

multiple sclerosis. What Mayr doctors have assumed for a<br />

long time has now been proven by neuro-scientific<br />

findings: Degenerative diseases can originate in the<br />

intestines. This programme is often booked by people with<br />

the following indications: neuro-degenerative diseases<br />

such as Parkinson’s or multiple sclerosis as well as strokes<br />

with late effects such as residual paresis and motoric<br />

impairment.<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 1 diagnostic physiotherapy session (50 mins)<br />

• 2 training sessions (25 mins each)<br />

• 3 partial body massages (25 mins each)<br />

• 3 one-to-one Feldenkrais ® lessons (50 mins each)<br />

• 2 talk therapy/coaching sessions (50 mins each)<br />

Will take place from 4 through 11 September 2022.<br />

Take a deep breath, find your balance and gain new<br />

energy thanks to a combination of yoga and Modern Mayr<br />

Medicine. This programme offers a revitalising timeout.<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 4 Yoga group classes (80 mins each)<br />

• 1 one-to-one Yoga lesson (50 mins)<br />

• 5 partial body massages (25 mins each)<br />

• 1 detox compress with beeswax<br />

1,666 excluding Mayr medication and accommodation<br />

2,790 excluding Mayr medication and accommodation<br />

2,257 excluding Mayr medication and<br />

accommodation, each additional week 2,068<br />

42<br />

HEALTH IS C<strong>EN</strong>TRAL<br />

HEALTH IS C<strong>EN</strong>TRAL 43


Fit after Covid<br />

Our special diagnostic and therapy programme<br />

will help to determine your current health status<br />

and promote regeneration. Diagnostic measures<br />

include blood tests as well as physiotherapy and<br />

exercise therapy assessments.<br />

This programme is often booked by people<br />

with the following indications: Long Covid<br />

with decreased performance capacity, fatigue,<br />

smell and taste disorders, irritating cough.<br />

Prevention: decreased performance capacity<br />

and chronic infections<br />

New Year’s Eve<br />

Programme<br />

For 7 nights – arrive on 26 December <strong>2021</strong><br />

After the decadent Christmas holidays, your<br />

body needs time to rest and recover. Take<br />

this time and recharge your batteries for a new<br />

and healthy year with our detoxification<br />

programme. Our special programme will set<br />

the festive holiday scene.<br />

7 NIGHTS INCLUDING MAYR BASIC<br />

• 5 full body massages (50 mins each)<br />

• 2 personal training sessions (25 mins each)<br />

• 1 full body exfoliation<br />

• 3 detox compresses with beeswax<br />

• 1 metabolic detox bath<br />

1 WEEK INCLUDING MAYR BASIC<br />

• 1 individual performance diagnostics session<br />

(50 mins)<br />

• 2 personal training sessions (25 mins each)<br />

• 1 physiotherapy session to assess muscle<br />

function (50 mins)<br />

• 1 spirometry<br />

• Expanded laboratory blood tests including<br />

cardiac muscle blood test<br />

• 3 full body massages (50 mins each)<br />

• 3 fortifying infusions<br />

• 3 detox compresses with beeswax<br />

2,561 excluding Mayr medication and<br />

accommodation<br />

OUR SPECIAL NEW YEAR’S PROGRAMME<br />

• ‘Stars & Diamonds’ New Year's Eve party with<br />

Modern Mayr cuisine buffet. Subsequent<br />

torch-lit walk and fireworks at midnight<br />

• Cinematic transmission of the Vienna<br />

Philharmonic's New Year's concert<br />

• Celebrate New Year's Day with a long walk<br />

• A winter wonderland walk<br />

• Hike around the Bergisel ski jump<br />

• Winter hike on the Patscherkofel mountain<br />

We can organise tickets for the New Year's<br />

concert of the Innsbruck Symphonic Orchestra<br />

or for the qualifying competition at the Bergisel<br />

ski jump (part of the Four Hills ski jumping<br />

tournament) on request.<br />

1,995 excluding Mayr medication and<br />

accommodation<br />

prices in euro<br />

Park Igls | Gesundheitszentrum Igls GmbH | Igler Strasse 51 | 6080 Innsbruck-Igls | Austria<br />

Tel +43 512 377 305 | Fax +43 512 379 225 | info@park-igls.at<br />

www.park-igls.at

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