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, 2011

Latest Fever Advice: Don’t Panic

Monday, February 28th, 2011

feverFever is no fun, but it’s also usually nothing for parents to be afraid of. That’s the message in a report released today by the American Academy of Pediatrics, offering the first consensus guidelines for pediatricians and parents on the issue.

“We looked at the most common reasons children are seen by a pediatrician, and fever was right at the top of the list,” says report co-author Janice Sullivan, M.D., a critical care pediatrician at Kosair Children’s Hospital in Kentucky. But while fever makes kids uncomfortable, a fever alone won’t do a child any harm. That means a parent’s first priority, rather than just getting the child’s temperature to “normal,” should be to look for other signs of illness.

“It’s important for parents to understand that fever is a sign of an illness,” says Sullivan, “but they need to look for other signs that might tell them what is going on with their child.” A child with fever and earache, for instance, might have an ear infection and should see a pediatrician. A child with fever, vomiting and diarrhea, on the other hand, might be just fine with some extra fluids and a few days of rest.

There’s no need to reach for medication to bring the fever down – unless you’re just hoping to make your child feel more comfortable. If you are going to use a fever-reducing medication, Sullivan stresses that you should:

• Know the correct dose for your child. Dosing by weight is better than following the age-based guidelines listed on the packaging, so ask your pediatrician or your pharmacist for help.

• Use an appropriate measuring device. If you don’t find one packaged with the medication, you can buy one at the pharmacy.

• Don’t wake a sleeping child to take their temperature or give them fever-reducing medication.

Make sure a child with fever drinks plenty of fluids to avoid dehydration. Seek medical attention if the fever lingers beyond a few days, or if your child is lethargic, has trouble breathing, or has a rash or other symptoms that indicate a serious illness. Exceptions include infants under 2-3 months of age with fever of 100.4 degrees or higher, who should always be seen by a pediatrician right away, and children with certain chronic medical conditions.

The report appears in print in the March issue of Pediatrics.

Sled, Skate, Ski … Safely

Friday, February 25th, 2011

sleddingWinter officially ends in about three weeks, which gives you and the kids plenty of time to indulge in some great winter sports. But as the snow falls, so fall the sledders, skiers, skaters and boarders – especially the boarders, who account for a quarter of ER visits this time of year according to the Centers for Disease Control (CDC).

Orthopaedic surgeon Daryl O’Connor, M.D., who practices at Gottlieb Memorial Hospital in snowy Chicago, offers up this list of winter sports most likely to trip you up. I’ve added links with advice on how to boost your chances of an injury-free last hurrah.

Sledding. More than 700,000 folks on sleds are injured in the U.S. each year. More than 30% of them suffer head injuries caused by collisions. Sled safer by sitting forward-facing (not head-first) and wearing a helmet. Learn more …

hockeyHockey. Neck, shoulder and knee injuries, and cuts and bruises, are common, though many are minor. You’re less likely to be injured if you master basic skating skills and gear up appropriately. Learn more …

Ice Skating. Falls that injure the wrist, head and neck are most common. Skates that fit correctly are a good preventive measure. Learn more …

Snowboarding. Wrist and elbow injuries are caused by falls on outstretched hands. Wrist guards and helmets are essentials. Learn more …

Skiing. The knees can take a pounding here. And collisions are another risk. Warm up, stay on marked trails and check those bindings. Learn more …

Just Ask: Packing In Some Veggies?

Wednesday, February 23rd, 2011

Ana writes: Spring is here, and there’s so much great produce in the stores. I’m inspired to pack my kids some veggies for lunch. What can I pack that they will eat?

Health-E Resonds:

We took your question to Catherine McCord, founder and chief mom-cook at Weelicious.com, an awesome source for quick, nutritious, kid-friendly recipes. McCord is a former actress and model, and a graduate of the Institute for Culinary Education in Manhattan. Here’s her answer …

catherine-mccordI love that you’re trying to incorporate more vegetables into your child’s school lunch. I would start with the ones you know your child already enjoys and broaden out from there. My kids are big fans of raw veggies like red bell peppers, cucumbers, green beans and carrots, which I put in their school lunch with a dipping sauce to boost the “fun factor.” I just mix plain Greek yogurt with a squeeze of lemon and a touch of herbs to make a dip that tastes just like ranch dressing, but is a lot more nutritious.

Roasting is also a great way to present vegetables to your kids, as it brings out the flavor of things like cauliflower or broccoli, or creates a sweet veggie treat when you take sweet potatoes or butternut squash and drizzle them with olive oil and maple syrup beforehand.

Try cutting vegetables into bite-size pieces or fun shapes, which I find helps inspire little eaters. You can also introduce new veggies into foods with which they are already familiar. For example, next time you’re making sandwiches try adding something like avocado, lettuce, tomato or even an herb spread like pesto to boost the flavor and nutritional value of the meal.

When it comes to kids and any food, so much of it is about eye appeal, so be mindful of shape and color when you prepare and present your kids’ meals. And speaking of fun shapes and colors, corn on the cob will be in season soon and in my experience, it’s always a big hit with little ones! Most important, get your kids involved with picking out and tasting the veggies that go into their school lunch. You’ll find that the sooner you give them some input into what they can eat, the more ownership they will feel over what’s on their plate or in their lunch box. Take them to the supermarket and to Farmer’s Markets. Talk to them about the vegetables and how you can prepare them, introduce them to the farmers who grow their food, get them cooking in the kitchen with you, or maybe plant a garden or window box together. The more kids know about food, the more excited they will be about eating. It takes a little time, but it’s well worth it!

Ready To Get Sweaty?

Monday, February 21st, 2011

get-sweatyExercise is most likely to get done when it’s easy and fun. The GetSweaty.com website aims to make it both – at least for kids ages 8-10 or so.

The site’s main draw is a set of video workouts for – and led by – kids. These are filled with quick, bright segments of classic calisthenics moves like jumping jacks, sit-ups and pushups, along with lunges and other stuff you saw in your aerobics class in the ‘80s. No fancy equipment required. A few factors make these stand out:

1. Kids get to choose the backdrop they want for their workout. The mountains, the beach, a bunch of bright balloons or a field of daisies are among the options.

2. The segments are short and sweet. No single exercise lasts too long, making it easier for kids to stick with it.

3. Kids can choose music to accompany their workout.

If kids don’t want to do the workout of the day (“the daily sweat”) they can choose from an extensive library of video workouts, all of which are likely to help work up a decent sweat. (There’s a bit of mix-and-match going on with the segments. The plan is to add new stuff a few times a year.) They can rate each workout, post comments, print the workouts and share them with friends.

The site also includes information about healthy eating and ideas for healthy snacks, and a set of “no excuses” moves kids can do to keep active just about anywhere. But GetSweaty.com’s most clever feature just might be its points system. By completing, rating or commenting on workouts, or answering a poll on the homepage, kids can earn points to redeem in the site’s online store. Prizes include T-shirts, water bottles, iTunes gift cards, and even an iPod.

Kids who want to get competitive can start or join crews, challenging other kids in a race to get the most points.

All this is free of charge, but you have to register and give up your first and last name, gender, email address, city, state and zip code to us the site. Registration automatically signs you up for a weekly newsletter unless you opt out.

The site is supported by advertising, and there’s some subtle product placement (the video screen is a Phillips TV, and there are cans of Chunky brand soup used as props), but nothing too evil. The site also has solid nonprofit partners like the American On the Move Foundation and the Alliance for a Healthier Generation, and the advisory board includes a couple of M.D.s and a veteran physical education teacher and football coach.

Definitely worth a look, but here’s a warning. Watch these happy kids jumping around and you’ll have a tough time staying in your seat.

Study Shows Cribs Could Be Safer

Thursday, February 17th, 2011

crib-smallMore than 9,500 children a year are seriously injured, and more than 100 killed, in accidents involving their cribs, playpens or bassinets, a review of government injury data found. More than 11 million cribs have been recalled, and a prohibition on the manufacture, sale or lease of cribs with drop-sides begins in June.

Where kids’ products are concerned, parental supervision is generally the first line of defense. Cribs are unique in that a parent is expected to leave the child unsupervised there.

Looking at injury reports collected nationwide by the Consumer Product Safety Commission from 1990-2008, researchers from Nationwide Children’s Hospital found that most of the injuries (83%) involved cribs, and two-thirds were the result of a fall. All of the injury reports reviewed involved children younger than 2, with kids closer to age 2 more likely to report injury from falls. The study will be released online Feb. 21, and appear in the March 2011 print issue of Pediatrics.

“Despite the attention given to crib safety over the past two decades, the number of injuries and deaths associated with these products remains unacceptably high,” Gary Smith, M.D., senior author, said in a release about the study. He called for crib-safety education for caregivers, but also innovation in crib design and manufacture.

Click here, and read about how to protect your child …

Working-Family Time Crunch May Boost Kids’ BMIs

Tuesday, February 15th, 2011

kid-door1The time crunch in families where Mom works seems somehow to be boosting her children’s weight. That’s the upshot of a new study lead by public policy professor Taryn W. Morrissey of American University, who suspects family meals and sleep schedules could be at the heart of the issue. “This is not meant to bash working moms,” Morrissey says of the study, reported in the January/February issue of Child Development. The hope is to help.

This isn’t the first study to find a relationship between maternal employment and childhood obesity, and Morrissey and colleagues were hoping to uncover reasons for this link. Looking at data on more than 1,000 children from across the country, they found that children of mothers who worked were a few pounds heavier by third to sixth grade than peers with stay-at-home moms. Not an Earth-shattering amount, but “there’s research showing that even a small weight gain or a small weight loss could have implications for health,” Morrissey says. It’s not the working that boosts the weight, she points out. Rather, it’s the impact this has on a child’s nutrition and physical activity.

On the physical activity side, the study found that even kids who watched the same amount of television and got the same amount of exercise gained weight if their mothers worked. This lead Morrissey to believe that what kids were eating might be the key.

Morrissey’s data, which came from a government-funded study, didn’t include information on the children’s eating habits, but previous research has found that children with working mothers were more likely to eat fast food or pre-packaged meals, which are less healthy than freshly prepared fare. “Working moms spend less time cooking, and that’s understandable, and dads haven’t picked up the slack,” Morrissey says. (No studies yet on the impact of working fathers on children’s weight, as there aren’t enough stay-at-home dads yet for comparison.)

Other possible explanations for the weight gain include disruptions of children’s sleep and meal routines – both of which have been linked with increases in obesity – because of a working mother’s schedule. Childcare arrangements and their impact on food and physical activity are also worth looking at.

“I think it’s a multitude of factors. I don’t think it will come down to just one,” Morrissey says. Nailing these factors down could help parents demand, and policy makers create, public policy that better supports working families – whether that means nutritional information, better access to healthy food options and quality childcare, education about the importance of sleep, or all of the above.

What’s not an option in today’s world is Mom staying home. “The bottom line is that if all working moms quit their jobs tomorrow, this problem of childhood obesity would not be erased,” Morrissey says. “We don’t even know that it would be reduced.”

Scroll down for an FAQ about the study here …

Find the full study here …

We Get Emotional

Monday, February 14th, 2011

angry-faceValentine’s can be an emotional day. And while our emotions can deliver delight, they can also do us dirt. James Blumenthal, Ph.D., Duke University psychology professor, says that people riding the emotional roller coaster (calm to irritated to angry) are risking their heart’s health. Here are tips for smoothing things out from his book Emotional Intelligence 2.0.

1. Quit treating your feelings as good or bad. Notice them, but don’t judge. Remind yourself that your feelings are there to help you understand something important.

2. Know who and what pushes your buttons. Listing your emotional triggers (and trigger people) and describing how you react to them can help you understand and manage negative emotions.

3. Visit your values. Check in with yourself about how you want to live your life. See if you can describe how each of your values is visible in your daily life. If some aren’t, what can you do to change that?

happy-face4. Create an emotion vs. reason list. For any sticky issues, list what your emotions are telling you to do on one side of a sheet of paper, and what reason is saying on the other. Let your lists help you decide how to handle things.

5. Take control of your self-talk. Replace negatives with positives like, “I can handle this situation,” or “I’m doing fine.”

Getting your emotions under control can reduce the physical damage stress does to the heart, and might help you live – and love – a little longer.

Red Wine, Dark Chocolate, and Love

Friday, February 11th, 2011

chocolateShow your love, and protect your true love’s heart, by spending a little time at the table together. Here are some suggestions from Susan Ofria, R.D., clinical nutrition manager at Gottlieb Memorial Hospital in Illinois.

  • Oatmeal: Cook it for breakfast, or make muffins or cookies. It’s a good source of soluble fiber, niacin, folate  and potassium.
  • Berries! (blue-, cran-, rasp- or straw-): Sprinkle them on that bowl of oatmeal. They pack beta carotene, lutein, anthocyanin, ellagic acid, vitamin C, folate, potassium and fiber.
  • Walnuts and almonds: Also good on oatmeal, or have a handful as a snack. They contain omega 3 fatty acids, vitamin E, magnesium, fiber, and mono- and polyunsaturated fats.
  • Flaxseeds: Ground, they could be another oatmeal addition, or you could bake some into those muffins for a dose of omega-3s and fiber.
  • Black or kidney beans: Make black-bean soup or burritos, chili, or even a three-bean salad for lunch. They’re a good source of niacin, folate, magnesium, omega-3s, calcium and soluble fiber.
  • wineSalmon and tuna: From salmon steaks to tuna sandwiches, or even sushi, plan a dinner with these fish for their omega-3s.
  • Red wine: If you’re not willing to go bold and drink red wine with fish, save it for dessert. Red wines like pinot, merlot or cabernet (or malbec if you’re trendy), have catechins and resveratrol  to boost your “good” cholesterol.
  • Dark Chocolate: Choose truffles, soufflés, candies or even hot cocoa with a 70% or higher cocoa content to get an extra dose of resveratrol, which can lower your blood sugar over dessert.

One Foot In Front Of the Other

Thursday, February 10th, 2011

“I’m a strong believer in the power of walking and that’s why I literally prescribe it to my patients as front-line medicine – often in place of medications,” says Bob Sallis, M.D., a SoCal family physician with Kaiser Permanente promoting their new Every Body Walk! campaign. I like to get behind a good public health effort, even when it’s sponsored by a giant corporation. And this effort is showing off some scary statistics:

  • More than 70% of adults in the U.S. lead sedentary lifestyles.
  • Our country spends more than $2.5 trillion a year on medical care.
  • Around 80% of that cash goes to treat chronic conditions that can be prevented or treated by regular walking.

Those conditions include diabetes, heart disease and depression. In an effort to get everyone off their seats, Kaiser has created EverybodyWalk.org, a site with tips about starting a walking program, walking groups and paths, inspirational videos and places for regular folks to share their stories. There’s a BMI calculator, and even a link to Pandora Fitness Radio, for tunes to take along with you. My dog and I hike every morning, sometimes while it’s still dark. What are you waiting for?

Low Levels of Lead Raise Pregnant Women’s BP

Wednesday, February 9th, 2011

pregnantBlood lead levels well below government safety standards – levels the CDC suggests could be found in 10%-25% of U.S. women of childbearing age – can raise a woman’s blood pressure during pregnancy, a study in this month’s edition of Environmental Health Perspectives suggests.

The study of 285 pregnant women was too small to determine whether lead could also increase risk for preeclampsia (a life-threatening spike in blood pressure during pregnancy), says Lynn Goldman, M.D., dean of the school of public health at George Washington University and lead author of the study. “Much larger studies” are needed to fully assess this and other possible health impacts, she says. Any increase in the blood pressure of pregnant women, however, is of concern.

The CDC safety threshold for lead in the blood of small children and pregnant women is 5 micrograms (ug) per deciliter (dL). Among the women studied, about 25% had blood lead levels of 1 ug/dL or higher, but that was enough to raise their blood pressure. And at 2 ug/dL, the blood pressure increase was enough to “significantly increase the percentage of women at risk for adverse health effects,” Goldman says. Researchers didn’t record how the women were exposed to lead, but according to Goldman levels this low wouldn’t likely come through occupational exposure.

Exposures before a woman is even pregnant could also be a problem, because lead is stored in the bones for many years – long enough, Goldman says, for exposure as a young girl to pose a problem during pregnancy. Blood lead levels in the U.S. have steadily declined over the past two decades thanks to bans on lead in gasoline and drinking water regulations. If the results of this study are confirmed with further research, it suggests that efforts to reduce everyone’s exposure to lead should continue.

Funding sources for the research included the EPA, the National Institute of Environmental Health Sciences, the CDC, and Johns Hopkins.