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 the ‘men’s health’ Category

Study Says Declining Circumcision Rates Could Cost U.S. Billions

Monday, August 20th, 2012

Circumcision was once standard procedure for baby boys in the U.S. But as parents began to question whether it was really necessary, rates began to fall. And the practice continues to be controversial.

National and international studies point to the health benefits of circumcision – removal of the foreskin at the tip of the penis – finding it holds back buildup of bacteria and viruses in the penis’ skin folds. But the American Academy of Pediatrics (AAP) has stopped short of recommending it for all. In a post on their website dated July 30, the AAP says that while the organization believes circumcision has potential medical benefits, as well as risks, “the existing scientific evidence is not sufficient to recommend routine circumcision.” They suggest leaving the decision to individual parents and pediatricians.

Today just 55 % of the 2 million boys born yearly in the U.S. are circumcised, down from 79% in the 1970s and 1980s.

But Johns Hopkins disease experts and health economists warn that if parents continue to opt out, pushing circumcision rates down toward the 10% level that exists in Europe, rates of disease could climb – along with health care costs. The team constructed an economic model to predict the costs of not circumcising a male newborn, drawing on information from multiple studies and databases tracking the number of infections and numbers of new people infected.

If circumcision rates in the U.S. dropped to European levels, the model predicted:

• A 12% increase in men infected with HIV

• A 29% increase in men and 18% increase in women infected with human papillomavirus (HPV), which is closely associated with cervical cancer

• A 19% increase in men infected with herpes

• A 211% increase in male urinary tract infections

• A 50% increase in cases of female bacterial vaginal infections.

The researchers calculated that every infant boy not circumcised leads to $313 in illness-related costs that wouldn’t have been sustained if the circumcision had been performed. This would add up to $4.4 billion in avoidable costs if the circumcision rate in the U.S. dropped to 10%.

“There are health benefits to infant male circumcision in guarding against illness and disease, and declining male circumcision rates come at a severe price, not just in human suffering, but in billions of health care dollars as well,” said senior investigator Aaron Tobian, M.D., a Johns Hopkins epidemiologist.

The study was published online today in the Archives of Pediatrics & Adolescent Medicine.

A Doctor Visit For Dad

Friday, June 15th, 2012

Father’s day is a great time to remember to pester that guy who has taken such good care of you – so that he takes better care of himself. On average, men die younger than women and are less likely to see their doctors. Here are a few things Aaron Michelfelder, M.D., of the Loyola University Health System says men need to pay attention to:

Checkups: There’s some controversy about the value of a yearly physical, but Michelfelder says it offers a good opportunity to talk with his patients about controlling their weight and getting enough physical activity, and to conduct needed screening tests.

Body Mass Index: This measure of body fat based on weight and height is a number everyone should know. Normal range is 18.5 to 24.9. Click here to check yours.

Colorectal Cancer: Men should be screened beginning at age 50. The gold standard is a colonoscopy, where a doctor uses a slender, lighted tube to examine the entire colon. A normal colonoscopy need not be repeated for 10 years. Other tests include a fecal occult blood test and a sigmoidoscopy, which examines the lower colon.

Cardiovascular Disease: Men ages 45-79 can take one baby aspirin a day to help prevent heart attacks.

Dental Checkups: Dental disease is a risk factor for cardiovascular disease, and your teeth can impact other parts of the body as well. Get a checkup every 6 months, or at least once a year.

Diabetes: Men with a family history of the disease or who are overweight should be screened with a fasting blood test.

Blood Pressure: All men 18 and older should have their blood pressure checked at least yearly.

Cholesterol: Men ages 20-35 with diabetes or other cardiovascular disease risk factors should have their cholesterol checked. Men over age 35 should also be screened every five years if their levels are normal, more often if they are borderline.

 

Frequent Dental X-rays Linked With Brain Tumor Risk

Wednesday, April 11th, 2012

For people with no dental problems, getting X-rays as part of routine dental checkups might not be a good idea. A new study firms up evidence of a link between frequent dental X-rays and non-cancerous brain tumors.

Meningioma is the most frequently reported primary brain tumor in the United States and, though not cancerous, can cause significant health problems. Dental X-rays are the most common source of exposure to ionizing radiation – a major risk factor for meningioma. Most previous studies of the tumors have focused on people exposed to high levels of radiation from atomic blasts or treatments for cancer or other medical conditions. Only a few studies have looked at lower-dose exposures from dental X-rays, and only in limited numbers of patients.

But this new research, published April 10 in the American Cancer Association journal Cancer, backs up the findings of those previous studies. Researchers looked at more than 1,400 patients from several states who had been diagnosed with meningioma – and more than 1,300 who had not – between 2006 and 2011. Those with brain tumors were more than twice as likely as those without to recall having ever had a bitewing X-ray. And patients who recalled having undergone panorex X-rays – which produce an image of both the upper and lower jaws and teeth – at a young age, on a yearly basis (or more often) were almost five times as likely to have meningioma.

The level of radiation in dental X-rays has declined over the years, but other types of medical imaging involving radiation are on the rise, the study’s authors note. And most of these new procedures expose patients to higher levels of radiation than dental X-rays do. The American Dental Association has also said that there’s little evidence to support using X-rays to search for dental problems in patients without symptoms, or for routinely X-raying patients at pre-set intervals.

“Although dental X-rays are an important tool in well selected patients,” the authors note, “efforts to moderate exposure … are likely to be of benefit to patients and healthcare providers alike.”

Unemployment Is Biggest Factor In Dads’ Depression

Friday, February 24th, 2012

Experts have long understood that a mother’s depression takes its toll on the health and wellbeing of her children. After a team from the NYU School of Medicine late last year found that a father’s depressive symptoms also are linked with increased mental health problems in kids, researchers decided to try to pinpoint factors that boost dads’ depression risk.

Looking at a nationally representative sample of 7,247 households in which fathers, mothers and children lived together, the team found that 6 percent of dads were suffering from depressive symptoms. And they found some common factors:

• When living with a child with special healthcare needs, fathers were 1.4 times as likely to be depressed as those who were not.

• When living in poverty, dads were 1.5 times as likely to be depressed.

• If they were in poor physical health, fathers were 3.31 times as likely to suffer from depression.

• Living with a mother with depressive symptoms, dads were 5.75 times as likely to also have them. Previous research found that one in four children living with both a mother and father with depression have mental health problems themselves.

• Being unemployed, however, was by far the strongest link. Fathers who were out of work were 6.5 times as likely to suffer from depression as dads with a job.

It’s this last finding that surprised researchers. “The fact that fathers’ unemployment is by far the strongest predictor of depressive symptoms is a brand new and unique finding with profound implications for the health and development of children in this time of extremely high rates of unemployment,” says lead investigator Michael Weitzman, M.D.

Weitzman adds that these factors could help identify fathers who need to be screened for depression, helping them and their families. The study was published in the Feb. 23 online edition of Maternal and Child Health Journal.

A Healthy Turnaround – For You and the Kids

Thursday, February 23rd, 2012

The volume of statistics about childhood obesity has exploded along with America’s waistlines. Around 20% of kids ages 6-11 are now obese, putting them at risk for type 2 diabetes, hypertension and heart disease and a host of other health problems. And the chorus of experts raising the alarm about this situation keeps coming back to the same root cause – our diets.

“The American eating style is basically upside down from what it should be,” says Jennifer Nelson, R.D., Associate Medical Editor of The Mayo Clinic Diabetes Diet (Good Books, November 2011). We eat too many fat-filled and cholesterol-laden animal products, and too little fruit, vegetables and whole grains.

Clearly, change is in order, and Nelson wants to start with our view of the word “diet.” “The origin of the word is much broader than the restriction of food,” she explains. The word comes to us from the Greek “diaita,” which means “lifestyle,” or, as Nelson puts it, “what gives you life, enjoyment, vitality.”

In their new book, she and other weight-loss experts at the Mayo Clinic suggest lifestyle changes that can help families do an about-face weight-wise, stave off diabetes and other health problems, and maybe pump up their “enjoyment and vitality” quotient.

The Most Important Meal

The book isn’t specifically targeted at children – especially the portion sizes and eating plan specifics – but Nelson says the habits suggested and types of foods recommended are all healthy and all appropriate for anyone, including kids.

Starting every day with a healthy breakfast is the first habit they suggest for all families. And every day the plan calls for four or more servings of vegetables, three or more servings of fruits, and whole grains whenever possible. Healthy fats like olive oil, vegetable oil and nuts are also encouraged.

Not encouraged are sugar (except what’s found naturally in fruit), outsize portions of meat (the size of a deck of playing cards or bar of soap is enough at mealtime), and full-fat dairy.

Moving toward a diet based on energy density – which means eating foods that are higher in nutrients, fiber and volume so that you have “the biggest bang for your bite,” will help everyone in the family maintain or achieve a healthy weight without feeling deprived.

Adults are advised to snack only on fruits and vegetables, but Nelson says kids shouldn’t adhere to this rule. “Their energy needs are different,” she explains, adding that children filling up on plant-based foods at mealtime will not get enough energy to sustain themselves without substantial snacks, so you can add whole grains and even some nonfat dairy to their between-meals fare.

The ideal is to eat as many natural, whole foods as possible, and stay away from heavily processed foods as much as you can. As a “bonus” habit, consider keeping a food diary.

Keep On Moving

Mayo Clinic experts advise that everyone in the family walk or exercise for at least 30 minutes per day, and that 60 minutes or more is a good goal to work toward. Eating in front of the TV is a definite no-no, and it’s best to balance “screen time” with equal amounts of physical activity.

This can be easier if you do it as a family. Consider heading out the door together to walk the dog or play a game, Nelson suggests. You’re setting an example that could lead to healthier lives for your children. “Mom and Dad are kind of the gatekeepers of a lot of practices, and over time, those practices do become habits,” Nelson says. Eventually those habits impact – for better or worse – children’s health. Turning your own health around is great. “If you pass those habits along to your children, that’s even better,” she says.

A Healthy Inheritance

And because genetic predisposition to diabetes (even type 2) tends to run in families, she Nelson it is essential to address these issues across generations. If a child has a weight problem, “chances are, Mom and Dad are struggling with some nutrition issues, too,” Nelson says.

Rather than being overwhelmed by trying to make a complete lifestyle turnaround at once, Nelson suggests making just one healthy change at a time. “Over time, the cumulative effect will make a big difference,” she explains. “Also, find a way to make these lifestyle changes enjoyable. If you and your family don’t enjoy the food you eat or the activities you do, you are less likely to stick with it. So find foods that your family will enjoy, and find activities that you’ll enjoy, too!”

Despite the dire statistics about the state of America’s weight, Nelson says she is hopeful because many important efforts, such as Michelle Obama’s Get Moving campaign, are beginning to align in an attempt to address the epidemic of childhood inactivity and obesity. “It’s a very tough problem that we’re facing,” she says, “but it takes just one person at a time making a choice to change, and sharing that with their family.”

And that change is about so much more than just putting down the cookies and chips. The idea is to change your family environment and lifestyle so that you can be the best you can be, and be in better balance. “The family unit is at many people’s core,” Nelson says. “What better way of recreating your lifestyle than doing this as a family unit?”

Where All the Salt Comes From

Thursday, February 9th, 2012

Nine out of 10 people in the U.S. eat too much salt, and most of it comes from food we buy in restaurants or packaged foods from grocery stores, according to a report released Feb. 7 by the U.S. Centers for Disease Control and Prevention (CDC).

Looking at more than 7,000 participants ages 2 and older in a national health and nutrition survey conducted in 2007-2008, researchers noted that 44 percent of the sodium they consumed came from 10 food categories:

• Bread and rolls

• Cold cuts and cured meats

• Pizza – more than 51 percent of it from fast-food restaurants

• Poultry – more than 26 percent of it from fast-food restaurants

• Soups

• Sandwiches like cheeseburgers

• Cheese

• Pasta dishes like spaghetti with meat sauce

• Meat dishes like meat loaf

• Savory snacks like chips and pretzels

The average person consumed 3,266 mg of salt per day, not counting what they added at the table. Most of it (65.2 percent) came from foods purchased in supermarkets or convenience stores. Just over 13 percent came from fast food, and a little more than 11 percent from sit-down restaurants (though food from restaurants tends to have more sodium than food purchased in grocery stores). Only 5-6 percent of salt in most people’s diets is added during cooking at home, and another 5-6 percent at the table.

Government health guidelines recommend that most people have no more than 2,300 mg of salt per day, and that some have much less than that. Consuming too much salt raises your blood pressure, increasing your risk for heart disease and stroke.

The CDC estimates that cutting the salt content of the top 10 categories by one fourth would prevent 28,000 deaths and save $7 billion in healthcare costs each year. But you don’t have to wait for restaurants and food manufacturers to take action. Steer your family toward whole foods cooked at home, and read labels carefully, and you can help protect the hearts of those you love.

Learn more here …

Antibiotic Overuse: What You Can Do

Monday, November 14th, 2011

getsmart-webbutton-boyTo be really smart about antibiotics, you have to know the difference between a bacterial infection (like strep throat) and a viral infection (like a cold or the flu). Antibiotics work great for one, but are useless against the other.

Taking antibiotics when you don’t need them (for colds or the flu) isn’t smart for you, but does make bacteria “smarter,” creating new strains that resist antibiotic treatment. The U.S. Centers for Disease Control and Prevention (CDC) has designated this as “Get Smart About Antibiotics Week,” and here, to help you do just that, are some tips from Daniel Uslan, M.D., director of the UCLA Antimicrobial Stewardship Program, which promotes appropriate use of antibiotics. Uslan says patients have a role to play in guarding against antibiotic overuse.

1. If you are seeing your doctor because you are ill, and your doctor diagnoses a viral infection, do not pressure her to prescribe antibiotics. Antibiotics are only effective against bacterial infections. Instead, ask about other methods you can use to reduce your symptoms.

2. Do not assume that yellow or green mucus means you need antibiotics. Mucus can change color even with a viral infection.

3. If you are prescribed antibiotics, take them exactly as directed, even if you feel better.

4. Do not save leftover antibiotics for the next time you become sick.

5. Do not take antibiotics prescribed for someone else.

6. If your doctor suspects strep throat, ask whether a throat swab test is appropriate before he prescribes antibiotics. Only 5 to 15 percent of adult cases of sore throat are due to strep, and the majority of sore throats do not require antibiotics.

Children, who have the highest rates of antibiotic use, are of particular concern to experts, according to the CDC.

The CDC’s “Get Smart” page offers a useful rundown of common respiratory illnesses, a symptom-relief guide for viral infections, and more facts about antibiotic resistance and its dangers.

Children With Depressed Dads More Likely To Have Problems

Monday, November 7th, 2011

Father Kissing SonThere is a well-established connection between depression in mothers and emotional and behavior problems in kids. The connection between a father’s mental health and his children’s well-being has received less attention.

The first large-scale study on the subject, released today, says depression in dads does make a difference.

Researchers from New York University School of Medicine looked at almost 22,000 children living in two-parent households, determining whether the mother, father, or both had symptoms of depression and how this impacted their kids. The children were ages 5-17, and were a representative sample of all U.S. children.

In households where the mother alone had depressive symptoms, 19% of children had emotional or behavioral problems. Fathers’ depression didn’t have quite as big an impact, but was still significant. When the father alone was depressed, 11% of kids had trouble as well.

The biggest percentage of emotionally and behaviorally troubled kids, 25%, was found in families where both the mother and father were depressed. The smallest, just 6%, in homes where neither parent showed signs of depression.

Previous studies on the impact of fathers’ mental health problems on their children have been small, but their findings were related, linking paternal depression with excessive crying in infants, speech and language delays in ages 9 to 24 months, increased defiant behavior in 2-year-olds, and social problems in ages 4 to 6.

Given that 17% of women and 9% of men will experience major depression sometime during their adult lives, there’s reason for further research and a need to find ways to identify and support fathers with mental health problems. The current study appears online, and is scheduled for the December issue of Pediatrics.

Videos To Help You Speak Up and Stay Healthy

Wednesday, July 6th, 2011


Check out this cute video designed to help kids speak up and ask questions about their healthcare. It might help someone (small) you know feel safer at the hospital or doctor’s office. Other videos in the series address speaking up to avoid errors in medical care, in medication, and to help avoid the spread of germs. Check them out here …

Just Ask: When Should a Boy’s Foreskin Detach?

Tuesday, June 21st, 2011

Courtney writes: My son is 7 and not circumcised. At a recent checkup his doctor seemed pretty alarmed because his foreskin hadn’t yet detached. She prescribed a steroid cream to help dissolve the connecting skin, but the pharmacist’s warnings (Don’t use too much!) have us spooked. And some Internet research suggests the foreskin could normally detach on its own as late as age 10. What should we do?

I took your question to Robert Adler, M.D., Senior Vice Chair of pediatrics at Children’s Hospital Los Angeles. Here’s what he had to say:

dr-adlerAlthough it is true that the foreskin can detach later in childhood, the older that the child is the less likely it is to happen spontaneously. Although the retraction of the foreskin is important for hygiene; as long as the child is not experiencing any problem, I would not recommend or encourage any forceful mechanical attempt to force the foreskin back. Watchful waiting is the best course, but a trial of steroid crèmes would pose no harm to your child.

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