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IN THIS ISSUE:
  • Know About Celiac Disease

    Celiac disease is a hereditary autoimmune disease triggered by eating gluten-containing foods such as wheat, rye, and barley.

  • Artificial Food Colors and ADHD

    Some children with ADHD and without ADHD have been shown to react to artificial food colors, especially when consuming larger amounts.

  • 10 Foods to Add to Your Diet

    If you feel like you are always being told what not to eat, you may like hearing about 10 foods you should eat for better health.

  • More Teens With Hearing Loss

    If you think your teen just doesn’t listen to you anymore, they might not be able to hear you.

  • Carb-Conscious Delicious Meals

    Whether you’re watching carbs to improve blood sugar control or for weight-management, you’ll love these flavorful entrees that will satisfy the entire family.

  • ADHD Medicine Abuse By Athletes

    Athletes are turning to illegal use of ADHD drugs to boost focus on the field, but that could come with health risks.

  • How Sleep and Diet Affect Each Other

    A recent study published in the journal Appetite examines how sleeping more or less is related to one’s diet and vice versa.

  • 10 Foods to Boost Energy, Look Great

    OK, you’re going to get serious about healthy eating after you finish the Valentine’s chocolates. Here are the 10 must have foods to add to your diet on a near-daily basis — with reasonable portions, of course — to shed pounds, feel energized and look great.

  • Child Vision Screening Important

    Screening young children for vision problems is important because some eye conditions can lead to permanent loss of vision if left untreated.

  • Learn to Love Lentils

    Lentils are like little beans and come in a variety of colors from black to red to green. They are packed with good nutrition, affordable, and easy to prepare.

  • Lifestyle Changes Lead to Weight Loss and Fewer Medical Problems

    Exercise and diet changes helped this women lose weight while also reducing her need for medication and improving her overall health.

  • Folic Acid Awareness Before You’re Pregnant

    Adequate folic acid is needed in the very earliest stage of pregnancy, often before a woman knows she is pregnant, to prevent neural tube birth defects.

  • Is Sugar to Blame?

    Is the prevalence of sugar in the American diet to blame for our obesity epidemic and related health problems?

  • Do Get Your Vitamin D

    Cold temperatures and shorter, cloudy days have left many with inadequate vitamin D production from the sun.

  • Replace Refined Grains with Whole Grains

    Whole grains contain the entire kernel and provide more fiber and nutrients. Brown rice, whole wheat, whole grain corn, quinoa, and barley are just a few to choose from.

  • Don’t Be SAD, Keep Winter Blues Away

    The days are cold and short and spring seems so far away which can lead many to suffer from Seasonal Affective Disorder. But, there are actions you can take to help manage these blues.

  • Eating Nuts May Help Manage Weight

    Nuts may be higher in calories and fat than many foods, but they are packed with good nutrition.

  • Fruits That May Fight Obesity

    A recent study has found that compounds in peaches, plums, and nectarines may help fight obesity.

  • 10 Tips to Prevent Snacking from Boredom

    Snacking when you are bored and not really hungry can lead to consuming hundreds, maybe even thousands of extra calories per week.

  • Healthy Eating on a Budget

    You can eat healthy on a budget, but it may require you to do a little cooking to maximize your food dollars.

  • Reduce Red Meat Intake for a Longer Life

    According to a recent study, the risk of dying an early death rises with frequent red meat consumption.

  • Daily Multi May Lower Cancer Risk

    A study suggests there may be a slight reduction in cancer risk among older men who take a daily multivitamin.

  • 3 Fats to Focus On

    Not sure what is a good fat or bad fat? Here are three types of fats you can feel good about including in your diet.

  • Healthy Hair

    Your health can affect the condition of your hair, but so can damage caused from styling, sun, and swimming.

  • Health Headlines of the Week

    Health and wellness headlines in the news this week include the dangers of growing marijuana indoors, early menopause risks, and cancer rates among Hispanics.

Know About Celiac Disease

Posted May 17, 2013

The Academy of Nutrition and Dietetics (formerly the American Diatetic Association) issued the following news release:

Celiac disease is estimated to affect one out of 141 of Americans, or just under 1 percent of the population. The Academy of Nutrition and Dietetics encourages Americans to learn about celiac disease – it can affect your health or someone you love.

What is celiac disease? It is a hereditary, autoimmune disease caused by intolerance to the food protein, gluten – which is found in wheat, barley and rye. When people with celiac disease eat gluten-containing foods, the lining of the small intestine is damaged and eventually destroyed, preventing nutrients from being absorbed adequately. Untreated, celiac disease can lead to nutritional deficiencies, including anemia and osteoporosis, as well as other conditions, including other autoimmune diseases, intestinal cancers, infertility, delayed growth in children and failure to thrive in infants.

“While the only treatment for celiac disease is a gluten-free diet, the good news is, once the diet is started, the road to recover begins, and people with celiac disease can lead long, healthy lives,” says registered dietitian nutritionist and Academy spokesperson Rachel Begun. “Managing celiac disease is not just about eliminating gluten from your diet. It also entails ensuring you get all the vitamins and nutrients your body needs, such as iron, calcium, fiber and B-vitamins like thiamin, riboflavin, niacin and folate.”

An accurate diagnosis for celiac disease is a vital part of restoring health. Symptoms of celiac disease include bloating, gas or abdominal pain, chronic diarrhea or constipation, fatigue, itchy skin rash, tingling in hands and feet, delayed growth or fractured or thin bones. Some people are asymptomatic, meaning they do not experience any of these symptoms. If you or a loved one experience any of these conditions, it may be an indication of celiac disease.

“Do not diagnose yourself. If you have any symptoms, talk with your health care provider and get tested,” Begun says. “It’s important to keep eating a normal gluten-containing diet while being tested to ensure an accurate diagnosis. If you are diagnosed with celiac disease, a registered dietitian nutritionist will help you understand which foods are safe to eat and ensure you are getting the important nutrients your body needs.”

Many healthy foods are naturally gluten-free, such as fruits, vegetables, lean meats, poultry, fish, eggs, beans, legumes, soy, nuts, as well as the grains amaranth, buckwheat, corn, rice, teff and quinoa. Plus, there are a number of gluten-free flours made from almond meal, chickpeas and garbanzo beans, brown rice, coconut, potato, sorghum, tapioca and white rice.

For more information on celiac disease take a look at the Academy’s Celiac Disease resources, as well as the up-to-date, handy Gluten Detective App (https://www.eatright.org/shop/product.aspx?id=6442470637), which can simplify gluten-free grocery shopping, as well tips and tools to access on your smartphone.

Visit the Academy of Nutrition and Dietetics at www.eatright.org to locate a registered dietitian in your area.

TNS mv45 130511-4341443 61MarlynVitin

© 2013 Targeted News Service

The Academy of Nutrition and Dietetics (formerly the American Diatetic Association) issued the following news release:

Celiac disease is estimated to affect one out of 141 of Americans, or just under 1 percent of the population. The Academy of Nutrition and Dietetics encourages Americans to learn about celiac disease - it can affect your health or someone you love.

What is celiac disease? It is a hereditary, autoimmune disease caused by intolerance to the food protein, gluten - which is found in wheat, barley and rye. When people with celiac disease eat gluten-containing foods, the lining of the small intestine is damaged and eventually destroyed, preventing nutrients from being absorbed adequately. Untreated, celiac disease can lead to nutritional deficiencies, including anemia and osteoporosis, as well as other conditions, including other autoimmune diseases, intestinal cancers, infertility, delayed growth in children and failure to thrive in infants.

"While the only treatment for celiac disease is a gluten-free diet, the good news is, once the diet is started, the road to recover begins, and people with celiac disease can lead long, healthy lives," says registered dietitian nutritionist and Academy spokesperson Rachel Begun. "Managing celiac disease is not just about eliminating gluten from your diet. It also entails ensuring you get all the vitamins and nutrients your body needs, such as iron, calcium, fiber and B-vitamins like thiamin, riboflavin, niacin and folate."

An accurate diagnosis for celiac disease is a vital part of restoring health. Symptoms of celiac disease include bloating, gas or abdominal pain, chronic diarrhea or constipation, fatigue, itchy skin rash, tingling in hands and feet, delayed growth or fractured or thin bones. Some people are asymptomatic, meaning they do not experience any of these symptoms. If you or a loved one experience any of these conditions, it may be an indication of celiac disease.

"Do not diagnose yourself. If you have any symptoms, talk with your health care provider and get tested," Begun says. "It's important to keep eating a normal gluten-containing diet while being tested to ensure an accurate diagnosis. If you are diagnosed with celiac disease, a registered dietitian nutritionist will help you understand which foods are safe to eat and ensure you are getting the important nutrients your body needs."

Many healthy foods are naturally gluten-free, such as fruits, vegetables, lean meats, poultry, fish, eggs, beans, legumes, soy, nuts, as well as the grains amaranth, buckwheat, corn, rice, teff and quinoa. Plus, there are a number of gluten-free flours made from almond meal, chickpeas and garbanzo beans, brown rice, coconut, potato, sorghum, tapioca and white rice.

For more information on celiac disease take a look at the Academy's Celiac Disease resources, as well as the up-to-date, handy Gluten Detective App (https://www.eatright.org/shop/product.aspx?id=6442470637), which can simplify gluten-free grocery shopping, as well tips and tools to access on your smartphone.

Visit the Academy of Nutrition and Dietetics at www.eatright.org to locate a registered dietitian in your area.

TNS mv45 130511-4341443 61MarlynVitin

© 2013 Targeted News Service

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Artificial Food Colors and ADHD

Posted May 11, 2013

By a News Reporter-Staff News Editor at Mental Health Weekly Digest — A new study on Attention Deficit Hyperactivity Disorders is now available. According to news reporting out of West Lafayette, Indiana, by NewsRx editors, research stated, “This review examines the research on mechanisms by which artificial food colors (AFCs) and common foods may cause behavioral changes in children with and without attention-deficit/hyperactivity disorder (ADHD). Children with ADHD show excess inattention, impulsivity, and hyperactivity.”

Our news journalists obtained a quote from the research from Purdue University, “Studies have shown that a subgroup of children (with or without ADHD) react adversely to challenges with AFCs (artificial food colors). Many early studies found few children who reacted to challenges with 20-40 mg of AFCs. However, studies using at least 50 mg of AFCs showed a greater percentage of children who reacted to the challenge. Three types of potential mechanisms are explored: toxicological, anti-nutritional, and hypersensitivity. Suggestions for future studies in animals and/or children include dose studies as well as studies to determine the effects of AFCs on the immune system, the intestinal mucosa, and nutrient absorption.”

According to the news editors, the research concluded: “Given the potential negative behavioral effects of AFCs, it is important to determine why some children may be more sensitive to AFCs than others and to identify the tolerable upper limits of exposure for children in general and for children at high risk.”

For more information on this research see: Mechanisms of behavioral, atopic, and other reactions to artificial food colors in children. Nutrition Reviews, 2013;71(5):268-81. Nutrition Reviews can be contacted at: Blackwell Publishing Inc, 350 Main St, Malden, MA 02148, USA. (Wiley-Blackwell – www.wiley.com/; Nutrition Reviews – onlinelibrary.wiley.com/journal/10.1111/(ISSN)1753-4887)

Our news journalists report that additional information may be obtained by contacting L.J. Stevens, Dept. of Nutrition Science, Purdue University, West Lafayette, Indiana, United States (see also Attention Deficit Hyperactivity Disorders).

Publisher contact information for the journal Nutrition Reviews is: Blackwell Publishing Inc, 350 Main St, Malden, MA 02148, USA.

Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2013, NewsRx LLC

© 2013 Mental Health Weekly Digest via NewsRx.com

By a News Reporter-Staff News Editor at Mental Health Weekly Digest -- A new study on Attention Deficit Hyperactivity Disorders is now available. According to news reporting out of West Lafayette, Indiana, by NewsRx editors, research stated, "This review examines the research on mechanisms by which artificial food colors (AFCs) and common foods may cause behavioral changes in children with and without attention-deficit/hyperactivity disorder (ADHD). Children with ADHD show excess inattention, impulsivity, and hyperactivity."

Our news journalists obtained a quote from the research from Purdue University, "Studies have shown that a subgroup of children (with or without ADHD) react adversely to challenges with AFCs (artificial food colors). Many early studies found few children who reacted to challenges with 20-40 mg of AFCs. However, studies using at least 50 mg of AFCs showed a greater percentage of children who reacted to the challenge. Three types of potential mechanisms are explored: toxicological, anti-nutritional, and hypersensitivity. Suggestions for future studies in animals and/or children include dose studies as well as studies to determine the effects of AFCs on the immune system, the intestinal mucosa, and nutrient absorption."

According to the news editors, the research concluded: "Given the potential negative behavioral effects of AFCs, it is important to determine why some children may be more sensitive to AFCs than others and to identify the tolerable upper limits of exposure for children in general and for children at high risk."

For more information on this research see: Mechanisms of behavioral, atopic, and other reactions to artificial food colors in children. Nutrition Reviews, 2013;71(5):268-81. Nutrition Reviews can be contacted at: Blackwell Publishing Inc, 350 Main St, Malden, MA 02148, USA. (Wiley-Blackwell - www.wiley.com/; Nutrition Reviews - onlinelibrary.wiley.com/journal/10.1111/(ISSN)1753-4887)

Our news journalists report that additional information may be obtained by contacting L.J. Stevens, Dept. of Nutrition Science, Purdue University, West Lafayette, Indiana, United States (see also Attention Deficit Hyperactivity Disorders).

Publisher contact information for the journal Nutrition Reviews is: Blackwell Publishing Inc, 350 Main St, Malden, MA 02148, USA.

Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2013, NewsRx LLC

© 2013 Mental Health Weekly Digest via NewsRx.com

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10 Foods to Add to Your Diet

Posted March 31, 2013

OK, you’re going to get serious about healthy eating after you finish the Valentine’s chocolates. Here are the 10 must have foods to add to your diet on a near-daily basis — with reasonable portions, of course — to shed pounds, feel energized and look great.

1. Greek yogurt: We often concentrate our protein intake at the end of the day, but we’ll feel more full if we have smaller- portions of protein throughout the day, says Joan Salge Blake, a spokeswoman for the American Academy of Nutrition and Dietetics and professor of nutrition at Boston University. Try adding a low or nonfat greek yogurt to your breakfast to get an early a.m. serving.

2. Soup: “One of the best ways to get more vegetables into your diet is soup,” Blake said. “If you have vegetable-broth-based soup before a meal, it can help you reduce the number of calories you eat at that meal.”

3. Ancient grains such as amaranth, quinoa, farro: “People get bored with brown rice, so having some of these nice grains will mix it up a bit,” Blake said. But watch your portion size: No more than one-quarter of the plate should be grains of any kind.

4. Fish: The AAND recommends two fish meals a week to help combat heart disease, and most of us are falling way short. We love Blake’s no-cook fix for getting in two meals: “When you go out to dinner, order a bigger cut of grilled salmon — it’s fantastic — take half home and have the other half for lunch the next day.”

5. Almonds: Carry a small baggie of these powerhouse-healthy nuts for sudden snack attacks. “I can always pop a half-ounce. It’s a great source of fiber, healthy fats and protein, and I’m not stopping at a convenience store and eating a candy bar,” Blake said.

6. Fruit-infused water: One of the biggest sources of calories in the American diet is sugary drinks. Blake has a genius way to get your flavored-beverage fix: a water- pitcher with an infusion cylinder. Try adding water-melon, cucumber, lemons, limes and more to your pitcher for a refreshing, zero-calorie treat.

7. Beans: The magical fruit is “extremely affordable, wonderfully high in fiber and a good source of protein,” Blake said. And it’s a great calorie-swap, too: Switch out a half-pound of meat in chili for a half-can of beans and save big on your total intake number.

8. Dark chocolate: A surefire way to blow your diet is total deprivation. Instead, indulge sensibly. Try Blake’s trick: Melt a half-ounce of good-quality dark chocolate in the microwave, then dip strawberries or pineapple chunks for a sweet treat.

9. Seasonal produce: Shopping the aisles for what Mother Nature gave us is a great way to eat better, but Blake recommends taking it a step further and sticking to seasonal items. “What’s in season is going to be more affordable and taste better,” she said.

10. Stevia: “It’s got less calories and can replace regular sugar,” said Blake of the trendy all-natural sweetener. Of course, re-placing your coffee’s sugar with stevia won’t mean much if you’re still downing soda, so swap smartly.

©2013 the Boston Herald

Visit the Boston Herald at www.bostonherald.com

Distributed by MCT Information Services

OK, you're going to get serious about healthy eating after you finish the Valentine's chocolates. Here are the 10 must have foods to add to your diet on a near-daily basis -- with reasonable portions, of course -- to shed pounds, feel energized and look great.

1. Greek yogurt: We often concentrate our protein intake at the end of the day, but we'll feel more full if we have smaller- portions of protein throughout the day, says Joan Salge Blake, a spokeswoman for the American Academy of Nutrition and Dietetics and professor of nutrition at Boston University. Try adding a low or nonfat greek yogurt to your breakfast to get an early a.m. serving.

2. Soup: "One of the best ways to get more vegetables into your diet is soup," Blake said. "If you have vegetable-broth-based soup before a meal, it can help you reduce the number of calories you eat at that meal."

3. Ancient grains such as amaranth, quinoa, farro: "People get bored with brown rice, so having some of these nice grains will mix it up a bit," Blake said. But watch your portion size: No more than one-quarter of the plate should be grains of any kind.

4. Fish: The AAND recommends two fish meals a week to help combat heart disease, and most of us are falling way short. We love Blake's no-cook fix for getting in two meals: "When you go out to dinner, order a bigger cut of grilled salmon -- it's fantastic -- take half home and have the other half for lunch the next day."

5. Almonds: Carry a small baggie of these powerhouse-healthy nuts for sudden snack attacks. "I can always pop a half-ounce. It's a great source of fiber, healthy fats and protein, and I'm not stopping at a convenience store and eating a candy bar," Blake said.

6. Fruit-infused water: One of the biggest sources of calories in the American diet is sugary drinks. Blake has a genius way to get your flavored-beverage fix: a water- pitcher with an infusion cylinder. Try adding water-melon, cucumber, lemons, limes and more to your pitcher for a refreshing, zero-calorie treat.

7. Beans: The magical fruit is "extremely affordable, wonderfully high in fiber and a good source of protein," Blake said. And it's a great calorie-swap, too: Switch out a half-pound of meat in chili for a half-can of beans and save big on your total intake number.

8. Dark chocolate: A surefire way to blow your diet is total deprivation. Instead, indulge sensibly. Try Blake's trick: Melt a half-ounce of good-quality dark chocolate in the microwave, then dip strawberries or pineapple chunks for a sweet treat.

9. Seasonal produce: Shopping the aisles for what Mother Nature gave us is a great way to eat better, but Blake recommends taking it a step further and sticking to seasonal items. "What's in season is going to be more affordable and taste better," she said.

10. Stevia: "It's got less calories and can replace regular sugar," said Blake of the trendy all-natural sweetener. Of course, re-placing your coffee's sugar with stevia won't mean much if you're still downing soda, so swap smartly.

©2013 the Boston Herald

Visit the Boston Herald at www.bostonherald.com

Distributed by MCT Information Services

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More Teens With Hearing Loss

Posted March 15, 2013

HIGH POINT — The problem used to be that teenagers wouldn’t listen to their parents. Now the problem appears to be they can’t hear them.

One in five teens has a hearing loss — and the problem appears to be getting worse — according to a study published in the Journal of the American Medical Association (JAMA).

While the study itself did not point fingers at a particular culprit for the increase in teenagers’ hearing loss, professionals within the audiology community think iPods and MP3 players may be to blame, at least in part.

“That’s our main concern, because you’re taking that music and putting it into the ear directly,” explains audiologist Dr. Amy Kirkland, owner of Doctors Hearing Care in High Point. “Any time the music is loud enough to the point that you can’t hear somebody beside you talking to you, you know it’s too loud. So if that person has to raise their voice or even shout, that’s at a very dangerous level.”

According to the JAMA study, which compared teens in 2005 and 2006 to teens tested between 1988 and 1994, researchers found a 30-percent increase in any hearing loss (including mild loss) — and a 50-percent increase in mild or worse hearing loss — among teenagers.

Boys were more likely to have hearing loss than girls, and teens in lower socioeconomic groups were more likely than those from wealthier families to suffer from hearing loss, according to the study.

“We’ve had a lot of parents asking us about it,” Kirkland says. “When we go speak at functions and organizations, it’s a very hot topic. Once that study came out, a lot of people started asking us about how to adjust iPods for their teens.”

That’s the good news: Those omnipresent iPods, which are piping music — often very loud music — directly into teenagers’ ears, can be programmed so they’re not so loud.

“There is a way in the software to limit the volume in their iPod, so we try to give that trick out to as many people as we can,” Kirkland says. “When you have your iPod attached in iTunes, there’s a volume limiter in the settings. It’s very user-friendly, so it’s very easy to do.”

Kirkland says audiologists also can make custom ear molds that have acoustic dampers to help protect their hearing while listening to their iPods.

Otherwise, the teenagers may have to visit an audiologist down the road for a different type of technology — a hearing aid.

“I think this study is kind of the calm before the storm,” Kirkland says.

“I think in the next five to 10 years we’re going to see a lot more noise-induced hearing loss, and that damage is permanent most of the time. That’s what we try to tell young people about their hearing. We have hearing technology to help them hear better, but there’s no medicine and no pill to treat it. Once it’s gone, it’s gone.”

jtomlin@hpe.com — 888-3579

To see more of the High Point Enterprise, or to subscribe to the newspaper, go to http://www.hpe.com.

Copyright © 2010, High Point Enterprise, N.C.

Distributed by McClatchy-Tribune Information Services.

HIGH POINT -- The problem used to be that teenagers wouldn't listen to their parents. Now the problem appears to be they can't hear them.

One in five teens has a hearing loss -- and the problem appears to be getting worse -- according to a study published in the Journal of the American Medical Association (JAMA).

While the study itself did not point fingers at a particular culprit for the increase in teenagers' hearing loss, professionals within the audiology community think iPods and MP3 players may be to blame, at least in part.

"That's our main concern, because you're taking that music and putting it into the ear directly," explains audiologist Dr. Amy Kirkland, owner of Doctors Hearing Care in High Point. "Any time the music is loud enough to the point that you can't hear somebody beside you talking to you, you know it's too loud. So if that person has to raise their voice or even shout, that's at a very dangerous level."

According to the JAMA study, which compared teens in 2005 and 2006 to teens tested between 1988 and 1994, researchers found a 30-percent increase in any hearing loss (including mild loss) -- and a 50-percent increase in mild or worse hearing loss -- among teenagers.

Boys were more likely to have hearing loss than girls, and teens in lower socioeconomic groups were more likely than those from wealthier families to suffer from hearing loss, according to the study.

"We've had a lot of parents asking us about it," Kirkland says. "When we go speak at functions and organizations, it's a very hot topic. Once that study came out, a lot of people started asking us about how to adjust iPods for their teens."

That's the good news: Those omnipresent iPods, which are piping music -- often very loud music -- directly into teenagers' ears, can be programmed so they're not so loud.

"There is a way in the software to limit the volume in their iPod, so we try to give that trick out to as many people as we can," Kirkland says. "When you have your iPod attached in iTunes, there's a volume limiter in the settings. It's very user-friendly, so it's very easy to do."

Kirkland says audiologists also can make custom ear molds that have acoustic dampers to help protect their hearing while listening to their iPods.

Otherwise, the teenagers may have to visit an audiologist down the road for a different type of technology -- a hearing aid.

"I think this study is kind of the calm before the storm," Kirkland says.

"I think in the next five to 10 years we're going to see a lot more noise-induced hearing loss, and that damage is permanent most of the time. That's what we try to tell young people about their hearing. We have hearing technology to help them hear better, but there's no medicine and no pill to treat it. Once it's gone, it's gone."

jtomlin@hpe.com -- 888-3579

To see more of the High Point Enterprise, or to subscribe to the newspaper, go to http://www.hpe.com.

Copyright © 2010, High Point Enterprise, N.C.

Distributed by McClatchy-Tribune Information Services.

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Carb-Conscious Delicious Meals

Posted March 6. 2013

Requests for diabetic recipes abound, so this week’s entree suggestions include Diabetic Exchange information. Fragrant Fish Fillets are simmered in a light wine and tomato sauce. Zucchini Tortellini offers a quick vegetarian option.

Reach Glaze at Beverly.Glaze@mail.wvu.edu or 304-634-8449.

Fragrant Fish Fillets

Makes 4 servings. Source: University of Illinois Extension.

1 tablespoon olive oil

1/2 cup fresh mushrooms, sliced

1/2 cup green onions, chopped

1 clove garlic, minced

12 ounces fish fillets

2 tablespoons blush wine, optional

1 fresh tomato, peeled, cored and sliced

2 tablespoons fresh parsley (snipped)

Lemon slices

HEAT olive oil in a large skillet. Add mushrooms, onions and garlic. Saute for 1 to 2 minutes. Add wine, tomato, parsley and fish. Cover and simmer for 5 to 8 minutes or until fish flakes easily with a fork.

REMOVE fillets to a warm platter. Pour tomato sauce over fish. For a thicker sauce, boil down 1 to 3 minutes first. Garnish with lemon wedges.

Nutrition information: 132 calories, 4 grams total fat, 42 milligrams cholesterol, 59 milligrams sodium, 4 grams carbohydrate, 1 gram dietary fiber, 18 grams protein. Exchange: 2 very lean meat, 1 vegetable.

Zucchini Tortellini Toss

Makes 4 servings. Source: University of Illinois Extension.

1 package frozen tortellini

6 to 8 plum tomatoes, chopped

3 to 4 medium zucchini, chopped

1/2 teaspoon garlic salt

1/2 teaspoon basil

1/2 teaspoon oregano

1/4 cup shredded Parmesan cheese

COOK tortellini as directed on package. Heat tomatoes, zucchini, garlic salt, basil and oregano in a medium skillet 3 to 5 minutes until zucchini is tender. Stir in tortellini, cooking 2 to 3 minutes. Serve topped with Parmesan cheese.

Nutrition information: 352 calories, 8 grams total fat, 50 milligrams cholesterol, 388 milligrams sodium, 54 grams carbohydrate, 4 grams dietary fiber, 17 grams protein. Exchanges: 3 starch, 2 vegetable, 1 high-fat meat.

Italian Chicken

Makes 6 servings. Source: University of Illinois Extension.

6 4-ounce skinless, boneless chicken breasts

3 tablespoons flour

1 tablespoon olive oil

2 tablespoons onion, minced

1/2 teaspoon minced garlic

1 cup tomato sauce

1/2 teaspoon rosemary

1/4 teaspoon pepper

1/2 teaspoon basil

1/2 teaspoon oregano

DREDGE chicken in flour. In a 10-inch nonstick skillet, heat oil over medium heat until hot. Add chicken and cook 2 to 5 minutes on each side, turning occasionally until lightly browned. Using tongs, remove chicken from skillet. Set aside.

SAUT the onion and garlic in the same skillet until softened. Add tomato sauce and seasonings. Using a wooden spoon, stir well. Cook, stirring frequently until liquid is reduced by half (3 to 4 minutes). Return chicken to skillet.

COOK until sauce thickens and chicken is heated through.

Nutrition information: 234 calories, 6 grams total fat, 96 milligrams cholesterol, 331 milligrams sodium, 6 grams carbohydrate, 1 gram dietary fiber, 36 grams protein. Exchanges: 5 very lean meats, 1 vegetable.

Cinnamon Lime Chicken

Makes 4 servings. Source: University of Illinois Extension.

4 boneless, skinless chicken breasts

1 teaspoon salt

1/2 teaspoon cinnamon

1 tablespoon olive oil

1/2 medium white onion, chopped

2 cloves garlic, minced

Juice from 3 limes

HEAT oven to 400 .

COMBINE salt and cinnamon. Rub mixture into chicken breasts. Place chicken on baking sheet and cook in the oven until juices run clear, approximately 15 to 20 minutes.

REMOVE chicken from oven and let cool. While chicken is cooling, mince onion and garlic. Saute in frying pan. Tear cooked chicken into thin strips. Place chicken in pan with onion and garlic. Add lime juice.

SIMMER for about 15 minutes or until hot. Serve by itself or with corn tortillas.

Nutrition information: 198 calories, 7 grams total fat, 74 milligrams cholesterol, 648 milligrams sodium, 8 grams carbohydrate, 2 grams dietary fiber, 28 grams protein. Exchange: 4 lean meat, 0.5 carbohydrate.

Programs and activities offered by the West Virginia University Extension Service are available to all persons without regard to race, color, sex, disability, religion, age, veteran status, political beliefs, sexual orientation, national origin and marital or family status. This material was funded, in part, by the USDA’s Supplemental Nutrition Assistance Program. The Supplemental Nutrition Assistance Program provides nutrition assistance to people with limited income. To find out more, contact your local Supplemental Nutrition Assistance Program.

Shopping list

Fresh mushrooms Green onions Plum tomatoes Onion Limes Fresh parsley Zucchini Tomato sauce Manicotti shells Spaghetti sauce Fish fillets Chicken breasts Frozen tortellini Blush wine Mozzarella cheese

Bevery Glaze, MS

Master of science, human nutrition and food science, and WVU Extension specialist, FNP adult program

Posted March 6. 2013

Requests for diabetic recipes abound, so this week's entree suggestions include Diabetic Exchange information. Fragrant Fish Fillets are simmered in a light wine and tomato sauce. Zucchini Tortellini offers a quick vegetarian option.

Reach Glaze at Beverly.Glaze@mail.wvu.edu or 304-634-8449.

Fragrant Fish Fillets

Makes 4 servings. Source: University of Illinois Extension.

1 tablespoon olive oil

1/2 cup fresh mushrooms, sliced

1/2 cup green onions, chopped

1 clove garlic, minced

12 ounces fish fillets

2 tablespoons blush wine, optional

1 fresh tomato, peeled, cored and sliced

2 tablespoons fresh parsley (snipped)

Lemon slices

HEAT olive oil in a large skillet. Add mushrooms, onions and garlic. Saute for 1 to 2 minutes. Add wine, tomato, parsley and fish. Cover and simmer for 5 to 8 minutes or until fish flakes easily with a fork.

REMOVE fillets to a warm platter. Pour tomato sauce over fish. For a thicker sauce, boil down 1 to 3 minutes first. Garnish with lemon wedges.

Nutrition information: 132 calories, 4 grams total fat, 42 milligrams cholesterol, 59 milligrams sodium, 4 grams carbohydrate, 1 gram dietary fiber, 18 grams protein. Exchange: 2 very lean meat, 1 vegetable.

Zucchini Tortellini Toss

Makes 4 servings. Source: University of Illinois Extension.

1 package frozen tortellini

6 to 8 plum tomatoes, chopped

3 to 4 medium zucchini, chopped

1/2 teaspoon garlic salt

1/2 teaspoon basil

1/2 teaspoon oregano

1/4 cup shredded Parmesan cheese

COOK tortellini as directed on package. Heat tomatoes, zucchini, garlic salt, basil and oregano in a medium skillet 3 to 5 minutes until zucchini is tender. Stir in tortellini, cooking 2 to 3 minutes. Serve topped with Parmesan cheese.

Nutrition information: 352 calories, 8 grams total fat, 50 milligrams cholesterol, 388 milligrams sodium, 54 grams carbohydrate, 4 grams dietary fiber, 17 grams protein. Exchanges: 3 starch, 2 vegetable, 1 high-fat meat.

Italian Chicken

Makes 6 servings. Source: University of Illinois Extension.

6 4-ounce skinless, boneless chicken breasts

3 tablespoons flour

1 tablespoon olive oil

2 tablespoons onion, minced

1/2 teaspoon minced garlic

1 cup tomato sauce

1/2 teaspoon rosemary

1/4 teaspoon pepper

1/2 teaspoon basil

1/2 teaspoon oregano

DREDGE chicken in flour. In a 10-inch nonstick skillet, heat oil over medium heat until hot. Add chicken and cook 2 to 5 minutes on each side, turning occasionally until lightly browned. Using tongs, remove chicken from skillet. Set aside.

SAUT the onion and garlic in the same skillet until softened. Add tomato sauce and seasonings. Using a wooden spoon, stir well. Cook, stirring frequently until liquid is reduced by half (3 to 4 minutes). Return chicken to skillet.

COOK until sauce thickens and chicken is heated through.

Nutrition information: 234 calories, 6 grams total fat, 96 milligrams cholesterol, 331 milligrams sodium, 6 grams carbohydrate, 1 gram dietary fiber, 36 grams protein. Exchanges: 5 very lean meats, 1 vegetable.

Cinnamon Lime Chicken

Makes 4 servings. Source: University of Illinois Extension.

4 boneless, skinless chicken breasts

1 teaspoon salt

1/2 teaspoon cinnamon

1 tablespoon olive oil

1/2 medium white onion, chopped

2 cloves garlic, minced

Juice from 3 limes

HEAT oven to 400 .

COMBINE salt and cinnamon. Rub mixture into chicken breasts. Place chicken on baking sheet and cook in the oven until juices run clear, approximately 15 to 20 minutes.

REMOVE chicken from oven and let cool. While chicken is cooling, mince onion and garlic. Saute in frying pan. Tear cooked chicken into thin strips. Place chicken in pan with onion and garlic. Add lime juice.

SIMMER for about 15 minutes or until hot. Serve by itself or with corn tortillas.

Nutrition information: 198 calories, 7 grams total fat, 74 milligrams cholesterol, 648 milligrams sodium, 8 grams carbohydrate, 2 grams dietary fiber, 28 grams protein. Exchange: 4 lean meat, 0.5 carbohydrate.



Programs and activities offered by the West Virginia University Extension Service are available to all persons without regard to race, color, sex, disability, religion, age, veteran status, political beliefs, sexual orientation, national origin and marital or family status. This material was funded, in part, by the USDA's Supplemental Nutrition Assistance Program. The Supplemental Nutrition Assistance Program provides nutrition assistance to people with limited income. To find out more, contact your local Supplemental Nutrition Assistance Program.

Shopping list

Fresh mushrooms Green onions Plum tomatoes Onion Limes Fresh parsley Zucchini Tomato sauce Manicotti shells Spaghetti sauce Fish fillets Chicken breasts Frozen tortellini Blush wine Mozzarella cheese



Bevery Glaze, MS

Master of science, human nutrition and food science, and WVU Extension specialist, FNP adult program

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ADHD Medicine Abuse By Athletes

Posted March 1, 2013

When Major League Baseball suspended Carlos Ruiz in November for 25 games after he tested positive for Adderall, many fans wondered why the Philadelphia Phillies catcher didn’t have a prescription.

Millions of Americans — including many children — are prescribed Adderall and other stimulants to treat Attention Deficit Hyperactivity Disorder, or ADHD. If Ruiz had been one of them, he would not have been suspended.

Considering how many children take ADHD drugs, however, Ruiz’s case raises a much bigger question: Do these stimulants actually enhance athletic performance?

No data are readily available to answer that question. But Dr. Christopher Keenan, a pediatrician who lives in Northfield, said he has observed the effects of the drug based on what patients and their families have told him.

If a person does not have ADHD or takes too high a dosage, the drugs should not provide an athletic advantage, he said. However, the drugs could help if used correctly by patients who need them.

“They can pay better attention to what’s going on, what the coach is saying,” said Keenan, 57, who works with Harborview CHOP Care and serves as Shore Medical Center’s Service Line Chief of Pediatrics. “They’re not daydreaming when they’re out in the field, which would be the same kind of thing that you’d have in the classroom setting. … So, in that effect, it has the potential to improve their game.”

About 5.1 million Americans were prescribed medication for ADHD in 2011, according to the health care information service IMS Health. Detailed age data were unavailable, but a large portion of those prescriptions likely went to children, since the disorder until recently was widely believed to be limited to youth. The federal Centers for Disease Control and Prevention estimated in 2011 that 5.2 million Americans ages 3 to 17 had been diagnosed with ADHD.

The drugs are illegal without a prescription, and nearly every sports league from high schools to the pros follows the same guidelines. The New Jersey State Interscholastic Athletic Association, for example, includes amphetamines (which are contained in Adderall) and methylphenidate (better known as Ritalin) on its list of banned substances, but its bylaws make an exception for a “written prescription by a fully licensed physician, as recognized by the American Medical Association, to treat a medical condition.”

“If the kid is under a prescription, then he’s under a doctor’s care,” NJSIAA Executive Director Steve Timko said. “I think the physician would be able to determine a student-athlete’s ability to compete. If everything is controlled, there wouldn’t be any reason why the kid wouldn’t be operating under the same levels as everyone else.”

Timko, who serves on the Medical Advisory Committee for the National Federation of State High School Associations, said the abuse of stimulants is not a big concern for the NJSIAA. Steroids and concussions, he said, are more pressing issues.

Perhaps it’s not a big concern because there is no consensus as to how much the stimulants actually help athletes.

Gene Allen, coach of the defending state Group IV champion Atlantic City High School boys basketball team, said he has no experience with athletes taking Adderall or Ritalin. But he said he has had youth who might have benefited from better concentration.

“(Concentration) plays a very significant role as far as a kid’s ability, just in practice, in learning the nuances of basketball,” said Allen, who teaches special education at the school. “I just think it plays a huge role in terms of the ability to concentrate and then go out and apply what you’ve been taught, particularly in certain scenarios against certain opponents.”

The drugs can have other effects, though. Dave Mauriello, coach of one of the area’s top wrestling programs at Hammonton High School, said he has seen Adderall and Ritalin have a negative effect on athletic ability.

“The medicines have definite medical responsibilities and things that they handle, and it’s valuable in the classroom,” said Mauriello, 42, a Hammonton resident and a health and physical education teacher at the school. “With regard to wrestling, one of the things that I’ve noticed is, while their attention is better, it seems like their reactions are slower, and their physical aggressiveness is diminished as a result of the medication as well.”

Keenan said that’s more likely due to using too high a dosage. He said that if an athlete appears slower, it’s more likely a condition called “zoning.”

“If the dose is too high, it’s hard for the kids to shift their attention to something else,” Keenan said. “So it looks like they’re zoned.”

He said aggressiveness should not be affected, though the drugs could lessen an athlete’s impulsiveness and creativity.

John Stout, who has coached the Southern Regional High School wrestling team to South Jersey Group IV titles seven of the past eight years, said that from his experience, the issue has to be looked at on a case-by-case basis. Stout, a 41-year-old Waretown resident who teaches special education at the school, noted that the drugs can affect certain youth differently depending on their situations.

“I think if there’s a kid who has an attention-deficit situation where he can’t pay attention during practices or whatever it is, and he just has a hard time taking in information, and it’s able to level him off so he can absorb the information that’s being told to him, whether it’s in wrestling practice or whether it’s in math class, it doesn’t really matter. That’s the designed effect for the medication,” Stout said. “But some kids, it takes them down too far where it makes them extremely tired and takes away too much of that.”

Other questions remain, too. The assumption is that stimulants are prescribed for academic purposes and that any effects in the realm of sports are secondary. But what happens when an athlete seeks a prescription with sports as the primary reason?

Keenan said he would not prescribe the drugs in that case. The potential side effects — including heart attacks, strokes, psychosis or hallucinations — become even more of a threat when the dosage is too high, which Keenan said is often the case with people who use the drugs without prescriptions.

Keenan said a patient needs to be having trouble in several areas, such as school, home and work. Athletics can be one of them, but Keenan said he would even be skeptical enough to look closer at the patient’s history in that case.

“The focus should not be on the athletic field,” Keenan said. “It really needs to be in all environments that they’re having difficulties.”

Contact Jason Mazda:

609-272-7193

JMazda@pressofac.com

___

©2013 The Press of Atlantic City (Pleasantville, N.J.)

Visit The Press of Atlantic City (Pleasantville, N.J.) at www.pressofatlanticcity.com

When Major League Baseball suspended Carlos Ruiz in November for 25 games after he tested positive for Adderall, many fans wondered why the Philadelphia Phillies catcher didn't have a prescription.

Millions of Americans -- including many children -- are prescribed Adderall and other stimulants to treat Attention Deficit Hyperactivity Disorder, or ADHD. If Ruiz had been one of them, he would not have been suspended.

Considering how many children take ADHD drugs, however, Ruiz's case raises a much bigger question: Do these stimulants actually enhance athletic performance?

No data are readily available to answer that question. But Dr. Christopher Keenan, a pediatrician who lives in Northfield, said he has observed the effects of the drug based on what patients and their families have told him.

If a person does not have ADHD or takes too high a dosage, the drugs should not provide an athletic advantage, he said. However, the drugs could help if used correctly by patients who need them.

"They can pay better attention to what's going on, what the coach is saying," said Keenan, 57, who works with Harborview CHOP Care and serves as Shore Medical Center's Service Line Chief of Pediatrics. "They're not daydreaming when they're out in the field, which would be the same kind of thing that you'd have in the classroom setting. ... So, in that effect, it has the potential to improve their game."

About 5.1 million Americans were prescribed medication for ADHD in 2011, according to the health care information service IMS Health. Detailed age data were unavailable, but a large portion of those prescriptions likely went to children, since the disorder until recently was widely believed to be limited to youth. The federal Centers for Disease Control and Prevention estimated in 2011 that 5.2 million Americans ages 3 to 17 had been diagnosed with ADHD.

The drugs are illegal without a prescription, and nearly every sports league from high schools to the pros follows the same guidelines. The New Jersey State Interscholastic Athletic Association, for example, includes amphetamines (which are contained in Adderall) and methylphenidate (better known as Ritalin) on its list of banned substances, but its bylaws make an exception for a "written prescription by a fully licensed physician, as recognized by the American Medical Association, to treat a medical condition."

"If the kid is under a prescription, then he's under a doctor's care," NJSIAA Executive Director Steve Timko said. "I think the physician would be able to determine a student-athlete's ability to compete. If everything is controlled, there wouldn't be any reason why the kid wouldn't be operating under the same levels as everyone else."

Timko, who serves on the Medical Advisory Committee for the National Federation of State High School Associations, said the abuse of stimulants is not a big concern for the NJSIAA. Steroids and concussions, he said, are more pressing issues.

Perhaps it's not a big concern because there is no consensus as to how much the stimulants actually help athletes.

Gene Allen, coach of the defending state Group IV champion Atlantic City High School boys basketball team, said he has no experience with athletes taking Adderall or Ritalin. But he said he has had youth who might have benefited from better concentration.

"(Concentration) plays a very significant role as far as a kid's ability, just in practice, in learning the nuances of basketball," said Allen, who teaches special education at the school. "I just think it plays a huge role in terms of the ability to concentrate and then go out and apply what you've been taught, particularly in certain scenarios against certain opponents."

The drugs can have other effects, though. Dave Mauriello, coach of one of the area's top wrestling programs at Hammonton High School, said he has seen Adderall and Ritalin have a negative effect on athletic ability.

"The medicines have definite medical responsibilities and things that they handle, and it's valuable in the classroom," said Mauriello, 42, a Hammonton resident and a health and physical education teacher at the school. "With regard to wrestling, one of the things that I've noticed is, while their attention is better, it seems like their reactions are slower, and their physical aggressiveness is diminished as a result of the medication as well."

Keenan said that's more likely due to using too high a dosage. He said that if an athlete appears slower, it's more likely a condition called "zoning."

"If the dose is too high, it's hard for the kids to shift their attention to something else," Keenan said. "So it looks like they're zoned."

He said aggressiveness should not be affected, though the drugs could lessen an athlete's impulsiveness and creativity.

John Stout, who has coached the Southern Regional High School wrestling team to South Jersey Group IV titles seven of the past eight years, said that from his experience, the issue has to be looked at on a case-by-case basis. Stout, a 41-year-old Waretown resident who teaches special education at the school, noted that the drugs can affect certain youth differently depending on their situations.

"I think if there's a kid who has an attention-deficit situation where he can't pay attention during practices or whatever it is, and he just has a hard time taking in information, and it's able to level him off so he can absorb the information that's being told to him, whether it's in wrestling practice or whether it's in math class, it doesn't really matter. That's the designed effect for the medication," Stout said. "But some kids, it takes them down too far where it makes them extremely tired and takes away too much of that."

Other questions remain, too. The assumption is that stimulants are prescribed for academic purposes and that any effects in the realm of sports are secondary. But what happens when an athlete seeks a prescription with sports as the primary reason?

Keenan said he would not prescribe the drugs in that case. The potential side effects -- including heart attacks, strokes, psychosis or hallucinations -- become even more of a threat when the dosage is too high, which Keenan said is often the case with people who use the drugs without prescriptions.

Keenan said a patient needs to be having trouble in several areas, such as school, home and work. Athletics can be one of them, but Keenan said he would even be skeptical enough to look closer at the patient's history in that case.

"The focus should not be on the athletic field," Keenan said. "It really needs to be in all environments that they're having difficulties."

Contact Jason Mazda:

609-272-7193

JMazda@pressofac.com

___

©2013 The Press of Atlantic City (Pleasantville, N.J.)



Visit The Press of Atlantic City (Pleasantville, N.J.) at www.pressofatlanticcity.com

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How Sleep and Diet Affect Each Other

Posted Feb 27, 2013

A new study by University of Pennsylvania researchers suggests that a good night’s sleep and a good diet go hand in hand, but it also contains some perplexing data that raises more questions than it answers.

“I can’t tell people what to do yet,” said Michael Grandner, a psychologist and sleep researcher at Penn’s Center for Sleep and Circadian Neurobiology.

The study he led, published online in the journal Appetite, examined the relationship between how much and what people ate and how long they slept. Eventually Grandner hopes to show whether changing your diet will make you sleep better or whether spending more time in bed will help you eat better.

“This is kind of the first step,” he said.

Previous studies have shown that hunger for high-fat, high-carbohydrate foods increased when sleep was restricted. People who sleep less than the “normal” seven to eight hours a night also are at higher risk for obesity, diabetes, and heart and mental health problems. The risk increases the less people sleep, Grandner said. Sleeping too much is also associated with poor physical and mental health.

Using self-reported data from the National Health and Nutrition Examination Survey, the Penn team compared the diets of very short sleepers (less than five hours a night), short sleepers (five to six hours a night) and long sleepers (more than nine hours) with normal sleepers.

Some results were surprising. The very short sleepers, who were the heaviest, didn’t eat the most calories. That was the short sleepers. Possible explanations, Grandner said, are that very short sleepers underreported how much they were eating or that lack of sleep “fundamentally disrupts the way the body regulates energy.”

The normal sleepers had the most varied diets and managed not to eat less of any important nutrients than the other groups in the process. The very short sleepers had the least varied diets.

Grandner expected clear patterns from very short to short to normal to long sleeping. But that often was not the case. The very short and short sleepers sometimes looked quite different. Grandner, who has been studying short sleepers in the lab, found that interesting. He thinks risks for short sleepers are mixed and that they should be studied separately.

How were the diets different? The very short sleepers reported drinking less water and eating fewer foods rich in lycopene (from tomatoes and fruits) and carbohydrates. The short sleepers consumed less vitamin C, water, and selenium (this is in nuts, meat, and shellfish) and more lutein (found in green leafy vegetables). The longer sleepers consumed less carbohydrates and more alcohol.

Caffeine intake wasn’t a significant factor.

For now, Grandner said, the important message is that “sleep is critical for health. We know this.” So is diet, and the two are connected. Somehow.

Grandner said this region is particularly rich in sleep experts who can help. “If someone’s having trouble sleeping,” he said, “they shouldn’t ignore it.”

Contact staff writer Stacey Burling at 215-854-4944 or sburling@phillynews.com.

©2013 The Philadelphia Inquirer

Visit The Philadelphia Inquirer at www.philly.com

Distributed by MCT Information Services

A new study by University of Pennsylvania researchers suggests that a good night's sleep and a good diet go hand in hand, but it also contains some perplexing data that raises more questions than it answers.

"I can't tell people what to do yet," said Michael Grandner, a psychologist and sleep researcher at Penn's Center for Sleep and Circadian Neurobiology.

The study he led, published online in the journal Appetite, examined the relationship between how much and what people ate and how long they slept. Eventually Grandner hopes to show whether changing your diet will make you sleep better or whether spending more time in bed will help you eat better.

"This is kind of the first step," he said.

Previous studies have shown that hunger for high-fat, high-carbohydrate foods increased when sleep was restricted. People who sleep less than the "normal" seven to eight hours a night also are at higher risk for obesity, diabetes, and heart and mental health problems. The risk increases the less people sleep, Grandner said. Sleeping too much is also associated with poor physical and mental health.

Using self-reported data from the National Health and Nutrition Examination Survey, the Penn team compared the diets of very short sleepers (less than five hours a night), short sleepers (five to six hours a night) and long sleepers (more than nine hours) with normal sleepers.

Some results were surprising. The very short sleepers, who were the heaviest, didn't eat the most calories. That was the short sleepers. Possible explanations, Grandner said, are that very short sleepers underreported how much they were eating or that lack of sleep "fundamentally disrupts the way the body regulates energy."

The normal sleepers had the most varied diets and managed not to eat less of any important nutrients than the other groups in the process. The very short sleepers had the least varied diets.

Grandner expected clear patterns from very short to short to normal to long sleeping. But that often was not the case. The very short and short sleepers sometimes looked quite different. Grandner, who has been studying short sleepers in the lab, found that interesting. He thinks risks for short sleepers are mixed and that they should be studied separately.

How were the diets different? The very short sleepers reported drinking less water and eating fewer foods rich in lycopene (from tomatoes and fruits) and carbohydrates. The short sleepers consumed less vitamin C, water, and selenium (this is in nuts, meat, and shellfish) and more lutein (found in green leafy vegetables). The longer sleepers consumed less carbohydrates and more alcohol.

Caffeine intake wasn't a significant factor.

For now, Grandner said, the important message is that "sleep is critical for health. We know this." So is diet, and the two are connected. Somehow.

Grandner said this region is particularly rich in sleep experts who can help. "If someone's having trouble sleeping," he said, "they shouldn't ignore it."

Contact staff writer Stacey Burling at 215-854-4944 or sburling@phillynews.com.

©2013 The Philadelphia Inquirer

Visit The Philadelphia Inquirer at www.philly.com

Distributed by MCT Information Services

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10 Foods to Boost Energy, Look Great

OK, you’re going to get serious about healthy eating after you finish the Valentine’s chocolates. Here are the 10 must have foods to add to your diet on a near-daily basis — with reasonable portions, of course — to shed pounds, feel energized and look great.

1. Greek yogurt: We often concentrate our protein intake at the end of the day, but we’ll feel more full if we have smaller- portions of protein throughout the day, says Joan Salge Blake, a spokeswoman for the American Academy of Nutrition and Dietetics and professor of nutrition at Boston University. Try adding a low or nonfat greek yogurt to your breakfast to get an early a.m. serving.

2. Soup: “One of the best ways to get more vegetables into your diet is soup,” Blake said. “If you have vegetable-broth-based soup before a meal, it can help you reduce the number of calories you eat at that meal.”

3. Ancient grains such as amaranth, quinoa, farro: “People get bored with brown rice, so having some of these nice grains will mix it up a bit,” Blake said. But watch your portion size: No more than one-quarter of the plate should be grains of any kind.

4. Fish: The AAND recommends two fish meals a week to help combat heart disease, and most of us are falling way short. We love Blake’s no-cook fix for getting in two meals: “When you go out to dinner, order a bigger cut of grilled salmon — it’s fantastic — take half home and have the other half for lunch the next day.”

5. Almonds: Carry a small baggie of these powerhouse-healthy nuts for sudden snack attacks. “I can always pop a half-ounce. It’s a great source of fiber, healthy fats and protein, and I’m not stopping at a convenience store and eating a candy bar,” Blake said.

6. Fruit-infused water: One of the biggest sources of calories in the American diet is sugary drinks. Blake has a genius way to get your flavored-beverage fix: a water- pitcher with an infusion cylinder. Try adding water-melon, cucumber, lemons, limes and more to your pitcher for a refreshing, zero-calorie treat.

7. Beans: The magical fruit is “extremely affordable, wonderfully high in fiber and a good source of protein,” Blake said. And it’s a great calorie-swap, too: Switch out a half-pound of meat in chili for a half-can of beans and save big on your total intake number.

8. Dark chocolate: A surefire way to blow your diet is total deprivation. Instead, indulge sensibly. Try Blake’s trick: Melt a half-ounce of good-quality dark chocolate in the microwave, then dip strawberries or pineapple chunks for a sweet treat.

9. Seasonal produce: Shopping the aisles for what Mother Nature gave us is a great way to eat better, but Blake recommends taking it a step further and sticking to seasonal items. “What’s in season is going to be more affordable and taste better,” she said.

10. Stevia: “It’s got less calories and can replace regular sugar,” said Blake of the trendy all-natural sweetener. Of course, re-placing your coffee’s sugar with stevia won’t mean much if you’re still downing soda, so swap smartly.

©2013 the Boston Herald

Visit the Boston Herald at www.bostonherald.com

Distributed by MCT Information Services

OK, you're going to get serious about healthy eating after you finish the Valentine's chocolates. Here are the 10 must have foods to add to your diet on a near-daily basis -- with reasonable portions, of course -- to shed pounds, feel energized and look great.



1. Greek yogurt: We often concentrate our protein intake at the end of the day, but we'll feel more full if we have smaller- portions of protein throughout the day, says Joan Salge Blake, a spokeswoman for the American Academy of Nutrition and Dietetics and professor of nutrition at Boston University. Try adding a low or nonfat greek yogurt to your breakfast to get an early a.m. serving.



2. Soup: "One of the best ways to get more vegetables into your diet is soup," Blake said. "If you have vegetable-broth-based soup before a meal, it can help you reduce the number of calories you eat at that meal."



3. Ancient grains such as amaranth, quinoa, farro: "People get bored with brown rice, so having some of these nice grains will mix it up a bit," Blake said. But watch your portion size: No more than one-quarter of the plate should be grains of any kind.



4. Fish: The AAND recommends two fish meals a week to help combat heart disease, and most of us are falling way short. We love Blake's no-cook fix for getting in two meals: "When you go out to dinner, order a bigger cut of grilled salmon -- it's fantastic -- take half home and have the other half for lunch the next day."



5. Almonds: Carry a small baggie of these powerhouse-healthy nuts for sudden snack attacks. "I can always pop a half-ounce. It's a great source of fiber, healthy fats and protein, and I'm not stopping at a convenience store and eating a candy bar," Blake said.



6. Fruit-infused water: One of the biggest sources of calories in the American diet is sugary drinks. Blake has a genius way to get your flavored-beverage fix: a water- pitcher with an infusion cylinder. Try adding water-melon, cucumber, lemons, limes and more to your pitcher for a refreshing, zero-calorie treat.



7. Beans: The magical fruit is "extremely affordable, wonderfully high in fiber and a good source of protein," Blake said. And it's a great calorie-swap, too: Switch out a half-pound of meat in chili for a half-can of beans and save big on your total intake number.



8. Dark chocolate: A surefire way to blow your diet is total deprivation. Instead, indulge sensibly. Try Blake's trick: Melt a half-ounce of good-quality dark chocolate in the microwave, then dip strawberries or pineapple chunks for a sweet treat.



9. Seasonal produce: Shopping the aisles for what Mother Nature gave us is a great way to eat better, but Blake recommends taking it a step further and sticking to seasonal items. "What's in season is going to be more affordable and taste better," she said.



10. Stevia: "It's got less calories and can replace regular sugar," said Blake of the trendy all-natural sweetener. Of course, re-placing your coffee's sugar with stevia won't mean much if you're still downing soda, so swap smartly.



©2013 the Boston Herald



Visit the Boston Herald at www.bostonherald.com

Distributed by MCT Information Services

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Child Vision Screening Important

Posted Feb 25, 2013

About 5 percent of children under the age of 6 have a vision problem. But if a child has never had correct eyesight, he or she won’t know it.

“A lot of times, they don’t realize they have it, and their parents don’t realize they have it,” said Russell Morgan, a member of the Bowling Green Evening Lions Club.

Morgan helped screen children for eyesight problems Wednesday at Broadway United Methodist Church’s Early Learning Center as part of the KidSight program. The Evening Lions Club brought the nationwide program to Bowling Green six years ago, and club members have tested hundreds of local children each school year for vision problems such as lazy eye, astigmatism, nearsightedness, farsightedness and improper alignment.

Last year, the Evening Lions Club raised $10,000 for a Photoscreener, which captures an image of the light reflecting off a child’s eyes to identify whether he or she has eyesight problems.

Before the Lions Club bought the Photoscreener, several Polaroid photos had to be taken of each child’s eyes and the process took three or four volunteers, said Paul Young, KidSight chairman for the Evening Lions Club. With the Photoscreener, only one picture is necessary and the device takes it automatically when the child looks directly into the lens. Now, just two volunteers are needed at each school.

“It’s just so much easier,” Young said.

Early detection is key to correcting eyesight problems, because some conditions can lead to permanent loss of vision if not treated in time, said Ken Chapman of Bowling Green, a member of the Evening Lions Club who helped screen children along with Morgan.

“If it’s not caught by age 6, they will always have a problem because it can’t be corrected (after that age),” Chapman said.

The images taken with the Photoscreener are examined by the Kentucky Lions Eye Foundation in Louisville, he said. If professionals there determine a child has a vision problem, the child is referred to an ophthalmologist or optometrist.

About 5 percent of children who are screened end up being identified for referral, Young said. The most common eye conditions discovered are strabismus and nearsightedness.

The Evening Lions Club expects to have screened more than 700 local children by the end of this school year, Young said.

In addition to checking the children, club members hope to make parents and teachers aware of the eye problems children can have, he said.

“We are trying to raise awareness about the prevalence of visual problems in children,” Young said.

This is the fourth year the Evening Lions Club has brought KidSight to the Early Learning Center, said Tonya Simpson, director of the center.

“It’s huge, it’s free, it’s painless,” she said.

The service is offered to all children at the center ages 2 and up, and about 90 percent of parents choose to take advantage of it, Simpson said.

“If we can alleviate any problem, that’s what we like to do,” she said.

©2013 the Daily News (Bowling Green, Ky.)

Visit the Daily News (Bowling Green, Ky.) at www.bgdailynews.com

Distributed by MCT Information Services

About 5 percent of children under the age of 6 have a vision problem. But if a child has never had correct eyesight, he or she won't know it.

"A lot of times, they don't realize they have it, and their parents don't realize they have it," said Russell Morgan, a member of the Bowling Green Evening Lions Club.

Morgan helped screen children for eyesight problems Wednesday at Broadway United Methodist Church's Early Learning Center as part of the KidSight program. The Evening Lions Club brought the nationwide program to Bowling Green six years ago, and club members have tested hundreds of local children each school year for vision problems such as lazy eye, astigmatism, nearsightedness, farsightedness and improper alignment.

Last year, the Evening Lions Club raised $10,000 for a Photoscreener, which captures an image of the light reflecting off a child's eyes to identify whether he or she has eyesight problems.

Before the Lions Club bought the Photoscreener, several Polaroid photos had to be taken of each child's eyes and the process took three or four volunteers, said Paul Young, KidSight chairman for the Evening Lions Club. With the Photoscreener, only one picture is necessary and the device takes it automatically when the child looks directly into the lens. Now, just two volunteers are needed at each school.

"It's just so much easier," Young said.

Early detection is key to correcting eyesight problems, because some conditions can lead to permanent loss of vision if not treated in time, said Ken Chapman of Bowling Green, a member of the Evening Lions Club who helped screen children along with Morgan.

"If it's not caught by age 6, they will always have a problem because it can't be corrected (after that age)," Chapman said.

The images taken with the Photoscreener are examined by the Kentucky Lions Eye Foundation in Louisville, he said. If professionals there determine a child has a vision problem, the child is referred to an ophthalmologist or optometrist.

About 5 percent of children who are screened end up being identified for referral, Young said. The most common eye conditions discovered are strabismus and nearsightedness.

The Evening Lions Club expects to have screened more than 700 local children by the end of this school year, Young said.

In addition to checking the children, club members hope to make parents and teachers aware of the eye problems children can have, he said.

"We are trying to raise awareness about the prevalence of visual problems in children," Young said.

This is the fourth year the Evening Lions Club has brought KidSight to the Early Learning Center, said Tonya Simpson, director of the center.

"It's huge, it's free, it's painless," she said.

The service is offered to all children at the center ages 2 and up, and about 90 percent of parents choose to take advantage of it, Simpson said.

"If we can alleviate any problem, that's what we like to do," she said.

©2013 the Daily News (Bowling Green, Ky.)

Visit the Daily News (Bowling Green, Ky.) at www.bgdailynews.com

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Learn to Love Lentils

Posted Feb 23, 2013

In the crowded world of legumes, we may ignore lentils in the rush to buy red kidney beans for chili, navy beans for ham-flavored soup, black beans, pinto beans, split peas and more.

That’s too bad. A smart cook learns to love lentils for their variety of textures and colors — black, pink, red, green and more — good nutrition, ease of cooking and easy-to-swallow prices.

Indian cooks turn them into dals while Moroccans pride themselves on their recipes for the lentil-tomato soup called harira. In Italy, lentils often are cooked with the specialty cotechino. In France, they may appear as a first course or alongside roasted meats. And rare is the vegetarian cook who hasn’t learned to love this legume.

Cookbook author James Peterson includes several lentil recipes in his latest edition of “Vegetables” (Ten Speed Press, $35), from a French-inspired salad on through Indian soups and stews.

“The best lentil interpretations I’ve had are Indian,” he says of the beautifully seasoned dishes often finished with the clarified butter called ghee or coconut milk.

But Peterson was also quick to tell us about a vinaigrette-dressed lentil salad. “We used to serve it with a pate in Paris when I was working there. … That was fabulous.

“And lentils cooked with bacon are heavenly.”

Peterson was not always so enamored with lentils. Recallling his time in Paris: “I was so so poor, but I was at the Cordon Bleu and taking a pastry class and I would come home with these beautiful cakes and we would sit there and have lentils for dinner — my friend, he would stock up on dry goods during periods of being flush — so we’d have these lentils that we’d rush through to get to the cake. But that was an example of not cooking them well when you don’t know what you’re doing.”

He’s mastered cooking them well and no longer associates lentils with poverty, “especially since they have now become chic and show up in fancy restaurants cooked with all sorts of expensive foods.”

Lentils, from the tiny Beluga (yes, they look like the pricey caviar) to the green-black French du Puy and the broad brown, are comfortable sharing plate space with duck, lamb, goose and game, from quail to venison, whether the lentils are served whole or pureed.

It’s time to ditch any outdated notions of the limited potential of lentils. The tiny seed’s versatility lies in its ability to play well with a variety of flavors, herbs and spices, giving cooks a blank canvas for exercising their creativity. Another plus: They don’t require soaking before cooking like other legumes and cook in less than an hour.

Lentils, the seeds found inside the pods on the plant called lens culinaris, have been nourishing folks for thousands of years. A cup of cooked lentils delivers almost 18 grams of protein as well as 15 grams fiber and only 230 calories, according to the USDA Nutrient Database.

Removed from the pods, those seeds are usually found at the market in a dried form. They may be sold whole or split, with the skin on or off — offering cooks four options. Which one you choose can affect how they are cooked and how the finished dish will look. Whole, skin on lentils (Beluga, Puy) will hold their shape when cooked. Split lentils, with their skin off will produce a silkier finished product.

While we found some supermarkets offering more than a half dozen lentil types, sorting through those at markets catering to ethnic communities may present a bit of a challenge. In lentil-loving India, for example, listing all the types is a challenge, according to “The Oxford Companion to Food” author Alan Davidson. “Attempts to list lentils run up against a fundamental difficulty; the use of the word in an Indian context is much looser, spilling over from Lens culinaris into other species, as though lentil had much the same meaning as dal (split pulse).”

Adds cookbook author Anupy Singla (“Vegan Indian Cooking”), “Dal can refer to a soupy preparation made with legumes. It can also refer to dry lentil dishes in some parts of India.”

Don’t let nomenclature confuse you. Instead, go beyond the common brown lentil, so easily found in supermarkets and, give, say, a lovely pink or red lentil a chance.

Here are some lentil types to look for.

–Beluga lentils: Tiny, black, look like caviar.

–Brown lentils: Khaki color. Also called Indian brown lentil, German lentil, green lentil.

–French green lentils: Also called du Puy lentils; named for French region. Peppery flavor. Holds shape.

–Pink lentils: Brown lentils with skin removed. Turn yellow with cooking.

–Red lentils: Turn golden when cooked.

–Yellow lentils: May have skin on or off.

–White lentils: Skinned and split black lentils.

Sources: “The Cook’s Thesaurus,” “Vegetables,” James Peterson

Cooking up lentils

There are many recipes and tips for prepping and cooking lentils, as well as ways to serve them, whether on their own, in tandem with grains or accompanied by meat or fish.

In “Vegan Indian Cooking,” Anupy Singla, a Chicago food writer and cooking teacher, offers some guidance. Here are a few drawn from the book:

Sort before cooking: Singla suggests placing lentils by cupfuls on a white plate, then sorting to remove foreign matter (stones, sticks).

Rinse before cooking: Place them in a sieve, rinse with water, drain.

Storage, cooked: Refrigerate cooked lentils for about three days; store in the freezer up to three months.

Reheat: In a saucepan, heat slowly. Add water if needed; check salt before serving. Can be warmed in the microwave.

Storage, uncooked: In a cool, dark, dry place, ideally in glass containers.

Warm lentils

Prep: 15 minutes Cook: 30 minutes Servings: 6

Note: This classic preparation of lentilles tiedes is adapted from Michael Roberts’ “Parisian Home Cooking.” Serve these as a first course or alongside slices of roast pork or ham.

Ingredients:

1 1/4 cups small French du Puy lentils

4 cups homemade vegetable broth, or low-sodium canned vegetable or chicken broth

1/2 teaspoon salt

Freshly ground pepper

2 sprigs fresh thyme or 1 teaspoon dried

2 bay leaves

3 tablespoons canola oil

2 medium onions, coarsely diced

2 medium carrots, thinly sliced

3 ribs celery, thinly sliced

1/3 to 1/2 cup red wine vinegar

2 tablespoons Dijon mustard

1/4 cup finely chopped fresh flat-leaf parsley

1. Combine lentils, broth, salt, pepper to taste, thyme and bay leaves in a saucepan. Cover; place over medium heat. Heat to a simmer; cook until the lentils are tender, about 30 minutes. Remove from heat; drain. Transfer lentils to a large heatproof bowl. Let cool, unrefrigerated, to room temperature.

2. Meanwhile, heat the oil in a large skillet over medium heat. Add the onions, carrots and celery; cook until the carrots are soft, about 12 minutes. Do not allow the onions to brown.

3. Add the contents of the skillet to the lentils; gently mix together. Stir in the vinegar and mustard; mix in the parsley. Serve immediately or chill and serve.

Nutrition information: Per serving: 244 calories, 7 g fat, 1 g saturated fat, 0 mg cholesterol, 34 g carbohydrates, 11 g protein, 461 mg sodium, 12 g fiber.

jhevrdejs@tribune.com

___

©2013 the Chicago Tribune

Visit the Chicago Tribune at www.chicagotribune.com

Distributed by MCT Information Services

In the crowded world of legumes, we may ignore lentils in the rush to buy red kidney beans for chili, navy beans for ham-flavored soup, black beans, pinto beans, split peas and more.

That's too bad. A smart cook learns to love lentils for their variety of textures and colors -- black, pink, red, green and more -- good nutrition, ease of cooking and easy-to-swallow prices.

Indian cooks turn them into dals while Moroccans pride themselves on their recipes for the lentil-tomato soup called harira. In Italy, lentils often are cooked with the specialty cotechino. In France, they may appear as a first course or alongside roasted meats. And rare is the vegetarian cook who hasn't learned to love this legume.

Cookbook author James Peterson includes several lentil recipes in his latest edition of "Vegetables" (Ten Speed Press, $35), from a French-inspired salad on through Indian soups and stews.

"The best lentil interpretations I've had are Indian," he says of the beautifully seasoned dishes often finished with the clarified butter called ghee or coconut milk.

But Peterson was also quick to tell us about a vinaigrette-dressed lentil salad. "We used to serve it with a pate in Paris when I was working there. ... That was fabulous.

"And lentils cooked with bacon are heavenly."

Peterson was not always so enamored with lentils. Recallling his time in Paris: "I was so so poor, but I was at the Cordon Bleu and taking a pastry class and I would come home with these beautiful cakes and we would sit there and have lentils for dinner -- my friend, he would stock up on dry goods during periods of being flush -- so we'd have these lentils that we'd rush through to get to the cake. But that was an example of not cooking them well when you don't know what you're doing."

He's mastered cooking them well and no longer associates lentils with poverty, "especially since they have now become chic and show up in fancy restaurants cooked with all sorts of expensive foods."

Lentils, from the tiny Beluga (yes, they look like the pricey caviar) to the green-black French du Puy and the broad brown, are comfortable sharing plate space with duck, lamb, goose and game, from quail to venison, whether the lentils are served whole or pureed.

It's time to ditch any outdated notions of the limited potential of lentils. The tiny seed's versatility lies in its ability to play well with a variety of flavors, herbs and spices, giving cooks a blank canvas for exercising their creativity. Another plus: They don't require soaking before cooking like other legumes and cook in less than an hour.

Lentils, the seeds found inside the pods on the plant called lens culinaris, have been nourishing folks for thousands of years. A cup of cooked lentils delivers almost 18 grams of protein as well as 15 grams fiber and only 230 calories, according to the USDA Nutrient Database.

Removed from the pods, those seeds are usually found at the market in a dried form. They may be sold whole or split, with the skin on or off -- offering cooks four options. Which one you choose can affect how they are cooked and how the finished dish will look. Whole, skin on lentils (Beluga, Puy) will hold their shape when cooked. Split lentils, with their skin off will produce a silkier finished product.

While we found some supermarkets offering more than a half dozen lentil types, sorting through those at markets catering to ethnic communities may present a bit of a challenge. In lentil-loving India, for example, listing all the types is a challenge, according to "The Oxford Companion to Food" author Alan Davidson. "Attempts to list lentils run up against a fundamental difficulty; the use of the word in an Indian context is much looser, spilling over from Lens culinaris into other species, as though lentil had much the same meaning as dal (split pulse)."

Adds cookbook author Anupy Singla ("Vegan Indian Cooking"), "Dal can refer to a soupy preparation made with legumes. It can also refer to dry lentil dishes in some parts of India."

Don't let nomenclature confuse you. Instead, go beyond the common brown lentil, so easily found in supermarkets and, give, say, a lovely pink or red lentil a chance.

Here are some lentil types to look for.

--Beluga lentils: Tiny, black, look like caviar.

--Brown lentils: Khaki color. Also called Indian brown lentil, German lentil, green lentil.

--French green lentils: Also called du Puy lentils; named for French region. Peppery flavor. Holds shape.

--Pink lentils: Brown lentils with skin removed. Turn yellow with cooking.

--Red lentils: Turn golden when cooked.

--Yellow lentils: May have skin on or off.

--White lentils: Skinned and split black lentils.

Sources: "The Cook's Thesaurus," "Vegetables," James Peterson

Cooking up lentils

There are many recipes and tips for prepping and cooking lentils, as well as ways to serve them, whether on their own, in tandem with grains or accompanied by meat or fish.

In "Vegan Indian Cooking," Anupy Singla, a Chicago food writer and cooking teacher, offers some guidance. Here are a few drawn from the book:

Sort before cooking: Singla suggests placing lentils by cupfuls on a white plate, then sorting to remove foreign matter (stones, sticks).

Rinse before cooking: Place them in a sieve, rinse with water, drain.

Storage, cooked: Refrigerate cooked lentils for about three days; store in the freezer up to three months.

Reheat: In a saucepan, heat slowly. Add water if needed; check salt before serving. Can be warmed in the microwave.

Storage, uncooked: In a cool, dark, dry place, ideally in glass containers.

Warm lentils

Prep: 15 minutes Cook: 30 minutes Servings: 6

Note: This classic preparation of lentilles tiedes is adapted from Michael Roberts' "Parisian Home Cooking." Serve these as a first course or alongside slices of roast pork or ham.

Ingredients:

1 1/4 cups small French du Puy lentils

4 cups homemade vegetable broth, or low-sodium canned vegetable or chicken broth

1/2 teaspoon salt

Freshly ground pepper

2 sprigs fresh thyme or 1 teaspoon dried

2 bay leaves

3 tablespoons canola oil

2 medium onions, coarsely diced

2 medium carrots, thinly sliced

3 ribs celery, thinly sliced

1/3 to 1/2 cup red wine vinegar

2 tablespoons Dijon mustard

1/4 cup finely chopped fresh flat-leaf parsley

1. Combine lentils, broth, salt, pepper to taste, thyme and bay leaves in a saucepan. Cover; place over medium heat. Heat to a simmer; cook until the lentils are tender, about 30 minutes. Remove from heat; drain. Transfer lentils to a large heatproof bowl. Let cool, unrefrigerated, to room temperature.

2. Meanwhile, heat the oil in a large skillet over medium heat. Add the onions, carrots and celery; cook until the carrots are soft, about 12 minutes. Do not allow the onions to brown.

3. Add the contents of the skillet to the lentils; gently mix together. Stir in the vinegar and mustard; mix in the parsley. Serve immediately or chill and serve.

Nutrition information: Per serving: 244 calories, 7 g fat, 1 g saturated fat, 0 mg cholesterol, 34 g carbohydrates, 11 g protein, 461 mg sodium, 12 g fiber.

jhevrdejs@tribune.com

___

©2013 the Chicago Tribune

Visit the Chicago Tribune at www.chicagotribune.com

Distributed by MCT Information Services

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Lifestyle Changes Lead to Weight Loss and Fewer Medical Problems

Posted Feb 22, 2013

Deloris Brown, 46, said the most important part of her losing more than 70 pounds was making the decision.

She had some help, though. She wrestled with pre-diabetes, asthma and an autoimmune disease that often saw her in an emergency room as her immune system turned on her.

But that’s over, now, she said.

“I can’t remember when I last used my inhaler,” Brown said. “And I’m saving money because I haven’t had to buy the asthma medicine — and that was $140 for 30 pills.”

She put on pounds over the years because of her diet, which included a lot of stress eating and fried food, and the Prednisone, a drug she took for asthma and to fight off the autoimmune reactions. Weight gain and high blood glucose levels are a side effect of the drug.

Brown used a weight-loss method that scares a lot of people: She changed her diet, ate less and exercises nearly every day.

Brown decided in mid-2011 to lose weight, when she saw the first announcement for a new program called “Tread the Med” at the Washington University School of Medicine where Brown works.

“I’d been wanting to lose weight, so (friends and co-worker) formed a team to participate,” she said. The program assigned participants to walk 10,000 steps a day by walking around the hospital campus and other walking.

Tread the Med was “an initiative to get employees up and walking so they could have exercise in their daily lives,” said Betsy Snyder, wellness coordinator for Washington University School of Medicine. “We chose walking because so many people can do it and it’s so easy to do, the benefits are numerous and it leads to a less stressful walk.”

Each participant gets a pedometer with a goal of 10,000 steps per day for 100 days, Snyder said. People can build up to the goal while some are able to do 10,000 steps, she said.

“The purpose was that if you walk or do anything for 100 days, it becomes a habit,” she said. “Hopefully people continue walking after the program.”

That’s what Brown did. She joined the first session more than a year ago, then joined the second session.

During that second session, though, she had an asthma attack that set off the autoimmune disease. She had hives, rashes and other things that came with allergy attacks plus the asthma, she said.

“I knew then I had to lose weight, something to get my health under control,” she said.

She approached a childhood friend, Briant K. Mitchell, who ran a fitness center in Jamestown Mall. “She came to me crying,” he said. “I told her if she follows my program, she’ll get rid of the weight and be healthier.”

Mitchell says he caters mainly to people whose health depends on dropping weight. “Most of my clients have diabetes or pre-diabetes and hypertension,” he said. He and two physicians who were clients of his, created the eating program that Brown adopted.

“It’s the right amount of carbohydrates, nutritious food, six small meals a day,” he said, “and exercise for an hour four times a week.”

That was last spring. By the end of summer, she was missing 70 pounds. More importantly, her health numbers had improved and her asthma and autoimmune symptoms had vanished.

She said she might have weighed more than 229 pounds. “But that was the first time she weighed.”

She still works out with Mitchell and was in the second round of the Tread to Med program when she joined the fitness program. She’s in the third session now.

Each day she walks around the medical school with friends and co-workers. “That’s what’s good about this,” she said. “People asked how I did it and then they joined me and started walking too.”

The best part is that she feels better, she said. “I can do more, I have more energy and I feel so much better,” she said.

“My daughter told me when I lost the weight, Mama, I can get my arms around you now.”

Do you know a “How I did it?”

Suggest a candidate to:

Email — harry.jackson@post-dispatch.com

Phone — 314-340-8234′

©2013 the St. Louis Post-Dispatch

Visit the St. Louis Post-Dispatch at www.stltoday.com

Distributed by MCT Information Services

Deloris Brown, 46, said the most important part of her losing more than 70 pounds was making the decision.

She had some help, though. She wrestled with pre-diabetes, asthma and an autoimmune disease that often saw her in an emergency room as her immune system turned on her.

But that's over, now, she said.

"I can't remember when I last used my inhaler," Brown said. "And I'm saving money because I haven't had to buy the asthma medicine -- and that was $140 for 30 pills."

She put on pounds over the years because of her diet, which included a lot of stress eating and fried food, and the Prednisone, a drug she took for asthma and to fight off the autoimmune reactions. Weight gain and high blood glucose levels are a side effect of the drug.

Brown used a weight-loss method that scares a lot of people: She changed her diet, ate less and exercises nearly every day.

Brown decided in mid-2011 to lose weight, when she saw the first announcement for a new program called "Tread the Med" at the Washington University School of Medicine where Brown works.

"I'd been wanting to lose weight, so (friends and co-worker) formed a team to participate," she said. The program assigned participants to walk 10,000 steps a day by walking around the hospital campus and other walking.

Tread the Med was "an initiative to get employees up and walking so they could have exercise in their daily lives," said Betsy Snyder, wellness coordinator for Washington University School of Medicine. "We chose walking because so many people can do it and it's so easy to do, the benefits are numerous and it leads to a less stressful walk."

Each participant gets a pedometer with a goal of 10,000 steps per day for 100 days, Snyder said. People can build up to the goal while some are able to do 10,000 steps, she said.

"The purpose was that if you walk or do anything for 100 days, it becomes a habit," she said. "Hopefully people continue walking after the program."

That's what Brown did. She joined the first session more than a year ago, then joined the second session.

During that second session, though, she had an asthma attack that set off the autoimmune disease. She had hives, rashes and other things that came with allergy attacks plus the asthma, she said.

"I knew then I had to lose weight, something to get my health under control," she said.

She approached a childhood friend, Briant K. Mitchell, who ran a fitness center in Jamestown Mall. "She came to me crying," he said. "I told her if she follows my program, she'll get rid of the weight and be healthier."

Mitchell says he caters mainly to people whose health depends on dropping weight. "Most of my clients have diabetes or pre-diabetes and hypertension," he said. He and two physicians who were clients of his, created the eating program that Brown adopted.

"It's the right amount of carbohydrates, nutritious food, six small meals a day," he said, "and exercise for an hour four times a week."

That was last spring. By the end of summer, she was missing 70 pounds. More importantly, her health numbers had improved and her asthma and autoimmune symptoms had vanished.

She said she might have weighed more than 229 pounds. "But that was the first time she weighed."

She still works out with Mitchell and was in the second round of the Tread to Med program when she joined the fitness program. She's in the third session now.

Each day she walks around the medical school with friends and co-workers. "That's what's good about this," she said. "People asked how I did it and then they joined me and started walking too."

The best part is that she feels better, she said. "I can do more, I have more energy and I feel so much better," she said.

"My daughter told me when I lost the weight, Mama, I can get my arms around you now."

Do you know a "How I did it?"

Suggest a candidate to:

Email -- harry.jackson@post-dispatch.com

Phone -- 314-340-8234'

©2013 the St. Louis Post-Dispatch

Visit the St. Louis Post-Dispatch at www.stltoday.com

Distributed by MCT Information Services

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Folic Acid Awareness Before You’re Pregnant

Posted Feb 21, 2013

In the Yakima Valley, resources are plentiful for teens and low-income women who find themselves pregnant without a plan.

For a county with the third-highest teen birth rate in the state, providers say access to information and care during pregnancy is crucial.

But they also say some women still fall through the cracks.

That’s what makes the recent announcement by state and local public health officials about a sudden spike in a fatal birth defect in the county last year so troubling to medical professionals involved in maternal care and prenatal health. Without adequate health information, women are at higher risk of missing out on important prenatal and even pre-conception care that could help avoid such defects.

“Because the state will provide insurance coverage for most low-income women who are pregnant, almost everybody who needs care can get it. So that’s a good thing,” said Dr. Anita Showalter, who was an obstetrician at the Yakima Valley Farm Workers Clinic for four years before joining the faculty at Pacific Northwest University of Health Sciences, where she’s also assistant dean of clinical sciences.

“When somebody slips through the cracks, it’s generally because they didn’t avail themselves to those things that are there for them,” or because of barriers to access such as lack of transportation, Showalter said.

Citing state Department of Health statistics, the Yakima Health District issued a news release Jan. 30 announcing that eight cases of anencephaly had occurred in Yakima County in 2012. Typically, public health officials expect only one all year. The state has begun an investigation to find if the number is a trend or a random spike.

Anencephaly, which is uniformly fatal, is caused when the protective neural tube doesn’t close completely around the spine at the base of the brain. The result is the absence of a large part of the brain and skull.

The most conclusive studies show a direct link between neural tube defects and a lack of folic acid, which is found in leafy green vegetables, citrus fruits and legumes, among other foods. Taking vitamins with folic acid is an easy way to help prevent anencephaly — if women know to do so.

The tricky thing, experts say, is that anencephaly occurs by the fourth or sixth week of pregnancy, before many women may even know they’re pregnant. So providers recommend that all women of childbearing age take at least 0.4 miligrams of folic acid daily.

“You can’t wait until you go, ‘Oh, I’m pregnant,’ and then take (folic acid); it’s too late,” said Susie Ball, genetic counselor at Yakima Valley Memorial Hospital’s maternal health office. For effective prevention, “You have to do it all the time.”

Ball meets with families when any kind of birth defect is detected in prenatal screening. With anencephaly, there is a genetic predisposition for the defect — women who have it in their families are at higher risk — but no test before conception to determine if the parents have that predisposition. There also seems to be a slightly higher predisposition for the condition among Hispanics, Ball said.

The high rate of diabetes in the Valley is concerning, too, as the disease puts pregnant women at higher risk for birth defects of any kind, Ball said.

A healthy diet that includes folic acid is sometimes harder for low-income women, Showalter said.

“Where we run into problems is the people who are doing a lot of fast food or already-prepared food that alters that mix,” she said, adding that families who do a lot of home-cooking have a better chance of having a balanced diet.

Diet is a problem for teen moms too, says Heather Bulfinch, who teaches teen moms at Davis High School as part of Yakima’s program for student parents. Teens don’t always worry much about what they’re eating, she said, so nutrition is a big part of their instruction.

“Folic acid is not in Hot Cheetos,” Bulfinch said. “We revisit nutrition multiple times throughout our curriculum; you need reminders.”

Lori Gibbons runs Memorial’s childbirth education program and says teens have a sense of invincibility. “They don’t think anything will happen to them,” she said, so they may not think they need to take folic acid.

Both health educators and providers say they discuss folic acid and prenatal vitamins as early as possible when pregnant women first seek care.

In its investigation, the Health Department will also look at environmental factors that could have contributed to the increase in the defect last year. For example, medical doctors from the state Health Department and the Yakima Health District say a few small studies have shown an increased rate of anencephaly in women who drink from private well water where nitrates exceed the federal safety limit.

“The first thing I ask, because the demographics of our city haven’t changed significantly … is what environmental thing might have happened that could’ve been a factor that we don’t know or understand yet?” Showalter said. There are medications, including some antibiotics, that can block absorption of folic acid in the body, and she wonders if there might be chemicals present in the Valley that could do the same thing.

Studies show that anencephaly is often caused by multiple factors, so providers and health officials have to be aware of all possibilities. And there’s a chance that Yakima’s high number in 2012 was just a fluke.

“It’s such a detective game because there are different things that can cause it, and sometimes in the end, we don’t know,” Showalter said. “It comes and it goes and you pray it doesn’t happen again.”

–Molly Rosbach can be reached at 509-577-7728 or mrosbach@yakimaherald.com.

©2013 Yakima Herald-Republic (Yakima, Wash.)

Visit Yakima Herald-Republic (Yakima, Wash.) at www.yakima-herald.com

Distributed by MCT Information Services

In the Yakima Valley, resources are plentiful for teens and low-income women who find themselves pregnant without a plan.

For a county with the third-highest teen birth rate in the state, providers say access to information and care during pregnancy is crucial.

But they also say some women still fall through the cracks.

That's what makes the recent announcement by state and local public health officials about a sudden spike in a fatal birth defect in the county last year so troubling to medical professionals involved in maternal care and prenatal health. Without adequate health information, women are at higher risk of missing out on important prenatal and even pre-conception care that could help avoid such defects.

"Because the state will provide insurance coverage for most low-income women who are pregnant, almost everybody who needs care can get it. So that's a good thing," said Dr. Anita Showalter, who was an obstetrician at the Yakima Valley Farm Workers Clinic for four years before joining the faculty at Pacific Northwest University of Health Sciences, where she's also assistant dean of clinical sciences.

"When somebody slips through the cracks, it's generally because they didn't avail themselves to those things that are there for them," or because of barriers to access such as lack of transportation, Showalter said.

Citing state Department of Health statistics, the Yakima Health District issued a news release Jan. 30 announcing that eight cases of anencephaly had occurred in Yakima County in 2012. Typically, public health officials expect only one all year. The state has begun an investigation to find if the number is a trend or a random spike.

Anencephaly, which is uniformly fatal, is caused when the protective neural tube doesn't close completely around the spine at the base of the brain. The result is the absence of a large part of the brain and skull.

The most conclusive studies show a direct link between neural tube defects and a lack of folic acid, which is found in leafy green vegetables, citrus fruits and legumes, among other foods. Taking vitamins with folic acid is an easy way to help prevent anencephaly -- if women know to do so.

The tricky thing, experts say, is that anencephaly occurs by the fourth or sixth week of pregnancy, before many women may even know they're pregnant. So providers recommend that all women of childbearing age take at least 0.4 miligrams of folic acid daily.

"You can't wait until you go, 'Oh, I'm pregnant,' and then take (folic acid); it's too late," said Susie Ball, genetic counselor at Yakima Valley Memorial Hospital's maternal health office. For effective prevention, "You have to do it all the time."

Ball meets with families when any kind of birth defect is detected in prenatal screening. With anencephaly, there is a genetic predisposition for the defect -- women who have it in their families are at higher risk -- but no test before conception to determine if the parents have that predisposition. There also seems to be a slightly higher predisposition for the condition among Hispanics, Ball said.

The high rate of diabetes in the Valley is concerning, too, as the disease puts pregnant women at higher risk for birth defects of any kind, Ball said.

A healthy diet that includes folic acid is sometimes harder for low-income women, Showalter said.

"Where we run into problems is the people who are doing a lot of fast food or already-prepared food that alters that mix," she said, adding that families who do a lot of home-cooking have a better chance of having a balanced diet.

Diet is a problem for teen moms too, says Heather Bulfinch, who teaches teen moms at Davis High School as part of Yakima's program for student parents. Teens don't always worry much about what they're eating, she said, so nutrition is a big part of their instruction.

"Folic acid is not in Hot Cheetos," Bulfinch said. "We revisit nutrition multiple times throughout our curriculum; you need reminders."

Lori Gibbons runs Memorial's childbirth education program and says teens have a sense of invincibility. "They don't think anything will happen to them," she said, so they may not think they need to take folic acid.

Both health educators and providers say they discuss folic acid and prenatal vitamins as early as possible when pregnant women first seek care.

In its investigation, the Health Department will also look at environmental factors that could have contributed to the increase in the defect last year. For example, medical doctors from the state Health Department and the Yakima Health District say a few small studies have shown an increased rate of anencephaly in women who drink from private well water where nitrates exceed the federal safety limit.

"The first thing I ask, because the demographics of our city haven't changed significantly ... is what environmental thing might have happened that could've been a factor that we don't know or understand yet?" Showalter said. There are medications, including some antibiotics, that can block absorption of folic acid in the body, and she wonders if there might be chemicals present in the Valley that could do the same thing.

Studies show that anencephaly is often caused by multiple factors, so providers and health officials have to be aware of all possibilities. And there's a chance that Yakima's high number in 2012 was just a fluke.

"It's such a detective game because there are different things that can cause it, and sometimes in the end, we don't know," Showalter said. "It comes and it goes and you pray it doesn't happen again."

--Molly Rosbach can be reached at 509-577-7728 or mrosbach@yakimaherald.com.

©2013 Yakima Herald-Republic (Yakima, Wash.)

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Is Sugar to Blame?

Posted Feb 2, 2013

As January fades into February, many New Year’s resolutions start to wilt.

But the status of sugar in the American diet is still hotly contested.

“Sugar (and added sugars) has received a lot of attention lately,” said Marianne Smith Edge, senior vice president of nutrition and food safety at the International Food Information Council, in an email.

The resolve to lose weight again made the list as one of the most common resolutions in the United States, but research suggests it’s also one of the hardest to keep.

Recently published research in the Journal of the American Medical Association suggested that obese people have a lower risk of death compared to people with normal weight.

A recent book by Dr. Robert Lustig, a pediatric endocrinologist at the University of California, San Francisco, posits fat isn’t the issue in obesity.

What does matter is the health of processes necessary for life. Heart disease, diabetes and other chronic illnesses threaten health, Lustig said. And he blames sugar for the development of those conditions.

Studies in nutrition are frequently cropping up with new ideas in weight loss and management, but it’s important to remember the science of nutrition is still evolving, said Susan Kopins, a registered dietitian at the Women’s Healthcare Group in Spring Garden Township.

“The American Heart Association and American Medical Association recently recognized under their low-fat diet recommendation, obesity rates increased,” Kopins said.

But sugar is tricky, she said.

It’s easy to get a lot of sugar quickly into your system with sodas and juices,” Kopins said.

That rush of sugar sends a message to the body to stabilize blood-sugar levels with insulin. Because the simple sugars are quickly and easily digested, the body is soon hungry again. The addictive qualities of sugar, push people to desire more sweet flavors to curb their hunger, and the cycle starts again, Kopins said.

The way to solve the problem: portion control.

John White, an expert in caloric sweeteners, agrees.

“Sugars alone are not responsible for obesity,” said White, the president of White Technical Research, a consulting firm for the food and beverage industry. “It’s calorie intake.”

The Food and Drug Administration reported calorie intake over the last 40 years has increased by 425 calories a day.

And calorie reduction is achievable, Kopins said.

She recommends pairing sweet foods with those high in fiber or protein.

For example, apple slices with peanut butter will slow down the insulin response and better control the sugar dump, she said.

“There’s a place for everything in your diet,” Kopins said. “The key is finding balance.”

©2013 York Daily Record (York, Pa.)

Visit York Daily Record (York, Pa.) at www.ydr.com

Distributed by MCT Information Services

As January fades into February, many New Year's resolutions start to wilt.

But the status of sugar in the American diet is still hotly contested.

"Sugar (and added sugars) has received a lot of attention lately," said Marianne Smith Edge, senior vice president of nutrition and food safety at the International Food Information Council, in an email.

The resolve to lose weight again made the list as one of the most common resolutions in the United States, but research suggests it's also one of the hardest to keep.

Recently published research in the Journal of the American Medical Association suggested that obese people have a lower risk of death compared to people with normal weight.

A recent book by Dr. Robert Lustig, a pediatric endocrinologist at the University of California, San Francisco, posits fat isn't the issue in obesity.

What does matter is the health of processes necessary for life. Heart disease, diabetes and other chronic illnesses threaten health, Lustig said. And he blames sugar for the development of those conditions.

Studies in nutrition are frequently cropping up with new ideas in weight loss and management, but it's important to remember the science of nutrition is still evolving, said Susan Kopins, a registered dietitian at the Women's Healthcare Group in Spring Garden Township.

"The American Heart Association and American Medical Association recently recognized under their low-fat diet recommendation, obesity rates increased," Kopins said.

But sugar is tricky, she said.

It's easy to get a lot of sugar quickly into your system with sodas and juices," Kopins said.

That rush of sugar sends a message to the body to stabilize blood-sugar levels with insulin. Because the simple sugars are quickly and easily digested, the body is soon hungry again. The addictive qualities of sugar, push people to desire more sweet flavors to curb their hunger, and the cycle starts again, Kopins said.

The way to solve the problem: portion control.

John White, an expert in caloric sweeteners, agrees.

"Sugars alone are not responsible for obesity," said White, the president of White Technical Research, a consulting firm for the food and beverage industry. "It's calorie intake."

The Food and Drug Administration reported calorie intake over the last 40 years has increased by 425 calories a day.

And calorie reduction is achievable, Kopins said.

She recommends pairing sweet foods with those high in fiber or protein.

For example, apple slices with peanut butter will slow down the insulin response and better control the sugar dump, she said.

"There's a place for everything in your diet," Kopins said. "The key is finding balance."

©2013 York Daily Record (York, Pa.)

Visit York Daily Record (York, Pa.) at www.ydr.com

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Do Get Your Vitamin D

Posted Jan 29, 2013

Feeling down? Try vitamin D, some studies suggest.

Wary of flu or multiple sclerosis? Overweight?

Try vitamin D, other studies suggest.

Vitamin D, the “sunshine vitamin” that helps prevent osteoporosis by building and maintaining muscles and bones, has in recent years also been at least tentatively credited with helping to prevent or treat a host of other problems.

The word has spread from friend to friend, from doctor to patient, on TV and online. “The Dr. Oz Show” — responsible for what the nutrition industry calls “the Dr. Oz effect,” in which sales spike after the TV doctor mentions a product — has touted vitamin D as a cancer fighter and fat melter.

Dr. Lynn Kohlmeier, director of Spokane Osteoporosis and Endocrine Associates of Spokane, is a vitamin D proponent, working to educate residents about connections between the vitamin and healthy bones and muscles. Vitamin D supplementation has been shown repeatedly to reduce the risk of falls among older adults.

When it comes to research in early stages linking vitamin D to other health problems, “I think it’s good to be skeptical,” she said. “A lot of those claims have not been proven.”

Even so, many researchers and patients see a lot of promise in vitamin D. In the face of that promise, more people facing potential vitamin D shortages — a result of lifestyle and location — are boosting their levels with supplements. How much to supplement remains subject to debate.

One online clearinghouse, www.vitamindandms.org, cites dozens of studies suggesting the vitamin may prevent or delay multiple sclerosis.

The National Cancer Institute doesn’t take a position on using vitamin D supplements to reduce cancer risk. But it does note some studies have linked higher vitamin D levels with lower risks of colorectal cancer; it’s unclear whether the vitamin is associated with reduced risks of other cancers, the institute says.

“I started taking it and noticed differences almost immediately,” said Pat Dougherty, a chiropractor who encourages his patients at North Central Chiropractic to take vitamin D supplements. “The first things I noticed almost immediately were clarity and more energy.”

Diane Markley started taking vitamin D supplements 40 years ago on her doctor’s advice. “He was kind of ahead of his time,” Markley said.

For most of us, supplements offer the easiest path to vitamin D.

Otherwise, humans get it mostly through exposure to the sun and a few foods. But it’s cloudy out there. Even when it’s sunny, the region’s northern latitude means the light that reaches us contains less-powerful ultraviolet rays.

“There’s a lot of people in the Northwest that have low levels,” said Dr. Paul Skrei, a family physician and medical director at Group Health’s Lidgerwood Health Care Center in north Spokane.

But what’s considered low is up for debate, he said. That also goes for what’s considered normal, which depends on what lab you’re in, what journal you’re reading — or where you live, he said.

Consider oxygen, Skrei said: People breathing air at sea level will have different “normal” oxygen levels than someone breathing in Denver. The body adjusts to current conditions.

The Institute of Medicine said in 2010 that practically everyone needs 20 nanograms of vitamin D per milliliter for good bone health. The nonprofit organization advises the government and others on health issues.

Skrei said he’s had a lot of patients ask to be tested in recent years, and he’s found levels from 15 to 47 nanograms per milliliter. But those results can be complicated to interpret — especially compared with the Institute of Medicine’s recommendations, which drew flak from researchers and doctors who said its guidelines for daily vitamin D intakes and healthy levels were too low.

“It’s debatable now, but I would say most of the osteoporosis and calcium specialists feel that deficiency is less than 10,” said Kohlmeier, of Osteoporosis and Endocrine Associates. “No one’s going to argue about that. That’s severe deficiency. Vitamin D insufficiency is less than 20. But … despite the Institute of Medicine publishing that 20 was good enough and that should be our goal, osteoporosis and calcium experts really feel a level of 32 to 40 is where we should shoot for.”

Assuming minimal sun exposure, the organization also said a daily dose of 600 international units, or IUs, of vitamin D meets the needs of almost everyone in the U.S. People 71 and older may need as much as 800 IUs a day, the organization said. It offered an upper limit of 4,000 IUs a day for most people 9 or older.

Kohlmeier said she often advises patients to supplement with 2,000 to 5,000 IUs a day.

There’s such a thing as too much vitamin D. It’s a fat-soluble vitamin, stored throughout the body. Water-soluble vitamins, on the other hand, dissolve in water and are discharged through the kidneys if you have too much.

“Vitamin D toxicity is real, but it’s hard to become vitamin D toxic,” Kohlmeier said. “You’d have to take over 10,000 (IUs a day) over a long period of time. I don’t like people taking more than 6,000 a day.”

Scott League, general manager of Spokane-area Mother’s Cupboard stores, said he doesn’t put much stock in the Institute of Medicine’s numbers.

“I think typically the government is very conservative when it comes to supplements,” League said.

Recommended “daily values” of vitamins and nutrients reflect amounts required to prevent severe health problems, not necessarily maintain optimal health, League said.

His stores carry jars of 10,000 IU soft gels, along with smaller daily doses. League takes 5,000 IUs a day, he said, and gives his 6-year-old daughter about 2,000 a day.

Rather than exact numbers, Skrei said what’s most important is the difference between insufficient levels and deficient levels.

Deficiency is “something that’s causing symptoms or a medical condition.” That’s often osteoporosis, whose symptoms before bone fracture are vague — general muscle weakness or aches, achy bones, maybe sore shins.

These days, if Skrei suspects an insufficiency, he usually skips the blood work. He said most doctors agree that’s the way to go, unless they suspect a patient needs more supplementation than normal. People at risk of deficiency include nursing-home residents who rarely go outside, bariatric-bypass patients, and people with celiac disease or ulcerative colitis.

In general, Skrei said, “It’s much safer and easier to tell people, ‘Whatever your diet, if you’re a normal adult, take 800 units a day with calcium. Just supplement your diet, rather than worry about the levels.’”

That view follows a period of a lot of blood testing, as word spread among patients of the vitamin’s potential roles throughout the body.

“Vitamin D was one of the most common, maybe over-ordered, lab tests in 2011 and 2012,” Kohlmeier said.

She doesn’t need a test to tell her pretty much everyone should have more of it. Kohlmeier said she skips testing unless the patient has been taking at least 800 IUs a day for a couple of months. Without taking supplements, “they’re going to be low,” Kohlmeier said.

Skrei said he doesn’t know why vitamin D would make someone feel more energetic, for example.

But “if you’re taking something and it makes you feel better and it’s not dangerous,” go for it, he said.

“Take it for a month. If you feel better, then don’t worry about the dose or the level,” Skrei said. “Take a little more, and if you continue to feel better, that’s fine. If you take it for a month and you don’t feel any different, then you can decide if you want to continue doing it or not.”

©2013 The Spokesman-Review (Spokane, Wash.)

Visit The Spokesman-Review (Spokane, Wash.) at www.spokesman.com

Distributed by MCT Information Services

Feeling down? Try vitamin D, some studies suggest.

Wary of flu or multiple sclerosis? Overweight?

Try vitamin D, other studies suggest.

Vitamin D, the "sunshine vitamin" that helps prevent osteoporosis by building and maintaining muscles and bones, has in recent years also been at least tentatively credited with helping to prevent or treat a host of other problems.

The word has spread from friend to friend, from doctor to patient, on TV and online. "The Dr. Oz Show" -- responsible for what the nutrition industry calls "the Dr. Oz effect," in which sales spike after the TV doctor mentions a product -- has touted vitamin D as a cancer fighter and fat melter.

Dr. Lynn Kohlmeier, director of Spokane Osteoporosis and Endocrine Associates of Spokane, is a vitamin D proponent, working to educate residents about connections between the vitamin and healthy bones and muscles. Vitamin D supplementation has been shown repeatedly to reduce the risk of falls among older adults.

When it comes to research in early stages linking vitamin D to other health problems, "I think it's good to be skeptical," she said. "A lot of those claims have not been proven."

Even so, many researchers and patients see a lot of promise in vitamin D. In the face of that promise, more people facing potential vitamin D shortages -- a result of lifestyle and location -- are boosting their levels with supplements. How much to supplement remains subject to debate.

One online clearinghouse, www.vitamindandms.org, cites dozens of studies suggesting the vitamin may prevent or delay multiple sclerosis.

The National Cancer Institute doesn't take a position on using vitamin D supplements to reduce cancer risk. But it does note some studies have linked higher vitamin D levels with lower risks of colorectal cancer; it's unclear whether the vitamin is associated with reduced risks of other cancers, the institute says.

"I started taking it and noticed differences almost immediately," said Pat Dougherty, a chiropractor who encourages his patients at North Central Chiropractic to take vitamin D supplements. "The first things I noticed almost immediately were clarity and more energy."

Diane Markley started taking vitamin D supplements 40 years ago on her doctor's advice. "He was kind of ahead of his time," Markley said.

For most of us, supplements offer the easiest path to vitamin D.

Otherwise, humans get it mostly through exposure to the sun and a few foods. But it's cloudy out there. Even when it's sunny, the region's northern latitude means the light that reaches us contains less-powerful ultraviolet rays.

"There's a lot of people in the Northwest that have low levels," said Dr. Paul Skrei, a family physician and medical director at Group Health's Lidgerwood Health Care Center in north Spokane.

But what's considered low is up for debate, he said. That also goes for what's considered normal, which depends on what lab you're in, what journal you're reading -- or where you live, he said.

Consider oxygen, Skrei said: People breathing air at sea level will have different "normal" oxygen levels than someone breathing in Denver. The body adjusts to current conditions.

The Institute of Medicine said in 2010 that practically everyone needs 20 nanograms of vitamin D per milliliter for good bone health. The nonprofit organization advises the government and others on health issues.

Skrei said he's had a lot of patients ask to be tested in recent years, and he's found levels from 15 to 47 nanograms per milliliter. But those results can be complicated to interpret -- especially compared with the Institute of Medicine's recommendations, which drew flak from researchers and doctors who said its guidelines for daily vitamin D intakes and healthy levels were too low.

"It's debatable now, but I would say most of the osteoporosis and calcium specialists feel that deficiency is less than 10," said Kohlmeier, of Osteoporosis and Endocrine Associates. "No one's going to argue about that. That's severe deficiency. Vitamin D insufficiency is less than 20. But ... despite the Institute of Medicine publishing that 20 was good enough and that should be our goal, osteoporosis and calcium experts really feel a level of 32 to 40 is where we should shoot for."

Assuming minimal sun exposure, the organization also said a daily dose of 600 international units, or IUs, of vitamin D meets the needs of almost everyone in the U.S. People 71 and older may need as much as 800 IUs a day, the organization said. It offered an upper limit of 4,000 IUs a day for most people 9 or older.

Kohlmeier said she often advises patients to supplement with 2,000 to 5,000 IUs a day.

There's such a thing as too much vitamin D. It's a fat-soluble vitamin, stored throughout the body. Water-soluble vitamins, on the other hand, dissolve in water and are discharged through the kidneys if you have too much.

"Vitamin D toxicity is real, but it's hard to become vitamin D toxic," Kohlmeier said. "You'd have to take over 10,000 (IUs a day) over a long period of time. I don't like people taking more than 6,000 a day."

Scott League, general manager of Spokane-area Mother's Cupboard stores, said he doesn't put much stock in the Institute of Medicine's numbers.

"I think typically the government is very conservative when it comes to supplements," League said.

Recommended "daily values" of vitamins and nutrients reflect amounts required to prevent severe health problems, not necessarily maintain optimal health, League said.

His stores carry jars of 10,000 IU soft gels, along with smaller daily doses. League takes 5,000 IUs a day, he said, and gives his 6-year-old daughter about 2,000 a day.

Rather than exact numbers, Skrei said what's most important is the difference between insufficient levels and deficient levels.

Deficiency is "something that's causing symptoms or a medical condition." That's often osteoporosis, whose symptoms before bone fracture are vague -- general muscle weakness or aches, achy bones, maybe sore shins.

These days, if Skrei suspects an insufficiency, he usually skips the blood work. He said most doctors agree that's the way to go, unless they suspect a patient needs more supplementation than normal. People at risk of deficiency include nursing-home residents who rarely go outside, bariatric-bypass patients, and people with celiac disease or ulcerative colitis.

In general, Skrei said, "It's much safer and easier to tell people, 'Whatever your diet, if you're a normal adult, take 800 units a day with calcium. Just supplement your diet, rather than worry about the levels.'"

That view follows a period of a lot of blood testing, as word spread among patients of the vitamin's potential roles throughout the body.

"Vitamin D was one of the most common, maybe over-ordered, lab tests in 2011 and 2012," Kohlmeier said.

She doesn't need a test to tell her pretty much everyone should have more of it. Kohlmeier said she skips testing unless the patient has been taking at least 800 IUs a day for a couple of months. Without taking supplements, "they're going to be low," Kohlmeier said.

Skrei said he doesn't know why vitamin D would make someone feel more energetic, for example.

But "if you're taking something and it makes you feel better and it's not dangerous," go for it, he said.

"Take it for a month. If you feel better, then don't worry about the dose or the level," Skrei said. "Take a little more, and if you continue to feel better, that's fine. If you take it for a month and you don't feel any different, then you can decide if you want to continue doing it or not."

©2013 The Spokesman-Review (Spokane, Wash.)

Visit The Spokesman-Review (Spokane, Wash.) at www.spokesman.com

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Replace Refined Grains with Whole Grains

Posted Jan 21, 2013

Eating more whole grains, the USDA says, can help reduce the risk of certain diseases. Folks at the Harvard School of Public Health take it a step further, saying that whole grains should fill up the entire quarter of our plates.

Whole grains include barley, corn, oats, rice, rye and wheat (bulgur, farro and spelt are wheat grains). They contain the entire kernel with its nutritional parts: the bran (outer layer), endosperm (inner) and germ.

Fortunately, finding whole grains is easier than ever as more and more products contain 100% whole grains. And some very old grains are being reintroduced to new generations.

Grains such as amaranth, farro and quinoa are called ancient grains because the strains have been around for thousands of years.

Not only are they showing up in more recipes, they’re becoming more widely available on grocery store shelves.

“The focus on eating more whole grains has meant that there are even more options to the consumer,” said Bethany Thayer, wellness director at Henry Ford Health System in Detroit and spokeswoman for the Academy of Nutrition and Dietetics. “We are not limited to whole wheat. You have whole-grain options like farro and spelt.”

It takes a conscious effort to make sure half of the grains you consume are whole.

Don’t be swayed by what’s on the front of the package. “You need to look at the ingredients list,” Thayer said. The first ingredient should be a whole grain, such as whole wheat, whole rye or quinoa.

“Increasing whole grains can be as easy as swapping out enriched flour with whole-wheat flour in your recipes,” Thayer said. “Depending on the recipe, you may want to mix half enriched flour with half whole-wheat flour.

When you have a choice, opt for whole grains.

“For breakfast, choose whole-grain cereals such as Wheaties, oatmeal or whole-grain toast. For lunch, make your sandwich with whole-grain bread, and at dinner choose a brown rice pilaf or whole-grain pasta,” said Kathleen Poore, registered dietitian and a program specialist with the Ann Arbor VA Health System. “And choose popcorn for a tasty whole-grain snack.”

More Details: Ancient grains

These three so-called ancient grains are gaining new lives.

AMARANTH

What it is: These tiny yellowish seeds were a staple of the Aztecs. Not a true grain, it has the nutritional profile of a cereal grain.

Best nutritional aspect: Gluten-free, rich in vitamin B and a source of vitamin E, high in protein and a source of good fat.

To cook: For 1 cup amaranth use 2 1/2 cups water. Bring to a boil, reduce heat, cover and simmer for 20 minutes until fluffy.

Best uses: Pilafs, hot cereals, cold salads. Use amaranth flour in breads, cookies and pancakes.

FARRO

What it is: A whole-wheat grain originally cultivated in the Middle East, it is known as the grain consumed by the Roman Empire. It has a nutty flavor and chewy texture.

Best nutritional aspect: High in protein, vitamins and antioxidants. Twice the fiber of wheat.

To cook: Farro is generally sold pearled, meaning some of the hull is removed so it cooks quicker. Soak unpearled farro overnight to soften the hull. For 1 cup farro, use 3 cups water. Bring to boil, cover and simmer for 30-40 minutes.

Best uses: In cold salads or in side dishes mixed with roasted vegetables. Use like Arborio rice to make risotto or soups.

QUINOA

What it is: A South America native, quinoa (KEEN-wah) consists of tiny, disc-shaped grains. It has the highest protein of any grain and a nutty flavor. Not a true grain, it has the nutritional profile of a cereal grain. You can buy quinoa in regular, red, black or mixed styles.

Best nutrition aspect: Known as a complete grain because of its high protein, high calcium and high amino acids. A 1/2 cup serving has 5 grams of fiber.

To cook: Rinse quinoa well in a fine strainer with cold water. Bring 1 cup quinoa to a boil in 2 cups of water. Reduce heat to low, cover and simmer until tender and liquid is absorbed, 15 to 20 minutes. A half-cup serving has 5 grams of fiber and 4 grams of protein.

Best uses: Cold vegetable salads, including potato salads, and soups. In side dishes, add other vegetables, including roasted asparagus and squash.

Sources: www.wholegrainscouncil.org; “The New Whole Grains Cookbook” by Robin Asbell (Chronicle Books, $19.95).

More Details: Read the label

The Whole Grains Council introduced a 100% Whole Grain stamp years ago that’s on thousands of products. But it’s still important to read the ingredient list.

Products that have the 100% stamp offer 47 grams or more of whole grains per serving.

The organization’s stamp without the 100% signals a product with 8 grams or more of whole grains per serving.

The recommendation is to eat 48 grams or more of whole grains.

A product may not have a stamp but might carry other phrases about the amount of whole grains, such as:

— Good source: At least 8 grams of whole grains per serving.

— Excellent source: at least 16 grams per serving.

Whole grains include wheat, corn, rice, oats, farro, barley, quinoa, spelt and rye.

Source: www.wholegrains council.org and Free Press research.

©2012 the Detroit Free Press

Visit the Detroit Free Press at www.freep.com

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Eating more whole grains, the USDA says, can help reduce the risk of certain diseases. Folks at the Harvard School of Public Health take it a step further, saying that whole grains should fill up the entire quarter of our plates.

Whole grains include barley, corn, oats, rice, rye and wheat (bulgur, farro and spelt are wheat grains). They contain the entire kernel with its nutritional parts: the bran (outer layer), endosperm (inner) and germ.

Fortunately, finding whole grains is easier than ever as more and more products contain 100% whole grains. And some very old grains are being reintroduced to new generations.

Grains such as amaranth, farro and quinoa are called ancient grains because the strains have been around for thousands of years.

Not only are they showing up in more recipes, they're becoming more widely available on grocery store shelves.

"The focus on eating more whole grains has meant that there are even more options to the consumer," said Bethany Thayer, wellness director at Henry Ford Health System in Detroit and spokeswoman for the Academy of Nutrition and Dietetics. "We are not limited to whole wheat. You have whole-grain options like farro and spelt."

It takes a conscious effort to make sure half of the grains you consume are whole.

Don't be swayed by what's on the front of the package. "You need to look at the ingredients list," Thayer said. The first ingredient should be a whole grain, such as whole wheat, whole rye or quinoa.

"Increasing whole grains can be as easy as swapping out enriched flour with whole-wheat flour in your recipes," Thayer said. "Depending on the recipe, you may want to mix half enriched flour with half whole-wheat flour.

When you have a choice, opt for whole grains.

"For breakfast, choose whole-grain cereals such as Wheaties, oatmeal or whole-grain toast. For lunch, make your sandwich with whole-grain bread, and at dinner choose a brown rice pilaf or whole-grain pasta," said Kathleen Poore, registered dietitian and a program specialist with the Ann Arbor VA Health System. "And choose popcorn for a tasty whole-grain snack."

More Details: Ancient grains

These three so-called ancient grains are gaining new lives.

AMARANTH

What it is: These tiny yellowish seeds were a staple of the Aztecs. Not a true grain, it has the nutritional profile of a cereal grain.

Best nutritional aspect: Gluten-free, rich in vitamin B and a source of vitamin E, high in protein and a source of good fat.

To cook: For 1 cup amaranth use 2 1/2 cups water. Bring to a boil, reduce heat, cover and simmer for 20 minutes until fluffy.

Best uses: Pilafs, hot cereals, cold salads. Use amaranth flour in breads, cookies and pancakes.

FARRO

What it is: A whole-wheat grain originally cultivated in the Middle East, it is known as the grain consumed by the Roman Empire. It has a nutty flavor and chewy texture.

Best nutritional aspect: High in protein, vitamins and antioxidants. Twice the fiber of wheat.

To cook: Farro is generally sold pearled, meaning some of the hull is removed so it cooks quicker. Soak unpearled farro overnight to soften the hull. For 1 cup farro, use 3 cups water. Bring to boil, cover and simmer for 30-40 minutes.

Best uses: In cold salads or in side dishes mixed with roasted vegetables. Use like Arborio rice to make risotto or soups.

QUINOA

What it is: A South America native, quinoa (KEEN-wah) consists of tiny, disc-shaped grains. It has the highest protein of any grain and a nutty flavor. Not a true grain, it has the nutritional profile of a cereal grain. You can buy quinoa in regular, red, black or mixed styles.

Best nutrition aspect: Known as a complete grain because of its high protein, high calcium and high amino acids. A 1/2 cup serving has 5 grams of fiber.

To cook: Rinse quinoa well in a fine strainer with cold water. Bring 1 cup quinoa to a boil in 2 cups of water. Reduce heat to low, cover and simmer until tender and liquid is absorbed, 15 to 20 minutes. A half-cup serving has 5 grams of fiber and 4 grams of protein.

Best uses: Cold vegetable salads, including potato salads, and soups. In side dishes, add other vegetables, including roasted asparagus and squash.

Sources: www.wholegrainscouncil.org; "The New Whole Grains Cookbook" by Robin Asbell (Chronicle Books, $19.95).

More Details: Read the label

The Whole Grains Council introduced a 100% Whole Grain stamp years ago that's on thousands of products. But it's still important to read the ingredient list.

Products that have the 100% stamp offer 47 grams or more of whole grains per serving.

The organization's stamp without the 100% signals a product with 8 grams or more of whole grains per serving.

The recommendation is to eat 48 grams or more of whole grains.

A product may not have a stamp but might carry other phrases about the amount of whole grains, such as:

-- Good source: At least 8 grams of whole grains per serving.

-- Excellent source: at least 16 grams per serving.

Whole grains include wheat, corn, rice, oats, farro, barley, quinoa, spelt and rye.

Source: www.wholegrains council.org and Free Press research.

©2012 the Detroit Free Press

Visit the Detroit Free Press at www.freep.com

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Don’t Be SAD, Keep Winter Blues Away

Posted Jan 11, 2013

(May not apply to other forms of depression)

–Increased appetite with weight gain

–Loss of interest in work or other activities

–Less energy and ability to

concentrate

–Unhappiness and irritability

–Increased sleep

–Hopelessness

–Sluggish movements

–Social withdrawal

Source: PubMed Health Every year at this time, Tina Kirkham looks at the calendar and starts to tense up.

That’s because she knows she’s heading into her most difficult part of the season.

“It seems like every year it hits worse,” said the mother and nutrition assistant with Utah State University’s Expanded Food Nutrition Education Program.

Kirkham, 50, said she has suffered from Seasonal Affective Disorder for a long time.

SAD is a mood disorder in which people who have normal mental health throughout most of the year experience depressive symptoms in a specific part of the year — either the winter or summer, spring or autumn — every year, according to Wikipedia.

Medical sites state that the disorder is most common in the winter.

“I have to use a special light lamp in the morning,” said Kirkham, who listed a host of steps she takes to try to stay positive.

Among them, Kirkham takes a prescription moodenhancing drug, writes in a mood journal, thinks positive thoughts, takes regular naps and eats well.

“I know to exercise, but some days, I have no motivation. I have to make myself work, and helping others helps myself,” she said.

Kirkham knows she is not alone.

Through her life experiences, she has met many who are just like her.

“I think living in Utah and its high altitude makes it worse,” she said, also commenting on Utah’s bad air quality. “I also find that creative people suffer the most in my dealings with people I work with.”

Dianna Abel, a psychologist and director of the Counseling Service Center at Weber State University, said anxiety and depression are by far the largest two categories students who seek help fall into.

“These truly do get worse during the winter,” she said.

Like Kirkham, Abel also pointed to limited exposure to light as a key source of people’s mood swings.

“People need to get out and get some sunlight,” she said, recommending that those who suffer need to “make time” to make sure this happens.

“They need to get up in the elevation,” Abel said, recommending day trips to Park City. “If they can make some time, it will make a difference.”

The psychologist said people who notice seasonal depression can help themselves by paying particular attention to the healthy routines they already know are good for them.

She named the same types of behaviors as Kirkham outlined, with the addition of staying away from excessive alcohol.

Abel said one mistake people make is not making time for fun and friends.

Listing ways people can elevate their moods — things like taking a bubble bath, watching a favorite movie and doing something active like skiing — Abel said remembering to hang out with friends is also important.

Another suggestion Abel makes is to redirect negative thoughts. She said one thing people do is put a rubber band on their wrist. When they catch themselves having negative thoughts, they flick the rubber band as a way to remind themselves to stop.

Abel also said new research surrounds the role of gratitude in changing people’s morale.

“People should take some time at regular intervals to journal those kinds of things,” she said about gratitude lists. “If you can bring those things into focus, that would help.”

Andrea Widdison, of Hooper, said she has watched as her husband has learned to cope with his “winter blues.”

“He works in a building with no windows or natural light, and he starts work before sunrise. He often stays late and arrives home shortly before dark,” she said.

“It used to affect him a lot more when he brought his lunch to work and stayed indoors all day. However, he’s found that, if he just goes out for lunch every day and gets some natural light, it’s considerably better.”

But Widdison said all that eating out sometimes can lead to another problem — winter waistline.

___

©2013 the Standard-Examiner (Ogden, Utah)

Visit the Standard-Examiner (Ogden, Utah) at www.standard.net

Distributed by MCT Information Services

(May not apply to other forms of depression)

--Increased appetite with weight gain

--Loss of interest in work or other activities

--Less energy and ability to

concentrate

--Unhappiness and irritability

--Increased sleep

--Hopelessness

--Sluggish movements

--Social withdrawal

Source: PubMed Health Every year at this time, Tina Kirkham looks at the calendar and starts to tense up.

That's because she knows she's heading into her most difficult part of the season.

"It seems like every year it hits worse," said the mother and nutrition assistant with Utah State University's Expanded Food Nutrition Education Program.

Kirkham, 50, said she has suffered from Seasonal Affective Disorder for a long time.

SAD is a mood disorder in which people who have normal mental health throughout most of the year experience depressive symptoms in a specific part of the year -- either the winter or summer, spring or autumn -- every year, according to Wikipedia.

Medical sites state that the disorder is most common in the winter.

"I have to use a special light lamp in the morning," said Kirkham, who listed a host of steps she takes to try to stay positive.

Among them, Kirkham takes a prescription moodenhancing drug, writes in a mood journal, thinks positive thoughts, takes regular naps and eats well.

"I know to exercise, but some days, I have no motivation. I have to make myself work, and helping others helps myself," she said.

Kirkham knows she is not alone.

Through her life experiences, she has met many who are just like her.

"I think living in Utah and its high altitude makes it worse," she said, also commenting on Utah's bad air quality. "I also find that creative people suffer the most in my dealings with people I work with."

Dianna Abel, a psychologist and director of the Counseling Service Center at Weber State University, said anxiety and depression are by far the largest two categories students who seek help fall into.

"These truly do get worse during the winter," she said.

Like Kirkham, Abel also pointed to limited exposure to light as a key source of people's mood swings.

"People need to get out and get some sunlight," she said, recommending that those who suffer need to "make time" to make sure this happens.

"They need to get up in the elevation," Abel said, recommending day trips to Park City. "If they can make some time, it will make a difference."

The psychologist said people who notice seasonal depression can help themselves by paying particular attention to the healthy routines they already know are good for them.

She named the same types of behaviors as Kirkham outlined, with the addition of staying away from excessive alcohol.

Abel said one mistake people make is not making time for fun and friends.

Listing ways people can elevate their moods -- things like taking a bubble bath, watching a favorite movie and doing something active like skiing -- Abel said remembering to hang out with friends is also important.

Another suggestion Abel makes is to redirect negative thoughts. She said one thing people do is put a rubber band on their wrist. When they catch themselves having negative thoughts, they flick the rubber band as a way to remind themselves to stop.

Abel also said new research surrounds the role of gratitude in changing people's morale.

"People should take some time at regular intervals to journal those kinds of things," she said about gratitude lists. "If you can bring those things into focus, that would help."

Andrea Widdison, of Hooper, said she has watched as her husband has learned to cope with his "winter blues."

"He works in a building with no windows or natural light, and he starts work before sunrise. He often stays late and arrives home shortly before dark," she said.

"It used to affect him a lot more when he brought his lunch to work and stayed indoors all day. However, he's found that, if he just goes out for lunch every day and gets some natural light, it's considerably better."

But Widdison said all that eating out sometimes can lead to another problem -- winter waistline.

___

©2013 the Standard-Examiner (Ogden, Utah)

Visit the Standard-Examiner (Ogden, Utah) at www.standard.net

Distributed by MCT Information Services

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Eating Nuts May Help Manage Weight

Posted Dec 31, 2012

Could a food that sounds like it’s bad for you actually be good for you? That’s nuts, said June Puett, University of Tennessee Extension agent.

“Nuts are high in calories and fat, but those calories are loaded with nutrition,” she said.

According to Puett, research indicates that eating nuts daily may serve as an effective tool in weight loss and weight management.

“The fiber and protein in nuts helps make you feel fuller longer, so you are less hungry, and that means you may eat less,” she said. “Not all the fat in whole nuts is absorbed — from 4 percent to 17 percent passes out of the body undigested.”

But you can get too much of a good thing, she cautioned.

“Even though the fat found in nuts is healthier than some sources, going overboard could lead to excess calorie intake. Limit yourself to a small handful daily, and instead of simply adding nuts to your diet, eat them in replacement of saturated-fat foods,” Puett said. “Consumers should also watch out for the sodium in packaged nuts. Unsalted varieties are widely available.”

Puett also recommends nut butters, available in almond, cashew and peanut varieties. As sandwich fillings, they are a better choice than full-fat cheeses and most deli meats, she said.

If shopping for ready-made peanut butter, it’s important to read labels, as hydrogenated fats and sugar are often added to peanut butter, she said.

For ultimate freshness, she recommends making your own by grinding up shelled nuts in a food processor.

“The volume will be approximately half of what you started with, so one cup of nuts will yield about one-half cup of nut butter,” she said. “The oil content of the nut will determine the smoothness or graininess of the spread. Higher-fat nuts make creamier paste.”

Store the nut butter in the refrigerator. Before spreading, let it sit at room temperature for a few minutes.

“Spread peanut butter on your morning waffle, whole-grain toast or midmorning crackers,” Puett suggested. “Add a tablespoon of peanut butter to your morning smoothie.”

For a quick, delicious sauce, combine peanut butter, coconut milk and ready-to-use thai red or green curry paste. “Pour over healthy sauteed vegetables,” she said, “[or] use as a cooking sauce for tofu or salmon.”

To add life to cooked brown rice, toss with sesame oil, chopped peanuts, scallions, sweet red pepper, parsley and currants, she said.

Nuts also may be sprinkled into salads, yogurt, cereal, pasta and cooked vegetables as well as muffin or pancake batter.

Tara Plumlee, CEO of A Silverware Affair (www.a silverwareaffair.net), said that nuts are often used in her catering company’s menu. Generally, pecans and walnuts are used in salads and desserts, pistachios in entrees and peanuts and peanut butter in certain pies and Asian sauces.

“They are great toppings for salads or can be candied for a sweet treat,” she added. “The possibilities are really endless.”

Plumlee, a vegetarian, said nuts are an easy way to add protein to one’s diet.

“They can be eaten on the go, which is super great for my busy lifestyle, and are generally easily accessible,” she said. “I travel with nuts in my bag everywhere I go for quick snacks, salad toppers at restaurants and the like.”

Because nuts are high in fat, Puett recommends buying them in small quantities to prevent rancidity.

“Store in a cool, dry place since heat, light and humidity can speed up rancidity. Keep in the refrigerator or freezer for longer storage,” she said.

Though nuts have many dietary benefits, they can be harmful to some people. According to kidshealth.org, peanuts are among the most common allergy-causing foods, and they often find their way into things you wouldn’t imagine. Chili, for example, may be thickened with ground peanuts, the website noted. If allergy testing shows that someone has a peanut or tree nut allergy, a medical professional will provide guidelines on what to do.

“Peanuts aren’t actually a true nut; they’re a legume (in the same family as peas and lentils),” the information noted. “But the proteins in peanuts are similar in structure to those in tree nuts. For this reason, people who are allergic to peanuts can also be allergic to tree nuts, such as almonds, Brazil nuts, walnuts, hazelnuts, macadamias, pistachios, pecans and cashews.”

A Silverware Affair’s Pistachio-Encrusted Fish

1/2 cup shelled pistachios

2 tablespoons grated parmesan cheese

2 teaspoons dried oregano

21/2 tablespoons mustard (honey, Dijon, spicy brown, whatever you like)

4 small fish fillets (any mild white fish), patted dry

Salt and pepper, to taste

Mix pistachios, parmesan cheese and oregano in a blender or food processor, and pulse a few times to get coarse mixture. Pour the mixture onto a large plate, and spread it out until it forms a thin, flat layer.

Spread the mustard over the tops of the dry fish fillets, and dip the mustard-covered portion into the pistachio mixture. Season with salt and pepper. Place the fillets, crusted side facing up, on a baking sheet. Bake at 425 F for about 12 minutes or until the fish appears flaky.

— Tara Plumlee

Pumpkin Nut Bread

Great as a snack, breakfast or dessert, this recipe makes one large loaf or two mini loaves. The bread also freezes well. Freeze on a plate six hours, wrap frozen loaf in heavy-duty aluminum foil and return to the freezer for up to six months.

2 cups all-purpose flour or 1 cup whole-wheat flour and 1 cup all-purpose flour

2 teaspoons baking powder

1/2 teaspoon baking soda

1 teaspoon ground cinnamon

1/2 teaspoon salt

1/2 teaspoon ground nutmeg

1 cup fresh pumpkin puree or 1 cup solid-pack canned pumpkin

1 cup sugar

1/2 cup skim milk

2 eggs, slightly beaten

1/4 cup vegetable oil

1/2 cup each: chopped pecans and black walnuts (may substitute raisins or any combination to equal one cup)

Heat oven to 350 F.

Sift together flour, baking powder, baking soda, cinnamon, salt and nutmeg. In a large mixing bowl, combine pumpkin, sugar, milk and eggs. Mix well. Add dry ingredients, oil and nuts, mixing until just moistened. Batter will be slightly lumpy. Do not overmix.

Spoon batter into well-greased (use vegetable oil) 9- by 5-inch loaf pan or two 71/2- by 33/4-inch loaf pans (may use aluminum pans). Place pans in middle of the oven and bake 65 minutes for a large loaf or 50 minutes for two mini loaves, or until a wooden pick inserted in the center comes out clean.

Cool 10 minutes in the pan. Use a knife to go around the edge of the pan to loosen bread from the sides of the pan, invert and cool on a cooling rack or plate. Slice and serve.

Peanut Sauce

3/4 teaspoon cayenne pepper

3 tablespoons peanut butter

1 teaspoon minced garlic

5 tablespoons vegetable oil

1 tablespoon sesame oil

2 tablespoons brown sugar

1/4 cup soy sauce

Mix ingredients, and stir until smooth. Adjust seasonings to taste.

Candied Walnuts

1 cup walnut halves

1 tablespoon honey

1 tablespoon water

1 teaspoon vegetable oil

1/4 cup granulated sugar

1/2 teaspoon salt

Heat oven to 325 F. Place walnuts on a baking sheet, and toast 10 to 15 minutes or until golden. Combine honey, water and oil in a skillet, and bring to boil. Reduce heat to medium, and stir in walnuts. Cook, stirring frequently until all liquid has evaporated, about 1 minute. Transfer nuts to a bowl. Combine sugar and salt, and toss with nuts. Spread nuts on a cookie sheet to cool and dry. Sprinkle on any salad. Store in an airtight container.

©2012 the Chattanooga Times/Free Press (Chattanooga, Tenn.)

Visit the Chattanooga Times/Free Press (Chattanooga, Tenn.) at www.timesfreepress.com

Distributed by MCT Information Services

Could a food that sounds like it's bad for you actually be good for you? That's nuts, said June Puett, University of Tennessee Extension agent.

"Nuts are high in calories and fat, but those calories are loaded with nutrition," she said.

According to Puett, research indicates that eating nuts daily may serve as an effective tool in weight loss and weight management.

"The fiber and protein in nuts helps make you feel fuller longer, so you are less hungry, and that means you may eat less," she said. "Not all the fat in whole nuts is absorbed -- from 4 percent to 17 percent passes out of the body undigested."

But you can get too much of a good thing, she cautioned.

"Even though the fat found in nuts is healthier than some sources, going overboard could lead to excess calorie intake. Limit yourself to a small handful daily, and instead of simply adding nuts to your diet, eat them in replacement of saturated-fat foods," Puett said. "Consumers should also watch out for the sodium in packaged nuts. Unsalted varieties are widely available."

Puett also recommends nut butters, available in almond, cashew and peanut varieties. As sandwich fillings, they are a better choice than full-fat cheeses and most deli meats, she said.

If shopping for ready-made peanut butter, it's important to read labels, as hydrogenated fats and sugar are often added to peanut butter, she said.

For ultimate freshness, she recommends making your own by grinding up shelled nuts in a food processor.

"The volume will be approximately half of what you started with, so one cup of nuts will yield about one-half cup of nut butter," she said. "The oil content of the nut will determine the smoothness or graininess of the spread. Higher-fat nuts make creamier paste."

Store the nut butter in the refrigerator. Before spreading, let it sit at room temperature for a few minutes.

"Spread peanut butter on your morning waffle, whole-grain toast or midmorning crackers," Puett suggested. "Add a tablespoon of peanut butter to your morning smoothie."

For a quick, delicious sauce, combine peanut butter, coconut milk and ready-to-use thai red or green curry paste. "Pour over healthy sauteed vegetables," she said, "[or] use as a cooking sauce for tofu or salmon."

To add life to cooked brown rice, toss with sesame oil, chopped peanuts, scallions, sweet red pepper, parsley and currants, she said.

Nuts also may be sprinkled into salads, yogurt, cereal, pasta and cooked vegetables as well as muffin or pancake batter.

Tara Plumlee, CEO of A Silverware Affair (www.a silverwareaffair.net), said that nuts are often used in her catering company's menu. Generally, pecans and walnuts are used in salads and desserts, pistachios in entrees and peanuts and peanut butter in certain pies and Asian sauces.

"They are great toppings for salads or can be candied for a sweet treat," she added. "The possibilities are really endless."

Plumlee, a vegetarian, said nuts are an easy way to add protein to one's diet.

"They can be eaten on the go, which is super great for my busy lifestyle, and are generally easily accessible," she said. "I travel with nuts in my bag everywhere I go for quick snacks, salad toppers at restaurants and the like."

Because nuts are high in fat, Puett recommends buying them in small quantities to prevent rancidity.

"Store in a cool, dry place since heat, light and humidity can speed up rancidity. Keep in the refrigerator or freezer for longer storage," she said.

Though nuts have many dietary benefits, they can be harmful to some people. According to kidshealth.org, peanuts are among the most common allergy-causing foods, and they often find their way into things you wouldn't imagine. Chili, for example, may be thickened with ground peanuts, the website noted. If allergy testing shows that someone has a peanut or tree nut allergy, a medical professional will provide guidelines on what to do.

"Peanuts aren't actually a true nut; they're a legume (in the same family as peas and lentils)," the information noted. "But the proteins in peanuts are similar in structure to those in tree nuts. For this reason, people who are allergic to peanuts can also be allergic to tree nuts, such as almonds, Brazil nuts, walnuts, hazelnuts, macadamias, pistachios, pecans and cashews."

A Silverware Affair's Pistachio-Encrusted Fish

1/2 cup shelled pistachios

2 tablespoons grated parmesan cheese

2 teaspoons dried oregano

21/2 tablespoons mustard (honey, Dijon, spicy brown, whatever you like)

4 small fish fillets (any mild white fish), patted dry

Salt and pepper, to taste

Mix pistachios, parmesan cheese and oregano in a blender or food processor, and pulse a few times to get coarse mixture. Pour the mixture onto a large plate, and spread it out until it forms a thin, flat layer.

Spread the mustard over the tops of the dry fish fillets, and dip the mustard-covered portion into the pistachio mixture. Season with salt and pepper. Place the fillets, crusted side facing up, on a baking sheet. Bake at 425 F for about 12 minutes or until the fish appears flaky.

-- Tara Plumlee

Pumpkin Nut Bread

Great as a snack, breakfast or dessert, this recipe makes one large loaf or two mini loaves. The bread also freezes well. Freeze on a plate six hours, wrap frozen loaf in heavy-duty aluminum foil and return to the freezer for up to six months.

2 cups all-purpose flour or 1 cup whole-wheat flour and 1 cup all-purpose flour

2 teaspoons baking powder

1/2 teaspoon baking soda

1 teaspoon ground cinnamon

1/2 teaspoon salt

1/2 teaspoon ground nutmeg

1 cup fresh pumpkin puree or 1 cup solid-pack canned pumpkin

1 cup sugar

1/2 cup skim milk

2 eggs, slightly beaten

1/4 cup vegetable oil

1/2 cup each: chopped pecans and black walnuts (may substitute raisins or any combination to equal one cup)

Heat oven to 350 F.

Sift together flour, baking powder, baking soda, cinnamon, salt and nutmeg. In a large mixing bowl, combine pumpkin, sugar, milk and eggs. Mix well. Add dry ingredients, oil and nuts, mixing until just moistened. Batter will be slightly lumpy. Do not overmix.

Spoon batter into well-greased (use vegetable oil) 9- by 5-inch loaf pan or two 71/2- by 33/4-inch loaf pans (may use aluminum pans). Place pans in middle of the oven and bake 65 minutes for a large loaf or 50 minutes for two mini loaves, or until a wooden pick inserted in the center comes out clean.

Cool 10 minutes in the pan. Use a knife to go around the edge of the pan to loosen bread from the sides of the pan, invert and cool on a cooling rack or plate. Slice and serve.

Peanut Sauce

3/4 teaspoon cayenne pepper

3 tablespoons peanut butter

1 teaspoon minced garlic

5 tablespoons vegetable oil

1 tablespoon sesame oil

2 tablespoons brown sugar

1/4 cup soy sauce

Mix ingredients, and stir until smooth. Adjust seasonings to taste.

Candied Walnuts

1 cup walnut halves

1 tablespoon honey

1 tablespoon water

1 teaspoon vegetable oil

1/4 cup granulated sugar

1/2 teaspoon salt

Heat oven to 325 F. Place walnuts on a baking sheet, and toast 10 to 15 minutes or until golden. Combine honey, water and oil in a skillet, and bring to boil. Reduce heat to medium, and stir in walnuts. Cook, stirring frequently until all liquid has evaporated, about 1 minute. Transfer nuts to a bowl. Combine sugar and salt, and toss with nuts. Spread nuts on a cookie sheet to cool and dry. Sprinkle on any salad. Store in an airtight container.

©2012 the Chattanooga Times/Free Press (Chattanooga, Tenn.)

Visit the Chattanooga Times/Free Press (Chattanooga, Tenn.) at www.timesfreepress.com

Distributed by MCT Information Services

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Fruits That May Fight Obesity

Dec 22, 2012

-A study by Texas AgriLife Research revealed that peaches, plums and nectarines contain compounds that can potentially combat obesity and diabetes.

Jose Cisneros-Zevallos, an associate professor and researcher at Texas A&M, has been working with stone fruit — fruits that have a fleshy outside and a seed inside — for five years.

Though the fruits are linked to fighting off some chronic diseases, gorging oneself on them isn’t something Cisneros’s findings would suggest — at least not yet.

In the first stage of his research on the project, Cisneros studied cell models that resemble certain scenarios — for instance, the cellular makeup of an obese individual.

That stage allowed Cisneros to test compounds in the stone fruit, determine their mechanisms and, ultimately, understand their effect on the body.

His preliminary findings will be presented in August to the American Chemical Society in Philadelphia.

Though Cisneros still must test his findings on animals and hold clinical trials before his research is complete, he has found in the early stages of research that stone fruit can inhibit fat accumulation and chronic inflammation, a stage of obesity in which fat cells behave abnormally and negatively affect the body’s reception of insulin.

“The diet in American society has a major role in triggering the inflammation process,” Cisneros said. “But these stone fruits have huge potential of compounds working in different fronts.”

Though his findings do not suggest that consuming stone fruits will reverse obesity and diabetes, “eating healthy is always good,” Cisneros said. “Why not include some of these fruits?”

It is not yet clear what amount must be consumed to fight off obesity and diabetes, but Cisneros hopes to have that information after the clinical trials.

“There is an increase in all these types of chronic diseases. We want to create awareness that there has to be some changes in the way people are eating,” Cisneros said. “It’s nice to know and to learn that some of the fruits contain all these compounds that can help us stay healthy.”

Mark Scarmardo, owner of The Farm Patch, a fresh produce market in Bryan, said he is always trying to promote products that are healthier for his customers, an effort he says the research can only help.

“Our generation and the new generation coming up want to eat healthier and live longer and have a better lifestyle,” Scarmardo said. “With the research promoting it, it’s right along with what you want to do.”

©2012 The Eagle (Bryan, Texas)

Visit The Eagle (Bryan, Texas) at www.theeagle.com

Dec 22, 2012

-A study by Texas AgriLife Research revealed that peaches, plums and nectarines contain compounds that can potentially combat obesity and diabetes.

Jose Cisneros-Zevallos, an associate professor and researcher at Texas A&M, has been working with stone fruit -- fruits that have a fleshy outside and a seed inside -- for five years.

Though the fruits are linked to fighting off some chronic diseases, gorging oneself on them isn't something Cisneros's findings would suggest -- at least not yet.

In the first stage of his research on the project, Cisneros studied cell models that resemble certain scenarios -- for instance, the cellular makeup of an obese individual.

That stage allowed Cisneros to test compounds in the stone fruit, determine their mechanisms and, ultimately, understand their effect on the body.

His preliminary findings will be presented in August to the American Chemical Society in Philadelphia.

Though Cisneros still must test his findings on animals and hold clinical trials before his research is complete, he has found in the early stages of research that stone fruit can inhibit fat accumulation and chronic inflammation, a stage of obesity in which fat cells behave abnormally and negatively affect the body's reception of insulin.

"The diet in American society has a major role in triggering the inflammation process," Cisneros said. "But these stone fruits have huge potential of compounds working in different fronts."

Though his findings do not suggest that consuming stone fruits will reverse obesity and diabetes, "eating healthy is always good," Cisneros said. "Why not include some of these fruits?"

It is not yet clear what amount must be consumed to fight off obesity and diabetes, but Cisneros hopes to have that information after the clinical trials.

"There is an increase in all these types of chronic diseases. We want to create awareness that there has to be some changes in the way people are eating," Cisneros said. "It's nice to know and to learn that some of the fruits contain all these compounds that can help us stay healthy."

Mark Scarmardo, owner of The Farm Patch, a fresh produce market in Bryan, said he is always trying to promote products that are healthier for his customers, an effort he says the research can only help.

"Our generation and the new generation coming up want to eat healthier and live longer and have a better lifestyle," Scarmardo said. "With the research promoting it, it's right along with what you want to do."

©2012 The Eagle (Bryan, Texas)



Visit The Eagle (Bryan, Texas) at www.theeagle.com

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10 Tips to Prevent Snacking from Boredom

Posted Dec 10, 2012

At what time of day do you most often catch yourself snacking?

If you’re like me, it’s in the evening and there’s a television nearby. Often, I’m not even paying attention to what I’m eating; it’s just something to do with my hands because I’m restless or bored while watching TV.

That, friends, is the epitome of boredom snacking. I’ve really made an effort over the past few months to control this bad habit. I make sure before I flip on the remote that there is a bottle of Vitamin Water nearby and a magazine or book.

Weight-loss counselors will tell you the need to snack is usually the result of a mental trigger rather than physical hunger. Those triggers most often are stress, emotional gratification or boredom.

I’ve compiled 10 tips from Hungry Girl, diet-blog.com and Fit Day on how to bust the boredom snacking syndrome.

Don’t try to go cold turkey and cut out all snacks at once. As we’ve heard nutritionists say repeatedly, “Depriving yourself only makes you want a food more.” You might try 100-calorie packs and limit yourself to one pack a night while going through cookie/chips withdrawal.

1. Keep your hands busy. Try knitting, cross-stitching, file and paint your nails, work crossword puzzles, read — anything that uses your hands and makes it hard to eat at the same time.

2. Get out of the house. Change your scenery so a cabinet of snacks isn’t tempting you from across the room. Go for a quick walk, sit outside on the porch and read, or even just change rooms and move to another part of the house.

3. Brush your teeth and rinse with mouthwash. Chips and salty snacks are a lot less appealing when your mouth is minty fresh.

4. Quench your thirst. A basic tenet of Weight Watchers is that usually when you feel like snacking, it’s your body needing hydration. So sip sugar-free tea, coffee or ice water.

5. Feed the need to chomp. Keep your tastebuds happy with a piece of sugar-free hard candy, sugarless gum or sucker. Hungry Girl says that 94 percent fat-free popcorn is another good choice because it contains just 20 calories per cup.

6. Don’t keep “trigger foods” in the house. We all know what our weaknesses are, the foods that trigger a mindless desire to snack. Mine is Little Debbie Swiss Cake Rolls.

Out of sight, out of mind. Don’t buy them. If they aren’t in the house, they can’t tempt you.

7. Keep a food journal. Carrie Underwood has stated in numerous interviews that she lost weight more easily by writing down every edible that passed through her lips.

The premise is when you see the list of everything you’re eating in one day, you realize how much you overeat. Holding yourself accountable for everything you ingest will make you think twice about whether you really want that snack.

8. Sit it out. Here’s one I hadn’t heard before: If you force yourself to wait 20 minutes before getting the snack, nine times out of 10 you won’t want it anymore. (But I bet that 20 minutes drags by like 20 hours.)

9. Don’t skip meals. It’s a no-brainer: If you aren’t going long intervals between meals then you won’t feel those stomach growlings that urge you to snack.

10. If you are genuinely hungry, eat fruit or veggies. Remember, fruit’s free on Weight Watchers now. It’s so much easier to reach for celery sticks or an apple if you have them already washed, cut and ready to grab when you open the refrigerator door.

Contact Susan Pierce at spierce@timesfreepress.com or 423-757-6284.

©2012 the Chattanooga Times/Free Press (Chattanooga, Tenn.)

Visit the Chattanooga Times/Free Press (Chattanooga, Tenn.) at www.timesfreepress.com

Distributed by MCT Information Services

At what time of day do you most often catch yourself snacking?

If you're like me, it's in the evening and there's a television nearby. Often, I'm not even paying attention to what I'm eating; it's just something to do with my hands because I'm restless or bored while watching TV.

That, friends, is the epitome of boredom snacking. I've really made an effort over the past few months to control this bad habit. I make sure before I flip on the remote that there is a bottle of Vitamin Water nearby and a magazine or book.

Weight-loss counselors will tell you the need to snack is usually the result of a mental trigger rather than physical hunger. Those triggers most often are stress, emotional gratification or boredom.

I've compiled 10 tips from Hungry Girl, diet-blog.com and Fit Day on how to bust the boredom snacking syndrome.

Don't try to go cold turkey and cut out all snacks at once. As we've heard nutritionists say repeatedly, "Depriving yourself only makes you want a food more." You might try 100-calorie packs and limit yourself to one pack a night while going through cookie/chips withdrawal.

1. Keep your hands busy. Try knitting, cross-stitching, file and paint your nails, work crossword puzzles, read -- anything that uses your hands and makes it hard to eat at the same time.

2. Get out of the house. Change your scenery so a cabinet of snacks isn't tempting you from across the room. Go for a quick walk, sit outside on the porch and read, or even just change rooms and move to another part of the house.

3. Brush your teeth and rinse with mouthwash. Chips and salty snacks are a lot less appealing when your mouth is minty fresh.

4. Quench your thirst. A basic tenet of Weight Watchers is that usually when you feel like snacking, it's your body needing hydration. So sip sugar-free tea, coffee or ice water.

5. Feed the need to chomp. Keep your tastebuds happy with a piece of sugar-free hard candy, sugarless gum or sucker. Hungry Girl says that 94 percent fat-free popcorn is another good choice because it contains just 20 calories per cup.

6. Don't keep "trigger foods" in the house. We all know what our weaknesses are, the foods that trigger a mindless desire to snack. Mine is Little Debbie Swiss Cake Rolls.

Out of sight, out of mind. Don't buy them. If they aren't in the house, they can't tempt you.

7. Keep a food journal. Carrie Underwood has stated in numerous interviews that she lost weight more easily by writing down every edible that passed through her lips.

The premise is when you see the list of everything you're eating in one day, you realize how much you overeat. Holding yourself accountable for everything you ingest will make you think twice about whether you really want that snack.

8. Sit it out. Here's one I hadn't heard before: If you force yourself to wait 20 minutes before getting the snack, nine times out of 10 you won't want it anymore. (But I bet that 20 minutes drags by like 20 hours.)

9. Don't skip meals. It's a no-brainer: If you aren't going long intervals between meals then you won't feel those stomach growlings that urge you to snack.

10. If you are genuinely hungry, eat fruit or veggies. Remember, fruit's free on Weight Watchers now. It's so much easier to reach for celery sticks or an apple if you have them already washed, cut and ready to grab when you open the refrigerator door.

Contact Susan Pierce at spierce@timesfreepress.com or 423-757-6284.

©2012 the Chattanooga Times/Free Press (Chattanooga, Tenn.)

Visit the Chattanooga Times/Free Press (Chattanooga, Tenn.) at www.timesfreepress.com

Distributed by MCT Information Services

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Healthy Eating on a Budget

Posted Nov 11, 2012

Does a healthy diet cost more than a junk-food diet in America?

That depends on whom you ask, how you measure food and, most important, if you know how to cook.

Earlier this year the U.S. Department of Agriculture released a new analysis indicating that fruits, vegetables, grains and low-fat milk tend to be less expensive by weight and serving size than fatty, sugary foods and meat, fish and poultry.

The takeaway message, according to its authors: Healthful foods actually cost less than foods we are supposed to restrict.

This ran counter to many studies that have measured the cost of “good” and “bad” foods by calorie and concluded that nutrient-poor foods generally cost less.

But recently another group of researchers, including Adam Drewnowski, director of nutritional sciences at the University of Washington in Seattle, decided to look at it from another angle: by the cost of foods that deliver key nutrients, especially those associated with lower risk of chronic disease.

In the study, they found that the foods rich in key nutrients did cost more per calorie than their nutrient-poor counterparts.

“By contrast, nutrients associated with higher disease risk were associated with lower diet costs,” wrote Drewnowski and his colleagues in the study. “The cost variable may help somewhat explain why lower-income groups fail to comply with dietary guidelines and have highest rates of diet-related chronic disease.”

USDA researcher Andrea Carlson objects to the way Drewnowski’s group used calories as a standard of measurement. And Drewnowski objects to the way the USDA used weight as a measurement when, he notes, some of the fruits and vegetables included are composed of 90 percent water.

But the two can agree on one thing: Those who know how to cook are at an advantage when it comes to nutrition on the cheap.

“Theoretically, yes, you can eat healthfully on a budget,” Drewnowski says, but you need to know how to cook whole, unprocessed foods, and that “would require a shift in the way many Americans choose to spend their food dollars.”

His diet analyses find that today many low-income food dollars are spent on processed convenience foods, but if they were instead spent on whole foods, they could go much further.

For this to work, people would need “nutrition education, cooking skills, access to healthy foods, some money and time,” Drewnowski stresses.

“Very often I get letters from people who say that it doesn’t cost any more to eat healthy,” he says. “They say rice and beans are very cheap, but not everyone knows how to make them. … And so as a result, people fall into the pattern of buying processed and less healthy foods.”

Noting that more Americans are reliant today on food stamps than ever, the consumer advocates at the Environmental Working Group have teamed up with anti-hunger organization Share Our Strength to produce “Good Food on a Tight Budget,” an online guide to buying and cooking cheap nutritious food, released in late August.

Drewnowski has also been working on something he calls the Nutrient Rich Food index, which judges food based on nutrients and cost to help people get the most nutrients on their plate for their money.

Other answers may lie in data he is analyzing about people who are able to eat nutritious diets on unusually small budgets.

“This is a study in progress,” Drewnowski said. “But in at least one case, the person was a recent Asian immigrant who was going to the market and getting fresh produce and going back home and cooking it. In this case he had the knowledge and the cooking skills that are essential.”

Carlson further suggests that Americans could benefit from spending a larger percentage of their food budget on fruits and vegetables. The correct number is about 40 percent, she estimates, more than most of us spend.

And as if we need more proof that cooking is important, Drewnowski said he is in the early stages of yet another study that so far indicates: “The more time you spend in the kitchen, the better your overall diet quality.”

One idea

Discussions of the best options for cheap, tasty nutritious meals often boil down to three words: rice and beans. Depending on how you prepare the combo, it can be dull and boring or downright delicious.

As a child I looked forward to my Puerto Rican grandmother’s rice and beans as a Monday delicacy, and my kids love Nana’s rice and beans, flavored with a sofrito (diced sauteed vegetables), just as much.

The rice

Heat 4 cups water to a boil in a kettle. Meanwhile, cook the 2 cups brown or white rice and 1/2 teaspoon salt with 1 tablespoon lard or olive oil in a saucepan over medium heat, stirring to coat the rice with the fat. Pour the water over the rice. Let the water boil down until you can see the surface of the rice. Cover; turn to a very low flame. Simmer until the rice is tender.

The beans

Cover 3 cups dried beans with 2 inches water in a bowl or stockpot. Soak overnight. Drain the soaking water from the beans. Place the beans in a stockpot; fill with water to cover beans by 1 inch. Heat to a simmer; simmer until soft, 1 hour or more. Wait until beans are tender before adding 1 teaspoon salt. Taste for seasoning. Meanwhile, heat 1 tablespoon olive oil or lard in a heavy-bottomed saucepan; add 1/2 green pepper, finely diced;

1/2 onion, finely diced; and 3 cloves garlic, minced. Season with a pinch of salt. Cook until fragrant and tender. Stir in 1/4 cup cilantro; cook until herb gives off its aroma. Add half a can (from an 8-ounce can) tomato sauce; cook to meld flavors. Drain the cooked beans, saving 1 cup cooking water; pour beans into the sofrito mixture. Add cooking water; heat to a boil, then turn down to a simmer. Salt to taste. You also can add half packet of Sazon Goya seasoning blend and/or 1/4 cup chunks cooked winter squash for extra flavor and texture.

Serve over the rice with a nice green salad. Makes: 6 servings

Breakdown of cost

Rice 92 cents

Beans $2

Olive oil 60 cents

Green pepper 40 cents

Onion 50 cents

Garlic 20 cents

Cilantro 12 cents

Tomato sauce 45 cents

Total: $5.19

Per serving: 87 cents

meng@tribune.com

©2012 the Chicago Tribune

Visit the Chicago Tribune at www.chicagotribune.com

Distributed by MCT Information Services

Does a healthy diet cost more than a junk-food diet in America?

That depends on whom you ask, how you measure food and, most important, if you know how to cook.

Earlier this year the U.S. Department of Agriculture released a new analysis indicating that fruits, vegetables, grains and low-fat milk tend to be less expensive by weight and serving size than fatty, sugary foods and meat, fish and poultry.

The takeaway message, according to its authors: Healthful foods actually cost less than foods we are supposed to restrict.

This ran counter to many studies that have measured the cost of "good" and "bad" foods by calorie and concluded that nutrient-poor foods generally cost less.

But recently another group of researchers, including Adam Drewnowski, director of nutritional sciences at the University of Washington in Seattle, decided to look at it from another angle: by the cost of foods that deliver key nutrients, especially those associated with lower risk of chronic disease.

In the study, they found that the foods rich in key nutrients did cost more per calorie than their nutrient-poor counterparts.

"By contrast, nutrients associated with higher disease risk were associated with lower diet costs," wrote Drewnowski and his colleagues in the study. "The cost variable may help somewhat explain why lower-income groups fail to comply with dietary guidelines and have highest rates of diet-related chronic disease."

USDA researcher Andrea Carlson objects to the way Drewnowski's group used calories as a standard of measurement. And Drewnowski objects to the way the USDA used weight as a measurement when, he notes, some of the fruits and vegetables included are composed of 90 percent water.

But the two can agree on one thing: Those who know how to cook are at an advantage when it comes to nutrition on the cheap.

"Theoretically, yes, you can eat healthfully on a budget," Drewnowski says, but you need to know how to cook whole, unprocessed foods, and that "would require a shift in the way many Americans choose to spend their food dollars."

His diet analyses find that today many low-income food dollars are spent on processed convenience foods, but if they were instead spent on whole foods, they could go much further.

For this to work, people would need "nutrition education, cooking skills, access to healthy foods, some money and time," Drewnowski stresses.

"Very often I get letters from people who say that it doesn't cost any more to eat healthy," he says. "They say rice and beans are very cheap, but not everyone knows how to make them. ... And so as a result, people fall into the pattern of buying processed and less healthy foods."

Noting that more Americans are reliant today on food stamps than ever, the consumer advocates at the Environmental Working Group have teamed up with anti-hunger organization Share Our Strength to produce "Good Food on a Tight Budget," an online guide to buying and cooking cheap nutritious food, released in late August.

Drewnowski has also been working on something he calls the Nutrient Rich Food index, which judges food based on nutrients and cost to help people get the most nutrients on their plate for their money.

Other answers may lie in data he is analyzing about people who are able to eat nutritious diets on unusually small budgets.

"This is a study in progress," Drewnowski said. "But in at least one case, the person was a recent Asian immigrant who was going to the market and getting fresh produce and going back home and cooking it. In this case he had the knowledge and the cooking skills that are essential."

Carlson further suggests that Americans could benefit from spending a larger percentage of their food budget on fruits and vegetables. The correct number is about 40 percent, she estimates, more than most of us spend.

And as if we need more proof that cooking is important, Drewnowski said he is in the early stages of yet another study that so far indicates: "The more time you spend in the kitchen, the better your overall diet quality."

One idea

Discussions of the best options for cheap, tasty nutritious meals often boil down to three words: rice and beans. Depending on how you prepare the combo, it can be dull and boring or downright delicious.

As a child I looked forward to my Puerto Rican grandmother's rice and beans as a Monday delicacy, and my kids love Nana's rice and beans, flavored with a sofrito (diced sauteed vegetables), just as much.

The rice

Heat 4 cups water to a boil in a kettle. Meanwhile, cook the 2 cups brown or white rice and 1/2 teaspoon salt with 1 tablespoon lard or olive oil in a saucepan over medium heat, stirring to coat the rice with the fat. Pour the water over the rice. Let the water boil down until you can see the surface of the rice. Cover; turn to a very low flame. Simmer until the rice is tender.

The beans

Cover 3 cups dried beans with 2 inches water in a bowl or stockpot. Soak overnight. Drain the soaking water from the beans. Place the beans in a stockpot; fill with water to cover beans by 1 inch. Heat to a simmer; simmer until soft, 1 hour or more. Wait until beans are tender before adding 1 teaspoon salt. Taste for seasoning. Meanwhile, heat 1 tablespoon olive oil or lard in a heavy-bottomed saucepan; add 1/2 green pepper, finely diced;

1/2 onion, finely diced; and 3 cloves garlic, minced. Season with a pinch of salt. Cook until fragrant and tender. Stir in 1/4 cup cilantro; cook until herb gives off its aroma. Add half a can (from an 8-ounce can) tomato sauce; cook to meld flavors. Drain the cooked beans, saving 1 cup cooking water; pour beans into the sofrito mixture. Add cooking water; heat to a boil, then turn down to a simmer. Salt to taste. You also can add half packet of Sazon Goya seasoning blend and/or 1/4 cup chunks cooked winter squash for extra flavor and texture.

Serve over the rice with a nice green salad. Makes: 6 servings

Breakdown of cost

Rice 92 cents

Beans $2

Olive oil 60 cents

Green pepper 40 cents

Onion 50 cents

Garlic 20 cents

Cilantro 12 cents

Tomato sauce 45 cents

Total: $5.19

Per serving: 87 cents

meng@tribune.com

©2012 the Chicago Tribune

Visit the Chicago Tribune at www.chicagotribune.com

Distributed by MCT Information Services

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Reduce Red Meat Intake for a Longer Life

Posted Nov 4, 2012

Americans are obsessed with what they eat. In a nation where talk about nutrition and weight-related health problems is an everyday event, debate about what is and what is not a healthy diet is increasingly commonplace. A new study that directly ties the consumption of red meat to the risk of dying at an early age is sure to enliven that already animated discussion.

The alarming report published Monday in the Archives of Internal Medicine, is based on a long-term study that tracked the eating and lifestyle habits and health outcomes of more than 110,000 adults, for more than two decades. When the data collected was analyzed by An Pan, a postdoctoral fellow at Harvard University, and his colleagues, it indicated that the risk of dying at an early age rises in tandem with the consumption of red meat. More importantly, the study allowed researchers to quantify the risks.

Pan and his associates found that eating an additional single serving portion of meat — defined as 3 ounces of unprocessed red meat or a steak about the size of a deck of playing cards, far smaller than the standard American portion — contributed to a 13 percent increased risk of dying. Even more dire, an extra daily serving of processed red meat — a hot dog or a couple of slices of bacon — was tied to a 20 percent higher risk of dying during the course of the study. That’s enough to get anybody’s attention.

Indeed, it’s not the first time that consumption of red meat has been associated with poor health. Previous studies have tied eating red meat to higher incidences of diabetes, cardiac disease and cancer — all of which can be fatal. The new study, however, was the first to estimate the effect of reducing red meat intake with an increased lifespan. Those findings are instructive.

Researchers said that eating one serving of nuts instead of beef or pork per day was associated with a 19 percent lower risk of dying during the study. Substituting poultry or whole grains led to a 14 percent reduction in mortality risk; low-fat dairy or legumes, 10 percent; and fish, 7 percent. The study results pose a challenge to most Americans.

On average, Americans eat more than 65 pounds of pork and beef, respectively, annually. Changing that habit will be difficult. Moreover, not everyone is convinced the Harvard study is sound. The meat industry, of course, and some others question the methodology of the study, which relies heavily on self-reporting rather than strictly controlled research. That may be so.

Still, the red meat study is another reminder that one’s health and longevity is linked to diet. One thing to take from the report is the need for dietary moderation and balance. Even the author of the study doesn’t advocate giving up red meat altogether. “Our message is to reduce red meat consumption to less than two or three servings a week,” says Pan. That’s a manageable goal, and one that if achieved could lead to an immeasurably improved state of health for Americans of all ages.

©2012 the Chattanooga Times/Free Press (Chattanooga, Tenn.)

Visit the Chattanooga Times/Free Press (Chattanooga, Tenn.) at www.timesfreepress.com

Distributed by MCT Information Services

Americans are obsessed with what they eat. In a nation where talk about nutrition and weight-related health problems is an everyday event, debate about what is and what is not a healthy diet is increasingly commonplace. A new study that directly ties the consumption of red meat to the risk of dying at an early age is sure to enliven that already animated discussion.

The alarming report published Monday in the Archives of Internal Medicine, is based on a long-term study that tracked the eating and lifestyle habits and health outcomes of more than 110,000 adults, for more than two decades. When the data collected was analyzed by An Pan, a postdoctoral fellow at Harvard University, and his colleagues, it indicated that the risk of dying at an early age rises in tandem with the consumption of red meat. More importantly, the study allowed researchers to quantify the risks.

Pan and his associates found that eating an additional single serving portion of meat -- defined as 3 ounces of unprocessed red meat or a steak about the size of a deck of playing cards, far smaller than the standard American portion -- contributed to a 13 percent increased risk of dying. Even more dire, an extra daily serving of processed red meat -- a hot dog or a couple of slices of bacon -- was tied to a 20 percent higher risk of dying during the course of the study. That's enough to get anybody's attention.

Indeed, it's not the first time that consumption of red meat has been associated with poor health. Previous studies have tied eating red meat to higher incidences of diabetes, cardiac disease and cancer -- all of which can be fatal. The new study, however, was the first to estimate the effect of reducing red meat intake with an increased lifespan. Those findings are instructive.

Researchers said that eating one serving of nuts instead of beef or pork per day was associated with a 19 percent lower risk of dying during the study. Substituting poultry or whole grains led to a 14 percent reduction in mortality risk; low-fat dairy or legumes, 10 percent; and fish, 7 percent. The study results pose a challenge to most Americans.

On average, Americans eat more than 65 pounds of pork and beef, respectively, annually. Changing that habit will be difficult. Moreover, not everyone is convinced the Harvard study is sound. The meat industry, of course, and some others question the methodology of the study, which relies heavily on self-reporting rather than strictly controlled research. That may be so.

Still, the red meat study is another reminder that one's health and longevity is linked to diet. One thing to take from the report is the need for dietary moderation and balance. Even the author of the study doesn't advocate giving up red meat altogether. "Our message is to reduce red meat consumption to less than two or three servings a week," says Pan. That's a manageable goal, and one that if achieved could lead to an immeasurably improved state of health for Americans of all ages.

©2012 the Chattanooga Times/Free Press (Chattanooga, Tenn.)

Visit the Chattanooga Times/Free Press (Chattanooga, Tenn.) at www.timesfreepress.com

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Daily Multi May Lower Cancer Risk

Posted October 23, 2012

A new study suggests a multivitamin a day could help reduce the risk of cancer in older men, but one expert cautions there’s a lot more work to be done before the dietary supplements can be hailed as cancer fighters.

Brigham and Women’s Hospital researchers released the findings of the exhaustive study that found multi-vitamins cut cancer risk by 8 percent at a conference in California yesterday.

“The main benefit to taking a vitamin is to make up for any deficiency, but it certainly appears that there may be a modest benefit in preventing cancer in men over 50, too,” said Dr. J. Michael Gaziano, the study’s lead author and the head of Brigham and Women’s aging division.

Tufts University Cardiovascular Nutrition Laboratory Director Alice Lichtenstein called the results “interesting” but warned there’s a lot more research that needs to be done.

“We don’t know whether those individuals were borderline deficient in any critical areas,” she said. “On the basis of this study, there may be a benefit to taking a multivitamin, but it’s a very modest benefit.”

For 11 years, Gaziano and his team tracked the health of 15,000 male physicians, all of whom were at least 50 years old when the study began.

To determine, for the first time, if there are any long-term benefits of taking a multivitamin — something about one third of all Americans already do — researchers gave half the study participants multivitamins and told them to take them every day. The others received a placebo.

After 10 years, Gaziano said, researcher found that the men who took daily multivitamins had an 8 percent reduction in total cancer, when compared to the placebo-taking group.

The vitamin-taking group also had fewer cancer-related deaths, the study shows.

Now, researchers are probing the data to see if there are any links between daily multivitamins and cardiovascular disease.

“Stay tuned,” Gaziano said.

christine.mcconville@bostonherald.com

___

©2012 the Boston Herald

Visit the Boston Herald at www.bostonherald.com

Distributed by MCT Information Services

A new study suggests a multivitamin a day could help reduce the risk of cancer in older men, but one expert cautions there's a lot more work to be done before the dietary supplements can be hailed as cancer fighters.

Brigham and Women's Hospital researchers released the findings of the exhaustive study that found multi-vitamins cut cancer risk by 8 percent at a conference in California yesterday.

"The main benefit to taking a vitamin is to make up for any deficiency, but it certainly appears that there may be a modest benefit in preventing cancer in men over 50, too," said Dr. J. Michael Gaziano, the study's lead author and the head of Brigham and Women's aging division.

Tufts University Cardiovascular Nutrition Laboratory Director Alice Lichtenstein called the results "interesting" but warned there's a lot more research that needs to be done.

"We don't know whether those individuals were borderline deficient in any critical areas," she said. "On the basis of this study, there may be a benefit to taking a multivitamin, but it's a very modest benefit."

For 11 years, Gaziano and his team tracked the health of 15,000 male physicians, all of whom were at least 50 years old when the study began.

To determine, for the first time, if there are any long-term benefits of taking a multivitamin -- something about one third of all Americans already do -- researchers gave half the study participants multivitamins and told them to take them every day. The others received a placebo.

After 10 years, Gaziano said, researcher found that the men who took daily multivitamins had an 8 percent reduction in total cancer, when compared to the placebo-taking group.

The vitamin-taking group also had fewer cancer-related deaths, the study shows.

Now, researchers are probing the data to see if there are any links between daily multivitamins and cardiovascular disease.

"Stay tuned," Gaziano said.

christine.mcconville@bostonherald.com

___

©2012 the Boston Herald

Visit the Boston Herald at www.bostonherald.com

Distributed by MCT Information Services

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3 Fats to Focus On

Posted October 22, 2012

Getting the right amount of fat from the right sources will not only ensure your food doesn’t taste like cardboard, but also can help you lose stubborn pounds. Add these three fats to your diet and reap the nutritional benefits:

Omega-3 Fatty Acids

These may protect against cardiovascular disease, but getting sufficient omega-3s is tough. You’d have to eat salmon three times a week to get 500 milligrams per day of O-3s – the amount needed to reap the heart benefits.

Try: 3 ounces cooked salmon, 1 can sardines (3.75 ounces) in oil, or 1 ounce walnuts (about 14 halves).

Polyunsaturated Fatty Acids (PUFAs)

These fats tend to be liquid at room temperature, like oils. PUFAs can help reduce the risk for type 2 diabetes and heart disease by helping improve cholesterol.

Try: 1 tablespoon safflower, corn, sunflower, soy, cottonseed, peanut, or other vegetable or nut oil, 1 ounce dry-roasted sunflower seeds.

Monounsaturated Fatty Acids (MUFAs)

Eating this form of unsaturated fat can help improve cholesterol levels and may steady blood sugar.

Try: 1/4 avocado, 10 large green olives, 1 tablespoon peanut butter.

For more nutrition tips and information, check out WomensHealthMag.com or pick up a copy of Women’s Health magazine, on newsstands now.

(For more workout tips and information, check out WomensHealthMag.com or pick up a copy of Women

Getting the right amount of fat from the right sources will not only ensure your food doesn't taste like cardboard, but also can help you lose stubborn pounds. Add these three fats to your diet and reap the nutritional benefits:

Omega-3 Fatty Acids

These may protect against cardiovascular disease, but getting sufficient omega-3s is tough. You'd have to eat salmon three times a week to get 500 milligrams per day of O-3s - the amount needed to reap the heart benefits.

Try: 3 ounces cooked salmon, 1 can sardines (3.75 ounces) in oil, or 1 ounce walnuts (about 14 halves).

Polyunsaturated Fatty Acids (PUFAs)

These fats tend to be liquid at room temperature, like oils. PUFAs can help reduce the risk for type 2 diabetes and heart disease by helping improve cholesterol.

Try: 1 tablespoon safflower, corn, sunflower, soy, cottonseed, peanut, or other vegetable or nut oil, 1 ounce dry-roasted sunflower seeds.

Monounsaturated Fatty Acids (MUFAs)

Eating this form of unsaturated fat can help improve cholesterol levels and may steady blood sugar.

Try: 1/4 avocado, 10 large green olives, 1 tablespoon peanut butter.

For more nutrition tips and information, check out WomensHealthMag.com or pick up a copy of Women's Health magazine, on newsstands now.

(For more workout tips and information, check out WomensHealthMag.com or pick up a copy of Women

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Healthy Hair

Posted Sept 27, 2012

What you should know

* Ugly hair might not be life-threatening, but it can be disconcerting when hair is a daily embarrassment.

* Your health can affect your hair. Hormonal changes after childbirth or menopause can cause hair to fall out. Certain diseases and conditions such as thyroid disease, diabetes and lupus can also cause hair loss. Yeast and fungal infections and inflammation might affect your hair follicles. A lice infestation can also affect the scalp.

* Some medications cause hair changes or loss. These changes are often temporary. Certain blood thinners, cholesterol-lowering drugs, antidepressants, birth control pills, chemotherapy and too much vitamin A can cause hair loss. Poor nutrition resulting in sudden weight loss or lack of protein can also harm hair.

* Many experts feel that sudden stress such as a death, job loss or surgery can also change your hair.

* Genetics and male sex hormones can cause some people to have male pattern baldness.

* In many cases, the body is quite well, but the hair is not healthy. Excess hair porosity is often the cause of ugly or frizzy hair. Like a fish with scales, each hair has an outer cuticle layer that overlaps. Porosity affects how much water each hair can absorb. If the cuticle is very tight, the hair will often appear shinny and shed water.

* Ugly damaged hair usually has external causes. The sun, heat and processing chemicals can fry your hair. Harsh shampoos with sulfates and soaps can strip hair of lipids and cells that hold the cuticle in place. Hair can also be tortured by excessive brushing, rubber bands and hats.

* Ironically, dry porous hair sponges up too much water and humidity, which makes it frizzy.

* Curly hair curves naturally. Curly hair will appear to be more porous and less smooth than straight hair.

* In the warm and humid Mid-South weather, your hair might need more protein, non-oily serums, pomades or anti-humectants (hair products that repel water) to help lock moisture out of the hairs’ surface. Other techniques to seal gaps in the hair cuticle include clear color products with protein and cool rinses that are slightly acidic.

What you should do

* If hair damage or loss is sudden, get professional advice to find out why. Visit a doctor if hair falls out in wads.

* Protect your hair like your skin. Use gentle products that condition, moisturize and protect. Clean hair after being in chlorine or saltwater. Don’t boil the internal moisture in your hair with irons, curlers or very hot dryers.

* Wear a hat or scarf to shield your hair from the sun. Some hair products also include sunscreen (SPF).

* Trim hair regularly to remove damaged ends. Then baby the healthy new growth.

* Protect your hair from the inside by protecting your overall health. Heart-healthy nutrition can be good for hair. Eat a well- balanced diet with plenty of water, fresh fruits, vegetables providing folate, vitamins and minerals, fish with omega-3 oil, and low-fat protein sources.

* Don’t wash your hair too often. Wet hair thoroughly and wash with lukewarm water and a gentle shampoo. Consider diluting your shampoo. Rinse well with cool water followed by conditioner. Wash more often if you have very oily hair or dandruff. Use a prescribed or dandruff shampoo for a flaky scalp.

* Blot and squeeze wet hair instead of rubbing it dry. Use a wide- tooth comb on wet hair with a detangler product or leave-in conditioner. Air-dry your hair if possible.

* Be careful about processing hair coloring, perms, straightening, flat-ironing and blow-drying to avoid permanent damage to hair. Watch out for hair chemicals with alcohol, ammonia, PPD, peroxide or silicone. Get professional hair coloring and processing help. Be wary of inexpensive home coloring and straightening kits.

* Avoid daily grooming routines that can break, stretch or pull out hair. Avoid hairstyles that require lots of brushing or binding with bands, clips or scrunchies. Consider using old-fashioned cool rollers to shape hair.

* Accept curly hair. Learn to style it naturally. Relaxers, ironing and stretching hair under dryers damage hair.

* If you have ruled out heredity or a specific medical cause for thinning hair, consider seeing a dermatologist. Recommendations might include adding specific vitamins and minerals to your diet. Monoxidil might also help.

* Beware of hair regrowth products sold over the Internet. You might buy an unapproved drug that can affect your blood pressure, cause an irregular heartbeat or cause skin problems.

For more information

Visit nlm.nih.gov/medlineplus/hairproblems.html.

Better Health: Take Charge! is provided by the Healthy Memphis Common Table: healthymemphis.org. This article supports the care and advice of your doctor.

What you should know

* Ugly hair might not be life-threatening, but it can be disconcerting when hair is a daily embarrassment.

* Your health can affect your hair. Hormonal changes after childbirth or menopause can cause hair to fall out. Certain diseases and conditions such as thyroid disease, diabetes and lupus can also cause hair loss. Yeast and fungal infections and inflammation might affect your hair follicles. A lice infestation can also affect the scalp.

* Some medications cause hair changes or loss. These changes are often temporary. Certain blood thinners, cholesterol-lowering drugs, antidepressants, birth control pills, chemotherapy and too much vitamin A can cause hair loss. Poor nutrition resulting in sudden weight loss or lack of protein can also harm hair.

* Many experts feel that sudden stress such as a death, job loss or surgery can also change your hair.

* Genetics and male sex hormones can cause some people to have male pattern baldness.

* In many cases, the body is quite well, but the hair is not healthy. Excess hair porosity is often the cause of ugly or frizzy hair. Like a fish with scales, each hair has an outer cuticle layer that overlaps. Porosity affects how much water each hair can absorb. If the cuticle is very tight, the hair will often appear shinny and shed water.

* Ugly damaged hair usually has external causes. The sun, heat and processing chemicals can fry your hair. Harsh shampoos with sulfates and soaps can strip hair of lipids and cells that hold the cuticle in place. Hair can also be tortured by excessive brushing, rubber bands and hats.

* Ironically, dry porous hair sponges up too much water and humidity, which makes it frizzy.

* Curly hair curves naturally. Curly hair will appear to be more porous and less smooth than straight hair.

* In the warm and humid Mid-South weather, your hair might need more protein, non-oily serums, pomades or anti-humectants (hair products that repel water) to help lock moisture out of the hairs' surface. Other techniques to seal gaps in the hair cuticle include clear color products with protein and cool rinses that are slightly acidic.

What you should do

* If hair damage or loss is sudden, get professional advice to find out why. Visit a doctor if hair falls out in wads.

* Protect your hair like your skin. Use gentle products that condition, moisturize and protect. Clean hair after being in chlorine or saltwater. Don't boil the internal moisture in your hair with irons, curlers or very hot dryers.

* Wear a hat or scarf to shield your hair from the sun. Some hair products also include sunscreen (SPF).

* Trim hair regularly to remove damaged ends. Then baby the healthy new growth.

* Protect your hair from the inside by protecting your overall health. Heart-healthy nutrition can be good for hair. Eat a well- balanced diet with plenty of water, fresh fruits, vegetables providing folate, vitamins and minerals, fish with omega-3 oil, and low-fat protein sources.

* Don't wash your hair too often. Wet hair thoroughly and wash with lukewarm water and a gentle shampoo. Consider diluting your shampoo. Rinse well with cool water followed by conditioner. Wash more often if you have very oily hair or dandruff. Use a prescribed or dandruff shampoo for a flaky scalp.

* Blot and squeeze wet hair instead of rubbing it dry. Use a wide- tooth comb on wet hair with a detangler product or leave-in conditioner. Air-dry your hair if possible.

* Be careful about processing hair coloring, perms, straightening, flat-ironing and blow-drying to avoid permanent damage to hair. Watch out for hair chemicals with alcohol, ammonia, PPD, peroxide or silicone. Get professional hair coloring and processing help. Be wary of inexpensive home coloring and straightening kits.

* Avoid daily grooming routines that can break, stretch or pull out hair. Avoid hairstyles that require lots of brushing or binding with bands, clips or scrunchies. Consider using old-fashioned cool rollers to shape hair.

* Accept curly hair. Learn to style it naturally. Relaxers, ironing and stretching hair under dryers damage hair.

* If you have ruled out heredity or a specific medical cause for thinning hair, consider seeing a dermatologist. Recommendations might include adding specific vitamins and minerals to your diet. Monoxidil might also help.

* Beware of hair regrowth products sold over the Internet. You might buy an unapproved drug that can affect your blood pressure, cause an irregular heartbeat or cause skin problems.

For more information

Visit nlm.nih.gov/medlineplus/hairproblems.html.

Better Health: Take Charge! is provided by the Healthy Memphis Common Table: healthymemphis.org. This article supports the care and advice of your doctor.

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Health Headlines of the Week

Posted Sept 23, 2012

In the news this week, research on everything from potential health hazards of growing marijuana indoors to the trouble with early menopause: Healthy Living:

MARIJUANA & MOLD: Indoor marijuana grow operations can contain high mold levels, threatening not only those who live or work in the sites but also law-enforcement agents investigating them, according to new research from National Jewish Health.

ARSENIC IN RICE: After analyzing nearly 200 samples of rice and rice products, the U.S. Food and Drug Administration has released results of initial testing to determine whether they contain potentially harmful levels of arsenic. The agency is not recommending that consumers change their rice consumption habits but does recomend people eat a wide variety of grains as part of a balanced diet.

More testing is on the way; the agency is in the process of collecting about 1,000 more samples of ride and rice products — cereals, rice cakes, rice beverages and the like — to test.

MENOPAUSE & HEART DISEASE: Women who enter menopause early, before their 46th birthday, are twice as likely to suffer coronary heart disease and stroke, new research from Johns Hopkins University School of Medicine suggests.

HISPANICS & CANCER: Cancer is now the leading cause of death among Hispanics in the United States, according to a new report from the American Cancer Society. Among non-Hispanic whites and African Americans, heart disease remains the number one cause of death.

SCHOOLS UNPREPARED: Most schools aren’t prepared for bioterrorism attacks, outbreaks of emerging infectious diseases or pandemics, a new study from Saint Louis University finds. Only 48 percent of schools address pandemic preparedness and only 40 percent of schools have updated their plans since the 2009 H1N1 pandemic that spread illnesses in more than 214 countries.

– Katy Muldoon; twitter.com/katymuldoon

Edited ___

©2012 The Oregonian (Portland, Ore.)

Visit The Oregonian (Portland, Ore.) at www.oregonian.com

Distributed by MCT Information Services

In the news this week, research on everything from potential health hazards of growing marijuana indoors to the trouble with early menopause: Healthy Living:

MARIJUANA & MOLD: Indoor marijuana grow operations can contain high mold levels, threatening not only those who live or work in the sites but also law-enforcement agents investigating them, according to new research from National Jewish Health.

ARSENIC IN RICE: After analyzing nearly 200 samples of rice and rice products, the U.S. Food and Drug Administration has released results of initial testing to determine whether they contain potentially harmful levels of arsenic. The agency is not recommending that consumers change their rice consumption habits but does recomend people eat a wide variety of grains as part of a balanced diet.

More testing is on the way; the agency is in the process of collecting about 1,000 more samples of ride and rice products -- cereals, rice cakes, rice beverages and the like -- to test.

MENOPAUSE & HEART DISEASE: Women who enter menopause early, before their 46th birthday, are twice as likely to suffer coronary heart disease and stroke, new research from Johns Hopkins University School of Medicine suggests.

HISPANICS & CANCER: Cancer is now the leading cause of death among Hispanics in the United States, according to a new report from the American Cancer Society. Among non-Hispanic whites and African Americans, heart disease remains the number one cause of death.

SCHOOLS UNPREPARED: Most schools aren't prepared for bioterrorism attacks, outbreaks of emerging infectious diseases or pandemics, a new study from Saint Louis University finds. Only 48 percent of schools address pandemic preparedness and only 40 percent of schools have updated their plans since the 2009 H1N1 pandemic that spread illnesses in more than 214 countries.

- Katy Muldoon; twitter.com/katymuldoon

Edited ___

©2012 The Oregonian (Portland, Ore.)

Visit The Oregonian (Portland, Ore.) at www.oregonian.com

Distributed by MCT Information Services

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