Sitting disease is the new health hazard

sitting at computerSedentary behavior is the new norm as most jobs do not require active movement. Sitting in a car instead of walking, standing on the escalator instead of walking up the stairs, using an electric mixer instead of whipping the eggs by hand, sending a text instead of getting up and talking to a co-worker in the next cubicle, buying online instead of walking to the brick and mortar store, watching TV shows, streaming movies, or playing computer games instead of socializing with actual friends, are all examples how the technological revolution has transformed our lives. The result is sitting disease which we belief can mitigate by daily exercise.

The research data is very clear– exercise does not totally reverse the health risks of sitting. In the NIH-AARP Diet and Health Study, researchers Matthews and colleagues (Matthews et al, 2012) completed an 8.5 year follow up on 240,819 adults (aged 50–71 year) who at the beginning baseline surveys did not report any cancer, cardiovascular disease, or respiratory disease.

The 8.5 year outcome data showed that the time spent in sedentary behaviors such as sitting and watching TV was positively correlated with an increased illness and death rates as shown in Figure 1. More disturbing, moderate vigorous exercises does not totally reverse the health risks of sitting and watching television (Matthews et al, 2012).  

mortality and sitting

Figure 1. The more you sit the higher the risk of mortality even if you if you attempt to mitigate the effect with moderate vigorous exercise (Matthews et al, 2012). From:

The harmful impact of sedentary behavior and simple ways to improve health have been superbly described and illustrated by Bonnie Berkowitz and Patterson Clark (2014), in their January 20, 2014, Washington Post article, The health hazards of sitting,  Their one page poster should be posted on the office walls and given to all clients.

As they point out, sitting disease increases the risk of heart disease, diabetes, colon cancer, muscle degeneration especially weaker abdominal muscles and gluteus muscles, back pain and reduced hip flexibility, poor circulation in the legs which may cause edema in the ankles and deep vein thrombosis, osteoporosis, strained neck, shoulder and back pain. The effects are not only physical. Sitting reduces subjective energy level and attention as our brain becomes more and more sleepy.

The solution is both very simple and challenging. To reduce the risks, do less sedentary behavior and sitting and do more physical movement during the day.  Continuously interrupt sitting with standing and movement.  After sitting at the computer for 30 minutes, get up and move.  Even skipping in place for 30 seconds, significantly will increase your energy and mood (Peper and Lin, 2012).  There are many ways to remind and support yourself and others to move.  For example, use reminder programs on the computer such as StretchBreakTM  to remind you to get up and stretch. Employees who do episode movements, report fewer symptoms and have more energy (Peper & Harvey, 2008).  As one of the employees state after implementing the break program, “There is life after five.” Meaning he was no longer exhausted when he finished work.

Although challenging, wean  yourself away from the addicting digital screen and being a couch potato at home.  At those moments when you feel drained and all you want to do is veg out by watching another TV series, go for a walk.  After walking for 20 minutes, in most cases your energy will have returned and your low mood has been transformed to see new positive option.  Plan the walks with neighbors and friends who provide the motivation to pull you out of your funk and go out.




Berkowitz, B. & Clark, P. (Jan 20, 2014). The health hazard of sitting. The Washington Post. Retrieved July 29, 2017.

Matthews, C. E., George, S. M., Moore, S. C., Bowles, H. R., Blair, A., Park, Y., … Schatzkin, A. (2012). Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. The American Journal of Clinical Nutrition95(2), 437–445.

Peper, E. & Lin, I-M. (2012). Increase or decrease depression-How body postures influence your energy level.  Biofeedback, 40 (3), 126-130.

Peper, E. & Harvey, R. (2008). From technostress to technohealth.  Japanese Journal of Biofeedback Research, 35(2), 107-114.


Exercise:  Improve your health, mood, and cognitive function

Through millions of years, movement was part of our biological necessity..  Movement was necessary to hunt, to escape predators, to explore and to find a mate. Organisms developed a brain (nervous system) to coordinate movement as eloquently explain by neuroscientist Daniel Wolpert in his 2011 TED talk, The Real Reasons for Brains.

It is only recently that we limit movement by sitting, driving, taking the escalator, or controlling equipment that performs the actual physical labor. We interfere with our evolutionary developed physiology when we reduce or even eliminate movement for the sake of efficiency. Lack of movement, “sitting disease”, is a significant contributor and causal factor in illness. It also increases the stress response, negative mood and depression and reduces cognitive activity. Take charge and reduce illness when you integrate purposeful exercise (walking, running, dancing, etc.) into your life style.

we fucked up

Exercise is the most effective behavioral technique for self-regulation of mood in healthy people as summarized in the superb article, The Effects of Acute Exercise on Mood, Cognition, Neurophysiology, and Neurochemical Pathways: A Review, Dr. Julia C. Basso and Wendy A. Suzuki of the  Center for Neural Science, New York University, New York, NY, USA.  The robust research findings show that acute exercise improves mood, significantly reduces depression, tension, anger, fatigue, and confusion.  In addition, acute exercise improves symptoms associated with psychological disorders such as depression, anxiety, schizophrenia, and post-traumatic stress disorder.  Exercise decreases the risk of type 2 diabetes, coronary heart disease and stress-related blood pressure response by inhibiting the sympathetic nervous system response to stress. For a detailed summary, see the blogs, What is the best single thing we can do for our health and Healthy movement is the new aging.

Finally, the authors also review the relevant neurophysiological, and neurochemical processes that are affected by exercise. What is most interesting are the findings that “acute exercise primarily enhances executive functions dependent on the prefrontal cortex including attention, working memory, problem solving, cognitive flexibility, verbal fluency, decision making, and inhibitory control. These positive changes have been demonstrated to occur with very low to very high exercise intensities, with effects lasting for up to two hours after the end of the exercise bout.”

As the authors state, “We show that the three most consistent cognitive/behavioral effects of a single bout of exercise in humans are improved executive functions, enhanced mood states, and decreased stress levels.”

Even though the findings are clear that movement/exercise is a powerful “drug” to improve our health, most health professionals focus on sitting treatment and prescribing pharmaceutical agents. Possibly, a treatment session should start with fun physical exercise and followed by therapy. Remember, if you feel blah, have lower energy, feel frustrated or irritated, get up and move.  Movement and exercise will change your mood. You will experience what Peper and Lin (2012), have shown that less than minute of skipping in place will significantly improve your subjective energy level and mood. Get up and skip in place, then observe how much better you feel. Then sit again read the article by Dr. Julia C. Basso and Wendy A. Suzuki,


Healthy movement is the new aging

Born on 26 November 1911, Mr Robert Marchand and 105 years old, managed cycling 22.55 km (14 miles) at the national velodrome and set a new record for the furthest distance cycled in one hour for riders over 105. (Reynolds, 2017).

Meet 105-year-old Robert Marchand, the centenarian cyclist chasing a new record:

As people age there is an increase in Western Diseases such as hypertension, diabetes, gout, cancer, dementia and  decreases in physical fitness (Milanović et al, 2013Tauber, 2016).   To assume that the cause of these illnesses is the natural process of aging may be too simplistic. Although aging does affect physiology, there are other factors that contribute to the increase in “Western Diseases” such as diet, lifestyle and genetics.

A significant contributing factor of Western Diseases is diet especially  the increase in sugar and simple carbohydrates. Whether you are Pima, Tohono O’odham, and Navajo American Indian Tribes in Arizona, Intuits in Northern Canada, Japanese Americans, or indigenous populations of Kenya, when these people stopped eating their traditional diet and adapted the western high glucose/fructose/simple carbohydrate diet, the degenerative Western Diseases exploded (Bjerregaard et al, 2004; Burkitt & Trowell, 1975; Knowler et al, 1990; Tauber, 2016). Diabetes, hypertension, and cancer which were previously rare skyrocketed within one generation after adapting the Western life style diet. In some of these populations, 30% or more of the adults have diabetes and a significant increase in breast cancer.

The reduction of episodic high intensity physical activity and being sedentary are additional risk factors for the onset of diabetes and cardiovascular disease (Dulloo et al, 2017). As Mensing & Mekel (2015) state, “Sitting is the new smoking.”  Sitting encourages more sitting which leads to nonuse of muscles and causes neural and muscle atrophy.  Our physiology is efficient and will prune/eliminate what is redundant.  This is reflected in the popular phrase, “Use it or lose it.”  As we sit for hours in front of digital devices, use escalators, elevators, or drive cars, we are not using the muscles involved in dynamic movement.  We are usually unaware of this degenerative process. Instead,  we may experience difficulty walking up the stairs  which encourages us to take the escalator or elevator. When we do not use the muscles or are limited in movement by discomfort and pain, we move less. As we move less, we become  weaker which is often labeled as aging instead of non use.

Just, because most people loose fitness, it may not represent what is possible or optimum.  Instead, we may want to emulate the diet and fitness program of Mr. Robert Marchand who at age 103 set a new world record and improved the distance bicycled in one hour from 24.25 km at the age of 101 to 26.92 km at the age of 103. A 11% improvement! As New York Times science writer Gretchen Reynolds reports, “Lifestyle may also matter. Mr. Marchand is “very optimistic and sociable,” The researcher who did the study, Dr. Billat says, “with many friends,” and numerous studies suggest that strong social ties are linked to a longer life. His diet is also simple, focusing on yogurt, soup, cheese, chicken and a glass of red wine at dinner (Reynolds, 2017).

The improvement in bicycling performance and physiological indicators such as ⩒O2max increased (31 to 35; +13%), appeared to be due to a change in his training regimen (Billat et al 2016).  At age 101 he changed his bicycling training program from riding at a steady speed for one hour to riding 80% at an easy pace and 20% at high intensity.  This is a  type of interval training and includes enough recovery allows the body the recover and strengthen. This analogous to our evolutionary movement pattern of walking interspersed with short distance high intensity running.

As a hunter and gather we often moved steadily and then had to run very fast to escape a predator or catch an animal.  After extreme exertion, we would rest and regenerate (if we did not escape we would be lunch for the predator). Thus episodic high intensity activity with significant rest/regenerative periods is the movement pattern that allowed our species to survive and thrive. Research studies have confirmed that high intensity interval training offers more physiological benefits–increases cardiorespiratory fitness which is a strong determinant of morbidity and mortality– than moderate intensity continuous training (Weston et al, 2014).

Thus when Mr. Marchard changed his exercise pattern from moderate intensity continuous training to high intensity interval training with enough recovery time he set a new world record at age 103. Two years later he set a new world record at age 105.

Exercise improves brain function and interval training appears to improve brain function most.  When rats had prolonged exercise, the brain’s stores of energy is significantly lowered in the frontal cortex and hippocampus all areas which area involved in thinking and memory. If on the other hand, the animals had a single intense bout of exercise and were allowed to rest and feed than the brain levels of glycogen was 60% high in the frontal and hippocampus areas.  This suggest that the brain can then function better (Matsui et al, 2012).

This perspective is supported by the evolutionary hypothesis discussed by Neuroscientist Daniel Wolpert who points out that brains evolved, not to think or feel, but to direct movement. When movement is no longer needed the brain shrinks and gets reabsorbed which is illustrated by the sea squirt. This animal swims as a juvenile and then anchors on a rock and is passively moved by the currents. Once anchored, it no longer needed to coordinate movement and reabsorb its own nervous system. See Daniel Wolpert’s remarkable TED talk, The real reasons for brains.

The remarkable feat of Mr. Marchand offers suggestions for our own health. Enjoy healthy movement and exercise and incorporate our evolutionary movement patterns:  episodic high intensity followed by regeneration. At the same time include a healthy diet by reducing sugars and simple carbohydrates.  Finally, it helps to have the right genes.


Billat, V. L., Dhonneur, G., Mille-Hamard, L., Le Moyec, L., Momken, I., Launay, T., & Besse, S. (2016). Case Studies in Physiology: Maximal Oxygen Consumption and Performance in a Centenarian CyclistJournal of Applied Physiology, jap-00569.

Bjerregaard, P., Kue Young, T., Dewailly, E., & Ebbesson, S. O. (2004). Review Article: Indigenous health in the Arctic: an overview of the circumpolar Inuit population. Scandinavian Journal of Social Medicine32(5), 390-395.

Burkitt, D.P. & Trowell, H.C. eds. (1975). Refined carbohydrate foods and disease: Some implications of dietary fibre. New York: Academic Press.

Dulloo, A. G., Miles‐Chan, J. L., & Montani, J. P. (2017). Nutrition, movement and sleep behaviours: their interactions in pathways to obesity and cardiometabolic diseases. Obesity Reviews18(S1), 3-6.

Knowler, W. C., Pettitt, D. J., Saad, M. F., & Bennett, P. H. (1990). Diabetes mellitus in the Pima Indians: incidence, risk factors and pathogenesis. Diabetes/metabolism reviews6(1), 1-27.

Matsui, T., Ishikawa, T., Ito, H., Okamoto, M., Inoue, K., Lee, M. C., … & Soya, H. (2012). Brain glycogen supercompensation following exhaustive exerciseThe Journal of physiology590(3), 607-616.

Mensing, M., & Mekel, O. C. L. (2015). Sitting is the new smoking-Modelling physical activity interventions in North Rhine-Westphalia. The European Journal of Public Health25(suppl 3), ckv171-037.

Milanović, Z., Pantelić, S., Trajković, N., Sporiš, G., Kostić, R., & James, N. (2013). Age-related decrease in physical activity and functional fitness among elderly men and women. Clinical interventions in aging, 8, 549-556.

Reynolds, G. (2017, February 8). Lessons on Aging Well, From a 105-Year-Old Cyclist. Retrieved from:

Taubes, G. (2016). The Case Against Sugar. New York: Alfred A. Knopf.

Weston, K. S., Wisløff, U., & Coombes, J. S. (2014). High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysisBritish journal of sports medicine48(16), 1227-1234.

Wolpert, D. (2011) The Real Reason for Brains.

Youtube video: Meet 105-year-old Robert Marchand, the centenarian cyclist chasing a new record:




Doctor Mike Evans: What’s the Best Diet? Healthy Eating 101

A healthy diet is much more than just focusing on a single food. People focus so often on adding one type of food or eliminating another such as, “Don’t eat ice cream!”, “Eat chia seeds.” “No red meat.” In almost all cases, it is not just one thing, instead a healthy diet is embedded in awareness and healthy life style choices. Watch the superb common sense white board video presentation by Doctor Mike Evans, What’s the Best Diet? Healthy Eating 101. In this short presentation, he summarizes the best practices known. Implement his approach and your health will significantly improve.

Be aware of evolutionary/ecological traps


Dead bird on Midway Island in the North Pacific, 2000 miles from any other islands. The bird mistook attractive coloring of plastics that float in the ocean as food. From:


Being captured by a digital device. From:

How come birds on Midway Island are dying?

How come your son keeps playing computer games even after he said he would stop?

How come you ate all the French fries and the dessert even though you promised yourself to reduce your calorie intake?

How come you procrastinated and did not get up from the couch to exercise?

How come you watched pornography?

The usual answer is absence of will, self-control or self-discipline. The person is automatically blamed for making poor life choices. If you had more self-worth than you would not let yourself get obese, addicted to computer games, or watch pornography. Blaming the victim is easy, however, there are other factors that underlie the person’s covert/unconscious choices. Many of these illness producing behaviors (e.g., overeating, playing the computer games, sitting and sitting) are responses to external cues that in prehistoric times promoted survival, reproduction and health. To respond rapidly and appropriately  to those cues offered a reproductive advantages while not reacting would reduce your survival. In many cases there are no upper limits to turn off our responses to these cues because the more the person responded to those cues the more was there a reproductive advantage. Now, however, our adaptive preferences have become maladaptive because the cues that trigger the same behaviors lead to lower fitness and illness (Schlaepfer et al, 2002; Robertson et al, 2013). The cues have become evolutionary/ecological traps!

Some of the recent evolutionary/ecological traps include:

Vigilance for survival. While playing a computer games, the person rapidly responds and continuously experiences immediate rewards (e.g., successful shooting the target, points, next game level). This process activates the same  survival mechanisms that hunter used for thousands of generations. A visual or auditory stimuli represents  sources of food or danger (a game animal to hunt for food, an attack by a predator or an enemy). The visual/auditory cue captures the person’s attention and if the person reacts to that cue he would probably survive. On the other hand, if he did not react, he may not survive and reproduce. In our modern world, similar stimuli now hijack the neurological pathways that in earlier times supported survival. Over activation of these pathways is a cofactor in the development of ADHD and other disorders (Peper, 2014). For a superb discussion of  how cellphones, computers, gaming and social medial are changing our brains, read Dr. Mari Swingle’s new book, i-Minds (Swingle, 2015)

Energy for survival: Eating carbohydrate/sugary and fat foods are necessary for survival as humans constantly searched for energy sources to support life. Breast milk and almost any fruit that is sweet contain calories and supports growth. If the food was bitter it was usually harmful. For most of our evolutionary past, we would eat as much as possible because food was scarce. There was no evolutionary advantage to limit food intake as the stored calories would supply enough calories to survive during periods of famine. In our modern world, our survival mechanisms have been hijacked by advertising and the oversupply of foods which  contribute to the epidemic of obesity and diabetes.

Being a couch potato and not moving again is again survival mechanism. In a prehistoric world with limited food supply, the less movement (the fewer calories you burned), the longer you could survive. You would move when you needed to build shelter or search for food. Again in a world where shelter and food are often abundant, there is no intrinsic mechanism to initiate movement.

Sexual arousal for reproduction: Men are often captured by pornography. They can watch for hours and feel aroused. The whole porn industry is based upon hijacking our sexual drive for reproduction.

Our brain does not discriminate between actual visual and auditory stimuli, imagined or film/video images. Until the late 19th century everything we saw and heard was real. Only in the 20th century could we produce images and sounds that appeared real. These film, TV , and the ever present digital displays activate the same neurophysiological pathways as when the stimuli were actually real.  A scene on a digital screen triggers the same biological pathways and responses that for thousands of generations supported survival. If we did not respond we would not have survived.  If you have any doubt, watch a scary horror movie and check how you feel afterwards. You may feel more scared, your sleep may be disturbed, your heart rate increased, and you probably interpreted any noise around you as possible danger. Thus, cues in the environment may become evolutionary/ecological traps in the same way that birds on Midway Island in the North Pacific, 2000 miles from any other islands, mistook the attractive coloring of plastics as food. See: Should the birds be blamed because they have no self-control?

What can you do!

Recognize that modern industries for the sake of profits have hijacked our cues that had evolved to aid survival (Kemp, 2014).

Recognize that not reacting to product cues means inhibiting the intrinsic biological triggered survival responses. Yes, it is possible not react to the stimuli and demonstrate self-control; however, it is not only a problem of will. It is a problem that our cues have been hijacked and tricked for commercial profit.

Society may need to protect its own populations from commercial exploitation of evolutionary/ecological traps. A young child is automatically drawn to the visual stimuli on a smartphone and tablet which parents use to quiet the child during dinner. In this process they are activating the pre-wired biological pathways that captured attention for survival. By over activating these pathways, the brain is changing in response to this activation which increases the risk of developing ADHD, autism, and mood deregulation including anxiety, depression, and anger management, and other forms of addictive behavior (Swingle, 2015). In addition, school performance and memory retention are reduced when students take notes using their keyboard or read text from digital screens (OCallaghan, 2014). It will take the family and society to limit the availability of these cues until self-control has been developed. Similarly, the availability of cheap calories in large food portions, sugars in soft drinks and sugar and fats in snacks, need to be limited if the epidemic of obesity and diabetes is to be reversed.

It may be unreasonable to think that people can easily interrupt their biological responses to cues that have been created to increase profits. We need to take collective responsibility and limit the availability of commercially augmented evolutionary traps and cues in the same way we need to limit the plastic in the ocean so that the birds at Midway Island may be able survive. Without respecting our evolutionary past, our future may not be different from those Midway Island birds.


Kemp, C. (2014). Trapped!. New Scientist, 221(2960), 43-45

OCallaghan, T. (2014). Goodbye, paper: What we miss when we read on screen. New Scientist.224 (2993). 41-43.

Peper, E. (2014). Support Healthy Brain Development: Implications for Attention Deficit/Hyperactivity Disorder. Psychophysiology Today, 9(1), 4‐15.

Robertson, B. A., Rehage, J. S., & Sih, A. (2013). Ecological novelty and the emergence of evolutionary traps. Trends in ecology & evolution, 28(9), 552-560.

Swingle, M.K. (2015). i-Minds. Portland, OR: ISBN-13 978-1-62901-213-1

Schlaepfer, M. A., Runge, M. C., & Sherman, P. W. (2002). Ecological and evolutionary traps. Trends in Ecology & Evolution, 17(10), 474-480.

Go for it: The journey from paraplegia to flying

After a catastrophic event occurs a person often becomes depressed as the future looks bleak. One may keep asking, ”Why, why me?” When people accept–acceptance without resignation— and concentrate on the small steps of the journey towards their goal, remarkable changes may occur. The challenge is to focus on new possibilities without comparing to how it was in the past. The limits of possibility are created by the limits of our beliefs. We may learn from athletes who aim to improve performance whereas clients usually come to reduce symptoms. As Wilson and Peper (2011) point out, Athletes want to go beyond normal—they want to be superb, to be atypical, to be the outlier. It is irrelevant what the athlete believes or feels. What is relevant is whether the performance is improved, which is a measurable and documented event”. They have described some of the factors that distinguish work with athletes from work with clients which includes intensive transfer of learning training, often between 2 and 6 hours of daily practice across days, weeks, and months. This process is described by the Australian cross-country skier, Janine Shepherd, who had hoped for an Olympic medal — until she was hit by a truck during a training bike ride. She shares a powerful story about the human potential for recovery. Her message: You are not your body, and giving up old dreams can allow new ones to soar. Watch Janine Shepherd’s 2012 Ted talk, A broken body isn’t a broken person.


Wilson, V.E. & Peper, E. (2011). Athletes Are Different: Factors That Differentiate Biofeedback/Neurofeedback for Sport Versus Clinical Practice. Biofeedback, 39(1), 27–30.

Shepherd, J. (2012). A broken body isn’t a broken person. Ted talk.

Increase strength and mood

 “Don’t slouch! How many times do I have to tell you to sit up straight?”

“I couldn’t believe it, I could not think of any positive thoughts while looking down?

Body posture is part of our nonverbal communication; it sometimes projects how we feel. We may collapse when we receive bad news or jump up with joy when we achieve our goal. More and more we sit collapsed for many hours with our spine in flexion. We crane our heads forward to read text messages, a tablet, a computer screen or watch TV. Our bodies collapse when we think hopeless, helpless, powerless thoughts, or when we are exhausted. We tend to slouch and feel “down” when depressed.

We often shrink and collapse to protect ourselves from danger when we are threatened. In prehistoric times this reaction would protect us from predators as we were still prey. Now we may still give the same reaction we worry or respond to demands from our boss. At those moments, we may blank out and have difficulty to think and plan for future events. When the body reacts defensively, the whole body-mind is concerned with immediate survival. Rational and abstract thinking is reduced as we attempt to escape.

When standing tall we occupy more space and tend to project power and authority to others and to ourselves. When we feel happy, we walk erect with a bounce in our step. Emotions and thoughts affect our posture and energy levels; conversely, posture and energy affect our emotions and thoughts. At San Francisco State University, we have researched how posture changes physical strength and access to past memories. Experience this in the following practice (you will need a partner to do this).

How posture affects strength

Stand behind your partner and ask them to lift their right arm straight out as shown in figure 1. Apply gentle pressure downward at the right wrist while your partner attempts to resist the downward pressure. Apply enough pressure downward so that the right arm begins to go down. Relax and repeat the same exercise with the left arm. Then relax.

fig 1 Muscle testing

Figure 1. Experimenter pressing down on the arm while the subject resist the downward pressure

For the rest of this exercise, do the testing with the arm that most resisted to the downward pressure.

Have the person stand in a slouched position and then lift the same arm straight out. Again the experimenter applies enough pressure downward so that the arm begins to go down. Relax.

Then have the person stand a tall position and lift the arm straight out. Again, the experimenter now applies enough pressure downward so that the arm begins to go down. Relax.

Describe to each other how easy it was to resist the downward pressure and how much effort it took to press the arm down while standing tall or slouched.

In our just completed study in the Netherlands with my colleague Annette Booiman, we observed that 98% of the participants felt significantly stronger to resist the downward pressure when they stood in a tall position than when they stood in the collapsed position as shown in Figure 2.

fig 2 perceived muscle strenth graph

Figure 2. The perceived strength to resist the down pressure on the arm in either the erect or collapsed position as observed by the subjects and the experimenters (Exp).

The subjective experience of strength may be a metaphor of how posture affects our thoughts, emotions, hormones and immune system[1]. When slouching we experience less strength to resist and it is much more challenging to project authority, think creatively and successfully solve problem. Obviously, the loss of strength mainly related to the change in the shoulder mechanics; however, the collapsed body position contributes to feeling hopeless, helpless, and powerless.

With my colleague Dr. Vietta Wilson (Wilson & Peper, 2004), we discovered that in the collapsed position it was very difficult to evoke positive and empowering memories as compared to the upright position (for more information see the article by Wilson and Peper:

Consistently, my students at San Francisco State University have reported that when they blank out on exams or class presentations, if they stop for a moment, change their posture and breathe, they can think again. Similarly, clients who are captured by worry and discomfort, when they shift position and look up, find it is easier to think of new options.   Explore for this yourself.

How Posture effect Memory Recall

Sit comfortably at the edge of a chair and then collapse downward so that your back is rounded like the letter C. Let your head tilt forward and look at the floor between your thighs as shown in figure 3.

Fig 3 collapsed sittingFigure 3. Sitting in a collapsed position (photo by Jana Asenbrennerova). Reprinted by permission from Gorter and Peper (2011).

While in this position, bring to mind hopeless, helpless, powerless, and depressive memories one after the other for thirty seconds.

Then, let go of those thoughts and images and, without changing your position and still looking downward, recall empowering, positive, and happy memories one after the other for thirty seconds.

Shift position and sit up erect, with your back almost slightly arched and your head held tall while looking slightly upward as shown in figure 4.

Fig 4 erect sittingFigure 4. Sitting in an upright position (photo by Jana Asenbrennerova). Reprinted by permission from Gorter and Peper (2011).

While is this position, bring to mind many hopeless, helpless, powerless, or depressive memories one after the other for thirty seconds.

Then, let go of those thoughts and images and, without changing position and while still looking upward, recall as many empowering, positive, and happy memories one after the other for thirty seconds

Ask yourself: In which position was it easier to evoke negative memories and in which position was it easier to evoke empowering, positive, and happy memories?

Overwhelmingly participants report that in the downward position it was much easier to recall negative and hopeless memories. And, in the upright position it was easier to recall positive and empowering memories. In many cases, participant reported that when they looked down, they could not evoke any positive and empowering memories. It is not surprising that when people feel optimistic about the future, they say, “Things are looking up.”

Mind and body affect each other. The increase in depression and fatigue may be in part be caused by the body position of sitting collapsed at work, at home and walking a slouched pattern. By shifting body movement and position from slouching to skipping one’s subjective energy may significantly increase (Peper & Lin, 2012) (for more information see:

Take charge, lightening your mood and give yourself the opportunity to be empowered and hopeful. When feeling down, acknowledge the feeling and say, “At this moment, I feel overwhelmed, and I’m not sure what to do” or whatever phrase fits the felt emotions. When your energy is low, again acknowledge this to yourself: “At this moment I feel exhausted,” or “At this moment, I feel tired,” or whatever phrase fits the feeling. As you acknowledge it, be sure to state “at this moment.” The phrase “at this moment” is correct and accurate. It implies what is occurring without a self-suggestion that the feeling will continue, which helps to avoid the idea that this was, is, and will always be. The reality is that whatever we are experiencing is always limited to this moment, as no one knows what will occur in the future. This leaves the future open to improvement.

Remind yourself that you to shift your mood by changing your posture. When you’re outside, focus on the clouds moving across the sky, the flight of birds, or leaves on the trees. In your home, you can focus on inspiring art on the wall or photos of family members you love and who love you. When you hang pictures, hang them higher than you normally would so that you must look up. You can also put pictures above your desk to remind yourself to look up and to evoke positive memories.

These two studies point out that psychology needs to incorporate body posture and movement as part of the therapeutic and teaching process. Without teaching how to change body posture only one half of the mind-body equation that underlies health and illness is impacted.

Each time you collapse or have negative thoughts, change your position and sit up and look up. Arrange your world so that you are erect (e.g., stand while working at the computer, use a separate keyboard with your laptop so that the top of the screen is at eye level, or place a pillow in your lower back when sitting). Finally, every so often, get up and move while alternately reach up with your arms into the sky as if picking fruits which you can not quite reach.

After having done these two practices, I realized how powerful my body effects my mood and energy level. Now each time I am aware that I collapse, I take a breath, shift my position, look up, and often stand up and stretch. To my surprise, I have so much more energy and my negative depressive mood has lifted.


Gorter, R. & Peper, E. (2011). Fighting cancer-A nontoxic approach to treatment. Berkeley: North Atlantic Books.

Peper, E. & Lin, I-M. (2012). Increase or decrease depression-How body postures influence your energy level. Biofeedback, 40 (3), 126-130.

Wilson, V.E. and Peper, E. (2004). The Effects of upright and slumped postures on the generation of positive and negative thoughts. Applied Psychophysiology and Biofeedback.29 (3), 189-195.

[1] In an elegant study by Professor Amy Cuddy from the Harvard Business School, she demonstrated that two minutes of standing in a power position significant increased testosterone and decreased cortisol while standing in the collapsed position significantly decreased testosterone and increased cortisol. By changing posture, you not only present yourself differently to the world around you, you actually change your hormones (For more information, see Professor Amy Cuddy’s Ted talk: