Parkzeit 2021-2 (EN)
Guest magazine Park Igls
Guest magazine Park Igls
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
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