Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Archive for February, 2010

Science With a Common Touch

Friday, February 26th, 2010

lanterns_0About $1 billion is spent each year on scientific research across the country, but how much reaches families in a meaningful way? The information is compiled into reports, published in journals, but not brought into the community. Forging connections between science and community is the uncommon mission of the UCLA Family Commons in Santa Monica.

The enticing storefront facility on Second Street focuses on four main areas: community, family, parent and child. They offer yoga and martial arts classes and craft workshops. But they also host classes in areas such as “mindful awareness,” parenting toddlers, helping with homework and healthy eating. They even offer custom Family Wellness Checkups to help you gauge how your family is doing and set a plan for addressing your parenting priorities.

commons-2“We feel that you can deliver a lot of the science in ways that do not involve sitting behind a desk,” explains Diane Flannery, Ph.D., director and co-founder of the facility. And there is plenty of science being delivered here. When they get inquiries from clients, Flannery and colleagues can even call on experts from UCLA to help them compile data on all sides of the issue at hand – be that helping kids sleep, parenting sons, or coping with ADHD without medication.

The cozy little space helps ensure that all this expertise is delivered in a personal and accessible fashion. During a tour Monday, Flannery showed of comfy, round rooms where families and experts sit together around tables and the walls can all be written on with dry-erase markers. Active classes like yoga and martial arts take place in an airy room with windows and mirrors – and these offer their own community connections. A family taking a yoga class for toddlers might also happen upon a class about parenting toddlers, for example. Or instructors might notice a behavior problem in a child taking a martial arts class, discuss that with the parents and offer resources to help them cope.

commons1The shopping is good here, too, with a plethora of books and other items for parents and kids on a host of topics. Not into dull, dry parenting texts? No worries. Flannery and staff personally review all the books they sell and carry only those with true family-friendly appeal. They can even point out the most pertinent sections for parents with little time on their hands and a particular problem to solve.

Open since December, Flannery says the Commons is now seeing about 25 walk-ins per day. They charge for classes and other services, but do sometimes offer sliding scales for families who need them.

The facility also reaches out virtually, with a Web site offering information and tools – including a tool for measuring how you spend your time (read about that on Carolyn Graham’s “I Don’t Have Time For This” blog), and a barometer of sorts for the mood of the community. Just set the bar to answer the question “How are you feeling today?” and you’ll add your color to the lanterns hanging in front of the Commons. With such a great resource in the area, there are sure to be a lot more good feelings to go around.

Check out The UCLA Family Commons online … 

CDC Panel Recommends Flu Shots For All

Thursday, February 25th, 2010

shotA panel of immunization experts voted yesterday that the U.S. Centers For Disease Control and Prevention (CDC) should recommend flu shots for everyone 6 months and older, beginning with the 2010-2011 influenza season. They’ve been gradually heading toward this universal recommendation for several years, and finally decided to go ahead and make it official.

Meanwhile, the FDA announced that next year you won’t need two flu shots – because they’ll be combining vaccine against H1N1 with the traditional seasonal flu vaccine. 

Flu shot recommendations have previously focused on protecting people ages 6 months to 18 years, other high-risk populations (the immunocompromised and those with other underlying health conditions), and the elderly. But last season’s H1N1 influenza proved especially dangerous for people ages 19 to 49, and the fact that H1N1 will likely keep circulating next season and beyond played a part in the expanded recommendation.

Meanwhile, flu shots for the 2009-2010 season are still available, and worth a trip if you haven’t yet been vaccinated. They’ll protect you until flu season starts again next fall.

Get more flu info … 

A DIY Hot Dog Redesign

Wednesday, February 24th, 2010

chokingMost folks have heard, by this point, that the American Academy of Pediatrics (AAP) has called for a number of measures to help keep young children from choking on food. Their recommendations include warning labels on foods that pose a high choking risk (hot dogs, grapes, carrots, gumballs – or just about anything else that’s small and round or can be bitten into small, round pieces), recalls of products that pose a big choking hazard, and even the redesign of the good-ole American hot dog.

Why? Here are a few related facts:

  • Cut a hot dog crosswise and you have a cylinder the perfect size and shape to plug a child’s windpipe.
  • A child’s throat doesn’t know the difference between a little rubber ball (for which our government requires a warning label) and a cherry tomato.
  • Kids under age 4 can’t chew with the “grinding motion” they need to safely eat hard foods like peanuts and raw vegetables.
  • Experts estimate that about one child every five days chokes to death on food in the U.S.

 

Other government agencies are reviewing the AAP recommendations, and might eventually put some into effect. But meanwhile, any parent with a sharp knife and some common sense can handle their own hot dog redesign. Simply cut the frankfurter in half lengthwise, and then crosswise into bite-sized portions for your child. You can also halve grapes and cherry tomatoes, and chop most other foods into appropriate pieces. Anything you can’t cut to airway-friendly size is probably not appropriate to serve until your child is older.

Here’s a link to the (lengthy) AAP recommendation … 

More about choking prevention … 

 

FDA Issues New Safety Advice On Popular Asthma Meds

Friday, February 19th, 2010

asthmaIf you or your child use Serevent, Foradil, Advair or Symbicort, you’ll want to know about some new safety advice from the U.S. Food and Drug Administration. These medications, prescribed to help fight symptoms of asthma, should be used as little as possible because their use has been linked to worsening of asthma symptoms, hospitalizations, and even some deaths, the FDA announced yesterday.

Experts from the agency stress that the medications, also known as long-acting beta agonists (LABAs), can be an important tool for asthma patients, but should never be used alone in the treatment of asthma. Patients who need to use LABAs should also be using an asthma controller medication such as an inhaled corticosteroid. In other words, these are “rescue” medications that can have serious side-effects. They should be used in severe situations, and not to control asthma all by themselves.

FDA will now require that product labels tell patients:

  • LABAs should only be used long-term in patients whose asthma can’t be controlled by asthma-controller medications.
  • LABAs should be used for the shortest time possible to control symptoms, and then discontinued if at all possible.
  • Children and adolescents who need to use a LABA should use a combination product that contains a LABA and an inhaled corticosteroid, to be certain they are using both medications.

“The risks of hospitalization and poor outcomes are of particular concern for children; parents need to know that their child with asthma should not be on a LABA alone,” Dianne Murphy, M.D., director of the FDA’s Office of Pediatric Therapeutics said in a press statement.

Learn more about LABAs …

Developmental Delays Linked With Flat-Head Syndrome In Babies

Thursday, February 18th, 2010

It’s called “plagiocephaly,” that flat spot some babies get on the backs of their heads, presumably from lying in the same position a lot. And researchers from Seattle Children’s Hospital have found that babies with a flat spot seem to score lower on motor skills tests than those without. Their study was published online Monday in Pediatrics.

The researchers aren’t sure, however, which way the link works. Does flat-head syndrome lead to motor delays, or are babies with motor delays more likely to remain in fixed positions – leading to flat-head syndrome? They also aren’t sure whether the delays will persist later in babies’ lives, but are conducting studies to find out.

Flat spots on a baby’s head are fairly common, impacting one or two out of every 10 infants, and aren’t cause for alarm in and of themselves. However, experts suggest the following:

  • Always place babies to sleep on their backs. Yes, it could increase the risk of pagiocephaly, but it is essential in preventing Sudden Infant Death Syndrome (SIDS).
  • When your baby is awake, make sure she gets lots of tummy time, helping her play and move on her stomach several times a day.
  • Hold and play with your baby in a variety of different positions.
  • Make sure your baby gets lots of lap time – away from car seats, cribs and strollers – so he can move.
  • Develop motor skills by encouraging crawling, rolling, reaching, holding and grasping.
  • Develop cognitive skills by encouraging babies to look, listen, imitate and babble. Sing, talk and read.
  • If your baby is diagnosed with plagiocephaly, ask your doctor to screen for motor and cognitive developmental delays.

Learn more about plagiocephaly …

 

Missing Morning Light Keeps Teens Up At Night

Wednesday, February 17th, 2010

 

Photo Courtesy Rensselaer Polytechnic Institute: Dr. Mariana Figueiro helps middle school student Carolyn Cimo test a pair of orange goggles and a Daysimeter™ headset that were used in the first field study to show lack of exposure to morning light delays sleep in teens.

Photo Courtesy Rensselaer Polytechnic Institute: Dr. Mariana Figueiro helps middle school student Carolyn Cimo test a pair of orange goggles and a Daysimeter™ headset that were used in the first field study to show lack of exposure to morning light delays sleep in teens.

On my first trip to Europe years ago, a friend offered advice for combating jet lag. “You have to get outside and see the daylight,” she said. “It will help you get on track.”

Her strategy seemed to help, and now researchers from Rensselaer Polytechnic Institute’s Lighting Research Center (LRC) in New York have found that “seeing the light” might also help night-owl teens get more sleep. LRC Program Director Mariana Figueiro, Ph.D. and colleagues followed 11 eighth graders at a North Carolina middle school. The school is designed with south-facing skylights to spread daylight throughout the buildings all day long, but the kids were fitted with glasses that blocked the short-wavelength (blue) morning light.

After five days without morning light, the students were falling asleep half an hour later at night.

Here’s why: The onset of melatonin, the hormone that tells the body when it’s nighttime (and time to sleep) is timed to the body’s exposure to blue light in the morning. So the later the body gets a view of morning light, the later the melatonin comes and the later the body falls asleep. In the study, the teens’ melatonin onset was delayed by about 6 minutes each day they didn’t get their blue-light exposure.

Teens in middle and high school are often either traveling to school – or already there – before the sun is completely up. And most schools probably aren’t providing enough light to get the sleep cycle moving, which means kids fall asleep later at night and wind up sleep deprived. Studies show lack of sleep can lead to a number of health problems, and even lower students’ test scores at school.

Authors of the study, published this week in Neuroendocrinology Letters, say that schools could help remedy the problem by letting plenty of daylight into classrooms. Or maybe teachers should try giving the first lesson of the day out on the quad.

Learn more about the study … 

Clean Sipping With Drinkmarx

Tuesday, February 16th, 2010

drinkmarx2Think “wine charm” for your to-go coffee or your child’s plastic tumbler. This product fits in perfectly with my likes and dislikes. I like to personalize stuff, and hate sharing my drinks and wasting paper products. With Drinkmarx ($9.95 for four, www.drinkmarx.com) I know my cup won’t get mixed up with anyone else’s – which means I also won’t have to share sniffles, flu bugs, or anything of that nature.

drinkmarx3Each set comes with Drinkmarx bands in four colors, plus two sheets with 120 decals – including letters to spell your name, and cool graphics for a range of interests (even one for yoga!). They slide easily over cups of various sizes, and have non-slip rubber backing to keep them in place until you’re ready to take them off. Great for multi-cup office meetings, or a fun party favor.

Fitting It In: The Morning Walk

Thursday, February 11th, 2010

PHOTO BY LAUREN SPARROW. Two of my favorite walking partners.

PHOTO BY LAUREN SPARROW. Two of my favorite walking partners.

I was on the phone with a health expert the other day and she asked me, “Have you had your 60 minutes of exercise today? Because I know I haven’t!” Actually, I had – because I’ve figured out how to get it done. For me, the best way to get my daily exercise is to take a walk first thing every day, before anything else (except fire and rain) has a chance to get in the way.

This approach isn’t for everyone, but if you think it might be for you, here are my tips:

You’ll need …

• A safe route. I like to plan a circular route so that I can just forge ahead. If I plan a route where I walk for awhile and then turn around and walk back, I tend to find excuses to turn around too soon. Avoid areas that are too remote, and make sure there’s good lighting if you plan to walk before sunrise. If you don’t’ live in a walkable area, this might not be your ideal exercise plan.

• Good shoes. The American Orthopaedic Foot & Ankle Society  says to look for extra shock absorption in the heel and under the ball of the foot, and a slightly rounded sole to help you smoothly shift weight from the heel to the toes as you step. They suggest replacing your shoes after about 300 hours of activity, which would be at least once a year if you take an hourlong daily walk.

• A companion. It isn’t a deal breaker if you don’t have someone to walk with, but it’s a great motivator if you do. I walk with my German Shepherd, who makes sure I am keenly aware of her disappointment if we ever miss our daily stroll. Another tactic that works is to tell as many people as possible that you walk. Knowing someone is going to ask, “How was your walk today?” can keep you honest.

• A wake-up plan. If you don’t plan for your daily walk, it won’t happen. I set my alarm early enough that I have time to walk my full route. I also set my clothes out the night before. Having something warm to put on right next to the bed makes it easier to leave the blankets behind on cold mornings. Some people like to have breakfast first, but I hike before I eat. Then I can relax and enjoy the paper, a healthy meal and a cup of tea as a reward for being good to myself.

The physical benefits of walking are well established, but if you need convincing, here’s a link …. I also find a get a mental boost when, even in the middle of the busiest day, I know I’ve taken time to do something really good for myself.

Target Stores Halt Sales Of Lead-Tainted Valentine Bear

Wednesday, February 10th, 2010

bear-pinkTarget stores today pulled Valentine’s Day “Message Bears” from their shelves. The bears hold inflated vinyl letters that are tainted with lead –more than eight times the federal limit for products intended for kids 12 and younger. The lead was detected by testers at the Center for Environmental Health (CEH), a nonprofit dedicated to reducing the industrial use of toxic chemicals, as part of their annual testing of Valentine’s Day products. The organization informed California Attorney General Jerry Brown about the lead-containing bears, and he sent a letter to the retail chain asking them to remove them from the shelves and accept customers’ returns of the products. If you have one of these bears, take it back to the store and insist on a refund.

CEH reported that most of the other Valentine products tested this year did not have high lead levels. Lead is a heavy metal associated with many health problems – especially in children, who can develop anemia, severe stomachache, muscle weakness and brain damage when exposed to high levels. Studies have shown that even low levels of lead exposure can impact kids’ scores on IQ tests.

Learn more about CEH … 

Learn more about lead exposure … 

Michelle Obama Says “Let’s Move!”

Tuesday, February 9th, 2010

While President Obama does his best to overhaul our nation’s healthcare system, Michelle Obama is tackling health from a different angle. Today she announced a substantial goal, to say the least: overcoming childhood obesity within a generation. The woman has ambition! Childhood obesity rates in the U.S. have tripled over the past decade, and one in every three American kids is overweight or obese. Michelle calls her campaign “Let’s Move!” Here are a few of the high points:

New Food Labels: By the end of this year, the FDA will begin working with food manufacturers and sellers to create consumer-friendly nutrition labels – on the front  of the packages.

Prescriptions From Pediatricians: The American Academy of Pediatrics has committed to making sure healthcare providers monitor kids’ BMI and teach families about healthy eating and exercise.

A New Pyramid: The Department of Agriculture will revamp its famous food pyramid (www.MyPyramid.gov) to help folks put dietary guidelines into practice.

Community Change: The USDA has created a database to map the “food environment” across the country and identify neighborhoods that are more than a mile from a supermarket, known as “food deserts.” The Obama budget proposes investing $400 million a year to help bring grocery stores to these areas and an additional $5 million to establish and improve access to farmers’ markets.

Better School Lunches: The Obama Administration has asked for an extra $10 billion over 10 years to improve the National School Lunch and Breakfast program. And major school food suppliers have committed to decrease the amount of sugar, fat and salt in school meals and increase whole grains and produce within 5-10 years.

Moving, Moving, Moving: The President’s Physical Fitness Challenge will get a face lift, and schools will likely get additional funding to improve their physical education offerings. Professional football, baseball, basketball and soccer players will also help the First Lady promote “60 Minutes of Play a Day” through clinics and a media campaign.

What’s In It For You? Find out through the program’s web site, www.LetsMove.gov.