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Super Ch-Ch-Chia Seeds

Imagine a plant food that is naturally rich in protein, an excellent source of dietary fiber and, according to Dr. Andrew Weil, has more omega-3 fatty acids than flax seeds. Just a small amount of this food provides energy for long periods of physical exertion (think marathon running). What is this magical food? Chia seeds, of course.

CHIA IN HISTORY. While it may be strange to think of these little seeds (which are about the size of sesame seeds) as a serious source of nutrition and even the foundation of a meal, they were an agriculturally important crop to the ancient Aztecs, even as important as corn, beans, and amaranth, according to the USDA Agricultural Research Service. The state of Chiapas in Mexico is even named after the seed.

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Yummy Oatmeal Spice Cookies

"Eat more colorful fruits and vegetables" is a nutrition message that is gaining recognition. But just because a food is beige doesn't necessarily mean it's bland or lacks nutritional value.

Take oats, for instance.

They're not only economical and convenient, they're also tasty.

OK, so a steaming bowl of oatmeal cries out for embellishment, such as fresh blueberries or a splash of cream. Likewise, an oatmeal cookie practically demands a smattering of raisins.

But oats are high in vitamin B-1 and contain a good amount of B-2 and E. A whole grain, oats are also packed with phytochemicals and insoluble fiber that have a beneficial effect on cholesterol, blood pressure, blood sugar and intestinal health. And they're a stick-to-your ribs sort of food that can keep hunger pangs at bay for hours.

So how does all that good nutrition fare when it's packed into a cookie?

Commonly used in baking, rolled oats are an ingredient that readily lends itself to low-fat alterations. The Star's recipe for Oatmeal Spice Cookies is an example of how a few tweaks add up to a healthy treat.

We started with the classic oatmeal/raisin combination, then used egg whites, fat-free milk and unsweetened applesauce to reduce the overall fat content. Whole-wheat flour bumps up the whole grains another notch.

Other ingredients that make this cookie a real standout are walnuts, which offer healthful omega-3 fatty acids, and sunflower seeds, rich in iron. Spices are high in antioxidants. (In an American Journal of Clinical Nutrition study, 13 of the 50 food products highest in antioxidants were spices, including cinnamon.)

Shopping tip: Be sure to choose quick-cooking oats that take about 5 minutes to cook, not instant oatmeal, which can turn gooey and lumpy when added to baked goods.

Cooking tip: To toast walnuts, place nuts on a baking sheet and toast at 350 degrees for 7 minutes or until lightly toasted.

Storage tip: Store in airtight container for up to 3 or 4 days; freeze for longer storage.

Editor's note: This ccolumn was originally published in The Star's Food Section on Aug. 30, 2006.

To reach Jill Wendholt Silva, call 816-234-4347 or send email to jsilva@kcstar.com.

©2012 The Kansas City Star (Kansas City, Mo.)

Visit The Kansas City Star (Kansas City, Mo.) at www.kansascity.com

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Study Supports Massage Benefits

Taking your medicine may get a whole lot easier now that a Buck Institute for Research on Aging study has produced scientific evidence that a massage does indeed help heal sore and stressed muscles.

The study, produced jointly by the Buck Institute in Novato and McMaster University in Canada, appears in the Feb. 1 online edition of Science Translational Medicine. It shows that massage reduces inflammation, promotes the growth of new mitochondria in skeletal muscle and reduces muscle pain.

Researchers had 11 young men exercise to exhaustion on a stationary bicycle and then had one of the men's legs randomly selected to be massaged. The technique combined light stroking with firm compression. Biopsies were taken from both legs prior to the exercise, immediately after 10 minutes of massage treatment and after a 2.5-hour period of recovery.

"Before, it was difficult to sort out the psychological effects of massage," said Buck Institute faculty member Simon Melov, who was responsible for the genetic analysis of the tissue samples. "It's a pleasant feeling and relaxing. But now we know there is some cellular basis for the perceived beneficial effect.

"Our research showed that massage dampened the expression of inflammatory cytokines in the muscle cells and promoted biogenesis of mitochondria, which are the energy-producing units in the cells."

Melov explained, "When you over-exercise, which is what happens when you cause your muscles

to adapt to a new workload, you make more mitochondria so your muscles can perform the increased workload."

He said that the pain reduction associated with massage may involve the same mechanism as those targeted by conventional anti-inflammatory drugs.

The article's lead author, Dr. Mark Tarnopolsky from the Department of Pediatrics and Medicine at McMaster University, said, "This study provides evidence that manipulative therapies, such as massage, may be justifiable in medical practice. The potential benefits of massage could be useful to a broad spectrum of individuals including the elderly, those suffering from musculoskeletal injuries and patients with chronic inflammatory disease."

Vajra Matusow, who founded the Diamond Light School of Massage and Healing Arts in San Anselmo in 1987, said, "It's absolutely wonderful that what massage therapists have known for decades is now being validated by the scientific community. I don't think any of us are surprised by it."

Mindy Zimmerman, a massage therapist who works at Marin General Hospital's Center for Integrated Health and Wellness, said, "I'm thrilled to see the medical research behind what we've intuitively suspected."

Zimmerman said health plans don't pay for the massage therapy she provides at the hospital; she hopes that research such as this will change that.

According to the study, about 18 million individuals undergo massage therapy annually in the United States, making it the fifth most widely used form of complementary and alternative medicine.

Contact Richard Halstead via e-mail at rhalstead@marinij.com

©2012 The Marin Independent Journal (Novato, Calif.)

Visit The Marin Independent Journal (Novato, Calif.) at www.marinij.com

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Find Exercise You Enjoy

If you want to get fit, don't make a New Year's resolution.

That's the wrong way to go about getting healthy, said Jana Beeman, owner of Balanced Life Today Health, Nutrition and Fitness in La Center.

"If you just make a resolution, you really won't stick to it," Beeman said. "People have to move with an exercise that captures some part of their imagination; it has to be fun or they just won't do it."

Gyms usually become crowded in January as throngs sign up after newly made New Year's resolutions, but by spring, the numbers pretty much always drop back to normal, said Eddie White, executive director at Clark County Family YMCA, 11324 N.E. 51st Circle.

Rather than hitting the same old boring weights or treadmill, White and Beeman suggest trying to find something that piques your interest -- like a dance class, bike rides or even firing up the video game machine with a fun fitness program.

"Exercise doesn't have to be three sets of 10 on the weight machine," White said. "It's just getting out and moving. It's going out and shooting hoops, playing catch, throwing a football. It can even be gardening."

Kim Puyleart, who runs the Vancouver Mommy Fitness Playgroup, found her current fitness calling by creating the group on Meetup.com.

She used to teach Zumba dance classes, but stopped when she had her first baby 15 months ago.

After feeling isolated from spending too much time at home, she decided to build a set of exercise routines she could share with other new mothers -- both for fitness and as a way to socialize.

"Being a mom is not easy, and it made me realize I really need to get out of the house," Puyleart said. "So I started the group at the end of August. We do everything from circuit training to resistance training to cardio, but we use baby strollers so we can bring our babies along."

In the winter, Puyleart brings her group to the Westfield Vancouver mall. The mothers incorporate their kids into the workout routine and break periodically for story time and other activities.

Sometimes the mothers will use their babies as weights and do squats or other exercises while holding them.

"It really is engaging, not just for the moms but for the kids, too," she said.

Beeman, meanwhile, uses dance to stay fit.

She got very sick when she was young, and stumbled upon a belly dancing class as a means to regain her health.

"I just needed something that would keep me coming back, and after that first class, I was hooked," Beeman said. "Belly dance is something that if it catches your interest and you relate to the music, it just takes over."

Zumba, which is sort of a fast-paced Latin dance class, is a huge trend right now, but if you haven't been all that active, Beeman suggests trying something a little slower to get you started.

"Some Zumba and dance fitness classes, they aren't very careful about protecting people's bodies," Beeman said. "If you like the idea of dancing but you aren't in great shape, why not start with something slower, like ballroom dancing, where it's very carefully designed."

If you have injuries or are just out of shape, restorative yoga is a slow, meditative way to let your body tell you what it's ready for, she said.

"You expand into a pose slowly and your body tells you how far you can go," Beeman said. "There's even chair yoga, where you can actually do a full yoga routine while sitting in your chair."

Swimming is another great, low-impact, easy way to start moving, White said.

"We do everything from arthritic swimming classes for our senior population to swim lessons for kids," White said. "We also have counselors, and you can make an appointment and they can tell you what classes might be best and how to approach things."

If you're more of the stay-at-home type, things like Wii Fit or Dance Dance Revolution can help to get you moving, as can fitness video series like Crunchless Abs and Bender Ball, which Beeman recommends.

But if you decide to go that route, both White and Beeman suggest attending at least one class or consulting a fitness trainer first to make sure you're doing the motions correctly.

If you rent a yoga program, for instance, and don't do poses like downward dog correctly, you can actually end up injuring yourself, Beeman said.

One nice thing about community fitness centers is that they tend to have several options for classes, White said.

At the Clark County Family YMCA, organizers try to continually add new types of exercise to keep things fresh.

"A lot of our focus is on group exercise, whether that's in the water or elsewhere, because people like that social or group atmosphere," White said. "We have boot camps with different activities each week, dance classes. Our bodies quickly adjust and adapt to things so its a good idea to continually change things up."

The YMCA also has a computer tracking program called ActivTrax that provides exercise and meal suggestions on the Web. It's free to members and includes activities beyond the center like bike riding or hiking.

Even just going out for a walk is a nice way to get started -- and if you have young kids, taking them on nature discovery hikes is a good way to encourage them to have fun while getting outdoors for some exercise.

"On discovery hikes, you can let kids veer off, pick up things like rocks or leaves and talk about them," Beeman said. "Just doing something like that brings the attention outside, and it can be really fun fitness and really bonding at the same time."

It takes about 21 days for a new habit to set in and feel normal, but if you do that by adding exercises that you enjoy, it becomes a much more easy task, she said.

"If you make a New Year's resolution and you go to the gym and just push yourself, you end up in pain," Beeman said. "Your muscles are burning and your joints are aching and your detoxing your body too fast. Just start with something simple. Go for a walk, get outside. People just aren't built to be happy doing repetitive boring exercises."

©2012 The Columbian (Vancouver, Wash.)

Visit The Columbian (Vancouver, Wash.) at www.columbian.com

Distributed by MCT Information Services

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More Women Affected By Heart Disease Than Men

Ideal cardiovascular health means maintaining a healthy lifestyle.

More women than men die of cardiovascular disease each year, according to the American Heart Association (AHA). Additionally, women are less likely to receive appropriate treatment after a heart attack, then men.

For women, generally the primary caregiver, personal health concerns are often put on hold as family and loved ones tend to take priority.

Due to this, improper diet, not enough exercise, and daily stresses become the norm, put themselves at high risk for developing health problems increasing the risk for heart attack at stroke.

More than 400,000 deaths for women in the U.S. are caused by cardiovascular disease each year, according to AHA.

Metabolic syndrome is a medical term used when a person has three of more risk factors which increases their risk to developing coronary artery disease (CAD), stroke, and type-2 diabetes, or other vascular diseases, according to the National Institutes of Health (NIH) and National Center for Biotechnology Information (NCBI).

Provided by the AHA, risk factors of metabolic syndrome include: the waist being greater than 35 inches; triglycerides higher than 150 mg/dL; HDL (good cholesterol) less than 50 mg/dL; blood pressure higher than 130/85 mm Hg; fasting blood glucose higher than 100 mg/dL.

Dr. Michael S. Fenster, M.D. interventional cardiologist with Hernando Heart Clinic in Brooksville, advised women at risk can experience warning signs in many different ways.

"For women and men, the most common warning sign is a discomfort in the center of the chest lasting more than a few minutes. It may come and go, often in relation to exertion or stress. It can manifest as an uncomfortable pressure, squeezing, fullness or pain," advised Fenster.

Sometimes the discomfort can be felt in one or both arms, as well as the back, neck, jaw or stomach, he added.

"Some women experience a shortness of breath, that may or may not include chest pain," Fenster said. "Additionally, breaking out in a cold sweat, nausea or feeling light-headed are possible. What is important to realize is that many women present without these 'classical' symptoms. These atypical symptoms may range from a general ill feeling to severe shortness of breath or abdominal pain."

Women who are at high risk for heart disease are those who have existing coronary artery disease, such as stents, bypass surgery, and/or history of heart attack, stroke. Additionally, blocked arteries in the legs, abdominal aortic aneurysm, chronic kidney disease, and diabetes are included in a person being at high risk, advised the AHA.

"Stroke warning signs include sudden numbness or weakness of the face, arm or leg, predominant to one side of the body," said Fenster.

Sudden severe headache without a known cause, being confused or having trouble speaking are also warning signs to stroke, he added.

"Some may experience sudden vision problems in one or both eyes, trouble walking which includes dizziness or loss of balance and coordination," Fenster said.

At risk women are those who currently smoke, have a poor diet, lack regular physical activity and cannot complete a treadmill exercise test, overweight (BMI over 25 kg/m2), family history of heart or vascular disease, high blood pressure, lupus, rheumatoid arthritis, metabolic syndrome, and pregnancy complications such as high blood pressure, diabetes, delivering a pre-term infant, according to the AHA.

Leading a healthy lifestyle is considered having blood pressure less than 120/80 mm Hg; total cholesterol less than 200 mg/dL and not on medicine for cholesterol; fasting blood glucose less than 100 mg/dL and not on medicine for blood glucose; BMI less than 25 kg/m2; never smoked or quit for one year or more; performs 150 minutes of moderate exercise or 75 minutes of vigorous exercise per week; eats a diet of fruits and vegetables, whole grains, high-fiber foods, and fish (oily preferred) twice a week or more; limiting saturated fats, cholesterol, alcohol, sodium, sugar, and avoids trans-fatty acids, according to the AHA.

For women who are trying to lose weight, 60 to 90 minutes per day of moderate exercise, advises the AHA.

Cardiac rehabilitation or a physician-guided exercise program is advised for women with recent heart problems (heart attack, stroke, or other cardiac condition).

If you or someone you know begins to experience any or a combination of warning signs for heart attack or stroke, the American Heart Association advises to call 9-1-1 immediately, as "every second counts".

Dr. Michael S. Fenster, M.D., interventional cardiologist with Hernando Heart Clinic located at 14540 Cortez Boulevard, Suite 119 in Brooksville. His office can be reached at (352) 597-3368.

This is a two part series, look next week in Hernando Today's Health & Fitness section, Thursday, for the second part in "Promoting Healthy Hearts in Women".

©2012 the Hernando Today (Brooksville, Fla.)

Visit the Hernando Today (Brooksville, Fla.) at www.HernandoToday.com

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Preventive Aspirin Regimen Doesn’t Benefit Everyone

- It's been a common part of preventive care for people worried about heart attacks, but a new study could have hundreds of thousands of Americans rethinking that daily dose of aspirin.

While nearly a third of middle-aged Americans regularly take aspirin in the hope of preventing a heart attack or a stroke or lowering their cancer risk, new research shows that, in some cases, it may be doing more harm than good.

Recently, researchers in London reported in the Archives of Internal Medicine that they had analyzed nine randomized studies of aspirin use in the United States, Europe and Japan that included more than 100,000 participants. The study subjects had never had a heart attack or stroke; all regularly took aspirin or a placebo to determine whether aspirin benefits people who have no established heart disease.

Researchers found that regular aspirin users were 10 percent less likely than the others to have any type of heart event, and 20 percent less likely to have a nonfatal heart attack. But they were also about 30 percent more likely to develop an ulcer.

Dr. Steve Campbell at Mayo Clinic Health System in Mankato said the research could change the way doctors in Mankato and everywhere else handle aspirin use in patients.

"I think it is worth looking into further," Campbell said. "Don't blindly put folks on aspirin on the assumption that everybody benefits."

Campbell said they normally use a diagnostic tool that helps them decide what risk a patient may have for heart attacks or strokes in the next 10 years.

He said the rule of thumb most doctors go by is that, if a person's risk is 3 percent or more, then he or she may benefit from the smallest dose of aspirin, which is 81 milligrams (aspirin comes in doses of 81, 162 and 325 milligrams.)

©2012 The Free Press (Mankato, Minn.)

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Exercise Beats Cutting Calories to Reduce Fat

Exercise can reduce the amount of fat stored in muscle and around the organs better than cutting calories, say new findings out of St. Louis University.

The study also found that reducing calories can cut some risk factors for diabetes and heart disease with an effectiveness equal to exercise.

"We learned that exercise and calorie reduction have health benefits independent of one another," said Edward Weiss, assistant professor in the department of nutrition and dietetics at St. Louis University.

"You need a healthy, low-calorie diet and exercise to get the most out of your health," Weiss said. "Don't be fooled if you're a healthy weight and only doing one of the approaches."

The findings are part of a series of studies he has led for years. In those studies, researchers unexpectedly found that connection between cutting calories and a reduced risk factor for diabetes and heart disease, Weiss said.

"We expected calorie restriction to work well but not as well as exercise-induced weight loss," he said. "We thought we'd see a greater improvement in diabetes risk for exercisers, but we didn't see that.

"We don't know why yet, but we think it might have something to do with changes in the intestines."

That sparked the "Calorie Restriction, Exercise and Glucoregulation in Humans," or CREG, study which began late last year and is expected to last another year or more, Weiss said.

The finding that exercise in some cases had double the effect of calorie reduction was somewhat of a surprise. Most weight loss experts say calorie reduction is the only effective way to lose fat.

"Calorie restriction promotes weight loss but in some cases, exercise alone can reduce weight," said Kathy Kress, associate professor in the nutrition and dietetics department and one of the researchers.

BAD FATS

Excess body fat is blamed for a myriad of conditions, most of them bad. Controlling fat is the target for scores of researchers.

In Weiss' studies, the fats under scrutiny are:

-- Intermuscular fat that's deposited between muscle fibers. "That would be like the marbling in a steak," Weiss said. The form being studied makes up about 10 percent of the total body fat.

-- Visceral fat packed around organs and behind muscles, makes up about 10 percent of a person's body fat.

-- Subcutaneous fat, the "love-handle" fat just below the skin and above the muscles is about 50 percent of body fat. "That's the fat you can pinch," Weiss said. It's less of a health threat except for causing joint problems among people who are obese, Weiss said.

Liver fat, the most dangerous place to accumulate fat, isn't part of the study.

The remaining body fat is in other places doing other things, for example, components of nerve tissue, Weiss said.

In the CREG study, 45 people have been divided into three groups: Some work on losing weight with exercise only; some by eating less and some by doing both.

The test subjects are "reasonably healthy" people who are free of diabetes and cardiovascular problems, ages 45 to 65, and no one has a body mass index over 30 -- the line between being overweight and obese.

Kress helped dieters plan meals and make healthy choices. "If that didn't work, we sent food home with them," she said.

Exercisers used gym machines for 60 to 90 minutes six to seven days a week, then added more walking steps to their daily routines, Weiss said.

"The misconception is that if you do 20 or 30 minutes of exercise (a day), you can lose weight. That amount of exercise is not going to add up to weight loss," Kress said. "Weight loss is work and it takes effort."

Over one year, exercisers lost six to 10 pounds of fat, Weiss said, more of it the troublesome fat. The reduction in subcutaneous fat was on average identical among exercisers and dieters.

Those who have exercised and dieted have done better than either of the other groups, Weiss said.

The final data should be available in about two years, Weiss said.

Dr. Samuel Klein, a professor of medicine at Washington University School of Medicine and head of the school's Weight Management Program, strongly advocates calorie reduction as the front line of weight loss.

The study doesn't change that, he said. Instead "It shows an additional beneficial effect of exercise on body composition during diet-induced weight loss," he said.

Those who exercised lost more body fat "... in areas that are associated with metabolic abnormalities," he said.

That doesn't change that "Exercise is a very difficult way to lose weight," Klein said.

"So if you run for a mile and come home and eat a slice of pizza and a beer, everything you've done has been (negated)," he said. "And in some people, increased exercise stimulates appetite and in some people it reduces appetite."

The studies have been funded by grants from federal and private sources.

©2012 the St. Louis Post-Dispatch

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What Makes a Carb Good or Bad

Confused about which carbohydrates you should be eating?

Welcome to the club.

"It's the biggest lack-of-consensus issue in the U.S. diet today," said Dr. Dariush Mozaffarian, associate professor of epidemiology at Harvard School of Public Health. "We don't have a standard method for assessing their quality."

Carbohydrates, the most common of the three energy sources we get from food (the others are fat and protein), reside in the vast majority of our food, prominently in grains, vegetables, legumes and fruits. They are essential to good health - as long as you stick to the good sources and steer clear of the bad ones, which are linked to obesity and a host of chronic conditions, including diabetes and heart disease.

Most health experts agree that processed foods, sweetened beverages and refined grains such as white bread, pasta, flour and rice (which are stripped of their nutrients) are among the worst kinds of carbohydrate-rich foods you can eat.

Your digestive system breaks them down too easily, flooding the bloodstream with simple sugars (glucose), which in turn prompts a surge of the hormone insulin to carry the glucose into the body's cells, said Michael Roizen, chairman of the Cleveland Clinic Wellness Institute and co-founder of realage.com. Too much blood sugar and insulin for too long can be dangerous on several levels: more fat storage, less fat burning, malfunctioning proteins that eventually lead to organ damage, even cancer cell growth, Roizen said. Your brain also gets addicted to the high glucose levels, leaving you craving more.

What constitutes a good carb, however, can be trickier.

It's not as basic as "simple" versus "complex," as fruits contain simple sugars but are a highly desirable carb source.

Rather, four main factors determine the quality of a carb, Mozaffarian said: dietary fiber (the more the better); how fast it makes your blood sugar rise (aka glycemic index, the lower the better); whole-grain content (the more the better); and structure (if it's liquid, milled or pulverized, it's not as good).

So Cheerios, which are made of 100 percent whole grain oats, get a thumbs up for whole grain and fiber content, but the pulverized nature of the oats makes it inferior to intact whole grains, such as steel-cut oats, Mozaffarian said.

And pasta? It seems like the quintessential fattening carb, but in fact it has a lower glycemic index than rice or potatoes and is a "reasonable choice," he said.

Speaking of potatoes ... the white ones have a high glycemic index, and studies have shown them to contribute to weight gain, so Mozaffarian banishes them to the "bad" list alongside Skittles. But other nutrition professionals, such as Stephanie Dunbar, director of nutrition and clinical affairs and the American Diabetes Association, gives potatoes the thumbs up because they have nutrients.

And then you have Jonathan Bailor, a health and fitness researcher who advises you source carbohydrates from citrus fruits, berries and a host of nonstarchy vegetables, such as spinach, and stay away from starches altogether - including whole grains. The best foods to eat, Bailor said, are those with greater water, fiber and protein content relative to their calories, so you get more bang for your buck.

"It's not that whole grains are evil; it's just absolutely not as good for us as nonstarchy fruits and vegetables," said Bailor, who recently published "The Smarter Science of Slim" (Aavia; $34.95), the result of a decade of reviewing more than 1,000 diet studies.

Reading the nutrition label can help guide people through the morass. Choose items with less sugar - Roizen says to aim for 4 grams or less - and more dietary fiber. And no, brown sugar and honey aren't metabolized any differently than the white stuff.But sugar doesn't tell the whole story, as refined starches with little sugar are still terrible for you.

As a general rule of thumb, Mozaffarian recommends that you look at the ratio of total carbohydrates in a serving to dietary fiber, as that captures both sugar and starch content. If the ratio is 10:1 or more, avoid it. If it's less than 5:1, it's very good.

If all the confusion makes you want to reach for a bowl of mac-and-cheese, rest assured that everyone can agree on this: Eating lots of nonstarchy vegetables does every body good.

SHOPPING LIST

Take this list shopping to help you weed out the bad carbs.

BAD CARBS:

Soft drinks

Sports drinks

Fruit drinks

Beer

French fries

White rice

White bread

Sugar-sweetened cereals

Bagels

Baguettes

Croissants

Potato chips

Pastries

Cookies

White crackers

Brownies

Cakes

Pies

Candy

Sugar

Brown sugar

Honey

Debatable

Corn

Popcorn

White potatoes

Pasta

100 percent fruit juice (limited quantities)

GOOD CARBS:

Spinach

Kale

Tomatoes

Mushrooms

Beets

Brussels sprouts

Broccoli

Onion

Squash

Artichoke

Berries

Oranges

Tangerines

Melons

Mangoes

Pears

Peaches

Low-fat Greek yogurt

Sweet potatoes

Peas

Black beans

Kidney beans

Lentils

Brown rice

Barley

Amaranth

Quinoa

Whole-grain bread

Whole-grain pasta

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Vitamin D Check

The winter season is upon it, with a lack of daylight hours, cloudy days and temperamental weather. And so we pack on the winter pounds, get the winter blues, and go into relative metabolic hibernation until spring arrives. But what if we could circumvent some of this seasonal downturn in our health?

Paying attention to our Vitamin D intake may be a way to improve our health, and to improve a host of medical conditions. Research has found that the following medical conditions may be linked to Vitamin D levels:

Cancer. Improving calcium and vitamin D nutritional status substantially reduces all-cancer risk in postmenopausal women. This was suggested from a study in 2007 of more than 1,100 women in Nebraska, in which treatment with Vitamin D and blood levels of Vitamin D were found to be both linked to a reduced incidence of all cancers.

Multiple Sclerosis. A recent study performed by the U.S. military looked at more than 250 cases of multiple sclerosis, and found that those who had higher levels of Vitamin D in their bloodstream were at lower risk of developing MS.

Insulin-dependant diabetes. A study of children born in Finland in 1966 and followed for 30 years showed that those who had supplemental Vitamin D in their first year had a significantly lower risk of developing insulin-dependant diabetes, and those who had rickets (severe vitamin D deficiency) had a much higher risk of developing insulin dependent diabetes later in life.

Rheumatoid arthritis. Postmenopausal women with the highest total vitamin D intakes were at significantly lower risk of developing RA after 11 years of follow-up than those with the lowest intakes.

Osteoporosis and Fractures. Many studies suggest that vitamin D3 supplements of at least 800 IU/day may be helpful in reducing bone loss and fracture rates in the elderly.

Cognitive functioning. Vitamin D deficiency has been linked to decreased cognitive performance in older adults.

Depression. Low vitamin D levels have been linked to low mood and depression, with one study showing blood Vitamin D levels 14 percent lower in people with major and minor depression as compared to non-depressed patients.

Despite these numerous health benefits, surprisingly, more than half of all adults and children are deficient in Vitamin D, according to a 2008 report in the American Journal of Clinical Nutrition.

So what should you do in the winter to ensure that you are getting enough Vitamin D to offset the lack of vitamin D from sunlight exposure?

You could try to obtain Vitamin D naturally through a few foods, including some fatty fish (mackerel, salmon, sardines), fish liver oils and eggs from hens that have been fed vitamin D. You also can take Vitamin D in the form of a supplement.

In 2010, the Food and Nutrition Board (FNB) of the Institute of Medicine set a Recommended Dietary Allowance (RDA) based on the amount of vitamin D needed for bone health. It is recommended that most adults take 600 IU of Vitamin D, with those over 71 recommended to take 800 IU of Vitamin D in supplementation.

Those most at risk for low Vitamin D levels include people who are older, have diabetes or kidney disease, stay indoors, are obese or have darker skin.

Drs. Kay Judge and Maxine Barish-Wreden are medical directors of Sutter Downtown Integrative Medicine program. Have a question related to alternative medicine? E-mail adrenaline@sacbee.com.

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Diet Excuses

Ask any health expert to rattle off some of the bogus reasons they've heard as to why people can't lose weight, and you're likely to have enough excuses to fill a "Stuff Dieters Say" YouTube video. But there's nothing funny - or pretty - about the little diet and fitness lies you persuade yourself to believe. Buying into incorrect information, such as the idea that skipping breakfast will save you calories in the long run or that your doctor will pull you aside if your weight is really a problem, will leave your scale stuck and could put your health at risk in the long-term.

The following ideas might seem like reasonable assumptions, but the research and experts suggest otherwise. Here, eight little fibs that might be making you fat.

1. Taking the stairs takes too long

Sorry folks, but taking the elevator at work isn't just lazy, it's inefficient, too. A small Canadian study calculated that when you factor in the time you spend waiting for an elevator to arrive, taking the stairs actually can save you about 15 minutes each workday. Researchers timed hospital workers making trips between one and six floors, and found that it took 2.8 times longer per floor to travel by elevator car than by stairwell. So the next time you catch yourself complaining about being too busy to work out, remember it's possible to add minutes to your day and burn more calories.

2. Losing 10 pounds is good enough

Losing 10 pounds is nothing to sneeze at, but if you're obese, a small dip in the scale should be the starting point - not the finish line - of a healthier lifestyle. While short-term studies have concluded that obese people can see significant improvements in their heart health after a 5 percent weight loss, a new 10-year Swedish study found that you most likely need to lose twice as much to yield meaningful results. Obese people who lost 4 percent of their body weight - or 11 pounds - showed no significant improvements in terms of major risk factors, including blood pressure and cholesterol levels. They needed to lose at least 22 pounds before systolic blood pressure, pulse pressure and insulin levels improved, and had to drop 33 pounds before significant benefits were seen in HDL and glucose levels.

3. My doctor will tell me if there's a weight problem

If you're waiting for your doctor to alert you that your weight is putting your health at risk, you're better off facing your mirror for a true assessment. A study in the Archives of Internal Medicine found that less than half of those who were overweight and two-thirds of those who were obese were told in the past year by their doctor that they were heavy.

A similar pattern crops up for children, as well. A 2011 study in the Archives of Pediatrics & Adolescent Medicine found that 22 percent of parents of overweight children recalled that their doctor voiced concern about their kid's size and 58 percent of parents of obese children said that a physician told them their child is fat.

Weight is a touchy subject, especially for women, which might partially explain why female physicians are less likely to bring up weight with patients of either sex and why female patients are less likely to hear about it from their doctors. Plus, doctors sometimes figure that their patients have the resources to address weight issues on their own because there's so much diet and fitness information available to the public, says Christine Gerbstadt, MD, spokesperson for the Academy of Nutrition and Dietetics and author of "Doctor's Detox Diet."

4. I know what calories are

You probably know a thing or two about calories - like you need to eat less of them and burn more if you want to see the number on the scale go down - but chances are you understand less than you think.

A study in the American Journal of Public Health found that when teens read a sign that said it takes 50 minutes of jogging to burn off one soda, sales fell 50 percent compared with those who read signs listing the calories, suggesting that people have a false sense about how many calories they consume and use up. "People say all the time that they know about calories, but they don't know how hard it is to burn them off," says Dawn Jackson Blatner, RD, and author of "The Flexitarian Diet."

5. I'm in control of what I'm eating

Sure, you have no one to blame for eating that extra cookie but yourself, but no matter how strong your willpower, you could be tucking in more food without even knowing it. A number of studies show that there are sneaky, subliminal factors that affect how much we serve ourselves. Not only do people dish out and eat larger portions when using bigger spoons, plates and bowls, they also tend to eat more when their food is a similar color to their plate, say researchers from Cornell University. Mindless-eating expert Brian Wansink found that people were more likely to dish out a big helping of pasta Alfredo on a white plate than a red one.

6. It's too expensive to be healthy

Times may be lean, but eating healthfully doesn't have to be a luxury. To be fair, a 2011 study in Health Affairs calculated that following the USDA's MyPlate guidelines could cost Americans an extra $380 a year in food groceries, or $1.04 a day. However, findings from George Washington University researchers show that obese women earned $5,826 less per year than their thinner counterparts in 2008 - so maybe eating right is worth the investment.

Still, not everyone agrees that a balanced meal translates to extra dollars and cents. "You can cook frozen vegetables to save money," notes Gerbstadt. "Eating healthy doesn't have to be exotic or gourmet." To see just how much it would cost to shape up your eating habits, Blatner suggests tallying a week's worth of food and meal receipts - everything from your $10 lunch to your $4 cappuccino - and compare it with 7-day's worth of good-for-you groceries. "It can be daunting to see a $100 to $200 grocery bill, but it's usually less expensive compared with how much you're spending dining out and eating on the run," says Blatner.

7. A little snack won't hurt

Well, that depends on your perception of what qualifies as a snack and how often you're noshing between meals. After all, weight loss boils down to calories in, calories out. Investigating the snacking habits of dieters over the course of a year, researchers found that midmorning snackers lost 7 percent of their body weight compared with those who snacked later in the day, who lost 11 percent of their body weight. Why? Midmorning snackers usually didn't stop at just one snack and tended to eat another later in the day, as opposed to afternoon and evening snackers.

"The problem with snacking is that people don't know what a snack is," says Blatner. "A snack is nutritious and filling; it bridges meals and is about 200 calories. Snack packs, cookies and candies aren't snacks - they're treats. You need to know the difference and know that there is a limit." Blatner says that when you keep to these guidelines, you can snack up to twice a day and maintain a healthy weight.

8. I'll eat less if I skip breakfast

Drill it into your heads: Skipping breakfast won't save you calories in the long run. "People have this notion that if they don't eat breakfast they'll save calories or can cheat eat later in the day, but it really doesn't work that way," says Gerbstadt. "Your body needs food in small increments throughout the day to stay powered, and research shows that people who eat 400 to 600 calories at breakfast are less likely to be overweight." Starting your day with a morning meal can help jump-start your metabolism by 10 percent and prevents you from overindulging on snacks and large meals later in the day because you are ravenous.

If you typically don't feel hungry in the morning, Blatner recommends skipping dinner - just once - to reset your appetite clock. "A lot of times people say they're not hungry when they wake up because they'd eaten too much for dinner. This way, you'll wake up naturally hungry."

For more tips and tricks, visit Fitbie.com

@2012, Fitbie.com Visit them at http://fitbie.msn.com/ .

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Obesity Rates Leveling Off

New data from the Centers for Disease Control and Prevention suggests that obesity rates in the United States are leveling off, although Owensboro physician Dr. Dirck Curry isn't seeing it locally.

The new research reflects 2009-10 data, the most recent available, from the government's National Health and Nutrition Examination Survey, which examined 6,000 adults and 4,111 children. Body mass index was measured, as well as other areas.

Statistics showed that more than 35 percent of adults are obese, which is defined as having a body mass index of 30 or greater. The number is similar to the 2005-06 rate. BMI, a key component is assessing health trends, measures weight and height.

"Our population seems to continue to grow and get bigger," said Curry, who practices osteopathic medicine at the Primary Care Center and at the Wound Healing Center in Owensboro. "I see obesity getting to be more of a problem, especially in our younger population."

James O. Hill, director of the Center for Human Nutrition at the University of Colorado Health Sciences Center in Denver, was quoted in USA Today saying that while the leveling off was good news, there are still too many overweight people in the country.

The report also found that gender differences appear to be fading, with percentages of overweight males catching up with or even overtaking those of females. More adult men are overweight or obese as compared with women -- 73 percent to 63 percent. Severe obesity remains more common in women, however.

The report said the Let's Move! program has raised national awareness of obesity, as well as food content labeling. Also, public service announcements have encouraged children to exercise.

"I'm very impressed when someone does turn around (his lifestyle)," Curry said. "There's a young man I've seen who has lost 40 pounds. It takes work.

"There's planning and preparing appropriate meals, staying away from processed foods, eating more fruits and vegetables, and getting 20 to 30 minutes of exercise seven days a week."

Curry said the most-important exercise one can do is pushing away from the table.

"Buffets teach us the worst lifestyle," he said. "We gorge ourselves on food and think, there's always tomorrow (to start eating healthier)."

For those who say they walk while at work and that ought to count for exercise, Curry counters by saying the body gets acclimated to that.

"You need to do more and eat less," he said. "Drink water and throw away the sugar drinks.

"We want you to be a lean, mean fat-burning machine, but we don't have those kind of people anymore. Our kids sit at computers and don't get involved in sports or outside activities because of computer games and movies. That's what's consuming their time."

Rich Suwanski, 691-7315, or rsuwanski@messenger-inquirer.com.

©2012 the Messenger-Inquirer (Owensboro, Ky.)

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Healthy Lifestyle Best Defense Against Type 2 Diabetes

Sister Mary Ann Gschwind loves macaroni and cheese. And ice cream. But ever since she was diagnosed with diabetes, she has learned to love healthier options and how to enjoy treats in moderation.

"Those are the kinds of adjustments you have to make," Gschwind said.

Gschwind, 71, was diagnosed in her early 60s. The changes she has made to her diet have paid off. Gschwind has not only lost weight but has been able to control her diabetes.

"Diet and exercise is the bottom line," Gschwind.

It's a message doctors agree with, citing a rising epidemic in the number of people being diagnosed with the disease.

More than 25 million children and adults have diabetes in the United States, or about 8.3 percent of the population, according to the American Diabetes Association. Nearly 80 million have prediabetes and the ADA estimates 7 million people are undiagnosed.

Dr. Cheri Olson, a family physician with Mayo Clinic Health System, has worked with Gschwind and has been thrilled to see how healthy changes have helped.

"She's done a really good job," Olson said.

While there are many factors with the cause of diabetes, lifestyle seems to be the biggest contributor, doctors say. People aren't as active and tend to eat more, Olson said.

"The horrible truism is we eat more and we eat more junk foods that are available all the time in front of us," Olson said. "We don't walk places. We take our car."

It's estimated that one-third of the population will have diabetes by 2050.

"My personal feeling is that is a gross underestimate," said Dr. Daniel Short, an endocrinologist with Gundersen Lutheran Medical Center.

Short believes it will be closer to one out of two people.

"It's frightening. It will sink our health care system," Short said. "We cannot afford this."

Where type 2 diabetes used to rarely be seen in people younger than 40, it's becoming more common for kids to be diagnosed, Short said.

"This disease is changing as we look at it," Short said.

About 5 percent of people with diabetes have type 1 diabetes, usually diagnosed in children and young adults, and previously known as juvenile diabetes. In type 1 diabetes, the body does not produce insulin.

More common is type 2 diabetes, where either the body does not produce enough insulin or the cells ignore the insulin.

The main factors with type 2 are being Xoverweight, lack of exercise and an aging population, Short said.

"Diabetes at its root is probably protection against starvation," Short said. "In an era of 24/7 food availability, there's never a lean season."

Diabetes screenings are generally recommended for people 45 or older. Screenings should be done earlier for people with risk factors such as family history, obesity, high blood pressure or abnormal blood cholesterol.

It can be overwhelming to think about losing 50 pounds or 100 pounds. That's why doctors recommend breaking it down into smaller and more doable goals. As little as losing 5 percent of your body weight can significantly decrease your risk of diabetes and other diseases.

"You just have to brainstorm and figure out one or things to get started," Olson said.

When Gschwind first started, it was a lot harder to turn down her favorite desserts. Now, she opts for three enjoyable spoons of bread pudding, rather than a full serving.

"Going out to eat is never easy," Gschwind said. "But there are options."

She's learned to change her habits, slowly and surely.

Merri Jo Guggenbuehl, a diabetes educator at Mayo Clinic Health System, said health providers also play an important role in preventing and treating diabetes.

"Sometimes it feels like a death sentence," Guggenbuehl said. "It's absolutely not."

Diabetes doesn't necessarily meaning saying goodbye forever to your favorite foods.

"It's portion control," Guggenbuehl said. "You look at making healthy choices for meal planning."

Guggenbuehl likes to find out what her patients might already be doing well so they have something positive to build upon.

"People are really hard on themselves," Guggenbuehl said. "Sometimes after they're diagnosed there's a lot of guilt and anger. They need to be patient and make changes slowly. It takes time."

©2012 the La Crosse Tribune (La Crosse, Wis.)

Visit the La Crosse Tribune (La Crosse, Wis.) at www.lacrossetribune.com

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Diet Can Determine Cancer Risk

Eating better and getting more physical activity can lower cancer risk, the latest studies show, and the American Cancer Society (ACS) has updated its prevention guidelines to reflect the new research.

With North Carolina having one of the nation's highest obesity rates, the ACS is hoping to change habits in the Tar Heel state -- starting with school children.

The focus is on weight control through nutrition and staying active. Obese people change their body chemistry with higher levels of insulin and estrogen, the ACS said, which raises the risk of cancer, said Colleen Doyle, ACS director of nutrition and physical activity -- and North Carolina's traditional menu of fried and grease-laden food doesn't help.

"As we age, we often go back to those comfort foods that we were given as a child," said Doyle. "So it's a diet that we've adopted over a course of time that's harder to break."

"Research shows that there may be a link with eating healthy foods and reducing the risk for cancer," said Richmond County Cooperative Extension Agent for Family and Consumer Sciences, Sarah Mammarella. "There are cancer-fighting components, called phytochemicals and antioxidants, that are found in whole grains, and brightly colored fruits and vegetables. Phytochemicals and antioxidants can protect us from cancer by neutralizing free radicals and/or preventing cancer causing agents from forming."

Curbing the problem of obesity starts in the school system, Doyle said, where one in three North Carolina children from ages 10 through 17 are obese.

"We are encouraging the Legislature to adopt increased health standards for foods sold outside the school lunch program in all North Carolina schools," said Doyle.



"The Richmond County Health Department has an excellent partnership with Richmond County Schools Grades K-3 through our Operation Healthy Kids Initiative," said Richmond County Health Department Director Tommy Jarrell. "This curriculum based initiative includes physical activity components. It has been in place for the past five or six years and recent results indicate very positive results with reduced BMI for students in grades K-3. We certainly work to encourage regular physical activity for all age groups as a way to improve our health and well being. This is done through a variety of methods including Health Education Programs, Clinic Education, etc."

Excessive weight is a factor in 14 percent to 20 percent of U.S. cancer deaths, according to the cancer society, adding that those who follow the new recommendations for diet and exercise also will also reduce their risk of cardiovascular disease.

Some of the new guidelines are lifestyle choices, such as maintaining a lifelong healthy weight, being physically active, limiting alcohol consumption and consuming a diet rich in plant-based foods. The ACS also recommends limiting processed and red meat.

"The American Cancer Society's new guidelines focus on all aspects of leading a healthy lifestyle. In addition to decreasing cancer risk, these guidelines could also be used to decrease the risk for obesity, diabetes and heart disease," said Mammarella.

An overview of the new guidelines is online at cancer.org.

-- Staff Writer Dawn M. Kurry can be reached at 910-997-3111, ext. 15, or by email at dkurry@heartlandpublications.com.

©2012 the Richmond County Daily Journal (Rockingham, N.C.)

Visit the Richmond County Daily Journal (Rockingham, N.C.) at www.yourdailyjournal.com



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Individualized Nutrition for Active People

When it comes to "diet," most people think more about calories than nutrition. Those who are concerned about nutrition often buy into advice given by media-based experts. They may even change the food they eat to match recommended diets, going gluten free or carb free or some other food fad of the moment.

But taking general diet advice from a magazine or TV show guest is similar to listening to some "expert" recommending a size nine pair of shoes -- they may fit or they may not, depending on individual foot size.

To get it right, your diet must be individualized personally for you. If you're an athlete, or live an active lifestyle, your body will use vitamins, minerals, calories, proteins and carbohydrates differently than a more sedentary person. In addition, even a personalized diet should change according to circumstances. If you're taking a two-week beach vacation, which will be spent mainly lying in the sun instead of hitting the gym three or four times a week, adjust your diet for the inactivity. Otherwise, you'll be taking home the souvenir of a new layer of fat.

Most athletes know that they need protein to help repair muscles after a hard training session or a competition. But chowing down a platter-sized steak isn't the answer. First, no matter how strenuous the workout or event, recovery doesn't require a large amount of extra protien. Second, any protein not immediately needed by the body will be stored as fat.

One of the vitamins most neglected by athletes is the B complex, consisting of eight different vitamins that are usually found together in food such as meat and fish. B1 (Thiamine) and B6 (Pyridoxine) are specifically required by athletes. Studies have shown that athletes without enough B1 and B6 have lower energy levels and will train or compete less effectively than they do with a sufficient supply.



But here's the complicated part: the B complex is water soluble. That means it is quickly flushed out of the body in urine. So eating a meal full of the B complex in the morning won't help you much in the afternoon. Smaller and more frequent meals as well as supplements will help maintain your B level. In addition, taking one B factor alone may be useless if you don't have all the other factors. The body needs them all to metabolize any individual part of the B complex.

Active humans burn lots of calories. The bad news is that this process creates free radicals, which cause both cellular and DNA damage. But our bodies have a natural defense system which neutralizes free radicals, an anti-oxidant system that's even more developed in well-conditioned athletes. But those who want to ensure the elimination of any free radicals should eat foods high in the nutrients C, E and A. The most easily metabolized form of vitamin A is from red or orange vegetables like tomatoes and carrots.

Finally, water is a necessary part of your diet. Proper hydration should start several days before a competition so that all tissues contain maximum water. If you're getting dehydrated during a workout or long event, you may feel it as a dry mouth or twitchy and cramping muscles rather than thirst. If you need hydration fast, go for cold, rather than air temperature water. Cold liquid is absorbed faster than warmer water, and it also cools your internal temperature, which has been heated up by activity.

For the latest in adventure sports and physical conditioning, visit Adventure Sports Weekly at http://adventuresportsweekly.com

@2012, Adventure Sports Weekly adventuresportsweekly.com

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Walnuts Slow Growth of Prostate Cancer

New research in mice by UC Davis shows that walnuts slow the growth of prostate cancer.

Mice fed a diet with walnuts had smaller, slower growing tumors, the researchers reported in the current issue of the British Journal of Nutrition.

A low-fat diet is often recommended for reducing the risk for developing or slowing growth of prostate cancer. However, the UC Davis study suggests that not eating walnuts may be a mistake.

Walnuts are rich in omega-3 polyunsaturated fats, antioxidants and other plant chemicals. Eschewing walnuts may mean foregoing the protective effects of walnuts on tumor growth.

One in six men will be diagnosed with prostate cancer, usually later in life. One in 36 will die from the disease because most tumors do not spread beyond the local site, according to the National Cancer Institute.

"Our findings suggest that eating a diet containing walnuts may slow prostate tumor growth so that the tumor remains inside the prostate capsule," said Paul Davis, research nutritionist in the Department of Nutrition and researcher with the UC Davis Cancer Center. "If proven applicable in humans, men with prostate cancer could die of other causes -- hopefully old age."

The research was funded by the California Walnut Board, according to a UC Davis Cancer Center press release.

©2012 The Sacramento Bee (Sacramento, Calif.)

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Weekly Challenges to Improve Your Diet

If "eating better" was one of your New Year's Resolutions and you're already falling off the wagon, then this is for you. Instead of setting an unrealistic goal to transform your diet overnight how about taking baby steps instead? Especially since I am offering to guide you through each and every one. For the next 14 weeks, you take on one new "real food pledge" each week. You can either build each challenge on top of the next or tackle them individually.

- Week 1 (this week): Eat two fruits and/or vegetables with every single meal.

- Week 2: Only drink beverages without refined or artificial sweeteners.

- Week 3: Eat meat that's been locally raised and limit consumption to 3

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Reflux Drugs Don’t Help Kids’ Asthma

Acid-reflux medications appear to do more harm than good when prescribed to certain children with asthma, according to a new study.

Researchers found that lansoprazole, which sells under several brand names, including Prevacid, increased the risk of respiratory infections and did not improve asthma control in children who didn't have reflux symptoms.

Doctors have long believed in a connection between reflux and asthma flare-ups, said Dr. Karen McCoy, who worked on the study and is chief of pulmonary medicine at Nationwide Children's Hospital.

And they sometimes prescribe reflux medicine even when the child has no symptoms, in hopes it will improve asthma control.

Researchers monitored 306 children who were given the medication or a sugar pill for six months. The researchers found that the drug did not improve asthma control and significantly increased respiratory-tract infections, sore throats and bronchitis.

"This should change practice," said Dr. John Mastronarde, director of Ohio State University's asthma center and one of the authors of the study, which was published in The Journal of the American Medical Association and supported by the American Lung Association and the National Institutes of Health.

Lansoprazole is one of several proton-pump inhibitors that also include Prilosec and Nexium. In 2002, about 875,000 children were prescribed the medications. That number increased to 2.6 million (5 percent of all children in the U.S.) by 2009.

It's unclear how many of those prescriptions were for children who have asthma and no reflux symptoms.

This study wasn't designed to determine whether the medications improve asthma control in patients with symptoms of reflux, and data on that is limited, Mastronarde said.

McCoy said she could understand if -- in rare cases -- a doctor recommended a short trial of a proton-pump inhibitor on the belief that asymptomatic reflux was contributing to asthma flare-ups. But for the most part, "this is a game-changer," she said.

Parents should contact their child's doctor before making any change in treatment, McCoy said.

Dr. Sridhar Guduri, a specialist with Allergy & Asthma Clinics of Ohio, said he has never prescribed reflux medications in asymptomatic asthma patients because there wasn't good evidence that it helped.

Dr. Fernando Martinez of the Arizona Respiratory Center wrote an editorial accompanying the research. He said he is concerned because there were six bone fractures in those children who received the medication compared with one fracture in the placebo group.

He pointed out that the U.S. Food and Drug Administration has issued an advisory about fracture risks in adults who take proton-pump inhibitors.

The researchers on the study did not consider the fractures data statistically significant, and they pointed out that some of the fractures happened early in the research, not after the children had been on the medication for a long time.

mcrane@dispatch.com

©2012 The Columbus Dispatch (Columbus, Ohio)

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Healthy Recipes for On-The-Go Families

Kathleen Cannata Hanna's premise for her cookbook is laid out - for the most part - in the title: "The Good-to-Go Cookbook: Take-Along Food, Quick Suppers, and Satisfying Snacks for On-the-Go Families" (Storey, $16.95).

Maybe there wasn't room, but the title omits references to nutrition and tastiness. Those are part of Hanna's recipe too.

The idea for the book came several years ago from a friend, like Hanna a busy soccer mom.

"I said, 'Why are you telling me this?' She said, 'I don't know how to cook and you do.'"

They figured many families, not just soccer moms, could benefit from the book. But her friend was diagnosed with breast cancer (she has since recovered), and Hanna wrote the book and self-published it, selling more than 5,000 copies. That got the attention of publishers, and Storey decided to put out an updated version.

"(Parents) walk this very fine line of nutritious, economical and readily available ingredients," Hanna says. "That's what every parent struggles with. ... What I tried to do was track those three together. I didn't try to put a new twist, or add funky new ingredients from Africa that will save the world, I didn't add vegetables just to add color. I just made good old food we're used to in a very easy way."

An example: seasoned pita chips. Pitas, olive oil or butter, garlic salt and dried parsley. Simple, tasty and better for you than potato chips.

Hanna says her family's favorite is easily the Italian country sandwich: premade pizza crusts, meat, cheese, veggies and spices. It's a flexible recipe.

"You wrap it in foil and put it in the oven. You can cook it on the stove, bring it to camping, cook it on the grill, make it in the microwave. There are a lot of ways you can do it."

Recipes in "Good-to-Go" can be very simple or a little involved. But they're basic, nutritious, time-tested family recipes that work.

"It's not a book for kitchen dummies," she says. "Some of my best friends who are fabulous cooks cook out of this. It's just a daily cookbook you can use."

ITALIAN COUNTRY SANDWICH

Spread an 8-inch precooked pizza crust with 4 ounces cream cheese. Layer with 4 thin slices each of tomato, green bell pepper, pastrami, salami; 2 thin slices red onion; and 4 slices provolone cheese. Top with another crust. Wrap in foil; set on a baking sheet. Bake 25 minutes at 350 degrees. Cut into wedges. Makes 4 to 6 servings.

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Dr Encourages Action to Tackle Obesity Epidemic

Join together, grab some sandbags, stack them on the levy and don't get overwhelmed. Nobody has to stop the incoming flood by themselves, but everyone's got to contribute to a sustained effort.

That's the message Dr. David Katz, founding director of Yale University's Prevention Research Center and nationally known public health and nutrition columnist and celebrity, delivered to about 150 local health and social services leaders last week in what turned into a kind of call to arms.

The incoming flood that threatens our society's wellbeing both physically and financially, due to rising health care costs, is the "dire crisis" of childhood and adult obesity that is responsible for up to 80 percent of cases of premature death from heart attack, diabetes, stroke and cancer, he said. When he asked people in the room to raise their hands if they had loved someone who died prematurely of one of these illnesses, nearly all hands went up. Some wiped away tears.

"But if we come together and are willing to cross over to do what it takes to turn knowledge into power, we could bequeath our children lives not touched by this," Katz, 49, who lives in Hamden, said in a phone interview after his talk. "The knowledge is clear -- we need to make better use of our feet, forks and fingers (with regular exercise, better diets and no smoking habit). I don't need more data. There is a solution. If a building is on fire you don't need a randomized clinical trial to tell you that you should fetch a pail of water."

Katz spoke last week to the first joint meeting of three groups, the New London County Food Policy Council, the New London County Health Collaborative and Children First Southeastern Connecticut. All three have identified obesity and poor nutrition as key problems they want to address. After his talk, representatives of the groups stayed to discuss the activities currently going on in the region focusing on these problems and ways to work together on new or expanded initiatives.

"It was very motivational," said Nancy Cowser, vice president of planning for United Community and Family Service in Norwich and a member of the food policy council. "I felt like I got slapped in the face in a good way."

Keith Fontaine, vice president of corporate communications at The William W. Backus Hospital in Norwich and co-chairman of the food council, said those at the talk have begun meeting to leverage the inspiration they received from Katz to build on the work already being done. Goals already set by the food council, he said, include:

--completing an analysis of the food system in New London County and how to improve it. It would identify, among other characteristics, the "food deserts," where low-income and third-shift workers have poor access to fresh produce and nutritious foods.

--an assessment of emergency food pantries that includes who receives the food and how often, and the quality of the food. Giving poor people food that's poor in nutrition "is not really helping the situation," but only setting more people up for diet-related illnesses, Fontaine said. Cooking classes may also be needed.

--creating programs specifically targeted to obesity-related diabetes, which can also trigger heart disease and cancer.

Fontaine and others at Katz's talk have been well aware of the obesity problem -- Fontaine noted that a recent community health survey by Backus revealed that eastern Connecticut had higher rates than the rest of the state. But his message served as a stark reminder of the consequences of ignoring it, or losing enthusiasm for tackling it.

"By the middle of this century, one in three Americans will have diabetes (unless the trend is reversed). We can't afford that," Fontaine said, referring to one of the statistics shared by Katz. "This forced us to think of the enormity of the problem. A lot of light bulbs went off."

Several who heard Katz's talk were inspired by some of his practical, low-cost solutions. Laurel Holmes, director of community outreach and partnerships at Lawrence & Memorial Hospital in New London, recalled his suggestion that classroom teachers incorporate five-minute "activity bursts" periodically throughout the day. These are simple exercises students can do at their desks, and, she noted, research cited by Katz shows doing them regularly increases students' academic achievement and improves behavior. The routine can also be adopted to office settings.

Others recalled his message that nutritious food doesn't necessarily cost more than junk food. It's more a matter of teaching people how to identify and prepare nutritious foods, and encouraging them to make good choices. Katz believes the millions spent by the federal government on health care for illnesses related to obesity and poor diets could be reduced significantly if the federal food stamp program included incentives for recipients to make healthy choices.

"We're squandering our resources," he said.

Sherry Filiatreault, coordinator of Children First Norwich and one of the organizers of the event, was also excited to learn about the NuVal nutrition rating system developed by Katz. Her group became concerned about the obesity issue after it compiled 2010 statistics showing that 43 percent of the sixth-graders in Norwich are overweight or obese.

The NuVal system, in use at 23 grocery store chains across the country, gives products a one to 100 rating for nutritional value, with 100 being the best. At Big Y, the only local chain using NuVal, the number is displayed on the store shelves next to the product, on the same sign with the unit price and item price. It's an easy tool consumers can use to make good choices, Filiatreault said.

"The NuVal system takes the guesswork out of knowing which item to buy," Filiatreault said.

At Big Y, which has local stores in Groton, Mystic, Norwich and Old Lyme, more than 50 percent of items have a NuVal number, said Carrie Taylor, registered dietitian for Big Y Foods. The chain began displaying NuVal scores a year ago. Thus far, customer response has been positive, she said.

"We're constantly getting updates and getting more things scored every month," she said.

Katz said the NuVal system has been available to stores since 2008. A team of 15 dietitians develops the score for each food based on the amounts of 30 nutrients and also factors in the quantity of protein, fat, carbohydrates, calories and omega-3 fats. Amounts of sugar, salt, trans fat, saturated fat and cholesterol are counted in to lower the score.

"Manufacturers who make foods that score poorly don't like this truth meter," Katz said. "But products are being reformulated in response. The long-term intent is to make changes in our food system."

j.benson@theday.com

___

©2012 The Day (New London, Conn.)

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Improve Odds that Healthy Habits Will Stick

Where do you start?

You see yourself in the mirror and know you should do something about how you look and feel. But how to begin?

"People need to work on the easy things first," says Susan Bowerman, assistant director of University of California at Los Angeles' Center for Human Nutrition.

With so many of us launching diet and exercise plans for the new year - and often giving up within a matter of weeks (if not days) - I asked Bowerman for some strategies to get started. Strategies, that is, that aren't too hard to stick with.

"People always get overly ambitious at the first part of the year," she said, when they really should begin with "things that are doable that they can absolutely sustain."

Such as?

Bowerman's doable dietary suggestions include:

Eat a piece of fruit instead of cakes or cookies for dessert.

Include one dairy serving per day (if milk, switch from whole milk to 2 percent).

Eat airy, watery foods that will fill you up and have fewer calories (vegetables, not Cheetos). "Think of your sandwich as a salad between two pieces of bread."

Switch from high-calorie drinks (sugary soda, fruit juices) to water, even at just one meal a day.

Substitute 100 percent whole grain for white bread.

For more tips and encouragement, Bowerman's blog is a readable, supportive guide: discovergoodnutrition.com.

It's not just food she's concerned with, and she offers some sustainable tips on exercise too.

"Sometimes the idea of 30 minutes a day of exercise is so daunting to people. Break it up. There's evidence if you do three 10-minute stints it's just as good.

"Also, just move around a little more. Talking on the phone like I'm talking to you, I'm pacing around the room.

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Get Moving to Ease Back Pain

Is your back bothering you? Research shows that moving can be the best medicine. Here, Prevention reveals three ways to send pain packing.

1: Stretching: A recent study found that stretching is just as effective as yoga at reducing back pain. Stretching of any kind, whether static (you hold the pose) or dynamic (you move through a complete range of motion), can help improve flexibility and decrease back-pain risk and symptoms.

2: Yoga: Two recently published studies found that people who practiced yoga had less pain and more mobility than those who simply followed a self-care book on back-pain relief. Yoga combines stretching with strength and balance poses, which help shore up weak muscles and release tight ones. It's also a stress reliever; tension can lead to a tight back.

3: Pilates: A small Canadian study found that patients with nonspecific lower-back pain who did a Pilates workout for 4 1/2 hours a week reported significantly less pain and disability one year after starting the program than those who simply followed a doctor's care. Pilates strengthens the core muscles that support the spine, decreasing your risk of injury. It also boosts flexibility, making it easier to move without pain.

For more information, please visit Prevention.com or pick up a copy of the magazine on news stands now.

Distributed by MCT Information Services

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10 Tips to Get Your Children to Eat Vegetables

Make getting more vegetables in your kids' diet your 2012 resolution and succeed with help from Brian Wansink, the director of the Cornell Food and Brand Lab, who headed up a study of the best way to get your children to eat more vegetables.

Birds Eye commissioned the research as part of the brand's commitment to helping feed kids better and to inspire a new generation of vegetable lovers. Wansink is also the John Dyson Endowed Chair in the Applied Economics and Management Department at Cornell University, and the lead author of over 100 academic articles and books on eating behavior.

Here, he shares 10 powerful tips for encouraging your children to eat their veggies:

1. Model your veggies: If you eat your veggies then your kids will eat theirs too. Research suggests the chances a child eats recommended amounts of healthy foods double if their parents do.

2. Stock the freezer: Try fresh vegetables in frozen form to get your kids' favorite vegetables all year round. Kids love carrots, corn and peppers

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Vitamin E May Help Repair Muscles

As he walks on a treadmill at the Family Y of Downtown Augusta, Gordon Baker, 62, might be tearing cell walls in his muscles as he exercises. Fortunately, the 400 milligrams of vitamin E he takes every day are probably helping to repair them, according to research at Georgia Health Sciences University.

"I feel like it makes a difference," Baker said.

Vitamin E appears to help overtaxed muscles by repairing torn cell membranes, which might one day have implications for devastating diseases, according to the GHSU research.

In a study published Tuesday in the journal Nature Communications, the lead author, Dr. Amber Howard, and her colleagues, working on muscle cells in the lab, found that vitamin E aided the repair of cell membranes that had been compromised.

"When a skeletal muscle cell suffers a tear in its outermost surface, it will die if it doesn't repair that tear very quickly," said Dr. Paul McNeil, the senior author on the study.

"Vitamin E -- by a mechanism we don't understand yet at the molecular level, certainly -- is promoting that repair process."

Unlike other common vitamins, how vitamin E functions in the body is not very well understood, he said. Unlike most other vitamins, too, vitamin E is not water-soluble, he said.

"It's present in your body dissolved in fats, including the fats that compose that outermost boundary or membrane barrier," McNeil said. The researchers were able to show that the vitamin's antioxidant activity might be aiding repair mechanisms by subjecting the cells to a deluge of oxidants that impeded the repair of torn cells but could be prevented if the cells were pretreated with an antioxidant such as vitamin E.

The findings point to important implications for muscles, whose cells are often damaged by "eccentric contractions, when (the muscle) is lengthening and contracting simultaneously, like running downhill will do," McNeil said.

"They are quite common," he said. "I don't think most people realize that but they have probably felt the consequences."

More important, it could have implications for genetic muscle-wasting diseases such as muscular dystrophies or even amyotrophic lateral sclerosis, also known as Lou Gehrig's disease, he said.

"One factor that has been shown in human populations to prevent or delay the onset of (ALS) is high levels of vitamin E," McNeil said.

Focusing on that antioxidant repair mechanism "could be potentially beneficial to people suffering from genetic muscular dystrophies and other muscle-wasting diseases. That is way in the future, of course, but it is a possibility."

©2011 The Augusta Chronicle (Augusta, Ga.)

Visit The Augusta Chronicle (Augusta, Ga.) at chronicle.augusta.com

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Don’t Be Overwhelmed By Exercise

"Maybe you love to eat but hate to exercise," Jim Karas proposes.

For most of us, that about sums it up.

Karas wants to help you get over the exercise part of that equation.

"The biggest hurdle you will ever face in losing weight isn't sticking to a diet or going to the gym every day. It's simply this: getting started," he says.

Can you spare 15 minutes, three times a week? Trainer and author Karas says that's enough to get you off to a good start.

"If you're doing nothing, this is absolutely a step in the right direction," says Karas, who blogs (and sells his fitness products) at jimkaras.com. Just those 45 minutes weekly will rev up your metabolism, increase your energy, and make you look and feel better, he says.

Karas brags that after an appearance years ago on "Good Morning America," he cornered Diane Sawyer and delivered the bad news: She needed to lose 25 pounds. "She was shocked, but I got her attention." (And became her trainer to help her do it.)

For those of us who aren't Diane Sawyer, who have put off starting an exercise program, he insists that we don't need to spend hours a week on a treadmill.

"You don't have to have equipment. You don't have to go to the gym," he says.

Instead, Karas recommends taking three basic exercises - pushups, Pilates planks, and squats or lunges - and doing each until "you're almost out of breath." Then repeat the series "until you fill up 15 minutes" three times weekly. Instructions for all of these are all over the Internet.

And yes, he disagrees with federal guidelines that recommend 75 minutes a week of vigorous aerobic activity (or 21/2 hours of moderate exercise).

In most exercise regimens, "the neglected variable is intensity," Karas says. "If you really get in there and get the job done, you optimize results and you save yourself time."



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Manganese May Fight Food Poisoning

A substance found in nuts and whole grains may someday help doctors fight the kind of food poisoning that sickened thousands of people in Europe last summer, a study in mice suggests.

While a variety of germs can cause food poisoning, the European outbreak involved a dangerous strain of the bacterium E. coli. It infects people and pumps out a poison called Shiga toxin. Some other bacteria also produce this toxin, which overall causes more than 1 million deaths a year worldwide. The European food poisoning outbreak included about 4,000 people and 50 deaths.

There's no definitive treatment for Shiga toxin. But in Friday's issue of the journal Science, scientists report that they could protect mice against a lethal dose by injecting them with the mineral manganese.

The animals were injected daily, starting five days before they were exposed to the toxin. While untreated mice died within four days, the injected mice remained healthy. The manganese made the toxin vulnerable to being destroyed by cells.

Scientists still need to do more research before they can assess the usefulness of manganese in treating people. Manganese is already approved for medical use and it's inexpensive, they note. So that might make it especially useful in developing countries, where nearly all cases of Shiga toxin poisoning occur, wrote the researchers, from Carnegie Mellon University in Pittsburgh.

Online:

Science: http://www.sciencemag.org

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