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 October, 2011

Low Birthweight Linked With Increased Autism Rates

Monday, October 17th, 2011

milestone-homePremature infants born with low birthweight are five times more likely to have autism spectrum disorders (ASD) than children born at normal weights, according to a study published today in the journal Pediatrics. While just 1% of U.S. children in general are diagnosed with ASD according to most estimates, University of Pennsylvania School of Nursing researchers found that 5% of premature infants they followed developed ASD.

This is the first study to establish a link between low birthweight and autism, and the research is remarkable because the 862 children, all born in the 1980s in New Jersey, were followed for 21 years. Previous research has established links between low birthweight and a range of motor and cognitive problems, and experts expressed concern that these problems could mask ASD in some of these children.

The next step in the current study, funded by the National Institute of Mental Health, is for researchers to examine brain ultrasounds take of these children as newborns, to determine whether brain hemorrhage – a complication of premature birth – is linked to autism.

Detecting autism as early in life as possible is considered essential, as early intervention improves long-term outcome for these children both in school and at home.

Watch for signs of normal development in your baby, toddler or preschooler with the help of this handy guide from the U.S. Centers for Disease Control and Prevention (CDC). It’s called, “Learn the Signs, Act Early.”

New Child Booster Seat Ratings Released

Thursday, October 13th, 2011

The Insurance Institute for Highway Safety this week released its latest round of child booster seat ratings. Because car seat belts are built to fit adults, children need booster seats to make sure vehicle belts fit their smaller bodies correctly. This means the lap belt lies flat across a child’s upper things, and the shoulder belt crosses snugly over the middle of the shoulder. The IIHS rankings place boosters into four categories: Best Bets, Good Bets, Not Recommended and Check Fit.

The IIHS is an independent, nonprofit organization dedicated to reducing deaths and injuries due to accidents on the nation’s highways.

See a list of seats and their ratings, and find out more at iihs.org.

What’s In Your Cereal?

Wednesday, October 12th, 2011

Do you search out “natural” foods for your family, hoping to avoid toxic chemicals, pesticides and genetically engineered grains? You’ll be interested in a new report the watchdog Cornucopia Institute.

They found a number of things going on in the cereal aisle that could be undermining your efforts to find a healthy breakfast.

• Companies switching from “certified organic” to “natural.” When a product displays the USDA’s “certified organic” logo you know it is free from petrochemical-based fertilizers, sewage sludge, synthetic pesticides and genetically modified crops. But there is no official definition of “natural,” and no official standards are enforced for products with that label.

• Products with “natural” on the label containing pesticides and genetically modified crops. Kashi, Mother’s, Nutritious living, Barbara’s Bakery and 356 were among brands containing 25%-100% genetically engineered ingredients.

• Companies with “natural” products priced as high or higher than certified organic products. Many leading “natural” brands are manufactured by giant agribusiness (Kellogg’s, Pepsico), but are priced like boutique organics. Meanwhile, two of the least expensive products in the cereal aisle – from Nature’s Path and Food for Life – are certified organic.

Check out The Cornucopia Institute’s new scorecard comparing natural and organic cereal brands for more information.

20 Days to Halloween!

Tuesday, October 11th, 2011

GS049045Here’s our annual All Hallows Eve safety tip fest, distilled from advice courtesy of the American Academy of Pediatrics:

Carving It Up

• Don’t hand your small child the big knife to put a face on Mr. Pumpkin. Younger kids can draw on a face with a marker and let an adult handle the carving.

• Kids who are old enough to carve need proper supervision. (Editor’s note: Those plastic pumpkin cutters you can find at grocery stores this time of year are great. Serrated steak knives are also a good size for intricate carving, and easier to handle than a big blade.)

• Light your pumpkin with a glow stick or flashlight instead of a candle. If you do use a candle, don’t put Jack next to your flammable curtains, and stay nearby to make sure nothing catches fire.

Sending Them Out

• Pedestrian injuries (i.e., being hit by a car) are the most common injuries to kids on Halloween, so dress your children to be seen – with bright colors, reflective tape and plenty of flashlights.

• Make sure costumes and accessories fit properly, so there’s nothing to trip over or block a child’s view. Leave swords, sharp sticks and pitchforks at home.

• Feed your kids a healthy meal before Trick-or-Treat time, so they won’t be as likely to gorge on candy.

• Send younger kids out with proper supervision, and older kids with a pre-determined route and clear curfew. Make sure everyone knows to stay on the sidewalk, cross at the corner, and avoid cutting across yards or plunging into dark alleys.

Home Safe Home

• Before the big night, clear your front porch and yard of garden hoses, toys, bikes and other objects that might trip up trick-or-treaters. Sweep any wet leaves away from sidewalks and steps.

• Check your outdoor lights and replace any burned-out bulbs.

• Find a safe place for cats and other small pets that might be upset by all the commotion. Restrain dogs that might be aggressive with trick-or-treaters.

• When the candy bags come home, check your child’s treats and discard anything questionable. Try to ration treats over several days, rather than letting your child have too many at once.

New Study Details Cancer Risk For ‘DES Daughters’

Monday, October 10th, 2011

des_panelBetween 1940 and 1971, doctors prescribed the first synthetic form of estrogen – called diethylstilbestrol or DES – to millions of pregnant women to prevent miscarriage and premature labor. But as babies exposed to DES in utero grew up, government studies found that daughters of these women were at increased risk for cancer, and use of the drug was halted.

Researchers have continued to follow many of the 5-10 million women and babies exposed to DES, and a study out last week (Oct. 6) from the National Cancer Institute details their risk of cancers, and birth and reproductive problems.

Among 6,500 women studied, researchers found that women exposed to DES while in the womb had increased risk of 12 separate medical conditions, including:

Cancers

  • 40 times greater risk of clear-cell adenocarcinoma, a rare cancer of the vagina (which still only impacts about 1 in 1,000 women exposed to DES).
  • 2.3 times greater risk of pre-cancerous cells in the cervix or vagina (cervical intraepithelial neoplasia)
  • 1.8 times greater risk of breast cancer

Birth problems

  • 8 times greater risk of neonatal death
  • 4.7 times greater risk of pre-term delivery
  • 3.8 times greater risk of second-trimester miscarriage
  • 2.4 times greater risk of stillbirth
  • 1.6 times greater risk of first-trimester miscarriage
  • 1.4 times greater risk of preeclampsia

Other reproductive issues

  • 3.7 times greater risk of ectopic pregnancy, where the fetus implants outside the uterus
  • 2.4 times greater risk of infertility
  • 2.4 times greater risk of early menopause

And as these “DES daughters” enter their 40s and beyond, the study found that some of their risks increase. Their chance of developing breast cancer after age 40 is 80% higher than that in women not exposed to DES, and by age 55, 1 in 25 of these DES-exposed women will develop potentially pre-cancerous cells in the cervix or vagina, and 1 in 50 will develop breast cancer. The research is published in the New England Journal of Medicine.

Other research has shown that sons of mothers treated with DES also face health risks, including increased risk for some testicular abnormalities. And researchers are now looking at possible health effects on grandchildren of mothers who took DES during pregnancy.

Women exposed to DES in utero should tell their doctors, and undergo thorough annual pelvic and breast examinations, including pap tests and mammograms as recommended.

For more information on DES exposure and its risks, visit www.cancer.gov/cancertopics/factsheet/Risk/DES.

Commercial Cuisine: Dippers Or Fries?

Friday, October 7th, 2011

dippersIf you’re wondering whether it matters that your kids see all those fast-food commercials on TV, and whether telling them to eat healthy makes a difference, the answers are “yes” and “probably,” suggests a study out this week from Texas A&M International University.

Researchers there showed 75 children ages 3 to 5 two cartoons interrupted by a one-minute commercial for either McDonalds French fries or apples slices with dipping sauce (Apple Dippers). After TV time, the kids sat down with their parents and were allowed to choose a coupon for either product. Parents either guided their children by saying, “You should choose the one that is healthiest,” or remained neutral by saying, “You should choose whichever one you want more.”

Kids chose the coupon for French fries at rates of:

• 71% when they saw a French fry commercial and their parents remained neutral.

• 55% when they saw a French fry commercial and their parents spoke up for a healthy choice.

• 46% when they saw an Apple Dipper commercial and their parents stayed neutral.

• 33% when they saw an Apple Dipper commercial and their parents told them to choose the healthiest option.

Lead author Christopher Ferguson, Ph.D., whose primary area of research is videogame violence, says he was surprised at the power commercials had to influence the children in this study. He says the media are often wrongly blamed for social problems, and that he began the research skeptical about the power of advertising over children – especially if their parents were there to offset its influence. “Although parents were indeed able to blunt these effects somewhat, it was not to the extent we had speculated,” he says.

This could be at least in part because parents in the study were given only one chance to persuade their children to pick the healthier product. Consistent, long-term messages about healthy eating might have more impact than that one suggestion in the lab, Ferguson notes. And while older children might have a better shot at ducking an ad’s persuasive power, Ferguson points out that commercials can even influence adults.

Still, rather than trying to ban commercials targeted at kids or create ads for fresh broccoli, Ferguson suggests people focus on advocating for a middle ground. “Anyone who thinks that children are going to go to McDonald’s to eat turnips is kidding themselves,” he says. “But I think there are ways to make reasonably healthy options ‘fun’ even if a little indulgent.” He calls Apple Dippers a good compromise between “god-awful options and those that simply taste god-awful.”

“Of course it will all come down to marketing,” he ads. “Restaurants will offer us the food we buy. If we want McDonald’s to offer healthy food items, we, as consumers, have to actually buy them.”

Breast Cancer: Minimizing Your Risk

Thursday, October 6th, 2011

pink-ribbon1There is no way to prevent breast cancer, and as many as one in eight women will be diagnosed during their lifetime. But you can do plenty to help reduce your risk, and to make sure that any cancer that does appear is detected early, while it is most treatable.

The American Cancer Society suggests that you:

Limit your alcohol intake, exercise regularly, and maintain a healthy body weight. All of these things help improve your overall health and lower your risk of breast cancer.

Know how your breasts look and feel. One way to do this is by performing regular breast self-exams, or you can just make a point of being familiar with what is normal for you. Report any changes to your doctor.

Have regular clinical breast exams, performed by a doctor. You’ll need one every three years in your 20s and 30s, annually in your 40s.

Have yearly mammograms beginning at age 40.

If you have a strong family history of breast cancer – i.e. two first-degree (mother, sister, daughter) relatives or three or more second-degree (including grandmothers and aunts) relatives diagnosed – consider talking with your doctor about genetic testing for BRCA gene mutations. Only about 2% of U.S. women have these mutations, but they increase your risk, and might lead you to consider more serious preventive measures like medications (Tamoxifen) or preventive mastectomy.

Breast Cancer Awareness: Where To Send Your $

Wednesday, October 5th, 2011

pink-ribbon1With so many organizations raising funds for breast cancer research and treatment, it can be tough to decide where to donate your hard-earned dollars. Fortunately, there are a few ways to check out these charities to make sure as much of your cash as possible goes to the cause.

Charity Navigator (www.CharityNavigator.org) uses the information charities provide on their tax returns to judge what percentage of a charity’s income goes to the programs and services it provides, how efficiently it raises those funds, and that it keeps administrative costs within reasonable limits. Charities receive an overall ranking of 0-4 stars.

The American Institute of Philanthropy (AIP; www.CharityWatch.org) looks at the percentage of a charity’s income spent on its cause, and how much that charity spends to raise every $100 it takes in, giving charities a grade of A-F.

The Better Business Bureau (www.BBB.org/us) evaluates charities and other businesses against their “standards of trust.” These include advertising honestly, honestly representing products and services, and being open about internal policies. Businesses that meet these standards are awarded BBB Accreditation.

Cross-checking with all three organizations, we’ve identified three breast cancer charities we believe will make your donation count. All have four-star rankings from Charity Navigator, B+ or higher grades from AIP, and are BBB accredited.

• The Breast Cancer Research Foundation (www.bcrfcure.org) boasts that 90 cents of every dollar donated goes to research and awareness programs. Their website offers a chance to “shop pink” all year, view profiles of the researchers they fund, and host your own fundraiser.

• The National Breast Cancer Coalition Fund (www.stopbreastcancer.org) has set a deadline of 2020 for a breast cancer cure. They promote research, improve access to quality breast cancer care, and educate breast cancer activists.

• Susan G. Komen for the Cure (www.komen.org) has invested more than $1.9 billion in fighting breast cancer since 1982. The grassroots network of breast cancer survivors and advocates bills itself as the world’s largest source of nonprofit funds dedicated to breast cancer research and treatment.

There are certainly other reputable charities in the fight, and the ranking organizations above can help you find them.

Taking a Shot At the Flu

Tuesday, October 4th, 2011

mh900305696The new news about the upcoming 2011-12 flu season is … there is no new news. Experts have determined that the same three strains of flu will be circulating this season as last, and manufacturers have already delivered a vaccine – exactly the same vaccine in use last season – well ahead of schedule.

But that doesn’t mean those who got a shot last year can skip it this season, warns John Martin, M.D., an infectious disease specialist at the Kaiser Permanente Los Angeles Medical Center. The seasonal vaccine, he says, only protects for a matter of months. So get your flu shot, and get it now.

“There’s no real too-early time to get the vaccine,” says the father of two, who plans to get his shot this week. It takes about three weeks for your immunity to ramp up once you’re vaccinated, and during that time you are still vulnerable to the flu. Since the annual onslaught of influenza is no respecter of calendars (we could always have an early season), it doesn’t pay to wait.

Martin gets vaccinated at work, this year “as soon as they bring the trolley around,” but your doctor’s office, local walk-in clinic or drugstore are also fine places to get your shot. “It should be the same everywhere you go,” he says.

Even if you think you’ve had the flu – and only a test performed by your doctor can tell you for sure – you should still get a flu shot for a couple of reasons. First, your illness might have been a cold or some other type of infection. “Anything can look like the flu,” Martin says. Second, there are several strains of the flu, and having one won’t make you immune to the others.

People who have life-threatening allergy to eggs, have had severe vaccine reactions in the past, or have had a rare condition called Guillain-Barre syndrome should talk with their doctor before being vaccinated, but everyone else, Martin says, should just get out and get it done.

Side-effects of the vaccine tend to begin within a of couple hours, are usually very mild, and last about a day. The most common are low-grade fever, body aches and localized muscle pain around the injection area, all treatable with Tylenol and some rest. (If you develop severe respiratory problems or high fever, see your doctor.)

If you did well with last year’s vaccine, you should do fine this year as well. And if you didn’t get your shot last year? “Don’t be surprised if you feel a little bit tired the day after the shot,” Martin says. “It doesn’t mean that the flu shot is giving you the flu. It’s just your immune system reacting to the vaccine itself.”

Taking normal precautions like washing your hands often and using hand sanitizer are great ways to prevent many kinds of illness, but Martin reminds everyone that the flu vaccine is the best way to protect against influenza, and that it’s safe. “The flu is not just a cold,” he says. “The flu is a very serious illness. And even in 2011 it still kills people.”

Vaccines and Magical Thinking

Monday, October 3rd, 2011

shotMore than one in 10 parents of young children use an “alternative” vaccination schedule for their children, rather than following the schedule recommended by reputable bodies like the American Academy of Pediatrics and the U.S. Centers for Disease Control and Prevention (CDC) according to a survey released today (10/3/11).

Researchers say the study indicates parents aren’t convinced about the safety of having their children vaccinated at recommended times, and suggests a disturbing trend where gaps in vaccine coverage lead to increases in preventable disease outbreaks. Among parents using an alternative schedule, 30% said they switched from the recommended vaccination schedule because the alternative “seemed safer.” And a quarter of the parents who were following the regular schedule said they also believed that delaying vaccinations was safer.

The survey, conducted by researchers from C.S. Mott Children’s Hospital in Michigan in May 2010, involved 771 parents of children ages 6 months to 6 years. Among these parents:

• 13% reported deviating from the recommended vaccine schedule

• 2% refused all vaccines for their children

• 41% of those using an alternative said they had decided on their child’s vaccine schedule themselves

• 15% of those using an alternative said they followed a schedule suggested by a friend

• 8% of those using an alternative used a well-know schedule such as the one developed by Dr. Bob Sears

The vaccines most commonly delayed by these parents were the measles-mumps-rubella (45%) and diphtheria-tetanus-acellular pertussis (43%) vaccines. The research was published online ahead of print in the journal Pediatrics.

Parents can find the CDCs recommended vaccine schedule online at www.cdc.gov/vaccines/recs/schedules/ and the American Academy of Pediatrics vaccine schedule at www.aap.org/immunization/izschedule.html.