
Effects of Pulsed Electromagnetic Fields PEMFs on Stress
William Pawluk,
MD, MSc
The very presence of life means that stress is also present. The recognition
of and the reaction to stressors is fundamental to physical and emotional
existence. Our reactions to stressors are either healthy, that is adaptive,
or unhealthy, that is maladaptive. Maladaptive reactions to stress create
physical and psychological damage, if either too large to withstand or too
frequent to recover from. An example of an adaptive physiologic response is
perspiring when the body temperature increases. This response becomes maladaptive,
or harmful, when the body is not able to perspire or if the stress continues
too long and bodily fluids are not replenished. Stressors may also be psychological
or mental. Again, the reaction may be helpful or harmful. For most of us,
the use of the term "stress" refers most often to the negative psychological
or physiological responses to life's stimuli.
The original human need for a stress response was adaptive, called the "fight
or flight" response (Goudey). Typically, this response allowed us to
engage a threat, such as an attacking animal. In modern Western civilization,
the most common daily stressors are minor psychological events, such as, an
angry client on the telephone or the tension of driving in heavy traffic.
Even these seemingly minor occurrences produce a low-level "fight or
flight" reaction in the body. The cumulative or chronic occurrence of
these stressors does not allow adequate or full recovery and results in many
of modern civilization's health problems.
The stress response causes the brain to release chemicals that stimulate the
nervous system. Adrenaline is pumped into the bloodstream along with extra
sugar and fact, from body stores, for energy to fuel muscles. Mental activity
is focused, some organs slow their activity, while others accelerate it, the
muscles tense up, the breeding rate increases, there may be tightness in the
chest and queasiness in the stomach. In a high stress state, most of these
reactions will be present. In a lower stress state only one or several may
be present and in varying degrees.
Many believe that a healthy human body could be able to live as long as 120
years before organs gradually slow down and stop. Stress accelerates the decline
by actually damaging some organs and accelerating the wear and tear on others.
It is easy to see how this chronic state of stress may accelerate aging and
cause heart disease, atherosclerosis, diabetes, arthritis, fatigue, immune
problems, adjustment disorders and anxiety and depression. Many physicians
believe that 70 to 90 percent of the problems they treat are due to stress.
Environmental effects on the development of nervous system and endocrine responses
to stress can last throughout life, and the differences in environmental experiences
of each individual, partially contribute to individual differences in vulnerability
to stress-induced illness. A cascade of neural processes induced by aspects
of an individual's early environment may lead to lifelong individual variability
and may either enhance or reduce vulnerability to damage in later life.
Some of the physiologic reactions to stress are: muscle tension, rapid heartbeat,
sweaty palms, diarrhea or constipation, increased gastric acid, high blood
pressure, increased ACTH, increased to drown, exaggerated mental alertness,
increased blood sugar, increased fat, dry mouth, increased insulin, increased
thyroid hormone and immune changes.
The physical problems that can result from stress are: insomnia, nervous irritability,
headaches, Atherosclerosis, hypertension, irritable bowel, gastritis, arrhythmias,
panic attacks, anxiety, depression, fatigue, substance abuse, immune deficiencies,
asthma, skin problems, allergies, muscle spasms, neuralgias, vision changes,
hyperventilation, dehydration, sudden cardiac death, vasospasm, increased
cholesterol, increased platelets, decreased oxygen, appetite problems, accelerated
auto immune problems increased actually, miscarriages decreased libido, impotence,
menstrual changes, disturbed memory, among others.
Clearly not all of these problems happen to everybody under stress. They happen
to varying degrees depending on genetics, environmental experiences and the
level and duration of the stress. Most of us throughout our lifetimes will
develop at least some of the above problems.
There are many approaches to preventing and managing stress reactions. Once
a stress reaction is initiated it is difficult to turn off immediately. The
reaction is immediate but the recovery takes hours to days. Since the effects
of stress are cumulative, a daily routine of reducing the physiologic response
becomes necessary to ward off long-term damage. One approach to reducing the
physiologic response to the effects of daily stress is whole body pulsed magnetic
field (PEMF) therapy.
Humans are very sensitive to magnetic fields (MFs). Functional physiologic
variations were observed during solar magnetic storms in healthy humans, patients
with cardio-vascular diseases and cosmonauts in SOYUZ spacecraft and the MIR
space station (Rapaport). They showed nonspecific adaptive stress reactions,
accompanied by variations in stress-hormone production. Magnetic storms in
both ill and healthy individuals increased cortisone secretion and activation
of the sympathoadrenal system (SAS) and suppressed production of melatonin.
Much experimental evidence has been gathered to suggest that biological systems
are highly sensitive to weak generated PEMFs and PEMFs have a wide range of
biologic effects in almost all biologic systems. We will cover the results
of a number of these effects. Since experiments are difficult to do in humans,
much work has been done in animals. PEMF exposures of rats inhibited the activation
of the sympathetic-adrenal system (SAS) as well as prevented a decrease in
nonspecific resistance (Temur'iants). They found a decreased concentration
in plasma of catecholamines, chemical messengers associated with increased
sympathetic arousal. Normalization of the SAS state occurred due to the modulation
of hypothalamic functional activity and increased urine excretion of epinephrine.
Even weak PEMFs are able to inhibit the development of a stress reaction.
There is a possibility that long term use of weak PEMFs may be able to remodel
tissues that tend to be hyper-reactive to chronic or acute stress. Hyper-reactivity
of the stress response is often based on stress experiences in infancy and,
if recurring, throughout life. Remodeling of tissues and organs has been found
with treatment of other pathologic states such as asthma, hypertension and
cardiac failure.
Even environmental stressors, such as heat or sunlight, have an effect on
cellular homeostasis (Gutzeit). There are interactions between thermal stressors
and electromagnetic fields (EMFs) as inducers of intracellular heat stress
proteins (hsp), which are protective proteins in the cell. PEMFs can be used
preventively prior to heat, toxicity or injury to prevent cellular harm and
thus produce cellular stress resistance and reduce cellular stress responses.
A number of studies have shown that the presence of hsp in a cell mediates
this effect, an effect that is usually denoted "thermotolerance"
or "stress tolerance." The stress response proteins are induced
by numerous stimuli in addition to heat, for example, heavy metals and oxidative
stress. During severe metabolic stress, the stress proteins preserve cell
viability (Litovitz).
This phenomenon could be exploited as a beneficial presurgical cardiovascular
treatment. This has been borne out in studies that have shown that cardiotoxic
effects, such as occur during cardiac surgery, may be prevented by preconditioning
with PEMFs. Stimulating the cardiac cell with PEMFs may provide for it protection
from injury, including cardiac surgery or heart attack. Similarly, heat pre-treatment
can result in significantly improved heart salvage following coronary artery
bypass grafting (Litovitz).
Other potentially therapeutic applications include protection against viral
infections, autoimmune diseases, inflammatory diseases, and the support of
the stress response in the elderly, in an attempt to counteract the normal
loss of the stress response during aging.
Originally, the therapeutic effects of electromagnetic fields in a wide range
of frequencies were considered a result of activation of metabolic processes
in the immediate tissues exposed. Subsequently, it was found to be more advantageous
to expose endocrine glands and control centers of the central nervous system
since EMFs there triggered natural control processes of homeostasis (Zubkova).
Lower dosing of the thyroid area produced a similar response vs the local
area, eg, the heart in ischemia. These adaptive changes promoted elimination
of hemodynamic and hypoxic disorders in the myocardium, and restored levels
of production of mineralo- and glucocorticoids by the adrenals. In rabbits
with experimental hepatitis microwave PEMFs to the thyroid was more effective
in restoring liver function than to the liver itself. Local exposure of adrenals
in patients with rheumatoid arthritis activated production of glucocorticoids
and returned to normal functional activity of lymphocytes. This work confirmed
that an adaptation to short-term (or weak) stressor factors increases the
resistivity of the organism to severe stressors, including low temperatures,
physical load, ischemic heart necrosis, ionizing radiation, etc.
Stress causes a very quick and significant decrease in leukocyte and absolute
lymphocyte numbers in the peripheral blood of up to 10-20%. The level of cortisone
in the blood increases two to three-fold. PEMFs modulate host resistance (Isaeva)
through enhancing some immune functions. The percentage of neutrophils (including
immature neutrophils) increases gradually with exposure and neutrophil metabolsim
and superoxide production are significantly higher with PEMF. The blood level
of cortisone is lowered.
In some animal species, such as rabbits, emotional stress increases lethality.
PEMFs increased resistance of the rabbits to stress: lethality in animals
exposed to stress plus PEMF was 1.9 times lower than lethality in rabbits
exposed to stress alone (Gorbunova).
Stress activation of the SAS in rats is seen by changes in (nor)adrenaline
in the hypothalamus, adrenal glands, plasma and urine. Daily 3-hr exposure
to PEMFs decreased activation of the SAS shown by a decrease in plasma and
urine catecholamines (Temur'iants). The excitability of the nervous sytem
decreased and corrected the emotional reactions that accompany stress.
Pain inhibition (i.e. analgesia) is a biological function consistently found
to be affected by exposure to magnetic fields in various species of animals,
including: land snails, laboratory mice, deer mice, pigeons, as well as humans
(Prato).
Application of PEMFs to acupuncture points has been found to produce anti-stress
benefits (Lukianova). Therefore, PEMFs act similarly to electroacupuncture
(EA). The stress responses induced by painful tooth pulp stimulation in rats
was reduced by electroacupuncture (EA) (Han), evidenced by decreased nor/epinephrine,
dopamine, ACTH, and corticosterone. No elevation in either diastolic or systolic
blood pressure was seen following EA. Millimeter wave (MMW) exposure of an
acupuncture point affects heart rate and heart rate variability and lability
of central nervous system (CNS) processes (Lukianova). Measurements were performed
in healthy examinees before and after a physical exercise. Almost all the
examinees had increased lability of central nervous system (CNS). The effect
on the heart rate depended on the predominance of sympathetic or parasympathetic
control mechanisms in a particular subject. With parasympathetic predominance,
exercise increased both the heart rate and its variability. With predominance
of sympathetic tone, individual reactions to exercise varied greatly. MMW
exposure facilitated recovery of the heart rhythm after exercise in parasympathetic
toned individuals, not consistently in sympathetic predominance.
Chronic stress causes depression. Amitryptiline also seems to have a similar
effect in blunting or negating the stress response (Nemeroff).
Stress induces neuronal atrophy and death in the brain, especially in the
hippocampus. Alterations in the expression of neurotrophic factors are implicated
in stress-induced hippocampal degeneration (Yun). EA stimulation significantly
restored neurotrophic factors.
One group studied for many years the effects of an PEMFs 1-500 G and also
a constant magnetic field (CMF) at up to 2500 G intensity (Garkavi). With
a CMF, the pattern of a training reaction, or very low level response, was
found. PEMF exposure of the head at frequencies greater than 50 Hz produced
a low level adaptation reaction, whereas a lower frequency PEMF stimulates
the development of a higher reaction level. Exposure of the peripheral parts
of a body by PEMF up to 1000 Hz at a low intensity 100-200 G or less could
provoke the development of a high reaction level. In studies of weak PEMF
(100 G), these magnetic fields were antitumorigenic, protective (in relation
to toxic agents and Xray radiation), and produced rejuvenation effects in
the organism, especially in cases where there was a high reaction level.
Millimeter waves (mmW) have been found to attenuate stress reactions in experimental
animals (Lebedva). They were also found to prevent a stress response in healthy
20 to 24 yr old humans applied to the outer surface of the hand. Stress was
evaluated by heart rate variability and electroencephalogram (EEG) changes.
The heart rate variability reflects the balance of sympathetic and parasympathetic
stimulation of the heart. Stress normally increases the heart rate. MmW's
prevented or attenuated these changes. Stress-induced EEG changes were suppression
of the alpha rhythm, enhancement of the theta rhythm, and a decrease in the
coherence of bioelectric activity in different brain structures. EEG changes
with mmW treatment were the opposite of those which occurred in control experiments.
MmW treatment may help to increase resistance and to ameliorate stress.
In another study of mmW exposure (EMR (Temur'iants) resistance to stress was
tested. All stressed animals had precipitous decreases of non-specific resistance,
activation of lipid peroxidation and brain thiol-disulfide exchange. Normal
control animals exposed to EMR showed a 10-15% increase in neutrophil metabolism
and increased thalamic and hypothalamic thiol exchange. None of the changes
seen in the stressed control animals were seen in those which were stressed
and exposed to EMR.
Stress in rats can lead to breakdown of elastin and collagen fibers in serum,
heart muscle, cerebral cortex and liver (Varakina). Low- and high-frequency
PEMFs in rats modulated elastase-inhibitory activity in all tissues with exposures
to frontomastoid area of the head or paravertebrally, alone or incombination
with laser, infrared exposure or static magnetic field (SMF). High laser strength
and the combination of laser with SMF decreased the stress reaction. The use
of the combination of infrared laser + SMF + PEMF had a stress-limiting effect
and enhanced elastase-inhibitory activity. The increase in elastase-inhibitory
activity by PEMFs is because of its antioxidant abilities.
According to present views, ascorbic acid (AA) plays a key part in the antioxidant
system and, therefore, is mainly responsible for the coordination of neuroendocrine
and immune mechanisms of stress adaptation (Zotochkina). High frequency fields
for 1 hr daily over a period of up to 90 days caused AA and serotonin (S)
to significantly decrease after 3 days by16% and 28%, resp., increase nearly
2-fold by the 30th day of exposure and by the 90th day, AA concentration recovered
to the initial (pre-exposure) value, while S content still remained significantly
increased.
Low-level 50-Hz PEMF exposure on host immunologic defense and on splenic colony
formation was tested in a mouse model (Korneva). After 1 or 4 days the magnetic
field caused a protective effect.
PEMF effects were evaluated in athletes engaged in different sports, with
different qualifications, and in different periods of training and competitions
(Gigineishvili). Decimeter wave therapy (DMW) exposures (460 MHz) of adrenal,
thyroid gland, or collar areas have been found to have a favorable effect
on the immune status and production of hormones, specifically, T-lymphocytes,
testosterone and growth hormone, and a decrease in circulating B-lymphocytes
and cortisol. DMW exposures of the thyroid gland decreased the initially elevated
levels of thyroid hormones, cortisol, and somatotropin. These effects were
interpreted as favorable and helpful in maintaining a high resistance to diseases
and a high working capacity.
Heart rate variability (HRV) results from a complex interplay of neural and
hormonal control mechanisms. Changes in HRV has been associated with increased
risk of severe arrhythmia and sudden cardiac death in patients with recent
myocardial infarction. Human volunteers had their heart rate variability tested
with PEMF exposures (Sait 1998). The slowing of heart-rate associated with
field exposure has been confirmed. Sinusoidal continuous waveform seemed to
be more effective at producing this effect than intermittent or square-wave
current waveforms. There was significant greater inter-subject variability
than within-subject. Some individuals may be more sensitive to or alternately
more consistent in producing these field-induced changes in HR and HRV than
others. This effect apperas to be a modulation of the threshold properties
of the cardiac pacemaker, the Sino-Atrial Node, giving rise to greater beat-to-beat
variability.
In another series of double-blind studies it was also found that PEMFs altered
the normal variability inherent in human cardiac rhythm (Sastre). Intermittent
exposure is more effective than continuous exposure.
Static magnetic fields (SMFs) act on rabbit sinocarotid baroreceptors by reducing
blood pressure (Gmitrov 1995). The effects were attributed to changes in cell
membrane calcium ion (Ca++) transport since they were abolished by treatment
with verapamil, a potent Ca++ channel blocker. A more pronounced effect occurs
with stronger fields. Heart rate was significantly decreased during the after-effect
period. Changes were indicative of peripheral vasodilation and increased baroreceptor
activity causing the baroreceptor to reset the sympathetic tone. In humans,
SMFs over the right and left carotid sinuses, respectively, at the baroreceptors,
increased heart rate variability somewhat vs shams and controls (Gmitrov 1996).
The effects were of minimal clinical significance in the subjects tested but
could be significant in individuals with cardiovascular disease with decreased
HRV.
High strength stimulation level fields act somewhat differently than low level
PEMFs. Slow repetitive transcranial magnetic stimulation fields (rTMS) also
affect human heart rate variability (HRV) (Yoshida). HF HRV in the supine
position is thought to reflect parasympathetic nervous system activity, while
LF HRV while standing is thought to be mediated by the sympathetic nervous
system, based on its decrease following administration of a beta-adrenergic
blocker such as propranolol. LF power band of HRV was significantly increased
relative to baseline when measured immediately after rTMS. No significant
long-term effect of either active or sham stimulation on LF power was seen
when measured 5 days after the end of the experiment. The transient increase
in LF power induced by active stimulation but not sham stimulation suggests
that rTMS may transiently activate the sympathetic nervous system.
Application of the PEMF signal resulted in the several apparently related
long-lasting localized effects being observed in certain tissues: an increase
in blood volume, an increase in oxygen partial pressure (PO2), persistent
increases in pH (reduced acidity), increase in respiration amplitude, decrease
in heart rate and changes in blood pressure (Warnke). The magnitude of these
effects in the human subjects showed significant inter-individual variability.
The effects were observed to be modulated by changes in the level of blood
acidity, as indicated by measurements of lactic acid and pyruvic acid concentration,
carbon dioxide partial pressure (pCO2), and hydrogen ion (H+) concentration.
This meant that the PEMF effects would be increased during periods of high
muscle activity, after drinking alcohol, while sleeping, or after inhaling
CO2. Conditions that promoted alkalosis such as hyperventilation and eating
large meals could be expected to reduce the magnitude of the effects.
Extremely low-frequency (ELF) pulsed magnetic fields (PMFs) affect blood vessels.
Head and thorax exposure to ELF PMFs induced dilation of the larger blood
vessels in these areas and increased oxygen partial pressure (Warnke). PMFs
having a variety of pulse shapes, amplitudes, and repetition rates that were
applied to the neck of human volunteers showed that these stimuli could alter
the respiration cycle, heart rate, blood pressure, and vessel perfusion. Although
these effects showed wide variability and poor reproducibility, they were,
nonetheless, attributed to a decrease in central nervous system (CNS) activity
and a local increase in sympathetic activity.
Strong SMFs induced a vagotonic state (Nakagawa).
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