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<strong>2018</strong> <strong>Holidays</strong><br />
VOL. XVIII № 6<br />
#peace<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 7
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CHOICE.<br />
Maybe it's all this talk about voting, politics<br />
and working /non-working websites, and<br />
covering healthcare, getting healthy or<br />
making un-healthy choices, but I've been thinking<br />
a lot about the choices we make and how they<br />
relate to success in life, at all levels.<br />
Consider the American diet. If we really want to<br />
improve the health of Americans, why is it that<br />
healthier foods are so much more expensive, and junk<br />
foods so much more prevalent? I'll admit, my eating<br />
choices have been squarely in the un-healthy category<br />
lately. My diet has failed and I'm up ten pounds in<br />
2013. Yet, I've made progress in a number of other<br />
areas. So, I've come to realize that failure can be an<br />
educational step, and success is a choice. Ponder<br />
that for a moment. We can choose to succeed, and<br />
conversely, failure is a choice—a decision we make.<br />
Success is optional—literally an ‘option’ for us to<br />
select. We can choose failure, or success.<br />
I love the classic Tony Robbins question:<br />
“What would you attempt to do if you<br />
knew that you couldn’t fail?”<br />
The obvious answer is that if you knew you couldn’t<br />
fail, you’d do almost anything—and everything.<br />
If that's true, the logical next question is, why<br />
don’t we? If failure is optional, why don’t we<br />
simply choose success? If you say you’d do almost<br />
anything, then just go do it. If you set up the right<br />
‘rules’ and habits, if you're willing to pay the price,<br />
it’s virtually impossible for you to fail. In sports, not<br />
every play scores. In fact, plays in sports are often<br />
WRITTEN BY<br />
JOHN A. ANDERSON,<br />
EDITOR IN CHIEF<br />
EDITOR'S<br />
NOTE<br />
unsuccessful. You ran a play. It didn’t work. But<br />
as long as you’re on the field and the time is still<br />
ticking (or your heart, for the purposes of this<br />
magazine), then you’re still in the game. Keep<br />
playing, and drawing up new plays. Try something<br />
else, change your approach, and eventually you’ll<br />
succeed. Remember the classic Babe Ruth quote<br />
when asked what he thought about after he’d<br />
strike out – “I think about hitting home runs.”<br />
It all sounds great, but is it practical? Is it possible<br />
to simply ‘choose’ to change? I’ve had close friends<br />
say it’s too simplistic; that this positive stuff might<br />
work in parenting and relationships, but not for<br />
teams, business endeavors or other measurable<br />
applications. However, countless success<br />
stories and marked turnarounds (individual and<br />
corporate) began with a moment of decision and<br />
positive inertia. The Law of Attraction states that<br />
we eventually become what we want—what we<br />
think about. We literally attract what we want and<br />
ponder—positive and negative.<br />
Clearly, a first step towards healthy change is a<br />
basic desire to change, and then the visualization<br />
of achieving the success. Breaking free in any<br />
venture starts by answering the question for<br />
yourself – “If you knew you couldn’t fail, what would<br />
you attempt?” Sometimes we never ask that<br />
question because we are so afraid of failure. And<br />
sometimes we don’t answer it because we are<br />
afraid of success.<br />
I feel strongly that success in any endeavor is<br />
based on the belief that the past does not equal<br />
the future. Since failure is simply persisting in<br />
doing something that doesn’t work, success<br />
begins by changing your state, your physiology,<br />
and in many cases, your psychology. What you’ve<br />
done your whole life—all last month, all day<br />
yesterday—doesn’t matter half as much as what<br />
are you going to do now. Today. And tomorrow.<br />
We’ve got to learn how to let go of the negative<br />
luggage we carry around. Set it down and move<br />
on. Simple to say, I know, but you’ve first got to<br />
choose to move on. You’ve got to link ‘pleasure’<br />
with making the change. Then you’ve got to<br />
calculate the cost of not changing and moving<br />
on. You’ve got to link ‘pain’ with not changing.<br />
That acts as leverage to keep you moving forward<br />
towards success. Either way, it’s your choice.<br />
I hope this gets you thinking and hopefully helps you<br />
take stock of where you’ve been, and where you plan<br />
to be this time next year. Remember, it’s impossible<br />
to fail unless we give up. Choose to succeed.<br />
<strong>Healthy</strong><br />
HOLIDAYS <strong>2018</strong><br />
VOLUME XVIII, 6<br />
EDITOR-IN-CHIEF<br />
John A. Anderson | john@leadfront.io<br />
PUBLISHER<br />
Kenneth J. Shepherd | ken@leadfront.io<br />
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Steven N. Gange, M.D. and Lane C. Childs, M.D.<br />
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CONTRIBUTING & STAFF WRITERS<br />
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ONLINE DIGITAL PUBLICATION<br />
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FITNESS<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 13
FITNESS<br />
(Un)<strong>Healthy</strong><br />
CONSCIENCE<br />
In order to be healthy, you have to know what to put into your body<br />
to achieve your specific goals. Inversely, you can be sabotaging all of<br />
your hard work if you are eating the wrong foods. Your intentions<br />
may be good, but you may be putting things in your body that are<br />
limiting your progress. One of my favorite sayings is, “You can<br />
work out ‘til you’re blue in the face, but if you’re not eating right<br />
you will not get anywhere.” When it comes to “un”healthy, here<br />
are the 5 worst things that you can put in your body that are<br />
popular inside the gym:<br />
5. Soy protein – To build muscle, you need more than protein.<br />
Soy contributes to raising estrogen levels and converting<br />
testosterone into estrogen. When digested, protein gets broken<br />
down into chains of amino acids and then testosterone builds<br />
lean muscle out of these chains of amino acids. On top of that,<br />
90% of soy grown on the planet is genetically modified.<br />
4. Fruit juice – You may have the best of intentions, but<br />
drinks like orange juice and apple juice have tons of sugar.<br />
Even drinks that say 100% fruit juice have added sugar. High<br />
amounts of sugar will cause you to lose steam, feel dizzy, or<br />
crash during a workout.<br />
3. Breakfast – Hold on, allow me to explain myself. The<br />
common mis-conception is that you should eat as soon as<br />
you wake up to jump start your metabolism. There is no<br />
research supporting this and I used to preach this myself.<br />
If you wait 2-3 hours after you wake up you will get a<br />
much larger spike in growth hormone which will boost<br />
metabolism.<br />
2. Energy Drinks – I see people drinking these in<br />
the gym when they are tired or low on energy. These<br />
drinks overload your body with caffeine and sugar.<br />
Manufacturers have to include taurine (a free form amino<br />
acid) in their drinks to counteract the large amounts of<br />
caffeine and suger and keep your heart calm. Stick with<br />
coffee.<br />
1. Diet Soda (and regular soda) – We all know soda<br />
is horrible for us. What we may or may not know is diet<br />
soda is equally as bad. Diet soda spikes your insulin and<br />
causes you to ride waves of energy all day. It will also<br />
cause you to store belly fat. Quit drinking ALL soda and<br />
fat will melt off of you<br />
ABOUT THE AUTHOR<br />
Matt Kirchner<br />
Treehouse Athletic Club<br />
801-553-0123<br />
TacFitness.com<br />
Matt Kirchner is a Treehouse Certified Personal<br />
Trainer, and a Certified Personal Trainer (NPTI, CPT)<br />
CSCS (Certified Strength & Conditioning Specialist)<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 15
FITNESS<br />
WHAT’S ALL THE<br />
FUSS ABOUT YOUR<br />
CORE?<br />
A GUIDE TO COMPLETE CORE TRAINING<br />
It should come as no surprise to us when fitness experts and<br />
physical trainers continue to harp about the importance of<br />
our core muscles. It is called our “core” for a reason.<br />
So core means abs, right? Nope.<br />
According to Lisa Matthews, a personal trainer at Treehouse<br />
Athletic Club, “The word ‘core’ generally refers to the<br />
muscles of the lumbo-pelvic region, abs, hips and lower back.”<br />
Core muscles are an essential and fundamental part of<br />
movement and muscle efficiency, she says. They<br />
are used in everyday activities like bending over<br />
to pick up a child or twisting to see what’s<br />
behind us.<br />
Starting with whole core workouts and<br />
progressing to isolated muscle groups in the<br />
core, here we provide a complete guide to core<br />
fitness.<br />
16 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
WHOLE CORE<br />
WORKOUT<br />
A strong core allows us to advance<br />
the rest of our body to a higher fitness<br />
level, according to Matthews.<br />
“You can train your upper and lower<br />
body to look good but you will have<br />
limitations to their progression<br />
without the support of a strong<br />
core,” she says.<br />
In addition, strengthening your whole<br />
core is a great way to prevent lower<br />
back injuries, to improve your balance,<br />
and even promote better breathing.<br />
HOW DO YOU<br />
STRENGTHEN IT?<br />
Traditional exercises like crunches<br />
or sit-ups are good places to start.<br />
Consider adding in workouts like<br />
a kettlebell pullover. Lie on your<br />
back with both of your knees bent<br />
to 90 degrees with the soles of your<br />
feet together. Lift a kettlebell of an<br />
appropriate weight for your skill<br />
straight above your head, holding the<br />
handle with both hands. Slowly lower<br />
the kettlebell behind you until it’s<br />
about a foot off of the ground. Hold the<br />
weight there for about 30 seconds (or<br />
as long as you can without dropping<br />
it) and bring it back above you head.<br />
That’s one repetition. Do about 5 of<br />
these and you’ll be feeling the burn<br />
in your abs and your oblique muscles,<br />
especially if you add a little twist. To<br />
target your oblique muscles and your<br />
lower back, lay on your side with your<br />
back completely straight. Crunch your<br />
legs in toward your torso without<br />
bending your legs (you’ll be raising<br />
your legs and head off the ground, not<br />
bringing your knees to your chest). At<br />
peak contraction, hold that position for<br />
30-45 seconds (or as long as you can)<br />
and then return to rest. Do this on each<br />
side. You can do this with a weight<br />
between your feet if you want to see<br />
better results.<br />
THE PSOAS (PRONOUNCED SO-AZ)<br />
MUSCLE<br />
This muscle runs from the lumbar region<br />
of your spine (lower back) to the top of<br />
your femur. It’s a very important stabilizer<br />
muscle for your back and your hip flexors,<br />
which allows you to bring your knees<br />
toward your chest. Tightness or weakness<br />
in this muscle is often associated with<br />
lower back stiffness or pain, especially for<br />
those of us who sit at a desk all day.<br />
The reason for this is that, as we sit for<br />
extended periods of time, the psoas can<br />
become rounded (picture the shape of<br />
a banana); then, when we stand up, the<br />
psoas pulls on our lower back, increasing<br />
the potential for low-back pain and<br />
tightness.<br />
Furthermore, because the psoas is a<br />
stabilizer for our hip flexors, if it’s weak or<br />
shortened due to extended sitting, the hip<br />
flexors have to compensate for the psoas.<br />
This can result in pain in the knees.<br />
HOW DO YOU STRENGTHEN IT?<br />
The only way to strengthen the psoas<br />
is to bring your knees above 90 degrees.<br />
Sit with your back straight (posture is<br />
very important for this exercise) on a<br />
low bench or box, no more than one foot<br />
off the ground. Keeping your core tight,<br />
lift one bent knee above your hips and<br />
hold in this position for five seconds<br />
before returning to the starting position.<br />
Make sure you don’t lean forward or<br />
backward while lifting your knee. Do<br />
3 sets of 5 repetitions with each leg.<br />
And, in a shameless plug for the next<br />
section, squats and lunges can also help<br />
strengthen this muscle.<br />
QUADS, GLUTS,<br />
& HAMSTRINGS<br />
Some of you might be thinking, “what<br />
have my legs got to do with my core?”<br />
and you could be forgiven for doing so.<br />
Although not technically part of your<br />
core, quads and hamstring exercises<br />
will help you to strengthen all of the<br />
stabilizing muscles in your hips and<br />
lower back, not to mention you’ll have<br />
stronger, healthier legs in the process.<br />
For all intents and purposes, quads,<br />
hamstrings, and gluts should factor<br />
into your efforts for a strong core. Not<br />
only will exercising these muscles help<br />
improve your balance and athletic<br />
performance, studies show it will<br />
also produce more Human Growth<br />
Hormone (HGH) and testosterone<br />
than any other workout. HGH and<br />
testosterone are important if you’re<br />
looking to put on muscle mass,<br />
especially in the upper body, and these<br />
hormones can also help maintain<br />
muscle mass and stay lean in ageing<br />
adults.<br />
HOW DO YOU STRENGTHEN THEM?<br />
I hate to break it to everyone, but<br />
running or riding the stationary bike<br />
doesn’t count. Squats, deadlifts, and<br />
lunges, on the other hand, are great<br />
ways to work out all of the muscles<br />
listed above. Squats will help you build<br />
better balance and greater strength in<br />
your hip flexors and abductor muscles.<br />
You can use a squat rack at the gym or<br />
do simple body-weight squats in your<br />
living room. Both are good options for<br />
strengthening your quads, gluts and<br />
stabilizing muscles in your hips and<br />
lower back. If you really want to engage<br />
your core, do your lunges and squats<br />
on a Bosu ball. Deadlifts are another<br />
great exercise for your hamstrings and<br />
gluts. Stand with your feet shoulder<br />
width apart with a bar and weights in<br />
front of you. Squat and grab the bar,<br />
evenly spacing your hands. Stand,<br />
making sure to lift with your legs, not<br />
your back, until you’re standing up<br />
straight. Bending only at the waist<br />
and keeping your knees as straight as<br />
possible, lower the bar to the ground<br />
and bring it back up to your upright<br />
position. You should feel the burn<br />
in your gluts and your hamstrings.<br />
Complete three sets of eight to ten<br />
repetitions.<br />
Images: menshealth.com<br />
Images: menshealth.com<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 17
FITNESS<br />
Dumb<br />
Divers<br />
5 Ways to Use<br />
Dumbbells Like<br />
You’ve Never Used<br />
Them Before<br />
GOBLET<br />
DUMBBELLS ARE A GREAT TOOL TO USE<br />
WHEN PERFORMING RESISTANCE TRAINING.<br />
THEY COME IN ALL SIZES, ALLOWING PEOPLE<br />
OF ALL FITNESS AND STRENGTH LEVELS TO<br />
PERFORM DIFFERENT EXERCISES. THEY ARE<br />
ALSO REALLY VERSATILE AND ALLOW YOU TO<br />
PERFORM THE STANDARD CURLS, PRESSES,<br />
ROWS, AND LUNGES THAT ARE COMMONLY<br />
SEEN IN GYMS AROUND THE COUNTRY. THE<br />
FOLLOWING 5 EXERCISES WILL INCREASE<br />
YOUR DUMBBELL REPERTOIRE.<br />
SQUAT<br />
1<br />
Grab a dumbbell and hold<br />
it chest height. The hands<br />
should be placed under the<br />
weighted portion of one side<br />
of the dumbbell, allowing the<br />
handle and the other weighted<br />
portion to hang between the<br />
arms. Keeping the chest up<br />
and the midsection tight, sit down and back until<br />
the hips lower below the knees. Immediately stand<br />
up.<br />
The goblet squat is a great exercise used to learn a<br />
proper squat pattern and develop strength in the<br />
quads, hamstrings, glutes, low back, abdominals,<br />
and upper back to allow a person to progress to<br />
either a back squat or front squat with a barbell.<br />
For the advanced exerciser, the goblet squat may be<br />
used to perform intervals to provide a challenging<br />
conditioning workout.<br />
<br />
18 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
ell 3<br />
ity<br />
2 4<br />
SINGLE ARM<br />
DUMBBELL<br />
BENCH PRESS<br />
Grab one dumbbell and lie<br />
down on a bench. Both<br />
feet should be placed on<br />
the floor. The dumbbell<br />
should be placed to the side of the body at<br />
chest level. The free hand is placed on the<br />
hip. The exercise is performed by pressing<br />
the dumbbell until the arm is completely<br />
straight. The dumbbell is returned back to<br />
the starting position.<br />
DB SQUAT<br />
JUMP<br />
Grab a pair of<br />
dumbbells and hold<br />
them to the side of<br />
the body. Bend the<br />
hips and knees and<br />
lower the body to a<br />
quarter squat position. Immediately,<br />
jump as high as possible.<br />
The dumbbell squat jump is a great<br />
exercise for developing lower body<br />
power, with the best results coming<br />
from using weights up to thirty percent<br />
of one’s best squat for one repetition.<br />
Reps should be kept to five or lower to<br />
ensure explosiveness.<br />
FARMER CARRY<br />
Grab a pair of heavy<br />
dumbbells and hold them<br />
to the side of the body,<br />
with the arms completely<br />
extended towards the<br />
ground. Keeping the torso<br />
upright and stable, walk a<br />
set distance as fast as possible and then return<br />
to the starting position without letting the<br />
dumbbells touch the ground.<br />
The single arm dumbbell bench press is a<br />
great exercise that can be used to develop<br />
strength in the pectoral, deltoid, and tricep<br />
muscles. One added benefit this exercise<br />
provides is core stability because the<br />
abdominals must remain tight to prevent<br />
the dumbbell from pulling the exerciser off<br />
of the bench.<br />
Even though the farmer carry is a contested<br />
strongman event, dumbbells allow the average<br />
exerciser to perform the exercise because they<br />
come in a variety of weights. Farmer carries<br />
are great for improving conditioning, burning<br />
calories, building postural strength in the<br />
upper back and abdominals, and grip strength<br />
in the forearms<br />
5<br />
WAITER WALK<br />
Grab one dumbbell<br />
and press it over head.<br />
Keeping the body square,<br />
the abdominals tight, and<br />
the shoulder stabilized,<br />
walk a specified distance.<br />
Switch hands and repeat.<br />
Waiter Walks are great because they don’t<br />
require very much weight. They are great<br />
at building strength and stability in the<br />
abdominals because they prevent the dumbbell<br />
to cause the body to lean to the side during<br />
walking. Postural muscles of the shoulder and<br />
upper back are also strengthened.<br />
ADDING THESE EXERCISES WILL<br />
PROVIDE GREAT VARIETY AND<br />
HELP TAKE YOUR FITNESS TO<br />
EVEN HIGHER LEVELS.<br />
BIO<br />
ZACH GEE is the owner of Blue<br />
Collar Personal Training LLC. He<br />
is also the coach for XtremePerfect<br />
Weightlifting. Before he started<br />
Personal Training, he spent time as<br />
a graduate assistant strength and<br />
conditioning coach for Utah State<br />
University. He has a B.S. in Exercise and<br />
Sports Science and an M.Ed. in Health,<br />
Physical Education, and Recreation. He<br />
is a Certified Strength and Conditioning<br />
Specialist through the National Strength<br />
and Conditioning Association, as well as<br />
a Sports Performance Coach through<br />
USA Weightlifting.<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 21
\<br />
FITNESS<br />
THE DEFINITION OF FITNESS<br />
Knowing what you’re striving for is a good way to begin. This<br />
knowledge will also come in handy down the road when you’re<br />
setting goals, measuring your progress, and trying to get motivated<br />
again after a >><br />
backslide.<br />
There are several aspects to conditioning.<br />
One is cardiovascular fitness,<br />
which is measured by the maximum<br />
amount of oxygen your body can use<br />
(known as VO2 max). This indicates the<br />
body’s ultimate work capacity. But VO2<br />
max cannot be measured by the average<br />
person, and it’s not all that relevant to<br />
daily life. Another aspect of conditioning<br />
that has greater relevance for most of us<br />
is functional fitness, which takes into<br />
account your general level of health<br />
and ability to function. A healthy<br />
heart, lungs, muscles, and bones help<br />
make you functionally fit. Absence of<br />
illness and length of survival, as well<br />
as the ability to perform daily activities<br />
without noticeable discomfort or<br />
limitations, also factor into whether<br />
you are functionally fit.<br />
FOCUS ON MODERATE ACTIVITY<br />
Today, exercise recommendations focus on<br />
moderate activity levels aimed at achieving<br />
functional fitness and avoiding disease. This<br />
differs from guidelines set out in the 1970s and<br />
1980s that emphasized high-intensity activity<br />
directed at achieving cardiovascular fitness.<br />
This shift took place for two reasons. First,<br />
subsequent research found that lower levels<br />
of activity offered substantial health benefits.<br />
Second, public health professionals believed<br />
that focusing on activity levels that are more<br />
manageable for the average person might help<br />
motivate an increasingly sedentary population.<br />
These guidelines aren’t meant to replace the<br />
old ones. They simply offer an alternative for<br />
people who prefer less intense workouts.<br />
Still, achieving cardiovascular fitness can<br />
make a real-life difference, too. Even though<br />
you rarely press your heart and lungs to<br />
the utmost, the physical changes that take<br />
place as you boost your maximum exercise<br />
capacity help you perform your regular<br />
activities with less effort. Why? Because the<br />
same amount of energy output necessary<br />
to perform a task — such as walking for a<br />
given amount of time at 4 miles per hour —<br />
now demands a smaller proportion of your<br />
overall ability. Hence, work that doesn’t<br />
push you to the max feels “easier” as your<br />
fitness level improves. Your health benefits<br />
also increase when you perform greater<br />
amounts of physical activity.<br />
22 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
EXERCISE VS.<br />
PHYSICAL ACTIVITY<br />
The terms exercise and physical activity are often<br />
used interchangeably, but there are important distinctions<br />
to be made. Physical activity refers to any<br />
movement that involves muscle contractions and an<br />
increase in metabolism. This broad definition includes<br />
both aerobic and anaerobic activities. Types of physical<br />
activity are further divided into groupings based<br />
on the reasons a person performs the activity — such<br />
as transportation, recreation, or household chores.<br />
i If time is a concern, try choosing<br />
activities that are more vigorous<br />
and shortening the length of your<br />
workout. Just be sure that you<br />
don’t have any health conditions<br />
that might make vigorous activity<br />
dangerous, and gradually work up<br />
to more intense exercise.<br />
Exercise or exercise training is technically<br />
a subcategory of physical activity. It refers<br />
to a structured program of activity for attaining<br />
physical fitness. For most people,<br />
fitness for health reasons is of greater<br />
concern than athletic performance, which<br />
demands skill, speed, and agility. The elements<br />
of health fitness include cardiorespiratory<br />
capacity, muscle strength and<br />
endurance, flexibility and balance, and<br />
weight management. A regular exercise<br />
program that incorporates all these elements<br />
is important for a healthy level of<br />
conditioning.<br />
Household activities such as sweeping<br />
or leisure pursuits like gardening can be<br />
a good way to get moving. But there’s no<br />
reason to stop there. Coupling this kind of<br />
activity with regular exercise will increase<br />
your total energy expenditure and improve<br />
your overall conditioning.<br />
“<br />
Runners just do it -<br />
they run for the finish<br />
line even if someone else<br />
has reached it first.<br />
”<br />
-Author Unknown<br />
Facebook.com/<strong>Healthy</strong>Mag<br />
>><br />
From the Harvard Health Publications Special Health<br />
Report, Exercise: A Program You Can Live With.<br />
Copyright 2007 by the President and Fellows of Harvard<br />
College. Illustrations by Harriet Greenfield and Michael<br />
Linkinhoker. All rights reserved. Written permission is<br />
required to reproduce, in any manner, in whole or in<br />
part, the material contained herein. To make a reprint<br />
request, contact Harvard Health Publications. Used with<br />
permission of StayWell.<br />
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FITNESS<br />
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walk your way to an<br />
Price Transparency<br />
H S A H E A L T H P L A N . C O M<br />
EASY<br />
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cho<br />
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AND PRO<br />
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WITH HS<br />
PLAN, Price YOU Tra<br />
HBEFORE<br />
S A H E A L T<br />
36 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
$ $ $<br />
ose<br />
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HOSPITAL<br />
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WE CAN<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 37
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10<br />
BEAUTY TIPS FROM<br />
MERRELL HOLLIS<br />
As a makeup artist and<br />
grooming expert, celebrity<br />
makeup artist Merrell Hollis<br />
has worked with some of the<br />
biggest names in music, film<br />
and fashion including Faith<br />
Evans, Naomi Campbell, Diane<br />
Von Furstenberg, Kim<br />
Cattrall, Jessica White, Joy<br />
Bryant, Mary J. Blige, Sean<br />
‘P.Diddy’ Combs, Usher, Idris<br />
Elba and John Legend to name<br />
a few. His approach to beauty<br />
alone has made him a reputable<br />
name in the makeup industry.<br />
His creativity and eye for detail<br />
have molded the faces of many<br />
celebrities and now he’s sharing<br />
his favorite tips with the rest<br />
of us!<br />
Below are Merrell’s Top Ten<br />
Makeup Musts for achieving celebworthy<br />
skin and makeup looks.<br />
1. USE A MAKEUP SEALANT<br />
Apply a sealant to cleansed skin<br />
before you apply a primer. This<br />
creates an invisible barrier in<br />
between the makeup and your<br />
skin while preventing perspiration<br />
or the natural oils in your skin<br />
from breaking down the primer<br />
and makeup.<br />
2. APPLY A FACIAL PRIMER<br />
Always use a primer before<br />
applying makeup. For example,<br />
instead of an eye moisturizer,<br />
use a moisturizing primer.<br />
Moisturizers can break the<br />
concealers down while a<br />
hydrating primer will give your<br />
skin the boost it needs while<br />
helping to keep the makeup on.<br />
This will cut back on the need to<br />
touch up your concealer and keep<br />
it from getting “cakey”.<br />
3. LEARN THE COLOR WHEEL<br />
Knowing which colors<br />
compliment each other will make<br />
picking out the right makeup<br />
shades a cinch!<br />
4. USE A FAN BRUSH TO<br />
APPLY BLUSH<br />
Thanks to the super long bristles,<br />
a fan brush softly deposits the<br />
color on the cheeks with a more<br />
natural look.<br />
5. EYEBROW TIPS<br />
When shaping in your eyebrows,<br />
don’t over pluck in the pursuit of<br />
perfection. Just remember - they<br />
are sisters not twins.<br />
6. TO MASK DISCOLORATION<br />
AND UNEVEN TONE AROUND<br />
THE MOUTH<br />
Use an orange or peach pigment<br />
to brighten up the appearance of<br />
the skin. It enhances the skin and<br />
stops it from looking ashy around<br />
the mouth.<br />
7. USE YOUR FINGERS ON<br />
DELICATE SKIN<br />
Set under eye makeup using a<br />
translucent powder and your<br />
fingertips - not a sponge or<br />
makeup brush which can leave<br />
lines and creases.<br />
8. USE THE RIGHT TOOLS<br />
When applying foundation,<br />
opt for a beauty sponge instead<br />
of a brush. Brushes are great<br />
but can remove a lot of the<br />
makeup. Instead, gently press<br />
makeup into the skin using<br />
a sponge – this will give the<br />
canvas a soft, airbrushed<br />
looked.<br />
9. APPLY YOUR EYE<br />
MAKEUP LAST<br />
After you have finished with<br />
foundation, concealer and<br />
bronzer, apply your eye make<br />
up. It makes it easier to see<br />
where to go once the face is<br />
contoured.<br />
10. CHOOSING THE RIGHT<br />
FOUNDATION COLOR<br />
The right foundation color<br />
will match your face, ears,<br />
neck, chest and hairline. To<br />
customize your over-thecounter<br />
foundation by season,<br />
add in a white color pigment<br />
to lighten it for spring/summer<br />
months or black pigment to<br />
deepen the tone for fall/winter.<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 45
CHOCOLATE THAT<br />
DOESN’T MELT<br />
Cadbury is making a chocolate<br />
that won’t turn to liquid even<br />
in temperatures over 100<br />
degrees.<br />
CHOCOLATE MONEY<br />
Chocolate is an $83 billion<br />
a year business. That is more<br />
than the GDP for 130 nations<br />
on earth. Scientific American<br />
estimates that there are about<br />
5-6 million cocoa farmers<br />
around the world.<br />
Source: MarketsandMarkets<br />
DARK CHOCOLATE<br />
DEMAND<br />
In recent years the demand<br />
for dark chocolate is<br />
growing around the world.<br />
It now represents a fifth of<br />
the American demand for<br />
chocolate.<br />
Chocolate News / (Finally Some News We Care About)<br />
For the latest<br />
in news and<br />
research go to<br />
healthy-magazines.com<br />
OUR<br />
CHOCOLATE<br />
COMPETITION<br />
Brazilians are all of a sudden<br />
crazy about chocolate. Per capita<br />
chocolate consumption there is<br />
growing three times faster than in<br />
the US, according to Max Rangel,<br />
senior VP of global chocolate at<br />
Hershey Co. Producers can’t keep<br />
up with demand.<br />
Cocoa Trees: Bizarre<br />
Cocoa seed pods grow<br />
directly onto the trunk of the<br />
tree, and not on branches.<br />
Each pod is about the size<br />
of a pineapple, and holds<br />
30-50 cocoa seeds. That is<br />
enough to make about 7<br />
milk chocolate and 2 dark<br />
chocolate bars.<br />
75%<br />
GOD BLESS THE RAINS<br />
DOWN IN AFRICA<br />
“Strength is the<br />
capacity to break a<br />
chocolate bar into<br />
four pieces with your<br />
bare hands - and<br />
then eat just one of<br />
the pieces.”<br />
-Judith Viorst<br />
Africa produces<br />
more than 75<br />
percent of the<br />
world’s cocoa, but<br />
only consumes<br />
about 3 percent<br />
of it.<br />
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Advisor . Diabetes<br />
Diabetes, The<br />
Sneaky Disease<br />
THAT MUST BE<br />
STOPPED<br />
QUESTION: What do you get when you<br />
combine pre-diabetes, type 1, and type 2<br />
diabetes?<br />
ANSWER: Three powerhouse organizations<br />
(and three fantastically passionate women)<br />
dedicated to raising diabetes awareness,<br />
helping those in the community impacted<br />
by this disease, and finding a cure for an<br />
illness that affects approximately 235,000<br />
people in the great Beehive State.<br />
Laura Western, executive director, JDRF;<br />
Beverly Bartel, manager of mission<br />
delivery, American Diabetes Association<br />
(ADA); and Brenda Ralls, epidemiologist,<br />
<strong>Healthy</strong> Living through Environment,<br />
Policy and Improved Clinical Care<br />
Program (EPICC), The Department of<br />
Health, are collaborating for November<br />
National Diabetes Month and holding a<br />
press conference on World Diabetes Day,<br />
November 14, to address the public on this<br />
pandemic.<br />
“Many of our young people struggle with<br />
obesity and sedentary lifestyles, putting<br />
them at risk for developing pre-diabetes,”<br />
said Brenda Ralls. “With pre-diabetes,<br />
blood sugars are elevated but not high<br />
enough to meet the threshold for a<br />
diabetes diagnosis. Pre-diabetes usually<br />
precedes type 2 but can be prevented<br />
or delayed through simple lifestyle<br />
changes.”<br />
While type 2 individuals make insulin,<br />
their body cannot use it properly. But<br />
by eating healthier, increasing physical<br />
activity, and losing weight, people can<br />
achieve normal body function again. With<br />
type 1 (T1D), individuals do not make<br />
any insulin – their pancreas has stopped<br />
working and they must manually give<br />
themselves insulin to live.<br />
“I see firsthand the challenges of T1D<br />
for local families who live every day<br />
with this difficult disease,” said Laura<br />
Western. “With November being Diabetes<br />
Awareness Month, we are partnering<br />
with two powerful organizations to bring<br />
awareness and attention to this disease.<br />
It’s important for the community to know<br />
its propensity so we may rally to find a<br />
cure.”<br />
Beverly Bartel wants you to know that<br />
“Diabetes doesn’t stop… ever! It’s a<br />
24/7, 365- days-a-year disease. It takes<br />
extraordinary effort to live with this, day<br />
after day, week after week, month after<br />
month, year after year.”<br />
WHAT THEY ALL WANT YOU TO KNOW:<br />
Diabetes is a sneaky disease that claims<br />
lives and robs health. Don't wait. Ask<br />
your doctor for a diabetes screening<br />
today!<br />
• More than 135,000 local adults (about<br />
6.9%) have been diagnosed with<br />
diabetes, and approximately 100,000<br />
with pre-diabetes.<br />
• If not well controlled, diabetes<br />
can lead to serious complications,<br />
including blindness, amputation,<br />
cardiovascular disease and kidney<br />
failure.<br />
• In many cases, progression from prediabetes<br />
to type 2 can be prevented<br />
or delayed through simple lifestyle<br />
changes.<br />
• If you are a Pacific Islander, Hispanic,<br />
Native American, Asian or African<br />
American, you are at a much higher<br />
risk.<br />
Laura concludes “I dedicate this month<br />
to every Mom and Dad with a T1D child,<br />
to every doctor who holds the hand of a<br />
newly diagnosed, to every person affected<br />
by diabetes, and to every researcher with<br />
a laser focus on solving this problem. We<br />
are forever grateful for your dedication,<br />
passion, and commitment to find a cure.”<br />
ABOUT THE AUTHOR<br />
Aimee Greenholtz<br />
JDRF - Juvenile Diabetes<br />
Research Foundation<br />
jdrf.org<br />
Aimee is a content editor for healthfuldiabetes.com,<br />
affordablediabetes.com and dollardiabetesclub.com.<br />
Having this disease for more than 20 years and being<br />
a pastry chef, Ms. Greenholtz knows the importance<br />
of living healthfully and enjoying life. She can be<br />
reached at agreenholtz@keyvive.com.<br />
(from left to right) Beverly Bartel, ADA, Brenda Ralls, UDOH, and<br />
Laura Western, JDRF join forces to bring diabetes awareness<br />
during National Diabetes Month in November.<br />
48 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
It is the<br />
7th<br />
leading<br />
cause of<br />
death in<br />
the United<br />
States.<br />
371million<br />
Half of people<br />
with diabetes<br />
worldwide<br />
don’t know they<br />
have it.<br />
Source: International Diabetes Federation (IDF)<br />
WHAT DAMAGE DOES DIABETES CAUSE?<br />
Diabetes affects:<br />
• 25.8 million people in the US, 371 million globally.<br />
• 8.3 percent of the US population<br />
(diagnosed:18.8 million, undiagnosed: 7 million)<br />
• Diabetes is the leading cause of new cases of blindness among adults aged 20-74.<br />
• Diabetes is the leading cause of kidney failure.<br />
2012:<br />
4.8 million<br />
people died<br />
worldwide due to<br />
diabetes.<br />
Source: IDF<br />
• About 60% to 70 % of people with diabetes have mild to severe forms of nervous<br />
system damage. This can mean impaired sensation or pain in the feet or hands,<br />
slowed digestion of food, carpal tunnel syndrome and more.<br />
• More than 60% of nontraumatic lower-limb amputations occur in people with<br />
diabetes. In 2006, there were nearly 66,000 such amputations performed in diabetic<br />
patients in the United States.<br />
• Diabetic adults are twice as likely to have periodontal gum disease than those<br />
without diabetes.<br />
• Diabetic individuals are twice as likely to have depression.<br />
Diabetes at a Glance<br />
THE AMERICAN DIABETES<br />
ASSOCIATION (ADA) released<br />
new dietary guidelines for<br />
diabetic individuals, including<br />
new regulations for sugary drinks<br />
and sodium consumption.<br />
The ADA says diabetic patients<br />
should choose nutrient-dense,<br />
high-fiber foods, and should<br />
avoid processed foods with<br />
added sodium, fat and sugars,<br />
which isn’t all that different from<br />
dietary recommendations for the<br />
general population.<br />
NEW TO THE ADA<br />
recommendations is a warning<br />
against sugar-sweetened<br />
beverages. Also, the previous<br />
recommended limit of 2000<br />
mg/day of sodium for diabetic<br />
patients is raised to 2300 mg/day,<br />
which is the same as the general<br />
population. Research, the ADA<br />
says, doesn’t support a lower<br />
sodium consumption for these<br />
patients.<br />
The new guidelines also advise<br />
patients against using vitamin or<br />
mineral supplements, or herbs.<br />
Furthermore, the document<br />
states, omega-3 supplements<br />
aren’t proven to prevent<br />
cardiovascular disease in people<br />
with diabetes.<br />
It is hoped that a nutritional<br />
focus for treating diabetes will<br />
receive the priority it deserves.<br />
Diet is a crucial factor in dealing<br />
with diabetes.<br />
NOTABLE PEOPLE WHO HAVE DIABETES<br />
Tom Hanks, actor<br />
Halle Berry, actress<br />
Jay Cutler, NFL quarterback<br />
Brad Wilk, drummer, Rage Against the Machine<br />
Sonia Sotomayor, Supreme Court Justice<br />
Nick Jonas, singer, Jonas Brothers<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 51
National nutrition<br />
experts say we shouldn’t<br />
consume more than 2,300<br />
milligrams of sodium a<br />
day, which is less than a<br />
teaspoon of salt.<br />
Some say it is better to<br />
consume even less than<br />
this. The American Heart<br />
Association says 1500<br />
milligrams is the mark<br />
to shoot for, though the<br />
Institute of Medicine says<br />
there may be no benefit<br />
to going this low. In fact, it<br />
may cause harm, they say.<br />
After all, sodium is an<br />
important electrolyte,<br />
maintaining proper<br />
fluid balance in and<br />
around cells, according<br />
to the Harvard School of<br />
Public Health. Sodium<br />
is also important for the<br />
contraction of muscle fibers<br />
and the transmission of nerve<br />
impulses.<br />
But the body only needs a small<br />
amount of sodium to effectively<br />
perform these tasks. When there<br />
is an excess, the kidneys start<br />
having trouble handling it. The<br />
body responds by holding water<br />
to dilute the sodium, which<br />
increases both the amount of<br />
fluid surrounding cells and<br />
the volume of blood in the<br />
bloodstream. This means the<br />
heart must work harder and the<br />
blood vessels feel more pressure,<br />
which increases the likelihood<br />
of high blood pressure, heart<br />
attack and stroke.<br />
On average, Americans eat<br />
about 3,400 milligrams a day,<br />
which is significantly more than<br />
is needed.<br />
PIZZA<br />
One slice,<br />
with common<br />
toppings, can<br />
destroy your<br />
sodium intake<br />
goals.<br />
SOUP<br />
Some canned<br />
soups contain<br />
almost 1000<br />
milligrams of<br />
sodium. Read the<br />
label.<br />
SANDWICH<br />
Just one sandwich<br />
can exceed daily<br />
recommendations<br />
for salt intake.<br />
Bread, cheese and<br />
deli meats combine<br />
to pack a salty<br />
punch.<br />
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A Salt For Every<br />
Occasion<br />
Salt is an important part of our diet. It provides us with a good source of iodine<br />
and it’s an extremely important electrolyte for our brains. If you’re anything like<br />
me, though, you had probably heard of kosher salt but weren’t exactly sure how<br />
it differed from regular table salt. Here’s a simple guide to a few kinds of useful<br />
salts and some you might not have known even existed!<br />
Kosher Salt<br />
This salt is so named because of its usefulness in curing meats. Kosher dietary<br />
laws strictly require that as much blood as possible be drawn from the meat<br />
before cooking. Kosher salt has done the job well for centuries now. This salt<br />
is unrefined and has a coarser grain along with a larger crystal structure. This<br />
salt is a favorite of chefs because of its superior texture and brighter flavor. Be<br />
warned, this salt won’t taste as salty as your table salt, so adjust your recipes<br />
accordingly.<br />
Sea Salt<br />
At one time thought to be healthier than regular table salt because of its trace<br />
minerals, sea salt is another variety of salt with which to flavor your favorite<br />
dish. Sea salt comes in both fine and coarse grains, meaning it can be used for<br />
a number of different purposes. Sea salt does have a slightly different taste<br />
depending on where it is derived. Try out a few different kinds until you find<br />
the one you like. This kind of salt will be best used when sprinkling over freshly<br />
prepared hot food, shortly before serving.<br />
Celtic Salt<br />
This one is for the connoisseurs out there. Celtic salt is harvested via a<br />
2,000-year-old method of solar evaporation from the waters of the Celtic Sea<br />
marshes in Brittany, France. Experts describe its flavor as a mellow saltiness<br />
with a touch of sweetness. And if you’re feeling really fancy, try fleur de sel, an<br />
extremely rare kind of salt from marshes in Guerande, France. This salt is said<br />
to form only when the wind blows from the east and if the other conditions are<br />
just right.<br />
Pickling Salt<br />
Salt has long been used to preserve meats and other foods. This is a very finegrained<br />
salt that is used in cure dairy products, canning, and pickling. It has<br />
no additives like iodine or anti-caking agents, which can cloud your brine or<br />
leave sediment at the bottom of your jar. Because the grain is so fine, it quickly<br />
dissolves in water, making it perfect for use in brines.<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 53
Doctor,<br />
My Nose<br />
Keeps<br />
Growing<br />
Longer<br />
& Longer<br />
WHY WE LIE TO PEOPLE<br />
WEARING STETHOSCOPES<br />
WRITTEN BY MICHAEL RICHARDSON<br />
How often do you exercise?” the doctor asks.<br />
“About 3 times a week,” the patient responds, ignoring the little voice<br />
in the back of his head.<br />
It’s probably more like once a week, when he really thinks about it. But<br />
at least he avoided a lecture, right?<br />
Sure he may’ve avoided a lecture. Lying to the doctor is also a great<br />
way to avoid good health care. Business people make decisions based<br />
on accurate numbers, pilots take off with a plan based on quality<br />
weather reports and firemen respond to fires based on 911 calls. Good<br />
communication is crucial to excellence in whatever endeavor you<br />
undertake, and health is no different.<br />
Yet Americans lie to doctors.<br />
Surveys from the Cleveland Clinic and WebMD show that millions<br />
of Americans either blatantly lie or distort the truth to their doctors,<br />
effectively saying, “let me make it harder for you to help me.”<br />
They lie about smoking, diet, exercise, adherence to<br />
medication, sexual activity and more, for a number of<br />
reasons:<br />
gg<br />
Desire to minimize/avoid treatment.<br />
gg<br />
Desire to get treatment/medications.<br />
gg<br />
Fear of monetary costs.<br />
gg<br />
Desire to avoid conflict/have doctor be pleased.<br />
gg<br />
Embarrassment. Sometimes medical histories can include some<br />
embarrassing, even shameful things.<br />
gg<br />
Nervousness<br />
gg<br />
Provider seems rushed, patient doesn’t want to be a burden.<br />
All these reasons to lie are understandable. But the<br />
consequences can be serious. Say a man lies about taking<br />
his blood pressure medication. The doctor thinks the<br />
medication isn’t working, and so he changes the medication,<br />
or ups the dosage. Now the man’s health is in jeopardy<br />
when he does decide to take the medication.<br />
Perhaps we lie because we fear confrontation with the<br />
doctor, a confrontation that in reality might be nothing more<br />
than a conversation. Lies often come because we wrongly<br />
estimate a doctor’s response.<br />
"We aren't here to render moral judgments," says<br />
cardiologist Dr. Amy Tucker, associate professor of internal<br />
medicine at the University of Virginia Health System, to<br />
thedailybeast.com. "So the half-truths really aren't necessary."<br />
But doctors still expect half-truths. Dr. Don Bigelow, a Salt<br />
Lake City dentist, says that many patients are embarrassed<br />
that they aren’t faithful to their good habits, and fear a<br />
lecture. So he fights lies by not giving lectures.<br />
“I think it eases their mind,” he says. “We can tell if they<br />
have been brushing and flossing on a regular basis just<br />
through the examination, so we don’t need to harp on them<br />
about it. In my office our gentle reminder comes by way of<br />
giving them a new toothbrush and some floss when they<br />
leave the office...enough said right there.”<br />
But, Dr. Bigelow adds, lying about changes in medication,<br />
medical history, or illegal drug use is on a different level<br />
than lying about flossing. Patient health and safety is of<br />
paramount importance, he says, and more serious lies can<br />
compromise this safety.<br />
THE SYSTEM MADE ME DO IT<br />
Patient lies only explain part of the problem, according<br />
to John Palmieri, MD, of Massachusetts General Hospital<br />
and author of an article exploring lies in doctor-patient<br />
relationships. A typical seven minute doctor visit, he says,<br />
isn’t long enough for complete openness.<br />
“Full disclosure of truth is generally not possible in most<br />
situations,” he says. “Some items will be glossed over,<br />
or ignored altogether. Such omissions compromise the<br />
exchange, aside from the more blatant misrepresentations.”<br />
He says the important question that needs answering today<br />
is how to create an environment that maximizes openness.<br />
However, don’t let the excuse “I ran out of time” keep<br />
you from mentioning a symptom to your doctor, or from<br />
answering questions fully. In the end, we should be<br />
fighting for the doctor’s understanding, not attempting to<br />
cloud it.<br />
54 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
WHY YOU<br />
SHOULDN’T<br />
LIE TO THE<br />
DOCTOR<br />
gg<br />
Once a doctor knows<br />
you’ve lied (and<br />
remember the doctor<br />
is probably adept at<br />
recognizing lies), he<br />
must account for the<br />
possibility of future lies.<br />
Care can’t be as exact,<br />
and the relationship<br />
with your doctor, which<br />
is important, suffers.<br />
gg<br />
Lying to your doctor<br />
can lead to seriously<br />
damaging medication<br />
combinations. Say<br />
you lie about taking<br />
a certain supplement,<br />
because you’re<br />
embarrassed about<br />
taking it. The doctor<br />
may prescribe a<br />
medication that causes<br />
harm when combined<br />
with that supplement.<br />
gg<br />
You waste money. The<br />
doctor is trying to<br />
monitor your health,<br />
and you are projecting<br />
a false image. It’s like<br />
wearing gloves during a<br />
visit to a palm-reader.<br />
gg<br />
You might end up<br />
getting unnecessary<br />
treatment. This can<br />
both lead to sideeffects<br />
and more<br />
wasted money.<br />
gg<br />
You might develop a<br />
preventable disease or<br />
health condition.<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 55
Health Gaffes People<br />
Make Without a Clue<br />
From gluten to weightlifting to Tylenol, you might be headed for a bewildered demise<br />
WRITTEN BY TAYLOR SMITH<br />
6THERE COME TIMES IN ALL<br />
OUR LIVES WHEN WE MUST<br />
TAKE AN INVENTORY OF<br />
OUR HABITS. Making that mental,<br />
or sometimes literal, list of things we need<br />
to improve upon is an important part of<br />
living a healthy lifestyle. Whether it’s our<br />
workout routine, our eating habits, or more<br />
generally our lifestyle, we sometimes do<br />
unhealthy things without fully considering<br />
the ramifications, or because we actually<br />
think they’re beneficial. The following are six<br />
myths that might reveal a disparity between<br />
what you believe and what is actually true.<br />
1 2<br />
“GLUTEN IS<br />
“SUGAR IS<br />
THE DEVIL IN<br />
THE DEVIL IN<br />
DISGUISE”<br />
DISGUISE”<br />
Gluten has taken quite the bad<br />
rap lately. It’s not all for nothing,<br />
especially as we learn more<br />
about Celiac disease. Many<br />
people are cutting gluten out<br />
of their diet and claiming they<br />
feel better than ever, and even<br />
though I’m not one to burst<br />
anyone’s bubble (especially<br />
when it comes to trying to live<br />
a healthy lifestyle), there are<br />
some risks in needlessly cutting<br />
gluten out of your diet.<br />
“The major risk is that by<br />
cutting out gluten you’re<br />
also depriving yourself<br />
of a primary source of<br />
folate, which can lead<br />
to an increased risk of<br />
heart attack and pre-natal<br />
problems for pregnant<br />
mothers. Additionally,<br />
folate deficiencies can<br />
result in weakness, loss<br />
of appetite, headaches,<br />
heart palpitations, or even<br />
anemia.”<br />
I could say, “return to point<br />
1” and that would almost be<br />
enough. There are, however, a<br />
few things that need to be said<br />
about sugar. First of all, I’m not<br />
trying to redeem the health<br />
value of sugar because that<br />
wouldn’t end well for me. On<br />
the contrary, I’m simply trying<br />
to make a larger point about<br />
nutrition—it’s all about balance<br />
and moderation. We might (and<br />
probably do) consume too much<br />
sugar. But cutting sugar out of<br />
our diet entirely to reach our<br />
nutrition goals might not be<br />
necessary. Calories from sugar<br />
are no different than calories<br />
from fats and proteins. When<br />
it comes to weight loss or good<br />
nutrition it doesn’t have to be a<br />
miserable journey of self-denial,<br />
a veritable life in the wilderness<br />
living off of vegetables and little<br />
else. In the end it’s all about<br />
calorie input vs. calorie output.<br />
If you can watch how much<br />
you snack and try to limit the<br />
treats, your weight loss and<br />
general nutrition goals are still<br />
very achievable. Simply put,<br />
sugar can have a place in a<br />
healthy diet, as long as it’s in<br />
moderation.<br />
NUTRITION MYTHS<br />
56 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
FITNESS MYTHS<br />
LIFESTYLE MYTHS<br />
3 4<br />
“NO PAIN,<br />
NO GAIN”<br />
It sounds simple enough,<br />
but talk to a fitness expert<br />
or personal trainer and<br />
they’ll tell you that the<br />
jury might still be out on<br />
this one. Let’s remember,<br />
though, that, as in all<br />
things, determining what<br />
the word pain means<br />
is very important. Pain<br />
shouldn’t equal injury,<br />
ever. Muscle burn? That’s<br />
a different story. Herein<br />
lies the confusion. I think<br />
just about every fitness<br />
expert is going to say<br />
they’re simply trying to<br />
push people to their limits<br />
in order to make progress.<br />
They definitely don’t<br />
mean that you should<br />
keep working out until you<br />
injure yourself. Moreover,<br />
many wrongfully assume<br />
that unless you’re sore the<br />
next day, your workout was<br />
a waste. It’s true, Delayed<br />
Onset Muscle Soreness<br />
(DOMS) is a good indication<br />
that you fatigued your<br />
muscles, and if you’re<br />
trying to bulk up, it might<br />
be what you’re shooting<br />
for. It is not, however, the<br />
only indication of progress<br />
in terms of building<br />
strength and endurance.<br />
It’s all about working<br />
smarter, not harder.<br />
“LIFTING<br />
WEIGHTS WILL<br />
MAKE WOMEN<br />
BULKY”<br />
Rest assured ladies,<br />
looking like a body builder<br />
doesn’t happen overnight.<br />
Yet many women still<br />
avoid starting a weight<br />
lifting regimen because<br />
they’re worried they might<br />
end up looking like the<br />
“Govenator” circa 1980.<br />
“The reality is that<br />
women don’t have<br />
enough testosterone<br />
to get bulky and build<br />
extra large muscles.<br />
Plus, if you’re skipping<br />
the weights, you’re not<br />
only missing out on a<br />
rewarding workout,<br />
you’re also missing out<br />
on some great health<br />
benefits.”<br />
Weight lifting is great<br />
for toning your muscles,<br />
not to mention it helps<br />
strengthen your bones and<br />
give you more energy for<br />
the demands of your day.<br />
5<br />
“TANNING<br />
BOOTHS ARE<br />
SAFE…AS LONG<br />
AS THEY DON’T<br />
HAVE UVB<br />
RAYS”<br />
6<br />
“'USE ONLY<br />
AS DIRECTED'<br />
DOESN’T<br />
APPLY TO OTC<br />
MEDS”<br />
“Federal data also<br />
shows that as many<br />
as 78,000 Americans<br />
are sent to the ER<br />
annually with 33,000<br />
of those resulting<br />
in hospitalization,<br />
all because of<br />
acetaminophen<br />
overdoses.<br />
(Source: propublica.org)”<br />
We often associate a tan with<br />
a “healthy glow,” but there is<br />
nothing even remotely healthy<br />
about tanning, even if it’s done<br />
with UVA rays. In fact, tanning<br />
is an almost sure fire way to<br />
get cancer. The World Health<br />
Organization just moved tanning<br />
beds to its list of cancer-causing<br />
items. And according to Dr.<br />
Celeste Robb-Nicholson, Editor in<br />
Chief of Harvard Women’s Health<br />
Watch, if you regularly “fake-bake”<br />
you are 50 to 100 percent more<br />
likely to get skin cancer than<br />
those who don’t. Not convinced?<br />
Consider this:<br />
“The Skin Cancer<br />
Foundation reports<br />
that you are 15<br />
percent more likely to<br />
develop a melanoma if<br />
you have ever used a<br />
tanning bed, with that<br />
number elevating to 75<br />
percent when the first<br />
use is before the age<br />
of 35.”<br />
Drugs like Tylenol and Ibuprofen are<br />
known for being safe painkillers and<br />
fever-reducers. Many of us think that<br />
if we take it often, we can take more<br />
than the recommended dose with no<br />
ill effects. What you might not know is<br />
that during the last decade more than<br />
1,500 Americans have accidentally and<br />
fatally overdosed on Tylenol. Painkillers<br />
like Tylenol and ibuprofen are safe<br />
drugs—as long as they’re used only as<br />
directed and when taken in the proper<br />
doses. It’s very important to remember<br />
that any over-the-counter drug can<br />
cause damage to the stomach and<br />
other vital organs if taken in excess.<br />
Taking aspirin or ibuprofen, even at<br />
their recommended dosages, can lead<br />
to stomach bleeding. According to the<br />
FDA “taken over several days, as little<br />
as 25 percent above the maximum<br />
dose—or just two additional extrastrength<br />
pills—has been reported to<br />
cause liver damage.”<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 57
WRITTEN BY TAYLOR SMITH<br />
In 1969, we put a man on the moon,<br />
with the help of some tremendous<br />
computing power that occupied multiple<br />
rooms. Today, the same computing<br />
power sits in your smart phone, which<br />
provides almost limitless information<br />
and entertainment at blinding speeds<br />
through the Internet. With this<br />
incredible power at our fingertips, and<br />
with the number of internet users<br />
approaching 3 billion, it’s no wonder<br />
that researchers and scientists have<br />
taken notice of some of the effects that<br />
the spread of the Internet has had on<br />
mental and physical health.<br />
The Internet is everywhere—Wi-Fi<br />
hotspots dot the landscape and most<br />
people carry high speed Internet around<br />
with them in their pockets. It’s strange<br />
to think how much things have changed<br />
in only a decade. Ten years ago, you were<br />
lucky to have broadband Internet in your<br />
home. According to internetworldstats.<br />
com, in December of 2003, there were<br />
719 million users accessing the Internet.<br />
Over that ten-year period, the number of<br />
Internet users has risen to 2,749 billions.<br />
That’s a truly astonishing number. The<br />
Internet is now available to billions<br />
of people and that number will only<br />
continue to increase.<br />
And these changes are not without<br />
consequence. In the fifth, and most<br />
recent publication of the Diagnostic and<br />
Statistical Manual of Mental Disorders,<br />
or DSM-V, the American Psychiatry<br />
Association (APA) has listed “Internet<br />
Gaming Disorder” as “a condition<br />
warranting more clinical research<br />
and experience.” Internet gaming is<br />
a relatively recent phenomenon that<br />
directly coincides with the continued<br />
spread and increase in access to the<br />
Internet. Online gaming, in extreme<br />
cases, oftentimes leads to the exclusion<br />
of sociality, workplace responsibilities,<br />
and academic performance, to name<br />
only a few consequences. “Gamers”<br />
sometimes neglect more pressing<br />
concerns in the real world in order<br />
to spend hours upon hours living out<br />
virtual lives in fantasy realms.<br />
The negative effects are not only social<br />
in nature however. Recently, PBS aired<br />
a compelling segment entitled “Digital_<br />
Nation: Life on the virtual frontier,” on<br />
its flagship program Frontline. In this<br />
segment, reporters presented many<br />
different aspects of our rapidly changing<br />
world and the role that technology, and<br />
particularly the Internet, are having in<br />
that change. The program discusses<br />
everything from change in everyday<br />
relationships between individuals to<br />
the more far-reaching effects of the<br />
proliferation of the Internet on the<br />
global economy. The program also<br />
focuses on the effects of Internet<br />
addiction and compulsive Internet<br />
gaming. A young Korean man details the<br />
negative health effects of compulsive<br />
gaming including: poor and worsening<br />
eyesight, numerous cavities, disruption<br />
of normal sleeping patterns, and<br />
physical weakness from lack of exercise.<br />
He goes on to say that many of his<br />
58 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
APA has cited reports that suggest<br />
“gamers” are neurologically<br />
stimulated by game play in the<br />
same way that certain chemical<br />
substances and drugs stimulate<br />
addicts. Likewise, “gamers” have<br />
also been observed to exhibit the<br />
symptoms of withdrawal when the<br />
option to play has been taken away.<br />
Now, some of you might be asking,<br />
“where are the parents,” and you’re<br />
right to do so. Some of you might<br />
be saying, “video games aren’t the<br />
problem,” and you’d be right again.<br />
Surely, video games can be an<br />
entertaining and perfectly healthy<br />
activity—when done in moderation.<br />
Just like anything that is exciting<br />
or fun, in excess it can become<br />
detrimental to our lives and even<br />
resemble addiction.<br />
Internet<br />
users,<br />
2013:<br />
2,749,000,000<br />
ailments have resulted from a distinct<br />
lack of concern for his own physical<br />
hygiene and living a sedentary life. His<br />
grades in school suffer as well, because,<br />
as he describes, when he is in school, all<br />
he can think about is getting home to<br />
play video games.<br />
The APA included “Internet Gaming<br />
Disorder” in the DSM-V largely to raise<br />
awareness of an increasingly common<br />
situation. The preoccupation that<br />
“gamers” develop for their video games<br />
comes at a costly price. Games can<br />
monopolize young people’s lives to the<br />
detriment of their physical and mental<br />
development. If unchecked, it can<br />
become a full-blown addiction. The<br />
So, what are the treatment options<br />
for someone who might suffer from<br />
“Internet Gaming Disorder”? If you<br />
are a parent who fears your child<br />
might fall into that category:<br />
gg<br />
Open up a dialogue. Talk to your<br />
children and demonstrate your<br />
concern.<br />
gg<br />
Seek professional help. If things<br />
are really bad enough and you<br />
or someone you love can’t stop<br />
playing video games, there are<br />
professionals, psychiatrists and<br />
therapists who can help.<br />
gg<br />
Take preventative measures. If<br />
you’re a parent of a child who<br />
spends a lot of time playing<br />
video games, place limits on the<br />
amount of time they can play.<br />
Encourage them to spend time<br />
outside, engaging in physical<br />
activity. If that doesn’t interest<br />
them, find something that does.<br />
As in all things, self-control is vitally<br />
important to mental and physical<br />
health. Likewise, prevention is<br />
always easier than the cure. And<br />
that’s just food for thought.<br />
For further information on teens<br />
and addiction, you can visit<br />
phsychiatry.org or<br />
healthyminds.org.<br />
Facebook.com/<strong>Healthy</strong>Mag<br />
THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 59
ecipes<br />
Recipes the whole family will enjoy<br />
food<br />
Transform your favorite meals into diet-friendly treats<br />
60 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
Advisor . Allergies<br />
Allergy-Free<br />
<strong>Holidays</strong><br />
STUFFED<br />
WITH ALLERGY,<br />
& ASTHMA<br />
TRIGGERS<br />
TIPS FOR A MISERY-FREE<br />
HOLIDAY<br />
The holidays are about family, food<br />
and travel. And for the millions<br />
of Americans with allergies or<br />
asthma, it’s about navigating a<br />
minefield of triggers, from the<br />
pumpkin pie to the dusty guest<br />
bedroom. A number of holidayrelated<br />
triggers can make people<br />
sneeze, wheeze or, in the case of<br />
food allergies, have a more serious<br />
reaction. But by planning ahead,<br />
the day can be misery-free.<br />
The American College of Allergy,<br />
Asthma and Immunology have<br />
several suggestions to help those<br />
with food allergies, environmental<br />
allergies or asthma avoid<br />
unnecessary suffering.<br />
For guests with food allergies,<br />
the holiday feast often includes<br />
common food allergens such as<br />
wheat, eggs, soy, dairy, peanuts,<br />
and nuts:<br />
• TALKING TURKEY –<br />
The centerpiece of the<br />
Thanksgiving meal may seem<br />
safe, but self-basting turkeys<br />
can include soy, wheat and<br />
dairy. A natural turkey is your<br />
best bet since by law it must<br />
contain nothing but turkey<br />
and water. Also, be sure the<br />
stuffing is made from wheatfree<br />
bread.<br />
• ON THE SIDE – For<br />
allergen-free mashed<br />
potatoes, swap the milk<br />
and butter for chicken<br />
broth and margarine. Use<br />
corn-starch to thicken the<br />
gravy instead of wheat<br />
flour. And forget about<br />
topping the green bean<br />
casserole with slivered<br />
almonds.<br />
• NOW FOR DESSERT – Even<br />
though pumpkin allergies<br />
are rare, America’s<br />
favorite Thanksgiving pie<br />
can cause problems. Be<br />
sure to offer alternative<br />
desserts. To be on the<br />
safe side, suggest guests<br />
with serious food allergies<br />
bring their own sweet<br />
treats.<br />
WATCH OUT FOR<br />
ENVIRONMENTAL<br />
TRIGGERS, AS WELL:<br />
• WASH-UP WOES – Aunt<br />
Sophie’s fancy guest soap<br />
may contain fragrance<br />
that can cause allergic<br />
contact dermatitis. Use<br />
the regular soap or bring<br />
your own.<br />
• PROBLEM PETS – If you’re<br />
allergic to furry animals,<br />
asking grandma to lock<br />
her cat in the basement<br />
during your visit will<br />
do little if anything to<br />
ease your misery. That’s<br />
because pet dander gets<br />
everywhere and is difficult<br />
to eradicate. However,<br />
you can help yourself by<br />
taking symptom-easing<br />
medications prior to<br />
your visit. I am happy to<br />
recommend treatments<br />
for your pet allergy, such<br />
as antihistamines, nasal<br />
sprays, or appropriate<br />
asthma medications.<br />
• NO REST FOR THE<br />
ALLERGIC – Dust mites<br />
are one of the most<br />
common allergy and<br />
asthma triggers. To<br />
prevent your allergic<br />
guests from sneezing all<br />
night long, thoroughly<br />
dust the extra bedroom<br />
and wash bedding in<br />
hot water. If you have<br />
allergies and are doing the<br />
visiting, pack your own<br />
pillow or allergen-proof<br />
pillow cover.<br />
ABOUT THE AUTHOR<br />
Douglas H. Jones, MD<br />
Rocky Mountain Allergy,<br />
Asthma & Immunology<br />
rockymountainallergy.com<br />
Dr. Jones specializes in the diagnosis<br />
and treatment of all conditions relating<br />
to allergies, asthma and immune<br />
system disorders. He is board certified<br />
by the American Board of Allergy and<br />
Immunology and the American Board<br />
of Internal Medicine. He earned his<br />
MD from Penn State University and<br />
completed his specialty training at<br />
Creighton University.<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 61
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 63
ecipes<br />
recipes<br />
Ingredients<br />
4 soft corn tortillas, cut into 1-by-2-inch strips<br />
1 tablespoon extra-virgin olive oil<br />
1 pound boneless, skinless chicken breast,<br />
trimmed of fat and diced<br />
3 cups frozen bell pepper and onion mix (about<br />
10 ounces)<br />
1 tablespoon ground cumin<br />
2 14-ounce cans reduced-sodium chicken broth<br />
1 15-ounce can diced tomatoes, preferably with<br />
green chiles<br />
1/4 teaspoon freshly ground pepper<br />
2 tablespoons lime juice<br />
1/2 cup chopped fresh cilantro<br />
3/4 cup shredded reduced-fat Cheddar or Monterey<br />
Jack cheese<br />
Directions<br />
1. Preheat oven to 350°F. Spread tortillas in a<br />
single layer on a baking sheet. Bake until lightly<br />
browned and crisp, 10 to 12 minutes.<br />
Chicken Tortilla Soup<br />
[ 1 1/3 CUPS EACH ]<br />
serves 4<br />
Making soups may have once been an all-day affair, but here’s<br />
a great example of how a few choice convenience products<br />
can renovate an old favorite for our modern, hectic lives.<br />
Some frozen vegetables, a few canned tomatoes and canned<br />
broth--and voila! a Tex-Mex favorite in minutes.<br />
2. Meanwhile, heat oil in a Dutch oven over<br />
medium-high heat. Add chicken and cook, stirring<br />
occasionally, until beginning to brown, 3<br />
to 4 minutes. Transfer to a plate using a slotted<br />
spoon. Add pepper-onion mix and cumin to<br />
the pot. Cook, stirring occasionally, until the<br />
onions are lightly browned, about 4 minutes.<br />
Add broth, tomatoes, pepper and lime juice;<br />
bring to a simmer and cook, stirring often,<br />
until the vegetables are tender, about 3 minutes<br />
more. Return the chicken and any accumulated<br />
juice to the pot and cook, stirring, until heated<br />
through, about 1 minute. Remove from the<br />
heat; stir in cilantro. Serve topped with the<br />
toasted tortilla strips and cheese.<br />
Nutrition Information:<br />
Per serving: 357 calories; 12 g fat (5 g sat, 4 g<br />
mono); 87 mg cholesterol; 24 g carbohydrate; 37<br />
g protein; 4 g fiber; 603 mg sodium.<br />
Source: www.eatingwell.com<br />
64 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
ecipes<br />
©Jessieeldora | Dreamstime.com<br />
Soupe à l’Oignon Gratinée<br />
[ ONION SOUP ]<br />
serves 6<br />
Onions always make me thinkof Alsace-Lorraine. So, perhaps a Riesling<br />
from there will do the trick here, or a Crémant d’Alsace whose bubbles<br />
will help cut through the richness of the cheese and sweetness of the<br />
Ingredients<br />
6 tbsp unsalted butter<br />
8 cups cold Beef Stock<br />
81/2 cups sweet onions, thinly sliced<br />
Salt and pepper as needed<br />
4 garlic cloves, minced<br />
Cayenne pepper as needed<br />
2 tsp curry powder 1<br />
2 toasted baguette slices, 1/4-inch thick<br />
11/2 cups Chablis<br />
3 cups grated Gruyère cheese<br />
2 tbsp all-purpose flour<br />
1 tsp chopped parsley<br />
Directions<br />
1. Preheat the oven to 450°F.<br />
2. Heat the butter on medium heat in a large, thickbottomed<br />
pan. Add the onions and sauté until they’re<br />
softened and a light caramel color, 20 to 25 minutes.<br />
3. Add the garlic and curry powder and continue to cook<br />
for another 2 minutes, until the spices release their oils<br />
and subsequent aroma. Add the Chablis and reduce<br />
until the wine is cooked dry, 18 to 20 minutes. Add the<br />
flour and cook for 2 more minutes.<br />
4. Take the pan off the heat and pour in the cold stock,<br />
stirring thoroughly to distribute the flour throughout the<br />
soup. Return the pan to the heat and bring to a boil; reduce<br />
the heat to low and simmer for 30 minutes.<br />
5. Season the soup as needed with salt, black pepper, and<br />
cayenne pepper. Ladle the soup into oven-safe bowls, and<br />
top with slices of toasted baguette covered with plenty of<br />
Gruyère. Place the soup into the oven or under a broiler<br />
and cook until it’s golden brown and bubbly, about 10<br />
minutes.<br />
6. Sprinkle each bowl of soup with parsley and serve<br />
it immediately.<br />
Bistros and Brasseries: Recipes and Reflections on Classic Cafe cooking,<br />
from The Culinary Institute of America<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 65
Cranberry<br />
Creations<br />
Photo credit: Colin Erricson/www.robertrose.ca<br />
Excerpted from The Mixer Bible, Third Edition by Meredith<br />
Deeds and Carla Snyder © 2013 Robert Rose Inc. www.<br />
robertrose.ca Reprinted with publisher permission.<br />
Cranberry Maple Squares<br />
Makes 24 squares<br />
Enjoy a deliciously wonderful treat for the whole family this holiday, or any day of the<br />
week!<br />
Flat beater<br />
Wire whip<br />
Preheat oven to 350°F (180°C)<br />
13- by 9-inch (3 L) metal baking pan, greased and lined with greased<br />
parchment paper<br />
2 cups unbleached all-purpose flour<br />
1⁄4 cup granulated sugar<br />
2⁄3 cup cold unsalted butter, cut into small pieces<br />
1 tsp baking powder<br />
1⁄4 tsp salt<br />
2 eggs<br />
Filling<br />
3⁄4 cup lightly packed light brown sugar<br />
1⁄2 cup unsalted butter, softened<br />
1⁄4 cup pure maple syrup<br />
4 eggs<br />
11⁄4 cups pecan halves, chopped<br />
11⁄2 cups dried cranberries<br />
Pinch of salt<br />
1. Place flour, sugar, butter, baking powder and salt in the mixer<br />
bowl. Attach the flat beater and mixer bowl to the mixer. Set to<br />
Speed 2 and beat until mixture resembles coarse crumbs. Beat in<br />
eggs, one at a time, until dough forms a ball.<br />
2. On a floured work surface, roll out dough into a 13- by 9-inch (33<br />
by 23 cm) rectangle. Carefully fold twice so it is easier to transfer<br />
to the prepared pan. Unfold into the pan, pressing evenly into the<br />
bottom and 1 inch (2.5 cm) up the sides. Refrigerate while you<br />
prepare the filling.<br />
3. Prepare the filling: Place brown sugar and butter in clean mixer<br />
bowl. Remove the flat beater and attach the whip and mixer bowl<br />
to the mixer. Set to Speed 4 and beat until light and fluffy. Beat in<br />
maple syrup. Beat in eggs, one at a time, until smooth. Remove<br />
the mixer bowl. Using a rubber spatula, stir in pecans, cranberries<br />
and salt until evenly incorporated.<br />
4. Pour filling into dough and spread evenly in the pan. Bake in<br />
lower third of preheated oven for 35 to 40 minutes, or until pastry<br />
is golden and filling is set. Let cool completely in pan on a wire<br />
rack. Cut into squares.<br />
Make ahead<br />
Store in an airtight container at room temperature for up to 3 days or in<br />
the freezer for up to 4 weeks.<br />
66 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
Pink Chantilly with<br />
Cranberries<br />
Makes 4 servings<br />
Filled with antioxidants and loaded with vitamin C, cranberries are very healthful. However, we hear so<br />
much about their health benefits that we sometimes forget how truly delicious they can be. This recipe is<br />
certainly the simplest and one of the most beautiful ways to serve cranberries.<br />
Four 8-ounce (250 mL) tall jars<br />
Blender<br />
Fine-mesh sieve<br />
Electric mixer<br />
Photo credit: Colin Erricson/www.robertrose.ca<br />
11⁄2 cups raspberries, fresh or frozen<br />
3 tbsp confectioner’s (icing) sugar<br />
2 cups frozen cranberries, thawed<br />
1⁄2 cup maple syrup (see Tips)<br />
11⁄2 cups heavy or whipping (35%) cream<br />
1 tbsp granulated sugar<br />
1 tsp vanilla extract<br />
1⁄2 cup cranberry juice<br />
Mint leaves<br />
1. In blender, purée raspberries and confectioner’s sugar. Transfer to a fine-mesh sieve placed over a<br />
bowl and press mixture through. Discard seeds and set raspberry purée aside.<br />
2. In a saucepan over medium heat, cook cranberries and maple syrup, stirring often, for 15 minutes.<br />
Remove from heat and set aside to cool.<br />
3. In a large bowl, using electric mixer at high speed, whip cream, granulated sugar and vanilla until<br />
soft peaks begin to form. Beating constantly, slowly add cranberry juice and half the raspberry<br />
purée.<br />
4. Spoon remaining raspberry purée into jars, dividing equally. Top with whipped cream mixture,<br />
dividing equally. Refrigerate for up to 30 minutes.<br />
5. When you’re ready to serve, remove jars from refrigerator and top with cooked cranberries. Using<br />
a long spoon, mix delicately. Garnish with mint leaves and serve immediately.<br />
Tips<br />
Make sure to use real maple syrup. Maple-flavored and other table syrups contain a lot of granulated<br />
sugar or corn syrup and do not cook the same way. It’s worth every penny to get the real thing.<br />
Excerpted from The Complete Best of Bridge Cookbooks,<br />
Volume 3 by The Best of Bridge Ladies © 2013 www.<br />
robertrose.ca Reprinted with publisher permission.<br />
Cranberry Scones<br />
Makes 8 large scones.<br />
Perfect for holiday snacks and entertaining!<br />
Photo credit: Colin Erricson/www.robertrose.ca<br />
3⁄4 cup buttermilk or plain yogurt<br />
1 large egg<br />
2 3⁄4 cups all-purpose flour<br />
4 tsp baking powder<br />
1⁄2 tsp baking soda<br />
1⁄2 tsp salt<br />
1⁄2 cup margarine<br />
1 cup coarsely chopped cranberries<br />
(fresh or frozen)<br />
1⁄2 cup granulated sugar<br />
Grated zest of 1 orange<br />
1 tbsp butter, melted<br />
1⁄4 cup confectioners’ (icing) sugar<br />
Excerpted from 150 Best Desserts in a Jar by Andrea Jourdan © 2013 Robert Rose Inc.<br />
www.robertrose.ca May not be reprinted without publisher permission.<br />
Preheat oven to 375°F (190°C). Beat buttermilk and egg in small bowl<br />
and set aside. In large bowl, Combine flour, baking powder, baking<br />
soda and salt. Cut in margarine until mixture resembles small peas. Mix<br />
in cranberries, sugar and orange zest. Add buttermilk mixture and stir<br />
until soft dough forms. Using your hands, form dough into a large ball<br />
and place on floured surface. Pat out to 1-inch (2.5 cm) thickness. Cut<br />
in 4-inch (20 cm) rounds. Place on ungreased cookie sheet and bake<br />
scones for 15 to 20 minutes. While still warm, brush with butter and<br />
sprinkle with confectioners’ sugar.<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 67
BOOK OF LIFE<br />
Cheat Sheet<br />
Life Lessons<br />
To Learn<br />
Now, Not<br />
Later<br />
“Doing what you<br />
love” shouldn’t be<br />
your expectation, it<br />
should be thought<br />
of as a privilege that<br />
requires a lot of work.<br />
Some people<br />
mistakenly think<br />
that their dreams<br />
will end up<br />
coming to fruition,<br />
regardless of how<br />
much work they<br />
put in.<br />
Success is built<br />
brick by brick, not<br />
all at once.<br />
You don’t really<br />
become good at<br />
something unless<br />
you do it every<br />
day for a long<br />
time, and fail<br />
at it constantly.<br />
Most successful<br />
people have found<br />
a way to build<br />
successful habits;<br />
only a few get a<br />
lucky roll of the<br />
dice.<br />
You’re never the best<br />
version of yourself.<br />
Find contentment<br />
in your<br />
accomplishments,<br />
but don’t ever stop<br />
growing.<br />
The easy road is<br />
actually the more<br />
difficult one.<br />
Cutting corners to<br />
avoid effort and<br />
discomfort is a<br />
sure way to find<br />
yourself in a pile of<br />
regret one day. Jobs,<br />
relationships, fitness,<br />
they just won’t be<br />
where you want<br />
them to be.<br />
Enjoying the journey<br />
is a learned skill.<br />
Happiness isn’t<br />
always automatic,<br />
but you can help it<br />
come more often.<br />
Some people learn<br />
this skill more<br />
easily than others.<br />
Recognize that you<br />
can find joy in hard<br />
times, in struggle<br />
and in success.<br />
Let love simmer.<br />
Acting rashly in<br />
passionate feelings<br />
for another is often a<br />
mistake. Take a step<br />
back, and let your<br />
relationship find root.<br />
Flaunting personal<br />
achievement is to reveal<br />
vulnerability.<br />
You can generally tell<br />
if someone has found<br />
fulfillment in what they<br />
do, or if they have to prop<br />
themselves up on their past<br />
achievements to feel good.<br />
Don’t waste time trying to fix<br />
other people’s flaws. Focus on<br />
your own.<br />
Our instinct is to see flaws<br />
in others and think of all the<br />
ways they could improve. It<br />
just isn’t a worthwhile way<br />
to think.<br />
Most are self-interested, but<br />
great rewards await those who<br />
are selfless.<br />
We often get offended when<br />
we realize that other people<br />
really care about themselves<br />
first and foremost. But this<br />
is human nature. Ascending<br />
above human nature bears<br />
fruit.<br />
The people around you<br />
influence who you are.<br />
It sounds obvious, but<br />
so often we think we are<br />
impervious to outside<br />
influence, that we’re living<br />
our own lives in a bubble.<br />
The human experience is a<br />
social one.<br />
68 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
Overcome<br />
Holiday Stress<br />
and Blues<br />
WITH ESSENTIAL OILS<br />
Balancing the myriad parties,<br />
shopping, baking, social gatherings,<br />
demanding guests, and company<br />
meetings with an already jampacked<br />
schedule can be intimidating<br />
and stressful for families during the<br />
holiday season. It’s no wonder that<br />
42 percent of Americans consider the<br />
holiday season to be stressful rather than<br />
joyous, according to a December 2012<br />
Rasmussen Reports survey. You don’t<br />
have to be a Grinch, however, when you<br />
are armed with nature’s stress-busters:<br />
essential oils.<br />
STRESS TAKES A TOLL<br />
It is well known that what affects the<br />
mind also affects the body, and too much<br />
stress can take a tremendous toll on your<br />
overall well-being, strain relationships,<br />
or result in holiday blues. The resulting<br />
biochemical imbalance caused by too<br />
much stress makes you more susceptible<br />
to illness, leaving you sidelined instead<br />
of able to spend quality time with friends<br />
and family during the holidays.<br />
Happily, Mother Nature has provided<br />
aromatic compounds distilled or pressed<br />
from plants in pure, authentic essential<br />
oils that excel in balancing emotions and<br />
managing the negative effects of stress.<br />
Indeed, no remedy is so perfectly suited<br />
to immediately influence unbalanced<br />
emotions as essential oils.<br />
WHAT DO ESSENTIAL OILS DO?<br />
The aroma of essential oils stimulates<br />
the olfactory receptors in your nose,<br />
creating a positive, powerful sensation.<br />
In turn, these receptors send signals<br />
to the limbic system (responsible for<br />
memory and emotions) and the neo<br />
cortex (influential in higher thinking<br />
and emotions) of your brain, resulting<br />
in dramatic physiological changes.<br />
This process triggers a cascade of<br />
psychophysiological events that can<br />
positively impact your mood.<br />
RECOMMENDED OILS<br />
Two of the most beneficial essential<br />
oils for managing stress and balancing<br />
emotions are Cedarwood and Lavender.<br />
Cedarwood contains cedrol, a<br />
sesquiterpene that is able to cross<br />
the blood-brain barrier. A 2007 study<br />
published in the Journal of Physiological<br />
Anthropology reported that cedrol<br />
produced a relaxing effect by influencing<br />
the autonomic nervous system—the<br />
system that controls involuntary actions<br />
such as heart rate, digestion, and<br />
respiratory rate.<br />
Both animal and clinical studies suggest<br />
that Lavender not only relaxes the<br />
mind and body but also aids a normal<br />
stress response. Studies suggest that<br />
even infants, who are not generally<br />
susceptible to a placebo response,<br />
experience the calming effects of<br />
Lavender.<br />
A small study including 30 healthy<br />
students published in the October<br />
2008 edition of Archives of Oral Biology<br />
found that inhaling Lavender for only<br />
10 minutes reduced stress markers,<br />
including cortisol.<br />
Inhaling calming essential oils, including<br />
Lavender, also reduces salivary cortisol<br />
levels according to a study published in<br />
the November 2012 edition of Evidencebased<br />
Complimentary and Alternative<br />
Medicine.<br />
A synergistic effect can be realized by<br />
combining Cedarwood and Lavender,<br />
which can be further enhanced by adding<br />
complementary relaxing oils such as<br />
citrus oils, Roman Chamomile, Vanilla,<br />
Ocotea, and Copaiba.<br />
To experience the balancing effects of<br />
essential oils, simply inhale directly from<br />
the bottle, diffuse in your room or office,<br />
or apply topically to the skin. You’ll be<br />
happy that you did, and it may make the<br />
difference between having a joyous or a<br />
stressful holiday season.<br />
ABOUT THE AUTHOR<br />
Dr. Scott A. Johnson<br />
Young Living<br />
1-800-371-3515<br />
www.youngliving.com<br />
Scott Johnson is the author of two books and<br />
over 225 articles in online publications and is an<br />
expert on health, fitness, and nutraceuticals. He<br />
has a doctorate in naturopathy, is a board certified<br />
Alternative Medical Practitioner (AMP), and is a<br />
Certified Professional Coach (CPC). One of his<br />
research focuses is the safety of neat topical and oral<br />
administration of essential oils, and he has published<br />
internationally on the subject.<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 69
wellness<br />
A CALORIE<br />
RESTRICTION<br />
REMIX<br />
WHY ALTERNATE-DAY<br />
FASTING MIGHT BECOME<br />
A COMMON WEIGHT LOSS<br />
PRACTICE<br />
HER FAVORITE TREAT—<br />
WHEN SHE REALLY WANTS<br />
TO SPOIL HERSELF—IS<br />
ONE GUMMY WORM.<br />
So goes the life of people dedicated to<br />
calorie restriction (CR) in the name of<br />
weight loss and better health. If one pound<br />
of weight lost is equal to 3,500 calories,<br />
which is nutrition scientists’ estimate,<br />
then losing a pound a week requires<br />
cutting 500 calories per day from our diet,<br />
which is about a quarter of our total daily<br />
calories. It would be much easier if we<br />
could just cut the calories every other day<br />
and eat like we want the other days. But<br />
that probably wouldn’t work, right?<br />
Surprise! It’s called Alternate Day Fasting<br />
(ADF) and research so far says it does<br />
work.<br />
In an ADF diet, you eat about 25 percent of<br />
your normal calories on your diet days. For<br />
women that is about 500 and for men 600,<br />
which is about enough for a small meal.<br />
The other days, you eat like you aren’t on<br />
a diet.<br />
Krista Varady, PhD, from the Department<br />
of Kinesiology and Nutrition at the<br />
University of Illinois says it works—and<br />
she’s doing the research to back it up.<br />
70 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
Currently, Varady is in the middle of a three-year study comparing people on regular<br />
calorie restriction diets versus people on ADF diets.<br />
“Preliminary data show that people using ADF have actually lost more weight than<br />
people who are using plain calorie restriction,” she said.<br />
Furthermore, the ADF diet, just like a regular calorie restriction diet, has positive<br />
cardiovascular effects. In fact, in Varady’s preliminary results, both groups had<br />
similar lowered blood cholesterol levels despite their different approaches.<br />
This is the first study directly comparing the two types of diets in humans,<br />
according to Varady, who said that ADF diet probably works because intermittent<br />
deprivation is easier than long-term deprivation of calories.<br />
Diets of daily calorie restriction, though generally effective, are essentially diets of<br />
denial. The prospect of continually denying ourselves calories isn’t a happy one,<br />
but many practitioners say they are glad to have complete control of appetite, and<br />
boast excellent health. Some scientists even think that calorie restriction may<br />
extend lifespan, a theory that is heavily debated.<br />
For many people, however, maintaining a diet where one gummy worm counts as a<br />
“treat” is laughable, because it would be so difficult. Cutting a quarter of our calories<br />
every day is admittedly a tall order.<br />
Starting and staying with diets is a national challenge. One Gallup poll found that<br />
well over 50 percent of Americans would like to lose weight, but only 27 percent are<br />
seriously trying. For people who do diet, Louisiana State University Biomedical researcher<br />
Catherine Champagne, PhD, told webmd.com that most people last about six months,<br />
though the level of strictness matters.<br />
For those who<br />
consider ADF diet<br />
too intense, there is<br />
the 5:2 plan, where a<br />
person eats normally<br />
five days of the week,<br />
and eats 25 percent<br />
of normal calories for<br />
two days per week.<br />
This approach needs<br />
more study before<br />
it can be considered<br />
effective.<br />
“When diet plans differ immensely from previous eating patterns, restrict favorite foods<br />
or entire food groups, dieting usually lasts for a much shorter time," she says.<br />
If cutting 500 calories every day falls into<br />
the category of differing “immensely”<br />
from your diet, it might be hard to<br />
keep up. This is why and ADF diet is so<br />
attractive, because it allows “normal”<br />
days.<br />
Granted, those days of only 500-600<br />
calories are tough. It isn’t much food, but<br />
there’s always tomorrow, when you can<br />
eat what you want.<br />
The ADF diet sounds like a fad diet and<br />
some weight-loss experts worry about<br />
fasting as a weight-loss tool.<br />
Fasting, by itself, isn’t an especially good<br />
weight-loss plan, according to many<br />
nutrition professionals. Fasting for a<br />
day or two is generally fine unless you<br />
already have an unhealthy diet, liver<br />
problems, kidney problems, immune<br />
system problems or are on medication,<br />
New Jersey weight loss author Joel<br />
Fuhrman, MD, told webmd.com. He also<br />
said that fasting slows down metabolic<br />
rate, which goes contrary to weight loss.<br />
Extended fasts with “cleanses” can be<br />
especially dangerous, and have little<br />
evidence of improving health.<br />
Madelyn Fernstrom, PhD, director of<br />
the University of Pittsburgh Medical<br />
Center’s Weight Loss Management Center<br />
told webmd.com that she worries people<br />
focused on fasting are distracted from<br />
“the real message of how to lose weight,”<br />
which involves eating and sleeping better<br />
along with more exercise.<br />
Fasting can be taken to the extreme, which<br />
is unhealthy. Fasting every other day is a<br />
more balanced approach, but still should<br />
be done under expert supervision. <strong>Healthy</strong><br />
eating will never go out the window, and<br />
the ADF diet isn’t an exception.<br />
If people are worried that calorie restriction<br />
will result in less muscle mass, they may<br />
be right. For this reason, people over<br />
65 shouldn’t drop their calorie levels,<br />
according to Varady. For obese people,<br />
however, calorie restriction will probably do<br />
no harm.<br />
“It’s amazing how strong obese people are,”<br />
Varady said. “They’ve been carrying around<br />
all this weight that others aren’t.”<br />
As obese people limit calories, they may<br />
lose some muscle mass, along with fat. But<br />
when we lose a pound of weight, it is about<br />
75 percent fat and only 25 percent muscle,<br />
Varady said. Furthermore, the obese will no<br />
longer need all the muscle mass they did<br />
before, because they aren’t carrying around<br />
as much weight.<br />
Remember that women should never drop<br />
their calories consistently below 1200 per<br />
day, and men should never go below 1500<br />
per day for extended amounts of time.<br />
Eating fewer calories than this can deprive<br />
a person of important nutrients, affecting<br />
important systems in the body, even leading<br />
to malnutrition if continued for long periods<br />
of time. An ADF diet can help prevent these<br />
bad habits, since on their “off” days, people<br />
get their full calorie needs.<br />
During a fast day, one might assume that<br />
dieters plan to gorge on food the following<br />
day, thus canceling any positive effects<br />
from eating fewer calories. But it turns<br />
out that this doesn’t happen, according to<br />
Varady’s studies, which showed people ate<br />
between 100-125 percent of their normal<br />
calories on non-fast days. She thinks<br />
shrunken stomachs from fast days may<br />
help.<br />
The Alternate Day Fasting approach to<br />
dieting may erase the need for constant<br />
deprivation, making weight loss easier and<br />
less painful. So go ahead, have two gummy<br />
worms today, just don’t eat any tomorrow.<br />
Bio:<br />
Dr. Varady, the world’s leading researcher<br />
on using alternate-day fasting for weight<br />
loss and weight maintenance, wrote a book<br />
that will be published this year, for those<br />
interested in learning more.<br />
Called The Every Other Day Diet, the book<br />
outlines the science-proven techniques for<br />
weight loss that Dr. Varady has developed,<br />
along with strategies, tips and tools that<br />
you’ll need for the Every-Other-Day Diet.<br />
The book also includes 80 quick and<br />
delicious recipes for Diet Day.<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 71
Nutrition<br />
IN THE LOOP<br />
WARRIOR OR<br />
WEAKLING?<br />
Spring weekends bring out the athlete in all of us.<br />
But does Monday morning find you the weekend<br />
weakling? Weekend workouts are good for your<br />
health and enjoyment — when you do them<br />
wisely. But if you find yourself spending all week<br />
making up for the weekend, maybe you need<br />
some nutritional and physical training.<br />
FOR MORE ENERGY<br />
Load up on low-fat, high carbohydrate<br />
foods — about 60 percent of your calories<br />
— to keep you moving.<br />
• Non-fat yogurt<br />
• cereal, fruit and milk<br />
• pasta or soup with a whole-grain bagel<br />
• whole-grain muffins and skim milk<br />
FOR MORE FLUIDS<br />
Stay hydrated before and after your<br />
workouts with these tips:<br />
• 2 HOURS BEFORE: Drink 2 cups of fluid<br />
• 10–15 MINS. BEFORE:<br />
Drink 2.5 cups of fluid<br />
• EVERY 15 MINS. AFTER:<br />
Drink .5 cups of fluid<br />
EGG-CELLANT CHOLESTEROL<br />
Eggs have been known for containing high<br />
amounts of cholesterol, but some new research<br />
on that topic should make you egg-cited.<br />
According to he U.S. Department of Agriculture,<br />
a large egg today only has 185 milligrams of<br />
cholesterol, down from the 215 milligrams<br />
an egg contained 10 years ago. An egg today<br />
also has 41 international units of vitamin D,<br />
much higher than the 25 international units<br />
measured years ago. Researchers believe the<br />
changes are probably due to changes in the<br />
hen’s diets or the way they are bred. Eggs<br />
have gotten healthier all around, so enjoy<br />
your omelet guilt free.<br />
Source: U.S. Dept. of Agriculture<br />
fifty<br />
GRAMS<br />
HYPERACTIVE<br />
FOOD COLORING<br />
Have a hyperactive child? Artificial food<br />
coloring may be to blame. Several studies<br />
have shown that food coloring has a<br />
connection to hyperactivity in children. The<br />
results are enough to raise concern since<br />
food coloring is used in a variety of foods in<br />
order to make them appear more appetizing.<br />
However, because of the many studies that<br />
show no connection, the FDA voted down<br />
the proposal to have food coloring warnings<br />
listed on some foods. Source: fda.gov<br />
ONE WORD SOLUTION<br />
Fat-free<br />
Fat free doesn’t equal calorie free. The term<br />
means that in a set portion, the amount<br />
of fat is so low, you don’t have to worry<br />
about it. However, this doesn’t include any<br />
requirements for calories. A food that is fat<br />
free could still contain carbohydrates or<br />
protein, making it a source of calories.<br />
OF SUGAR IN THE<br />
AVERAGE 16-OZ ENERGY DRINK<br />
OR SWEETENED TEA. THAT’S<br />
OVER THREE TABLESPOONS.<br />
A 12-OZ CAN OF SODA<br />
CONTAINS 35 GRAMS.<br />
Source: webmd.com<br />
TAKE NOTE OF<br />
Food Focus<br />
Dinner entertainment<br />
— music, TV, even<br />
conversations<br />
— could all<br />
bring unhealthy<br />
distractions.<br />
According to<br />
research, distractions<br />
during meals may<br />
lead you to eat more<br />
than you usually<br />
would. One study<br />
found that women<br />
who listened to a<br />
story while eating ate<br />
a significantly higher<br />
amount of calories<br />
than when they were<br />
focused on eating. So<br />
to limit your caloric<br />
intake, put down the<br />
remote control, take<br />
a seat at the dinner<br />
table for a change<br />
and enjoy a peaceful<br />
meal.<br />
72 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
Expiration Date<br />
CONFUSION<br />
How many times have you looked at<br />
the expiration date on a gallon of<br />
milk, realized it’s a few days past<br />
the date, given it a good sniff and then<br />
thrown it out because you just can’t<br />
be sure? We’ve all been there and for<br />
good reason. No one wants to get food<br />
poisoning from his or her morning bowl<br />
of corn flakes even though the milk<br />
didn’t smell that bad. As it turns out,<br />
we might all be guilty of wasting huge<br />
amounts of food because of a simple<br />
misunderstanding—“use by” and “sell<br />
by” dates don’t necessarily mean the<br />
food is bad. They are meant to simply<br />
indicate when the food is at its peak<br />
freshness.<br />
Some of this confusion stems<br />
from a lack of regulation for food<br />
manufacturers. In fact, there is no<br />
national regulation on “use by” or “sell<br />
by” dates because it was never an issue<br />
of public health. Food dating emerged in<br />
the 1970’s because consumers wanted<br />
to know more about their food, as a<br />
larger portion of purchased foods were<br />
not being produced locally anymore.<br />
The dates were printed on foods solely<br />
as an indication of freshness and not an<br />
indication that foods would be inedible<br />
or dangerous after the “use by” date.<br />
Herein lies the confusion. Most of us are<br />
under the impression that “use by” and<br />
“sell by” dates indicate whether foods<br />
are safe to consume or not. The reality<br />
is that these dates were never linked to<br />
an increased risk of food poisoning or<br />
foodborne illness.<br />
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THE AMOUNT<br />
OF FOOD THROWN<br />
AWAY EACH YEAR<br />
REPRESENTS 40<br />
PERCENT OF THE U.S.<br />
FOOD SUPPLY<br />
90% of American waste billions of pounds of<br />
food because of confusing expiration date<br />
system, a new report says.<br />
Moreover, this confusion leads<br />
many of us to throw away foods<br />
that are still safe to eat. According<br />
to a report from the National<br />
Resources Defense Council and<br />
the Harvard Food Law and Policy<br />
Council, U.S. consumers and<br />
businesses are needlessly trashing<br />
billions of pounds of food every<br />
year as a result of the confusion<br />
surrounding expiry dates. The<br />
report cited a survey conducted by<br />
The Food Marketing Institute that<br />
stated, “nine out of ten Americans<br />
throw out food because of this<br />
misunderstanding. For an average<br />
family of four, this could mean<br />
hundreds of dollars’ worth of edible<br />
and safe food is thrown away every<br />
year.” All told, the amount of food<br />
thrown away each year represents<br />
40 percent of the U.S. food supply.<br />
The NRDC’s report calls for a<br />
standardization in labeling practices<br />
among food manufacturers in<br />
order to demystify the meaning of<br />
confusing tags that, according to<br />
the report, lead to billions of pounds<br />
of wasted food every year. It also<br />
provides consumer advice regarding<br />
specific items such as eggs and<br />
milk, and even a helpful chart on<br />
how to make better use of the space<br />
in your refrigerator to keep foods<br />
fresh, longer.<br />
nrdc.org/food/expiration-dates.asp<br />
nrdc.org/food/files/dating-game-infographic.pdf<br />
EXPIRED?nutrition<br />
THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 73
74 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 75
Advisor . Surgery<br />
The jeans fit!<br />
This is an essay written by one of my patients.<br />
She was so struck by her experience she turned<br />
to social media and posted this essay on her<br />
facebook page and ours. She was nervous<br />
about what people would think but was also<br />
so excited she couldn’t hold back. She got so<br />
many supportive comments that we thought<br />
we would share this woman’s experience with<br />
our readers in <strong>Healthy</strong> <strong>Magazine</strong>.<br />
“Getting a tummy tuck changed my life.<br />
Before you decide I am a shallow person<br />
that is too lazy to loose inches and get fit<br />
the more "natural way" let me tell you my<br />
story.<br />
I found out I was diabetic just before<br />
getting pregnant with my first child and<br />
was warned by doctors weight could<br />
become an issue. But being a size 7/8<br />
pant, I thought weight would never be a<br />
problem for me. It hadn't been all my life.<br />
Tragically, I put on exactly 97 lbs with<br />
my first baby. Breastfeeding helped take<br />
some baby weight off, but I never got<br />
rid of my stomach. My abdomen was so<br />
stretched out that it even had a split down<br />
the center (you know what I am talking<br />
about).<br />
I was left with sagging, wrinkly skin. I had<br />
2 choices, keep the muffin top so that my<br />
skin looked suppler or lose the weight and<br />
have a wrinkled old man on my stomach.<br />
What was the point of exercising when<br />
those were my options?<br />
It has been 7 weeks since my surgery and<br />
I decided to be brave enough to buy a pair<br />
of jeans.<br />
I haven't bought a pair of jean in about 8<br />
years. Why? Because jeans make muffin<br />
tops even worse and to hide my muffin<br />
top I needed a larger pant size which<br />
made everything look wrong. Swimsuits<br />
and jeans are brutal on the self-esteem.<br />
I swallowed hard, walked into the store,<br />
and decided to give it a shot. I grabbed the<br />
first pair of jeans in my size (11/12) and<br />
headed for a dressing room.<br />
When I put on the jeans they fit like a<br />
glove and I couldn't believe that my very<br />
first pair of jeans looked amazing. The<br />
saleswoman said they looked perfect on<br />
me and asked if I would like to try them in<br />
a different color. She came back carrying<br />
a size7/8! Politely I said, “These won’t fit,<br />
although it would be awesome if they did.”<br />
She laughed and said, “They DO fit. You’re<br />
wearing a 7/8 now!”<br />
My heart fluttered like I was in a dream<br />
and hoped I would never wake up. I<br />
stood, stunned. Could this be true?<br />
After a decade, is a 7/8 a reality for me?<br />
Sometimes we just give up on the dream,<br />
you know?<br />
I tried on 5 more pair of pants just to<br />
reaffirm that the saleswoman wasn't a<br />
liar or this wasn’t all a mistake. (Wouldn't<br />
you?) The funny thing about surgical<br />
weight loss is that you literally have to<br />
catch up mentally to your new size.<br />
So the miracle of it all is that I look as<br />
amazing as I feel, and I am not imprisoned<br />
by low self-esteem.<br />
If you are suffering like I was, if you just<br />
want to recognize yourself in the mirror<br />
again or feel comfortable in your own skin,<br />
consider NuVista Plastic Surgery. Their<br />
staff is warm and understanding and Dr.<br />
Petersen has a gift of healing. Thank you<br />
Dr. Petersen for giving me my life back in<br />
so many, many ways!!!”<br />
-Rachel<br />
https://www.facebook.com/rachelspricematch<br />
ABOUT THE AUTHOR<br />
Dr. Dayne Petersen<br />
NuVista Plastic Surgery<br />
nuvistaplasticsurgery.com<br />
Dr. Petersen recently moved his practice after<br />
spending several years on the teaching faculty of<br />
the University of Oklahoma. To learn more about Dr.<br />
Petersen and breast oasis, the non-profit he supports,<br />
visit his website www.nuvistaplasticsurgery.com.<br />
76 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
Advisor . Women's Health<br />
THE OB/GYN<br />
Top 5 List<br />
REFORMING OBSTETRICS AND GYNECOLOGY<br />
TO REDUCE RISKS AND IMPROVE CARE<br />
In 2011 the American Board of Internal<br />
Medicine and Consumer Reports started<br />
an initiative entitled "Choosing Wisely."<br />
It grew out of an article published by Dr.<br />
Howard Brody called "Medicine's Ethical<br />
Responsibility for Healthcare Reform - The<br />
Top Five List." He suggested that each<br />
medical specialty carefully evaluate the<br />
top 5 areas of reform in their particular<br />
specialty. Over 25 medical specialties have<br />
now joined in the campaign. I want to focus<br />
on the American College of Obstetrics and<br />
Gynecology’s (ACOG) top 5 areas that needed<br />
reform.<br />
1. The first and most widely published<br />
reform is shared by the ACOG, The American<br />
Academy of Family Physicians and The<br />
American Academy of Pediatricians. It is<br />
entitled the "Strong Start" program. It states<br />
that "Non-medically indicated deliveries<br />
should not be performed prior to 39 weeks<br />
of gestation." This statement is also strongly<br />
supported by The American College of<br />
Nurse Midwifery, The American Hospital<br />
Association, and the March of Dimes. In<br />
essence, babies should not be induced or<br />
delivered unnecessarily prior to 39 weeks<br />
unless absolutely medically necessary<br />
for the welfare of the infant or mother.<br />
This statement arose out of another very<br />
comprehensive study also published in the<br />
New England Journal of Medicine by Dr.<br />
Alan Tita that very clearly demonstrated a<br />
significant detriment to infants born before<br />
39 weeks compared to those born after 39<br />
weeks of gestation. By far the greatest risk<br />
to the unborn child is prematurity. With<br />
the advances in neonatal care over the<br />
past decades, some physicians became<br />
somewhat cavalier in inducing babies at<br />
earlier and earlier gestation. In 2012, a letter<br />
was sent to all 3100 obstetric hospitals in the<br />
USA stating that there needed to be a "hard<br />
stop to all non-medically indicated elective<br />
deliveries before 39 weeks gestation." This<br />
does not include those instances where<br />
there is a true need to deliver the baby<br />
early for infant or maternal indications.<br />
Some possible indications for early delivery<br />
would include things like pre-eclampsia,<br />
poorly controlled diabetes, severe growth<br />
restriction, poorly controlled hypertension,<br />
or placental abruption. However, these<br />
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indications need to be clearly delineated in<br />
the medical record.<br />
2. The second area of reform that ACOG chose<br />
to target was that "doctors should not induce<br />
a woman between 39 weeks and 41 weeks of<br />
gestation unless the cervix was favorable."<br />
Way back in 1964, Dr. Bishop introduced<br />
what is now called the "Bishop Score." It was<br />
meant to determine the likelihood of a vaginal<br />
delivery if a woman with previous children<br />
were to be induced. If a woman had a Bishop<br />
Score of 9 or greater, then the chance of a<br />
successful vaginal delivery was the same<br />
as if she went into labor on her own. This<br />
only applied to multiparous women with at<br />
least one prior normal delivery. Therefore,<br />
if a multiparous woman has a Bishop Score<br />
of 9 or greater, then and only then is it safe<br />
to deliver her at 39 weeks or beyond with<br />
an elective induction. This does not apply to<br />
women who have not had a baby previously.<br />
In fact, in a study recently published by the<br />
Oregon University and Health Science Center,<br />
the risk of a cesarean section increased 13<br />
fold if a first time mother was induced with<br />
an "unripe cervix." By adhering to the policy<br />
of only inducing multiparous women with a<br />
ripe cervix at or beyond 39 weeks, we can help<br />
reduce the horrible cesarean rate in the USA.<br />
I personally won't induce a first time mother<br />
till 41 weeks, unless medically indicated<br />
to try to substantially reduce their risk of a<br />
c-section.<br />
3. The last 3 initiatives actually focus on<br />
reduced rather than increased screening. The<br />
3rd on the Choosing Wisely list is to decrease<br />
the frequency of pap smears. In the past,<br />
yearly pap smears were recommended for<br />
all women over age 18. This is now changed<br />
to not start to do pap smears till age 21, and<br />
then only every 3 years till age 30. After age 30,<br />
co-testing with pap and HPV tests only every 5<br />
years. This does not obviate the need for your<br />
annual exam however. You still ought to see<br />
your OB/GYN every year for things like breast<br />
cancer screening, appropriate blood tests,<br />
vaccinations, and for a complete physical<br />
exam.<br />
4. The fourth also focuses on pap testing.<br />
It states that “women with mild cervical<br />
dysplasia need not be treated." In other words,<br />
we were too aggressive in treating women<br />
with pre-cancerous lesions of the cervix.<br />
In treating women with LEEP procedures<br />
we were inadvertently causing premature<br />
deliveries by removing too much of the<br />
cervix in treating disease that was very<br />
unlikley to progress to cancer.<br />
5. The last issue to be addressed was to<br />
"NOT SCREEN ASYMPTOMATIC WOMEN<br />
AT ANY AGE FOR OVARIAN CANCER."<br />
This seems wrong, but in reality it is<br />
very good. Unfortunately we currently do<br />
not have a good screening modality for<br />
ovarian cancer. It would take about 10,000<br />
asymptomatic women to be screened<br />
to find one ovarian cancer. What would<br />
happen would be very many unnecessary<br />
surgeries and many needless deaths if<br />
we were to try to screen every woman<br />
for ovarian cancer. Even now, when 21<br />
women are suspected to have ovarian<br />
cancer with an ovarian mass, only one<br />
will actually have ovarian cancer.<br />
In summary, by not being induced prior<br />
to 39 weeks, if you've had a prior baby,<br />
or 41 weeks if you’re having your first<br />
one, we can decrease fetal and maternal<br />
risks. Also by decreasing the frequency<br />
of pap smears and not screening for<br />
ovarian cancer, we can actually improve<br />
the quality of care for women of all ages.<br />
For other advice on women's healthcare,<br />
contact Dr. Mark T. Saunders at 801-692-<br />
1429 or visit us at DRSAUNDERSOBGYN.<br />
com<br />
For more information on The Choosing Wisely<br />
campaign, go to acog.org.<br />
ABOUT THE AUTHOR<br />
Mark Saunders, MD<br />
Obstetrics & Gynecology Personal Care<br />
drsaundersobgyn.com<br />
Dr. Saunders is a well-respected board certified<br />
obstetrician and gynecologist that has been practicing<br />
for over 16 years.<br />
THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 77
FINGERS WON’T<br />
STRAIGHTEN?<br />
WHAT IS IT?<br />
Dupuytren’s (doo-puh-trens) Contracture is a condition involving the palm and fingers.<br />
Connective tissue (aplmar fascia) just under the skin in the palm begins to thicken<br />
and shorten, which causes development of contracted cords and nodules. The<br />
fingers then curl down toward the palm. The ring and little finger are most commonly<br />
affected.<br />
NO SURGERY!<br />
Now there is a simple, quick non-surgical medical treatment available in the Salt Lake<br />
market by Doctor David Kline.<br />
This technique was developed in Paris by Doctor J. L. Lermusiaux in the early 1950’s.<br />
Dr. Kline had his own hand treated by Dr. Lermusiaux, then studied the procedure and<br />
brought the technique to the U.S. in 2002.<br />
Under local anesthetic, Dr. Kline uses a small hypodermic needle to divide and<br />
release the contracting bands in the diseased areas of the palm and fingers.<br />
THE EFFECTIVENESS IS OUTSTANDING! Patients are able to open their hands<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 79
The Men’s Health Center in Salt Lake City offers a health care concept engineered exclusively for men by medical<br />
experts. Managing your health is our mission and we take pride in offering better service at a doctor’s office. Our<br />
clients want to use their time at the doctor’s office effectively, prevent health problems before they start and avoid<br />
the pitfalls of “managed” care. Our approach is to personalize your health service and positively impact your health.<br />
Early detection and early treatment of health problems are the cornerstones of our strategy. The MHC medical<br />
team has years of experience treating common conditions such as high blood pressure, diabetes, impotence, and<br />
high cholesterol. We also offer weight control programs, hormone replacement and treatment of sleep problems/<br />
psychological issues. We aggressively screen for heart disease and cancer.<br />
We have one clear goal: to identify and treat your personal health risks. And<br />
our medical service is tailored especially to men. Come experience the MHC<br />
difference. We believe there is no more important investment than your health!<br />
80 HEALTHY MAGAZINE <strong>2018</strong> <strong>Healthy</strong>-<strong>Magazine</strong>s.com
MENSHEALTHCENTER.COM<br />
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SALT LAKE CITY, UT 84102<br />
PHONE: (801) 521-2102<br />
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THE HEALTHY HOLIDAY ISSUE <strong>2018</strong> 81
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