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 April, 2010

Slimming Down for Swimsuit Season

Friday, April 30th, 2010

swimsuitWe’re kicking off May, which means if you want to wear a swimsuit this summer (and guys, I’m talking to you, too) it’s time to get your act in gear. Here are some wonderful tips from Megan Fendt, a registered dietitian at NewYork-Presbyterian Hospital/Columbia University Medical Center and Michele Murphy, a registered dietitian at NewYork-Presbyterian Hospital/Weill Cornell Medical Center (www.nyp.org). They’re designed to help you shed that extra winter insulation – and keep it off.

 

  • Take advantage of the warm weather to increase your exercise regimen. Play a game of Frisbee, volleyball or tennis. Take long walks. Swim.
  • Make seasonal vegetables the focus of your meal. Indulge in salads and steamed vegetables. Season vegetables with spices, lemon and balsamic vinegar, a little Parmesan cheese and low-fat dressings. Make these the largest items on your plate and add small portions of protein and/or starch.
  • Grill your food to add flavor while reducing fat and calories. Grilling meats allows some fat to drip off, which lowers fat and calorie content. Try wrapping fish or chicken in foil and add vegetables and seasonings.
  • Satisfy your sweet tooth with fresh fruits. Bypass cakes, cookies and ice cream and opt for fresh berries, melons and even some of the more exotic fruits that are available instead. Fruit is fat-free, high in nutrients and fiber, and a natural energizer.
  • Try “calorie banking.” Cookouts with family and friends should not signal a diet disaster. Cut back on your calories a week before special occasions so you can indulge a little more and enjoy yourself. However, try to restrict high-fat foods such as potato chips and mayonnaise-based salads.
  • Stay away from empty calories. It is important to drink plenty of fluids in warmer weather, but juice, whole milk, regular soda and alcoholic beverages are high-calorie drinks that you want to avoid. Alcoholic beverages contain empty calories and may stimulate your appetite. Instead, fill up on water, seltzer, juice diluted with seltzer, low-fat milk or iced tea. 

Free Support For Moms With Cancer

Thursday, April 29th, 2010

cereal-for-dinner-finalParenting can be tough – and so can cancer. Put the two together and you’re sure to need a little help. “I can’t think of two more difficult processes,” says Ellen Silver, executive director of The Wellness Community – West Los Angeles. To connect these moms with some of the help they need, TWC-WLA has created Mama Mia!!! a free support group for moms with cancer. (If you’re not in L.A., don’t stop reading. TWC has resources for you, too.)

The group kicks off Wednesday, May 5, with a presentation from Kristine Breese, author of Cereal for Dinner: Strategies, Shortcuts & Sanity for Moms Battling Illness. This workshop will help moms ask for help and focus on their healing, taking the shortcuts they need to get back into the driver’s seat. After that, the group will meet every Wednesday with Jill Searle, MA, MFT, a licensed clinician, mom and cancer survivor.

Silver points to the many challenges facing moms with cancer. “When you hear the word  ‘cancer,’ it probably evokes a response like no other health diagnosis,” she says. And as a mom, you have to face the idea that your dreams and plans about watching your children grow up might not come to fruition. You worry about “incomplete parenting,” who will take care of the family during your treatment, what will happen if you can’t be there anymore. “And while you’re scared to the core of your being, you have to be reassuring to your child,” she says.

You also have to cope with the day-to-day world of being a mom, which can become overwhelming. “How are you going to run out to the store because you’re out of juice boxes when just showing up to the kitchen was complicated?” asks Silver. Being part of a group of other moms in the same boat can be an important part of figuring this out. “Being with other people, you hear how they do this,” Silver says. Many folks even get together outside the group, helping each other with practical issues like transportation, childcare, or having someone to sit with during your five-hour chemo drip.

  • TWC-WLA also offers networking groups, individual counseling, and fitness and stress-reduction classes – all free. Their parent organization, Cancer Support Community, also offers online resources all day, every day, including 90-minute weekly online support groups.
  • The Cereal for Dinner kickoff event takes place from 10:30 a.m.-noon May 5 at TWC-WLA, 2716 Ocean Park Blvd., Santa Monica. RSVP here … 
  • The Mama Mia!!! weekly support group is for moms with cancer parenting kids ages 18 and younger. All types and stages of cancer are addressed, and no RSVP is required.
  • Find more info about the Cancer Support Community’s online services here … 

 

Perform Your Own Playground Checkup

Wednesday, April 28th, 2010

playgroundYou don’t need to look at government estimates (which range from 50,000 to 200,000 injuries per year) to know that kids get hurt on the playground. And while most of us are willing to shrug off the occasional bruise or skinned knee as a small price to pay so that our children can get a healthy dose of physical activity, some playground injuries can be serious.

What can you do to prevent those? Along with teaching your kids some common sense (i.e., don’t try to summersault down the slide), you can employ a low-tech solution from the University of Alabama at Birmingham Department of Human Studies.

Researchers from the physical and health education department checked out 52 school and community playgrounds and 45 gyms across Alabama, and found safety hazards at most locations.

  • Playgrounds built over asphalt or concrete
  • Ladders with broken or missing rungs on playground equipment
  • Equipment with rust or splintered wood
  • Swings that could entangle a child’s hair or clothing
  • Metal slides in direct sunlight that could heat them up and cause burns
  • Sandboxes littered with broken glass or other trash
  • Broken bleachers, blocked fire exits or inoperable fire alarms in gyms

The researchers then created a couple of checklists designed to help parents or others check out the safety of their local playgrounds and gyms. They’re not flashy, because they are designed to be official, but they could be used to help advocate for change with a school board or local parks and recreation department. Or you could just run down the list for your own peace of mind. Get it done before summer sets in!

Click here to see the playground safety checklist … 

Click here to see the gymnasium safety checklist … 

This Gift Shows Mom She Counts

Tuesday, April 27th, 2010

count-meThis week I’m getting lots of compliments on my pretty new bracelet – and I’m staying hydrated. That’s because the lovely silver bangle I’m sporting is from Count Me Healthy ($88, www.countmehealthyjewelry.com). It’s the most stealthy health tool I’ve ever seen.

The bracelet features 12 sliding silver beads you can use to count all sorts of healthy things: glasses of water (like I’m doing), servings of fruits and vegetables, vitamins or medications, exercise sessions, Weight Watchers points. Each time you do what you’re supposed to, you slide one or more of the beads across the special “jump ring” in the center to mark your progress. My Sigg water bottle is big enough that I can slide two beads across for each bottle and have my 64 ounces done at the end of the day. If you were trying to do 60 minutes of exercise, you could slide one bead for every 5 minutes you worked out.

This would make a perfect gift for the moms in your life, or any woman you love. She can wear it without tipping anyone off that she’s being health conscious. Whether she’s decked out in a cocktail gown or casual in jeans, they’ll think she’s just wearing it because it’s pretty.

If you’re gifting a new mommy, consider the “Mommy & Me” edition of the bracelet so that she can count baby’s daily feedings, pre-natal vitamins, or time between diaper changes. (And honestly, who would have thought it was possible to glitz that up.)

Click here to check it out … 

Dr. Jennifer Ashton on Breastfeeding Challenges

Monday, April 26th, 2010


Watch CBS News Videos Online

Back in January, I interviewed Dr. Jennifer Ashton about her book The Body Scoop for Girls. Here, she interviews lactation consultant Freda Rosenfeld about common issues women face when breastfeeding.

Click here to read my past interview with Dr. Ashton … 

Play Sports? Secure That Smile!

Friday, April 23rd, 2010

Link an important health or safety message with a hilarious video and you’ll hook me every time. That’s what Momsformouthguards.org has done with their campaign to make mouth guards standard equipment for kids participating in all forms of sports at every level.

Mouth guards protect the teeth from chipping and breaking, and also cushion blows to the face, protecting the tongue, lips and cheek lining. They even offer some protection against jaw fractures.

Here are some supportive stats from the Moms For Mouth Guards team – which includes the American Association of Orthodontists, football great Emmitt Smith, his wife, Pat, and their kids:

  • 80% of sports-related emergency room visits for kids ages 5-14 happen during baseball, soccer, basketball or football play.
  • 65% of catastrophic injuries in high school girls’ athletics are to cheerleaders.
  • 75-85 miles per hour is the average speed of the average high-school pitcher’s fastball.
  • 67% of parents surveyed said their child does not wear a mouth guard.

Check out the site, where you can learn more about mouth guards and sports safety in general, and show your support by taking the Moms For Mouth Guards pledge.

‘Chicago’ Offers a Healthy Dose of Vaudeville

Thursday, April 22nd, 2010

Photo: Paul Kolnik

Photo: Paul Kolnik

Chicago opened in Los Angeles last night. And as an editor at L.A. Parent, I found myself seated fourth-row mezzanine with my daughter – who is 18, and thus old enough to appreciate the subtle but decidedly burlesque humor, which would be lost on anyone younger than (depending on their upbringing) 14 or so. I will now review the performance for you, and turn it into a health topic. How?

Ladies and gentlemen, a tap dance!

First, here is my history as a musical theater audience member:

  • Phantom of the Opera: Post-Michael Crawford, but still charming.
  • Miss Saigon: Snore!
  • The Lion King: First L.A. run. Delightful.
  • Cabaret: NYC production with Natasha Richardson. WOW!
  • Dirty Dancing: In London. Someone should have put Baby in the corner.

Now you know who you’re dealing with. So now I’ll talk about the show.

Opening nights here in L.A. are always fun. There was a red carpet and some paparazzi. A colleague found herself texting alongside Arsenio Hall, and Corey Feldman accidentally elbowed my daughter in the VIP will call line. (He said “sorry.”)

This production’s sets were minimal, with the band on a framed platform center-stage and the action taking place in front, around the sides, and sometimes up near the conductor’s podium. This evoked the feeling that you were watching a burlesque show on an intimate (no pun intended) scale, and it made the most of the superb group of musicians assembled for the performance.

The acting, singing and dancing were also excellent and the minimal costuming – everything cut up to here and down to there, with lots of mesh, fishnet, and just plain skin – set the cast’s acrobatics off in fine style.

And here, at last, is the health tie-in. These jazz dancers are true athletes with strong, fit bodies at the top of their game. (Ballerinas are also athletes, but their penchant toward frightening thinness means they often seem anything but healthy.) And in those costumes you could see every muscle (We were all watching their muscles, right?) do its work. It’s the kind of thing that can make you appreciate what the human body can do, and remind you that you should give yours a bit more attention.

Thus, though I was up past midnight last night, and though I am a sleep evangelist preaching the benefits of a nightly eight hours, I found myself up early and on the hiking trail, imagining the impact of every uphill trudge on my “gams.” And, though I’m going to skip my yoga class tonight (because I really do need some sleep) I’ve found a make-up class I can fit in tomorrow. I can’t dance (don’t ask me), but many of the moves in the show reminded me of yoga poses, and inspired me to continue my quest to bend like that.

So there you have it. Though the gin was cold and the piano hot, though there was murder and mayhem and cross-dressing, the whole thing came to a happy, healthy ending – for me at least.

The show runs through May 9 if you’d like to get inspired. For more info, click here …

 

Surprisingly Unhealthy Foods

Wednesday, April 21st, 2010

You try to be good, skipping the candy and soda and bringing home juice and whole-grain granola bars instead. Believe it or not, sometimes you’d be just as well off with the “unhealthy” snack. Here’s some more advice from dietitian Susan Burke March, MS, RD, author of Making Weight Control Second Nature: Living Thin Naturally  and resident nutrition expert for HealthyWage.com.

Buyer beware! Seemingly healthy foods such as yogurt and oatmeal may contain copious amount of added sugars; breads and crackers are often made with heart-unhealthy hydrogenated oils (trans fat). “Miracle” juices and “energy” bars, touted as healthful, are usually just vehicles for added sugars and excessive calories. Consider this representative list of some surprisingly unhealthy foods:

yogurt–Yogurt: Plain, low fat or nonfat yogurt is such a healthy food, because it’s a delicious low fat source of calcium, vitamin D and magnesium and protein, but many manufacturers have taken liberties with yogurt!  They’ve loaded it up with excess unwanted calories.  Consumers are distracted by words like “organic” and “natural” but even these words can’t undo nutritional damage from added sugars, “granola” and nuts – and more. Yogurt should have but two ingredients: milk and live cultures. Stay wholesome by staying simple, and that goes for kids’ yogurts too.

taco-shell–Tortilla and Taco Shells: Generally low in fat, usually made from corn or wheat, or both…but read the ingredient label first, because many brands are quite high in fat, and are often made with hydrogenated fat, or trans fat (hydrogenated oils). Trans fat can raise bad cholesterol but also lower “good” HDL cholesterol. Search out better-for-you whole-wheat tortilla and taco shells made with canola or other vegetable oils.

oatmeal–Instant oatmeal: Looking for convenience and nutrition, we make the mistake of reading the front of the package for descriptors such as “wholesome” and “nutritious”.  We know not to choose sugary cold cereals but convenience packages of instant oatmeal are no exception.  Read the ingredient label first – one teaspoon of sugar equals four grams: some of the “maple” or other favors have more than 12 grams per serving. Buy whole oats, microwave for a minute in a glass dish, stir in a quarter-cup of raisins, cook one more minute, and Sweet!

–Granola: Granola may be “natural” but it’s also a typically calorie-dense food, not nutritionally desirable if it’s full of oil and sugar. Do a little label reading in the grocery store – most flaked or “twig” cereals such as Kashi GoLean list the serving size as 3/4 – 1 cup, for about 150 calories per cup. There is no standardized serving size for cereals, and most packaged granolas’ list the serving size as a mere quarter-cup, with about 160 calories per serving. No one is satisfied with just a quarter-cup of cereal and usually will pour their usual cup – multiplied by four, that’s 640 calories, plus milk! Granolas typically features a good amount of oil plus a number of different sweet ingredients, some which may sound healthful, but again, sugar is sugar, and all of it, maple syrup, cane sugar, brown sugar, cane sugar, agave nectar, honey – are recognized similarly by your body, and are all different ways to say more calories! Stick with a high fiber, lower sugar cereal, and if you like granola, use as a topping on a yogurt and fruit parfait (nonfat Greek yogurt and berries).

juice–“Miracle” Juices: The front of the package appeals to your quest for good health with words like “immune promoting” and “antioxidants”. The front label shows appealing photos of fresh fruit, but like all juice, the proof is in the fiber – and reading the nutrition facts label shows that juice contains just about none. There are no studies that show that drinking juice will prevent disease, and people who are watching their weight need to remember that calories in fruit juice are equivalent to soda – no fiber here, and a very quick way to get excess calories. Eat whole fruit, for more energy and fiber, and save your calories for fullness.

bar–”Energy” bars: – Another name for “energy” is “calorie,” and most bars are more akin to candy bars than nutritious snacks. The first ingredient is usually refined flour (not whole grain), then sugar, sugar, and more sugar, in a myriad of guises, including corn syrup, molasses, honey and more. For sustainable energy, grab a cup of 100-calorie yogurt and stir a cup of crunchy low-sugar cereal into the cereal; make a fresh-fruit smoothie with nonfat yogurt, milk and berries, or pack a tuna sandwich on whole wheat with an orange (who says you have to have cereal for breakfast? Have lunch for breakfast and breakfast for lunch).

popcorn–Microwave popcorn: Popcorn is a great snack, but not when it’s loaded with hydrogenated fat (trans fat), artificial flavors and preservatives. Additives make it high in fat calories relative to volume, and often the microwave popcorn is loaded with hydrogenated fat.  Make it better!  It’s so easy, with an air-popper: pop up a few cups and enjoy. For a heartier snack, toss the hot popcorn with some grated cheddar cheese.

–Rice cakes: Although they’re somewhat lower in calories than potato or ‘Doritos’ chips, rice cakes offer little in nutritional value and certainly little fiber, and they’re often are high in sodium and sugar (if they’re flavored). Better: whole-wheat pita chips (make your own: slice into quarters, spray with cooking spray and toast) with some hummus or peanut butter.

Shop armed with information to help you read beyond the packaging and make weight-wise choices. And, of course, always shop with a list, never shop when you’re hungry, and read the ingredient label first. These three smart strategies help you keep the focus on healthy, good for you foods (that taste good, too). Making weight control second nature means shopping purposely, refusing to be swayed by advertising, and taking the time to enjoy the flavor of real food! Your payoff will be better taste, improved nutrition and good health.

Food Label Foolishness

Monday, April 19th, 2010

Ever find yourself sweating it out in the grocery aisle, determined to choose the healthiest package but paralyzed by the conflicting claims on the labels? Here is a guest post from Susan Burke March, M.S., R.D., author of Making Weight Control Second Nature: Living Thin Naturally, and resident nutrition expert for HealthyWage.com

nutrition-labelWhat to eat? Seems like a simple question, but it’s one that can vex even the most savvy eater, especially when trying to make sense of food packaging. How many times do you browse the grocery aisles trying to discern the “best” pasta, cereal or bread? Most concerned healthy eaters know the obvious, like there is no fruit in “Froot Loops.” But what about “grown up foods”? You know, those labeled as “whole grain,” “all natural” or “healthy”?

There is much confusion for consumers who rely on the front of food packages to make their choices. Although “natural” should mean no artificial colors or ingredients, the term “natural” isn’t a guarantee that the product contains whole wheat – or any fruits or vegetables at all.

Cut through the confusion and read the package from back to front – read the ingredient label first! Heed these tips to shop smart amid:

– Natural: In your quest to find foods that nourish, do you purchase foods labeled “100% Natural,” “Healthy,” or “No Artificial Ingredients” without actually reading the ingredients? We’re at a disadvantage compared with countries such as Canada where labeling laws are more stringent and specific. The USDA says that the “natural” claim means that the food does not contain any artificial ingredients, coloring ingredients, or chemical preservatives, and, in the case of meat and poultry, is minimally processed.  However, the meat may be full of “natural flavors” and “naturally raised” doesn’t mean the animal isn’t raised on a factory farm. It also doesn’t mean that the animal has access to the outdoors. A can of iced tea can read “100% Natural Tea,” however the ingredients include filtered water, high fructose corn syrup and lemon flavoring. That’s not natural to me.

– Multi-grain: From breads to crackers to hot and cold cereals, “multi-grain” does not mean whole grain – it means just about nothing at all, except that the product contains an undefined amount of different types of grains. What you really want to look for is “100% whole grain,” so you’re assured that you’re getting all of the good nutrition from that grain’s kernel – the nutrients, including vitamin E and magnesium, and fiber. Some packages distract the consumer by touting impressive amounts of vitamins and minerals, even fiber. But, be a savvy consumer and look at the ingredients first, if you’re interested in buying products without artificial colorings, flavors, excessive sugar and salt. Be sure the first ingredient is “100% whole,” either wheat or other grain, and remember, a teaspoon of sugar equals 4 grams. To know what you’re eating, read the serving size first, then the calories per serving, how much fiber and then how much sugar per serving (for example, a serving of shredded wheat and bran mini wheats is 1 ¼ cup, has 200 calories, 7 grams of fiber and less than 1 gram of sugar!).

– Low Glycemic Index: Where “low carb” left off, the “low glycemic index” has taken over. The glycemic index ranks foods based on the how quickly they elevate blood sugar levels compared to the same quantity of a reference food (pure glucose or white bread). In addition to not considering the amount of food usually eaten, the GI doesn’t include the amount of fiber in the food. A medium baked potato has a higher GI (85) than a Snickers bar (55), and who’d say a candy bar is better than a baked potato? The quantity of food represented by that ranking is always 50 grams, regardless of how much food (volume) it takes to eat 50 grams; it’s real easy to eat 50 carbohydrate grams of cookies (7 small cookies) but much tougher to eat 50 carbohydrate grams of carrots (5 cups of carrots) in one sitting! In the context of “healthy” ignore the glycemic index and focus on whole foods, with fiber, in portions that are right for you.

– Organic: The truth is, if it’s sugar, it’s sugar – organic or not, high fructose corn syrup, honey, cane sugar or white, maple syrup, or agave nectar – all nutritive sweeteners have approximately 16-20 calories per teaspoon, and negligible nutrition – said differently, they are empty calories. I took a cruise through the breakfast aisle, and found “organic toaster pastries” but compared to conventional toaster pastries, there’s just as much sugar, and making it “organic” doesn’t make it lower in calories or higher in fiber. If you’re looking for a healthy breakfast that’s convenient and portable, choose a toaster waffle with whole grains.

– “Free” foods:  Yes, we want to be free to eat what we like, and for many, that means fake foods that imitate sweets and desserts. However, foods labeled “low fat” or “fat free” does not make it calorie free. Manufacturers add sugar to add texture and bulk lost from removing fat. A “sugar free” cookie may have a similar calorie count compared to the regular too. So, the most important thing to look at when you’re reading a label is not the calories, fat or sugar, but always, it’s the serving size that must be read first.

Note: “Fat Free” means less than a half a gram of fat per serving, “low fat” or “light” means less than 3 grams of fat per serving, and “reduced fat” means 25% less than the reference food.  For example, Mayonnaise illustrates this perfectly. The “reference” or original mayo has 10 grams of fat per one tablespoon serving. The reduced fat version has 25% less fat, or 7.5 grams of fat per serving … still not a low fat food. But choose a “low fat” or “light” version, and you know it has 3 grams or less of fat per serving, a better choice.

Just Ask: Alternatives For Treating Allergies?

Friday, April 16th, 2010

tissueTerri writes: “My son always has a runny nose. I have been to an  allergist and he said that he has pollen allergies. I am not too thrilled about having him on allergy meds all the time. Besides pollens, are there foods that can cause this runny nose? Any alternative ways of eliminating this problem?”

Health-E Responds: I took your question to the wonderful folks at Childrens Hospital Los Angeles, where pediatric allergist Ron Ferdman, M.D., provided this answer …

In general, foods are not a common cause of a chronically runny nose. Most food allergic reactions include skin rashes and gastrointestinal symptoms. Foods can cause respiratory symptoms, but they usually occur immediately after eating the food, and don’t cause a chronic runny nose.

Almost all the time, nasal allergies are due to airborne or inhalation allergens. Examples include plant pollens, dust mites, mold spores and animal dander. Grass pollen allergies are one of the most common causes.

In terms of treatment, the best treatment for any allergy is to eliminate, or at least minimize contact with, whatever is causing your allergies. Unfortunately, this is hard with pollens, especially in Los Angeles. Here the grass is green for most of the year – which means it is growing and producing pollen. Our grass season is longer than other areas of the country that have “real” seasons. You can protect the air inside your home by closing windows so the grass pollens don’t blow inside – especially during pollen seasons and times. You can run an air filter to filter out any pollens that enter your home. You can minimize unnecessary outdoor exposures by not hanging wet clothes outside to dry (the pollens stick to the wet clothes) and avoiding gardening or cultivation.

However, you can’t stay indoors forever – and you eventually have to go outside where you will be exposed to pollens.

To control symptoms due to exposures to allergens that can not be eliminated, there are two basic options: allergy medicines and allergy shots.

I understand parents’ hesitation to use daily medications, but fortunately, most allergy medications are very safe, even when used long-term, such as for years, and even when used in very young children. Most have essentially no serious side effects, and the side effects that do occur are usually mild and temporary. You would need to check with your doctor regarding the potential side effects of your particular medication.

Allergy shots (more accurately called “specific allergen immunotherapy”) are another possible treatment. With allergy shots, patients are given increasing concentrated injections (via a very, very small needle) of purified extracts of the allergens to which they are allergic, in this case grass pollens. The unique advantage of allergy shots is that over time the patient actually becomes desensitized – that is, their allergies become milder and can even disappear altogether. When effective, many people can decrease or even stop their medications, and can sometimes have years or even a lifetime without allergies. Allergy shots are effective for many inhalants (pollens, dust mites, animal dander) and for insect venom (bee sting) allergies. While generally very effective and safe, allergy shots require a large commitment from families/patients because they require frequent visits to the doctor’s office for injections, especially in beginning of treatment, and the total duration of treatment is usually between 3-5 years.

Got a question about your family’s health? Click here, and we’ll find an expert to answer it!